Search Our Scientific Publications & Authors

J Pediatr Rehabil Med 2018 Nov 19. Epub 2018 Nov 19.

Colorectal and Pelvic Malformations Center, Division of Gastroenterology, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Spina bifida is a birth defect that commonly causes bowel and bladder dysfunction in children with a significant negative impact on quality of life and emotional wellbeing. Fecal continence improves satisfaction and the quality of life of both children and their caretakers. Bowel management in children with spina bifida is hampered by limited controlled studies and variable practice within different institutions and subspecialists. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1261-1267

Department of Colorectal Surgery, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.

Objective: To explore the prognostic factors of patients with unresectable liver metastasis colorectal cancer after failed conversion chemotherapy.

Methods: A retrospective, case-controlled study was performed. Study subjects were 105 patients who were diagnosed with synchronous liver metastasis colorectal cancer after failed chemotherapy (metastasis evaluated as unresectable after the conversion chemotherapy) at Xinhua Hospital, Shanghai Jiaotong University from January 2012 to December 2015. Read More

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Roth|McFarlane Hand and Upper Limb Center, St Joseph's Health Care, University of Western Ontario, London, Ontario, Canada.

Purpose: The anatomy of the radial head and capitellum has been extensively studied; however, the anatomy of the radial notch of the ulna (RNU) has received little attention. This imaging-based anatomic study characterizes the morphology of the RNU.

Methods: Ninety-eight cadaveric arms (57 male, 72 ± 14 y) were imaged with computed tomography, and 3-dimensional reconstructions of the proximal ulna were constructed. Read More

Clin Nucl Med 2018 Dec 3. Epub 2018 Dec 3.

From the Departments of Nuclear Medicine and.

A 68-year-old woman with colon carcinoma was referred to F-FDG PET/CT imaging for staging. In addition to primary tumor involvement, PET/CT demonstrated focal FDG uptake in the right temporal lobe suggestive of primary brain tumor or metastasis. To delineate the lesion, a brain MRI scan showed sigmoid sinus thrombosis and vasogenic edema in the right temporal lobe. Read More

Clin Nucl Med 2018 Dec 3. Epub 2018 Dec 3.

Dipartimento di Scienze Radiologiche, Radioterapiche ed Ematologiche, Istituto di Medicina Nucleare, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, Rome, Italy.

A 75-year-old man, who had been diagnosed with small lymphocytic lymphoma with cervical localization, underwent F-FDG PET/CT with iodinated contrast medium due to the appearance of cervical swelling suspected of illness relapse. PET/CT revealed intense F-FDG uptake in multiple cervical and subdiaphragmatic lymph nodes and in the left parotid. Moreover, diffuse uptake and wall thickening of the colon were evident; endoscopy with biopsy revealed a diffuse large B-cell lymphoma. Read More

J Healthc Eng 2018 29;2018:2376317. Epub 2018 Oct 29.

College of Life Science and Bioengineering, Beijing University of Technology, Beijing 100124, China.

In this paper, an improved fuzzy connectedness (FC) method was proposed for automatic three-dimensional (3D) liver vessel segmentation in computed tomography (CT) images. The vessel-enhanced image (i.e. Read More

Ann Coloproctol 2018 Dec 3. Epub 2018 Dec 3.

Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.

Purpose: This study compared the perioperative clinical outcomes of reduced-port laparoscopic surgery (RPLS) with those of conventional multiport laparoscopic surgery (MPLS) for patients with sigmoid colon cancer and investigated the safety and feasibility of RPLS performed by 1 surgeon and 1 camera operator.

Methods: From the beginning of 2010 until the end of 2014, 605 patients underwent a colectomy for sigmoid colon cancer. We compared the characteristics, postoperative outcomes, and pathologic results for the patients who underwent RPLS and for the patients who underwent MPLS. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13403

Rationale: Nonocclusive mesenteric ischemia (NOMI) is a life-threatening disorder; prompt diagnosis is vital. Surgical treatment is often required, but some cases can be treated conservatively. We herein report an extremely rare case wherein protein-losing enteropathy (PLE) developed after conservative treatment of NOMI. Read More

Int J Colorectal Dis 2018 Nov 29. Epub 2018 Nov 29.

