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https://www.readbyqxmd.com/read/28820836/the-surgeon-s-fist-with-the-thumb-up-to-guide-the-design-and-inset-of-the-osteoseptocutaneous-fibula-flap-in-mandibular-reconstruction
#1
Nidal F Al Deek, Chung-Kan Tsao, Fu-Chan Wei
Successful reconstruction of the oromandibular defect with the osteoseptocutaneous fibula flap necessitates flawless design and inset, an experience-demanding endeavor. Laterality of the fibula flap has been thought to pose a certain challenge to the reconstruction. To address this concern and guide flap design and inset, the authors propsed using the surgeon's fist with the thumb up to replicate key anatomic land marks of the fibula flap: the peroneal vessels and proximal bone end, the posterior crural septum including the septal vessels, the skin, and the lateral surface of the fibula bone...
August 8, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28820835/simultaneous-stiles-bunnell-tendon-transfer-enhances-intrinsic-function-of-the-second-toe-transplantations
#2
Yu-Te Lin, Charles Yuen Yung Loh, Shwu-Huei Lien, Chih-Hung Lin, Fu-Chan Wei
Claw finger is sequelae of fingers without intrinsic function. Claw toe deformity is common after toe transfers as simultaneous intrinsic reconstruction has yet to be reported in the literature. We present our experience of simultaneous tendon transfers during the second toe transplantation. Seven 2nd toe transfers were performed in 5 metacarpal-like and metacarpal hands. The Stiles-Bunnell tendon transfer was incorporated into toe transfers. Toe lumbrical tendons were repaired to the Flexor Digitorum Sublimis of the same recipient digit...
August 8, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28820293/lacrimal-gland-abscess-in-children-two-case-reports-and-literature-review
#3
Tracy Hiu Ting Lai, Frank Hiu Ping Lai, Tommy Chung Yan Chan, Alvin Lerrmann Young, Kelvin Kam Lung Chong
Acute suppurative bacterial dacryoadenitis (ASBD) with abscess formation is rarely seen in clinical practice. A retrospective review of medical records in the past 8 years identified two unilateral cases in children, one developed presumably after methicillin-sensitive Staphylococcus aureus (MSSA) conjunctivitis and the other due to community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection. Computerized tomography scans showed globe indentation by the enlarged lacrimal glands with rim-enhancing lesions...
August 18, 2017: Orbit
https://www.readbyqxmd.com/read/28819835/efficacy-and-safety-of-linagliptin-in-2681-asian-patients-stratified-by-age-obesity-and-renal-function-a-pooled-analysis-of-randomized-clinical-trials
#4
Guang Ning, Tushar Bandgar, Uwe Hehnke, Jisoo Lee, Juliana C N Chan
INTRODUCTION: Asian patients with type 2 diabetes (T2D) are younger, leaner, and more likely to develop renal dysfunction than White populations. In this multiethnic analysis of data from phase 3 trials, we investigated the efficacy and safety of the dipeptidyl peptidase-4 inhibitor linagliptin in Asians stratified by these subphenotypes. METHODS: Data from randomized, double-blind, placebo-controlled trials evaluating linagliptin (as monotherapy, add-on therapy to metformin ± sulfonylurea, combined with pioglitazone or added to insulin) were pooled with efficacy data from 11 randomized trials of at least 24 weeks and safety data from 15 trials of various durations...
August 17, 2017: Advances in Therapy
https://www.readbyqxmd.com/read/28819799/accuracy-of-cannulated-pedicle-screw-versus-conventional-pedicle-screw-for-extra-pedicular-screw-placement-in-dysplastic-pedicles-without-cancellous-channel-in-adolescent-idiopathic-scoliosis-a-computerized-tomography-ct-analysis
#5
Chee Kean Lee, Chris Yin Wei Chan, Siti Mariam Abd Gani, Mun Keong Kwan
PURPOSE: This study aimed at studying the accuracy and safety of extra-pedicular screw insertion for dysplastic pedicles in AIS comparing cannulated screw system versus conventional screw system. METHODS: 104 AIS patients with 1524 pedicle screws were evaluated using CT scan. 302 screws were inserted in dysplastic pedicles using fluoroscopic guidance technique. 155 screws were inserted using a cannulated system (Group 1), whereas 147 screws were inserted using standard screws (Group 2)...
