keyword
https://read.qxmd.com/read/38530462/interest-of-computer-tomography-in-the-study-of-prognostic-factors-of-otosclerosis
#1
JOURNAL ARTICLE
Rachida Bouatay, Chirine Benelhaj, Jamel Saad, Ahmed Zrig, Mehdi Ferjaoui, Amel Elkorbi, Naourez Kolsi, Khaled Harrathi, Jamel Koubaa
BACKGROUND: Otosclerosis is a primary osteodystrophy of the otic capsule that causes stapedo-vestibular ankylosis. Its diagnosis is suspected on the basis of clinical and audiometric elements, basically in the presence of conductive hearing loss with a normal eardrum. The CT-scan is an essential examination for the preoperative evaluation of otosclerosis. The aim of our study was to evaluate the use of CT-scanning in predicting the functional outcome of otosclerosis surgery by correlating postoperative audiometric results and preoperative CT findings...
March 26, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38529664/strategies-for-co-2-laser-use-in-laryngeal-microsurgery-a-systematic-review
#2
REVIEW
Vivianne Landry, Ève Sedillot-Daniel, Tareck Ayad, Andrée-Anne Leclerc
OBJECTIVE: We aim to systematically review the literature addressing perioperative practices for optimal use of the CO2 laser in laryngeal transoral laser microsurgery (TOLMS), with a focus on safety. DATA SOURCES: A systematic review of publications indexed in Medline, Embase, and EBM reviews-Cochrane Central Register of Controlled Trials which evaluated perioperative strategies for the use of CO2 laser in laryngeal TOLMS was conducted. REVIEW METHODS: Records obtained from the search strategy were assessed for eligibility in a 2-step process by 2 independent researchers using the Covidence software...
March 26, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38529651/prediction-of-lymphovascular-space-invision-in-endometrial-cancer-based-on-multi-parameter-mri-radiomics-model
#3
JOURNAL ARTICLE
Jin Jun Wang, Xiao Hong Zhang, Xing Hua Guo, Yang Ying, Xiang Wang, Zhong Hua Luan, Wei Qin Lv, Peng Fei Wang
UNLABELLED: <p>Objective: To explore the application value of a combined model based on multi-parameter MRI radiomics and clinical features in preoperative prediction of lymphatic vascular space invasion (LVSI) in endometrial carcinoma (EC). METHODS: This retrospective study collected the clinicopathological and imaging data of 218 patients with EC in Yuncheng Central Hospital from March 2018 to May 2022. The patients were randomly divided into training group (n=152) and validation group (n= 66) according to the ratio of 7: 3...
March 19, 2024: Current medical imaging
https://read.qxmd.com/read/38527738/-expert-consensus-on-the-whole-course-management-of-implantable-venous-access-port-in-the-upper-arm-of-cancer-patients-2023-edition
#4
JOURNAL ARTICLE
(no author information available yet)
With the widespread application of ultrasound-guided Sedinger puncture techniques and intracardiac electrocardiogram positioning technology, implantable intravenous drug delivery device (IVAP) in the upper arm has been recognized by the majority of medical personnel and cancer patients due to its advantages of hiding scars and completely avoiding the risk of hemothorax and pneumothorax. In order to standardize the clinical application of IVAP via the upper arm approach in cancer patients, improve the success rate of implantation, reduce complications and improve patient satisfaction, the Breast Cancer Expert Committee of the National Cancer Quality Control Center consulted guidelines and the latest evidence-based evidences and established the expert consensus on the whole-course management of implantable venous access port in the upper arm of cancer patients, in order to provide reference for the standard application of IVAP in the upper arm...
March 22, 2024: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://read.qxmd.com/read/38526619/the-influence-of-depression-on-clinical-outcomes-of-total-shoulder-arthroplasty-a-systematic-review
#5
REVIEW
Victoria E Bindi, Keegan M Hones, Bradley S Schoch, Hailey L Hampton, Thomas W Wright, Joseph J King, Kevin A Hao
PURPOSE: Much of the current literature on total shoulder arthroplasty (TSA) has assessed the impact of preoperative medical comorbidities on postoperative clinical outcomes. The literature concerning the impact of psychological disorders such as depression on TSA has increased in popularity in recent years, but there lacks a thorough review of the influence of depression on postoperative pain and functional outcomes. METHODS: We queried PubMed/MEDLINE and identified six clinical studies that evaluated the influence of a psychiatric diagnosis of depression on patient outcomes after TSA...
