Publications by authors named "Stanley Kim"

Article Synopsis
  • The study aimed to evaluate the effectiveness and precision of using 3D-printed guides versus freehand methods for placing Kirschner wires in the femurs of dogs, focusing on novice versus experienced surgeons.!
  • It involved creating 3D models of dog femurs, followed by virtual surgical planning, and then comparing the results of wire placements with freehand techniques and those guided by 3D-printed models.!
  • Results indicated that 3D-printed guides led to quicker procedures, fewer complications, and better accuracy in wire placement, highlighting the need for further research in practical applications for surgeries in dogs.!
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Primary thyroid lymphoma is one of the rare and distinct type of extra nodal lymphomas originating within the thyroid gland. It accounts for less than 5% of all thyroid malignancies and 2% of extra nodal lymphomas. It predominantly affects older adults, with a higher incidence in women.

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Objective: The aim of the present study was to report the outcomes and complications of minimally invasive tarsal arthrodesis (MITA) in dogs.

Study Design: Bi-institutional retrospective study.

Sample Population: A total of 15 client-owned dogs.

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Objective: To compare the efficacy and clinical outcomes of computed tomography (CT)-based virtual surgical planning (VSP) and a three-dimensional (3D)-printed, patient-specific reduction system to conventional indirect reduction techniques for diaphyseal tibial fractures stabilized using minimally invasive plate osteosynthesis (MIPO) in dogs.

Study Design: A prospective clinical study with a historic control cohort.

Sample Population: Dogs undergoing MIPO stabilization of diaphyseal tibial fractures using a custom 3D-printed reduction system (3D-MIPO; n = 15) or conventional indirect reduction techniques (c-MIPO; n = 14).

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Background: Multiple host blood transcriptional signatures have been developed as non-sputum triage tests for tuberculosis (TB). We aimed to compare the diagnostic performance of 20 blood transcriptomic TB signatures for differentiating between symptomatic patients who have TB other respiratory diseases (ORD).

Methods: As part of a nested case-control study, individuals presenting with respiratory symptoms at primary healthcare clinics in Ethiopia, Malawi, Namibia, Uganda, South Africa and The Gambia were enrolled.

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Objective: To evaluate the efficacy of a three-dimensional (3D)-printed, patient-specific reduction system for aligning diaphyseal tibial fractures stabilized using minimally invasive plate osteosynthesis (MIPO).

Study Design: Prospective clinical trial.

Sample Population: Fifteen client owned dogs.

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Objective: To assess the fatigue and load-to-failure mechanical characteristics of an intramedullary nail with a threaded interference design (TID) in comparison to a commercially available veterinary angle-stable nail with a Morse taper bolt design (I-Loc) of an equivalent size.

Methods: 10 single interlocking screw/bolt constructs of TID and I-Loc implants were assembled using steel pipe segments and placed through 50,000 cycles of simulated, physiologic axial or torsional loading. Entry torque, postfatigue extraction torque, and 10th, 25,000th, and 50,000th cycle torsional toggle were assessed.

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Background: There is a need for new tools for monitoring of the response to TB treatment. Such tools may allow for tailored treatment regimens, and stratify patients initiating TB treatment into different risk groups. We evaluated combinations between previously published host biomarkers and new candidates, as tools for monitoring TB treatment response, and prediction of relapse.

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Objective: To describe the use of virtual surgical planning (VSP) and three-dimensionally (3D) printed surgical guides for corrective osteotomies stabilized with an interlocking nail in a dog with a multiplanar femoral deformity.

Study Design: Case report.

Animals: An 8-year-old male neutered mixed breed dog weighing 44 kg.

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Bone loss from the kerf of the sawblade may influence the final outcomes when employing three-dimensional-printed surgical guides. However, no studies have systematically addressed saw blade-induced bone loss. This study aims to quantify bone loss and propose a reduction guide to minimize the fracture gap.

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Objective: To describe the complications and outcomes in dogs with luxoid hip dysplasia (LH) undergoing total hip arthroplasty (THA) and compare complication rates with THA in non-LH dogs.

Study Design: Retrospective study.

Sample Population: Client-owned dogs (n = 217) undergoing primary THA (n = 238).

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Antimicrobial Stewardship Programs (ASP) improve individual patient outcomes and clinical care processes while reducing antimicrobial-associated adverse events, optimizing operational priorities, and providing institutional cost savings. ASP composition, resources required, and priority focuses are influenced by myriad factors. Despite robust evidence and broad national support, individual ASPs still face challenges in obtaining appropriate resources.

