13,239 results match your criteria risk aspiration

Accuracy and Reproducibility of Endoscopic Ultrasound B-Mode Features for Observer-Based Lymph Nodal Malignancy Prediction.

Respiration 2021 Jun 24:1-9. Epub 2021 Jun 24.

Department of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Endoscopic ultrasound routinely guides lymph node evaluation for the staging of a known or suspected lung cancer. Characteristics seen on B-mode imaging might help the observer decide on the lymph nodes of risk. The influence of nodal size on the predictivity of these characteristics and the agreement with which operators can combine these for malignancy risk prediction is to be determined. Read More

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Intrapartum cesarean delivery and the risk of perinatal complications in women with and without a single prior cesarean delivery.

Int J Gynaecol Obstet 2021 Jun 24. Epub 2021 Jun 24.

Lis Hospital for Women, Sourasky Medical Center, Tel Aviv, Israel.

Objective: We aimed to determine maternal and neonatal complications associated with an intrapartum cesarean delivery (CD) with and without a history of a previous CD.

Methods: A retrospective cohort study of all women who underwent an unplanned intrapartum CD following a trial of labor in a university-affiliated tertiary hospital, between 2009 and 2016. Perinatal outcomes of women with and without a history of a previous CD were compared. Read More

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Oropharyngeal Dysphagia After Hospitalization for COVID-19 Disease: Our Screening Results.

Dysphagia 2021 Jun 24. Epub 2021 Jun 24.

Department of Head and Neck Sciences, Catholic University of Sacred Heart, Policlinico "A. Gemelli" Foundation, L.go "A. Gemelli" 8, 00168, Rome, Italy.

A high percentage of patients suffered symptoms also after recovery from the Coronavirus Disease-2019 (COVID-19) infection. It is not well clear what are the specific long-term sequelae (complications and symptoms). During the acute phase the patients may develop a multi-organ system pathology including aerodigestive tract. Read More

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Risk Factors for Failure of Ultrasound-Guided Fine-Needle Aspiration Therapy for Lactational Breast Abscess.

Yan Li Xiang-Jun Ma

Breastfeed Med 2021 Jun 24. Epub 2021 Jun 24.

Center for Prevention and Treatment of Breast Diseases, Haidian Maternal and Child Health Hospital, Beijing, China.

Ultrasound-guided fine-needle aspiration in the treatment of breast abscess has become the preferred treatment. Although fine-needle aspiration has a good therapeutic effect, there are still some patients failed who finally underwent drainage. To analyze the risk factors of ultrasound-guided fine-needle aspiration treatment failure for patients with lactational breast abscess. Read More

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Efficacy and safety of endoscopic resection in treatment of small gastric stromal tumors: A state-of-the-art review.

World J Gastrointest Oncol 2021 Jun;13(6):462-471

Department of Gastroenterology, Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University, Shenzhen 518000, Guangdong Province, China.

Gastrointestinal stromal tumors can occur in any part of the gastrointestinal tract, but gastric stromal tumors (GSTs) are the most common. All GSTs have the potential to become malignant, and these can be divided into four different grades by risk from low to high: Very low risk, low risk, medium risk, and high risk. Current guidelines all recommend early complete excision of GSTs larger than 2 cm in diameter. Read More

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Legionnaires' disease in dental offices: quantifying aerosol risks to dental workers and patients.

J Occup Environ Hyg 2021 Jun 23:1-21. Epub 2021 Jun 23.

Southern Nevada Water Authority, P.O. Box 99954, Las Vegas, NV 89193.

is an opportunistic bacterial respiratory pathogen that is the leading causes of drinking water outbreaks in the United States. Dental offices pose a potential risk for inhalation or aspiration of due to the high surface area to volume ratio of dental unit water lines-a feature that is conducive to biofilm growth. This is coupled with the use of high-pressure water devices (e. Read More

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Successful use of trametinib and dasatinib combined with chemotherapy in the treatment of Ph-positive B-cell acute lymphoblastic leukemia: A case report.

