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https://www.readbyqxmd.com/read/29908329/the-incidence-of-vocal-fold-motion-impairment-after-primary-thyroid-and-parathyroid-surgery-for-a-single-high-volume-academic-surgeon-determined-by-pre-and-immediate-post-operative-fiberoptic-laryngoscopy
#1
Vaninder K Dhillon, Eleni Rettig, Salem I Noureldine, Dane J Genther, Ahmed Hassoon, Mai G Al Khadem, Ozan B Ozgursoy, Ralph P Tufano, Charles W Cummings
BACKGROUND: Vocal fold motion impairment (VFMI) is a well-recognized complication of thyroid and parathyroid surgery. Preoperative counseling requires a thorough understanding of the incidence, risk factors, and value of early diagnosis of postoperative VFMI. Our objective is to describe the incidence of and risk factors for VFMI for a single high-volume academic surgeon, and to assess the utility of immediate postoperative fiberoptic laryngoscopy (FOL) in early diagnosis of VFMI. METHODS: Retrospective cohort study of patients undergoing primary thyroid and parathyroid procedures by a single high-volume surgeon at an academic tertiary care center...
June 13, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29907949/cholinergic-crisis-caused-by-cholinesterase-inhibitors-a-retrospective-nationwide-database-study
#2
Hiroyuki Ohbe, Taisuke Jo, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
INTRODUCTION: In contrast to information on the effects of organophosphate, pesticide, or environmental exposures, data on cholinergic crisis caused by pharmaceutical cholinesterase inhibitors are sparse. The present study aimed to describe the characteristics, demographics, and mortality of patients with cholinergic crisis caused by pharmaceutical cholinesterase inhibitors using a nationwide inpatient database in Japan. METHODS: We identified patients diagnosed with cholinergic crisis as a result of taking cholinesterase inhibitor medications in the Japanese Diagnosis Procedure Combination inpatient database from July 2010 to March 2016...
June 15, 2018: Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology
https://www.readbyqxmd.com/read/29907496/-where-do-we-stand-with-benign-prostatic-hyperplasia-day-case-surgery-a-laser-effect
#3
L Gury, G Robert, H Bensadoun
INTRODUCTION AND OBJECTIVES: Despite its feasibility has been proven, Benign Prostatic Hyperplasia (BPH) day-case surgery remains uncommon. Our objective was to describe the evolution of BPH day-case surgery in France according to the surgical technique employed. MATERIALS AND METHODS: We extracted data from the Information System of Medicalization Program (PMSI) including all of the hospital stays in France from 2010 to 2016. Patients belonging to the transurethral prostatectomy homogeneous group of patients (GHM 12C04) and having as a main diagnosis prostatic hyperplasia (N40) or benign prostatic tumor (D291) were included in the analysis...
June 12, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/29907142/malbac-based-chromosomal-imbalance-analysis-a-novel-technique-enabling-effective-non-invasive-diagnosis-and-monitoring-of-bladder-cancer
#4
Hao Liu, Wang He, Bo Wang, Kewei Xu, Jinli Han, Junjiong Zheng, Jun Ren, Lin Shao, Shiping Bo, Sijia Lu, Tianxin Lin, Jian Huang
BACKGROUND: The gold standard for bladder cancer detection is cystoscopy, which is an invasive procedure that causes discomfort in patients. The currently available non-invasive approaches either show limited sensitivity in low-grade tumours or possess unsatisfying specificity. The aim of the present study is to develop a new non-invasive strategy based on chromosomal imbalance levels to detect bladder cancer effectively. METHODS: We enrolled 74 patients diagnosed with bladder cancer (BC), 51 healthy participants and 27 patients who were diagnosed with non-malignant urinary disease (UD)...
June 15, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29906630/a-rare-occurrence-of-viability-of-both-small-and-large-bowel-in-ileosigmoid-knotting-a-case-report
#5
Simbarashe Gift Mungazi, Brightson Mutseyekwa, Mordecai Sachikonye
INTRODUCTION: Ileosigmoid knot is an uncommon cause of acute intestinal obstruction where the ileum wraps around the base of a redundant sigmoid colon. CASE PRESENTATION: We present an unusual case of a 45-year-old male patient who presented with signs and symptoms of intestinal obstruction. Exploratory laparotomy revealed an ileosigmoid knot. Both the small and large bowels were viable. The sigmoid colon was resected an end to end anastomosis was done. His post-operative period was uneventful...
