journal
https://read.qxmd.com/read/37685832/paracolic-gutter-routing-a-novel-retroperitoneal-extra-anatomical-repair-for-infected-aorto-iliac-axis
#1
JOURNAL ARTICLE
Hazem El Beyrouti, Mohamed Omar, Cristi-Teodor Calimanescu, Hendrik Treede, Nancy Halloum
OBJECTIVE: We describe and analyze outcomes of a novel extra-anatomical paracolic gutter routing technique for surgical repair of aorto-iliac infections. METHODS: A double-center, observational, cohort study of all consecutive patients with aorto-iliac infections treated using extra-anatomical paracolic gutter technique. Between May 2015 and December 2022, six patients with aorto-iliac infections were treated with the paracolic gutter routing technique. Cases were identified retrospectively in an institutional database, and data were retrieved from surgical records, imaging studies, and follow-up records...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685831/-under-the-bridge-looking-for-ischemia-in-a-patient-with-intramyocardial-coronary-artery-course-the-role-of-the-cardiopulmonary-exercise-test
#2
Massimo Mapelli, Gaia Cattadori, Elisabetta Salvioni, Irene Mattavelli, Emanuele Pestrin, Umberto Attanasio, Damiano Magrì, Pietro Palermo, Piergiuseppe Agostoni
Many variables obtained during cardiopulmonary exercise test (CPET), including O2 uptake (VO2 ) versus heart rate (HR, O2 -pulse) and work rate (VO2 /Watt), provide quantitative patterns of responses to exercise when left ventricular dysfunction is an effect of myocardial ischemia (MI). Therefore, CPET offers a unique approach to evaluate exercise-induced MI in the presence of fixed or dynamic coronary arteries stenosis. In this paper, we examined the case of a 74-year-old patient presenting with an ischemic CPET and a normal stress cardiac magnetic resonance (CMR) with dipyridamole...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685830/high-thyroid-stimulating-hormone-and-low-free-triiodothyronine-levels-are-associated-with-chronic-kidney-disease-in-three-population-based-studies-from-germany
#3
JOURNAL ARTICLE
Till Ittermann, Sabrina von Rheinbaben, Marcello R P Markus, Marcus Dörr, Antje Steveling, Matthias Nauck, Alexander Teumer, Maik Gollasch, Dominik Spira, Maximilian König, Ilja Demuth, Elisabeth Steinhagen-Thiessen, Henry Völzke, Sylvia Stracke
High serum thyroid-stimulating hormone (TSH) levels have previously been associated with a low estimated glomerular filtration rate (eGFR), but studies associating thyroid hormone levels with albuminuria revealed inconsistent results. We used cross-sectional data from 7933 individuals aged 20 to 93 years of the Berlin Aging Study II and the Study of Health in Pomerania to associate serum TSH, fT3, and fT4 levels with eGFR and albuminuria. In multivariable analyses adjusted for confounding, we found inverse non-linear associations of serum TSH levels with eGFR, while serum fT3 levels showed a positive association with eGFR...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685829/perioperative-complications-in-infective-endocarditis
#4
REVIEW
Henning Hermanns, Tim Alberts, Benedikt Preckel, Magnus Strypet, Susanne Eberl
Infective endocarditis is a challenging condition to manage, requiring collaboration among various medical professionals. Interdisciplinary teamwork within endocarditis teams is essential. About half of the patients diagnosed with the disease will ultimately have to undergo cardiac surgery. As a result, it is vital for all healthcare providers involved in the perioperative period to have a comprehensive understanding of the unique features of infective endocarditis, including clinical presentation, echocardiographic signs, coagulopathy, bleeding control, and treatment of possible organ dysfunction...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685828/outcomes-of-the-next-in-vitro-fertilization-cycle-in-women-with-polycystic-ovary-syndrome-after-a-failed-in-vitro-maturation-attempt
#5
JOURNAL ARTICLE
Wei Guo, Yalan Xu, Tian Tian, Shuo Yang, Rong Li, Jie Qiao, Xiaoying Zheng
