{"title":"Morphology of the internal auditory canal: Deriving parameters from computer tomography scans. An observational STROBE-MR study.","authors":"Nandipha Mntungwa, Rene Human-Baron, Tania Hanekom","doi":"10.1177/01455613221116196","DOIUrl":"10.1177/01455613221116196","url":null,"abstract":"<p><p>Person-specific three-dimensional computational modelling plays a vital role in modern-day research of cochlear implants to assist in understanding the neural interface of the cochlea and implanted electrode array. Further improvements are made to these models as more parameters are included. Landmark assessment provides information and is frequently used to register coordinates for model generation as it captures small variations.ObjectivesThe objective of this study is to identify and define landmarks to adequately describe the internal auditory canal for inclusion in three-dimensional computational models of the cochlea and its surrounding structures.ParticipantsComputer tomography scans of live human cochleae were collected in the retrospective period. Descriptive and comparative statistics were used to describe the data obtained from the scans.ResultsThe mean anterior-posterior (AP) diameter at the base of the basal turn, the diameter of the AP at the midpoint of the IAC, and the anterior and posterior length of the internal acoustic canal were measured. 57.14% of the internal acoustic canals observed presented with a cylindrical, 40.48% was funnel-shaped and 2.38 % were bud-shaped. A statistically significant differences were found between the diameters of male and female internal acoustic meatus.ConclusionsThis paper serves as a reference that provides a set of references for the description of the internal acoustic canal for inclusion in three-dimensional computational reconstruction of the cochlea and surrounding structures.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"355-361"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40699937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Polypharmacy is Associated with Diabetic Foot Ulcers in Type 2 Diabetes mellitus.","authors":"Eren Imre, Erdi Imre","doi":"10.1177/15347346221090756","DOIUrl":"10.1177/15347346221090756","url":null,"abstract":"<p><p><b>Objectives:</b> This observational study aimed to investigate the relationship between polypharmacy and the existence of diabetic foot ulcers in patients with type 2 diabetes. <b>Methods:</b> Patients with T2DM with and without diabetic foot ulcers who presented to the endocrinology outpatient clinic between August 2020 and November 2021 were involved in the study. Overall, five hundred and twelve patients with T2DM (293 patients with diabetic foot ulcer and 219 patients without diabetic foot ulcer) were included. The exclusion criteria were pregnancy, lactation, type 1 diabetes, patients under 18 years and over 65 years of age, and history of malignancy. The information of drugs administered, demographic and clinical data were obtained from the patient files. The Wagner score was used to evaluate the severity of ulcers. <b>Results:</b> The comparison of the two groups revealed that patients with diabetic foot ulcers had significantly higher rates of diabetic retinopathy (p = 0.017). The patients with diabetic foot ulcers who had polypharmacy had significantly higher rates of hypertension, ischaemic heart disease, diabetic retinopathy, and complaints of diabetic neuropathy (P < 0.001, P < 0,001, p = 0.021 and P = 0.004, respectively). In the binary logistic regression analyses, polypharmacy was independently associated with diabetic foot ulcers in all models. <b>Conclusion:</b> Polypharmacy should be seriously concerned in type 2 diabetes mellitus in patients with diabetic foot ulcers and polypharmacy was related to diabetic foot ulcers.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"320-328"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40317235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescent Women's Perspectives on Barriers and Facilitators to High School Bathroom Use.","authors":"Elissa S Allen, Lisa Kane Low","doi":"10.1177/10598405221142031","DOIUrl":"10.1177/10598405221142031","url":null,"abstract":"<p><p>Bathroom access and use in conjunction with biological urge to void is an important part of optimal bladder health. School settings are uniquely positioned to influence the development of bladder habits. The aim of this study was to identify barriers and facilitators to high school bathroom use for adolescent women. A qualitative study design was used to conduct semi-structured interviews focused on experiences with bathroom use while at school. Thirty adolescent women were interviewed, and transcripts were analyzed using thematic analysis methods. Barriers included unpleasant bathroom environments, lack of privacy, and school/teacher policies. Facilitators included clean, private bathrooms and menstruation. Improving bathroom cleanliness, privacy, and eliminating policies aimed at controlling bathroom access may reduce barriers to bathroom use. School nurses have a unique role in educating teachers, administrators, and students about the importance of clean bathrooms and policies that support bathroom use in conjunction with biological urge.