Isr Med Assoc J
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Randomized Controlled Trial
Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study.
Local anesthetics are used in various sites and mechanisms to maximize perioperative analgesia and reduce opioid use and side effects. Pain management in the bariatric setting is challenging and the efficacy of local anesthetics intraoperatively is under current evaluation. ⋯ Visceral block is a safe and feasible intraoperative procedure. A trend toward its efficacy warrants future larger scale studies.
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Randomized Controlled Trial
Traditional Physiotherapy vs. Fascial Manipulation for the Treatment of Trigger Finger: A Randomized Pilot Study.
Physiotherapy can help treat of trigger fingers (TF). ⋯ Both FM and TP techniques are effective for the treatment of TF and should be considered for patients who present with SST scores of 1 or 2.
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Randomized Controlled Trial
Omega-3 Intake Improves Clinical Pregnancy Rate in Polycystic Ovary Syndrome Patients: A Double-Blind, Randomized Study.
Omega-3 fatty acids promote fertility in males and females and constitute an important factor in the normal development of the fetus. ⋯ Omega-3 supplements demonstrated beneficial effects for fertility in women diagnosed with PCOS. Among the overweight/obese participants, the increased clinical pregnancy rate was significant.
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Randomized Controlled Trial
A randomized, controlled, blinded evaluation of augmenting point-of-care ultrasound and remote telementored ultrasound in inexperienced operators.
Handheld ultrasound devices present an opportunity for prehospital sonographic assessment of trauma, even in the hands of novice operators commonly found in military, maritime, or other austere environments. However, the reliability of such point-of-care ultrasound (POCUS) examinations by novices is rightly questioned. A common strategy being examined to mitigate this reliability gap is remote mentoring by an expert. ⋯ Telementoring of POCUS tasks was not found to improve performance by novices, but findings suggest that it may mitigate caregiver stress.
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Randomized Controlled Trial
Reduced Tissue Response with Topical Khat Leaves after Eyelid Surgery: Preliminary Findings.
Upper eyelid blepharoplasty surgery is one of the most common plastic surgeries. Khat is used topically to reduce tissue edema. ⋯ The use of khat was associated with less tissue ecchymosis after oculoplastic surgery, although this was not statistically significant even following sub-population analysis. The outcome can be attributed to the active ingredients of cathinone and cathine, which cause vasoconstriction and lipolysis, and to the anti-inflammatory and anti-oxidative flavonoids and phenolic compounds. These encouraging preliminary findings warrant additional studies on a biochemical/cellular level.