Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Τετάρτη 16 Μαρτίου 2016

OtoRhinoLaryngology & Medicine,New Articles,March 16th,2016


Recent advances in robot-assisted head and neck surgery

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 21 δευτερόλεπτα
Abstract Objective This article reviews current clinical applications and experimental developments for robotic surgery in the head and neck with special focus on financial challenges, current clinical trials, and the controversial aspect of haptic and tactile feedback. Data sources Literature was screened using the pubmed library. Information on clinical trials was excerpted from the National Institute of Health database. Additional data on experimental developments were gathered by personal communication. Results A steep increase in clinical applications for robotic surgery i... περισσότερα »

Robot-assisted laparoscopic myomectomy for deep intramural myomas

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 21 δευτερόλεπτα
[image: cover.gif?v=1&s=fbeef9c9050e2b65a8205f34] Abstract Background To evaluate the efficacy of robot-assisted laparoscopic myomectomy for deep intramural myomas. Methods We have conducted a retrospective study for 170 patients who underwent robot-assisted laparoscopic myomectomy by a single operator of tertiary university hospital. Results There were 100 cases of robot-assisted laparoscopic myomectomy for deep intramural myomas. The patients had 3.8±3.5 myomas on average, and the mean size of the largest myoma of each patient was 7.5±2.1 centimeters in diameter. Mean opera... περισσότερα »

These new articles for The Journal of Clinical Endocrinology & Metabolism are available online

Alexandros G. SfakianakisστοΕνδοκρινολογίαΠριν από 5 δευτερόλεπτα
These new articles for The Journal of Clinical Endocrinology & Metabolism are available online ------------------------------ Early Release The Journal of Clinical Endocrinology & Metabolism ------------------------------ [image: Journal of Clinical Endocrinology & Metabolism masthead] ------------------------------ ------------------------------ The Journal of Clinical Endocrinology & Metabolism Home Page Current Issue Past Issues ------------------------------ ------------------------------ ------------------------------ ------------------------------ Activated Hippo/Yes-Associate... περισσότερα »

Basophil activation test: food challenge in a test tube or specialist research tool?

Alexandros G. SfakianakisστοSwallowing and Swallowing Disorders (Dysphagia)Πριν από 9 δευτερόλεπτα
*Basophil activation test: food challenge in a test tube or specialist research tool?: Oral food challenge (OFC) * Abstract *Oral food challenge (OFC) is the gold-standard to diagnose food allergy; however, it is a labour and resource-intensive procedure with the risk of causing an acute allergic reaction, which is potentially severe. Therefore, OFC are reserved for cases where the clinical history and the results of skin prick test and/or specific IgE do not confirm or exclude the diagnosis of food allergy. This is a significant proportion of patients seen in Allergy clinics and... περισσότερα »

Conducting Real-Time Videofluoroscopic Swallow Study via Telepractice: A Preliminary Feasibility and Reliability Study

Alexandros G. SfakianakisστοSwallowing and Swallowing Disorders (Dysphagia)Πριν από 9 δευτερόλεπτα
Abstract A small number of studies have examined the feasibility of conducting videofluoroscopic swallow studies (VFSS) via telepractice. While the results have confirmed this potential, the systems tested to date have either reported issues that impacted the ability to analyze/interpret the VFSS recordings in real time, or they were not designed to enable real-time interpretation. Further system design is needed to establish a telepractice model that enables the VFSS assessment to be both guided and interpreted live in real time. The aim of this study was to test the feasibility an... περισσότερα »

Recent advances in robot-assisted head and neck surgery

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 12 δευτερόλεπτα
Recent advances in robot-assisted head and neck surgery: Abstract Objective This article reviews current clinical applications and experimental developments for robotic surgery in the head and neck with special focus on financial challenges, current clinical trials, and the controversial aspect of haptic and tactile feedback. Data sources Literature was screened using the pubmed library. Information on clinical trials was excerpted from the National Institute of Health database. Additional data on experimental developments were gathered by personal communication. Results A steep inc...περισσότερα »

The Utility of Chewing Gum in Treating White Spot Lesions

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
The Utility of Chewing Gum in Treating White Spot Lesions: AbstractWhite spot lesions (WSL) are early non-cavitated carious lesions where the subsurface mineral loss has produced changes in the optical properties of the enamel. These lesions are visibly detectable as the loss of translucency results in a white appearance of the enamel surface. WSL can be arrested or reversed if the cariogenic challenge is sufficiently controlled or therapeutic agents are applied to promote enamel remineralization. Sugar-free chewing gum has been shown to promote the remineralization of enamel subsu... περισσότερα »

Evaluating multipulse integration as a neural-health correlate in human cochlear-implant users: Relationship to forward-masking recovery

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Evaluating multipulse integration as a neural-health correlate in human cochlear-implant users: Relationship to forward-masking recovery: [image: cm_sbs_024_plain.png] The present study evaluated the slopes of threshold-versus-pulse-rate functions (multipulse integration, MPI) in humans with cochlear implants in relation to recovery from 300-ms forward maskers. MPI has been correlated with spiral ganglion cell density in animals. The present study showed that steeper MPI functions were correlated with faster recovery from forward masking. The findings suggested that the variations ... περισσότερα »

The L1 phonetics-prosody interface transfers to L2 by examining prosodic strengthening effects (due to prosodic position and focus) on English voicing contrast (bad-pad)

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Effects of L1 prosody on segmental contrast in L2: The case of English stop voicing contrast produced by Korean speakers: [image: cm_sbs_024_plain.png] This study investigated how the L1 phonetics-prosody interface transfers to L2 by examining prosodic strengthening effects (due to prosodic position and focus) on English voicing contrast (bad-pad) as produced by Korean vs English speakers. Under prosodic strengthening, Korean speakers showed a greater F0 difference due to voicing than English speakers, suggesting that their experience with the macroprosodic use of F0 in Korean tran... περισσότερα »

Road traffic noise impact assessment

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Road traffic noise impact assessment in a breeding colony of cinereous vultures (Aegypius monachus) in Spain: [image: cm_sbs_024_plain.png] There is a global and growing concern with regard to anthropogenic noiseimpact on wildlife and natural habitats, but it is difficult to find consensus regarding scoping and assessment tools. This study adapts noise mapping procedures, common to most European countries, to a low traffic road (below 1000 vehicles per day) noiseimpact assessment in a breeding colony of the largest bird of prey in Europe. Results show that nest sites are located a... περισσότερα »

Perception of contrastive bi-syllabic lexical stress in unaccented and accented words by younger and older listeners

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Perception of contrastive bi-syllabic lexical stress in unaccented and accented words by younger and older listeners: [image: cm_sbs_024_plain.png] This study examined the ability of older and younger listeners to perceive contrastive syllable stress in unaccented and Spanish-accented cognate bi-syllabic English words. Younger listeners with normal hearing, older listeners with normal hearing, and older listeners with hearing impairment judged recordings of words that contrasted in stress that conveyed a noun or verb form (e.g., CONduct/conDUCT), using two paradigms differing in th... περισσότερα »

