Reconstruction of midline abdominal defects with a deep inferior epigastric artery keystone-type perforator flap

xlomafota13 shared this article with you from Inoreader Reconstruction of midline abdominal defects with a deep inferior epigastric artery keystone-type perforator flap Via Journal of plastic, reconstructive & aesthetic surgery : JPRAS J Plast Reconstr Aesthet Surg. 2021 Dec 7:S1748-6815(21)00650-1. doi: 10.1016/j.bjps.2021.11.103. Online ahead of print. NO ABSTRACT PMID:34930700 | DOI:10.1016/j.bjps.2021.11.103 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Cerebrospinal Fluid Leak Detection with a Carbon Nanotube-Based Field-Effect Transistor Biosensing Platform

xlomafota13 shared this article with you from Inoreader Cerebrospinal Fluid Leak Detection with a Carbon Nanotube-Based Field-Effect Transistor Biosensing Platform Via leak of cerebrospinal fluid ACS Appl Mater Interfaces. 2021 Dec 21. doi: 10.1021/acsami.1c19120. Online ahead of print. ABSTRACT Cerebrospinal fluid (CSF) leakage may lead to life-threatening complications if not detected promptly. However, gel electrophoresis, the gold-standard test for confirming CSF leakage by detecting beta2-transferrin (β2-Tf), requires 3-6 h and is labor-intensive. We developed a new β2-Tf detection platform for rapid identification of CSF leakage. The three-step design, which includes two steps of affinity chromatography and a rapid sensing step using a semiconductor-enriched single-walled carbon nanotube field-effect transistor (FET) sensor, circumvented the lack of selectivity that antitransferrin antibody exhibits for transferrin isoforms and markedly shortened the detection time. Furthermore, three different sensing configurations for the FET sensor were investigated for obtaining the optimal β2-Tf sensing results. Finally, body fluid (CSF and serum) tests employing our three-step strategy demonstrated high sensitivity, suggesting its potential to be used as a rapid diagnostic tool for CSF leakage. PMID:34932323 | DOI:10.1021/acsami.1c19120 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Oligometastatic adenoid cystic carcinoma: Correlating tumor burden and time to treatment with outcomes

xlomafota13 shared this article with you from Inoreader Oligometastatic adenoid cystic carcinoma: Correlating tumor burden and time to treatment with outcomes Via Head & Neck Abstract Background There is limited information on the management and outcomes of oligometastases (OM) in adenoid cystic carcinoma (ACC). Methods Retrospective study of 42 patients with metastatic ACC of the head and neck. Imaging studies were analyzed to identify patients with OM (1–5 lesions) at any point during follow-up. Results There was radiographic evidence of OM in 33/42 (79%) patients. Eighteen patients had OM when treated for metastases, with median overall survival (OS) of 36.0 versus 9.2 years for patients with polymetastases (6+ lesions, HR 0.38, 95%CI 0.14–0.89). Earlier locally ablative treatment, but not systemic treatment, of patients with OM predicted improved survival 3 years after metastasis (HR 0.15, 95%CI 0.02–0.63) and postponed systemic treatment by 80 more months (HR 0.22, 95%CI 0.07–0.71). Conclusions There is a considerable population of ACC patients with detectable oligometastases, and early locally ablative treatment of oligometastases may be associated with improved outcomes. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Assessment of deep inferior epigastric perforator flap perfusion with near-infrared fluorescence: A pilot study and description of a standardized working protocol

xlomafota13 shared this article with you from Inoreader Assessment of deep inferior epigastric perforator flap perfusion with near-infrared fluorescence: A pilot study and description of a standardized working protocol Via Journal of plastic, reconstructive & aesthetic surgery : JPRAS J Plast Reconstr Aesthet Surg. 2021 Nov 16:S1748-6815(21)00590-8. doi: 10.1016/j.bjps.2021.11.043. Online ahead of print. ABSTRACT Fat necrosis (FN) is a common complication after autologous breast reconstruction (ABR) using a free flap, which can influence reconstruction outcome and patient satisfaction. Intraoperative near-infrared fluorescence imaging using indocyanine green (ICG) permits the visualization of flap perfusion. The aim of this study was to assess the effect of near-infrared fluorescence on FN incidence in patients undergoing an ABR with a deep inferior epigastric perforator flap (DIEP) and to propose a standard working protocol for this technique. In this prospective study, patients undergoing one-sided ABR with a DIEP were included. The standard DIEP procedure was complemented with near-infrared fluorescence imaging using the fluorescent tracer ICG to evaluate flap perfusion. This cohort was compared to a retrospectiv e cohort of DIEP procedures without near-infrared fluorescence imaging. Patients and surgery characteristics, as well as postoperative complications, were registered and compared. In both cohorts, 24 patients were included. No significant differences were present between patients and surgery characteristics, including no difference in duration of surgery. In the prospective and retrospective group, the incidence of FN was 4.2% and 33%, respectively (p-value = 0.023). Moreover, microsurgeons were positive about using near-infrared fluorescence as it either provided additional information about perfusion or confirmed the clinical assessment. Our pilot study showed a significant decrease of FN in patients undergoing an ABR with a DIEP when near-infrared fluorescence imaging was used to assess flap perfusion. This study provides a standardized working protocol for near-infrared fluorescence imaging. In the future, large multicenter studies should focus on the quantification of near-infr ared fluorescence imaging. PMID:34924327 | DOI:10.1016/j.bjps.2021.11.043 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Effects of background noise on auditory response characteristics of primary auditory cortex neurons in awake mice

