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The Second Case Of Horn Kolb Syndrome In The Same Woman In Turkey, Diagnosed Prenatally At 16 Weeks Of Pregnancy, Kahraman Ülker, Yetkin Karasu, Murat Bozkurt, Servet Gençdal, Duygu Kara Bozkurt, Levent Şahin 2015 Department of Obstetrics and Gynecology, Kafkas University School of Medicine, Kars, Turkey

The Second Case Of Horn Kolb Syndrome In The Same Woman In Turkey, Diagnosed Prenatally At 16 Weeks Of Pregnancy, Kahraman Ülker, Yetkin Karasu, Murat Bozkurt, Servet Gençdal, Duygu Kara Bozkurt, Levent Şahin

POG In Press

Background

Acheiropodia is a rare form of skeletal dysplasias. It is characterized by the amputation of the upper and lower extremities and with aplasia of the hands and feet. Acheiropodia formerly was known as a disease affecting only people of Brazilian ancestry. The first case out of Brazil was reported from our clinic in 2012. In the present report, we summarize the second case of acheiropodia, which was diagnosed prenatally in the same patient.

Case

A 39 years old G7P2A4 pregnant woman admitted to our clinic for a regular obstetrics visit at 16th weeks gestation in May 2013. Her history ...


Vim Stimulation As A Predictor Of Response To Deep Brain Stimulation In Patients Of Severe Tremor Undergoing Dual Stimulation., Krishe Menezes, Milind Deogaonkar, Vatsal Bajpai 2015 The University of Toledo Medical center, Toledo, OH, USA

Vim Stimulation As A Predictor Of Response To Deep Brain Stimulation In Patients Of Severe Tremor Undergoing Dual Stimulation., Krishe Menezes, Milind Deogaonkar, Vatsal Bajpai

Translation: The University of Toledo Journal of Medical Sciences

ABSTRACT: Deep brain stimulation, targeting the ventral intermediate nucleus of the thalamus (Vim), has been shown to be an effective management tool for tremors refractory to other therapies. There is some variance in response to Vim stimulation for severe essential and rubral tremors. This study looked at dual stimulations (addition, in which the Vim is stimulated along with an additional nucleus or augmentation, in which a second lead is placed within the Vim itself) for these types of tremors. A total of eight patients, four with rubral and four with severe essential tremors, were treated with deep brain stimulation. The ...


Surgical Considerations Of Lvad Implantation In Patients With Prosthetic Valves, Igor D. Gregoric 2015 University of Texas Health Science Center at Houston

Surgical Considerations Of Lvad Implantation In Patients With Prosthetic Valves, Igor D. Gregoric

The VAD Journal

No abstract provided.


Book Review: Radiology In Global Health, Yogesh Jha, Ali M. Tahvildari 2015 Médecins Sans Frontières/Doctors Without Borders

Book Review: Radiology In Global Health, Yogesh Jha, Ali M. Tahvildari

The Journal of Global Radiology

This book review examines Mollura and Lungren’s (eds.) Radiology in Global Health: Strategies, Implementation, and Applications (2014). The contributors have attempted to investigate root causes for radiological service-related disparity that exists between prosperous economies and low- and middle-income countries. The book is clearly geared towards manufacturing consent among stakeholders through research-based evidence to amplify the role of radiology in global healthcare through initiation, implementation, amelioration, and developing sustainable solutions for rollout of essential diagnostic/therapeutic radiology services at population levels. This includes reducing access gaps for radiology/imaging services within industrialized countries as well.


Magnetic Resonance Cholangiopancreatography In 3 Tesla: 2d Mrcp Versus 3d Mrcp In Diagnostic Evaluation With Special Reference To Different Acquisition And Reconstruction Planes, Vikram Patil, Nayana Shabadi, Sudha Das, SMC Shetty, Kamal Sen 2015 JSS Medical College

Magnetic Resonance Cholangiopancreatography In 3 Tesla: 2d Mrcp Versus 3d Mrcp In Diagnostic Evaluation With Special Reference To Different Acquisition And Reconstruction Planes, Vikram Patil, Nayana Shabadi, Sudha Das, Smc Shetty, Kamal Sen

The Journal of Global Radiology

Purpose: Magnetic resonance cholangiopancreatography (MRCP) is an established technique for the evaluation of intra- and extrahepatic bile ducts in patients with known or suspected hepatobiliary disease. However, the ideal acquisition and reconstruction plane for optimal bile duct evaluation with 3D technique has not been evaluated.The purpose of our study was to compare different acquisition and reconstruction planes of 3D MRCP for bile duct assessment.

