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Evolution of a novel technology for gastroesophageal reflux disease: a safety perspective of magnetic sphincter augmentation.

Dis Esophagus 2021 Jun 11. Epub 2021 Jun 11.

Clinical Affairs, Ethicon Incorporated, Cincinnati, OH, USA.

Magnetic sphincter augmentation using the LINX® device is a minimally invasive surgical option for patients with gastroesophageal reflux disease. An estimated 30,000 devices have been implanted worldwide. Device removals and erosion are identified risks. Read More

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Laparoscopic removal of intravesically inserted transobturator tape.

Int Urogynecol J 2021 Jun 11. Epub 2021 Jun 11.

Department of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Introduction And Hypothesis: The aim of this video is to provide a step-by-step description of our approach to the surgical management of intravesically localized transobturator tape after previous failure of repeated cystoscopic tape resection.

Methods: This video presents a patient with tape erosion to the urinary bladder after repeated cystoscopic tape resection, recurrent stone formation, and repeated lithotripsy, with recurrent urinary tract infections and overactive bladder (OAB) with urgency incontinence.

Results: During the laparoscopy procedure tape was identified in the left obturator muscle, cut near the obturator muscle, and dissected up to the bladder wall. Read More

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Graduate nurse views on patient safety: Navigating challenging workplace interactions with senior clinical nurses.

J Clin Nurs 2021 Jun 10. Epub 2021 Jun 10.

School of Nursing, Midwifery and Social Sciences, Central Queensland University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

Aim And Objective: To explore and understand the negative experiences of graduate nurses' interaction with senior nurses and the implications for safe patient care.

Background: Patient safety is dependent on the nursing care they receive. Working in environments where there is reduced collegial support and increased emotional distress, increases the likelihood of nurses making errors that may negatively impact on patient outcomes. Read More

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Myocardial infarction secondary to coronary embolus in a patient with left ventricular non-compaction cardiomyopathy: a case report.

Eur Heart J Case Rep 2021 Mar 10;5(3):ytab077. Epub 2021 Mar 10.

Cardiovascular Division, University of Nebraska Medical Center, 982265 Nebraska Medical Center, Omaha, NE 68198, USA.

Background: Coronary embolism is a rare cause of myocardial infarction (MI). We present a case report which emphasizes the importance of intracoronary imaging in these cases to identify the pathophysiological mechanism of MI.

Case Summary: A 53-year-old male with no past medical history presented to the hospital with typical angina. Read More

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Leprosy-Related Chronic Arthritis with an Abundance of in the Synovial Fluid: A Rare Case.

Int Med Case Rep J 2021 3;14:371-376. Epub 2021 Jun 3.

Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran - Hasan Sadikin General Hospital, Bandung, West Java, 40161, Indonesia.

Bone and joint involvements are the most common manifestation in leprosy, after cutaneous and neurological manifestations, yet are underdiagnosed and rarely reported. We report a case of lepromatous leprosy in a 41-year-old male with bone and joint changes. Physical examination revealed a leonine face, madarosis, hypesthetic hypopigmented macules on the back, and swelling of fingers and toes. Read More

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COVID-19 and health promotion in Brazil: community health workers between vulnerability and resistance.

Glob Health Promot 2021 Jun 10:17579759211012375. Epub 2021 Jun 10.

Department of Politics, University of York, York, North Yorkshire, UK.

Health promotion in Brazil relies on community health workers (CHWs), frontline providers linking the health system with vulnerable groups. Brazilian CHWs are overwhelmingly women from poor backgrounds, with precarious and sometimes hazardous working conditions, as well as fragmented and unsystematic training. This paper evaluates how the COVID-19 pandemic exacerbated pre-existing vulnerabilities of CHWs (pertaining to low salary, precarious and hazardous working conditions and inadequate training) and created new ones, with a profound impact on their ability to carry out health promotion activities. Read More

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[Rupture of abdominal aortic aneurysm into the duodenum: uncommon cause of massive gastrointestinal bleeding].

