keyword
https://read.qxmd.com/read/38645105/international-expert-based-consensus-definition-staging-criteria-and-minimum-data-elements-for-osteoradionecrosis-of-the-jaw-an-inter-disciplinary-modified-delphi-study
#21
Amy C Moreno, Erin E Watson, Laia Humbert-Vidan, Douglas E Peterson, Lisanne V van Dijk, Teresa Guerrero Urbano, Lisa Van den Bosch, Andrew J Hope, Matthew S Katz, Frank J P Hoebers, Ruth A Aponte Wesson, James E Bates, Paolo Bossi, Adeyinka F Dayo, Mélanie Doré, Eduardo Rodrigues Fregnani, Thomas J Galloway, Daphna Y Gelblum, Issa A Hanna, Christina E Henson, Sudarat Kiat-Amnuay, Anke Korfage, Nancy Y Lee, Carol M Lewis, Charlotte Duch Lynggaard, Antti A Mäkitie, Marco Magalhaes, Yvonne M Mowery, Carles Muñoz-Montplet, Jeffrey N Myers, Ester Orlandi, Jaymit Patel, Jillian M Rigert, Deborah Saunders, Jonathan D Schoenfeld, Ugur Selek, Efsun Somay, Vinita Takiar, Juliette Thariat, Gerda M Verduijn, Alessandro Villa, Nick West, Max J H Witjes, Alex Won, Mark E Wong, Christopher M K L Yao, Simon W Young, Kamal Al-Eryani, Carly E A Barbon, Doke J M Buurman, François J Dieleman, Theresa M Hofstede, Abdul Ahad Khan, Adegbenga O Otun, John C Robinson, Lauren Hum, Jorgen Johansen, Rajesh Lalla, Alexander Lin, Vinod Patel, Richard J Shaw, Mark S Chambers, Daniel Ma, Mabi Singh, Noam Yarom, Abdallah Sherif Radwan Mohamed, Katherine A Hutcheson, Stephen Y Lai, Clifton David Fuller
PURPOSE: Osteoradionecrosis of the jaw (ORNJ) is a severe iatrogenic disease characterized by bone death after radiation therapy (RT) to the head and neck. With over 9 published definitions and at least 16 diagnostic/staging systems, the true incidence and severity of ORNJ are obscured by lack of a standard for disease definition and severity assessment, leading to inaccurate estimation of incidence, reporting ambiguity, and likely under-diagnosis worldwide. This study aimed to achieve consensus on an explicit definition and phenotype of ORNJ and related precursor states through data standardization to facilitate effective diagnosis, monitoring, and multidisciplinary management of ORNJ...
April 9, 2024: medRxiv
https://read.qxmd.com/read/38644888/academic-autonomy-as-driving-change-investigating-its-effect-on-strategy-development-and-university-performance
#22
JOURNAL ARTICLE
Abdullah Yahia Al Gharsi, Fozi Ali Belhaj, R Nirmala
There has been an ongoing theoretical argument on the role of Academic autonomy (AA) in improving the ability of public universities to develop strategies and enhance their performance. This study aims to investigate whether AA impacts strategy development (SD) and University performance (UP). Moreover, it investigates the effect of SD on UP. The present study uses a resource-based view to demonstrate the links among constructs. This study employed a survey method, and data were collected from 130 leaders of Indian public universities utilising a non-probability purposive sampling technique...
April 30, 2024: Heliyon
https://read.qxmd.com/read/38644105/effectiveness-of-online-interactive-education-in-dental-radiology
#23
JOURNAL ARTICLE
Namkwon Lee, Jisun Huh, Hogul Jeong, Wonse Park
OBJECTIVE: This study aimed to assess the effectiveness of an interactive education approach in oral and maxillofacial radiology for dentists, utilizing the online interactive educational program Mentimeter. METHOD: Seven continuing education sessions for dentists in oral and maxillofacial radiology were conducted employing Mentimeter. Following these sessions, surveys gauged participants' responses to the learning method and its effectiveness. The questionnaire comprised 20 questions categorized into convenience, active learning, academic achievement, time management, and lecture quality...