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"309-315"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40570513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infratemporal Fossa Abscesses: A Systematic Review of Cases.","authors":"Kurtis Young, Dennis M Tang, Arthur W Wu","doi":"10.1177/01455613221121040","DOIUrl":"10.1177/01455613221121040","url":null,"abstract":"<p><p>ObjectivesWe have attempted to characterize the clinical presentations and management of infratemporal fossa abscesses with the goal of improving awareness and promoting earlier diagnosis and treatment for this rare condition.Methodsan extensive systematic search was performed through Pubmed/Medline, CINAHL (EBSCOhost), and Web of Science. Two authors screened out studies by abstracts, and a third resolved any conflicts. The remaining studies were assessed by full-text assessment, leaving 43 studies for data extraction.Resultssixty-seven patients were included from the final 43 studies. The patients were predominantly male (56.7%), and the average age of patients was 44.3 years (standard deviation (SD) 19.8 years). Risk factors most commonly odontogenic, whether the etiology was through tooth extraction (n = 30, 44.8%) or infection (n = 17, 25.4%). Symptoms on presentation included pain (n = 40, 83.3%), swelling (n = 39, 81.3%), and trismus (n = 36, 75.0%). Twenty-two (32.8%) patients were managed with intraoral incision and drainage (I&D), 18 (26.9%) with extraoral I&D. After treatment, 45 of the 48 (93.8%) patients from the case reports and series were deemed to have achieved complete resolution.ConclusionsInfratemporal fossa abscesses are rare, but they may be associated with serious neurologic and systemic complications. Although prompt diagnosis paramount in avoiding these sequelae, patients often experienced delays in diagnosis. Surgical drainage and extended antibiotic therapy is recommended.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"375-382"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40694892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ralph Hohenberger, Sven Beckmann, Christoph Kaecker, Olgun Elicin, Roland Giger, Marco Caversaccio, Lukas Anschuetz
{"title":"Morbidity and Oncological Outcome After Curative Treatment in Sinonasal Squamous Cell Carcinoma.","authors":"Ralph Hohenberger, Sven Beckmann, Christoph Kaecker, Olgun Elicin, Roland Giger, Marco Caversaccio, Lukas Anschuetz","doi":"10.1177/01455613221117787","DOIUrl":"10.1177/01455613221117787","url":null,"abstract":"<p><p>ObjectivesSinonasal squamous cell carcinomas are rare and aggressive tumors. Curative therapy includes surgery and radiotherapy, with high risk for local morbidity and impaired quality of life. The objective of this study was to analyze a large cohort of patients with sinonasal squamous cell carcinoma on treatment morbidity and oncological outcome.MethodsPatients with sinonasal squamous cell carcinoma (n = 75) treated at a tertiary referral center between 2008 and 2019 were identified. In patients with curative treatment intent (n = 70), a chart review and analysis on patient and tumor characteristics, morbidity, and oncological outcome was performed.ResultsMean follow-up was 59 months. Primary curative therapy was surgery alone (n = 18), surgery with radiation (n = 25), and primary (chemo)radiation (n = 27). Forty-two (60%) patients suffered from treatment-related morbidity; most frequent symptoms were dry nasal mucosa (20%), nasal obstruction (14.3%), and vision impairment or loss (11.5%). Patients with early disease had less morbidity (51.4 vs 71.1%; <i>P</i> = 0.09), a lower recurrence rate (27% vs. 48.5%; <i>P</i> = 0.08), and better overall survival (92.5% vs. 71.1%; <i>P</i> = 0.01).ConclusionTreatment-related morbidity is common after curative treatment of sinonasal squamous cell carcinomas. Early disease is beneficial in terms of occurrence and severity as multimodal treatment and recurrence can more likely be avoided.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"NP356-NP362"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40677740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas A Rossi, Cecilia G Freeman, Jason F Ohlstein, Shiva Daram, Robert A Darling, Brian J McKinnon, Harold S Pine
