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Results 251 - 300 of 2994
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Sag Alan A AA 1 Department of Radiology, Interventional Radiology Service, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY - - 2014
OBJECTIVE. After (90)Y-microsphere radioembolization for unresectable hepatic neoplasms, the nearby gallbladder is susceptible to radiation-induced cholecystitis, an uncommon complication. The purpose of this study was to characterize the imaging findings after (90)Y radioembolization of the gallbladder and to assess the incidence of clinically significant radiation-induced cholecystitis. MATERIALS AND METHODS. Medical ...
Phillips Jordana J 1 All authors: Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA - - 2014
OBJECTIVE. Limited information exists regarding breast health in the transgender population. In this article, we review transgender terminology, barriers faced by transgender patients, current breast care screening recommendations, and normal and abnormal imaging findings in this population. CONCLUSION. Health disparities in the transgender population continue. Educating physicians on the breast ...
Juan Yu-Hsiang YH 1 Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, L1, ASB-1, 75 Francis St, Boston, MA - - 2014
OBJECTIVE. The purpose of this article is to enlighten radiologists with the clinical presentation, multimodality imaging features, local recurrence, distant spread, differential diagnosis, and prognosis of skin and subcutaneous malignancies. CONCLUSION. Cutaneous and subcutaneous malignancies represent the most common type of cancer and frequently present with overlapping imaging appearances. CT, ...
Mileto Achille A 1 Department of Radiology, Duke University Medical Center, Erwin Rd, Box 3808, Durham, NC - - 2014
OBJECTIVE. The objective of our study was to assess the accuracy of iodine-related attenuation and iodine quantification as imaging biomarkers of iodine uptake in renal lesions on a single-phase nephrographic image with dual-energy MDCT. MATERIALS AND METHODS. Fifty-nine patients (41 men, 18 women; age range, 28-84 years) with 80 renal ...
Fornage Bruno D BD 1 Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Unit 1350, 1155 Pressler St, Houston, TX - - 2014
OBJECTIVE. The purpose of this article is to describe the use of transoral sonography in the diagnosis, fine-needle aspiration (FNA) biopsy, and intraoperative localization of retropharyngeal masses. MATERIALS AND METHODS. We reviewed images and data for eight patients with a retropharyngeal mass identified on CT, MRI, or PET/CT as being ...
Yuan Han - - 2014
Many studies over the past two decades have shown that people can use brain signals to convey their intent to a computer using brain-computer interfaces (BCIs). BCI systems extract specific features of brain activity and translate them into control signals that drive an output. Recently, a category of BCIs that ...
Henriquez Craig S - - 2014
The last four decades have produced a number of significant advances in the developments of computer models to simulate and investigate the electrical activity of cardiac tissue. The tissue descriptions that underlie these simulations have been built from a combination of clever insight and careful comparison with measured data at ...
Alvarado-Velez Melissa - - 2014
Stem cells are a promising source for cell replacement therapy for several degenerative conditions. However, a number of limitations such as low cell survival, uncontrolled and/or low differentiation, induction of host immune response, and the risk of teratoma formation remain as challenges. In this review, we explore the utility of ...
Park Seung-Min - - 2014
Integrated molecular diagnostic systems ( iMDx), which are automated, sensitive, specific, user-friendly, robust, rapid, easy-to-use, and portable, can revolutionize future medicine. This review will first focus on the components of sample extraction, preservation, and filtration necessary for all point-of-care devices to include for practical use. Subsequently, we will look for ...
Ha Sohmyung - - 2014
This paper presents an overview of the fundamentals and state of the-art in noninvasive physiological monitoring instrumentation with a focus on electrode and optrode interfaces to the body, and micropower-integrated circuit design for unobtrusive wearable applications. Since the electrode/optrode-body interface is a performance limiting factor in noninvasive monitoring systems, practical ...
