Medical and Biomedical Researches

Digital images for postsurgical follow-up of tympanostomy tubes in remote Alaska.

July 3rd, 2008
Digital images for postsurgical follow-up of tympanostomy tubes in remote Alaska. OBJECTIVE: To determine if video otoscope still images of the tympanic membrane taken in remote clinics are comparable to an in-person microscopic examination for follow-up care. DESIGN: Comparative concordance, diagnostic reliability. METHODS: Community health aide/practitioners ...

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Polysomnographic outcome of adenotonsillectomy for obstructive sleep apnea in children under 5 years

July 3rd, 2008
Polysomnographic outcome of adenotonsillectomy for obstructive sleep apnea in children under 5 years old. OBJECTIVE: To determine success rates after adenotonsillectomy for obstructive sleep apnea (OSA); postoperative polysomnogram (PSG) results were compared with preoperative results in children younger than 5 years. METHODS: Thirty-four children with a ...

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Tests for screening olfactory and gustatory function in school-age children.

July 3rd, 2008
Tests for screening olfactory and gustatory function in school-age children. OBJECTIVE: Determine the suitability of three tests based on the identification of familiar odors and tastes for the clinical assessment of olfaction and gustation in children. STUDY DESIGN AND SETTING: A total of 232 children aged ...

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Electrical stimulation facilitates rat facial nerve recovery from a crush injury.

July 3rd, 2008
Electrical stimulation facilitates rat facial nerve recovery from a crush injury. OBJECTIVE: To study the effect of electrical stimulation on accelerating facial nerve functional recovery from a crush injury in the rat model. STUDY DESIGN: Experimental. METHOD: The main trunk of the right facial nerve was ...

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Accelerating functional recovery after rat facial nerve injury: Effects of gonadal steroids and elec

July 3rd, 2008
Accelerating functional recovery after rat facial nerve injury: Effects of gonadal steroids and electrical stimulation. OBJECTIVE: We investigated the combined effects of electrical stimulation and testosterone propionate on overall recovery time in rats with extracranial crush injuries to the facial nerve. STUDY DESIGN: Male rats underwent ...

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Outcome of mobile ear surgery for chronic otitis media in remote areas.

July 3rd, 2008
Outcome of mobile ear surgery for chronic otitis media in remote areas. OBJECTIVES: The Inuit of Greenland, Canada and Alaska suffer from chronic otitis media (COM). In Greenland these patients used to be referred to Denmark for ear surgery. This was expensive and unsatisfactory, and the ...

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Laser-assisted stapedotomy with a Nitinol heat-crimping prosthesis: Outcomes compared with a platinu

July 3rd, 2008
Laser-assisted stapedotomy with a Nitinol heat-crimping prosthesis: Outcomes compared with a platinum fluoroplastic prosthesis. OBJECTIVE: To assess the hearing outcomes achieved with a Nitinol heat-crimping prosthesis when used with a laser-assisted stapedotomy for otosclerosis. STUDY DESIGN: Prospective assessment of 50 stapedotomies performed in 48 patients. Data ...

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Laser myringoplasty for tympanic membrane atelectasis.

July 3rd, 2008
Laser myringoplasty for tympanic membrane atelectasis. OBJECTIVE: To review our experience with laser myringoplasty using a potassium-titanyl-phosphate (KTP) laser for pars tensa atelectasis. STUDY DESIGN: Retrospective review. METHODS: A pulsed diode KTP laser (532 nm) was used to tighten the tympanic membrane after lysis of middle ...

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Nasopharyngectomy: Does the approach to the nasopharynx influence survival?

July 3rd, 2008
Nasopharyngectomy: Does the approach to the nasopharynx influence survival? OBJECTIVE: To investigate whether the approach used to the nasopharynx to perform a salvage nasopharyngectomy for recurrent or residual nasopharyngeal carcinoma influences survival. STUDY DESIGN: A retrospective case series. SUBJECTS AND METHODS: Eighty patients underwent a nasopharyngectomy ...

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Impact of shoulder complaints after neck dissection on shoulder disability and quality of life.

July 3rd, 2008
Impact of shoulder complaints after neck dissection on shoulder disability and quality of life. OBJECTIVE: To explore relationships between shoulder complaints after neck dissection, shoulder disability, and quality of life. To find clinical predictors for mid- to long-term shoulder disability. STUDY DESIGN: Prospective. PATIENTS AND METHODS: ...

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Adequacy of surgeon-performed ultrasound-guided thyroid fine-needle aspiration biopsy.

July 3rd, 2008
Adequacy of surgeon-performed ultrasound-guided thyroid fine-needle aspiration biopsy. OBJECTIVE: To determine the diagnostic accuracy of specimens obtained by a surgeon performing office-based ultrasound (US)-guided fine-needle aspiration biopsy (FNAB) of thyroid nodules. SUBJECTS AND METHODS: From 2003 to 2006, a single surgeon performed 447 consecutive office-based US-guided ...

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Risk factors for well-differentiated thyroid carcinoma in patients with thyroid nodular disease.

July 3rd, 2008
Risk factors for well-differentiated thyroid carcinoma in patients with thyroid nodular disease. OBJECTIVES: Evaluate current accepted risk factors for well-differentiated thyroid carcinoma, and develop a predictive model to determine one\'s risk of malignancy given a thyroid nodule. STUDY DESIGN: Retrospective analysis of 600 patients. SUBJECTS AND ...

