keyword
https://read.qxmd.com/read/38536873/quality-and-sustainability-of-ethiopia-s-national-surgical-indicators
#1
JOURNAL ARTICLE
Kayleigh R Cook, Zebenay B Zeleke, Ephrem Gebrehana, Daniel Burssa, Bantalem Yeshanew, Atkilt Michael, Yoseph Tediso, Taylor Jaraczewski, Chris Dodgion, Andualem Beyene, Katherine R Iverson
In 2015, the Ethiopian Federal Ministry of Health (FMOH) developed the Saving Lives through Safe Surgery (SaLTS) initiative to improve national surgical care. Previous work led to development and implementation of 15 surgical key performance indicators (KPIs) to standardize surgical data practices. The objective of this project is to investigate current practices of KPI data collection and assess quality to improve data management and strengthen surgical systems. The first portion of the study documented the surgical data collection process including methods, instruments, and effectiveness at 10 hospitals across 2 regions in Ethiopia...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38536764/refractive-error-change-and-overminus-lens-therapy-for-childhood-intermittent-exotropia
#2
JOURNAL ARTICLE
Angela M Chen, S Ayse Erzurum, Danielle L Chandler, Amra Hercinovic, Rui Wu, Marilyn Vricella, Amy L Waters, Benjamin H Ticho, John W Erickson, Silvia Han, Paula S McDowell, Zhuokai Li, Raymond T Kraker, Jonathan M Holmes, Susan A Cotter
IMPORTANCE: Increased myopic shift was found to be associated with 1 year of overminus spectacle treatment for children with intermittent exotropia (IXT). Persistence of myopic shift after discontinuing overminus spectacles is unknown. OBJECTIVE: To compare refractive error change over 3 years in children with IXT originally treated with overminus vs nonoverminus spectacles. DESIGN, SETTING, AND PARTICIPANTS: This study was an 18-month extension of the Trial of Overminus Spectacle Therapy for Intermittent Exotropia cohort, which previously randomized children aged 3 to 10 years with IXT and baseline spherical equivalent refractive error (SER) between -6...
March 21, 2024: JAMA Ophthalmology
https://read.qxmd.com/read/38536653/validation-of-a-patient-specific-finite-element-analysis-framework-for-identification-of-growing-rod-failure-regions-in-early-onset-scoliosis-patients
#3
JOURNAL ARTICLE
Daksh Jayaswal, Manoj Kodigudla, Amey Kelkar, Vijay Goel, Vivek Palepu
PURPOSE: Growing rods are the gold-standard for treatment of early onset scoliosis (EOS). However, these implanted rods experience frequent fractures, requiring additional surgery. A recent study by the U.S. Food and Drug Administration (FDA) identified four common rod fracture locations. Leveraging this data, Agarwal et al. were able to correlate these fractures to high-stress regions using a novel finite element analysis (FEA) framework for one patient. The current study aims to further validate this framework through FEA modeling extended to multiple patients...
March 27, 2024: Spine Deformity
https://read.qxmd.com/read/38536401/the-effectiveness-of-perioperative-nursing-interventions-for-surgical-site-infection-prevention-in-orthopedic-surgery
#4
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 2024: AORN Journal
https://read.qxmd.com/read/38536183/year-over-year-ventral-hernia-recurrence-rates-and-risk-factors
#5
JOURNAL ARTICLE
Priya Bhardwaj, Maria T Huayllani, Molly A Olson, Jeffrey E Janis
IMPORTANCE: Recurrence is one of the most challenging adverse events after ventral hernia repair as it impacts quality of life, utilization of resources, and subsequent need for re-repair. Rates of recurrence range from 30% to 80% after ventral hernia repair. OBJECTIVE: To determine the contemporary ventral hernia recurrence rate over time in patients with previous hernia repair and to determine risk factors associated with recurrence. DESIGN, SETTING, AND PARTICIPANTS: This retrospective, population-based study used the Abdominal Core Health Quality Collaborative registry to evaluate year-over-year recurrence rates in patients with prior ventral hernia repair between January 2012 and August 2022...
