216 results match your criteria: "Clinic of Pediatric Surgery.[Affiliation]"

Finite-element-based 3D computer modeling for personalized treatment planning in clubfoot deformity: Case report with technique description.

Medicine (Baltimore)

June 2018

Clinic of Pediatric Surgery and Orthopedics, University of Medicine and Pharmacy Tirgu Mures Laboratory of Advanced Research in Multimodality Imaging, University of Medicine and Pharmacy Department of Structural Mechanics, Faculty of Civil Engineering, Technical University of Cluj-Napoca Discipline of Orthopedics I, University of Medicine and Pharmacy Tirgu Mures, Romania.

Rationale: In clubfoot deformity, planning of corrective treatment requires a complex understanding of the foot anatomy, as well as of the geometry and distribution of altered mechanical forces acting at the level of the deformed foot. At the same time, treatment success depends largely on the selection of the most appropriate shape and angles of the customized orthesis developed for foot correction. Therefore, a complex assessment of the intensity and distribution of the mechanical forces at this site is mandatory prior to initiation of any corrective therapy.

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Objective: The presence of testicular appendices was prospectively evaluated in 89 boys with 96 undescended testes who underwent orchidopexy over the period of 4 years.

Results: The patients were divided into two groups. Group A included 42 boys with 49 undescended testes positioned close to the internal inguinal ring, and Group B included 47 boys with 47 undescended testes close to the external inguinal ring.

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The association of junctional epidermolysis bullosa with pyloric atresia (JEB-PA) and aplasia cutis congenita (ACC) was described by El Shafie et al. (J Pediatr Surg 14(4):446-449, 1979) and Carmi et al. (Am J Med Genet 11:319-328, 1982).

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Introduction: Injuries are a common problem in football. To improve prevention strategies, the players' (p) and coaches' (c) views need to be disclosed as they have a strong impact on return to play decisions. The aim of this study is to reveal current opinions with regard to injury prevention and return to play strategies to introduce new strategies in elite football.

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Spontaneous intracranial hypotension (SIH) is a rare and potentially serious condition in childhood. Cerebrospinal fluid (CSF) volume depletion is thought to be the main causative feature for intracranial hypotension and results from a spontaneous CSF leak, often at the spine level. SIH is increasingly diagnosed in clinical practice, although it manifests a varied symptomatology.

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Objective: In this study, thermocautery, plastic clamping, and conventional (open surgical) circumcision techniques were compared in terms of their complications.

Methods: Male patients who underwent circumcisions between May 2014 and May 2015 in two separate pediatric surgery clinics were retrospectively analyzed using the hospital registry system. These patients were evaluated in terms of age, accompanying pathologies, anesthesia techniques, complication rates, duration of surgery, and circumcision techniques.

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Objectives: Acute appendicitis (AA) is the most common surgical emergency in children. The accurate and timely diagnosis of AA in children can be challenging, and delayed diagnosis rates have been reported to range from 5.9% to 27.

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Background: Increased adrenal androgen hormones in congenital adrenal hyperplasia (CAH) can rarely cause giant ovarian cysts in the neonatal period. Although the exact mechanism of the development of ovarian cysts is unknown, it is thought that increased androgen levels stimulate folicle development by increasing follicle stimulating hormone (FSH) levels.

Case Presentation: A 16-day-old newborn with ambiguous genitalia was presented to our clinic.

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The correct management of partially divided flexor tendon injuries is still controversial. Opinions vary regarding whether partially divided flexor tendon injuries should be repaired. Flexor tendon injuries are common because the tendons lie close to the skin.

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Background And Aim Of The Study: Aortic valve (AV) stenosis is the most common valvular heart disease with an incidence of 3% for people ≥ 65years in the industrialized world with indication for a surgical or transcatheter valve replacement. Researchers suppose osteogenic processes as key mechanisms in calcific aortic valve stenosis. Recently, Torre et al.

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Use of presepsin and procalcitonin for prediction of SeptiFast results in critically ill patients.

J Crit Care

August 2017

Medical faculty, University of Novi Sad, Clinical center of Vojvodina, Emergency center, Department of anesthesia and reanimation, Novi Sad, Serbia.

Purpose: There is a need for identification of marker that could lead physicians to take the right step towards laboratory techniques for documentation of infection. The aim of this study was to investigate whether presepsin and procalcitonin (PCT) levels in patients with suspected sepsis could predict blood culture (BC) and SeptiFast (SF) results.

Material And Methods: 100 patients were included in our study.

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Isolated female epispadias without bladder exstrophy is a rare congenital anomaly affecting 1 in 484,000 females. The presenting features of female epispadias are urinary incontinence and abnormal anatomical features. A 6-year-old girl presented with primary urinary incontinence who on physical examination had a bifid clitoris and labia minora.

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[The role of small intestine length in the development of short bowel syndrome].

Khirurgiia (Mosk)

July 2017

Clinic of Pediatric Surgery, Mannheim University's Hospital, University of Heidelberg, Germany.

Aim: To define the the role of small bowel length in development of SBS.

Material And Methods: Seventeen patients with SBS after small bowel resection in neonatal period were included into the study. Total small bowel length ranged from 5 to 55 cm (11.

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Endogenous thrombin potential as marker of procoagulant response that can be useful in early stage of sepsis.

