keyword
https://read.qxmd.com/read/38417700/how-i-do-it-applying-non-invasive-ventilation-in-treatment-of-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-using-evidence-based-interprofessional-clinical-practice
#21
REVIEW
Mary Jo S Farmer, Christine Callahan, Ashley M Hughes, Karen Riska, Nicholas Hill
When administered as first-line intervention to patients admitted with acute hypercapnic respiratory failure secondary to chronic obstructive pulmonary disease exacerbation in conjunction with guideline recommended therapies, noninvasive ventilation (NIV) has been shown to reduce mortality and endotracheal intubation. Opportunities to increase uptake of NIV continue to exist despite inclusion of this therapy in clinical guidelines. Identifying patients appropriate for NIV, and subsequently providing close monitoring to determine an improvement in clinical condition involves a team consisting of physician, nurse and respiratory therapist in institutions that successfully implement NIV...
February 26, 2024: Chest
https://read.qxmd.com/read/38413736/how-i-made-my-lab-meetings-more-inclusive-with-a-rapid-relay-technique
#22
Johanna Joyce
No abstract text is available yet for this article.
February 27, 2024: Nature
https://read.qxmd.com/read/38411767/how-i-do-it-angiography-assisted-full-endoscopic-treatment-of-spinal-dural-arteriovenous-fistula
#23
JOURNAL ARTICLE
Yao-Lin Lee, Ching-Chung Ko, Chien-Min Chen, Jen-Chieh Liao
BACKGROUND: Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait. METHOD: Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room...
February 27, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38409616/exo-and-endoscopic-lateral-orbital-wall-approach-for-the-medial-temporal-lobe-glioma-how-i-do-it
#24
JOURNAL ARTICLE
Kenichiro Iwami, Masazumi Fujii, Tadashi Watanabe, Koji Osuka
BACKGROUND: The endoscopic transorbital approach provides a direct access to the medial temporal lobe (MTL). However, when excising a highly vascular tumour, a wider access route that enables the concurrent use of standard neurosurgical instruments with both hands is preferable. METHOD: We described the concept and technique of the lateral orbital wall approach (LOWA), which comprises orbitotomy and mini-craniotomy to treat MTL lesions using an exoscope and endoscope...
February 27, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38407072/it-s-how-i-was-raised-how-ethnic-racial-socialization-patterns-influence-antiracism-actions-in-minoritized-emerging-adults
#25
JOURNAL ARTICLE
Bridget L Cheeks, N Keita Christophe, Puja Patel, Valerie V Salcido, Gabriela Livas Stein
OBJECTIVES: Research highlights the benefits of critical action on individual and community well-being; however, more needs to be understood about the ways ethnic-racial socialization (ERS) influences emerging adults' participation in antiracism actions. METHOD: The present study examined patterns of parental ERS messages received by a sample of 668 racially and ethnically minoritized emerging adult college students ( M age = 18.76, SD = 1.23; female = 81.8%), and their associations with the emerging adults' demographic characteristics and three forms of antiracism actions...
February 26, 2024: Cultural Diversity & Ethnic Minority Psychology
https://read.qxmd.com/read/38403779/how-i-do-it-hearing-preservation-in-large-vestibular-schwannomas-using-vestibular-nerve-fiber-preservation-technique
#26
JOURNAL ARTICLE
Omaditya Khanna, Elizabeth Hogan, Reinier Alvarez, A Samy Youssef
BACKGROUND: To improve hearing function after resection of large vestibular schwannomas, we describe a strategy of vestibular-nerve-fiber preservation. Anatomical considerations and stepwise dissection are described. METHOD: Steps include locating the vestibular nerve at the brainstem and identifying a dissection plane between nerve fibers and tumor capsule. Using this plane to mobilize and resect tumor reduced manipulation and maintained vascularity of underlying cochlear and facial nerves...
February 26, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38399631/how-i-follow-hodgkin-lymphoma-in-first-complete-metabolic-remission
#27
REVIEW
Vibor Milunović
Hodgkin lymphoma is characterized by a high cure rate in the modern era of medicine regardless of stage, but patients suffer from a high risk of comorbidity associated with the administered therapy. The main aim of this review article is to assess and analyze the various comorbidities associated with Hodgkin lymphoma and address the survivorship of patients, including fertility, secondary cancers due to cardiovascular toxicity, and quality of life. Furthermore, this review explores the optimal strategy for detecting relapse...
