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Fujimoto Eisaku E Department of Orthopedic Surgery, Chugoku Rousai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima, 737-0193, Japan, - - 2014
The influence of residual malalignment on biomechanical analysis after total knee arthroplasty (TKA) is currently uncertain. The hypothesis is that postoperative alignment would influence the in vivo kinematics after TKA, under weight-bearing conditions but not under non-weight-bearing condition. The purpose of the present study was to compare weight-bearing and non-weight-bearing ...
Caliskan Etem E Clinic for Cardiac Surgery, University Hospital Zurich, Zurich, - - 2014
To investigate the effects of body mass index (BMI) on early outcomes after revascularization using either on-pump or off-pump surgery. Data for 3714 of 4314 patients who underwent surgical revascularization at our institution between 1999 and 2008 were analysed. Patients were divided into two groups [off-pump coronary artery bypass (OPCAB); ...
Mourad Mirella M Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai , New York, NY , USA - - 2014
Abstract Objective: To estimate the association between maternal obesity and adverse outcomes in patients without placenta previa or accreta undergoing a tertiary or higher cesarean delivery. Study design: Retrospective cohort of patients cared for by a single MFM practice undergoing a tertiary or higher cesarean delivery from 2005 to 2013. ...
Yin Jun J Departments of *Minimally Invasive Surgery †General Surgery ‡Neurology, The First Affiliated Hospital of Soochow University, Suzhou, - - 2014
Although bariatric surgery performed for morbid obesity has been shown to significantly improve type 2 diabetes mellitus (T2DM), data on its effectiveness to improve T2DM in nonobese patients are scarce. The present pilot study evaluated the clinical effects of laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) in Chinese T2DM patients with ...
Bounthavong M M Veterans Affairs San Diego Healthcare System, San Diego, USA. Electronic address: - - 2014
This was a retrospective cohort study that evaluated the differences in glycated haemoglobin (HbA1c) and body mass index (BMI) in veterans with type 2 diabetes mellitus (T2DM), prescribed exenatide twice daily (BID) versus long-acting insulin analog (LAIA) two years after initiation in the United States (US) veteran population. Patients were ...
Pappou Ioannis I Shoulder and Elbow Division, Florida Orthopaedic Institute, 13020 North Telecom Parkway, Tampa, FL 33637. E-mail address for M.A. Frankle: - - 2014
The rising number of morbidly obese patients has important consequences for the health-care system. We investigated the effect of morbid obesity on outcomes, complications, discharge disposition, and costs in patients undergoing reverse shoulder arthroplasty.METHODS: Our joint registry was searched for all patients who had undergone primary reverse shoulder arthroplasty for ...
Ito Hiroshi - - 2014
It has not been shown whether accelerated rehabilitation following periacetabular osteotomy (PAO) is effective for early recovery. The purpose of this retrospective study was to compare complication rates in patients with standard and accelerated rehabilitation protocols who underwent PAO. Between January 2002 and August 2011, patients with a lateral center-edge ...
Baretta Giorgio A P GA Universidade Federal do Paraná, 1375 Alameda Presidente Taunay, 80430-000, Curitiba, PR, Brazil, - - 2014
The failure of approximately 20 % of obese patients who undergo Roux-en-Y gastric bypass (RYGB) to maintain weight loss over the following 18-24 months is related to the surgical procedure, to the patient, or both. Although the underlying mechanisms are uncertain, one factor that has been postulated is the dilation of the ...
Hong K D KD Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, - - 2014
This study aimed to investigate the outcomes of sphincteroplasty in obese patients. Patients with fecal incontinence (FI) who underwent sphincter repair were identified and divided into obese [body mass index (BMI) ≥ 30 kg/m(2)] and nonobese (BMI < 30 kg/m(2)) groups. Cleveland Clinic Florida FI Score (CCFFIS: 0 best and 20 worst) and FI quality of ...
Gargiulo M M Vascular Surgery, Department of Experimental Diagnostic and Specialty Medicine, University of Bologna, Azienda Policlinico S. Orsola-Malpighi, Padiglione 5, III Piano Via Massarenti 9, 40138 Bologna, - - 2014
To evaluate four-dimensional contrast-enhanced ultrasound (4D-CEUS) as an alternative imaging method to computed tomography angiography (CTA) during follow up of fenestrated endovascular aneurysm repair (FEVAR) for juxta- and para-renal abdominal aortic aneurysms (AAA). Between October 2011 and March 2012, all consecutive patients who underwent FEVAR follow up were included in ...
