The Western dietary pattern is associated with higher risk of colorectal neoplasms. Evolutionary discordance could explain this association. We investigated associations scores for 2 proposed diet patterns, the "Paleolithic" and Mediterranean, incident, sporadic adenomas in a case-control study polyps conducted Minnesota (1991-1994). Persons no prior history neoplasms completed comprehensive questionnaires to elective, outpatient endoscopy; these individuals, 564 were identified as cases...

A recent survey of plastic surgeons showed that the majority prescribed prophylactic antibiotics after hospital discharge for breast reconstruction. There is no clinical evidence this practice reduces surgical site infection (SSI) immediate tissue expander Furthermore, multiple studies have suggested current antibiotic choices may not be appropriately covering causative organisms SSI.An institutional reconstruction database from January 2005 to December 2011 was queried identify patients...

Background: Untreated surgical conditions account for one-third of the total global burden disease, and a lack trained providers is significant contributor to paucity care in low- middle-income countries (LMICs). Wearable technology with real-time tele-proctoring has been demonstrated high-resource settings be an innovative method advancing education connecting providers, but application LMICs not well-described. Methods: Google Glass live-stream capability was utilized facilitate between...

Background: The emphasis on cultural competency for physicians and surgeons is increasingly important, as communication with both patients other providers significantly affects individual system-wide outcomes. International surgical training has been shown to improve leadership skills, competency, technical proficiency of participants in short-term follow-up. This study explores the long-term impact international mission experiences developing participants’ core competencies, professional...

Abstract Background The unmet burden of surgical disease represents a major global health concern, and lack trained providers is critical component the inadequacy care worldwide. Competency‐based training has been advanced in high‐income countries, improving technical skills decreasing time, but it poorly understood how this model might be applied to low‐ middle‐income countries. We describe development competency‐based program accelerate specialty in‐country cleft surgery techniques....

The management of hypocalcemia (HC) after total thyroidectomy (TTx) is a challenge as TTx transitioned into same-day surgery. Measurement parathyroid hormone (PTH) level may allow for prediction postoperative HC and lead to shorter hospital stays. A prospective database was queried between January 2010 June 2012 with 95 patients who had undergone identified. Patient demographics; preoperative diagnosis; laboratory values cost; complications; intravenous calcium supplementation; length stay...

Background: Despite the wide range of cleft lip morphology, consistent scales to categorize preoperative severity do not exist. Machine learning has been used increase accuracy and efficiency in detection rating multiple conditions, yet it applied disease. The authors tested a machine approach automatically detect measure facial landmarks assign grades using photographs. Methods: Preoperative images were collected from 800 unilateral patients, manually annotated for cleft-specific landmarks,...

PurposeVirtual reality (VR) is an emerging technology with the potential to enhance patient care by reducing pain and anxiety for a variety of medical procedures. The aim this study was evaluate immersive VR program as nonpharmacologic intervention reduce increase satisfaction in patients undergoing wide-awake, local-only hand surgery. secondary assess providers' experience program.MethodsAn implementation evaluation employed 22 who used during outpatient, wide-awake surgery at veterans...

Background: Prior studies have shown that intra-articular injection of autologous fat may be a viable, less invasive approach for the treatment carpometacarpal (CMC) joint arthritis, compared with trapeziecetomy. Small arthroscopy has also been found to useful tool in evaluation and arthritis. The authors present CMC arthritis combining minimally arthroscopic debridement grafting platelet-rich plasma (PRP) injection. Methods: Patients Eaton stage II–IV osteoarthritis underwent PRP into...

Dakin's solution was first introduced by military physicians responding to the challenges of treating artillery injuries in World War I. Administration personnel intensive, and at times unpredictable conditions frontlines, but nonetheless practice saved countless lives limbs. remained prevailing method for contaminated wounds until introduction antibiotics during II. With emergence antibiotic-resistant organisms 1980s, interest antiseptic treatment resurfaced; especially chronic wounds,...

Nipple reconstruction is often used as a marker for completion of the breast reconstructive process. The purpose this study was to determine average time nipple and factors that influence process.All patients who underwent postmastectomy at Emory University between 2005 2011 were reviewed. Only those had completed included. Variables recorded body mass index, age, smoking history, surgeon, presence preoperative or postoperative chemotherapy radiation therapy, type reconstruction, timing...

Background: Unilateral cleft lip has a spectrum of disease morphology, but severity classifications are difficult given the absence accessible, objective assessment tools or reference data. The authors characterize morphology before and after surgical repair for large, multi-ethnic population using easily identifiable facial landmarks collected through novel smart phone–based application. Methods: Anthropometric measurements standardized photographs were prospectively in Morocco, Bolivia,...

Despite advances in the field of tissue expansion, face is especially difficult to reconstruct using this technique due its dynamic nature and high incidence distortional scarring. This article aimed review complications seen pediatric facial specifically ectropion, as well restorative treatment.A retrospective chart patients treated by expansion for congenital lesions, trauma, or burns at Children's Hospital Los Angeles from January 2000 present was performed. Patients were analyzed...

Objective: To evaluate characteristics of congenital heart disease (CHD) in patients with cleft lip and/or palate (CL/P) and assess potential associations outcomes. Design: Retrospective review all CL/P who underwent primary treatment from 2009 to 2015. Setting: Children’s Hospital Los Angeles, a tertiary hospital. Patients: Exclusion criteria included microform diagnosis, international patients, presenting for secondary repair or revision after at another institution. Main Outcomes...

Journal Article Quantitative Changes in Blood Sugar and Lactic Acid Canine Anaphylaxis Get access Margery Mccullough, Mccullough From the Laboratory of Bacteriology Experimental Pathology, Stanford University, Biochemistry, California Search for other works by this author on: Oxford Academic PubMed Google Scholar Francis I. O'Neill The Infectious Diseases, Volume 37, Issue 3, September 1925, Pages 225–228, https://doi.org/10.1093/infdis/37.3.225 Published: 01 1925 history Received: 16 March

Breast cancer in women under 40 years of age is rare, accounting for approximately 5% cases. The disease tends to be more aggressive younger women. Younger has been shown an independent predictive breast reconstruction after total mastectomy. Treatment by mastectomy and examined relation patient age.A retrospective review all patients treated between 2005 2009 was performed querying a prospective database.A 671 underwent reconstruction; them, 106 (16%) aged <40 565 (84%) ≥40 years. Compared...

Background: There is no universally accepted classification system for unilateral cleft lip that objectively quantifies the spectrum of disease, making it difficult to evaluate postoperative outcomes in context preoperative severity. Methods: Anthropometric measurements and photographs were prospectively collected from patients Morocco, Bolivia, Vietnam, Madagascar. Columellar angle, width, nostril widths, vertical heights, horizontal vermillion lengths measured preoperatively...

Background: The paucity of pain management options in resource-limited settings is a significant and systemically unaddressed problem. To improve global health equity, it important to bridge this gap care without introducing the peril opioid dependence. We present proof-of-concept case series wherein virtual reality (VR) was successfully used manage discomfort patients undergoing burn dressing changes sub-Saharan Africa. Methods: Nine presenting with injuries variable severity underwent...

Background: Prepectoral implant-based breast reconstruction provides an alternative to submuscular reconstruction, but the increased acellular dermal matrix (ADM) required has potential lead costs and decreased supply of this limited-resource material. We present a method for prepectoral utilizing skin-graft meshing techniques increase surface area usable ADM. Methods: Forty-four patients underwent technique from February 2019 2020. Patient characteristics, operative details, outcomes,...