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https://www.readbyqxmd.com/read/30100851/usg-guided-continuous-erector-spinae-block-as-a-primary-mode-of-perioperative-analgesia-in-open-posterolateral-thoracotomy-a-report-of-two-cases
#1
Sayan Nath, Debesh Bhoi, Virender Kumar Mohan, Praveen Talawar
The postoperative pain management in open thoracotomy is very crucial as the effective analgesia can prevent respiratory and thrombotic complications and lead to early mobilization and discharge. The thoracic epidural analgesia is the gold standard in such surgeries; however, there are few adverse effects such as hypotension, dural puncture, and contralateral block that always warrants safer alternative. Recently, with the advent of ultrasound, the regional anesthetic techniques are getting more popular to avoid such complications...
July 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/30072356/retrospective-evaluation-of-patients-diagnosed-with-cystic-echinococcosis-at-kafkas-university-faculty-of-medicine-s-surgical-outpatients-unit
#2
Neriman Mor, Tülay Diken Allahverdi, Ertuğrul Allahverdi, Ümit Yener Tekdoğan
OBJECTIVE: The aim of this study was to retrospectively evaluate the serological and radiological analysis and medical and surgical treatment results of patients diagnosed with cystic echinococcosis (CE). METHODS: Records belonging to a total of 67 patients diagnosed with CE who presented to the Kars Kafkas University Faculty of Medicine Research Hospital's Surgical Outpatient unit between January 2012 and December 2015 were retrospectively evaluated. RESULTS: Of 67 CE cases, 53 (79...
April 18, 2018: Türkiye Parazitolojii Dergisi
https://www.readbyqxmd.com/read/30034966/adult-cystic-lymphangioma-of-the-parotid-gland-an-unwonted-presentation
#3
Sakthivel Chinnakkulam Kandhasamy, Thangadurai Ramasamy Raju, Ashok Kumar Sahoo, Gopalakrishnan Gunasekaran
Cystic lymphangioma of the parotid gland is an uncommon congenital lymphatic malformation. Its occurrence in patients of advanced age is infrequent. Patients usually present with painless soft swelling, often having experienced a long duration of symptoms. Lymphangioma among the salivary glands frequently involves the parotid gland. When evaluating cystic lesions of the parotid gland, cystic lymphangioma should be included in the differential diagnosis in addition to Warthin's tumor, branchial cyst, cystic pleomorphic adenoma, and cystic mucoepidermoid tumor...
May 18, 2018: Curēus
https://www.readbyqxmd.com/read/30018942/effects-of-pulse-ultrasound-and-kneading-massage-in-managing-individual-with-incessant-pain-at-lower-region-of-back-using-random-allocation
#4
Adesola Ojo Ojoawo, Elijah Oluwatobiloba Malomo, Emmanuel Olufemi Olusegun, B Matthew Olatokunbo Olaogun
The study examined the effect of pulsed therapeutic ultrasound in management of patients with incessant pain at lower region of the back (PWIPLB) in comparison with kneading massage (KM). Fifty PWIPLB recruited purposively were randomly assigned into ultrasound group (USG) and KM group (KMG) equally. Subjects received back extension exercises as baseline treatment. USG received pulse ultrasound (PUS) while KMG was treated using KM. The treatments were administered 2 times weekly for a 6-week period. Severity of pain (SP) and inability of patient (IoP) were evaluated at baseline, 3rd week and 6th week of treatment...
June 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29968250/secondary-hydrogeologic-regions-of-the-conterminous-united-states
#5
Kenneth Belitz, Elise Watson, Tyler D Johnson, Jennifer Sharpe
The U.S. Geological Survey (USGS) previously identified and mapped 62 Principal Aquifers (PAs) in the U.S., with 57 located in the conterminous states. Areas outside of PAs, which account for about 40% of the conterminous U.S., were collectively identified as "other rocks." This paper, for the first time, subdivides this large area into internally-consistent features, defined here as Secondary Hydrogeologic Regions (SHRs). SHRs are areas of other rock within which the rocks or deposits are of comparable age, lithology, geologic or physiographic setting, and relationship to the presence or absence of underling PAs or overlying glacial deposits...
