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https://www.readbyqxmd.com/read/29103059/fatty-degeneration-of-the-deltoid-muscle-associated-with-displaced-proximal-humerus-fractures
#1
M Panzica, J Brandes, U Schmiddem, A Karch, N Hawi, C Krettek, R Meller
INTRODUCTION: The use of reverse shoulder arthroplasty (RSA) has increased dramatically over the last two decades, with many surgeons now indicating RSA for the acute management of displaced proximal humerus fractures (PHF) in the elderly. RSA relies on adequate deltoid muscle function to obtain a good outcome, yet no literature to date exists which discusses preoperative assessment of deltoid structure prior to RSA. The purpose of this study was to assess for preoperative fatty deltoid-degeneration in patients with displaced PHF...
October 23, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29078892/high-perioperative-morbidity-and-mortality-in-patients-with-malignant-nonfunctional-adrenal-tumors
#2
Andrea R Marcadis, Gustavo A Rubio, Zahra F Khan, Josefina C Farra, John I Lew
BACKGROUND: Both functional (hormone hypersecreting) and nonfunctional (nonhypersecreting) adrenal tumors can have benign or malignant pathology. This study compares perioperative in-hospital outcomes after adrenalectomy in patients with benign versus malignant nonfunctional primary adrenal tumors. METHODS: A retrospective cross-sectional analysis was performed using the Nationwide Inpatient Sample database (2006-2011) to identify patients who underwent unilateral open or laparoscopic adrenalectomy for nonfunctional primary adrenal tumors...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29074155/consensus-derived-coronary-anastomotic-checklist-reveals-significant-variability-among-experts
#3
Ara A Vaporciyan, Vid Fikfak, Matthew C Lineberry, Yoon Soo Park, Ara Tekian
BACKGROUND: Surgical skill assessment tools frequently reflect the opinions of small groups of surgeons. That raises concerns over their generalizability as well as their utilization when applied broadly. A Delphi approach could engage a broad group of experts to identify key elements for a checklist assessing coronary anastomotic skill, improving generalizability. METHODS: Expert surgeons in North America (10 or more years in practice, actively teaching coronary artery surgery) were contacted randomly to participate...
October 24, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29068943/social-media-and-the-plastic-surgery-patient
#4
Sarah C Sorice, Alexander Y Li, Jarom Gilstrap, Francisco L Canales, Heather J Furnas
BACKGROUND: Many plastic surgeons use social media as a marketing tool to attract and retain patients, but information about how patients use social media and their preferred types of plastic surgery posts have been lacking. METHODS: To investigate patients' preferred social media networks and the type of posts they wished to see, a cross-sectional study was conducted in a single aesthetic practice of two plastic surgeons by surveying 100 consecutive patients. RESULTS: The age of the patients averaged 44...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29067157/guide-to-managing-persistent-upper-gastrointestinal-symptoms-during-and-after-treatment-for-cancer
#5
H Jervoise N Andreyev, Ann C Muls, Clare Shaw, Richard R Jackson, Caroline Gee, Susan Vyoral, Andrew R Davies
BACKGROUND: Guidance: the practical management of the gastrointestinal symptoms of pelvic radiation disease was published in 2014 for a multidisciplinary audience. Following this, a companion guide to managing upper gastrointestinal (GI) consequences was developed. AIMS: The development and peer review of an algorithm which could be accessible to all types of clinicians working with patients experiencing upper GI symptoms following cancer treatment. METHODS: Experts who manage patients with upper GI symptoms were asked to review the guide, rating each section for agreement with the recommended measures and suggesting amendments if necessary...
