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Skin AND anatomy

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https://www.readbyqxmd.com/read/29349997/-surgical-outcome-of-percutaneous-endoscopic-technique-for-highly-migrated-disc-herniation-via-three-different-approaches
#1
Yi Jiang, Ru-Jun Zuo, Lei Wu, Cheng Huang, Yan Shi, Hua-Wei Song, Yi-Wei Wang, Bin Li
OBJECTIVE: To analyze the clinical effects of percutaneous endoscopic technique via three different approaches for highly migrated lumbar disc herniation. METHODS: The clinical data of 68 patients underwent percutaneous endoscopic technique from June 2011 to June 2014 were retrospectively analyzed. There were 43 males and 25 females, aged from 11 to 77 years old with an average of (42.29±15.92) years. The patients were divided into three groups according to different operative approaches, of them, 45 cases were by transforaminal approach (group A), 15 cases by translaminar approach (group B), and 8 cases by transpedicular approach (group C)...
February 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29349680/ultrasound-evaluation-of-the-airway-in-the-ed-a-feasibility-study
#2
Elizabeth A Hall, Ibrahim Showaihi, Frances S Shofer, Nova L Panebianco, Anthony J Dean
BACKGROUND: Recognition of the difficult airway is a critical element of emergency practice. Mallampati score and body mass index (BMI) are not always predictive and they may be unavailable in critically ill patients. Ultrasonography provides high-resolution images that are rapidly obtainable, mobile, and non-invasive. Studies have shown correlation of ultrasound measurements with difficult laryngoscopy; however, none have been performed in the Emergency Department (ED) using a consistent scanning protocol...
January 18, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29296570/development-of-an-ultrasound-imaging-procedure-and-acquisition-of-ultrasound-images-of-acupuncture-points-for-safety-and-accuracy-of-needle-insertion
#3
Sungha Kim, Sanghun Lee, Won-Bae Ha, Jung-Han Lee, Hyun-Jong Jung, Hong-Min Chu, Seung-Bum Yang, Sunmi Choi, Mi Ju Son, Jae Hyo Kim, Youngju Jeon
Background: Acupuncture is a relatively safe, commonly used "alternative" medical treatment for various symptoms. However, adverse effects can occur, including trauma, pneumothorax, and central-nervous-system injury. Our objective was to develop a reliable and practical procedure for ultrasound imaging of acupuncture points to improve safety during needling, and to acquire ultrasound images of several (44) acupuncture points, especially those in high-risk areas, according to an in-house standard operating procedure...
December 2017: Integrative Medicine Research
https://www.readbyqxmd.com/read/29287855/branchial-anomalies-in-children-a-report-of-105-surgical-cases
#4
Wanpeng Li, Hongming Xu, Liming Zhao, Xiaoyan Li
BACKGROUND: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. METHODS: We conducted a retrospective analysis of 105 children who were referred to our hospital from June 2009 to December 2016 for the treatment of BAs...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29273367/the-rat-groin-flap-model-redesigned-for-evaluating-treatment-effects-on-ischemia-reperfusion-injury
#5
Chung-En Hsu, Victor Bong-Hang Shyu, Chih-Jen Wen, Fu-Chan Wei, Xiao-Ting Huang, Hui-Yun Cheng
BACKGROUND: Although there is a wide application of the rat extended groin flap (epigastric skin flap) in studying different clinical issues, inconsistency arises between studies because many parameters of the extended groin flap have not been well defined. MATERIALS AND METHODS: The flap is based on the superficial inferior epigastric vessels, which give into a lateral and a medial branch distally. Herein, three steps were taken to redesign this model: First, the ventral vascular anatomy was visualized through an imaging study to determine the flap borders...
February 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29249632/perforator-flaps-from-the-lower-leg-for-intraoral-reconstruction-experience-of-131-flaps
#6
Klaus-Dietrich Wolff, Andrea Rau, Andreas Kolk
BACKGROUND: During the last decade, perforator flaps have become popular for defect cover in the head and neck because they increase the choice of reconstructive possibilities and can lead to minimal donor site morbidity. In particular, the lower leg is considered a suitable option, as it provides thin and pliable skin for intraoral lining. Having gained experience with 131 flaps raised from four different donor sites at the lower leg, the aim of this paper is to evaluate success rates and patient satisfaction, but also difficulties and pitfalls during flap transfer...
November 26, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29248102/the-center-for-vein-restoration-study-on-presenting-symptoms-treatment-modalities-and-outcomes-in-medicare-eligible-patients-with-chronic-venous-disorders
#7
Peter J Pappas, Sanjiv Lakhanpal, Khanh Q Nguyen, Rohan Vanjara
BACKGROUND: Chronic venous disorders (CVDs) have been estimated to affect up to 20 million Americans. Despite this huge prevalence, the signs, symptoms, and treatment outcomes in patients 65 years of age and older are not well defined. Our goal was to determine the presentation and treatment outcomes in elderly patients compared with a cohort of patients younger than 65 years. METHODS: From January 2015 to December 2016, we retrospectively reviewed prospectively collected data from 38,750 patients with CVD from the Center for Vein Restoration's electronic medical record (NextGen Healthcare Information Systems, Irvine, Calif)...