July 3, 2018: Ground Water
https://www.readbyqxmd.com/read/29905631/ultrasound-guided-selective-versus-conventional-block-of-the-medial-brachial-cutaneous-and-the-intercostobrachial-nerves-a-randomized-clinical-trial
#6
Philippe Magazzeni, Denis Jochum, Gabriella Iohom, Gérard Mekler, Eliane Albuisson, Hervé Bouaziz
BACKGROUND AND OBJECTIVES: For superficial surgery of anteromedial and posteromedial surfaces of the upper arm, the medial brachial cutaneous nerve (MBCN) and the intercostobrachial nerve (ICBN) must be selectively blocked, in addition to an axillary brachial plexus block. We compared efficacy of ultrasound-guided (USG) versus conventional block of the MBCN and the ICBN. METHODS: Eighty-four patients, undergoing upper limb surgery, were randomized to receive either USG (n = 42) or conventional (n = 42) block of the MBCN and the ICBN with 1% mepivacaine...
June 13, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29880621/isolated-hepatobiliary-tuberculosis-a-diagnostic-challenge
#7
Sathish Kandasamy, Ramkumar Govindarajalou, Sunitha Vellathussery Chakkalakkoombil, Prasanth Penumadu
Hepatobiliary system involvement is frequently seen as part of disseminated tubercular infection. But primary isolated hepatobiliary tuberculosis with no evidence of tuberculosis elsewhere in the body is extremely rare. Isolated hepatobiliary tuberculosis can cause diagnostic dilemma as the clinical, laboratory and imaging features are non-specific in majority of the cases. We report the case of a 50-year-old woman who presented with hepatobiliary tuberculosis with no pulmonary or extra hepatic involvement...
June 6, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29869078/efficacy-of-ultrasound-guided-transversus-abdominis-plane-tap-block-for-postoperative-analgesia-in-laparoscopic-gastric-sleeve-resection-a-randomized-single-blinded-case-control-study
#8
Tarun Mittal, Ashish Dey, Rahul Siddhartha, Abhilash Nali, Bimla Sharma, Vinod Malik
BACKGROUND: Pain following bariatric surgery can be quite troublesome and prolongs recovery. Transversus abdominis plane (TAP) block is a new regional anesthetic technique to reduce postoperative pain and is an important part of current analgesic regimen for many abdominal surgeries. The primary objective of our study was to assess the efficacy of the TAP block in controlling postoperative pain in laparoscopic sleeve gastrectomy. Secondary outcomes assessed in this study were postoperative nausea and vomiting (PONV), time to ambulate, readiness for discharge, and whether it leads to improved patient satisfaction...
June 4, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29808165/-braf-1799t-a-mutation-frequency-in-mexican-mestizo-patients-with-papillary-thyroid-cancer
#9
Fernando Fernández-Ramírez, Luis M Hurtado-López, Mario A López, Eva Martínez-Peñafiel, Norma E Herrera-González, Luis Kameyama, Omar Sepúlveda-Robles
Thyroid cancer is the most frequent endocrine malignancy, and its incidence and prevalence are increasing worldwide. Despite its generally good prognosis, the observed mortality rates are higher in the less-developed regions. This indicates that timely diagnosis and appropriate initial management of this disease are important to achieve a positive outcome. We performed an observational study in order to describe the frequency of the BRAF 1799T>A mutation in Mexican mestizo patients with thyroid nodules, a scarcely studied ethnic group with large populations...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29692520/hemiagenesis-of-thyroid-with-dual-thyroid-ectopia-a-rare-case-report
#10
Pankaj S Jha, Varsha Rote-Kaginalkar, Prashant Titare, Manoj B Jadhav
Developmental defects of the thyroid gland are very rare. The common developmental abnormalities are ectopic thyroid, hemiagenesis and agenesis of thyroid gland. These developmental defects may or may not be associated with deranged thyroid function tests. Ultrasonography (USG) is the initial modality of choice for thyroid hemiagenesis but further evaluation by computed tomography (CT) scan or nuclear scan should be done to look for ectopic thyroid tissue rest. Here, we report a rare case of a 9-year-old female having hemiagenesis of the right thyroid lobe and isthmus along with dual ectopic thyroid tissue at prehyoid and infrahyoid regions of the neck presenting as a midline neck swelling and subclinical hypothyroidism...
