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https://www.readbyqxmd.com/read/28919125/multi-institution-analysis-of-infection-control-practices-identifies-the-subset-associated-with-best-surgical-site-infection-performance-a-texas-alliance-for-surgical-quality-collaborative-project
#1
Catherine H Davis, Lillian S Kao, Jason B Fleming, Thomas A Aloia
BACKGROUND: In an effort to reduce surgical site infection (SSI) rates, a large number of infection control practices (ICPs), including operating room attire policies, have been recommended. However, few have proven benefits and many are costly, time-consuming, and detrimental to provider morale. The goal of this multi-institution study was to determine which ICPs are associated with lower postoperative SSI rates. STUDY DESIGN: Twenty American College of Surgeons NSQIP and Texas Alliance for Surgical Quality-affiliated hospitals completed this Quality Improvement Assessment Board-approved study...
August 16, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28915284/long-term-comparison-of-a-large-spot-vacuum-assisted-handpiece-vs-the-small-spot-size-traditional-handpiece-of-the-800-nm-diode-laser
#2
Nour J Youssef, Alain G Rizk, Omar A Ibrahimi, Zeina S Tannous
BACKGROUND The 800 nm long-pulsed diode laser machine is safe and effective for permanent hair reduction. Traditionally, most long-pulsed diode lasers used for hair removal had a relatively small spot size. Recently, a long-pulsed diode laser with a large spot size and vacuum assisted suction handpiece was introduced. The treatment parameters of each type of handpiece differ. Short and long-term clinical efficacy, treatment associated pain, and patient satisfaction are important factors to be considered. OBJECTIVE: This study aims to conduct a direct head to head comparison of both handpieces of the 800nm long-pulsed diode laser by evaluating long term hair reduction, treatment associated pain and patient satisfaction...
September 1, 2017: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28877223/adhering-to-a-national-surgical-care-bundle-reduces-the-risk-of-surgical-site-infections
#3
Mayke B G Koek, Titia E M Hopmans, Loes C Soetens, Jan C Wille, Suzanne E Geerlings, Margreet C Vos, Birgit H B van Benthem, Sabine C de Greeff
BACKGROUND: In 2008, a bundle of care to prevent Surgical Site Infections (SSIs) was introduced in the Netherlands. The bundle consisted of four elements: antibiotic prophylaxis according to local guidelines, no hair removal, normothermia and 'hygiene discipline' in the operating room (i.e. number of door movements). Dutch hospitals were advised to implement the bundle and to measure the outcome. This study's goal was to assess how effective the bundle was in reducing SSI risk. METHODS: Hospitals assessed whether their staff complied with each of the bundle elements and voluntary reported compliance data to the national SSI surveillance network (PREZIES)...
2017: PloS One
https://www.readbyqxmd.com/read/28858647/hair-segmentation-using-adaptive-threshold-from-edge-and-branch-length-measures
#4
Ian Lee, Xian Du, Brian Anthony
BACKGROUND: Non-invasive imaging techniques allow the monitoring of skin structure and diagnosis of skin diseases in clinical applications. However, hair in skin images hampers the imaging and classification of the skin structure of interest. Although many hair segmentation methods have been proposed for digital hair removal, a major challenge in hair segmentation remains in detecting hairs that are thin, overlapping, of similar contrast or color to underlying skin, or overlaid on highly-textured skin structure...
August 24, 2017: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/28821294/understanding-polycystic-ovary-syndrome-from-the-patient-perspective-a-concept-elicitation-patient-interview-study
#5
Mona L Martin, Katarina Halling, Daniel Eek, Meaghan Krohe, Jean Paty
BACKGROUND: The aim of this study was to explore the need for a new disease-specific patient reported outcome (PRO) measure for use in clinical trials of drugs designed to target the underlying causes of polycystic ovary syndrome (PCOS), and in the process contribute to our understanding of the symptoms and impacts that define the patient experience with PCOS. METHODS: Semi-structured interviews were conducted in 20 women diagnosed with PCOS according to the Rotterdam criteria who had not menstruated in the previous month...
