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Squamous Cell Carcinoma of the Ovary: A Rare Case.
Cureus
November 2024
2nd Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Ovarian squamous cell carcinoma (SCC) is a rare entity among primary ovarian cancers. This type of cancer typically originates from the transformation of mature cystic teratomas, commonly known as dermoid cysts, and occasionally from associations with endometriosis or Brenner's tumors. The typical clinical scenario involves presentation in postmenopausal women, with symptoms arising from tumor growth or metastasis.
View Article and Find Full Text PDFHome dialysis: there's no place like home.
Curr Opin Nephrol Hypertens
December 2024
Columbia University Irving Medical Center, Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.
Purpose Of Review: The rapid rise in incidence and prevalence of end-stage kidney disease (ESKD) over the past 50 years was matched by a drop-off in use of home dialysis and a proliferation of in-center hemodialysis across the United States. There is renewed interest in improving access to home dialysis modalities for patients with ESKD. The aim of this review is to update kidney care providers with clinical outcome data and new guidelines that promote patient-centered choices, and to address barriers to home dialysis uptake and continued use.
View Article and Find Full Text PDFTreating deep sternal wound infection with pectoralis major flap transposition: a systemic factor analysis of efficacy and safety.
J Thorac Dis
November 2024
Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- - Deep sternal wound infection (DSWI) is a serious complication after cardiac surgery, and while various treatments exist, many have limitations; thus, the study explores pectoralis major flap transposition (PMFT) as a potential effective method.
- - A study of 785 DSWI patients treated with PMFT found that 90.3% healed successfully, while 9.7% experienced delayed healing or death; additional risk factors for poorer outcomes included diabetes, obesity, and a history of smoking.
- - The results suggest that PMFT is a safe treatment option for DSWI, but patients with specific risk factors should be monitored closely, and further research is recommended to better understand these relationships.
Exploring Cardiac Sympathetic Denervation as a Treatment Approach for Recurrent Ventricular Arrhythmias: A Concise Review.
J Clin Exp Cardiolog
March 2024
Division of Thoracic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Article Synopsis
- * Bilateral CSD (BCSD) shows an approximate 60% reduction in implantable cardioverter defibrillator shocks and over 50% one-year survival without shock or transplant, while the 2017 guidelines endorse the left CSD for specific RVT types.
- * Despite the promising results, many studies have small sample sizes leading to potential underreporting of complications; more research is needed to fully understand the long
Guideline on the Use of Intravenous Ketamine for Procedural Sedation in the Children's Emergency Department: A Quality Improvement Project.
Cureus
December 2024
Emergency Medicine and Pediatric Emergency Medicine, Buckinghamshire Healthcare NHS Trust, Buckingham, GBR.
In pediatric emergency medicine, sedation is crucial for performing some therapeutic procedures in children. Ketamine is still not widely used, despite being the preferred agent due to its effectiveness and safety profile. Implementing a guideline for intravenous ketamine in emergencies requiring procedural sedation in children, as well as training and evaluating staff competencies in performing this procedure, are the aims of this study.
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