keyword
https://read.qxmd.com/read/38537228/intestinal-intussusception-as-a-postoperative-complication-of-gastric-bypass
#1
JOURNAL ARTICLE
Perla X López-Almanza, Daniel González-Hermosillo-Cornejo, Gerardo A Montalvo-Domínguez, Enrique Reyes-Rodríguez, Pablo Andrade-Martínez-Garza
The gold standard for bariatric surgery is the laparoscopic gastric bypass, which consists in forming a small gastric pouch and a Roux-en-Y anastomosis. We present the case of a 41-year-old female who underwent a laparoscopic gastric bypass 8 years prior to her admission to the emergency room, where she arrived complaining of severe and colicky epigastric abdominal pain. The abdominal computed tomography showed a jejuno-jejunal intussusception, for which the patient underwent urgent exploratory laparotomy with intussusception reduction...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38535923/hearing-loss-and-urinary-trans-trans-muconic-acid-t-t-ma-in-6-to-19-year-old-participants-of-nhanes-2017-march-2020
#2
JOURNAL ARTICLE
Rae T Benedict, Franco Scinicariello, Henry G Abadin, Gregory M Zarus, Roberta Attanasio
Hearing loss (HL) is associated with poorer language development and school performance. Ototoxic substances such as metals and solvents, including benzene, are a risk factor associated with HL. This study examines potential associations between the benzene metabolite trans , trans -muconic acid ( t , t -MA) and HL in youth of the National Health and Nutrition Examination Survey (NHANES). Logistic regression calculated adjusted odds ratio (aOR) associations between HL and urinary t , t -MA quartiles, natural-log transformed, and doubled urinary t , t -MA...
February 29, 2024: Toxics
https://read.qxmd.com/read/38535855/the-performance-of-using-the-parasympathetic-tone-activity-pta-index-to-assess-intraoperative-nociception-in-cats
#3
JOURNAL ARTICLE
Leonor Lima, José Diogo Dos-Santos, Lénio Ribeiro, Patrícia Cabral, Bruno Colaço, João Martins
BACKGROUND: The monitoring of nociception/antinociception poses a significant challenge during anesthesia, making the incorporation of new tools like the Parasympathetic Tone Activity (PTA) monitor an added value in feline anesthesia. OBJECTIVES: To compare the effectiveness and speed of PTA monitoring when compared to heart rate (HR) in detecting surgical stimuli (SS) during the intraoperative period in 49 female cats undergoing ovariectomy (OV). METHODS: Instantaneous Parasympathetic Tone Activity (PTAi) values, HR, f R , and non-invasive SAP and MAP were continuously monitored and systematically assessed...
March 6, 2024: Veterinary Sciences
https://read.qxmd.com/read/38534971/the-conundrum-of-cancer-associated-thrombosis-lesson-learned-from-two-intriguing-cases-and-literature-review
#4
Simona Laurino, Sabino Russi, Ludmila Carmen Omer, Alberto D'Angelo, Giovanni Bozza, Giuseppina Gallucci, Geppino Falco, Giandomenico Roviello, Anna Maria Bochicchio
The correlation between cancer and venous thromboembolism (VTE) is solid, whereas the knowledge about cancer-related arterial thromboembolism (ATE) still needs a deeper investigation to clarify its pathogenesis. We describe two cases that represent useful hints for a comprehensive review of the thrombotic issue. A 75-year-old man with advanced rectal cancer treated with fluoropyrimidines suffered two catheter-related VTE events managed according to current guidelines. There was no indication for "extended" anticoagulant therapy for him, but during antithrombotic wash-out and fluoropyrimidines plus panitumumab regimen, he suffered a massive right coronary artery (RCA) thrombosis...
February 28, 2024: Diseases (Basel)
https://read.qxmd.com/read/38534717/risk-factors-and-outcomes-of-community-acquired-carbapenem-resistant-klebsiella-pneumoniae-infection-in-elderly-patients
#5
JOURNAL ARTICLE
Yen-Chou Chen, I-Ting Tsai, Chung-Hsu Lai, Kuo-Hsuan Lin, Yin-Chou Hsu
The increasing prevalence of carbapenem-resistant Klebsiella pneumoniae (CRKP) infections is a global concern. Elderly patients have a diminished immune response and functional reserve, and are thus more vulnerable to bacterial infection. This study aimed to investigate the risk factors and outcomes in elderly patients with community-acquired CRKP infections. We performed a retrospective cohort study in a tertiary medical center between 1 January 2021, and 31 December 2021. All elderly patients who visited the emergency department during this period with culture-positive K...
