423 results match your criteria: "Holy Cross Hospital[Affiliation]"

Colo-cutaneous fistulas are a rare complication of diverticular disease. Percutaneous drainage offers a promising alternative to surgical intervention in the management of complicated diverticular disease with abscess formation. Recent case studies and literature reviews support its efficacy in achieving abscess resolution and reducing the need for surgery.

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Reconstructive rhytidectomy, commonly known as facelift surgery, is a prominent cosmetic procedure aimed at rejuvenating facial appearance by addressing signs of aging. This paper critically evaluates the advantages and disadvantages of various surgical techniques involved in rhytidectomy, including the superficial musculoaponeurotic system (SMAS), deep plane facelift, and subperiosteal approaches. This systematic review of recent literature highlights key outcomes such as scar quality, postoperative pain management, and patient satisfaction.

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Background: Despite advances in cancer care and detection, >65% of patients with squamous cell cancer of the head and neck (HNSCC) will develop recurrent and/or metastatic disease. The prognosis for these patients is poor with a 5-year overall survival of 39%. Recent treatment advances in immunotherapy, including immune checkpoint inhibitors like pembrolizumab and nivolumab, have resulted in clinical benefit in a subset of patients.

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  • Proton pump inhibitors (PPIs) are common medications for gastrointestinal issues, but recent studies indicate a possible link between long-term use and increased cardiovascular (CV) risks, raising clinical concerns.
  • This review examines the existing evidence on the potential CV risks associated with PPIs, analyzing mechanisms like drug interactions and electrolyte imbalances that might affect heart and blood vessel function.
  • Healthcare providers must weigh the risks and benefits for individual patients, considering alternative treatments for those at high risk of bleeding and seeking to understand the long-term impact of PPIs on cardiovascular health for future research.
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  • Breast augmentation is a popular cosmetic surgery, and a systematic review analyzed various techniques for enhancing breast size, focusing on scar quality, pain, satisfaction, and complications from 2003 to 2024.
  • The periareolar technique is noted for minimal pain and subtle scarring, while the transumbilical approach avoids visible scars but requires special training.
  • The review reveals different complication rates among methods, emphasizing the need for personalized surgical planning to improve patient outcomes and satisfaction based on each technique's benefits and challenges.
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  • The study introduces a new rib-sparing technique for thoracic corpectomy, which minimizes post-operative complications associated with rib removal during spinal surgery.
  • Researchers conducted a chart review of 36 corpectomies performed on 32 patients from 2015 to 2023, noting key metrics like estimated blood loss and operative time.
  • Results showed the technique was effective, with an average post-operative stay of 6.5 days, highlighting the advantages of using an ultrasonic bone scalpel for this procedure.
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  • Reconstructive rhinoplasty is a surgical procedure aimed at restoring the nose's structure and function after issues like trauma or prior surgeries.
  • The review analyzes different surgical techniques like cartilage grafting, flap techniques, and the use of synthetic materials, considering both their benefits and drawbacks in terms of appearance and function.
  • It also highlights recent advancements such as 3D imaging and artificial intelligence that could improve surgical accuracy and patient outcomes in the future.
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Tissue engineering represents a revolutionary approach in regenerative medicine, offering promising alternatives to traditional reconstructive techniques. This systematic review explores recent advances in tissue engineering, comparing their efficacy, postoperative outcomes, and patient satisfaction to conventional methods. A comprehensive literature search was conducted across PubMed, Cochrane Library, and Google Scholar, covering studies published from 2000 to 2024.

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  • The SENZA-PDN study looked at a special treatment called 10-kHz spinal cord stimulation (SCS) to help people with painful diabetic neuropathy (PDN).
  • After 24 months, those who received this treatment felt a lot less pain and improved their quality of life.
  • Most participants were really happy with the treatment, making it clear that 10-kHz SCS is a helpful option for managing PDN.
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Many infectious diseases are diagnosed in emergency departments (ED) and patients are prescribed antimicrobial therapy. Results from cultures typically take a few days to become finalized. Following up on these results is necessary when medication changes are indicated due to results that show bacteria are resistant to the prescribed antibiotics.

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  • This review article examines Botox treatment, focusing on its diverse aesthetic and therapeutic uses, along with both its benefits and potential drawbacks in various clinical situations.
  • It analyzes the effectiveness and safety of Botox for conditions like chronic migraines, excessive sweating, and cosmetic procedures, while discussing patient satisfaction and risks associated with the treatment.
  • The findings are drawn from current literature, including clinical trials and case reports, highlighting that, despite its significant advantages, Botox can come with rare but serious complications.
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Stem cell (SC) therapy is revolutionizing the field of plastic surgery by harnessing the regenerative abilities of SCs derived from adipose tissue and bone marrow to boost tissue repair and enhance aesthetic outcomes. This groundbreaking method enhances results in procedures such as fat grafting, facial rejuvenation, and wound healing. As studies advance, SC therapy shows potential for more sophisticated uses in both reconstructive and cosmetic surgery.