Rev Med Chil 2021 Jan;149(1):132-136

Departamento de Cirugía Vascular y Endovascular, Pontificia Universidad Católica de Chile, Santiago, Chile.

Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Read More

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January 2021

The contribution of teledentistry in detecting tooth erosion in patients with eating disorders.

Digit Health 2021 Jan-Dec;7:20552076211019250. Epub 2021 May 22.

Eating Disorders Department, University Hospital of Montpellier, University of Montpellier, Montpellier, France.

Objective: The aim of this study was to demonstrate that including a teledentistry consultation in the standard care provided to patients in an eating disorder day hospital could be beneficial, notably for screening for particular pathologies and preventing dental erosion.

Methods: We included 50 patients from the eating disorders unit of the University Hospital of Montpellier, all of whom underwent a dental examination using asynchronous telemedicine. We recorded the data using teledentistry software for the medical file and an intraoral camera for the clinical videos. Read More

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Clinical outcomes of endoprosthetic reconstruction for proximal femoral resection.

Jpn J Clin Oncol 2021 Jun 8. Epub 2021 Jun 8.

Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.

Introduction: The proximal femur is a common site for primary sarcomas and metastatic lesions. Although the early results of tumor prostheses are promising, the long-term results of reconstruction are unknown. The purpose of this study is to evaluate the prognostic factors affecting prosthesis survival and complications after proximal femoral resection and reconstruction. Read More

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Sonographic assessment of cartilage damage at metacarpal head in rheumatoid arthritis: qualitative versus quantitative methods.

Rheumatology (Oxford) 2021 Jun 7. Epub 2021 Jun 7.

Rheumatology Unit, Polytechnic University of Marche, Jesi (Ancona), Italy.

Objective: To test the validity of the Outcome Measure in Rheumatology (OMERACT) semiquantitative score by comparing with a quantitative method in the sonographic (US) assessment of hyaline cartilage at the metacarpal head (MH) in patients with rheumatoid arthritis (RA) and healthy subjects (HS).

Methods: The hyaline cartilage from second to fifth MHs of both hands was scanned. Hyaline cartilage was scored semiquantitatively and quantitatively (by measuring cartilage thickness and comparing with reference values). Read More

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Morphological characteristics of sacroiliac joint MRI lesions in axial spondyloarthritis and control subjects.

Rheumatology (Oxford) 2021 Jun 7. Epub 2021 Jun 7.

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Center of Head and Orthopedics, Rigshospitalet, Glostrup, Denmark.

Objectives: To investigate sacroiliac joint(SIJ) MRI inflammation, structural and degenerative lesion characteristics in patients with axial spondyloarthritis(axSpA) and various control groups.

Methods: Patients with axSpA(n = 41) and lumbar disc herniation(n = 25), women with(n = 46) and without(n = 14) post-partum(childbirth within 4-16 months) buttock/pelvic pain, cleaning assistants(n = 26), long-distance runners(n = 23) and healthy men(n = 29) had MRI of the SIJs prospectively performed. MRI lesions were assessed on 9 slices covering the cartilaginous compartment by two experienced readers according to the definitions of the Spondyloarthritis Research Consortium of Canada(SPARCC) SIJ inflammation and structural scores, and were evaluated according to depth and extent. Read More

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Comparative Analysis of Clinical and Imaging Features of Osteomalacia and Spondyloarthritis.

Front Med (Lausanne) 2021 20;8:680598. Epub 2021 May 20.

Department of Rheumatology and Immunology, The First Medical Center of PLA General Hospital, Beijing, China.

To compare the clinical and radiological characteristics of osteomalacia and spondyloarthritis/ankylosing spondylitis (SpA/AS) in order to provide a basis for differential diagnosis. We carried out a retrospective analysis of patients who were diagnosed with osteomalacia at the First Medical Center of 301 Hospital (Beijing, China) from January 2012 to January 2019. The clinical and radiological data of all patients were collected; at the same time, we selected age- and gender-matched patients with SpA/AS for comparison. Read More

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Is bipolar hemiarthroplasty an appropriate type of hip articulation following proximal femoral or total femoral resections for musculoskeletal malignancies?