{"title":"Surgeon Preference on Sending Routine Tonsillectomy Specimens for Pathological Evaluation.","authors":"Nicholas A Rossi, Cecilia G Freeman, Jason F Ohlstein, Shiva Daram, Robert A Darling, Brian J McKinnon, Harold S Pine","doi":"10.1177/01455613221112761","DOIUrl":"10.1177/01455613221112761","url":null,"abstract":"<p><p>IntroductionDespite the presence of a growing body of literature suggesting cost-ineffectiveness of routine pathologic analysis of tonsillectomy specimens, little is known about common institutional policies and practice patterns of pediatric otolaryngologists. The objectives of this study were to determine the prevalence of routine pathological evaluation of tonsillectomy specimens for uncomplicated pediatric adenotonsillectomy procedures and to evaluate opinions regarding this controversy among board-certified pediatric otolaryngologists.MethodsThis was a cross-sectional survey study sent to board-certified pediatric otolaryngologists currently practicing and registered with the American Society of Pediatric Otolaryngology (ASPO) assessing their institutions' or practices' current policies on sending routine tonsillectomy specimens for pathology, their experience with this practice, and their opinions on whether routine pathologic analysis should be employed. Basic statistical analysis was then conducted.ResultsRespondents mostly practiced in an academic setting (68.4%), with the next most common being academically affiliated private practice (21.8%), and private practice was the least common (9.8%). Most respondents (85.1%) did not agree with routine pathologic analysis of otherwise uncomplicated pediatric tonsillectomy specimens.ConclusionMost pediatric otolaryngologists who responded to this survey do not support routine pathological analysis of otherwise uncomplicated pediatric tonsillectomy specimens. However, the results are likely biased and should be interpreted carefully, since only a small percentage of pediatric otolaryngologists responded to the survey. Potential cost savings could be seen by patients, payers, and hospital systems with judicious use of surgical pathology, specifically in cases with concurrent signs or symptoms suspicious for malignancy.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"NP373-NP380"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40594103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tamara Guénoun, Aziz Essadek, Christophe Clesse, Marion Mauran-Mignorat, Estelle Veyron-Lacroix, Albert Ciccone, Barbara Smaniotto
{"title":"The desire for parenthood among individuals with intellectual disabilities : systematic review.","authors":"Tamara Guénoun, Aziz Essadek, Christophe Clesse, Marion Mauran-Mignorat, Estelle Veyron-Lacroix, Albert Ciccone, Barbara Smaniotto","doi":"10.1177/17446295221141946","DOIUrl":"10.1177/17446295221141946","url":null,"abstract":"<p><p><b>Background:</b> This qualitative systematic review provides an overview of existing studies on the desire for parenthood of people with intellectual disabilities. <b>Method:</b> The scientific studies were identified following the Prisma protocol on 18 databases using keywords relating to sexuality and parenting. <b>Results:</b> Sixteen studies have been included and three categories identified: the obstacles and motivations to becoming a parent; parents' decision making during pregnancy; and the social construction of a parental identity. The results from these studies show that people with intellectual disabilities have a genuine desire for children, which is repressed because of an unfavorable social context. <b>Conclusion:</b> Further clinical and participatory research is needed to better understand the singular modes of expression of people's intimate desires and how to better accompany them on this issue.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"423-446"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40710237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Morgan E Davis, Shiv H Patel, Oluwole Fadare, Andrew M Vahabzadeh-Hagh
{"title":"Submandibular Nodular Fasciitis.","authors":"Morgan E Davis, Shiv H Patel, Oluwole Fadare, Andrew M Vahabzadeh-Hagh","doi":"10.1177/01455613221118889","DOIUrl":"10.1177/01455613221118889","url":null,"abstract":"","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"339-341"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33441442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Rare Case of Tonsillar Lipoma.","authors":"Elif Gozgec, Hayri Ogul","doi":"10.1177/01455613221118893","DOIUrl":"10.1177/01455613221118893","url":null,"abstract":"","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"NP396-NP397"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40647097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nikolaos D Karakousis, Elisavet E Pyrgioti, Petros N Georgakopoulos, Nikolaos Papanas
{"title":"Vitamin B<sub>12</sub> and Diabetic Foot: Α Mini-Review.","authors":"Nikolaos D Karakousis, Elisavet E Pyrgioti, Petros N Georgakopoulos, Nikolaos Papanas","doi":"10.1177/15347346221143018","DOIUrl":"10.1177/15347346221143018","url":null,"abstract":"<p><p>This narrative mini-review article aimed to investigate the potential association of vitamin B<sub>12</sub> levels with diabetic neuropathy (DN) and diabetic foot ulcers (DFUs). It was demonstrated that B<sub>12</sub> deficiency seems to be related to DFUs in cases of metformin administration and bariatric surgery. B<sub>12</sub> supplementation with dietary measures and agents may improve DN and quality of life (QoL). However, data are still preliminary and more experience is needed.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"299-302"},"PeriodicalIF":16.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40491650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}