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https://www.readbyqxmd.com/read/27865060/reducing-variation-in-feeding-newborns-with-congenital-heart-disease
#1
Janet M Simsic, Kirby-Rose Carpenito, Kristin Kirchner, Stephanie Peters, Holly Miller-Tate, Brian Joy, Mark Galantowicz
OBJECTIVE: Enteral feeding is associated with decreased infection rates, decreased mechanical ventilation, decreased hospital length of stay, and improved wound healing. Enteral feeding difficulties are common in congenital heart disease. Our objective was to develop experience-based newborn feeding guidelines for the initiation and advancement of enteral feeding in the cardiothoracic intensive care unit. DESIGN: This is a retrospective analysis of a quality improvement project...
November 16, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27864681/are-sagittal-spinopelvic-radiographic-parameters-significantly-associated-with-quality-of-life-of-adult-spinal-deformity-patients-multivariate-linear-regression-analyses-for-pre-operative-and-short-term-post-operative-health-related-quality-of-life
#2
Mitsuru Takemoto, Louis Boissière, Jean-Marc Vital, Ferran Pellisé, Francisco Javier Sanchez Perez-Grueso, Frank Kleinstück, Emre R Acaroglu, Ahmet Alanay, Ibrahim Obeid
PURPOSE: To evaluate the association in ASD patients between spinopelvic sagittal parameters and health-related quality of life (HRQL), adjusted for demographic and surgical variables. METHODS: We constructed multiple linear regression models to investigate pre-operative (PreOp) and 6-month post-operative (PostOp) HRQL as assessed by the Oswestry Disability Index (ODI), with sagittal parameters as independent variables adjusted for potential confounders, such as age, sex, body mass index, past spine surgery, types of surgical treatment, and complications...
November 18, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27846325/preoperative-evaluation-a-time-saving-algorithm
#3
REVIEW
Michael J Arnold, Joshua Beer
Our preop evaluation method combines the latest guidelines and tools to help you avoid unnecessary testing and complete the process in one visit.
October 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/27831987/development-of-validated-computer-based-preoperative-predictive-model-for-proximal-junction-failure-pjf-or-clinically-significant-pjk-with-86-accuracy-based-on-510-asd-patients-with-2-year-follow-up
#4
Justin K Scheer, Joseph A Osorio, Justin S Smith, Frank Schwab, Virginie Lafage, Robert A Hart, Shay Bess, Breton Line, Bassel G Diebo, Themistocles S Protopsaltis, Amit Jain, Tamir Ailon, Douglas C Burton, Christopher I Shaffrey, Eric Klineberg, Christopher P Ames
STUDY DESIGN: A retrospective review of large, multicenter adult spinal deformity (ASD) database. OBJECTIVE: The aim of this study was to build a model based on baseline demographic, radiographic, and surgical factors that can predict clinically significant proximal junctional kyphosis (PJK) and proximal junctional failure (PJF). SUMMARY OF BACKGROUND DATA: PJF and PJK are significant complications and it remains unclear what are the specific drivers behind the development of either...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27700191/outcomes-of-parathyroid-autotransplantation-during-total-thyroidectomy-a-comparison-with-age-and-sex-matched-controls
#5
Turkay Kirdak, Halit Ziya Dundar, Erdal Uysal, Gokhan Ocakoglu, Nusret Korun
PURPOSE: To determine the effect of parathyroid autotransplantation (PA) on postoperative hypocalcemia in cases of total thyroidectomy. MATERIALS AND METHODS: Cases undergoing total thyroidectomy and PA were compared with age and sex-matched controls who had not undergone PA. The postoperative percentage changes (PC) of parathyroid hormone (PTH) and calcium (Ca+2) in the first 12-24 hours (12-24hr→preop), between the 1st-3rd weeks (1-3wk→preop) and at the 6th month (6mo→preop), the rates of hypocalcemia (Ca+2< 8mg/dL) and low PTH level (PTH< 15 pg/mL), permanent hypocalcemia, inadvertent parathyroidectomy in both groups were compared...