Methods: 51 consecutive adult patients suspected to have pancreatico-biliary disease were examined with 3 Tesla (Philips 3 T Ingenia) system both a multi thin slice (3D) and a breath-hold (Single Shot) MRCP technique were performed ...


Implementing Diagnostic Imaging Services In A Rural Setting Of Extreme Poverty: Five Years Of X-Ray And Ultrasound Service Delivery In Achham, Nepal, Malina Filkins, Scott Halliday, Brock Daniels, Roshan Bista, Sudan Thapa, Ryan Schwarz, Dan Schwarz, Bikash Gauchan, Duncan Maru 2015 Partners HealthCare System

Implementing Diagnostic Imaging Services In A Rural Setting Of Extreme Poverty: Five Years Of X-Ray And Ultrasound Service Delivery In Achham, Nepal, Malina Filkins, Scott Halliday, Brock Daniels, Roshan Bista, Sudan Thapa, Ryan Schwarz, Dan Schwarz, Bikash Gauchan, Duncan Maru

The Journal of Global Radiology

Introduction: Diagnostic radiology services are severely lacking in many rural settings and the implementation of these services poses complex challenges. The purpose of this paper is to describe the implementation of diagnostic radiology services at a district-level hospital in Achham, a rural district in Nepal.

Methods and Materials: We conducted a retrospective review of the implementation of diagnostic radiology services. We compiled a list of implementation challenges and proposed solutions based on an internal review of historical data, hospital records, and the experiences of hospital staff members. We used a seven-domain analytic framework to structure our discussion of these challenges ...


Welcome To The Journal Of Global Radiology, Sarwat Hussain 2015 University of Massachusetts Medical School

Welcome To The Journal Of Global Radiology, Sarwat Hussain

The Journal of Global Radiology

‘Global radiology’ is a new concept – a subspecialty of radiology that includes much more than diagnosticians and interventionists. It consists of an international community of individuals, groups and organizations working to improve access to and quality of medical imaging around the globe, and address universal shortages of equipment, infrastructure, trained personnel, education, and research opportunities in underdeveloped countries. Currently, articles on global radiology are scattered throughout various radiology journals. The Journal of Global Radiology (JGR), an open-access, peer-reviewed journal, seeks to counteract this fragmentation of information by publishing content pertaining exclusively to improving access to medical imaging on an international ...


Cervical Cancer, Anne Garrison, Andrew H. Fischer, Adib R. Karam, Antonella Leary, Richard S. Pieters 2015 University of Massachusetts Medical School

Cervical Cancer, Anne Garrison, Andrew H. Fischer, Adib R. Karam, Antonella Leary, Richard S. Pieters

Cancer Concepts: A Guidebook for the Non-Oncologist

This chapter in Cancer Concepts: A Guidebook for the Non-Oncologist presents provides an overview of cervical cancer. The etiology, pathology, staging, and principles of treatment will be reviewed.


Old Dog, New Tricks - Usefulness Of The Ecg In Monitoring Acute Rejection Post Cardiac Transplantation, Paul Anaya, Samy-Claude Elayi 2015 University of Kentucky, Gill Heart Institute

Old Dog, New Tricks - Usefulness Of The Ecg In Monitoring Acute Rejection Post Cardiac Transplantation, Paul Anaya, Samy-Claude Elayi

The VAD Journal

Electrocardiographic abnormalities have been described in the setting of acute rejection following orthotopic cardiac transplantation. The following is a brief commentary related to an interesting case report by Goldraich et al which was recently published in the VAD Journal.


Successful Left Ventricular Assist Device Support In Patient With Bjork-Shiley Mitral Valve Replacement, Navin Rajagopalan, David C. Booth 2015 University of Kentucky

Successful Left Ventricular Assist Device Support In Patient With Bjork-Shiley Mitral Valve Replacement, Navin Rajagopalan, David C. Booth

The VAD Journal

There is limited clinical experience with left ventricular assist device therapy in patients with prosthetic mitral valves. We present a case of successful left ventricular assist device support in a patient with previous mechanical mitral valve replacement.


Needle Loss In Subclavian Vein During Central Venous Catheter Placement: Case Report Of A Rare Complication, Daniela Botolin, Annie Mooser, Duane Stillions, Keith Mortman, Shawn N. Sarin, Joseph C. Babrowicz 2015 George Washington University

Needle Loss In Subclavian Vein During Central Venous Catheter Placement: Case Report Of A Rare Complication, Daniela Botolin, Annie Mooser, Duane Stillions, Keith Mortman, Shawn N. Sarin, Joseph C. Babrowicz

Surgery Faculty Publications

We present a case of needle separation during central venous catheter (CVC) placement in a super morbidly obese patient with subsequent surgical intervention in its retrieval. This complication, potentially lethal due to the relevant anatomy of such a procedure, alerts critical care physicians and surgeons to the possibility of equipment failure and stresses proper technique in what has become a routine procedure. It also emphasizes the routine use of ultrasound-guidance for cannulation in patients of any body habitus. While infection and arrhythmia are the generally known complications of CVC placement, clinicians must be alert to unanticipated events such as needle ...


