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https://www.readbyqxmd.com/read/28062891/surgical-techniques-for-esophageal-replacement-in-children
#1
REVIEW
Shilpa Sharma, Devendra K Gupta
PURPOSE: Surgical techniques for esophageal replacement (ER) in children include colon interposition, gastric tube, gastric transposition, and jejunal interposition. This review evaluates the merits and demerits of each. METHOD: Surgical techniques, complications, and outcome of ER are reviewed over last seven decades. RESULTS: Colon interposition is the time-tested procedure with minimal and less serious complications. Long-term complications include reflux, halitosis, colonic segment dilatation, and anastomotic stricture, sometimes requiring surgical interventions especially for dilatation and reflux...
January 6, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28059962/intraoperative-micro-breaks-with-targeted-stretching-enhance-surgeon-physical-function-and-mental-focus-a-multicenter-cohort-study
#2
Adrian E Park, Hamid R Zahiri, M Susan Hallbeck, Vedra Augenstein, Erica Sutton, Denny Yu, Bethany R Lowndes, Juliane Bingener
OBJECTIVE: The aim of this study was to investigate the effect of intraoperative targeted stretching micro breaks (TSMBs) on the experienced pain and fatigue, physical functions, and mental focus of surgeons. BACKGROUND: Surgeons are routinely subject to mental and physical stresses through the course of their work in the operating room. One of the factors most contributory to the shortening of a surgeon's career is work-related pain and its effects on patient safety and personal relationships...
February 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28050547/radial-head-fracture-associated-with-posterior-interosseous-nerve-injury
#3
Bernardo Barcellos Terra, Tannus Jorge Sassine, Guilherme de Freitas Lima, Leandro Marano Rodrigues, David Victoria Hoffmann Padua, Anderson de Nadai
: Fractures of the radial head and radial neck correspond to 1.7-5.4% of all fractures and approximately 30% may present associated injuries. In the literature, there are few reports of radial head fracture with posterior interosseous nerve injury. This study aimed to report a case of radial head fracture associated with posterior interosseous nerve injury. CASE REPORT: A male patient, aged 42 years, sought medical care after falling from a skateboard. The patient related pain and limitation of movement in the right elbow and difficulty to extend the fingers of the right hand...
November 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28049002/reliability-and-agreement-of-neck-functional-capacity-evaluation-tests-in-patients-with-chronic-multifactorial-neck-pain
#4
M F Reneman, M Roelofs, H R Schiphorst Preuper
OBJECTIVE: To analyze test-retest reliability and agreement, and to explore safety of Neck Functional Capacity Evaluation tests (Neck-FCE) in patients with chronic multifactorial neck pain. DESIGN: test-retest; 2 FCE sessions were held with a 2 week interval. SETTING: university based outpatient rehabilitation center. PARTICIPANTS: n=18 participants, 14 females, mean age of 34 years. INTERVENTIONS: not applicable...