Huang Jiaming J Department of Obstetrics and Gynecology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of - - 2014
The overexpression of long noncoding RNA HOTAIR is associated with various aggressive solid carcinomas. However, its relationship with endometrial carcinoma has not been reported. The present study aimed to investigate the expression of the long noncoding RNA HOTAIR in endometrial carcinoma, its relationship with the carcinoma's clinicopathologic features, and the ...
Shorten G P GP Department of Electronic and Electrical Engineering, University of Dublin, Trinity College , College Green, Dublin , - - 2014
Abstract Dynamic time warping techniques have been used to characterize the timing variation of the constituent components of the human electrocardiogram (ECG). Lead II ECG recordings were obtained in 21 subjects, 10 male and 11 female aged between 13-65 years. The fiducial points in each cardiac cycle were identified in ...
Ballesteros Tomás T Dpto de Proyectos e Ingeniería Rural, Universidad Pública de Navarra, Campus de Tudela , 31006 Navarra , - - 2014
Abstract There are many stretcher models able to adequately achieve the spinal immobilization of adult patients during emergency transports but do not work well with children. A paediatric and neonatal immobilizer has been designed, constructed and tested. It is simple, radio-transparent, able to be adequately fastened to an ambulance, adaptable ...
Nair T R Gopalakrishnan TR Saudi Aramco Endowed Chair-Technology PMU, Al Khobar, 31952 , KSA - - 2014
Abstract It is sometimes required to shift and/or merge the sampled images for complex perception development in medical and engineering applications. In most cases, for such requirements images are merged at the intensity level. This paper presents a study which shows that intensity level merge is not sufficient enough to ...
Thrall Terese Hudson TH Author Affiliation: Senior Communications Specialist (interim), American Organization of Nurse Executives, Chicago, - - 2014
The American Organization of Nurse Executives conducted a salary survey of more than 4,600 nurse leaders, capturing information from 2012. About half of the salaries fall between $80,000 and $130,000. When correlating years of leadership to salary level, the 10-year mark appears to be the tipping point in terms of ...
Corley Donna D Author Affiliations: Evidence-Based Practice Consultant (Dr Corley), Evidence-Based Practice Coordinator (Dr Brockopp), Nursing Director (Ms McCowan), Magnet/Nursing Special Projects Coordinator (Ms Merritt), Evidence-Based Practice Consultant (Dr Moe), Patient Care Technician (Ms Hall), Baptist Health Lexington, Kentucky; Executive Nursing Director (Ms Cobb), Baptist Health Corbin, Kentucky; Infection Control Nurse and Patient Safety Officer (Ms Johnson), Baptist Health La Grange, Kentucky; Nursing Director (Ms Stout) Baptist Health Louisville, - - 2014
The purpose of this study was to evaluate the psychometric properties of the Baptist Health High Risk Falls Assessment (BHHRFA). The cost of falls and the potential for increased patient morbidity and mortality necessitate the development of a psychometrically sound assessment. Based on pilot data, a multisite study was conducted. ...
Laschinger Heather K Spence HK Author Affiliations: Distinguished University Professor and Arthur Labatt Family Nursing Research Chair in Health Human Resources Optimization, The University of Western Ontario, London, Ontario, - - 2014
The aim of this study was to investigate the impact of subtle forms of workplace mistreatment (bullying and incivility) on Canadian nurses' perceptions of patient safety risk and, ultimately, nurse-assessed quality and prevalence of adverse events. Workplace mistreatment is known to have detrimental effects on job performance and in nursing ...
Silvius-Byron Stephanie A SA Author Affiliations: Staff Nurse, Intermediate Care Unit (Mss Silvius-Byron, Florimonte, and Panganiban); Stroke Program Coordinator (Dr Ulmer), Munroe Regional Medical Center, Ocala, - - 2014
The aim of this study was to compare a highly structured planned rest protocol that includes visitor and healthcare personnel restrictions with a simple planned rest period that encourages patients to rest during a designated time without restriction of visitors and healthcare personnel. Many hospitals acute care have begun to ...
