Multi-Modal Intra-Operative Spinal Cord Monitoring (IOM) During Spinal Deformity Surgery: Efficacy, Diagnostic Characteristics and Algorithm Development
Conclusion: Multimodal IOM is highly sensitive and specific for spinal cord injury. This technique is reliable for the assessment of the condition of the spinal cord during major deformity surger y. We propose an algorithm of intra-operative action to allow close cooperation between the surgical, anaesthetic and neurophysiology teams and to prevent neurological deficits. (Source: Medical Principles and Practice)
Source: Medical Principles and Practice - June 3, 2019 Category: Internal Medicine Source Type: research
The utility of ocular ultrasonography to evaluate the influence of Tourniquet application on intracranial pressure
(Source: Medical Principles and Practice)
Source: Medical Principles and Practice - May 31, 2019 Category: Internal Medicine Source Type: research
Association Between Growth Differentiation Factor 15 and Non-Dipping Circadian Pattern in Patients with Newly Diagnosed Essential Hypertension
Objective: Non-dipper hypertension (HT) confers greater risk compared with dipper hypertension. Growth differentiation factor 15 (GDF-15) recently emerged as a novel and independent marker of cardiovascular disease, both in diagnostic and prognostic scopes. Our aim was to evaluate the relationship of circadian blood pressure (BP) pattern with serum GDF-15 level in newly diagnosed HT patients without left ventricular hypertrophy. Subjects and Methods: Newly diagnosed non-dipper (n = 66) and dipper (n = 60) HT patients were selected according to 24-hour ambulatory blood pressure monitoring (ABPM). Healthy normotensive subjec...
Source: Medical Principles and Practice - May 23, 2019 Category: Internal Medicine Source Type: research
Value of Multidetector Computed Tomography in the Assessment of Achalasia Subtypes and Detection of Pulmonary and Thoracic Complications
Objective: To evaluate multidetector computed tomography (MDCT) findings in patients with achalasia, to assess its role in differentiating subtypes in detecting lung involvement and extra-esophageal thoracic complications. Subjects and Methods: This clinical retrospective study included 51 patients with manometrically-confirmed achalasia who underwent chest X-ray and MDCT in diagnostic work-up. Esophageal wall thickness and morphology, luminal dilatation, lung changes and extra-esophageal manifestations were analyzed on MDCT by two readers. Wilcoxon, Kruskal-Wallis and Mann-Whitney test were used for assessing the differen...
Source: Medical Principles and Practice - May 22, 2019 Category: Internal Medicine Source Type: research
The Prognostic Impact of the Lymphocyte-to-Monocyte Ratio in Resected Pancreatic Head Adenocarcinoma < br > < br >
Objective: Although the prognostic significance of systematic inflammation-based scores, such as the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), and the prognostic nutritional index (PNI), have been explored in pancreatic cancers, few reports have investigated the lymphocyte-to-monocyte ratio (LMR). We aimed to retrospectively investigate the prognostic value of the preoperative LMR in patients with resectable pancreatic head cancer (PHC). Methods: From 2005 to 2016, 165 patients underwent pancreatoduodenectomy for PHC. All samples of peripheral blood were collected within two weeks prior ...
Source: Medical Principles and Practice - May 20, 2019 Category: Internal Medicine Source Type: research
