Removal of Spinal Instrumentation Is Not Required to Successfully Treat Postoperative Wound Infections in Most Cases.

Introduction: Controversy exists regarding whether spinal implants need to be removed to treat postoperative deep wound infections (DWIs). This retrospective study aimed to determine whether the removal or retention of implants impacts the successful treatment of a DWI after spine surgery.

Methods: Postoperative spine surgery patients presenting with signs of infection who underwent irrigation and debridement (I&D) at Twin Cities Spine Surgeons at Abbott Northwestern Hospital, Minnesota, USA, were studied.

Moderate scoliosis continues to progress at 30-year follow-up: a call for concern?

Purpose: This natural history study reports long-term radiographic and clinical outcomes of patients with diagnosis of AIS with curves between 30° and 50°. Our purpose was to determine if any intervention in the natural history is warranted.

Methods: This was a longitudinal descriptive study at a single institution.

The effect of text message reminders on compliance with Twin Block appliances: A randomised controlled trial.

Aims: The aim of this study was to evaluate whether text reminders influence patient compliance with Twin Block appliances. The null hypothesis was that there was no statistically significant differences in Twin Block compliance between those who receive text reminders and those that do not.

Design: Single-blind parallel randomised controlled clinical trial.

Native joint polyarticular septic arthritis secondary to disseminated infection in a patient on rituximab therapy with hypogammaglobulinemia: A Case Report.

and are important causes of septic arthritis in patients with hypogammaglobulinemia. The diagnosis can be challenging, leading to prolonged illness and increased morbidity, and mortality. This is driven by the complex growth media requirements of species and the difficulty in identifying the organisms on routine culture media.

Choose Wisely: Surgical Selection of Candidates for Outpatient Anterior Cervical Surgery Based on Early Complications Among Inpatients.

Background: Anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA) are attractive targets for transition to the outpatient setting. We assessed the prevalence of rapid responses and major complications in the inpatient setting following 1 or 2-level ACDFs and CDAs. We evaluated factors that may place patients at greater risk for a rapid response or a postoperative complication.

Surgical Treatment of Single Level Cervical Radiculopathy: A Comparison of Anterior Cervical Decompression and Fusion (ACDF) Versus Cervical Disk Arthroplasty (CDA) Versus Posterior Cervical Foraminotomy (PCF).

Study Design: This was a retrospective cohort study.

Objective: The objective of this study is to retrospectively compare the clinical outcomes, complication rates, and reoperation rates among the 4 treatments in patients with cervical radiculopathy.

Summary Of Background Data: Surgical options for cervical radiculopathy include anterior cervical discectomy and fusion (ACDF), open posterior cervical foraminotomy (O-PCF), minimally invasive posterior cervical foraminotomy (MI-PCF), and cervical disk arthroplasty (CDA).

Incidence, survival, and diagnostic trends in GCA across seven decades in a North American population-based cohort.

Objectives: To analyze trends in the incidence and use of diagnostic modalities for GCA in a population-based cohort over the past seven decades. To explore survival trends in patients with GCA compared with the general population.

Methods: A population-based cohort of patients diagnosed with GCA was extended with new incident cases from 2010 to 2019.

My Treatment Approach to Giant Cell Arteritis.

Giant cell arteritis (GCA) is the most common primary systemic vasculitis in adults 50 years or older. Expanded use of advanced arterial imaging has assisted both in the diagnosis of GCA and recognition of disease subsets. Although glucocorticoids have been the mainstay of treatment for almost 7 decades, new therapeutic options have emerged.

Symptomatic pseudarthrosis requiring revision surgery after 1- or 2-level ACDF with plating: peek versus allograft.

Background: Polyetheretherketone (PEEK) and machined allograft interbody spacers are among devices used as fusion adjuncts in anterior cervical discectomy and fusion (ACDF). Most results are good to excellent but some patients develop pseudarthrosis. We compared the reoperation rates for pseudarthrosis following 1- or 2-level ACDF with PEEK or allograft cages.

A Decision Analysis Approach to Electronics Standard Development Informed by Life Cycle Assessment Using Influence Diagrams.

Life cycle assessment (LCA) provides holistic information on systems including the trade-offs between environmental impacts and the drivers of such impacts. Coupling life cycle assessment with a decision analysis (DA) method can help ensure that a life cycle assessment is focused on pertinent decision performance measures. In this paper, a framework integrating life cycle assessment with a decision analysis method to enhance the application of life cycle assessment is presented with a real-world case study of developing a material inclusion criterion for sustainable electronics standards.

Posterolateral Versus Transforaminal Interbody L4/5 Fusion: Correlation With Subsequent Surgery.

Study Design: This is a retrospective cohort study.

Objective: To compare posterolateral versus transforaminal interbody fusion (PLF vs. PLF+TLIF) of the L4/5 segment regarding rates of subsequent surgery, clinical and radiographic parameters, and patient satisfaction.

Outcomes After Spine Surgery Among Patients Who Have Had Prior Bariatric Surgery.

