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https://www.readbyqxmd.com/read/28594761/wound-complication-rates-after-staples-or-suture-for-midline-vertical-skin-closure-in-obese-women-a-randomized-controlled-trial
#1
RANDOMIZED CONTROLLED TRIAL
Lindsay M Kuroki, Mary M Mullen, L Stewart Massad, Ningying Wu, Jingxia Liu, David G Mutch, Matthew A Powell, Andrea R Hagemann, Premal H Thaker, Carolyn K McCourt, Akiva P Novetsky
OBJECTIVE: To compare wound complication rates after skin closure with staples and subcuticular suture in obese gynecology patients undergoing laparotomy through a midline vertical incision. METHODS: In this randomized controlled trial, women with body mass indexes (BMIs) of 30 or greater undergoing surgery by a gynecologic oncologist through a midline vertical incision were randomized to skin closure with staples or subcuticular 4-0 monofilament suture. The primary outcome was the rate of wound complication, defined as the presence of a wound breakdown, or infection, within 8 weeks postoperatively...
July 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28587949/usefulness-of-direct-w-plasty-application-to-wound-debridement-for-minimizing-scar-formation-in-the-emergency-department
#2
Jin Hong Min, Kyung Hye Park, Hong Lak Choi, Jung Soo Park, Ji Han Lee, Hoon Kim, Byung Kook Lee, Dong Hun Lee, Taek Gu Lee
PURPOSE: A suture line placed with the same direction as the relaxed skin tension line leads to good healing, but a suture line with over 30 degrees of angle from the relaxed skin tension line leads to longer healing time and more prominent scarring. W-plasty is widely used to change the direction of the scar or to divide it into several split scars. In this study, we applied W-plasty to patients with facial lacerations in the emergency room. METHODS: From June 2012 to December 2014, 35 patients underwent simple repair or W-plasty for facial lacerations...
May 29, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28493924/cognitive-function-in-multiple-sclerosis-improves-with-telerehabilitation-results-from-a-randomized-controlled-trial
#3
Leigh E Charvet, Jie Yang, Michael T Shaw, Kathleen Sherman, Lamia Haider, Jianjin Xu, Lauren B Krupp
Cognitive impairment affects more than half of all individuals living with multiple sclerosis (MS). We hypothesized that training at home with an adaptive online cognitive training program would have greater cognitive benefit than ordinary computer games in cognitively-impaired adults with MS. This was a double-blind, randomized, active-placebo-controlled trial. Participants with MS were recruited through Stony Brook Medicine and randomly assigned to either the adaptive cognitive remediation (ACR) program or active control of ordinary computer games for 60 hours over 12 weeks...
2017: PloS One
https://www.readbyqxmd.com/read/28489519/validity-and-reliability-of-the-disabilities-of-arm-shoulder-and-hand-scale-in-dental-students-a-transnational-study
#4
Danielle Wajngarten, Juliana Alvares Duarte Bonini Campos, Ana Carolina Botta, Patrícia Petromilli Nordi Sasso Garcia
This study aimed to evaluate the validity and reliability of the Disabilities of Arm, Shoulder, and Hand (DASH) scale in Brazilian and American dental students and assess the influence of demographic variables on disability in them. A cross-sectional observational study was conducted with a nonprobabilistic sample. The sample was composed of students of both genders from the School of Dentistry of Araraquara, State University of São Paulo (UNESP) (n = 288), and students from Stony Brook University, New York, NY, USA (n = 149)...
May 10, 2017: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/28469889/a-quality-improvement-approach-to-standardization-and-sustainability-of-the-hand-off-process
#5
Craig Fryman, Carine Hamo, Siddharth Raghavan, Nirvani Goolsarran
There is mounting evidence that communication and hand-off failures are a root cause of two-thirds of sentinel events in hospitals. Several studies have shown that non-standardized hand-offs have yielded poor patient outcomes and adverse events. At Stony Brook University Hospital, there were numerous reported adverse events related to poor hand-off during the transfer of patient responsibility from one resident caregiver to the next. A resident-conducted root cause analysis identified lack of a standardized hand-off process and formal training on safe and efficient hand-off among caregivers as key contributing factors...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28399851/babesiosis-in-long-island-review-of-62-cases-focusing-on-treatment-with-azithromycin-and-atovaquone
#6
Ekaterina A Kletsova, Eric D Spitzer, Bettina C Fries, Luis A Marcos
BACKGROUND: Babesiosis is a potentially life-threatening, tick-borne infection endemic in New York. The purpose of this study was to review recent trends in babesiosis management and outcomes focusing on patients, who were treated with combination of azithromycin and atovaquone. METHODS: A retrospective chart review of patients seen at Stony Brook University Hospital between 2008 and 2014 with peripheral blood smears positive for Babesia was performed. Clinical and epidemiological information was recorded and analyzed...