Wocial Lucia D LD Author Affiliations: Nurse Ethicist (Dr Wocial), Nursing Senior Marketing Coordinator (Ms Sego), Director of Market Research (Ms Rager), Nursing Project Coordinator (Ms Laubersheimer), Executive Vice President and Chief Nursing Executive (Dr Everett), Indiana University Health, - - 2014
The purpose of this qualitative study was to explore the meaning of the phrase "image of the nurse" in the context of the desired brand experience of assurance. A brand is a promise that lives in the minds of consumers. Nurses play a key role in delivering on the brand ...
Jobe Laura L LL Author Affiliation: RN III, Special Staffing Team, Arkansas Children's Hospital, Little - - 2014
The purpose of this study was to understand if differences in dimensions of work ethic exist among 3 generations of nurses working in an inpatient setting at an acute care facility. Generational differences are linked with increased turnover, with work ethic frequently cited as an important difference. The quantitative, quasi-experimental ...
Laeger Inga I The Department of Psychiatry, University of Muenster, - - 2014
Altered memory processes are thought to be a key mechanism in the etiology of anxiety disorders, but little is known about the neural correlates of fear learning and memory biases in patients with social phobia. The present study therefore examined whether patients with social phobia exhibit different patterns of neural ...
Paquette Roland R Roland Paquette practices emergency medicine at the University of Texas Health Science Center at San Antonio, Tex. The author has disclosed no potential conflicts of interest, financial or - - 2014
Aspiration of a foreign body by an adult often is not diagnosed until a month or more after the event, because of a lack of presenting symptoms indicative of an aspiration and low reliability, sensitivity, and specificity of plain film radiographs. Instead, the foreign body aspiration typically is diagnosed during ...
Essary Alison C AC Alison C. Essary is director of student affairs and an associate professor in the College of Health Solutions at Arizona State University in Phoenix. Bettie Coplan is a clinical associate professor in the PA program at Northern Arizona University in Phoenix. The authors have disclosed no potential conflicts of interest, financial or - - 2014
Women account for more than 70% of physician assistant (PA) students, 62% of practicing PAs, and 57% of faculty in PA programs. About half of all US medical students, 30% of actively practicing physicians, and 37% of faculty at academic medical centers are female. However, women in medicine are paid ...
Granvall Stephanie A SA Stephanie A. Granvall is a surgical PA with Swedish Surgical Specialists at Swedish Hospital in Issaquah, Wash. The author has disclosed no potential conflicts of interest, financial or - - 2014
Femoral hernias occur in about 3% of all abdominal wall hernias. Herniation of the appendix through a femoral hernia (called de Garengeot hernia) is a much rarer finding, occurring in 0.8% to 1% of all cases. This unique surgical finding is most often found intraoperatively due to the similarities it ...
Varner Derrick F DF Derrick F. Varner is a graduate clinical director of the Interservice PA Program at Fort Sam Houston, Tex. Brian K. Foutch is a curriculum director and an assistant professor at the Rosenberg School of Optometry at the University of the Incarnate Word in San Antonio, Tex. The authors have disclosed no potential conflicts of interest, financial or - - 2014
This study investigated the prevalence of depression and burnout symptoms among family medicine providers on active duty in the US Air Force. Results demonstrated that 84% of those surveyed scored positive for degrees of depression symptoms; only sex differences were significant.
Brandon Debra D Debra Brandon is PhD and Postdoctoral Program Director, Duke University School of Nursing; Associate Professor, Duke University School of Nursing and School of Medicine, Durham, NC. The author can be reached via e-mail at debra.brandon@duke.edu Donna Ryan is Clinical Instructor, Duke University School of Nursing, Durham, NC. Richard Sloane is Biostatistician, Center for Aging, Duke University School of Medicine, Durham, NC. Sharron L. Docherty is Associate Professor, School of Nursing; Associate Professor, Department of Pediatrics, School of Medicine; Co-Director, Adapt Center for Cognitive/Affective Symptom Science, Duke University School of Nursing, Durham, - - 2014
To evaluate the impact of the introduction of a new pediatric palliative care program on the pattern of moral distress in pediatric healthcare providers (HCPs). We used a before and after cross-sectional survey design to study the impact of the Pediatric Quality of Life (QoL) Program on the moral distress ...
