keyword
https://read.qxmd.com/read/38512347/relationship-between-patient-safety-indicator-events-and-hospital-location-for-inpatient-hysterectomy
#21
JOURNAL ARTICLE
Sarah Sears, Diana Mitchell, Anne Sammarco, David Sheyn
BACKGROUND: Previous studies suggest surgical quality outcomes are similar between rural and urban hospitals, but data about gynecology in rural hospitals is sparse. METHODS: This was a retrospective cohort study utilizing the National Inpatient Sample database from the Agency of Healthcare Research and Quality. Patients who underwent benign hysterectomy for non-prolapse indications between 2012-2016 were identified using ICD-9 and 10 codes. Patients were stratified into rural or urban non-teaching groups; urban teaching hospitals were the referent group...
March 21, 2024: Minerva obstetrics and gynecology
https://read.qxmd.com/read/38508889/maternal-physical-activity-and-sitting-time-and-its-association-with-placental-morphology-and-blood-flow-during-gestation-findings-from-the-queensland-family-cohort-study
#22
JOURNAL ARTICLE
Jade M Kubler, Christopher Edwards, Erika Cavanagh, Gregore I Mielke, Paul A Gardiner, Stewart G Trost, Davide Fontanarosa, Danielle J Borg, Sailesh Kumar, Vicki L Clifton, Kassia S Beetham
OBJECTIVES: Antenatal exercise is associated with placental morphological alterations, however research in this area is limited. Given the emphasis on the beneficial effects of antenatal exercise, it is important to understand its effect on placental function and the relationship to foetal development. The aim of this study was to investigate the association between physical activity, sitting time, and placental outcomes measured during gestation. DESIGN: Prospective cohort study...
March 3, 2024: Journal of Science and Medicine in Sport
https://read.qxmd.com/read/38507075/follow-up-infarct-volume-on-fluid-attenuated-inversion-recovery-flair-%C3%A2-imaging-in-distal-medium-vessel-occlusions-the-role-of-cerebral-blood-volume-index
#23
JOURNAL ARTICLE
Hamza Salim, Dhairya A Lakhani, Aneri Balar, Basel Musmar, Nimer Adeeb, Meisam Hoseinyazdi, Licia Luna, Francis Deng, Nathan Z Hyson, Janet Mei, Adam A Dmytriw, Adrien Guenego, Tobias D Faizy, Jeremy J Heit, Gregory W Albers, Victor C Urrutia, Raf Llinas, Elisabeth B Marsh, Argye E Hillis, Kambiz Nael, Vivek Yedavalli
BACKGROUND: Distal medium vessel occlusions (DMVOs) contribute substantially to the incidence of acute ischemic strokes (AIS) and pose distinct challenges in clinical management and prognosis. Neuroimaging techniques, such as Fluid Attenuation Inversion Recovery (FLAIR) imaging and cerebral blood volume (CBV) index derived from perfusion imaging, have significantly improved our ability to assess the impact of strokes and predict their outcomes. The primary objective of this study was to investigate relationship between follow-up infarct volume (FIV) as assessed by FLAIR imaging in patients with DMVOs...
March 20, 2024: Journal of Neurology
https://read.qxmd.com/read/38501946/safety-and-feasibility-of-photodynamic-therapy-for-percutaneous-image-guided-abdominopelvic-abscess-drainage-phase-1-trial
#24
JOURNAL ARTICLE
Timothy M Baran, David A Bass, Laurie Christensen, Erica Longbine, Maria D Favella, Thomas H Foster, Ashwani K Sharma
Background Standard-of-care abscess management includes image-guided percutaneous drainage and antibiotics; however, cure rates vary, and concern for antibiotic-resistant bacteria is growing. Photodynamic therapy (PDT), which uses light-activated dyes to generate cytotoxic reactive oxygen species, could complement the standard of care by sterilizing the abscess at the time of drainage. Purpose To evaluate safety and feasibility of PDT with methylene blue (hereafter, MB-PDT) at the time of percutaneous abscess drainage...