January 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29246381/the-nuts-and-bolts-of-breastfeeding-anatomy-and-physiology-of-lactation
#8
Natasha K Sriraman
Breastmilk is the physiologic norm for infant nutrition. Despite recommendations from major health organizations, many women in the U.S. are not achieving this metric. Understanding breast anatomy and lactation physiology will allow physicians to gain knowledge of the processes, which control lactation enabling physicians to appropriately manage the breastfeeding dyad. The interplay of hormones involved in lactation and milk management affect milk initiation, as well as ongoing milk production (galactopoesis)...
December 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29238628/intraprostatic-fiducials-compared-with-bony-anatomy-and-skin-marks-for-image-guided-radiation-therapy-of-prostate-cancer
#9
Juliette Moreau, Julian Biau, Jean-Louis Achard, Ivan Toledano, Charles Benhaim, Fabrice Kwiatkowski, Geneviève Loos, Michel Lapeyre
Purpose Prostate motion occurs during radiotherapy for localized prostate cancer. We evaluated the input of intraprostatic fiducials for image-guided radiation therapy and compared it with bony anatomy and skin marks. Methods Eleven patients were implanted with three fiducial markers in the prostate. Daily sets of orthogonal kV-kV images were compared with digitally reconstructed radiography. Data were recorded for skin marks, bony anatomy, and fiducial markers. The variations were analyzed along three principal axes (left-right: LR, superoinferior: SI, and anteroposterior: AP)...
October 12, 2017: Curēus
https://www.readbyqxmd.com/read/29231512/-discussion-on-dry-needling-being-part-of-acupuncture
#10
Zengfu Peng, Nenggui Xu, Zhaoxiang Bian, Canhui Li, Weidong Lu, Tao Huang, Shaobai Wang
We think that all the methods of puncturing into the skin to prevent and treat diseases are belong to acupuncture science. In spite of its basic theory of meridian and acupoint, anatomy and physiology have been important parts of modern acupuncture science. "Dry needling", however, is limited to trigger point theory. As for the positions, acupuncture is applied mainly at acupoints, involving in skin, muscles, tendons, vessels and nerves; while "dry needling" is used mostly at muscles. The needles of acupuncture are in various lengths and diameters and its manipulations are abundant, including the traditional skills and the achievements of modern science and technology research, such as electroacupuncture...
June 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29229479/defining-normal-neonatal-abdominal-wall-musculature-with-ultrasonography
#11
Adam Ofri, Tim Schindler, Anthony Dilley, John Pereira, Susan Adams
INTRODUCTION: The development of new surgical approaches for the management of congenital abdominal wall defects may be facilitated by using an animal model. However, because the anatomy of the neonatal abdominal wall has not been described, a suitable model is yet to be identified. We aimed to evaluate and define the neonatal abdominal wall musculature using ultrasound, to be used as a reference to identify an appropriate animal model for the neonatal abdominal wall in the future. METHODS: Infants with a postconceptual age of less than one month weighing between 2 and 3 kg were eligible...
November 16, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29226145/surgical-treatment-with-locoregional-flaps-for-the-eyelid-a-review
#12
REVIEW
Federico Lo Torto, Luigi Losco, Nicoletta Bernardini, Manfredi Greco, Gianluca Scuderi, Diego Ribuffo
Reconstruction of the eyelids after skin cancer excision can be challenging. Surgical treatment options are multiple; deep anatomy knowledge of lamellar components is mandatory to choose the most adequate surgical planning. Eyelids' role in vision and social relationship is critical; both function and aesthetics are tough to restore. Using a flap provides a satisfying texture and colour match with adjacent tissues and ensures short contraction during healing; furthermore, grafts are sometimes necessary to achieve pleasing results...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29225924/ct-dental-artifact-comparison-of-an-iterative-metal-artifact-reduction-technique-with-weighted-filtered-back-projection
#13
Felix E Diehn, Gregory J Michalak, David R DeLone, Amy L Kotsenas, E Paul Lindell, Norbert G Campeau, Ahmed F Halaweish, Cynthia H McCollough, Joel G Fletcher
Background: Dental hardware produces streak artifacts on computed tomography (CT) images reconstructed with the standard weighted filtered back projection (wFBP) method. Purpose: To perform a preliminary evaluation of an iterative metal artifact reduction (IMAR) technique to assess its ability to improve anatomic visualization over wFBP in patients with dental amalgam or other hardware. Material and Methods: CT images from patients with dental hardware were reconstructed using wFBP and IMAR software and soft-tissue or bone window/level settings...