Buchwald H H Department of Surgery, University of Minnesota, 420 Delaware Street SE, MMC 290, Minneapolis, MN, 55455, USA, - - 2014
This is the first systematic review and meta-analysis focused exclusively on intermediate-term outcomes for the banded Roux-en-Y gastric bypass (B-RYGB). B-RYGB articles published from 1990 to 2013 were identified through MEDLINE, ScienceDirect, and SpringerLink databases augmented by manual reference review. Articles were assigned an evidence level (Centre for Evidence-Based Medicine ...
Nicoletti Carolina Ferreira CF Department of Internal Medicine, Faculty of Medicine of Ribeirao Preto, University of São Paulo, Avenida dos Bandeirantes, 3900, Ribeirao Preto, SP, 14049-900, Brazil, - - 2014
Bariatric surgery produces a substantial weight loss and improves the comorbidities associated with obesity such as diabetes mellitus and dyslipidemia, although inability to lose weight or weight regain has been estimated to occur in 20 % of cases. The objective of the present study was to assess the influence of weight ...
Raynor Hollie A HA University of Tennessee, Knoxville, TN, USA. - - 2014
To examine if physical activity (PA) variety was associated with moderate- to vigorous-intensity PA (MVPA) energy expenditure and body mass index (BMI) at 18 months during an obesity intervention. Participants with ≥ 10 minutes/week of MVPA at 6 months and complete PA data were included. Participants were classified into Variety ...
Strain Gladys W GW Department of Surgery, Weill Cornell Medical College, 525 E 68th St., Box 294, New York, NY, 10065, USA, - - 2014
Since there is an increasing acceptance of the laparoscopic sleeve gastrectomy (LSG) and limited information regarding its effect on cardiac risk factors, we assessed lipid profiles. A retrospective review of patient records pre and post LSG was performed. Analysis of variance evaluated group differences and paired t tests compared variable ...
Li Shuyuan S Department of Orthopaedic, Chinese People's Liberation Army General Hospital, Beijing 100853, China; Department of Orthopaedic, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, - - 2014
The time until weight-bearing after arthroscopic microfracture when treating osteochondral lesions of the talus (OLT) is very important to the clinical outcomes of the operation. However, there have been no consistent opinions regarding the optimal time to start weight-bearing postoperatively. Many opinions advocate that weight-bearing should begin not earlier than ...
Williams Gj G Chelsea and Westminster Hospital NHS Foundation Trust, - - 2014
The aim of this study was to evaluate outcomes of bariatric surgery performed in order to improve mobility in patients with severe mobility limitations. Patients with severe mobility impairment (wheelchair bound) who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic adjustable gastric banding (LAGB) surgery to improve their mobility were ...
Farr Jack J Department of Orthopaedic Surgery, Cartilage Restoration Center of Indiana, 1260 Innovation Parkway, Suite 100, Greenwood, IN 46143, USA. Electronic address: - - 2014
Patellofemoral arthritis is multifactorial and more prevalent in women and in those with high patellofemoral loading (eg, from athletics and obesity). More patients are presenting with end-stage patellofemoral arthritis at earlier ages, which is increasingly being treated with patellofemoral arthroplasty. However, these patients often desire to continue with some level ...
Elizalde Benito Francisco Xavier FX Servicio de Urología. Clínica del Pilar. Zaragoza. - - 2014
To study the efficacy and safety of the Perigee® System for the treatment of anterior vaginal prolapse in our experience with a medium term follow-up. Prospective analysis on 48 consecutive patients with stage II-IV cystocele diagnosed from June 2006 until June 2009 using the Pelvic Organ Prolapse Quantitation classification without ...
Al-Sabah Salman K SK Department of Surgery, Amiri Hospital, Kuwait Ministry of Health, Kuwait, - - 2014
Laparoscopic sleeve gastrectomy (SG) is becoming a popular and preferred primary bariatric intervention; however, its applicability in the adolescent age group remains controversial. The aim of this study is to evaluate the efficacy of SG in treating obesity and its co-morbidities among adolescents. A retrospective study was conducted of patients ...
Currò Giuseppe G Department of Human Pathology, University of Messina, 98100, Messina, Italy, - - 2014
This retrospective study compares the clinical and nutritional outcomes of 100 morbidly obese patients who underwent biliopancreatic diversion (BPD) with common (CC) and alimentary channel (AC) length, respectively, 50/250 and 80/200 cm. One hundred patients who received BPD from October 2006 to November 2011 were identified from a database of bariatric ...