April 20, 2024: International Dental Journal
https://read.qxmd.com/read/38643963/-robot-assisted-partial-cystectomy-for-deep-infiltrating-endometriosis-of-the-bladder-with-the-hugo-ras-system-precis-robotic-assisted-laparoscopy-for-bladder-endometriosis-is-a-feasible-procedure-able-to-reproduce-all-surgical-steps-without-critical-errors
#24
JOURNAL ARTICLE
Renato Seracchioli, Stefano Ferla, Pierandrea DE Benedetti, Agnese Virgilio, Antonio Raffone, Diego Raimondo
OBJECTIVE: Involvement of the lower urinary tract is found in 0.2-2.5% of all deep infiltrating endometriosis (DIE)1 , 2 . The bladder is the most affected organ with a prevalence of up to 80% of cases3 . Patients with bladder endometriosis are often symptomatic (dysuria, hyperactive bladder, recurrent urinary tract infections and hematuria). Surgery is the gold standard treatment for this condition when medical therapy fails1 , 2 . Several studies have shown the feasibility, effectiveness, and safety of the laparoscopic approach4 but data about robotic-assisted approach are missing in literature...
April 19, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38643776/matching-actions-to-needs-shifting-policy-responses-to-the-changing-health-needs-of-chinese-children-and-adolescents
#25
REVIEW
Tian-Jiao Chen, Bin Dong, Yanhui Dong, Jing Li, Yinghua Ma, Dongshan Liu, Yuhui Zhang, Yi Xing, Yi Zheng, Xiaomin Luo, Fangbiao Tao, Yanqing Ding, Peijin Hu, Zhiyong Zou, Bailin Pan, Ping Tang, Dongmei Luo, Yunfei Liu, Luo Li, Geffrey Nan Li, Xiaobo Tian, Xiaona Huang, Yi Song, Jun Ma, Susan M Sawyer
China is home to the second largest population of children and adolescents in the world. Yet demographic shifts mean that the government must manage the challenge of fewer children with the needs of an ageing population, while considering the delicate tension between economic growth and environmental sustainability. We mapped the health problems and risks of contemporary school-aged children and adolescents in China against current national health policies. We involved multidisciplinary experts, including young people, with the aim of identifying actionable strategies and specific recommendations to promote child and adolescent health and wellbeing...
April 18, 2024: Lancet
https://read.qxmd.com/read/38642316/open-intraperitoneal-onlay-mesh-repair-with-anterior-component-separation-as-a-bail-out-procedure-in-the-management-of-complex-hernias
#26
JOURNAL ARTICLE
M Vierstraete, A Molnar, F Berrevoet
PURPOSE: Surgical repair of complex abdominal wall hernias remains technically demanding and is widely recognized as a risk factor for unfavorable outcomes with high recurrence and morbidity rates. The objective is to assess short- and long-term complications after open intraperitoneal onlay mesh (IPOM) repair combined with bilateral anterior component separation (ACS) for large and difficult incisional hernias, alongside evaluating hernia recurrence rates. METHODS: This retrospective analysis utilized data sourced from Hospital electronic health records and a prospective database at an academic tertiary referral center...
April 20, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/38642127/anti-infectious-and-anti-inflammatory-effect-of-amniopatch-in-the-treatment-of-spontaneous-previable-rupture-of-membranes
#27
JOURNAL ARTICLE
Martin Alföldi, Vladimír Ferianec
Spontaneous previable rupture of membranes complicates approximately 0.4-0.7% of pregnancies and is associated with severe maternal and neonatal morbidity and mortality. Intra-amniotic inflammation is present in up to 94.4% of cases, most often caused by a bacterial infection. In comparison, the effectiveness of antibiotic therapy in its eradication reaches less than 17%. Inflammatory activity in the amniotic cavity disrupts the physiological development of the fetus with an increase in maternal, fetal, and neonatal inflammatory morbidity through the development of fetal inflammatory response syndrome, maternal chorioamnionitis, and neonatal sepsis...