March 20, 2024: Antibiotics
https://read.qxmd.com/read/38534654/relationship-between-target-time-above-minimum-inhibitory-concentration-achievement-rate-of-meropenem-using-monte-carlo-simulation-and-in-hospital-survival-in-patients-with-pseudomonas-aeruginosa-bacteremia
#6
JOURNAL ARTICLE
Hajime Nakashima, Motoyasu Miyazaki, Tsuneo Kuwamura, Kazutaka Oda, Yumi Haga, Osamu Imakyure
Pseudomonas aeruginosa bacteremia is associated with a high mortality rate, and meropenem (MEPM) is commonly used to treat it. However, the relationship between the time above the minimum inhibitory concentration ( f T>MIC ) of MEPM and its therapeutic efficacy in P. aeruginosa bacteremia has not been explored. This study aimed to investigate this relationship by defining the target % f T>MIC of MEPM as 75%. The retrospective study spanned 14 years and included hospitalized patients treated with MEPM for P...
February 27, 2024: Antibiotics
https://read.qxmd.com/read/38533135/exploring-vaginal-birth-after-cesarean-success-rates-and-cultural-decisions-in-the-united-arab-emirates
#7
JOURNAL ARTICLE
Shazia Tariq, Nilanjana Singh
OBJECTIVE: This study explores the success rates and cultural influences on the decision-making process for vaginal birth after cesarean (VBAC) in the United Arab Emirates (UAE). METHODOLOGY: An observational cohort study was conducted at a hospital in the UAE accredited by Joint Commission International, enrolling 263 women eligible for VBAC from March 1, 2018, to February 28, 2019. The study focused on maternal-fetal outcomes, the proportions of women opting for trial of labor after cesarean (TOLAC) versus elective repeat cesarean section (ERCS), and the impact of cultural backgrounds on these decisions...
February 2024: Curēus
https://read.qxmd.com/read/38532296/indications-for-readmission-for-small-bowel-obstruction-a-comparison-of-medical-vs-surgical-service-admission
#8
JOURNAL ARTICLE
Emily L Sturm, Alexandra L Van Horn, Molly E Sternick, Alexa P Soult, Rebecca C Britt
Small bowel obstruction (SBO) impacts the health care system and patient quality of life. Previously, we evaluated differences between medical and surgical admissions in the management of SBO. This study investigates indications for readmission based on original admission to medical (MS) or surgical services (SS). A retrospective chart review was performed for 799 patients aged 18 to 89 admitted between 2012 and 2019 with a diagnosis of SBO. Patient characteristics examined included length of stay (LOS), prior abdominal operations, prior SBO, use of small bowel follow through imaging, operative intervention, mortality, and 30-day readmission...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38532245/type-of-prior-operation-does-not-predict-surgical-intervention-for-small-bowel-obstruction
#9
JOURNAL ARTICLE
Alexandra L Van Horn, Alexa P Soult, Molly E Sternick, Emily L Sturm, Rebecca C Britt
Background : Patients with prior abdominal surgeries are at higher risk for intra-abdominal adhesive tissue formation and subsequently higher risk for small bowel obstruction (SBO). Purpose : In this study, we investigated whether surgical intervention for SBO was more likely following specific types of abdominal surgeries. Research Design : With retrospective chart review, we pooled data from 799 patients, ages 18 to 89, admitted with SBO between 2012 and 2019. Patients were evaluated based on whether they underwent surgery or were managed conservatively...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38532086/equity-inclusion-and-cultural-humility-contemporizing-the-neonatal-intensive-care-unit-family-centered-care-model
#10
REVIEW
Beatrice E Lechner, Stephanie K Kukora, Katheleen Hawes
Existing NICU family centered care models lack the key elements of equity, inclusion and cultural humility. These models were conceived to support families during the stressful life event of an infant's NICU admission. Their development, however, occurred prior to recognition of the medical field's systematic shortcomings in providing equitable care and their impact on outcome disparities for marginalized communities; thus, they do not include cultural or equitable healthcare considerations. Given the significant neonatal care inequities for marginalized groups, incorporating the experience of these patients in a targeted manner into family centered care frameworks is of critical importance to ensure culturally humble and thus more just and equitable treatment...
