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Ultrasound-guided spinal anaesthesia in a patient with achondroplastic dwarfism and scoliosis: a case report
Hong Kong Med J. 2023 Sep 19. doi: 10.12809/hkmj2210169. Online ahead of print.NO ABSTRACTPMID:37723609 | DOI:10.12809/hkmj2210169
Source: Hong Kong Med J - September 19, 2023 Category: General Medicine Authors: B Kilicaslan Source Type: research

Timed intercourse for couples trying to conceive
CONCLUSIONS: The new evidence presented in this review update shows that timed intercourse using urine ovulation tests probably improves live birth and pregnancy rates (clinical or positive urine pregnancy tests but not yet confirmed by ultrasound) in women under 40, trying to conceive for less than 12 months, compared to intercourse without ovulation prediction. However, there are insufficient data to determine the effects of urine ovulation tests on adverse events, clinical pregnancy, time to pregnancy, and quality of life. Similarly, due to limited data, we are uncertain of the effect of FABM on pregnancy outcomes, adve...
Source: Cochrane Database of Systematic Reviews - September 14, 2023 Category: General Medicine Authors: Tatjana Gibbons Jane Reavey Ektoras X Georgiou Christian M Becker Source Type: research

Feasibility of nonoperative treatment of acute appendicitis in children: a prospective cohort study
CONCLUSION: Among children with uncomplicated acute appendicitis, a non-operative approach resulted in resolution of symptoms in 87.3% of patients at the initial admission. Failure of non-operative treatment and recurrence of disease after discharge from the hospital occurred in 9.4% of patients after successful initial treatment. Thus, the overall success rate at a mean follow-up of 3 months was about 78%.PMID:37675678 | DOI:10.4103/singaporemedj.SMJ-2021-406
Source: Singapore Medical Journal - September 7, 2023 Category: General Medicine Authors: Shazia Perveen Jamshed Akhtar Sajid Ali Abdul Jabbar Source Type: research

Endoscopic ultrasound avoids diagnostic ERCP among the ASGE high-risk group - Experience in an Asian population
CONCLUSION: ASGE recommends that patients defined as high-risk for choledocholithiasis be considered for direct ERCP without prior need for confirmation imaging. However, our findings indicate a high rate (36%) of patients in that group negative for CBD stones on EUS. Hence, EUS is still be suggested first in selective high-risk patients so that diagnostic ERCP can be avoided in our Asian society.PMID:37673777 | DOI:10.1016/j.jfma.2023.08.025
Source: J Formos Med Assoc - September 6, 2023 Category: General Medicine Authors: Weng-Fai Wong Yu-Ting Kuo Ming-Lun Han Hsiu-Po Wang Source Type: research

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