Falls and Fall-Related Injuries among Community-Dwelling Adults

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States: by Santosh K. Verma, Joanna L. Willetts, Helen L. Corns, Helen R. Marucci-Wellman, David A. Lombardi, Theodore K. Courtney Introduction Falls are the leading cause of unintentional injuries in the U.S.; however, national estimates for all community-dwelling adults are lacking. This study estimated the national incidence of falls and fall-related injuries among community-dwelling U.S. adults by age and gender and the trends in fall-related injuries across the adult life span. Methods Nationall... περισσότερα »

The Effects of Age and Preoral Sensorimotor Cues on Anticipatory Mouth Movement During Swallowing

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
The Effects of Age and Preoral Sensorimotor Cues on Anticipatory Mouth Movement During Swallowing: Purpose The aim of this study was to investigate the effects of preoral sensorimotor cues on anticipatory swallowing/eating-related mouth movements in older and younger adults. It was hypothesized that these cues are essential to timing anticipatory oral motor patterns, and these movements are delayed in older as compared with younger adults. Method Using a 2 × 2 repeated-measures design, eating-related lip, jaw, and hand movements were recorded from 24 healthy older (ages 70–85 year...περισσότερα »

Aerodigestive foreign bodies (ADFB) in children

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
A case control study of the factors associated with occurrence of aerodigestive foreign bodies in children in a regional referral hospital in South Western Uganda: Abstract BackgroundAerodigestive foreign bodies (ADFB) in children are a common emergency in ENT clinics globally. The aim of this study was to determine the prevalence and common types of ADFB’s presenting to a referral hospital in South Western Uganda, and to review clinical presentation and factors that influence their occurrence among children under 12 years of age. MethodsWe conducted a case control study compri...περισσότερα »

Video laryngoscopes purchased with trauma commission grant

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
Video laryngoscopes purchased with trauma commission grant: ATLANTA — Central EMS adds video laryngoscopes to seven ambulances that serve Forsyth County with 911 service through a partnership with the Forsyth County Fire Department. "In February, we held training with our paramedics and EMTs, and our team has been impressed with how the devices have increased visualization and can help improve intubation in the field," Gary Coker, Central EMS president, said. "We are committed to serving the Forsyth County community with the most advanced technology, vehicles and medical protocols,... περισσότερα »

Anteriorly Based Partial Thickness Sternocleidomastoid Muscle Flap Following Parotidectomy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
Anteriorly Based Partial Thickness Sternocleidomastoid Muscle Flap Following Parotidectomy: AbstractThe anteriorly based partial thickness sternocleidomastoid (SCM) muscle flap is among the various methods described to correct parotidectomy defects, but its indications and limitations are not clearly demonstrated in several reports. This study was done to test the aesthetic outcome of this method, its indications and limitations. At Dr. Babasaheb Ambedkar Memorial hospital, Mumbai, 20 patients presenting with benign parotid tumors underwent parotidectomy. 16 underwent superficial p...περισσότερα »

Single-Stage Trans-mastoid Drainage of Otogenic Brain Abscess

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
Single-Stage Trans-mastoid Drainage of Otogenic Brain Abscess: A Single-Institution Experience: AbstractBrain abscess is the ultimate otogenic complication, both in severity and difficulty of management. In developing countries with high incidence of cholesteatoma, brain abscess is not a rare complication. In India, brain abscesses constitute about 8 % of all intracranial lesions. The surgical treatment of brain abscess is very controversial. This prospective study was done in ENT department of a tertiary care hospital in Kolkata, during the period from May 2009 to April 2014. 22 s... περισσότερα »

Clinicopathological Features and Prognosis of Sinonasal Mucosal Malignant Melanoma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
Clinicopathological Features and Prognosis of Sinonasal Mucosal Malignant Melanoma: A Retrospective Study of 83 Cases in a Chinese Population: *Aims:* Sinonasal mucosal malignant melanoma (SNMMM) is a rare disease. The aim of the present study was to describe its clinicopathological features and prognosis in a Chinese population. *Methods:* Data on 83 SNMMM patients were collected and analyzed. A survival analysis was performed using the Kaplan-Meier method and a log-rank test. *Results:* The most common presenting symptoms of SNMMM were nasal obstruction, epistaxis, and bloody rhin... περισσότερα »

The perioperative outcome of patients undergoing major head and neck cancer surgery

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 29 δευτερόλεπτα
A stratified analysis of the perioperative outcome of 17,623 patients undergoing major head and neck cancer surgery in England over 10 years: Abstract Objectives To perform a national analysis of the perioperative outcome of major head and neck cancer surgery to develop a stratification strategy and outcomes assessment framework using hospital administrative data. Design A Hospital Episode Statistics *N=near-all* analysis. Settings The English National Health Service. Main outcome measures Local audit data were used to assess health informatics data quality. Within the national datase...περισσότερα »

Economic Evaluation of a Computed Tomography Directed Referral Strategy for Chronic Rhinosinusitis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 29 δευτερόλεπτα
Economic Evaluation of a Computed Tomography Directed Referral Strategy for Chronic Rhinosinusitis: Abstract Background Chronic rhinosinusitis (CRS) is a prevalent chronic inflammatory disease. The basis of a clinical diagnosis of CRS for primary care physicians (PCPs) is based upon the recognition of a symptom constellation that manifests with the disease. However, because the symptomatology of CRS may overlap with other diagnoses, the referral of patient to the most appropriate specialist may not always occur, leading to further delays in evaluation and treatment. Methods Given t...περισσότερα »

Aetiology and pathology of otitis media with effusion in adult life

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 31 δευτερόλεπτα
Review ArticleAetiology and pathology of otitis media with effusion in adult lifeR Millsa1 c1 and I Hathorna1 a1 Otolaryngology Unit, University of Edinburgh, Scotland, UK Abstract Objectives: To gather and analyse information concerning the aetiology and pathology of otitis media with effusion in adults. Method: A review of the English language literature from 1970 to the present was conducted. Results: The available evidence suggests that otitis media with effusion in adult life is best viewed as a syndrome with a number of causes, including: infiltration of the eustachian tube by na...περισσότερα »

Synchronous pulmonary nodules detected on CT in HNC

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 31 δευτερόλεπτα
Main ArticleOutcomes of synchronous pulmonary nodules detected on computed tomography in head and neck cancer patients: 12-year retrospective review of a consecutive cohortI Zammit-Maempela1 c1, R Kuriena2 and V Paleria2a3 a1 Department of Radiology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK a2 Department of Otolaryngology–Head and Neck Surgery, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK a3 Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK Abstract Objective: To investigate the long-t... περισσότερα »