Department of Surgery and Transplantation, University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076, Tuebingen, Germany.

Purpose: Strategies for limiting the extent of bowel resection in cases of enterocutaneous or interenteric fistulas in severely active Crohn's disease are urgently necessary. Anti-inflammatory therapy with tumor necrosis factor alpha (anti-TNF alpha) inhibitors has positive impact on fistulizing Crohn's disease. We describe a case of a 32-year-old male suffering from enterocutaneous fistula in severely active Crohn's disease. Read More

Colorectal Dis 2018 Nov 29. Epub 2018 Nov 29.

Surgery department of Hospital da Luz Arrábida, Vila Nova de Gaia.

A giant colonic diverticulum (GCD) is a rare disease with less than 200 cases reported in the literature. By definition, a GCD is larger than 4cm in diameter with close sigmoid colon relationship in more than 90% of the cases. En bloc resection of the diverticulum with anterior sigmoid-rectal segment with primary anastomosis is the best treatment approach. Read More

Clin Infect Dis 2018 Nov;67(suppl_3):S336-S341

Center for Infectious Diseases Research and Experimental Therapeutics, Baylor Research Institute, Baylor University Medical Center, Dallas, Texas.

Background: Linezolid exhibits remarkable sterilizing effect in tuberculosis; however, a large proportion of patients develop serious adverse events. The congener tedizolid could have a better side-effect profile, but its sterilizing effect potential is unknown.

Methods: We performed a 42-day tedizolid exposure-effect and dose-fractionation study in the hollow fiber system model of tuberculosis for sterilizing effect, using human-like intrapulmonary pharmacokinetics. Read More

World J Gastrointest Oncol 2018 Nov;10(11):410-420

Department of Medical Oncology, University of Health Sciences, Okmeydani Training and Research Hospital, Istanbul 34384, Turkey.

Aim: To investigate the effects of tumor localization on disease free survival (DFS) and overall survival (OS) in patients with stage II-III colon cancer.

Methods: This retrospective study included 942 patients with stage II and III colon cancer, which were followed up in our clinics between 1995 and 2017. The tumors from the caecum to splenic flexure were defined as right colon cancer (RCC) and those from splenic flexure to the sigmoid colon as left colon cancer (LCC). Read More

J Surg Case Rep 2018 Nov 22;2018(11):rjy312. Epub 2018 Nov 22.

Department of Surgery, Epworth Health, Box Hill, Victoria, Australia.

Prolapsing mucosal folds are uncommon benign colonic lesions that when inflamed may macroscopically resemble, and be confused with, an adenomatous or hyperplastic polyp. They are usually small and rarely cause symptoms. We report the case of a 55-year-old female admitted to hospital following six episodes of significant rectal bleeding. Read More

J Contemp Brachytherapy 2018 Oct 31;10(5):478-482. Epub 2018 Oct 31.

Key Laboratory of Radiation Physics and Technology, Institute of Nuclear Science and Technology, Sichuan University.

Purpose: To report an implementation method and the results of independent brachytherapy dose verification software (DVS).

Material And Methods: The DVS was developed based on Visual C++ and adopted a modular structure design. The DICOM RT files exported from a treatment planning system (TPS) were automatically loaded into the DVS. Read More

J Contemp Brachytherapy 2018 Oct 15;10(5):418-424. Epub 2018 Oct 15.

Division of Radiation Oncology, Department of Radiology.

Purpose: The dose distributions obtained from three imaging approaches for target delineation in cervical cancer using high-dose-rate (HDR) brachytherapy were investigated.

Material And Methods: Ten cervical cancer patients receiving four fractions of HDR brachytherapy were enrolled. Based on different imaging approaches, three brachytherapy plans were developed for each patient: with the high-risk clinical target volume (HRCTV) delineated on magnetic resonance (MRI) images for every fraction (approach A; MRI-only); on MRI for the first fraction and computed tomography (CT) images for the subsequent fractions (approach B; MRI/CT); and on CT images for all fractions (approach C; CT-only). Read More

Saudi J Gastroenterol 2018 Nov 27. Epub 2018 Nov 27.

Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Background/aims: Colorectal cancer is the most common cancer in males and the third most common cancer in females. We aim to determine the polyp and adenoma prevalence in a cohort of patients who underwent opportunistic screening colonoscopies.

Patients And Methods: A retrospective cohort study was conducted using an endoscopic reporting database of individuals seen at three tertiary care hospitals (two public hospitals and one private) in Riyadh, Saudi Arabia. Read More

Med Biol Eng Comput 2018 Nov 26. Epub 2018 Nov 26.

Shandong Normal University, School of Information Science and Engineering, No. 88, Wenhua East Road, Jinan, People's Republic of China.

Colorectal cancer (CRC) is a common cancer responsible for approximately 600,000 deaths per year worldwide. Thus, it is very important to find the related factors and detect the cancer accurately. However, timely and accurate prediction of the disease is challenging. Read More

Biochem Biophys Res Commun 2018 Nov 23. Epub 2018 Nov 23.

Department of Anorectal, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266003, China. Electronic address:

The aim of this study was to investigate the role and possible mechanism of long noncoding RNA ANRIL in the development of ulcerative colitis (UC). The expression of ANRIL in colonic mucosa tissues collected from the sigmoid colon of UC patients and healthy control was determined. Subsequently, fetal human cells (FHCs) were treated with lipopolysaccharide (LPS) to stimulate UC-caused inflammatory injury, followed by detection of the effects of suppression of ANRIL on cell viability, apoptosis and cytokines production in LPS-stimulated FHCs. Read More

Obstet Gynecol Sci 2018 Nov 11;61(6):702-706. Epub 2018 Oct 11.

Department of Obstetrics and Gynecology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.

A supernumerary ovary is a rare gynecological anomaly, and is usually excised due to its malignant transformation potential. We report a case of a supernumerary ovary and endometriosis situated on the anterior rectosigmoid colon. When laparoscopy was conducted, a firm, 5-cm mass was discovered on the anterior rectosigmoid colon along with normal ovaries. Read More

Case Rep Urol 2018 24;2018:3069294. Epub 2018 Oct 24.

Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.

Small cell carcinoma (SCC) of the urinary bladder is highly aggressive and portends a poor outcome. Herein, we report a patient with recurrent SCC of the urinary bladder who experienced an unusually long-term disease-free duration after radical cystectomy. The patient was a 60-year-old woman who had undergone transurethral resection followed by radical cystectomy for muscle-invasive bladder cancer (high-grade urothelial carcinoma with adenocarcinomatous differentiation) 6 years prior; the surgical specimen had a negative surgical margin. Read More

Eur J Obstet Gynecol Reprod Biol 2018 Nov 6;232:46-53. Epub 2018 Nov 6.

Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis, Rouen University Hospital, Rouen, France; Clinique Tivoli-Ducos, Bordeaux, France. Electronic address:

Objective: Deep endometriosis may simultaneously infiltrate the vagina and the rectosigmoid, which associated resection may increase the risk of postoperative complications. Among these complications, rectovaginal fistula is one of the worst. To reduce the risk of rectovaginal fistula and related complications, surgeons may employ diverting stoma. Read More

World Neurosurg 2018 Nov 20. Epub 2018 Nov 20.

Department of Neurosciences, Operative Unit of Otorhinolaryngology, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy.

Objective: Large intradural growth of tympano-jugular paragangliomas (TJ-PGs) into the cerebellopontine angle is an infrequent condition that can determine an extensive involvement of vessels and brainstem, representing a surgical challenge. The current classifications lack in accuracy for defining large intradural TJ-PGs and assessing their operability. This study aims at retrospectively reappraising the management of our large intradural TJ-PGs surgical series, discussing operability criteria, treatment strategies and resection techniques. Read More

Neuroimaging Clin N Am 2019 Feb 31;29(1):49-56. Epub 2018 Oct 31.

