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Moodley J J MRC/UN Pregnancy Hypertension Research Unit and Department of Obstetrics and Gynaecology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. - - 2006
We reviewed 90 cases of eclampsia, an obstetric emergency associated with high blood pressure and convulsions, treated in two hospitals in Durban, South Africa. We present a protocol for the management of eclampsia based on this review and extensive clinical experience on this subject, which includes hemodynamic stabilization of the ...
Moreno Megan A - - 2006
BACKGROUND: Morning report (MR) is one of the most common conferences in medical residency training. Literature has suggested that an imposed structure is necessary for success. However, studies have suggested that rigid structure may decrease resident motivation. Three goals of a successful MR include large breadth of presented cases, high ...
Angelopoulos Nicholas G - - 2005
OBJECTIVE: To report a case of complete reversibility of hypogonadotropic hypogonadism with intensive venesection treatment in juvenile hemochromatosis. DESIGN: Case report. SETTING: Endocrine department of Hippocrateion Hospital of Athens. PATIENT(S): A 25-year-old man who presented with hypogonadotropic hypogonadism and severe iron overload due to juvenile hemochromatosis and who was initially ...
Tran Hue - - 2005
This retrospective study was conducted to assess and compare the diagnostic accuracy between referring general practitioners and dermatologists with regard to skin conditions. Six hundred and fifty-six consecutive general practitioner referrals to a private dermatology practice and a dermatology outpatient department were assessed. The concordance rate in diagnoses from a ...
Sharma N - - 2005
OBJECTIVE: To study the impact of an intensive IEC campaign regarding the Revised National Tuberculosis Control Programme launched by the Government of Delhi on awareness generation among the general population and improvement in self-reporting by symptomatic cases in Delhi, India. DESIGN: Cross-sectional study. RESULTS: A pilot study wherein 1008 persons ...
Klemmensen Ase K - - 2005
OBJECTIVE: A precondition for the rational use of obstetric databases in biomedical research is detailed knowledge on how data are being generated. We identified the diagnostic procedures and criteria for pre-eclampsia (PE) and assessed the level of obstetric training of the personnel responsible for the records submitted to the patient ...
Pearson Ellen C - - 2005
BACKGROUND: Recent case series have associated the synthetic opioid, methadone, with QT prolongation and torsades de pointes (TdP) ventricular arrhythmia. STUDY OBJECTIVE: To review and analyze adverse events (QT prolongation and TdP) reported to the Food and Drug Administration (FDA) to determine the patient characteristics, dosages of methadone, and outcomes ...
Williams Charles A - - 2005
OBJECTIVE: To determine the effectiveness of using the ICD-9-CM procedure code 54.71 for case ascertainment of gastroschisis. METHODS: Using procedure code 54.71, we queried a statewide hospital discharge database to identify all cases coded as undergoing surgical repair of gastroschisis. Each retrieved case was verified as having gastroschisis by review ...
Lalonde Donald - - 2005
PURPOSE: To examine prospectively the incidence of digital infarction and phentolamine rescue in a large series of patients in whom local anesthesia with adrenaline was injected electively into the hand and fingers. There continues to be a commonly held belief that epinephrine injection is contraindicated in the finger despite a ...
Macedo Guilherme O - - 2005
BACKGROUND: Amelogenesis imperfecta (AI) is a group of hereditary conditions that primarily involves the defective formation and/or calcification of enamel. The association of AI with gingival enlargement-like lesions has also been reported. METHODS: This paper reports a case of a hypoplastic AI associated with unusual generalized gingival hyperplasia. RESULTS: Histological ...
Bollig G - - 2005
BACKGROUND: McArdle's disease of isolated deficiency in glycogen degradation in skeletal muscles has the potential of creating perioperative anaesthesiological problems; such as hypoglycaemia, rhabdomyolysis, myoglobinuria, acute renal failure and possibly malignant hyperthermia. METHODS: Eight patients with McArdle's disease were asked about previous surgery, anaesthesia and perioperative problems, and available hospital ...
Laxmisha Chandrashekar - - 2005
BACKGROUND: Suction blister grafting is a useful modality of treatment of patients with resistant and stable vitiligo. However, there have been no detailed studies to find out the best donor site for blister formation. METHODS: The study was conducted between the period of October 2004 and February 2005 in the ...
