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Benjamin Hidalgo, Toby Hall, Jean Bossert, Axel Dugeny, Barbara Cagnie, Laurent Pitance
OBJECTIVE: To review and update the evidence for different forms of manual therapy (MT) and exercise for patients with different stages of non-specific neck pain (NP). DATA SOURCES: MEDLINE, Cochrane-Register-of-Controlled-Trials, PEDro, EMBASE. METHOD: A qualitative systematic review covering a period from January 2000 to December 2015 was conducted according to updated-guidelines. Specific inclusion criteria only on RCTs were used; including differentiation according to stages of NP (acute - subacute [ASNP] or chronic [CNP]), as well as sub-classification based on type of MT interventions: MT1 (HVLA manipulation); MT2 (mobilization and/or soft-tissue-techniques); MT3 (MT1 + MT2); and MT4 (Mobilization-with-Movement)...
August 2, 2017: Journal of Back and Musculoskeletal Rehabilitation
Luke A Reynolds, Maree T Izatt, Eric M Huang, Robert D Labrom, Geoffrey N Askin, Clayton J Adam, Mark J Pearcy
BACKGROUND: Axial vertebral rotation is a key characteristic of adolescent idiopathic scoliosis (AIS), and its reduction is one of the goals of corrective surgery. Recurrence of deformity after surgical correction may relate to rotation changes that occur in the anterior vertebral column after surgery, but whether any change occurs within the fused segment or in adjacent unfused levels following thoracoscopic anterior spinal fusion (TASF) is unknown. An analysis of measurements from an existing postoperative CT dataset was performed to investigate the occurrence of inter- and intra-vertebral rotation changes after TASF within and adjacent to the fused spinal segment and look for any relationships with the Cobb angle and rib hump in the two years after surgery...
2017: Scoliosis and Spinal Disorders
Rosen Stanchev Drebov, Atanas Katsarov, Emiliyan Gagov, Nia Atanasova, Zlatin Penev, Alexander Iliev
Our aim is to present the treatment of one of the skeletal manifestations of Jeune's syndrome (JS), the hypoplastic chest, which can result in thoracic insufficiency syndrome and present "on-demand" stage surgical technique using mandible locking plate system for the fixation of ribs. The diagnosis "Jeune's syndrome" was presented clinically in a 3-month-old girl from a family in which the first child died of JS at the age of 18 months. After close follow-up for several months and preoperative planning, we decided to make reconstructive chest operation with atypical use of a double-angled mandible locking plate for fixation...
January 2017: Surg J (N Y)
Kenichiro Kita, Yoichiro Takata, Kosaku Higashino, Kazuta Yamashita, Fumitake Tezuka, Toshinori Sakai, Akihiro Nagamachi, Koichi Sairyo
Background  The major complication of percutaneous vertebroplasty (PVP) using polymethyl methacrylate (PMMA) is epidural leakage of PMMA that damages the spinal cord. Methods  This is a case report. Result  A 77-year-old man presented to our institution with a 6-month history of muscle weakness and an intolerable burning sensation of both lower limbs after PVP with PMMA for thoracic compression fracture at T7 at another hospital. His past medical history was significant for hypertension. He had no history of smoking and alcohol...
January 2017: Surg J (N Y)
Mariana Suárez Bagnasco, Iván J Núñez-Gil
AIM: To summarize the current evidence on psychological issues in thoracic aortic disease (TAD) and infective endocarditis (IE) setting. METHODS: We performed a narrative review about psychological issues in adults with IE and TAD. Through the electronic databases, PubMed and PsycINFO, we searched full manuscripts in English and published until September 1, 2014. RESULTS: We found sixteen studies exploring psychological issues in patients with IE (six studies) and in TAD (ten papers)...
July 26, 2017: World Journal of Cardiology
Dong Kyun Rah, Hyung Jun Min, Yang Woo Kim, Young Woo Cheon
Background: Ischemia-reperfusion (I/R) injury is a leading cause of surgical skin flap compromise and organ dysfunction. Platelet-rich plasma (PRP) is an abundant reserve of various growth factors. Activated platelets play a role in endothelial damage during I/R injury; however, exogenous PRP could inhibit the production of reactive oxygen species. The goal of this study was to investigate the effect of PRP on I/R injury. Methods: Four groups (n=30) of C57BL/6N mice with lateral thoracic artery island flaps were used...