Medicine (Baltimore) 2021 Jun;100(25):e26440

Ningbo Women and Children's Hospital, Ningbo.

Rationale: Relapsed or refractory acute lymphoblastic leukemia poses a significant clinical challenge due to its poor prognosis, showing survival rates of less than a year even with the use of novel therapies. In this report, we describe the safe and effective use of trametinib combined with dasatinib in a patient with acute lymphoblastic leukemia (ALL). To the best of our knowledge, this is the first report on the successful use of 2 targeted drugs such as trametinib and dasatinib in a pediatric patient with Ph+ ALL and recurrent pancreatitis. Read More

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Respiratory-swallow coordination in a rat model of chemoradiation.

Head Neck 2021 Jun 23. Epub 2021 Jun 23.

Department of Surgery-Otolaryngology, University of Wisconsin-Madison, Madison, Wisconsin, USA.

Background: Chemoradiation treatment (CRT) for head and neck cancer (HNC) is associated with postswallow inhale events that elevate the risk of penetration/aspiration. The purpose of this study was to assess the validity of a rat model for investigating the effect of CRT on respiratory-swallow coordination.

Methods: Videofluoroscopic swallow study was performed on 10 Sprague-Dawley rats 3 months post-CRT (3 mg/kg Cisplatin, 10 fractions of 4. Read More

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Factors Affecting the Choice of Treatment in Hepatic Hydatid Cyst Surgery.

J Invest Surg 2021 Jun 21:1-6. Epub 2021 Jun 21.

Department of General Surgery, Kafkas University School of Medicine, Kars, Turkey.

Objective: We aimed to determine the effective factors in the selection of treatment methods for patients with hepatic hydatid cyst undergoing surgery and the variables effective when performing postoperative endoscopic retrograde cholangiopancreatography (ERCP). In addition, we aimed to reveal the factors affecting the recurrence, postoperative complications, and length of stay of these patients.

Materials And Methods: A total of 107 patients diagnosed with hepatic hydatid cysts were treated surgically. Read More

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[Clinical analysis of pregnancy termination in 167 pregnant women with cardiovascular disease during the first and second trimester].

Zhonghua Fu Chan Ke Za Zhi 2021 Jun;56(6):418-424

Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

To study the risk assessment, method selection and clinical management of pregnancy termination during the first and second trimester of pregnant women with cardiovascular disease. This study focused on pregnant women with cardiovascular diseases who were admitted to Beijing Anzhen Hospital during the first and second trimester of pregnancy from January 2016 to September 2019, to summarize their clinical characteristics, reasons and methods of pregnancy termination, management and outcomes. Among 167 pregnant women, 119 cases (71. Read More

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Lupus nephritis and ANCA-associated vasculitis: towards precision medicine?

Nephrol Dial Transplant 2021 Jun;36(Supplement_2):37-43

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

Historically the treatment of lupus nephritis (LN) and anti-neutrophil cytoplasmic antibody (ANCA) vasculitis was 'one size fits all'; however, with the emergence of precision medicine initiatives, the field is moving towards more personalized treatment approaches. The recent development of a more accurate and reproducible histopathological classification system for LN could lead to better disease categorization and therefore more targeted therapies. A better understanding of the pathophysiology of LN has provided evidence that not only T but also B cells play an important role, opening new opportunities for individualized treatment approaches. Read More

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Agreement between ACR TI-RADS and EU TI-RADS scoring systems in the diagnosis of 473 thyroid nodules from a single-center in Brazil.

Endocr Pract 2021 Jun 18. Epub 2021 Jun 18.

Division of Surgery, Pathology and Endocrinology, Agamenon Magalhães Hospital, State Secretary of Health, Recife, Brazil; University of Pernambuco Medical School, Recife, Brazil.

Objectives: This study compares two ultrasound-based risk-stratification systems in malignancy risk assessment of thyroid nodules and the clinical applicability of these guidelines in Brazil.

