The in vitro phagocytic activity from PMNL against eight different Klebsiella strains, isolated from clinical material, was investigated and the K-index calculated for fifteen patients from a surgical intensive care unit. The hemagglutinating antibody titers against the test strains, as well as the serum concentrations of IgM, IgG, C3 and C4 were also determined. At the time of the investigation all patients had symptoms of a severe general infection. There could be no decrease in the phagocytic activity demonstrated. However, large variations against certain bacterial strains were observed. This same strain dependency was also observed for five healthy persons. The hemagglutinating antibody titers of any one patient were either generally increased for all strains or uniformly decreased. The serum concentrations of IgM, IgG, C3 and C4 were found to be, in general, within the normal large.
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Cancer Med
March 2025
Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Introduction: Distress is common among cancer patients, especially those undergoing surgery. However, no study has systematically analyzed distress trends in this population. The purpose of this study was to systematically review perioperative rates of distress, as well as differences across cancer types, in cancer patients undergoing surgical intervention.
View Article and Find Full Text PDFSurg Infect (Larchmt)
March 2025
Division of Trauma and Acute Care Surgery, Department of Surgery, Atrium Health Wake Forest Baptist Hospital, Winston-Salem, North Carolina, USA.
Ventilator-associated pneumonia (VAP) is a frequent complication in injured patients. Multiplex polymerase chain reaction (PCR) facilitates rapid identification of many respiratory pathogens prior to formal culture results. Our objective was to evaluate the effect of multiplex PCR implementation in a trauma intensive care unit (TICU) on antibiotic utilization and de-escalation.
View Article and Find Full Text PDFActa Otolaryngol
March 2025
Department of Otolaryngology, Toho University Omori Medical Centre, Tokyo, Japan.
Background: Postoperative haemorrhage following palatine tonsillectomy occurs in 5-14% of cases. Since 2021, our department has used knot suturing with 3-0 Vicryl, and from 2023, continuous suturing with the V-Loc closure device to reduce suture time. While knot suturing is reported to reduce postoperative bleeding and pain, no studies have compared outcomes between different suture methods.
View Article and Find Full Text PDFJ Surg Case Rep
March 2025
Plastic Surgery Department, St James's Hospital, Dublin, D08 NHY1, Ireland.
High pressure injection injuries to upper extremities are largely rare occurrences. The direct and indirect effects of the injected substance can cause debilitating consequences for those affected and can lead to digit amputation. This case series includes three patients with high pressure injection injuries admitted to a single tertiary centre over one year.
View Article and Find Full Text PDFJ Surg Case Rep
March 2025
Department of Visceral Surgery and Digestive Oncology A, Mohammed VI University Hospital, BP 4806 Oujda Universite, 60049 Oujda, Morocco.
Situs inversus is a rare congenital anomaly that results in the transposition of the abdominal organs, leading to atypical clinical presentations, such as left-sided appendicitis. Acute appendicitis is the most common cause of right iliac fossa pain; however, its occurrence on the left side is exceedingly rare and often leads to diagnostic delays, which may result in serious complications such as peritonitis if not promptly addressed. Imaging modalities, particularly computed tomography (CT), play a critical role in the anatomical and pathological diagnosis, thereby guiding appropriate surgical management.
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