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Outcomes of Acute Subdural Hematoma in Adults with a GCS Score of 3 : An Analysis from Five Regional Trauma Centers.
J Korean Neurosurg Soc
December 2024
Korea Neuro-Trauma Data Bank Committee, Korean Neurotraumatology Society, Korea.
Objective: Acute Subdural Hematoma (A-SDH) in patients with a Glasgow Coma Scale (GCS) score of 3 presents significant challenges in clinical decision-making owing to high mortality rates and the likelihood of severe disability. Here, we analyzed data to assess the number of surgical treatments and overall treatment outcomes for patients with A-SDH admitted in a comatose state and discussed the value of such aggressive surgical interventions based on these findings.
Methods: A retrospective analysis was conducted using data from five regional trauma centers in Korea registered with the Korean Neurotrauma Data Bank System.
SENECA study: staging endometrial cancer based on molecular classification.
Int J Gynecol Cancer
September 2024
Departamento de Ginecologia y Obstetricia, Clinica Universidad de Navarra, Pamplona, Navarra, Spain.
Objective: Management of endometrial cancer is advancing, with accurate staging crucial for guiding treatment decisions. Understanding sentinel lymph node (SLN) involvement rates across molecular subgroups is essential. To evaluate SLN involvement in early-stage (International Federation of Gynecology and Obstetrics 2009 I-II) endometrial cancer, considering molecular subtypes and new European Society of Gynaecological Oncology (ESGO) risk classification.
View Article and Find Full Text PDFElectrographic seizures during low-current thalamic deep brain stimulation in mice.
Brain Stimul
October 2024
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, 02114, MA, USA; Center for Brains, Minds, and Machines, Massachusetts Institute of Technology, 43 Vassar St, Cambridge, 02139, MA, USA; Picower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, 43 Vassar St, Cambridge, 02139, MA, USA; Institute for Medical Engineering and Sciences, Massachusetts Institute of Technology, 45 Carleton St, Cambridge, 02142, MA, USA. Electronic address:
Background: Deep brain stimulation of the central thalamus (CT-DBS) has potential for modulating states of consciousness, but it can also trigger electrographic seizures, including poly-spike-wave trains (PSWT).
Objectives: To report the probability of inducing PSWTs during CT-DBS in awake, freely-moving mice.
Methods: Mice were implanted with electrodes to deliver unilateral and bilateral CT-DBS at different frequencies while recording electroencephalogram (EEG).
Beyond one step: unveiling optimal approach for bilateral knee arthroplasty - a comprehensive meta-analysis.
Arch Orthop Trauma Surg
August 2024
SAANVI Orthopaedics, Sorrento Building, High St, Hiranandani Gardens, Powai, Mumbai, 400076, Maharashtra, India.
Article Synopsis
- Total knee arthroplasty (TKA) is a popular procedure for treating severe knee osteoarthritis, primarily in older patients, but there is ongoing debate about performing them simultaneously or in stages for bilateral cases.
- A study was conducted analyzing data from 24 articles involving over 218,000 patients to examine the safety of simultaneous bilateral TKA.
- Results showed that simultaneous bilateral TKA had higher rates of mortality, pulmonary embolism, deep venous thrombosis, and neurological complications compared to staged TKA, suggesting that staged procedures might be safer for patients.
Expanding the limits of vaginal surgery: Transvaginal vesicolithotomy for an incarcerated procidentia: A case report and literature review.
Case Rep Womens Health
June 2024
1 Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
Bladder stones are rare in women. This report presents the case of a woman with a massive bladder stone and incarcerated procidentia. The 75-year-old woman presented to the outpatient clinic with procidentia and recurrent urinary tract infections.
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