Friedrichs Judy B JB Judy B. Friedrichs is Education-Quality Coordinator and Women's and Children's Support Program Coordinator, Rush University Medical Center, Chicago, IL. The author can be reached via e-mail at judy_b_friedrichs@rush.edu Kathie Kobler is Advanced Practice Nurse, Pediatric Palliative Care, Advocate Children's Hospital, Park Ridge, IL. Rosmarie E. Roose is Clinical Coordinator Still Missed & Maternal Fetal Medicine Clinic, Adventist Hinsdale Hospital, Hinsdale, IL. Charlotte Meyer is Staff Nurse, The Cradle, Evanston, IL. Nancy Schmitz is Staff RN, Family Birth Center Presence Mercy Medical Center, Aurora, IL. Karen Kavanaugh is Elizabeth Schotanus Professor of Pediatric Nursing, Family, Community and Mental Health, Wayne State University and Children's Hospital of - - 2014
Providing compassionate bereavement care for families experiencing perinatal loss is a standard of care in most healthcare organizations. In this article, we describe the development of The Alliance of Perinatal Bereavement Support Facilitators, begun over 25 years ago in Chicago by staff who identified the need to reach out to ...
Dutta Debarun D *BOptom †PhD, FAAO School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia (DD, JO, MDPW); and Brien Holden Vision Institute, Sydney, New South Wales, Australia (DD, - - 2014
Covalent immobilization of antimicrobial peptide melimine onto contact lenses can produce broad-spectrum antimicrobial lenses. The purpose of this study was to investigate the performance of melimine-coated contact lenses in an animal model and human clinical trial. Melimine was covalently attached onto the surface of contact lenses via EDC (1-ethyl-3-[3-dimethylaminopropyl] carbodiimide ...
Hoffman Maureane M Duke University Durham Veterans Affairs Medical Centers Durham, NC, USA. Electronic address: - - 2014
Initiation of clotting cascade by tissue factor (TF): Factor VII (FVII) complex is essential for hemostasis however pathologic expression of TF leads to thrombosis. In contrast, the contact pathway factor XII, and to the smaller extent FXI are dispensable for normal hemostasis but still contribute to pathologic thrombosis. New data ...
Pryzdial Edward L G EL Canadian Blood Services, Centre for Innovation, Vancouver, BC, Canada; Centre for Blood Research, University of British Columbia, Vancouver, BC, Canada; Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address: - - 2014
Many virus types are covered by a lipid bilayer. This structure called an envelope, is derived from the host cell and includes host- and virus-encoded proteins. Because envelope components first interact with the host, it is the trigger for infection, immunity and pathology. The roles of especially host-derived constituents are ...
Mackman Nigel N Department of Medicine, Division of Hematology and Oncology, UNC McAllister Heart Institute, University of North Carolina at Chapel Hill, 98 Manning Drive Campus Box 7035, Chapel Hill, NC, USA. Electronic address: - - 2014
Viral myocarditis is estimated to cause ~20% of sudden death in people under the age of 40. A variety of viruses have been found to cause myocarditis including coxsackievirus B3 (CVB3). Many studies have been performed with CVB3 because there is a mouse model of CVB3-induced myocarditis. Studies have shown ...
Cohen Mitchell Jay MJ Department of Surgery San Francisco General Hospital, The University of California San Francisco, San Francisco, CA, USA. Electronic address: - - 2014
Trauma remains the leading cause of death and morbidity worldwide and bleeding is the primary reason for this mortality. Over the past 11years there has been a paradigm shift in our understanding of coagulopathy after trauma. Specifically its incidence, biological drivers, clinical sequalie have been elucidated. From this understanding a ...
