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https://www.readbyqxmd.com/read/29924790/-surgical-treatment-of-total-thrombosis-of-an-abdominal-aortic-endograft
#1
V V Shlomin, I V Kas'ianov, I G Drozhzhin, P B Bondarenko, P D Puzdriak
Described in the article is a clinical case report regarding successful surgical treatment of total thrombosis of a stent graft in a high-risk surgical patient, having previously undergone endovascular repair of an abdominal aortic aneurysm by means of a unilateral stent graft with suprarenal fixation of its crown and femorofemoral crossover bypass grafting. 5 months after the operation, the patient began complaining of rest pain in his right leg and trophic ulcers of the foot. The findings of MSCT angiography revealed total thrombosis of the stent graft, to be later on followed by operative intervention, i...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924786/-risk-factors-for-the-development-of-life-threatening-ventricular-arrhythmias-following-surgical-reconstruction-of-the-left-ventricle
#2
E V Rosseĭkin, E E Kobzev, O V Popyl'kova, S S Durmanov, V V Bazylev
Death in patients with postinfarction aneurysms of the left ventricle (LV) is mainly caused by life-threatening ventricular arrhythmias - ventricular tachycardias (VTs) and ventricular fibrillations (VFs). Surgical reconstruction of the LV may potentially lead to disruption of the re-entry mechanism, lying at the basis of ventricular tachyarrhythmias. A series of authors demonstrated high efficacy of such procedures as endocardectomy and radiofrequency ablation of the borderline zone of the LV. But high incidence of relapses, difficulty detecting the localization of VT and performing radiofrequency ablation (RFA), as well as high incidence of spontaneous and induced VTs in patients with postinfarction aneurysms of the LV have preserved dissatisfaction with the currently existing techniques...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924782/-transradial-approach-in-carotid-stenting
#3
I N Shchanitsyn, M R Sharafutdinov, R A Iakubov, I V Larin
A femoral approach is the main access in stenting of carotid arteries, mainly due to rapid training in how to perform the procedure and a possibility of using large-diameter catheters. However, this approach is not always feasible in atherosclerosis, tortuosity of lower-limb arteries and in certain anatomical peculiarities of the aortic arch. Using a transradial approach is based on the desire to diminish the incidence rate of haemorrhagic complications in the zone of the puncture and to avoid the necessity of a long-term bed rest...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924775/-flowmetric-and-angiographic-predictors-of-occlusion-of-coronary-bypass-grafts
#4
V V Bazylev, E V Nemchenko, E V Rosseĭkin, A I Mikuliak
OBJECTIVE: The study was aimed at assessing remote (up to 42 months) results of coronary artery bypass grafting (CABG) and revealing flowmetric and angiographic predictors of coronary bypass graft occlusion. PATIENTS AND METHODS: Our retrospective single-centre study included a total of 141 patients undergoing coronary artery bypass grafting (CABG). All patients were subjected to assessment of coronary bypass grafts by means of transit-time flowmetry (TTFM), as well as angiographic control of coronary bypass grafts in the remote period...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924772/-biological-aspects-and-clinical-application-of-bone-marrow-stem-cells-in-critical-lower-limb-ischaemia
#5
P Iu Orekhov, A V Troitskiĭ, A V Chupin
Critical lower-limb ischaemia (CLLI) is associated with high risk of limb loss and a lethal outcome, as well as with decreased quality of life. The underlying cause of the disease is imbalance between blood supply of ischaemized tissues and their metabolic demands. Restoration of adequate perfusion with the help of standard medicamentous therapy or operative treatment is often inefficient or impossible. Cell therapy (CT) is a novel strategy making it possible to stimulate the growth of the microvascular bed and the mechanisms of molecular-cellular repair...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924764/complications-after-superficial-parotidectomy-for-pleomorphic-adenoma
#6
P Infante-Cossio, E Gonzalez-Cardero, A Garcia-Perla-Garcia, E Montes-Latorre, J-L Gutierrez-Perez, E Prats-Golczer
BACKGROUND: The significance of complications after superficial parotidectomy remains unclear, since prospective studies are lacking. The aim of this study was to evaluate facial nerve dysfunction and other postoperative complications after superficial parotidectomy for pleomorphic adenoma of the superficial lobe and to identify the associated risk factors. MATERIAL AND METHODS: Prospective and descriptive clinical study on 79 patients undergoing formal superficial parotidectomy with the modified facelift incision, dissection of the facial nerve and reconstruction with the superficial musculoaponeurotic system flap...