April 11, 2017: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/28397033/a-grassroots-community-dialogue-on-the-ethics-of-the-care-of-people-with-autism-and-their-families-the-stony-brook-guidelines
#7
Stephen G Post, John Pomeroy, Carla Keirns, Virginia Isaacs Cover, Michael Leverett Dorn
The increased recognition and reported prevalence of autism spectrum disorders (ASD) combined with the associated societal and clinical impact call for a broad grassroots community-based dialogue on treatment related ethical and social issues. In these Stony Brook Guidelines, which were developed during a full year of community dialogue (2010-2011) with affected individuals, families, and professionals in the field, we identify and discuss topics of paramount concern to the ASD constituency: treatment goals and happiness, distributive justice, managing the desperate hopes for a cure, sibling responsibilities, intimacy and sex, diagnostic ethics, and research ethics...
April 10, 2017: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/28270180/randomized-trial-of-acupressure-to-improve-patient-satisfaction-and-quality-of-recovery-in-hospitalized-patients-study-protocol-for-a-randomized-controlled-trial
#8
Eric Noll, Shivam Shodhan, Maria Cecilia Madariaga, Christopher R Page, Diane Santangelo, Xiaojun Guo, Ehab Al Bizri, Aurora D Pryor, Jamie Romeiser, Elliott Bennett-Guerrero
BACKGROUND: Acupressure therapy may be potentially beneficial in improving postoperative symptoms like postoperative nausea and vomiting (PONV), pain and sleep disorder and improving postoperative quality of recovery. The primary aim of this study is to investigate the efficacy of acupressure therapy on postoperative patient satisfaction and quality of recovery in hospitalized patients after surgical treatment. METHODS/DESIGN: This three-group, parallel, superiority, blinded, randomized controlled trial will test the hypothesis that a combination of PC6, LI4 and HT7 acupressure is superior to sham or no intervention for improving postoperative quality of recovery in hospitalized patients...
March 7, 2017: Trials
https://www.readbyqxmd.com/read/28201949/evaluating-efficacy-of-current-lung-cancer-screening-guidelines
#9
Barbara Nemesure, April Plank, Lisa Reagan, Denise Albano, Michael Reiter, Thomas V Bilfinger
Objective Current lung cancer screening criteria based primarily on outcomes from the National Lung Screening Trial may not adequately capture all subgroups of the population at risk. We aimed to evaluate the efficacy of lung cancer screening criteria recommended by the United States Preventive Services Task Force, Centers for Medicare and Medicaid Services, and the National Comprehensive Cancer Network in identifying known cases of lung cancer. Methods An investigation of the Stony Brook Cancer Center Lung Cancer Evaluation Center's database identified 1207 eligible, biopsy-proven lung cancer cases diagnosed between January 1996 and March 2016...
January 1, 2017: Journal of Medical Screening
https://www.readbyqxmd.com/read/28157865/materials-design-parameters-for-infrared-device-applications-based-on-iii-v-semiconductors
#10
Stefan P Svensson, Wendy L Sarney, Dmitry Donetsky, Gela Kipshidze, Youxi Lin, Leon Shterengas, Ye Xu, Gregory Belenky
The collaborative development of infrared detector materials by the Army Research Laboratory and Stony Brook University has led to new fundamental understandings of materials, as well as new levels of control and flexibility in III-V semiconductor crystal growth by molecular beam epitaxy. Early work on mid-wave strained layer superlattice (SLS) cameras led to a subsequent focus on minority carrier lifetime studies, which resulted in the proposal of the Ga-free SLS on GaSb substrates. The later demonstration of virtual substrate technology allowed the lattice constant to become a design parameter and enabled growth of undistorted bulk InAsSb...