December 31, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28048707/mo-fg-campus-jep1-05-water-equivalent-path-length-calculations-using-scatter-corrected-head-and-neck-cbct-images-to-evaluate-patients-for-adaptive-proton-therapy
#5
J Kim, Y Park, G Sharp, B Winey
PURPOSE: To establish a method to evaluate the dosimetric impact of anatomic changes in head and neck patients during proton therapy by using scatter-corrected cone-beam CT (CBCT) images. METHODS: The water equivalent path length (WEPL) was calculated to the distal edge of PTV contours by using tomographic images available for six head and neck patients received photon therapy. The proton range variation was measured by calculating the difference between the distal WEPLs calculated with the planning CT and weekly treatment CBCT images...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048601/tu-d-207b-03-early-assessment-of-response-to-chemoradiotherapy-based-on-textural-analysis-of-pre-and-mid-treatment-fdg-pet-image-in-locally-advanced-head-and-neck-cancer
#6
Y Cui, E Pollom, B Loo, Q Le, W Hara, R Li
PURPOSE: To evaluate whether tumor textural features extracted from both pre- and mid-treatment FDG-PET images predict early response to chemoradiotherapy in locally advanced head and neck cancer, and investigate whether they provide complementary value to conventional volume-based measurements. METHODS: Ninety-four patients with locally advanced head and neck cancers were retrospectively studied. All patients received definitive chemoradiotherapy and underwent FDG-PET planning scans both before and during treatment...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047377/mo-fg-202-02-automated-plan-quality-assurance-integrated-with-eclipse-using-varian-s-esapi-interface
#7
E Schreibmann, I Crocker, A Dhabaan, E Elder
PURPOSE: Treatment plan compliance to physician's intent is still assessed by hand in clinical practice by visually comparing prescription details against corresponding plan values. We report on a script that uses the Varian's programming interface to automate the scoring of treatment plan dose values to the physician's prescribed constraints. METHODS: The Eclipse Scripting Advance Programming Interface (ESAPI) is a FDA-approved scripting environment written in C# that allows programming access to a patient's record in Aria and Eclipse...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046358/su-f-t-653-radiation-exposure-from-cs-131-permanent-seed-implants
#8
T Giaddui, M Hardin, D To, E Kremmel, C Peng, P Hann, S Richardson, Y Yu, A Harrison, L Doyle
PURPOSE: Permanent seed implants have traditionally been used to treat prostate, lung and head or neck cancers using I-125 and Pd-103. Cs-131, which has higher dose rate is being used to treat brain, head and/or neck cancers in our clinic, therefore, we chose to monitor the dose received by surgeons during the extensive procedure. The aims of this work are to assess the level of radiation exposure to surgeons and the instantaneous exposure at bedside and 1 m from patients. METHODS: Ten patients received Cs-131 implants for recurrent brain,head and/or neck cancer; the median implanted activity, number of implanted seeds and prescription dose at 0...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28025611/evidence-and-evidence-gaps-an-introduction
#9
REVIEW
Gabriele Dreier, Jan Löhler
Background: Medical treatment requires the implementation of existing evidence in the decision making process in order to be able to find the best possible diagnostic, therapeutic or prognostic measure for the individual patient based on the physician's own expertise. Clinical trials form the evidence base and ideally, their results are assembled, analyzed, summarized, and made available in systematic review articles. Beside planning, conducting, and evaluating clinical trials in conformity with GCP (good clinical practice), it is essential that all results of conducted studies are publicly available in order to avoid publication bias...
2016: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
https://www.readbyqxmd.com/read/28024830/relationship-between-metabolic-syndrome-and-its-components-with-bone-densitometry-in-postmenopausal-women
#10
Mahnaz Abbasi, Seyed Amir Farzam, Zahra Mamaghani, Zohreh Yazdi
BACKGROUND: Prevention of osteoporosis and bone fracture and the relationship between metabolic syndrome and bone density are controversial issues. THE AIM OF THIS STUDY: The aim of this study was to evaluate the association between metabolic syndrome and its components with bone mineral density in post menopausal women referred for bone mineral density (BMD) test. METHODS: A total of 143 postmenopausal women with at least one year of menopause experience participated in this cross-sectional study...
December 15, 2016: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28024721/functional-and-cognitive-impairment-social-environment-frailty-and-adverse-health-outcomes-in-older-patients-with-head-and-neck-cancer-a-systematic-review
#11
REVIEW
Floor J van Deudekom, Anouk S Schimberg, Marije H Kallenberg, Marije Slingerland, Lily-Ann van der Velden, Simon P Mooijaart
OBJECTIVES: Older head and neck cancer patients are at increased risk for adverse health outcomes, but little is known about which geriatric assessment associates with poor outcome. The aim is to study the association of functional or cognitive impairment, social environment and frailty with adverse health outcomes in patients with head and neck cancer. METHODS: Four libraries were searched for studies reporting on an association of functional or cognitive impairment, social environment and frailty with adverse outcomes in head and neck cancer patients...
