World journal of methodology最新文献

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Association between tobacco exposure and bladder cancer recurrence: A systematic review and meta-analysis. 烟草暴露与膀胱癌复发之间的关系:系统回顾和荟萃分析。
World journal of methodology Pub Date : 2024-06-20 DOI: 10.5662/wjm.v14.i2.91889
Lei Xiang, Qi-Qi Xie, Si-Si Xu, Wen-Jie Ruan, Dong-Hui Xu, Yao-Yao Gan, Jia Zuo, Wen-Jun Xu, Zhi-Peng Li
{"title":"Association between tobacco exposure and bladder cancer recurrence: A systematic review and meta-analysis.","authors":"Lei Xiang, Qi-Qi Xie, Si-Si Xu, Wen-Jie Ruan, Dong-Hui Xu, Yao-Yao Gan, Jia Zuo, Wen-Jun Xu, Zhi-Peng Li","doi":"10.5662/wjm.v14.i2.91889","DOIUrl":"10.5662/wjm.v14.i2.91889","url":null,"abstract":"<p><strong>Background: </strong>However, the connection between smoking and the prognosis of patients with bladder cancer remains unclear.</p><p><strong>Aim: </strong>To determine whether smoking is linked to the recurrence and progression of bladder cancer.</p><p><strong>Methods: </strong>As of July 20, 2022, relevant English-language research was identified by searching PubMed, the Web of Science, and the Cochrane Library. We pooled the available data from the included studies using a random effects model. Subgroup analysis and sensitivity analysis were also conducted.</p><p><strong>Results: </strong>A total of 12 studies were included in this meta-analysis. The combined analysis revealed that tobacco exposure was associated with a significantly greater recurrence rate than nonsmoking status [odd ratios (OR) = 1.76, 95%CI: 1.84-2.93], and the progression of bladder cancer was significantly greater in smokers than in nonsmokers (OR = 1.21, 95%CI: 1.02-1.44). Stratified analysis further revealed that current smokers were more likely to experience relapse than never-smokers were (OR = 1.85, 95%CI: 1.11-3.07). Former smokers also had a greater risk of relapse than did never-smokers (OR = 1.73, 95%CI: 1.09-2.73). Subgroup analysis indicated that non-Caucasians may be more susceptible to bladder cancer recurrence than Caucasians are (OR = 2.13, 95%CI: 1.74-2.61).</p><p><strong>Conclusion: </strong>This meta-analysis revealed that tobacco exposure may be a significant risk factor for both the recurrence and progression of bladder cancer.</p>","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"14 2","pages":"91889"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is there a correlation between the changes in airway inflammation and the changes in respiratory mechanics after vaping in patients with asthma? 哮喘患者吸食电子烟后气道炎症的变化与呼吸力学的变化之间是否存在相关性?
