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Gianfranco Frojo, Aaron Dotson, Kara Christopher, Sumesh Kaswan, Herluf Lund
Background: Anesthesia for elective ambulatory procedures must provide appropriate pain control while minimizing perioperative risk. Local anesthesia in combination with oral sedation provides a safe office-based method of anesthesia for rhytidectomy. Objectives: The purpose of this analysis was to identify the incidence of traditional outcome parameters in ambulatory rhytidectomy performed with local anesthesia and oral sedation. Methods: A retrospective chart review was performed on all patients who underwent office-based rhytidectomy under local anesthesia with oral sedation from February 2011 to May 2017...
August 13, 2018: Aesthetic Surgery Journal
Vikas Menon, Shivanand Kattimani, Siddharth Sarkar, Gopinath Sathyanarayanan, Karthick Subramanian, Saravana Kumar Velusamy
PURPOSE: Our objective was to explore the utility of age at first suicide attempt in identifying subgroups of suicide attempters. METHODS: In a retrospective study design, we collected information from the clinical charts of 895 patients assessed over a seven-year period. Admixture analysis was used to determine the best fitting theoretical model for distribution of age at first attempt that divided the sample. Subsequently, multivariate analysis was performed to identify variables that distinguished the subgroups identified...
August 6, 2018: Asian Journal of Psychiatry
Bettina S Fehr, William F Katz, Erin A Van Enkevort, Imran S Khawaja
Objective: To examine the correlations between obstructive sleep apnea (OSA) and psychiatric disorders such as major depressive disorder (MDD), posttraumatic stress disorder (PTSD), or bipolar disorder (BD) and whether comorbid psychiatric diagnosis increases the risk of OSA. Methods: This retrospective chart review study included all patients (N = 413) seen within a randomly selected 4-month period (August 2014 to November 2014) in a Veterans Administration outpatient psychiatry clinic...
August 9, 2018: Primary Care Companion to CNS Disorders
Natasa Pilipovic-Broceta, Nadja Vasiljevic, Jelena Marinkovic, Nevena Todorovic, Janko Jankovic, Irena Ostric, Dimitra Kalimanovska-Ostric, Maja Racic
The objectives of this study were to evaluate patients' attitudes towards hypertension treatment according to the chronic care model and to assess the implementation of hypertension clinical guidelines in family medicine. The cross-sectional study was carried out in two randomly selected primary health care centers (Bijeljina and Prijedor), respectively in Bosnia and Herzegovina, covering the period between March and April 2016. This study sample consists of 791 respondents with hypertension purposing to measure specific actions and quality of care for hypertensive patients...
2018: PloS One
Elizabeth Mannino Avila, Erin Stucky Fisher, Kyung Rhee
OBJECTIVE: The objective of this study was to examine patient history as well as clinical and laboratory features associated with true bacteremia versus false bacteremia in previously healthy febrile children ages 0 to 36 months in the era of polyvalent conjugate pneumococcal immunization. METHODS: Using retrospective chart review, we examined history, physical examination, and laboratory characteristics associated with true and false bacteremia. We included subjects under 3 years old, with a positive blood culture obtained in the emergency department or clinic from July 2011 to July 2013, and fever defined as a temperature of greater than or equal to 100...
August 13, 2018: Pediatric Emergency Care
Joshua Payne, Samuel Aznaurov, Sandeep Gautam
BACKGROUND: Figure-of-Eight sutures (F8S) have emerged as an alternative to the standard practice of manual compression to achieve venous hemostasis after catheter ablation for atrial fibrillation (AF). In lieu of a knot to secure the sutures in place, a three-way stopcock can be used that can be loosened or tightened as needed to achieve hemostasis and is easier to remove. The safety and effectiveness of this technique when compared to traditional F8S is unknown. In this case series, we sought to describe this stopcock closure technique (SC) and compare procedural characteristics and outcomes to traditional F8S...
August 14, 2018: Journal of Cardiovascular Electrophysiology
Shailesh Puntambekar, Yogesh Gauba, Mihir Chitale, Manoj Manchekar, Mangesh Panse, Priyesh Halgaonkar, Mehul Mehta, Advait Jathar, Ravindra Sathe, Aishwarya Puntambekar
Introduction: Minimal Invasive Surgery of oesophageal cancers is gaining popularity. We have published our Thoracoscopic Esophagectomy results. The present study focuses on our expertise of TransHiatal Esophagectomy. Materials and Methods: 287 patients underwent Esophagectomies for Cancer of Esophagus at Galaxy Care Laparoscopy Institute from January 2010 to December 2014 after thorough assesment. Out of these, 81 patients underwent laparoscopic trans hiatal esophagectomies...
