Search Results
Results 251 - 300 of 5265
< 1 2 3 4 5 6 7 8 9 10 11 >
Jimenez Manuel E ME Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa; Leonard Davis Institute of Health Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa; Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa; PolicyLab: Center to Bridge Research, Practice, & Policy, Children's Hospital of Philadelphia, Philadelphia, Pa. Electronic address: - - 2014
To identify parent, child, community, and health care provider characteristics associated with early intervention (EI) referral and multidisciplinary evaluation (MDE) by EI. We conducted a mixed methods secondary analysis of data from a randomized controlled trial of a developmental screening program in 4 urban primary care practices. Children <30 months ...
Akune Toru T Department of Clinical Motor System Medicine, Graduate School of Medicine, University of Tokyo, - - 2014
Although a large number of studies have been made to identify genetic loci associated with osteoarthritis (OA) , there are only a few that have been reported to be associated with OA in many regions and countries. One of the reasons for the lack of success may be small effect ...
Nakatoh Shinichi S Department of Orthopaedic Surgery, Asahi General Hospital, - - 2014
The current low osteoporosis treatment rate (20%) in Japan is problematic. Osteoporosis screening is needed to ensure that asymptomatic osteoporosis patients are identified and treated. However, five problems are associated with osteoporosis screening in Japan. First, among 1,783 district municipalities, osteoporosis screening was performed in only 1,062 municipalities in 2011. ...
Furuya Takefumi T Institute of Rheumatology, Tokyo Women's Medical University, - - 2014
Patients with rheumatoid arthritis (RA) are at increased risk for developing osteoporosis and fractures compared to controls. This risk is further increased since a majority of patients with RA also receive concomitant corticosteroids, which have been shown to induce osteoporosis and increase the risk of fractures. Glucocorticoids use and physical ...
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 ...
Robson John J Centre for Primary Care and Public Health, Queen Mary University of London, - - 2014
Atrial fibrillation (AF) is a cause of stroke, and undertreatment with anticoagulants is a persistent issue despite their effectiveness. To increase the proportion of people with AF treated appropriately using anticoagulants, and reduce inappropriate antiplatelet therapy. Cross-sectional analysis. Electronic patient health records on 4604 patients with AF obtained from general ...
Moghissi Etie S ES University of California - Los Angeles, 4644 Lincoln Blvd, Marina del Rey, CA 90292. - - 2014
Patients with long-standing type 2 diabetes mellitus (T2DM) can be clinically challenging for physicians to treat because these patients often lack sufficient β-cell function to respond to some oral glucose-lowering agents, may have profound comorbidities, and may have renal impairment that limits the use of traditional agents. These complications, in ...
Weiner Xenia X From the Department of Ophthalmology, Goethe-University, Frankfurt am Main, - - 2014
To evaluate the repeatability of different lens densitometry analysis modes performed with Scheimpflug imaging using the Pentacam HR device. University eye hospital, Frankfurt am Main, Germany. Cross-sectional study. Eyes were analyzed under mydriasis during 2 examinations performed by the same examiner. Three single measurements were taken to assess lens densitometry ...
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 ...
Aksel Sarp S Albert Einstein College of Medicine, Bronx, - - 2014
Dilation and evacuation for intrauterine fetal demise has been associated with higher rates of morbidity and mortality compared with dilation and evacuation for abortion. To date, this risk has not been well studied, and no clear recommendations exist for perioperative management. This study examines the complication rates after dilation and ...
Harper Cynthia C CC University of California, San Francisco, San Francisco, - - 2014
Unintended pregnancy remains persistently high in the United States. Few randomized interventions have effectively reduced pregnancy. We conducted a cluster randomized trial in 40 Planned Parenthood sites, including family planning and abortion, to assess the effect of a clinic-wide training in long-acting reversible contraceptives (LARCs) on patient outcomes. A cohort ...
Kroll Robin R Women's Clinical Research Center, Seattle, - - 2014
Substituting low-dose ethinyl estradiol for the typical hormone-free interval in combined oral contraceptives may enhance ovarian suppression and improve tolerability. This phase 3 study evaluated the efficacy and safety of a 28-day combined oral contraceptive regimen including 21 days of desogestrel and ethinyl estradiol followed by 7 days of ethinyl ...
Zutshi Priyanka P St Luke's University Hospital, Bethlehem, - - 2014
Nearly half of the pregnancies in the United States are unintended. Several studies have found predictors of unintended pregnancies including contraception use; however, none has addressed modifiable risk factors in a specific population. This study assessed the risk factors for subsequent pregnancy rates within 18 months of a delivery from ...
