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Kovesdy Csaba P CP University of Tennessee Health Science Center, University of Tennessee, 956 Court Avenue, Memphis, TN 38163, - - 2014
Hyperkalaemia is common in patients with chronic kidney disease (CKD), in part because of the effects of kidney dysfunction on potassium homeostasis and in part because of the cluster of comorbidities (and their associated treatments) that occur in patients with CKD. Owing to its electrophysiological effects, severe hyperkalaemia represents a ...
Ahmed Iqbal Ike K II From the University of Toronto (Ahmed), Toronto, Ontario, Canada; the Wills Eye Hospital (Katz), Jefferson Medical College, Philadelphia, Pennsylvania, the Altos Eye Physicians (Chang), Los Altos, California, the Ophthalmic Consultants of Long Island (Donnenfeld), Rockville Centre, New York, the Carolina Eyecare Physicians (Solomon), Mt. Pleasant, South Carolina, and the Minnesota Eye Consultants (Samuelson), Minneapolis, Minnesota, USA; the S.V. Malayan Ophthalmology Centre (Voskanyan), Yerevan, Armenia. Electronic address: - - 2014
To evaluate the intraocular pressure (IOP) lowering effect of 2 trabecular microbypass stents and postoperative travoprost in patients with open-angle glaucoma (OAG) not controlled on 2 medications preoperatively. S.V. Malayan Ophthalmology Centre, Yerevan, Armenia. Prospective open-label nonrandomized study. This prospective pilot study involved 39 qualified phakic patients with OAG, medicated ...
Danford Jill M JM Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN. Electronic address: - - 2014
We report on trends in resident-performed vaginal hysterectomies before and after the establishment of a Female Pelvic Medicine and Reconstructive Surgery (FPMRS) fellowship at Vanderbilt University Medical Center. We examined medical records and resident self-reports concerning all hysterectomies at our institution in an eight year period: four years before fellowship ...
Grissinger Matthew - - 2014
Conservative prescribing can improve medication safety.
Wachter T T Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, - - 2014
Most studies on breast reconstruction evaluate different surgical techniques, types of implant or time of reconstruction. Moreover, evaluations are usually performed either by surgeons or by patients, but are rarely compared. We conducted a study on aesthetic outcome following breast reconstruction with implants comparing the evaluation by patients versus medical ...
Kling Russell E RE Pittsburgh and Philadelphia, Pa. From the Department of Plastic and Reconstructive Surgery, University of Pittsburgh; and the Perelman School of Medicine at the University of - - 2014
The general public and physicians often equate plastic surgery with cosmetic surgery. The authors investigate whether this perception is present in U.S. medical students. A national survey of first- and second-year allopathic medical students was conducted. Students were asked to determine whether 46 specific procedures are performed by plastic surgeons: ...
Liu Wei - - 2014
To explore the intraocular pressure-lowering effect and complications of diode laser transscleral cyclophotocoagulation (DLTSC) followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes. Nine eyes of nine medically unresponsive acute primary angle closure patients were enrolled. All the patients underwent cyclophotocoagulation followed by phacotrabeculectomy to control the prolonged ...
Yurteri-Kaplan Ladin A LA Section of Female Pelvic Medicine and Reconstructive Surgery, Medstar Washington Hospital Center/Georgetown University School of Medicine, 106 Irving Street NW POB Suite 405 South, Washington, DC, 20010, USA, - - 2014
Female genital cosmetic surgery is performed for aesthetic reasons as well as for medical and functional indications, such as congenital labia minora hypertrophy. The purpose of this video is to teach vulvar anatomy and review labia minorplasty techniques. We demonstrate one technique in this video. There are a variety of ...
Worrell Emma - - 2014
The following article describes the methods, materials and techniques used in the long-term management of an anophthalmic patient. Following aggressive surgery to remove a squamous cell carcinoma, the patient had no orbital implant inserted at the time of surgery and remains reticent in regard to further surgery. She presented with ...