August 7, 2018: Journal of Minimal Access Surgery
Alice Young, Simon Smith, Peter Horne, Bronwyn Thomsett, Josh Hanson
In many parts of the world, the case-fatality rate of Chromobacterium violaceum infection approaches 60%. To evaluate the spectrum of disease associated with C. violaceum in Far North Queensland (FNQ), Australia, we reviewed all culture-confirmed isolates from 1997 to 2017. There were 28 isolates, 15 represented infection, 11 were contaminants, and two charts were destroyed preventing detailed evaluation of these cases. The most common sites of infection were the skin and soft tissue and the urinary tract; there were two cases of bacteremia without focus...
August 13, 2018: American Journal of Tropical Medicine and Hygiene
Ravi K Chilukoti, Josefine Lendeckel, Katrin Darm, Alicja Bukowska, Andreas Goette, Marc Sühling, Kirsten Utpatel, Barbara Peters, Georg Homuth, Uwe Völker, Carmen Wolke, Christian Scharf, Uwe Lendeckel
Dronedarone improves microvascular flow during atrial fibrillation and reduces the infarct size in acute models of myocardial infarction. However, dronedarone might be harmful in patients with recent decompensated heart failure and increases mortality in patients with permanent atrial fibrillation. A pathophysiological explanation for these discrepant data is lacking. This study investigated the effects of dronedarone on gene and protein expression in the infarcted area and border zone in pigs subjected to anterior ischemia/reperfusion myocardial infarction...
July 2018: Experimental Biology and Medicine
John Faria, Matthew Solverson, Madlin Faria, Margo Benoit, Michael McCormick
Objective To evaluate the frequency of potential cytochrome P450 (CYP) drug-drug interactions affecting opioid metabolism among children undergoing adenotonsillectomy. Study Design Case series with chart review. Setting Tertiary care children's hospital. Subjects and Methods A retrospective review was conducted of 1000 patients undergoing adenotonsillectomy at Children's Hospital of Wisconsin. The discharge medication reconciliation form was reviewed. Each patient's list of medications was compared with various published sources to determine whether medications causing CYP inhibition or induction were present...
August 14, 2018: Otolaryngology—Head and Neck Surgery
Gina Trinh, Eleni Rettig, Salem I Noureldine, Jonathon O Russell, Nishant Agrawal, Aarti Mathur, Jason D Prescott, Martha A Zeiger, Ralph P Tufano
Objective To review our surgical experience and the impact of intraoperative parathyroid hormone (IOPTH) testing among patients with normocalcemic primary hyperparathyroidism. Study Design Case series with chart review. Setting Academic referral hospital. Subject and Methods Normocalcemic hyperparathyroidism (NCHPT) patients were identified with normal-range blood ionized calcium and serum elevated parathyroid hormone. Patient demographics, intraoperative findings, IOPTH dynamics, and biochemical outcomes were compared with those of classic primary hyperparathyroidism (PHPT) patients...
August 14, 2018: Otolaryngology—Head and Neck Surgery
Jannet Svensson, Anke Schwandt, Daniele Pacaud, Jacques Beltrand, Niels Birkebaek, Roque Cardona-Hernandez, Kristina Castell, Sofia Castro, Valentino Cherubini, Declan Cody, Naama Fisch, Dhruvi Hasnani, Olga Kordonouri, Ioanna Kosteria, Andrea Luczay, Auste Pundziute-Lyckå, Claudio Maffeis, Barbara Piccini, Poran Luxmi, Zdenek Sumnik, Carine de Beaufort
OBJECTIVE: To describe the association between height, demographics and treatment in youths with Type 1 Diabetes participating in an international network for pediatric diabetes centers (SWEET). METHODS: Data were collected from 55 centers with documented patients' height. All subjects below 20 years of age, diabetes duration >1 year, and without celiac disease were included. WHO growth charts were used to calculate height and BMI z-scores. Multiple hierarchic regression models adjusting for known confounders were applied...
August 13, 2018: Pediatric Diabetes
Samad Rezaee Khiabanloo, Roghieh Jebreili, Ezatollah Aalipour, Nazi Saljoughi, Arian Shahidi
INTRODUCTION: Increased demand for rejuvenation of the aging face has led to the evolution of various plastic surgery techniques. This study was conducted to evaluate the surgical efficacy and outcomes of the absorbable suture suspension system related to eyebrow, midface, mandibular, and neck lifting. MATERIALS AND METHODS: In this prospective review chart clinical study, a total of 193 patients were included in the study from January 2016 to May 2017. All participants underwent thread lifting using the Proma Happy Lift double needle and Silhouette Soft threads...
