Objective: Correction of a typographical error in the author's name. Conclusion: The name of the author Laura Ospina-Pinillos was incorrectly presented in the a
Percutaneous atrial septal defect repair offers lower complication rates, shorter hospital stays, and reduced costs compared to open heart surgery.
Three-dimensional transthoracic echocardiography provides reliable defect measurements and may assist in patient selection for catheter closure without sedation.
The study analyzed 36 patients referred for atrial septal defect closure over three years, with a median age of 6 years and median weight of 19.3 kg.
Direct surgical closure referral occurred in 42% of patients, often due to unsuitable defect anatomy for percutaneous intervention.
Among patients referred for three-dimensional echocardiography, 46% were female, and notable comorbidities included patent ductus arteriosus and chronic renal failure.
Objective: To evaluate the efficacy of full-pressure external counterpulsation (ECP) compared to low-pressure treatment in improving cognition and activities of
Full-pressure external counterpulsation (ECP) showed greater cognitive and daily living improvements than low-pressure treatment in mild Alzheimer disease patients.
The study involved 190 patients aged 55 to 85, diagnosed with mild cognitive impairment or mild Alzheimer disease, over a 12-month period.
The primary efficacy outcome, the VADAS-cog score, improved by 9.95 points in the full-pressure group compared to 5.22 points in the low-pressure group.
Adverse events were mostly mild skin irritations, with no serious events reported, and no brain edema or hemorrhage identified on follow-up imaging.
The findings suggest further investigation of ECP in early Alzheimer disease, but do not establish its role alongside established therapies.
Objective: To examine the effects of nasal obstruction and mouth taping on obstructive sleep apnea (OSA) indicators. Approach: Study Search: Investigators searc
Nasal obstruction is associated with worsening obstructive sleep apnea indicators, including increased Apnea-Hypopnea Index (AHI).
The meta-analysis included 15 studies with 304 participants, showing a mean AHI increase of 13.78 events per hour due to nasal obstruction.
Nasal obstruction led to a mean Oxygen Desaturation Index (ODI) increase of 7.45 events per hour, though this increase was not statistically significant.
Mouth taping studies showed median AHI reductions, but neither study demonstrated statistically significant improvements in oxygen saturation.
The authors noted limitations in the evidence base, including the observational nature of most studies and inconsistent definitions of hypopnea.
Objective: To compare the effectiveness of robotic-arm–assisted total knee replacement with conventional total knee replacement in patients with advanced knee o
Robotic-arm–assisted total knee replacement did not show a clinically meaningful improvement in the Forgotten Joint Score at 12 months compared to conventional surgery.
In the RACER-Knee trial, 339 patients were randomized to either robotic-assisted or conventional total knee replacement across 10 hospitals in the UK.
Mean Forgotten Joint Scores were approximately 49 for the robotic group and 50 for the conventional group, with an adjusted difference favoring conventional surgery.
Robotic assistance resulted in greater precision in alignment but increased mean operating time by 10.5 minutes and incurred higher costs.
The study's findings are specific to the Mako system and may not apply to other robotic technologies, which require separate evaluation.
Objective: To assess the association between adenotonsillectomy and hospital visits for respiratory tract infections (RTIs) in pediatric patients. Approach: Stu
Pediatric patients who underwent adenotonsillectomy had increased odds of hospital visits for acute upper respiratory tract infections postoperatively.
The study analyzed data from 6,848 adenotonsillectomy patients and 34,240 matched controls from the Korean National Health Insurance Service.
Higher odds of acute lower respiratory tract infection visits were observed in adenotonsillectomy patients during all three postoperative periods.
Subgroup analyses indicated varying odds of RTI-related visits based on age and sex, with notable differences among younger patients.
The findings suggest that adenotonsillectomy should not be performed solely to reduce respiratory tract infection frequency.
Objective: To evaluate the incidence of pediatric head and neck abscesses across different periods: prepandemic, during COVID-19 lockdown, and postpandemic. App
Women with overweight or obesity BMI trajectories during childhood had lower hazards of giving birth starting at ages 25 to 29 years.
The study analyzed data from women born in Copenhagen, Denmark, between 1950 and 1989, following them for reproductive outcomes through December 2022.
Among 60,864 women in the childbirth analysis, 78% (47,669) gave birth, with associations between childhood BMI and childbirth becoming more pronounced at older ages.
Childhood BMI trajectories were not associated with primary infertility, although women with an obesity trajectory had a lower hazard of primary infertility.
The study noted that lower educational attainment may lead to underestimation of infertility among women with lower socioeconomic positions.
Objective: To establish a Dental Hygiene program at the Phoenix campus to address workforce shortages in Arizona. Approach: Program Details: The 18-month progra
Pima Medical Institute has launched a Dental Hygiene program at its Phoenix campus, with classes starting on November 2, 2026.
The 18-month program awards an Associate of Applied Science degree and includes classroom, laboratory, and clinical training.
The curriculum covers various subjects, including anatomy, periodontology, and dental law, emphasizing critical thinking and serving diverse populations.
Students will gain clinical experience at an on-site dental hygiene clinic, opening in early 2027, under licensed professionals.
The program addresses Arizona's dental workforce shortages, with less than 35% of dental health needs currently met in the state.