October 2017: Frontline Gastroenterology
https://www.readbyqxmd.com/read/29056229/frequency-of-coronary-endarterectomy-in-patients-undergoing-coronary-artery-bypass-grafting-at-a-single-tertiary-texas-hospital-2010-to-2016-with-morphologic-studies-of-the-operatively-excised-specimens
#6
William C Roberts, Anna E Berry
This study examines the frequency of coronary endarterectomy (CE) procedures during coronary artery bypass grafting (CABG), and determines the quantity of plaque in the specimens. Of the 2,268 CABG operations performed from January 2010 to June 2016, 35 patients had CE during CABG. The specimens were incised into 5-mm cross sections, stained by the Movat method, and examined. The number of CEs performed ranged from 0.21% to 4.01%. A total of 140 cm of specimens were examined, and all 140 cm contained considerable quantities of atherosclerotic plaque and narrowed lumens...
September 19, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/29051521/evaluating-feasibility-of-an-automated-3-dimensional-scanner-using-raman-spectroscopy-for-intraoperative-breast-margin-assessment
#7
G Thomas, T-Q Nguyen, I J Pence, B Caldwell, M E O'Connor, J Giltnane, M E Sanders, A Grau, I Meszoely, M Hooks, M C Kelley, A Mahadevan-Jansen
Breast conserving surgery is the preferred treatment for women diagnosed with early stage invasive breast cancer. To ensure successful breast conserving surgeries, efficient tumour margin resection is required for minimizing tumour recurrence. Currently surgeons rely on touch preparation cytology or frozen section analysis to assess tumour margin status intraoperatively. These techniques have suboptimal accuracy and are time-consuming. Tumour margin status is eventually confirmed using postoperative histopathology that takes several days...
October 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29016439/examining-the-ability-of-artificial-neural-networks-machine-learning-models-to-accurately-predict-complications-following-posterior-lumbar-spine-fusion
#8
Jun S Kim, Robert K Merrill, Varun Arvind, Deepak Kaji, Sara D Pasik, Chuma C Nwachukwu, Luilly Vargas, Nebiyu S Osman, Eric K Oermann, John M Caridi, Samuel K Cho
STUDY DESIGN: Cross-sectional database study. OBJECTIVE: To train and validate machine learning models to identify risk factors for complications following posterior lumbar spine fusion. SUMMARY OF BACKGROUND DATA: Machine learning models such as artificial neural networks (ANNs) are valuable tools for analyzing and interpreting large and complex datasets. ANNs have yet to be used for risk factor analysis in orthopedic surgery. METHODS: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for patients who underwent posterior lumbar spine fusion...
October 9, 2017: Spine
https://www.readbyqxmd.com/read/28985486/the-effect-of-ankle-distraction-on-arthroscopic-evaluation-of-syndesmotic-instability-a-cadaveric-study
#9
Bart Lubberts, Daniel Guss, Bryan G Vopat, Jonathon C Wolf, Daniel K Moon, Christopher W DiGiovanni
BACKGROUND: To assist with visualization, orthopaedic surgeons often apply ankle distraction during arthroscopic procedures. The study aimed to investigate whether ankle distraction suppresses fibular motion in cadaveric specimens with an unstable syndesmotic injury. METHODS: Fourteen fresh-frozen above knee specimens underwent arthroscopic assessment with 1) intact ligaments, 2) after sectioning of the anterior inferior tibiofibular ligament, the interosseous ligament, and the posterior inferior tibiofibular ligament, and 3) after sectioning of the deep and superficial deltoid ligament...