August 13, 2018: Journal of Cosmetic Dermatology
Muhammad A Memon, Burcak Karaca, Rasha Aboelhassan, Mohsen Barsoum, Mustafa Erman, Mert Basaran, Alper Sevinc, Djedi Hanene, Cassandra Slader, Virginia Pilipovic, Kerboua Esma, Bouzid Kamel
PURPOSE: Soft tissue sarcomas (STS) are a heterogeneous group of rare mesenchymal neoplasms, accounting for < 1% of all newly diagnosed malignancies. These tumors can occur in almost any anatomic site though they most frequently occur in the extremities. The objective of the study was to describe the epidemiology, treatment paradigm, and real-world outcomes in the clinical management of metastatic STS (mSTS) in the Middle East and North Africa (MEA) region. METHODS: MOON was an observational, multicenter, retrospective patient chart review study which included 200 patients with mSTS in the final analysis...
August 13, 2018: Journal of Cancer Research and Clinical Oncology
Bassel Mohammad Nijres, Anas S Taqatqa, Lamya Mubayed, Gregory J Jutzy, Ra-Id Abdulla, Karim A Diab, Hoang H Nguyen, Brieann A Muller, Cyndi R Sosnowski, Joshua J Murphy, Joseph Vettukattil, Vishal R Kaley, Darcy N Marckini, Bennett P Samuel, Khaled Abdelhady, Sawsan Awad
Embolization of systemic to pulmonary artery collaterals to regulate pulmonary arterial flow or pressure of the cavopulmonary circulation in patients with single ventricle is a common practice. The relative incidence and impact of this practice on future interventions like coronary artery bypass grafting is poorly understood. This study aims to evaluate the frequency and implications of internal mammary artery (IMA) embolization in the single ventricle (SV) population. A retrospective chart review was performed of SV patients who underwent cardiac catheterization before and after Fontan procedure between February 2007 and 2017...
August 13, 2018: Pediatric Cardiology
Henry H Nguyen, Robert Bechara, William G Paterson, Lawrence C Hookey
Background and aims:  Rectal bleeding affects ~15 % of the general population and is a common reason for referral to gastroenterologists by primary care physicians. Direct to procedure flexible sigmoidoscopy is an appealing modality to investigate rectal bleeding due its diagnostic yield, safety profile, and accessibility. Patients referred on a routine basis for direct to procedure clinic by primary care physicians with the sole complaint of rectal bleeding have not previously been studied...
August 2018: Endoscopy International Open
Yuanxuan Xia, Leila A Mashouf, Russell Maxwell, Luke C Peng, Evan J Lipson, William H Sharfman, Chetan Bettegowda, Kristin J Redmond, Lawrence R Kleinberg, Michael Lim
Background: Patients with melanoma can present with a hemorrhagic intracranial lesion. Upon resection, pathology reports may not detect any malignant cells. However, the hemorrhage may obscure their presence and so physicians may still decide whether adjuvant radiotherapy should be applied. Here, we report on the outcomes of a series of patients with melanoma with hemorrhagic brain lesions that returned with no tumor cells. Methods: All melanoma patients who had craniotomies from 2008 to 2017 at a single institution for hemorrhagic brain lesions were identified through retrospective chart review...
2018: Surgical Neurology International
Zenebe Hubena, Ahadu Workneh, Yibeltal Siraneh
Background: Operative vaginal deliveries (OVD) are vaginal deliveries accomplished with the use of a vacuum device or forceps. If it is technically feasible and can be safely accomplished, termination of second stage labor by operative vaginal delivery is indicated in any condition threatening the mother or fetus that is likely to be relieved by delivery. Hence, the objective of this study is to assess the prevalence, common indication, outcome, and associated factors of operative vaginal delivery among mothers who gave birth in Jimma University Medical Center (JUMC)...
2018: Journal of Pregnancy
Branum Griswold, Shawn Gilbert, Joseph Khoury
Background: Tibia vara, or Blount's disease, is a pathologic angular deformity of upper tibial physis causing a bow leg deformity. Adolescent Blount's disease may be unilateral or bilateral and is diagnosed during or just before the adolescent growth spurt. In addition to predisposing genetic factors, biomechanical overload of the proximal tibial physis causes asymmetric growth leading to a varus deformity.Surgical intervention is usually required for adolescent Blount's disease. Hemiepiphysiodesis has had some success in arresting or correcting the deformity...
2018: Iowa Orthopaedic Journal
Brian Guetschow, Michele Lilienthal, Michael Willey
Recently, firearm injuries in the United States have taken center stage in political debates and in the media. Much of the past epidemiological research on firearm injuries has focused primarily on the urban landscape. This study was undertaken to highlight the unique spectrum of firearm injuries seen at a rural level 1 trauma center to provide insight into prevalence, mechanism of injury, and seasonal variation. An IRB-approved retrospective study was performed of the trauma registry at a rural Level 1 hospital to identify all patients with firearm injuries from January 2002 to May 2014...
2018: Iowa Orthopaedic Journal
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