April 20, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38642023/challenges-with-robot-assisted-surgery-setup-for-complex-minimally-invasive-upper-gastrointestinal-surgery
#28
JOURNAL ARTICLE
Falisha F Kanji, Aleeque Marselian, Miguel Burch, Monica Jain, Tara N Cohen
BACKGROUND: The utilization of robot-assisted approaches to surgery has increased significantly over the last two decades. This has introduced novel complexities into the operating room environment, requiring management of new challenges and workflow adaptation. This study aimed to analyze challenges in the surgical setup for complex upper gastrointestinal robot-assisted surgery (UGI-RAS) and identify opportunities for solutions. METHODS: Direct observations of surgical setup processes for UGI-RAS were performed by a trained Human Factors researcher at a non-profit academic medical center in Southern California...
April 20, 2024: American Surgeon
https://read.qxmd.com/read/38641772/causes-and-outcomes-of-at-risk-underperforming-pharmacy-students-implications-for-policy-and-practice
#29
JOURNAL ARTICLE
Alice Campbell, Tina Hinton, Narelle C da Costa, Sian E O'Brian, Danielle R Liang, Nial J Wheate
OBJECTIVE: This study aimed to understand the key determinants for poor academic performance of students completing a Bachelor of Pharmacy (BPharm), Bachelor of Pharmacy and Management (BPharmMgmt), or Master of Pharmacy (MPharm) degree. METHODS: Data were collected on pharmacy students who had not met academic progression requirements between 2008 and 2018 at The University of Sydney, Australia. This included: age at the start of pharmacy degree; gender; whether they transferred from another university; whether they were a domestic or international student; Australian Tertiary Admissions Rank upon entry, previous studies in biology, chemistry, or mathematics; show cause triggers (units of study failed); number of show causes; students' written show cause responses; weighted average mark at last show cause or graduation; whether they graduated and were a registered pharmacist; and, the number of years they spent studying the degree...
April 19, 2024: BMC Medical Education
https://read.qxmd.com/read/38641255/the-substantial-burden-of-iatrogenic-vascular-injury-on-the-vascular-surgery-workforce-at-an-academic-medical-center
#30
JOURNAL ARTICLE
Abhishek Rao, Molly Ratner, Jason Zhang, Clay Wiske, Karan Garg, Thomas Maldonado, Mikel Sadek, Glenn Jacobowitz, Todd Berland, Katherine Teter, Caron Rockman
OBJECTIVE: Vascular surgeons are often called upon to provide emergent surgical assistance to other specialties for iatrogenic complications, both intraoperatively and in the inpatient setting. The management of iatrogenic vascular injury remains a critical role of the vascular surgeon, especially in the context of the increasing adoption of percutaneous procedures by other specialties. This study aims to characterize consultation timing, management, and outcomes for iatrogenic vascular injuries...
April 17, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38641234/salvage-stereotactic-radiosurgery-for-recurrent-who-grade-2-and-3-meningiomas-a-multicenter-study-storm
#31
JOURNAL ARTICLE
Matthew Gallitto, Geoffrey Sedor, Albert Lee, Jared Pasetsky, Connor J Kinslow, Genesis De Los Santos, Derrick Obiri-Yeboah, Varun R Kshettry, Corbin A Helis, Michael D Chan, Thomas H Beckham, Susan L McGovern, Jennifer Matsui, Joshua D Palmer, Jonathan B Bell, Eric A Mellon, David Lakomy, Jiayi Huang, Ian Boor, Chad G Rusthoven, Michael B Sisti, Tony J C Wang
PURPOSE: The role of stereotactic radiosurgery (SRS) in the management of grade 2 and 3 meningiomas is not well elucidated. Unfortunately, local recurrence rates are high, and guidelines for management of recurrent disease are lacking. To address this knowledge gap, we conducted STORM, a multicenter retrospective cohort study of patients treated with primary SRS for recurrent grade 2 and 3 meningiomas. METHODS AND MATERIALS: Data on patients with recurrent grade 2 and 3 meningioma treated with SRS at first recurrence were retrospectively collected from eight academic centers in the United States...
