Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
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Πέμπτη 7 Φεβρουαρίου 2019
Free posterior tibial artery perforator flap for 2‐stage tracheal reconstruction in patients after resection of well‐differentiated thyroid carcinoma invading the trachea
Abstract
Background
The present study was conducted to explore the efficacy of using a free posterior tibial artery perforator flap (FPTAPF) for trachea reconstruction after resection of well‐differentiated thyroid carcinoma (WDTC) invading the trachea.
Methods
We retrospectively collected and analyzed clinical and surgical data from 14 patients who underwent tracheal reconstruction using a FPTAPF after resection of WDTC invading the trachea between August 2014 and July 2017.
Results
Satisfactory tracheal structure and functional recovery were obtained in 11 of the 14 patients. One patient had breathing difficulties after tracheostomy closure tests because of bilateral recurrent laryngeal nerve damage caused by disease invasion. Tracheostomy incision was not closed in 2 patients because they received postoperative adjuvant radioactive iodine 131 treatment.
Conclusion
Satisfactory tracheal reconstruction results were achieved in patients with resection of WDTC invading the trachea, indicating that a FPTAPF is a safe and reliable choice for management.
http://bit.ly/2Gu5Vuf
Role of Otoacoustic Emission Test in Neonatal Screening at Tertiary Center
Abstract
To study the role of Otoacoustic emission test in neonatal screening at tertiary center. The study was conducted in the ENT department of LN medical college and JK hospital Bhopal (M.P) as a territory center between 2015 and 2017 were 1250 newborns were screened with Otoacoustic emission test with portable Interacoustics OAE DK-5610 assens an routine screening investigation. In our study a multistep screening with OAE was done, 1250 newborns (659 boys and 591 girls) were assessed. In our study we have found that OAE has 66.7% sensitivity and 98.8% specificity in diagnosis of neonatal hearing impairment. Its positive and negative predictive value was 33.3% and 99.7% respectively. It is essential to examine the generalized development of newborns by identifying hearing loss at birth and providing a screening test for assessment of them. 1250 newborns were assessed we compared the results of OAE (screening test) with the results of ABR (diagnostic test) and found sensitivity of OAE to be 66.7% and its specificity 98.8%. We conclude from these results that OAE is a good screening test for hearing loss of neonates, but the results must be confirmed with BERA test.
http://bit.ly/2Df5bG1
Role of Otoacoustic Emission Test in Neonatal Screening at Tertiary Center
Abstract
To study the role of Otoacoustic emission test in neonatal screening at tertiary center. The study was conducted in the ENT department of LN medical college and JK hospital Bhopal (M.P) as a territory center between 2015 and 2017 were 1250 newborns were screened with Otoacoustic emission test with portable Interacoustics OAE DK-5610 assens an routine screening investigation. In our study a multistep screening with OAE was done, 1250 newborns (659 boys and 591 girls) were assessed. In our study we have found that OAE has 66.7% sensitivity and 98.8% specificity in diagnosis of neonatal hearing impairment. Its positive and negative predictive value was 33.3% and 99.7% respectively. It is essential to examine the generalized development of newborns by identifying hearing loss at birth and providing a screening test for assessment of them. 1250 newborns were assessed we compared the results of OAE (screening test) with the results of ABR (diagnostic test) and found sensitivity of OAE to be 66.7% and its specificity 98.8%. We conclude from these results that OAE is a good screening test for hearing loss of neonates, but the results must be confirmed with BERA test.
http://bit.ly/2Df5bG1
Υπάρχουν αντενδείξεις για την χορήγηση των αντιιικών φαρμάκων ;
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Υπάρχουν φάρμακα για την γρίπη ;
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Πώς μπορώ να ξεχωρίσω αν έχω γρίπη ή κοινό κρυολόγημα ;
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Γρίππη Α : Υπάρχουν κάποια συμπτώματα που όταν εμφανιστούν σε ενήλικες θα πρέπει άμεσα να επικοινωνήσετε με τον γιατρό
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Γρίππη Α : Υπάρχουν κάποια συμπτώματα που όταν εμφανιστούν στα παιδιά θα πρέπει άμεσα να επικοινωνήσετε με τον γιατρό
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Τετάρτη 6 Φεβρουαρίου 2019
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Medical Education Texts
Sharp Foreign Bodies of the Aero-Digestive Tract: Endoscopic Removal by the ‘Kangaroo’ Technique
Abstract
Removal of sharp foreign bodies in the aero-digestive tract may inflict iatrogenic damage to the esophagus, trachea or other vital structures in case of impalement. We describe the 'Kangaroo' technique for safe and effective removal of sharp objects from the upper aero-digestive tracts. Index Case 1: 1-year old boy presented to us with an open (un)safety-pin lodged in the upper esophagus. The technique of removal of the pin by the Kangaroo technique, along-with the mechanics of en-pouching the (un)safety-pin has been described. Index Case 2: 8 years old boy presented with accidental aspiration of a razor blade. The removal of the blade from his trachea was executed by the Kangaroo technique. The Kangaroo technique is described for safe endoscopic extraction of sharp foreign body from the aero-digestive tract while protecting the surrounding tissues, to maintain control of the object during extraction and to avoid causing iatrogenic damage by enclosing the foreign body in a 'kangaroo pouch'. The advantages and limitations of the technique have been discussed. The Kangaroo technique is safe, effective and reproducible way to effect removal of sharp object from the aerodigestive tract while preventing iatrogenic injury to the surrounding organs.
http://bit.ly/2UPs8a5
Sharp Foreign Bodies of the Aero-Digestive Tract: Endoscopic Removal by the ‘Kangaroo’ Technique
Abstract
Removal of sharp foreign bodies in the aero-digestive tract may inflict iatrogenic damage to the esophagus, trachea or other vital structures in case of impalement. We describe the 'Kangaroo' technique for safe and effective removal of sharp objects from the upper aero-digestive tracts. Index Case 1: 1-year old boy presented to us with an open (un)safety-pin lodged in the upper esophagus. The technique of removal of the pin by the Kangaroo technique, along-with the mechanics of en-pouching the (un)safety-pin has been described. Index Case 2: 8 years old boy presented with accidental aspiration of a razor blade. The removal of the blade from his trachea was executed by the Kangaroo technique. The Kangaroo technique is described for safe endoscopic extraction of sharp foreign body from the aero-digestive tract while protecting the surrounding tissues, to maintain control of the object during extraction and to avoid causing iatrogenic damage by enclosing the foreign body in a 'kangaroo pouch'. The advantages and limitations of the technique have been discussed. The Kangaroo technique is safe, effective and reproducible way to effect removal of sharp object from the aerodigestive tract while preventing iatrogenic injury to the surrounding organs.
http://bit.ly/2UPs8a5
4 tips for airway management mastery
http://bit.ly/2SyzAIW
Re: “Association Between Primary Hypothyroidism and Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis” by Mantovani et al. (Thyroid 2018;28:1270–1284)
Thyroid, Ahead of Print.
http://bit.ly/2WKe4jE
The Role of Sub-mental Ultrasonography in Diagnosing Obstructive Sleep Apnea and Its Correlation With Subjective Scales
Intervention: Diagnostic Test: Sub-mental ultrasonography
Sponsor: Bartin State Hospital
Recruiting
http://bit.ly/2TAvJZ4
Team-based Ergonomics Educational Model for Workplace WELLNESS Improvement: A Pilot Study
Intervention: Behavioral: stretching exercises
Sponsor: Milton S. Hershey Medical Center
Not yet recruiting
http://bit.ly/2BkSYzy




