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When Critical View of Safety Fails: A Practical Perspective on Difficult Laparoscopic Cholecystectomy
Medicina (Kaunas). 2023 Aug 19;59(8):1491. doi: 10.3390/medicina59081491.ABSTRACTThe incidence of common bile duct injuries following laparoscopic cholecystectomy (LC) remains three times higher than that following open surgery despite numerous attempts to decrease intraoperative incidents by employing better training, superior surgical instruments, imaging techniques, or strategic concepts. This paper is a narrative review which discusses from a contextual point of view the need to standardise the surgical approach in difficult laparoscopic cholecystectomies, the main strategic operative concepts and techniques, complemen...
Source: Medicina (Kaunas) - August 26, 2023 Category: Universities & Medical Training Authors: Catalin Alius Dragos Serban Dan Georgian Bratu Laura Carina Tribus Geta Vancea Paul Lorin Stoica Ion Motofei Corneliu Tudor Crenguta Serboiu Daniel Ovidiu Costea Bogdan Serban Ana Maria Dascalu Ciprian Tanasescu Bogdan Geavlete Bogdan Mihai Cristea Source Type: research

Utility of in-house and commercial PCR assay in diagnosis of Covid-19 associated mucormycoss in an emergency setting in a tertiary care center
Conclusion. Because the in-house PCR is not only sensitive and specific, but also entirely based on SYBR Green for detection of targets, it is less expensive than probe-based assays and can be used on a regular basis for the diagnosis of IM in resource-constrained settings. It can be used to distinguish between mucormycosis and fungal sinusitis caused by Aspergillus and Fusarium in high-risk patients, as well as to accurately detect Mucorales in fungal co-infection cases.PMID:37624041 | DOI:10.1099/jmm.0.001745
Source: Journal of Medical Microbiology - August 25, 2023 Category: Microbiology Authors: Mragnayani Pandey Janya Sachdev Renu Kumari Yadav Neha Sharad Anupam Kanodia Jaya Biswas R Sruti Janani Sonakshi Gupta Gagandeep Singh Meera Ekka Bhaskar Rana Sudesh Gourav Alok Thakar Ashutosh Biswas Kapil Sikka Purva Mathur Neelam Pushker Viveka P Jyots Source Type: research

The influence of food packaging on independent eating in individuals with hand impairments
CONCLUSIONS: Inpatients with a hand impairment often experience several challenges with independent eating while in hospital as a result of their difficulties with hard to open food packaging. A greater consideration of universal design principles may be relevant for designers to make packaging more accessible.PMID:37623427 | DOI:10.1080/09638288.2023.2247982
Source: Disability and Rehabilitation - August 25, 2023 Category: Rehabilitation Authors: Sander L Hitzig Siobhan Donaghy Susan Wang Candice Tay Stephanie R Cimino Sylvia Szkudlarek Stuart Werle Wendy Lopez-Pollard Elizabeth Linkewich Source Type: research

Effect of Photobiomodulation on the Depth of Local Anesthesia during Endodontic Treatment of Teeth with Symptomatic Irreversible Pulpitis
CONCLUSION: The irradiation by diode laser (980 nm) prior to administration of local anesthesia appears to be useful in minimizing discomfort and additional injection during root canal therapy (RCT).CLINICAL SIGNIFICANCE: Pain management is essential for providing the best possible treatment to patients before, during, and after endodontic therapy. Adequate pain control during treatment also aids in reducing postoperative discomfort. This implies the need for additional methods to reduce discomfort during endodontic treatment; hence, adjuncts are crucial to achieving this goal. Photobiomodulation may be used as an adjuvant...
Source: J Contemp Dent Pract - August 25, 2023 Category: Dentistry Authors: Salma Musa Adam Abduljalil Nada Tawfig Hashim Ahmed Muhammed Mustahsen Rahman Ali Abdelrahman Marouf Nancy Soliman Farghal Bakri Gobara Gismalla Source Type: research