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https://www.readbyqxmd.com/read/30025389/identifying-prognostic-factors-for-well-differentiated-metastatic-pancreatic-neuroendocrine-tumours-pnets-a-retrospective-international-multicenter-cohort-study
#1
Paula Jimenez-Fonseca, Sebastian Krug, Gianluca Tamagno, F Fierro Maya, A Monleon Getino, C I Rodriguez Casado, Frederico Costa, Wouter W de Herder, Henning Jann
<br>Pancreatic neuroendocrine tumours (pNETs) represent rare neoplasms of all NETs often presenting without functional activity. Many sporadic non-functioning pNET patients are already metastatic at the time of diagnosis, and the therapeutic approach to such patients is mostly palliative. In this international, multicenter, retrospective cohort study we assessed the prognostic value of a set of anthropometric, clinical, biochemical, radiological, and pathological parameters at baseline and the impact of the therapeutic strategies on the survival of patients with sporadic grade 1/2, stage IV, non-functioning pNETs...
July 19, 2018: Neuroendocrinology
https://www.readbyqxmd.com/read/30023976/approach-to-the-diagnosis-and-treatment-of-mesenteric-panniculitis-from-the-surgical-point-of-view
#2
Cemal Kaya, Emre Bozkurt, Pınar Yazıcı, Ufuk Oğuz İdiz, Mert Tanal, Mehmet Mihmanlı
Objective: To evaluate the diagnostic and treatment approaches for patients diagnosed with mesenteric panniculitis. Material and Methods: We retrospectively reviewed all patients diagnosed with mesenteric panniculitis between January 2010 and March 2016. We recorded the demographic features, clinical symptoms, laboratory values, radiological methods, treatment approach, and outcomes of the patients. Results: We evaluated 22 patients (17 male and five female) with a mean age of 45...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/30023436/blunt-rupture-of-the-thoracic-duct-after-severe-thoracic-trauma
#3
Samuel R Brown, Carlos Fernandez, Robert Bertellotti, Juan Antonio Asensio
A 53-year-old man was admitted to our trauma center after sustaining thoracoabdominal injuries, secondary to a rear-end motor vehicle collision. As he stepped out of his vehicle, he was struck by a tractor trailer at 55 mph. The following were the initial vital signs on his arrival: heart rate 140 beats/min, blood pressure 142/80 mm Hg, respiratory rate 28 breaths/min, temperature 36.8°C, and oxygen saturation 93%. The Glasgow Coma Scale score was 15 and the Injury Severity Score was 59. He was evaluated and resuscitated per the advanced trauma life support protocols...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/30023069/risk-factors-and-outcomes-of-infected-pancreatic-necrosis-retrospective-cohort-of-148-patients-admitted-to-the-icu-for-acute-pancreatitis
#4
Charlotte Garret, Matthieu Péron, Jean Reignier, Aurélie Le Thuaut, Jean-Baptiste Lascarrou, Frédéric Douane, Marc Lerhun, Isabelle Archambeaud, Noëlle Brulé, Cédric Bretonnière, Olivier Zambon, Laurent Nicolet, Nicolas Regenet, Christophe Guitton, Emmanuel Coron
Objective: The primary objective of this article is to identify risk factors for infected pancreatic necrosis (IPN) in patients admitted to the intensive care unit (ICU) for severe acute pancreatitis. We also described outcomes of IPN. Background: Acute pancreatitis is common and associated with multiple, potentially life-threatening complications. Over the last decade, minimally invasive procedures have been developed to treat IPN. Methods: We retrospectively studied consecutive patients admitted for severe acute pancreatitis to the ICUs of the Nantes University Hospital in France, between 2012 and 2015...
July 2018: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/30022452/both-full-glasgow-blatchford-score-and-modified-glasgow-blatchford-score-predict-the-need-for-intervention-and-mortality-in-patients-with-acute-lower-gastrointestinal-bleeding
#5
Asad Ur-Rahman, Jian Guan, Sameen Khalid, Alvina Munaf, Mohammad Sharbatji, Evgeny Idrisov, Xiaoping He, Archana Machavarapu, Khalid Abusaada
BACKGROUND: Glasgow-Blatchford score (GBS) has been developed for risk stratification in management of acute upper gastrointestinal (GI) bleeding. However, the performance of GBS in patients with lower GI bleeding is unknown. AIM: To evaluate the performance of full or modified GBS and modified GBS in prediction of major clinical outcomes in patients with lower GI bleeding. METHODS: A retrospective study of patients admitted to a tertiary care center with either non-variceal upper GI bleeding or lower GI bleeding was conducted...