World journal of methodology Pub Date : 2024-06-20 DOI: 10.5662/wjm.v14.i2.89284
Serafeim-Chrysovalantis Kotoulas, Kalliopi Domvri, Alexandros Tsantos, Ioanna Papagiouvanni, Anastasia Michailidou, Dionisios G Spyratos, Konstantinos Porpodis, Ioanna Grigoriou, Despina Papakosta, Athanasia Pataka
{"title":"Is there a correlation between the changes in airway inflammation and the changes in respiratory mechanics after vaping in patients with asthma?","authors":"Serafeim-Chrysovalantis Kotoulas, Kalliopi Domvri, Alexandros Tsantos, Ioanna Papagiouvanni, Anastasia Michailidou, Dionisios G Spyratos, Konstantinos Porpodis, Ioanna Grigoriou, Despina Papakosta, Athanasia Pataka","doi":"10.5662/wjm.v14.i2.89284","DOIUrl":"10.5662/wjm.v14.i2.89284","url":null,"abstract":"<p><strong>Background: </strong>Electronic cigarettes (ECs) have been promoted as alternatives to traditional cigarettes.</p><p><strong>Aim: </strong>To investigate ECs' effects on respiratory system, especially in patients with respiratory diseases.</p><p><strong>Methods: </strong>We randomly selected 25 smokers with stable moderate asthma and matched them with 25 healthy smokers. All were subjucted to pulmonary function tests (PFTs), impulse oscillometry (IOS), fraction exhaled Nitric Oxide (FeNO), exhaled breathe condensate (EBC) and biomarker measurements before and after vaping one nicotine-containing EC.</p><p><strong>Results: </strong>The increase in FeNO 30 minutes after EC, reflecting airway inflammation, significantly correlated with increase of residual volume (RV), total lung capacity, respiratory impedance at 5 Hz (Z5Hz) and respiratory resistance at 5 and 20 Hz (R5Hz and R20Hz). No significant correlations were found between EBC biomarkers' changes and respiratory mechanics.</p><p><strong>Conclusion: </strong>This is the first study demonstrating that the changes in airway inflammation caused by EC have direct effects in respiratory mechanics of asthmatic patients.</p>","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"14 2","pages":"89284"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patellar reconstruction in primary total knee arthroplasty using bone chips from routine cuts: A case report and review of literature. 在初级全膝关节置换术中使用常规切割的骨片进行髌骨重建:病例报告和文献综述。
World journal of methodology Pub Date : 2024-06-20 DOI: 10.5662/wjm.v14.i2.89809
Juan Ignacio Perez-Abdala, Franco L De Cicco, Tomas Nicolino, Juan Astoul
{"title":"Patellar reconstruction in primary total knee arthroplasty using bone chips from routine cuts: A case report and review of literature.","authors":"Juan Ignacio Perez-Abdala, Franco L De Cicco, Tomas Nicolino, Juan Astoul","doi":"10.5662/wjm.v14.i2.89809","DOIUrl":"10.5662/wjm.v14.i2.89809","url":null,"abstract":"<p><strong>Background: </strong>Total patellectomy is currently reserved for exceptional cases, such as recalcitrant patellofemoral instability and comminuted fractures, due to its demonstrated negative impact on knee biomechanics. Therefore, managing patellectomy is crucial to mitigate its inherent deleterious effects. Various techniques have been described, including autologous or allogeneic bone grafts for reconstruction and soft tissue realignment to enhance the extensor mechanism.</p><p><strong>Case summary: </strong>A 73-year-old male underwent a patellectomy due to a comminuted fracture, subsequently developing osteoarthritis and experiencing a decline in functional status. Concurrent with total knee replacement, we conducted a patellar reconstruction, incorporating routine bone cuts and utilizing bone chips to fashion a new patella. This intervention resulted in the restoration of full extension and improvement of knee function.</p><p><strong>Conclusion: </strong>Patellar reconstruction demonstrates benefits on knee mechanics and stabilization, contributing to enhanced outcomes and satisfaction following knee replacement. We present an affordable technique for managing patellectomized patients undergoing total knee replacement.</p>","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"14 2","pages":"89809"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simulated patient methodology as a "gold standard" in community pharmacy practice: Response to criticism. 将模拟病人方法作为社区药学实践的 "黄金标准":对批评的回应。
World journal of methodology Pub Date : 2024-06-20 DOI: 10.5662/wjm.v14.i2.93026
