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Preoperative stress tests

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https://www.readbyqxmd.com/read/29781184/pre-operative-dobutamine-stress-echocardiography-in-patients-undergoing-orthotopic-liver-transplantation
#1
Krishna K Patel, Laura Young, William Carey, Kathryn A Kohn, Richard A Grimm, L Leonardo Rodriguez, Brian P Griffin, Milind Y Desai
BACKGROUND: Coronary artery disease (CAD) is associated with increased mortality in patients that undergo orthotopic liver transplantation (OLT). Due to chronic vasodilatory state and poor exercise tolerance in patients with end stage liver disease, dobutamine stress echocardiography (DSE) is preferred for preoperative evaluation of CAD prior to OLT. We sought to a) study the incidence of positive DSE results and b) test whether there is an association between DSE results and perioperative and longer-term events...
May 20, 2018: Clinical Cardiology
https://www.readbyqxmd.com/read/29781073/the-impact-of-concurrent-pelvic-organ-prolapse-reconstructive-surgery-on-midurethral-sling-procedure-outcome
#2
Buğra Çoşkun, Orhan S Aksakal, Bora Çoşkun, Engin Yurtçu, Mehmet Özgür Akkurt, Özgül Kafadar, Melike Doğanay
OBJECTIVES: To evaluate the effect of concurrent pelvic organ prolapse (POP) reconstructive surgery on midurethral sling (MUS) procedure outcome. MATERIAL AND METHODS: The present retrospective study included 300 women with urodynamically diagnosed stress urinary incontinence that underwent MUS procedures with or without concurrent POP reconstructive surgery. Patients were divided into four groups according to the performed surgery; 1) transobturator tape (TOT), 2) TOT with POP surgery (anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy), 3) tension free vaginal tape (TVT), 4) TVT with POP surgery...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29729520/ultrasound-elastography-of-the-lower-uterine-segment-in-women-with-a-previous-cesarean-section-comparison-of-in-ex-vivo-elastography-versus-tensile-stress-strain-rupture-analysis
#3
Gregor Seliger, Katharina Chaoui, Christine Lautenschläger, Klaus-Vitold Jenderka, Christian Kunze, Grit Gesine Ruth Hiller, Michael Tchirikov
OBJECTIVES: The purpose of this study was to assess, if the biomechanical properties of the lower uterine segment (LUS) in women with a previous cesarean section (CS) can be determined by ultrasound (US) elastography. The first aim was to establish an ex-vivo LUS tensile-stress-strain-rupture(break point) analysis with the possibility of simultaneously using US elastography. The second aim was to investigate the relationship between measurement results of LUS stiffness using US elastography in-/ex-vivo with results of tensile-stress-strain-rupture analysis, and to compare different US elastography LUS-stiffness-measurement methods ex-vivo...
April 20, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29725708/outcomes-of-stress-urinary-incontinence-in-women-undergoing-tot-versus-burch-colposuspension-with-abdominal-sacrocolpopexy
#4
George Lazarou, Evelyn Minis, Bogdan Grigorescu
INTRODUCTION AND HYPOTHESIS: To compare postoperative rates of stress urinary incontinence (SUI) in patients with pelvic organ prolapse and SUI undergoing abdominal sacrocolpopexy (ASC) with Burch colposuspension or a transobturator tape (TOT) sling. METHODS: In this retrospective cohort study, medical records of 117 patients who underwent ASC with Burch (n = 60) or TOT (n = 57) between 2008 and 2010 at NYU Winthrop Hospital were assessed. Preoperative evaluation included history, physical examination, cough stress test (CST), and multichannel urodynamic studies (MUDS)...
May 3, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29722491/-routine-preoperative-testing-in-adults-undergoing-elective-non-cardiothoracic-surgery
#5
REVIEW
N Benahmed, G Briat, K Rondia, J Vlayen
INTRODUCTION: The Belgian Health Care Knowledge Center (KCE) developed a guideline about routine preoperative testing in adults undergoing elective non-cardiothoracic surgery. The guideline is intended for all care providers involved in the preoperative and perioperative management (incl. anesthesiologists, surgeons, cardiologists, lung specialists, radiologists, clinical biologists, general practitioners, etc). METHOD: A recent English guideline published by NICE (National Institute for Health and Care Excellence) was used as a starting point and adapted to the Belgian context...
