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Performance of Focused Assessment with Sonography for Trauma Following Resuscitative Thoracotomy for Traumatic Cardiac Arrest.

World J Surg 2021 Sep 22. Epub 2021 Sep 22.

Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, 2051 Marengo Street, Inpatient Tower (C), C5L100, Los Angeles, CA, 90033, USA.

Background: In patients undergoing resuscitative thoracotomy (RT) for traumatic cardiac arrest, focused assessment with sonography for trauma (FAST) is often used to look for intraperitoneal fluid. These findings can help determine whether abdominal exploration is warranted once return of spontaneous circulation is achieved; however, the diagnostic accuracy of FAST in this clinical scenario has yet to be evaluated. The purpose of this study was to assess the performance of FAST in identifying intra-abdominal hemorrhage following RT. Read More

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September 2021

Prevalence of Child Sexual Abuse in Spain: A Representative Sample Study.

J Interpers Violence 2021 Sep 21:8862605211042804. Epub 2021 Sep 21.

University of Málaga, Spain.

The prevalence of child sexual abuse (CSA) is difficult to assess, and rates vary widely across studies due to methodological and sample differences. In Spain, prevalence data from representative samples are lacking. The objective of this study was to determine the prevalence of different CSA experiences in a sample that was representative of the Spanish population in terms of gender, age, and region. Read More

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September 2021

Injuries in underwater rugby: a retrospective cross-sectional epidemiological study.

Diving Hyperb Med 2021 Sep;51(3):282-287

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen.

Introduction: Underwater rugby (UWR) is a team sport which combines swimming sprints, apnoea diving, a good overview of the three-dimensional underwater space and wrestling for the ball.This was the first epidemiological study of UWR injuries in a large international collective.

Methods: A questionnaire containing 124 questions was distributed to 198 active UWR players and completed under the supervision of medical staff. Read More

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September 2021

Hyperechogenic intimal lesions and wall thickness of the temporal and facial arteries in elderly patients with arterial occlusions of the eye.

RMD Open 2021 Sep;7(3)

Interdisciplinary Sonography Center, Medical Clinic and Policlinic IV, Hospital of the Ludwig Maximilians University, Munich, Germany.

Objective: To determine the association of arteriosclerosis, characterised by hyperechogenic intimal lesions (HIL), with wall thickness of the temporal and facial arteries in elderly patients with ocular arterial occlusions.

Methods: Patients suffering from non-arteritic ocular perfusion disorders were included. High-resolution compression sonography (18 MHz) images of the temporal arteries (frontal and parietal branch at the upper margin of the auricle) and facial arteries (at the crossing point of the artery over the mandible) were analysed for the presence of HIL (grade 0: absent; grade 1: moderate; grade 2: severe). Read More

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September 2021

A COVID-19 Young Male Patient with Pneumonia and Liver Injury.

Clin Lab 2021 Sep;67(9)

Background: COVID-19 caused by SARS-CoV-2 has been inducing an ongoing global health and economic emergency. Although viral pneumonia is the most striking presentation for COVID-19 patients, it has been noticed that some patients may also be accompanied with an abnormal liver function.

Methods: CT was performed in both lungs, and routine bloodwork and the blood metabolic panel were measured. Read More

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September 2021

Spine-Pelvis-Hip Alignments in Degenerative Spinal Deformity Patients and Associated Procedure of One-Stage Long-Fusion with Multiple-Level PLIF or Apical-Vertebra Three Column Osteotomy-a Clinical and Radiographic Analysis Study.

Orthop Surg 2021 Sep 19. Epub 2021 Sep 19.

The Medical College of Nankai University, Tianjin, China.

Objective: To explore the spine-pelvis-hip alignments in degenerative spinal deformity (DSD) patients, and compare the outcomes in the procedure of long-fusion with posterior lumbar inter-body fusion (PLIF) or single-level three-column osteotomy (STO) at lower lumbar level (LLL, L -S ) and thoracolumbar levels (TLL, T -L ) for those patients.