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Article Synopsis
  • People with diabetes are more susceptible to tuberculosis (TB), showing higher inflammation and lower immune responses that may lead to worse treatment outcomes.
  • A study tracked the gene expression of TB patients with and without diabetes during treatment to understand how these differences evolve over time.
  • Results indicated that TB-DM patients exhibited persistent and heightened inflammatory responses throughout treatment, suggesting that their immune system struggles to adjust compared to those without diabetes.
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Purpose: To develop a deep learning model to distinguish rheumatoid arthritis (RA) from osteoarthritis (OA) using hand radiographs and to evaluate the effects of changing pretraining and training parameters on model performance.

Materials And Methods: A convolutional neural network was retrospectively trained on 9714 hand radiograph exams from 8387 patients obtained from 2017 to 2021 at seven hospitals within an integrated healthcare network. Performance was assessed using an independent test set of 250 exams from 146 patients.

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Background: To improve tuberculosis (TB) diagnosis, the World Health Organisation (WHO) has called for a non-sputum based triage test to focus TB testing on people with a high likelihood of having active pulmonary tuberculosis (TB). Various host or pathogen biomarker-based testing devices are in design stage and require validity assessment. Host biomarkers have shown promise to accurately rule out active TB, but further research is required to determine generalisability.

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Two independent temporal-spatial clusters of hospital-onset infections were evaluated using whole-genome sequencing (WGS). Phylogenetic analysis confirmed that isolates within each cluster were unrelated despite epidemiological suspicion of outbreaks. The ITS1 region alone was insufficient for accurate analysis.

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Compare biomechanical properties of femurs implanted with either BioMedtrix biological fixation with interlocking lateral bolt (BFX+lb) or cemented (CFX) stems when subjected to 4-point bending or axial torsional forces. Twelve pairs of normal medium to large cadaveric canine femora were implanted with a BFX + lb ( = 12) and a CFX ( = 12) stem-one in the right and one in the left femora of the pair. Pre- and post-operative radiographs were made.

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Objective: To describe and evaluate minimally invasive repair of acetabular fractures in dogs using plates contoured to 3D-printed hemipelvic models.

Study Design: Ex vivo feasibility study and case report.

Sample Population: Adult canine cadavers (n = 5); 8 year old male neutered Chihuahua.

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Objective: Assess the accuracy and efficiency of reduction provided by application of plates precontoured to 3-dimensional (3D)-printed femoral bone models using a custom fracture reduction system (FRS) or intramedullary pin (IMP) to facilitate femoral minimally invasive plate osteosynthesis (MIPO) in dogs.

Study Design: Experimental cadaveric study.

Sample Population: Seven dog cadavers.

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Objectives: To establish preoperative and postoperative serum C reactive protein (CRP) and serum amyloid A (SAA) levels in dogs undergoing uncomplicated total hip arthroplasty (THA).

Study Design: Prospective clinical trial.

Animals: Eighteen client-owned dogs.

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Objective: To report the successful correction of a proximal femoral deformity (PFD) and total hip arthroplasty (THA) in a dog with the use of three-dimensionally (3D) printed custom surgical guides (CSGs).

Study Design: Case report.

Animals: One-year-old, male neutered, Goldendoodle.

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Objectives: To report the short-term clinical outcome and complications in dogs that underwent surgical repair of femoral capital physeal or neck fractures via fluoroscopic-guided percutaneous pinning (FGPP).

Study Design: Retrospective case series.

Animals: Client owned dogs (n = 11) with femoral capital physeal or neck fractures (n = 13).

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Objective: To assess the feasibility and accuracy of using 2 methods for reduction and alignment of simulated comminuted diaphyseal tibial fractures in conjunction with 3-D-printed patient-specific pin guides.

Sample: Paired pelvic limbs from 8 skeletally mature dogs weighing 20 to 35 kg.

Methods: CT images of both tibiae were obtained, and 3-D reconstructions of the tibiae were used to create proximal and distal patient-specific pin guides.

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Background: Globally, the tuberculosis (TB) treatment success rate is approximately 85%, with treatment failure, relapse and death occurring in a significant proportion of pulmonary TB patients. Treatment success is lower among people with diabetes mellitus (DM). Predicting treatment outcome early after diagnosis, especially in TB-DM patients, would allow early treatment adaptation for individuals and may improve global TB control.

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