Temporomandibular joint involvement as a positive clinical prognostic factor in necrotising external otitis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 31 δευτερόλεπτα
Main ArticleTemporomandibular joint involvement as a positive clinical prognostic factor in necrotising external otitisE Yeheskelia1, R Abu Etaa1, H Gavriela2 c1, S Kleida2 and E Eviatara1 a1 Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel a2 Department of Surgical Oncology, Peter MacCallum Cancer Institute, Melbourne, Australia Abstract Objective: Necrotising otitis externa is associated with high morbidity and mortality rates. This study investigated whether temporom...περισσότερα »

Hypothyroidism in patients treated with radiotherapy for HNC

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 33 δευτερόλεπτα
Main ArticleHypothyroidism in patients treated with radiotherapy for head and neck carcinoma: standardised long-term follow-up studyJ R Albaa1 c1, J Basterraa1, J C Ferrera2, F Santonjaa3 and E Zapatera1 a1 Department of ENT, University General Hospital, Valencia Medical School, Spain a2 Department of Endocrinology, University General Hospital, Valencia Medical School, Spain a3 Department of Statistics and Operations Research, University of Valencia, Spain Abstract Objective: Hypothyroidism is a common complication when radiotherapy is part of the treatment for head and neck tumours. ... περισσότερα »

Sarcopenia and Hearing Loss

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 33 δευτερόλεπτα
Sarcopenia and Hearing Loss in Older Koreans: Findings from the Korea National Health and Nutrition Examination Survey (KNHANES) 2010: by Jieun Lee, Kyungdo Han, Jae Jun Song, Gi Jung Im, Sung Won Chae Age-related hearing impairment (ARHI) is becoming a more significant issue as geriatric population increases. Sarcopenia in older people is known to have a diverse health problem in various circumstances in recent studies. We assessed whether the decrease in muscle mass is related to ARHI. We used the 2010 data of the Korea National Health and Nutrition Examination Survey (KNHANES) t...περισσότερα »

High Frequency Hearing Loss and Hyperactivity

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 33 δευτερόλεπτα
High Frequency Hearing Loss and Hyperactivity in DUX4 Transgenic Mice: by Abhijit Dandapat, Benjamin J. Perrin, Christine Cabelka, Maria Razzoli, James M. Ervasti, Alessandro Bartolomucci, Dawn A. Lowe, Michael Kyba Facioscapulohumeral muscular dystrophy (FSHD) is caused by mutations leading to ectopic expression of the transcription factor DUX4, and encompasses both muscle-related and non-muscle phenotypes. Mouse models bearing this gene represent valuable tools to investigate which pathologies are due to DUX4 expression, and how DUX4 leads to these pathologies. The iDUX4(2.7) mou... περισσότερα »

The factors associated with occurrence of aerodigestive foreign bodies

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 33 δευτερόλεπτα
*A case control study of the factors associated with occurrence of aerodigestive foreign bodies in children in a regional referral hospital in South Western Uganda: Aerodigestive foreign bodies (ADFB) in children * Abstract Background *Aerodigestive foreign bodies (ADFB) in children are a common emergency in ENT clinics globally. The aim of this study was to determine the prevalence and common types of ADFB’s presenting to a referral hospital in South Western Uganda, and to review clinical presentation and factors that influence their occurrence among children under 12 years of ag... περισσότερα »

Salivary substitutes

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 36 δευτερόλεπτα
*Using mid infrared technology as new method for the determination of the dwell time of salivary substitutes on three dimensional gingiva models: Many people suffer from dry mouth (xerostomia) due to radiotherapy treatment of head and neck cancer, diseases like Sjogren’s syndrome or as adverse effects to prescribed medications. * Abstract Background *Many people suffer from dry mouth (xerostomia) due to radiotherapy treatment of head and neck cancer, diseases like Sjogren’s syndrome or as adverse effects to prescribed medications. Salivary substitute products like gels or sprays ... περισσότερα »

QTL Mapping of Endocochlear Potential Differences

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 37 δευτερόλεπτα
QTL Mapping of Endocochlear Potential Differences between C57BL/6J and BALB/cJ mice: AbstractWe reported earlier that the endocochlear potential (EP) differs between C57BL/6J (B6) and BALB/cJ (BALB) mice, being lower in BALBs by about 10 mV (Ohlemiller et al. Hear Res 220: 10–26, 2006). This difference corresponds to strain differences with respect to the density of marginal cells in cochlear stria vascularis. After about 1 year of age, BALB mice also tend toward EP reduction that correlates with further marginal cell loss. We therefore suggested that early *sub-clinical* features ... περισσότερα »

Robotic Thyroidectomy: Postauricular Facelift Approach with a Gasless Unilateral Axillary Approach

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Robotic Thyroidectomy: Comparison of a Postauricular Facelift Approach with a Gasless Unilateral Axillary Approach: Objectives Robotic thyroidectomy using remote access approaches has gained popularity with patients seeking to avoid neck scarring and enhanced cosmetic satisfaction. The aim of this study was to compare the efficacy and advantages of a postauricular facelift approach vs a gasless unilateral axillary (GUA) approach in robotic thyroidectomy. Study Design Case series with chart review. Setting University tertiary care hospital. Subjects and Methods We retrospectively... περισσότερα »

Upper Airway Stimulation for OSA

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Upper Airway Stimulation for OSA: Early Adherence and Outcome Results of One Center: Objective To review outcome measures and objective adherence data for patients treated with hypoglossal nerve stimulation (HNS) therapy for moderate to severe obstructive sleep apnea (OSA). Study Design Case series with chart review. Setting Academic sleep medicine center. Subjects and Methods The first 20 implanted patients to complete postoperative sleep laboratory testing were assessed. All patients had moderate to severe OSA, were unable to adhere to positive pressure therapy, and met previo...περισσότερα »

Tissue Eosinophilia in Patients with Chronic Rhinosinusitis and Nasal Polyposis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Clinical Examination of Tissue Eosinophilia in Patients with Chronic Rhinosinusitis and Nasal Polyposis: Objective (1) Describe clinical and histopathologic findings in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). (2) Determine if tissue and serum eosinophilia predicts disease severity in CRSwNP. Study Design Case series with chart review. Setting Academic hospital specializing in respiratory and allergic disease. Subjects Patients with CRSwNP treated from 2008 to 2010. Methods Clinical data were collected; sinus computed tomography (CT) scans were scored ac...περισσότερα »

Use of Pericranial Flap Coverage in Cochlear Implantation of the Radical Cavity: Rationale, Technique, and Experience

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Use of Pericranial Flap Coverage in Cochlear Implantation of the Radical Cavity: Rationale, Technique, and Experience: Cochlear implant (CI) surgery in the setting of an open mastoid cavity is evolving. Two strategies are commonly pursued: a staged approach, clearing the disease, closing the meatus or the external auditory canal (EAC), and reevaluating in 3 to 6 months prior to implantation, or a single-stage procedure with mastoid obliteration without EAC closure. Meatal closure is often employed in the setting of an open mastoid cavity to reduce the risk of electrode extrusion an... περισσότερα »