August 18, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28791605/laser-and-light-treatments-for-hair-reduction-in-fitzpatrick-skin-types-iv-vi-a-comprehensive-review-of-the-literature
#6
REVIEW
Rachel A Fayne, Marina Perper, Ariel E Eber, Adam S Aldahan, Keyvan Nouri
Unwanted facial and body hair presents as a common finding in many patients, such as females with hirsutism. With advances in laser and light technology, a clinically significant reduction in hair can be achieved in patients with light skin. However, in patients with darker skin, Fitzpatrick skin types (FST) IV-VI, the higher melanin content of the skin interferes with the proposed mechanism of laser-induced selective photothermolysis, which is to target the melanin in the hair follicle to cause permanent destruction of hair bulge stem cells...
August 8, 2017: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/28783855/the-preference-of-women-and-men-regarding-female-genital-depilation
#7
Maria Luiza Prudente de Oliveira Sangiorgi, Lucia Alves da Silva Lara, Maria Rita Lerri, Rui Alberto Ferriani, Adriana Peterson Mariano Salata Romão
Purpose To evaluate the preferences of women and men regarding female pubic hair depilation and identify possible reasons for these preferences. Methods This is a cross-sectional study of men and women over 18 years old who were invited by the official blog of our institution to respond anonymously to an online and self-administered questionnaire made by the researchers. The analyses were made using the Statistical Analysis System (SAS, SAS Inc., Cary, NC, US) software, version 9.3, and contingency tables were used to verify the distribution of variables...
September 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28741866/a-review-of-available-laser-and-intense-light-source-home-devices-a-dermatologist-s-perspective
#8
REVIEW
Margit Lw Juhász, Melissa K Levin, Ellen S Marmur
BACKGROUND: Home optical devices are becoming an increasingly popular treatment modality sought out by patients for dermatologic pathologies such as acne, hair removal and anti-aging, as these devices are a low-cost and convenient therapy choice. METHODS: An Internet search using PubMed.gov was completed with search terms, "home device dermatology," "home device acne," "home device hair" or "hair removal," and "home device aging." RESULTS: Currently, there are multiple home optical devices available on the market...
July 25, 2017: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/28740327/static-and-dynamic-modes-of-810-nm-diode-laser-hair-removal-compared-a-clinical-and-histological-study
#9
Tokuya Omi
BACKGROUND AND AIMS: Laser hair removal has recently become a major indication. Diode lasers have become commercially available offering two modes of application: a stamping or static mode, and a dynamic mode whereby the handpiece is continuously moved across the target tissue. The present study was designed to compare the efficacy of these two approaches clinically and histologically. SUBJECTS AND METHODS: Twenty-five subjects participated in the study, 12 males and 13 females, ages ranging from 20 to 57 yr (Mean age 41...
March 31, 2017: Laser Therapy
https://www.readbyqxmd.com/read/28690864/surgical-site-infections-after-cesarean-delivery-epidemiology-prevention-and-treatment
#10
REVIEW
Tetsuya Kawakita, Helain J Landy
Cesarean delivery (CD) is one of the most common procedures performed in the United States, accounting for 32% of all deliveries. Postpartum surgical site infection (SSI), wound infection and endometritis is a major cause of prolonged hospital stay and poses a burden to the health care system. SSIs complicate a significant number of patients who undergo CD - 2-7% will experience sound infections and 2-16% will develop endometritis. Many risk factors for SSI have been described. These include maternal factors (such as tobacco use; limited prenatal care; obesity; corticosteroid use; nulliparity; twin gestations; and previous CD), intrapartum and operative factors (such as chorioamnionitis; premature rupture of membranes; prolonged rupture of membranes; prolonged labor, particularly prolonged second stage; large incision length; subcutaneous tissue thickness > 3 cm; subcutaneous hematoma; lack of antibiotic prophylaxis; emergency delivery; and excessive blood loss), and obstetrical care on the teaching service of an academic institution...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28690206/combination-of-oral-antibiotics-and-mechanical-bowel-preparation-reduces-surgical-site-infection-in-colorectal-surgery
#11
Kerri A Ohman, Leping Wan, Tracey Guthrie, Bonnie Johnston, Jennifer A Leinicke, Sean C Glasgow, Steven R Hunt, Matthew G Mutch, Paul E Wise, Matthew L Silviera
BACKGROUND: Surgical site infections (SSI) are a common complication after colorectal surgery. An infection prevention bundle (IPB) was implemented to improve outcomes. STUDY DESIGN: A standardized IPB that included the administration of oral antibiotics with a mechanical bowel preparation, preoperative shower with chlorhexidine, hair removal and skin preparation in holding, antibiotic wound irrigation, and a "clean-closure" protocol was implemented in January 2013...
