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Complex Nasal Reconstruction: A Methodical Approach to the Three-Stage Paramedian Forehead Flap.
Semin Plast Surg
November 2024
Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Complex nasal reconstructions require adequate planning with an accurate estimation of the time necessary to perform each stage. Reconstructions of the entire nose, multiple subunits, or a substantial subunit typically require lining replacement and cartilage grafting. Securing the lining prior to a staged reconstruction is preferred, but options such as the Menick folded paramedian forehead flap (PMFF) allow for lining coverage at the time of the first stage.
View Article and Find Full Text PDFLong Head of Biceps Tendinopathy Is Associated With Age and Cuff Tendinopathy on MRI Obtained for Evaluation of Shoulder Pain.
Clin Orthop Relat Res
December 2024
Dell Medical School at The University of Texas at Austin, Austin, TX, USA.
Background: Shoulder pain-mostly related to rotator cuff tendinopathy-is the most common reason adults seek upper limb specialty care. Tendinopathy of the long head of the biceps may be part of rotator cuff tendinopathy, which most of us develop as we age. Evidence that these processes are related and that both are part of human shoulder senescence could contribute to a reconceptualization of shoulder tendinopathy as a single set of age-related changes, which are often well-accommodated, sometimes misinterpreted as an injury, and associated with notable nonspecific treatment effects, thus meriting caution regarding the potential for overtreatment.
View Article and Find Full Text PDF"I chose chemistry as a career because it provides opportunities for research and innovation, allowing me to work across various industries and satisfying my desire for exploration in the realm of advanced materials… The most important thing I have learned from my students is the value of inclusiveness, patience, and love…." Find out more about Linli Xu in her Introducing… Profile.
View Article and Find Full Text PDFNeed for Human Interaction and Acknowledging Communication-An Interview Study With Patients With Aphasia Following Stroke.
J Adv Nurs
October 2024
Department of Neurology, Rigshospitalet, Copenhagen, Denmark.
Aim: To explore stroke patients' experiences of the communicative practice during their hospitalisation and describe strategies and supporting communication techniques applied by patients and nursing staff from the patient's perspective.
Design: A qualitative descriptive study was undertaken.
Methods: A qualitative approach was chosen; through a purposeful sample strategy, 13 semi-structed interviews with 12 patients who had aphasia following stroke, and one patient had dysarthria.
Access and care for people with opioid use disorder in U.S. skilled nursing facilities: A policy commentary.
Int J Drug Policy
November 2024
Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA. Electronic address:
Article Synopsis
- Referrals for skilled nursing facilities (SNFs) for people with opioid use disorder (OUD) are increasing, with legal guidance emphasizing that these individuals cannot face discrimination in healthcare settings due to their condition or treatment, which highlights the need for proper access to medication for OUD (MOUD).
- The commentary discusses policies to improve access to MOUD in SNFs, including potential changes to regulations allowing these facilities to administer methadone similarly to hospitals, and advocates for funding mobile substance use services and partnerships with opioid treatment programs (OTPs).
- It stresses the importance of preparing SNFs to provide continued MOUD for patients, given the rising rates of drug-related overdoses among older
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