Arch Orthop Trauma Surg 2021 Jun 6. Epub 2021 Jun 6.

Department of Orthopaedics and Traumatology, Marmara University Pendik Training and Research Hospital, 34890, Pendik, İstanbul, Turkey.

Background: Different approaches are applied for reconstruction in patients with a musculoskeletal malignancy which require a proximal femoral or total femoral resection. We aimed to evaluate the treatment outcomes of patients who underwent a proximal femoral or total femoral resection due to bone and soft tissue tumors and had an endoprosthetic reconstruction by a bipolar hemiarthroplasty type of hip articulation.

Methods: We retrospectively identified 133 patients who underwent a proximal femoral or total femoral endoprosthetic replacement after resection of a bone or soft tissue malignancy. Read More

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Case report of worsening of preexisting pericardial effusion after ASD device closure: is it calamitous?

Egypt Heart J 2021 Jun 5;73(1):50. Epub 2021 Jun 5.

Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Secundum-type atrial septal defects (ASD) constitute 8% to 10% of congenital heart defect. Secundum ASDs can be closed either percutaneously or surgically. However, ASD device closure has proven to be technically safe and feasible; it is not free of complications. Read More

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The efficacy of acupuncture and moxibustion for early and middle-stage osteonecrosis of the femeral head: A systematic review and meta-analysis of randomized controlled trials.

Medicine (Baltimore) 2021 Jun;100(22):e26210

Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang City, Jiangxi Province, China.

Background: Osteonecrosis of the femeral head (ONFH) occurs predominantly in young- and middle-aged people, and the disability rate is high in the late stage of the disease and most patients have to undergo total hip replacement. Clinically, increasing attention is paid to intervening early and middle-stage ONFH so as to delay its progress. Acupuncture and moxibustion (AM) is a unique method for treating ONFH in China. Read More

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Best Practice Recommendations for the Use of Hepatitis C Viremic Donor Organs for Hepatitis C Virus Naïve Recipients.

Clin Transplant 2021 Jun 4:e14381. Epub 2021 Jun 4.

Department of Surgery, University of Iowa Carver College of Medicine, Iowa City.

The combination of the transplant organ deficit, the increase in HCV nucleic acid positive donors (HCV NAT+), and the development of direct-acting antiviral agents (DAAs) has resulted in a rapid increase in HCV NAT+ organ transplants into HCV naïve recipients. Early clinical experience with HCV NAT+ donor organs has shown promising outcomes; however best practices are lacking to guide transplant programs during all phases of patient care. Transplant programs developing protocols for the utilization of HCV NAT+ organs will need a multidisciplinary team to address all aspects of pre-transplant and post-transplant patient care. Read More

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Bursitis of the coccyx in an adult with rheumatoid arthritis mimicking a sacrococcygeal meningocele.

Surg Neurol Int 2021 10;12:220. Epub 2021 May 10.

Department of Neurosurgery, Faculty of Medicine, University of Thessaly, Larissa, Greece.

Background: Bursitis is a chronic inflammatory condition characterized by the deposition of cholesterol, macrophage infiltration, and bursal wall calcification. Bursitis is, however, rarely found in the sacrococcygeal region where it may present as a space-occupying mass.

Case Description: A 64-year-old male with rheumatoid arthritis presented with 3 years' duration of difficulty sitting and walking due to a soft-tissue mass involving the coccyx region. Read More

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Pseudomyxoma retroperitonei masquerading as a psoas abscess.

BMJ Case Rep 2021 Jun 2;14(6). Epub 2021 Jun 2.

Radiology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India

A 52-year-old woman was referred to our department with multiple discharging sinuses and swelling in the right flank and iliac region for the past year. Ultrasound revealed a large collection in the right psoas muscle with the sinus tract reaching up to the skin in the right iliac region. Despite repeated attempts at drainage, the collection continued to increase in size. Read More

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Long-term effectiveness and safety of bladder augmentation in spina bifida patients.

