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https://www.readbyqxmd.com/read/29018495/frequency-dependence-hearing-loss-evaluation-in-perforated-tympanic-membrane
#1
Mohammed Radef Dawood
Introduction  Tympanic membrane perforation is a relatively common problem that predisposes patients to varying degrees of conductive hearing loss. Objective  The objective of this study is to evaluate and analyze the frequency dependence hearing loss in tympanic membrane perforation based on the size and the site of perforation. Methods  For the study, I selected 71 patients' (89) ears for the cross-sectional study with tympanic membrane perforations; I examined the size and the site of perforations under the microscope and classified them into small, moderate, large, and subtotal perforations, and into anterior central, posterior central, malleolor central, and big central perforations...
October 2017: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/28974329/long-term-outcomes-in-older-patients-with-hyperglycemia-on-admission-for-ischemic-stroke
#2
Alexander Gorshtein, Ilan Shimon, Tzipora Shochat, Oren Amitai, Amit Akirov
AIMS: Evaluate the association between admission blood glucose (ABG) and mortality in older patients with or without diabetes mellitus (DM) hospitalized for acute ischemic stroke (AIS). METHODS: Observational data of patients ≥65years, admitted for AIS between January 2011 and December 2013. ABG levels were classified to categories: ≤70 (low), 70-110 (normal), 111-140 (mildly elevated), 141-180mg/dl (moderately elevated) and >180mg/dl (markedly elevated)...
September 30, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/28956143/bioactive-glass-obliteration-of-the-mastoid-significantly-improves-surgical-outcome-in-non-cholesteatomatous-chronic-otitis-media-patients
#3
Joris Vos, Pieter de Vey Mestdagh, David Colnot, Pepijn Borggreven, Claudia Orelio, Jasper Quak
This retrospective follow-up study evaluates the efficacy and safety of bioactive glass (BAG) S53P4 when applied as filler material in mastoid obliteration surgery performed on non-cholesteatomatous chronic otitis media (NC-COM) patients with chronically discharging ears despite conservative therapy. 94 Patients (96 ears) were included. Patients underwent either intact canal wall (ICW) or canal wall down (CWD) mastoid surgery between 2005 and 2015. The intervention group comprised 23 patients (23 ears) who were treated with additional mastoid obliteration using BAG S53P4; the remaining 71 patients (73 ears) were considered controls...
September 27, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28951466/emergency-department-blood-gas-utilization-and-changes-in-ventilator-settings
#4
Haitham S Al Ashry, Jeremy B Richards, Daniel F Fisher, Jeffrey Sankoff, Todd A Seigel, Lauren B Angotti, Susan R Wilcox
BACKGROUND: Mechanically ventilated patients increasingly spend hours in emergency department beds before ICU admission. This study evaluated the performance of blood gases in mechanically ventilated subjects in the emergency department and subsequent changes to mechanical ventilation settings. METHODS: This was a multi-center, prospective, observational study of subjects ventilated in the emergency department, conducted at 3 academic emergency departments from July 2011 to March 2013...
September 26, 2017: Respiratory Care
https://www.readbyqxmd.com/read/28931190/surgical-trainees-and-powered-drill-use-do-not-affect-type-i-tympanoplasty-hearing-outcomes
#5
David T Kent, David H Chi, Dennis J Kitsko
The purposes of this study were to determine if use of a powered drill or trainee involvement during tympanoplasty is associated with a decline in sensorineural hearing, as well as to examine whether trainee involvement affected tympanic membrane (TM) closure rates. This study was a chart review (February 2006 to October 2011) of 172 pediatric otolaryngology patients undergoing type I tympanoplasty for TM perforation of any etiology at a tertiary-care pediatric otolaryngology practice. Data collected included air conduction (AC) at 250 to 8,000 Hz, speech reception thresholds, bone conduction (BC) at 500 to 4,000 Hz, and air-bone gap (ABG) at 500 to 4,000 Hz...