Study Design: Retrospective cohort study.

Objectives: We hypothesized that spine surgery patients with a history of bariatric surgery do not differ in expectations of surgery, perceived benefit of surgical intervention, or physician determined outcome of surgery from patients with no history of bariatric surgery.

Methods: Patients seen in our spine clinic between January 1, 2 009 and December 30, 2 010 were reviewed.

A nursing perspective of caring for patients with end-stage renal disease in hospitals.

There has been a rapid increase in the incidence of chronic kidney disease and those requiring renal replacement therapy. Managing these patients requires a multidisciplinary team approach. Clinical nurse specialists (CNS's) play a vital role in ensuring the highest quality care is delivered in a cost-effective manner.

SLS-2 - the upgrade of the Swiss Light Source.

An upgrade of the Swiss Light Source (SLS) is planned for 2021-2024 and includes the exchange of the existing storage ring by a new one providing about 40-50 times lower emittance in user operation mode. This will extend the performance of SLS in particular in the fields of coherent imaging, full-field tomography, soft X-ray angle-resolved photoelectron spectroscopy and resonant inelastic X-ray scattering. A science case and a conceptual design for the machine have been established.

Head and Neck Cancer Survivorship Care Guideline: American Society of Clinical Oncology Clinical Practice Guideline Endorsement of the American Cancer Society Guideline.

Purpose This guideline provides recommendations on the management of adults after head and neck cancer (HNC) treatment, focusing on surveillance and screening for recurrence or second primary cancers, assessment and management of long-term and late effects, health promotion, care coordination, and practice implications. Methods ASCO has a policy and set of procedures for endorsing clinical practice guidelines that have been developed by other professional organizations. The American Cancer Society (ACS) HNC Survivorship Care Guideline was reviewed for developmental rigor by methodologists.

Why Do Patients Seek a Spine Surgeon?

Study Design: Retrospective review of chief complaints (CCs) of patients seeking care at a specialty spine clinic with the diagnosis of degenerative scoliosis or lumbar stenosis.

Objectives: The purpose of the study was to ascertain why patients seek care from spine surgeons. Specifically, we asked whether pain or deformity was more common.

A randomized clinical trial comparing mandibular incisor proclination produced by fixed labial appliances and clear aligners.

Objective: To compare the mandibular incisor proclination produced by fixed labial appliances and third generation clear aligners.

Materials And Methods: Patients underwent a course of orthodontic treatment using either fixed labial appliances or clear aligners (Invisalign). Mandibular incisor proclination was measured by comparing pretreatment and near-end treatment lateral cephalograms.

Impact of Major Depressive Disorder on Prediabetes by Impairing Insulin Sensitivity.

Reports regarding the associations between major depressive disorder (MDD) and diabetes remain heterogeneous. Our aim was to investigate whether glucose homeostasis and insulin sensitivity were impaired in the MDD patients and its mechanisms. A total of 30 patients with MDD and 30 matched controls were recruited.

High Surface Area Antimony-Doped Tin Oxide Electrodes Templated by Graft Copolymerization. Applications in Electrochemical and Photoelectrochemical Catalysis.

Mesoporous ATO nanocrystalline electrodes of micrometer thicknesses have been prepared from ATO nanocrystals and the grafted copolymer templating agents poly vinyl chloride-g-poly(oxyethylene methacrylate). As-obtained electrodes have high interfacial surface areas, large pore volumes, and rapid intraoxide electron transfer. The resulting high surface area materials are useful substrates for electrochemically catalyzed water oxidation.

Increased patient communication using a process supplementing an electronic medical record.

Background: Importance: Patients with cervical cytology abnormalities may require surveillance for many years, which increases the risk of management error, especially in clinics with multiple managing clinicians. National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) certification requires tracking of abnormal results and communicating effectively with patients.

Objectives: The purpose of this study was to determine whether a computer-based tracking system that is not embedded in the electronic medical record improves (1) accurate and timely communication of results and (2) patient adherence to follow-up recommendations.

Efficacy of the Nance appliance as an anchorage-reinforcement method.

Introduction: The Nance appliance is widely considered to be an efficient method of anchorage reinforcement; however, much of the perceived advantage is based on clinical judgment. The aim of this study was to assess the amounts of anchorage loss and desired tooth movement associated with the Nance appliance.

Methods: The mandibular arches of 7 beagle dogs were used.

Pulsed laser deposited porous nano-carpets of indium tin oxide and their use as charge collectors in core-shell structures for dye sensitized solar cells.

Porous In2O3:Sn (ITO) films resembling from brush carpets to open moss-like discrete nanostructures were grown by pulsed laser deposition under low to high background gas pressures, respectively. The charge transport properties of these mesoporous substrates were probed by pulsed laser photo-current and -voltage transient measurements in N719 dye sensitized devices. Although the cyclic voltammetry and dye adsorption measurements suggest a lower proportion of electro-active dye molecules for films deposited at the high-end background gas pressures, the transient measurements indicate similar electron transport rates within the films.