March 25, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38526374/objective-evaluation-of-gaze-location-patterns-using-eye-tracking-during-cystoscopy-and-artificial-intelligence-assisted-lesion-detection
#6
JOURNAL ARTICLE
Atsushi Ikeda, Kazuya Izumi, Kensuke Katori, Hirokazu Nosato, Keita Kobayashi, Shuhei Suzuki, Shuya Kandori, Masaru Sanuki, Yoichi Ochiai, Hiroyuki Nishiyama
BACKGROUND: The diagnostic accuracy of cystoscopy varies according to the knowledge and experience of the performing physician. Here, we evaluated the difference in cystoscopic gaze location patterns between medical students and urologists and assessed the differences in their eye movements when simultaneously observing conventional cystoscopic images and images with lesions detected by artificial intelligence (AI). METHODOLOGY: Eye-tracking measurements were performed, and observation patterns of participants (24 medical students and 10 urologists) viewing images from routine cystoscopic videos were analyzed...
March 25, 2024: Journal of Endourology
https://read.qxmd.com/read/38525666/guidance-for-the-gastrointestinal-evaluation-and-management-of-iron-deficiency-in-sub-saharan-africa
#7
REVIEW
W M Simmonds, Y Awuku, C Barrett, M Brand, K Davidson, D Epstein, E Fredericks, S Gabriel, S Grobler, C Gounden, L Katsidzira, V J Louw, V Naidoo, C Noel, E Ogutu, N Ramonate, N Seabi, M Setshedi, J Van Zyl, G Watermeyer, C Kassianides
BACKGROUND: Over 30% of the world's population is anaemic, with a significant proportion of these being iron deficient. As iron deficiency (ID) anaemia in men and post-menopausal women is mostly caused by gastrointestinal blood loss or malabsorption, the initial evaluation of a patient with ID anaemia involves referral to a gastroenterologist. The current drive towards patient blood management in sub-Saharan Africa (SSA)prescribes that we regulate not only the use of blood transfusion but also the management of patients in whom the cause of iron loss or inadequate iron absorption is sought...
February 2, 2024: South African Medical Journal
https://read.qxmd.com/read/38525317/risk-factors-for-postoperative-cognitive-decline-after-orthopedic-surgery-in-elderly-chinese-patients-a-retrospective-cohort-study
#8
JOURNAL ARTICLE
Xian Li, Hong Lai, Peng Wang, Shuai Feng, Xuexin Feng, Chao Kong, Dewei Wu, Chunlin Yin, Jianghua Shen, Suying Yan, Rui Han, Jia Liu, Xiaoyi Ren, Ying Li, Lu Tang, Dong Xue, Ying Zhao, Hao Huang, Xiaoying Li, Yanhong Zhang, Xue Wang, Chunxiu Wang, Ping Jin, Shibao Lu, Tianlong Wang, Guoguang Zhao, Chaodong Wang
PURPOSE: We aimed to identify the risk factors for postoperative cognitive decline (POCD) by evaluating the outcomes from preoperative comprehensive geriatric assessment (CGA) and intraoperative anesthetic interventions. PATIENTS AND METHODS: Data used in the study were obtained from the Aged Patient Perioperative Longitudinal Evaluation-Multidisciplinary Trial (APPLE-MDT) cohort recruited from the Department of Orthopedics in Xuanwu Hospital, Capital Medical University between March, 2019 and June, 2022...
2024: Clinical Interventions in Aging
https://read.qxmd.com/read/38524802/second-trimester-spontaneous-fundal-rupture-of-unscarred-bicornuate-uterus-in-primipara-a-case-report-and-literature-review-jigjiga-university-sheik-hassen-yabare-comprehensive-specialized-hospital-jigjiga-ethiopia
#9
Hassen Mohammed Areys, Nour Hies Omer, Osman Ali Osman
BACKGROUND: Primary rupture of an unscarred uterus is rare. Spontaneous rupture of an unscarred bicornuate uterus is a life-threatening obstetric emergency with high morbidity and mortality in the mother and fetus; however, it most commonly occurs in the first trimester of pregnancy. CASE: A 20-year-old primigravid woman at 22 weeks of gestation, with no prior surgery, presented with severe abdominal pain, anemia, and hemodynamic instability. With a preoperative diagnosis of uterine rupture, she was transfused with three units of cross-matched whole blood and underwent emergency laparotomy...
2024: International Medical Case Reports Journal
https://read.qxmd.com/read/38523295/squamous-cell-carcinoma-malignant-transformation-in-mature-cystic-teratoma-of-the-ovary-a-case-report-and-review-of-the-literature
#10
REVIEW
Amir Masoud Jafari-Nozad, Najmeh Jahani, Narges Nazeri
BACKGROUND: Mature cystic teratoma of the ovary is classified among the benign ovarian germ cell neoplasms, and its malignant transformation occurs very rarely (in about 2%). As a result of nonspecific signs and symptoms, preoperative diagnosis of theses malignancies is a challenge to clinicians, resulting in delayed diagnosis (in advanced stages) and poor outcomes. CASE PRESENTATION: We report the case of a 43-year-old Iranian woman with progressive distension of the abdomen and hypogastric pain, who was diagnosed with squamous cell carcinoma transformation in a mature cystic teratoma of the ovary confirmed by histopathology examination...
