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https://www.readbyqxmd.com/read/29031219/long-term-correlation-of-subthalamic-beta-band-activity-with-motor-impairment-in-patients-with-parkinson-s-disease
#1
Wolf-Julian Neumann, Franziska Staub-Bartelt, Andreas Horn, Julia Schanda, Gerd-Helge Schneider, Peter Brown, Andrea A Kühn
OBJECTIVES: To investigate the long term association of subthalamic beta activity with parkinsonian motor signs. METHODS: We recruited 15 patients with Parkinson's disease undergoing subthalamic DBS for local field potential recordings after electrode implantation, and at 3 and 8months post-operatively using the implantable sensing enabled Activa PC+S (Medtronic). Three patients dropped out leaving 12 patients. Recordings were conducted ON and OFF levodopa at rest...
September 20, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29031213/impairment-of-heart-rhythm-complexity-in-patients-with-drug-resistant-epilepsy-an-assessment-with-multiscale-entropy-analysis
#2
Hongyun Liu, Zhao Yang, Fangang Meng, Yuguang Guan, Yanshan Ma, Shuli Liang, Jiuluan Lin, Longsheng Pan, Mingming Zhao, Wei Qu, Hongwei Hao, Guoming Luan, Jianguo Zhang, Luming Li
OBJECTIVE: Epilepsy and seizures can have dramatic effects on the cardiac function. The aim of this study was to investigate the heart rhythm complexity in patients with drug-resistant epilepsy (DRE). METHODS: Ambulatory 24-h electrocardiograms (ECG) from 70 DRE patients and 50 healthy control subjects were analyzed using conventional heart rate variability (HRV) and multiscale entropy (MSE) methods The variation of complexity indices (CI), which was calculated from MSE profile, was determined...
October 5, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/29031173/an-unusual-case-of-transpelvic-impalement-injury-a-case-report
#3
Mushrek Alani, Saeed Mahmood, Ayman El-Menyar, Sajid Atique, Hassan Al-Thani, Ruben Peralta
INTRODUCTION: Impalement injury is a rare type of mechanical injury following forceful insertion of projecting object into the body. Careful planning for removal of the impaling object is essential to decrease the blood loss and preserve the function of the injured organ. PRESENTATION OF CASE: A 27 year-old male fell from 4m height over a U shaped projecting up metallic bar. The bar penetrated the left side of the pelvis and traversed through the left iliac bone causing a comminuted fracture in the supra-acetabular region extending to the left psoas muscle, injuring the viscera and causing fracture of the right femur...
October 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29031107/accuracy-precision-and-inter-rater-reliability-of-micro-ct-analysis-of-false-starts-on-bones-a-preliminary-validation-study
#4
Guido Pelletti, Giovanni Cecchetto, Alessia Viero, Paolo Fais, Michael Weber, Diego Miotto, Massimo Montisci, Guido Viel, Chiara Giraudo
Micro computed tomography (micro-CT) has already been proposed as a useful technique for the qualitative analysis of false starts (FS) produced on human bones, although the reliability and the error rate of this technique have not been tested yet, neither for qualitative nor for quantitative assessments. The aim of the present study was to test the morphological agreement, accuracy, precision and inter-rater reliability of micro-CT analysis of FS on bones. The morphological agreement was assessed through the degree of concordance among the 3 independent blind raters in the identification of the shape of 24 FS manually produced on bones by 3 different saws (8 FS for each saw)...
October 6, 2017: Legal Medicine
https://www.readbyqxmd.com/read/29031041/concept-analysis-of-growth-failure-in-preterm-infants-in-the-nicu
#5
Lindsay K Schehr, Teresa S Johnson
Growth failure has not been consistently defined for preterm infants, which contributes to unclear clinical guidelines for optimal growth and development. Therefore, the purpose of this concept analysis was to identify all uses and attributes of the concept, present model and contrary cases, identify antecedents and consequences, define empirical referents, and provide an operational definition of growth failure among preterm infants in the NICU.
October 11, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29031025/measurement-variation-and-repeatability-of-echocardiographic-variables-used-to-estimate-pulmonary-artery-pressure-in-dogs
#6
J A Abbott, J M Gentile-Solomon
BACKGROUND: Pulmonary hypertension (PH) is an important clinical entity in dogs. Pulmonary hypertension is generally identified based on echocardiographic findings, but measurement variation of the variables most often used in this context has not been reported. OBJECTIVE: To define measurement variation of echocardiographic variables that are used to estimate pulmonary artery pressure. ANIMALS: Four dogs with subclinical tricuspid valve regurgitation were selected from a hospital population...
October 14, 2017: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/29029368/who-accesses-surgery-at-district-level-in-sub-saharan-africa-evidence-from-malawi-and-zambia
#7
Jakub Gajewski, Rachel Dharamshi, Michael Strader, John Kachimba, Eric Borgstein, Gerald Mwapasa, Mweene Cheelo, Tracey McCauley, Leon Bijlmakers, Ruairi Brugha
OBJECTIVES: To examine age and gender distribution for the most common types of surgery in Malawi and Zambia. METHODS: Data were collected from major operating theatres in 8 district hospitals in Malawi and 9 in Zambia. Raw data on surgical procedures were coded by specialist surgeons for frequency analyses. RESULTS: In Malawi, female surgical patients had a mean age of 25 years, with 91% aged 16-40 years. Females accounted for 85%, and obstetric cases for 75%, of all surgical patients...
