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Results 201 - 250 of 5284
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Chu Stephanie S Weill Cornell Medical College, New York City, - - 2014
Statements by the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics recommend that only low-risk mothers consider a home birth. The goal of this study was to conduct a comparison of risk profiles for planned home births compared with hospital births. This study analyzed births from ...
Yeaton-Massey Amanda A Stanford University School of Medicine, Stanford, - - 2014
The objective of this study was to determine if pregnancy-associated plasma protein A (PAPP-A) is correlated with glycosylated hemoglobin A1C in women with and without pregestational diabetes. Retrospective cohort study of women with singleton pregnancies and an A1C collected within 4 weeks of first-trimester analyte screening. Pregnancies with aneuploidy or ...
Garbe Gretchen G Loyola University Medical Center, Maywood, - - 2014
The following is a case of a monochorionic-triamnionic triplet pregnancy after embryo transfer after in vitro fertilization. A 29-year-old woman with a history of unexplained infertility underwent controlled ovarian hyperstimulation and transvaginal retrieval of 21 metaphase II oocytes. Fertilization was accomplished using intracytoplasmic sperm injection, and two fresh embryos were ...
Usher Kim K University of New England, School of Health, Armidale, - - 2014
Delivery of mental health care relies upon professionals with the latest evidence upon which to base their care. This research reports on a pre-test/post-test evaluation of a four-week education program delivered to Pacific Island participants (n = 18) to enhance knowledge, skills, and attitudes (KSAs). The education program used a ...
Park Elizabeth E Section of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop Road, Houston, TX 77030, - - 2014
The resuscitation principles of securing the airway and stabilizing hemodynamics remain the same in any neonatal emergency. However, stabilizing endocrine disorders may prove especially challenging. Several organ systems are affected simultaneously and the clinical presentation can be subtle. Although not all-inclusive, the implementation of newborn screening tests has significantly reduced ...
Dudas Robert A RA Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: - - 2014
One of the greatest challenges for clerkship directors is assigning a final grade and determining the precise point at which a student either passes or fails a clinical clerkship. The process of incorporating both subjective and objective assessment data to provide a final summative grade can be challenging. We describe ...
Moon Mi Hyoung MH Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University, Seoul, - - 2014
A 62-year-old woman with Takayasu arteritis and 2 prior aortic valve replacements, was admitted with unstable angina. Computed tomographic angiography showed a newly developed right coronary artery-to-right bronchial artery fistula. Because of dense aortic calcification, catheter embolization was undertaken, which was successful. We believe the acquired coronary artery fistula developed ...
Moriwaki Kensuke K Department of Medical Statistics, Kobe Pharmaceutical University, - - 2014
Osteoporotic fractures are associated with increased mortality, and impose a huge financial burden on healthcare systems. Preventing osteoporotic fractures in the elderly therefore represents an important issue in health economics. In recent years, it has also become increasingly important to consider the evidence on the cost-effectiveness of health technologies. Here ...
Gupta Isha I From the Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, - - 2014
To evaluate radiused and nonradiused phacoemulsification tips to determine which tip is more efficient in removal of lens fragments using 3 ultrasound (US) modalities. John A. Moran Eye Center Laboratories, University of Utah, Salt Lake City, Utah, USA. Experimental study. Porcine lens nuclei were formalin-soaked for 2 hours or 3 ...
Ahmadzia Homa K HK Duke University Medical Center, Durham, - - 2014
To evaluate the experiences related to peripartum hysterectomy among first-year maternal-fetal medicine Fellows in the United States. A cross-sectional anonymous survey was administered at the Society for Maternal-Fetal Medicine first-year Fellow annual retreat in March 2013. Fellows were asked about prior experiences, management strategies for suspected abnormal placentation, uterine tamponade ...
Rayburn William F WF University of New Mexico School of Medicine, Albuquerque, - - 2014
Expansion of medical school enrollment in the 1960s through 1980s has led to more baby boomer physicians reaching retirement age. The objectives were to determine the number of obstetrician-gynecologists nearing retirement age and how eventual retirement will affect the future supply of obstetrician-gynecologists. This descriptive study was based on data ...
Stanhope Todd J TJ Mayo Clinic, Rochester, - - 2014
HtrA1 is a serine protease with the capacity to degrade a variety of extracellular matrix proteins. Prior study has demonstrated that processes of abnormal placental invasion such as preeclampsia are associated with changes in local tissue regulation. We examined expression of HtrA1 in fallopian tubes containing ectopic pregnancy. Fallopian tubes ...