Methods: This is a retrospective study. Following institutional ethics approval, a total of 83 patients (Female, 67; Male, 16) with DSD underwent long-fusion with PLIF or STO surgery between March 2015 and December 2017 were reviewed. Read More

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September 2021

Athletes With Anterior Shoulder Instability: A Prospective Study on Player Perceptions of Injury and Treatment.

Orthop J Sports Med 2021 Sep 15;9(9):23259671211032239. Epub 2021 Sep 15.

Columbia University Center for Shoulder, Elbow and Sports Medicine, New York, New York, USA.

Background: Many in-season athletes choose to delay or avoid surgery in order to continue playing and avoid downtime such as missed games or seasons.

Purpose: To learn about the attitudes toward the injury and treatment of in-season shoulder instability in competitive athletes who have suffered a shoulder dislocation.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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September 2021

Anthropometrics of Estonian children in relation to family disruption: Thrifty phenotype and Trivers-Willard effects.

Evol Med Public Health 2021 20;9(1):276-286. Epub 2021 Jul 20.

Department of Zoology, University of Tartu, Vanemuise 46, Tartu 51014, Estonia.

Background And Objectives: The thrifty phenotype hypothesis proposes that at resource limitation, the growth of some organs/tissues is selectively spared to preserve more critical ones, such as the brain or lungs. The Trivers-Willard hypothesis (TWH) predicts that boys are more vulnerable in the case of resource limitation than girls. Both hypotheses were tested in children from disrupted families, differing in the extent of deprivation/adversities imposed on them. Read More

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Systemic lupus erythematous presenting with hemorrhagic shock caused by gastric penetration of pancreatic pseudocyst: a case report.

J Med Case Rep 2021 Sep 18;15(1):460. Epub 2021 Sep 18.

Department of General Surgery, Honjoudaiichi Hospital, 110, Iwabuchishita, Yurihonnjou, Akita, 015-8567, Japan.

Background: Systemic lupus erythematous that causes various organ damage is rarely associated with pancreatic lesion. To the best of our knowledge, no cases presenting with hemorrhage shock caused by gastric penetration of pancreatic pseudocyst due to lupus pancreatitis have been reported. Herein, we report a case of hemorrhage shock caused by gastric penetration of pancreatic pseudocyst due to lupus pancreatitis. Read More

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September 2021

Terminal augmented ureteroplasty with bladder onlay flap technique for recurrent distal ureteral stricture after ureteroneocystostomy: an initial case series.

Transl Androl Urol 2021 Aug;10(8):3332-3339

Department of Urology, Peking University First Hospital, Beijing, China.

Background: Bladder flap has been shown to be a feasible treatment for distal ureteral stenosis; this technique has been improved such that it can be used to address complex urinary tract obstructions. The purpose of the present study was to describe a surgical technique of ureteroplasty with a bladder onlay flap, which consists of a nontransecting and terminal augmented anastomosis, for repairing recurrent distal strictures of the ureter.

Methods: We retrospectively reviewed 6 patients who underwent this procedure between May 2018 and November 2019. Read More

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Association between Oral Pathology, Carotid Stenosis, and Oral Bacterial DNA in Cerebral Thrombi of Patients with Stroke.

Stroke Res Treat 2021 7;2021:5402764. Epub 2021 Sep 7.

Department of Forensic Medicine, Faculty of Medicine and Health Technology, Tampere University and Fimlab Laboratories, Tampere, Finland.

Methods: Thrombus aspirates and control arterial blood were taken from 71 patients (70.4% male; mean age, 67.4 years) with acute ischemic stroke. Read More

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September 2021

[Significance of circulating tumor cell monitoring in targeted therapy for gastrointestinal stromal tumors].

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Sep;24(9):789-795

Department of Gastrointestinal Surgery, The Affiliated Hospital, Nantong University, Jiangsu Nantong 226001, China.

