Wound Bed Preparation 2024: Delphi Consensus on Foot Ulcer Management in Resource-Limited Settings.

General Purpose: To review a practical and scientifically sound application of the wound bed preparation model for communities without ideal resources.

Target Audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.

Learning Objectives/outcomes: After participating in this educational activity, the participant will:1.

A comparison of duplex ultrasound findings after cyanoacrylate embolization versus endovenous laser ablation of the great saphenous vein.

Background: Whereas numerous studies have demonstrated noninferiority of cyanoacrylate embolization (CAE) relative to endovenous laser ablation (EVLA), little is known about the natural history of the vein or the glue that is implanted. This study provides the first description of duplex ultrasound changes of the great saphenous vein (GSV) after CAE relative to EVLA as well as a pragmatic view of outcomes in clinical practice.

Methods: Patients treated with CAE and EVLA at our institution were matched by time of procedure and vein size.

Laparoscopic Colorectal Surgery in the Emergency Setting: Trends in the Province of Ontario.

Background: The purpose of this study was to examine the adoption trends of emergency laparoscopic colorectal surgery in the province of Ontario.

Study Design: We conducted a retrospective time-series analysis examining rates of emergency colorectal surgery among 10.5 million adults in Ontario, Canada from April 1, 2002 to December 31, 2009.

Cardiac tamponade caused by incarcerated small bowel in the pericardium after coronary bypass grafting using the right gastroepiploic artery.

Although rare, herniation of the gastrointestinal contents into the pericardium after coronary artery bypass grafting using the right gastroepiploic artery has been previously described. The associated clinical symptoms vary from gastrointestinal obstruction to cardiac tamponade. We report a patient who presented with cardiac tamponade secondary to incarceration of the small bowel in the pericardium 1 year after coronary artery bypass grafting utilizing the right gastroepiploic artery.

Resident training in minimally invasive surgery: a survey of Canadian department and division chairs.

Background: This study aimed to seek the opinions of academic surgical chairs on minimally invasive surgery (MIS) education for general surgery residents and to identify perceived gaps and trends in educational strategies.

Methods: A national survey on attitudes toward MIS was sent to the chairs of departments of surgery and divisions of general surgery across the 16 Canadian academic centers. The survey contained 34 questions consisting of Likert scales, single answers, and multiple-choice questions.

Expression of circadian rhythm genes in gonadotropin-releasing hormone-secreting GT1-7 neurons.

The center for circadian rhythms in mammals is the suprachiasmatic nucleus (SCN) of the hypothalamus, composed of single cell circadian oscillators driven by a transcriptional/translational feedback loop where clock proteins drive clock gene expression. These genes are expressed in peripheral tissues and several brain areas outside the SCN. It is likely that some peripheral oscillators are synchronized by the SCN.