June 8, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29906237/technical-note-ct-guided-percutaneous-core-biopsy-for-assessment-of-morphologically-normal-adrenal-glands-showing-high-fdg-uptake-in-patients-with-lung-cancer
#6
Guillaume Chassagnon, Souhail Bennani, Gael Freche, Pierre Magdeleinat, Audrey Mansuet-Lupo, Marie-Pierre Revel
OBJECTIVES: Increased FDG uptake in morphologically normal adrenal glands on PET-CT is a diagnostic challenge with major implications on treatment. The purpose of this retrospective study was to report our experience of CT-guided percutaneous core biopsy of morphologically normal adrenal glands showing increased FDG uptake in a context of lung cancer. METHODS: Biopsies for non-enlarged adrenal glands showing increased FDG uptake in lung cancer patients performed at our institution from December 2014 to December 2016 were retrospectively analyzed...
June 15, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29905921/pediatric-inpatient-and-emergency-dermatology-consultations-a-5-year-retrospective-analysis
#7
Mariana Cruz-Manzano, Cristina N Brau-Javier, Sheila Valentín-Nogueras, Luz D Figueroa-Guzmán
OBJECTIVE: To characterize and analyze the inpatient and emergency pediatric dermatology consults in our academic hospital center. METHODS: We reviewed 485 consultations that were done by the University of Puerto Rico Department of Dermatology from July 2007 to June 2012. The date, patient age and gender, consulting service, presumptive diagnosis, final diagnosis, and diagnostic procedures performed were documented for each consult. RESULTS: The patients' ages ranged from newborn to 18 years; the 13 to 18 years age group was the most common (29%)...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905068/affinity-binding-induced-hg2-releasing-and-quantum-dot-doping-for-general-label-free-and-homogenous-fluorescence-protein-assay
#8
Yishen Tian, Chen Xin, Shuang Liu, Ying Liu, Shufeng Liu
Herein, a general protein conversion and analysis strategy was well developed for homogenous, label-free, and sensitive protein detection, which was on the basis of the affinity binding-induced Hg2+ releasing for protein conversion, and the succeeding Hg2+ doping-induced ZnSe quantum dot (QD) photoluminescence for signal readout. Two DNA motifs were designed, and each of which was conjugated with a protein-specific recognition ligand. The mercury ions were initially introduced into one DNA motif by T-Hg2+-T interaction...
June 15, 2018: ACS Sensors
https://www.readbyqxmd.com/read/29904742/factors-influencing-prostate-cancer-patterns-of-care-an-analysis-of-treatment-variation-using-the-seer-database
#9
Lindsay M Burt, Dennis C Shrieve, Jonathan D Tward
Purpose: The aim of this study is to describe the trends and factors that influence the initial treatment of men with localized prostate cancer (PC) in the United States between 2004 and 2014. Methods and materials: The National Cancer Institute's Surveillance, Epidemiology and End Results database was used to identify patients with primary prostate adenocarcinoma between 2004 and 2014. Patients were staged in accordance with the American Joint Committee on Cancer 7th edition criteria and stratified according to the National Comprehensive Cancer Network guidelines risk group classification...
April 2018: Advances in Radiation Oncology
https://www.readbyqxmd.com/read/29904615/acute-pericarditis-as-a-presentation-of-adrenal-insufficiency
#10
Sukesh Manthri, Sindhura Bandaru, Abdisamad Ibrahim, Chaitanya K Mamillapalli
Acute pericarditis as a presenting sign of adrenal insufficiency is rarely reported. We present a rare case that highlights pericarditis as a clinical presentation of secondary adrenal insufficiency later complicated by cardiac tamponade. A 44-year-old lady who presented to the hospital with a one-day history of pleuritic chest pain and shortness of breath. In the emergency room, she had a blood pressure of 70/35 mmHg. Laboratory evaluation revealed white blood cell count of 16.08 k/cumm with neutrophilia, normal renal function and elevated troponin (0...