Greif Martin M Medizinische Klinik und Poliklinik I, Klinikum Grosshadern, University Hospital of Munich, , Munich, - - 2014
To assess the feasibility of transcatheter aortic valve implantation (TAVI; Medtronic CoreValve and Edwards SAPIEN XT) under local anaesthesia with only mild analgesic medication and fluoroscopic guidance. 461 patients underwent TAVI under local anaesthesia with lidocaine. The procedure was performed successfully in 459 of the cases. All patients were also ...
Voskanyan Lilit L S.V. Malayan Ophthalmological Center, Yerevan, Armenia, - - 2014
Micro-invasive glaucoma surgical implantation of trabecular micro-bypass stents, previously shown to be safe and effective for open-angle glaucoma (OAG) subjects during cataract surgery, was considered for evaluation as a sole procedure. The aim of this study was to evaluate the safety and intraocular pressure (IOP)-lowering efficacy after ab interno implantation ...
Roehl Kendall R - - 2013
After studying this article, the participant should be able to: 1. Evaluate a patient for a reconstructive microsurgery procedure. 2. Discuss the current literature with regard to perioperative patient care. 3. Describe the common microsurgical setup and operating room considerations and anastomotic techniques. 4. List postoperative monitoring, flap salvage, and ...
Kalantar-Hormozi Abdoljalil - - 2013
 Although the exact time of performing plastic surgery is not addressed in the medical and historical literature, it can be supposed that these surgical procedures have a long and fascinating history.  Recent excavations provided many documents regarding the application of medical instruments, surgical and even reconstructive procedures during the pre-historic ...
Robinson Dudley - - 2013
Overactive bladder (OAB) is a clinical syndrome describing the symptom complex of urgency, with or without urgency incontinence and is usually associated with frequency and nocturia. Whilst many women may be initially managed using a clinical diagnosis alone a number will fail primary therapy and will require further investigation. Those ...
Enad Jerome G - - 2013
Anterior cruciate ligament (ACL) injuries occur repeatedly in Special Operations Forces (SOF). In this study, we sought to determine whether military patients requiring a second (i.e., revision) ACL reconstruction in the same knee had a lower rate of return to full duty and greater chance of medical discharge versus those ...
Yang Lian-Hong - - 2013
Patients suffering from epilepsy need long-term medication. However, after the epilepsy is completely under control, the recurrence rate is high once the drug dose is reduced gradually. The present study investigated the possible correlation between the changes shown by ambulatory electroencephalography (EEG) and epilepsy recurrence after medication withdrawal, and assessed ...
Tahiri Youssef Y Division of Plastic and Reconstructive Surgery, Montreal Children Hospital, McGill University, Montreal, - - 2013
Exposure to plastic surgery during medical school is limited. Most interested applicants form their perceptions of careers in this surgical specialty during elective rotations. To investigate the perceptions of Canadian medical students considering a career in plastic surgery. The results obtained were then compared with current Canadian plastic surgery residents' ...
O'Dempsey Tim - - 2012
Leeches have been making a remarkable come-back in medical practice in recent years, particularly in reconstructive surgery. This paper opens with a brief review of the historical aspects of the medicinal use of leeches and their recent renaissance in modern medical practice. We then embark on a journey through the ...
Glassy Crystal M - - 2012
Decorative tattooing is a custom thousands of years old and is growing in popularity today. Medical professionals may be less familiar with its medical applications-medical alert tattooing, reconstructive and cosmetic applications, endoscopic tattooing, corneal tattooing, tattooing in radiation oncology, and uses in forensic medicine. We review current medically related tattooing ...
Greer Sophia - - 2012
Abstract Objective. The purpose of this analysis was to determine whether there is an association between type of emergency medical services (EMS) medical direction and local EMS agency practices and characteristics specifically related to emergency response for acute cardiovascular events. Methods. We surveyed 1,292 EMS agencies in nine states. For ...