2018: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/29717511/refined-nomogram-incorporating-standing-cough-test-improves-prediction-of-male-transobturator-sling-success
#6
Nabeel A Shakir, Joceline S Fuchs, Maxim J McKibben, Boyd R Viers, Travis J Pagliara, Jeremy M Scott, Allen F Morey
AIMS: To develop a decision aid in predicting sling success, incorporating the Male Stress Incontinence Grading Scale (MSIGS) into existing treatment algorithms. METHODS: We reviewed men undergoing first-time transobturator sling for stress urinary incontinence (SUI) from 2007 to 2016 at our institution. Patient demographics, reported pads per day (PPD), and Standing Cough Test (SCT) results graded 0-4, according to MSIGS, were assessed. Treatment failure was defined as subsequent need for >1 PPD or further procedures...
May 1, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29709415/biomechanical-comparison-of-glenoid-implants-with-adaptable-and-fixed-backside-curvatures-in-anatomic-total-shoulder-arthroplasty
#7
Alexandre Terrier, Raphaël Obrist, Valérie Malfroy Camine, Fabio Becce, Alain Farron
BACKGROUND: We evaluated the biomechanical effects and potential advantages of glenoid implants with adaptable backside curvature radii and compared them with standard implants having fixed backside curvatures in anatomic total shoulder arthroplasty (aTSA) for primary glenohumeral osteoarthritis with uniconcave glenoids. METHODS: A glenoid implant with adaptable backside curvatures (Aequalis PerFORM, Tornier SAS, Montbonnot, France) was compared with its previous model having a fixed curvature radius...
April 27, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29708035/gender-differences-in-outcomes-after-aortic-aneurysm-surgery-should-foster-further-research-to-improve-screening-and-prevention-programmes
#8
Francesco Nicolini, Antonella Vezzani, Francesco Corradi, Riccardo Gherli, Filippo Benassi, Tullio Manca, Tiziano Gherli
Background Gender-related biases in outcomes after thoracic aortic surgery are an important factor to consider in the prevention of potential complications related to aortic diseases and in the analysis of surgical results. Methods The aim of this study is to provide an up-to-date review of gender-related differences in the epidemiology, specific risk factors, outcome, and screening and prevention programmes in aortic aneurysms. Results Female patients affected by aortic disease still have worse outcomes and higher early and late mortality than men...
June 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29691099/influence-of-aortic-neck-characteristics-on-successful-aortic-wall-penetration-of-endoanchors-in-therapeutic-use-during-endovascular-aneurysm-repair
#9
Seline R Goudeketting, Kim van Noort, Kenneth Ouriel, William D Jordan, Jean M Panneton, Cornelis H Slump, Jean-Paul P M de Vries
OBJECTIVE: This study sought to quantify EndoAnchor (Medtronic Vascular, Santa Rosa, Calif) penetration into the aortic wall in patients undergoing endovascular abdominal aortic aneurysm repair and to assess predictors of successful penetration and its relationship to postprocedural type IA endoleak. METHODS: A subset of patients from the Aneurysm Treatment Using the Heli-FX Aortic Securement System Global Registry (ANCHOR) were included if they met the following criteria: the indication for EndoAnchor use was to treat a type IA endoleak, and postprocedure contrast-enhanced computed tomography (CT) scans of sufficient quality were available for core laboratory review...
April 21, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29663938/cohousing-male-mice-with-and-without-segmental-bone-defects
#10
Jeffrey D Rytlewski, Paul J Childress, David C Scofield, Faisal Khan, Marta B Alvarez, Aamir T Tucker, Jonathan S Harris, Jessica L Peveler, Debra L Hickman, Tien-Min G Chu, Melissa A Kacena
Spaceflight results in bone loss like that associated with osteoporosis or decreased weight-bearing (for example, high-energy trauma such as explosive injuries and automobile accidents). Thus, the unique spaceflight laboratory on the International Space Station presents the opportunity to test bone healing agents during weightlessness. We are collaborating with NASA and the US Army to study bone healing in spaceflight. Given the unique constraints of spaceflight, study design optimization was required. Male mice were selected primarily because their femur is larger than females', allowing for more reproducible surgical outcomes...