Heinemann Klaas K ZEG-Berlin, Berlin, - - 2014
Uterine perforation is a potentially serious complication of intrauterine device (IUD) use. The aim of the study was to determine uterine perforation rates in women using IUDs. Large, comparative, multinational, prospective, noninterventional cohort study with new users of different types of IUDs: levonorgestrel IUDs and copper IUDs. The combined cohort ...
Eke Ahizechukwu C AC Sparrow Hospital/Michigan State University, Lansing, - - 2014
The aim of this study was to evaluate the cost-effectiveness of glyburide compared with metformin in the treatment of gestational diabetes based on the results of randomized clinical trials. Baseline model parameters were sourced from three randomized clinical trials. Data were extracted for costs and outcomes of treatment. Costs were ...
Abdallah Reem R H. Lee Moffitt Cancer Center and Research Institute, Tampa, - - 2014
The objective of this study was to investigate the role of microarray gene expression analysis in predicting the feasibility of complete cytoreduction in ovarian cancer. Microarray expression of 507 women with ovarian cancer from The Cancer Genome Atlas was initially analyzed and a gene expression signature created. Complete cytoreduction was ...
Jacobs Katherine M KM University of Minnesota, Minneapolis, - - 2014
The objective of this study was to determine the effect of the anterior abdominal wall depth on the correlation between transabdominal cervical length and transvaginal cervical length measurements. A cross-sectional study included patients with singleton pregnancies between 18 and 24 weeks of gestation. Postvoid transabdominal cervical length and transvaginal cervical ...
Philip Swetha Sara SS Dept of Ophthalmology, Christian Medical College and Hospital, Vellore, Tamil Nadu, South - - 2014
Cerebral visual impairment (CVI) comprises visual malfunction due to retro-chiasmal visual and visual association pathway pathology. This can be isolated or accompany anterior visual pathway dysfunction. It is a major cause of low vision in children in the developed and developing world due to increasing survival in paediatric and neonatal ...
Demartini Kelly S KS Department of Psychiatry, Yale University School of Medicine, New Haven, - - 2014
ABSTRACT. Objective: Patients entering treatment for alcohol problems do not have uniform treatment goals, and a pretreatment drinking goal has a significant impact on treatment outcome. The objective of this study was to understand better how an array of individual characteristics, including factors that affect treatment, are related to treatment ...
Graham Jennifer J Department of Zoological Companion Animal Medicine, Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Road, North Grafton, MA 01536, USA; Department of Comparative Medicine, University of Washington School of Medicine, 1959 Northeast Pacific Street, Seattle, WA 98195, USA. Electronic address: - - 2014
This article reviews diagnosis and management of liver lobe torsion in rabbits. Practitioners should recommend initial diagnostics including radiographs and blood work on rabbits presenting with nonspecific signs of gastrointestinal (GI) stasis to better determine possible etiology and make the best treatment recommendations. If hepatic enzyme elevation is found in ...
Nagano Satoshi S Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, - - 2014
Elastofibroma dorsi (ED) is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Surgical excision, usually recommended for symptomatic cases to confirm diagnosis ...
Adebayo Omoyemi O Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, - - 2014
So much has changed in the field of diabetes diagnosis and management in the United States. Unhealthy lifestyle choices have hastened an epidemic of childhood obesity, causing a paradigm shift in how childhood diabetes is conceptualized. Once thought a consequence of obesity, sedentary lifestyle, and genetics, diabetes with onset in ...
Robson John J Centre for Primary Care and Public Health, Queen Mary University of London, London, - - 2014
System redesign is described in one primary care trust (PCT)/clinical commissioning group (CCG) resulting in improved cardiovascular disease (CVD) management. To evaluate CVD managed practice networks in one entire local health economy using practice networks, compared with PCTs in London, England, and local PCTs. Observational study of 34 general practices ...
Bar-Sela Shai M SM From the Department of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: - - 2014
To report the long-term outcomes of triamcinolone acetonide-assisted anterior vitrectomy during complicated cataract surgery with vitreous loss. Tel Aviv Medical Center, Tel Aviv, Israel. Case series. Consecutive patients who had triamcinolone acetonide-assisted anterior vitrectomy for complicated cataract surgery with vitreous loss between January 2010 and January 2012 were studied. The ...
Ciccone Marcia M University of Southern California, Los Angeles, - - 2014
The objective of this study was to describe treatment outcomes in young women with endometrial hyperplasia. A retrospective cohort study of women younger than 35 years with a biopsy diagnosis of endometrial hyperplasia was performed. Demographics, treatment, and histopathology were compared. The institutional review board at the University of Southern ...
Kilfoyle Kimberly A KA Warren Alpert Medical School of Brown University, Women & Infants Hospital, Providence, - - 2014
An examination of the relationship between sociodemographic factors and nonurgent use of the emergency department (ED) during pregnancy. We conducted a cross-sectional study of postpartum women who delivered between June and August 2012. Consenting participants completed a demographic, obstetric, and emergency care questionnaire and validated health literacy screening tool. Additional ...