March 27, 2024: JAMA Surgery
https://read.qxmd.com/read/38535862/surgical-outcomes-of-laminectomy-durotomy-and-a-non-synthetic-dura-substitute-application-in-ten-dogs-with-a-spinal-subarachnoid-diverticulum
#6
JOURNAL ARTICLE
Michał Mól, Ricardo Fernandes, Simon Wheeler, Massimo Mariscoli
This retrospective study aimed to report the surgical treatment and outcomes of laminectomies followed by durotomy and the application of a non-synthetic collagen matrix dura substitute (DurepairTM ) in ten dogs with a spinal subarachnoid diverticulum (SAD). The medical records of these ten client-owned dogs with SAD diagnosed by magnetic resonance imaging (MRI) were reviewed. All patients had chronic and progressive deficits. At presentation, common neurological signs were proprioceptive ataxia, ambulatory spastic paraparesis or tetraparesis, and faecal incontinence...
March 14, 2024: Veterinary Sciences
https://read.qxmd.com/read/38534670/oral-antibiotics-alone-versus-oral-antibiotics-combined-with-mechanical-bowel-preparation-for-elective-colorectal-surgery-a-propensity-score-matching-re-analysis-of-the-icral-2-and-3-prospective-cohorts
#7
JOURNAL ARTICLE
Marco Catarci, Stefano Guadagni, Francesco Masedu, Massimo Sartelli, Leonardo Antonio Montemurro, Gian Luca Baiocchi, Giovanni Domenico Tebala, Felice Borghi, Pierluigi Marini, Marco Scatizzi, The Italian ColoRectal Anastomotic Leakage iCral Study Group
The evidence regarding the role of oral antibiotics alone (oA) or combined with mechanical bowel preparation (MoABP) for elective colorectal surgery remains controversial. A prospective database of 8359 colorectal resections gathered over a 32-month period from 78 Italian surgical units (the iCral 2 and 3 studies), reporting patient-, disease-, and procedure-related variables together with 60-day adverse events, was re-analyzed to identify a subgroup of 1013 cases (12.1%) that received either oA or MoABP. This dataset was analyzed using a 1:1 propensity score-matching model including 20 covariates...
March 3, 2024: Antibiotics
https://read.qxmd.com/read/38534303/the-use-of-cad-cam-technology-in-mandibular-canine-disimpaction-a-case-report
#8
Francesca Germanò, Rosanna Guarnieri, Martina Mezio, Ersilia Barbato, Michele Cassetta
This case report of an 11-year-old subject shows the digital workflow for the management of an impacted mandibular canine using Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) technology along with Temporary Anchorage Devices (TADs). The miniscrew insertion site was planned using software, and a surgical guide was digitally designed and 3D printed. Orthodontic traction was performed using a 3D-designed and -printed device. In a single sitting, the miniscrew was inserted and the disimpaction device was also delivered...
March 20, 2024: Dentistry Journal
https://read.qxmd.com/read/38534077/synovial-sarcoma-of-the-viscera-lung-and-jejunum-a-case-report
#9
JOURNAL ARTICLE
Jixin He, Jiwei Wang, Lina Yang, Kai Wang, Maijian Wang, Jianguo Li
We report the case of a woman nearing 70 years old who was admitted to the hospital with a complaint of "epigastric distension for 1 month". Her main signs and symptoms were progressive abdominal distension and occasional abdominal pain. Computed tomography suggested an abdominal mass. She had a surgical history of synovial sarcoma (SS) of the lungs. After admission, she was diagnosed with jejunal SS following a puncture biopsy and laparoscopic surgery. This disease usually occurs in the soft tissues of the limbs, and it is extremely rare for SS to originate in the jejunum...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38534076/clinical-evaluation-and-surgical-management-of-ocular-malakoplakia-of-the-caruncle-and-periorbital-region-a-report-of-two-case-and-literature-review
#10
JOURNAL ARTICLE
Chinmayee J Thrishulamurthy, H Shafeeq Ahmed, Mohammed Sohail J, Dayananda S Biligi
Ocular malakoplakia, a rare inflammatory disorder characterized by Michaelis-Gutmann bodies, is presented in 2 unique cases involving uncommon anatomical sites-the orbit and caruncle. The first case describes a 10-year-old girl with localized subconjunctival swelling near the caruncle, prompting surgical excision, and revealing characteristic malakoplakia features. Despite medical management, surgical intervention provided symptom relief. The second case involves a painless swelling below the lower lid in a 23-year-old female, initially suggestive of lymphoma...