November 2017: Acta Radiologica Open
https://www.readbyqxmd.com/read/29214516/advances-in-stereotactic-navigation-for-pelvic-surgery
#14
A R Wijsmuller, L G C Romagnolo, V Agnus, C Giraudeau, A G F Melani, B Dallemagne, J Marescaux
BACKGROUND: Stereotactic navigation could improve the quality of surgery for rectal cancer. Critical challenges related to soft tissue stereotactic pelvic navigation include the potential difference in patient anatomy between intraoperative lithotomy and preoperative supine position for imaging. The objective of this study was to determine the difference in patient anatomy, sacral tilt, and skin fiducial position between these different patient positions and to investigate the feasibility and optimal set-up for stereotactic pelvic navigation...
December 6, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29178543/neovaginal-construction-with-pelvic-peritoneum-reviewing-an-old-approach-for-a-new-application
#15
Michael W Slater, Xochitl Vinaja, Islam Aly, Marios Loukas, Mark Terrell, Justine Schober
INTRODUCTION: Transgender reassignment surgeries have become a major topic of interest within the last decade. Although there are numerous surgical techniques for male-to-female reassignment, a physician must assess each patient's anatomy and past medical history to determine the most suitable technique. Additionally, patient preference is important. The neovaginal constructive technique most commonly used in male-to-female reassignment surgery is penile skin inversion, but various other techniques and tissues can also be used including pelvic peritoneum, buccal mucosa, and bowel...
November 27, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/29178326/anatomy-of-genital-reaffirmation-surgery-male-to-female-vaginoplasty-using-penile-skin-graft-with-scrotal-flaps
#16
Leah Saylor, Shenell Bernard, Xochitl Vinaja, Marios Loukas, Justine Schober
No abstract text is available yet for this article.
November 27, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/29175410/in-vitro-ex-vivo-and-in-vivo-evaluation-of-a-dual-ph-redox-responsive-nanoliposomal-sludge-for-transdermal-drug-delivery
#17
Simphiwe Mavuso, Thashree Marimuthu, Pradeep Kumar, Pierre P D Kondiah, Lisa C du Toit, Yahya E Choonara, Viness Pillay
A dual pH/redox responsive copper-glyglycine-prednisolone succinate [Cu(glygly)(PS)]-loaded nanoliposomal (NL) sludge was successfully synthesized and optimized using a Box-Behnken design of experiments. Pre-formulation design variables indicated that relative ratios of phospholipids, considerably influences NL size, thus altering the degree of drug loading in the formulation. In vitro evaluation further confirmed optimum release kinetics of the NL sludge, corresponding closely to ex vivo permeation studies, demonstrating effective transdermal delivery of prednisone (PS) through a pig skin model, which closely resembles human skin anatomy...
November 23, 2017: Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29134424/anatomical-basis-for-simultaneous-block-of-greater-and-third-occipital-nerves-with-an-ultrasound-guided-technique
#18
Ken Kariya, Yosuke Usui, Naoko Higashi, Tatsuo Nakamoto, Hironobu Shimbori, Satoshi Terada, Hideo Takahashi, Hisashi Ueta, Yusuke Kitazawa, Yasushi Sawanobori, Yasuhisa Okuda, Kenjiro Matsuno
PURPOSE: In some headache disorders, for which the greater occipital nerve block is partly effective, the third occipital nerve is also suggested to be involved. We aimed to establish a simple technique for simultaneously blocking the greater and third occipital nerves. METHODS: We performed a detailed examination of dorsal neck anatomy in 33 formalin-fixed cadavers, and deduced two candidate target points for blocking both the greater and third occipital nerves...
November 13, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/29120686/why-is-the-heel-particularly-vulnerable-to-pressure-ulcers
#19
Amit Gefen
In this article, the vulnerability of the soft tissues of the heel to pressure ulcers (injuries) is explained from a biomechanical engineering perspective, and emerging technologies for protecting the heel, particularly low-friction garments, are reviewed. Sustained deformations in the soft tissue of the weight-bearing posterior heel cause progressive cell and tissue damage due to loss of homeostasis in the cells, as the cytoskeleton and plasma membranes of the affected cells lose integrity and functionality...
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29119039/osirix-software-as-a-preoperative-planning-tool-in-cranial-neurosurgery-a-step-by-step-guide-for-neurosurgical-residents
#20
REVIEW
Toma Spiriev, Vladimir Nakov, Lili Laleva, Christo Tzekov
Background: OsiriX (Pixmeo, Switzerland) is an open-source Digital Imaging and Communications in Medicine (DICOM) viewer that is gaining more and more attention in the neurosurgical community because of its user-friendly interface, powerful three-dimensional (3D) volumetric rendering capabilities, and various options for data integration. This paper presents in detail the use of OsiriX software as a preoperative planning tool in cranial neurosurgery. Methods: In January 2013, OsiriX software was introduced into our clinical practice as a preoperative planning tool...
2017: Surgical Neurology International
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