xlomafota13 shared this article with you from Inoreader Effects of background noise on auditory response characteristics of primary auditory cortex neurons in awake mice Via cortical auditory Nan Fang Yi Ke Da Xue Xue Bao. 2021 Nov 20;41(11):1672-1679. doi: 10.12122/j.issn.1673-4254.2021.11.11. ABSTRACT OBJECTIVE: To study the effects of different continuous background noises on auditory response characteristics of primary auditory cortex (A1) neurons in awake mice. METHODS: We performed in vivo cell-attached recordings in layer 4 neurons of the A1 of awake mice to investigate how continuous background noises of different levels affected the intensity tuning, frequency tuning and time characteristics of individual A1 neurons. According to the intensity tuning characteristics and types of stimulation, 44 neurons were devided into 4 groups: monotonic-intensity group (20 monotonic neurons), nonmonotonic-intensity group (6 nonmonotonic neurons), monotonic-frequency group (25 monotonic neurons) and monotonic-latency group (15 monotonic neurons). RESULTS: The A1 neurons only had transient spike response within 10 to 40 ms af ter the onset of continuous wild-band noise stimulation. The noise intensity had no significant effects on the background firing rates of the A1 neurons (P>0.05). The increase of background noise resulted in a significant linear elevation of the intensity threshold of monotonic and nonmonotonic neurons for tone-evoked response (R2>0.90, P < 0.05). No significant difference was observed in the slopes of threshold changes between monotonic and nonmonotonic neurons (P>0.05). The best intensity of nonmonotonic neurons increased along with the intensity of the background noise, and the variation of the best intensity was positively correlated with the change of the threshold of the same neuron (r=0.944, P < 0.001). The frequency response bandwidth and the firing rate of the A1 neurons decreased as the noise intensity increased (P < 0.001), but the best frequency almost remained unchanged (P < 0.001). The increase of background noise intensity resulted in an increased first spike latency of the neurons to the same tone stimulus (P < 0.05) without affecting the time accuracy of the first action potential (P>0.05). CONCLUSION: The acoustic response threshold of the A1 neurons increases linearly with the increase of background noise intensity. An increased background noise leads to compressed frequency band-width, a decreased firing rate and a prolonged spike latency, but the frequency selectivity and the time accuracy of auditory response to the same noise remain stable. PMID:34916193 | DOI:10.12122/j.issn.1673-4254.2021.11.11 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Replication of epidemiological associations of carpal tunnel syndrome in a UK population-based cohort of over 400,000 people

xlomafota13 shared this article with you from Inoreader Replication of epidemiological associations of carpal tunnel syndrome in a UK population-based cohort of over 400,000 people Via Journal of plastic, reconstructive & aesthetic surgery : JPRAS J Plast Reconstr Aesthet Surg. 2021 Nov 14:S1748-6815(21)00571-4. doi: 10.1016/j.bjps.2021.11.025. Online ahead of print. ABSTRACT INTRODUCTION: Several phenotypic factors are associated in the literature with an increased risk of carpal tunnel syndrome (CTS). Along with female sex and older age, certain systemic diseases show an association with CTS, with varying degrees of evidence. METHODS: This study was performed using the UK Biobank resource - a cohort study of over 500,000 participants who have allowed linkage of phenotypic data with their medical records. We calculated the prevalence of CTS and a sex-specific prevalence ratio and compared the body mass index (BMI) between cases and controls. We performed a series of nested case-control studies to compute odds ratios for the association between CTS and three systemic diseases. RESULTS: There were 12,312 CTS cases within the curated UK Biobank dataset of 401,656 (3.1% prevalence), and the female:male ratio was 1.95:1. CTS cases had, on average, a BMI > 2.0 kg/m2 greater than controls. Odds ratios for the association with CTS for three systemic diseases were 2.31 (95% CI 2.17-2.46) for diabetes, 2.70 (95% CI 2.44-2.99) for rheumatoid arthritis, and 1.47 (95% CI 1.38-1.57) for hypothyroidism. Adjusted for BMI, these odds ratios fell to 1.75 (95% CI 1.65-1.86), 2.43 (95% CI 2.20-2.69), and 1.35 (95% CI 1.26-1.43), respectively. DISCUSSION: We harnessed the size and power of UK Biobank to provide robust replication of evidence for the associations between CTS and female sex, raised BMI, and three systemic diseases, which are only mediated in part by raised BMI. PMID:34916160 | DOI:10.1016/j.bjps.2021.11.025 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The Voice Problem Impact Scales (VPIS)

xlomafota13 shared this article with you from Inoreader The Voice Problem Impact Scales (VPIS) Via Journal of Voice Patient-reported outcome measures (PROMs) are important for systematically assessing a person's perspectives and experiences with disease to inform clinical decision-making. However, PROMs can occasionally fail to capture subtle differences amongst subgroups. In response to this problem, the aim of the current study was to examine the convergent validity of four patient-reported voice activity and participation scales to better reflect and describe the impact of a voice problem in a patient's work, home, social and overall life. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.