March 2024: Radiology
https://read.qxmd.com/read/38501158/proton-beam-therapy-for-clival-chordoma-optimising-rare-cancer-treatments-in-australia
#25
REVIEW
Ashwathy Mathew, Peter Gorayski, Nicholas Candy, Frank Saran, Hien Le
With the anticipated launch of the Australian Bragg Centre for Proton Therapy and Research (ABCPTR) in Adelaide, Australia, proton therapy will become a significant addition to existing cancer treatment options for Australians. The anticipated benefits will be particularly evident in rare cancers such as clival chordomas, a challenging tumour entity due to the anatomical relationship with critical structures, and proven radio-resistance to conventional radiation therapy. The article synthesises key findings from major studies and evaluates the current evidence supporting various management strategies for clival chordomas...
March 19, 2024: Journal of Medical Radiation Sciences
https://read.qxmd.com/read/38498212/robotic-assisted-surgery-for-left-sided-colon-and-rectal-resections-is-associated-with-reduction-in-the-postoperative-surgical-stress-response-and-improved-short-term-outcomes-a-cohort-study
#26
JOURNAL ARTICLE
Abigail R Ingham, Chia Yew Kong, Tin-Ning Wong, Stephen T McSorley, Donald C McMillan, Gary A Nicholson, Ahmed Alani, David Mansouri, David Chong, Graham J MacKay, Campbell S D Roxburgh
INTRODUCTION: There is growing evidence that the use of robotic-assisted surgery (RAS) in colorectal cancer resections is associated with improved short-term outcomes when compared to laparoscopic surgery (LS) or open surgery (OS), possibly through a reduced systemic inflammatory response (SIR). Serum C-reactive protein (CRP) is a sensitive SIR biomarker and its utility in the early identification of post-operative complications has been validated in a variety of surgical procedures. There remains a paucity of studies characterising post-operative SIR in RAS...
March 18, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38495118/capturing-copd-heterogeneity-anomaly-detection-and-parametric-response-mapping-comparison-for-phenotyping-on-chest-computed-tomography
#27
JOURNAL ARTICLE
Silvia D Almeida, Tobias Norajitra, Carsten T Lüth, Tassilo Wald, Vivienn Weru, Marco Nolden, Paul F Jäger, Oyunbileg von Stackelberg, Claus Peter Heußel, Oliver Weinheimer, Jürgen Biederer, Hans-Ulrich Kauczor, Klaus Maier-Hein
BACKGROUND: Chronic obstructive pulmonary disease (COPD) poses a substantial global health burden, demanding advanced diagnostic tools for early detection and accurate phenotyping. In this line, this study seeks to enhance COPD characterization on chest computed tomography (CT) by comparing the spatial and quantitative relationships between traditional parametric response mapping (PRM) and a novel self-supervised anomaly detection approach, and to unveil potential additional insights into the dynamic transitional stages of COPD...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38489595/contemporary-perioperative-outcomes-after-total-abdominal-colectomy-for-ulcerative-colitis-in-a-tertiary-referral-centre
#28
JOURNAL ARTICLE
Ian J B Stephens, Brenda Murphy, Lucy Burns, Niamh McCawley, Deborah A McNamara, John P Burke
OBJECTIVE: Colectomy for ulcerative colitis (UC) is common despite therapeutic advances. Post-operative morbidity and mortality demonstrate an association between hospital volumes and outcomes. This single-centre retrospective study examines outcomes after emergency colectomy for UC. METHODS: Patient demographics, perioperative variables and outcomes were collected in Beaumont Hospital between 2010 and 2023. Univariant analysis was used to assess relationships between perioperative variables and morbidity and length of stay (LOS)...
