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“Accurate diagnosis is crucial in effectively managing and treating both the radial and carpal fractures. Injuries to the carpal bones are not usually associated with fractures of the distal radius; however, the presence of a distal radius fracture does not preclude an associated carpal injury. The purpose of this review article is to compile cases of past reported

distal radius fractures and simultaneous carpal injuries to restate its low prevalence within the pediatric population while still serving as a collective reference for management and treatment. After an electronic IGF-1R inhibitor literature search was performed, we identified 18 published articles and 28 cases dealing with combined distal radial and carpal bones injuries in the pediatric population. As the mechanism of injury is similar for both fractures, despite the low incidence, orthopedic surgeons need MAPK inhibitor to rule out carpal injury with a distal forearm fracture. Failure to treat both injuries appropriately may result in an unsatisfactory clinical result. J Pediatr Orthop B 20:330-333 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.”
“Background: Telemedicine transmission of echocardiograms, either in real-time or using store-and-forward technology, is used to evaluate infants with suspected heart disease. The impact of Internet protocol (IP) technology on telecardiology utilization is

unknown. This study evaluated the impact of IP expansion on telecardiology utilization and mode of scanning. MK-8776 Materials and Methods: The telemedicine database from 1998 to 2012 at our

institution was reviewed. Tele-echocardiography transmissions between 1998 to 2012 were identified. IP technology was introduced in 2006. The database was reviewed to compare telecardiology utilization and mode of scanning of transmission (live, store-and-forward, or both). As a secondary aim, indications for telemedicine echocardiograms, outcomes of studies, effectiveness, and efficiency were recorded. Results: Between 1998 and 2012, 11,890 telemedicine transmissions were performed. After IP expansion, telecardiology utilization increased significantly with no adverse effect on efficiency or diagnostic accuracy. IP expansion paralleled a change from live transmissions to store-and-forward transmissions. Abnormalities were detected in over 40% of studies. The average from time of request to completion of teleconsultation was under 30 min. Over 90% of echocardiograms were performed during the videoconference in the first 2 years. This fell to under 60% during the 2 most recent years of the program without impact on accuracy. Conclusions: Use of IP technology at a single center corresponded to a dramatic increase in volume of telemedicine echocardiograms, with no significant differences in efficiency.