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https://www.readbyqxmd.com/read/29785293/planning-and-marking-for-thoracoscopic-anatomical-segmentectomies
#1
Agathe Seguin-Givelet, Madalina Grigoroiu, Emmanuel Brian, Dominique Gossot
Although sublobar resection (SLR) for treating non-small cell lung carcinoma (NSCLC) is still controversial, thoracoscopic segmentectomy is rising. Performing it by closed chest surgery is complex as it means confirming the location of the lesion, identifying vascular and bronchial structures, preserving venous drainage of adjacent segments, severing the intersegmental plane and ensuring an oncological safety margin with no manual palpation and different landmarks. Accurate planning is mandatory. We discuss in this article the interest of 3D reconstruction and mapping technics to enhance safety and reliability of these procedures...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29777564/the-importance-of-non-regional-lymph-nodes-in-assigning-risk-in-primary-metastatic-prostate-cancer
#2
Adnan Ali, Alexander Hoyle, Hitesh Mistry, Noel W Clarke
OBJECTIVE: To determine the prognostic relevance of non-regional lymph nodes (NRLN) metastases presenting synchronously with bone metastases in metastatic prostate cancer (mPCa) for guiding treatment decisions based on oligometastatic definitions. PATIENTS AND METHODS: Patients diagnosed with mPCa between 2004 and 2013 were identified from the surveillance, epidemiology and end-results (SEER) database and were grouped by metastatic sites into only NRLN, only bone, bone + NRLN and other sites ± bone/NRLN metastases...
May 19, 2018: BJU International
https://www.readbyqxmd.com/read/29774757/extended-pelvic-lymph-node-dissection-in-bladder-cancer
#3
Roger Li, Firas G Petros, John W Davis
INTRODUCTION: Radical cystectomy and extended pelvic lymph node dissection (ePLND) are the gold standard treatment for muscle-invasive bladder cancer and BCG unresponsive nonmuscle-invasive bladder cancer. In this article, we review the rationale for ePLND in the treatment of bladder cancer and the evidence supporting the equipoise between robot-assisted (RA) and open ePLND. A step-by-step guide of robot-assisted ePLND (RA ePLND) is provided to illustrate the techniques currently employed at our institution...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29770463/a-first-for-dermatopathology-and-pathology-in-general-appropriate-use-criteria-in-dermatopathology-from-the-american-society-of-dermatopathology
#4
Adam I Rubin, Michael Hitchcock
In this issue of the Journal of Cutaneous Pathology(1), the ASDP Appropriate Use Criteria (AUC) Task Force releases a landmark series of recommendations on AUC from the American Society of Dermatopathology. This is the first set of AUC in dermatopathology and, indeed, in pathology overall. These recommendations were developed as part of the work of the ASDP AUC Task Force, created in 2015. This publication provides strong, evidence-based recommendations that will improve the delivery and utilization of care for our patients, just as AUC for Mohs surgery have elevated the discourse on that procedure for the benefit of patients and society as a whole(2)...
May 17, 2018: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/29757716/us-assessment-of-sports-related-hip-injuries
#5
Eugen Lungu, Johan Michaud, Nathalie J Bureau
Traumatic and overuse hip injuries occur frequently in amateur and professional athletes. After clinical assessment, imaging plays an important role in diagnosis and in defining care management of these injuries. Ultrasonography (US) is being increasingly used in assessment of hip injuries because of the wide availability of US machines, the lower cost, and the unique real-time imaging capability, which allows both static and dynamic evaluation as well as guidance of point-of-care interventions such as fluid aspiration and steroid injection...
May 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29754624/flank-and-lumbar-hernia-repair
#6
REVIEW
Lucas R Beffa, Alyssa L Margiotta, Alfredo M Carbonell
Flank and lumbar hernias are challenging because of their rarity and anatomic location. Several challenges exist when approaching these specific abdominal wall defects, including location, innervation of the lateral abdominal wall musculature, and their proximity to bony landmarks. These hernias are confined by the costal margin, spine, and pelvic brim, which makes closure of the defect, including mesh placement, difficult. This article discusses the anatomy of lumbar and flank hernias, the various etiologies for these hernias, and the procedural steps for open and robotic preperitoneal approaches...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754398/development-and-course-of-chronic-pain-over-four-years-in-the-general-population-the-hunt-pain-study
#7
Tormod Landmark, Ola Dale, Pål Romundstad, Astrid Woodhouse, Stein Kaasa, Petter C Borchgrevink
BACKGROUND: Epidemiological studies of chronic pain frequently report high prevalence estimates. However, there is little information about the development and natural course of chronic pain. METHODS: We followed a random sample of participants from a population-based study (HUNT 3) with annual measures over four years. RESULTS: Among those without chronic pain at baseline, the probability of developing moderate to severe chronic pain (cumulative incidence) during the first year was 5%, a pain status that was maintained among 38% at the second follow-up...