Movassaghi Mehran M Cedars Sinai Medical Center, Urology , 8635 W Third St , Suite 1070 , Los Angeles, California, United States, 90048 , (310) 423-3700 , (310) 423-4711 ; - - 2014
The link between obesity and diabetes, hypertension, and eventual kidney dysfunction is well recognized. In order to evaluate trends in Body Mass Index (BMI) of donor nephrectomy patients, BMI was evaluated in 532 donors over 11 years from 2002-2012. Measurements were made pre-operatively, at 1 year, and at the present ...
Afaneh Cheguevara C Department of Surgery, New York-Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th Street, Box 207, New York, NY, 10065, USA, - - 2014
Patients undergoing sleeve gastrectomy experience a significant amount of postoperative gastrointestinal (GI) symptoms. The purpose of our study was to assess the efficacy of omentopexy during laparoscopic sleeve gastrectomy (LSG) in reducing postoperative food intolerance and GI symptoms. Morbidly obese patients undergoing LSG were randomly assigned to have LSG with ...
Comiter Craig V CV Department of Urology, Stanford University Medical School, Stanford, CA. Electronic address: - - 2014
To successfully perform male sling surgery, and the surgery must achieve proximal urethral relocation and/or bulbar urethral compression. The Virtue quadratic sling is a novel device that incorporates both mechanisms of action. We report the 1-year results of the Virtue sling with fixation and compare it with the results of ...
Obeidat Firas W FW Faculty of Medicine, Department of General Surgery, The University of Jordan, Amman, Jordan, - - 2014
Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of obesity. The objective of this study was to evaluate the volume of the resected stomach (VRS) as a predictor of the percentage of excess weight loss (%EWL) 1 year after LSG. This was a single-surgeon study of prospectively collected data ...
Kelly Anne C AC From the *Department of Psychiatry, and †North Carolina Psychiatric Research Center, University of North Carolina at Chapel Hill, Chapel Hill; and ‡North Carolina Division of State Operated Healthcare Facilities, Raleigh, - - 2014
Clozapine, an evidence-based treatment of refractory schizophrenia, is associated with increased weight gain and metabolic dysregulation compared with most antipsychotics in short-term clinical trials. However, there are limited data describing comparative long-term metabolic risks. In this report, we examined whether short-term differences persist with long-term exposure to clozapine. The data ...
Richards Kyle A KA The University of Chicago Medical Center, Urology , 5841 S. Maryland Avenue , MC 6038 , Chicago, Illinois, United States, 60637 , 773-702-6189 , 773-702-1001 ; - - 2014
Objective: To assess the impact of body mass index (BMI) on perioperative and renal functional outcomes in patients undergoing minimally invasive partial nephrectomy. Materials and Methods: In our IRB-approved, prospectively maintained clinical database, we identified 1,206 patients who underwent kidney surgery from 2002-2013. Estimated glomerular filtration rate (eGFR) was obtained ...
Lee Sun Y SY Section of Endocrinology, Diabetes, and Nutrition, Boston University School of Medicine, Boston, - - 2014
Objective: Surprisingly few studies have examined weight change in hypothyroid patients after initiation of levothyroxine (LT4) therapy. Our study aimed to investigate weight change after initiation of treatment for primary hypothyroidism.Methods: Using electronic medical records from Boston Medical Center, Boston, MA, we performed a retrospective cohort study from 1/1/2003-2/1/2011. Adults ...
Park Sun Hee SH Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea - - 2014
Extended-spectrum β-lactamase (ESBL)-producing Escherichia coli has become an important cause of community-onset urinary tract infections. We aimed to evaluate the efficacy of non-carbapenem antibiotics for acute pyelonephritis (APN) due to ESBL-producing E. coli. We conducted a retrospective cohort study of patients with community-onset APN due to ESBL-producing E. coli at ...
Kindo Michel M Department of Cardiovascular Surgery, University Hospitals of Strasbourg, France. Electronic address: - - 2014
Obesity is suggested to reduce postoperative bleeding in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) but perioperative hemostasis variations have not been studied. Therefore, we investigated the effects of severe obesity (body mass index [BMI] ≥35kg/m(2)) on chest tube output (CTO) and hemostasis in patients undergoing cardiac surgery with ...
Farsani Terry T TT Department of Dermatology, Boston Children's Hospital, Boston, - - 2014
A 9-month-old girl exposed to 5% topical minoxidil for 2 months developed generalized hypertrichosis of the exposed and unexposed areas of her body. The infant's grandfather had been using minoxidil daily and then propping the baby on his shoulders for an hour or more a day. Minoxidil was eliminated from the ...