March 25, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38521737/favorable-outcomes-of-liver-transplantation-for-hepatopulmonary-syndrome
#11
JOURNAL ARTICLE
Hao-Su Zhan, Lin Wei, Jing-Yi Liu, Hao-Feng Xiong, Wei Qu, Zhi-Gui Zeng, Fei Hou, Liang Zhang, Zhi-Jun Zhu, Li-Ying Sun
BACKGROUND: Hepatopulmonary syndrome (HPS) is a pulmonary vascular complication of chronic liver disease, which develops insidiously as a result of chronic liver disease. The prognosis for untreated patients with HPS is extremely poor, and liver transplantation (LT) serves as the only effective means for treating this condition. Here, we performed a retrospective analysis to evaluate the efficacy of LT on the survival and long-term prognosis of patients with HPS. METHODS: Clinical data, including survival and postoperative efficacy, from patients with HPS from records as obtained over the period from January 1 to December 31, 2022...
March 22, 2024: Transplantation Proceedings
https://read.qxmd.com/read/38521627/consensus-of-the-brazilian-association-of-hematology-hemotherapy-and-cellular-therapy-on-patient-blood-management-preoperative-clinical-and-laboratory-assessment-of-the-patient
#12
JOURNAL ARTICLE
Roberto Luiz da Silva, Bruno Deltreggia Benites, Flavia Leite, Selma Soriano, Susankerle de Oliveira Costa Alves, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior
The preoperative clinical and laboratory evaluations of the patient is an essential step to ensure the safety and success of any surgical procedure. This assessment aims to identify any underlying medical conditions and risk factors and determine suitability for surgery. With this step, the medical team can adapt the care plan to meet each patient's specific needs, increasing the chances of a successful procedure. Good clinical assessment and comprehensive laboratory testing, when integrated into a Patient Blood Management approach, are invaluable in promoting safety of care, reducing transfusion risks, improving surgical outcomes, and optimizing resource utilization...
March 13, 2024: Hematology, Transfusion and Cell Therapy
https://read.qxmd.com/read/38521233/preoperative-free-access-to-water-compared-to-fasting-for-planned-cesarean-under-spinal-anesthesia-a-randomized-controlled-trial
#13
JOURNAL ARTICLE
Yee Ling Ng, Sabeetha Segaran, Carolyn Chue Wai Yim, Boon Kiong Lim, Mukhri Hamdan, Farah Gan, Peng Chiong Tan
BACKGROUND: Contemporary guidance for preoperative feeding allows solids up to six hours and clear fluid up to two hours before anesthesia. Clinical trial evidence to support this approach for cesarean section is lacking. Many medical practitioners continue to follow conservative policies of no intake from midnight to the time of surgery, especially in pregnant women. OBJECTIVE: To evaluate the pragmatic approach of permitting free access to water to the point when the operating theater call to dispatch the woman compared to fasting from midnight in preoperative oral intake restriction for planned cesarean under spinal anesthesia on perioperative vomiting and maternal satisfaction...
March 21, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38521215/fluoroscopic-guided-lumbar-erector-spinae-esp-field-blocks-a-new-technique-and-radiographic-analysis
#14
JOURNAL ARTICLE
Scott C Robertson, Christine Kamm, Mason Ashley
INTRODUCTION: Lumbar Erector Spinae (ESP) field blocks have become a common postoperative treatment for surgical pain. The use of long-acting medications like liposomal bupivacaine (Exparel) has become a major component of multi-modal postsurgical pain control. Traditionally ESP injections have been performed using ultrasound (U/S) guidance by an anesthesiologist. Spine surgeons have begun to utilize these liposomal injections in their procedures for post-operative pain management. Our study describes a fluoroscopic guided ESP field block technique which provides reproducible muscular coverage and pain control for spine surgery...
March 21, 2024: World Neurosurgery
https://read.qxmd.com/read/38520316/ch-vad-left-ventricular-assist-implantation-combined-with-the-bentall-procedure-and-coronary-artery-bypass-grafting
#15
Shuanglei Zhao, Chongyang Liu, Jun Wang, Hong Wang, Tiange Luo, Xiaoyan Hao, Xian Yang, Mingxiu Wen, Jie Han, Hongjia Zhang, Ming Gong
Left ventricular assist device (LVAD) implantation is an effective alternative treatment to heart transplantation, especially for end-stage heart failure patients who are ineligible for or unable to await a heart transplant. This report describes a complex and innovative surgery where LVAD implantation was performed alongside multiple concomitant cardiac and aortic procedures. A 62-year-old male patient with complicated comorbidities developed acute myocardial infarction and subsequent refractory advanced heart failure...
