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International Urogynecology consultation chapter 2 committee 3: the clinical evaluation of pelvic organ prolapse including investigations into associated morbidity/pelvic floor dysfunction
ConclusionsThe clinical pelvic examination remains the central tool for evaluation of POP and a system such as the POP-Q or S-POP should be used to describe and quantify. The value of investigation for urinary tract dysfunction was discussed and findings presented. The routine addition of GI radiographic or physiological testing is currently not recommended. There are no data on the role of the routine assessment of pain or sexual function, and this area needs more study. Imaging studies alone cannot replace clinical examination for the assessment of POP.
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 22, 2023 Category: OBGYN Source Type: research

Anterior Malreduction is Associated With Lag Screw Cutout After Internal Fixation of Intertrochanteric Fractures
CONCLUSION: In patients older than 65 years with intertrochanteric fractures, anterior malreduction on a lateral oblique view was associated with much greater odds of postoperative cutout than anatomic reduction or posterior malreduction. Because anterior malreduction is within the surgeon's control, our findings may help surgeons focus on intraoperative reduction on an oblique lateral view to prevent cutouts. Although this factor is a reliable indicator, the results should be applied to cephalomedullary nails, because there was only one patient with cutout among those with sliding hip screws. Because this study was conduc...
Source: Clinical Orthopaedics and Related Research - September 21, 2023 Category: Orthopaedics Authors: Takahiro Inui Yoshinobu Watanabe Takashi Suzuki Kentaro Matsui Yoshiaki Kurata Keisuke Ishii Taketo Kurozumi Hirotaka Kawano Source Type: research

Left epigastric isolated tumor fed by the inferior phrenic artery diagnosed as ectopic hepatocellular carcinoma: A case report
CONCLUSION: This asymptomatic ectopic HCC case described achieved an excellent result due to early detection, radical resection, and systematic surveillance.PMID:37731571 | PMC:PMC10507550 | DOI:10.12998/wjcc.v11.i26.6231
Source: Clinical Lung Cancer - September 21, 2023 Category: Cancer & Oncology Authors: Hong-Bo Liu Li-Hua Zhao Yong-Jian Zhang Zhi-Feng Li Lei Li Qian-Peng Huang Source Type: research

Ollier Disease: A Case Report and Review of Treatment Options
In this report, we describe the case of an 11-year-old female who presented to her physician with pain and swelling of her right ring and small fingers after playing in a swimming pool with no obvious mechanism of trauma. A routine, plain radiographic evaluation of her hand revealed the presence of multiple enchondromatosis. We hope to use this case to highlight the surgical management options for young patients with Ollier disease and discuss circumstances in which surgical management may not be indicated.PMID:37731444 | PMC:PMC10509006 | DOI:10.7759/cureus.43815
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Hunter D Kramer Michael J Valentine Nicholas Pettinelli James Kim Robert C Kramer Source Type: research

Left epigastric isolated tumor fed by the inferior phrenic artery diagnosed as ectopic hepatocellular carcinoma: A case report
CONCLUSION: This asymptomatic ectopic HCC case described achieved an excellent result due to early detection, radical resection, and systematic surveillance.PMID:37731571 | PMC:PMC10507550 | DOI:10.12998/wjcc.v11.i26.6231
Source: Clinical Lung Cancer - September 21, 2023 Category: Cancer & Oncology Authors: Hong-Bo Liu Li-Hua Zhao Yong-Jian Zhang Zhi-Feng Li Lei Li Qian-Peng Huang Source Type: research

Ollier Disease: A Case Report and Review of Treatment Options
In this report, we describe the case of an 11-year-old female who presented to her physician with pain and swelling of her right ring and small fingers after playing in a swimming pool with no obvious mechanism of trauma. A routine, plain radiographic evaluation of her hand revealed the presence of multiple enchondromatosis. We hope to use this case to highlight the surgical management options for young patients with Ollier disease and discuss circumstances in which surgical management may not be indicated.PMID:37731444 | PMC:PMC10509006 | DOI:10.7759/cureus.43815
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Hunter D Kramer Michael J Valentine Nicholas Pettinelli James Kim Robert C Kramer Source Type: research

The application of lasers in vital pulp therapy: a review of histological effects
This study aimed to review the histological results of different dental lasers including low-level lasers, carbon dioxide (CO2), erbium-doped yttrium aluminum garnet laser (Er:YAG), neodymium-doped yttrium aluminum garnet (Nd:YAG), erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) lasers, and diode lasers for VPT. This focused review included a comprehensive electronic search of Scopus, MEDLINE, Web of Science, and Google Scholar databases from 2000 to 2022 by two independent investigators. Different combinations of keywords were used, and reference mining of related papers was done. The review included studies...
Source: Lasers in Medical Science - September 21, 2023 Category: Laser Surgery Source Type: research

