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https://www.readbyqxmd.com/read/28428123/transvaginal-ultrasound-guided-embryo-transfer-in-ivf
#1
Lionel Larue, Gwenola Keromnes, Anne Massari, Clémence Roche, Julie Moulin, Héloïse Gronier, Dominique Bouret, Nino Guy Cassuto, Jean Philippe Ayel
OBJECTIVES: to determine whether transvaginal ultrasound-guided embryo transfer is a technique that can be used routinely, whether it improves IVF outcomes and whether it makes difficult transfers easier and more successful. MATERIAL AND METHOD: non-randomised retrospective study conducted between 2012 and 2016 in the Fertility Centre of the Diaconesses-Croix St Simon Hospital Group. The outcomes of 3910 transfers performed by 5 senior operators under transabdominal ultrasound guidance are compared with those of 800 transfers performed by 1 senior operator under transvaginal ultrasound guidance...
April 17, 2017: J Gynecol Obstet Hum Reprod
https://www.readbyqxmd.com/read/28424911/long-term-outcomes-of-endoscopic-resection-of-gastric-gists
#2
Changji Yu, Guobin Liao, Chaoqiang Fan, Jing Yu, Xubiao Nie, Shiming Yang, Jianying Bai
OBJECTIVE: Although the endoscopic treatment of gastric stromal tumors is a recently accepted therapy, the long-term outcomes of this approach remain unknown. The aims of this study were to assess the long-term effectiveness and safety of endoscopic resection for gastric GISTs. METHODS: A total of 60 consecutive patients undergoing endoscopic resection of gastric GISTs were enrolled in a retrospective single-center study. Clinical data, perioperative complications, histopathologic characteristics of the tumors, and long-term outcomes were recorded...
April 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28424090/targeted-endomyocardial-biopsy-guided-by-real-time-cardiovascular-magnetic-resonance
#3
Christina Unterberg-Buchwald, Christian Oliver Ritter, Verena Reupke, Robin Niklas Wilke, Christine Stadelmann, Michael Steinmetz, Andreas Schuster, Gerd Hasenfuß, Joachim Lotz, Martin Uecker
BACKGROUND: Endomyocardial biopsies (EMB) are an important diagnostic tool for myocarditis and other infiltrative cardiac diseases. Routinely, biopsies are obtained under fluoroscopic guidance with a substantial radiation burden. Despite procedural success, there is a large sampling error caused by missing the affected myocardium. Therefore, multiple (>6) biopsies are taken in the clinical setting. In cardiovascular magnetic resonance (CMR), late gadolinium enhancement (LGE) depicts areas of affected myocardium in myocarditis or in other infiltrative cardiomyopathies...
April 19, 2017: Journal of Cardiovascular Magnetic Resonance
https://www.readbyqxmd.com/read/28421970/management-of-fractured-inferior-vena-cava-filters-outcomes-by-fragment-location
#4
Scott O Trerotola, S William Stavropoulos
Purpose To inform the management of fractured inferior vena cava filters on the basis of results from a tertiary referral center specializing in complex filter retrieval. Materials and Methods This study had institutional review board approval and was HIPAA compliant. Retrospective analysis of all patients with fractured filters and/or filter fragments evaluated for removal in a complex filter removal program was performed. Removal was attempted when fragments were intravascular or immediately extravascular by using primarily endobronchial forceps for caval fragments and snares for cardiac and pulmonary fragments...
April 19, 2017: Radiology
https://www.readbyqxmd.com/read/28419588/endoscopic-treatment-of-intraductal-pancreatic-stent-fragmentation
#5
Mateusz Jagielski, Marian Smoczyński, Anna Jabłońska, Krystian Adrych
OBJECTIVES: Complications of endoscopic treatment are reported more and more often due to popularization of pancreatic endotherapy. Our study presents the results of treatment in patients with intraductal pancreatic stent fragmentation diagnosed during endotherapy of chronic pancreatitis. METHODS: Retrospective analysis of 2496 endoscopic retrograde cholangiopancreatography (ERCP) procedures which were performed in 607 patients at Gastrointestinal Endoscopy Unit of the University Clinical Center in Gdansk...
