scholarly journals Evaluation of a Novel Dorsal-Cemented Technique for Atlantoaxial Stabilisation in 12 Dogs

Life ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1039
Author(s):  
Joana Tabanez ◽  
Rodrigo Gutierrez-Quintana ◽  
Adriana Kaczmarska ◽  
Roberto José-López ◽  
Veronica Gonzalo Nadal ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Success Rate ◽  
Neurological Examination ◽  
Prospective Studies ◽  
Surgical Outcome ◽  
Medical Records ◽  
Atlantoaxial Instability ◽  
Vertebral Canal ◽  
Low Stiffness ◽  
Single Construct

Dorsal atlantoaxial stabilisation (DAAS) has mostly been described to treat atlantoaxial instability using low stiffness constructs in dogs. The aim of this study was to assess the feasibility and surgical outcome of a rigid cemented DAAS technique using bone corridors that have not previously been reported. The medical records of 12 consecutive dogs treated with DAAS were retrospectively reviewed. The method involved bi-cortical screws placed in at least four of eight available bone corridors, embedded in polymethylmethacrylate. Screw placement was graded according to their position and the degree of the breach from the intended bone corridor. All DAAS procedures were completed successfully. A total of 72 atlantoaxial screws were placed: of those, 51 (70.8%) were optimal, 17 (23.6%) were suboptimal, and 4 (5.6%) were graded as hazardous (including 2 minor breaches of the vertebral canal). Surgical outcome was assessed via a review of client questionnaires, neurological examination, and postoperative CT images. The clinical outcome was considered good to excellent in all but one case that displayed episodic discomfort despite the appropriate atlantoaxial reduction. A single construct failure was identified despite a positive clinical outcome. This study suggests the proposed DAAS is a viable alternative to ventral techniques. Prospective studies are required to accurately compare the complication and success rate of both approaches.

Improving surgical reduction in radial fractures using a ‘dowel’ pinning technique in miniature and toy breed dogs

2011 ◽  
Vol 24 (01) ◽  
pp. 45-49 ◽  
Author(s):  
C. E. DeCamp ◽  
R. Rooks ◽  
J. Yu
Keyword(s):  
Clinical Outcome ◽  
Bone Healing ◽  
Medical Records ◽  
Closed Reduction ◽  
Surgical Repair ◽  
Reduction Technique ◽  
Good Clinical Outcome ◽  
Distal Radial Fractures ◽  
Radiographic Images ◽  
Small Delay

Summary Objectives: A retrospective approach was used to detail and evaluate a ‘dowel’ pinning technique in distal radial fractures in miniature and toy breed dogs. Methods: Medical records and radiographs from 2003–2009 of miniature and toy breed dog radial fractures were examined. Sixty cases were divided into two groups: 51 radial fractures repaired with a ‘dowel’ pinning and external skeletal fixation (ESF) and nine radial fractures repaired with closed reduction and ESF. Each dog was evaluated and radiographic images were obtained at presentation, postoperatively, and at 1, 2, 4, 8, and 12 weeks postoperatively. Signalment, reduction, alignment, time to clinical bone healing and ESF removal, and implant morbidity were determined for each group. Results: Radial fractures repaired with a ‘dowel’ pin and ESF had improved reduction compared to closed reduction and ESF alone (p <0.0001 as evaluated with lateral radiographs and p <0.0004 with cranial/caudal radiographs). Both surgical groups resulted in good clinical outcome with low morbidity, however it was observed that the time to clinical union and ESF removal was an average of 2.5 weeks less with closed reduction technique compared to the open reduction and ‘dowel’ pinning technique (p <0.031). Clinical Significance: Incorporating a ‘dowel’ pin to the surgical repair enhances the reduction of distal radial fractures in miniature and toy breed dogs and results in excellent clinical outcomes but causes a small delay in bone healing.

scholarly journals Early initiation of breastfeeding at Dustira Hospital

2015 ◽  
Vol 55 (3) ◽  
pp. 126
Author(s):  
Yoke Ayukarningsih ◽  
Arief Dwinanda
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Success Rate ◽  
Medical Records ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Vaginal Deliveries ◽  
Preterm Group ◽  
Initiation Of Breastfeeding

Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.Objective To assess the success rate and time needed for latching on in EIB implementation.Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.

scholarly journals Surgical outcomes of acute acquired comitant esotropia of adulthood

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dae Hyun Kim ◽  
Ha Jeong Noh
Keyword(s):  
Success Rate ◽  
Surgical Outcomes ◽  
Medical Records ◽  
Large Angle ◽  
Sudden Onset ◽  
Prism Diopter ◽  
Factors Affecting ◽  
The Mean ◽  
Motor Outcomes