March 21, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38534052/multispecialty-management-of-metastatic-colon-adenocarcinoma-involving-the-extraocular-muscles-primary-excision-and-simultaneous-treatment-of-strabismus-with-a-review-of-the-literature
#11
JOURNAL ARTICLE
Fereshteh Azad, Tassapol Singalavanija, Robert Beaulieu, Federica Mingardo, Steven M Archer, Victor Maurice Elner, Hakan Demirci
Metastatic colon adenocarcinoma involving the extraocular muscles is extremely rare. It usually develops following the diagnosis of the systemic disease and therefore, management and treatment require a multispecialty approach. Within this manuscript, we provide a summary of cases of orbital metastasis secondary to colon cancer. We further discuss a detailed case of a 42-year-old male patient who developed recent-onset diplopia in the left gaze. Orbital CT imaging showed a localized, well-circumscribed enlargement of the right medial rectus muscle...
March 21, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38534000/microwave-coagulation-for-liver-metastases
#12
REVIEW
Dawid Storman, Mateusz J Swierz, Jerzy W Mitus, Michal Pedziwiatr, Ning Liang, Robert Wolff, Malgorzata M Bala
BACKGROUND: Liver metastases (i.e. secondary hepatic malignancies) are significantly more common than primary liver cancer. Long-term survival after radical surgical treatment is approximately 50%. For people in whom resection for cure is not feasible, other treatments must be considered. One treatment option is microwave coagulation utilising electromagnetic waves. It involves placing an electrode into a lesion under ultrasound or computed tomography guidance. OBJECTIVES: To evaluate the beneficial and harmful effects of microwave coagulation versus no intervention, other ablation methods, or systemic treatments in people with liver metastases regardless of the location of the primary tumour...
March 27, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38533893/evaluation-of-laparoscopic-colorectal-resection-among-elderly-individuals-with-colorectal-malignancy-a-single-center-retrospective-analysis
#13
JOURNAL ARTICLE
Yanru Zhang, Tufeng Chen, Xiaofeng Yang, Yiquan Li, Purun Lei
OBJECTIVE: The purpose of the current study was to statistically clarify the precise risk age in elderly patients undergoing colorectal surgery and to evaluate the safety and efficacy of laparoscopic colorectal resection in these patients. METHODS: Patients' clinical variables were extracted from the database of the Gastrointestinal Surgery Centre, Third Affiliated Hospital of Sun Yat-sen University, from 2015 to 2019. Logistic regression was conducted to identify independent risk factors of postoperative complications and ORs for each age...
March 27, 2024: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/38533624/a-review-on-topical-ophthalmic-drug-delivery-system-reference-to-viscosity-enhancer
#14
REVIEW
Pravin Kondiba Pawar, Raju Dubaji Rathod, Satyajeet Ramesh Jagadale
The eye is the most accessible site for topical drug delivery. Drug's ocular bioavailability is quite low when administered topically as eye drops. Viscosity enhancers are used to increase ocular bioavailability by extending the precorneal residence time of the drug at the ocular site. Cellulose, polyalcohol and polyacrylic acid are examples of hydrophilic viscosity enhancers. The addition of viscosity modifiers increases the amount of time the drug is in contact with the ocular surface. Several polysaccharides have been studied as excipients and viscosity boosters for ocular formulations, including cellulose derivatives such as chitosan (CS), xyloglucan and arabinogalactan (methylcellulose, hydroxyethylcellulose, hydroxypropylmethylcellulose (HPMC), and sodium carboxymethylcellulose)...
March 27, 2024: Polimery W Medycynie
https://read.qxmd.com/read/38533436/a-large-gastric-splenosis-mimicking-gastrointestinal-stromal-tumor-a-case-report-and-literature-review
#15
Xiaotian Li, Xianwen Hu, Pan Wang, Guiyun Hu, Bin Zhou, Jiong Cai
Splenosis pertains to the phenomenon wherein a segment of the spleen undergoes detachment and becomes embedded in other anatomical regions subsequent to traumatic rupture or therapeutic resection, and then progressively establishing blood circulation to foster the regeneration of splenic tissue. Existing literature posits that splenosis predominantly manifests within the confines of the abdominal and pelvic cavities. The objective of the current study was to present an uncommon case involving the occurrence of splenosis within the gastric myometrium, thereby contributing to the current knowledge regarding splenosis...
