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Int J Retina Vitreous 2019 6;5. Epub 2019 Mar 6.

9Bascom Palmer Eye Institute, University of Miami, Miami, FL USA.

A paracentesis prior to an intravitreal injection is a very safe procedure and can prevent IOP-spikes after injections. As these spikes pose the risk of inducing glaucomatous changes particularly in patients with frequent injections and/or with a risk profile, a regular paracentesis prior to an injection may be considered and discussed with the patient. Read More

Am J Ophthalmol Case Rep 2019 Jun 13;14:47-50. Epub 2019 Feb 13.

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.

Purpose: To describe the rare entity of concurrent herpetic acute retinal necrosis (ARN) and orbital inflammation.

Observations: Two cases of ARN with simultaneous orbital inflammation are described. A 40-year old male presented with a painful left eye and hand motion visual acuity (VA). Read More

Indian J Palliat Care 2019 Jan-Mar;25(1):57-60

Department of Oncoanaesthesia and Palliative Medicine, Dr. B.R. Ambedkar IRCH, AIIMS, New Delhi, India.

Background: Malignant ascites is an accumulation of fluid in the peritoneal cavity due to the manifestation of terminal metastatic malignancies. Accumulation of ascitic fluid could cause abdominal distention, early satiety, and shortness of breath. The onset and progression of these symptoms are not only distressing but also cause deterioration of the quality of life. Read More

Bone Joint J 2019 Mar;101-B(3):288-296

Medical University of Vienna, Department of Orthopaedics and Trauma Surgery, Vienna, Austria.

Aims: This study aimed to assess the performance of an automated multiplex polymerase chain reaction (mPCR) technique for rapid diagnosis of native joint septic arthritis.

Patients And Methods: Consecutive patients with suspected septic arthritis undergoing aseptic diagnostic joint aspiration were included. The aspirate was used for analysis by mPCR and conventional microbiological analysis. Read More

Medicine (Baltimore) 2019 Feb;98(8):e14583

Division of Hematology and Medical Oncology, Department of Internal Medicine, E-Da Hospital.

Rationale: Lymphoma with an initial manifestation of ascites and peritoneal invasion is rare.

Patient Concerns: A 65-year-old woman presented to the emergency department with a 3-week history of abdominal distention, anorexia, and night sweating, and a 2-week history of melena. She was a silent hepatitis B virus carrier. Read More

Eur J Ophthalmol 2019 Feb 26:1120672119832785. Epub 2019 Feb 26.

1 Eye Institute of Chinese PLA and Department of Ophthalmology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

Aim:: The aim of this study was to investigate the expression of platelet-derived growth factor-C in aqueous humor of patients with neovascular glaucoma and its correlation with vascular endothelial growth factor.

Methods:: This study involved 62 eyes of 62 patients with advanced neovascular glaucoma requiring transscleral cyclophotocoagulation. Aqueous humor was collected through paracentesis. Read More

MedEdPORTAL 2018 Aug 30;14:10747. Epub 2018 Aug 30.

Program Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine.

Introduction: Structured procedural education and assessment of competency are growing needs for residency and fellowship programs. Simulation is a useful way to learn, experience, and practice procedural skills with competence. Paracentesis is a common procedure encountered in internal medicine. Read More

J Vet Med Sci 2019 Feb 25. Epub 2019 Feb 25.

Department of Small Animal Internal Medicine II, School of Veterinary Medicine, Kitasato University.

We investigated the effects of tyrosol (Tyr) on anterior chamber paracentesis (ACP)-induced anterior uveitis in beagle dogs, as determined by protein and prostaglandin E2 (PGE2) concentrations in the aqueous humor (AH). Tyr at a dose of 100 or 200 mg/kg or 2.2 mg/kg of carprofen as a positive control was administered orally twice daily from 2. Read More

Expert Rev Gastroenterol Hepatol 2019 Apr 12;13(4):293-305. Epub 2018 Dec 12.

a Division of Gastroenterology, Department of Medicine, Toronto General Hospital , University of Toronto , Toronto , Ontario , Canada.

