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https://www.readbyqxmd.com/read/29219861/sacrocolpopexy-with-concomitant-total-vs-supracervical-hysterectomy-functional-support-comparisons-in-cadavers
#1
Pedro Antonio Maldonado, Kyle P Norris, Maria E Florian-Rodriguez, Nemi M Shah, Clifford Y Wai
OBJECTIVE: This study aimed to compare the ability of abdominal sacrocolpopexy (ASC) with concomitant total vs supracervical hysterectomy to resist downward traction as a measure of functional anatomic support in human cadavers. METHODS: Supracervical hysterectomy was performed on unembalmed cadaver specimens, followed by ASC attaching polypropylene mesh to the posterior cervix/vagina only and then the anterior and posterior cervix/vagina. Using a metal bolt placed through the cervix tied to a filament passing through a fixed pulley system, successive weights of 0...
December 7, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29219123/chronic-cuffing-of-cervical-vagus-nerve-inhibits-efferent-fiber-integrity-in-rat-model
#2
Jesse Paul Somann, Gabriel Albors, Kaitlyn Neihouser, Kun-Han Lu, Zhongming Liu, Matthew Peter Ward, Abigail Durkes, J Paul Robinson, Terry Powley, Pedro Irazoqui
Numerous studies of vagal nerve stimulation (VNS) have been published showing it to be a potential treatment for chronic inflammation and other related diseases and disorders. Studies in recent years have shown that electrical stimulation of the vagal efferent fibers can artificially modulate cytokine levels and reduce systematic inflammation. Most VNS research in the treatment of inflammation have been acute studies on rodent subjects. Our study tested VNS on freely moving animals by stimulating and recording from the cervical vagus with nerve cuff electrodes over an extended period of time...
December 8, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29217504/challenges-during-implementation-of-a-patient-facing-mobile-app-for-surgical-rehabilitation-feasibility-study
#3
Annie Ys Lau, Kalman Piper, Desmond Bokor, Paige Martin, Victor Sl Lau, Enrico Coiera
BACKGROUND: Translating research into practice, especially the implementation of digital health technologies in routine care, is increasingly important. Yet, there are few studies examining the challenges of implementing patient-facing digital technologies in health care settings. OBJECTIVE: The aim of this study was to report challenges experienced when implementing mobile apps for patients to support their postsurgical rehabilitation in an orthopedic setting. METHODS: A mobile app was tailored to the needs of patients undergoing rotator cuff repair...
December 7, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/29217348/urethral-pressure-controlled-balloon-refilling-or-balloon-change-for-artificial-sphincter-secondary-procedure
#4
B Maximilien, A Aublea, A Gillibert, C Delcourt, P Grise, J-N Cornu
OBJECTIVES: To report our experience of inflating or changing pressure balloon to treat recurrent urinary incontinence after AMS800® implantation instead of changing all the devices. PATIENTS AND METHODS: A retrospective study was conducted in a tertiary reference center between 2005 and 2015. All patients, treated by AMS800® implantation for post-prostatectomy urinary incontinence and whom balloon was subsequently changed or inflated, were included. Main clinical end point was the need for another surgery...
December 4, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29217292/functional-incapacity-related-to-rotator-cuff-syndrome-in-workers-is-it-influenced-by-social-characteristics-and-medical-management
#5
Romain Champagne, Julie Bodin, Natacha Fouquet, Yves Roquelaure, Audrey Petit
STUDY DESIGN: Survey. INTRODUCTION: Rotator cuff syndrome (RCS) is one of the most common musculoskeletal disorders reported in workers. The functional incapacity related to RCS may vary according to the sociodemographic context and to the medical management. PURPOSE OF THE STUDY: The purpose of this is to analyze the RCS-related functional incapacity assessed by the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires in workers according to their sociodemographic characteristics and the use of care...
December 4, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29216699/-diagnostic-value-of-a-predictive-model-for-complete-ruptures-of-the-rotator-cuff-associated-to-subacromial-impingement
#6
I R Águila-Ledesma, J L Córdova-Fonseca, O Medina-Pontaza, D A Núñez-Gómez, C Calvache-García, J M Pérez-Atanasio, R Torres-González
Pathology related to the rotator cuff remains among the most prevalent musculoskeletal diseases. There is an increasing need for imaging studies (MRI, US, arthroscopy) to test the diagnostic performance of the medical history and physical examination. OBJECTIVE: To prove the diagnostic value of a clinical-radiographic predictive model to find complete ruptures of the rotator cuff. MATERIAL AND METHODS: Descriptive, observational, prospective, transversal and analytical study...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29216689/-doxycycline-as-an-adjuvant-in-postsurgical-recovery-of-rotator-cuff-injuries-one-year-follow-up
#7
J I Díaz-Sanabria, C Trueba-Vasavilbaso, F Gil-Orbezo, C Trueba-Davalillo, M Acuña-Tovar
BACKGROUND: The severity and progression of rotator cuff tears have forced research on new treatment pathways such as metalloprotease inhibition, which has shown a reduction in healing time and improvement in the structure of collagen fibers. OBJECTIVE: To evaluate the use of doxycycline as a healing enhancer in rotator cuff tears after surgical treatment. MATERIAL AND METHODS: 20 patients were included; they were divided into two groups, 10 with the use of doxycycline and 10 without it after arthroscopic repair with one-year follow-up...