To explore the significance of circulating tumor cell (CTC) monitoring in evaluating the efficacy of targeted therapy for gastrointestinal stromal tumor (GIST). A prospective cohort study was performed. The data of patients with locally advanced GIST or liver metastasis who were admitted to The Affiliated Hospital of Nantong University from August 2013 to December 2018 were collected. Read More

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September 2021

[Basophil activation test as a helpful tool for the diagnostic and treatment of a case of anaphylaxis due to a preparation of depot testosterone].

Rev Alerg Mex 2021 Apr-Jun;68(2):140-143

Complejo Hospitalario de León, Servicio de Alergología, León, España.

Introduction: In many cases of drug allergy, it is necessary to do in vitro test, for several reasons. BAT (basophil activation test) is a very useful weapon in these cases. In many iv. Read More

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September 2021

[Free transplantation of medial plantar Flow-through venous flap for primary repairing children's finger wounds with digital artery defect].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Sep;35(9):1182-1185

Department of Burn and Plastic Surgery, the Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P.R.China.

Objective: To explore the feasibility and effectiveness of free transplantation of medial plantar Flow-through venous flap for primary repairing children's finger wounds with digital artery defect.

Methods: Between July 2016 and October 2020, 9 children who suffered finger wounds with digital artery defect were primary repaired with free transplantation of medial plantar Flow-through venous flap. There were 6 boys and 3 girls, with an average age of 6. Read More

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September 2021

[Clinical application of split three-dimensional printing patient-specific instrumentation in medial open-wedge high tibial osteotomy].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Sep;35(9):1119-1124

Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha Hunan, 410008, P.R.China.

Objective: To investigate the accuracy of split three-dimensional (3D) printing patient-specific instrumentation (PSI) in medial open-wedge high tibial osteotomy (MOWHTO) and its effectiveness in treating medial knee osteoarthritis.

Methods: Clinical data of 14 patients with medial knee osteoarthritis and treated with split 3D printing PSI-assisted MOWHTO between August 2019 and August 2020 were retrospectively analyzed. There were 5 males and 9 females with an average age of 61 years (range, 43-68 years). Read More

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September 2021

Surgical Dilemmas in Multiple Facial Fractures - Coronal Flap Versus Minimally Invasive: Case Report and Literature Review.

Ann Maxillofac Surg 2021 Jan-Jun;11(1):191-194. Epub 2021 Jul 24.

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.

The Rationale: Pan-facial fracture is a complex trauma that involves the upper, middle, and lower third of the facial bones. The surgical management of such complex cases is either by the posterior approach (coronal flap) or anterior approach through local incisions.

Patient Concerns: This report describes the case of severe pan-facial trauma in a 52-year-old male who sustained a severe pan-facial trauma. Read More

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A Rare Cause of Peripheral Facial Nerve Palsy: Chondromyxoid Fibroma of the Temporal Bone.

J Craniofac Surg 2021 Sep 14. Epub 2021 Sep 14.

1st Department of Otorhinolaryngology - Head and Neck Surgery, University of Athens Medical School Department of Otorhinolaryngology, Head and Neck Surgery, Penteli Children Hospital, Athens, Greece.

Purpose: To report a rather rare entity of facial palsy due to chondromyxoid fibroma. The authors present a case along with clinicopathological features, management, treatment options and follow-up.

Methods: The authors present a case of a 29-year-old male who suffered from right facial weakness and numbness for a period of 6-months. Read More

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September 2021

Gender aspects in cardiooncology.

Eur J Public Health 2021 Sep 13. Epub 2021 Sep 13.

First Department of Medicine (Cardiology), University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, European Centre for AngioScience (ECAS), Mannheim, Germany.

Background: Cardiooncology is a relatively new subspeciality, investigating the side effects of cytoreductive therapies on the cardiovascular (CV) system. Gender differences are well known in oncological and CV diseases, but are less elucidated in cardiooncological collectives.

