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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 ...


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 ...


Division Of Reproductive Endocrinology And Infertility, Bradley J. Van Voorhis 2015 University of Iowa

Division Of Reproductive Endocrinology And Infertility, Bradley J. Van Voorhis

Proceedings in Obstetrics and Gynecology

The Division of Reproductive Endocrinology and Infertility at the University of Iowa is very active clinically and is proud of our highly successful IVF Program. We have one of the highest rates of single embryo transfer with IVF in the country and continue to maintain outstanding pregnancy rates while reducing multiple rates leading to safer IVF treatment. In addition to our IVF and regular Reproductive Endocrinology clinics, we have a Pediatric and Adolescent Gynecology Clinic, a Fertility Preservation Program, and a Uterine Fibroid Clinic.


Acog Iowa Section Report, November 2014, Michael McCoy 2015 University of Iowa

Acog Iowa Section Report, November 2014, Michael Mccoy

Proceedings in Obstetrics and Gynecology

The Iowa Section of (ACOG), The American College/Congress of Obstetricians and Gynecologists, the strengths of our membership are education, research, political advocacy and service to women including internationally.


Global Fetal Dna Methylation And Birth Outcomes In Obese Women, Karla N. Solheim, Donna A. Santillan, Sabrina Scroggins, Eric J. Devor, Mark K. Santillan 2015 Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

Global Fetal Dna Methylation And Birth Outcomes In Obese Women, Karla N. Solheim, Donna A. Santillan, Sabrina Scroggins, Eric J. Devor, Mark K. Santillan

Proceedings in Obstetrics and Gynecology

Pregnant women who are obese are more likely to have gestational diabetes, gestational hypertension, pre-eclampsia, macrosomia, operative vaginal delivery, and cesarean delivery. Obesity also has adverse implications for the neonate. Congenital anomalies are more common in children born to obese women. These include neural tube defects, gastroschisis, cardiovascular anomalies, and others. Although the connection between maternal obesity and chronic health conditions has been described, the mechanism by which this occurs is less well understood. Changes to the epigenetic structure of offspring DNA have been proposed as one such mechanism.


Wnt Signaling In Granulosa Cell Tumors Of The Ovary, Brian M. Kilonzo, Traci Neff, Megan I. Samuelson, Michael J. Goodheart 2015 Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

Wnt Signaling In Granulosa Cell Tumors Of The Ovary, Brian M. Kilonzo, Traci Neff, Megan I. Samuelson, Michael J. Goodheart

Proceedings in Obstetrics and Gynecology

Granulosa cell tumors (GCT), a malignant type of sex-cord stromal tumor, account for approximately 2-5% of all ovarian malignancies. They are often identified before they have spread beyond the ovary, but advanced disease can be quite challenging to treat. Wnt signaling has been suggested to contribute to the formation of GCT. We hypothesized Wnt signaling was involved in human GCT.


Colpotomy In Total Laparoscopic Hysterectomy Without Using An Energy Source: A New Approach, Pandurang Ramchandra Rotithor Dr. 2015 IMAX Multispeciality Hospital, Wagholi, Pune, Maharashtra, India 412101

Colpotomy In Total Laparoscopic Hysterectomy Without Using An Energy Source: A New Approach, Pandurang Ramchandra Rotithor Dr.

Proceedings in Obstetrics and Gynecology

Structured Abstract :

At present, energy source is used, either monopolar current or harmonic scalpel in total laparoscopic hysterectomy for colpotomy. This is associated with lateral thermal damage to adjacent organs. The risk of scar dehiscence is high as compared to abdominal hysterectomy

The objective of the new technique is to reduce these complications.

The colpotomy is done by blade and scissors through the vaginal tube and not by any energy source.

The cut edge is sharp making it easy to pick full thickness. Colpotomy is quicker than by using energy source, there are no toxic fumes thus visibility is not ...


