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Preoperative stress tests

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https://www.readbyqxmd.com/read/29132933/long-term-follow-up-of-the-advance-%C3%A2-advancexp-%C3%A2-sling-what-are-the-surgeons-impressions-what-are-the-patients
#1
A Romero Hoyuela, L Reina Alcaina, E Izquierdo Morejon, A Rosino Sanchez, C Carrillo George, A Rivero Guerra, I Barcelo Bayonas, A Pardo Martinez, V Muñoz Guillermo, B Pietricica, T Fernandez Aparicio, G Hita Villaplana, B Miñana Lopez
OBJECTIVES: To analyse the safety, efficacy and quality of life of patients with male stress urinary incontinence after radical prostatectomy treated with the AdVance(®) and AdvanceXP(®) slings. PATIENTS AND METHOD: The study included 92 patients with stress urinary incontinence after radical prostatectomy treated with the AdVance(®) and AdVanceXP(®) sling between May 2008 and December 2015. A perineal repositioning test was performed in all cases with sphincter coaptation of≥1...
November 10, 2017: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/29128486/lower-dose-of-sufentanil-does-not-enhance-fast-track-significantly-a-randomized-study
#2
Rajesh Bhavsar, Pia Katarina Ryhammer, Jacob Greisen, Carl-Johan Jakobsen
OBJECTIVE: Adjustment in the doses of opioids has been a focus of interest for achieving better fast-track conditions in cardiac anesthesia, but relatively sparse information exists on the potential effect of psychologic and behavioral factors, such as stress, anxiety, and type of personality, on anesthesia requirements and patient turnover in the cardiac recovery unit (CRU); to the authors' knowledge, this particular focus has not been systematically investigated. In this randomized study, the authors tested the hypothesis that low-dose sufentanil, compared with a standard dose, can improve fast-track parameters and the overall quality of recovery...
August 9, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29109751/the-relation-of-preoperative-stress-and-anxiety-on-patients-satisfaction-after-implant-placement
#3
Houman Khorshidi, Fatemeh Lavaee, Janan Ghapanchi, Ali Golkari, Sara Kholousi
Background: There are some factors which can affect preoperative patient anxiety such as the necessity of procedure, postoperative pain, and patient's conception of his body image. The aim of this study was to assess the relation of patients' preoperative anxiety and postoperative patients' satisfaction in dental implant surgery. Materials and Methods: Dental implants were placed in 40 patients (19 male and 21 female) who were referred to Dental Implant Surgery Department in Imam Reza clinic, during March-December of 2014 in Shiraz...
September 2017: Dental Research Journal
https://www.readbyqxmd.com/read/29103165/the-urethral-closure-mechanism-is-deteriorated-after-anterior-colporrhaphy
#4
Yasmine Khayyami, Gunnar Lose, Niels Klarskov
INTRODUCTION AND HYPOTHESIS: Urethral pressure reflectometry (UPR) has proven highly reproducible in women with pelvic organ prolapse. We hypothesized that urethral parameters would decrease after anterior colporrhaphy. METHODS: A prospective, observational study where women with anterior vaginal wall prolapse ≥stage II were assessed before and after anterior colporrhaphy. Assessments consisted of prolapse staging according to the Pelvic Organ Prolapse Quantification system, UPR measurements at rest, during squeezing and straining (at a standardized abdominal pressure of 50 cmH2O, PO-Abd 50), standardized stress tests with 300 ml saline, and answering the International Consultation on Incontinence - Urinary incontinence short form...
November 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29101896/a-simplified-application-app-for-the-parametric-design-of-screw-plate-fixation-of-bone-fractures
#5
Chen-Yuan Chung
Screw and plate fixation is commonly used to treat bone fractures. A prototype application (APP) for presurgical simulation was developed and validated by comparing it with current analytical approach and other models. In this APP, alternative plate designs and materials to limit the effects of stress shielding could be tested. In addition, the number and position of screws and the gap between bone and plate that achieved acceptable stability were predicted. The fixation stability providing a situation of interfragmentary strain between 2% and 10% is necessary for callus formation...
November 1, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29071142/the-impact-of-coexisting-sperm-dna-fragmentation-and-seminal-oxidative-stress-on-the-outcome-of-varicocelectomy-in-infertile-patients-a-prospective-controlled-study
#6
Shabieb A Abdelbaki, Jehan H Sabry, Ahmed M Al-Adl, Hanan H Sabry
OBJECTIVES: To study the relationship between sperm DNA fragmentation (SDF) and reactive oxygen species (ROS) levels in infertile patients with varicocele, and to examine the beneficial effect of varicocelectomy and elucidate predictors of improvement after repair. PATIENTS SUBJECTS AND METHODS: We prospectively studied 60 patients with varicocele and abnormal semen variables who attended the outpatient clinic complaining of infertility for ≥12 months. In all, 25 patients (41...
