Subscapularis Tendon Tears: How Best to Approach This Issue.

Subscapularis tears, either in combination with more extensive rotator cuff pathology or in isolation, are a relatively common cause of shoulder pain and dysfunction which often requires surgical intervention. Similar to the general treatment of most rotator cuff tears, patients may respond to conservative treatment and not require surgical intervention, especially in the elderly or those with partial tears. However, many subscapularis tears require intervention to address complaints of pain, dysfunction, or both.

Aripiprazole-Induced Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: A Case Study.

Objectives: The use of medications in management of disease is an integral part of treatment to patients in both the inpatient and outpatient setting; however, these medications often have risk of adverse effects associated with their benefits of use. Adverse cutaneous reactions are one of the most frequent types of adverse drug reactions. Two major phenotypes of cutaneous adverse drug reactions are toxic epidermal necrolysis (TEN), and Stevens-Johnson syndrome (SJS).

A systematic review on the efficacy of tranexamic acid in head and neck surgery.

Background: Intraoperative and postoperative blood loss is a major risk in head and neck (H&N) surgery. Recently the use of tranexamic acid (TXA) has been investigated by multiple studies for reducing intraoperative and postoperative bleeding, however reported results are variable.

Objectives: To determine the safety and efficacy of TXA use in H&N surgery.

Addressing cannabis consumption among patients with hyperemesis gravidarum.

Severe nausea and vomiting of pregnancy and hyperemesis gravidarum affect up to 3% of all pregnant people, causing substantial maternal and neonatal morbidity, suffering, and financial cost. Evidence supports the association of cannabis consumption with symptoms of severe nausea and vomiting of pregnancy or hyperemesis gravidarum as the general public has come to believe that cannabis is a natural, safe antiemetic. Cannabis consumption in pregnancy is discouraged strongly by the Surgeon General of the United States and the American College of Obstetricians and Gynecologists because of evidence of potential harms.

Impact of different corn milling methods for high-moisture and dry corn on finishing cattle performance, carcass characteristics, and nutrient digestion.

Two experiments were conducted to evaluate the effect of different corn milling methods for high-moisture and dry corn on finishing cattle performance, carcass traits, and nutrient digestion. In experiment 1, steers (N = 600 [60 pens]; initial body weight [BW] = 402 ± 17 kg) were fed for 134 d to evaluate the effect of milling method and corn type on performance and carcass characteristics. Treatments were evaluated as a 2 × 3 factorial design with factors being milling method (Automatic Ag roller mill [ROLL] or hammer mill [HAMMER]) and corn type (high-moisture [HMC], dry [DC], or 50:50 blend of HMC and DC [BLEND]).

Management and outcomes of military penetrating neck injuries: An eleven-year retrospective case note review.

Introduction: Penetrating Neck Injuries (PNIs) affected 3.2% of trauma patients attending US and UK deployed medical treatment facilities (MTFs) during the Iraq and Afghanistan conflicts. Injured military personnel requiring aeromedical evacuation for such injuries were managed at the Royal Centre for Defence Medicine (RCDM), Birmingham, UK.

Patient perceptions of a remote assessment pathway in otology: a qualitative descriptive analysis.

Purpose: This study aims to gain in-depth feedback on patient perceptions of remote assessment in otology, to better inform the development of a telemedicine pathway for new otology referrals.

Methods: A qualitative descriptive approach was employed to analyse semi-structured interviews from 14 patients seen in a routine otology clinic.

Results: Patients were generally accepting of the proposed telemedicine pathway.

A retrospective cohort study of telephone versus face-to-face clinics for the management of new otology referrals.

Purpose: To compare outcomes of telephone and face-to-face consultations for new otology referrals and discuss the wider use of telemedicine in otology.

Methods: Retrospective cohort study including new adult otology referrals to our unit, sampled consecutively between March 2021 and May 2021, seen in either a face-to-face or telephone clinic. Primary outcome measure was the proportion of patients with a definitive management outcome (discharged or added to waiting list for treatment) versus the proportion of patients requiring follow-up for further assessment or review.

Electrical impedance guides electrode array in cochlear implantation using machine learning and robotic feeder.

Cochlear Implant provides an electronic substitute for hearing to severely or profoundly deaf patients. However, postoperative hearing outcomes significantly depend on the proper placement of electrode array (EA) into scala tympani (ST) during cochlear implant surgery. Due to limited intra-operative methods to access array placement, the objective of the current study was to evaluate the relationship between EA complex impedance and different insertion trajectories in a plastic ST model.

A Capacitive Cochlear Implant Electrode Array Sensing System to Discriminate Fold-Over Pattern.