Impact of Sensory and Motor Defects on Oral Function in an Animal Model

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Impact of Sensory and Motor Defects on Oral Function in an Animal Model: Objective To evaluate the combined functional impact on swallowing of tongue sensory and motor loss using a rat model. Study Design Rats underwent selective neurectomies with transection of the motor (hypoglossal) nerve or motor and sensory (lingual) nerves. Postoperative functional parameters were followed for 2 weeks. Setting Translational research. Subjects and Methods Thirty-six adolescent male Wistar rats were divided into 4 groups: anesthetic (n = 6), sham surgery (n = 8), hypoglossal transection (n =... περισσότερα »

Reconstruction of Lateral Skull Base Defects: A Comparison of the Submental Flap to Free and Regional Flaps

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Reconstruction of Lateral Skull Base Defects: A Comparison of the Submental Flap to Free and Regional Flaps: Objectives To compare reconstructive techniques, operative times, duration of hospitalization, and need for subsequent flap revisions between reconstructive approaches to lateral skull base defects. Study Design Case series with chart review. Setting Tertiary academic referral center. Subjects Patients (n = 31) undergoing reconstruction of composite lateral skull base defects from 2002 to 2014. Methods Data were analyzed for demographics, tumor characteristics, reconstru... περισσότερα »

Tumor Biomarkers in Spindle Cell Variant Squamous Cell Carcinoma of the Head and Neck

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Tumor Biomarkers in Spindle Cell Variant Squamous Cell Carcinoma of the Head and Neck: Objective To determine biomarkers of recurrence and survival in patients with spindle cell variant squamous cell carcinoma (SpSCC) of the head and neck. Study Design Retrospective case control study. Setting Tertiary academic center. Subjects and Methods Thirty-two SpSCC patients (mean age, 68.8) between 1987 and 2009 were identified and reviewed. A tissue microarray (TMA) was constructed from tumor specimens. Tumor biomarkers under study included p16, epidermal growth factor receptor (EGFR), ... περισσότερα »

Contralateral Vocal Fold Reactive Lesions

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 38 δευτερόλεπτα
Contralateral Vocal Fold Reactive Lesions: Nomenclature, Treatment Choice, and Outcome: Objective Contralateral reactive lesions (RLs) represent a distinct entity among benign bilateral vocal fold (VF) lesions. Lack of uniform nomenclature and a myriad of surgical options have hampered attempts to develop treatment guidelines. The objective of this study is to better define RLs and their prognosis, through the development of a standard nomenclature, with an aim to guide treatment and delineate the role of phonosurgery. Study Design Case series with chart review. Setting Tertiary ... περισσότερα »

Cell-Based Therapy for Treating Tympanic Membrane Perforations

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Effects of Cell-Based Therapy for Treating Tympanic Membrane Perforations in Mice: Objective To investigate the effectiveness of scaffold-embedded mesenchymal stem cells (MSCs) as a topical treatment for healing tympanic membrane perforations (TMPs) in a mouse model. Study Design Prospective animal study. Setting Experimental. Subjects and Methods In vitro: under sterile conditions, porcine-derived (Gelita-Spon [GS]), hyaluronate-derived (EpiDisc [ED]), and polyvinyl alcohol (PVA) scaffolds were cut into small pieces and cocultured with murine bone marrow–derived MSCs (BM-MSCs)... περισσότερα »

Obstructive Sleep Apnea: Differences between Normal-Weight, Overweight, Obese, and Morbidly Obese Children

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Obstructive Sleep Apnea: Differences between Normal-Weight, Overweight, Obese, and Morbidly Obese Children: Introduction The severity of obstructive sleep apnea in children determines perioperative management and is an indication for postoperative polysomnography. The relationship between increasing weight and sleep apnea severity in children remains unclear. Objectives To compare demographic, clinical, and polysomnography parameters in normal-weight, overweight, obese, and morbidly obese children, as well as identify demographic factors that predict sleep apnea severity. Study De...περισσότερα »

Salivary Duct Carcinoma of the Parotid: Outcomes with a Contemporary Multidisciplinary Treatment Approach

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Salivary Duct Carcinoma of the Parotid: Outcomes with a Contemporary Multidisciplinary Treatment Approach: Objective Salivary duct carcinoma (SDC) is a rare and aggressive malignancy for which an optimal treatment algorithm is lacking. We endeavored to assess the current treatment outcomes for SDC with a multimodality treatment approach combining surgery with adjuvant radiotherapy ± concurrent chemotherapy. Study Design Case series with chart review. Setting A National Cancer Institute–designated comprehensive cancer center. Subjects and Methods The clinical record of 17 patients...περισσότερα »

Oral Flurbiprofen Spray for Posttonsillectomy Pain

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Oral Flurbiprofen Spray for Posttonsillectomy Pain: Objective Tonsillectomy is still one of the most common surgical procedures, but there exists no standard guideline for pain management after tonsillectomy. Our aim is to determine whether oral spray of flurbiprofen reduces pain and has an influence on other morbid outcomes following tonsillectomy. Study Design Prospective, double-blind, randomized, placebo controlled. Setting Patients at Ataturk Training and Research Hospital, Ankara, Turkey. Subjects and Methods This study was performed on 84 patients (45 in flurbiprofen group,...περισσότερα »

Financial and Health Impacts of Multidisciplinary Aerodigestive Care

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Financial and Health Impacts of Multidisciplinary Aerodigestive Care: Objectives (1) Analyze upstream and downstream activity before and after enrollment with the Multidisciplinary Pediatric Aerodigestive Care Team (MPACT). (2) Identify potential demand for MPACT services with *ICD-9* data. Study Design Retrospective review of financial claims data. Setting Tertiary care children’s center. Subjects Pediatric patients (0-18 years old) enrolled with MPACT (pediatric otolaryngology, gastroenterology, pulmonary, speech-language pathology). Methods Case mix data from fiscal years (F... περισσότερα »

Efficacy of Upper Airway Stimulation on Collapse Patterns Observed during Drug-Induced Sedation Endoscopy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Efficacy of Upper Airway Stimulation on Collapse Patterns Observed during Drug-Induced Sedation Endoscopy: Objective To describe upper airway collapse patterns observed on drug-induced sedation endoscopy (DISE) during screening for a clinical trial and to evaluate the impact of collapse patterns found on preoperative DISE on response rates to upper airway stimulation (UAS) therapy. Study Design Retrospective review of an ongoing prospective multi-institutional cohort study. Setting Twenty-two participating institutions of the STAR trial. Subjects and Method In total, 222 subject... περισσότερα »

Impact of Nodal Level Distribution on Survival in Oral Cavity Squamous Cell Carcinoma: A Population-Based Study