July 19, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/30021734/rare-cause-for-a-common-presentation-isolated-pulmonary-valve-endocarditis-yet-another-mimicker
#6
Ahmed Shameem Reza, Dharmesh Anand, Sing Huey Cheng, Dharampal Anand
Isolated pulmonary valve endocarditis (PVE) is a rare condition. Known risk factors in previous case reports were intravenous drug abuse and congenital heart disease. Epidemiology of PVE has been changing. It is now being reported specially following invasive healthcare-related procedures even in patients with structurally normal heart. Vast majority of patients present with respiratory symptoms and diagnosis of endocarditis may be challenging unless there is high index of suspicion. Various microorganisms had been isolated as aetiological agents; however, Enterococcus faecalis is being increasingly isolated...
July 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/30020040/look-closer-to-welders-lung
#7
İpek Özmen, Elif Yıldırım, Reyhan Yıldız, Hamza Ogun, Emine Aksoy, Tülay Törün, Peri Arbak, Haluk Çalışır
Introduction: Welding produces miscellaneous gases and particles that has various impact on respiratory system and long term exposure may result "welders'lung". The aim of this study is to describe the radiological findings of welders' and make an awereness for welders radilogical findings. Materials and Methods: The clinical and radiological findings of welders' who had hospital applications with respiratory symptoms between January 2010-January 2017 were evaluated retrospectively...
March 2018: Tüberküloz Ve Toraks
https://www.readbyqxmd.com/read/30019879/the-wandering-spleen-as-a-rare-cause-of-recurrent-abdominal-pain-a-literature-review
#8
Matteo Barabino, Carmelo Luigiano, Rinaldo Pellicano, Marco Giovenzana, Roberto Santambrogio, Andrea Pisani, Anna Maria Ierardi, Maria Angela Palamara, Pierluigi Consolo, Giuseppa Giacobbe, Sharmila Fagoonee, Leonardo H Eusebi, Enrico Opocher
INTRODUCTION: Wandering spleen (WS) is a rare and generally acquired condition, resulting from abnormal ligamentous laxity failing to fixate the spleen in its normal location in the left upper quadrant, thus leading to its migration to the pelvis due to gravity. Such migration leads to an elongated vascular pedicle, which is prone to torsion causing splenic infarction; thus, a prompt surgical intervention is recommended. Since this adverse event affects childbearing women or children, it is crucial to choose the most appropriate surgical strategy, such as splenectomy or splenopexy, both effective and widely diffused options...
July 18, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/30019690/strategies-to-optimise-occupational-radiation-protection-in-interventional-cardiology-using-simultaneous-registration-of-patient-and-staff-doses
#9
Eliseo Vano, Roberto Mariano Sanchez, Jose Miguel Fernández
The International Commission on Radiological Protection recommends that occupational protection and patient protection be managed in an integrated approach. This paper describes the experience and the initial results of a system able to register and to process simultaneously staff and patient doses in interventional cardiology and the practical use of this system in the optimisation of occupational exposure. The system used, simultaneously collects and manages patient and staff doses for all the radiation events...
July 18, 2018: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/30017623/impact-of-performing-nonurgent-interventional-radiology-procedures-on-weekends
#10
Muneeb Ahmed, Ammar Sarwar, Donna Hallett, Marge Guthrie, Bridget O'Bryan, Sahil Mehta, Tali Fudim, Salomao Faintuch
Most clinical services limit weekend care to urgent or emergent situations. However, providing access to nonemergent procedures on weekends may reduce length of hospital stay and unnecessary admissions. No data are available on the impact of providing nonemergent interventional radiology (IR) procedural services on weekends. A retrospective review of nonurgent IR inpatient services on weekends over a 12-month period was performed. Using intent-to-treat analysis, 453 procedures were performed on 447 patients on 100 weekend days...