Nitsche Joshua F JF Wake Forest School of Medicine, Winston-Salem, - - 2014
Many medical students feel anxious and unprepared for their first vaginal delivery. Simulation of the procedure can do much to boost learner confidence and build the necessary skills before a student's first real-life delivery. Although simulation is now used to aid in the training of obstetric emergencies such as shoulder ...
Prasannan Lakha L SUNY Downstate Medical Center, Brooklyn, - - 2014
The Internet has become an important source of information for medical students. Benefits include the ease in gathering information, the ability to work from any location, and the diversity of resources provided. The objective of the study is to survey third-year students regarding their use of web-based resources. A cross-sectional ...
Berman Jay M JM Wayne State University School of Medicine, Detroit, - - 2014
Radiofrequency volumetric thermal ablation of fibroids has been reported in the literature, the procedure has been cleared by the U.S. Food and Drug Administration, but mid- to-long-term quality-of-life results in a heterogeneous population of premenopausal and symptomatic women are lacking. Our objective was to analyze the clinical success of radiofrequency ...
Borahay Mostafa A MA The University of Texas Medical Branch at Galveston, Galveston, - - 2014
Robotic surgery is associated with several advantages but also high costs. The aim of this study is to evaluate clinical outcomes and financial feasibility of outpatient robotic hysterectomy. Retrospective cohort study (Class II-2) of patients who underwent robotic hysterectomy for benign conditions by the same surgeon at the University of ...
Rahangdale Lisa L University of North Carolina, Chapel Hill, - - 2014
Automated liquid-based cytology methods for cervical cancer screening require processing systems that may not be affordable in low-resource settings. The purpose of this study was to assess the use of the manual liquid-based cytology product VitroPrep Gyn/Cytology Processing Kit. This is a descriptive pilot study. Women underwent cervical sampling to ...
Sirota Ido I St Luke's-Roosevelt Hospital Center, New York, - - 2014
To determine outcome differences in patients undergoing robotic-assisted compared with conventional laparoscopy for advanced-stage endometriosis. Cases were collected from our prospectively maintained computerized database of robotic-assisted and conventional laparoscopic surgical treatments for endometriosis performed by one surgeon experienced in both techniques. Included were all patients treated between July 2009 and ...
Umezurike Chisara C CC Nigerian Christian Hospital, Aba, Abia, - - 2014
Myomectomy during cesarean delivery is usually avoided because of the risk of intractable hemorrhage. This study was undertaken to compare the efficacy and safety of cesarean myomectomy with a control group with uterine fibroids who had cesarean delivery without myomectomy. A prospective clinical trial of cesarean myomectomy compared with cesarean ...
Ault Kevin A KA Emory University School of Medicine, Atlanta, - - 2014
Group B streptococcus (GBS) is the leading infectious cause of neonatal morbidity and mortality. Currently, intrapartum antibiotic treatment is the only means to decrease vertical transmission. Studies have shown that a vaccine administered during the third trimester is the most cost-effective option for GBS prevention, but the acceptability of such ...
Ali Nyima S NS Pennsylvania Hospital, Philadelphia, - - 2014
The prevalence of obesity among women of reproductive age is increasing. Excess gestational weight gain is associated with increased short- and long-term maternal and neonatal morbidity and mortality. We sought to examine associations between pre-pregnancy body mass index (BMI) and self-suggested gestational weight gain and to identify barriers to achieving ...
Amorosa Jennifer M H JM Mount Sinai School of Medicine, New York, - - 2014
Women with gestational diabetes mellitus (GDM) are at increased risk to develop overt diabetes; however, compliance with the postpartum 75-g oral glucose tolerance test (OGTT) is poor. We assessed rates of postpartum OGTT compliance at our institution and identified risk factors for the suspected poor compliance. We performed a retrospective ...
Batra Priya P University of California, Los Angeles, Los Angeles, - - 2014
Under the California Maternal Quality Care Collaborative, the University of California, Los Angeles, initiated an obstetric hemorrhage identification and response protocol in August 2009. This study evaluated the protocol's effect on hemorrhage outcomes at this institution. This was a retrospective review of postpartum hemorrhage cases identified by International Classification of ...