Department of Radiology, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. Electronic address:

Although not all patients with tinnitus require imaging, patients with tinnitus and asymmetric hearing loss, additional neurologic findings, or pulsatile tinnitus should be evaluated with an appropriately tailored imaging study. Choice of imaging study should be guided by type of hearing loss and additional physical examination findings, such as middle ear lesion, presence of carotid bruit, or pulsatile tinnitus extinguished by jugular compression. Read More

Vasc Endovascular Surg 2018 Nov 22:1538574418813623. Epub 2018 Nov 22.

1 Department of Surgery, Higashiyamato Hospital, Higashiyamato, Tokyo, Japan.

Introduction:: Aortic mural thrombosis associated with a malignant disease is rare, and whether anticoagulation therapy or surgical treatment is the more definitive primary treatment remains uncertain. This study aims to determine the best treatment strategy for aortic thrombosis in a patient with a malignant disease.

Methods:: We reviewed medical literature using the PubMed database and present a case of aortic thrombosis due to a hypercoagulable state related to sigmoid colon adenocarcinoma. Read More

J Gastrointest Surg 2018 Nov 21. Epub 2018 Nov 21.

Department of General Surgery, Faculty of Medicine, Ataturk University, 25040, Erzurum, Turkey.

Am J Case Rep 2018 Nov 22;19:1386-1392. Epub 2018 Nov 22.

Third Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, School of Health Sciences, Faculty of Medicine, Thessaloniki, Greece.

BACKGROUND Although diverticular disease is well described and treated in daily clinical practice, there are cases that attract great interest because of their complexity and difficulty in management. Herein, we describe a rare case of colo-colonic fistula-complicated diverticulitis that necessitated urgent surgical intervention. CASE REPORT A 76-year-old female patient with a known history of diverticular disease of the sigmoid colon presented in the Emergency Department for evaluation of left lower quadrant abdominal pain. Read More

Drug Discov Ther 2018 ;12(5):304-308

Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo.

We described fecal retention during the defecation cycles of adults with functional constipation via ultrasonography (US) of the large intestine. US was performed continuously after the last defecation until the next defecation. We defined the fecal finding level on US as follows: weak fecal retention, a marginally high echo in the colonic lumen; or strong fecal retention, a strongly echoic colon lumen with showing a crescent-shaped acoustic shadow on transverse images and haustrations on longitudinal images. Read More

Tech Coloproctol 2018 Oct 20;22(10):739-740. Epub 2018 Nov 20.

Amsterdam University Medical Centers, Amsterdam, The Netherlands.

Int J Colorectal Dis 2018 Nov 20. Epub 2018 Nov 20.

Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Purpose: To evaluate risk factors for early postoperative complications in patients with Crohn's disease (CD) after extensive colorectal resection excluding mere ileocecal resection or right hemicolectomy at a university center.

Methods: A retrospective analysis of the prospectively maintained database for surgical patients with CD at our institution was performed. All consecutive patients operated between December 2009 and December 2017 were included. Read More

Front Oncol 2018 6;8:504. Epub 2018 Nov 6.

Section of Surgical Oncology, Department of Surgery, Yale University School of Medicine, New Haven, CT, United States.

Colorectal cancer (CRC) incidence is rising in the young, yet the age of those affected is not clearly defined. In this study, we identify such cohorts and define clinicopathological features of early-onset colon and rectal cancers. The Surveillance, Epidemiology and End Results Program (SEER) database was queried to compare clinicopathological characteristics of colon and rectal cancers diagnosed during 1973-1995 with those diagnosed during 1995-2014. Read More

Scand J Surg 2018 Nov 21:1457496918812198. Epub 2018 Nov 21.

1 Division of Surgery, Department of Clinical Sciences, Malmö, Skåne University Hospital, Lund University, Malmö, Sweden.

Background And Aims:: The optimal extent of mesenteric resection in colon cancer surgery remains elusive. The aim was to assess the impact on perioperative morbidity and oncological outcome depending on the height of central vessel ligation in sigmoid resection for adenocarcinomas.

Material And Methods:: All cases of stage I-III sigmoid cancers, operated on with locally radical resections (2007-2009), were identified in the Swedish Colorectal Cancer Registry and categorized according to the position of the vascular ligature, that is, ligation of the inferior mesenteric artery, ligation of the superior rectal artery, or ligation of the sigmoid branches. Read More

J Neurol Surg B Skull Base 2018 Dec 25;79(Suppl 5):S424-S425. Epub 2018 Sep 25.