Methods: We retrospectively reviewed the ultrasound findings of 314 patients (473 thyroid nodules) who underwent fine needle aspiration (FNA) biopsy and/or surgery between February 2018 and March 2019. All nodules were classified using two systems: The Thyroid Imaging, Reporting, and Data System of the American College of Radiology (ACR-TIRADS) and the TIRADS of the European Thyroid Association (EU-TIRADS). Read More

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Ultrasonographic Assessment of Metoclopramide Administration Effectiveness in Accelerating Gastric Emptying Before Urgent Surgery in Patients with Insufficient NPO Time.

Anesth Pain Med 2020 Oct 13;10(5):e107331. Epub 2020 Oct 13.

Shahid Beheshti Anesthesiology Research Centre, Department of Anesthesiology, Imam Hosein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Aspiration is one of the important complications of general anesthesia, although infrequent as well as accompanying high morbidity and mortality. The volume of gastric content is considered as a risk factor in this regard. Therefore, it is normally mostly recommend to consider proper fasting time before induction of general anesthesia. Read More

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October 2020

Risk factors and outcomes of postoperative aspiration pneumonia in abdominal surgery patients: An exact matching and weighting analysis.

Surgery 2021 Jun 17. Epub 2021 Jun 17.

Department of Surgery, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland. Electronic address:

Background: Postoperative aspiration pneumonia is a feared complication contributing significantly to postoperative morbidity and mortality. Over decades, there has been little progress in reducing incidence and mortality of postoperative aspiration pneumonia. Here, we assessed risk factors for postoperative aspiration pneumonia in general and abdominal surgery patients. Read More

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Dementia as a risk factor for aspiration in patients with COVID-19.

Geriatr Gerontol Int 2021 Jun 19. Epub 2021 Jun 19.

Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Yufu, Japan.

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Ten-year outcomes of uveal melanoma based on The Cancer Genome Atlas (TCGA) classification in 1001 cases.

Indian J Ophthalmol 2021 Jul;69(7):1839-1845

Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA.

Purpose: To understand the prognostic value of The Cancer Genome Atlas (TCGA) for uveal melanoma metastasis, using a simplified 4-category classification, based on tumor DNA.

Methods: A retrospective cohort study of 1001 eyes with uveal melanoma at a single center, categorized according to TCGA as Group A, B, C, or D (by fine-needle aspiration biopsy for DNA analysis), and treated with standard methods, was studied for melanoma-related metastasis at 5 and 10 years.

Results: Of 1001 eyes with uveal melanoma, the TCGA categories included Group A (n = 486, 49%), B (n = 141, 14%), C (n = 260, 26%), and D (n = 114, 11%). Read More

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Subclassification of the Bethesda Category III (AUS/FLUS): A Study of thyroid FNA cytology based on ThinPrep slides from the National Cancer Center in China.

Cancer Cytopathol 2021 Jun 17. Epub 2021 Jun 17.

Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: The atypia of an undetermined significance/follicular lesion of undetermined significance (AUS/FLUS) category in the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) is a heterogeneous category, which includes various cell patterns. The subclassification of AUS/FLUS was suggested in the 2017 TBSRTC. However, the risk of malignancy (ROM) associated with different subgroups remains unresolved. Read More

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Changes in Thyroid fine needle aspiration practice during the Covid-19 pandemic.

Cytopathology 2021 Jun 16. Epub 2021 Jun 16.

University of Milan, Department of Oncology and Hematology-Oncology, Milan, Italy.

Purpose: to investigate the diagnostic accuracy of a different sample preparation protocol for fine needle aspiration cytology (FNAC) of thyroid nodules established during the COVID-19.

Methods: from April 2020, conventional smears during FNAC were ceased according to the World Health Organization recommendations due to the increased infection risk for operators, and a new liquid based cytology only protocol (LBC) was adopted. FNACs performed between April 2020 and July 2020 (COVID-19 group) were retrospectively compared with FNACs performed between December 2019 and March 2020 (pre-COVID-19 group). Read More

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Characteristics, management, and clinical outcomes of patients with hospital-acquired and ventilator-associated pneumonia: a multicenter cohort study in Korea.