Neurourol Urodyn 2021 Jun 3. Epub 2021 Jun 3.

Department of Urology, San Juan University Hospital, Alicante, Spain.

Aims: To establish the long-term efficacy and safety of bladder augmentation in spina bifida patients.

Material And Methods: Sixteen patients were operated on using the Bramble technique. Preoperative and postoperative evaluation included clinical history, blood tests, urine cultures, cystography, pyelography, ultrasound, and filling cystometry. Read More

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Proximal Extracapsular Tunneling: A Simple Technique for the Management of Impending Cylinder Erosion and Complications Related to Corporal Dilation.

Sex Med 2021 May 31;9(3):100379. Epub 2021 May 31.

University of Texas Health Science Center - McGovern Medical School at Houston, Texas, USA; St Joseph Medical Center, Houston, Texas, USA. Electronic address:

Introduction: Impending cylinder erosion and floppy glans secondary to an undersized penile prosthesis are rare complications that can cause cosmetic deformity and patient discomfort.

Aim: To demonstrate a technique for the management of impending cylinder erosion and floppy glans secondary to cylinder under-sizing.

Methods: We retrospectively reviewed 6 patients who required the proximal extracapsular tunneling technique during penile prosthesis revision surgery. Read More

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Comparison of the effectiveness of sacrospinous ligament fixation and sacrocolpopexy: a meta-analysis.

Int Urogynecol J 2021 Jun 3. Epub 2021 Jun 3.

Department of Gynecology and Obstetrics, The University of Hong Kong-Shenzhen Hospital, 1, Haiyuan 1st Road, Futian District, Shenzhen, 518053, Guangdong, China.

Introduction And Hypothesis: Sacrocolpopexy and sacrospinous ligament fixation (SSLF) have been used for the restoration of apical support. Studies comparing sacrocolpopexy and SSLF have reported conflicting results. We aim to assess the current evidence regarding efficiency and the complications of sacrocolpopexy compared with SSLF. Read More

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VACStent: Combining the benefits of endoscopic vacuum therapy and covered stents for upper gastrointestinal tract leakage.

Endosc Int Open 2021 Jun 27;9(6):E971-E976. Epub 2021 May 27.

Department of Abdominal, Tumor, Transplant and Vascular Surgery, Cologne-Merheim Medical Center, University Witten/Herdecke, Cologne, Germany.

Endoscopic treatment has markedly improved the high morbidity and mortality in patients with upper gastrointestinal tract leakage. Most procedures employ either covered self-expanding metal stents (SEMS) or endoscopic vacuum therapy (EVT), both with good clinical success but also with concomitant significant shortcomings inherent in each technique. A newly developed device, the VACStent, combines the fully covered SEMS with a polyurethane sponge cylinder anchored on the outside. Read More

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Aesthetic Management of Erosive Tooth Wear in a Young Egyptian Swimmer: A Case Report.

Clin Cosmet Investig Dent 2021 24;13:201-209. Epub 2021 May 24.

Conservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.

Background: Tooth wear can have a multifactorial aetiology which requires thorough patient assessment and aesthetic management.

Purpose: This case report discusses the management of a young, Egyptian swimmer complaining of tooth sensitivity associated with erosive tooth wear. Anterior teeth were restored using the injection molding technique, also known as the injectable composite resin technique, to overcome the patient's complaint and enhance the aesthetics of compromised anterior teeth. Read More

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Treatment of gingival recessions using coronally advanced flap and connective tissue graft: a long-term retrospective analysis.

Quintessence Int 2021 Jun 2;0(0). Epub 2021 Jun 2.

Objectives: The aim of this retrospective study was to evaluate the long-term effectiveness of coronally advanced flap (CAF) in combination with connective tissue graft (CTG) in the treatment of gingival recessions.

Method And Materials: Periodontal charts of 13 patients with single and multiple gingival recessions treated by means of CAF and CTG with a follow-up of 7 years were selected for the study. Full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), gingival recession depth (GRD), gingival recession width (GRW), height of keratinized gingiva (KG), probing depth (PD), and clinical attachment level (CAL) were assessed at baseline, and after 1 and 7 years of follow-up. Read More

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Six-year Clinical Performance of a 2-step Self-etch Adhesive in Noncarious Cervical Lesions.