BACKGROUND: In vitro maturation (IVM) is indicated in women with polycystic ovary syndrome (PCOS) who have a very good ovarian response during in vitro fertilization (IVF) and are therefore at high risk of ovarian hyperstimulation syndrome (OHSS). According to the latest practice committee document, IVM could be a major advance in assisted reproductive technology (ART) procedures (reduced cost and simplified treatment); nevertheless, retrospective studies of IVM versus IVF still demonstrate lower chances of a live birth with IVM...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685827/pancreaticobiliary-diseases-with-severe-complications-as-a-rare-indication-for-emergency-pancreaticoduodenectomy-a-single-center-experience-and-review-of-the-literature
#6
JOURNAL ARTICLE
Maximilian Fickenscher, Oleg Vorontsov, Thomas Müller, Boris Radeleff, Christian Graeb
The pancreaticobiliary system is a complex and vulnerable anatomic region. Small changes can lead to severe complications. Pancreaticobiliary disorders leading to severe complications include malignancies, pancreatitis, duodenal ulcer, duodenal diverticula, vascular malformations, and iatrogenic or traumatic injuries. Different therapeutic strategies, such as conservative, interventional (e.g., embolization, stent graft applications, or biliary interventions), or surgical therapy, are available in early disease stages...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685826/the-yin-and-the-yang-of-hemostasis-in-end-stage-liver-disease
#7
REVIEW
Fuat H Saner, Ecaterina Scarlatescu, Dieter Clemens Broering, Dmitri Bezinover
Patients with end-stage liver disease (ESLD) undergoing liver transplantation (LT) are prone to thromboses both while on the waiting list and in the perioperative period. This hypercoagulability is associated with significant endothelial dysfunction (ED) due to nitric oxide dysregulation. ED and increased thrombin generation are the main factors responsible for this hypercoagulability. Sepsis alone can significantly alter a patient's coagulation profile. In combination with ESLD, however, sepsis or septic shock are responsible for very complex changes...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685825/it-s-time-to-run
#8
EDITORIAL
Gaia Cattadori, Anna Picozzi, Silvia Di Marco
Several epidemiological studies have consistently reported inverse associations between cardiorespiratory fitness and the risks of cardiovascular disease and mortality [...].
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685824/identifying-developmental-language-disorder-in-deaf-children-with-cochlear-implants-a-case-study-of-three-children
#9
JOURNAL ARTICLE
Gemma Hardman, Rosalind Herman, Fiona Elizabeth Kyle, Susan Ebbels, Gary Morgan
(1) Background: While spoken language learning delays are assumed for deaf and hard of hearing (DHH) children after cochlear implant (CI), many catch up with their hearing peers. Some DHH children with CIs, however, show persistent delays in language, despite protective factors being in place. This suggests a developmental language disorder (DLD). However, at present there is little consensus on how to diagnose DLD in DHH children. (2) Methods: Given the lack of consensus in this area, a set of case studies provides an appropriate first step...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685823/transcutaneous-co-2-monitoring-in-extremely-low-birth-weight-premature-infants
#10
JOURNAL ARTICLE
Liron Borenstein-Levin, Noa Avishay, Orit Soffer, Shmuel Arnon, Arieh Riskin, Gil Dinur, Karen Lavie-Nevo, Ayala Gover, Amir Kugelman, Ori Hochwald
Extremely low birth weight (ELBW) premature infants are particularly susceptible to hypocarbia and hypercarbia, which are associated with brain and lung morbidities. Transcutaneous CO2 (TcCO2 ) monitoring allows for continuous non-invasive CO2 monitoring during invasive and non-invasive ventilation and is becoming more popular in the NICU. We aimed to evaluate the correlation and agreement between CO2 levels measured by a TcCO2 monitor and blood gas CO2 (bgCO2 ) among ELBW infants. This was a prospective observational multicenter study...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685822/clinical-characteristics-etiology-and-prognostic-scores-in-patients-with-acute-decompensated-liver-cirrhosis
#11
JOURNAL ARTICLE
Hoor Al Kaabi, Abdullah M Al Alawi, Zubaida Al Falahi, Zakariya Al-Naamani, Said A Al Busafi
