Blunt Abdominal Trauma in Pregnancy: Higher Rates of Severe Abdominal Injuries
DISCUSSION: BSOI occurred at a lower rate in PTPs compared to non-PTPs; however, contrary to the "cushion effect" observed in obese populations, pregnant women had a higher rate of severe abdominal injuries. These data support comprehensive evaluations for PTPs presenting after a MVC.LEVEL OF EVIDENCE: IV (therapeutic).PMID:38676625 | DOI:10.1177/00031348241248790 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Shannon Skochko Jeffry Nahmias Michael Lekawa Allen Kong Sebastian Schubl Lourdes Swentek Areg Grigorian Source Type: research

Postoperative Morbidity after Dental Treatment under General Anesthesia in Children with and without Disabilities
Conclusions: CD more frequently reported complications like oral bleeding, fever, and diarrhea. In contrast, the CTL group more often reported pain-related symptoms. The conclusion underscores the need for a pain control protocol for CD and emphasizes the importance of frequent monitoring to prevent unwanted consequences during tooth restoration under general anesthesia.PMID:38674314 | DOI:10.3390/medicina60040668 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Marija Šimunović-Erpušina Danko Bakar čić Odri Cicvari ć Luka Šimunović Vlatka Soto šek Dorotea Petrovi ć Nata ša Ivančić Jokić Source Type: research

Investigation of the Association between Bilateral Selective Anterograde Cerebral Perfusion and Postoperative Ischemic Stroke in Obese Patients with Emergency Surgery for Acute Type A Aortic Dissection
Conclusions: A patient-tailored strategy for cerebral perfusion should be considered in obese patients, considering the high atheromatous burden of the supra-aortic vessels in these patients and the potential risk of atheromatous embolization associated with this technique.PMID:38674307 | PMC:PMC11052173 | DOI:10.3390/medicina60040661 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Mircea Robu Bogdan Radulescu Irina Maria Margarint Cornel Robu Ovidiu Stiru Andrei Iosifescu Silvia Preda Mihai Cacoveanu Cristian Voica Vlad Anton Iliescu Horatiu Moldovan Source Type: research

The Effect of Pringle Maneuver Applied during Living Donor Hepatectomy on the Ischemia-Reperfusion Injury Observed in the Donors and Recipients
Conclusions: Although the histological scoring of hepatocyte damage was found to be higher in the Pringle maneuver group, the Pringle maneuver did not augment ischemia-reperfusion injury in donors and recipients that was evaluated by clinical and laboratory analyses.PMID:38674295 | PMC:PMC11051728 | DOI:10.3390/medicina60040649 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Yasin Dalda Sami Akbulut Tevfik Tolga Sahin Adem Tuncer Zeki Ogut Basri Satilmis Ozlem Dalda Mehmet Gul Sezai Yilmaz Source Type: research

Association between Antenatal Vaginal Bleeding and Adverse Perinatal Outcomes in Placenta Accreta Spectrum
Conclusions: Antenatal vaginal bleeding in the setting of PAS is associated with increased emergent deliveries, earlier gestational ages, and maternal composite morbidity. This important antenatal event may aid in not only counseling patients but also in the coordination of multidisciplinary teams caring for these complex patients.PMID:38674323 | DOI:10.3390/medicina60040677 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: J Connor Mulhall Kayla E Ireland John J Byrne Patrick S Ramsey Georgia A McCann Jessian L Munoz Source Type: research

Translation into French and republication of: "Anticoagulant treatment of cancer-associated thromboembolism"
Rev Med Interne. 2024 Apr 26:S0248-8663(24)00097-3. doi: 10.1016/j.revmed.2024.04.004. Online ahead of print.ABSTRACTVenous thromboembolism (VTE) is a frequent and potentially fatal complication in patients with cancer. During the initial period after the thromboembolic event, a patient receiving anticoagulant treatment is exposed both to a risk of VTE recurrence and also to an elevated bleeding risk conferred by the treatment. For this reason, the choice of anticoagulant is critical. The choice should take into account patient-related factors (such as functional status, age, body mass index, platelet count and renal funct...
Source: Revue de Medecine Interne - April 27, 2024 Category: Internal Medicine Authors: I Mah é D Mayeur F Couturaud F Scott é Y Benhamou A Benmaziane L Bertoletti S Laporte P Girard P Mismetti O Sanchez Groupe de travail INNOVTE CAT Source Type: research

Anticoagulation during extracorporeal membrane oxygenation: A narrative review
In conclusion, future research is needed to determine the best anticoagulation strategy for patients on ECMO.PMID:38671589 | DOI:10.1177/02676591241250288 (Source: Perfusion)
Source: Perfusion - April 27, 2024 Category: Cardiovascular & Thoracic Surgery Authors: John R Priest David Hebert Camille Jutras Source Type: research