Methods: Five hundred and fifty-one patients (278 male, 273 female) with diagnosed cancer who underwent regular cardiological surveillance were enrolled in the 'MAnnheim Registry for CardioOncology' and followed over a median of 41 (95% confidence interval: 40-43) months. Read More

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September 2021

An analysis of paediatric snakebites in north-eastern South Africa.

S Afr J Surg 2021 Sep;59(3):97-101

Department of Surgery, Ngwelezana Hospital, University of KwaZulu-Natal, South Africa.

Background: Snakebites are an underappreciated health concern in middle- and lower-income countries. The lack of national data vastly impacts funding for this health crisis, as well as strategies for treatment and prevention. Children are particularly vulnerable to snakebite and data in this group is limited. Read More

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September 2021

Autoimmune Myasthenia, Primary Adrenal Insufficiency, and Progressive Hypothyroidism Due to Pembrolizumab and Axitinib Combination Regimen.

Cureus 2021 Aug 6;13(8):e16933. Epub 2021 Aug 6.

Endocrinology, Wyoming Medical Centre, Casper, USA.

Immune checkpoint inhibitors (ICI) and tyrosine kinase inhibitors (TKI) have been among the increasingly used antineoplastic agents for advanced cancers including renal cell carcinoma (RCC). Although these antineoplastic agents have broad range of efficacy, rare adverse events - mild and fatal, acute and chronic, immune and non-immune mediated - have been reported. We report a case of a 73-year-old Caucasian male patient with stage IV right-sided clear cell RCC who was treated with a pembrolizumab-axitinib combination regimen and suffered life-threatening, acute onset immune-related myasthenia gravis (MG), subsequently progressive hypothyroidism, and primary adrenal insufficiency. Read More

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A Case of Systemic Lupus Erythematosus in a Patient Presenting with Libman-Sacks Endocarditis.

Case Rep Cardiol 2021 31;2021:5573141. Epub 2021 Aug 31.

Department of Cardiac Sciences, King Faisal Cardiac Center, National Guard Hospital, Jeddah, Saudi Arabia.

Background: Libman-Sacks endocarditis (LSE) is a rare cardiovascular manifestation of systemic lupus erythematosus/antiphospholipid syndrome that is described as a sterile verrucous nonbacterial vegetative lesion. These lesions can cause progressive damage to the heart valves leading to valve surgery. The most common valves to be affected are the aortic and mitral valves. Read More

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Xp11.2 Translocation Renal Cell Carcinoma: Clinical Characteristics and Potential Prognostic Predictors.

Dis Markers 2021 1;2021:5647933. Epub 2021 Sep 1.

Department of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China 100730.

Background: Xp11.2 translocation renal cell carcinoma, a rare malignancy, has a higher prevalence in children than in adults. It is relatively indolent in children but manifests with an aggressive course in adults. Read More

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September 2021

Closed reduction of severely angulated Rockwood and Wilkins' type C thumb Metacarpal Base fractures in children: case series.

BMC Musculoskelet Disord 2021 Sep 12;22(1):775. Epub 2021 Sep 12.

Department of Pediatric Orthopaedic, Dalian Women and Children's Medical Center (group), Dalian, 116012, Liaoning, China.

Background: Management of severely angulated Rockwood and Wilkins' type C (RW-C) thumb metacarpal base fractures in children is challenging. We report experiences of percutaneous leverage reduction and dual antegrade crossing Kirschner (DACK) wire fixation in these fractures, aiming to assess the results using our reduction technique.

Methods: From October 2011 to September 2015, A total of 17 patients with severely angulated RW-C thumb metacarpal base fractures were treated at our hospital. Read More

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September 2021

In situ pedicle lengthening and perforator shifting technique for overcoming the perforator variation of the anterolateral thigh free flap during head and neck reconstruction.