Howland Robert H - - 2012
Prescribing medications for off-label uses is not illegal. Off-label prescribing includes using medications for unapproved indications; using a drug outside of the recommended dosage range or duration of use; using a drug in certain unapproved patient populations, such as those defined by age, sex, or particular clinical parameters; or intentionally ...
Sugranyes G - - 2012
Increased basal cortisol secretion has been associated with heightened clinical risk for psychosis, and among at-risk individuals, has been variably related to positive and mood symptoms, as well as clinical outcome. Basal salivary cortisol secretion was assessed in 33 patients at clinical high risk (CHR) for psychosis (21 medication-free and ...
Pawloski Pamala - - 2012
Background/Aims Adherence to prescribed medications is a widespread problem and determinants of medication non-adherence have been previously described as health system, social/economic, therapy-related, condition-related, and patient-related factors. Medication non-adherence clearly represents a multifaceted challenge among patients and health care providers. The impact of drug characteristics on medication adherence has not ...
Ferentinos Panagiotis - - 2012
PURPOSE OF REVIEW: High comorbidity rates for various medical conditions have been documented in schizophrenia, being explained by factors either inherent to the disease or associated with antipsychotic treatment. The aim of this study is to review the genetic factors contributing to medical comorbidity in schizophrenia. RECENT FINDINGS: Based on ...
Mueller Stephanie K - - 2012
Medication discrepancies at care transitions are common and lead to patient harm. Medication reconciliation is a strategy to reduce this risk. To summarize available evidence on medication reconciliation interventions in the hospital setting and to identify the most effective practices. MEDLINE (1966 through February 2012) and a manual search of ...
Gale Nicola - - 2012
PURPOSE OF REVIEW: To synthesize the qualitative research literature regarding medication use to prevent cardiovascular disease in order to explain the variation in healthcare professional (HCP) and patient behaviours, and to evaluate the implications for practice. RECENT FINDINGS: The decision to start preventive medication is affected by the patient-HCP relationship ...
Dovjak P - - 2012
Increasing evidence in managing polypharmacy in the growing elderly population with a higher prevalence of multiple chronic disease is the basis for this paper. Poor adherence, drug-drug interactions, drug-disease interactions, and inappropriate medication challenge the prescriptions of health care providers in this group of patients. Risk factors, the prevalence of ...
Koch Alexander - - 2012
In the clinical setting of medical patients in the emergency department (ED), it is crucial to immediately categorize individuals according to their disease severity and determine both treatment priority and treatment location. Focusing on medical patients, a very heterogeneous population presents at the ED, representing a wide range of patients ...
Washington Georgita T - - 2012
The purpose of this research study was to determine the factors influencing peripheral phlebitis in the adult medical-surgical population. The authors would then be able to use those data to determine whether a change in practice was warranted. Data collection and analysis of 188 intravenous sites revealed that females with ...
Bernick Steven J - - 2012
The pregnant patient with inflammatory bowel disease presents a number of challenges to the clinician. In addition to the management of the patient's disease activity and the potential effects of disease on pregnancy, the clinician must also take into consideration any iatrogenic complications that may arise from the medical management ...
Harirchian Sanaz - - 2012
To determine the rate of post-face-lift hematoma among users of serotonin reuptake inhibitors (SSRIs) vs non-SSRI users. Selective serotonin reuptake inhibitors have come under recent scrutiny because of possible bleeding risks. However, cessation of SSRIs carries inherent risks. The medical charts for 250 consecutive patients who underwent a modified deep-plane ...
Lambert-Kerzner Anne - - 2012
Background- Adherence to cardioprotective medications in the year after acute coronary syndrome hospitalization is generally poor and is associated with increased risk of rehospitalization and mortality. Few interventions have specifically targeted this high-risk patient population to improve medication adherence. We hypothesize that a multifaceted patient-centered intervention could improve adherence to ...
