Τετάρτη 9 Ιανουαρίου 2019

Double check patients with'penicillin allergy' to avoid increased MRSA risk.

Healthcare staff should be aware of this and ensure that only people with a true allergy to penicillin are documented as such, NICE is urging. Incorrectly identifying people as allergic could also contribute to antimicrobial resistance, as these people are likely to instead be given broad-spectrum antibiotics. The warning comes in a new medicines evidence commentary (MEC) on research conducted in the UK and published in the BMJ in June 2018. (Source: Current Awareness Service for Health (CASH))

MedWorm Message: Have you tried our new medical search engine? More powerful than before. Log on with your social media account. 100% free.



from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2RJVDw8

UTSA microbiologist Floyd Wormley elected AAAS Fellow

(University of Texas at San Antonio) Wormley's research has the potential to lead to the development of vaccines, immune-based therapies and novel anti-fungal drugs that protect immune-compromised patients from infections. The UTSA faculty member has extensive experience investigating various vaccine strategies, and he has a vast understanding of host cellular-mediated and antibody-mediated immune responses. His research is supported by grants from the National Institutes of Health's National Institute of Allergy and Infectious Diseases and the Department of Defense. (Source: EurekAlert! - Infectious and Emerging Diseases)

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2H3KPoo

Double check patients with'penicillin allergy' to avoid increased MRSA risk.

Healthcare staff should be aware of this and ensure that only people with a true allergy to penicillin are documented as such, NICE is urging. Incorrectly identifying people as allergic could also contribute to antimicrobial resistance, as these people are likely to instead be given broad-spectrum antibiotics. The warning comes in a new medicines evidence commentary (MEC) on research conducted in the UK and published in the BMJ in June 2018. (Source: Current Awareness Service for Health (CASH))

MedWorm Message: Have you tried our new medical search engine? More powerful than before. Log on with your social media account. 100% free.



from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2RJVDw8

UTSA microbiologist Floyd Wormley elected AAAS Fellow

(University of Texas at San Antonio) Wormley's research has the potential to lead to the development of vaccines, immune-based therapies and novel anti-fungal drugs that protect immune-compromised patients from infections. The UTSA faculty member has extensive experience investigating various vaccine strategies, and he has a vast understanding of host cellular-mediated and antibody-mediated immune responses. His research is supported by grants from the National Institutes of Health's National Institute of Allergy and Infectious Diseases and the Department of Defense. (Source: EurekAlert! - Infectious and Emerging Diseases)

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2H3KPoo

Cochlear Implantation in Sporadic Vestibular Schwannoma: A Systematic Literature Review

Conclusions Notwithstanding the challenges inherent with surveillance magnetic resonance imaging (MRI) in the setting of a cochlear implant magnet, select sporadic vestibular schwannoma patients can be considered for cochlear implantation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2H2KNNj

Cochlear Implantation in Sporadic Vestibular Schwannoma: A Systematic Literature Review

Conclusions Notwithstanding the challenges inherent with surveillance magnetic resonance imaging (MRI) in the setting of a cochlear implant magnet, select sporadic vestibular schwannoma patients can be considered for cochlear implantation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2H2KNNj

Nasofacial Anthropometric Study Among Students of Shiraz University of Medical Sciences, Iran: A Population Based Study

