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https://www.readbyqxmd.com/read/29052067/concomitant-open-ventral-hernia-repair-what-is-the-financial-impact-of-performing-open-ventral-hernia-with-other-abdominal-procedures-concomitantly
#1
Vashisht Madabhushi, Margaret A Plymale, John Scott Roth, Sara Johnson, Alex Wade, Daniel L Davenport
BACKGROUND: Open ventral hernia repair (VHR) is often performed in conjunction with other abdominal procedures. Clinical outcomes and financial implications of VHR are becoming better understood; however, financial implications of concomitant VHR during other abdominal procedures are unknown. This study aimed to evaluate the financial implications of adding VHR to open abdominal procedures. METHODS: This IRB-approved study retrospectively reviewed hospital costs to 180-day post-discharge of standalone VHRs, isolated open abdominal surgeries (bowel resection or stoma closure, removal of infected mesh, hysterectomy or oophorectomy, panniculectomy or abdominoplasty, open appendectomy or cholecystectomy), performed at our institution from October 1, 2011 to September 30, 2014...
October 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29050416/feeding-broiler-breeders-a-reduced-balanced-protein-diet-during-the-rearing-and-laying-period-impairs-reproductive-performance-but-enhances-broiler-offspring-performance
#2
J Lesuisse, C Li, S Schallier, J Leblois, N Everaert, J Buyse
Mammalian studies have shown that nutritional constraints during the perinatal period are able to program the progeny (metabolism, performance). The presented research aimed to investigate if broiler breeders and their offspring performance could be influenced by reducing the dietary crude protein (CP) level with 25%. A total of 160 day-old pure line A breeder females were randomly divided over 2 dietary treatments. The control group was fed commercial diets, whereas the reduced balanced protein (RP) breeders received an isoenergetic diet that was decreased with 25% in dietary CP and amino acid during their entire lifespan...
September 1, 2017: Poultry Science
https://www.readbyqxmd.com/read/29044598/comparison-of-common-risk-stratification-indices-to-predict-outcomes-among-stage-iv-cancer-patients-with-bowel-obstruction-undergoing-surgery
#3
Sarah B Bateni, Richard J Bold, Frederick J Meyers, Daniel J Canter, Robert J Canter
BACKGROUND AND OBJECTIVES: Among patients with disseminated malignancy (DMa), bowel obstruction is common with high operative morbidity. Since preoperative risk stratification is critical, we sought to compare three standard risk indices, the American Society of Anesthesiology (ASA) classification, Charlson comorbidity index (CCI), and modified frailty index (mFI). METHODS: We identified 1928 DMa patients with bowel obstruction who underwent an abdominal operation from 2007 to 2012 American College of Surgeons National Surgical Quality Improvement Program...
October 16, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29038315/adiposity-dysmetabolic-traits-and-earlier-onset-of-female-puberty-in-adolescent-offspring-of-women-with-gestational-diabetes-mellitus-a-clinical-study-within-the-danish-national-birth-cohort
#4
Louise G Grunnet, Susanne Hansen, Line Hjort, Camilla M Madsen, Freja B Kampmann, Anne Cathrine B Thuesen, Charlotta Granstrømi, Marin Strøm, Ekaterina Maslova, Ruth Frikke-Schmidt, Peter Damm, Jorge E Chavarro, Frank B Hu, Sjurdur F Olsen, Allan Vaag
OBJECTIVE: Offspring of pregnancies affected by gestational diabetes mellitus (GDM) are at increased risk of the development of type 2 diabetes. However, the extent to which these dysmetabolic traits may be due to offspring and/or maternal adiposity is unknown. We examined body composition and associated cardiometabolic traits in 561 9- to 16-year-old offspring of mothers with GDM and 597 control offspring. RESEARCH DESIGN AND METHODS: We measured anthropometric characteristics; puberty status; blood pressure; and fasting glucose, insulin, C-peptide, and lipids levels; and conducted a DEXA scan in a subset of the cohort...