April 17, 2024: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/38641114/energy-efficiency-in-winemaking-industry-challenges-and-opportunities
#32
REVIEW
Manuela de Castro, José Baptista, Cristina Matos, António Valente, Ana Briga-Sá
The United Nations has issued a warning over the limited time for climate disaster prevention. In the last two decades, several countries have set targets to reduce fossil fuel usage and greenhouse gas emissions. These goals are tracked through the adoption of energy systems that prioritise efficiency and low-carbon alternatives, in alignment with the Sustainable Development Goals outlined by the United Nations. In the winemaking sector, the wine produced in the European Union comprised 65 % of the worldwide total from 2014 to 2018, with vineyards making up 4...
April 17, 2024: Science of the Total Environment
https://read.qxmd.com/read/38640725/association-of-early-seizures-after-ischemic-stroke-with-diffusion-weighted-imaging-alberta-stroke-program-early-ct-score-dwi-aspects-and-neutrophil-to-lymphocyte-ratio
#33
JOURNAL ARTICLE
Maryam Ebrahimian, Mohamad Hosein Mohamadi, Mahshid Mahyad, Fariborz Rezaeitalab
BACKGROUND: Post-stroke seizure (PSS) is a common considerable complication of acute ischemic stroke (AIS). Early risk assessment can clinical practitioners to plan effective prevention and management. We aimed to determine whether assessing Diffusion-Weighted Imaging-Alberta Stroke Program Early CT Score (DWI-ASPECTS), and neutrophil indices allows for identifying patients at risk of PSS. METHODS: This prospective study included AIS patients with cortical involvement admitted to a single academic center between January 2020 to October 2023...
April 18, 2024: Epilepsy & Behavior: E&B
https://read.qxmd.com/read/38640206/-the-social-demographic-and-professional-characteristics-of-general-practitioners-and-district-therapists-of-state-and-private-sectors-of-health-care
#34
JOURNAL ARTICLE
A V Volnukhin, T E Morozova, G P Skvirskaya, A G Reze, M V Gurjar, A A Gerzog, E O Samokhina, T V Zaugolnikova
The article presents comparative analysis of demographic, social and professional characteristics of general practitioners and district therapists in state and private medical organizations. Sociological, statistical and analytical research methods were applied. The study was carried out on the basis of polyclinics of both Moscow Health Department and Moscow private health care sector. The sampling consisted of 399 questionnaires subjected to statistical processing. It is established that in state and private medical organizations, in this group of physicians prevail women 36-55 years old, born in the Russian Federation, in Moscow, married, having children and assessing one's income level as average...
March 2024: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
https://read.qxmd.com/read/38639913/formal-wellness-training-of-academic-radiology-leaders-improves-work-life-conflict
#35
JOURNAL ARTICLE
Jay R Parikh, Katelyn J Cavanaugh
OBJECTIVE: To investigate the effect of formal leadership training of academic radiology leaders within an academic center on their own burnout and professional fulfillment. METHODS: The study cohort was academic radiology leaders within one of the largest academic organizations of academic radiologists within the United States. All academic radiology leaders within the organization were electronically mailed a weblink to a confidential IRB-approved survey in April 2021...
