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Воздействие упражнений на движение в сочетании с методами дыхания на торакический угл кифоза у лиц с торакическим гиперкифозом: систематический обзор и мета-анализ.

Теоретический гиперкифоз (THK) — посттуральная деформация, связанная с болью, расстройством дыхательных путей, снижением качества жизни, повреждением лопаточного ритма, биомеханическими изменениями плеча и повышенным риском падения. Хотя упражнения по исправлению положения широко используются, дополнительная ценность интеграции конкретных методов дыхания остается неясной. Цель этого систематического обзора и метаанализа состояла в том, чтобы оценить воздействие двигающихся упражнений в сочетании с дыхательными методами на угол торакического кифоза (TKA) у отдельных лиц с помощью THK.MetodsA си

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… These effects may be mediated through improvements in diaphragmatic function, increased rib cage mobility, and enhanced activation of deep trunk stabilizing muscles [ 2 ]. … The physiological rationale for this approach is well established: THK restricts rib-cage expansion, impairs diaphragmatic function, and reduces pulmonary capacity [ 39 ]. …

Rare clinical experiences for surgical treatment of melanoma with osseous metastases in Taiwan.

BackgroundMalignant melanoma occurs infrequently in Taiwan. Once it has progressed into osseous metastases, the prognosis is poor. There are no reported clinical experiences of surgical management in this area.MethodsTo improve our understanding of the rare clinical experiences, we retrospectively investigated clinical characteristics, radiological findings, treatment modalities, survival outcomes and prognoses of 11 Taiwanese patients with osseous metastasis of melanoma treated surgically at two national medical centers, National Taiwan University Hospital and National Cheng Kung University H

Respiratory and Thoracic Medicine

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11C-choline vs. 18F-FDG PET/CT in assessing bone involvement in patients with multiple myeloma.

BackgroundMultiple Myeloma (MM) is a B cell neoplasm causing lytic or osteopenic bone abnormalities. Whole body skeletal survey (WBSS), Magnetic resonance (MR) and 18F-FDG PET/CT are imaging techniques routinely used for the evaluation of bone involvement in MM patients.AimAs MM bone lesions may present low 18F-FDG uptake; the aim of this study was to assess the possible added value and limitations of 11C-Choline to that of 18F-FDG PET/CT in patients affected with MM.MethodsTen patients affected with MM underwent a standard 11C-Choline PET/CT and an 18F-FDG PET/CT within one week. The results

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… Furthermore, WBSS, being a planar technique, can easily underestimate bone involvement especially within the spine where overlying tissues and rib cage hinder the assessment of osteolysis. …

Устные доклады

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Development and definition of a simplified scoring system in patients with multiple myeloma undergoing stem cells transplantation on standard computed tomography: myeloma spine and bone damage score (MSBDS).

BackgroundIn clinical practice, there is the need to optimize imaging usage in MM patients. Accordingly, the aim of this paper was to develop a simple computed tomography (CT) scoring method for MM, able to shorten and simplify the interpretation time with good intra- and inter-reader reliability. This method, named MSBDS (Myeloma Spine and Bone Damage Score) was developed with the final aim to use standard total-body CT in the routine practice of MM centres as a complement of standard evaluations in patients undergoing stem cells transplantation.MethodsWe used a widely accepted consensus form

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… In this case, there was also a possible spinal canal involvement. d ) Lytic lesion > 5 mm (white arrow) at the junctional spine (thoraci spine) with collapse/involvement < 50%, and a small (small white arrow) focal lesion at the right rib cage. … In this case, there was also a possible spinal canal involvement. d ) Lytic lesion > 5 mm (white arrow) at the junctional spine (thoraci spine) with collapse/involvement < 50%, and a small (small white arrow) focal lesion at the right rib cage. …

Minimally Invasive Spinal Stabilization Using Fluoroscopic-Guided Percutaneous Screws as a Form of Palliative Surgery in Patients with Spinal Metastasis.

STUDY DESIGN: Prospective cohort study. PURPOSE: To report the outcome of 50 patients with spinal metastases treated with minimally invasive stabilization (MISt) using fluoroscopic guided percutaneous pedicle screws with/without minimally invasive decompression. OVERVIEW OF LITERATURE: The advent of minimally invasive percutaneous pedicle screw stabilization system has revolutionized the treatment of spinal metastasis. METHODS: Between 2008 and 2013, 50 cases of spinal metastasis with pathological fracture(s) with/without neurology deficit were treated by MISt at our institution. The patien

Emergency Care

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Expert consensus on resection of chest wall tumors and chest wall reconstruction.

Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forw

Biological implant-associated granulomatous inflammation resulting in secondary hypercalcemia and azotemia in a dog.

Implant associated granulomatous inflammation causing hypercalcemia can occur following use of commercial xenogeneic pericardial tissue patches in dogs. Removal of the implant can result in resolution of the hypercalcemia, suggesting a causal relationship between the tissue reaction to a xenogeneic implant and development of hypercalcemia.

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… Associated with the caudal aspect of the left rib cage, at the level of the costochondral junction, was a firm, immobile subcutaneous mass measuring 12 x 8 cm. All other physical exam parameters were within normal limits. …

Surgical management with radiation therapy for metastatic spinal tumors located on cervicothoracic junction : a single center study.