January 2018: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29617301/an-ecological-study-on-the-spatially-varying-relationship-between-county-level-suicide-rates-and-altitude-in-the-united-states
#11
Hoehun Ha, Wei Tu
Suicide is a serious but preventable public health issue. Several previous studies have revealed a positive association between altitude and suicide rates at the county level in the contiguous United States. We assessed the association between suicide rates and altitude using a cross-county ecological study design. Data on suicide rates were obtained from a Web-based Injury Statistics Query and Reporting System (WISQARS), maintained by the U.S. National Center for Injury Prevention and Control (NCIPC). Altitude data were collected from the United States Geological Survey (USGS)...
April 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29605134/highly-sensitive-open-cell-la-icpms-approaches-for-the-quantification-of-rare-earth-elements-in-natural-carbonates-at-parts-per-billion-levels
#12
Chung-Che Wu, Marcel Burger, Detlef Günther, Chuan-Chou Shen, Bodo Hattendorf
This work presents a high-sensitivity approach to quantify ultra-trace concentrations of rare earth elements (REEs) in speleothem carbonates using open-cell laser ablation-sector field-inductively coupled plasma mass spectrometry (open-cell LA-SF-ICPMS). Specifically, open-cell LA in combination with a gas exchange device enabled sampling of large-scale carbonate specimens in an ambient environment. The use of a "jet" vacuum interface and the addition of small amounts of N2 gas allowed for a 20-40 fold sensitivity enhancement compared to the conventional interface configuration...
August 14, 2018: Analytica Chimica Acta
https://www.readbyqxmd.com/read/29433480/ultrasonographic-findings-in-cows-with-left-displacement-of-abomasum-before-and-after-reposition-surgery
#13
Xin-Wei Li, Qiu-Shi Xu, Ren-He Zhang, Wei Yang, Yu Li, Yu-Ming Zhang, Yu Tian, Min Zhang, Zhe Wang, Guo-Wen Liu, Cheng Xia, Xiao-Bing Li
BACKGROUND: The natural incidence of left displacement of abomasum (LDA) in dairy cows was high. The diagnosis of LDA usually relies on characteristic physical exam findings but that transabdominal ultrasound is a useful technique that has been applied to the diagnosis of gastrointestinal diseases of dairy cows in equivocal cases. METHODS: Forty dairy cows with LDA were clinically and ultrasonographically examined to determine the position and the echogenic property of the abomasum...
February 12, 2018: BMC Veterinary Research
https://www.readbyqxmd.com/read/29432442/the-managed-clearing-an-overlooked-land-cover-type-in-urbanizing-regions
#14
Kunwar K Singh, Marguerite Madden, Josh Gray, Ross K Meentemeyer
Urban ecosystem assessments increasingly rely on widely available map products, such as the U.S. Geological Service (USGS) National Land Cover Database (NLCD), and datasets that use generic classification schemes to detect and model large-scale impacts of land-cover change. However, utilizing existing map products or schemes without identifying relevant urban class types such as semi-natural, yet managed land areas that account for differences in ecological functions due to their pervious surfaces may severely constrain assessments...
2018: PloS One
https://www.readbyqxmd.com/read/29379245/role-of-transperineal-ultrasound-in-infective-and-inflammatory-disorders
#15
Chaitanya I Puranik, Vinod J Wadhwani, Deep M Vora
Aims: To evaluate the role of transperineal ultrasound as screening tool in infective and inflammatory diseases of perianal region. Materials and Methods: Initially, clinical examination of the perineal region of patients (pts) for perianal external opening of tracts, swelling and tenderness is done. The perineal USG was performed using 2 -5 MHz sector probe and 7 -13 MHz linear probe on GE logiq P 5 ultrasound machine. Internal opening of any fistulous tract were described with clockwise position and tracts were traced upto their external opening and perifocal area were screened for any ramification...