Department of Neurological Surgery, University of Wisconsin Medical School, Madison, Wisconsin, United States.

Surgical resection of jugular foramen tumors poses a significant challenge to skull base surgeons with the selection of an appropriate surgical approach, a matter of some debate. Jugular foramen metastatic tumors may mimic paragangliomas, and in some selected cases surgical resection is needed. In this video, we demonstrate the microsurgical gross total resection of a jugular foramen tumor via a postauricular trans-jugular trans-sigmoid approach. Read More

J Neurol Surg B Skull Base 2018 Dec 25;79(Suppl 5):S418-S419. Epub 2018 Sep 25.

Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States.

 To describe an extended retrosigmoid approach for the resection of a cavernoma involving the ponto-medullary junction, with emphasis on the microsurgical anatomy and technique.  A retrosigmoid craniotomy is performed in the lateral decubitus position and the sigmoid sinus exposed. After opening the dura, sutures are placed medial to the sinus to allow its gentle mobilization. Read More

J Neurol Surg B Skull Base 2018 Dec 9;79(Suppl 5):S397-S398. Epub 2018 Oct 9.

Department of Neurosurgery, Hospital Beneficência Portuguesa de São Paulo, Institute of Neurological Science of São Paulo, Bela Vista, São Paulo, Brasil.

We present the case of a 34-year-old woman, who presented to our department with a 4 months history of dizziness, hearing loss, and tinnitus on the right side. MRI (magnetic resonance imaging) scan demonstrated a large extra-axial lesion, suggestive of a meningioma, with dural attachments to the petrosal bone surface and tentorium, closely related with the trigeminal, abducens, facial, vestibulocochlear, and lower cranial nerves in the right side. Treatment options were discussed with the patient, and surgical resection was selected to remove the lesion, and decompress the cranial nerves and brainstem. Read More

Am Surg 2018 Aug;84(8):e275-e276

Department of Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.

Am Surg 2018 Jan;84(1):e26-e28

Oper Neurosurg (Hagerstown) 2018 Nov 18. Epub 2018 Nov 18.

Department of Neurosurgery, Tokyo Medical University, Tokyo, Japan.

The combined transpetrosal approach enables wide exposure around the petroclival region by cutting the tentorium and superior petrosal sinus. We often choose this approach for removal of tumors ventral to the facial and vestibulocochlear nerves, such as petroclival meningioma and epidermoid cyst, because complete removal of the tumor under direct visualization is required to prevent its later recurrence, especially in young patients. Recent reports revealed anatomical variations of the drainage of the superior petrosal sinus, and dural incision considering preservation of the superior petrosal vein was proposed. Read More

J Radiat Res 2018 Nov 17. Epub 2018 Nov 17.

Department of Radiation Oncology, China-Japan Union Hospital of Jilin University, No. 126 Xiantai Street, Changchun, China.

The present study aimed to compare the dosages of target regions and organs at risk (OARs) in 3D intracavitary brachytherapy (ICBT) and conventional 2D ICBT for Chinese patients with cervical carcinoma. ICBT was performed in a total of 66 patients with Stage IB to IVA cervical carcinoma who had not received surgery but who had received whole-pelvic external-beam radiotherapy (EBRT). Plans for the 3D-ICBT and the conventional 2D-ICBT were individually designed for every patient. Read More

Dis Colon Rectum 2018 Nov 15. Epub 2018 Nov 15.

Colorectal Surgery Center, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Background: Current guidelines accept partial colectomy and primary anastomosis with proximal diversion for select patients with perforated diverticulitis based on low-quality evidence.

Objective: This study aimed to compare the effect of operative approach and surgeon training on outcomes following urgent/emergent colectomy for diverticulitis.

Design: This is a statewide retrospective cohort study. Read More

Biophys J 2018 Dec 2;115(11):2152-2166. Epub 2018 Nov 2.