Abstract

Anthropometry is a scientific study of linear dimensions and angles of living subjects. Knowing the details and anthropometric properties of nasofacial for each specific ethnic group is important for cosmetic operation as well as identifying individuals. In this study, facial and nasal anthropometric factors were studied in students of Shiraz University of Medical Sciences. In a cross-sectional study, 200 students of Shiraz University of Medical Sciences (100 male and 100 female and age range of 18–30 years) were selected. Nasal width (NW), nasal length (NL), nasal height (NH), face height (FH) and face width (FW) were measured in and the nasal (NI) and facial index (FI) were calculated for each case. Then, the data were analyzed using SPSS-22. The mean age was 21.84 ± 3.18 years. There were significant differences in the facial and nasal measurements including FH (P = 0.0001), FW (P = 0.0001), FI (P = 0.0001), NL (P = 0.002), NH (P = 0.001), NW (P = 0.0001) and NI (P = 0.0001) of sex groups. The most common types of face were mesoprosopic (36%) and hyperleptoprosopic (38%) types and and platyrrhine (63%) were mostly frequent. Based on the findings, all students of Shiraz University of Medical Sciences had mesoprosopic (36%) and hyperleptoprosopic (38%) types of face and platyrrhine type of nose. As well, a sexual dimorphism was recorded according to the nasofacial measurements in Iranian population that should be considered in the cosmetic operations. Sexual dimorphism and differences between different populations were recorded.



from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2ACbgM0

Nasofacial Anthropometric Study Among Students of Shiraz University of Medical Sciences, Iran: A Population Based Study

Abstract

Anthropometry is a scientific study of linear dimensions and angles of living subjects. Knowing the details and anthropometric properties of nasofacial for each specific ethnic group is important for cosmetic operation as well as identifying individuals. In this study, facial and nasal anthropometric factors were studied in students of Shiraz University of Medical Sciences. In a cross-sectional study, 200 students of Shiraz University of Medical Sciences (100 male and 100 female and age range of 18–30 years) were selected. Nasal width (NW), nasal length (NL), nasal height (NH), face height (FH) and face width (FW) were measured in and the nasal (NI) and facial index (FI) were calculated for each case. Then, the data were analyzed using SPSS-22. The mean age was 21.84 ± 3.18 years. There were significant differences in the facial and nasal measurements including FH (P = 0.0001), FW (P = 0.0001), FI (P = 0.0001), NL (P = 0.002), NH (P = 0.001), NW (P = 0.0001) and NI (P = 0.0001) of sex groups. The most common types of face were mesoprosopic (36%) and hyperleptoprosopic (38%) types and and platyrrhine (63%) were mostly frequent. Based on the findings, all students of Shiraz University of Medical Sciences had mesoprosopic (36%) and hyperleptoprosopic (38%) types of face and platyrrhine type of nose. As well, a sexual dimorphism was recorded according to the nasofacial measurements in Iranian population that should be considered in the cosmetic operations. Sexual dimorphism and differences between different populations were recorded.



from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2ACbgM0

Atypical ulceration of the hard palate

A 20-year-old female presented to the Department of Oral and Maxillofacial Surgery at the Pretoria Oral and Dental Hospital complaining of foul smelling oral odour with painful and bleeding gums for a duration of two weeks. The patient reported no previous history of systemic diseases, trauma or prior management.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2SMWsl4

Magnetic Resonance Imaging Characteristics of Retinal Vasculopathy with Cerebral Leukoencephalopathy and Systemic Manifestations

Abstract

Background

Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations (RVCL-S) is a rare hereditary disease presenting with distinct imaging features in middle-aged adults. This article describes the typical imaging features focusing on the longitudinal course of RVCL-S lesions.

Methods

In this study six subjects (five male, five related) with RVCL-S were retrospectively included from two university hospitals. The median age of symptom onset was 40 ± 6 years. Magnetic resonance imaging (MRI) covering baseline and a median follow-up period of 33 months was reviewed in a structured way focusing on morphology, contrast enhancement and diffusion restriction of brain lesions.

Results

All patients showed patchy, T2 hyperintense white matter lesions (mean number 7.7 ± 1.8) with a periventricular predominance at the frontal lobes (59%). In all subjects, rim-enhancing white matter lesions with temporary diffusion restriction were present for a mean of 5.0 ± 3.9 months. Median duration of blood brain barrier disruption was 20 months.

Conclusion

Periventricular patchy white matter lesions in the frontal lobes as well as rim-enhancing lesions with prolonged diffusion restriction and long-lasting contrast enhancement are characteristic imaging findings in RCVL-S and can be helpful in the differential diagnosis.



from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2D1o3JP

Artificial intelligence, machine learning, and the human interface in medicine: Is there a sweet spot for oral and maxillofacial radiology?