October 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29336760/cancer-frequency-in-retrosternal-goiter
#16
Nuri A Sahbaz, Firat Tutal, Nihat Aksakal, Sami Acar, Kadir I Aksu, Umut Barbaros, Yesim Erbil
Retrosternal goiter prevalence is 5 to 40 per cent according to classifications in goiter series. Goiters with mediastinal extension were reported to be related with higher cancer rates. In our study, we aimed to investigate whether cancer incidence increased in retrosternal goiters compared with the cervical ones. Three hundred and ninety consecutive patients, who had surgery because of retrosternal goiter in Istanbul University Medical Faculty Department of General Surgery between 2005 and 2015 were included in the study (Group 1)...
December 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29310403/multilocular-cystic-leiomyoma-of-the-anterolateral-abdominal-wall-a-case-report-and-literature-review
#17
REVIEW
Kenji Yorita, Yu Tanaka, Koki Hirano, Michio Kuwahara, Kimiko Nakatani, Masaharu Fukunaga, Abbas Agaimy
RATIONALE: Leiomyomas arising from the anterolateral abdominal wall are uncommon, and their pathogenesis remains unknown. We present the 15th case of such a tumor, having this unique tumor morphology, followed by a detailed discussion on disease pathogenesis. PATIENT CONCERNS: A 48-year-old, asymptomatic perimenopausal, multiparous Japanese woman presented with a left-sided pelvic mass. She had no history of previous surgeries or uterine leiomyomas. Although a transabdominal ultrasonogram raised suspicions of an ovarian tumor, a transvaginal ultrasonogram confirmed normal ovaries...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29207807/epididymal-cystic-lymphangioma-presenting-as-scrotal-swelling-in-a-post-surgery-case-of-carcinoma-rectum-a-case-report
#18
Mohammad Haroon, Yashmin Nisha, Kashif Iqubal
Cystic lymphangiomas are usually congenital malformations of draining lymphatic channels with most common sites including neck, axilla, mediastinum and retroperitoneum. Occurrence of lymphangiomas in scrotum or inguinal region is a rare entity and epididymal origin of these lesions is even more infrequent. We herein report a case of epididymal lymphangioma detected on USG, which developed after surgical abdominal lymph nodal dissection in an adult patient of carcinoma rectum presenting as painless scrotal swelling...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29056861/comparison-of-dmsp-and-secs-region-1-and-region-2-ionospheric-current-boundary
#19
J M Weygand, S Wing
The region-1 and region-2 boundary has traditionally been identified using data from a single spacecraft crossing the auroral region and measuring the large scale changes in the cross track magnetic field. With data from the AUTUMN, CANMOS, CARISMA, GIMA, DTU MGS, MACCS, McMAC, STEP, THEMIS, and USGS ground magnetometer arrays we applied a state-of-art technique based on spherical elementary current system (SECS) method developed by Amm and Viljanen (1999) in order to calculate maps of region-1 and region-2 current system over the North American and Greenland auroral region...
June 2016: Journal of Atmospheric and Solar-Terrestrial Physics
https://www.readbyqxmd.com/read/28976139/cystic-lymphangioma-of-the-lesser-omentum-in-a-pregnant-woman-a-case-report-and-review-of-the-literature
#20
Ozhan Ozdemir, Mustafa Erkan Sarı, Cemal Resat Atalay, Yüksel Kurban, Vusale Asgarova, Devrim Tuba Unal
Lymphangiomas are rare benign tumors which are generally seen in pediatric population and the etiopathogenesis has not yet been understood. They occasionally occur in the head and neck or axillary region with only 5% of them being located in the abdominal or mediastinal cavity. These tumors may be asymptomatic or may cause acute abdominal symptoms due to the location and extention. In the English literature, only 4 cases of lymphangioma were reported to have occurred in the pregnancy period. Herein, we report a case of cystic lymphangioma of the lesser omentum detected incidentally on the ultrasonogram of a 21 year-old, 26-week pregnant woman...
September 2017: Journal of Experimental Therapeutics & Oncology
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