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Minimally invasive transorbital approach for anterior communicating artery aneurysms: How I do it.
No full textBACKGROUND: The transorbital approach through the roof of the orbit can be utilized safely for the clip obliteration of ACOM aneurysms.
METHOD: We demonstrate the technique and describe the limited indications for its application. The operation proceeds by strictly following the anatomic dissection of the optic nerve, A1 segment of the ACA and then dissection and clipping of the aneurysm.
CONCLUSION: For the properly chosen patient and aneurysm, the transorbital approach has an excellent cosmetic outcome and can safely eliminate the aneurysm with great patient satisfaction
A tray-less impression technique: An alternative to open-tray or closed-tray impression techniques for complete arch implant-supported fixed dental prostheses.
No full textDigital scanning techniques have offered clinicians a faster and more patient-friendly treatment workflow. However, the fabrication of a definitive prosthesis often necessitates a physical cast to ensure precise verification. While 3-dimensionally (3D) printed casts provide excellent accuracy, introducing laboratory analogs to these casts can result in subtle discrepancies that compromise the definitive prosthesis. This underscores the continued relevance of traditional impression methods, which remain the standard for achieving accuracy in complex clinical scenarios. This article presents a tray-less impression technique as an innovative hybrid approach, merging the precision of traditional impressions with modern digital efficiency. By using a 3D printed verification device, such as S-Plates, and a combination of polyvinyl siloxane (PVS) putty and light-body impression materials, this method delivers a straightforward, yet reliable, workflow. It minimizes procedural challenges while maintaining the accuracy required for complete arch, fixed implant-supported restorations
Optimization of appropriate inpatient telemetry ordering safely reduced telemetry utilization
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MORTALITY TRENDS IN HYPERTENSIVE HEART DISEASE WITH CONGESTIVE HEART FAILURE IN THE U.S: ANALYSIS OF DEMOGRAPHIC AND REGIONAL VARIATIONS FROM CDC WONDER
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Prolonged Catatonia and Severe Malnutrition in Adolescents Following Bullying-Triggered Stress: A Dual Case Report
No full textImpact of COVID-19 on Surgical Procedural Utilization.
No full textBackground This study examines the impact of COVID-19 infection waves on the healthcare utilization of elective procedures versus non-elective procedures. Methods Eligible encounters were classified into simple/elective (elective) and cancer/complex (non-elective) groups based on the ICD-10-CM diagnosis codes. Procedure-specific volumes were used to evaluate healthcare utilization. Results Compared with the non-elective cohort, the elective cohort showed a greater dip (93% and 58% of the baseline volumes in March and April 2020 vs. 70% and 18% respectively, p-value = 0.0001). Similar patterns were identified for each successive wave of the pandemic. Conclusions During each of the first four waves of the pandemic, elective procedure volumes both fell and recovered at higher relative rates when compared with non-elective procedure volumes. Throughout the pandemic, there was a trend toward less cancelation of both elective and non-elective procedures with each successive wave. Our findings characterize the pandemic as a cyclic disease that surgical specialties are learning to cope with over time