October 13, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29029355/over-sewing-of-staple-line-in-laparoscopic-sleeve-gastrectomy-initial-experience-of-a-comparative-study
#8
Giorgio Lisi, Roberto Rossini, Irene Gentile, Giacomo Ruffo
INTRODUCTION: The main drawback of laparoscopic sleeve gastrectomy (LSG) is the severity of postoperative complications. Staple line reinforcement (SLR) is strongly advocated. Recently, over-sewing has been proposed as a cost-effective and helpful method for reinforcing the staple line. The purpose of this study was to report our initial experience with LSG comparing over-sewing over the entire staple line with the upper-third staple line. MATERIALS AND METHODS: All obese patients seen at Negrar Sacro Cuore, Don Calabria Hospital were entered into our prospective database and were retrospectively evaluated...
October 12, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29029354/cost-analysis-of-sending-routine-pathology-specimens-following-total-joint-arthroplasty-in-the-age-of-bundled-payments
#9
Hayden S Holbrook, Johannes F Plate, Maxwell K Langfitt, Jason E Lang, John S Shields
Bundled payment plans are being developed as a means to curb healthcare spending. Routine histology following total hip arthroplasties (THA) and total knee arthroplasties (TKA) is standard practice at many institutions. Recently, the value of this practice has been questioned as histologic diagnoses in THA and TKA rarely differ from the clinical diagnoses. The goal of this study is to identify discrepant and discordant diagnoses following THA and TKA at an academic medical center and to calculate the cost-saving potential in the setting of a bundled payment plan...
October 12, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29029288/microsurgical-clipping-of-a-blister-like-basilar-tip-aneurysm-2-dimensional-operative-video
#10
Rami O Almefty, Robert F Spetzler
No abstract text is available yet for this article.
September 22, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29029279/radical-staged-approach-to-extensive-posterior-fossa-pediatric-ependymoma-3-dimensional-operative-video
#11
Karol P Budohoski, Mathew R Guilfoyle, Damiano G Barone, Ramez W Kirollos, Rikin A Trivedi, Thomas Santarius
No abstract text is available yet for this article.
September 29, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29029228/development-of-a-whole-task-simulator-for-carotid-endarterectomy
#12
Gabrielle Santangelo, Doran Mix, Ahmed Ghazi, Michael Stoner, G Edward Vates, Jonathan J Stone
BACKGROUND: Surgical education relies on operative exposure with live patients. Carotid endarterectomy (CEA) demands an experienced surgeon with a very low complication rate. The high-risk nature of this procedure and the decline in number of CEAs performed annually has created a gap in residency training. OBJECTIVE: To develop a high-fidelity whole-task simulation for CEA that demonstrates content, construct, and face validity. METHODS: Anatomically accurate models of the human neck were created using multilayered poly-vinyl alcohol hydrogels...
September 27, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29029220/effect-of-host-traits-and-land-use-changes-on-the-gut-microbiota-of-the-namibian-black-backed-jackal-canis-mesomelas
#13
Sebastian Menke, Matthias Meier, John K E Mfune, Joerg Melzheimer, Bettina Wachter, Simone Sommer
Host traits and environmental factors drive the natural variation in gut microbiota and disruption in homeostasis can cause infections and chronic diseases. African wildlife is increasingly facing human-induced agricultural habitats, which also amplifies the contact probability with livestock with unknown consequences for wildlife gut microbiotas and the risk of transmission of potentially pathogenic bacteria. We applied high-throughput sequencing of bacterial 16S rRNA genes and microsatellite genotyping to investigate the impact of host traits and habitat use on the gut microbiotas of black-backed jackals (Canis mesomelas)...
September 25, 2017: FEMS Microbiology Ecology
https://www.readbyqxmd.com/read/29029197/microsurgical-clip-reconstruction-of-a-1-cm-complex-anterior-communicating-artery-aneurysm-via-an-orbitozygomatic-approach-2-dimensional-operative-video
#14
Gary Rajah, Richard Justin Garling, Murali Guthikonda, Leonardo Rangel-Castilla
No abstract text is available yet for this article.
September 29, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29029182/overlapping-surgeries-are-not-associated-with-worse-patient-outcomes-retrospective-multivariate-analysis-of-14-872-neurosurgical-cases-performed-at-a-single-institution
#15
Michael A Bohl, Michael A Mooney, John P Sheehy, Abigail M Cantwell, Steve W Chang, Kristina M Chapple, U Kumar Kakarla, Robert F Spetzler
BACKGROUND: Overlapping surgeries have recently become a controversial topic. OBJECTIVE: To evaluate the effect of overlapping surgeries on patient outcomes. METHODS: A retrospective analysis of all neurosurgical procedures performed at a single institution from July 2013 to May 2016 was conducted. Variables extracted from the electronic medical records included sex, age, procedure type, resident years of training, evening case, emergency case, American Society of Anesthesiologists Physical Status Score, illness severity, mortality risk, and percentage of case overlap...