Christian Kunow, Bernhard Langer
{"title":"Simulated patient methodology as a \"gold standard\" in community pharmacy practice: Response to criticism.","authors":"Christian Kunow, Bernhard Langer","doi":"10.5662/wjm.v14.i2.93026","DOIUrl":"10.5662/wjm.v14.i2.93026","url":null,"abstract":"<p><p>The simulated patient methodology (SPM) is considered the \"gold standard\" as covert participatory observation. SPM is attracting increasing interest for the investigation of community pharmacy practice; however, there is criticism that SPM can only show a small picture of everyday pharmacy practice and therefore has limited external validity. On the one hand, a certain design and application of the SPM goes hand in hand with an increase in external validity. Even if, on the other hand, this occurs at the expense of internal validity due to the trade-off situation, the justified criticism of the SPM for investigating community pharmacy practice can be countered.</p>","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"14 2","pages":"93026"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tracheostomy-related data from an intensive care unit for two consecutive years before the COVID-19 pandemic. 在 COVID-19 大流行之前,一家重症监护室连续两年提供的气管造口术相关数据。
World journal of methodology Pub Date : 2024-06-20 DOI: 10.5662/wjm.v14.i2.91868
Maria Papaioannou, Evdoxia Vagiana, Serafeim-Chrysovalantis Kotoulas, Maria Sileli, Katerina Manika, Alexandros Tsantos, Nikolaos Kapravelos
{"title":"Tracheostomy-related data from an intensive care unit for two consecutive years before the COVID-19 pandemic.","authors":"Maria Papaioannou, Evdoxia Vagiana, Serafeim-Chrysovalantis Kotoulas, Maria Sileli, Katerina Manika, Alexandros Tsantos, Nikolaos Kapravelos","doi":"10.5662/wjm.v14.i2.91868","DOIUrl":"10.5662/wjm.v14.i2.91868","url":null,"abstract":"<p><strong>Background: </strong>Tracheostomy is commonly used in intensive care unit (ICU) patients who are expected to be on long-term mechanical ventilation or suffer from emergency upper airway obstruction. However, some studies have conflicting findings regarding the optimal technique and its timing and benefits.</p><p><strong>Aim: </strong>To provide evidence of practice, characteristics, and outcome concerning tracheostomy in an ICU of a tertiary care hospital.</p><p><strong>Methods: </strong>This was a retrospective cohort study including adult critical care patients in a single ICU for two consecutive years. Patients' demographic characteristics, severity of illness (APACHE II score), level of consciousness [Glasgow Coma Scale (GCS)], comorbidities, timing and type of tracheostomy procedure performed and outcome were recorded. We defined late as tracheostomy placement after 8 days or no tracheotomy.</p><p><strong>Results: </strong>Data of 660 patients were analyzed (median age of 60 years), median APACHE II score of 19 and median GCS score of 12 at admission. Tracheostomy was performed in 115 patients, of whom 63 had early and 52 late procedures. Early tracheostomy was mainly executed in case of altered level of consciousness and severe critical illness polyneuromyopathy, however there were no significant statistical results (47.6% <i>vs</i> 36.5%, <i>P</i> = 0.23) and (23.8% <i>vs</i> 19.2%, <i>P</i> = 0.55) respectively. Regarding the method selected, early surgical tracheostomy (ST) was conducted in patients with maxillofacial injuries (50.0% <i>vs</i> 0.0%, <i>P</i> = 0.033), whereas late surgical tracheostomy was selected for patients with goiter (44.4% <i>vs</i> 0.0% <i>P</i> = 0.033). Patients with early tracheostomy spent significantly fewer days on mechanical ventilation (15.3 ± 8.5 <i>vs</i> 22.8 ± 9.6, <i>P</i> < 0.001) and in ICU in general (18.8 ± 9.1 <i>vs</i> 25.4 ± 11.5, <i>P</i> < 0.001). Percutaneous dilatation tracheostomy (PDT) <i>vs</i> ST was preferable in older critical care patients in the case of Central Nervous System underlying cause of admission (62.5% <i>vs</i> 26.3%, <i>P</i> = 0.004). ST was the method of choice in compromised airway (31.6%, <i>vs</i> 7.3% <i>P</i> = 0.008). A large proportion of patients (88/115) with tracheostomy managed to wean from mechanical ventilation and were transferred out of the ICU (100% <i>vs</i> 17.4%, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>PDT was performed more frequently in our cohort. This technique did not affect mechanical ventilation days, ventilator-associated pneumonia (VAP), ICU length of stay, or survival. No complications were observed in the percutaneous or surgical tracheostomy groups. Patients undergoing early tracheostomy benefited in terms of mechanical ventilation days and ICU length of stay but not of discharge status, presence of VAP, or survival.