Abstract Background Acute acquired comitant esotropia (AACE) is a type of strabismus characterized by a sudden onset of large angle esotropia with diplopia, which often occurs in children after infancy, teenagers, and young adolescents. However, studies on the surgical outcomes of only adults are rare. The purpose of this article is to analyze the surgical outcomes for adult patients diagnosed with AACE. Methods Medical records of 24 patients who had undergone surgery for AACE were retrospectively analyzed. The main outcome measures were the final motor and sensory success rate after surgery and factors affecting motor and sensory outcomes. Motor success was considered alignment within 8 prism diopter (PD) at both near and distance and sensory success was stereoacuity ≥ 60 sec/arc. Results The preoperative mean esodeviation angles were 33.1 ± 10.4 PD at distance and 33.3 ± 11.2 PD at near. The mean period of postoperative follow up was 7.5 ± 4.5 months (range 1–8 months). The postoperative mean esodeviation angles at final follow-up time were 3.4 ± 6.1 PD at distance and 3.8 ± 6.7 PD at near. The surgical motor success rate at final follow-up was 79.2% (19/24). The sensory success rate at final follow-up was 50.0% (12/24). The factor affecting the motor outcome was the type of surgery (p < 0.05). The factor affecting sensory outcome was postoperative follow-up time (p < 0.05). Conclusions Surgery type appears to affect surgical motor outcomes in adults with AACE. Although the sensory outcome was favorable, it seems that regaining bifoveal fixation takes time.

scholarly journals Endodontic Microsurgical Instruments - A Review

2021 ◽  
Vol 10 (20) ◽  
pp. 1532-1538
Author(s):  
Prathap M.S. ◽  
Reshma Pradeep
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive ◽  
Success Rate ◽  
Key Words ◽  
Success Rates ◽  
Invasive Treatment ◽  
Biomimetic Materials ◽  
Endodontic Surgery ◽  
Endodontic Microsurgery ◽  
Root Treatment

Indications for endodontic surgery include failed nonsurgical treatment or retreatment, anatomical problems or iatrogenic errors. Endodontic surgery was considered as the last option with instruments that were unsuitable, surgical sites with inadequate vision and increased incidence of post-operative complication. But today endodontic surgery has evolved into endodontic microsurgery with the advancement in illumination, magnification, instruments and materials. Higher magnification and micro-instruments have increased the clinical outcome of endodontic surgery. Traditional instruments used in endodontic surgery are too large for the small osteotomy sites of microsurgery. Few of the instruments used for microsurgery are the smaller version of the traditional instruments. Endodontic microsurgery represents a minimally invasive treatment option with predictable outcome with the use of micro-instruments. A high success rate of nearly 93.5 % is reported, thus, making microsurgery a predictable option for the management of periapical pathology where surgical root treatment is not possible. The advanced techniques developed to overcome the barriers seen in traditional endodontic surgery have allowed the clinicians to achieve higher success rates. Along with the micro-instruments, the introduction of biomimetic materials has also led to the favourable results after endodontic surgery. This article discusses the different microsurgical instruments available for microsurgical procedures. KEY WORDS Curette, Microblade, Microsurgery, Piezotomes, Retractor, Ultrasonic.

Reproducibility and refinement of urinary LH in the screening of progressive puberty in girls

2021 ◽  
Author(s):  
Amnon Zung ◽  
Aviad Nachmany ◽  
Ella Burundukov ◽  
Tamar Glaser ◽  
Sharon Straussman
Keyword(s):  
Clinical Outcome ◽  
Predictive Value ◽  
Medical Records ◽  
Bone Age ◽  
Diagnostic Value ◽  
Gonadotropin Releasing Hormone ◽  
Stimulation Test ◽  
High Positive Predictive Value ◽  
Highly Correlated ◽  
Cutoff Levels