Purpose During insertion of the cochlear implant electrode array, the tip of the array may fold back on itself and can cause serious complications to patients. This article presents a sensing system for cochlear implantation in a cochlear model. The electrode array fold-over behaviors can be detected by analyzing capacitive information from the array tip.

Catastrophic bilateral sudden sensorineural hearing loss following COVID-19.

Since December 2019, when it was first detected in Wuhan, the SARS-CoV-2 (COVID-19) has spread across the globe. The pandemic has had an unprecedented impact on the global population with >110 million confirmed cases and 2.5 million deaths.

Examining the Feasibility of Smart Blood Pressure Home Monitoring: Advancing Remote Prenatal Care in Rural Appalachia.

Background: Hypertensive disorders of pregnancy are a leading cause of U.S. maternal morbidity and mortality.

A Novel Capacitive Cochlear Implant Electrode Array Sensing System to Discriminate Failure Patterns.

Objectives: The research is to propose a sensing system to ensure the electrode array being correctly placed inside the cochlea. Instead of applying extra sensors to the array, the capacitive information from multiple points of the array is gathered and analyzed to determine the state and behavior of the electrode array.

Methods: The sensing system measures electrode bipolar capacitances between multiple pairs of electrodes during the insertion.

A systematic review of remote otological assessment using video-otoscopy over the past 10 years: reliability and applications.

Purpose: This systematic review describes and evaluates the current literature on remote otological assessment using video-otoscopy with regards to reliability and potential applications.

Methods: Systematic review was conducted in accordance with the PRISMA statement. There was heterogeneity of included studies, so a descriptive analysis was undertaken.

Teaching middle ear anatomy using a novel three-dimensional papercraft model.

Background: The middle ear is a complex anatomical space which is difficult to interpret from two-dimensional imagery. Appropriate surgical knowledge of the area is required to operate, yet current anatomical teaching methods are costly and hard to access for the trainee.

Methods: A papercraft 3D design involving anatomical elements added separately to a model was designed, and then peer-validated by medical students and junior doctors.

The association of cannabis use late in pregnancy with engagement and retention in perinatal substance use disorder care for opioid use disorder: A cohort comparison.

Background: Prenatal use of cannabis and opioids are increasing and very concerning. Engagement and retention in comprehensive, perinatal substance use disorder (PSUD) care are associated with better outcomes for mothers and babies. We compared the characteristics and engagement in care among women with opioid use disorder who used cannabis late in pregnancy versus those who didn't.

Noise Exposure on Human Cochlea During Cochleostomy Formation Using Conventional and a Hand Guided Robotic Drill.

Objective: To investigate the disturbance induced in the cochlea during cochleostomy using conventional drill and a hand guided robotic drill.

Study Design: The study is based on experimental measurements using the Laser Doppler Vibrometer during the drilling processes converted to Sound Pressure Levels (SPL) for comparison.

Setting: The study is based on experimental results of three sets of cochleostomies on human cadaver heads.

Telescopic otology referrals: Evaluation of feasibility and acceptability.

Objective: A remote telemedical otology referral and advice service was introduced to interested general practices. General practitioners (GPs) were given a new device, "endoscope-i" that combines an optimized smartphone high definition video app with an otoendoscope. They were specifically trained to examine and capture images of patients' eardrums, which were sent electronically with a summary of clinical information and an in-app hearing testing (if required), for specialist advice to two ear, nose, and throat (ENT) consultants.

The learning curve for endoscopic tympanoplasties: a single-institution experience, in Birmingham, UK.

Objective: This study aimed to assess whether increasing operative experience results in better surgical outcomes in endoscopic middle-ear surgery.

Methods: A retrospective single-institution cohort study was performed. Patients underwent endoscopic tympanoplasty between May 2013 and April 2019 performed by the senior surgeon or a trainee surgeon under direct supervision from the senior surgeon.

Comparison of microscopic and endoscopic views in cadaveric ears.

Purpose: The advent of endoscopic otosurgery provides reduced tissue destruction with theoretically improved views, yet a quantification of the difference of exposure between microscopic and endoscopic approaches has not yet been performed in human specimens. The objective of this study was to assess the difference in views of cadaveric tympanic membranes when inspected with operating microscopes or endoscopes.

Methods: A circular graduated disc was inserted into eight cadaveric external ear canals to rest against the tympanic membrane.

Navigating Perinatal Care in Western North Carolina: Access for Patients and Providers.

Navigating perinatal specialty care requires access for both patients and their clinicians. Convenience and availability of regional resources, especially in predominantly rural areas, impact the ability to provide care in the ideal setting for each patient's individualized medical needs.