July 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29212688/prognostic-factors-for-the-outcome-of-extracorporeal-shockwave-therapy-for-calcific-tendinitis-of-the-shoulder
#8
W-Y Chou, C-J Wang, K-T Wu, Y-J Yang, J-Y Ko, K-K Siu
AIMS: We conducted a study to identify factors that are prognostic of the outcome of extracorporeal shockwave therapy (ESWT) for calcific tendinitis of the shoulder. PATIENTS AND METHODS: Since 1998, patients with symptomatic calcific tendinitis of the rotator cuff have been treated with ESWT using an electrohydraulic mode shockwave device. One year after ESWT, patients were grouped according to the level of resorption of calcification. RESULTS: Of 241 symptomatic shoulders, complete resorption (CR) of calcification occurred in 134 (CR group)...
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29207786/recurrent-vaginal-cuff-dehiscence-in-a-treated-case-of-carcinoma-cervix
#9
Sunesh Kumar, Seema Singhal, Yamini Kansal, Dayanand Sharma
Vaginal Cuff Dehiscence (VCD) is partial or total separation of anterior and posterior vaginal cuff layers. We report a case of recurrent vault cuff dehiscence in a patient of cervical carcinoma. A 60-year-old treated case of carcinoma cervix post surgery and radiotherapy was found to have vault dehiscence and intestinal prolapse second time during a routine speculum examination. She underwent an emergency laparotomy and closure of vault. Vaginal Cuff Dehiscence with Evisceration (VCDE) is a rare but potentially fatal complication following hysterectomy...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29206767/prevention-of-ventilator-associated-and-early-postoperative-pneumonia-through-tapered-endotracheal-tube-cuffs-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#10
Bert Maertens, Koen Blot, Stijn Blot
OBJECTIVE: Microaspiration of subglottic secretions is considered a major pathogenic mechanism of hospital-acquired pneumonia, either early postoperative or ventilator-associated pneumonia. Tapered endotracheal tube cuffs have been proposed to provide a better seal of the extraluminal airway, thereby preventing microaspiration and possibly hospital-acquired pneumonia. We performed a systematic review and meta-analysis to assess the value of endotracheal tubes with tapered cuffs in the prevention of hospital-acquired pneumonia...
December 4, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29205214/biomechanics-of-the-shoulder-girdle-a-case-study-on-the-effects-of-union-rugby-tackles
#11
Luís Faria, Bárbara Campos, Renato Natal Jorge
PURPOSE: The shoulder girdle is a complex system, comprised by a kinematic chain and stabilizers. Due to the delicate equilibrium and synchronism between mobility and stability, high external loads may compromise its physiology, increasing the risk of injuries. Thus, this study intends to fully characterize the effects of a rugby tackle on the shoulder's anatomy and physiology. METHODS: For the experimental procedures, a matrix of pressure sensors was used, based on the Teckscan® pressure in-soles, force plates, an isokinetic dynamometer and sEMG (surface electromyography)...
2017: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29204822/the-experience-of-the-ripo-a-shoulder-prosthesis-registry-with-6-year-follow-up
#12
G Porcellini, A Combi, G Merolla, B Bordini, S Stea, G Zanoli, P Paladini
BACKGROUND: Implant registries have proved valuable in assessing the outcomes of arthroplasty procedures. Moreover, by identifying lesser quality implants they have indirectly improved the quality of care. The registry of prosthetic shoulder implants was established in 2008. METHODS: It records information on all types of primary and revision arthroplasty procedures involving the glenohumeral joint, including reverse and total arthroplasty, hemiarthroplasty, resurfacing, removal, and any other surgical procedures that are required to manage these patients...
December 4, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29204425/continuous-non-invasive-arterial-pressure-assessment-during-surgery-to-improve-outcome
#13
REVIEW
Alena Stenglova, Jan Benes
Blood pressure (BP) is one of the most important variables evaluated during almost every medical examination. Most national anesthesiology societies recommend BP monitoring at least once every 5 min in anesthetized subjects undergoing surgical procedures. In most cases, BP is monitored non-invasively using oscillometric cuffs. Although the risk of arterial cannulation is not very high, the invasive BP monitoring is usually indicated only in the case of high-risk patients or in complex surgical procedures...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/29202926/impingement-syndrome-of-the-shoulder
#14
Christina Garving, Sascha Jakob, Isabel Bauer, Rudolph Nadjar, Ulrich H Brunner
BACKGROUND: Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice. It is usually due to a defect of the rotator cuff and/or an impingement syndrome. METHODS: This review is based on pertinent literature retrieved by a selective search of the Medline database. RESULTS: Patients with shoulder impingement syndrome suffer from painful entrapment of soft tissue whenever they elevate the arm. The pathological mechanism is a structural narrowing in the subacromial space...