October 16, 2017: Diabetes Care
https://www.readbyqxmd.com/read/29037214/thyroid-function-and-metabolic-syndrome-in-the-population-based-lifelines-cohort-study
#5
Bruce H R Wolffenbuttel, Hanneke J C M Wouters, Sandra N Slagter, Robert P van Waateringe, Anneke C Muller Kobold, Jana V van Vliet-Ostaptchouk, Thera P Links, Melanie M van der Klauw
BACKGROUND: The metabolic syndrome (MetS) is a combination of unfavourable health factors which includes abdominal obesity, dyslipidaemia, elevated blood pressure and impaired fasting glucose. Earlier studies have reported a relationship between thyroid function and some MetS components or suggested that serum free thyroxine (FT4) or free triiodothyronine (FT3) levels within the normal range were independently associated with insulin resistance. We assessed how thyroid function relates to MetS prevalence in a large population-based study...
October 16, 2017: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/29026962/abdominal-contouring-outcomes-in-class-iii-obesity-analysis-of-the-acs-nsqip-database
#6
Husain T AlQattan, Leela S Mundra, Gustavo A Rubio, Seth R Thaller
BACKGROUND: Obesity may increase the risk of complications following abdominal contouring. The aim of this study is to evaluate panniculectomy outcomes in patients with class III obesity (BMI > 40 kg/m(2)). METHODS: The American College of Surgeon's National Surgical Quality Improvement Program ACS-NSQIP (2010-2014) was used to identify patients who underwent panniculectomy. Class III obesity patients were identified. Demographics, comorbidities and postoperative outcomes were evaluated...
October 12, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29021750/cough-anal-reflex-may-be-the-expression-of-a-pre-programmed-postural-action
#7
Paolo Cavallari, Francesco Bolzoni, Roberto Esposti, Carlo Bruttini
When coughing, an involuntary contraction of the external anal sphincter occurs, in order to prevent unwanted leakages or sagging of the pelvis muscular wall. Literature originally described such cough-anal response as a reflex elicited by cough, therefore identifying a precise cause-effect relationship. However, recent studies report that the anal contraction actually precedes the rise in abdominal pressure during cough expiratory effort, so that the sphincter activity should be pre-programmed. In recent years, an important family of pre-programmed muscle activities has been well documented to precede voluntary movements: these anticipatory actions play a fundamental role in whole body and segmental postural control, hence they are referred to as anticipatory postural adjustments (APAs)...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29017799/automated-segmentation-of-abdominal-subcutaneous-adipose-tissue-and-visceral-adipose-tissue-in-obese-adolescent-in-mri
#8
Steve C N Hui, Teng Zhang, Lin Shi, Defeng Wang, Chei-Bing Ip, Winnie C W Chu
PURPOSE: To develop a reliable and reproducible automatic technique to segment and measure SAT and VAT based on MRI. MATERIALS AND METHODS: Chemical-shift water-fat MRI were taken on twelve obese adolescents (mean age: 16.1±0.6, BMI: 31.3±2.3) recruited under the health monitoring program. The segmentation applied a spoke template created using Midpoint Circle algorithm followed by Bresenham's Line algorithm to detect narrow connecting regions between subcutaneous and visceral adipose tissues...
October 7, 2017: Magnetic Resonance Imaging
https://www.readbyqxmd.com/read/28983166/cardiovascular-risk-factors-burden-in-saudi-arabia-the-africa-middle-east-cardiovascular-epidemiological-ace-study
#9
Amjad M Ahmed, Ahmad Hersi, Walid Mashhoud, Mohammed R Arafah, Paula C Abreu, Mohammed Abdullah Al Rowaily, Mouaz H Al-Mallah
BACKGROUND: Limited data exist on the epidemiology of cardiovascular risk factors in Saudi Arabia, particularly in relation to the differences between Saudi nationals and expatriates in Saudi Arabia. The aim of this analysis was to describe the current prevalence of cardiovascular risk factors among patients attending general practice clinics across Saudi Arabia. METHODS: In this cross-sectional epidemiological analysis of the Africa Middle East Cardiovascular Epidemiological (ACE) study, the prevalence of cardiovascular risk factors (hypertension, diabetes, dyslipidemia, obesity, smoking, abdominal obesity) was evaluated in adults attending primary care clinics in Saudi Arabia...
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28978240/ultrasound-guided-intrauterine-device-insertion-a-step-closer-to-painless-insertion-a-randomized-control-trial
#10
Dina Mohamed Refaat Dakhly, Yasmin Ahmed Bassiouny
AIM OF STUDY: To reduce the pain and duration of the intrauterine device (IUD) insertion procedure through minimizing instrumentation and using trans-abdominal sonography (TAS). METHODS: This randomized control trial was conducted in a university hospital and included 102 eligible females, fulfilling the inclusion criteria. They were randomly assigned into two groups via 1:1 computer-based randomization program; the trans-abdominal guided IUD insertion group (n = 51), and the traditional IUD insertion group (n = 51)...