April 13, 2018: Curēus
https://www.readbyqxmd.com/read/29904332/citrate-usage-in-the-leading-causes-of-blindness-new-possibilities-for-the-old-metabolite
#11
REVIEW
Marta Michalczuk, Beata Urban, Tadeusz Porowski, Anna Wasilewska, Alina Bakunowicz-Łazarczyk
Introduction: Citrate is an old metabolite which is best known for the role in the Krebs cycle. Citrate is widely used in many branches of medicine. In ophthalmology citrate is considered as a therapeutic agent and an useful diagnostic tool-biomarker. Objectives: To summarize the published literature on citrate usage in the leading causes of blindness and highlight the new possibilities for this old metabolite. Methods: We conducted a systematic search of the scientific literature about citrate usage in ophthalmology up to January 2018...
2018: Metabolomics: Official Journal of the Metabolomic Society
https://www.readbyqxmd.com/read/29904058/predictive-factors-of-submucosal-fibrosis-before-endoscopic-submucosal-dissection-for-superficial-squamous-esophageal-neoplasia
#12
Cheal Wung Huh, Han Hee Lee, Byung-Wook Kim, Joon Sung Kim, Bo-In Lee, Chul-Hyun Lim, Jiyoung Kim
OBJECTIVES: Endoscopic submucosal dissection (ESD) is an effective treatment modality for superficial squamous esophageal neoplasia (SSEN). However, submucosal fibrosis is an important obstacle to successful ESD. The aim of this study was to determine the ESD outcome in relationship to the degree of submucosal fibrosis of SSEN and to identify factors for predicting submucosal fibrosis. METHODS: We retrospectively analyzed endoscopic and pathologic factors related to submucosal fibrosis in 41 patients with SSEN who underwent ESD...
June 15, 2018: Clinical and Translational Gastroenterology
https://www.readbyqxmd.com/read/29903579/the-effectiveness-of-a-standard-drill-connected-to-a-core-biopsy-needle-how-to-obtain-specimens-in-very-strong-bone-tumors
#13
J Baldi, D Attala, A Scotto di Uccio, V Laquintana, R Biagini, C Zoccali
INTRODUCTION: Core biopsy is today recognized as the gold standard for the diagnosis of bone lesions; unfortunately, when the bone is too solid it can be very difficult to penetrate it; in case of failure, open biopsy is indicated but it is associated with greater contamination and complications. A possible solution is to connect a common orthopedic drill to the core biopsy needle. The aim of the presenting study was to present a technique useful for performing biopsies in case of very strong bone lesions and to evaluate the adequacy and quality of the obtained specimen...
June 9, 2018: Injury
https://www.readbyqxmd.com/read/29902524/surgical-protocol-and-outcome-for-sigmoidovesical-fistula-secondary-to-diverticular-disease-of-the-left-colon-a-retrospective-cohort-study
#14
Hany M El-Haddad, Mohamed I Kassem, Ahmed A Sabry, Ahmed Abouelfotouh
BACKGROUND: Diverticular disease of sigmoid colon can rarely be complicated by a connective track to urinary bladder. Pneumaturia and fecaluria are the pathognomonic symptoms. Resection surgery is the preferred treatment to overcome the renal sequellae of the disease. The purpose of this study is to propose a guiding classification to help general surgeons during surgical management of diverticular disease complicated by sigmoidovesical fistula (SVF). PATIENTS AND METHODS: The data of 40 cases with colovesical fistula due to diverticular disease of sigmoid colon were retrospectively analyzed...
June 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29902283/botulinum-toxin-chemodenervation-for-childhood-strabismus-in-england-national-and-local-patterns-of-practice
#15
Ameenat Lola Solebo, Anne-Marie Austin, Maria Theodorou, Chris Timms, Joanne Hancox, Gillian G W Adams
BACKGROUND: Botulinum toxin injection chemodenervation is a well-established intervention for adult strabismus, and has also been recognised as an effective alternative to routine incisional surgery for paediatric disease. We aimed to investigate the temporal patterns of practice, indications and outcomes of chemodenervation for paediatric strabismus at national and tertiary centre level. METHODS: Retrospective study using routinely collected patient data: Hospital Episode Statistics (HES) data were used to identify children undergoing non-incisional strabismus procedures in England from 2007 to 2016...
