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Injuries to the diaphragm muscle occur in penetrating and severe blunt trauma and can lead to delayed hernia formation. Computed tomography is the mainstay in the diagnosis of these injuries, which may be subtle at presentation. Imaging findings differ between blunt and penetrating trauma. Key features in blunt trauma include diaphragm fragment distraction and organ herniation because of increased intra-abdominal pressure. In penetrating trauma, herniation is uncommon, and the trajectory of the object is critical in making the diagnosis of diaphragm injury in these patients. Radiologists must keep a high index of suspicion for injury to the diaphragm in cases of trauma to the chest or abdomen.
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http://dx.doi.org/10.1007/s00261-016-0908-3 | DOI Listing |
Nephrol Dial Transplant
September 2025
Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Background: We investigated circulating protein profiles and molecular pathways among various chronic kidney disease (CKD) etiologies to study its underlying molecular heterogeneity.
Methods: We conducted a proteomic biomarker analysis in the DAPA-CKD trial recruiting adults with and without type 2 diabetes with an eGFR of 25 to 75 mL/min/1.73m2 and a UACR of 200 to 5000 mg/g.
BMJ Open
September 2025
School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Introduction: Stroke causes neurological deficits and respiratory dysfunction, with prolonged bed rest exacerbating secondary pulmonary injury. This study evaluated the efficacy of pressure biofeedback training combined with Liuzijue Qigong (LQG) in improving functional outcomes and respiratory function in patients with tracheostomised stroke.
Methods And Analysis: This will be a parallel, single-centre randomised controlled trial involving 66 patients.
J Vis Exp
August 2025
Department of Vascular Surgery, Rouen University Hospital.
Open surgery for abdominal aortic aneurysms requires transient interruption of blood circulation, causing ischemia-reperfusion of downstream organs. Renal, mesenteric, and splanchnic arteries may be involved. No therapy has proven effective in preventing remote lung injury caused by ischemia-reperfusion after supra-coeliac aortic clamping.
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August 2025
Department of Thoracic Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Background: This systematic review and meta-analysis aims to investigate the surgical approach and outcomes of diaphragmatic plication in the setting of diaphragmatic paralysis after phrenic nerve injury. The incidence of iatrogenic diaphragm paralysis varies across different surgical procedures.
Methods: Six databases were searched from inception until February 2023 for publications reporting on diaphragm plication surgery for phrenic nerve injury.
Physiother Res Int
October 2025
Graduate Program in Rehabilitation and Functional Performance (PPGRDF), Universidade de Pernambuco, Petrolina, Pernambuco, Brazil.
Background And Purpose: Severe neurological injuries frequently necessitate prolonged invasive mechanical ventilation (IMV), which contributes to diaphragm atrophy and weakness. These factors can complicate the weaning process and have a detrimental impact on clinical outcomes in neurocritical care patients. This study aimed to examine the morphology and function of the diaphragm in neurocritical patients undergoing IMV, with a particular focus on the relationship between these factors and respiratory muscle strength.
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