Friday, 17 July 2015

Co-existence of acute appendicitis and inflammatory myofibroblastic tumor of the small intestine: A case report

Inflammatory myofibroblastic tumor as a rare neoplastic lesion is seen most commonly in the pulmonary system. Beside the presence of limited number of inflammatory myofibroblastic tumors of the gastrointestinal tract in the literature, co-existence with acute appendicitis has not been reported before.

Website: https://www.arjonline.org/medicine-and-health-care/american-research-journal-of-medicine-and-surgery/

Incarceration of the hepatic lobe in incisional hernia: A case report

Incisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery. Incisional hernias are one of the common problems seen after the abdominal surgery with incidence rates ranging from 2 to 11% according to different sources(3). Abdominal surgery related incisional hernias leads to significant job loss and morbidity, as well as negatively affecting quality of life. Therefore, due to high prevalence and morbidity, incisional hernias continue to be one of the most important complications of abdominal surgery. Subcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition and there is only one case in the literature [1]. In this case report, we present a case of incarcerated incisional hernia that involves the left liver lobe and associated acute liver failure. The aim of this study is to show that hernia sac may contain solid organs.

Website: https://www.arjonline.org/medicine-and-health-care/american-research-journal-of-medicine-and-surgery/

Efficiency of herbal medicine Dai-kenchu-to on portal blood flow in rat models

Normal liver rats were divided into a DKT 90 mg/kg, DKT 270 mg/kg administered group, and control, while cirrhotic liver rats were divided into a DKT-LC 90 mg/kg administered group and Control-LC. The PBF was measured after the administration of either DKT or water for 60 min by laser Doppler flowmetry system.

Website: https://www.arjonline.org/medicine-and-health-care/american-research-journal-of-medicine-and-surgery/

Medical Publishing Triage - Chronicling Predatory Open Access Publishers

This editorial examines the problem of predatory publishers and how they have negatively affected scholarly communication. Society relies on high-quality, peer-reviewed articles for public policy, legal cases, and improving the public health. Researchers need to be aware of how predatory publishers operate and need to avoid falling into their traps. The editorial examines the recent history of predatory publishers and how they have become prominent in the world of scholarly journals. © 2013 Surgical Associates Ltd.

Website: https://www.arjonline.org/medicine-and-health-care/american-research-journal-of-medicine-and-surgery/

Annals of Medicine and Surgery - Educating and Developing Leading Physicians and Surgeons

Clinical ethics and medical law; Clinical evidence into practice; Evidence based medicine; Healthcare policy, delivery and commissioning; Human factors, teamwork and communication; Implementation science; Leadership and management; Medical education, teaching and training; Patient safety; Professionalism; Public and global health; Quality improvement science and practice; Research and innovation; Resource management; Use of technology and health informatics

Website: https://www.arjonline.org/medicine-and-health-care/american-research-journal-of-medicine-and-surgery/

Thursday, 2 July 2015

Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions

Bariatric surgery aims to provide long-term WEIGHT LOSS AND improvement in weight-related comorbidities.
Unfortunately, some patients do not achieve predicted weight loss targets and many regain a portion of their lost weight within 2–10 years postsurgery.
A review of the literature found that behavioral, dietary, psychological, physical, and medical considerations can all play a role in suboptimal long-term weight loss.

Recommendations to optimize long-term weight loss include ensuring that the patient understands how the procedure works, preoperative and postoperative education sessions, tailored nutritional supplements, restraint with liquid kilojoules, pureed foods, grazing and eating out of the home, an average of 60 minutes of physical activity per day, and lifelong annual medical, psychological, and dietary assessments.

Certified acute care surgery programs improve outcomes in patients undergoing emergency surgery: A nationwide analysis

·         National estimates for EGS procedures were abstracted from the National Inpatient Sample database.
·         Patients undergoing emergent procedures (appendectomy, cholecystectomy, hernia repair, as well as small and large bowel resections) were included.
·         TCs were identified based on American College of Surgeons’ verification.
·         ACS-TC programs were recorded from the American Association for the Surgery of Trauma.
·         Outcome measures were hospital length of stay, complications, and mortality.

·         Regression analysis was performed after adjusting for age, sex, race, Charlson comorbidity index, and type of procedure.