Introduction: Ascites commonly complicates cirrhosis, becoming refractory to treatment with diuretics and sodium restriction in approximately 10% of patients. Pathogenesis of refractory ascites (RA) is multifactorial, the common final pathway being renal hypoperfusion and avid sodium retention. Refractory ascites has a negative prognostic implication in the natural history of cirrhosis. Read More

Arq Gastroenterol 2018 Oct-Dec;55(4):375-379

Universidade de Fortaleza, Centro de Ciências da Saúde, Curso de Medicina, Programa de Educação Tutorial, Fortaleza, CE, Brasil.

Background: Paracentesis is a routine medical procedure quite relevant in clinical practice. There are risks of complications related to paracentesis, so it is essential a proper trainee for the younger practicer.

Objective: The article describes the construction and the application of a low cost paracentesis simulator for undergraduate medical students and it also describes the perception of students about the simulator as well. Read More

Arch Soc Esp Oftalmol 2019 Feb 12. Epub 2019 Feb 12.

Consorcio Hospital General Universitario de Valencia, Valencia, España.

Digital subtraction angiography (DSA) is a technique used in interventional radiology for the diagnosis of vascular cerebral conditions. Central retinal artery occlusion (CRAO) is a complication of endovascular procedures that involve atherosclerotic plaque removal with subsequent embolisation. The case is presented on a patient who noticed a sudden vision loss during a DSA. Read More

Clin Teach 2019 Feb 13. Epub 2019 Feb 13.

Department of Internal Medicine, Haut-Leveque Hospital, University Hospital Center of Bordeaux, Pessac cedex, France.

Background: In self-regulated procedural simulation, learners practise on many simulators (e.g. paracentesis), self-regulating their choice of simulators, time and goals. Read More

Am J Emerg Med 2019 Jan 25. Epub 2019 Jan 25.

Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA, United States of America.

Study Objective: To determine the sensitivity of a highly sensitive bedside leukocyte esterase reagent strip (RS) for detection of spontaneous bacterial peritonitis (SBP) in emergency department (ED) ascites patients undergoing paracentesis.

Methods: We conducted a prospective, observational cohort study of ED ascites patients undergoing paracentesis at two academic facilities. Two practitioners, blinded to each other's results, did a bedside RS analysis of the peritoneal fluid in each patient and documented the RS reading at 3-min according to manufacturer-specified colorimetric strip reading as either "negative", "trace", "small", or "large". Read More

J Vasc Interv Radiol 2019 Feb;30(2):259-264

Department of Radiology, Banner University Medical Center Phoenix, Phoenix, Arizona; University of Arizona College of Medicine-Phoenix, Phoenix, AZ 85004. Electronic address:

Purpose: To evaluate the rate and risk factors for hemorrhage in patients undergoing real-time, ultrasound-guided paracentesis by radiologists without correction of coagulopathy.

Materials And Methods: This was a retrospective study of all patients who underwent real-time, ultrasound-guided paracentesis at a single institution over a 2-year period. In total, 3116 paracentesis procedures were performed: 757 (24%) inpatients and 2,359 (76%) outpatients. Read More

Vet Ophthalmol 2019 Feb 4. Epub 2019 Feb 4.

Department of Small Animal Internal Medicine II, School of Veterinary Medicine, Kitasato University, Towada, Aomori, Japan.

Objective: We investigated the early posttreatment effects of two steroidal anti-inflammatory ophthalmic drugs on blood-aqueous barrier (BAB) breakdown by paracentesis in dogs.

Animal Studies: We studied 21 healthy beagles with normal eyes.

Procedures: Controlled anterior chamber paracentesis (0. Read More

Surv Ophthalmol 2019 Jan 29. Epub 2019 Jan 29.

Department of Ophthalmology, University Hospitals and School of Medicine, Geneva, Switzerland.

The retinal ganglion cells infarcted in central retinal artery occlusion (CRAO) are the somata of the optic nerve axons, part of the central nervous system. Consequently, CRAO with inner retinal infarction is a small vessel stroke, usually with the devastating consequence of severe visual loss in the affected eye. At present, there is no generally accepted, evidence-based therapy of non-arteritic CRAO in contrast to ischemic cerebral stroke that has well accepted treatment protocols. Read More

Transplant Proc 2019 Jan - Feb;51(1):41-43. Epub 2018 Jun 30.