Long-Term Treatment With Responsive Brain Stimulation In Adults With Refractory Partial Seizures., Gregory K Bergey, Martha J Morrell, Eli M Mizrahi, Alica Goldman, David King-Stephens, Donald C Shields, +34 additional authors 2015 Himmelfarb Health Sciences Library, The George Washington University

Long-Term Treatment With Responsive Brain Stimulation In Adults With Refractory Partial Seizures., Gregory K Bergey, Martha J Morrell, Eli M Mizrahi, Alica Goldman, David King-Stephens, Donald C Shields, +34 Additional Authors

Neurological Surgery Faculty Publications

OBJECTIVE: The long-term efficacy and safety of responsive direct neurostimulation was assessed in adults with medically refractory partial onset seizures.

METHODS: All participants were treated with a cranially implanted responsive neurostimulator that delivers stimulation to 1 or 2 seizure foci via chronically implanted electrodes when specific electrocorticographic patterns are detected (RNS System). Participants had completed a 2-year primarily open-label safety study (n = 65) or a 2-year randomized blinded controlled safety and efficacy study (n = 191); 230 participants transitioned into an ongoing 7-year study to assess safety and efficacy.

RESULTS: The average participant was 34 (±11.4) years old with epilepsy ...


Meckel Gruber Syndrome Diagnosed In Two Consecutive Pregnancies, Yetkin Karasu, Kahraman Ülker, Murat Bozkurt, Servet Gençdal, Melek Çiçek, Suat Dede, Gülnur Özakşit 2015 Department of Obstetrics and Gynecology, Kafkas University School of Medicine, Kars, Turkey

Meckel Gruber Syndrome Diagnosed In Two Consecutive Pregnancies, Yetkin Karasu, Kahraman Ülker, Murat Bozkurt, Servet Gençdal, Melek Çiçek, Suat Dede, Gülnur Özakşit

Proceedings in Obstetrics and Gynecology

Meckel Gruber syndrome is a lethal, autosomal recessive, multisystemic disorder that is associated with a mutation affecting ciliogenesis. In this report, we present two consecutive pregnancies of a woman complicated with MKS. In the first pregnancy with MKS, the amniotic fluid index was under 1 cm with bilateral polycystic fetal kidneys. Post-abortion macroscopic examination of the first fetus revealed multiple congenital anomalies including occipital encephalocele, axial polydactyly and pes equinovarus. Ultrasound examination during the second gestation revealed a singleton pregnancy complicated by MKS. There were multiple congenital anomalies including an occipital encephalocele, polycystic and horseshoe shaped kidneys, axial polydactyly, cleft ...


Division Of Maternal Fetal Medicine, Stephen K. Hunter 2015 University of Iowa

Division Of Maternal Fetal Medicine, Stephen K. Hunter

Proceedings in Obstetrics and Gynecology

The Division of Maternal Fetal Medicine at the University of Iowa provides care for women with medical, surgical, and obstetrical complications of pregnancy. The patients are cared for in a series of clinics, including the High Risk Obstetric Clinic and the multidisciplinary Fetal Diagnosis and Therapy Unit. The majority of level II scans, anomaly consultations, and interventional fetal procedures in Iowa are performed by this unit.


Does Observed Vs Expected Lung Head Ratio Correlate With Neonatal Survival In Infants With Congenital Diaphragmatic Hernias?, Christine U. Okpala, Jason Picconi, Jonathan M. Klein, Frank H. Morriss Jr., Asha Rijhsinghani, Nina Nuangchamnong 2015 Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

Does Observed Vs Expected Lung Head Ratio Correlate With Neonatal Survival In Infants With Congenital Diaphragmatic Hernias?, Christine U. Okpala, Jason Picconi, Jonathan M. Klein, Frank H. Morriss Jr., Asha Rijhsinghani, Nina Nuangchamnong

Proceedings in Obstetrics and Gynecology

To investigate whether observed vs expected (O/E) lung–to–head ratio (LHR) correlates with neonatal survival in infants with congenital diaphragmatic hernia (CDH). Secondary goal was to correlate O/E LHR with Oxygenation index (OI) in the first 12 hours of life.