Dogan K K Department of Surgery, Rijnstate Hospital, Postal number 1190, P.O. Box 9555, 6800 TA, Arnhem, The Netherlands, - - 2014
Severely obese patients have an increased risk for developing metabolic complications such as type 2 diabetes mellitus (T2DM), dyslipidaemia (DL) and hypertension (HT). The aim of the present study is to research the effect of a primary laparoscopic Roux-en-Y gastric bypass (LRYGB) on T2DM, HT and DL in the long-term. ...
Zotou Anastasia A Department of Anesthesiology and Critical Care Medicine, University Hospital of Patras, Rion, Patras, 26504, Greece, - - 2014
Insufficient data exist regarding postoperative thoracic epidural analgesia for morbidly obese patients undergoing open bariatric surgery. This study evaluated the effectiveness of morphine loading in a postoperative thoracic epidural analgesic regimen of patient-controlled epidural analgesia (PCEA) with levobupivacaine combined with continuously administered epidural morphine in this patient group. In this ...
Castilla Iván I Health Services Research on Chronic Patients Network (REDISSEC), Santa Cruz de Tenerife, Spain, - - 2014
To assess the cost-utility of gastric bypass versus usual care for patients with severe obesity in Spain. We have implemented a discrete-event simulation model with two branches: one branch involves gastric bypass, thereby reducing patients' BMI, and another branch where patients do not undergo surgery. The model analyzes the emergence ...
Borel Jean-Christian JC INSERM Unit 1042, Grenoble Alpes University, Grenoble, France; Physiology and Sleep Unit, Michallon University Hospital, Grenoble, - - 2014
Long-term non-invasive ventilation (NIV) has become a widespread modality of treatment in chronic obstructive pulmonary disease (COPD) patients with chronic respiratory failure. However, benefits in terms of patient-related outcomes are still under debate. Both NIV adherence and heterogeneous responses in different COPD phenotypes may contribute to the difficulty of demonstrating ...
Seren Erdal E ENT Department, Giresun University, Giresun, - - 2014
Snoring is a sound caused by vibration of collapsed and/or unsteady airway walls of the pharynx and soft palate. We compared stored spectra of snoring sounds recorded via cell phone (CP) and a microphone placed over the head (head phone [HP]). Thirty-four snoring patients were included in this prospective study. ...
Weichman Katie E KE Institute of Reconstructive Plastic Surgery, New York University, New York, New - - 2014
Background The purpose of this investigation was to examine patients with low body mass index (BMI) regarding the feasibility to perform autologous breast reconstruction in such patients, as well as to determine optimal donor sites and evaluate outcomes accordingly. Patients and Methods All patients undergoing microsurgical breast reconstruction were divided into three ...
Gomberawalla Ameer A Saint Joseph Hospital, Chicago Institute of Advanced Bariatric Surgery, 2900 N Lake Shore Drive, Chicago, IL, 60657, USA, - - 2014
Single incision laparoscopy remains controversial due to technical challenges which may cause suboptimal outcomes. This study aims to evaluate the feasibility and equivalency of the single incision sleeve gastrectomy (SISG) when compared to the traditional multiport sleeve gastrectomy (MPSG) approach in a matched cohort evaluating technical aspects and postoperative results. ...
Flores L L Obesity Unit, Department of Endocrinology and Nutrition, Hospital Clinic i Universitari, Villarroel, 170, Escalera 11, 2º piso, CP 08036, Barcelona, Spain, - - 2014
The aim of this study was to describe the effect of surgically induced weight loss on vascular function measured by flow-mediated dilatation (FMD) in hypertensive obese patients. This prospective study included 33 patients (78 % females, mean age 53 (9) years) undergoing bariatric surgery (BS). Before and 12 months postoperatively, the BMI, ...
Marambio Andrés A Andrés Marambio, Guillermo Watkins, Andrea Riffo, Jaime Jans, Department of Surgery, University of Chile Clinical Hospital, Santiago 8380456, - - 2014
To describe the variation that divalent metal transporter 1 (DMT1) shows in patients after Roux-en-Y gastric bypass (RYGB) surgery. Prospective and analytical study of DMT1 level at the brush border of proximal jejunum in patients having undergone RYGB surgery. The mucosa of proximal jejunum forming the gastrojejunal anastomosis was biopsied ...