Unit of Hepatobiliary Surgery and Liver Transplantation, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Instituto Maimónides de Investigación Biomédica de Córdoba, University Hospital Reina Sofía, Córdoba, Spain.

Background: Guidelines for the management of refractory ascites (RA) recommend transjugular intrahepatic portosystemic shunting (TIPS), diuretics, and paracentesis as the main strategies, discouraging use of surgical peritoneovenous shunts (PVSs). However, PVSs, including both Denver (DS) or saphenoperitoneal (SPS) modalities, may still have indications. Herein we report our experience with PVSs in the context of modern surgical and anesthetic management. Read More

Medicine (Baltimore) 2019 Jan;98(3):e14151

Department of Respiratory Medicine, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Foushan, Guangdong Province, China.

Rational: Clinical and radiologic manifestations of pleural amyloidosis are non-specific. And it can easily be missed or misdiagnosed. Meanwhile, few studies document amyloidosis presenting with pulmonary infarcts at the same time. Read More

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):509-516

Department of Oncology, University of Health Sciences Antalya Training and Research Hospital, Antalya; Turkey.

Objective: To evaluate the utility of B-mode gray-scale histogram analysis in the management of patients with infected cirrhotic ascites.

Methods: A total of 97 patients (mean(SD) age : 66.8(14. Read More

West J Emerg Med 2019 01 13;20(1):92-93. Epub 2018 Nov 13.

Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina.

Taiwan J Obstet Gynecol 2019 Jan;58(1):40-42

Genetics and Genome Sciences, UCONN Health, 263 Farmington Avenue, E3050, Farmington, CT, USA.

Objective: Non-invasive prenatal testing (NIPT) through the analysis of cell-free DNA in maternal plasma has bee expanded to include clinically-relevant microdeletions such as the 22q11.2 deletion syndrome (22q11.2DS). Read More

Taiwan J Obstet Gynecol 2019 Jan;58(1):36-39

Regional Center of Medical Genetics Timis, Clinical Emergency Hospital for Children "Louis Turcanu" Timisoara, Timisoara, Romania. Electronic address:

Objective: We describe a rare case of "pure" 8q duplication diagnosed prenatally by conventional karyotyping, that was further characterized by array comparative genomic hybridization (aCGH).

Case Report: A 39-year-old, primigravida woman underwent amniocentesis at 23 weeks of gestation because of an abnormal second trimester maternal serum screening for Down syndrome. Conventional cytogenetic analysis demonstrated a karyotype of 46,XX,der(8) (q24. Read More

Taiwan J Obstet Gynecol 2019 Jan;58(1):139-144

Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan. Electronic address:

Objective: This study retrospectively evaluated the incidences of small supernumerary marker chromosomes (sSMCs) in prenatal diagnoses and detected with gain of pathogenic copy number variation through array comparative genomic hybridization (CGH) in a laboratory in Taiwan.

Materials And Methods: We retrospectively searched and reviewed the sSMC cases detected during prenatal diagnoses in the Youthgene medical laboratory, between 2004 and 2015 and used array CGH to successfully analyze 45 of 47,XN,+mar or 47,XN + mar/46,XN.

Results: A total of 68,087 cases of amniocentesis were analyzed, of which 59 were identified as sSMCs. Read More

Klin Monbl Augenheilkd 2019 Jan 7. Epub 2019 Jan 7.

Department of Ophthalmology - University of Lausanne, Hôpital Ophtalmique Jules-Gonin, Lausanne, Switzerland.

Purpose: To characterise the surgical removal technique of a dislocated dexamethasone implant in the anterior chamber and to gauge its success by analysing corneal transparency and subsequent visual acuity recovery in the postoperative phase.

Methods: Description of a patient who presented with an anterior chamber dexamethasone implant migration through an inferior iridotomy performed previously for a silicone oil fill in aphakia. Visual acuity had dropped to counting fingers due to marked corneal oedema. Read More

Cornea 2019 Apr;38(4):413-418

Corneal and External Eye Disease Department, Singapore National Eye Centre, Singapore.