May 13, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29752841/anatomical-consideration-of-the-occipital-cutaneous-nerves-and-artery-for-the-safe-treatment-of-occipital-neuralgia
#8
Kang-Jae Shin, Hong-San Kim, Jehoon O, Hyun-Jin Kwon, Hun-Mu Yang
INTRODUCTION: There is no standardized approach to the greater occipital nerve (GON) block technique for treating occipital neuralgia. The aim of the present study was to validate the previously-suggested guidelines for conventional injection techniques and to provide navigational guidelines for safe GON block. METHODS & MATERIALS: The GON, lesser occipital nerve (LON) and occipital artery (OA) were carefully dissected in the occipital region of embalmed cadavers...
May 12, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29747732/gestational-diabetes-underpinning-principles-surveillance-and-management
#9
REVIEW
Jeffrey M Denney, Kristen H Quinn
Gestational diabetes mellitus (GDM) is carbohydrate intolerance resulting in hyperglycemia with onset during pregnancy. The article aims to provide clinicians with a working framework to minimize maternal and neonatal morbidity. Landmark historical and recent data are reviewed and presented to provide clinicians with a quick, easy reference for recognition and management of GDM. Data presented tie in insights with underlying pathophysiologic processes leading to GDM. Screening and diagnostic thresholds are discussed along with management upon diagnosis...
June 2018: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/29745972/the-philippines-rolls-back-advancements-in-the-postabortion-care-policy
#10
Melissa Upreti, Jihan Jacob
On February 18, 2018, a new postabortion care policy was issued by the Department of Health in the Philippines, in the form of Administrative Order 2018-0003.1 This policy rescinds Administrative Order 2016-0041, dated November 25, 2016,2 which was developed by the Technical Working Group established by the Department of Health to implement the Philippines' landmark reproductive health law passed in 2012,1 (p.7) Unlike the 2016 policy, the 2018 policy was drafted without broadly soliciting the input of reproductive health advocates whose collective efforts had led to the passage of a more ethical and human rights-based postabortion care policy in 2016, as discussed in depth in an article in the May issue of the International Journal of Obstetrics and Gynecology...
May 10, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29732608/ultrasound-guided-proximal-suprascapular-nerve-block-a-cadaveric-study
#11
Pierre Laumonerie, Fabrice Ferré, Jérémy Cances, E Meagan Tibbo, Mathieu Roumiguié, Pierre Mansat, Vincent Minville
INTRODUCTION: Difficulty in identifying the susprascapular nerve (SSN) limits the success of US-guided regional anesthetic injections. A proximal SSN block could be an effective and reliable approach. The primary objective was to validate the feasibility of the US-guided proximal SSN block. The secondary objective was to quantify the spread of the colored local anesthetic to the phrenic nerve (PN). MATERIALS AND METHODS: Fourteen brachial plexuses from seven cadavers were included...
May 7, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29716816/patient-specific-pre-contouring-of-osteosynthesis-plates-for-mandibular-reconstruction-using-a-three-dimensional-key-printed-solution
#12
J Kraeima, H H Glas, M J H Witjes, K P Schepman
PURPOSE: In mandibular reconstructive surgery, the osteosynthesis plates require contouring according to the patients' individual anatomical situation. These plates are frequently contoured around a three-dimensional (3D) printed model. However, the translation to the actual patient can introduce inaccuracies and unwanted rotations in the condyles and mandibular ramus, due to malpositioning of the pre-contoured plate. MATERIALS AND METHODS: This article describes an easy-access method for exact translation of the pre-contoured plate to the patient's mandible...
April 6, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29696412/characterization-of-the-perinatal-mandible-growth-pattern-preliminary-results
#13
F Remy, Y Godio-Raboutet, E Verna, G Gorincour, P Bonnaure, P Adalian, L Guyot, L Thollon
PURPOSE: The fetal development of the mandible is nowadays quite understood, and it is already known that craniofacial growth reaches its highest rate during the first 5 years of postnatal life. However, there are very few data focusing on the perinatal period. Thus, the present article is addressing this concern by studying the mandible morphology and its evolution around the birth with a morphometric method. METHODS: Thirty-one mandibles modelled in three dimensions from post-mortem CT-scans were analyzed...
April 25, 2018: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29685547/radiation-dose-and-image-conspicuity-comparison-between-conventional-120-kvp-and-150-kvp-with-spectral-beam-shaping-for-temporal-bone-ct
#14
Chang Rae Kim, Ji Young Jeon
OBJECTIVE: The purpose of this article is to compare radiation doses and conspicuity of anatomic landmarks of the temporal bone between the CT technique using spectral beam shaping at 150 kVp with a dedicated tin filter (150 kVp-Sn) and the conventional protocol at 120 kVp. METHODS: 25 patients (mean age, 46.8 ± 21.2 years) were examined using the 150-kVp Sn protocol (200 reference mAs using automated tube current modulation, 64 × 0.6 mm collimation, 0...