</p>","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"14 2","pages":"91868"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel automated non-invasive detection of ocular surface squamous neoplasia using artificial intelligence. 利用人工智能对眼表鳞状肿瘤进行新型自动无创检测。
World journal of methodology Pub Date : 2024-06-20 DOI: 10.5662/wjm.v14.i2.92267
Sony Sinha, Prasanna Venkatesh Ramesh, Prateek Nishant, Arvind Kumar Morya, Ripunjay Prasad
{"title":"Novel automated non-invasive detection of ocular surface squamous neoplasia using artificial intelligence.","authors":"Sony Sinha, Prasanna Venkatesh Ramesh, Prateek Nishant, Arvind Kumar Morya, Ripunjay Prasad","doi":"10.5662/wjm.v14.i2.92267","DOIUrl":"10.5662/wjm.v14.i2.92267","url":null,"abstract":"<p><p>Ocular surface squamous neoplasia (OSSN) is a common eye surface tumour, characterized by the growth of abnormal cells on the ocular surface. OSSN includes invasive squamous cell carcinoma (SCC), in which tumour cells penetrate the basement membrane and infiltrate the stroma, as well as non-invasive conjunctival intraepithelial neoplasia, dysplasia, and SCC in-situ thereby presenting a challenge in early detection and diagnosis. Early identification and precise demarcation of the OSSN border leads to straightforward and curative treatments, such as topical medicines, whereas advanced invasive lesions may need orbital exenteration, which carries a risk of death. Artificial intelligence (AI) has emerged as a promising tool in the field of eye care and holds potential for its application in OSSN management. AI algorithms trained on large datasets can analyze ocular surface images to identify suspicious lesions associated with OSSN, aiding ophthalmologists in early detection and diagnosis. AI can also track and monitor lesion progression over time, providing objective measurements to guide treatment decisions. Furthermore, AI can assist in treatment planning by offering personalized recommendations based on patient data and predicting the treatment response. This manuscript highlights the role of AI in OSSN, specifically focusing on its contributions in early detection and diagnosis, assessment of lesion progression, treatment planning, telemedicine and remote monitoring, and research and data analysis.</p>","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"14 2","pages":"92267"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous glucose monitoring metrics in pregnancy with type 1 diabetes mellitus 1 型糖尿病孕妇的连续血糖监测指标
World journal of methodology Pub Date : 2024-03-20 DOI: 10.5662/wjm.v14.i1.90316
M. Jeeyavudeen, Mairi Crosby, Joseph M Pappachan
{"title":"Continuous glucose monitoring metrics in pregnancy with type 1 diabetes mellitus","authors":"M. Jeeyavudeen, Mairi Crosby, Joseph M Pappachan","doi":"10.5662/wjm.v14.i1.90316","DOIUrl":"https://doi.org/10.5662/wjm.v14.i1.90316","url":null,"abstract":"Managing diabetes during pregnancy is challenging, given the significant risk it poses for both maternal and foetal health outcomes. While traditional methods involve capillary self-monitoring of blood glucose level monitoring and periodic HbA1c tests, the advent of continuous glucose monitoring (CGM) systems has revolutionized the approach. These devices offer a safe and reliable means of tracking glucose levels in real-time, benefiting both women with diabetes during pregnancy and the healthcare providers. Moreover, CGM systems have shown a low rate of side effects and high feasibility when used in pregnancies complicated by diabetes, especially when paired with continuous subcutaneous insulin infusion pump as hybrid closed loop device. Such a combined approach has been demonstrated to improve overall blood sugar control, lessen the occurrence of preeclampsia and neonatal hypoglycaemia, and minimize the duration of neonatal intensive care unit stays. This paper aims to offer a comprehensive evaluation of CGM metrics specifically tailored for pregnancies impacted by type 1 diabetes mellitus.","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140226316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Billroth II anastomosis combined with brown anastomosis reduce reflux gastritis in gastric cancer patients 比洛斯 II 型吻合器联合棕色吻合器可减少胃癌患者的反流性胃炎