August 17, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28819437/impact-of-detection-method-and-accompanying-ductal-carcinoma-in-situ-on-prognosis-of-t1a-bn0-breast-cancer
#6
Shih-Che Shen, Shir-Hwa Ueng, Chan-Keng Yang, Chi-Chang Yu, Yung-Feng Lo, Hsien-Kun Chang, Yung-Chang Lin, Shin-Cheh Chen
Background: T1a,bN0 breast cancer is not easily detected. Before mammography became widespread, most cases were discovered only after the development of symptoms. The presence of ductal carcinoma in situ (DCIS) affects the detectability of associated invasive cancer; however, the prognostic value of concomitant DCIS is controversial. This study compared the characteristics of screening-detected and symptom-detected T1a,bN0 breast cancer, and investigated the impact of accompanying DCIS on detection and prognosis...
2017: Journal of Cancer
https://www.readbyqxmd.com/read/28819317/intradialytic-central-venous-oxygen-saturation-is-associated-with-clinical-outcomes-in-hemodialysis-patients
#7
Lili Chan, Hanjie Zhang, Anna Meyring-Wösten, Israel Campos, Doris Fuertinger, Stephan Thijssen, Peter Kotanko
Central venous oxygen saturation (ScvO2) in the superior vena cava is predominantly determined by cardiac output, arterial oxygen content, and oxygen consumption by the upper body. While abnormal ScvO2 levels are associated with morbidity and mortality in non-uremic populations, ScvO2 has received little attention in hemodialysis patients. From 1/2012 to 8/2015, 232 chronic hemodialysis patients with central venous catheters as vascular access had their ScvO2 monitored during a 6-month baseline period and followed for up to 36 months...
August 17, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28819223/levobuipivacaine-induced-dissemination-of-a549-lung-cancer-cells
#8
Shun-Ming Chan, Bo-Feng Lin, Chih-Shung Wong, Wen-Ting Chuang, Yu-Ting Chou, Zhi-Fu Wu
While anaesthetics are frequently used on cancer patients during surgical procedures, their consequence on cancer progression remains to be elucidated. In this study, we sought to investigate the influence of local anesthetics on lung cancer cell dissemination in vitro and in vivo. A549 human non-small lung cancer cells were treated with various local anaesthetics including ropivacaine, lidocaine, levobupivacaine and bupivacaine. Cell barrier property was assessed using an electric cell-substrate impedance sensing (ECIS) system...
August 17, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28819204/prognostic-factors-and-outcomes-of-unplanned-extubation
#9
Chien-Ming Chao, Mei-I Sung, Kuo-Chen Cheng, Chih-Cheng Lai, Khee-Siang Chan, Ai-Chin Cheng, Shu-Chen Hsing, Chin-Ming Chen
This study investigated the prognostic factors and outcomes of unplanned extubation (UE) in patients in a medical center's 6 intensive care units (ICUs) and calculated their mortality risk. We retrospectively reviewed the medical records of all adult patients in Chi Mei Medical Center who underwent UE between 2009 and 2015. During the study period, there were 305 episodes of UE in 295 ICU patients (men: 199 [67.5%]; mean age: 65.7 years; age range: 18-94 years). The mean Acute Physiology and Chronic Health Evaluation (APACHE) II score was 16...
August 17, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28819026/therapeutic-targeting-of-the-cbp-p300-bromodomain-blocks%C3%A2-the-growth-of-castration-resistant-prostate-cancer
#10
Lingyan Jin, Jesse Garcia, Emily Chan, Cecile de la Cruz, Ehud Segal, Mark Merchant, Samir Kharbanda, Ryan Raisner, Peter M Haverty, Zora Modrusan, Justin Ly, Edna Choo, Susan Kaufman, Maureen H Beresini, F Anthony Romero, Steven Magnuson, Karen E Gascoigne
Resistance invariably develops to anti-androgen therapies used to treat newly diagnosed prostate cancers, but effective treatments for castration-resistant disease remain elusive. Here we report that the transcriptional co-activator CBP/p300 is required to maintain the growth of castration-resistant prostate cancer. To exploit this vulnerability, we developed a novel small-molecule inhibitor of the CBP/p300 bromodomain that blocks prostate cancer growth in vitro and in vivo. Molecular dissection of the consequences of drug treatment revealed a critical role for CBP/p300 in histone acetylation required for the transcriptional activity of the androgen receptor and its target gene expression...