Abstract Context First-voided urinary LH (FVU-LH) has been suggested as an alternative to gonadotropin-releasing hormone (GnRH) stimulation test for detection of precocious puberty. Objective To evaluate the reproducibility of FVU-LH, its correlation with basal and GnRH-stimulated gonadotropins, and its diagnostic value for differentiating progressive from non-progressive puberty. Design and participants Clinical and endocrine data were obtained from the medical records of 95 girls with suspected progressive puberty who underwent two consecutive FVU-LH tests. In 55 of these participants, GnRH stimulation test was performed close to the FVU-LH test. The reported cutoff levels of 5 IU/L and 1.16 IU/L for GnRH-stimulated LH and FVU-LH, respectively, were used as markers of progressive puberty, clinically defined as bone age advancement of &gt;1 year and/or growth velocity SDS&gt;2, in addition to thelarche. Results The two consecutive measurements of FVU-LH were highly correlated (r= 0.830; p&lt;0.001). The higher of the two results was better correlated with basal gonadotropins and GnRH-stimulated LH. Furthermore, it aligned better with the clinical outcome of girls with early thelarche, which supports the approach of double tests of FVU-LH to distinguish progressive from non-progressive puberty. By comparison to GnRH-stimulated LH, the higher FVU-LH value had better sensitivity (68%), whereas peak LH had better specificity (91%) for the diagnosis of progressive puberty. Both tests had high positive predictive value and poor negative predictive value. Conclusions The higher value of paired FVU-LH tests can be used to screen girls with suspected progressive puberty and can reduce the need for GnRH stimulation test.

scholarly journals Tibiopedal and distal femoral retrograde vascular access for challenging chronic total occlusions: predictors for technical success, and complication rates in a large single-center cohort

2020 ◽  
Vol 31 (1) ◽  
pp. 535-542
Author(s):  
Gerd Grözinger ◽  
Jan Hallecker ◽  
Ulrich Grosse ◽  
Roland Syha ◽  
Dominik Ketelsen ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Success Rate ◽  
Vascular Access ◽  
Chronic Total Occlusion ◽  
Lesion Length ◽  
Complication Rates ◽  
Technical Success ◽  
Total Occlusion ◽  
Femoral Access ◽  
Technical Success Rate

Abstract Objective To evaluate the safety and effectiveness of tibiopedal and distal femoral access for retrograde crossing of chronic total occlusion (CTO) in Rutherford stage III to VI peripheral arterial occlusive disease, and to determine factors that correlate with technical success. Material and methods One hundred seventy-one consecutive patients were included in this retrospective study. Rutherford stages were III, IV, and V/VI in 24%, 8%, and 67% of patients. Inclusion criteria were CTO at the superficial femoral (SFA), popliteal (PA), and/or below-the-knee (BTK) level, and a failed antegrade treatment followed by a distal retrograde approach. The numbers of occluded vascular levels (OVL), lesion length, degree of calcification, technical success rate, complications, and clinical outcome were noted. Results OVL were 1 in 72%, 2 in 20%, and 3 in 8% of patients. CTOs were longer than 20 cm in 45.6% of cases and showed severe calcifications in 50.3%. Target vessels for distal access were the distal SFA/PA in 17% and BTK in 83%. The overall technical success rate was 82%. Severe calcification decreased technical success (p = 0.01) despite lesion length and Rutherford stage. Clinical outcome improved in 123/152 patients with a significant increase of the median ABI (N = 158) from 0.53 (interquartile range 0.39 to 0.61) to 0.85 (0.59 to 1.03; p < 0.001). Complications were reported in 7.6% cases with 2.3% related to the distal vascular access. Conclusion The tibiopedal and distal femoral retrograde access presents a safe and effective treatment option of CTOs at the thigh and/or BTK after a failed antegrade attempt improving clinical outcome. Technical success decreased with lesion’s degree of calcification. Key Points • Safety and effectiveness of the tibiopedal and distal femoral access for retrograde crossing of chronic total occlusion. • Target lesion’s degree of calcification decreases technical success. • Complications related to the distal vascular access were rare.

scholarly journals Novel hemostatic adhesive powder for nonvariceal upper gastrointestinal bleeding

2019 ◽  
Vol 07 (12) ◽  
pp. E1763-E1767
Author(s):  
Jin-Seok Park ◽  
Hyung Kil Kim ◽  
Yong Woon Shin ◽  
Kye Sook Kwon ◽  
Don Haeng Lee
Keyword(s):  
Gastrointestinal Bleeding ◽  
Success Rate ◽  
Medical Records ◽  
Upper Gastrointestinal Bleeding ◽  
Endoscopic Therapy ◽  
Bleeding Site ◽  
Success Rates ◽  
Main Study ◽  
Rebleeding Rate ◽  
Upper Gastrointestinal