A modified esophagogastric reconstruction method after laparoscopic proximal gastrectomy: A technical note with video vignette
CONCLUSION: The "arch-bridge-type" reconstruction method is safe and time saving. It has advantages in simplifying the procedure of conventional double flap technique and reducing postoperative complications after proximal gastrectomy.PMID:37730505 | DOI:10.1016/j.asjsur.2023.09.017
Source: Asian Journal of Surgery - September 20, 2023 Category: Surgery Authors: Yinkui Wang Bailong Li Fei Shan Shuangxi Li Kan Xue Rulin Miao Ziyu Li Source Type: research

Association between immunohistochemical markers and tumor progression following resection of spinal chordomas: a multicenter study
CONCLUSIONS: These IHC variables with tree-based machine learning tools successfully demonstrate a high capacity to identify a patient's tumor progression pattern with an accuracy of 66%. Pancytokeratin, EMA, cytokeratin A1/A3, and S100 protein were the IHC drivers of a low tumor progression. This shows the power of machine learning algorithms in analyzing and predicting outcomes of rare conditions in a small sample size.PMID:37728388 | DOI:10.3171/2023.6.SPINE23348
Source: Journal of Neurosurgery.Spine - September 20, 2023 Category: Neurosurgery Authors: Abdul Karim Ghaith Oluwaseun O Akinduro Carlos Perez-Vega Antonio Bon Nieves Kingsley Abode-Iyamah Naresh Patel Maziyar Kalani Michelle J Clarke Peter Rose Mohamad Bydon Source Type: research

Economic burden of nonoperative treatment of adult spinal deformity
CONCLUSIONS: Patients with ASD undergoing operative treatment at baseline had greater sagittal deformity and greater improvement in health-related quality of life postoperatively compared to patients treated nonoperatively. Additionally, patients in the nonoperative cohort overall had an increase in ODI and did not show improvement in utility gained. Patients in the nonoperative cohort who had low disability and sagittal deformity underwent successful maintenance and cost-effective treatment.PMID:37728175 | DOI:10.3171/2023.7.SPINE23195
Source: Journal of Neurosurgery.Spine - September 20, 2023 Category: Neurosurgery Authors: Peter G Passias Waleed Ahmad Pooja Dave Renaud Lafage Virginie Lafage Jamshaid Mir Eric O Klineberg Khaled M Kabeish Jeffrey L Gum Breton G Line Robert Hart Douglas Burton Justin S Smith Christopher P Ames Christopher I Shaffrey Frank Schwab Richard Hosti Source Type: research

Association between immunohistochemical markers and tumor progression following resection of spinal chordomas: a multicenter study
CONCLUSIONS: These IHC variables with tree-based machine learning tools successfully demonstrate a high capacity to identify a patient's tumor progression pattern with an accuracy of 66%. Pancytokeratin, EMA, cytokeratin A1/A3, and S100 protein were the IHC drivers of a low tumor progression. This shows the power of machine learning algorithms in analyzing and predicting outcomes of rare conditions in a small sample size.PMID:37728388 | DOI:10.3171/2023.6.SPINE23348
Source: Journal of Neurosurgery.Spine - September 20, 2023 Category: Neurosurgery Authors: Abdul Karim Ghaith Oluwaseun O Akinduro Carlos Perez-Vega Antonio Bon Nieves Kingsley Abode-Iyamah Naresh Patel Maziyar Kalani Michelle J Clarke Peter Rose Mohamad Bydon Source Type: research

Economic burden of nonoperative treatment of adult spinal deformity
CONCLUSIONS: Patients with ASD undergoing operative treatment at baseline had greater sagittal deformity and greater improvement in health-related quality of life postoperatively compared to patients treated nonoperatively. Additionally, patients in the nonoperative cohort overall had an increase in ODI and did not show improvement in utility gained. Patients in the nonoperative cohort who had low disability and sagittal deformity underwent successful maintenance and cost-effective treatment.PMID:37728175 | DOI:10.3171/2023.7.SPINE23195
Source: Journal of Neurosurgery.Spine - September 20, 2023 Category: Neurosurgery Authors: Peter G Passias Waleed Ahmad Pooja Dave Renaud Lafage Virginie Lafage Jamshaid Mir Eric O Klineberg Khaled M Kabeish Jeffrey L Gum Breton G Line Robert Hart Douglas Burton Justin S Smith Christopher P Ames Christopher I Shaffrey Frank Schwab Richard Hosti Source Type: research

Prevalence of women with breast implants in Sweden: a study based on the population-based mammography screening programme
CONCLUSION: The prevalence of breast implants in Swedish women is estimated to be around 4%. The population-based mammography screening programme in countries with a publicly funded welfare-type healthcare system and a clear documentation of mammography screening attendance, seems to be a feasible way to establish the prevalence of breast implants in the population. The large number of women with breast implants warrants further studies regarding the best diagnostic and treatment alternatives for this group. Pre-registration: ClinicalTrials.Gov identifier NCT05222100.PMID:37728392 | DOI:10.2340/jphs.v58.15298
Source: Hand Surgery - September 20, 2023 Category: Surgery Authors: Emma Hansson Sarah Zaya Susanne Meyer Alexa Freiin von Wrangel Fredrik W ärnberg Sophia Zackrisson Source Type: research