World journal of methodology Pub Date : 2024-03-20 DOI: 10.5662/wjm.v14.i1.89709
G. Christodoulidis, Marina-Nektaria Kouliou, Konstantinos-Eleftherios Koumarelas, Konstantinos Argyriou, Garyfallia-Apostolia Karali, Konstantinos Tepetes
{"title":"Billroth II anastomosis combined with brown anastomosis reduce reflux gastritis in gastric cancer patients","authors":"G. Christodoulidis, Marina-Nektaria Kouliou, Konstantinos-Eleftherios Koumarelas, Konstantinos Argyriou, Garyfallia-Apostolia Karali, Konstantinos Tepetes","doi":"10.5662/wjm.v14.i1.89709","DOIUrl":"https://doi.org/10.5662/wjm.v14.i1.89709","url":null,"abstract":"BACKGROUND\u0000 The surgeon performing a distal gastrectomy, has an arsenal of reconstruction techniques at his disposal, Billroth II among them. Braun anastomosis performed during a Billroth II procedure has shown evidence of superiority over typical Billroth II, in terms of survival, with no impact on postoperative morbidity and mortality.\u0000 AIM\u0000 To compare Billroth II vs Billroth II and Braun following distal gastrectomy, regarding their postoperative course.\u0000 METHODS\u0000 Patients who underwent distal gastrectomy during 2002-2021, were separated into two groups, depending on the surgical technique used (Billroth II: 74 patients and Billroth II and Braun: 28 patients). The daily output of the nasogastric tube (NGT), the postoperative day that NGT was removed and the day the patient started per os feeding were recorded. Postoperative complications were at the same time noted. Data were then statistically analyzed.\u0000 RESULTS\u0000 There was difference in the mean NGT removal day and the mean start feeding day. Mean total postoperative NGT output was lower in Braun group (399.17 mL vs 1102.78 mL) and it was statistically significant (P < 0.0001). Mean daily postoperative NGT output was also statistically significantly lower in Braun group. According to the postoperative follow up 40 patient experienced bile reflux and alkaline gastritis from the Billroth II group, while 9 patients who underwent Billroth II and Braun anastomosis were presented with the same conditions (P < 0.05).\u0000 CONCLUSION\u0000 There was evidence of superiority of Billroth II and Braun vs typical Billroth II in terms of bile reflux, alkaline gastritis and NGT output.","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"41 s194","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140224435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technical note for intraoperative determination of proper acetabular cup size in primary total hip arthroplasty 初级全髋关节置换术中术中确定合适髋臼杯尺寸的技术说明
World journal of methodology Pub Date : 2024-03-20 DOI: 10.5662/wjm.v14.i1.90930
P. Karampinas, J. Vlamis, Athanasios S. Galanis, Michail Vavourakis, Anastasia Krexi, E. Sakellariou, Christos Patilas, Spiros Pneumaticos
{"title":"Technical note for intraoperative determination of proper acetabular cup size in primary total hip arthroplasty","authors":"P. Karampinas, J. Vlamis, Athanasios S. Galanis, Michail Vavourakis, Anastasia Krexi, E. Sakellariou, Christos Patilas, Spiros Pneumaticos","doi":"10.5662/wjm.v14.i1.90930","DOIUrl":"https://doi.org/10.5662/wjm.v14.i1.90930","url":null,"abstract":"BACKGROUND\u0000 Selecting the optimal size of components is crucial when performing a primary total hip arthroplasty. Implanting the accurate size of the acetabular component can occasionally be exacting, chiefly for surgeons with little experience, whilst the complications of imprecise acetabular sizing or over-reaming can be potentially devastating.\u0000 AIM\u0000 To assist clinicians intraoperatively with a simple and repeatable tip in elucidating the ambivalence when determining the proper acetabular component size is not straightforwardly achieved, specifically when surgeons are inexperienced or preoperative templating is unavailable.