April 19, 2024: European Radiology
https://read.qxmd.com/read/38638705/clinic-versus-the-operating-room-determining-the-optimal-setting-for-dilation-and-curettage-for-management-of-first-trimester-pregnancy-failure
#36
JOURNAL ARTICLE
Hilary Novatt, Kari Rockhill, Kori Baker, Elaine Stickrath, Meredith Alston, Stefka Fabbri
Introduction There is no clear guidance for the optimal setting for dilation and curettage (D&C) for the management of first-trimester pregnancy failure. Identifying patients at risk of clinically significant blood loss at the time of D&C may inform a provider's decision regarding the setting for the procedure. We aimed to identify risk factors predictive for blood loss of 200mL or greater at the time of D&C. Methods  This is a retrospective cohort study of patients diagnosed with first-trimester pregnancy failure at gestational age less than 11 weeks who underwent surgical management with D&C at a single safety net academic institution between 4/2016 and 4/2021...
March 2024: Curēus
https://read.qxmd.com/read/38637656/a-meta-analysis-on-the-potency-of-foot-and-mouth-disease-vaccines-in-different-animal-models
#37
JOURNAL ARTICLE
Jiao Jiao, Peng Wu
Whether mice can be used as a foot-and-mouth disease (FMD) model has been debated for a long time. However, the major histocompatibility complex between pigs and mice is very different. In this study, the protective effects of FMD vaccines in different animal models were analyzed by a meta-analysis. The databases PubMed, China Knowledge Infrastructure, EMBASE, and Baidu Academic were searched. For this purpose, we evaluated evidence from 14 studies that included 869 animals with FMD vaccines. A random effects model was used to combine effects using Review Manager 5...
April 18, 2024: Scientific Reports
https://read.qxmd.com/read/38637341/exploring-the-intersection-of-tuberous-sclerosis-and-precocious-puberty-unveiled-by-hematocolpos
#38
JOURNAL ARTICLE
Ramandeep Singh, Sameer Peer, Arvinder Wander
We present the case of a 6-year-old girl who initially presented with acute pelvic pain, ultimately diagnosed with imperforate hymen leading to hematocolpos. Further investigation revealed additional clinical features including academic struggles, mood swings, and cutaneous findings, prompting consideration of a neurocutaneous syndrome. Magnetic Resonance Imaging (MRI) revealed features consistent with tuberous sclerosis complex (TSC), including radial migration lines in the subcortical white matter and an incidental arachnoid cyst...
April 19, 2024: Neurological Sciences
https://read.qxmd.com/read/38637253/impact-of-cell-salvage-on-hematocrit-and-post-partum-anemia-in-low-hemorrhage-risk-elective-cesarean-delivery
#39
JOURNAL ARTICLE
Daniel Katz, Annalin Griffel, Sarah Granozio, Gary Koenig, Hung-Mo Lin
BACKGROUND: Postpartum anemia is a significant contributor to peripartum morbidity. The utilization of cell salvage in low risk cases and its impact on postpartum anemia has not been investigated. We therefore aimed to examine the impact of autologous blood transfusion/cell salvage in routine cesarean delivery on postoperative hematocrit and anemia. STUDY DESIGN AND METHODS: Retrospective cohort study from a perfusion database from a large academic center where cell salvage is performed at the discretion of the obstetrical team...
April 16, 2024: Transfusion and Apheresis Science
https://read.qxmd.com/read/38637171/diabetic-management-and-infection-risk-in-total-ankle-arthroplasty
#40
JOURNAL ARTICLE
Kevin A Wu, Albert T Anastasio, Alexandra N Krez, Conor O'Neill, Samuel B Adams, James K DeOrio, Mark E Easley, James A Nunley
BACKGROUND: As total ankle arthroplasty (TAA) increases in popularity nationwide for the management of end-stage arthritis, it is essential to understand ways to mitigate the risk of infection. Diabetes increases the risk of infection due to compromised immunity and impaired wound-healing mechanisms. However, there is limited research on how diabetic management, inclusive of medications and glucose control, may impact infection risks post-TAA. This study aims to demonstrate the impact of diabetic management on the occurrence of periprosthetic joint infection (PJI) following TAA...
April 16, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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