March 26, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/38531390/factors-associated-with-maternal-morbidity-among-black-women-in-the-united-states
#11
JOURNAL ARTICLE
Catrine Ibrahim Ibrahim Sous, William Moravec, Emily A DeFranco, Elizabeth Kelly, Robert M Rossi
OBJECTIVE: Non-Hispanic Black people (NHBP) have a 3-fold higher rate of maternal mortality compared to other racial groups. Racial disparities in maternal morbidity are well described however there are substantial differences in cultural, economic, and social determinants of health among racial groups. We sought to study the, at-risk, non-Hispanic Black population as its own cohort to identify factors most associated with severe maternal morbidity (SMM). METHODS: This is a population-based retrospective case control study of all livebirths in the U...
March 26, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38530411/impact-of-early-follow-up-ct-in-the-conservative-management-of-traumatic-brain-injury-on-surgical-decision-making-a-retrospective-single-center-analysis-with-special-respect-to-coagulopathy
#12
JOURNAL ARTICLE
Mats L Moskopp, Dag Moskopp, Lennart W Sannwald
INTRODUCTION: Initial management of traumatic brain injury (TBI) without immediate need for surgical therapy varies across centers. The additional value of routine repeat cranial computerized tomography (CT) to neurological monitoring is controversial. This retrospective study investigates the impact of routine follow-up CT after 6 h (CT6h) in initially conservatively managed TBI on surgical decision making. Furthermore, the impact of coagulopathy on lesion size and progression was examined...
March 26, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38528714/premorbid-body-weight-predicts-weight-loss-in-both-anorexia-nervosa-and-atypical-anorexia-nervosa-further-support-for-a-single-underlying-disorder
#13
JOURNAL ARTICLE
Johannes Hebebrand, Jochen Seitz, Manuel Föcker, Hanna Preuss-van Viersen, Michael Huss, Katharina Bühren, Brigitte Dahmen, Katja Becker, Linda Weber, Christoph U Correll, Charlotte Jaite, Karin Egberts, Marcel Romanos, Stefan Ehrlich, Maria Seidel, Veit Roessner, Christian Fleischhaker, Eva Möhler, Freia Hahn, Michael Kaess, Tanja Legenbauer, Daniela Hagmann, Tobias J Renner, Ulrike M E Schulze, Ulf Thiemann, Ida Wessing, Gisela Antony, Beate Herpertz-Dahlmann, Abigail Matthews, Triinu Peters
OBJECTIVE: For adolescents, DSM-5 differentiates anorexia nervosa (AN) and atypical AN with the 5th BMI-centile-for-age. We hypothesized that the diagnostic weight cut-off yields (i) lower weight loss in atypical AN and (ii) discrepant premorbid BMI distributions between the two disorders. Prior studies demonstrate that premorbid BMI predicts admission BMI and weight loss in patients with AN. We explore these relationships in atypical AN. METHOD: Based on admission BMI-centile < or ≥5th, participants included 411 female adolescent inpatients with AN and 49 with atypical AN from our registry study...
March 25, 2024: International Journal of Eating Disorders
https://read.qxmd.com/read/38528277/pre-hospital-emergency-medicine-a-spectrum-of-imaging-findings
#14
REVIEW
Ryan T Whitesell, Aaron M Burnett, Sean K Johnston, Douglas H Sheafor
The goal of emergency medical services (EMS) is to provide urgent medical care and stabilization prior to patient transport to a healthcare facility for definitive treatment. The number and variety of interventions performed in the field by EMS providers continues to grow as early management of severe injuries and critical illness in the pre-hospital setting has been shown to improve patient outcomes. The sequela of many field interventions, including those associated with airway management, emergent vascular access, cardiopulmonary resuscitation (CPR), patient immobilization, and hemorrhage control may be appreciated on emergency department admission imaging...
March 26, 2024: Emergency Radiology
https://read.qxmd.com/read/38527689/change-of-joint-line-convergence-angle-and-other-coronal-alignments-after-total-hip-arthroplasty
#15
JOURNAL ARTICLE
Ho Hyun Yun, Woo-Seung Lee, Junwoo Park, Yun Seong Choi
BACKGROUND: The purpose of this study was to determine the unloading effect of total hip arthroplasty (THA) on the ipsilateral knee joint through the joint line convergence angle (JLCA) change and determine the changes in other coronal radiographic parameters after THA, and evaluate the sensitivity of JLCA. PATIENTS AND METHODS: We retrospectively assessed 70 patients who underwent unilateral THA. Hip parameters such as neck shaft angle (NSA), neck length, and femoral offset and coronal alignment parameters of the lower extremity such as hip-knee-ankle angle (HKA), femur length, mechanical lateral distal femoral angle (mLDFA), JLCA, medial proximal tibial angle (MPTA), lateral distal tibial angle (LDTA), and plafond talus angle (PTA) were measured in the operative and non-operative sides...