May 2024: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38533168/recurrent-gastrointestinal-stromal-tumor-with-chondroid-differentiation-after-imatinib-therapy-an-unusual-case-and-literature-review
#16
Patricia Le, Fnu Monika, Ahmed Sabri, Joyce Kovar, Nicholas Dietz
Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor in the gastrointestinal tract and is most commonly seen in the stomach. The standard treatment for patients with advanced GISTs include both surgical resection and imatinib therapy. There have been cases that document the alterations of patients' GIST histomorphology both with primary GIST prior to imatinib therapy and with recurrent GIST after imatinib therapy. However, there has been no documented case of a patient who has recurrent GIST with chondroid differentiation at the primary site after imatinib therapy...
February 2024: Curēus
https://read.qxmd.com/read/38533167/suture-based-vascular-closure-versus-surgical-closure-of-large-bore-arteriotomies-a-real-world-experience
#17
JOURNAL ARTICLE
Keshava Murthy, Ratheesh Kumar J, Navjyot Kaur, Amitoj Chadha, Rajeev Chauhan, Davinder Chadha
INTRODUCTION: With the introduction of transcatheter aortic valve implantation (TAVI), endovascular abdominal aortic aneurysm repair (EVAR), thoracic endovascular aortic aneurysm repair (TEVAR), and frequent use of left ventricular assist devices in complicated percutaneous coronary interventions, the use of large bore arterial access has become a necessity. In the index study, we compared the percutaneous closure of large arteriotomies with open surgical (OS) closure. METHODS: It was a prospective study in which we compared the technical success and vascular complication rate associated with the use of a suture-based vascular closure device (VCD): Perclose ProGlide (PP) with that of OS closure...
February 2024: Curēus
https://read.qxmd.com/read/38533160/comparative-study-of-azithromycin-versus-doxycycline-effect-on-the-resistin-level-in-periodontitis-patients-with-type-2-diabetes-a-randomized-controlled-clinical-trial
#18
JOURNAL ARTICLE
Jazia A Alblowi, Zienab S Farid, Mai S Attia
AIM: The present study aimed to determine if azithromycin (AZM) and doxycycline therapy, as an adjunct to scaling and root planning (SRP), modulate host response and improve clinical outcomes in periodontitis patients with type 2 diabetes mellitus (T2DM). PATIENTS AND METHODS: Forty-five periodontal sites in 15 periodontitis patients with T2DM received nonsurgical periodontal therapy (NSPT). In Group I, patients were placebo (not receiving any medication), Group II patients received systemic AZM therapy (AZM 250 mg/day for five days), and Group III patients received doxycycline (20 mg twice per day for three months...
February 2024: Curēus
https://read.qxmd.com/read/38533159/intra-abdominal-pressure-measurement-as-a-predictor-of-postoperative-wound-complications-in-patients-undergoing-emergency-laparotomy-a-prospective-observational-study
#19
JOURNAL ARTICLE
Dharmendra Dugar, Sunny Goel
Introduction Elevated intra-abdominal pressure (IAP) hampers the effective functioning of intra- and extra-abdominal organs. Despite the abundance of knowledge, routine measurement of IAP still needs to be widely incorporated in managing at-risk patients. The present study intends to assess the need for IAP measurement on abdominal wound healing in emergency laparotomy patients. Methods This prospective study was carried out over 24 months in patients undergoing emergency laparotomy. The IAP was measured at admission, immediately after surgery, and during the early postoperative period at 6, 12, 24, 48, and 72 hours...
February 2024: Curēus
https://read.qxmd.com/read/38532906/enhanced-postsurgical-cancer-treatment-using-methacrylated-glycol-chitosan-hydrogel-for-sustained-dna-doxorubicin-delivery-and-immunotherapy
#20
JOURNAL ARTICLE
Hee Seung Seo, Jun-Hyeok Han, Jaesung Lim, Ga-Hyun Bae, Min Ji Byun, Chi-Pin James Wang, Jieun Han, Juwon Park, Hee Ho Park, Mikyung Shin, Tae-Eun Park, Tae-Hyung Kim, Se-Na Kim, Wooram Park, Chun Gwon Park
Background: Cancer recurrence and metastasis are major contributors to treatment failure following tumor resection surgery. We developed a novel implantable drug delivery system utilizing glycol chitosan to address these issues. Glycol chitosan is a natural adjuvant, inducing dendritic cell activation to promote T helper 1 cell immune responses, macrophage activation, and cytokine production. Effective antigen production by dendritic cells initiates T-cell-mediated immune responses, aiding tumor growth control...
2024: Biomaterials Research
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