Utzolino Stefan S Department of General and Visceral Surgery, University Hospital, Freiburg, Germany. Electronic address: - - 2014
Although obesity is usually regarded as a risk factor in surgical patients, various observations have revealed a better outcome in the obese. This finding is called the obesity paradox. To which group of patients the paradox applies and even whether it exists at all are matters of controversial discussion. We ...
Courcoulas Anita P AP Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, - - 2014
IMPORTANCE Many questions remain unanswered about the role of bariatric surgery for people with type 2 diabetes mellitus (T2DM). OBJECTIVE To determine feasibility of a randomized clinical trial (RCT) and compare initial outcomes of bariatric surgery and a structured weight loss program for treating T2DM in participants with grades I ...
Murgatroyd Sarah E SE Department of Orthopaedic Surgery, Middlemore Hospital, Counties Manukau DHB, Auckland, - - 2014
This study assessed the early outcomes of total hip arthroplasty compared with body mass index (BMI). 5357 hip arthroplasties were evaluated. Oxford Scores, revision for any reason and other factors including American Society of Anaesthesiology scores, length of surgery and cementation of components were analyzed. Both a high and a ...
Kuo Lindsay E LE Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: - - 2014
Persistent and recurrent hyperparathyroidism necessitate reoperation, which is associated with increased procedure-specific complication rates. The effect of reoperative parathyroidectomy on more generalized outcomes is poorly understood. We sought to determine patient, provider, and perioperative characteristics associated with reoperation, as well as to determine the associated risks. All patients receiving a ...
Jameson Simon S SS School of Medicine and Health, Durham University, Queen's Campus, Stockton-on-Tees, UK; The National Joint Registry for England and Wales; School of Medicine, Pharmacy and Health, Durham University, Queen's Campus, Stockton-on-Tees, - - 2014
Influence of BMI upon patient outcomes and complications following THA was examined across a national cohort of patients. Outcomes were compared by BMI groups (19.0-29.9kg/m(2) [reference], 30.0-34.9kg/m(2) [obese class I], 35.0kg/m(2)+ [obese class II/III]), adjusted for case-mix differences. Obese class I patients had a significantly smaller improvement in OHS (18.9 ...
Rinker Brian B From the *Department of Surgery, Division of Plastic Surgery, University of Kentucky, Lexington, KY; and †The Kentucky Aesthetic Plastic Surgery Institute, Louisville, - - 2014
Skin-sparing mastectomy (SSM) with immediate tissue expander reconstruction poses a challenge in the patient with macromastia or excessive ptosis. Skin reduction via the Wise pattern has been described but is associated with high rates of skin necrosis. The study group consisted of 43 women with grade 2 or 3 ptosis ...
Ruiz Ferrin K - - 2014
After lower extremity fracture or surgery, physicians often prescribe limited weight bearing. The current study was performed to evaluate teaching and compliance of touch-down weight bearing (defined as 25 lb) at a level I academic trauma center. A survey was distributed to physical therapists (PTs) from the orthopedic ward to ...
Wu Jie - - 2014
To observe the curative effect of acupuncture at hour-prescriptive points, a method of midnight-noon ebb-flow, to treat female adult abdominal obesity with spleen deficiency and exuberant dampness. Seventy-two patients with adult abdominal obesity with spleen deficiency and exuberant dampness were randomly divided into a treatment group and a control group ...
Rehem Rania Abdel RA Internal Medicine Department, Endocrinology, Faculty of Medicine, Alexandria University, Alexandria, - - 2014
There is a proven relationship between obesity and several cancers including breast, endometrium, colorectal, and esophagus. With the increasing incidence of both obesity and thyroid cancer, we designed the present study to investigate a causal relationship between leptin, which is one of the well known adipokines, and well-differentiated thyroid cancer ...
Trésallet Christophe C Department of General, Digestive and Endocrine Surgery, Pierre-et-Marie Curie University (Paris VI), Assistance Publique des Hôpitaux de Paris (APHP), Paris, France. Electronic address: - - 2014
The connection between high body mass index (BMI), risk of papillary thyroid carcinoma (PTC), and the aggressiveness of PTC is still debated. We aimed to establish the relationship between excess BMI and the risk of PTC in an operative population, and the impact of obesity on histopathologic aggressiveness of PTC ...
Wachsberg Kelley N KN Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, - - 2014
Obesity-related comorbidities frequently contribute to acute illness. Obesity interventions during hospitalization are not often utilized but may be effective. To examine whether inpatient weight loss intervention with postdischarge follow-up results in weight loss at 6 months when compared to control. Prospective, randomized controlled trial. Academic medical center in Chicago, Illinois. ...
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