November 10, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29202746/translation-of-the-humeral-head-scale-is-associated-with-success-of-rotator-cuff-repair-for-large-massive-tears
#15
Noboru Taniguchi, Darryl D D'Lima, Naoki Suenaga, Yasuyuki Ishida, Deokcheol Lee, Isoya Goya, Etsuo Chosa
BACKGROUND: Although a loss of rotator cuff integrity leads to the superior migration of the humeral head, the parameters that characterize the anterolateral migration of the humeral head have not been established. The purpose of this study was to investigate the correlation between the translation of the humeral head scale (T-scale) and clinical outcomes of rotator cuff repair, as well as the correlation between the T-scale and radiologic parameters. METHODS: One hundred thirty-five consecutive patients with full-thickness rotator cuff tears underwent primary rotator cuff repair...
December 4, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29201303/bridging-graft-in-irreparable-massive-rotator-cuff-tears-autogenic-biceps-graft-versus-allogenic-dermal-patch-graft
#16
Sung Min Rhee, Joo Han Oh
Background: Few comparative studies have reported on the use of biologic grafts for irreparable massive rotator cuff tears. The purpose of this study was to assess the results of arthroscopic bridging graft in irreparable massive rotator cuff tears using an autogenic long head of biceps tendon (LHBT) or an allogenic dermal patch (ADP). Methods: We retrospectively reviewed 24 patients treated using the LHBT (group I) and eight patients with complete rupture of the LHBT treated using an ADP (group II) since 2011...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29201202/ginsenoside-rg3-induces-ginsenoside-rb1-comparable-cardioprotective-effects-independent-of-reducing-blood-pressure-in-spontaneously-hypertensive-rats
#17
Yichuan Jiang, Min Li, Zeyuan Lu, Yuchen Wang, Xiaofeng Yu, Dayun Sui, Li Fu
Ginsenoside Rg3 (Rg3) is a rare type of ginsenoside used as an anti-tumor medicine in China. Ginsenoside Rb1 (Rb1), which exhibits protective effects on the cardiovascular system, is similar to Rg3 in chemical structure. In the present study, Rb1 and Rg3 were administered for 6 weeks to spontaneously hypertensive rats (SHR) and their cardioprotective effects were assessed. According to echocardiography and histopathological examinations, the decrease in cardiac function and ventricular remodeling that occurred in SHR rats were attenuated by Rb1 and Rg3...
November 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29198938/outcomes-of-arthroscopic-revision-rotator-cuff-repair-with-acellular-human-dermal-matrix-allograft-augmentation
#18
Eric A Hohn, Blake P Gillette, Joseph P Burns
BACKGROUND: The purpose was to assess the minimum 2-year patient-reported outcomes and failure rate of patients who underwent revision arthroscopic rotator cuff repair augmented with acellular human dermal matrix (AHDM) allograft for repairable retears. METHODS: From 2008-2014, patients who underwent revision rotator cuff repair augmented with AHDM with greater than 2 years' follow-up by a single surgeon were retrospectively reviewed. Data regarding surgical history, demographic characteristics, and medical comorbidities were collected...
November 30, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29198352/editorial-commentary-the-wake-of-the-dragon-will-the-orthopaedic-community-adopt-the-shoulder-arthroscopic-latarjet-procedure-as-we-adopted-the-arthroscopic-rotator-cuff-repair
#19
EDITORIAL
Pascal Boileau, David Saliken
The Latarjet procedure is a complex and difficult operation when performed both with an open approach and arthroscopically. The difficulties come from the fact that it is a combined intra- and extra-articular procedure, and that working close to the brachial plexus may be frightening for surgeons. Because of the high complication and reoperation rates reported in the literature, this procedure is, at the moment, rejected by a large part of the orthopaedic community, specifically in North America. The Chinese experience shows, after the European one, that arthroscopic Latarjet is an efficient and irreplaceable option for the treatment of recurrent anterior shoulder instability in the context of capsular and/or glenoid deficiency...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29197999/remote-ischemic-preconditioning-upregulates-microrna-21-to-protect-the-kidney-in-children-with-congenital-heart-disease-undergoing-cardiopulmonary-bypass
#20
Zhijuan Kang, Zhihui Li, Peng Huang, Jinwen Luo, Pingbo Liu, Ying Wang, Tuanhong Xia, Yuhang Zhou
BACKGROUND: Acute kidney injury (AKI) is one of the most common emergencies and severe diseases in the clinic. We sought to verify whether remote ischemic preconditioning (RIPC) has a protective effect on the kidney of child with congenital heart disease undergoing cardiopulmonary bypass (CPB) surgery. We hypothesized it may be related to the up-regulation of microRNA-21 (miR-21). METHODS: We performed a prospective randomized clinical study among children with congenital heart disease undergoing CPB surgery between January and December 2016...
December 2, 2017: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
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