Department of Molecular and Cellular Biology, University of Guelph, Guelph, Ontario, Canada. Electronic address:

ProP is a member of the major facilitator superfamily, a proton-osmolyte symporter, and an osmosensing transporter. ProP proteins share extended cytoplasmic carboxyl terminal domains (CTDs) implicated in osmosensing. The CTDs of the best characterized, group A ProP orthologs, terminate in sequences that form intermolecular, antiparallel α-helical coiled coils (e. Read More

J Surg Case Rep 2018 Nov 13;2018(11):rjy314. Epub 2018 Nov 13.

Diabetes and Thyroid Center, Theptarin hospital, Bangkok, Thailand.

For decades, Thailand has been at the forefront of sex reassignment surgeries. The neovagina created by recto-sigmoid vaginoplasty is much more complex procedure when compared with penile skin version technique, but yielded more satisfactory functional outcomes. We reported an unusual case of life-threatening small bowel obstruction following previously successful recto-sigmoid vaginoplasty in a transgender woman. Read More

J Surg Case Rep 2018 Nov 13;2018(11):rjy311. Epub 2018 Nov 13.

Department of Surgery, Federal Teaching Hospital, Gombe, Nigeria.

Compound volvulus is an uncommon cause of acute abdomen and involves the twisting of the loops of ileum around the base of the sigmoid or vice versa. It is a surgical emergency that is often missed pre-operatively. We are reporting this case and reviewing the relevant literature to increase the awareness of this condition. Read More

J Surg Case Rep 2018 Nov 13;2018(11):rjy295. Epub 2018 Nov 13.

Department of Surgery, Princess Marina Hospital, Gaborone, Botswana.

We present a 26-year-old male patient who presented with complete bowel obstruction and peritonitis. His abdominal X-rays showed grossly distended large bowels with air-fluid levels. A differential diagnosis of sigmoid volvulus was entertained and the patient was taken for an exploratory laparotomy. Read More

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:466-469

Chronic insomnia can significantly impair an individual's quality of life leading to a high societal cost. Unfortunately, limited automated tools exist that can assist clinicians in the timely detection of insomnia. In this paper, we propose a two stage approach to automatically detect insomnia from an overnight EEG recording. Read More

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:127-130

Prediction of Alzheimer's disease (AD) from Mild Cognitive Impairment (MCI) by analyzing Magnetic Resonance Imaging (MRI) image features has become popular in recent years. However, defining effective predictive biomarkers is still challengeable. The 'radiomics' is an established method to identify advanced and high order quantitative imaging features for computer-aided diagnosis and has been applied into oncology study. Read More

J Emerg Trauma Shock 2018 Jul-Sep;11(3):211-216

Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.

Introduction: In Russell's viper bites, due to the lack of a better alternative, whole blood clotting test (WBCT) remains the standard test even though its reliability and sensitivity has been shown to be low. Activated partial thromboplastin time (aPTT)-based clot waveform analysis (CWA) is an optic absorbance assay that can be used as a global clotting test. In this study, the objective was to assess the changes in CWA and to compare CWA to WBCT and aPTT in patients with Russell's viper envenomation. Read More

Ultrasound Obstet Gynecol 2018 Nov 13. Epub 2018 Nov 13.

Department of Obstetrics and Gynecology, Clínica Universidad de Navarra, School of Medicine, University of Navarra, Pamplona, Spain.

Objective: The aim of the present study was to assess the learning curves of trainees during a structured off-line/hands-on training program on the diagnosis of deep infiltrating endometriosis (DIE).

Methods: A two-week training program was conducted. One day was devoted to theoretical issues and guided off-line analysis of 10 volumes of three-dimensional (3D) ultrasound. Read More

J Stroke Cerebrovasc Dis 2018 Nov 10. Epub 2018 Nov 10.

Department of Neurosuragery, Stroke Center, Kokura Memorial Hospital, Japan. Electronic address:

Objective: We report a case of a 70-year-old man who developed a transverse-sigmoid dural arteriovenous fistula (TS-DAVF) that was successfully treated by transarterial embolization (TAE) with Onyx.

Case Presentation: The patient presented with sudden and progressive disturbance of consciousness and left hemiparesis. Magnetic resonance imaging (MRI) revealed venous infarction and hemorrhagic changes with brain swelling in the right parietal lobe. Read More