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Impact of Nodal Level Distribution on Survival in Oral Cavity Squamous Cell Carcinoma: A Population-Based Study: Objective Regional lymph node metastasis is an important prognostic factor in squamous cell carcinoma of the head and neck, decreasing survival by up to 50%. Oral cavity squamous cell carcinoma (OC-SCCa) most commonly spreads to levels I, II, and III. Study Design Retrospective analysis of a population-based tumor registry. Setting Academic medical center. Subjects and Methods The Surveillance, Epidemiology, and End Results (SEER) database was queried for cases of OC-...περισσότερα »

Cochlear Implantation in Canal Wall Down Mastoid Cavities

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Cochlear Implantation in Canal Wall Down Mastoid Cavities: Cochlear implantation in canal wall down mastoid (CWD) cavities is fraught with the issue of how best to manage the mastoid cavity. Decision points include whether the external auditory meatus should be overclosed, whether the implantation should be staged, or even if the eustachian tube should be plugged. Given these options, we sought to describe our experience of cochlear implantation in CWD cavities. Among evaluation of subjects ≥18 years of age, 9 had cochlear implants placed in CWD mastoid cavities, 7 of which had the...περισσότερα »

Diode Laser Stapedotomy vs Conventional Stapedotomy in Otosclerosis: A Double-Blinded Randomized Clinical Trial

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Diode Laser Stapedotomy vs Conventional Stapedotomy in Otosclerosis: A Double-Blinded Randomized Clinical Trial: Objectives To assess and compare the efficacy of diode laser stapedotomy (DLS) and conventional manual stapedotomy (CMS) in the treatment of otosclerosis. Study Design Randomized clinical trial. Setting Tertiary health center. Subjects and Methods We randomly assigned 60 patients with otosclerosis planned for primary stapedotomy to receive either DLS or CMS. Primary outcome measure was hearing gain measured by pure-tone audiometry (PTA) performed preoperatively and po... περισσότερα »

Comparison of Robotic versus Conventional Selective Neck Dissection and Total Thyroidectomy for Papillary Thyroid Carcinoma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 40 δευτερόλεπτα
Comparison of Robotic versus Conventional Selective Neck Dissection and Total Thyroidectomy for Papillary Thyroid Carcinoma: Objective To compare the surgical outcomes of robotic selective neck dissection (SND) with total thyroidectomy and conventional transcervical SND with total thyroidectomy. Study Design Case series with chart review. Setting University tertiary care facility. Subject and Methods We retrospectively analyzed 66 patients who underwent total thyroidectomy with SND (≥3 levels of II-V) and bilateral central neck dissection for cN1b papillary thyroid carcinoma, of... περισσότερα »

Oxidative Stress and Advanced Glycation End Products in Hashimoto's Thyroiditis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 42 δευτερόλεπτα
•Oxidative Stress and Advanced Glycation End Products in Hashimoto's Thyroiditis Thyroid Posted online on March 9, 2016. (doi:10.1089/thy.2015.0592) View Table of Contents | [image: RSS] TOC, Citation What is RSS? | Email Alert Author information Rosaria M. Ruggeri,1* Teresa M. Vicchio,1* Mariateresa Cristani,2 Rosaria Certo,1 Daniela Caccamo,3Angela Alibrandi,4 Salvatore Giovinazzo,1 Antonina Saija,2 Alfredo Campennì,3 Francesco Trimarchi,1,5 and Sebastiano Gangemi6 1Department of Clinical and Experimental Medicine, Division of Endocrinology, University of Messina, Messina,Italy. ... περισσότερα »

Cell Growth Dynamics in Embryonic and Adult Thyroid

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 42 δευτερόλεπτα
•Cell Growth Dynamics in Embryonic and Adult Mouse Thyroid Revealed by a Novel Approach to Detect Thyroid Gland Subpopulations Thyroid View Table of Contents | [image: RSS] Author information Sanjay Gawade,1 Carlos Mayer,1 Katrin Hafen,1 Thomas Barthlott,1 Werner Krenger,1 and Gabor Szinnai1,2 1Pediatric Immunology, Department of Biomedicine, University of Basel, Basel, Switzerland. 2Pediatric Endocrinology, University Children's Hospital Basel, University of Basel, Basel, Switzerland. Address correspondence to: *Gabor Szinnai, MD, PhD* *Pediatric Endocrinology* *University Children'... περισσότερα »

American Thyroid Association Statement on Remote-Access Thyroid Surgery

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 42 δευτερόλεπτα
American Thyroid Association Statement on Remote-Access Thyroid Surgery: [image: access_free.gif] Thyroid Mar 2016, Vol. 26, No. 3: 331-337. Author information Eren Berber,1 Victor Bernet,2 Thomas J. Fahey III,3 Electron Kebebew,4 Ashok Shaha,5 Brendan C. Stack Jr.,6 Michael Stang,7 David L. Steward,8 and David J. Terris9 for the American Thyroid Association Surgical Affairs Committee 1Department of Endocrine Surgery, Cleveland Clinic, Cleveland, Ohio. 2Division of Endocrinology, Mayo Clinic, Jacksonville, Florida. 3Department of Endocrine Surgery, Weill Cornell Medical College/New... περισσότερα »

124I PET/CT in Patients with Differentiated Thyroid Cancer: Clinical and Quantitative Image Analysis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 45 δευτερόλεπτα
124I PET/CT in Patients with Differentiated Thyroid Cancer: Clinical and Quantitative Image Analysis: [image: access_free.gif] Thyroid Mar 2016, Vol. 26, No. 3: 441-448. Author information Seza A. Gulec,1 Russ A. Kuker,2,3 Mohammed Goryawala,2 Carlos Fernandez,4 Rudolfo Perez,5 Alina Khan-Ghany,6 Ana Apaza,6 Evis Harja,6 and Mack Harrell7 1Department of Surgical Oncology, Endocrine Surgery, Florida International University Herbert Wertheim College of Medicine, Miami, Florida. 2Department of Radiology, University of Miami Miller School of Medicine, Miami, Florida. 3Division of Nuc... περισσότερα »

The Impact of Metastatic Lymph Nodes on Risk Stratification in Differentiated Thyroid Cancer: Have We Reached a Higher Level of Understanding?