June 20, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/29924719/functional-and-patient-reported-outcomes-improve-over-the-course-of-rehabilitation-a-secondary-analysis-of-the-acl-sports-trial
#7
Amelia J H Arundale, Jacob J Capin, Ryan Zarzycki, Angela Smith, Lynn Snyder-Mackler
BACKGROUND: The Anterior Cruciate Ligament-Specialized Post-Operative Return to Sports (ACL-SPORTS) randomized controlled trial was designed to address deficits in functional and patient-reported outcomes. The trial examined the effects of a secondary ACL prevention program that included progressive strengthening, agility training, plyometrics (SAP), and other components of current primary prevention protocols, with perturbation training (SAP + PERT group) and without PERT (SAP group)...
June 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29924033/is-the-mean-platelet-volume-a-predictive-marker-of-a-high-in-hospital-mortality-of-acute-cardiorenal-syndrome-patients-receiving-continuous-renal-replacement-therapy
#8
Junhui Li, Xiaohua Sheng, Dongsheng Cheng, Feng Wang, Guihua Jian, Yongguang Li, Tao Xu, Xiaoxia Wang, Ying Fan, Niansong Wang
A high mean platelet volume (MPV) level has been demonstrated to predict poor clinical outcomes in patients with cardiovascular disease. However, the relationship between MPV and mortality in patients with acute cardiorenal syndrome (ACRS) is unknown. Therefore, we investigated the predictive value of MPV for in-hospital mortality of patients with ACRS who received continuous renal replacement therapy (CRRT) in this study.We retrospectively analyzed the demographics, etiology, severity of illness, prognosis, and risk factors of ACRS patients who underwent CRRT in our hospital from January 2009 to December 2014...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923983/increased-platelet-to-lymphocytes-ratio-is-associated-with-poor-long-term-prognosis-in-patients-with-pancreatic-cancer-after-surgery
#9
Jinming Yu, Zhaoyan Ding, Yuanming Yang, Shanli Liu
Several studies reported platelet-to-lymphocytes ratio (PLR), neutrophil-to-lymphocyte ratio (NLR) and red blood cell distribution width (RDW) were associated with the mid-term survival or cancer stage in pancreatic cancer. However, the relationship between these markers and the long-term prognosis of pancreatic cancer is still unknown. We investigated the relationship between PLR, NLR, RDW, and the long-term prognosis of pancreatic cancer.We included 182 pancreatic cancer patients who received operation at Linzi District People 's Hospital between August 2010 and January 2017...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923941/intensive-care-mortality-prognostic-model-for-pediatric-pulmonary-hypertension
#10
Emily Morell Balkin, Matt S Zinter, Satish K Rajagopal, Roberta L Keller, Jeffrey R Fineman, Martina A Steurer
OBJECTIVES: The disease burden and mortality of children with pulmonary hypertension are significantly higher than for the general PICU population. We aimed to develop a risk-adjustment tool predicting PICU mortality for pediatric pulmonary hypertension patients: the Pediatric Index of Pulmonary Hypertension Intensive Care Mortality score. DESIGN: Retrospective analysis of prospectively collected multicenter pediatric critical care data. SETTING: One-hundred forty-three centers submitting data to Virtual Pediatric Systems database between January 1, 2009, and December 31, 2015...