J Adhes Dent 2021 Jun;23(3):201-215

Purpose: Mild and intermediately strong 2-step self-etch adhesives (2SEa) have been shown to bond efficiently to dentin. In general, their bonding efficiency to enamel is inferior to that of etch & rinse adhesives (E&Ra). On the other hand, their application procedure is less elaborate, and consequently leaves less room for application mistakes. Read More

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Optical Coherence Tomography in Acute Coronary Syndromes.

Interv Cardiol Clin 2021 Jul;10(3):323-332

The Heart Center, St Francis Hospital, 100 Port Washington Blvd, Flower Hill, NY 11576, USA; Cardiovascular Research Foundation, 1700 Broadway, 9th Floor, New York, NY 10019, USA; New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA. Electronic address:

Advances in intravascular imaging have enabled assessment of the underlying plaque morphology in acute coronary syndromes, which allows for the initiation of individualized therapy. The atherothrombotic substrates for acute coronary syndromes consist of plaque rupture, erosion, and calcified nodule, whereas spontaneous coronary artery dissection, coronary artery spasm, and coronary embolism constitute rarer nonatherothrombotic etiologies. This review provides a brief overview of the data from clinical studies that have used intravascular optical coherence tomography to assess the culprit plaque morphology. Read More

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Behçet's Disease in a Polish Patient: A Case Report.

Dermatol Ther (Heidelb) 2021 May 30. Epub 2021 May 30.

Department of Dermatology and Venereology, Medical University of Bialystok, Zurawia 14 St, 15-540, Białystok, Poland.

Behçet's disease (BD) is a systemic autoinflammatory vasculitis. It occurs predominantly in Turkey but very rarely in Europe. The clinical manifestations of BD involve the skin and mucosal membranes; cardiovascular, gastrointestinal and nervous systems; and the eyes and joints. Read More

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New technique of robot-assisted laparoscopic artificial urinary sphincter implantation in female by a posterior approach with intraoperative cystoscopic monitoring.

World J Urol 2021 May 29. Epub 2021 May 29.

Department of Urology, Hôtel Dieu, Nantes University Hospital, 1 Place Alexis Ricordeau, Nantes CEDEX 03, 44093, Nantes, France.

Purpose: To report the early experience of a modified technique of robot-assisted artificial urinary sphincter (AUS) implantation in female, with a posterior approach to the bladder neck and intraoperative real-time cystoscopic monitoring.

Methods: Retrospective monocentric study included all consecutive female who underwent a primary robot-assisted AUS implantation between 2017 and 2019. Real-time intraoperative cystoscopic monitoring was carried out to check the correct level of the dissection and to avoid any injury during bladder neck dissection. Read More

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Lymphangiomatosis associated with protein losing enteropathy: A case report.

World J Clin Cases 2021 May;9(15):3758-3764

Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong Province, China.

Background: Lymphangiomatosis is a multisystem disorder that is rarely localized to the gastrointestinal tract. Lymphangiomatosis usually has no specific clinical presentation and is easily misdiagnosed. A case report and review of the literature on lymphangiomatosis associated with protein-losing enteropathy will help to improve the overall understanding of this disease. Read More

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Transfixion of Foldable Intraocular Lens With Polytetrafluoroethylene Suture for Scleral Fixation.

J Refract Surg 2021 Mar 18;37(3):180-185. Epub 2021 Mar 18.

Purpose: To describe a new scleral fixation technique potentially usable for every acrylic foldable intraocular lens (IOL) available in the market, regardless of whether it is a three-piece, single-piece, or haptic shape.

Methods: Before surgery, the authors performed the transfixion of the IOL optic in four points with the polytetrafluoroethylene suture under a surgical microscope. Four sclerotomy sites were marked 2 mm from the limbus, and two scleral grooves were created in between. Read More

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