April 2, 2018: Comparative Medicine
https://www.readbyqxmd.com/read/29644382/prolapse-reduction-deteriorates-the-urethral-closure-mechanism
#11
Yasmine Khayyami, Gunnar Lose, Niels Klarskov
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) reduction is often performed in the preoperative assessment of women before POP surgery. Using urethral pressure reflectometry (UPR), we sought to investigate how POP reduction affects the urethral closure mechanism. METHODS: Women with anterior or posterior vaginal wall prolapse stage ≥II with and without POP reduction were examined with a speculum. We performed prolapse staging according to the Pelvic Organ Prolapse Quantification system, UPR measurements at rest and during squeezing, and standardized stress tests with 300 ml saline...
April 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29628725/robotic-assisted-sacrocolpopexy-with-versus-without-concomitant-midurethral-sling-a-2-year-follow-up-of-urinary-symptoms-and-quality-of-life
#12
Jeffrey S Schachar, Kathryn S Williams, Harvey A Winkler
Objective: The objective of this study was to assess long-term postoperative urinary incontinence (UI) symptoms and quality of life (QOL) in patients after robotic-assisted sacrocolpopexy (RASC) with or without concomitant midurethral sling (MUS). Materials and Methods: This is a cross-sectional survey of patients comparing long-term postoperative urinary symptoms and QOL measurements in women who underwent RASC with or without MUS. We included all patients from 2011 to 2014 who had RASC with or without MUS...
January 2018: Journal of Mid-life Health
https://www.readbyqxmd.com/read/29601208/performance-and-return-to-sport-after-tommy-john-surgery-among-major-league-baseball-position-players
#13
Robert A Jack, Matthew B Burn, Kyle R Sochacki, Patrick C McCulloch, David M Lintner, Joshua D Harris
BACKGROUND: The anterior bundle of the medial ulnar collateral ligament (UCL) is the primary restraint to valgus stress at the elbow and is often injured among overhead throwing athletes. Despite prevention strategies, injuries to the elbow UCL are on the rise. PURPOSE: To determine (1) the return-to-sport (RTS) rate of Major League Baseball (MLB) position players after elbow medial UCL reconstruction, (2) postoperative career length and games per season, (3) pre- and postoperative performance, (4) postoperative performance versus matched control players, and (5) whether position players changed positions after UCL reconstruction...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29594319/outcome-of-rolled-fortified-vaginal-flap-operation-on-female-patients-with-intrinsic-sphincteric-deficiency-2-year-follow-up
#14
Mohamed Shoukry, Mostafa Elmissiry, Mohamed Hassouna, Haitham Abdelmoteleb
INTRODUCTION AND HYPOTHESIS: We evaluate the 2-year outcome of the rolled fortified vaginal flap (RFVF) operation for the treatment of stress urinary incontinence (SUI) due to intrinsic sphincteric deficiency (ISD). METHODS: A prospective study of 20 women suffering from SUI due to ISD was conducted. All patients were subjected to history-taking, clinical examination, cough stress test, and urodynamics. Symptom severity and quality of life (QoL) were assessed using the Arabic version of the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF)...
March 28, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29580793/comparison-of-in-vivo-vs-ex-situ-obtained-material-properties-of-sheep-common-carotid-artery
#15
Marija Smoljkić, Peter Verbrugghe, Matilda Larsson, Erik Widman, Heleen Fehervary, Jan D'hooge, Jos Vander Sloten, Nele Famaey
Patient-specific biomechanical modelling can improve preoperative surgical planning. This requires patient-specific geometry as well as patient-specific material properties as input. The latter are, however, still quite challenging to estimate in vivo. This study focuses on the estimation of the mechanical properties of the arterial wall. Firstly, in vivo pressure, diameter and thickness of the arterial wall were acquired for sheep common carotid arteries. Next, the animals were sacrificed and the tissue was stored for mechanical testing...