Tuberc Respir Dis (Seoul) 2021 Jun 4. Epub 2021 Jun 4.

Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) are significant public health issues in the world, but domestic epidemiological data remain limited. The objective of this study was to investigate the characteristics, management and clinical outcomes of HAP/VAP in Korea.

Methods: This study is a multicenter retrospective cohort study. Read More

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Tracheal suction at birth in non-vigorous neonates born through meconium-stained amniotic fluid.

Cochrane Database Syst Rev 2021 Jun 16;6:CD012671. Epub 2021 Jun 16.

Department of Neonatology, Government Medical College and Hospital, Chandigarh, India.

Background: Neonates born through meconium-stained amniotic fluid (MSAF) are at risk of developing meconium aspiration syndrome (MAS). Neonates who are non-vigorous due to intrapartum asphyxia are at higher risk of developing MAS. Clearance of meconium from the airways below the vocal cords by tracheal suction before initiating other steps of resuscitation may reduce the risk of development of MAS. Read More

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Comparison of intragastric pressure between endotracheal tube and supraglottic airway devices in laparoscopic hepatectomy: A randomized, controlled, non-inferiority study.

Medicine (Baltimore) 2021 Jun;100(24):e26287

Department of Anaesthesiology and Pain Medicine.

Background: Supraglottic airway (SGA) devices do not definitively protect the airway from regurgitation of gastric contents. Increased gastric pressure and long operation time are associated with development of complications such as aspiration pneumonia. The aim of this study was to compare intragastric pressure between second-generation SGA and endotracheal tube (ETT) devices during long-duration laparoscopic hepatectomy. Read More

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Relationship between vertical stratification and feeding habits of mosquito (Diptera: Culicidae) assemblages collected in conservation units in the green belt of the city of São Paulo, Brazil.

Acta Trop 2021 Jun 11:106009. Epub 2021 Jun 11.

Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, SP, Brazil. Electronic address:

São Paulo is one of the largest cities in the world and has several characteristics that favor a diversity of urban and wild mosquitoes. Little is known about how variations in mosquito diversity and feeding preferences for different hosts in different vegetation strata can influence the risk of pathogen transmission to humans. We investigated vertical stratification of mosquitoes and its relationship with vertebrate hosts in environments with different degrees of conservation in two conservation units in the city of São Paulo. Read More

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Management of ascending aorta perforation during transseptal puncture for left atrial appendage closure: a case report.

Eur Heart J Case Rep 2021 Apr 30;5(4):ytab154. Epub 2021 Apr 30.

Department of Cardiology, Rabin Medical Center, 39 Jabotinsky St., Petach Tikva 4941492, Israel.

Background: An 82-year-old female with a history of atrial fibrillation and repeated episodes of major bleeding on direct oral anticoagulant therapy, with a high risk for thromboembolism and was referred for left atrial appendage closure.

Case Summary: During the procedure, an unrecognized puncture of the aorta by the transseptal puncture (TSP) needle and inadvertent advancement of the sheath resulted in ascending aorta perforation. This perforation was closed percutaneously using an Amplatzer™ Duct Occluder (ADO). Read More

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Contrast-Enhanced Ultrasound in the Differential Diagnosis and Risk Stratification of ACR TI-RADS Category 4 and 5 Thyroid Nodules With Non-Hypovascular.

Front Oncol 2021 26;11:662273. Epub 2021 May 26.

Department of Pathology, Lanzhou University Second Hospital, Lanzhou, China.

Objective: This study aims to investigate the value of contrast-enhanced ultrasound (CEUS) in the differential diagnosis and risk stratification of ACR TI-RADS category 4 and 5 thyroid nodules with non-hypovascular.

