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  1. Article: Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience.

    Hu, Allison C / Liu, Mengyuan T / Chan, Candace H / Gupta, Saloni / Dang, Brian N / Ng, Gladys Y / Litwin, Mark S / Rudkin, George H / Weimer, Amy K / Lee, Justine C

    Archives of plastic surgery

    2023  Volume 50, Issue 1, Page(s) 63–69

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2023-02-06
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2694943-X
    ISSN 2234-6171 ; 2234-6163
    ISSN (online) 2234-6171
    ISSN 2234-6163
    DOI 10.1055/s-0042-1758383
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience

    Hu, Allison C. / Liu, Mengyuan T. / Chan, Candace H. / Gupta, Saloni / Dang, Brian N. / Ng, Gladys Y. / Litwin, Mark S. / Rudkin, George H. / Weimer, Amy K. / Lee, Justine C.

    Archives of Plastic Surgery

    2023  Volume 50, Issue 01, Page(s) 63–69

    Abstract: Background: An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate ... ...

    Abstract Background: An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate the goals and treatments of nonbinary patients.
    Methods: A retrospective study of patients who self-identified as nonbinary from our institutional Gender Health Program was conducted. Patient demographics, clinical characteristics, surgical goals, and operative variables were analyzed.
    Results: Of the 375 patients with gender dysphoria, 67 (18%) were nonbinary. Over half of the nonbinary patients were assigned male at birth ( n  = 57, 85%) and nearly half preferred the gender pronoun they/them/theirs ( n  = 33, 49%). A total of 44 patients (66%) received hormone therapy for an average of 2.5 ± 3.6 years, primarily estrogen ( n  = 39). Most patients ( n  = 46, 69%) received or are interested in gender-affirming surgery, of which, almost half were previously on hormone therapy ( n  = 32, 48%). The most common surgeries completed or desired were facial feminization surgery ( n  = 15, 22%), vaginoplasty ( n  = 15, 22%), mastectomy ( n  = 11, 16%), and orchiectomy ( n  = 9, 13%). Nonbinary patients who were assigned male at birth (NB-AMAB) were more often treated with hormones compared to nonbinary patients assigned female at birth (NB-AFAB) (72% vs. 30%, p  = 0.010). Conversely, patients who were AFAB were more likely to complete or desire surgical intervention than those who were AMAB (100% vs. 63.0%, p  < 0.021).
    Conclusion: Majority of nonbinary patients were assigned male at birth. NB-AFAB patients all underwent surgical treatment, whereas NB-AMAB patients were predominantly treated with hormone therapy.
    Keywords gender dysphoria ; nonbinary ; gender-affirming surgery ; facial feminization surgery ; reconstructive craniofacial surgery
    Language English
    Publishing date 2023-01-01
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2694943-X
    ISSN 2234-6171 ; 2234-6163 ; 2234-6171
    ISSN (online) 2234-6171
    ISSN 2234-6163 ; 2234-6171
    DOI 10.1055/s-0042-1758383
    Database Thieme publisher's database

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  3. Article: Correlation between digital clubbing and pulmonary function in cystic fibrosis.

    Nakamura, Craig T / Ng, Gladys Y / Paton, James Y / Keens, Thomas G / Witmer, James C / Bautista-Bolduc, Daisy / Woo, Marlyn S

    Pediatric pulmonology

    2002  Volume 33, Issue 5, Page(s) 332–338

    Abstract: The correlation between digital clubbing and certain pulmonary function derangements (hypoxemia and FEV(1)) was previously described. However, the relationship between digital clubbing and other measures of pulmonary function or the presence of liver ... ...

    Abstract The correlation between digital clubbing and certain pulmonary function derangements (hypoxemia and FEV(1)) was previously described. However, the relationship between digital clubbing and other measures of pulmonary function or the presence of liver disease in patients with cystic fibrosis (CF) is poorly defined. Hence we compared the digital clubbing index (CI: ratio of distal phalangeal depth to interphalangeal depth) of 100 patients with CF (43 males, 57 females; mean age, 15.7 +/- 7.3 years) with that of 100 age- and gender-matched healthy controls. Digital clubbing was defined as a CI > or = 1.00 (mean + 2.6 SD; 99% of normal subjects). The CI and its relationship to pulmonary function and to liver disease was then evaluated in the CF patients. Digital clubbing was present in 75/100 (75%) of CF patients but was absent in all controls (P < 0.0001). In CF patients, CI was inversely correlated with PaO(2) (r = -0.555; P < 0.001), FEV(1) (r = -0.499; P < 0.001), and FEF(25-75%) (r = -0.404; P < 0.001), and was positively correlated with RV (r = 0.285; P < 0.05) and the slope of phase 3 of single-breath nitrogen washout (SP3N(2)) (r = 0.532; P < 0.01). There was no significant correlation between CI and age (r = 0.020; P = 0.84), TLC (r = -0.097; P = 0.34), PaCO(2) (r = 0.167; P = 0.10), or history of liver disease (P = 0.08). We conclude that in CF, the degree of digital clubbing is related to degree of hypoxemia, airways obstruction, hyperinflation, and nonuniformity of ventilation.
    MeSH term(s) Adolescent ; Adult ; Blood Gas Analysis ; Child ; Cystic Fibrosis/complications ; Cystic Fibrosis/physiopathology ; Female ; Humans ; Lung/physiopathology ; Male ; Osteoarthropathy, Secondary Hypertrophic/etiology ; Osteoarthropathy, Secondary Hypertrophic/physiopathology ; Respiratory Function Tests
    Language English
    Publishing date 2002-01-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632784-9
    ISSN 1099-0496 ; 8755-6863
    ISSN (online) 1099-0496
    ISSN 8755-6863
    DOI 10.1002/ppul.10082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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