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  • This study analyzes current methods and treatments for improving scar management, focusing on how scars differ from healthy skin due to the formation of fibroblasts and structured collagen bundles.
  • It classifies scars into hypertrophic and keloids, emphasizing the need for standardized assessment tools like the Vancouver Scar Scale for effective scar evaluation.
  • The review covers a range of scar management techniques, from traditional methods to advanced therapies like microneedling and platelet-rich plasma, and highlights the potential of botulinum toxin A in scar treatment while calling for more research to optimize these approaches.
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Distal radius fractures are among the most common pediatric injuries, affecting thousands of children each year. These fractures often require clinical intervention to reduce displacement and ensure the proper healing of the growth plate and wrist bone. The primary objective of this comprehensive analysis is to compare the effectiveness of open reduction and internal fixation (ORIF) versus cast placement in the treatment of pediatric distal radius fractures, with the aim of identifying the optimal treatment approach.

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  • The study analyzed the effectiveness of three antipsychotic medications—aripiprazole, blonanserin, and paliperidone—over a 104-week period for patients with schizophrenia as part of the Japan Useful Medication Program for Schizophrenia (JUMPs).
  • A total of 251 patients were treated, with similar treatment discontinuation rates across all medications, and positive improvements in quality of life and symptom scores were noted over time.
  • The findings indicate that while treatment results were comparable, continuing with these medications can lead to improved remission rates and overall quality of life for patients.
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Osteosarcoma (OS), the most prevalent form of bone cancer, typically arises in osteoblast cells responsible for generating new bone. The bone produced by these cancer cells is weaker compared to healthy bone. OS is an aggressive bone cancer that often requires extensive resection, leaving behind substantial soft tissue defects.

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Gastric cancers rarely metastasize to the bones. If they do, they have a very poor prognosis. We here present a case study of a 56-year-old man who, within a year, rapidly declined and died.

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Our present understanding of electrocution followed a long path of detours and speculation. It is now hard to appreciate how mysterious was an unexpected sudden death-without visible trauma-and we should be sympathetic to the surprising theories that came from well-intentioned attempts to find something in the autopsy of an electrocution victim.The early hypotheses (1880s) tended to favor effects on the central nervous system, but the emphasis switched to arterial and hematological mechanisms as well as respiratory arrest (ie, asphyxia) along with a widespread publication debate.

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  • The increasing popularity of aesthetic plastic surgeries has raised concerns regarding blood loss and patient safety, prompting the use of tranexamic acid (TXA) to minimize these risks.
  • A systematic review, following PRISMA guidelines, searched major medical databases and included relevant studies from 2015 to January 2024, ultimately evaluating 13 articles on TXA's effectiveness in reducing bleeding during surgeries.
  • Results indicate that TXA significantly lowers total blood loss and reduces complications like ecchymosis and edema without notably increasing the risk of thromboembolic events.
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  • The study aimed to assess the safety and tolerability of an individualized starting dose (ISD) of niraparib in patients with newly diagnosed advanced ovarian cancer who responded to platinum-based chemotherapy.
  • An analysis of treatment-emergent adverse events (TEAEs) revealed that common side effects occurred early, with hematologic TEAEs resolving in over 89% of patients within a median duration of about 2 weeks.
  • Overall, the niraparib ISD was found to be well tolerated, indicating the importance of close monitoring after starting treatment and helping set patient expectations regarding safety.
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Researchers have found that individuals with red hair often require higher doses of anesthetic medications to achieve the same level of pain relief or sedation compared to people with other hair colors. This review investigates the effects of local and systemic anesthetics in individuals with red hair compared to the general population. Focusing on both local and systemic anesthesia, this research aims to elucidate any distinctive responses or complications among the red-haired demographic.

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Anterior cruciate ligament (ACL) injuries are a common occurrence among athletes and active individuals, often necessitating surgical intervention for optimal recovery. The choice of graft material for ACL reconstruction remains a topic of debate, with various options available, including quadriceps tendon (QT), patellar tendon bone allograft (PTBA), and cadaver graft (CG). This paper aims to provide an extensive review and comparison of the efficacy, outcomes, and complications associated with these graft types based on recent research.

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Multicenter expanded access program for access to investigational products for amyotrophic lateral sclerosis.

Muscle Nerve

August 2024

Sean M. Healey and AMG Center for ALS and the Neurological Clinical Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Introduction/aims: Expanded access (EA) is a Food and Drug Administration-regulated pathway to provide access to investigational products (IPs) to individuals with serious diseases who are ineligible for clinical trials. The aim of this report is to share the design and operations of a multicenter, multidrug EA program for amyotrophic lateral sclerosis (ALS) across nine US centers.

Methods: A central coordination center was established to design and conduct the program.

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Onychomycosis, a fungal infection of the nails, presents a significant challenge in clinical management due to its chronic nature and resistance to conventional therapies. This study aims to evaluate the efficacy of laser therapy in treating onychomycosis compared to traditional methods such as terbinafine. A systematic review and meta-analysis were conducted to analyze existing literature on the subject.

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U.S. food policy to address diet-related chronic disease.

Front Public Health

June 2024

Georgetown Institute for Women, Peace and Security, Walsh School of Foreign Service, Georgetown University, Washington, DC, United States.

Poor diet is the leading cause of mortality in the U.S. due to the direct relationship with diet-related chronic diseases, disproportionally affects underserved communities, and exacerbates health disparities.

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