Division Of Reproductive Science Research, Eric J. Devor, Donna A. Santillan 2015 University of Iowa

Division Of Reproductive Science Research, Eric J. Devor, Donna A. Santillan

Proceedings in Obstetrics and Gynecology

The Division of Reproductive Science Research at the University of Iowa has a long tradition and was formally organized in 2009. Since then, the division has enjoyed extensive growth and development in many areas of reproductive research. Sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the NIH Office of Research on Women’s Health, a Women’s Reproductive Health Research Career Development Center, was established to train future physician-scientists. Further, to enhance our capability to perform translational research, the Women’s Health Tissue Repository was established. This robust bio-repository includes the Maternal ...


Adherence To The Updated Guidelines For The Prevention Of Perinatal Group B Streptococcal Disease, Adrienne Adams, Alexander J. Hubb, Mark K. Santillan, Taryn E. Nishimura, Rachel Ruback, Lindsay Gravatt, Emily Higdon, Kathleen Schroeder, Jona Conklin, Rachel M. Bender, Stephen K. Hunter, Donna A. Santillan 2015 Department of Obstetrics and Gynecology, Roy J. & Lucille A. Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

Adherence To The Updated Guidelines For The Prevention Of Perinatal Group B Streptococcal Disease, Adrienne Adams, Alexander J. Hubb, Mark K. Santillan, Taryn E. Nishimura, Rachel Ruback, Lindsay Gravatt, Emily Higdon, Kathleen Schroeder, Jona Conklin, Rachel M. Bender, Stephen K. Hunter, Donna A. Santillan

Proceedings in Obstetrics and Gynecology

In 2010, the Centers for Disease Control and Prevention updated the Guidelines for the Prevention of Perinatal Group B Streptococcal (GBS) Disease. Previous studies of adherence to GBS guidelines have focused on the treatment of carriers of GBS. Our objective was to determine whether there was any difference in adherence to the guidelines for screening and treatment of women who delivered at our institution between the beginning of 2011 and the end of 2011 as the revised guidelines were published in November 2010. Our secondary outcome was to determine whether any differences in adherence occurred between prenatal provider types (OB ...


Division Of Urogynecology And Reconstructive Pelvic Surgery, Catherine S. Bradley 2015 University of Iowa

Division Of Urogynecology And Reconstructive Pelvic Surgery, Catherine S. Bradley

Proceedings in Obstetrics and Gynecology

The Division of Urogynecology and Reconstructive Pelvic Surgery at the University of Iowa focuses on the outpatient evaluation and management of female pelvic floor disorders, including urinary incontinence, pelvic organ prolapse, and other urinary and defecatory disorders. Outpatient diagnostic testing is available, including urodynamic tests and cystourethroscopy. We offer a wide spectrum of clinical care for pelvic floor disorders, including nonsurgical (e.g. pessaries and behavioral therapies) and surgical therapies. Clinic-based procedures (such as transurethral bulking injections and intra-detrusor botulinum toxin injections) are offered, as well as outpatient and inpatient surgeries. Special clinical initiatives include our minimally-invasive surgery program for ...


Division Of General Obstetrics And Gynecology, Rachel A. Maassen 2015 University of Iowa

Division Of General Obstetrics And Gynecology, Rachel A. Maassen

Proceedings in Obstetrics and Gynecology

The Division of General Obstetrics and Gynecology provides well-woman care for women of all ages and complete care for pregnancy and birth. We evaluate and treat gynecologic disorders. We perform office, outpatient and inpatient gynecologic surgery. We offer minimally invasive hysterectomy including total laparoscopic and robotic surgery. Our division is committed to excellence in caring for women from adolescence to maturity. We regard each patient as an individual with her own history and needs. We are all dedicated to outstanding clinical practice and teaching.


Division Of Gynecologic Oncology, Bradley J. Van Voorhis 2015 University of Iowa

Division Of Gynecologic Oncology, Bradley J. Van Voorhis

Proceedings in Obstetrics and Gynecology

The Division of Gynecologic Oncology at the University of Iowa provides comprehensive care for women with gynecologic malignancies. The Gynecologic Oncology Division is part of the Holden Comprehensive Cancer Center with clinical services located on the third floor of the Pomerantz Family Pavilion within the Women’s Health Clinic in the Department of Obstetrics and Gynecology. Our clinicians are highly experienced in robotic, laparoscopic, and open surgical procedures and base their approach on individual considerations for each case. As a long standing full member of the Gynecologic Oncology Group and a Phase I institution we actively participate in clinical trial ...


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