Purpose: To describe 4 cases of cytomegalovirus (CMV) corneal endotheliitis occurring after Descemet membrane endothelial keratoplasty (DMEK).

Methods: This is a retrospective, interventional case series. Case records of 4 patients (one eye each) diagnosed with CMV corneal endotheliitis after DMEK were reviewed retrospectively. Read More

J Hosp Med 2019 Jan 2;14:E7-E15. Epub 2019 Jan 2.

Divisions of General and Hospital Medicine and Pulmonary and Critical Care Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.

1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. Read More

Cardiovasc Intervent Radiol 2019 Jan 2. Epub 2019 Jan 2.

Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Box 3808, 2301 Erwin Road, Durham, NC, 27710, USA.

Purpose: To compare survival after transjugular intrahepatic portosystemic shunt (TIPS) creation versus serial large volume paracenteses (LVP) in patients with refractory ascites and higher Model for End-Stage Liver Disease (MELD) scores.

Materials And Methods: In this retrospective study, from 1/1/2013 to 10/1/2018, 478 patients (294 male; mean age 58, range 23-89) underwent serial LVP (n = 386) or TIPS (n = 92) for ascites. Propensity-matched cohorts were constructed based on age, MELD, Charlson comorbidity index, varices, and hepatic encephalopathy. Read More

Retin Cases Brief Rep 2018 Dec 27. Epub 2018 Dec 27.

Retina Specialists of Alabama, Birmingham, Alabama.

Purpose: To present a case of retinal and uveal necrosis caused by expanding gas tamponade after pars plana vitrectomy.

Methods: Single case report.

Results: An otherwise healthy 66-year-old woman underwent pars plana vitrectomy with intended 20% sulfur hexafluoride (SF6) tamponade for macular hole repair of her pseudophakic left eye. Read More

Retina 2018 Dec 27. Epub 2018 Dec 27.

Department of Ophthalmology, the Icahn School of Medicine at Mount Sinai, New York, New York.

Purpose: To correlate demographics, retinal lesion characteristics, and host immune status with the pathogen found on polymerase chain reaction analysis of aqueous fluid in patients with suspected infectious posterior uveitis.

Methods: Medical records of patients who underwent anterior chamber paracentesis for suspected infectious posterior uveitis and had retinal photographs between 2014 and 2016 at a single institution were reviewed. Data collection included demographics, clinical appearance of the lesions, and polymerase chain reaction results. Read More

Am J Kidney Dis 2019 Mar 29;73(3):416-420. Epub 2018 Dec 29.

Division of Nephrology, Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada; Kidney Research Centre, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. Electronic address:

Ovarian hyperstimulation syndrome (OHSS) is a complication of assisted reproductive treatments such as in vitro fertilization (IVF). The pathophysiology of severe OHSS includes a humorally mediated capillary leak syndrome that is predominantly centered on the intra-abdominal space. Severe OHSS is frequently complicated by acute kidney injury (AKI), which can be due to any of a variety of mechanisms, each requiring a different management strategy. Read More

Ann Hepatol 2018 Dec;18(1):165-171

Francis Family Liver Clinic, University of Toronto, Canada.

Introduction And Aim: The prevalence and incidence of chronic liver disease is increasing resulting in substantial direct and indirect medical costs. Overuse of investigations, treatments and procedures contribute to rising health care costs and can expose patients to unnecessary harm and delay in receiving care. The Choosing Wisely Canada (CWC) campaign has encouraged profesional societies to develop statements that are directly actionable by their members in an effort to promote higher-value health care that will lead to downstream effect on how other practitioners make decisions. Read More

BMJ Case Rep 2018 Dec 22;11(1). Epub 2018 Dec 22.

Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

A 26-year-old gravida 2, para 2-0-0-2 woman with a recent uncomplicated vaginal delivery 10 weeks prior presented to our hospital with 5 weeks of abdominal swelling and discomfort. Four weeks after delivery, the patient began having right upper quadrant pain and was found to have cholelithiasis. She underwent an elective laparoscopic cholecystectomy 6 weeks prior to admission, but started to develop worsening abdominal swelling 1 week postoperatively. Read More

Br J Ophthalmol 2018 Dec 20. Epub 2018 Dec 20.

Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Purpose: To determine the effect of topical brimonidine tartrate prophylaxis on intraocular pressure (IOP) spikes following intravitreal injection of antivascular endothelial growth factor (anti-VEGF) agents.

Methods: This is a randomised crossover trial of consecutive non-glaucomatous eyes receiving intravitreal anti-VEGF injections between December 2016 and July 2017. All eyes were randomly assigned to no prophylaxis or topical brimonidine tartrate 0. Read More

Rev Med Liege 2018 Dec;73(12):640-644

Service de Gynécologie-obstétrique, CHU de Liège.

Screening for chromosomal abnormality such as trisomy 18 in a bichorial-biamniotic twin pregnancy is based on ultrasound and a non-invasive prenatal test (NIPT) from 12 weeks of gestation. An invasive examination such as amniocentesis is necessary for a diagnostic confirmation. The management of these complicated cases consists in performing a selective feticide in the first or third trimester of pregnancy. Read More

World J Gastroenterol 2018 Dec;24(45):5131-5143

PLA Center of General Surgery and Pancreatic Injury and Repair Key Laboratory of Sichuan Province, Chengdu Military General Hospital, Chengdu 610083, Sichuan Province, China.

Aim: To investigate the role of peritoneal macrophage (PM) polarization in the therapeutic effect of abdominal paracentesis drainage (APD) on severe acute pancreatitis (SAP).

Methods: SAP was induced by 5% Na-taurocholate retrograde injection in Sprague-Dawley rats. APD was performed by inserting a drainage tube with a vacuum ball into the lower right abdomen of the rats immediately after the induction of SAP. Read More

Pract Radiat Oncol 2018 Dec 15. Epub 2018 Dec 15.

Department of Surgery, Oregon Health & Science University, Portland, Oregon.

Purpose: When lymphatic pathways are disrupted via obstruction or traumatic injury, a temporary or chronic chyle leak may result, which is defined as the presence of chyle that collects outside of the lymphatic vessels within the thoracic or abdominal cavities. For a chyle leak that is refractory to surgical repair, no good options exist. Radiation therapy (RT) can result in scarring and fibrosis of the lymphatic fistula. Read More

Arch Pediatr 2019 Jan 13;26(1):38-43. Epub 2018 Dec 13.

Orthopedics department, Sahloul University, Hospital Sousse Tunisia, 4045 Sousse, Tunisia.

Introduction: Septic elbow arthritis is a rare disease, especially in children. The aim of this study was to report the functional outcome of our pediatric population with both demographic and microbiological features.

Methods: We retrospectively reviewed all our cases of pediatric septic elbow arthritis between 2007 and 2017. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):897-898

Trakya University, Faculty of Medicine, Department of Perinatology, Turkey.

J Pharm Pract 2018 Dec 6:897190018816252. Epub 2018 Dec 6.

2 Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Background:: Albumin after large volume paracentesis (LVP) reduces paracentesis-induced circulatory dysfunction (PICD). The most efficacious dose of albumin for LVP is unclear.

Objective:: To evaluate the impact of implementing a standardized LVP order set on albumin utilization and patient outcomes. Read More

Eur J Ophthalmol 2018 Dec 12:1120672118818012. Epub 2018 Dec 12.

Ocular Trauma and Emergency Department and Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Purpose:: To introduce a new surgical technique for the localization of corneal bulla to drain a massive corneal hydrops.

Methods:: Four consecutive cases with acute large protruded hydrops were selected. A limbal paracentesis was made via 15° blade. Read More

Pancreas 2019 01;48(1):e6-e8

Center of General Surgery General Hospital of Chengdu Military Command and Department of General Surgery Dujiangyan Medical Center Chengdu, China Center of General Surgery General Hospital of Chengdu Military Command Chengdu, China

Intern Med J 2018 Dec;48(12):1524-1528

Palliative Care Services, Counties Manukau District Health Board, Middlemore Hospital, Auckland, New Zealand.