September 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28929068/endoscopic-myringoplasty-versus-microscopic-myringoplasty-in-tubotympanic-csom-a-comparative-study-of-120-cases
#6
A C Jyothi, B H Shrikrishna, N H Kulkarni, Ajay Kumar
Myringoplasty is one of the commonest operations performed on the middle ear. Our aim was to compare the results of endoscopic permeatal myringoplasty with that of conventional myringoplasty by post aural approach using operating microscope. A total of 120 patients having central perforation of tympanic membrane were randomly divided into two equal groups of 60 patients each. In the first group, endoscope was used and in the second group microscope was used to do myringoplasty. Temporalis fascia was used as a graft material...
September 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28920046/the-effect-of-intraoperative-alkali-treatment-on-recovery-from-atracurium-induced-neuromuscular-blockade-in-renal-transplantation-a-randomized-trial
#7
Navid Noraee, Mohammad Fathi, Majid Golestani Eraghi, Ali Dabbagh, Nilofar Massoudi
BACKGROUND: Intraoperative care and anesthesia method in patients undergoing allograft renal transplantation surgery are very necessary. Acid-base imbalance can alter neuromuscular blockade and recovery time. OBJECTIVES: The aim of the present study was to investigate the effect of acid-base balance on atracurium blockade in renal transplantation. METHODS: In this randomized-controlled trial, 31 end-stage renal disease (ESRD) patients undergoing renal transplantation were randomly assigned into two equal groups...
February 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/28919732/capillary-po2-does-not-adequately-reflect-arterial-po2-in-hypoxemic-copd-patients
#8
Friederike Sophie Magnet, Daniel Sebastian Majorski, Jens Callegari, Sarah Bettina Schwarz, Claudia Schmoor, Wolfram Windisch, Jan Hendrik Storre
PURPOSE: To compare arterial (PaO2) with capillary (PcO2) partial pressure of oxygen in hypoxemic COPD patients because capillary blood gas analysis (CBG) is increasingly being used as an alternative to arterial blood gas analysis (ABG) in a non-intensive care unit setting, although the agreement between PcO2 and PaO2 has not been evaluated in hypoxemic COPD patients. PATIENTS AND METHODS: Bland-Altman comparison of PaO2 and PcO2 served as the primary outcome parameter if PcO2 values were ≤60 mmHg and the secondary outcome parameter if PcO2 values were ≤55 mmHg...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28906140/evaluation-of-maxillary-central-incisors-on-the-noncleft-and-cleft-sides-in-patients-with-unilateral-cleft-lip-and-palate-part-2-relationship-between-root-resorption-horizontal-tooth-movement-and-quantity-of-grafted-autogenous-bone
#9
Aya Maeda-Iino, Minami Furukawa, Sangho Kwon, Kanako Marutani, Shoko Nakagawa, Takao Fuchigami, Norifumi Nakamura, Shouichi Miyawaki
OBJECTIVE: To evaluate the relationship between external apical root resorption (EARR) of the maxillary central incisors (U1), horizontal orthodontic tooth movement, and quantity of grafted bone in subjects with unilateral cleft lip and palate (UCLP) over an average duration of 8 years. MATERIALS AND METHODS: Thirty subjects with UCLP were evaluated for EARR of U1 after edgewise treatment (T2). The teeth were classified as having no EARR, moderate EARR (combined into "no/moderate" EARR), or severe EARR...
September 14, 2017: Angle Orthodontist
https://www.readbyqxmd.com/read/28903842/effect-of-early-%C3%A2-3-mets-metabolic-equivalent-of-tasks-of-physical-activity-on-patient-s-outcome-after-cardiac-surgery
#10
Muhammad Iqbal Tariq, Asif Ali Khan, Zara Khalid, Hania Farheen, Furqan Ahmed Siddiqi, Imran Amjad
OBJECTIVE: To determine the effect of <3 Mets (Metabolic Equivalent of Tasks) of physical activity on zero postoperative days for improving hemodynamic and respiratory parameters of patients after cardiac surgeries. STUDY DESIGN: Randomized control trial. PLACE AND DURATION OF STUDY: BARMWTHospital, Rawalpindi, from March to August 2015. METHODOLOGY: Arandomized controlled trial was conducted on 174 CABG and valvular heart disease patients undergoing cardiac surgical procedures...