\u0000 METHODS\u0000 This method was employed in 263 operations in our department from June 2021 to December 2022. All operations were performed by the same team of joint reconstruction surgeons, employing a typical posterior hip approach technique. The types of acetabular shells implanted were: The Dynasty® acetabular cup system (MicroPort Orthopedics, Shanghai, China) and the R3® acetabular system (Smith & Nephew, Watford, United Kingdom), which both feature cementless press-fit design.\u0000 RESULTS\u0000 The mean value of all cases was calculated and collated with each other. We distinguished as oversized an implanted acetabular shell when its size was > 2 mm larger than the size of the acetabular size indicator reamer (ASIR) or when the implanted shell was larger than 4 mm compared to the preoperative planned cup. The median size of the implanted acetabular shell was 52 (48–54) mm, while the median size of the preoperatively planned cup was 50 (48–56) mm, and the median size of the ASIR was 52 (50–54) mm. The correlation coefficient between ASIR size and implanted acetabular component size exhibited a high positive correlation with r = 0.719 (P < 0.001). Contrariwise, intraoperative ASIR measurements precisely predicted the implanted cups’ size or differed by only one size (2 mm) in 245 cases.\u0000 CONCLUSION\u0000 In our study, we demonstrated that the size of the first acetabular reamer not entering freely in the acetabular rim corroborates the final acetabular component size to implant. This was also corresponding in the majority of the cases with conventional preoperative templating. It can be featured as a valid tool for avoiding the potentially pernicious complications of acetabular cup over-reaming and over-sizing in primary total hip arthroplasty. It is a simple and reproducible technical note useful for confirming the predicted acetabular cup size preoperatively; thus, its application could be considered routinely, even in cases where preoperative templating is unavailable.","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"8 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140225628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Convenient model of hard tissue simulation for dental radiographic research and instruction 用于牙科放射学研究和教学的方便的硬组织模拟模型
World journal of methodology Pub Date : 2024-03-20 DOI: 10.5662/wjm.v14.i1.88850
E. A. Munhoz, Claudio Roberto Gaiao Xavier, Roberto Ponce Salles, A. Capelozza, A. Bodanezi
{"title":"Convenient model of hard tissue simulation for dental radiographic research and instruction","authors":"E. A. Munhoz, Claudio Roberto Gaiao Xavier, Roberto Ponce Salles, A. Capelozza, A. Bodanezi","doi":"10.5662/wjm.v14.i1.88850","DOIUrl":"https://doi.org/10.5662/wjm.v14.i1.88850","url":null,"abstract":"BACKGROUND\u0000 The authors describe a technique for building an alternative jawbone phantom using dental gypsum and rice for research and dental radiology instruction.\u0000 AIM\u0000 To investigate the potential of an alternative phantom to simulate the trabecular bone aspect of the human maxilla in periapical radiographs.\u0000 METHODS\u0000 Half-maxillary phantoms built from gypsum-ground rice were exposed to X-rays, and the resulting images (experimental group) were compared to standardized radiographic images produced from dry human maxillary bone (control group) (n = 7). The images were blindly assessed according to strict criteria by three examiners for the usual trabecular aspects of the surrounding bone, and significant differences between groups and in assessment reliability were compared using Fisher’s exact and kappa tests (α = 0.05).\u0000 RESULTS\u0000 The differences in the trabecular aspects between groups were not statistically significant. In addition, interobserver agreement among observers was 0.43 and 0.51 for the control and experimental groups, respectively, whereas intraobserver agreement was 0.71 and 0.73, respectively.\u0000 CONCLUSION\u0000 The tested phantom seemed to demonstrate potential for trabecular bone image simulation on maxillary periapical radiographs.","PeriodicalId":94271,"journal":{"name":"World journal of methodology","volume":"18 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140226856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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