January 2017: Oral Oncology
https://www.readbyqxmd.com/read/28000247/investigation-of-nutritional-status-using-the-mini-nutritional-assessment-short-form-and-analysis-of-the-relevant-factors-in-patients-with-head-and-neck-tumour
#12
Ayaka Yanagi, Mai Murase, Yuka I Sumita, Hisashi Taniguchi
OBJECTIVE: The aims of this study were to reveal the nutritional status of patients after head and neck tumour treatment by using the Mini Nutritional Assessment-Short Form (MNA-SF) and to analyse the factors affecting nutritional status in patients with head and neck tumour. BACKGROUND: Elderly patients with loss of teeth and maxillary/mandibular bone due to head and neck tumour treatment could be at high risk of malnutrition. However, there are few reports on the nutritional status of these patients...
December 20, 2016: Gerodontology
https://www.readbyqxmd.com/read/28000006/mri-as-outcome-measure-in-facioscapulohumeral-muscular-dystrophy-1-year-follow-up-of-45-patients
#13
Grete Andersen, Julia R Dahlqvist, Christoffer R Vissing, Karen Heje, Carsten Thomsen, John Vissing
There is no effective treatment available for facioscapulohumeral muscular dystrophy type 1 (FSHD1), but emerging therapies are under way that call for a better understanding of natural history in this condition. In this prospective, longitudinal study, we used quantitative MRI to assess yearly disease progression in patients with FSHD1. Ambulatory patients with confirmed diagnosis of FSHD1 (25/20 men/women, age 20-75 years, FSHD score: 0-12) were tested with 359-560-day interval between tests. Using the MRI Dixon technique, muscle fat replacement was evaluated in paraspinal, thigh, and calf muscles...
December 20, 2016: Journal of Neurology
https://www.readbyqxmd.com/read/27998661/exposure-of-the-examiner-to-radiation-during-myelography-versus-radiculography-and-root-block-a-comparative-study
#14
Kentaro Yamane, Nobuo Kai, Tadashi Miyamoto, Tomohiro Matsushita
BACKGROUND: Exposure to radiation over many years prompts concerns regarding potential health-related effects, particularly the incidence of cataracts and the development of cancer. The purpose of this study was to examine and compare the exposure of the examiner to radiation during myelography versus radiculography and root block. METHODS: A total of 114 examinations were performed in our institute in the 6 months. Sixty-two examinations were performed during myelography in the first 3 months (MG group), while 52 were performed during radiculography and root block in the last 3 months (RB group)...
December 17, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27995220/standardized-4-step-technique-of-bladder-neck-dissection-during-robot-assisted-radical-prostatectomy
#15
REVIEW
Mansour Alnazari, Marc Zanaty, Emad Rajih, Assaad El-Hakim, Kevin C Zorn
Bladder neck (BN) dissection is considered one of the most challenging steps during robot-assisted radical prostatectomy. Better understanding of the BN anatomy, coupled with a standardized approach may facilitate dissection while minimizing complications. We describe in this article the 4 anatomic spaces during standardized BN dissection, as well other technical maneuvers of managing difficult scenarios including treatment of a large median lobe or patients with previous transurethral resection of the prostate...
December 2016: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/27994688/iodine-uptake-patterns-on-post-ablation-whole-body-scans-are-related-to-elevated-serum-thyroglobulin-levels-after-radioactive-iodine-therapy-in-patients-with-papillary-thyroid-carcinoma
#16
Geum-Cheol Jeong, Minchul Song, Hee Jeong Park, Jung-Joon Min, Hee-Seung Bom, Sang-Geon Cho, Ki Seong Park, Sae-Ryung Kang, Jahae Kim, Ho-Chun Song, Seong Young Kwon
PURPOSE: Serum thyroglobulin (Tg) level is frequently elevated shortly after radioactive iodine (RAI) ablation therapy. The authors studied the relationship between the elevation of serum Tg after RAI therapy and iodine uptake pattern on post-ablation whole body scans (RxWBSs) in patients with papillary thyroid carcinoma (PTC). MATERIALS AND METHODS: The study subjects were patients with PTC that had undergone first RAI therapy with thyroid hormone withdrawal after total thyroidectomy...