Weston Gareth - - 2005
BACKGROUND: Hysteroscopic options for permanent birth control (PBC), such as the ESSURE device, are becoming increasingly popular as an alternative to laparoscopic tubal ligation. The success of the technique hinges upon correct device placement within the intramural portion of the fallopian tube. OBJECTIVE: To determine the utility of office ultrasound ...
Agius E - - 2005
This study audited the utilization of herpes simplex virus polymerase chain reaction (HSV PCR) in the investigation of recurrent anogenital ulceration at the Mortimer Market Centre. Clinic guidelines for use of HSV PCR were modified in April 2003 to expand PCR use. Ninety-six case-notes belonging to patients presenting with recurrent ...
Gupta Piyush - - 2005
OBJECTIVE: To identify whether polymicrobial bacteremia in newborns is associated with any predisposing factors, distinguishing clinical features, or higher mortality. METHODS: Results of blood cultures obtained over a period of 1 year from neonates admitted to the paediatric ward and Neonatal Intensive Care Unit of a tertiary care hospital were ...
McElearney Shannon Tierney - - 2005
The Accreditation Council for Graduate Medical Education (ACGME) implemented mandatory work week hours restrictions in 2003. Due to the traditionally long hours in general surgery, the effect of restrictions on surgical training and case numbers was a matter of concern. Data was compiled retrospectively from ACGME logs and operating room ...
Leung Sophia - - 2005
An 86-year-old female was treated for osteoporosis with alendronate, an aminobisphosphonate. Six weeks after alendronate therapy began, scleritis developed in the patient's right eye. The alendronate was discontinued, and, with the administration of prednisone, the symptoms of scleritis fully resolved. Rechallenge resulted in recurrence of the symptoms. Bisphosphonates are commonly ...
Brealey S D - - 2005
AIM: To assess selectively trained radiographers and consultant radiologists reporting plain radiographs for the Accident and Emergency Department (A&E) and general practitioners (GPs) within a typical hospital setting. METHODS: Two radiographers, a group of eight consultant radiologists, and a reference standard radiologist independently reported under controlled conditions a retrospectively selected, ...
Brealey S D - - 2005
This study explores whether the introduction of selectively trained radiographers reporting Accident and Emergency (A&E) X-ray examinations of the appendicular skeleton affected the availability of reports for A&E and General Practitioner (GP) examinations at a typical district general hospital. This was achieved by analysing monthly data on A&E and GP ...
Taraldsen Gunnar - - 2005
In 1909 Sommerfeld gave an exact solution for the reflection of a spherical wave from a plane surface in terms of an oscillatory integral and also presented an asymptotic solution for the case where both source and receiver are at the boundary. Weyl (1919) presented an alternative solution and also ...
Juul Dorthea - - 2005
OBJECTIVE: To report the assessment of psychopharmacology on the certification and recertification exams in general psychiatry and in the subspecialties administered by the American Board of Psychiatry and Neurology (ABPN). METHODS: The ABPN's core competencies for psychiatrists were reviewed. The number of items addressing psychopharmacology or neuropharmacology was determined for ...
Walia Mandeep - - 2005
Idiopathic myelofibrosis, a chronic myeloproliferative disorder of unknown origin, is characterized by splenomegaly, extramedullary hematopoiesis, leukoerythroblastosis, teardrop erythrocytes, and myelofibrosis. It is a rare disorder in childhood. The authors describe a 4-year-old girl with features consistent with idiopathic myelofibrosis, who also had generalized solid laminated periosteal reaction involving all long ...
Kim Yoon-Ho - - 2005
We report complete measurement of the spectral properties of photon pairs generated via spontaneous parametric downconversion. The measurements, which include not only single-photon spectra but also two-photon joint spectra, were performed for both cw and ultrafast-pumping configurations. In agreement with theoretical predictions, the spectra for the ultrafast-pumped case reveal asymmetries ...
Delaney Daniel P - - 2005
A dramatic shift from traditional team to alternative or "extreme" sports has given rise to a new generation of nontraditional athletes and sports-related injuries in the pediatric population. We present a case of 2 brothers who developed urethral strictures believed incident to BMX racing. We address current demographics and the ...