September 28, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28984659/a-cross-sectional-study-of-variations-in-reimbursement-for-breast-reconstruction-is-a-healthcare-disparity-on-the-horizon
#10
Elizabeth B Odom, Alexandra C Schmidt, Terence M Myckatyn, Donald W Buck
BACKGROUND: Despite growing demand for breast reconstruction, financial disincentives to perform breast reconstruction in patients with government-sponsored insurance plans may lead to longer wait times and decreased access to care. We identify the variation in reimbursement for implant and autologous reconstruction as a step toward understanding these financial implications, to develop safeguards to minimize effects on access to care. METHODS: Billing data were collected over a 10-year period for patients undergoing implant-based (19357) or free-flap (19364) breast reconstruction...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28979745/magnetic-resonance-mammography-in-comparison-with-mammography-in-the-discovery-of-multifocal-multicentric-and-bilateral-lesions-of-breast-cancer
#11
Khadijeh Bakhtavar, Maryam Saran, Masoud Behzadifar, Maryam Farsi
BACKGROUND: Breast cancer is one of the health system problems and important diseases that is rising in developing and advanced countries. OBJECTIVE: This study aimed to determine the difference of Magnetic Resonance Mammography (MRM) findings versus mammography in detecting multifocal, multi-centric and malignant bilateral lesions in patients with known breast cancer in Tehran. METHODS: This cross-sectional study was conducted in Iran and Tehran among breast cancer patients between January 2015 and February 2016...
August 2017: Electronic Physician
https://www.readbyqxmd.com/read/28953290/rural-curricular-guidelines-based-on-practice-scope-of-recent-residency-graduates-practicing-in-small-communities
#12
Joe M Skariah, Carl Rasmussen, Joyce Hollander-Rodriguez, Patricia A Carney, Eve Dexter, Elaine Waller, M Patrice Eiff
BACKGROUND AND OBJECTIVES: The optimal curriculum for training family physicians for rural practice within a traditional urban-based residency is not defined. We used the scope of practice among recent family medicine graduates of residencies associated with Preparing the Personal Physician for Practice (P4), practicing in small communities, to identify rural curriculum components. METHODS: We surveyed graduates 18 months after residency between 2007 and 2014. The survey measured self-reported practice characteristics, including community size, and scope of practice...
September 2017: Family Medicine
https://www.readbyqxmd.com/read/28924274/quantitative-volumetric-analysis-of-a-retinoic-acid-induced-hypoplastic-model-of-chick-thymus-using-image-j
#13
Ayesha Haque, Muhammad Yunus Khan
OBJECTIVE: To assess the total volume change in a retinoic acid-induced, hypoplastic model of a chick thymus using Image-J. METHODS: This experimental study was carried out at the anatomy department of College of Physicians and Surgeons, Islamabad, Pakistan, from February 2009 to February 2010, and comprised fertilised chicken eggs. The eggs were divided into experimental group A and control group C. Group A was injected with 0.3µg of retinoic acid via yolk sac to induce a defective model of a thymus with hypoplasia...
September 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28885297/spinal-surgeons-opinions-on-pre-and-postoperative-rehabilitation-in-patients-undergoing-lumbar-spinal-fusion-surgery-a-survey-based-study-in-the-netherlands-and-sweden
#14
Reni M A van Erp, Jetse Jelsma, Ivan P J Huijnen, Mari Lundberg, Paul C Willems, Rob J E M Smeets
STUDY DESIGN: A cross-sectional survey in the Netherlands and Sweden. OBJECTIVE: To investigate Dutch and Swedish spinal surgeons' opinions on spinal fusion pre- and postoperative rehabilitation. SUMMARY OF BACKGROUND DATA: Lumbar spinal fusion surgery is increasingly provided in patients with chronic low back pain. No guidelines however exist for pre- and postoperative rehabilitation and it is unknown what opinions spinal surgeons currently have about pre- and postoperative rehabilitation...