March 23, 2024: ESC Heart Failure
https://read.qxmd.com/read/38520219/comprehensive-evaluation-of-cytomorphologic-histologic-and-molecular-features-of-dicer1-altered-thyroid-lesions-on-fna-a-multipractice-experience
#16
JOURNAL ARTICLE
Krisztina Lengyel, Daniel J Lubin, Wen-Yu Hsiao, Sam Sirotnikov, Guangju Luo, James W Roberts, Qiuying Shi, Kelly Magliocca, Melinda M Lewis, Donald L Sears, Ghulam Ilyas, Beverly B Rogers, Kartik Viswanathan
BACKGROUND: DICER1 mutations, though infrequent, are encountered on preoperative molecular testing of indeterminate adult and pediatric thyroid fine-needle aspiration (FNA) specimens. Yet, published cytomorphologic features of DICER1-altered thyroid lesions are limited. Cytomorphological features of DICER1-altered thyroid lesions were examined in a multipractice FNA cohort with clinical, radiological, and histologic data. METHODS: The cohort comprised 18 DICER1-altered thyroid FNAs, with 14 having slides available and eight having corresponding surgical resections...
March 23, 2024: Cancer Cytopathology
https://read.qxmd.com/read/38519968/predictive-value-of-estimated-plasma-volume-for-postoperative-hypotension-in-percutaneous-intramyocardial-septal-radiofrequency-ablation-treating-for-hypertrophic-obstructive-cardiomyopathy
#17
JOURNAL ARTICLE
Bo Shan, Jing Li, Zhangwei Shi, Chao Han, Juan Zhang, Jia Zhao, Rui Hu, Liwen Liu, Shengjun Ta
BACKGROUND: Estimated plasma volume status (ePVS) estimated by the Duarte formula is associated with clinical outcomes in patients with heart failure. It remains unclear the predictive value of the ePVS to the postoperative hypotension (POH) in percutaneous intramyocardial septal radiofrequency ablation (PIMSRA) treating hypertrophic obstructive cardiomyopathy (HOCM). METHODS: Data of HOCM patients who underwent PIMSRA were retrospectively collected. Preoperative ePVS was calculated using the Duarte formulas which derived from hemoglobin and hematocrit ratios...
March 22, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38519947/machine-learning-models-for-predicting-the-onset-of-chronic-kidney-disease-after-surgery-in-patients-with-renal-cell-carcinoma
#18
JOURNAL ARTICLE
Seol Whan Oh, Seok-Soo Byun, Jung Kwon Kim, Chang Wook Jeong, Cheol Kwak, Eu Chang Hwang, Seok Ho Kang, Jinsoo Chung, Yong-June Kim, Yun-Sok Ha, Sung-Hoo Hong
BACKGROUND: Patients with renal cell carcinoma (RCC) have an elevated risk of chronic kidney disease (CKD) following nephrectomy. Therefore, continuous monitoring and subsequent interventions are necessary. It is recommended to evaluate renal function postoperatively. Therefore, a tool to predict CKD onset is essential for postoperative follow-up and management. METHODS: We constructed a cohort using data from eight tertiary hospitals from the Korean Renal Cell Carcinoma (KORCC) database...
March 22, 2024: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/38519296/a-prognostic-index-derived-from-lasso-selected-preoperative-inflammation-and-nutritional-markers-for-non-muscle-invasive-bladder-cancer
#19
JOURNAL ARTICLE
Dengxiong Li, Ruicheng Wu, Jie Wang, Junjiang Ye, Qingxin Yu, Dechao Feng, Ping Han
BACKGROUND: There is an urgent need to identify a robust predictor for BCG response in patients with non-muscle-invasive bladder cancer (NMIBC). We aimed to employ the Lasso regression model for the selection and construction of an index (BCGI) utilizing inflammation and nutrition indicators to predict the response to BCG therapy. METHODS: After acquiring the ethics approval, we searched the electric medical records in our institution and performed data screening...
February 29, 2024: Clinical Genitourinary Cancer
https://read.qxmd.com/read/38517676/differences-and-correlations-of-morphological-and-hemodynamic-parameters-between-anterior-circulation-bifurcation-and-side-wall-aneurysms
#20
JOURNAL ARTICLE
Kai-Kai Guo, Chang-Ya Liu, Gao-Hui Li, Jian-Ping Xiang, Xiao-Chang Leng, Yi-Ke Cai, Xue-Bin Hu
OBJECTIVE: The objective of this research was to explore the difference and correlation of the morphological and hemodynamic features between sidewall and bifurcation aneurysms in anterior circulation arteries, utilizing computational fluid dynamics as a tool for analysis. METHODS: In line with the designated inclusion criteria, this study covered 160 aneurysms identified in 131 patients who received treatment at Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, China, from January 2021 to September 2022...
March 22, 2024: Current Medical Science
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