Gailani David D Department of Pathology, Microbiology and Immunology, Vanderbilt University, Nashville, TN, United States. Electronic address: - - 2014
Factor XI (fXI) is the zymogen of a plasma protease, factor XIa (fXIa), that contributes to thrombin generation during blood coagulation by proteolytic conversion of factor IX (fIX) to factor IXaβ (fIXaβ). There is considerable interest in fXIa as a therapeutic target because it contributes to thrombosis, while serving a ...
Whelihan Matthew F MF Division of Hematology/Oncology, Department of Medicine, University of NC at Chapel Hill, - - 2014
The prothrombotic nature of sickle cell disease (SCD) is evidenced by the chronically elevated levels of almost all coagulation activation biomarkers, and an increased incidence of certain thrombotic events, including venous thromboembolism. Numerous studies have attempted to define the extent and elucidate the mechanism of the observed increase in thrombin ...
Spronk Henri M H HM Laboratory for Clinical Thrombosis and Haemostasis, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands; Department of Internal Medicine, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands; Department of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands. Electronic address: - - 2014
It has been suggested that the main physiological trigger of coagulation, tissue factor, possesses limited procoagulant activity and occurs in an inactive or so-called encrypted state. For the conversion of encrypted into decrypted tissue factor with sufficient procoagulant activity, four distinct models have been proposed: 1; dimer formation, 2; lipid ...
Monroe Dougald M DM University of North Carolina Division of Hematology/Oncology, Chapel Hill, NC, USA; Duke University Department of Pathology, Durham, NC, USA. Electronic address: - - 2014
New oral anticoagulants to reduce the incidence of thrombosis have recently become available. When compared to the existing therapy, warfarin, these novel agents have similar efficacy with a reduced risk of spontaneous bleeding. However, these novel agents have been associated with significant, even fatal, bleeding following trauma. Reversal agents are ...
Park Jung Jae JJ 1 Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Gangnam-gu, Seoul 135-710, Republic of - - 2014
OBJECTIVE. The purpose of this study is to retrospectively investigate whether pretreatment multiparametric MRI findings can predict biochemical recurrence in patients who underwent radical prostatectomy (RP) for localized prostate cancer. MATERIALS AND METHODS. In this study, 282 patients with biopsy-proven prostate cancer who received RP underwent pretreatment MRI using a ...
Duran-Valdez Elizabeth E 1 University of New Mexico School of Medicine , Albuquerque, New - - 2014
Abstract Background: The masked continuous glucose monitoring system (Masked-CGMS) differs from standard CGMSs in three ways: (1) there is no feedback to the user so that no immediate regimen changes can be made; (2) it can only be worn for up to 5 days; and (3) there are no alarms ...
Amini Nasrin N Biomedical Engineering Department, Science and Research Branch, Islamic Azad University , Tehran , Iran - - 2014
Abstract Image fusion means to integrate information from one image to another image. Medical images according to the nature of the images are divided into structural (such as CT and MRI) and functional (such as SPECT, PET). This article fused MRI and PET images and the purpose is adding structural ...
Romer Daniel D Annenberg Public Policy Center, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: - - 2014
Motor vehicle crashes are the leading source of morbidity and mortality in adolescents in the United States and the developed world. Inadequate allocation of attention to the driving task and to driving hazards are important sources of adolescent crashes. We review major explanations for these attention failures with particular focus ...
Isaac Margaret L ML Department of Medicine, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, Box 359892, Seattle, WA 98104, USA. Electronic address: - - 2014
Medically unexplained symptoms (MUS) are common in the primary care setting and lead to high medical resource use. Diagnostic criteria for somatic symptom disorder focus on the psychological impact of symptoms. Patients with MUS may present with a myriad of symptoms, with pain being the most common, and several named ...
Klein Jared Wilson JW Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359780, Seattle, WA 98104, USA. Electronic address: - - 2014
This article discusses the diagnosis and basic medical management of common anal problems, including anal fissures, hemorrhoids, perirectal abscesses, anal fistulas, fecal incontinence, pruritis ani, and rectal prolapse.