March 11, 2024: European Journal of Gastroenterology & Hepatology
https://read.qxmd.com/read/38488808/the-role-of-hyperglycemia-in-the-outcome-of-intracerebral-hemorrhage-a-causative-analysis
#29
JOURNAL ARTICLE
Jia-Yi Wang, Mitchell Wilson, Alexander Andreev, Joseph Tarsia, Magdy Selim, Vasileios-Arsenios Lioutas
BACKGROUND: Hyperglycemia in the acute phase of intracerebral hemorrhage (ICH) has been associated with poor functional outcomes, however all interventions to lower glucose have yielded neutral or negative results. We attempt an explanation of the causal role of hyperglycemia in ΙCH outcome using generalized structural equation modeling. MATERIALS AND METHODS: Consecutive primary ICH patients admitted to an academic hospital between 2007 and 2018 were identified...
December 2023: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38487374/the-role-s-of-community-health-workers-in-primary-health-care-reform-in-kerala-before-and-during-the-covid-19-pandemic-a-qualitative-study
#30
JOURNAL ARTICLE
Hari Sankar D, Jaison Joseph, Gloria Benny, Surya Surendran, Santosh Kumar Sharma, Devaki Nambiar
BACKGROUND: Accredited Social Health Activists (ASHA) are Community Health Workers (CHWs) employed by the National Health Mission of the Government of India to link the population to health facilities and improve maternal and child health outcomes in the country. The government of Kerala launched primary health reform measures in 2016 whereby Primary Health Centres (PHCs) were upgraded to Family Health Centres (FHCs). The COVID-19 pandemic in 2020 impacted essential health service delivery, including primary care services...
2024: Front Health Serv
https://read.qxmd.com/read/38482633/annual-operator-volume-and-procedural-outcomes-of-chronic-total-occlusions-treated-with-percutaneous-coronary-interventions-analysis-based-on-14-899-patients
#31
JOURNAL ARTICLE
Rafał Januszek, Leszek Bryniarski, Kambis Mashayekhi, Carlo DI Mario, Wojciech Siłka, Krzysztof P Malinowski, Wojciech Wańha, Michał Chyrchel, Zbigniew Siudak
BACKGROUND: Low operator and institutional volume is associated with poorer procedural and long-term clinical outcomes in patients treated with percutaneous coronary interventions (PCI). This study was aimed at evaluating the relationship between operator volume and procedural outcomes of patients treated with PCI for chronic total occlusion (CTO). METHODS: Data were obtained from the national registry of percutaneous coronary interventions (ORPKI) collected from January 2014 to December 2020...
March 14, 2024: Minerva cardiology and angiology
https://read.qxmd.com/read/38482201/impact-of-radiation-dose-distribution-on-nutritional-supplementation-needs-in-head-and-neck-cancer-radiotherapy-a-voxel-based-machine-learning-approach
#32
JOURNAL ARTICLE
Sudharsan Madhavan, Mauricio Gamez, Yolanda I Garces, Scott C Lester, Daniel J Ma, Daniel W Mundy, Michelle A Neben Wittich, Jing Qian, David M Routman, Robert L Foote, Satomi Shiraishi
OBJECTIVES: To investigate the relationship between nutritional supplementation and radiation dose to the pharyngeal constrictor muscles and larynx for head and neck (HN) cancer patients undergoing radiotherapy. METHODS: We retrospectively analyzed radiotherapy (RT) dose for 231 HN cancer patients, focusing on the pharyngeal constrictors and larynx. We defined nutritional supplementation as feeding tube utilization or >10% weight loss from baseline within 90 days after radiotherapy completion...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38480623/abdominal-aortic-calcification-is-an-independent-predictor-of-perioperative-blood-loss-in-posterior-spinal-fusion-surgery
#33
JOURNAL ARTICLE
Ali E Guven, Gisberto Evangelisti, Lukas Schönnagel, Jiaqi Zhu, Krizia Amoroso, Erika Chiapparelli, Gaston Camino-Willhuber, Soji Tani, Thomas Caffard, Artine Arzani, Jennifer Shue, Andrew A Sama, Frank P Cammisa, Federico P Girardi, Ellen M Soffin, Alexander P Hughes
OBJECTIVE: Abdominal aortic calcification (AAC), often found incidentally on lateral lumbar radiographs, is increasingly recognized for its association with adverse outcomes in spine surgery. As a marker of advanced atherosclerosis affecting cardiovascular dynamics, this study evaluates AAC's impact on perioperative blood loss in posterior spinal fusion (PSF). METHODS: Patients undergoing PSF from March 2016 to July 2023 were included. Estimated blood loss (EBL) and total blood volume (TBV) were calculated...