2017: International Journal of Medical Sciences
Sang-Il Kim, Kee-Yong Ha, Jin-Woo Lee, Young-Hoon Kim
BACKGROUND TEXT: Thoracic ossification of the ligamentum flavum (TOLF) is an uncommon pathology but it may sometimes grow and cause serious neurologic manifestations. Little has been demonstrated yet about the epidemiology and etiology of TOLF PURPOSE: To estimate the prevalence and clinical characteristics of TOLF DESIGN: Cross-sectional study PATIENT SAMPLE: All individuals who had undergone chest computed tomography (CT) for the evaluation of pulmonary disease or for medical examination for one year at our institute OUTCOME MEASURES: Presence of TOLF and the association of these findings with thoracic kyphosis (TK), ossification of posterior longitudinal ligament (OPLL), space available for cord (SAC), age, gender, body mass index (BMI), and diabetes...
August 17, 2017: Spine Journal: Official Journal of the North American Spine Society
Kristofer M Charlton-Ouw, Harleen K Sandhu, Samuel S Leake, Charles C Miller, Rana O Afifi, Ali Azizzadeh, Anthony L Estrera, Hazim J Safi
OBJECTIVE: Aortic dissection is a dynamic process that can progress both proximal and distal to the initial entry tear. We sought to determine associations for development of proximal progression or new type A aortic dissection (NTAD) after acute type B dissection (ATBD) and its effect on survival of the patient. METHODS: We reviewed all cases of acute aortic dissection that we managed from 1999 to 2014. Univariate and bivariate analyses were performed to identify correlates of NTAD...
August 17, 2017: Journal of Vascular Surgery
Anan Shtaya, Anastasios Giamouriadis, Matthew Jn Crocker, Andrew J Martin
No abstract text is available yet for this article.
August 17, 2017: World Neurosurgery
Jill Stein, Tal Laor, Preston Carr, Andrew Zbojniewicz, Roger Cornwall
PURPOSE: Neonatal brachial plexus palsy (NBPP) frequently causes glenohumeral dysplasia. Quantification of this dysplasia on magnetic resonance imaging can determine the need for and the success of nonsurgical or surgical intervention. However, we hypothesize that the variable position of the scapula on the thorax between affected and unaffected shoulders affects dysplasia measurements. METHODS: Magnetic resonance imaging studies were analyzed from 19 NBPP patients (ages 0...
August 16, 2017: Journal of Hand Surgery
Elif Turgut, Gozde Gur, Cigdem Ayhan, Yavuz Yakut, Gul Baltaci
The scapula plays a critical role in supporting shoulder function. Considering the closed anatomical relationship between the scapula and the thoracic cage, the presence of postural disturbances could be linked to alterations in the scapular position and orientation in adolescent idiopathic scoliosis (AIS). However, currently there is a lack of descriptive research and detailed assessment of scapular kinematics in AIS. The aim of this study was to investigate the three-dimensional scapular kinematics in AIS...
August 9, 2017: Journal of Biomechanics
Lilia Mahjoubi, André Joyeux, Jean-François Delambre, Alain Rind
Stingray injuries are frequent, and although mostly benign, some can be life-threatening. We present the case of a 24-year-old man who suffered from a stingray attack in the Indian Ocean with a thoracic penetrating trauma, and its management.