Huang Jian - - 2014
In a positron emission tomography (PET) study, the local uptake of the tracer is dependent on vascular delivery and retention. For dynamic studies the measured uptake time-course information can be best interpreted when knowledge of the time-course of tracer in the blood is available. This is certainly true for the ...
Zeng Nianyin - - 2014
Gold immunochromatographic strip assay provides a rapid, simple, single-copy and on-site way to detect the presence or absence of the target analyte. This paper aims to develop a method for accurately segmenting the test line and control line of the gold immunochromatographic strip (GICS) image for quantitatively determining the trace ...
Saez Aurora - - 2014
In this paper different model-based methods of classification of global patterns in dermoscopic images are proposed. Global patterns identification is included in the pattern analysis framework, the melanoma diagnosis method most used among dermatologists. The modeling is performed in two senses: first a dermoscopic image is modeled by a finite ...
Alessandrini Martino - - 2014
Quantification of regional myocardial motion and deformation from cardiac ultrasound is fostering considerable research efforts. Despite the tremendous improvements done in the field, all existing approaches still face a common limitation which is intrinsically connected with the formation of the ultrasound images. Specifically, the reduced lateral resolution and the absence ...
Robinson Jennifer A JA Johns Hopkins Bayview Medical Center, Baltimore, - - 2014
Adolescents and young adults disproportionately acquire new human immunodeficiency virus (HIV) infections in the United States. Little is known about how contraceptive practices differ between HIV-infected and -noninfected young women. We conducted a cross-sectional survey of young HIV-infected and -uninfected women between the ages of 13 and 21 years. Participants ...
Feldman Daniele S DS Cedars Sinai Medical Center, Los Angeles, - - 2014
Many hospitals use laborists; however, little data exist regarding how this model is being implemented. We aim to describe the frequencies, features, and characteristics of the laborist model in southern California hospitals. We designed and validated a survey to collect information on policies and practices on labor and delivery units ...
Hadid Vicky V Jewish General Hospital, McGill University, Montreal, Quebec, - - 2014
Data on sarcoidosis in pregnancy are sparse and limited to a few case reports and series. Our aim is to determine the prevalence of sarcoidosis at delivery and related maternal and newborn outcomes. Using the U.S. Healthcare Cost and Utilization Project-Nationwide Inpatient Sample from 2003 to 2010, we conducted a ...
Hassan Noura N Jewish General Hospital, McGill University, Montreal, Quebec, - - 2014
Marfan's syndrome is a rare connective tissue disease with significant risk for adverse cardiovascular outcomes. Our objective was to evaluate pregnancy and cardiovascular outcomes in pregnant women with Marfan's syndrome. We conducted a population-based retrospective cohort study using the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2003 ...
Hoover Merrit A MA Oregon Health & Science University, Portland, - - 2014
The objective of this study was to determine the optimal gestational age for delivery in cases of vasa previa. A decision-analytic model was designed to compare gestational age of delivery in vasa previa for gestational ages between 32 and 37 weeks using maternal and fetal quality-adjusted life-years in a theoretical ...
Koren Gideon G The Hospital for Sick Children, Toronto, Ontario, - - 2014
Nausea and vomiting of pregnancy affect up to 90% of all pregnancies. Diclectin and Diclegis (delayed-release 10 mg doxylamine-10 mg pyridoxine combination) is the only antiemetic approved in the United States and Canada for nausea and vomiting of pregnancy at a maximum dose of 4 tablets per day. However, some ...
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 ...
Larsen John W JW Jr The George Washington University, Washington, - - 2014
Reducing the cesarean delivery rate is a national priority. Obstetrician-gynecologists working in collaboration with certified nurse-midwives demonstrate that a Collaborative Model of Care has the potential to yield the very best obstetric outcomes. This model is based on 1) screening criteria; 2) antepartum guidelines; 3) communication patterns of consultation, collaboration, ...
Lee Vanessa R VR Oregon Health & Science University, Portland, - - 2014
Maternal obesity complicates over 20% of pregnancies in the United States and increases the risk of many adverse perinatal outcomes. However, limited data exist on the timing of delivery in such cases. The purpose of this study was to determine the optimal gestational age of delivery in an obese patient. ...
McCarroll Michele L ML Summa Health System, Akron, - - 2014
The consequences of untreated, self-reported, antenatal mood symptoms can be detrimental to the mother, neonate, and family but are rarely formally evaluated or treated. The objective of this study was to determine the prevalence of antenatal mood symptoms, implementation of a treatment plan, and associations with race and payor status. ...