An Inevitable Challenge in Primary Prevention of Upper Gastrointestinal Bleeding Among Aspirin Users: Appropriate Use of Proton Pump Inhibitors
Li et al1 conducted a retrospective observational study using the Nationwide Emergency Department Sample, demonstrating an increased incidence of upper gastrointestinal bleeding among patients on long-term aspirin therapy without cardiovascular disease. Considering the rising incidence, severity, and costs associated with upper gastrointestinal bleeding among patients using aspirin for primary cardiovascular prevention, the authors conclude that there is a need for cautious discussion beyond current guidelines regarding the indications for aspirin use. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 27, 2024 Category: General Medicine Authors: Hiroshi Ito Tags: Letter Source Type: research

Impacted upper third molar surgical removal leads to pseudoaneurysm: A case report highlighting surgical risks
ConclusionThe rate of traumatic pseudoaneurysm of branches of the ECA is low; however, in order to avoid severe consequences, a correct diagnosis as early as possible is essential for a proper management. (Source: Oral Surgery)
Source: Oral Surgery - April 27, 2024 Category: ENT & OMF Authors: P. J. Brabyn, M. Sant ás Alegret, A. Soria Tristan, I. García‐Recuero Tags: CASE REPORT Source Type: research

Unveiling the hidden: identification and management of overlooked blood vessels in laparoscopic left hemicolectomy for splenic flexure cancer
During laparoscopic left hemicolectomy procedures, a previously overlooked consistently thick blood vessel within the gastrocolic ligament near the splenic hilum may contribute to post-operative bleeding compl... (Source: BMC Surgery)
Source: BMC Surgery - April 27, 2024 Category: Surgery Authors: Wenjun Luo, Peng Chen, Qiang Du, Lie Yang and Zongguang Zhou Tags: Research Source Type: research

Genes, Vol. 15, Pages 558: Genetic Mechanisms Driving Uterine Leiomyoma Pathobiology, Epidemiology, and Treatment
Borahay Uterine leiomyomas (ULs) are the most common benign tumor of the uterus. They can be associated with symptoms including abnormal uterine bleeding, pelvic pain, urinary frequency, and pregnancy complications. Despite the high prevalence of UL, its underlying pathophysiology mechanisms have historically been poorly understood. Several mechanisms of pathogenesis have been suggested, implicating various genes, growth factors, cytokines, chemokines, and microRNA aberrations. The purpose of this study is to summarize the current research on the relationship of genetics with UL. Specifically, we performed a literature...
Source: Genes - April 27, 2024 Category: Genetics & Stem Cells Authors: Malini S. Ramaiyer Eslam Saad Irem Kurt Mostafa A. Borahay Tags: Review Source Type: research

Preoperative Direct Puncture Embolization of Castleman Disease of the Parotid Gland: A Case Report
CONCLUSION: Preoperative direct puncture embolization was safe and effective and provides excellent hemostatic control during the surgical operation, limiting the amount of intraoperative bleeding.PMID:38668054 | PMC:PMC11049360 | DOI:10.3390/curroncol31040151 (Source: Current Oncology)
Source: Current Oncology - April 26, 2024 Category: Cancer & Oncology Authors: Alessandro Pedicelli Pietro Trombatore Andrea Bartolo Arianna Camilli Esther Diana Rossi Luca Scarcia Andrea M Alexandre Source Type: research

Common P-glycoprotein ( < em > ABCB1 < /em > ) polymorphisms do not seem to be associated with the risk of rivaroxaban-related bleeding events: Preliminary data
CONCLUSIONS: The evaluated common ABCB1 polymorphisms do not seem to affect the risk of early bleeding in patients started on rivaroxaban.PMID:38665866 | PMC:PMC11042566 | DOI:10.11613/BM.2024.020703 (Source: Biochemia Medica)
Source: Biochemia Medica - April 26, 2024 Category: Biochemistry Authors: Ana Marija Sli šković Jozefina Pali ć Tamara Bo žina Lana Ganoci Majda Vrki ć Kirhmajer Vladimir Trkulja Jo ško Bulum Livija Šimičević Source Type: research

Preoperative Direct Puncture Embolization of Castleman Disease of the Parotid Gland: A Case Report
CONCLUSION: Preoperative direct puncture embolization was safe and effective and provides excellent hemostatic control during the surgical operation, limiting the amount of intraoperative bleeding.PMID:38668054 | PMC:PMC11049360 | DOI:10.3390/curroncol31040151 (Source: Current Oncology)
Source: Current Oncology - April 26, 2024 Category: Cancer & Oncology Authors: Alessandro Pedicelli Pietro Trombatore Andrea Bartolo Arianna Camilli Esther Diana Rossi Luca Scarcia Andrea M Alexandre Source Type: research