Publications by authors named "T Sholklapper"

Background: The optimal treatment for primary spontaneous pneumothorax (PSP) remains undefined. Furthermore, the overall utilization and costs of various treatment approaches are incompletely understood. We investigated hospital charges and resource utilization by management strategy across the state of Maryland in adult and pediatric patients with PSP.

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Article Synopsis
  • A study aimed to explore the prevalence of penile fractures (PF) in men with Ehlers-Danlos Syndrome (EDS) and Marfan Syndrome (MFS), revealing that these patients have significantly higher rates of PF compared to disease-free controls.
  • The research analyzed a large database over 30 years, finding that men with EDS had a prevalence ratio of 30.18 and those with MFS had a ratio of 23.4 for PF.
  • While the study highlights an important link between connective tissue diseases and sexual health issues, it is limited by its reliance on claims data, which lacks finer details on disease progression and complications.
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Objectives: To determine if the administration of standardized opioid disposal instructions with focused parental education improves proper disposal of leftover opioid medication among families of children undergoing ambulatory urologic surgery compared to routine postoperative instructions.

Methods: A prospective, double-blinded, single-center randomized controlled trial was conducted in children 6-18 years undergoing ambulatory urology procedures between October 2021 and April 2023. Patients were randomized (1:1) to receive either the Food and Drug Administration (FDA) opioid disposal best practices worksheet plus nursing parental education or routine postoperative instructions alone.

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Bladder stones represent approximately 5% of all cases of urolithiasis and are typically identified and managed long before causing irreversible renal injury. We present a case of a man in his 40s with a prior history of a gunshot wound to the abdomen who presented with leakage from a previously healed suprapubic tube tract and was found to have a giant bladder stone with a resulting renal injury. He subsequently underwent a combined open cystolithotomy and vesicocutaneous fistulotomy during his hospitalisation, which helped to improve his renal function.

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