January 20, 2017: Applied Optics
https://www.readbyqxmd.com/read/28025622/a-comparison-of-barbed-sutures-and-standard-sutures-with-regard-to-wound-cosmesis-in-panniculectomy-and-reduction-mammoplasty-patients
#11
Kristen Aliano, Michael Trostler, Indira Michelle Fromm, Alexander Dagum, Sami Khan, Duc Bui
Cosmesis is a vital concern for patients undergoing plastic and reconstructive surgery. Many variations in wound closure are employed when attempting to minimize a surgical scar's appearance. Barbed sutures are one potential method of achieving improved wound cosmesis and are more common in recent years. To determine if barbed sutures differ from nonbarbed in wound cosmesis, we conducted a single-blinded, randomized, controlled trial of 18 patients undergoing bilateral reduction mammoplasty or panniculectomy...
2016: Plastic Surgery International
https://www.readbyqxmd.com/read/27923965/awareness-of-prostate-cancer-and-screening-modalities-among-long-island-men
#12
James A Leonard, Jenna B Wells, Ethan S Brandler
Despite advances in prostate cancer (PC) treatment and outcomes, it remains one of the most commonly diagnosed cancers and the second leading cause of cancer mortality in men. Furthermore, there exist little data about patient awareness of PC and the frequency of screening. Adult men (470) presenting to the emergency department at a tertiary care center (Stony Brook University) between 2014 and 2015 were surveyed orally for their perceived risk of PC, awareness of PC and screening modalities, and screening history...
December 5, 2016: American Journal of Men's Health
https://www.readbyqxmd.com/read/27923726/single-stage-soft-tissue-reconstruction-and-orbital-fracture-repair-for-complex-facial-injuries
#13
Peng Sen Wu, Reshvin Matoo, Hong Sun, Li Yuan Song, Don O Kikkawa, Wei Lu
BACKGROUND: Orbital fractures with open periorbital wounds cause significant morbidity. Timing of debridement with fracture repair and soft tissue reconstruction is controversial. This study focuses on the efficacy of early single-stage repair in combined bony and soft tissue injuries. METHODS: Retrospective review. Twenty-three patients with combined open soft tissue wounds and orbital fractures were studied for single-stage orbital reconstruction and periorbital soft tissue repair...
February 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27585493/can-individualized-learning-plans-in-an-advanced-clinical-experience-course-for-fourth-year-medical-students-foster-self-directed-learning
#14
Maribeth B Chitkara, Daniel Satnick, Wei-Hsin Lu, Howard Fleit, Roderick A Go, Latha Chandran
BACKGROUND: Residency programs have utilized Individualized Learning Plans (ILPs) to customize resident education while undergraduate medical education has not done so in a meaningful way. We discuss the use of ILPs within a fourth year medical school course to facilitate self-directed learning (SDL). METHODS: At Stony Brook University School of Medicine, an ILP component was added to the Advanced Clinical Experience (ACE) course for fourth year students. Each completed an ILP outlining personal learning goals and strategies to achieve them...
September 1, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27573236/hedgehog-pathway-overexpression-in-pancreatic-cancer-is-abrogated-by-new-generation-taxoid-sb-t-1216
#15
B Mohelnikova-Duchonova, M Kocik, B Duchonova, V Brynychova, M Oliverius, J Hlavsa, E Honsova, J Mazanec, Z Kala, I Ojima, D J Hughes, J E Doherty, H A Murray, M A Crockard, R Lemstrova, P Soucek
The Hedgehog pathway is one of the major driver pathways in pancreatic ductal adenocarcinoma. This study investigated prognostic importance of Hedgehog signaling pathway in pancreatic cancer patients who underwent a radical resection. Tumors and adjacent non-neoplastic pancreatic tissues were obtained from 45 patients with histologically verified pancreatic cancer. The effect of experimental taxane chemotherapy on the expression of Hedgehog pathway was evaluated in vivo using a mouse xenograft model prepared using pancreatic cancer cell line Paca-44...