Large volume paracentesis is effective in relieving the symptoms of malignant ascites, but frequent procedures are often required. Permanent peritoneal ports are an alternative to repeated procedures. We describe our experience with the use of peritoneal ports in patients at Middlemore Hospital (Auckland, New Zealand) who had a port inserted for the drainage of malignant ascites. Read More

Rev Esp Enferm Dig 2018 Dec 4;111. Epub 2018 Dec 4.

UCG Digestive Diseases and CIBEREHD, Hospital Universitario de Valme Spain , Spain.

Background: bioelectrical impedance analysis is a technique for the determination of the hydropic component. The hydropic component, determined by blood volume, could be a reflection of the hemodynamic situation. This study aimed to evaluate the usefulness of peripheral bioelectrical impedance analysis (BIA) for the prediction of hemodynamic changes in large-volume paracentesis and prognosis. Read More

JGH Open 2017 Nov 31;1(3):92-97. Epub 2017 Oct 31.

Liver Injury and Cancer Centenary Research Institute Sydney New South Wales Australia.

Background And Aim: Alterations in nutrient metabolism, nutritional requirements, and reduced dietary intakes are common in chronic liver disease (CLD). These result in malnutrition, sarcopenia, and exacerbate progression to decompensation and ascites. We aimed to investigate the effects of continuous tube feeding (TF) on nutritional status and levels of ascites in malnourished individuals with decompensated cirrhosis. Read More

Mol Genet Genomic Med 2019 01 25;7(1):e00503. Epub 2018 Nov 25.

Shanghai Jiao Tong University School of Medicine Affiliated Xinhua Hospital, Shanghai, China.

Background: Both familial exudative vitreoretinopathy (FEVR) and Norrie disease (ND) are hereditary retinal disorders which can cause severe visual impairment and blindness at a young age. The present study aimed to report the use of antenatal genetic testing and ultrasound in the diagnosis and counseling of FEVR and ND.

Methods: Amniocentesis and ultrasonography were performed in high-risk mothers, with children having FEVR or ND, to predict severe ocular abnormalities. Read More

J Curr Glaucoma Pract 2018 May-Aug;12(2):94-98. Epub 2018 Aug 1.

Senior Resident, Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.

Aim: To report a case of bilateral phacomatosis pigmentovascularis (PPV), in a young male,presenting with developmental glaucoma and high myopia along with systemic features of klippel trenanauy weber (KTW) syndrome.

Background: The co-existence of oculodermal melanocytosis (ODM)and port-wine stain was termed PPV by Ota. Port-wine stain presents as part of Sturge-Weber syndrome (SWS). Read More

Ophthalmology 2018 Nov 22. Epub 2018 Nov 22.

Harvard Medical School, Department of Ophthalmology, Massachusetts Eye & Ear Infirmary, Glaucoma Service, Boston, Massachusetts.

Purpose: To assess the effect of intravitreal injections of anti-vascular endothelial growth factor (VEGF) agents on immediate and long-term intraocular pressure (IOP) elevation and glaucoma.

Methods: Literature searches of the PubMed and Cochrane databases, last conducted in April 2018, yielded 253 unique citations. Of these, 41 met the inclusion criteria and were rated according to the strength of evidence. Read More

Gastroenterol Hepatol 2018 Nov 21. Epub 2018 Nov 21.

Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile; Departamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile; Centro de Educación Médica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile. Electronic address:

Background And Aims: Abdominal paracentesis is an area that every general physician should know about, and the current learning model is unsafe for patients. Simulation allows students to develop their skills prior to clinical confrontation with minimal risks. The aims of this study were to design and evaluate a paracentesis simulation workshop for undergraduate students. Read More

Eye (Lond) 2019 01 22;33(1):110-119. Epub 2018 Nov 22.

Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.

Acute primary angle closure requires emergency management that involves a rapid lowering of the intraocular pressure and resolution of relative pupil block - the most common mechanism of angle closure. Emergency strategies for lowering intraocular pressure include medical treatment and argon laser peripheral iridoplasty. Anterior chamber paracentesis and diode laser transcleral cyclophotocoagulation may be considered in special situations. Read More