2018: PloS One
https://www.readbyqxmd.com/read/29902104/anterior-distal-femoral-hemiepiphysiodesis-can-reduce-fixed-flexion-deformity-of-the-knee-a-retrospective-study-of-83-knees
#16
Norbert Stiel, Kornelia Babin, Eik Vettorazzi, Sandra Breyer, Nicola Ebert, Martin Rupprecht, Ralf Stuecker, Alexander S Spiro
Background and purpose - Fixed knee flexion deformity in children is a common problem in various diseases including myelomeningocele and cerebral palsy. Until now, only a few studies focusing on the surgical procedure of anterior distal femoral hemiepiphysiodesis have been published. We analyzed outcome and correction rate in the largest case series to date of patients treated by staples or 8-plates. Patients and methods - We reviewed the medical records of all patients with fixed knee flexion deformity who were treated with anterior distal femoral hemiepiphysiodesis using either staples or 8-plates between the years 2002 and 2017 (73 patients; 130 knees)...
June 14, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29902095/diurnal-variations-of-foveoschisis-by-optical-coherence-tomography-in-patients-with-rs1-x-linked-juvenile-retinoschisis
#17
Maria Fernanda Abalem, David C Musch, David G Birch, Mark E Pennesi, John R Heckenlively, Thiran Jayasundera
BACKGROUND: To evaluate diurnal variations in macular schisis cavities in patients with X-linked juvenile retinoschisis (XLRS) with pathogenic variants in the RS1 gene using spectral-domain optical coherence tomography (SD-OCT). METHODS: Three consecutive patients with a clinical diagnosis of XLRS and pathogenic variants in the RS1, treated with carbonic anhydrase inhibitors (CAIs). Observational procedures: SD-OCT scans of the macula were acquired at 9 a.m., 1 p...
June 14, 2018: Ophthalmic Genetics
https://www.readbyqxmd.com/read/29901804/variability-in-management-of-patients-with-sjs-ten-a-survey-of-burn-unit-directors
#18
Emily B Richard, Diana Hamer, Mandi W Musso, Tracee Short, Hollis R O'Neal
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare, type IV hypersensitivity reactions of the skin and mucosa. These reactions (SJS/TEN) are frequently managed in burn units; however, no standardized guidelines exist for the treatment and management of SJS/TEN. To gain insight into current SJS/TEN management practices, a survey on admission, diagnosis, and management, was conducted across accredited burn units in the United States. A 28-item question survey on SJS/TEN management, diagnosis, and treatment practices was distributed among medical directors and co-directors of American Burn Association-verified burn centers...
June 13, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29901605/case-report-of-retrograde-in-situ-fenestration-of-the-thoracic-stent-graft-with-reentry-device-in-a-patient-with-aortobronchial-fistula
#19
Alexander D Leung, Dai Yamanouchi
RATIONALE: In situ fenestration may be necessary to preserve branch arteries during thoracic endovascular aortic repair (TEVAR) when there is an inadequate landing zone. PATIENT CONCERNS: We report the case of a 74-year-old man presenting with recurrent hemoptysis. DIAGNOSES: Based on computed tomography (CT) angiogram and bronchoscopy, diagnosis was aorto-bronchial fistula. INTERVENTIONS: We performed retrograde in situ fenestration with reentry catheter (Pioneer Plus, Volcano Corporation, San Diego, CA) to preserve the left subclavian artery following TEVAR for aorto-bronchial fistula...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901535/use-of-an-additional-19-g-ebus-tbna-needle-increases-the-diagnostic-yield-of-ebus-tbna
#20
Garth Garrison, Timothy Leclair, Agnes Balla, Sarah Wagner, Kelly Butnor, Scott R Anderson, C Matthew Kinsey
BACKGROUND: Although endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has an excellent diagnostic yield, there remain cases where the diagnosis is not obtained. We hypothesized that additional sampling with a 19-G EBUS-TBNA needle may increase diagnostic yield in a subset of cases where additional tissue sampling was required. METHODS: Indications for use of the 19-G needle following 22-G sampling with rapid on-site cytologic examination were: (1) diagnostic uncertainty of the on-site cytopathologist (eg, nondiagnostic, probable lymphoma, etc...
June 12, 2018: Journal of Bronchology & Interventional Pulmonology
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