October 4, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/27607115/novel-three-dimensional-understanding-of-maxillary-cleft-distraction
#6
Stephen Michael Vaughan, Chung How Kau, Peter Daniel Waite
OBJECTIVES: To set forth a universal standard methodology for quantifying volumetric and linear changes in the craniofacial complex, utilizing three-dimensional data captured from a cleft-lip palate patient who underwent rigid external device (RED) distraction. METHODS: Cone beam computed tomography images of a 14-year-old patient were captured using a Kodak 9500 (Atlanta, GA) Cone Beam system device and a stereophotogrammetric system (3dMDface(TM) Atlanta, GA)...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27607110/the-effects-of-molding-helmet-therapy-on-spring-mediated-cranial-vault-remodeling-for-sagittal-craniosynostosis
#7
Jordan W Swanson, Jacqueline A Haas, Brianne T Mitchell, Philip B Storm, Scott P Bartlett, Gregory G Heuer, Jesse A Taylor
There is no clear consensus for the optimal treatment of sagittal craniosynostosis; however, recent studies suggest that improved neurocognitive outcomes may be obtained when surgical intervention imparts active cranial expansion or remodeling and is performed before 6 months of age. The authors consider spring-mediated cranioplasty (SMC) to optimally address these imperatives, and this is an investigation of how helmet orthoses before or after SMC affect aesthetic outcomes.The authors retrospectively evaluated patients treated with SMC and adjunct helmeting for sagittal synostosis...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27574553/plasma-chitinase-3-like-1-is-persistently-elevated-during-first-month-after-minimally-invasive-colorectal-cancer-resection
#8
H M C Shantha Kumara, David Gaita, Hiromichi Miyagaki, Xiaohong Yan, Sonali Ac Hearth, Linda Njoh, Vesna Cekic, Richard L Whelan
AIM: To assess blood chitinase 3-like 1 (CHi3L1) levels for 2 mo after minimally invasive colorectal resection (MICR) for colorectal cancer (CRC). METHODS: CRC patients in an Institutional Review Board approved data/plasma bank who underwent elective MICR for whom preoperative (PreOp), early postoperative (PostOp), and 1 or more late PostOp samples [postoperative day (POD) 7-27] available were included. Plasma CHi3L1 levels (ng/mL) were determined in duplicate by enzyme linked immunosorbent assay...
August 15, 2016: World Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/27537590/silent-pulmonary-thromboembolism-in-neurosurgery-patients-report-of-2-cases-and-literature-review
#9
Rui Tian, Jun Gao, Alof Chen, Xinjie Bao, Jian Guan, Ming Feng, Yongning Li, Wenbin Ma, Zuyuan Ren, Renzhi Wang, Junji Wei
BACKGROUND: The requirement of postoperative bedridden and immobilization renders neurosurgical patients with higher risk of deep vein thrombosis (DVT), then more vulnerable for pulmonary thromboembolism (PTE). But silent pulmonary thromboembolism (SPTE) can be the very early stage of any typical form of PTE, its diagnosis and management is therefore critical in neurosurgical departments. However, to date, perioperative SPTE has not been attached with enough attention. METHODS: Here, we report 2 cases of perioperative SPTE in the Department of Neurosurgery, Peking Union Medical College Hospital, Beijing, China...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27491785/primary-extremity-soft-tissue-sarcomas-does-local-control-impact-survival
#10
Sylvie Bonvalot, Antonin Levy, Philippe Terrier, Dimitri Tzanis, Sara Bellefqih, Axel Le Cesne, Cécile Le Péchoux
BACKGROUND: The objective of this study was to evaluate the adequate margin in the local treatment of extremity soft tissue sarcomas (ESTS) and understand the relationship between local control and overall survival (OS). METHODS: All consecutive patients treated for a primary ESTS at a single center from 1993 to 2012 were reviewed. RESULTS: In all, 531 patients were included. Twelve (2 %) underwent a first-line amputation. The resections were R0/R1/not available in 434 (82 %), 92 (17 %), and 5 patients (1 %)...