Kreafle Johanna E JE University of Miami Miller School of Medicine, Miami, - - 2014
We aimed to evaluate the feasibility and tolerability of hyperthermic intraperitoneal chemotherapy after cytoreduction surgery for recurrent ovarian cancer. In a single-institution, pilot study, patients underwent optimal cytoreductive surgery in combination with hyperthermic intraperitoneal chemotherapy followed by consolidation chemotherapy from September 2011 to May 2013. Optimal cytoreduction was defined as ...
Turner Aaron L AL Cedars-Sinai Medical Center, Los Angeles, - - 2014
To determine the rate of prenatal invasive diagnostic procedures performed over time in the era of noninvasive cell free fetal DNA prenatal testing. This is a retrospective review of the number of invasive prenatal diagnostic procedures (chorionic villus sampling and amniocentesis) performed between January 2010 and June 2013 among women ...
Peters Savannah J SJ University of South Dakota, Vermillion, - - 2014
Barriers unique to rural life may limit adolescents' access to reproductive health care including human papillomavirus (HPV) and contraception counseling. This study's purpose was to evaluate HPV vaccination and contraceptive use in rural compared with urban adolescents. Participants were recruited from a midwestern university campus and completed an online survey ...
Kaye Leah A LA University of Connecticut, Farmington, - - 2014
The objective of this research is to determine if text messaging can improve access to postpartum care for an urban clinic population by decreasing no-show rates. Last year's PPV rate at Women's Ambulatory Health Services at Hartford Hospital (71%) falls below the national average of 88.7% noted by the Centers ...
Whitmore Elsa J EJ University of Illinois College of Medicine at Peoria, Peoria, - - 2014
The objective of this study was to understand how cervical agenesis affects fertility management. Congenital absence of the cervix with functioning endometrial tissue is extremely rare. Primary amenorrhea and cyclic abdominal pain are the usual presentation. Creation of a functional cervix is difficult as a result of a lack of ...
Barchi Francis F a Rutgers - - 2014
This article presents a review of the literature, summarizes current initiatives, and provides a heuristic for assessing the effectiveness of a range of institutional review board (IRB) collaborative strategies that can reduce the regulatory burden of ethics review while ensuring protection of human subjects, with a particular focus on international ...
Brown Stephen S Alfred Denny Building, Department of Biomedical Sciences, University of Sheffield, Yorkshire, S10 2TN, UK. - - 2014
The Sheffield RNAi Screening Facility (SRSF) (www.rnai.group.shef.ac.uk) was established in 2008 with Wellcome Trust and University of Sheffield funding, with the task to provide the first UK RNAi screening resource for academic groups interested in identifying genes required in a diverse range of biological processes using Drosophila cell culture. The ...
Myors Karen Anne KA University of Western Sydney, Sydney, - - 2014
Perinatal mental health disorders potentially have long-term negative sequelae for women, their infants and their families. Multidisciplinary perinatal and infant mental health (PIMH) services are an emerging specialty in mental health designed to improve mother-infant outcomes. This mixed methods study explored the characteristics of women referred to a specialist PIMH ...
Balabanski Lubomir L Genomic Laboratory, Malinov Hospital, 1680 - - 2014
Breast cancer is currently the most common type of cancer in females. The majority of the hereditary forms of breast cancer are caused by mutations in the BRCA1 and BRCA2 genes, whose main function is the DNA repair of double-strand breaks. Genetic testing of females with a family history of ...
Aino Hajime H Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, - - 2014
Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide. The aim of this study was to evaluate whether there are differences in the clinical characteristics and survival between patients with advanced HCC with extrahepatic metastasis who received and those who did not receive previous treatment. Between April, 1998 ...
Park Elizabeth E Department of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop Road, Houston, TX 77030, - - 2014
Although the altered mental status is a common presentation in the emergency department, altered mental status caused by endocrine emergencies is rare. The altered patient could have an endocrine cause that can quickly improve with appropriate diagnosis and interventions. When dealing with limited information and an obtunded patient, it is ...
Yin H Shonna HS Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY. Electronic address: - - 2014
To examine the degree to which recommended provider counseling strategies, including advanced communication techniques and dosing instrument provision, are associated with reductions in parent liquid medication dosing errors. Cross-sectional analysis of baseline data on provider communication and dosing instrument provision from a study of a health literacy intervention to reduce ...
