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"Vail, Rachel"
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If we kiss
Fourteen-year-old Charlie feels guilty because she has a crush on her best friend's boyfriend, and her loyalties become even more confused when she discovers that her mother is dating the boyfriend's father.
Book
Macular holes associated with diabetic tractional retinal detachments
Evaluation of surgical treatment of full-thickness macular holes secondary to diabetic tractional retinal detachments was conducted.
A retrospective review of medical records, fluorescein angiograms, fundus photographs, optical coherence tomography images, and operative findings of six consecutive patients with full-thickness macular holes and diabetic tractional retinal detachments was completed. Each eye was treated with pars plana vitrectomy, tractional retinal detachment repair, membranectomy, indocyanine green-assisted internal limiting membrane peeling, and intraocular gas tamponade.
Surgical intervention resulted in the closure of all full-thickness macular holes. Mean best-corrected visual acuity was 20/250 preoperatively and 20/100 postoperatively, with all patients having improvement after a mean follow-up of 10 months.
Closure of tractional retinal detachments related to full-thickness macular holes can be achieved via pars plana vitrectomy, complete membranectomy, and intraocular gas. Vitrectomy with dissection of proliferative membranes helps to relieve the tractional forces responsible for full-thickness macular hole formation, enabling successful closure of the diabetic full-thickness macular holes and resulting in visual acuity improvement.
Journal Article
Well, that was awkward
There are unexpected consequences when thirteen-year-old Gracie sends texts pretending to be her bashful best friend Sienna, and their friend Emmett starts texting back pretending to be shy A.J.
Book
Macular hole closure following intraoperative choroidal hemorrhage
This interventional case report retrospectively reviews the outcome of a 56-year-old woman who suffered an intraoperative choroidal hemorrhage at commencement of macular hole surgery. Due to the early intraoperative choroidal hemorrhage, vitrectomy was not performed. One month postoperatively, the macular hole was noted to be closed and remained closed 2 years later, leaving the patient with a good visual outcome. The authors postulate that the temporal location of the choroidal hemorrhage may have exerted mechanical displacement of the retina toward the macular hole margins, resulting in closure. Macular hole closure directly following intraoperative choroidal hemorrhage is possible.
Journal Article
Bad best friend
Eighth-grader Niki's best friend, Ava, dumps her just as life at home is becoming more complicated by her brother Danny's behavior and her mother's refusal to admit Danny is on the autism spectrum.
Book
Preemptive sub-Tenon's anesthesia for pars plana vitrectomy under general anesthesia: is it effective?
To determine whether irrigation of the sub-Tenon's space with anesthetic agents during pars plana vitrectomy (PPV) involving general anesthesia decreases postoperative pain, analgesic use, or nausea.
A prospective, controlled trial of 46 consecutive patients requesting general anesthesia for PPV who were randomized to receive or not receive a sub-Tenon's space injection prior to surgery. A mixture of 3 mL of 2% lidocaine with hyaluronidase and 3 mL of 0.5% bupivacaine was used to induce local blockade. Pain, postoperative nausea, and analgesia use were evaluated.
Local blockade did not significantly alter the proportion of reported pain at 30 minutes and 2, 4, and 24 hours after the operation. The local blockade had no effect on reducing postoperative nausea or the number of patients requiring pain medication.
Local blockade prior to surgery in patients undergoing PPV under general anesthesia does not significantly decrease postoperative pain, analgesic use, or nausea.
Journal Article
Unfriended
When thirteen-year-old Truly is invited to sit at the Popular Table, she finds herself caught in a web of lies and misunderstandings, made inescapable by the hyperconnected world of social media.
BOOK
Justin Case : shells, smells, and the horrible flip-flops of doom
\"Justin is going to start fourth grade-but first, he has to survive the summer. He \"gets\" to go to camp every day on a bus. He \"gets\" to experience all sorts of new things: Bugs. Mess hall food. Flip-flops (they hurt the space between his toes and they're hard to walk in). And (gulp!) swimming. Justin's little sister, Elizabeth, seems to deal with camp just fine. So do his friends. Justin is trying very hard not to be a worried kid anymore, especially when it comes to making friends at camp, including a new kid who is kind of ... rough. After all, Justin is going to be in fourth grade. It's time to be brave. Right?\"--Jacket.
Book