July 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28674720/trends-and-demographic-characteristics-of-saudi-cosmetic-surgery-patients
#12
Sami E Alharethy
To  present the demographic characteristics of Saudi patients undergoing cosmetic procedures.  Methods: This prospective study survey was conducted in 3 private cosmetic surgery centers in different regions of Saudi Arabia (Riyadh and Jeddah) between January and August 2016. Validated questionnaire with modification was used and the following patient's information were provided: age group, height and weight, marital status, number of children, age of the patient's spouse, educational level, monthly income, name of the cosmetic procedure, names of any previous cosmetic procedures and their reason for cosmetic procedure...
July 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28664390/clinical-application-of-intense-pulsed-light-depilation-technology-in-total-auricular-reconstruction
#13
Ying Guo, Jing Shan, Tianyu Zhang
Although ear reconstruction technology has been highly developed in recent years, hair growth on the reconstructed ear has plagued both surgeons and patients. In this paper, the authors introduce a clinical application of intense pulsed light depilation in total auricular reconstruction. From August 2012 to August 2013, 27 patients (28 ears) suffering from congenital microtia were treated by intense pulsed light depilation (650-950-nm filter, initial fluence of 14-16 J/cm(2) and gradually increased, pulse width of 30-50 ms, spot size of 20 × 30 mm(2), intervals of 6-8 weeks, a total of four sessions) either before or after auricular reconstruction...
August 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/28660816/the-role-of-antimicrobial-sutures-in-preventing-surgical-site-infection
#14
REVIEW
D Leaper, P Wilson, O Assadian, C Edmiston, M Kiernan, A Miller, G Bond-Smith, J Yap
INTRODUCTION Healthcare associated infections (HCAIs) are falling following widespread and enforced introduction of guidelines, particularly those that have addressed antibiotic resistant pathogens such as methicillin resistant Staphylococcus aureus or emergent pathogens such as Clostridium difficile, but no such decline has been seen in the incidence of surgical site infection (SSI), either in the UK, the EU or the US. SSI is one of the HCAIs, which are all avoidable complications of a surgical patient's pathway through both nosocomial and community care...
July 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28658462/isotretinoin-and-timing-of-procedural-interventions-a-systematic-review-with-consensus-recommendations
#15
REVIEW
Leah K Spring, Andrew C Krakowski, Murad Alam, Ashish Bhatia, Jeremy Brauer, Joel Cohen, James Q Del Rosso, Lucia Diaz, Jeffrey Dover, Lawrence F Eichenfield, Geoffrey C Gurtner, C William Hanke, Marla N Jahnke, Kristen M Kelly, Shilpi Khetarpal, Megan A Kinney, Moise L Levy, James Leyden, Michael T Longaker, Girish S Munavalli, David M Ozog, Heidi Prather, Peter R Shumaker, Elizabeth Tanzi, Abel Torres, Mara Weinstein Velez, Abigail B Waldman, Albert C Yan, Andrea L Zaenglein
Importance: The notion that systemic isotretinoin taken within 6 to 12 months of cutaneous surgery contributes to abnormal scarring or delayed wound healing is widely taught and practiced; however, it is based on 3 small case series from the mid-1980s. Objective: To evaluate the body of literature to provide evidence-based recommendations regarding the safety of procedural interventions performed either concurrently with, or immediately following the cessation of systemic isotretinoin therapy...
