... At the time of surgery, the CT data stored in the computer are registered, along with known points ofthe patient’s anatomy, after which the computer can then give the surgeon the location of ... Frenkiel 23 Table Classification ofChronicRhinosinusitis Recurrent acute rhinosinusitisChronic purulent rhinosinusitisChronic hyperplastic rhinosinusitisChronicrhinosinusitis with polyposis ... help in the long-term managementofthe inflammatory sinus disease Patients are frankly apprised ofthe high likelihood that further medical therapy will still be required to manage their disease...
... traversing the posterior triangle In order to minimize the risk ofsurgical complications during exploration ofthe ventral aspect ofthe trapezius, the nerve must be exposed and protected (Figure 1) Surgical ... dissection ofthe SAN was necessary in all patients to protect the nerve during resection of fascia from the ventral aspect ofthe trapezius Conclusions The results described herein offer a potentially ... in evaluation and surgical treatment ofchronic whiplash syndrome Entrapment ofthe spinal accessory nerve and/or chronic compartment syndrome ofthe trapezius muscle may cause chronic debilitating...
... diagnosis Herein, lies the dilemma for the surgeon because ofthe nebulous nature ofthe distinction between these entities in the pre-operative setting The best surgicalmanagementof a patient with ... Long-term follow-up of our patient will help to ascertain the safety profile ofthe approach we employed Systematic work-up and follow-up of patients with mucinous cystadenoma ofthe appendix should ... interpretation of pathology along with drafting the manuscript MRK conceived the study, helped in the interpretation ofthe data, drafted the manuscript and provided overall supervision in the project...
... formation Catheter angiogramartery with complete occlusion of theof Catheter angiogram depicting pseudoaneurysm formation of third part of axillary artery with complete occlusion ofthe distal ... rare [1,4-7] The majority affect the third part ofthe artery, due to its position of relative immobility, being tethered by the subscapular and thoracromial arteries [1,8] Most of these injuries ... and control ofthe subclavian artery above the clavicle (Fig 3A) Simultaneous exposure ofthe brachial artery in the antecubital fossa was performed and a size Fogarty embolectomy catheter passed...
... patients (80% ofthe cohort) Second, RCRI assess specifically the cardiac risk ofthe patient, not the mortality related to thesurgical procedure Accordingly, mortality was 6% to 7% in the patients ... scores of and more A high-risk surgical procedure was performed in a minority ofthe patients, and the effects of beta-blockade were neutral in these patients References How to reconcile these ... outcome On the contrary, evidence that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority ofthe patients...
... and/or surgical removal ofthe abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because ofthe indolent and recurrent nature ofthe disease ... widespread of HS in the right gluteal area (C) Excision material of lesion (D) View of defect after excision The duration time of hospitalization was related with the extent and severity ofthe lesions ... women The mean age at the time of presentation for operative management was 41.2 years (range, 24-58 y) and the average duration of symptomatic disease was 7.3 years (range, 0.9-30 y) None of these...
... 67 the regulation of proliferation, migration, and differentiation ofthe epithelial cells [2,12,18,19] Following thesurgical treatment of adult periodontitis, the epithelial regeneration ofthe ... demonstrated a gingivitis grade of or Thanks to the bacteriostatic properties ofthe tested polymer, a more effective control ofthesurgical wound no bacterial contamination ofthesurgical site was observable ... recession, i.e the position ofthe gingival margin with respect to the cement enamel junction (CEJ); • CAL (clinical attachment level): i.e the position ofthe attachment in relationship to the CEJ;...
... Skin incision on the right forearm from the medial aspect ofthe biceps brachii at the level ofthe elbow to the midline above the wrist Centre: First stage ofthe dissection; the pronator teres ... laminectomy Exposure ofthe left dorsolateral aspect ofthe conus medullaris on the left side Bottom: Exposure ofthe left posterolateral aspect ofthe conus medullaris (a) The rootlets ofthe selected ... the incision, to mm in depth, down the upper layers ofthe dorsal horn (d) The line of incision is opened (between the two tips ofthe bipolar forceps) and reveals its depth and the apex of the...
... and racing In the early days of my diabetes, it was the consistency that had gone The main issue was not actually the controlling ofthe diabetes; it had more to with the refueling of my body To ... strongly supported by the growth in the clinical research knowledge base ofthe effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia ... modulated as the duration ofthe exercise increases and as the intensity ofthe activity changes Since one ofthe main fuels for exercise is carbohydrate, glucose utilization by the working muscle...
... deciding whether to pursue surgical options.55 Cancer is currently the second leading cause of mortality in the US In 2009, it is estimated that there will be 1.5 million new cases of cancer diagnosed.56 ... administration there may be an increased incidence ofthe development of neutralizing antibodies resulting in reduced efficacy ofthe medication.10 Glatiramer acetate (Copaxane) is made up of four amino ... characteristic ofthe disease The new criteria simplify the diagnostic work-up and allow a more rapid diagnosis of MS while maintaining the specificity and/or sensitivity ultimately resulting in the need...
