Articles: patients.
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J Dtsch Dermatol Ges · Oct 2016
Zeitlicher Verlauf der avaskulären Nekrose des Hüftkopfes bei Patienten mit Pemphigus vulgaris.
Pemphigus vulgaris (PV) wird in der Regel mit systemischen Corticosteroiden und Immunsuppressiva behandelt. Avaskuläre Nekrose (AVN) des Hüftkopfes ist eine gut bekannte schwerere Komplikation einer Corticosteroid-Therapie. Die Charakteristika dieser schweren Komplikation bei PV sind nach wie vor unbekannt. ⋯ Die AVN ist eine schwere Komplikation einer Corticosteroid-Behandlung bei Patienten mit PV. Sie wird bei 2 % der Patienten beobachtet und tritt vor allem in den ersten drei Behandlungsjahren auf. Bei Patienten, die höhere Dosen von Prednisolon erhalten, setzt die AVN tendenziell früher ein.
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To investigate the effect of Transcranial Motor Evoked Potentials (TcMEP) in increasing the severity or frequency of post-operative seizures in patients undergoing deformity corrective spine surgery with a known history of seizures pre-operatively. ⋯ TcMEP does not appear to trigger intra-operative or post-operative seizures and is not associated with deterioration in the seizure control of patients suffering seizures pre-operatively.
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Evaluation of absorbable composite polylactide-hydroxyapatite bone fixation devices: a cohort study.
At present, most bone fixation devices are made of metal, and are applied to prevent the postoperative dislocation of bone fragments. The major issues with such metal bone fixation devices are the necessity for secondary surgery to remove the devices, stress shielding of bone, stimulation and erosion of bone and soft tissue, and limited biocompatibility. To mitigate these problems, we aimed to assess use of a flexible absorbable polymer bone fixation devices. These devices were certified for use in China in September, 2015. ⋯ National Natural Science Foundation of China (grants 51303174, 51473165, and 51390484).
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Retrospective cohort study of the American College of Surgeons National Surgical Quality Improvement Program database from 2011 to 2012. ⋯ The predictors for any event included female sex, increased surgical time, combined anterior-posterior procedures, preoperative inpatient status, diabetes, smoking, American Society of Anesthesiologists class 3 or higher, and increasing age. The frailty-based score is a viable option to predict morbidity in posterior cervical fusion.Level of Evidence: 3.
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Transfemoral stenting of stenoses at the common carotid artery (CCA) origin is technically difficult because of poor stability of the guiding catheter. ⋯ CCA, common carotid arteryECA, external carotid arteryICA, internal carotid arteryPTA, percutaneous transluminal angioplasty.