Methods: From January 2016 to December 2019 in our hospital, 217 ACR TI-RADS category 4 and 5 nodules with non-hypovascular in 210 consecutive patients were included for a derivation cohort. With surgery and/or fine-needle aspiration (FNA) as a reference, conventional ultrasound (US) features and CEUS features were analyzed. Read More

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Accuracy of Tissue and Sonication Fluid Sampling for the Diagnosis of Fracture-Related Infection: Diagnostic Meta-Analysis.

Cureus 2021 May 9;13(5):e14925. Epub 2021 May 9.

College of Medicine, Jouf University, Aljouf, SAU.

Evidence shows that tissue sample culturing is the gold standard approach for diagnosing fracture-related infection (FRI). Sonication fluid sampling has also been reported to be efficacious and superior to tissue sample culturing with prosthetic joint infection. However, data from the current literature are not enough to validate this hypothesis for FRI. Read More

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Synchronous thyroid cancer on the edge: Incidentalomas of 18F-FDG PET/CT in clinical practice.

Niger J Clin Pract 2021 Jun;24(6):937-942

Department of Nuclear Medicine, Gulhane Training and Research Hospital, Ankara, Turkey.

Aims: The objective of this study was to discuss the outcomes of the oncology patients whose PET/CT scans show incidental focal thyroid 18F-FDG uptake.

Methods: This retrospective analysis examined 2575 18F-FDG PET/CT scans from 1803 patients with no known thyroid cancer history. The survival rates were analyzed for patients with and without cytopathological evaluation. Read More

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Analysis of the curative effect and influencing factors of stereotactic aspiration in the treatment of primary brainstem haemorrhage.

J Clin Neurosci 2021 Jul 10;89:122-127. Epub 2021 May 10.

Department of Neurosurgery, The First Hospital of Hebei Medical University, Shijiazhuang, China. Electronic address:

Primary brainstem haemorrhage (PBH) is characterized by acute onset, rapid deterioration, many complications, and poor prognosis. Its treatment has been controversial. This study aimed to explore the clinical risk factors of postoperative survival and neurological function recovery of stereotactic aspiration in the treatment of PBH. Read More

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Ultrastructural Analysis of Volumetric Histotripsy Bio-effects in Large Human Hematomas.

Ultrasound Med Biol 2021 Jun 8. Epub 2021 Jun 8.

Laboratory for Industrial and Medical Ultrasound, Physics Faculty, M. V. Lomonosov Moscow State University, Moscow, Russian Federation; Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington, USA.

Large-volume soft tissue hematomas are a serious clinical problem, which, if untreated, can have severe consequences. Current treatments are associated with significant pain and discomfort. It has been reported that in an in vitro bovine hematoma model, pulsed high-intensity focused ultrasound (HIFU) ablation, termed histotripsy, can be used to rapidly and non-invasively liquefy the hematoma through localized bubble activity, enabling fine-needle aspiration. Read More

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Papillary thyroid microcarcinoma with lung metastases: a case report and review of the literature.

Thyroid Res 2021 Jun 11;14(1):15. Epub 2021 Jun 11.

Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Background: Distant metastasis from papillary thyroid microcarcinoma (PTMC) is rare. Here we report a case of PTMC with multiple lung metastases.

Case Presentation: A 64-year-old man presented to our hospital with abdominal pain. Read More

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JAK 2 positive myeloproliferative neoplasm presenting as stroke, recurrent TIA and isolated third nerve palsy.

BMJ Case Rep 2021 Jun 10;14(6). Epub 2021 Jun 10.

Stroke Medicine, New Cross Hospital, Wolverhampton, UK.

A man in his early 40s with no significant vascular risk factors was managed within a period of 6 months for recurrent vascular events: ischaemic stroke, transient ischaemic attack and isolated third nerve palsy. He was extensively investigated throughout the course of illness. The only potential aetiological factor identified was a positive janus kinase 2 (JAK 2) mutation after screening on account of mildly elevated platelet count noted during his most recent admission. Read More

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