Microsurgery 2021 Sep 9. Epub 2021 Sep 9.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

Background: Anterolateral thigh (ALT) free flap is one of the most popular options for surgeons when reconstructing head and neck defects. When the recipient vessels are located in a remote site, a flap with adequate pedicle length is essential. The conventional methods of either pedicle elongation or fabricating combined flap increase the total surgical time. Read More

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September 2021

Exercise induced anaphylaxis in kiwi allergic patient: case report.

Allergy Asthma Clin Immunol 2021 Sep 8;17(1):91. Epub 2021 Sep 8.

Department of Allergology, Clinical Immunology and Internal Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, ul. Ujejskiego 75, 85-168, Bydgoszcz, Poland.

Background: An allergy to kiwi is rare in Poland. Most (65-72%) of the patients who are allergic to kiwi report symptoms of an oral allergy syndrome (OAS); however, systemic manifestations (18-28%) have also been reported.

Case Report: A 27-year-old male patient, previously not suffering from chronic diseases, exercised in the gym. Read More

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September 2021

Management of Cutaneous Manifestations of Genetic Epidermolysis Bullosa: A Multiple Case Series.

J Wound Ostomy Continence Nurs 2021 Sep-Oct 01;48(5):453-459

Yukiko Miura, MSN, RN, CWCN, PHN, Faculty of Nursing, Tokyo Healthcare University, Tokyo, Japan.

Background: Epidermolysis bullosa (EB) is a rare disease characterized by blistering and erosion of the skin and mucus membranes in response to minor external forces. Research focusing on daily skin care in EB patients is sparse. Two international clinical practice guidelines (CPGs) have been published in English, but they have not yet been translated into other languages such as Japanese. Read More

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September 2021

Hybrid approach for percutaneous mitral valve repair (MitraClip®) followed by minimally invasive direct coronary artery bypass (MIDCAB) in a patient with a high risk constellation.

J Card Surg 2021 Sep 7. Epub 2021 Sep 7.

Department of Cardiac Surgery, Heart Centre Rostock, University of Rostock, Rostock, Germany.

Background: We present a 76-year-old poly-morbid male patient suffering from severe ischemic mitral valve regurgitation. A hybrid approach was suggested by the heart team to treat his multifaceted cardiac pathologies.

Methods: At first percutaneous mitral valve repair with the mitraclip device was performed to reduce surgical risk. Read More

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September 2021

[Influencing factors on stress management in medical students-with special consideration of depression].

Nervenarzt 2021 Sep 6. Epub 2021 Sep 6.

Klinik für Psychosomatik und Psychotherapie, Fachbereich Medizin, Justus-Liebig-Universität Gießen, Friedrichstraße 33, 35392, Gießen, Deutschland.

Background: Due to high levels of stress, a practical course on stress management in medical school was offered to preclinical medical students at the Justus-Liebig University in Giessen up to 2019. In addition to autogenic training with specific resolution formulas, learning strategies, examination anxiety, and stress management were taught.

Objective: The aim was to determine the factors influencing the efficacy of the course as well as predictive factors favoring the success of preventive strategies for medical students. Read More

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September 2021

[GENDER-SPECIFIC MEDICINE IN UROLOGY].

Harefuah 2021 Sep;160(9):603-607

Department of Urology, Rambam Health Care Campus.

Introduction: Gender-specific medicine seeks to identify and understand differences in the ways in which diseases manifest in men and women. This article claims that, in urology, gender awareness is crucial to providing female patients with apposite medical treatment. While the majority of urological patients are men and a number of urological diseases are male-specific, urologic practitioners must nevertheless be familiar with urologic issues in women. Read More

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September 2021

[Redefining the gold standard for aortic valve replacement: Minimally invasive with accelerated recovery].

Rev Med Chil 2021 Apr;149(4):508-513

Clínica Santa María, Santiago, Chile.

Background: Despite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide.

Aim: To report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy.

Patients And Methods: Retrospective analysis of data recorded prospectively of 450 consecutive patients with a median age of 66 years (59% males) who had a minimally invasive aortic replacement. Read More

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