June 19, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29923801/screening-for-exotic-forest-pathogens-to-increase-survey-capacity-using-metagenomics
#11
Emilie D Tremblay, Marc-Olivier Duceppe, Jean A Berube, Troy Kimoto, Claude Lemieux, Guillaume J Bilodeau
Anthropogenic activities have a major impact on the global environment. Canada's natural resources are threatened by the spread of fungal pathogens, which is facilitated by agricultural practices and international trade. Fungi are introduced to new environments and sometimes become established, in which case they can cause disease outbreaks resulting in extensive forest decline. Here we describe how a nation-wide sample collection strategy coupled to Next-Generation sequencing (NGS) (i.e. metagenomics) can achieve fast and comprehensive screening for exotic invasive species...
June 20, 2018: Phytopathology
https://www.readbyqxmd.com/read/29923496/sensitivity-and-specificity-of-time-resolved-point-dose-measurements-for-patient-specific-quality-assurance
#12
Benjamin E W Scarlet, Andrew J Williams, Steven Marsh, Robert J W Louwe
This study aimed to quantify the sensitivity and specificity of time-resolved point dose (trPD) measurements. 
 Criteria were defined to assess whether errors would cause a clinically relevant dose deviation during patient treatment. The sensitivity and specificity were determined based on verification measurements of five error-free plans and 84 intentional error plans. Receiver operator characteristic (ROC) analysis was conducted to quantify the efficiency of the method. In addition, the specificity of the method was investigated in more detail by assessing its ability to identify different error modes...
June 20, 2018: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/29923491/three-trocar-laparoscopic-cholecystectomy-under-spinal-anesthesia-in-a-patient-with-asthma
#13
F Tatulli, A Delcuratolo, A Caraglia, A Notarnicola, F P N Carbone, A Caputi
INTRODUCTION: Laparoscopy is perceived as the state-of-the-art technique for a wide variety of operations but is contraindicated by comorbidities such as respiratory diseases. We present the case of a patient affected by asthma who underwent a successful three-trocar low-pressure pneumoperitoneum under spinal anesthesia. CASE REPORT: A 58 year-old male with symptomatic gallstones had partly-controlled asthma and respiratory allergies. Potential bronchospasm was avoided by a less invasive laparoscopic technique...
May 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29923486/p-possum-score-a-prognostic-instrument-for-postoperative-complications-in-crohn-s-disease
#14
N Falco, T Fontana, D Scrivano, R Tutino, L Licari, C Raspanti, G I Melfa, G Cocorullo
AIM: The purpose of this work is to demonstrate the correlation between the p-POSSUM score and the severity of Crohn's Disease (CD) postoperative complications, evaluated by using the Clavien-Dindo score. PATIENTS AND METHODS: We have selected data of 22 patients (11 males, 11 females) that had been recovered in the Operative Unit of General Surgery of the University of Palermo General Hospital and undergone surgery for CD from 2010 to 2017. RESULTS: Patients who underwent surgery for complicated CD was divided in three different group on the base of Clavien Dindo score, C1 (Clavien-Dindo ≤ 1), C2 (Clavien Dindo = 2), and C3 (Clavien Dindo ≥ 3)...
May 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29923450/comparison-of-sacroplasty-with-or-without-balloon-assistance-for-the-treatment-of-sacral-insufficiency-fractures
#15
Shih-Chieh Yang, Tsung-Ting Tsai, Hung-Shu Chen, Chi-Jung Fang, Yu-Hsien Kao, Yuan-Kun Tu
PURPOSE: Sacral insufficiency fractures (SIFs) can cause severe lower back pain and immobility, which have limited therapeutic options. No previous studies have compared clinical outcomes and radiographic findings of sacroplasty with or without balloon assistance for the treatment of SIFs. METHODS: Forty-five patients with SIFs were divided into two groups. One group had 18 patients treated using sacroplasty with balloon assistance, and the other had 27 patients treated without balloon assistance...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29923419/prospective-validation-of-a-risk-prediction-model-to-identify-high-risk-patients-for-medication-errors-at-hospital-admission
#16
Marieke M Ebbens, Sylvia A van Laar, Elsbeth J Wesselink, Kim B Gombert-Handoko, Patricia M L A van den Bemt
BACKGROUND: Pharmacy-led medication reconciliation in elective surgery patients is often performed at the preoperative screening (POS). Because of the time lag between POS and admission, changes in medication may lead to medication errors at admission (MEAs). In a previous study, a risk prediction model for MEA was developed. OBJECTIVE: To validate this risk prediction model to identify patients at risk for MEAs in a university hospital setting. METHODS: The risk prediction model was derived from a cohort of a Dutch general hospital and validated within a comparable cohort from a Dutch University Medical Centre...