Harada Atsushi A National Center for Geriatrics and Gerontology, - - 2014
The prevalence of sarcopenia diagnosed only by muscle mass in the elderly ranged from 12% to 50%, when muscle mass was measured by DXA with high accuracy. In Japanese elderly, it was reportedly 12%, 24%, 40%, and 53% in the 50s, 60s, 70s, and 80s men, respectively, and 24%, 21%, ...
- - 2014
This month's cover features amacro confocal macroscopy image of a mouse E10.5 embryo. It was stained with Hoechst 33342 (blue), and paternally inherited EGFP fluorescence (green), which are driven from the β-actin promoter and enable to distinguish hematopoietic cells of maternal and embryonic origin. The image's background shows the expression ...
Rad Steve S Cedars-Sinai Medical Center, Los Angeles, - - 2014
The objective of this study was to investigate the indications for which women choose to have prenatal diagnosis with array-comparative genomic hybridization. This is a retrospective review of the invasive prenatal diagnostic testing procedures (chorionic villus sampling and amniocentesis) with array-comparative genomic hybridization testing that were performed from December 2012 ...
Eichelberger Kacey Y KY Greenville Health Systems, Greenville, - - 2014
Interest in global women's health is reported to be high among incoming obstetrics-gynecology residents. However, data regarding number and characteristics of programs offering formal training have not been collected systematically. We administered a web-based survey to all program directors of Accreditation Council for Graduate Medical Education-accredited obstetrics-gynecology residency programs and ...
Oud Lavi L Texas Tech University HSC, Odessa, - - 2014
There are no population-based data trending the association of pregnancy-associated severe sepsis with maternal hospital death. We studied the Texas Inpatient Public Use Data File, using International Classification of Diseases, 9th Revision, Clinical Modification codes to identify pregnancy-associated hospitalizations, pregnancy-associated severe sepsis, and common reported causes of maternal deaths, including ...
Conroy Kelley K Tufts Medical Center, Boston, - - 2014
Placenta percreta is a known cause of life-threatening hemorrhage requiring peripartum hysterectomy but only rarely leads to spontaneous uterine rupture before viability. Few case reports exist in the literature, yet this may become a more common occurrence with increasing cesarean delivery rates. We report a series of six cases of ...
Ladson Gwinnett M GM Meharry Medical College, Nashville, - - 2014
There is a paucity of studies that have evaluated the attendant health risk of sleep disturbances during pregnancy. We tested the hypothesis that poor sleep quality is a major risk factor for gestational diabetes mellitus. We recruited 29 pregnant women (13 nulliparous, 16 multiparous) and 13 nonpregnant women as controls ...
Ogunleye Oluseyi O University of Florida, Gainesville, - - 2014
We analyzed American College of Obstetricians and Gynecologists and American Diabetes Association-proposed approaches to gestational diabetes mellitus (GDM) screening at a single institution. Data for two separate 6-month periods were reviewed retrospectively: period 1-a two-step strategy used 1-hour glucola followed by a 3-hour glucose tolerance test. An abnormal 3-hour glucose ...
Walker Dilys D University of Washington, Seattle, - - 2014
Emergency obstetric simulation and team training can improve patient outcomes. However, in limited-resource countries, cost limits access and few studies measure effect. Cluster-randomized trial including 24 community hospitals matched in 12 pairs in three Mexican states. From August 2010 to January 2012, 436 health care providers at 12 intervention hospitals ...
Rishel Cindy J CJ College of Nursing, University of Arizona in - - 2014
Have you given serious thought to your individual ability to affect the high cost of health care? If so, you may have determined that the opportunity to have any meaningful effect on cost of services for patients with cancer is limited. You may believe that budgets are the responsibility of ...
Goldfarb Ilona T IT Massachusetts General Hospital, Boston, - - 2014
Obstructive sleep apnea (OSA) as diagnosed by polysomnography has been associated with preeclampsia and intrauterine growth restriction (IUGR). The use of validated screening tools in pregnancy is unknown. We sought to examine the association between a positive screen on one validated OSA tool, the STOP-BANG Questionnaire, and preeclampsia or IUGR. ...
Mularz Amanda A University of California, Los Angeles, Los Angeles, - - 2014
Given increasing scrutiny on cesarean delivery rates and induction as a possible contributing factor, we sought to examine the association between maternal age and successful induction of labor in the context of gestational age and parity. Outcomes after induction of labor in term singleton pregnancies from 2006 to 2010 were ...
Siddik-Ahmad Rabia I RI Santa Clara Valley Medical Center, San Jose, - - 2014
The objective of this study was to investigate the risk of uterine atony in women undergoing cesarean delivery for labor arrest. We hypothesized that inability to achieve adequate contractions in labor would be associated with an increased risk of uterine atony. This is a secondary analysis of the National Institute ...
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