BACKGROUND: Chronic liver disease and cirrhosis contribute significantly to global mortality, with limited improvements despite medical advancements. This study aims to evaluate acute decompensation of liver cirrhosis characteristics, etiology, and survival outcomes in Oman. In addition, we examined the accuracy of prognostic scores in predicting mortality at 28 and 90 days. METHODS: We conducted a retrospective analysis of 173 adult patients with acute decompensation of liver cirrhosis at Sultan Qaboos University Hospital in Oman...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685821/one-patient-three-providers-a-multidisciplinary-approach-to-managing-common-neuropsychiatric-cases
#12
REVIEW
Aynur Özge, Füsun Mayda Domaç, Nil Tekin, Esra Aydın Sünbül, Nevra Öksüz, Arife Çimen Atalar, Sümeyye Yasemin Çallı, Yağmur Sever Fidan, Ahmet Evlice, Engin Emrem Beştepe, Filiz İzci, Özge Yılmaz Küsbeci, Esra Acıman Demirel, Sibel K Velioğlu, Mehmet Ungan
BACKGROUND: Neuropsychiatric cases require a multidisciplinary approach for effective management. This paper presented case-based discussions on migraine, dementia, epilepsy, mood disorders, neuralgia, and psychosis from the perspectives of a family physician, neurologist, and psychiatrist. The goal was to highlight the importance of collaboration between healthcare providers in managing these complex cases. METHODS: The paper was based on the proceedings of the Mediterranean Neuropsychiatry Symposium, where experts from family medicine, neurology, and psychiatry came together for comprehensive case-based discussions...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685820/is-there-an-association-between-post-traumatic-stress-disorder-and-the-incidence-of-chronic-low-back-pain
#13
JOURNAL ARTICLE
Karel Kostev, Lee Smith, Josep Maria Haro, Marcel Konrad, Ai Koyanagi, Louis Jacob
BACKGROUND: Preliminary research suggests post-traumatic stress disorder (PTSD) is a risk factor for chronic low back pain (CLBP). However, this literature displays some limitations. Therefore, this study aimed to investigate the association between PTSD and the 10-year cumulative incidence of CLBP in adults from Germany. METHODS: The present retrospective cohort study included adults diagnosed with PTSD in 1 of 1284 general practices in Germany in 2005-2020 (index date)...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685819/management-and-prognosis-of-acute-stroke-in-atrial-fibrillation
#14
REVIEW
Mette F Hindsholm, Dorte Damgaard, M Edip Gurol, David Gaist, Claus Z Simonsen
Atrial fibrillation (AF) is an important risk factor for ischemic stroke (IS). Oral anticoagulation (OAC) significantly reduces the risk of IS in AF but also increases the risk of systemic bleeding, including intracerebral hemorrhage (ICH). AF-related strokes are associated with greater disability and mortality compared to non-AF strokes. The management of patients with AF-related strokes is challenging, and it involves weighing individual risks and benefits in the acute treatment and preventive strategies of these patients...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685818/moving-from-laparoscopic-synthetic-mesh-to-robotic-biological-mesh-for-ventral-rectopexy-results-from-a-case-series
#15
JOURNAL ARTICLE
Farouk Drissi, Fabien Rogier-Mouzelas, Sebastian Fernandez Arias, Juliette Podevin, Guillaume Meurette
Introduction: Laparoscopic ventral mesh rectopexy (VMR) is the standard procedure for the treatment of posterior pelvic organ prolapse. Despite significant functional improvement and anatomical corrections, severe complications related to mesh augmentation can occur in a few proportions of patients. In order to decrease the number of rare but severe complications, we developed a variant of the conventional VMR without any rectal fixation and using a robotic approach with biological mesh. The aim of this study was to compare the results of laparoscopic ventral rectopexy with synthetic mesh (LVMRS) to those of robotic ventral rectopexy with biological mesh (RVMRB)...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685817/development-of-notch-free-pre-bent-rod-applicable-for-posterior-corrective-surgery-of-thoracolumbar-lumbar-adolescent-idiopathic-scoliosis
#16
JOURNAL ARTICLE
Yoko Ishikawa, Satoshi Kanai, Katsuro Ura, Terufumi Kokabu, Katsuhisa Yamada, Yuichiro Abe, Hiroyuki Tachi, Hisataka Suzuki, Takashi Ohnishi, Tsutomu Endo, Daisuke Ukeba, Masahiko Takahata, Norimasa Iwasaki, Hideki Sudo