August 4, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27458389/effect-of-deep-brain-stimulation-on-regional-cerebral-blood-flow-in-patients-with-medically-refractory-tourette-syndrome
#11
Cathleen Haense, Kirsten R Müller-Vahl, Florian Wilke, Christoph Schrader, Holger H Capelle, Lilli Geworski, Frank M Bengel, Joachim K Krauss, Georg Berding
In this study, alterations in brain perfusion have been investigated in patients with Tourette syndrome (TS) compared with control subjects. In addition, we investigated the effects of deep brain stimulation (DBS) in both globus pallidus internus (GPi) and centromedian-parafascicular/ventralis oralis internus nuclei of the thalamus (CM/Voi) and sham (SHAM) stimulation on cerebral blood flow. In a prospective controlled, randomized, double-blind setting, five severely affected adult patients with TS with predominant motor or vocal tics (mean total tic score on the Yale Global Tic Severity Scale: 39) underwent serial brain perfusion single photon emission computed tomography with (99m)Tc-ECD...
2016: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/27454662/is-there-any-analgesic-benefit-from-preoperative-vs-postoperative-administration-of-etoricoxib-in-total-knee-arthroplasty-under-spinal-anaesthesia-a-randomised-double-blind-placebo-controlled-trial
#12
Ana Maria Munteanu, Simona Cionac Florescu, Denisa Madalina Anastase, Cristian Ioan Stoica
BACKGROUND: Optimal postoperative analgesia is a challenge for the anaesthesiologist, with the ideal combination of methods, drugs, doses and timing of administration still the subject of research. The COX-2 inhibitors are a class of NSAIDs that may provide useful perioperative analgesia but the optimal timing of administration has not been elucidated. OBJECTIVE: We hypothesised that etoricoxib given 1 h before total knee arthroplasty under spinal anaesthesia will decrease the cumulative dose of intravenous and subcutaneous morphine required to maintain pain intensity of 3 or less on a 10-point numerical rating scale (NRS) during the first postoperative 48 h compared with the same dose of etoricoxib given after surgery...
November 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27387358/short-versus-long-segment-posterior-fixation-in-the-treatment-of-thoracolumbar-junction-fractures-a-comparison-of-outcomes
#13
Mueez Waqar, Dmitri Van-Popta, Damiano Giuseppe Barone, Maneesh Bhojak, Robin Pillay, Zaid Sarsam
PURPOSE: To compare clinical and radiological outcomes between short (SSPF) and long-segment (LSPF) posterior fixation for thoracolumbar junction (TLJ) fractures. MATERIALS AND METHODS: Retrospective review of adult patients, with single-level, TLJ (T11-L2) fractures, treated with posterior fixation between 2007 and 2014 at a regional spinal centre. SSPF and LSPF were defined as transpedicular screw fixation at one and two levels above and below the fractured vertebra, respectively...
July 8, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27341094/-refractive-surgery-in-children-with-myopic-anisometropia-and-amblyopia-in-comparison-with-conventional-treatment-by-contact-lenses
#14
R Autrata, I Krejčířová, L Griščíková, Z Doležel
UNLABELLED: Our study evaluated the visual and refractive results of LASEK and anterior chamber phakic intraocular lens (pIOL) implantation performed for high myopic anisometropia with amblyopia and contact lens intolerance in children compared with conventional treatment by contact lenses.Fourty-three patients (Group A) aged 3 to 7 years (mean, 5,6 years) with high myopic anisometropia and amblyopia had performed multizonal LASEK (27 eyes) or pIOL Verisyse implantation (16 eyes) on the more myopic eye in general anesthesia...
2016: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/27259805/a-retrospective-study-of-two-populations-to-test-a-simple-rule-for-spirometry
#15
Jill A Ohar, Barbara P Yawn, Gregg L Ruppel, James F Donohue
BACKGROUND: Chronic lung disease is common and often under-diagnosed. METHODS: To test a simple rule for conducting spirometry we reviewed spirograms from two populations, occupational medicine evaluations (OME) conducted by Saint Louis and Wake Forest Universities at 3 sites (n = 3260, mean age 64.14 years, 95 % CI 58.94-69.34, 97 % men) and conducted by Wake Forest University preop clinic (POC) at one site (n = 845, mean age 62.10 years, 95 % CI 50...