... of BP BP should be measured with the woman in the sitting position with the arm at the level ofthe heart (II-2A) An appropriately sized cuff (i.e., length of 1.5 times the circumference ofthe ... as the objective of statin therapy is to decrease long-term cardiovascular risk, the potential risks of statin therapy (over the nine months of pregnancy) may outweigh the potential benefits of ... Of note, the protocol for women in the MgSO4 arm ofthe largest of these trials, the Collaborative Eclampsia Trial, did not include administration of benzodiazepines for seizure termination The...
... in thesurgical treatment of spasticity Instead, intrathecal baclofen and selective posterior rhizotomy have emerged as the most commonly recommended neurosurgical therapies Intrathecal baclofen, ... surgery, and the complication rate of these procedures Our goal was to summarize the current status ofthe field as well as make projections for the next few years Gordon H Baltuch Matthew B Stern ... external segment ofthe globus pallidus (GPe) and subthalamic nucleus (STN) before it reaches the GPi, whereas the direct pathway projects directly from the putamen to the GPi The majority of GPi output...
... checks the overall health ofthe spacecraft Central control ofthe entire flight system is under control ofthe flight software running in the RCE, the same architecture as was used for the Mars ... (Flight Software, continued) Task Description The RCE is the key element ofthe MSL avionics subsystem, which entirely controls the MSL spacecraft Rover flight software is the software in the main ... 2014 In light ofthe importance ofthe MSL Project to NASA’s Mars Program, the Office of Inspector General conducted an audit to examine whether the Agency has effectively managed the Project to...
... estimated the outcome or other variable in the population of interest, regardless ofthe number of groups in a particular study This approach maximized statistical power and the use of available ... estimates of effect sizes and is the most appropriate given the type of data available Limitations of Available Data Limitations of study design: The overwhelming majority of studies available to the ... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee ofthe AUA and then forwarded to the AUA...
... (a) indicates the position ofthe esophagus and (b) indicates the position ofthe trachea Conclusions Despite the complex nature ofthe anatomy surrounding mediastinal liposarcomas, surgical intervention ... following resection of well differentiated mediastinal liposarcoma (a) indicates the position ofthe innominate vein and (b) indicates the position ofthe trachea/larynx Postoperatively the patient was ... reported [1,4] and because of their rarity, there is no consistent approach to management Warranting further study, radiology and chemotherapy alone seem to be insufficient forms of treatment but are...
... broad-based lesions [12] The benign nature of BGH, and in most cases the lack of significant symptoms, makes endoscopic managementof these patients the preferred initial mode of therapy However, if ... However, given the low incidence of these tumors, definitive studies into the etiology are lacking The description of BGH on computed tomography in the literature, particularly in the era of multi-slice ... within the entirety ofthe specimen The lesion was composed of back to back mature Brunner's glands Discussion Brunner's glands are alkaline-secreting glands located in the submucosal layer of the...
... to the right psoas muscle We performed a complete excision ofthe tumor with part ofthe psoas muscle and part ofthe adherent nerve Postoperatively, the patient reported hypoesthesia on the ... death Page of (page number not for citation purposes) World Journal ofSurgical Oncology 2008, 6:107 In our series we followed the approach ofthe radical resection ofthe tumor instead of enucleation ... quadrant to the left iliac crest, with co-existing erosion ofthe left side ofthe 4th lumbar vertebra (Fig 1) whereas the bone scan was negative MRI showed the mass to protrude from the 4th lumbar...
... the time of presentation The skin ofthe breast was blue at the apex ofthe mass, and the nipple was massively enlarged and excoriated (Fig 1) On initial presentation, there was no evidence of ... removal ofthe large tumor These flaps included skin directly overlying the tumor that appeared normal (Fig 2) The superior flap was raised to the level ofthe clavicle Dissection revealed that the ... the latter of which represents the neoplastic process [3] The presence of an epithelial component differentiates the phyllodes tumor from other stromal sarcomas They make up 0.3 to 0.5% of female...
... Page of Figure Catheter angiography ofthe aortic arch (a) Catheter angiography ofthe aortic arch, 13 months after hybrid surgery shows the stent-graft in place, starting just distal to the origin ... to the origin ofthe brachiocephalic trunk Note also the good patency ofthe carotido-carotid bypass There is no opacification ofthe left subclavian artery (b) After puncturing the left brachial ... thoracoabdominal aneurysm with a diameter of 5.5 cm, ending at the level ofthe origin ofthe renal arteries Eleven years ago, the patient also underwent an elective surgical repair for an infrarenal...
... [10,11] Despite the apparent advantages of Linezolid in the treatment of MRSA infections, concerns about safety and costs of therapy often limit its use Popov et al Journal of Cardiothoracic ... reapplication of VAC therapy was initiated was felt the patient would benefit from removing the remaining two sternal wires Therefore, each sternal wire was removed, the wound was widely debridement of ... observations, Daptomycin may offer a possible new treatment option for surgicalmanagementof MRSA sternal wound infection after cardiac surgery combined with surgical therapy In our case the patient was...