Blood Coagul Fibrinolysis

September 2017

aFaculty of Medicine, University of Novi Sad, Clinical Centre of Vojvodina, Emergency Centre, Department of Anesthesia and Reanimation bFaculty of Medicine, University of Novi Sad, Clinical Centre of Vojvodina, Clinic for Infectious Diseases cFaculty of Medicine, University of Novi Sad dFaculty of Medicine, University of Novi Sad, Institute of Child and Adolescent Health Care of Vojvodina, Clinic of Pediatric Surgery eLaboratory Medicine center, Department of Hematology, Hemostasis, and Prevention of Thrombosis, Faculty of Medicine, Clinical Center of Vojvodina, University of Novi Sad, Novi Sad, Vojvodina, Serbia.

: Sepsis is associated with complex procoagulant and anticoagulant changes that modify inflammatory response. Identification of coagulation markers that can differentiate useful procoagulant response from adverse alteration of clotting mechanism in patient with sepsis. In total, 150 patients who fulfilled criteria for diagnosis of sepsis were included in this study.

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Article Synopsis
  • - Diabetes often leads to chronic wounds that are hard to treat, highlighting the urgent need for new therapies and effective testing systems to identify promising drug candidates.
  • - This study compares in-vitro models, like scratch assays with diabetic human cells, and a new ex-vivo model that simulates hyperglycemic conditions to evaluate their effectiveness in studying wound healing (WH) in diabetes.
  • - Results show that the more complex ex-vivo model better reflects the challenges of diabetic WH and demonstrates that a birch bark triterpene extract can significantly enhance wound healing, suggesting it is a strong candidate for further research.
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The erythropoietin receptor (EpoR) is expressed by cells from the erythroid lineage; however, evidence has accumulated that it is also expressed by some other non-hematopoietic tissues including several solid tumor cells and proposed candidates for cancer stem cells. This is an important concern, because recombinant erythropoietin (EPO) is frequently employed in cancer patients as a drug to ameliorate anemia related to chemo/radiotherapy. In our studies, we employed three human neuroblastoma (NB) cell lines and found in all of them the expression of EpoR and EPO mRNA.

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CD4 T cells in human infants and adults differ in the initiation and strength of their responses. The molecular basis for these differences is not yet understood. To address this the principle key molecular events of TCR- and CD28-induced signaling in naive CD4 T cells, such as Ca2+ influx, NFAT expression, phosphorylation and translocation into the nucleus, ERK activation and IL-2 response, were analyzed over at least the first 3 years of life.

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Closure of the thoracic duct from the left-side access: A case report.

Medicine (Baltimore)

August 2016

Clinic of Pediatric Surgery and Traumatology Clinic of Pediatrics Hematology and Oncology Department of Pediatric Radiology Clinic of Pediatrics, Medical University of Lublin, Lublin, Poland.

Background: We report a 16-year-old patient with a massive left-sided chylothorax after chemotherapy due to mixed germinal tumor of the testis with massive metastases located in the retroperitoneal space and posterior mediastinum. Chemotherapy resolved the metastases in the mediastinum but evoked a huge pleural effusion in the left pleural cavity, requiring surgical intervention.Left-sided access was used.

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Laparoscopic repair has several advantages with a minimally invasive surgical option for children with Morgagni hernias; however, a number of physiological sequelae results from pneumoperitoneum and insufflation. These physiological changes may be more significant in patients with a congenital heart disease. Perioperative detailed evaluation, meticulous monitorization and cooperation with a surgical team are important in cases with patent foramen ovale for the possible risk of the paradoxical gas embolism.

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Over the last 20 years, there has been increasing focus on the development of novel stem cell based therapies for the treatment of disorders and diseases affecting the enteric nervous system (ENS) of the gastrointestinal tract (so-called enteric neuropathies). Here, the idea is that ENS progenitor/stem cells could be transplanted into the gut wall to replace the damaged or absent neurons and glia of the ENS. This White Paper sets out experts' views on the commonly used methods and approaches to identify, isolate, purify, expand and optimize ENS stem cells, transplant them into the bowel, and assess transplant success, including restoration of gut function.

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Background: necrotizing enterocolitis is a serious condition that affects mostly preterm infants, with high mortality rate.

Aim: to estimate the influence of potentially contributing factors of this multifactorial disease.

Methods: the study group included 51 necrotizing enterocolitis infants who were less than 37 week gestation who were hospitalized in NICU during a five year period.

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Complete androgen insensitivity syndrome (CAIS) disorder of sex development due to mutations that cause function loss in androgen receptors in 46, XY individuals. The risk of malignancy in CAIS is 5-10% until the age of 25 years. A 17-year-old patient raised as a female presented to our clinic complaining of amenorrhea.

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Introduction: Knowledge of anatomic, physiological, biochemical and physical characteristics of children of all age groups, the existing illness and possible pathological response of the organism to the existing situation, require a pediatric anesthesiologist to participate in the preparation of a child for surgical treatment, to choose the best anesthesia technique and medications, and manipulative techniques to enable the scheduled surgical treatment with minimum anesthesia risks. The aim of this clinical study was to prove reliability and quality of propofol or sevoflurane general anesthesia in children in the age group of 1-14 years from the ASA I group and in the elective surgical treatments in duration of 60 minutes, based on preoperative and postoperative levels of laboratory findings (transaminases, blood sugar, urea and creatinine).

Materials And Methods: the study included 160 patients randomized in two groups based on different approaches: total intravenous anesthesia was used for the propofol group (n=80) (TIVA) and the inhalation technique was used for the sevoflurane group (n=80).

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A case of a 4.5-year-old girl from a twin pregnancy, who was diagnosed after birth with the congenital esophageal atresia (type 3), and at the age of 4 with the potential coeliac disease. Congenital esophageal atresia was successfully treated surgically in infancy with the thoracoscopic method.

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