May 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29675972/the-american-academy-of-nursing-jonas-policy-scholars-program-mentoring-future-nurse-leaders-to-advance-health-policy
#15
EDITORIAL
Sarah Oerther, Sunny Hallowell, Alicia Rossiter, Deborah Gross
In 2010, the Institute of Medicine released a landmark report, "The Future of Nursing: Leading Change, Advancing Health," calling for a transformation of the nursing profession in education, leadership, and practice (Institute of Medicine [IOM], 2010). Consistent with the call to transform nursing and its role in health and health care, the American Academy of Nursing (the Academy), an organization of approximately 2,500 nursing leaders from around the world, created the Jonas Policy Scholars Program...
April 20, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29675778/systematic-review-of-the-mesopancreas-concept-and-clinical-implications
#16
REVIEW
J M Ramia, R De-la-Plaza, A Manuel-Vazquez, A Lopez-Marcano, R Morales
BACKGROUND: In 2007, Gockel et al. coined the term mesopancreas (MP). In the next 10 years, a limited number of publications about MP have been published, but little is known about the oncological benefit of MP resection. We performed a systematic review of the literature on MP. METHODS: An electronic search was performed in PubMed, EMBASE, Cochrane, Latindex, Scielo, and Koreamed databases until 15 June 2017 to identify all published articles dealing with the subject of MP...
April 19, 2018: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/29675626/imaging-of-the-sublingual-and-submandibular-spaces
#17
REVIEW
Swapnil Patel, Alok A Bhatt
Divided by the mylohyoid muscle, the sublingual and submandibular spaces represent a relatively small part of the oral cavity, but account for a disproportionate amount of pathological processes. These entities are traditionally separated into congenital, infectious/inflammatory, vascular and neoplastic aetiologies. This article reviews the relevant anatomy, clinical highlights and distinguishing imaging features necessary for accurate characterisation. TEACHING POINTS: • The mylohyoid sling is a key anatomical landmark useful in surgical planning...
April 19, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29659160/the-accessory-nerve-a-comprehensive-review-of-its-anatomy-development-variations-landmarks-and-clinical-considerations
#18
Jaspreet Johal, Joe Iwanaga, Kevin Tubbs, Marios Loukas, Rod J Oskouian, R Shane Tubbs
INTRODUCTION: The eleventh cranial nerve, the accessory nerve, has a complex and unique anatomy and has been the subject of much debate. Herein, we review the morphology, embryology, surgical anatomy and clinical manifestations of the accessory nerve. Included in this review, we mention variant anatomy, molecular development, histology, and imaging of the accessory nerve. CONCLUSIONS: The accessory nerve continues to be a topic of much discussion regarding its exact function and in particular to its cranial roots...
April 16, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29659048/time-to-plateau-as-a-predictor-of-survival-in-newly-diagnosed-multiple-myeloma
#19
Patrick W Mellors, Moritz Binder, Francis K Buadi, Martha Q Lacy, Morie A Gertz, Angela Dispenzieri, Suzanne R Hayman, Prashant Kapoor, Wilson I Gonsalves, Yi L Hwa, Amie Fonder, Miriam Hobbs, Taxiarchis Kourelis, Rahma Warsame, Steven R Zeldenrust, John A Lust, Nelson Leung, Ronald S Go, Robert A Kyle, S Vincent Rajkumar, Shaji K Kumar
Response rates in newly diagnosed multiple myeloma have improved dramatically with the introduction of highly effective novel therapies. However, survival in patients achieving optimal responses to initial treatment can vary significantly, and new prognostic indicators are required to improve risk stratification. We investigated the relationship between time to plateau (TPlat ) and survival in 1099 newly diagnosed patients treated with novel agents at our institution from 2005 to 2015. TPlat was defined as time from initiation of first-line therapy to best response to first-line therapy...
April 16, 2018: American Journal of Hematology
https://www.readbyqxmd.com/read/29658937/kinematic-analysis-using-3d-motion-capture-of-drinking-task-in-people-with-and-without-upper-extremity-impairments
#20
Margit Alt Murphy, Steve Murphy, Hanna C Persson, Ulla-Britt Bergström, Katharina Stibrant Sunnerhagen
Kinematic analysis is a powerful method for objective assessment of upper extremity movements in a three-dimensional (3D) space. Three-dimensional motion capture with an optoelectronic camera system is considered as golden standard for kinematic movement analysis and is increasingly used as outcome measure to evaluate the movement performance and quality after an injury or disease involving upper extremity movements. This article describes a standardized protocol for kinematic analysis of drinking task applied in individuals with upper extremity impairments after stroke...
March 28, 2018: Journal of Visualized Experiments: JoVE
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