July 2017: Seminars in Thoracic and Cardiovascular Surgery
Arnoud V Kamman, Bo Yang, Karen M Kim, David M Williams, George Michael Deeb, Himanshu J Patel
One of the most dreaded complications of acute aortic dissection is end-organ malperfusion. We summarize current evidence and describe our treatment paradigm in the setting of malperfusion in aortic dissection. Given the difficulty with identifying isolated visceral malperfusion in aortic dissection, both in the literature as well as in our practice, we have broadened the discussion to include data examining the presentation complex of malperfusion, particularly if mesenteric ischemia is identified. The approach to treating malperfusion syndrome is different depending on whether the patient presents with type A dissection vs type B dissection with malperfusion...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
Ali Khoynezhad, Sherwin Toluie, Talal Al-Atassi
Although thoracic endovascular aortic repair (TEVAR) is the standard of care in acute complicated type B dissections, its role in chronic type B dissections remains controversial. This controversy stems from anatomical differences between acute and chronic dissections, such as a thicker intimal clap and improved results in descending aortic replacement. However, despite these important differences, there has been accumulating evidence on the safety and efficacy of TEVAR in chronic type B aortic dissections, especially when considering the alternative of open surgical repair, which is associated with significantly higher morbidity and in many hands also higher mortality...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
Khalid Abdul Mjaeed, Habib Ur Rehman, Muhammad Shahbaz Yousaf, Hafsa Zaneb, Imtiaz Rabbani, Sajid Khan Tahir, Muhammad Afzal Rashid
Dibutyl phthalate is an important phthalate ester extensively used in various products like plastics, adhesives, inks, pharmaceuticals, lacquers, varnishes, paper coatings, safety glasses, and cosmetics. The exposure of DBP to "one's health" is therefore inevitable. The present study focuses on elucidating the effect of low doses of DBP on anthropometric parameters and markers of obesity in rats in a 13-week study. A total of 48 rats were divided into three treatment groups as mg DBP/kg body weight per day: (a) 0 mg/kg (control), (b) 10 mg/kg (DBP-10), and (c) 50 mg/kg (DBP-50)...
August 19, 2017: Environmental Science and Pollution Research International
Bruno V D Marques, Carolina M Higashi, Daniella R B da S Novi, Nagela G Zanluqui, Thais F Gregório, Phileno Pinge-Filho, Daniela C C Gerardin, Gislaine P Gomes, Estefânia G Moreira, Graziela S Ceravolo
Selective serotonin reuptake inhibitors are the most widely prescribed antidepressants to women during pregnancy. Maternal treatment with fluoxetine can expose fetuses and neonates to higher levels of serotonin that plays a role in stress response. Thus, the aim of the study was to evaluate whether maternal treatment with fluoxetine interferes with aorta reactivity of adult male offspring after acute restraint stress. Wistar rats were gavaged with fluoxetine (5mg/kg/day) or water (control) during pregnancy and lactation...
August 16, 2017: European Journal of Pharmacology
James I Fann
No abstract text is available yet for this article.
July 22, 2017: Journal of Thoracic and Cardiovascular Surgery
Lloyd M Felmly, Hyejin Kwon, Chadrick E Denlinger, Jacob A Klapper
Esophageal perforation is a complex clinical entity that has multiple etiologies and variability in presentation, making it challenging to diagnose and treat. The mortality of esophageal perforation has improved because therapies have evolved. Whereas primary repair is the standard of care, multiple treatments may be employed successfully. We retrospectively reviewed all cases of suspected or confirmed esophageal perforation that were admitted to the thoracic surgery service at our institution between January 2011 and June 2016...
August 1, 2017: American Surgeon
Shawna M Kettyle, Nikhil L Chervu, Appajosula Sarada Rao, Salaam Sadi, David Majure, Jack A Sava, Laura S Johnson
the prevalence of ventricular assist devices (VADs) is increasing as advanced cardiac therapies progress. These patients commonly require non-cardiac surgical procedures (NCS), although data are scant regarding the safety, timing, and operations that may safely be performed. We aim to describe our experience with VAD patients undergoing NCS. We retrospectively reviewed records on patients who underwent NCS after VAD implantation between 2013 and 2015 at a single Joint Commission-accredited VAD institution. Data collection included demographics, ischemic cardiomyopathy or nonischemic cardiomyopathy, operative details, and perioperative anticoagulation management and outcomes...
August 1, 2017: American Surgeon
Xiaojin Li, Liwen Zeng, Xiaoyin Li, Xuexia Chen, Caixia Ke
BACKGROUND This study investigated the outcomes of preoperative HGT as an adjunct treatment for severe thoracic kyphoscoliosis, its role in radiographic correction, and pulmonary function improvement, together with nursing strategy and incidence of complications. MATERIAL AND METHODS Eleven patients with a mean age of 18.8 years were retrospectively reviewed. Inclusion criteria were: patients with severe kyphoscoliosis (coronal Cobb angle and kyphosis angle ≥80°); duration of HGT ≥8 weeks; patients undergoing HGT for at least 12 h per day; traction weight no less than 40% of body weight; and patients not receiving physical therapies...
August 19, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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