March 23, 2024: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/38527427/predicting-matrix-test-effectiveness-for-evaluating-auditory-performance-in-noise-using-pure-tone-audiometry-and-speech-recognition-in-quiet-in-cochlear-implant-recipients
#16
JOURNAL ARTICLE
Jonathan Flament, Daniele De Seta, Francesca Yoshie Russo, Julie Bestel, Olivier Sterkers, Evelyne Ferrary, Yann Nguyen, Isabelle Mosnier, Renato Torres
INTRODUCTION: Auditory performance in noise of cochlear implant recipients can be assessed with the adaptive Matrix test (MT); however, when the speech-to-noise ratio (SNR) exceeds 15 dB, the background noise has any negative impact on the speech recognition. Here, we aim to evaluate the predictive power of aided pure-tone audiometry and speech recognition in quiet, and establish cut-off values for both tests that indicate whether auditory performance in noise can be assessed using the Matrix sentence test in a diffuse noise environment...
March 25, 2024: Audiology & Neuro-otology
https://read.qxmd.com/read/38527294/comprehensive-workflow-evaluation-to-improve-medication-distribution-to-the-emergency-department-in-an-academic-medical-center
#17
JOURNAL ARTICLE
Melanie J Mills, Alec Martschenko, Keven Gomez, Madison L Hooker, Charlotte Pastoor, Tyler A Vest
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: The fast-paced environment of the emergency department (ED), with frequent admissions, discharges, and transfers, poses a challenge for pharmacy departments to effectively distribute and store medications...
March 25, 2024: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/38526575/reduced-racial-disparities-among-newborns-with-intraventricular-hemorrhage
#18
JOURNAL ARTICLE
Sumaiya Sayeed, Benjamin C Reeves, Brianna C Theriault, Astrid C Hengartner, Nabihah Ahsan, Sina Sadeghzadeh, Emad A Elsamadicy, Michael DiLuna, Aladine A Elsamadicy
INTRODUCTION: Intraventricular hemorrhage (IVH) can ensue permanent neurologic dysfunction, morbidity, and mortality. While previous reports have identified disparities based on patient gender or weight, no prior study has assessed how race may influence in neonatal or infantile IVH patients. The aim of this study was to investigate the impact of race on adverse event (AE) rates, length of stay (LOS), and total cost of admission among newborns with IVH. METHODS: Using the 2016-2019 National Inpatient Sample database, newborns diagnosed with IVH were identified using ICD-10-CM codes...
March 25, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38526374/objective-evaluation-of-gaze-location-patterns-using-eye-tracking-during-cystoscopy-and-artificial-intelligence-assisted-lesion-detection
#19
JOURNAL ARTICLE
Atsushi Ikeda, Kazuya Izumi, Kensuke Katori, Hirokazu Nosato, Keita Kobayashi, Shuhei Suzuki, Shuya Kandori, Masaru Sanuki, Yoichi Ochiai, Hiroyuki Nishiyama
BACKGROUND: The diagnostic accuracy of cystoscopy varies according to the knowledge and experience of the performing physician. Here, we evaluated the difference in cystoscopic gaze location patterns between medical students and urologists and assessed the differences in their eye movements when simultaneously observing conventional cystoscopic images and images with lesions detected by artificial intelligence (AI). METHODOLOGY: Eye-tracking measurements were performed, and observation patterns of participants (24 medical students and 10 urologists) viewing images from routine cystoscopic videos were analyzed...
March 25, 2024: Journal of Endourology
https://read.qxmd.com/read/38525841/rapid-formation-of-aortoesophageal-fistula-complicated-by-mycotic-thoracic-aortic-aneurysm-secondary-to-infective-endocarditis
#20
JOURNAL ARTICLE
Maki Setake, Yasuhiro Uechi, Yuzuru Kinjo, Masaru Miyazato, Noriya Nakachi, Ryosaku Tomiyama, Namio Higa, Akira Hokama
A 73-year-old man was admitted with four weeks of intermittent fever. He had a history of total aortic arch replacement for aortic arch aneurysm four years prior. CT scans showed no abnormalities before admission. Repeated blood cultures yielded Streptococcus anginosus and Prevotella melaninogenica, suggesting infective endocarditis (IE). Transesophageal echocardiography revealed a vegetation on the aortic valve, confirming IE. He suddenly presented with massive hematemesis and hypotension. Endoscopy revealed an elevated lesion with a laceration but no active bleeding in the esophagus...
March 25, 2024: Revista Española de Enfermedades Digestivas
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