March 23, 2018: Medical Engineering & Physics
https://www.readbyqxmd.com/read/29576639/total-hip-arthroplasty-by-the-direct-anterior-approach-using-a-neck-preserving-stem-safety-efficacy-and-learning-curve
#16
Aditya Khemka, Omar Mograby, Sarah J Lord, Zelda Doyle, Munjed Al Muderis
Background: The concept of femoral neck preservation in total hip replacement (THR) was introduced in 1993. It is postulated that retaining cortical bone of the femoral neck offers triplanar stability, uniform stress distribution, and accommodates physiological anteversion. However, data on safety, efficacy and learning curve are lacking. Materials and Methods: We prospectively assessed all patients who were operated for a THR with a short neck preserving stem (MiniHip) between 2012 and 2014...
March 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29556707/a-randomized-prospective-comparison-of-the-needleless-mini-sling-hammock-and-u-shape-configurations-for-management-of-stress-urinary-incontinence-18-month-follow-up-results
#17
Ozan Dogan, Alper Basbug, Aski Ellibes Kaya, Cigdem Pulatoglu, Murat Yassa
OBJECTIVE: To compare the efficacy of needleless mini-sling placed either retropubic (U-shape) or trans-obturator (hammock-shape) to treat stress urinary incontinence. SETTING: One hundred and twenty six women were randomized in a 2:1 ratio to receive hammock-shaped or U-shaped of Contasure-NDL. METHODS: All surgical procedures were performed by one senior surgeon experienced in anti-incontinence surgery with mesh. Cough-stress test was considered for objective outcome...
March 19, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29536687/-analysis-of-the-characteristics-and-clinical-diagnosis-and-treatment-of-avulsion-fracture-of-the-lateral-edge-of-tibial-plateau
#18
Jia-Ping Pan, Xu-Can Wang, Ming-Hong Huang
OBJECTIVE: To investigate the characteristics and clinical treatment of avulsion fracture of the lateral edge of tibial plateau(segond fracture) in knee joint injuries. METHODS: From January 2011 and December 2015, 29 patients with Segond fracture were treated with minimally invasive arthroscopy technology in intra-articular injuries combined with double anchor nail fixation in avulsion fracture of the lateral edge of tibial plateau, including 17 males and 12 females with an average age of 41 years old ranging from 27 to 62 years old...
February 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29528529/sense-of-coherence-is-a-predictor-of-survival-a-prospective-study-in-women-treated-for-breast-cancer
#19
Carina Lindblad, Ann Langius-Eklöf, Lena-Marie Petersson, Helena Sackey, Matteo Bottai, Kerstin Sandelin
OBJECTIVE: Sense of coherence (SOC) reflects a person's overall orientation to life. Sense of coherence guides the person in finding and utilizing resources to maintain health and manage stress. Previously, we demonstrated SOC's stability over time among breast cancer (BC) patients, and in the present article, SOC's predictive value for survival is tested. METHODS: A cohort of 487 women underwent surgery for invasive BC and completed preoperatively the SOC-13 within a multicenter trial...
March 12, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29502137/effectiveness-of-the-remeex-system%C3%A2-in-colombian-women-with-recurrent-stress-urinary-incontinence-or-intrinsic-sphincter-deficiency
#20
Mauricio Plata, Daniela Robledo, Alejandra Bravo-Balado, Juan Carlos Castaño, Catalina Osorio, Milton Salazar, Juan Guillermo Velásquez, Carlos Gustavo Trujillo, Juan Ignacio Caicedo, Juan Guillermo Cataño
INTRODUCTION AND HYPOTHESIS: We report our experience with the Remeex system™ in women with recurrent stress urinary incontinence (SUI) or intrinsic sphincter deficiency (ISD). METHODS: A multicenter retrospective study was conducted in women who underwent an adjustable sling procedure between 2011 and 2016. We used urodynamic studies (UDS) preoperatively and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and cough stress test (CST) pre- and postoperatively...
March 3, 2018: International Urogynecology Journal
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