OBJECTIVE Improvements in diabetes after Roux-en-Y gastric bypass (RYGB) often occur days after surgery. Surgically induced hormonal changes and the restrictive postoperative diet are proposed mechanisms. We evaluated the contribution of caloric restriction versus surgically induced changes to glucose homeostasis in the immediate postoperative period. RESEARCH DESIGN AND METHODS Patients with...

The purpose of this study was to take a critical look at a voice therapy technique known as the yawn-sigh. The voiced sigh as an approach in voice therapy has had increased use in recent years, particularly with problems of vocal hyperfunction. In this study, the physiology of the yawn-sigh was studied with video nasoendoscopy in eight normal subjects; their taped voices were also studied acous...

background: opioid analgesics are the mainstay of the treatment of postoperative pain. appropriate monitoring of patients receiving opioid analgesics is essential to detect those with side effects such as respiratory depression. the discovery of acetaminophen as a cox-3 variant may represent a primary central mechanism by which acetaminophen decrease pain. the aim of this study was to assess th...

INTRODUCTION The main reason for nasal tampon placement after septoplasty is to prevent postoperative hemorrhage, while the secondary purpose is internal stabilization after operations involving the cartilaginous-bony skeleton of the nose. Silicone intranasal splints are as successful as other materials in controlling postoperative hemorrhages of septal origin. The possibility of leaving the sp...

AIM To investigate the association between postoperative pain control and oncologic outcomes in resected pancreatic ductal adenocarcinoma (PDAC). METHODS From January 2009 to December 2014, 221 patients were diagnosed with PDAC and underwent resection with curative intent. Retrospective review of the patients was performed based on electronic medical records system. One patient without record...

Pedicle screw constructs have become the mainstay for surgical correction in patients with spinal deformities. To reduce or avoid the risk of pedicle screw-based complications and to decrease the costs associated with pedicle screw instrumentation, some authors have introduced interval, skipped, and key-vertebral pedicle screw strategies for correction. However, there have been no comparisons o...

abstract: introduction & objective: postoperative pain management and narcotic usage after inguinal hernia repair is an important concern for anesthesiologists and surgeons. the purpose of this study was to find out whether the use of local anesthetic nerve block in ilioinguinal and iliohypogastric region by bupivacaine could reduce postoperative pain and hospital admission periods after inguin...