September 27, 2017: Neurosurgery
https://www.readbyqxmd.com/read/29029145/blood-meal-source-characterization-using-illumina-sequencing-in-the-chagas-disease-vector-rhodnius-pallescens-hemiptera-reduviidae-in-panam%C3%A3
#16
Troy J Kieran, Nicole L Gottdenker, Christina P Varian, Azael Saldaña, Nicolas Means, Darlisha Owens, Jose E Calzada, Travis C Glenn
Accurate blood meal identification is critical to understand hematophagous vector-host relationships. This study describes a customizable Next-Generation Sequencing (NGS) approach to identify blood meals from Rhodnius pallescens (Hemiptera: Reduviidae) triatomines using multiple barcoded primers and existing software to pick operational taxonomic units and match sequences for blood meal identification. We precisely identified all positive control samples using this method and further examined 74 wild-caught R...
October 4, 2017: Journal of Medical Entomology
https://www.readbyqxmd.com/read/29029140/structural-valve-deterioration-in-the-mitroflow-biological-heart-valve-prosthesis
#17
Issa Farah Issa, Steen Hvitfeldt Poulsen, Farhad Waziri, Christian Torp Pedersen, Per Hostrup Nielsen, Lars Riber, Jordi S Dahl, Peter Søgaard, Martin Agge Nørgaard, Jacob Eifer Møller
OBJECTIVES: Concern has been raised regarding the long-term durability of the Mitroflow biological heart valve prosthesis. Our aim was to assess the incidence of structural valve degeneration (SVD) for the Mitroflow bioprosthesis in a nationwide study in Denmark including all patients alive in Denmark who had received a Mitroflow aortic bioprosthesis since 2000. METHODS: Patients alive in Denmark with a Mitroflow bioprosthesis implanted since January 2000 were invited to participate in a nationwide cross-sectional study with a predefined definition of SVD...
September 28, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29029134/the-natural-history-and-surgical-outcome-of-patients-with-scimitar-syndrome-a-multi-centre-european-study
#18
Vladimiro L Vida, Alvise Guariento, Ornella Milanesi, Dario Gregori, Giovanni Stellin
Aims: Treatment decisions in patients with scimitar syndrome (SS) are often challenging, especially in patients with isolated SS who are often asymptomatic and who might be diagnosed accidentally. We queried a large multi-institutional registry of SS patients to evaluate the natural history of this condition and to determine the efficacy of surgical treatment in terms of survival and clinical status. Methods and results: We collected data on 485 SS patients from 51 institutions; 279 (57%) patients were treated surgically (STPs) and 206 (43%) were clinically monitored (CMPs)...
October 3, 2017: European Heart Journal
https://www.readbyqxmd.com/read/29029111/short-term-and-mid-term-survival-in-bronchial-sleeve-resection-by-robotic-system-versus-thoracotomy-for-centrally-located-lung-cancer
#19
Chang Gu, Xufeng Pan, Yong Chen, Jun Yang, Heng Zhao, Jianxin Shi
OBJECTIVES: The aim of this study was to compare the short-term and mid-term results of patients with centrally located lung cancer who underwent bronchial sleeve resection by robotic system or thoracotomy. METHODS: From September 2014 to September 2015, 103 patients, including 17 robotic and 86 open cases, were included in our study. All the clinicopathological data, operative details and follow-up information were investigated. RESULTS: There were no intraoperative deaths...
September 27, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29029062/multicentric-evaluation-of-the-impact-of-central-tumour-location-when-comparing-rates-of-n1-upstaging-in-patients-undergoing-video-assisted-and-open-surgery-for-clinical-stage-i-non-small-cell-lung-cancer
#20
Herbert Decaluwé, René Horsleben Petersen, Alex Brunelli, Cecilia Pompili, Agathe Seguin-Givelet, Lucile Gust, Clemens Aigner, Pierre-Emmanuel Falcoz, Philippe Rinieri, Florian Augustin, Youri Sokolow, Ad Verhagen, Lieven Depypere, Kostas Papagiannopoulos, Dominique Gossot, Xavier Benoit D'Journo, Francesco Guerrera, Jean-Marc Baste, Thomas Schmid, Alessia Stanzi, Dirk Van Raemdonck, Jeremy Bardet, Pascal-Alexandre Thomas, Gilbert Massard, Steffen Fieuws, Johnny Moons, Christophe Dooms, Paul De Leyn, Henrik Jessen Hansen
OBJECTIVES: Large retrospective series have indicated lower rates of cN0 to pN1 nodal upstaging after video-assisted thoracic surgery (VATS) compared with open resections for Stage I non-small-cell lung cancer (NSCLC). The objective of our multicentre study was to investigate whether the presumed lower rate of N1 upstaging after VATS disappears after correction for central tumour location in a multivariable analysis. METHODS: Consecutive patients operated for PET-CT based clinical Stage I NSCLC were selected from prospectively managed surgical databases in 11 European centres...
September 27, 2017: European Journal of Cardio-thoracic Surgery
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