Publications by authors named "Steven O Tenny"
Article Synopsis
- The opioid epidemic in the U.S. is a pressing issue, particularly for patients undergoing lumbar spine surgery who also have psychiatric conditions.
- A study analyzed 376 veteran patients to identify how psychiatric diagnoses affect opiate use before and after surgery, focusing on major depression, PTSD, and other comorbidities.
- Findings showed that major depression and PTSD were significantly linked to higher preoperative and postoperative opioid use, suggesting that understanding a patient’s mental health could improve opioid prescribing practices.
Article Synopsis
- * Researchers surveyed residents and staff to identify issues with the feedback process and then implemented a simple anonymous feedback form to address those concerns over six months.
- * Post-intervention results showed a significant improvement in perceptions regarding the timeliness of feedback, suggesting that straightforward changes can enhance the effectiveness of feedback for residents' goal formation.
Background: Muscle biopsy is a common diagnostic marker for myopathy assessment; however, it has a relatively low pathologic yield of less than 60%. Additionally, both diagnostic and non-diagnostic muscle biopsies can provide guidance for treatment, i.e, provide therapeutic usefulness.
View Article and Find Full Text PDFIntroduction Requests for muscle biopsy for evaluation of myopathy originate from a variety of different specialties. It is unknown whether the specialty of the referring service affects the likelihood of diagnostic biopsy or the therapeutic usefulness of a biopsy. Methods We reviewed 106 consecutive muscle biopsies requested by healthcare providers in neurology, rheumatology, family medicine, oncology, and gastroenterology.
View Article and Find Full Text PDFArticle Synopsis
- - This study aimed to measure the suction forces of a passive drainage system used after subdural hematoma evacuation, particularly focusing on bile bag drains.
- - Researchers created a model and found that an empty bile bag generates minimal suction, but when the drain tube is fluid-filled, suction increases significantly due to siphoning, varying from 18.7 to 30.6 mmHg based on the bile bag's height.
- - The results indicate that a passive bile bag drain is ineffective when empty, but can produce suction forces similar to other drainage systems when filled with fluid.
Article Synopsis
- * It details a case where a 55-year-old woman underwent a two-stage surgery to successfully remove a C2-C3 chordoma while preserving her vertebral arteries.
- * The conclusion highlights that, although challenging, upper cervical spinal chordomas can be effectively removed with proper planning and the use of readily available surgical products for reconstruction.
Article Synopsis
- Rosai-Dorfman disease, also known as sinus histiocytosis with massive lymphadenopathy, primarily affects lymph nodes and can also involve other sites, including the breast.
- A unique case was reported where a patient had a breast mass and swollen axillary lymph nodes that initially appeared to be cancerous both clinically and through imaging.
- Although initial biopsies suggested lymphoma, a later excisional biopsy confirmed Rosai-Dorfman disease; the condition recurred multiple times in different locations within a year.