June 4, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27256784/posterior-curve-correction-using-convex-posterior-hemi-interbody-arthrodesis-in-skeletally-immature-patients-with-scoliosis
#16
Satoru Demura, Hideki Murakami, Satoshi Kato, Katsuhito Yoshioka, Moriyuki Fujii, Takashi Igarashi, Noritaka Yonezawa, Naoki Takahashi, Hiroyuki Tsuchiya
BACKGROUND CONTEXT: Deformity progression after posterior fusion in skeletally immature patients with scoliosis has remained a topic of debate. It occurs when the anterior segment of the apical zone continues to grow after successful posterior fusion, resulting in progressive bending and rotation of the vertebral bodies. For this reason, circumferential fusion using a combined anterior-posterior approach has been used to prevent this occurrence. PURPOSE: The aim of this study was to report instrumented spinal fusion with convex hemi-interbody arthrodesis using a posterior-only approach in Risser stage 0 or 1 scoliosis patients...
September 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27191667/corneal-astigmatism-stability-in-descemet-membrane-endothelial-keratoplasty-for-fuchs-corneal-dystrophy
#17
Hideaki Yokogawa, P James Sanchez, Zachary M Mayko, Michael D Straiko, Mark A Terry
PURPOSE: To calculate the magnitude and angle of the shift in corneal astigmatism associated with Descemet membrane endothelial keratoplasty (DMEK) surgery to determine the feasibility of concurrent astigmatism correction at the time of DMEK triple procedures. DESIGN: Retrospective study. METHODS: Forty-seven eyes that previously underwent the DMEK procedure for Fuchs endothelial corneal dystrophy and that had more than 1.0 diopter (D) of front corneal astigmatism preoperatively were identified...
July 2016: Cornea
https://www.readbyqxmd.com/read/27161903/preoperative-and-postoperative-opiate-use-by-the-arthroplasty-patient
#18
Bradley J Zarling, Sanar S Yokhana, Darren T Herzog, David C Markel
BACKGROUND: As opioid use increases nationally, the arthroplasty surgeon is likely to see more patients taking opioid analgesics on initial presentation. The purpose of this study was to investigate the use of opiate medication in the preoperative and postoperative patient undergoing primary total joint arthroplasty. METHODS: From October 2010 to November 2011, data on 367 consecutive patients who underwent primary total joint arthroplasty were reviewed. Using the Michigan Automated Prescription System database, data were collected on opiate use from 3 months preop to 12 months postop...
October 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27160823/walking-sagittal-balance-correction-by-pedicle-subtraction-osteotomy-in-adults-with-fixed-sagittal-imbalance
#19
Mitsuru Yagi, Shinjiro Kaneko, Yoshiyuki Yato, Takashi Asazuma, Masafumi Machida
PURPOSE: Pedicle subtraction osteotomy (PSO) is widely used to treat severe fixed sagittal imbalance. However, the effect of PSO on balance has not been fully documented. The aim of this study was to assess dynamic walking balance after PSO to treat fixed sagittal imbalance. METHODS: Gait and balance were assessed in 15 consecutive adult female patients who had been treated by PSO for a fixed sagittal imbalance and compare patients' preop and postop dynamic walking balance with that of 15 age- and gender-matched healthy volunteers (HV)...
August 2016: European Spine Journal
https://www.readbyqxmd.com/read/27160113/effect-of-perioperative-inadvertent-hypothermia-on-the-ecg-parameters-in-patients-undergoing-transurethral-resection
#20
H Bayir, I Yildiz, F Erdem, U Y Tekelioglu, M E Ozyalvacli, M Bilgi, H Kocoglu
OBJECTIVE: Perioperative inadvertent hypothermia (PIH) (core body temperature to < 36 °C) is a common event during surgery. PIH may result from multiple factors. Elderly urology patients are at greater risk than other patients for hypothermia. PIH may cause adverse postoperative cardiac clinical manifestations. Our study aimed to determine the effects of postoperative alteration of core body temperature on the ECG parameters in patients undergoing transurethral resection. PATIENTS AND METHODS: Fifty-nine patients, 40-83 years of age, who were scheduled for elective Transurethral Resection Prostate and/or Bladder (TUR-P and/or TUR-B) were enrolled in the study...
April 2016: European Review for Medical and Pharmacological Sciences
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