Publications by authors named "Alexander Passalides"
Aim: This study aims to construct and validate a new score for diagnosis of complicated appendicitis in children, complicated appendicitis pediatric score (CoAPS), to guide residents' clinical decision-making on choosing the correct patients for immediate surgery, reducing the emergency negative surgeries.
Methods: This prospective observational study enrolled two cohorts of patients 5-15 years old. Four hundred and seven consecutive patients were enrolled for the derivation cohort.
Article Synopsis
- The text discusses postoperative complications following total thyroidectomy, particularly focusing on a rare case of sinus bradycardia in a 9-year-old boy with papillary thyroid carcinoma.
- Post-surgery, the boy experienced vocal cord paresis and a chyle leak, along with asymptomatic sinus bradycardia that resolved on its own.
- The study suggests that possible causes for the bradycardia include hypothyroidism, carotid sinus hypersensitivity, and damage to the cervical sympathetic ganglion, though these are not definitively proven in this single case.
Purpose: The aim of this study was to compare the outcome of children with complicated acute appendicitis (CAA) who underwent open appendectomy (OA) performed either by trainees under the direct supervision of an SPS, or an SPS.
Methods: Two hundred thirty eight patients with CAA were reviewed operated on either by a junior trainee (JT) or a senior trainee (ST) under the direct supervision of an SPS or by an SPS. The outcome measures were the overall rate of complications, operative time (OT), length of hospital stay (LHS) and 30-day readmission rate.
We evaluate a new clinical test, jumping up (J-up) test, to diagnose easier appendicitis in children. A total of 407 patients, aged 5 to16 years, with right lower quadrant abdominal pain were asked to jump rising both hands and trying to reach a toy hanging down from the ceiling of the examination room. Bieri pediatric Face Pain Scale was used for recording the pain response.
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