June 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/29025386/preoperative-cardiac-risk-assessment-in-renal-transplant-recipients-a-single-center-experience
#7
Kerem Can Yilmaz, Arzu Neslihan Akgün, Orcun Ciftci, Haldun Muderrisoglu, Siren Sezer, Gokhan Moray, Mehmet Haberal
OBJECTIVES: Cardiovascular disease is the major cause of morbidity and mortality in patients on renal replacement therapy and in kidney transplant recipients. There are no specific recommendations for preoperative cardiac risk assessment before renal transplant. The aim of our study was to analyze preoperative cardiac test frequencies, test results, patient characteristics, and relations between cardiac stress test results and severe coronary artery disease. MATERIALS AND METHODS: We retrospectively examined patients who underwent renal transplant between December 2011 and December 2016 in our hospital (Ankara, Turkey)...
October 12, 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/28989151/-application-of-pie-crusting-the-medial-collateral-ligament-release-in-arthroscopic-surgery-for-posterior-horn-of-%C3%A2-medial-meniscus-in-knee-joint
#8
Weihong Zhu, Qi Tang, Lele Liao, Ding Li, Yang Yang, You Chen
To explore the effectiveness and safety of pie-crusting the medial collateral ligament release (MCL) in treating posterior horn of medial meniscus (PHMM) tear in tight medial tibiofemoral compartment of knee joint.
 Methods: Thirty-two consecutive patients with PHMM tear in tight medial tibiofemoral compartment of knee joint were admitted to our department from January, 2013 to December, 2014. All patients were performed pie-crusting the MCL release at its tibial insertion with 18-gauge intravenous needle...
September 28, 2017: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/28976343/urodynamics-before-surgery-for-stress-urinary-incontinence-in-female-patients-an-open-debate
#9
Enrico Finazzi Agro, Valerio Iacovelli, Ester Illiano, Elisabetta Costantini
Currently the debate on the role of urodynamic tests in the preoperative evaluation of female stress urinary incontinence is alight. Although urodynamic investigation (UDI) has been considered mandatory before surgery in all female patients affected by stress urinary incontinence, nowadays international guidelines are more cautious. Literature on this topic has been reviewed in order to clarify the role of UDI before surgery for "complicated" and "uncomplicated" stress urinary incontinence in female patients...
October 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28967722/cardiovascular-risk-assessment-in-the-senior-population-undergoing-anesthesia-for-non-cardiac-surgery
#10
Concezione Tommasino
Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/28962664/a-new-concept-for-implant-borne-dental-rehabilitation-how-to-overcome-the-biological-weak-spot-of-conventional-dental-implants
#11
Nils-Claudius Gellrich, Björn Rahlf, Rüdiger Zimmerer, Philipp-Cornelius Pott, Majeed Rana
BACKGROUND: Every endosseous dental implant is dependent on an adequate amount and quality of peri-implant hard and soft tissues and their fully functional interaction. The dental implant could fail in cases of insufficient bone and soft tissues or due to a violation of the soft to hard tissues to implant shoulder interface with arising of a secondary bone loss. METHOD: To overcome this biological weak-spot, we designed a new implant that allows for multi vector endosseous anchorage around the individual underlying bone, which has to be scanned by computed tomography (CT) or Cone beam CT (CBCT) technique to allow for planning the implant...
September 29, 2017: Head & Face Medicine
https://www.readbyqxmd.com/read/28941138/prolapse-surgery-with-or-without-incontinence-procedure-a-systematic-review-and-meta-analysis
#12
REVIEW
J Marinus van der Ploeg, Annemarie van der Steen, Sandra Zwolsman, C Huub van der Vaart, Jan-Paul W R Roovers
BACKGROUND: To reduce the risk of postoperative stress urinary incontinence (POSUI) prolapse repair might be combined with incontinence surgery. OBJECTIVES: Compare efficacy and safety of prolapse surgery with and without incontinence surgery. SEARCH STRATEGY: Including our earlier review a systematic search in PubMed, EMBASE, the Cochrane Library and the Register of Current Controlled Trials was performed from 1995 to 2017. SELECTION CRITERIA: Randomised trials comparing prolapse surgery with a midurethral sling (MUS) or Burch colposuspension...
September 22, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28925651/exercise-stress-testing-indications-and-common-questions
#13
Kathryn K Garner, William Pomeroy, James J Arnold
Exercise stress testing is a validated diagnostic test for coronary artery disease in symptomatic patients, and is used in the evaluation of patients with known cardiac disease. Testing of asymptomatic patients is generally not indicated. It may be performed in select deconditioned adults before starting a vigorous exercise program, but no studies have compared outcomes from preexercise testing vs. encouraging light exercise with gradual increases in exertion. Preoperative exercise stress testing is helpful for risk stratification in patients undergoing vascular surgery or who have active cardiac symptoms before undergoing nonemergent noncardiac surgery...
September 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28912198/frequency-of-low-value-care-in-alberta-canada-a-retrospective-cohort-study
#14
Finlay A McAlister, Meng Lin, Jeff Bakal, Stafford Dean
OBJECTIVE: To determine how frequently 10 low-value services highlighted by Choosing Wisely are done and what factors influence their provision. METHODS: This is a retrospective cohort study using routinely collected health data from five linked data sets from 2012 to 2015 in the Canadian province of Alberta to determine the frequency with which 10 low-value services were provided. RESULTS: Between 2012 and 2015, 162 143 people (4% of all 3 814 536 adult Albertans and 5% of the 3 423 135 who saw a physician at least once in that time frame) received at least one of the 10 low-value services, including 29...