Abstract Background and study aims A new hemostatic adhesive powder (UI-EWD) was developed to reduce high rebleeding rates and technical challenges associated with application of currently available hemostatic powders. The aim of the current study was to assess performance of UI-EWD for nonvariceal upper gastrointestinal bleeding (NVUGIB). Patients and methods A total of 56 consecutive patients that received UI-EWD monotherapy for endoscopic hemostasis due to NVUGIB were retrospectively reviewed. Main study outcomes were success rates with immediate hemostasis and rebleeding within 30 days. Outcomes were analyzed by reviewing patient medical records. Results Etiologies of bleeding were: post-endoscopic therapy bleeding in 46 (82.1 %), peptic ulcer in 8 (14.3 %), tumor in 1 (1.8 %), and other in 1 (1.8 %). UI-EWD was successfully applied at bleeding site in all cases. The success rate of immediate hemostasis was 96.4 % (54/56), and the 30-day rebleeding rate among patients that achieved immediate hemostasis was 3.7 % (2/54). No adverse event related to use of UI-EWD occurred. Conclusion UI-EWD was found to have a high immediate hemostasis success rate in NVUGIB when used as monotherapy and showed promising results in terms of preventing rebleeding.

Surgical Treatment of Prolapse of the Third Eyelid Gland in Dogs using Modified Morgan Pocket Technique

2019 ◽  
Author(s):  
R. Yaygingul ◽  
Z. Bozkan ◽  
Z. Bilgen ªen ◽  
B. Kibar Kurt ◽  
O. Bulut ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Clinical Outcome ◽  
Success Rate ◽  
Postoperative Period ◽  
Clinical Problem ◽  
The Third ◽  
Unilateral Disease ◽  
Percent Success ◽  
The Right

The aim of this retrospective study was to evaluate the clinical outcome, complications, recurrence rate, and results of the pocket technique in the treatment of prolapse of the third eyelid gland, cherry eye namely. Thirty eyes of 26 dogs diagnosed with prolapse of the third eyelid gland were included the study. Conjunctivitis and ocular discharges were noticed in the affected eyes. The four cases were (15%) bilateral and twenty-two (85%) were unilateral. Of the dogs with unilateral disease, the affected eye was on the left side in 10 (45%) dogs and the right side in 12 (55%). Eighteen dogs were male and eight were female. Twenty-six dogs, 30 eyes with protrusion of the third eyelid gland were treated using Modified Morgan’s pocket technique. In the postoperative period, the dogs were controlled 3 times with 7 day intervals and no clinical problem was detected. Modified Morgan pocket technique was used with 96.1 percent success rate for the re-positioning of prolapsed gland of the third eyelid in dogs.

The Prostate Cancer Project (PC Project): Translational genomics through direct patient engagement.

2017 ◽  
Vol 35 (6_suppl) ◽  
pp. 199-199
Author(s):  
Stephanie Anne Mullane ◽  
Corrie Painter ◽  
Michael Dunphy ◽  
Elana Anastasio ◽  
Tania Simoncelli ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Success Rate ◽  
Medical Records ◽  
Tumor Tissue ◽  
Metastatic Breast ◽  
Community Setting ◽  
Circulating Tumor Dna ◽  
Blood Draw ◽  
Study Results ◽  
Cancer Project

199 Background: While there has been substantial advancement in the genomic understanding of prostate cancer (PCa), there is still much to be discovered. Additional progress is dependent upon obtaining a large amount of clinically annotated genomic data. As PCa is often treated in a community setting, where research samples are not collected, we are starting a direct-to-patient nationwide research initiative where patients can donate their medical records and biospecimens to accelerate research. Previously, we launched the metastatic breast cancer project (MBCproject; mbcproject.org) that leverages social media to engage the MBC community. Based on the initial success with this approach, we now aim to build out the PCproject. Methods: In collaboration with patients, we are developing a website to enable participation in the PCproject. Enrolled patients will be sent a saliva kit, used for germline DNA. We will also obtain medical records. Metastatic patients will also be sent a blood draw kit for circulating tumor DNA (ctDNA). Whole exome sequencing of the ctDNA will be performed. We will use the recruitment infrastructure, clinical record abstraction, and biospecimen processing developed for the MBC project. The data will be shared widely with the research community. Aggregate study results will be reported to patients. Results: In the first year of the MBCproject, 2912 MBC patients from all 50 states enrolled. 2766 (95.0%) completed the 16-question survey about their cancer, treatments, and demographic information. 1716 (58.9%) completed the online consent form permitting acquisition and analysis of medical records, tumor tissue, and saliva samples. 936 (68.8% success rate) saliva samples have been received. To date, we have obtained medical records from 155 patients (72.1% success rate) and tumor samples from 60 patients (72.3% success rate). Based on initial recruitment and surveys among PCa patients, we estimate that 500 patients will enroll in 2017. Conclusions: Based on experience from the MBC project, we will partner directly with patients to recruit and drive the PCproject forward. Remote acquisition of medical records, saliva samples, and tumor tissue for patients located throughout the US is feasible.

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