February 19, 2024: Medicina
https://read.qxmd.com/read/38388836/marsupialization-as-an-alternative-to-reconstruction-in-endoscopic-skull-base-surgery-how-i-do-it
#28
JOURNAL ARTICLE
Luca Ferlendis, Bianca Bossi, Paolo Castelnuovo, Davide Locatelli
BACKGROUND: To treat extradural solid-cystic lesions of the ventral skull base, a pedicled nasoseptal flap (NSF) maintains patency of the marsupialized cavity and prevents restenosis and cyst recurrence. METHODS: The authors provide a step-by-step description of the surgical technique valid in different lesions of the skull base, all treated via the endoscopic endonasal approach (EEA). The application is demonstrated by an operative video. CONCLUSION: In selected lesions, endoscopic marsupialization using an NSF ensures drainage and ventilation of the surgical cavity...
February 22, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38379616/how-i-do-it-established-and-novel-methods-for-left-subclavian-revascularization-with-thoracic-endovascular-aortic-repair
#29
JOURNAL ARTICLE
Jen Huffman, Jonathan Bath
Left subclavian artery revascularization at the time of thoracic endovascular aortic repair has been the subject of discussion for over a decade. Contemporary viewpoints suggest that revascularization should be performed where possible to decrease the risk of perioperative stroke, spinal cord ischemia, and, to a lesser degree, loss of upper extremity function. In this article, we present traditional methods as well as descriptions of newer options and technology for preservation of left subclavian artery flow during thoracic endovascular aortic repair...
April 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38364188/how-i-treat-the-co-occurrence-of-venous-arterial-thromboembolism-anticoagulation-antiplatelet-therapy-or-both
#30
JOURNAL ARTICLE
Jori Ellen May, Stephan Moll
Arterial and venous thromboses are classically considered distinct disease states, with arterial thrombosis mediated predominantly by platelets and, therefore, treated with antiplatelet therapy, and venous thrombosis mediated by the plasmatic coagulation system and, therefore, treated with anticoagulation. However, co-occurrence of arterial and venous events is common, and there is increasing evidence of shared risk factors and pathophysiologic overlap. This presents a management challenge: Does the patient with venous and arterial thrombosis require anticoagulation, antiplatelet therapy, or both? Herein, we present a structured approach to the evaluation and management of patients with venous thrombosis who are also at risk for or have a history of an arterial thromboembolic event...
February 16, 2024: Blood
https://read.qxmd.com/read/38364183/how-i-treat-early-t-cell-precursor-acute-lymphoblastic-leukemia-etp-all-in-children
#31
JOURNAL ARTICLE
Ryan J Summers, David Trent Teachey, Stephen P Hunger
Early T-precursor acute lymphoblastic leukemia (ETP-ALL) is a unique subtype of immature T-ALL that was initially associated with a dramatically inferior prognosis as compared to non-ETP T-ALL (Not-ETP) when it was first described in 2009. Analyses of larger patient cohorts treated with more contemporary regimens, however, have shown minimal survival differences between ETP and Not-ETP. In this manuscript we utilize representative cases to explore therapeutic advances and address common clinical questions regarding management of children, adolescents, and young adults with ETP-ALL...
February 16, 2024: Blood
https://read.qxmd.com/read/38362958/posterior-septal-artery-flap-for-endoscopic-repair-of-large-nasal-septal-perforation-how-i-do-it
#32
Yury Rusetsky, Zhanna Mokoyan, Anna Elumeeva, Olga Chernova
Endoscopic repair of large nasal septal perforation (SP) remains a rather challenging procedure. The presented modification of vascularized flap, which is supplied with branches of posterior septal artery, has proven to be convenient and effective in closure of SPs larger than 2 cm. Laryngoscope, 2024.
February 16, 2024: Laryngoscope
https://read.qxmd.com/read/38359352/how-i-do-it-robotic-choledochoscopy
#33
JOURNAL ARTICLE
Robert Acho, Maysen Calzon, Salvatore Docimo
BACKGROUND: As the use of the robotic platform increases among general surgeons, the amount of robotic cholecystectomies is expected to increase as well. The use of intraoperative cholangiography is valuable in assessing for choledocholithiasis. We describe our technique of performing robotic intraoperative cholangiograms with choledochoscopy. Out technique aids in efficiency since no undocking is required. METHODS: Preoperatively, the decision to perform a cholangiogram is made based on physical exam, labs, and imaging findings...