Murphy Lauren A LA New York Weill-Cornell Medical Center, New York, - - 2014
Our objective was to identify factors associated with unsuspected placenta accreta. Cases of cesarean delivery and peripartum hysterectomy were identified from 2002 to 2012. Those with histologic evidence of accreta were included. Fisher's exact test and Mann-Whitney U test were used to compare cases suspected based on imaging studies and ...
Papp Melissa Murphy MM Oakwood Hospital and Medical Center, Dearborn, - - 2014
Globesity is recognized by the World Health Organization as a pandemic issue. Obesity is considered the second leading cause of preventable death in the United States. Michigan is considered the fifth fattest state in the country. Ongoing observational study involving pregnant women with body mass index equal or above 50 ...
Stuart Gretchen S GS University of North Carolina School of Medicine, Chapel Hill, - - 2014
Immediate postpartum placement of the levonorgestrel intrauterine system can decrease unplanned pregnancy in the United States. The objective of this study was to compare breastfeeding prevalence between women who receive the levonorgestrel intrauterine system immediately postpartum or 4-6 weeks later. We conducted a parallel, randomized trial with one-to-one allocation at ...
Ngai Ivan I Montefiore Medical Center-Einstein College of Medicine, Bronx, - - 2014
To assess the outcomes of 17α-hydroxyprogesterone caproate in obese women compared with nonobese women. Women receiving 17α-hydroxyprogesterone caproate from January 1, 2011, through December 31, 2012, were identified. Demographics including body mass index (BMI) and pregnancy outcomes were obtained. All women received a 250-mg weekly dosage of 17α-hydroxyprogesterone caproate. Obesity ...
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 ...
Orzechowski Kelly K Thomas Jefferson University/Jefferson Medical College, Philadelphia, - - 2014
Small placental volumes are associated with adverse pregnancy outcomes such as intrauterine growth restriction. Normative growth curves for the fetus exist but not for normal placental growth. This study examines longitudinal placental growth pattern in a healthy cohort. This prospective longitudinal cohort study of placental volume enrolled 12 gravidas with ...
Parikh Reshma R UMass Memorial Medical Center, Worcester, - - 2014
The number of reproductive-aged women undergoing bariatric surgery is increasing. Most patients have rapid weight loss in the first year or 2 after bariatric surgery, which increases their chance of pregnancy. Weight loss decreases hypertension and diabetes but increases nutritional deficiencies, anemia, and postoperative complications. This study aims to understand ...
Pettit Kate E KE University of California, San Diego, San Diego, - - 2014
Our objective was to characterize gestational weight gain and postpartum weight retention in term twin pregnancies by body mass index (BMI) and trimester. Retrospective cohort study including all term twin pregnancies at the University of California, San Diego Medical Center 2009-2013. Adequate gestational weight gain was determined by the 2009 ...
Primo Lily F LF University of Oklahoma Tulsa, Tulsa, - - 2014
Placenta accreta is an unyielding pregnancy complication with increased morbidity and mortality. Optimal management requires prenatal diagnosis. Currently, ultrasonography and magnetic resonance imaging (MRI) are used for screening. We pursued if a risk assessment tool incorporating both clinical risk factors and screening radiography would give a more accurate prediction. We ...
Ligeti Jacob Ruiter JR Jewish General Hospital, McGill University, Montreal, Quebec, - - 2014
News media is an important source of information for expectant mothers. The purpose of our study was to evaluate the content and influence of the lay press in reporting of home birth. We carried out a search of the Lexis-Nexis news database using "home births" and "hospital births" keywords for ...
Sabol Bethany A BA Oregon Health & Science University, Portland, - - 2014
This study evaluates the association between race and ethnicity and obstetric outcomes in women with chronic hypertension. A retrospective cohort study of African American, Hispanic, Asian, and white California residents who delivered live, singleton, nonanomalous neonates from 2005 to 2008. The data consisted of birth records linked to hospital discharge ...
Saraf Sumit S Maimonides Medical Center, Brooklyn, - - 2014
To determine whether clinical findings among women with preeclampsia or eclampsia predict the magnetic resonance imaging (MRI) diagnosis of posterior reversible encephalopathy syndrome and to determine whether posterior reversible encephalopathy syndrome is found in all patients with eclampsia or among patients with preeclampsia. We performed a retrospective review of women ...
< 1 2 3 4 5 6 7 8 9 10 11 >