October 5, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/28977091/pelvic-floor-muscle-training-protocol-for-stress-urinary-incontinence-in-women-a-systematic-review
#11
Marlene Oliveira, Margarida Ferreira, Maria João Azevedo, João Firmino-Machado, Paula Clara Santos
INTRODUCTION: Strengthening exercises for pelvic floor muscles (SEPFM) are considered the first approach in the treatment of stress urinary incontinence (SUI). Nevertheless, there is no evidence about training parameters. OBJECTIVE: To identify the protocol and/or most effective training parameters in the treatment of female SUI. METHOD: A literature research was conducted in the PubMed, Cochrane Library, PEDro, Web of Science and Lilacs databases, with publishing dates ranging from January 1992 to March 2014...
July 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28969252/association-of-metabolic-syndrome-in-chronic-plaque-psoriasis-patients-and-their-correlation-with-disease-severity-duration-and-age-a-case-control-study-from-western-maharashtra
#12
Aarti Sudam Salunke, Mahendra Vinayak Nagargoje, Vasudha Abhijit Belgaumkar, Sunil Narayan Tolat, Ravindranath Brahmadev Chavan
INTRODUCTION: Psoriasis is a chronic systemic inflammatory disease where the skin and the joints are the primary targets. Despite the fact that psoriasis carries minimal risk of mortality, it is associated with significant morbidity which may have a significant impact on quality of life of patients. Globally, psoriasis has been reported to be associated with Metabolic Syndrome (MS) including obesity, dyslipidemia, diabetes and hypertension. Association of MS and its various components with psoriasis has been consistently reported in various studies, but there is a paucity of data on this association from the Indian subcontinent...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28966316/improved-exercise-capacity-after-cardiac-rehabilitation-is-associated-with-reduced-visceral-fat-in-patients-with-chronic-heart-failure
#13
Yuriko Takagawa, Shusuke Yagi, Takayuki Ise, Ayumi Ishii, Koji Nishikawa, Daiju Fukuda, Kenya Kusunose, Tomomi Matsuura, Takeshi Tobiume, Koji Yamaguchi, Hirotsugu Yamada, Takeshi Soeki, Tetsuzo Wakatsuki, Michio Shimabukuro, Shinsuke Katoh, Ken-Ichi Aihara, Masashi Akaike, Masataka Sata
Participation in a comprehensive cardiac rehabilitation (CR) program has been shown to reduce mortality and improve exercise capacity and symptoms in patients with chronic heart failure (CHF). Reduced exercise capacity leads to a concomitant reduction of skeletal muscle mass and accumulation of body fat. However, it is currently unknown whether CR reduces visceral adipose tissue (VAT) and/or subcutaneous abdominal adipose tissue (SAT) in patients with CHF. In addition, the body composition associated with improved exercise capacity after CR in patients with CHF has not been previously studied...
September 30, 2017: International Heart Journal
https://www.readbyqxmd.com/read/28965232/the-role-of-simultaneous-abdominal-surgery-and-wound-classification-in-ventriculoperitoneal-shunt-complication
#14
Shin Miyata, Jamie Golden, Olga Lebedevskiy, James E Stein, David W Bliss
PURPOSE: To evaluate whether simultaneous abdominal surgery or wound contamination at the time of ventriculoperitoneal (VP) shunt placement are associated with increased shunt complications. METHODS: Pediatric patients who underwent VP shunt placement were identified using the National Surgical Quality Improvement Program Pediatric database. VP shunt complication rates were compared between patients who underwent simultaneous abdominal surgeries at the time of VP shunt placement vs those who did not and between those with clean/clean-contaminated and contaminated/dirty wound classifications...
September 30, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28964484/pediatric-transplantation-an-international-perspective
#15
Michael Collin, Jonathan Karpelowsky, Gordon Thomas
Abdominal solid-organ transplantation has revolutionized the life of children with end-stage organ failure. The international practice of transplant in the pediatric population is heterogeneous. Global trends in pediatric transplant activity are increasing, with diffusion of transplant activities into developing and emerging economies. The organization of deceased donor programs varies internationally (with strong association to a country's gross domestic product (GDP) per capita and health spending). While deceased donor programs are well established in advanced economies, emerging and developing countries rely heavily on living donor programs...