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 45 δευτερόλεπτα
The Impact of Metastatic Lymph Nodes on Risk Stratification in Differentiated Thyroid Cancer: Have We Reached a Higher Level of Understanding?: [image: access_free.gif] Thyroid , Vol. 0, No. 0. Author information Mark L. Urken,1 Grace C. Haser,2 Ilya Likhterov,1 and Bruce M. Wenig3 1Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York. 2Department of Otolaryngology—Head and Neck Surgery, Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York. 3Department of Pathology, Mount Sinai Beth Israel, New York, New York. Address cor... περισσότερα »

Lingual Thyroid Ectopia: Diagnostic SPECT/CT Imaging and Radioactive Iodine Treatment

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 46 δευτερόλεπτα
Lingual Thyroid Ectopia: Diagnostic SPECT/CT Imaging and Radioactive Iodine Treatment: Author information Arpit Gandhi,1 Ka Kit Wong,1,2 Milton D. Gross,1,2 and Anca M. Avram1 1Nuclear Medicine/Radiology, University of Michigan, Ann Arbor, Michigan. 2Nuclear Medicine Service, Department of Veterans Affairs Health System, Ann Arbor, Michigan. Address correspondence to: *Anca M. Avram, MD* *University of Michigan Health System* *Department of Radiology, Division of Nuclear Medicine* *B1G505 University Hospital SPC 5028* *1500 E. Medical Center Drive* *Ann Arbor, MI 48109-5028* *E-mail:* a... περισσότερα »

Googling for Information About Alternative Vaccination Schedules

The purpose of this study was to explore and describe the information a parent may find when Googling for information about alternative vaccination schedules. from Health via xlomafota13 on Inoreader http://ift.tt/253l8qw via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/21un4nv via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros […]

Society

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Vaccination Exemption and the Pediatric Health Care Provider

Among children born between 1994 and 2013, vaccinations will prevent approximately 322 million illnesses, 21 million hospitalizations, and 732,000 deaths, resulting in a net savings of $295 billion in direct costs and $1.4 trillion in total societal costs (Whitney, Zhou, Singelton, & Schuchat, 2014). Although U.S. vaccination rates among young children 19 to 35 months […]

Table of Contents

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Increasing Families’ Health Care Access and Choice Through Full Practice Authority

As an organization devoted to improving pediatric health care and enhancing the health and well-being of our nation’s children, the National Association of Pediatric Nurse Practitioners (NAPNAP) allocates considerable human and financial resources toward advancing health care policy that serves the best interests of our pediatric patients and their families. For many years, NAPNAP has […]

Editorial Board

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Acknowledging the Work of Manuscript Reviewers

We extend much gratitude to the 164 peer reviewers of Journal of Pediatric Health Care (JPHC). Times are changing, and editors are under increased pressure to move papers through the review cycle in a timely manner as publishers work toward achieving faster times to editor first decision, editor acceptance of papers, and accepted manuscripts becoming […]

NAPNAP Position Statement on Immunizations

The National Association of Pediatric Nurse Practitioners (NAPNAP) fully supports timely and complete immunization of all infants, children, adolescents, and adults to maximize the health and well-being of all people. Routine childhood immunizations prevent approximately 2.5 million deaths every year (World Health Organization, 2012). Maintaining the highest immunization rates possible is essential to prevent outbreaks […]

Information for Readers

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Implications for Advanced Practice Nurses When Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections (PANDAS) Is Suspected: A Qualitative Study

Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS) is a relatively new but controversial diagnosis affecting hundreds of children and their families. It is generally thought to be an autoimmune disorder resulting from a streptococcal infection that causes significant and bizarre behavioral changes in children. Currently no definitive diagnostic or treatment modalities exist, which […]

Breast Cancer Research and Treatment, Vol. 156, Issue 1 - New Issue Alert

Alexandros G. SfakianakisστοOnline Medical Journals by Alexandros G.SfakianakisΠριν από 2 ώρες
If this email is not displayed correctly, please click here to read this table of contents online. New Issue Alert 03/16/2016 Dear Alexandros Sfakianakis, We are pleased to deliver your requested table of contents alert for *Breast Cancer Research and Treatment*. Volume 156 Number 1 is now available online. In this issue Preclinical Study Transcriptomic analyses identify association between mitotic kinases, PDZ-binding kinase and BUB1, and clinical outcome in breast cancer Alberto Ocaña, Javier Pérez-Peña, Laura Díez-González, Verónica Sánchez-Corrales, Arnoud Templeton, B... περισσότερα »

MicroRNAs provide a novel pathway toward combinatorial immune checkpoint blockade

Alexandros G. SfakianakisστοΟγκολογίαΠριν από 2 ώρες
from #Oncology via alexandrossfakianakis on Inoreader http://ift.tt/1YYeaif via IFTTT

Comparison of the Thickness of Lateral Abdominal Muscles Between Pregnant Women With and Without Low Back Pain

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
To compare the thickness of the external oblique, internal oblique, and transversus abdominis muscles in pregnant subjects with and without low back pain (LBP) by the use of ultrasound to measure thickness. from #Rehabilitation via ola Kala on Inoreader http://ift.tt/1QW3ZJs via IFTTT

Managing Upper Extremity Clonus With Intramuscular Botulinum Toxin–A Injections in a Patient Poststroke

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Spasticity and clonus are common clinical signs of upper motor neuron lesions poststroke. Intramuscular botulinum toxin–A injections have been shown to reduce spasticity and to improve quality of life. Upper extremity clonus can have a significant impact upon activities of daily living and can pose challenges to comfort, self-care, hygiene, and appearance. Although less common than in the ankle, it is important to understand how upper extremity clonus management may be beneficial to patients presenting with this finding. from #Rehabilitation via ola Kala on Inoreader http://ift.tt... περισσότερα »

Difference in Selective Muscle Activity of Thoracic Erector Spinae During Prone Trunk Extension Exercise in Subjects With Slouched Thoracic Posture

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
The prone trunk extension (PTE) exercise is often used to strengthen the back extensors. Although altered trunk posture is associated with movement impairment, the influences of a slouched thoracic posture on muscle activity of the thoracic erector spinae and thoracic movement during the PTE exercise were overlooked in previous studies. from #Rehabilitation via ola Kala on Inoreader http://ift.tt/1QW3ZsU via IFTTT

Erratum

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Smith AM, Stuart MJ, Dodick DW, et al. Ice Hockey Summit II: Zero tolerance for head hits and fighting. PM R 7 2015;7:283-295. from #Rehabilitation via ola Kala on Inoreader http://ift.tt/1nMCZQK via IFTTT

Academy News

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Get ready for the 2015 Annual Assembly! Registration is now open for this year's meeting in Boston, October 1-4. With a full slate of education and networking activities, the 2015 AAPM&R Annual Assembly builds on the momentum from previous Assembly offerings. from #Rehabilitation via ola Kala on Inoreader http://ift.tt/1QW3Zcj via IFTTT

Acceptability and Reliability of a Novel Palliative Care Screening Tool Among Emergency Department Providers

Alexandros G. SfakianakisστοAnaesthesiologyΠριν από 2 ώρες
Abstract Background The Palliative Care and Rapid Emergency Screening (P-CaRES) Project is an initiative intended to improve access to palliative care (PC) among emergency department (ED) patients with life-limiting illness by facilitating early referral for inpatient PC consultations. In the previous two phases of this project, we derived and validated a novel PC screening tool. This paper reports on the third and final pre-implementation phase. Objectives Examine the acceptability of the P-CaRES screening tool among PC and ED providers as well as test its reliability on case vi... περισσότερα »

Postoperative shoulder pain after laparoscopic hysterectomy with deep neuromuscular blockade and low-pressure pneumoperitoneum.