Fiorentini Cristiana - - 2005
OBJECTIVES: Primary subclavian vein thrombosis ("effort thrombosis") is not generally recognized as a work-related disorder, and more knowledge is required on the particular biomechanical risks. An extensive biomechanical risk analysis was performed for a possible work-related case. CASE REPORT: A hard-working 43-year-old race-course farrier received successful surgical treatment for subclavian ...
Guttmann Dan - - 2005
PURPOSE: The purpose of this study was to answer the question: How many cases are required for a surgeon to become proficient in performing arthroscopic rotator cuff repair? We hypothesize that as surgical experienced is gained, learning can be quantitatively shown by a significant decrease in operative time. TYPE OF ...
Vázquez-Tsuji Oscar - - 2005
OBJECTIVE: To present a series of neonates with renal fungus balls diagnosed by ultrasonography, urine culture and/or by the detection of Candida pseudomycelium in urine. PATIENTS AND METHODS: We revised the clinical records of neonates for whom the diagnosis of renal fungus ball was established by ultrasound and laboratory studies; ...
Greenberg Robert M - - 2005
Since its introduction in 1938, electroconvulsive therapy (ECT) has remained an important treatment for selected serious neuropsychiatric illnesses and continues to be one of the most effective treatments in psychiatry. ECT has evolved into a technically sophisticated procedure with a proven track record of safety. For this review, the authors ...
Bruchim Y - - 2005
The pine processionary moth (Thaumetopoea wilkinsoni) is an insect of medical significance in the eastern Mediterranean. This report describes three exposure cases in dogs due to ingestion of this moth's caterpillars in Israel. All three dogs were observed in direct contact with caterpillars or pinecones in infested gardens. The disease ...
Keembiyage Ranasiri Dayawansa - - 2005
Mydricaine is a mydriatic agent used routinely at the Royal Adelaide Hospital in subconjunctival injections that are given prior to all vitreoretinal surgery. The drug is manufactured by the hospital pharmacy and each vial of 0.4 mL mydricaine number 02 consists of a mixture of 1.3 mg atropine sulphate, 0.12 ...
Zhou Ping - - 2005
Clinical experience with using an aromatase inhibitor to suppress estrogen production during puberty for improvement of growth potential in adolescents with short stature is limited. This report documents treatment of such a patient with a combination of growth hormone and letrozole, a third-generation aromatase inhibitor. Our case demonstrates a favorable ...
Nakamura Mikage M Department of Paediatrics, Tokyo Medical University, - - 2005
The characteristics of influenza-associated encephalopathy is the high mortality and nimble progress with coma which appears in general cases within 48 hours. Most of patients show no abnormalities in the standard blood checks on admission or in early stage. In this study we investigated if a rapid assay of interleukin ...
Lewis Chris - - 2005
A tele-ultrasound survey was distributed to clinicians and sonographers in regional and rural sites throughout Queensland. In all, 28 centres were invited to complete a profile questionnaire, and 27 centres were invited to complete a case-log. Twenty-five of the 28 questionnaires were returned (89% response rate). Twenty-two of the 27 ...
Von Korff Joshua - - 2004
We describe a quantum scheme to "color code" a set of objects in order to record which one is which. In the classical case, N distinct colors are required to color code N objects. We show that, in the quantum case, only N/e distinct "colors" are required, where e approximately ...
Bouchard N C - - 2004
The Vietnamese centipede (Scolopendra subspinipes) is one of the largest and most aggressive tropical centipedes. It has become a popular pet among arthropod enthusiasts and the general public. Despite their reputation, few well-documented cases of envenomation are reported in the medical literature. A 53-yo man developed severe pain, swelling and ...
Timmermans M - - 2004
OBJECTIVE: To review the nature of the presentation of neurosyphilis, the value of diagnostic tests, and the classification of the disease. METHODS: A retrospective review was carried out of the records of patients who had been identified as possible cases of neurosyphilis by a positive FTA-abs test in the CSF. ...
Fournier John H - - 2004
Ophthalmic complications after nonocular surgery are well documented in the ophthalmic, surgical, and anesthesia literature. A case of unilateral visual loss after shoulder surgery under general anesthesia is presented in which electroretinography (ERG) confirms ocular compression as the etiology of the visual loss. Compression is a preventable risk factor for ...