August 2017: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/28957383/gestational-hypoxia-disrupts-the-neonatal-leptin-surge-and-programs-hyperphagia-and-obesity-in-male-offspring-in-the-sprague-dawley-rat
#16
Vladimir E Vargas, Sunam Gurung, Benjamin Grant, Kimberly Hyatt, Krista Singleton, Sarah M Myers, Debra Saunders, Charity Njoku, Rheal Towner, Dean A Myers
The effect of gestational hypoxia on the neonatal leptin surge, development of hypothalamic arcuate nuclei (ARH) projections and appetite that could contribute to the programming of offspring obesity is lacking. We examined the effect of 12% O2 from gestational days 15-19 in the Sprague-Dawley rat on post-weaning appetite, fat deposition by MRI, adipose tissue cytokine expression, the neonatal leptin surge, ARH response to exogenous leptin, and αMSH projections to the paraventricular nucleus (PVN) in response to a high fat (HFD) or control diet (CD) in male offspring...
2017: PloS One
https://www.readbyqxmd.com/read/28947272/venous-thromboembolism-in-common-laparoscopic-abdominal-surgical-operations
#17
Reza Fazl Alizadeh, Sarath Sujatha-Bhaskar, Shiri Li, Michael J Stamos, Ninh T Nguyen
BACKGROUND: Venous thromboembolism (VTE) is potentially a serious postoperative complication. We examined the incidence and outcome of VTE among different laparoscopic abdominal surgical operations for benign diseases. METHODS: The National Surgical Quality Improvement Program database was utilized to evaluate all patients with benign disease who underwent laparoscopic abdominal operations including colorectal surgery, bariatric surgery, cholecystectomy, esophageal surgery, abdominal wall hernia repair, and appendectomy from 2005 to 2014...
September 18, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28943011/early-reintervention-after-open-and-endovascular-abdominal-aortic-aneurysm-repair-is-associated-with-high-mortality
#18
Sarah E Deery, Thomas F X O'Donnell, Thomas C F Bodewes, Barbara A Dalebout, Alexander B Pothof, Katie E Shean, Jeremy D Darling, Marc L Schermerhorn
OBJECTIVE: Although reinterventions are generally considered more common after endovascular aneurysm repair (EVAR) than after open surgical repair (OSR), less is known about reintervention in the early postoperative period. Furthermore, there are few data regarding the impact of early reintervention on 30-day mortality. We sought to evaluate the rates and types of reintervention after abdominal aortic aneurysm (AAA) repair and the impact of reintervention on postoperative mortality. METHODS: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) was queried from 2012 to 2014 for all intact, infrarenal AAA repairs...
September 21, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28942543/suture-to-wound-length-ratio-in-abdominal-wall-closure-how-well-are-we-doing
#19
Z F Williams, P Tenzel, W B Hooks, W W Hope
PURPOSE: Research has established that a ≥4:1 suture to wound (S:W) length ratio decreases incisional hernias. We evaluated our ability to obtain a 4:1 S:W length ratio in a surgery residency program. METHODS: Consecutive abdominal wall closures from 12/1/2013 through 4/9/2015 were reviewed. The length of the incisions and amount of suture used were measured. Patient demographics and operative variables were documented and compared related to inability to obtain a 4:1 ratio...
September 23, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28935038/bone-marrow-derived-tenascin-c-attenuates-cardiac-hypertrophy-by-controlling-inflammation
#20
Lei Song, Lai Wang, Fuqiang Li, Ada Yukht, Minghui Qin, Haley Ruther, Mingjie Yang, Aurelio Chaux, Prediman K Shah, Behrooz G Sharifi
BACKGROUND: Tenascin-C (TNC) is a highly conserved matricellular protein with a distinct expression pattern during development and disease. Remodeling of the left ventricle (LV) in response to pressure overload leads to the re-expression of the fetal gene program. OBJECTIVES: The aim of this study was to investigate the function of TNC in cardiac hypertrophy in response to pressure overload. METHODS: Pressure overload was induced in TNC knockout and wild-type mice by constricting their abdominal aorta or by infusion of angiotensin II...
September 26, 2017: Journal of the American College of Cardiology
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