August 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28899823/a-predictive-radiological-analysis-of-short-stems-versus-both-shortened-and-long-stems-in-primary-hip-replacement-a-case-control-study-of-100-cases-of-metha-versus-abg-ii-and-omnifit-ha-at-2-8years-follow-up
#11
J-A Epinette, M Brax, Y Chammaï
INTRODUCTION: Short hip stems, intended to conserve bone stock and ensure a more physiological distribution of stress in the femur under loading, are meeting with renewed interest. Radiologic semiology is not known exactly, particularly in relation to conventional implants; we therefore conducted a case-control study of 3 types of implant differing only in stem length: short, shortened or long. The aim was: (1) to compare radiographic aspects, (2) to attempt to systematize medium-term radiologic status for the 3 types, and (3) to assess the impact of radiographic aspect on loosening and revision rates...
September 9, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28898432/hyperglycemia-on-admission-and-hospitalization-outcomes-in-patients-with-atrial-fibrillation
#12
Amit Akirov, Alon Grossman, Tzipora Shochat, Ilan Shimon
BACKGROUND: We evaluated the association of admission blood glucose (ABG) and mortality in patients with and without diabetes mellitus (DM) hospitalized for atrial fibrillation (AF). HYPOTHESIS: Hyperglycemia on admission is a bad prognostic marker in patients with AF. METHODS: Observational data were collected from electronic records of patients age ≥ 18 years hospitalized for AF in 2011-2013. Twelve-month data were available in all cases...
September 12, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/28872782/erosion-of-the-long-process-of-the-incus-with-incomplete-ossicular-discontinuity-in-simple-chronic-otitis-media-should-we-reconstruct-or-leave-it-be
#13
Krishnamurti Matos Araujo Sarmento Junior, Carlos Augusto Costa Pires de Oliveira, André Luiz Lopes Sampaio, Angelo Ferreira Sales
OBJECTIVE: To determine whether patients with simple chronic otitis media and incomplete ossicular discontinuity should undergo ossicular reconstruction. DESIGN: Prospective, randomized surgical trial comparing no intervention with incus interposition over a 5-year period. SETTING: Tertiary referral hospital. PARTICIPANTS: Seventy-six participants with simple chronic otitis media and erosion of the long process of the incus but apparent good transmission throughout the ossicular chain as tested intraoperatively...
September 5, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28872767/one-hundred-twenty-five-fat-myringoplasties-does-marginal-perforation-matter
#14
Giuseppe Malafronte, Barbara Filosa
OBJECTIVE: to evaluate if calcified plaques adjacent to the perforation and marginal perforations are real contraindications to the fat graft myringoplasty. STUDY DESIGN: prospective study. METHODS: This study was conducted, from 1(st) January 2008 to 31 December 2015 at our Otolaryngology Department of S.G. Moscati Hospital. The investigation included 125 patients, 60 males and 65 females, affected by COM who have undergone fat graft myringoplasty between 01/01/2008 to 31/12/2011...
September 5, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28870720/post-resuscitation-arterial-oxygen-and-carbon-dioxide-and-outcomes-after-out-of-hospital-cardiac-arrest
#15
Henry E Wang, David K Prince, Ian R Drennan, Brian Grunau, David J Carlbom, Nicholas Johnson, Matthew Hansen, Jonathan Elmer, Jim Christenson, Peter Kudenchuk, Tom Aufderheide, Myron Weisfeldt, Ahamed Idris, Stephen Trzeciak, Michael Kurz, Jon C Rittenberger, Denise Griffiths, Jamie Jasti, Susanne May
OBJECTIVE: To determine if arterial oxygen and carbon dioxide abnormalities in the first 24h after return of spontaneous circulation (ROSC) are associated with increased mortality in adult out-of-hospital cardiac arrest (OHCA). METHODS: We used data from the Resuscitation Outcomes Consortium (ROC), including adult OHCA with sustained ROSC ≥1h after Emergency Department arrival and at least one arterial blood gas (ABG) measurement. Among ABGs measured during the first 24h of hospitalization, we identified the presence of hyperoxemia (PaO2≥300mmHg), hypoxemia (PaO2<60mmHg), hypercarbia (PaCO2>50mmHg) and hypocarbia (PaCO2<30mmHg)...