June 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/29922744/anti-nerve-growth-factor-therapy-attenuates-cutaneous-hypersensitivity-and-musculoskeletal-discomfort-in-mice-with-osteoporosis
#17
Miyako Suzuki, Magali Millecamps, Seiji Ohtori, Chisato Mori, Laura S Stone
Introduction: The prevalence of osteoporosis is increasing with the aging population and is associated with increased risk of fracture and chronic pain. Osteoporosis is currently treated with bisphosphonate therapy to attenuate bone loss. We previously reported that improvement in bone mineral density is not sufficient to reduce osteoporosis-related pain in an ovariectomy (OVX)-induced mouse model of osteoporosis, highlighting the need for new treatments. Targeting of nerve growth factor (NGF) with sequestering antibodies is a promising new direction for the treatment of musculoskeletal pain including back pain and arthritis...
May 2018: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29922731/cut-off-points-for-screening-at-risk-drinking-by-audit-c-korean-version-at-emergency-department
#18
Kyung Wan Lee, Yoon Hee Choi, Jae Hee Lee
Purpose: To reduce problems caused by alcohol drinking, it is necessary to identify those with 'at-risk drinking' behavior to maximize therapeutic access or intervention. To this end, we sought to determine the cut-off point for screening of at-risk drinking by the Korean version of the AUDIT-C (Alcohol Use Disorder Identification Test-Consumption). Materials and methods: We obtained data from the scientific research project of "the supervision of the Korea Center for Disease Control and Prevention (KCDCP)" in 2010...
June 2018: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29922725/management-of-lower-extremity-ischaemia-during-type-a-dissection-repair
#19
Kathryn L Howe, John Harlock, Dominic Parry
Introduction: Type A aortic dissection can present with malperfusion syndrome. Lower limb ischaemia may resolve with repair of the dissection; however, the long duration of repair and/or persistent ischaemia may leave tissue at risk of necrosis with potential for substantial morbidity. Report: Here, the case of a 67 year old man who presented with a Type A aortic dissection with malperfusion of the lower extremities is described. The Vascular Surgery and Cardiac Surgery divisions were consulted simultaneously...
2018: EJVES Short Reports
https://www.readbyqxmd.com/read/29922708/poorly-differentiated-ovarian-sertoli-leydig-cell-tumor-with-heterologous-rhabdomyosarcoma-and-glandular-elements-diagnosis-and-management-of-a-rare-neoplasm
#20
Charanjeet Singh, Sarfraz Ahmad, Fouad M Hajjar, Robert W Holloway
Ovarian Sertoli-Leydig cell tumors (SLCT) represent <2% of primary ovarian tumors, which range from benign to malignant; majority of the latter are low-grade. We present the case of a 12-year-old pre-pubertal female with poorly differentiated SLCT and heterologous rhabdomyosarcoma (FIGO stage-IA). She presented with worsening abdominal pain, pelvic mass, and elevated pre-operative serum Alpha-fetoprotein (AFP, 77.1 ng/mL). She underwent right salpingo-oophorectomy, omentectomy, and lymphadenectomy. The high-risk histology warranted 4-cycles of adjuvant BEP chemotherapy...
August 2018: Gynecologic Oncology Reports
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