0001). Twenty-six radiographically occult injuries in the wrist region, including six scaphoid fractures, were detected with the help of multidetector computed tomography. Overall, the recommended treatment plan changed in 23% of the cases when the
evaluation included multidetector computed tomography images in addition to conventional radiographs. Interobserver and intraobserver agreements were significantly increased when radiographs and multidetector computed tomography images both were available for evaluation (kappa = 0.73 and 0.91, respectively) as compared with interobserver selleck chemical and intraobserver agreement with radiographs alone (kappa = 0.43 and 0.69, respectively).
computed tomography provides more accurate information regarding the anatomy of intra-articular distal radial fractures than radiography provides. The addition of multidetector computed tomography to plain films frequently changes the therapeutic recommendations for such cases.”
“Introduction: Self-esteem is related to the broadly understood concept of self-schemas and is a crucial mechanism for a correct psychological development in children and adolescents. The impact of the many psychological difficulties linked to the migraine without aura (MoA) and recurrent headache attacks, such as anger Selleckchem Rigosertib and separation anxiety, on self-esteem has not yet been well investigated. The aims of the present study were to assess self-esteem levels in an objective way and to verify their possible relationship and correlation with the frequency and intensity of migraine attacks, in a population of children and adolescents affected by MoA.
Methods: MK-4827 concentration The study population was comprised of 185 children (88 males [M], 97 females [F]) aged between 6 and 12 years (mean 9.04 +/- 2.41 years) referred consecutively for MoA to the Center for Childhood
Headache, Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples and of 203 healthy controls (95 M, 108 F) with mean age 9.16 +/- 2.37 years, recruited from schools in Campania. The monthly headache frequency and the mean headache duration were assessed from daily headache diaries kept by all the children, and MoA intensity was assessed on a VAS (visual analog scale). To further evaluate their level of self-concept, all subjects filled out the Multidimensional Self-Concept Scale (MSCS).
Results: The two study groups were comparable for age (P = 0.621), sex (P = 0.960), and z-score BMI (P = 0.102). The MoA group showed a significant reduction in the MSCS total score (P < 0.001) and in the Social (P < 0.001), Affect (P < 0.001), Family (P < 0.001), and Physical (P < 0.001) domains of the MSCS compared with the control group.