April 17, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28409761/the-question-of-whether-or-not-to-perform-therapeutic-hypothermia-a-case-of-neonatal-spinal-cord-injury
#6
K Yokoi, S Kobayashi, K Muramatsu, S Suzuki, H Gotou
Neonatal spinal cord injury is an extremely rare perinatal complication that often occurs concurrently with hypoxic ischemic encephalopathy (HIE), further complicating diagnosis of spinal cord injury. Although therapeutic hypothermia for moderate to severe HIE is widely recommended in Japan, it is difficult to determine whether it satisfies the neurological findings-related entry criteria in some patients.We describe a female infant with neonatal spinal cord injury after forceps delivery, who underwent therapeutic hypothermia upon diagnosis of HIE...
April 8, 2017: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/28408293/vesicular-monoamine-transporter-1-gene-polymorphism-and-white-matter-integrity-in-major-depressive-disorder
#7
Eunsoo Won, Kyu-Man Han, June Kang, Aram Kim, Ho-Kyoung Yoon, Hun Soo Chang, Ji-Young Park, Min-Soo Lee, Tsafrir Greenberg, Woo-Suk Tae, Byung-Joo Ham
The genetic variant of the vesicular monoamine transporter 1 gene (VMAT1) has been suggested to be associated with monoaminergic signaling and neural circuit activity related to emotion processing. We aimed to investigate microstructural changes in white matter tracts of patients with major depressive disorder (MDD), and examined the interaction effect between VMAT1 Thr136Ile (rs1390938) polymorphism and MDD on white matter integrity. Diffusion tensor imaging (DTI) and VMAT1 Thr136Ile (rs1390938) genotyping were performed on 103 patients diagnosed with MDD and 83 healthy control participants...
April 10, 2017: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/28404550/pelvic-gossypiboma-with-spontaneous-intravesical-erosion
#8
Prabhjot Singh, Sridhar Panaiyadiyan, Brusabhanu Nayak
A 23-year-old man presented with chronic lower urinary tract symptoms and right flank pain. He had undergone ureterolithotomy a few years ago. Ultrasonography and CT of the abdomen and pelvis showed a right paravesical mass and proximal hydroureteronephrosis. Cystoscopic examination revealed a part of surgical gauze embedded in the right lateral wall of the bladder. The surgical gauze was completely retrieved with grasping forceps without any additional procedures. The patient experienced prompt relief of his symptoms and at follow-up, imaging studies revealed resolution of the pelvic mass and non-obstructed clearance of right-side collecting system...
April 11, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28397839/a-connectomic-approach-for-subcallosal-cingulate-deep-brain-stimulation-surgery-prospective-targeting-in-treatment-resistant-depression
#9
P Riva-Posse, K S Choi, P E Holtzheimer, A L Crowell, S J Garlow, J K Rajendra, C C McIntyre, R E Gross, H S Mayberg
Target identification and contact selection are known contributors to variability in efficacy across different clinical indications of deep brain stimulation surgery. A retrospective analysis of responders to subcallosal cingulate deep brain stimulation (SCC DBS) for depression demonstrated the common impact of the electrical stimulation on a stereotypic connectome of converging white matter bundles (forceps minor, uncinate fasciculus, cingulum and fronto-striatal fibers). To test the utility of a prospective connectomic approach for SCC DBS surgery, this pilot study used the four-bundle tractography 'connectome blueprint' to plan surgical targeting in 11 participants with treatment-resistant depression...
April 11, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28395413/-study-on-age-and-white-matter-neuronal-integrity-in-healthy-volunteers-based-on-automating-fiber-tract-quantification
#10
W P Li, F F Wang, X Zhang, M Li, J M Lu, S C Wu, B Zhang
Objective: To analyze age-related change in cerebral matter tract, especially fractional anisotropy, based on automating fiber-tract quantification(AFQ). Methods: A total of 64 years old normal persons and 43 young volunteers were enrolled respectively from the Affiliated Drum Tower Hospital of Nanjing University Medical School and community from January 2015 to June 2016.All of them underwent MRI scan, which included DTI and 3D T(1)WI sequence .All cases were divided into 3 groups according to their ages, the young group 20-35 years old, the middle old group 60-75 years old, the old group 76-90 years old...