Alexandros G. SfakianakisστοAnaesthesiologyΠριν από 2 ώρες
No abstract available from Anaesthesia via ola Kala on Inoreader http://ift.tt/1MlII6t via IFTTT

Training Groups

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 3 ώρες
Publication date: April 2016 *Source:*British Journal of Oral and Maxillofacial Surgery, Volume 54, Issue 3 from #ΓναθοΧειρουργική via xlomafota13 on Inoreader http://ift.tt/1YYaHjL via IFTTT Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026182 & 00306932607174

Efficacy of Low-Level Laser Therapy in the Management of Postoperative Pain in Children After Primary Teeth Extraction: A Randomized Clinical Trial

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 3 ώρες
Photomedicine and Laser Surgery , Vol. 0, No. 0. from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1Rlnsz0 via IFTTT

Effect of Fiberoptic Collimation Technique on 808 nm Wavelength Laser Stimulation of Cochlear Neurons

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 3 ώρες
Photomedicine and Laser Surgery , Vol. 0, No. 0. from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1SRFKNI via IFTTT

Endoscopic capsule retention: a complication with an underappreciated cause

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 3 ώρες
from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1Rk5HWR via IFTTT

Origin of cystic squamous cell carcinoma metastases in head and neck lymph nodes: Addition of EBV testing improves diagnostic accuracy

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 3 ώρες
Publication date: Available online 14 March 2016 Source:Pathology - Research and Practice Author(s): Marián Švajdler, Jana Kašpírková, Ladislav Hadravský, Jan Laco, Pavol Dubinský, Ľubomír Straka, Ondrej Ondič, Michal Michal, Alena Skálová Most cases of cystic squamous cell carcinoma (SCC) metastases in the upper neck are associated with an oropharyngeal primary, namely human papillomavirus (HPV)-associated SCC arising in the palatine or lingual tonsil. A retrospective study was performed on 22 patients who presented with cystic head and neck SCC metastases. The purpose of the stu... περισσότερα »

Evaluation for High-risk HPV in Squamous Cell Carcinomas and Precursor Lesions Arising in the Conjunctiva and Lacrimal Sac

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 3 ώρες
High-risk human papilloma virus (HR-HPV) is a well-established causative agent of oropharyngeal squamous cell carcinoma (SCC). In addition, HR-HPV has occasionally been reported to be present in dysplastic and malignant lesions of the conjunctiva and lacrimal sac, although its overall incidence and etiological role in periocular SCC are controversial. Sequential surgical samples of 52 combined cases of invasive SCC (I-SCC) and SCC in situ (SCCIS) from 2 periocular sites (conjunctiva and lacrimal sac) diagnosed over a 14-year period (2000 to 2014) were selected for evaluation, and ...περισσότερα »

Origin of cystic squamous cell carcinoma metastases in head and neck lymph nodes: Addition of EBV testing improves diagnostic accuracy

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 3 ώρες
Publication date: Available online 14 March 2016 Source:Pathology - Research and Practice Author(s): Marián Švajdler, Jana Kašpírková, Ladislav Hadravský, Jan Laco, Pavol Dubinský, Ľubomír Straka, Ondrej Ondič, Michal Michal, Alena Skálová Most cases of cystic squamous cell carcinoma (SCC) metastases in the upper neck are associated with an oropharyngeal primary, namely human papillomavirus (HPV)-associated SCC arising in the palatine or lingual tonsil. A retrospective study was performed on 22 patients who presented with cystic head and neck SCC metastases. The purpose of the stu... περισσότερα »

Evaluation for High-risk HPV in Squamous Cell Carcinomas and Precursor Lesions Arising in the Conjunctiva and Lacrimal Sac

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 3 ώρες
High-risk human papilloma virus (HR-HPV) is a well-established causative agent of oropharyngeal squamous cell carcinoma (SCC). In addition, HR-HPV has occasionally been reported to be present in dysplastic and malignant lesions of the conjunctiva and lacrimal sac, although its overall incidence and etiological role in periocular SCC are controversial. Sequential surgical samples of 52 combined cases of invasive SCC (I-SCC) and SCC in situ (SCCIS) from 2 periocular sites (conjunctiva and lacrimal sac) diagnosed over a 14-year period (2000 to 2014) were selected for evaluation, and ...περισσότερα »

Meta-analysis of radiofrequency ablation for treating the local recurrence of thyroid cancers

Alexandros G. SfakianakisστοThyroid Disorders by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Objectives Our aim was to evaluate the efficacy of ultrasound-guided radiofrequency ablation (RFA) for localized recurrent thyroid cancers. Methods We did a systematic review and meta-analysis of the scientific literature by searching the PubMed, Embase, Web of Science,Scopus and the Cochrane Library up to November 26, 2015. We assessed the pooled standard mean difference (SMD) of nodule volume, largest diameter and serum thyroglobulin (*T*g) level by comparing pre-RFA with post-RFA using fixed or random-effects model. The Newcastle–Ottawa Scale was used to evaluate the ... περισσότερα »

Synthesis and characterization of thermo-responsive supramolecular diblock copolymers

Alexandros G. SfakianakisστοΒιοΜηχανικήΠριν από 3 ώρες
Abstract In this paper, we report the synthesis and characterization of a new thermo-responsive supramolecular amphiphiles diblock copolymer, methoxy poly (ethylene glycol)*-block-*Poly(N-isopropylacrylamide) (mPEG*-b-*PNIPAM). The mPEG with β-cyclodextrin (β-CD) group and the PNIPAM with adamantine (AD) group were synthesized, respectively, and mPEG*-b-*PNIPAM was then obtained by the host-guest inclusion between AD and β-CD. The structure and molecular weight of mPEG*-b-*PNIPAM was confirmed by 1H NMR and GPC measurements. At low temperature (*T* < 33 °C), the PNIPAM block is hy... περισσότερα »

Comparison of CT and MRI Findings for Cervical Spine Clearance in Obtunded Patients Without High Impact Trauma

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 4 ώρες
[image: S03038467.gif] Publication date: Available online 15 March 2016 *Source:*Clinical Neurology and Neurosurgery Author(s): Xiao Wu, David Durand, Vivek B. Kalra, Renu Liu, Howard P. Forman, Ajay Malhotra from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1Rk4Kht via IFTTT

Comparative analysis of clinical outcomes between zero-profile implant and cages with plate fixation in treating multilevel cervical spondilotic myelopathy: a three-year follow-up

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 4 ώρες
[image: alertIcon.gif] Publication date: Available online 15 March 2016 *Source:*Clinical Neurology and Neurosurgery Author(s): Yu Chen, Huajiang Chen, Xiaodong Wu, Xinwei Wang, Wenbo Lin, Wen Yuan ObjectivesThis study aimed to figure out three-year clinical outcomes and complications of ACDF with Zero-p in treating multilevel cervical spondylotic myelopathy (MCSM) by comparing with plate fixation.Clinical Materials and MethodsPatients with MCSM caused by degenerative disc herniation only were recruited from April 2010 to December 2010. According to the surgical procedures, the pati... περισσότερα »

