Publications by authors named "S L Alpert"
Article Synopsis
- The use of electrical stimulation near cochlear implants (CIs) is typically not recommended due to risks of implant damage and inner ear injury, but it is essential during surgeries for monitoring nervous system integrity.
- A case study involving a patient with a CI who underwent two surgeries for scoliosis showed no auditory function loss or CI issues after the procedures, even with transcranial electrical stimulation used for monitoring.
- The findings support previous reports that indicate no failures of CIs or hearing deterioration from such stimulation, highlighting an urgent need for a reevaluation of current contraindications and a thorough risk analysis by manufacturers and regulatory bodies.
Article Synopsis
- The study aimed to determine if socioeconomic and demographic factors are predictors of follow-up attendance in pediatric patients after kidney stone surgery.
- Researchers analyzed data from 195 pediatric patients who underwent various surgical interventions for kidney stones between 2016 and 2020, focusing on follow-up visit attendance, imaging completion, and urine studies.
- Key findings indicated that lower socioeconomic status, such as public insurance and single-parent households, was linked to decreased follow-up compliance, while prior urology clinic visits increased the likelihood of attending post-op appointments.
Background: North American Pediatric Urology fellowship programs underwent a structural change in 2021 that allows more flexibility in training. Given this opportunity as well as widespread concern about the development of contemporary surgical trainees, it is prudent to understand in detail the current state of preparedness of pediatric urology fellowship graduates for independent practice.
Objective: The study aimed to determine recent pediatric urology graduates' reported levels of comfort both at graduation and following the start of clinical practice in performing select index procedures.
Purpose Of Review: The aim of this article is to review considerations and efficacy of third-line treatments for pediatric non-neurogenic bladder dysfunction, including Botulinum toxin A (BoTNA), Posterior Tibial Nerve Stimulation (PTNS), and Sacral Neuromodulation (SNM).
Recent Findings: Federal Drug Administration approval for use of beta-3-agonists in overactive detrusor activity in pediatric patients may provide an additional step prior to third-line therapies. New long-term data on pediatric SNM efficacy, complications, and revision rates will provide valuable information for counseling families.
Background: Our objective was to evaluate long-term outcomes of sacral nerve stimulation (SNS) for children with functional and organic defecation disorders.
Methods: We performed a prospective study of children <21 years of age who started SNS treatment between 2012 and 2018. We recorded demographics, medical history, and diagnostic testing.