July 13, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/30017501/lightly-embalmed-cadavers-as-a-training-tool-for-ultrasound-guided-procedures-commonly-used-in-interventional-radiology
#11
Mary E Mollie Meek, James C Meek, Blake Hollowoa, Ruizong Li, Linda A Deloney, Kevin D Phelan
RATIONALE AND OBJECTIVES: Competency in ultrasound (US) imaging and US-guided procedures is often difficult for medical students and residents to master. The use of simulation training has been strongly encouraged but the quality of phantom models available for US-guided procedures is limited. As a feasible alternative, we describe the innovative use of a lightly embalmed cadaver for realistic practice of common interventional radiology (IR) procedures prior to direct patient care. MATERIALS AND METHODS: Lightly embalmed cadavers were positioned as patients would be in the IR suite: supine, prone, and erect seated position...
July 14, 2018: Academic Radiology
https://www.readbyqxmd.com/read/30017305/ablation-treatment-of-primary-and-secondary-liver-tumors-under-contrast-enhanced-ultrasound-guidance-in-field-practice-of-interventional-ultrasound-centers-a-multicenter-study
#12
Giampiero Francica, Maria Franca Meloni, Laura Riccardi, Ilario de Sio, Fulvia Terracciano, Eugenio Caturelli, Maddalena Diana Iadevaia, Annabianca Amoruso, Paola Roselli, Jason Chiang, Mariano Scaglione, Maurizio Pompili
The present retrospective study was aimed at characterizing the clinical impact of contrast-enhanced ultrasound (CEUS) as a guidance technique for ablation of primary and secondary liver tumors at six interventional ultrasound centers. 148 patients (103M/45F, median age 74 yrs.) with 151 liver target lesions (median size 15 mm, 86.7% Hepatocellular Carcinomas) in whom CEUS guidance was used for Percutaneous Ethanol Injection (35.2%), Radiofrequency (46.3%) and Microwave (18.5%) were selected during the period 2008-2016...
August 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/30015326/chylous-complications-of-various-severity-and-manifestations-within-diverse-compartments-in-reconstructive-vascular-surgery-the-manuscript-is-dedicated-to-prof-dr-z-halloul
#13
Klaus Wasseroth, Udo Barth, Roland Albrecht, Volker Rahms, Frank Meyer
INTRODUCTION: Chylous complications, which occur also in the profile of vascularsurgical interventions with considerable frequency, are challenging with regard to their adequate management. Aim &amp; method: Compact short overview on epidemiological, classifying, symptomatic, diagnostic and therapeutic aspects of chylous complications in vascular surgery, based on i) own clinical experiences, ii) a current selection of relevant scientific references and iii) representative case reports from clinical practice...
May 16, 2018: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/30009362/anatomical-evaluation-of-nasopalatine-canal-on-cone-beam-computed-tomography-images
#14
Ilhan Bahşi, Mustafa Orhan, Piraye Kervancıoğlu, Eda Didem Yalçın, Ali Murat Aktan
BACKGROUND: Nasopalatine canal (NPC) (incisive canal) morphology is important for oral surgery techniques carried out on the maxilla, in the treatment of nasopalatine cyst, palatal pathologies that require a surgical intervention. MATERIALS AND METHODS: The morphology of NPC was classified in sagittal, coronal and axial planes on the CBCT. The length of NPC was found by measuring the distance between the mid-points of nasopalatine foramen and incisive foramen. The numbers, shapes and diameters of incisive foramen and nasopalatine foramen were examined...
July 16, 2018: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/30009318/improving-telestroke-treatment-times-through-a-quality-improvement-initiative-in-a-singapore-emergency-department
#15
Rupeng Mong, Ling Tiah, Michelle Wong, Camlyn Tan
INTRODUCTION: Telestroke allows for remote determination of suitability for treatment with thrombolysis in patients with acute ischaemic stroke. However, this approach is time-dependent and most centres have yet to achieve the recommended treatment times. We describe a quality improvement initiative aimed at improving the telestroke workflow and treatment times at our centre. METHODS: A multidisciplinary workgroup comprising clinicians, stroke case managers and radiology staff was formed to oversee the initiative...