Wright Jennifer J Division of General Internal Medicine, Department of Internal Medicine, General Internal Medicine Centre, University of Washington, Box 354760, 4245 Roosevelt Way Northeast, Seattle, WA 98105, USA. Electronic address: - - 2014
Fatigue is a common symptom in primary care with many causes ranging from benign to life threatening. Appropriate evaluation and management are guided by the patient's history, which provides valuable clues as to the source of the patient's symptoms. Ultimately a diagnosis may not be identified for many patients presenting ...
Molnar Alexandra A Department of Medicine, Harborview Medical Center, University of Washington, Box 359895, 325-9th Avenue, Seattle, WA 98104, USA. Electronic address: - - 2014
Dizziness is a common presenting concern in primary care practice. The most useful diagnostic approach in distinguishing different types of dizziness is a thorough history and physical examination; additional tests are rarely necessary. Effective treatments exist for many causes of dizziness, and these treatments are often accomplished in the clinic ...
Overland Maryann Katherine MK Division of General Internal Medicine, Primary Care Clinic, VA Puget Sound Health Care System, University of Washington, 1660 South Columbian Way, Seattle, WA 98108, USA. Electronic address: - - 2014
Dyspepsia is a common and complex condition consisting of chronic upper gastrointestinal symptoms. A rational approach to diagnosis and treatment of dyspepsia includes identifying those patients with alarm symptoms and referring them for prompt endoscopy. Those without alarm symptoms can be differentiated into patients who do and do not have ...
Pasanen Mark E ME Department of Medicine, University of Vermont College of Medicine, 1234 Spear Street, 111 Colchester Avenue, South Burlington, VT 05403, USA. Electronic address: - - 2014
Symptoms related to colonic function are common and frequently related to functional issues. Possible presentations include constipation and either acute or chronic diarrhea. Because acute diarrhea is most commonly infectious, issues typically center on the role of stool testing and antibiotic treatment. For chronic diarrhea, the differential is much longer ...
Greenberg Deborah L DL Division of General Internal Medicine, University of Washington School of Medicine, 4245 Roosevelt Way Northeast, Seattle, WA 98105, USA. Electronic address: - - 2014
In the absence of trauma, most patients with shoulder pain will be found to have subacromial impingement syndrome. Control of discomfort and exercises to improve shoulder mechanics is the treatment of choice for most patients. Systematic history taking and physical examination will detect the uncommon, more urgent causes of shoulder ...
Golob Anna L AL Department of Medicine, University of Washington, Box 356420, 1959 NE Pacific Street, Seattle, WA 98195-6420, USA; VA Puget Sound Healthcare System, General Medicine Service, S-123-PCC, 1660 South Columbian Way, Seattle, WA 98108, USA. Electronic address: - - 2014
Low back pain is one of the most frequent complaints for which patients are seen in primary care. Low back pain has a substantial economic impact, estimated at $100 billion per year including direct and indirect costs. The evaluation of low back pain involves a thorough history and physical examination. ...
Terasaki Genji G Division of General Internal Medicine, Harborview Medical Center, University of Washington, Box 359780, 325 Ninth Avenue, Seattle, WA 98104, USA. Electronic address: - - 2014
Chronic cough is a common and frustrating problem for patients and health care providers that can result in a range of physical and psychological complications including exhaustion, urinary incontinence, vomiting, depression, and social isolation. A step-wise empiric approach to treatment will increase the likelihood of a successful resolution of the ...
Buckley Lisa L Centre for Accident Research and Road Safety-Queensland, Queensland University of Technology, Queensland, Australia; Young Driver Behavior and Injury Prevention Group, University of Michigan, Ann Arbor, Michigan. Electronic address: - - 2014
Adolescent drivers are overrepresented in distraction-related motor vehicle crashes. A number of potential reasons for such an elevated risk include driving inexperience, high adoption of communication technology, increased peer involvement, and tendency to take risks, which render young drivers particularly vulnerable. Major legislative efforts in Graduated Licensing Systems that include ...
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