August 17, 2017: Cancer Research
https://www.readbyqxmd.com/read/28818868/erythropoietin-stimulates-murine-and-human-fibroblast-growth-factor-23-revealing-novel-roles-for-bone-and-bone-marrow
#11
Erica L Clinkenbeard, Mark R Hanudel, Keith R Stayrook, Hitesh Nidumanda Appaiah, Emily G Farrow, Taryn A Cass, Lelia J Summers, Colin S Ip, Julia M Hum, Joseph C Thomas, Mircea Ivan, Briana M Richine, Rebecca J Chan, Thomas L Clemens, Ernestina Schipani, Yves Sabbagh, Linlin Xu, Edward F Srour, Marta B Alvarez, Melissa A Kacena, Isidro B Salusky, Tomas Ganz, Elizabeta Nemeth, Kenneth E White
No abstract text is available yet for this article.
August 17, 2017: Haematologica
https://www.readbyqxmd.com/read/28818681/sanction-changes-and-drunk-driving-injuries-deaths-in-taiwan
#12
Yun-Shan Chan, Chin-Shyan Chen, Lanying Huang, Yu-I Peng
Driving under the influence (DUI) is one of the major causes of traffic accidents in Taiwan. About 5% of injuries involve DUI, and nearly 20% of deaths are due to alcohol-related crashes. During early 2006 to the end of 2014, the authorities in Taiwan increased the severity of fine and jail penalties for DUI offenders three times. At the same time, the monthly drunk-driving injures decreased nearly 40% and the monthly alcohol-related traffic death dropped more than 80%. In this paper, we examine the effects of sanction changes on the reduction of drunk-driving casualties during this period...
August 14, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28818629/hospice-she-yelped-examining-the-quantity-and-quality-of-decision-support-available-to-patient-and-families-considering-hospice
#13
Grace Finnigan-Fox, Dan D Matlock, Channing E Tate, Christopher E Knoepke, Larry A Allen
BACKGROUND: Whether to engage hospice is one of the most difficult medical decisions patients and families make. Meanwhile, misperceptions about hospice persist. Within this context, the breadth and depth of patient decision support materials for hospice is unknown. OBJECTIVE: Identify available patient decision aids (PtDAs) relating information about hospice care and compare that information to the informational needs expressed by real-world healthcare consumers...
August 14, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28818541/understanding-threats-to-polio-vaccine-commitment-among-caregivers-in-high-priority-areas-of-afghanistan-a-polling-study
#14
Gillian K SteelFisher, Robert J Blendon, Sherine Guirguis, William Lodge, Hannah Caporello, Vincent Petit, Michael Coleman, Matthew R Williams, Sardar Mohammad Parwiz, Melissa Corkum, Scott Gardner, Eran N Ben-Porath
BACKGROUND: Eradication of poliovirus from endemic countries relies on vaccination of children with oral polio vaccine (OPV) many times a year until the age of 5 years. We aimed to determine caregivers' commitment to OPV in districts of Afghanistan at high risk for polio transmission and to examine what knowledge, attitudes, or experiences could threaten commitment. METHODS: We designed and analysed a poll using face-to-face interviews among caregivers of children under 5 years of age...
August 14, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28818445/editorial-special-issue-on-the-occasion-of-prof-dr-alf-p%C3%A3-hler-s-75-th-birthday
#15
EDITORIAL
Paul Marques Alves, Anke Becker, Helmut Blöcker, Raquel Lia Chan, George Guo-Qiang Chen, Martin Fussenegger, Akihiko Kondo, Robert Kourist, Helmut Schwab, Jin-Ho Seo, Christoph W Sensen, Maria Sensen, Friedrich Scrienc
No abstract text is available yet for this article.