Evaluation for High-risk HPV in Squamous Cell Carcinomas and Precursor Lesions Arising in the Conjunctiva and Lacrimal Sac

High-risk human papilloma virus (HR-HPV) is a well-established causative agent of oropharyngeal squamous cell carcinoma (SCC). In addition, HR-HPV has occasionally been reported to be present in dysplastic and malignant lesions of the conjunctiva and lacrimal sac, although its overall incidence and etiological role in periocular SCC are controversial. Sequential surgical samples of 52 combined […]

A Call to Action for Care Coordination Research and Pediatric Implementation Science

This article is a call for pediatric nurse researchers to lead, participate in, and disseminate care coordination research and implementation science. This challenge is issued because of aging population demographics, resource scarcity, and the need for evidence-based child health policy advocacy. It is not news that the burgeoning needs of the elderly population can easily […]

An Evaluation of the Identification and Management of Overweight and Obesity in a Pediatric Clinic

With the rise in overweight and obesity in children, it is imperative for health care providers to routinely address appropriate body mass index for children during primary care visits. The purposes of this project were to determine if overweight and obese children are accurately being identified and to evaluate provider adherence to American Academy of […]

Vaccination Exemption and the Pediatric Health Care Provider

Among children born between 1994 and 2013, vaccinations will prevent approximately 322 million illnesses, 21 million hospitalizations, and 732,000 deaths, resulting in a net savings of $295 billion in direct costs and $1.4 trillion in total societal costs (Whitney, Zhou, Singelton, & Schuchat, 2014). Although U.S. vaccination rates among young children 19 to 35 months […]

Googling for Information About Alternative Vaccination Schedules

The purpose of this study was to explore and describe the information a parent may find when Googling for information about alternative vaccination schedules. from Health via xlomafota13 on Inoreader http://ift.tt/253l8qw via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/21un4nv via IFTTT

Editorial Board

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Society

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Acknowledging the Work of Manuscript Reviewers

We extend much gratitude to the 164 peer reviewers of Journal of Pediatric Health Care (JPHC). Times are changing, and editors are under increased pressure to move papers through the review cycle in a timely manner as publishers work toward achieving faster times to editor first decision, editor acceptance of papers, and accepted manuscripts becoming […]

Table of Contents

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NAPNAP Position Statement on Immunizations

The National Association of Pediatric Nurse Practitioners (NAPNAP) fully supports timely and complete immunization of all infants, children, adolescents, and adults to maximize the health and well-being of all people. Routine childhood immunizations prevent approximately 2.5 million deaths every year (World Health Organization, 2012). Maintaining the highest immunization rates possible is essential to prevent outbreaks […]

Editorial Board

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 4 ώρες
Publication date: April 2016 *Source:*British Journal of Oral and Maxillofacial Surgery, Volume 54, Issue 3 from #ΓναθοΧειρουργική via xlomafota13 on Inoreader http://ift.tt/1M6pGGp via IFTTT Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026182 & 00306932607174

Submucous cleft palate: outcomes after primary repair with repositioning of the levator muscle in 51 consecutive patients

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 4 ώρες
Publication date: Available online 15 March 2016 *Source:*British Journal of Oral and Maxillofacial Surgery Author(s): A.G. Smyth I report the incidence of hypernasal resonance, nasal emission, and fistula after intravelar surgery with retropositioning of the levator muscle by a single surgeon in a consecutive series of 51 patients who presented with symptomatic submucous cleft palate. Intravelar veloplasty with repositioning of the levator muscle was highly effective in that 37/51 patients (73%) achieved either normal or mild and inconsistent resonance (p<0.0001), and 39 (77%) norm...περισσότερα »

Origin of cystic squamous cell carcinoma metastases in head and neck lymph nodes: Addition of EBV testing improves diagnostic accuracy

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 4 ώρες
Publication date: Available online 14 March 2016 Source:Pathology - Research and Practice Author(s): Marián Švajdler, Jana Kašpírková, Ladislav Hadravský, Jan Laco, Pavol Dubinský, Ľubomír Straka, Ondrej Ondič, Michal Michal, Alena Skálová Most cases of cystic squamous cell carcinoma (SCC) metastases in the upper neck are associated with an oropharyngeal primary, namely human papillomavirus (HPV)-associated SCC arising in the palatine or lingual tonsil. A retrospective study was performed on 22 patients who presented with cystic head and neck SCC metastases. The purpose of the stu... περισσότερα »

Origin of cystic squamous cell carcinoma metastases in head and neck lymph nodes: Addition of EBV testing improves diagnostic accuracy

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 4 ώρες
Publication date: Available online 14 March 2016 Source:Pathology - Research and Practice Author(s): Marián Švajdler, Jana Kašpírková, Ladislav Hadravský, Jan Laco, Pavol Dubinský, Ľubomír Straka, Ondrej Ondič, Michal Michal, Alena Skálová Most cases of cystic squamous cell carcinoma (SCC) metastases in the upper neck are associated with an oropharyngeal primary, namely human papillomavirus (HPV)-associated SCC arising in the palatine or lingual tonsil. A retrospective study was performed on 22 patients who presented with cystic head and neck SCC metastases. The purpose of the stu... περισσότερα »

Evaluation for High-risk HPV in Squamous Cell Carcinomas and Precursor Lesions Arising in the Conjunctiva and Lacrimal Sac

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 4 ώρες
High-risk human papilloma virus (HR-HPV) is a well-established causative agent of oropharyngeal squamous cell carcinoma (SCC). In addition, HR-HPV has occasionally been reported to be present in dysplastic and malignant lesions of the conjunctiva and lacrimal sac, although its overall incidence and etiological role in periocular SCC are controversial. Sequential surgical samples of 52 combined cases of invasive SCC (I-SCC) and SCC in situ (SCCIS) from 2 periocular sites (conjunctiva and lacrimal sac) diagnosed over a 14-year period (2000 to 2014) were selected for evaluation, and ...περισσότερα »

Comparison between surgery and definitive chemoradiotherapy for patients with resectable esophageal squamous cell carcinoma: a propensity score analysis

Alexandros G. SfakianakisστοHead,Neck,Brain,Cervical Spine and Esophageal Cancers by Alexandros G. SfakianakisΠριν από 4 ώρες
Abstract Purpose Our intent was to compare survival following neoadjuvant chemotherapy followed by surgery versus chemoradiotherapy (CRT) among patients with potentially resectable esophageal squamous cell carcinoma. Methods Information about 406 consecutive esophageal cancer patients with resectable disease who underwent surgery with neoadjuvant chemotherapy consisting of cisplatin plus 5-fluorouracil or who underwent definitive CRT was reviewed. The survival outcomes were analyzed using the Kaplan–Meier method and propensity score-adjusted Cox proportional hazards models. Relev... περισσότερα »

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