February 6, 2024: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/38356428/-how-i-manage-polycythemia
#34
Gérôme Lombardo, Kaoutar Hafraoui, Yves Beguin, Gaëlle Vertenoeil
Polycythemia is suspected when hemoglobin and/or hematocrit levels exceed established norms based on gender and age. This biological anomaly can arise from a myeloproliferative neoplasm known as polycythemia vera, or be secondary to excess erythropoietin (EPO) or decreased in plasma volume. Faced with polycythemia, the search for JAK2 mutations and measurement of serum EPO levels can guide toward the etiology. In polycythemia vera, thromboembolic events are the most lethal complications and unfortunately often the initial manifestation of the disease...
February 2024: Revue Médicale de Liège
https://read.qxmd.com/read/38348759/-i-am-proud-of-how-i-handled-it-exploring-the-impact-of-the-covid-19-pandemic-and-related-restrictions-on-well-being-of-adults-with-severe-mental-illness-using-qualitative-methods
#35
JOURNAL ARTICLE
L van Rijn, M J Metz, P R van der Velden, P Mathijsen, W E Swildens, A F A Schellekens, W Cahn, M M Milota, J R Zinkstok
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic and related restrictions globally impacted mental health, particularly for those with pre-existing severe mental illness (SMI). This qualitative study examined how adults with SMI perceived the effects of the COVID-19 pandemic and related restrictions in the Netherlands, focusing on their personal recovery, well-being and daily life, including an exploration of factors influencing these effects. METHODS: Semi-structured interviews were conducted, audio-recorded and transcribed verbatim...
February 2024: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://read.qxmd.com/read/38340183/far-lateral-approach-for-dumbbell-shaped-c1-schwannomas-how-i-do-it
#36
JOURNAL ARTICLE
Ming Xu, Ying Wang, Jian Xu, Ping Zhong
BACKGROUND: Dumbbell-shaped C1 schwannomas are rare lesions that involve both intra- and extradural compartments. Because of the intimate relationships these lesions develop with the third and fourth segments of the vertebral artery, surgical removal of these lesions remains a challenge. METHOD: We describe the key steps of the far lateral approach for dumbbell-shaped C1 schwannomas with a video illustration. The surgical anatomy is described along with the techniques for protecting the vertebral artery...
February 10, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38319454/o-arm-guided-minimally-invasive-resection-of-intrathoracic-epidural-schwannoma-how-i-do-it
#37
JOURNAL ARTICLE
Pengcheng Xu, Baofeng Wang, Qingfang Sun, Liuguan Bian, Yuhao Sun
BACKGROUND: Schwannomas are the most common intrathoracic neurogenic tumors. In the past, they were often treated by traditional open surgery. Video-assisted thoracic surgery (VATS) has also been used for some large tumors. Recently, minimally invasive posterior neurosurgical technique provides a new option for some of these tumors. METHOD: Here, we describe the specific steps involved in the O-arm guided minimally invasive removal of intrathoracic epidural schwannoma, as well as its advantages and limitations...
February 6, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38316359/how-i-manage-severe-bacterial-infections-in-people-who-inject-drugs
#38
REVIEW
Andrew J Stewardson, Joshua S Davis, Adrian J Dunlop, Steven Y C Tong, Gail V Matthews
BACKGROUND: Injecting drug use is a risk factor for severe bacterial infection, but there is limited high-quality evidence to guide clinicians providing care to people who inject drugs. Management can be complicated by mistrust, stigma, and competing patient priorities. OBJECTIVES: To review the management of severe infections in people who inject drugs, using an illustrative clinical scenario of complicated Staphylococcus aureus bloodstream infection. SOURCES: The discussion is based on recent literature searches of relevant topics...
February 3, 2024: Clinical Microbiology and Infection
https://read.qxmd.com/read/38305984/how-i-do-it-surgical-clipping-of-a-large-right-internal-carotid-artery-superior-hypophyseal-artery-aneurysm
#39
JOURNAL ARTICLE
Xinfeng Su, Ke Jin, Jianping Song, Dezhi Kang
BACKGROUND: Microsurgery alone often proves to be challenging in treating paraclinoid internal carotid artery (ICA) aneurysms, which are known for their complex anatomy. METHOD: A 53-year-old female with a large right ICA-superior hypophyseal artery (SHA) aneurysm underwent clipping repair. Mixed reality technology was utilized in the preoperative planning and anatomical study. During the surgery, the anterior clinoid process was removed intradurally to improve access to the aneurysm neck...
February 2, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38305030/how-i-do-it-linear-transmission-between-malleus-and-stapes-in-cases-with-incus-necrosis
#40
JOURNAL ARTICLE
Mena Maher Nassif, Tarek A Hamdy, Mohmed Saad
No abstract text is available yet for this article.
February 2, 2024: Journal of Laryngology and Otology
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