I am going to pose a rather unsettling question to all of you. If you personally had to undergo a surgical procedure, small or large, would you choose an experienced doctor or a "smart" robotic arm powered with artificial intelligence (AI) to execute the task?

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2AzoadF

Canalis sinuosus: a systematic review of the literature

To conduct a systematic review of the frequency, location, diameter, variations in course, relation to the course of the anterior superior alveolar nerve (ASAN), age, gender, and surgical implications of canalis sinuosus (CS), identified through imaging exams, macerated skulls, or cadaver heads.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2SJvOJz

Magnetic Resonance Imaging Characteristics of Retinal Vasculopathy with Cerebral Leukoencephalopathy and Systemic Manifestations

Abstract

Background

Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations (RVCL-S) is a rare hereditary disease presenting with distinct imaging features in middle-aged adults. This article describes the typical imaging features focusing on the longitudinal course of RVCL-S lesions.

Methods

In this study six subjects (five male, five related) with RVCL-S were retrospectively included from two university hospitals. The median age of symptom onset was 40 ± 6 years. Magnetic resonance imaging (MRI) covering baseline and a median follow-up period of 33 months was reviewed in a structured way focusing on morphology, contrast enhancement and diffusion restriction of brain lesions.

Results

All patients showed patchy, T2 hyperintense white matter lesions (mean number 7.7 ± 1.8) with a periventricular predominance at the frontal lobes (59%). In all subjects, rim-enhancing white matter lesions with temporary diffusion restriction were present for a mean of 5.0 ± 3.9 months. Median duration of blood brain barrier disruption was 20 months.

Conclusion

Periventricular patchy white matter lesions in the frontal lobes as well as rim-enhancing lesions with prolonged diffusion restriction and long-lasting contrast enhancement are characteristic imaging findings in RCVL-S and can be helpful in the differential diagnosis.



from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2D1o3JP

Atypical ulceration of the hard palate

A 20-year-old female presented to the Department of Oral and Maxillofacial Surgery at the Pretoria Oral and Dental Hospital complaining of foul smelling oral odour with painful and bleeding gums for a duration of two weeks. The patient reported no previous history of systemic diseases, trauma or prior management.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2SMWsl4

Artificial intelligence, machine learning, and the human interface in medicine: Is there a sweet spot for oral and maxillofacial radiology?

I am going to pose a rather unsettling question to all of you. If you personally had to undergo a surgical procedure, small or large, would you choose an experienced doctor or a "smart" robotic arm powered with artificial intelligence (AI) to execute the task?

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2AzoadF

Canalis sinuosus: a systematic review of the literature

To conduct a systematic review of the frequency, location, diameter, variations in course, relation to the course of the anterior superior alveolar nerve (ASAN), age, gender, and surgical implications of canalis sinuosus (CS), identified through imaging exams, macerated skulls, or cadaver heads.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2SJvOJz

Racial disparities in asthma-related health care use in the National Heart, Lung, and Blood Institute's Severe Asthma Research Program

Despite advances in asthma care, disparities persist. Black patients are disproportionally affected by asthma and also have poorer outcomes compared with white patients.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2TCevKw

Outcome prediction for Bonebridge candidates based on audiological indication criteria

To re-evaluate current indication criteria and to estimate the audiological outcomes of patients with Bonebridge bone conduction implants based on preoperative bone conduction thresholds.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2VH59Pp

Racial disparities in asthma-related health care use in the National Heart, Lung, and Blood Institute's Severe Asthma Research Program

Despite advances in asthma care, disparities persist. Black patients are disproportionally affected by asthma and also have poorer outcomes compared with white patients.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2TCevKw

Outcome prediction for Bonebridge candidates based on audiological indication criteria

To re-evaluate current indication criteria and to estimate the audiological outcomes of patients with Bonebridge bone conduction implants based on preoperative bone conduction thresholds.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2VH59Pp