July 16, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/30009120/orbital-apex-lesions-a-diagnostic-and-therapeutic-challenge
#16
Sung-Woo Cho, Won-Wook Lee, Dae Joong Ma, Ji-Hoon Kim, Doo Hee Han, Hyun Jik Kim, Dong-Young Kim, Seong-Joon Kim, Sang In Khwarg, Sung-Min Kim, Sun Ha Paek, Chae-Seo Rhee, Chul Hee Lee, Peter H Hwang, Tae-Bin Won
Objective  To analyze the clinical characteristics of and treatment outcomes for orbital apex lesions according to their pathological diagnosis and identify clinical characteristics that could aid in their differential diagnosis. Design  Retrospective analysis design was used for this study. Setting  The study was conducted in a single tertiary institution. Participants  Patients with pathologically confirmed lesions centered in the orbital apex who were admitted between January 2011 and December 2015...
August 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/30008002/salmonella-brain-abscess-in-an-infant
#17
Mubarak Al-Yaqoobi, Sulien Al-Khalili, Ganpati P Mishra
Brain abscess is a potentially life-threatening condition requiring rapid diagnosis and prompt medical and surgical intervention. Various etiological agents associated with different epidemiological backgrounds are implicated, including Gram-positive and Gram- negative bacterial agents as well as anaerobes. Salmonella is rarely reported to be the cause of this medical condition despite being known to cause invasive infections at extremes of age and the fact that this organism is a common cause of other clinical infectious diseases encountered in immunocompromised and immunocompetent individuals...
July 2018: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
https://www.readbyqxmd.com/read/30007083/late-recurrent-bleeding-episodes-from-duodenojejunostomy-after-pancreas-transplantation
#18
Franka Messner, Claudia Bösmüller, Rupert Oberhuber, Manuel Maglione, Benno Cardini, Thomas Resch, Stefan Scheidl, Dietmar Öfner, Stefan Schneeberger, Christian Margreiter
In response to a number of late, repetitive bleeding episodes from the site of the enteric anastomosis, we herein analyze the clinical courses and etiologies of 379 consecutively performed pancreas transplants between January 2000 and December 2016. Duodenojejunostomies for enteric drainage were performed at the upper jejunum in a side to side, double layer fashion. Five patients (1.3%) developed recurrent late hemorrhagic episodes originating from the graft duodenal anastomosis. Bleeding from the anastomotic site was associated with hematochezia, hemodynamic instability and decrease of serum hemoglobin...
July 14, 2018: Clinical Transplantation
https://www.readbyqxmd.com/read/30005206/portal-vein-abnormalities-an-imaging-review
#19
REVIEW
Kumble S Madhusudhan, Surabhi Vyas, Sanjay Sharma, Deep N Srivastava, Arun K Gupta
The portal vein is the main vascular channel of the liver and is affected by many pathologies. Imaging plays an important role in the detection and characterization of these abnormalities, guiding the surgeon and the interventional radiologist in planning further management. We discuss the imaging appearances of various abnormalities affecting the portal vein and the imaging modalities used in their diagnosis. We also briefly discuss the radiological interventions done in some of these cases.
July 6, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/30004633/australian-students-perspective-on-interventional-radiology-education-a-prospective-cross-institutional-study
#20
Michelle Foo, Julian Maingard, Kevin Phan, Reuben Lim, Ronil V Chandra, Michael J Lee, Hamed Asadi, Hong Kuan Kok, Mark Brooks
INTRODUCTION: As interventional radiology (IR) adopts an increasingly pivotal role within therapeutic medicine, it is essential that medical students gain exposure to IR so as future doctors, they can fulfil the growing demand for interventional radiologists (IRs) and make appropriate referrals to IRs. Nonetheless, several international studies have reported no or little representation of IR in medical schools. Our study aims to assess the current awareness, exposure, knowledge and attitudes about IR among Australian medical students, so as to provide preliminary data on whether IR teaching in Australian medical schools needs improvement...
July 13, 2018: Journal of Medical Imaging and Radiation Oncology
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