ObjectiveThe cervicothoracic junction (CTJ) is a biomechanically and anatomically complex region that has traditionally posed problems for surgical access. In this retrospective study, we describe our clinical experiences of the treatment of metastatic spinal tumors at the CTJ and the results.MethodsFrom June 2006 to December 2011, 23 patients who underwent surgery for spinal tumors involving the CTJ were enrolled in our study. All of the patients were operated on through the posterior approach, and extent of resection was classified as radical, debulking, and simple neural decompression. Adju

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… Various bony structures, such as chest wall, shoulder, rib cage, clavicle, and scapula, and visceral structures including the lung, heart, and great vessels disturb the surgical approach 13 , 19 , 29) and use of intraoperative C-arm fluroscopy 20) . …

Severe Headache and Deterioration of Vision in Left Eye in a Chronic Hemodialysis Patient Revealing a Brown Tumor of Sphenoid Sinus.

BACKGROUND/OBJECTIVES: Brown tumors are rare bone lesions associated with hyperparathyroidism, particularly secondary hyperparathyroidism (SHPT), in chronic renal failure. While brown tumors commonly affect bones rich in marrow, the involvement of the sphenoid sinus is extremely rare and can present with neurological symptoms. This study reports a case of a sphenoid sinus brown tumor in a patient on hemodialysis, highlighting its clinical presentation and diagnostic challenges. METHODS: A 31-year-old woman undergoing chronic hemodialysis presented with a severe headache, diplopia, and progres

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… Common symptoms include bone pain, fractures, local deformities, neurologic consequences (such as epilepsy), breathing difficulties (especially in cases involving the rib cage), functional impairment, and a reduced quality of life. …

Metastatic spinal tumor.

In accordance with extending survival periods of cancer patients, number of consecutively developing metastatic spinal tumor is also increasing. There have been improvements in the treatment results of metastatic spine tumor by virtue of the developments in diagnostic radiology, chemotherapy, adjuvant treatment, operative device and technique, discrete preoperative plan, and standardized operation. Accordingly, surgical indication has also increased. Clinically, in case of metastatic spine tumor, treatment of tumor itself should be focused on pain relief, preservation of neurologic function, p

Е-постеры.

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Электронные постеры

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Е-постеры.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Skeletal-related events and overall survival of patients with bone metastasis from nonsmall cell lung cancer - A retrospective analysis.

Because of improving treatments and survival, 40% to 58% of patients with bone metastases from nonsmall cell lung cancer (NSCLC) will suffer from at least one skeletal-related event (SRE), affecting their quality of life, but the natural history of SRE is poorly understood. The study aimed to examine the factors involved in SRE-free survival (SRS) and overall survival (OS) of patients with NSCLC and bone metastases.This was a retrospective study of 211 patients with bone metastasis from NSCLC and treated at the Tumor Hospital Affiliated to Harbin Medical University between January 2007 and Jan

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… Previous studies showed that the spinal column is the most common site of bone metastasis, [ 16 ] but in the present study, we found that the most common sites of bone metastasis were the spinal column (69.2%) and the rib cage (56.9%), which is supported by Tsuya et al. [ 17 ] SRE not only reduces the …

Extra-Axial Skeletal Metastasis of Malignant Melanoma: Case Report and Literature Review.

The incidence of malignant melanoma is increasing worldwide and is one of the major causes of skin cancer deaths in the United States. Although melanoma has the potential to metastasize to any organ, the incidence of bone metastasis is low (~25%) compared to liver or lung metastasis. However, when a bone is involved, metastasis occurs to the axial skeleton in most cases (80%-90%), and involvement of the appendicular skeleton is relatively rare. We here describe the case of a patient who presented with a pathological fracture due to extra-axial skeletal metastasis of a widespread malignant mela

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… To better delineate the suspicious femur lesion found on X-ray and to identify the primary malignancy, CT of the chest/abdomen/pelvis (CT C/A/P) was obtained, which showed multiple lytic lesions in the lumbar vertebral bodies, rib cage, ilium, and metaphysis of the left femur (Figure 3 ). …

Effective Pain Control With Very Low Dose Palliative Radiation Therapy for Patients With Multiple Myeloma With Uncomplicated Osseous Lesions.

BACKGROUND: Osteolytic lesions are present in 75% of patients with multiple myeloma (MM) and frequently require palliation with radiation therapy (RT). Prior case series of patients with MM with bone pain undergoing palliative RT suggests doses ≥12 Gy (equivalent dose in 2Gy fractions, EQD2) provide excellent bone pain relief. However, recent advances in care and novel biologic agents have significantly improved overall survival and quality of life for patients with MM. We hypothesized that lower-dose RT (LDRT, EQD2 <12 Gy) offers an effective alternative to higher-dose RT (HDRT, EQD2 ≥12 Gy)

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… The most common treatment sites included the spine, pelvis, extremities, and rib cage ( Table 2 ). The median dose of HDRT was 20 Gy (range, 8-30 Gy; EQD2 = 12-32.5 Gy) versus 4 Gy for LDRT (range, 4-8 Gy; EQD2 = 4.67-9.3 Gy; Table E2 ). …

The Effect of Perioperative Radiation Therapy on Spinal Bone Fusion Following Spine Tumor Surgery.

INTRODUCTION: Perioperative irradiation is often combined with spine tumor surgery. Radiation is known to be detrimental to healing process of bone fusion. We tried to investigate bone fusion rate in spine tumor surgery cases with perioperative radiation therapy (RT) and to analyze significant factors affecting successful bone fusion. METHODS: Study cohort was 33 patients who underwent spinal tumor resection and bone graft surgery combined with perioperative RT. Their medical records and radiological data were analyzed retrospectively. The analyzed factors were surgical approach, location of