Syringes have different intrinsic particle loads which can contribute to particle loads in the delivered drug Oleamide-lubricated transfer syringes, commonly used for bevacizumab repackaging, have time-dependent particle loads and are associated with the formation of visible particles beyond 30 days of storage Syringes have different intrinsic particle loads which can contribute to particle loads in the delivered drug Oleamide-lubricated transfer syringes, commonly used for bevacizumab repackaging, have time-dependent particle loads and are associated with the formation of visible particles beyond 30 days of storage To quantify the amount of radiation exposure from a commercially available computed tomography surgical imaging system that occurs in areas of the operating room that are generally believed to be safe and to correlate these amounts with established safety recommendations Experimental in vitro study Standard hospital operating room at a level one trauma center Radiation survey instruments at specified distances from an intraoperative computed tomography scanner Represented positions were the location of the anesthesiologist 80cm, the radiation technologist 180cm, the substerile room 500cm, the operating room door 600cm, the next-room nursing station 960cm, and the hallway 1000cm Radiation survey instruments were systematically exposed by a protocol intended to imitate expected radiation scatter during operative room use Radiation exposure readings from radiation survey instruments RESULTS Mean radiation exposure rates are reported Mean exposure rate was highest at the anesthesiolhe operating room, the magnitude is low enough to be clinically insignificant This study provides data that reinforces the need to wear protective gear or leave the room during the use of intraoperative CT, but unsuspecting surrounding staff need not worry about uninformed exposure To assess the reliability of the current computed tomography CT based technique for determining femoral anteversion, and quantify the prevalence and magnitude of side-to-side differences Cross-sectional cohort study Academic trauma center We reviewed CT scans from 120 patients with bilateral full-length axial cuts of both femurs Two hundred forty femurs with no fractures or other identifying features in their femora were included Ten unique data sets were created to measure anteversion of the left and right sides Intraobserver and interobserver reliability were calculated using intraclass correlation coefficients ICC and pooled absolute differences The mean absolute difference between the sides was determined using a fixed-effects model Interobserver reliability was high ICC 085, 95 confidence interval [CI] 083-088 The pooled mean absolute magnitude of variation between reviewers was small at 16 degrees 95 CI 14-18 degrees per scan The intraobserver reproducibility was high ICC 091, 95 CI 088-093 with a mean error of 27 degrees 95 CI 22-31 degrees per repeat viewing of the same scan by the same person The magnitude of side-to-side variation was 20 degrees 95 CI 15-26 degrees Twenty-one subjects 18, 95 CI 12-25 had a mean side-to-side calculated femoral anteversion difference of ≥10 degrees, while 6 5, 95 CI 2-10 subjects had a calculated mean side-to-side difference ≥15 degrees CT based femoral anteversion measurement techniques demonstrate good precision Only 1 in 20 patients had side-to-side differences of 15 degrees or more Therapeutic Level III See Instructions for Authors for a complete description of levels of evidence Therapeutic Level III See Instructions for Authors for a complete description of levels of evidence To assess the outcomes of elderly hip fracture surgeries performed 12 months before and 12 months after the implementation of a daily 6am-9am DOTR at a Level II community trauma center Retrospective cohort study SETTING Level II academic trauma center PATIENTS A total of 431 consecutive trauma patients undergoing surgical management of isolated low energy hip fractures from January 1, 2018, to December 31, 2019 Implementation of a 6am-9am DOTR Monday through Friday MAIN OUTCOME MEASURES Time to surgery, number of cases performed after-hours, surgical time, 90-day morbidity and mortality, and time to therapy Retrospective analysis showed that despite a 24 increase in surgical hip fracture volume, implementation of a part-time DOTR led to a decrease in after-hours surgery 324 vs 196; P=0008 and patients requiring the intensive care unit postoperatively 7 vs 38; P=0036 Surgeries performed after-hours were longer compared to surgeries performed during the daytime 820 minutes vs 68 minutes; P=0003 and had more complications pneumonia, pulmonary embolism and surgical site infection; P=0002, 0047, 0024, respectively Our results show that a part-time DOTR in a community Level II hospital is associated with improvement in patient care Therapeutic Level III See Instructions for Authors for a complete description of levels of evidence Therapeutic Level III https//wwwselleckchemcom/products/jte-013html See Instructions for Authors for a complete description of levels of evidence To gain more insights in the medium-term patient-reported quality of life QoL, activities of daily living ADL, and number of complications in trauma patients with an acetabular fracture AF, a pelvic fracture PF, and those with a surgically combined pelvic and AF PAF Retrospective single-center study Level I academic trauma center 51 trauma patients with PF, AF, or PAF who were surgically treated between 2014 and 2017 Open reduction and internal fixation Primary outcome measures are patient-reported outcome questionnaire, which includes 2 items, the QoL, as measured with the Short Form-12, and the ADL, as measured with the Lower Extremity Functional Scale The secondary outcome parameter was the occurrence of complications during a follow-up of at least 2 years The mean physical component score PCS of the QoL P = 003 and the ADL P = 003 were significantly higher in patients with AF compared with patients with PF The incidence of the overall postoperative complications did not significantly differ between the PF, AF, and PAF groups P = 0