April 4, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28391519/cortical-onlay-strut-allograft-with-cerclage-wiring-of-periprosthetic-fractures-of-the-humerus-without-stem-loosening-technique-and-preliminary-results
#11
André Thés, Shahnaz Klouche, Marine de Tienda, Thomas Bauer, Philippe Hardy
The goal of this study was to describe an internal fixation technique for periprosthetic humeral fractures using a cortical onlay strut allograft stabilized with cerclage wires and to evaluate the preliminary results of this approach. An anterolateral approach was used to direct access the fracture and to protect the radial nerve. The fracture was reduced with two forceps, under visual control. The fracture was surrounded by two hemicylinder tibial allografts, placed around the humerus with no prior reaming to create a "sarcophagus" system...
April 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28389795/a-systematic-review-and-meta-analysis-concerning-single-site-laparoscopic-percutaneous-extraperitoneal-closure-for-pediatric-inguinal-hernia-and-hydrocele
#12
Yi Chen, Furan Wang, Hongji Zhong, Junfeng Zhao, Yan Li, Zhan Shi
BACKGROUND: Single-site laparoscopic percutaneous extraperitoneal closure (SLPEC) of hernia sac/processus vaginalis has been widely performed for repair of inguinal hernia/hydrocele in children. However, a variety of surgical instruments and techniques were used, and significant differences existed among the SLPEC reports. METHODS: A literature search was performed for all available studies concerning SLPEC for pediatric inguinal hernia/hydrocele in PubMed, Embase and Cochrane library...
April 7, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28389694/utility-of-the-ginza-forceps-for-superficial-phlebectomy-during-endovenous-laser-ablation-of-the-great-saphenous-vein
#13
Takeshi Baba, Takao Ohki, Yuji Kanaoka, Koji Maeda, Kenjirou Kaneko, Masayuki Hara, Kota Shukuzawa, Soichiro Fukushima
PURPOSE: To evaluate the efficiency of using the Ginza forceps (DVx, Tokyo, Japan), which have a long shaft and strong grip, for superficial phlebectomy with the stab avulsion technique, during simultaneous endovenous laser ablation (EVLA) of the great saphenous vein (GSV). METHODS: The subjects were patients treated with EVLA performed by a single operator at one institution. All patients had a GSV diameter of 4-10 mm and an EVLA length of the GSV of >20 cm...
April 7, 2017: Surgery Today
https://www.readbyqxmd.com/read/28389296/when-local-anesthesia-becomes-universal-pronounced-systemic-effects-of-subcutaneous-lidocaine-in-bullfrogs-lithobates-catesbeianus
#14
Catherine Williams, Aage K O Alstrup, Mads F Bertelsen, Heidi M Jensen, Cleo A C Leite, Tobias Wang
Sodium channel blockers are commonly injected local anesthetics but are also routinely used for general immersion anesthesia in fish and amphibians. Here we report the effects of subcutaneous injection of lidocaine (5 or 50mg kg(-1)) in the hind limb of bullfrogs (Lithobates catesbeianus) on reflexes, gular respiration and heart rate (handled group, n=10) or blood pressure and heart rate via an arterial catheter (catheterized group n=6). 5mg kg(-1) lidocaine did not cause loss of reflexes or change in heart rate in the handled group, but was associated with a reduction in gular respiratory rate (from 99±7 to 81±17 breaths min(-1))...
April 4, 2017: Comparative Biochemistry and Physiology. Part A, Molecular & Integrative Physiology
https://www.readbyqxmd.com/read/28388630/effectiveness-of-diffusion-tensor-imaging-in-differentiating-early-stage-subcortical-ischemic-vascular-disease-alzheimer-s-disease-and-normal-ageing
#15
Min-Chien Tu, Chung-Ping Lo, Ching-Feng Huang, Yen-Hsuan Hsu, Wen-Hui Huang, Jie Fu Deng, Yung-Chuan Lee
OBJECTIVE: To describe and compare diffusion tensor imaging (DTI) parameters between patients with subcortical ischemic vascular disease (SIVD) and Alzheimer's disease (AD) diagnosed using structuralized neuropsychiatric assessments, and investigate potential neuronal substrates related to cognitive performance. METHODS: Thirty-five patients with SIVD, 40 patients with AD, and 33 cognitively normal control (NC) subjects matched by age and education level were consecutively recruited and underwent cognitive function assessments and DTI examinations...