September 14, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28877362/trends-in-urodynamic-testing-prior-to-midurethral-sling-placement-what-was-the-value-of-the-value-trial
#15
Jessica C Lloyd, Elodi Dielubanza, Howard B Goldman
BACKGROUND: Many urologists use urodynamic testing (UDS) to assist clinical decision-making. The VALUE study, a multi-institutional, randomized controlled trial published in 2012, demonstrated that UDS prior to midurethral sling placement for uncomplicated stress urinary incontinence (SUI) did not change management. We sought to determine whether use of UDS for evaluation of SUI diminished thereafter. METHODS: Records of patients who underwent isolated mid-urethral sling surgery at our tertiary-care referral center from 2008 to 2009 (pre-VALUE) and 2014 to 2016 (post-VALUE) were reviewed...
September 6, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28869431/a-method-to-investigate-the-biomechanical-alterations-in-perthes-disease-by-hip-joint-contact-modeling
#16
Remel Alingalan Salmingo, Tina Lercke Skytte, Marie Sand Traberg, Lars Pilgaard Mikkelsen, Kaj-Åge Henneberg, Christian Wong
Perthes' disease is a destructive hip joint disorder characterized by malformation of the femoral head in young children. While the morphological changes have been widely studied, the biomechanical effects of these changes still need to be further elucidated. The objective of this study was to develop a method to investigate the biomechanical alterations in Perthes' disease by finite element (FE) contact modeling using MRI. The MRI data of a unilateral Perthes' case was obtained to develop the three-dimensional FE model of the hip joint...
2017: Bio-medical Materials and Engineering
https://www.readbyqxmd.com/read/28826786/surgical-treatment-of-chronic-lateral-ankle-instability-using-an-inferior-extensor-retinaculum-flap-a-retrospective-study
#17
Faycal Trichine, Toufik Friha, Azzedine Boukabou, Lamine Belaid, Terek Bouzidi, Mahdjoub Bouzitouna
Chronic lateral ankle instability causes significant problems with physical activity. The purpose of the present study was to evaluate the results of ligamentous retensioning combined with reinforcement using an extensor retinaculum flap. A consecutive series of 38 patients were included with a minimum follow-up duration of 2 years. The functional results were assessed using the Karlsson and American Orthopaedic Foot and Ankle Society scale scores. The pre- and postoperative radiologic assessment was performed using stress radiographs to measure varus tilt and anterior drawer tests...
August 17, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28798831/an-in-house-composix%C3%A2-based-pubovaginal-sling-trial-for-female-stress-urinary-incontinence-five-year-comparative-followup-to-tension-free-and-transobturator-vaginal-tapes
#18
Tal Ben-Zvi, Katherine Moore, Nadim Haidar, Mireille Gregoire
INTRODUCTION: We compared the efficacy of three slings in the long-term treatment of stress urinary incontinence (SUI): tension-free vaginal tape (TVT), vaginal tape-obturator (TVT-O), and an in-house two-layered polypropylene mesh with a submicronic polytetrafluoroethylene (Composix™). Our primary endpoint was the objective measurement of continence (24-hour pad test). Secondarily, we measured the satisfaction and complication rates. METHODS: This prospective, non-randomized study included 128 patients with SUI...
August 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28761200/a-prospective-study-of-altered-inflammatory-response-and-its-clinical-outcome-following-laparoscopic-and-open-cholecystectomy
#19
Sayyed Ehtesham Hussain Naqvi, Atia Zaka-Ur-Rab, Najmul Islam, Eram Ali
BACKGROUND: Inflammatory response following surgical trauma has long been a matter of study. Results, however, have been varied. We sought to assess changes in the levels of proinflammatory and anti-inflammatory cytokines in patients undergoing laparoscopic and open cholecystectomy and their impact on the clinical outcome of patients concerning the postoperative pain score. METHODS: The study involved 90 cholecystectomies (55 laparoscopic and 35 open) for chronic cholecystitis...
July 2017: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28742427/a-comparison-of-multimodal-analgesic-approaches-in-institutional-enhanced-recovery-after-surgery-protocols-for-colorectal-surgery-pharmacological-agents
#20
Erik M Helander, Michael P Webb, Meghan Bias, Edward E Whang, Alan D Kaye, Richard D Urman
INTRODUCTION: Enhanced Recovery After Surgery (ERAS(®)) protocols are the cornerstone of improved recovery after colorectal surgery. Their implementation leads to reduced morbidity and shorter hospital stays while attenuating the surgical stress response. Multimodal analgesia is an important part of ERAS protocols. We compared and contrasted protocols from 15 institutions to test our hypothesis that there is a fundamental consensus among them. MATERIALS AND METHODS: ERAS protocols for open and laparoscopic colorectal surgery were compared from 15 different healthcare facilities...
September 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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