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Retrospective matched case-control comparison of Totally Robotic Sleeve Gastrectomy (RSG) during the learning curve with Laparoscopic Sleeve Gastrectomy (LSG): why is operative time different?
Updates Surg
January 2025
Public Health Department, Naples "Federico II" University, AOU "Federico II" - Via S. Pansini 5, 80131, Naples, Italy.
Robotic approach is slowly rising in metabolic surgery, and laparoscopy is still considered the gold standard for Sleeve Gastrectomy. Aim of our study was to assess and compare outcomes of RSG through a matched comparison with LSG. Retrospective search of prospectively maintained database of our surgical department was carried out find all consecutive patients who underwent RSG from April 2023 to August 2024.
View Article and Find Full Text PDFComparative effectiveness of acupoint stimulation for preventing postoperative nausea and vomiting after general anesthesia: A network meta-analysis of randomized trials.
Int J Surg
September 2024
Anesthesia and Pain Medical Center, Gansu Hospital of Traditional Chinese Medicine, Lanzhou, Gansu, 730000, China.
Objective: To systematically evaluate the effectiveness of different acupoint stimulation techniques in preventing postoperative nausea and vomiting (PONV) after general anesthesia.
Methods: We searched PubMed, Cochrane Library, Web of Science, Embase for relevant papers, about the effect of acupoint stimulation for preventing PONV from their inception to July 31, 2023. Two reviewers performed study screening, data extraction, and risk of bias assessment.
Scoping review of initiation criteria for inhaled nitric oxide in preterm infants (born <34 weeks) after 7 days of age.
BMJ Open
December 2024
Research and Development Center for New Medical Frontiers, Department of Advanced Medicine, Division of Neonatal Intensive Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Objectives: Inhaled nitric oxide (iNO) is a known treatment for pulmonary hypertension (PH) associated with bronchopulmonary dysplasia in preterm infants after 7 days of age (postacute phase). However, a consensus regarding the optimal criteria for initiating iNO therapy in this population in the postacute phase is currently lacking. This study, therefore, aimed to identify the criteria for initiating iNO therapy, alongside the associated clinical and echocardiographic findings, in this population.
View Article and Find Full Text PDFResearch on vehicle scheduling for forest fires in the northern Greater Khingan Mountains.
Sci Rep
January 2025
College of Energy and Transportation Engineering, Inner Mongolia Agricultural University, Hohhot, 010010, China.
In the face of forest fire emergencies, fast and efficient dispatching of rescue vehicles is an important means of mitigating the damage caused by forest fires, and is an effective method of avoiding secondary damage caused by forest fires, minimizing the damage caused by forest fires to the ecosystem, and mitigating the losses caused by economic development. this paper takes the actual problem as the starting point, constructs a reasonable mathematical model of the problem, for the special characteristics of the emergency rescue vehicle scheduling problem of forest fires, taking into account the actual road conditions in the northern pristine forest area, through the analysis of the cost of paths between the forest area and the highway, to obtain the least obstructed rescue paths, to narrow the gap between the theoretical model and the problem of the actual. Improvement of ordinary genetic algorithm, design of double population strategy selection operation, the introduction of chaotic search initialization population, to improve the algorithm's solution efficiency and accuracy, through the northern pristine forest area of Daxing'anling real forest fire cases and generation of large-scale random fire point simulation experimental test to verify the effectiveness of the algorithm, to ensure that the effectiveness and reasonableness of the solution to the problem of forest fire emergency rescue vehicle scheduling program.
View Article and Find Full Text PDFFrom Fibrosis to Granuloma: Drug Induced Systemic Sarcoidosis-Like Reaction After Rituximab in a Patient with Primary Sjögren's Syndrome.
Eur J Case Rep Intern Med
December 2024
Clínica de Medicina, Serviço de Medicina Interna, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Unlabelled: Sarcoidosis is a multisystemic syndrome characterized by non-caseous granulomatous inflammation, although necrotizing sarcoid granulomatosis is considered part of the spectrum of the disease. Drug induced sarcoidosis-like reaction (DISR) is a systemic granulomatous reaction, which is histopathologically identical to primary sarcoidosis - mostly described after the use of biologics like tumour necrosis factor alpha antagonists but also anti-CD20 (rituximab). The authors present the very rare case of a woman with a primary Sjögren's syndrome (pSS) started on rituximab for disease control, which evolved with a 3-year indolent progressive systemic sarcoid reaction.
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