December 2016: Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/27990487/tuning-hydrogel-properties-to-promote-the-assembly-of-salivary-gland-spheroids-in-3d
#17
Tugba Ozdemir, Eric W Fowler, Shuang Liu, Daniel A Harrington, Robert L Witt, Mary C Farach-Carson, Swati Pradhan-Bhatt, Xinqiao Jia
Current treatments for chronic xerostomia, or "dry mouth", do not offer long-term therapeutic benefits for head and neck cancer survivors previously treated with curative radiation. Towards the goal of creating tissue-engineered constructs for the restoration of salivary gland functions, we developed new hyaluronic acid (HA)-based hydrogels using thiolated HA (HA-SH) and acrylated HA (HA-AES) with a significant molecular weight mismatch. Four hydrogel formulations with varying HA concentration, (1-2.4 wt%) and thiol/acrylate ratios (2/1 to 36/1) and elastic moduli (G': 35 to 1897 Pa, 2 h post-mixing) were investigated...
December 12, 2016: ACS Biomaterials Science & Engineering
https://www.readbyqxmd.com/read/27989404/nailfold-capillaroscopic-parameters-and-skin-telangiectasia-patterns-in-patients-with-systemic-sclerosis
#18
Carmen Pizzorni, Anna R Giampetruzzi, Chiara Mondino, Antonio Facchiano, Damiano Abeni, Sabrina Paolino, Barbara Ruaro, Vanessa Smith, Alberto Sulli, Maurizio Cutolo
OBJECTIVE: To correlate nailfold capillaroscopic parameters with the presence of skin telangiectases (TAs) in systemic sclerosis patients (SSc). METHODS: Thirty-three consecutive patients (28 women and 5 men, mean age 59±21years) affected by SSc according to the ACR/EULAR criteria, 30 with limited (lcSSc) and 3 with diffuse (dcSSc) skin disease, displaying the presence of skin TAs on face, hands, forearms, neck, and décolleté were recruited. Nailfold videocapillaroscopy (NVC) was performed to classify the patients into one of the three main patterns of SSc microangiopathy ("early", "active", "late"), and to calculate the microangiopathy evolution score (MES)...
December 16, 2016: Microvascular Research
https://www.readbyqxmd.com/read/27986735/assessing-the-exposure-of-street-sweeping-and-potential-risk-factors-for-developing-musculoskeletal-disorders-and-related-disabilities-a-cross-sectional-study
#19
Pradeep S Salve, Praveen Chokhandre
OBJECTIVE: This study aims to assess the exposure of those involved in street sweeping to the development of musculoskeletal disorders (MSDs) and related disabilities and tries to identify the individual risk factors thereof. DESIGN: A cross-sectional survey was conducted among street sweepers together with a comparison group. A modified Standardized Nordic Questionnaire was adopted to measure the prevalence of MSDs and related disabilities. The impact of the occupation of sweeping on the development of MSDs and related disabilities was assessed using the propensity score matching (PSM) method...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27980522/ultrasound-imaging-in-urogynecology-state-of-the-art-2016
#20
Michał Bogusiewicz
The role of ultrasound imaging in urogynecology is not clearly defined. Despite significant developments in visualization techniques and interpretation of images, pelvic ultrasound is still more a tool for research than for clinical practice. Structures of the lower genitourinary tract and pelvic floor can be visualized from different approaches: transperineal, introital, transvaginal, abdominal or endoanal. According to contemporary guidelines and recommendations, the role of ultrasound in urogynecology is limited to the measurement of post-void residue...
November 2016: Przeglad Menopauzalny, Menopause Review
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