September 21, 2017: Resuscitation
https://www.readbyqxmd.com/read/28856710/cerebral-oxygenation-measured-by-near-infrared-spectroscopy-correlates-with-arterial-oxygenation-only-poorly-in-preterm-infants-a-strength-of-that-technology
#16
Berndt Urlesberger, Gerhard Pichler
We read with interest the article by Hunter et al, titled "Cerebral oxygenation as measured by near-infrared spectroscopy in neonatal intensive care: correlation with arterial oxygenation". We agree that cerebral oxygenation only correlates poorly with the arterial oxygenation in preterm infants. We do not agree with the authors conclusions that this is a disadvantage of near-infrared spectroscopy (NIRS) and that "strong correlation between rScO2 and ABG parameters such as SaO2, SpO2 and PaCO2 would have provided more clinically meaningful implications...
August 30, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28856111/adaptive-support-ventilation-reduces-the-incidence-of-atelectasis-in-patients-undergoing-coronary-artery-bypass-grafting-a-randomized-clinical-trial
#17
Seyed Tayeb Moradian, Yaser Saeid, Abbas Ebadi, Ali Hemmat, Mohammad Saeid Ghiasi
BACKGROUND: Pulmonary complications are common following cardiac surgery and can lead to increased morbidity, mortality, and healthcare costs. Atelectasis is the most common respiratory complication following cardiac surgery. One of the most important methods for reducing pulmonary complications is supportive care with protective ventilation strategies. In this study, we aimed to assess the effect of adaptive support ventilation (ASV) on atelectasis in patients undergoing cardiac surgery...
June 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/28853013/effects-of-bariatric-surgery-on-change-of-brown-adipocyte-tissue-and-energy-metabolism-in-obese-mice
#18
Yuanwen Chen, Jianjun Yang, Xin Nie, Zhicheng Song, Yan Gu
BACKGROUND: Bariatric surgery is an effective treatment for obesity causing changes in energy expenditure. Brown adipose tissue (BAT) is an energy-related organ, and the potential effects of bariatric surgery are yet to be investigated. We aimed to study the effects of different bariatric surgeries on growth hormone/insulin-like growth factor-1 (GH/IGF-1) axis, brown adipocyte differentiation, and energy metabolism in obese mice and explore the underlying mechanisms. METHODS: Mice were fed a high-fat diet for 12 weeks and subjected to different bariatric procedures: adjustable gastric band (AGB), sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and sham operation (SO)...
August 29, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28849699/hearing-outcomes-after-ossicular-reconstruction-with-removal-of-the-malleus
#19
Rex S Haberman, Anna M Salapatas
Objectives (1) Evaluate hearing outcomes of patients after planned malleus removal during ossicular chain reconstruction. (2) Analyze hearing results for titanium (Ti) and hydroxyapatite (HA) total ossicular prostheses (TOPs) and partial ossicular prostheses (POPs). (3) Compare Ti and HA partial prostheses. Study Design Retrospective case series with chart review. Setting Tertiary health care organization. Subjects and Methods A chart review was conducted of 139 consecutive patients who presented with chronic otitis media with perforation (with or without cholesteatoma) and were treated with initial-stage tympanoplasty (with or without mastoidectomy) and managed with TOP (n = 22) or POP (n = 117) between July 2010 and July 2015...
August 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28816688/cartilage-ossiculoplasty-from-stapes-to-tympanic-membrane-in-one-stage-intact-canal-wall-tympanoplasty-for-cholesteatoma
#20
Denis Ayache, Florent Manac'h, Christian B Teszler, Mathieu Veyrat, Wissame El Bakkouri, Alain Corré, Mary Daval
OBJECTIVE: To report hearing results of cartilage interposition ossiculoplasty in one-stage intact canal wall (ICW) tympanoplasty for cholesteatoma with intact stapes. MATERIALS AND METHODS: A retrospective study of pre and postoperative hearing status was conducted at a tertiary referral otologic center in a series of 61 patients having undergone one-stage ICW tympanoplasty for cholesteatoma with intact stapes and cartilage ossiculoplasty during the same procedure...
August 2017: Journal of International Advanced Otology
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