August 1, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28652907/a-study-case-in-photoepilation-the-hppl-%C3%A2-and-ifl-%C3%A2-technologies
#16
Alessandro Martella, Mauro Raichi
The High Power Pulsed Light™ [HPPL™] and Incoherent Fast Light™ technologies [IFL™, Novavision Group S.p.A., 20826 Misinto (MB), Italy] are recent innovations in the field of unwanted hair removal with intense pulsed light devices. IFL™ is a further improvement over the already advanced characteristics of the HPPL™ technology. A selection of photoepilation case histories with the HPPL™ and IFL™ technologies is presented; a short introduction highlights the main features of the two technologies...
March 13, 2017: Dermatology Reports
https://www.readbyqxmd.com/read/28652906/photoepilation-and-skin-photorejuvenation-an-update
#17
Alessandro Martella, Mauro Raichi
The effectiveness of intense pulsed light (IPL) and laser devices is widely accepted in aesthetic dermatology for unwanted hair removal and treatment of a variety of cutaneous conditions. Overall, most comparative trials have demonstrated similar effectiveness for IPL and laser devices. Literature studies alternatively favor the IPL and laser concepts, but the incidence of severe local pain and side effects were generally lower with IPL. IPL phototherapy, already established as a sound option in photoepilation and treatment of photoaging, hyperpigmentation and other skin conditions, is also considered first choice in the phototherapy of skin vascular malformations...
March 13, 2017: Dermatology Reports
https://www.readbyqxmd.com/read/28600236/dermoscopic-image-segmentation-via-multistage-fully-convolutional-networks
#18
Lei Bi, Jinman Kim, Euijoon Ahn, Ashnil Kumar, Michael Fulham, Dagan Feng
OBJECTIVE: Segmentation of skin lesions is an important step in the automated computer aided diagnosis of melanoma. However, existing segmentation methods have a tendency to over- or under-segment the lesions and perform poorly when the lesions have fuzzy boundaries, low contrast with the background, inhomogeneous textures, or contain artifacts. Furthermore, the performance of these methods are heavily reliant on the appropriate tuning of a large number of parameters as well as the use of effective preprocessing techniques, such as illumination correction and hair removal...
September 2017: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28590835/a-pilot-study-on-the-evaluation-of-physicians-laser-delivery-performance-using-a-laser-beam-detection-kit
#19
Wooseok Koh, Hyoung-Woo Lim, Minwoo Cho, Dong-Hun Lee, Youdan Kim, Jin Ho Chung, Sungwan Kim
BACKGROUND AND OBJECTIVE: Many laser devices have been developed over the past decades for various skin conditions. However, variations in the technical skill of physicians for laser skin treatment delivery have not yet been evaluated. This study evaluates the differences in omission and overlap percentages during simulated laser hair removal treatments among physicians at two clinics. MATERIALS AND METHODS: A laser beam detection kit was developed to record and collect laser irradiation from a diode laser device...
June 2017: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/28521574/treatment-of-recurrent-pilonidal-cysts-with-nd-yag-laser-report-of-our-experience
#20
F Dragoni, S Moretti, G Cannarozzo, P Campolmi
PURPOSE: Surgical treatment remains the first-line therapy of pilonidal cyst but is associated with high levels of postoperative pain, adverse events and a recurrence rate of 30%. We report our experience with laser hair removal using the Nd-YAG laser for the treatment of pilonidal cyst. MATERIALS AND METHODS: Ten patients affected by pilonidal cyst were examined and treated from October 2011 to November 2016. Treatments were carried out using the Nd-YAG laser (Deka M...
May 30, 2017: Journal of Dermatological Treatment
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