September 6, 2017: Spine
https://www.readbyqxmd.com/read/28876688/management-of-myelomeningocele-in-the-province-of-kwazulu-natal-south-africa
#15
M N Mnguni, B Enicker, T E Madiba
BACKGROUND: Spina bifida is the most common of congenital anomalies of the central nervous system that are compatible with life. The most frequent form is myelomeningocele. METHOD: Setting: Neurosurgery Unit, Inkosi Albert Luthuli Central Hospital. Patients: Consecutive children with diagnosis myelomeningocele who were managed at from January 2006 to December 2014. Design: Retrospective analysis of children with myelomeningocele. Multiple logistic regression analysis identified clinical, demographic and surgical variables that were associated with outcome...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28859102/factors-associated-with-last-dental-visit-or-not-to-visit-the-dentist-by-brazilian-adolescents-a-population-based-study
#16
Emílio P da Fonseca, Antonio C Frias, Fábio L Mialhe, Antonio C Pereira, Marcelo de C Meneghim
OBJECTIVES: We investigated the factors associated with no dental visit within the last two years by adolescents in the state of São Paulo, Brazil, by using data from the Oral Health Conditions of São Paulo state population Project (SBSP-2015) conducted in 2015. METHODS: This was a cross-sectional epidemiological study with a representative sample of adolescents aged 15 to higher years residing in São Paulo State. The examiners were calibrated and dental visits were measured categorically as 1- Less than 1 year, 2- One to two years, 3 - Three years or more, 4- I have never visited the dentist...
2017: PloS One
https://www.readbyqxmd.com/read/28841623/associations-of-surgeon-and-hospital-volumes-with-outcome-for-free-tissue-transfer-by-using-the-national-taiwan-population-health-care-data-from-2001-to-2012
#17
Elham Mahmoudi, Yiwen Lu, Shu-Chen Chang, Chia-Yu Lin, Yi-Chun Wang, Chee Jen Chang, Ming-Huei Cheng, Kevin C Chung
BACKGROUND: Greater hospital case volumes are associated with improved outcomes for high-risk procedures. The hospital-outcome association for complex but low-mortality procedures and the association between surgeon versus hospital case volume and surgical outcomes have been less explored. The authors examined the association between surgeon and hospital volume and the success for free tissue transfer (free flap) surgery. The authors hypothesized that there would be positive associations between hospital and surgeon volume and the success of free flap surgery...
September 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28841611/perioperative-and-long-term-smoking-behaviors-in-cosmetic-surgery-patients
#18
Aaron C Van Slyke, Michael Carr, Aaron D C Knox, Krista Genoway, Nicholas J Carr
BACKGROUND: Many plastic surgeons advocate smoking cessation before patients undergo cosmetic surgery with extensive soft-tissue dissection. Smoking cessation rates after cosmetic surgery are unknown. The preoperative consultation may be an opportunity to promote long-term smoking cessation. METHODS: This is a retrospective, cross-sectional cohort study. All patients over an 8-year study period who smoked before their preoperative consultation; who quit 2 weeks before surgery; and who subsequently underwent rhytidectomy, abdominoplasty, or mastopexy were included...
September 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28811984/acdf-graft-selection-by-surgeons-survey-of-aospine-members
#19
S Tim Yoon, Jeffrey A Konopka, Jeffrey C Wang, Jim A Youssef, Hans Joerg Meisel, Darrel S Brodke, Jong-Beom Park
STUDY DESIGN: Cross-sectional survey study. OBJECTIVE: To determine what are the most commonly used graft materials in anterior cervical discectomy and fusion and whether the choice of graft is affected by surgeon's training, years in practice, geographic location, practice setting, or surgeon's perceived difficulty in achieving fusion. METHODS: A 23-question survey was sent out to 5334 surgeons using the Global AO Spine database. Response data was then stratified into surgeon training, years of practice, practice type, and global region...
August 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28783240/social-media-use-in-german-visceral-surgeons-a-cross-sectional-study-of-a-national-cohort
#20
C M Boßelmann, B Griffiths, H J Gallagher, K E Matzel, R R W Brady
BACKGROUND: Engagement in social media is increasing. Medical professionals have been adapting LinkedIn, a professional networking site, and Twitter, a micro-blogging service, for a number of uses. This development has been described for a number of medical specialties, but there remains a paucity of European data. A study was undertaken to measure engagement and activity of German visceral surgeons on social media platforms. METHOD: Visceral surgeons were identified from 15 regional Associations of Statutory Health Insurance Physicians (Kassenärztliche Vereinigungen) opt-in registers...
August 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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