Adolescent idiopathic scoliosis (AIS), the most common pediatric musculoskeletal disorder, causes a three-dimensional spine deformity. Lenke type 5 AIS is defined as a structural thoracolumbar/lumbar curve with nonstructural thoracic curves. Although a rod curvature will affect clinical outcomes, intraoperative contouring of the straight rod depends on the surgeon's knowledge and experience. This study aimed to determine the optimum rod geometries to provide a pre-bent rod system for posterior spinal surgery in patients with Lenke type 5 AIS...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685816/improved-early-outcomes-in-women-undergoing-aortic-valve-interventions
#17
JOURNAL ARTICLE
Pietro Giorgio Malvindi, Olimpia Bifulco, Paolo Berretta, Jacopo Alfonsi, Mariano Cefarelli, Carlo Zingaro, Filippo Capestro, Alessandro D'Alfonso, Marco Di Eusanio
Surgical aortic valve replacement (SAVR) in female patients has been associated with higher mortality (up to 3.3-8.9%) and postoperative complication rates when compared with their male counterparts. In recent years, TAVI has been shown to provide a greater benefit than SAVR in women. We sought to assess the early outcomes of the contemporary aortic valve intervention practice (surgical and transcatheter) in patients referred to our cardiac surgery unit. The data of consecutive patients who underwent isolated aortic valve intervention for aortic valve stenosis during the 2018-2022 period were retrieved from our internal database...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685815/external-validation-of-the-improd-mri-volumetric-model-to-predict-the-utility-of-systematic-biopsies-at-the-time-of-targeted-biopsy
#18
JOURNAL ARTICLE
Antonella Ninivaggi, Francesco Guzzi, Alessio Degennaro, Anna Ricapito, Carlo Bettocchi, Gian Maria Busetto, Francesca Sanguedolce, Paola Milillo, Oscar Selvaggio, Luigi Cormio, Giuseppe Carrieri, Ugo Giovanni Falagario
Background: The aim of this study was to validate externally a nomogram that relies on MRI volumetric parameters and clinical data to determine the need for a standard biopsy in addition to a target biopsy for men with suspicious prostate MRI findings. Methods: We conducted a retrospective analysis of a prospectively maintained database of 469 biopsy-naïve men who underwent prostate biopsies. These biopsies were guided by pre-biopsy multiparametric Magnetic Resonance Imaging (mpMRI) and were performed at two different institutions...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685814/descemet-membrane-endothelial-keratoplasty-and-descemet-stripping-only-using-a-3d-visualization-system
#19
JOURNAL ARTICLE
Antonio Cano-Ortiz, Álvaro Sánchez-Ventosa, Vanesa Díaz-Mesa, Timoteo González-Cruces, Marta Villalba-González, Alberto Villarrubia-Cuadrado
(1) Purpose: The aim was to analyze the outcomes of Descemet's membrane endothelial keratoplasty (DMEK) and Descemet stripping only (DSO) surgeries using a glasses-assisted NGENUITY® 3D visualization system (Alcon Laboratories, Fort Worth, TX, USA). (2) Methods: Five consecutive cases of DMEK surgery and four consecutive cases of DSO were performed using the NGENUITY® system in this prospective study carried out at the Arruzafa Hospital, Córdoba, Spain. Only one eye from each patient received surgery...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37685813/the-impact-of-covid-19-on-carotid-femoral-pulse-wave-velocity-a-systematic-review-and-meta-analysis
#20
REVIEW
Iwona Jannasz, Michal Pruc, Mansur Rahnama-Hezavah, Tomasz Targowski, Robert Olszewski, Stepan Feduniw, Karolina Petryka, Lukasz Szarpak
COVID-19 is a complex multisystemic disease that can result in long-term complications and, in severe cases, death. This study investigated the effect of COVID-19 on carotid-femoral pulse wave velocity (cfPWV) as a measurement to evaluate its impact on arterial stiffness and might help predict COVID-19-related cardiovascular (CV) complications. PubMed, Web of Science, Embase, and the Cochrane Library were searched for relevant studies, and meta-analysis was performed. The study protocol was registered in PROSPERO (nr...
September 4, 2023: Journal of Clinical Medicine
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