September 10, 2017: Journal of Biotechnology
https://www.readbyqxmd.com/read/28818322/stability-of-biodegradable-metal-mg-ca-zn-alloy-screws-compared-with-absorbable-polymer-and-titanium-screws-for-sagittal-split-ramus-osteotomy-of-the-mandible-using-the-finite-element-analysis-model
#16
Jee-Ho Lee, Hyung-Seop Han, Yu-Chan Kim, Jin-Yong Lee, Bu-Kyu Lee
Mg-Ca-Zn alloy has been suggested for the application of fixation materials during maxillofacial surgery. We investigated the stability of Mg-Ca-Zn alloy for clinical application during orthognathic surgery. The finite element model for the fixation of sagittal split ramus osteotomy was constructed. In the bicortical screw fixation of the mandible setback condition, the stress distributions of Mg-Ca-Za alloy, polylactic acid polymer, and titanium were evaluated using the virtual model with occlusal loading of 132 N...
July 4, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28817837/influence-of-dietary-insulin-scores-on-survival-in-colorectal-cancer-patients
#17
Chen Yuan, Ying Bao, Kaori Sato, Katharina Nimptsch, Mingyang Song, Jennie C Brand-Miller, Vicente Morales-Oyarvide, Emilie S Zoltick, NaNa Keum, Brian M Wolpin, Jeffrey A Meyerhardt, Andrew T Chan, Walter C Willett, Meir J Stampfer, Kana Wu, Edward L Giovannucci, Charles S Fuchs, Kimmie Ng
BACKGROUND: Although hyperinsulinemia is hypothesised to be involved in colorectal carcinogenesis, it remains unclear whether a diet inducing an elevated insulin response influences colorectal cancer (CRC) survival. METHODS: We examined the association of post-diagnosis dietary insulin scores with survival among 2006 patients from two large prospective cohorts who were diagnosed with CRC from 1976 to 2010. Dietary insulin load was calculated as a function of the food insulin index...
August 17, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28817689/characterization-and-formulation-into-solid-dosage-forms-of-a-novel-bacteriophage-lytic-against-klebsiella-oxytoca
#18
Teagan L Brown, Steve Petrovski, Dannielle Hoyle, Hiu Tat Chan, Peter Lock, Joseph Tucci
AIM: To isolate and characterize bacteriophage lytic for the opportunistic pathogen Klebsiella oxytoca and their formulation into a range of solid dosage forms for in-vitro testing. METHODS AND RESULTS: We report the isolation, genomic and functional characterization of a novel bacteriophage lytic for Klebsiella oxytoca, which does not infect the closely related Klebsiella pneumoniae. This bacteriophage was formulated into suppositories and troches and shown to be released and lyse underlying Klebsiella oxytoca bacteria in an in-vitro model...
2017: PloS One
https://www.readbyqxmd.com/read/28817102/anticancer-activity-of-ramalin-a-secondary-metabolite-from-the-antarctic-lichen-ramalina-terebrata-against-colorectal-cancer-cells
#19
Sung-Suk Suh, Tai Kyoung Kim, Jung Eun Kim, Ju-Mi Hong, Trang Thu Thi Nguyen, Se Jong Han, Ui Joung Youn, Joung Han Yim, Il-Chan Kim
Colorectal cancer is a leading cause of death worldwide and occurs through the highly complex coordination of multiple cellular pathways, resulting in carcinogenesis. Recent studies have increasingly revealed that constituents of lichen extracts exhibit potent pharmaceutical activities, including anticancer activity against various cancer cells, making them promising candidates for new anticancer therapeutic drugs. The main objective of this study was to evaluate the anticancer capacities of ramalin, a secondary metabolite from the Antarctic lichen Ramalina terebrata, in the human colorectal cancer cell line HCT116...
August 17, 2017: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/28816941/single-center-experience-with-intra-abdominal-liposarcoma-optimal-minimum-duration-for-postoperative-remnant-tumor-screening
#20
Jinsoo Rhu, Chan Woo Cho, Kyo Won Lee, Hyojun Park, Jae Berm Park, Yoon-La Choi, Sung Joo Kim
This study sought to identify factors related to the prognosis of intra-abdominal liposarcoma and to determine the optimal minimum duration for remnant tumor screening. Intra-abdominal liposarcoma is associated with high rates of incomplete resection and recurrence requiring a sophisticated follow-up strategy.Patients who underwent surgery for intra-abdominal liposarcoma were included. Cox analyses were used to analyze factors related to recurrence and survival. To determine the optimal minimum duration for remnant tumor screening, patients with recurrence after surgery despite gross complete resection were grouped by a postoperative detection time of 1, 3, or 6 months...
August 2017: Medicine (Baltimore)
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