Severe Ovarian Hyperstimulation Syndrome In Spontaneous Pregnancy Treated Successfully With Cabergoline, İsmail Temur, Murat Bozkurt, Servet Gencdal, Yetkin Karasu, Duygu Kara Bozkurt, Hacer Pasaoğlu, Kahraman Ülker, Suat Dede 2015 Department of Obstetrics and Gynecology, Kafkas University School of Medicine, Kars, Turkey

Severe Ovarian Hyperstimulation Syndrome In Spontaneous Pregnancy Treated Successfully With Cabergoline, İsmail Temur, Murat Bozkurt, Servet Gencdal, Yetkin Karasu, Duygu Kara Bozkurt, Hacer Pasaoğlu, Kahraman Ülker, Suat Dede

Proceedings in Obstetrics and Gynecology

Ovarian hyperstimulation syndrome (OHSS) is a relatively common complication in infertile patients treated with exogenous gonadotropins. Ovarian hyperstimulation in spontaneous pregnancies is a rare but possible. The pathogenesis of spontaneous OHSS is not well known. Risk factors for OHSS are young age, polycystic ovaries, low body mass index, high gonadotropin dose, increased estradiol and human chorionic gonadotropin levels, multiple pregnancy, OHSS history, molar pregnancy and hypothyroidism. In this report we present a case of severe spontaneous OHSS with a brief summary of the literature. She was hospitalized and treated in the clinic with the diagnosis of severe OHSS accompanying spontaneous ...


Bilayer Button Graft For Endoscopic Repair Of High-Flow Cranial Base Defects, Chris Luminais, M. L. Otten, A. A. Farag, P. Soni, W. Mohiuddin, N. Ziegler, G. G. Nyquist, C. Farrell, M. R. Rosen, J. J. Evans 2015 Thomas Jefferson University

Bilayer Button Graft For Endoscopic Repair Of High-Flow Cranial Base Defects, Chris Luminais, M. L. Otten, A. A. Farag, P. Soni, W. Mohiuddin, N. Ziegler, G. G. Nyquist, C. Farrell, M. R. Rosen, J. J. Evans

Department of Otolaryngology - Head and Neck Surgery Faculty, Presentations and Grand Rounds

Closure of dural defects in trans-nasal, extended, endoscopic techniques remains a challenge, and published cerebrospinal fluid (CSF) leak rates are higher than rates for trans-cranial approaches. Development of a technique that used a vascularized, nasoseptal flap (NSF) significantly reduced the rate of CSF leak, and several groups have developed ways to buttress the NSF. A closure technique developed at our institution uses a bilayer “button” of fascia lata. The initial series of twenty patients repaired with this method from 2007 to July 1, 2009 were presented, with a CSF leak rate of 10% (Luginbuhl et al 2010).


Unique Use Of Cross-Finger Flap For Reconstruction Of An Index Fingertip Electrical Injury, Jonathan Lundy MD, Rodney Chan MD 2015 USAISR Burn Center

Unique Use Of Cross-Finger Flap For Reconstruction Of An Index Fingertip Electrical Injury, Jonathan Lundy Md, Rodney Chan Md

Tennessee Medicine E-Journal

Electrical injuries comprise about five percent of burn admissions in the United States.1 Through multiple mechanisms, electricity may cause severe injury and is a frequent cause of extremity loss in the setting of high voltage. Due to significant soft tissue destruction, electrical injury generates complex reconstructive needs for limb-salvage, cosmesis, and return of function. This case presents a report of a low-voltage electrical injury resulting in loss of the nondominant index fingertip that necessitated cross-finger flap reconstruction, resulting in an acceptable cosmetic and functional digit.


Coronary Steal Due To Left Internal Mammary Artery Side Branch – A Dilemma, Vatsal Ladia MD, Puja Sitwala MD, Parag Brahmbhatt MD, Vedang Bhavsar MD, James Halama MD, Vijay Ramu MD, Kais AlBalbassi MD, Paul Timir MD 2015 Quillen College of Medicine

Coronary Steal Due To Left Internal Mammary Artery Side Branch – A Dilemma, Vatsal Ladia Md, Puja Sitwala Md, Parag Brahmbhatt Md, Vedang Bhavsar Md, James Halama Md, Vijay Ramu Md, Kais Albalbassi Md, Paul Timir Md

Tennessee Medicine E-Journal

Internal Mammary Artery (IMA) is the best graft for Coronary Artery Bypass Graft surgery (CABG) in terms of long term survival rates and graft patency rates when compared to other grafts1,2. In traditional CABG, IMA is harvested from 1st inter-costal space and is skeletonized by ligating all the side branches, which is usually 10 cm long. In 1995, Benneti introduced Minimally Invasive Coronary Artery Bypass Graft surgery (MIDCAB) for various benefits. In this technique Left IMA (LIMA) is harvested from 5th inter-costal space and long enough to reach Left Anterior Descending Artery (LAD) around 4-6 cm ...


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