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Evidence supporting functional rhinoplasty or nasal valve repair: A 25-year systematic review.

July 3rd, 2008
Evidence supporting functional rhinoplasty or nasal valve repair: A 25-year systematic review. OBJECTIVE: To systematically review the existing literature supporting the efficacy of modern-day rhinoplasty techniques for treatment of nasal obstruction due to nasal valve compromise. DATA SOURCES: PubMed search of the English-language literature from January ...

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Extracts from The Cochrane Library: Antibiotics to reduce post-tonsillectomy morbidity.

July 3rd, 2008
Extracts from The Cochrane Library: Antibiotics to reduce post-tonsillectomy morbidity. The \"Cochrane Corner\" is a quarterly section in the journal that highlights systematic reviews relevant to otolaryngology-head and neck surgery, with invited commentary to highlight implications for clinical decision making. This installment features a Cochrane Review ...

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Impact of newly revised sterile medication compounding guidelines USP 797 on allergy vial preparatio

July 3rd, 2008
Impact of newly revised sterile medication compounding guidelines USP 797 on allergy vial preparation. OBJECTIVES: To highlight newly revised guidelines on sterile medication compounding released by the United States Pharmacopeia (USP 797) in December 2007, and the implications on immunotherapy vial preparation. STUDY DESIGN AND METHODS: ...

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A brief history of medicine’s Hippocratic Oath, or how times have changed.

July 3rd, 2008
A brief history of medicine\'s Hippocratic Oath, or how times have changed. Medicine has experienced many changes over the last three thousand years and surprisingly, the good and the bad of these changes can be found in the evolution of the wording of the Hippocratic Oath. ...

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Lack of pain in schizophrenia: a patient whose arm was burned and amputated.

July 3rd, 2008
Lack of pain in schizophrenia: a patient whose arm was burned and amputated. Diminished pain sensitivity or loss of pain sensation in schizophrenic patients has previously been reported. We report an interesting case of a schizophrenia patient who had the disease for 20 years and who ...

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Levofloxacin-induced delirium with psychotic features.

July 3rd, 2008
Levofloxacin-induced delirium with psychotic features. OBJECTIVE: To raise awareness of a rare but serious adverse effect of a commonly used medication. METHOD: Report of a case. RESULTS: A previously healthy 42-year-old woman presented with acute-onset delirium with psychotic features as a consequence of levofloxacin therapy. Withdrawal ...

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Life-threatening serotonin toxicity due to a citalopram-fluconazole drug interaction: case reports a

July 3rd, 2008
Life-threatening serotonin toxicity due to a citalopram-fluconazole drug interaction: case reports and discussion. OBJECTIVE: To discuss two cases of life-threatening serotonin toxicity due to a drug interaction between citalopram and fluconazole and to review the pertinent literature. METHODS: A Medline search without date limitation was conducted ...

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Olanzapine orally disintegrating tablet vs. risperidone oral solution in the treatment of acutely ag

July 3rd, 2008
Olanzapine orally disintegrating tablet vs. risperidone oral solution in the treatment of acutely agitated psychotic patients. OBJECTIVE: Efficacy and tolerability of risperidone oral solution (RIS-OS) and olanzapine orally disintegrating tablet (OLZ-ODT) were compared for the treatment of acute psychotic agitation. METHOD: During a 2-month period, patients ...

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Psychiatric emergencies in prehospital emergency medical systems: a prospective comparison of two ur

July 3rd, 2008
Psychiatric emergencies in prehospital emergency medical systems: a prospective comparison of two urban settings. BACKGROUND: Psychiatric emergency situations (PES) are of high importance to the German prehospital physician-based emergency medical system. So far, however, no prospective studies regarding the incidence of PES have been performed, neither ...

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Clinical and nonclinical predictors of test ordering in psychiatric emergency.

July 3rd, 2008
Clinical and nonclinical predictors of test ordering in psychiatric emergency. OBJECTIVE: This naturalistic prospective study explored the predictors of laboratory test ordering in a psychiatric emergency department. METHODS: We used a standardized questionnaire to collect clinical and nonclinical features in 527 consecutive patients. RESULTS: Test ordering ...

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Lower decision threshold for doctor visits as a predictor of health care use in somatoform disorders

July 3rd, 2008
Lower decision threshold for doctor visits as a predictor of health care use in somatoform disorders and in the general population. OBJECTIVE: Somatization is related to elevated health care utilization (HCU) and high health care costs. However, it is unclear whether HCU in somatizers and nonsomatizers ...

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Idiopathic pruritus in psychiatric inpatients: an explorative study.

July 3rd, 2008
Idiopathic pruritus in psychiatric inpatients: an explorative study. Pruritus is an annoying physical symptom, frequently related to mental states. Dermatologic treatment commonly includes psychotropic medications. AIMS: This study aimed to investigate idiopathic pruritus (IP) in psychiatric patients, its demographic characteristics and its relationship to psychiatric diagnoses, ...

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Cerebrospinal fluid homovanillic acid is correlated to psychotic features in neurological patients w

July 3rd, 2008
Cerebrospinal fluid homovanillic acid is correlated to psychotic features in neurological patients with delirium. OBJECTIVE: The aim of this study was to determine if cerebrospinal fluid (CSF) levels of homovanillic acid (HVA) are related to the clinical features of delirium in a group of patients with ...

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