2017: PloS One
https://www.readbyqxmd.com/read/28385827/lesion-location-and-cognitive-impact-of-cerebral-small-vessel-disease
#16
REVIEW
J Matthijs Biesbroek, Nick A Weaver, Geert Jan Biessels
Cerebral small vessel disease (SVD) is an important cause of cognitive impairment. Important MRI manifestations of SVD include white matter hyperintensities (WMH) and lacunes. This narrative review addresses the role of anatomical lesion location in the impact of SVD on cognition, integrating findings from early autopsy studies with emerging findings from recent studies with advanced image analysis techniques. Early autopsy and imaging studies of small case series indicate that single lacunar infarcts in, for example the thalamus, caudate nucleus or internal capsule can cause marked cognitive impairment...
April 25, 2017: Clinical Science (1979-)
https://www.readbyqxmd.com/read/28385492/reduced-white-matter-integrity-and-facial-emotion-perception-in-never-medicated-patients-with-first-episode-schizophrenia-a-diffusion-tensor-imaging-study
#17
Xiaoxin Zhao, Yuxiu Sui, Jingjing Yao, Yiding Lv, Xinyue Zhang, Zhuma Jin, Lijun Chen, Xiangrong Zhang
BACKGROUND: Facial emotion perception is impaired in schizophrenia. Although the pathology of schizophrenia is thought to involve abnormality in white matter (WM), few studies have examined the correlation between facial emotion perception and WM abnormalities in never-medicated patients with first-episode schizophrenia. The present study tested associations between facial emotion perception and WM integrity in order to investigate the neural basis of impaired facial emotion perception in schizophrenia...
April 4, 2017: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/28376550/influence-of-patient-level-factors-on-mode-of-delivery-among-operative-vaginal-delivery-candidates-in-modern-practice
#18
Torri D Metz, Christina Gonzalez, Amanda A Allshouse, Erick Henry, Sean Esplin
Objective We aimed to evaluate which patient-level factors influence mode of delivery among candidates for operative vaginal delivery. Study Design Cross-sectional study of candidates for operative vaginal delivery from 18 hospitals over 8 years. Probabilities of mode of delivery were estimated using hierarchical logistic modeling adjusting for clustering within physician and hospital. Results Total 3,771 (64%) women delivered with forceps, 1,474 (25%) vacuums, and 665 (11%) cesareans. Odds of forceps versus vacuum were higher with induction (OR = 2...
April 4, 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/28374346/a-novel-technique-to-improve-the-processing-of-minute-ureteroscopic-biopsies
#19
Shay Golan, Glenn Gerber, David Margel, Lea Rath-Wolfson, Yaron Ehrlich, Rumelia Koren, David Lifshitz
To examine the ability of a new specimen handling technique to improve histopathological yield of ureteroscopic biopsies, performed in patients with suspected upper tract urothelial carcinoma (UTUC). In a bi-center retrospective study we compared the results of the new tissue handling technique (group 1) with the standard technique (group 2). In the new technique, to achieve maximal tissue preservation, the specimen is mounted on filter paper prior to embedding in paraffin. Multivariate analysis was performed to determine which factors are associated with optimal histological results...
April 3, 2017: Pathology Oncology Research: POR
https://www.readbyqxmd.com/read/28374258/a-novel-grasp-and-loop-closure-method-for-defect-closure-after-endoscopic-full-thickness-resection-with-video
#20
Jian-Wei Hu, Lei Ge, Ping-Hong Zhou, Quan-Lin Li, Yi-Qun Zhang, Wei-Feng Chen, Tao Chen, Li-Qing Yao, Mei-Dong Xu, Yuan Chu
BACKGROUND: Endoscopic full-thickness resection (EFTR) is a minimally invasive method for en bloc resection of gastrointestinal (GI) lesions originating from the muscularis propria layer. Successful closure of the wall defect is a critical step. OBJECTIVE: The aim of this study was to evaluate the feasibility and efficacy of a novel and simplified endoscopic grasp-and-loop (GAL) closure method using an endo-loop assisted with grasping forceps for defect closure...
April 3, 2017: Surgical Endoscopy
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