March 13, 2024: European Spine Journal
https://read.qxmd.com/read/38478179/resistance-exercise-effects-on-hippocampus-subfield-volumes-and-biomarkers-of-neuroplasticity-and-neuroinflammation-in-older-adults-with-low-and-high-risk-of-mild-cognitive-impairment-a-randomized-controlled-trial
#34
JOURNAL ARTICLE
Wouter A J Vints, Julija Šeikinaitė, Evrim Gökçe, Simona Kušleikienė, Milda Šarkinaite, Kristina Valatkeviciene, Vida J Česnaitienė, Jeanine Verbunt, Oron Levin, Nerijus Masiulis
Physical exercise is suggested to promote hippocampal neuroplasticity by increasing circulating neurotrophic and anti-inflammatory factors. Our aim was to explore the interplay between the effect of progressive resistance exercise on blood biomarker levels, hippocampal neurometabolite levels and hippocampal volume in older adults with a low compared to a high risk of mild cognitive impairment (MCI). Seventy apparently healthy male/female older adults (aged 60-85 years old) were randomly allocated to a 12 week lower limb progressive resistance or no intervention, stratified for low (< 26/30) or high (≥ 26/30) Montreal Cognitive Assessment (MoCA) score, indicating MCI risk...
March 13, 2024: GeroScience
https://read.qxmd.com/read/38477121/operative-volumes-and-postoperative-outcomes-after-elective-resection-of-congenital-lung-malformations-in-infants
#35
JOURNAL ARTICLE
Abigail J Engwall-Gill, Jennine H Weller, Pooja S Salvi, Anne M Sescleifer, Annalise B Penikis, Shelby R Sferra, Kyra M Halbert-Elliott, Daniel S Rhee, Daniel G Solomon, Shaun M Kunisaki
OBJECTIVE: To determine whether hospital- and surgeon-level operative volumes are associated with differences in postoperative outcomes among infants undergoing elective lung surgery for a congenital lung malformation (CLM). SUMMARY BACKGROUND DATA: Infant lung surgery is a relatively uncommon procedure performed by pediatric surgeons nationwide. The relationship between surgical volume and postoperative outcomes remains unknown. METHODS: A retrospective cohort study of asymptomatic infants who underwent elective lung resection of a CLM was conducted using the Pediatric Health Information System database (2016-2020)...
March 13, 2024: Annals of Surgery
https://read.qxmd.com/read/38471987/monitoring-of-cerebral-blood-flow-autoregulation-physiologic-basis-measurement-and-clinical-implications
#36
REVIEW
Eric L Vu, Charles H Brown, Kenneth M Brady, Charles W Hogue
Cerebral blood flow (CBF) autoregulation is the physiologic process whereby blood supply to the brain is kept constant over a range of cerebral perfusion pressures ensuring a constant supply of metabolic substrate. Clinical methods for monitoring CBF autoregulation were first developed for neurocritically ill patients and have been extended to surgical patients. These methods are based on measuring the relationship between cerebral perfusion pressure and surrogates of CBF or cerebral blood volume (CBV) at low frequencies (<0...
March 11, 2024: British Journal of Anaesthesia
https://read.qxmd.com/read/38471173/evaluating-the-relationship-between-contouring-variability-and-modelled-treatment-outcome-for-prostate-bed-radiotherapy
#37
JOURNAL ARTICLE
Viet Le Bao, Annette Haworth, Jason A Dowling, Amy Walker, Sankar Arumugam, Michael Jameson, Phillip Chlap, Kirsty Wiltshire, Sarah Keats, Kirrily Cloak, Mark Sidhom, Andrew Kneebone, Lois Holloway
OBJECTIVES: Contouring similarity metrics are often used in studies of inter-observer variation and automatic segmentation but do not provide an assessment of clinical impact. This study focused on post-prostatectomy radiotherapy and aimed to 1) identify if there is a relationship between variations in commonly used contouring similarity metrics and resulting dosimetry and 2) identify the variation in clinical target volume (CTV) contouring that significantly impacts dosimetry. APPROACH: The study retrospectively analysed CT scans of 10 patients from the TROG 08...