Boylan Michael - - 2004
There are compelling moral and practical reasons why the memberships in professions should mirror the populations that they serve. In order to address this general issue more exactly, this essay will confine itself to a particular case as an emblem for the general point. The particular case is the profession ...
Kader Ajmal - - 2004
We describe a rare case of non-antibiotic associated severe C. difficile diarrhea in a 7-week-old boy. He had massive fluid loss and electrolyte imbalance. He required total parentral nutrition for 10 days and eventually recovered with oral metronidazole. Most of the reported cases in literature are associated with prior antibiotic ...
Seed Rachel - - 2004
The following case report describes the clinical and radiographical presentation of a female who attended a general dental practice as a new patient. The patient was diagnosed with generalised hypercementosis, possibly attributable to oral neglect. Hypercementosis is associated with a number of aetiological factors, which may be local or systemic ...
Goswami Rekha - - 2004
Infections of major vessels leading to mycotic aneurysms can be a diagnostic dilemma for clinicians, and can be accompanied by a high mortality rate. Successful treatment of this condition often requires a high index of suspicion and prompt medical and surgical attention. The authors report two cases of infectious aortitis ...
Silva Arley A - - 2004
Superficial mucocele is considered a relatively common, uncomplicated, and truly benign oral lesion, although a systematic review of the literature revealed only 27 well-documented cases. The general dentist frequently is confronted with questions from patients regarding these often recurrent blisters. While trauma is suspected to be the cause, the etiology ...
Scharf Joshua L - - 2004
HYPOTHESIS: Rhizopus species may cause chronic invasive fungal rhinosinusitis in an immunocompetent host. STUDY DESIGN: Individual case report. METHODS: Review of inpatient and outpatient records, radiographic studies, pathologic examination, and microbiology of the presented case. Review of the literature. RESULTS: Rhizopus species may be the cause of chronic invasive fungal ...
Poucke Sven Van - - 2004
A case of pyoderma gangrenosum progressively developing after bilateral mastopexy at the surgical site is described. The described case was successfully treated with corticosteroids, the application of the dermal regeneration template Integra and autologous skin grafts. This approach was able to save the patient's life and to generate a high-quality ...
Green Leonard L Department of Psychology, Washington University, St. Louis, MO 63130, USA. - - 2004
When choosing between delayed or uncertain outcomes, individuals discount the value of such outcomes on the basis of the expected time to or the likelihood of their occurrence. In an integrative review of the expanding experimental literature on discounting, the authors show that although the same form of hyperbola-like function ...
Feldman Jeffrey M - - 2004
Anesthesia information systems (AIS) record data from patient monitors and create a detailed electronic anesthesia record. Because the anesthesia record is a primary piece of evidence used in court during a malpractice proceeding, the ability to create an anesthesia record has fostered considerable debate concerning the impact of this method ...
Pourang N - - 2004
This review is focused on distribution and redistribution of trace elements in various tissues of different shrimp species, especially genus Penaeus. The possible roles of metallothionein in this regard are emphasized. Factors affecting heavy metals uptake and distribution have also been reviewed separately. Moreover, patterns of metals bioaccumulation and their ...
Gibson William A - - 2004
This case report demonstrates the clinical progression of a case of lesions consistent with generalized vaccinia after primary vaccination in an otherwise healthy adult. The photographs document the appearance and natural course. The progression of the lesions is discussed, documenting the natural progression of the disease. This case report includes ...
Reuben David B - - 2004
PURPOSE: We determined the prognostic value of self-reported and performance-based measurement of function, including functional transitions and combining different measurement approaches, on utilization. DESIGN AND METHODS: Our cohort study used the 6th, 7th, and 10th waves of three sites of the Established Populations for Epidemiologic Studies of the Elderly, linked ...
Krysa-Clark J - - 2004
We present a case of an 18-year-old British soldier who was bitten by an unidentified snake whilst stationed on the Iran/Iraq border. He was evacuated to the closest Role 2+ medical facility. Within 2 days he had developed bruising and a haematoma at the bite site. An improvised measure of ...
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