August 30, 2016: Pharmacogenomics Journal
https://www.readbyqxmd.com/read/27535437/outcomes-of-cutaneous-scar-revision-during-surgical-implant-removal-in-children-with-cerebral-palsy
#16
Jon R Davids, Kevin Diaz, Thu-Ba Leba, Samuel Adams, David E Westberry, Anita M Bagley
BACKGROUND: Children who have had surgery involving the placement of an implant frequently undergo a subsequent surgery for hardware removal. The cosmesis of surgical scars following initial and subsequent surgeries is unpredictable. Scar incision (subsequent surgical incision through the initial scar) or excision (around the initial scar) is selected on the basis of the quality of the initial scar. The outcomes following these techniques have not been determined. METHODS: This prospective, consecutive case series was designed to compare outcomes following surgical scar incision versus excision at the time of implant removal in children with cerebral palsy...
August 17, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27456602/comparison-of-the-aesthetic-results-of-two-common-incisions-in-external-rhinoplasty-a-randomized-trial
#17
RANDOMIZED CONTROLLED TRIAL
Babak Saedi, Amin Amali, Narges Taibnama, Sam P Most
OBJECTIVE: To compare the scar outcomes of two common incisions (inverted V and stair step) by using a validated scar-outcome instrument via a randomized clinical trial. METHODS: Fifty-eight consecutive cases of external rhinoplasty were randomly divided into two groups according to the type of incision. These patients were followed-up for 1 year, and the columellar scar was analyzed by using the Stony Brook Scar Evaluation Scale (SBSES) and visual analog scale (VAS) scores by an independent reviewer...
July 2016: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/27442604/five-year-survival-among-stage-iiia-lung-cancer-patients-receiving-two-different-treatment-modalities
#18
Thomas Bilfinger, Roger Keresztes, Denise Albano, Barbara Nemesure
BACKGROUND Five-year survival rates among stage IIIA lung cancer patients range between 2% and 15%, and there is currently no consensus regarding optimal treatment approaches for these patients. The current investigation evaluated survival outcomes among stage IIIA lung cancer patients receiving 2 different treatment modalities, neoadjuvant chemotherapy followed by resection versus chemoradiation alone. MATERIAL AND METHODS This retrospective study is based on 127 patients attending the Lung Cancer Evaluation Center at Stony Brook Cancer Center between 2002 and 2014...
July 21, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27180224/cosmetic-appearance-of-port-site-scars-1%C3%A2-year-after-laparoscopic-versus-robotic-sacrocolpopexy-a-supplementary-study-of-the-access-clinical-trial
#19
RANDOMIZED CONTROLLED TRIAL
Elizabeth Rose Mueller, Kimberly Kenton, Jennifer T Anger, Catherine Bresee, Christopher Tarnay
STUDY OBJECTIVE: To prospectively measure trocar site appearances 1 year after surgery in women participants in the Abdominal Colpopexy: Comparison of Endoscopic Surgical Strategies Trial, a 2-center randomized surgical trial (NCT01124916). DESIGN: Supplementary analysis of a surgical trial that randomized women to robotic or laparoscopic sacrocolpopexy (Canadian Task Force classification I). SETTING: Operative trial. PATIENTS: Women undergoing clinically indicated sacrocolpopexy for symptomatic stage ≥II pelvic organ prolapse were randomized to laparoscopic abdominal sacrocolpopexy (LASC) or robotic abdominal sacrocolpopexy (RASC)...
September 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27064721/reforming-the-4th-year-curriculum-as-a-springboard-to-graduate-medical-training-one-school-s-experiences-and-lessons-learned
#20
Andrew Wackett, Feroza Daroowalla, Wei-Hsin Lu, Latha Chandran
PROBLEM: Concerns regarding the quality of training in the 4th year of medical school and preparation of graduates to enter residency education persist and are borne out in the literature. INTERVENTION: We reviewed the published literature regarding Year 4 concerns as well as institutional efforts to improve the 4th-year curriculum from several schools. Based on input from key stakeholders, we established 4 goals for our Year 4 curriculum reform: (a) standardize the curricular structure, (b) allow flexibility and individualization, (c) improve the preparation for residency, and (d) improve student satisfaction...
2016: Teaching and Learning in Medicine
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