March 12, 2024: Physics in Medicine and Biology
https://read.qxmd.com/read/38470951/passive-eversion-assessment-for-progressive-collapsing-foot-deformity-after-lateral-column-lengthening-a-cadaveric-biomechanical-study
#38
JOURNAL ARTICLE
Jaeyoung Kim, Jeffrey W Hoffman, Scott J Ellis, Jonathan T Deland, Brett D Steineman
BACKGROUND: Reduced hindfoot eversion motion has been proposed as a cause of increased lateral foot pressure following lateral column lengthening (LCL) for progressive collapsing foot deformity (PCFD). A subjective intraoperative assessment of passive eversion has been suggested to help evaluate correction; however, it is unclear how passive eversion correlates with objective measurements of foot stiffness. Our objectives were to quantify the relationship between the maximum passive eversion in hindfoot joints following LCL with plantar pressure during stance and to determine the influence of wedge size on these outcomes...
March 12, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38469689/interaction-of-ai-enabled-quantitative-coronary-plaque-volumes-on-coronary-ct-angiography-ffr-ct-and-clinical-outcomes-a-retrospective-analysis-of-the-advance-registry
#39
JOURNAL ARTICLE
James Dundas, Jonathon Leipsic, Timothy Fairbairn, Nicholas Ng, Vida Sussman, Ilana Guez, Rachael Rosenblatt, Lynne M Hurwitz Koweek, Pamela S Douglas, Mark Rabbat, Gianluca Pontone, Kavitha Chinnaiyan, Bernard de Bruyne, Jeroen J Bax, Tetsuya Amano, Koen Nieman, Campbell Rogers, Hironori Kitabata, Niels P R Sand, Tomohiro Kawasaki, Sarah Mullen, Whitney Huey, Hitoshi Matsuo, Manesh R Patel, Bjarne L Norgaard, Amir Ahmadi, Georgios Tzimas
BACKGROUND: Luminal stenosis, computed tomography-derived fractional-flow reserve (FFRCT ), and high-risk plaque features on coronary computed tomography angiography are all known to be associated with adverse clinical outcomes. The interactions between these variables, patient outcomes, and quantitative plaque volumes have not been previously described. METHODS: Patients with coronary computed tomography angiography (n=4430) and one-year outcome data from the international ADVANCE (Assessing Diagnostic Value of Noninvasive FFRCT in Coronary Care) registry underwent artificial intelligence-enabled quantitative coronary plaque analysis...
March 12, 2024: Circulation. Cardiovascular Imaging
https://read.qxmd.com/read/38463867/automatic-segmentation-of-hemispheric-csf-on-mri-using-deep-learning-quantifying-cerebral-edema-following-large-hemispheric-infarction
#40
JOURNAL ARTICLE
Junzhao Cui, Jingyi Yang, Ye Wang, Meixin Ma, Ning Zhang, Rui Wang, Biyi Zhou, Chaoyue Meng, Peng Yang, Jianing Yang, Lei Xu, Guojun Tan, Lidou Liu, Junli Zhen, Li Guo, Xiaoyun Liu
BACKGROUND AND OBJECTIVE: Cerebral edema (CED) is a serious complication of acute ischemic stroke (AIS), especially in patients with large hemispheric infarction (LHI). Herein, a deep learning-based approach is implemented to extract CSF from T2-Weighted Imaging (T2WI) and evaluate the relationship between quantified cerebrospinal fluid and outcomes. METHODS: Patients with acute LHI who underwent magnetic resonance imaging (MRI) were included. We used a deep learning algorithm to segment the CSF from T2WI...
March 15, 2024: Heliyon
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