Bohannon Nancy J V - - 2012
Background: The outcomes associated with some therapies may be potentially influenced by specific patient characteristics. Individualized therapy is an effort to achieve optimal health outcomes for a patient by selecting drugs known to be beneficial in persons with specific attributes or disease characteristics. With a broad literature base spanning several ...
Pink Leah R - - 2012
The present article outlines the process of instituting an assessment of risk of problematic use of medications with new patients in an ambulatory chronic noncancer pain (CNCP) clinic. It is hoped that the authors' experience through this iterative process will fill the gap in the literature by setting an example ...
Cikach Frank S FS Jr Department of Pathobiology/Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, - - 2012
With each breath that we exhale, thousands of molecules are expelled in our breath, giving individuals a "breath-print" that can tell a lot about them and their state of health. Breath analysis is rapidly evolving as the new frontier in medical testing. The end of the 20th century and the ...
Callahan Shields - - 2012
BACKGROUND: Approximately one in four patients undergoing dermatologic surgery takes an antithrombotic medication. When approaching the management of antithrombotic agents, procedural dermatologists must balance surgical outcomes, bleeding risks, and cardiovascular protection. Continuing antithrombotics during surgery increases the risk hemorrhage, but discontinuation of these agents may increase the risk of thrombotic ...
George Mary G - - 2012
Cardiovascular disease (CVD) is the most highly prevalent disease in the United States and remains the leading cause of death among adults aged ≥18 years despite advancements in treatment and prevention in recent decades. Each year, approximately 800,000 persons die from CVD, which includes coronary heart disease (CHD); the majority ...
Dobromirski Mark - - 2012
Venous thromboembolism is a significant cause of illness and death worldwide. Large bodies of evidence support the heightened risk status of hospitalised medical patients, and that prophylactic measures significantly reduce the risk of thrombosis, yet these patients often fail to receive adequate prophylactic therapy. This failure may be accounted for ...
Heller T - - 2012
Patients often use dietary supplements in addition to the therapies prescribed by their physicians. This self medication is often not listed in the drug history. We supposed that people, who are more afraid of co-morbidities or diabetes late complications and who exhibit a higher fear of the potential side effects ...
McCollough C - - 2012
The recent attention in the scientific and popular press to the potential risks associated with ionizing radiation from medical imaging has resulted in some patient becoming unwilling to undergo medically appropriate procedures that use ionizing radiation. Scientific data on the magnitude of both potential risks and benefits are not always ...
- - 2012
The French Pharmacoeconomic Committee that assesses the medical benefit of new drugs and provides recommendations about reimbursement has downgraded its rating of the medical benefit (SMR, service mddical rendu) provided by cholinesterase inhibitors and memantine in Alzheimer's disease from "major" to "low".
Omoti C E - - 2012
This study is designed to identify the associated occupations most at risk of developing lymphoid malignancies. The medical records of all lymphoid malignancy cases seen in University of Benin Teaching Hospital between July 2001 and June 2010 were retrieved from medical record library. The patient's bio-data, occupational, social and past ...
Lacy Brian E - - 2012
Objectives:We explored irritable bowel syndrome (IBS) patients' impulsivity and risk-taking behavior and their willingness to take medication risks.Methods:A validated questionnaire assessed the illness experience of IBS patients. A standard gamble evaluated respondents' willingness to take medication risks.Results:IBS patients with severe symptoms were more willing to take significant medication risks than ...
Ailes Elizabeth - - 2012
Background. In the United States, considerable geographic variation in the rates of culture-confirmed Campylobacter infection has been consistently observed among sites participating in the Foodborne Diseases Active Surveillance Network (FoodNet). Methods. We used data from the FoodNet Population Surveys and a FoodNet case-control study of sporadic infection to examine whether differences in ...
Bachman Emelia Argyropoulos EA Penn Fertility Care, Philadelphia, Pennsylvania, - - 2012
Medical management has become increasingly popular in the treatment of ectopic pregnancy. Given its convenience, for many it is used as a first-line treatment, however, this is not always the optimal choice for the patient. It is important to understand the options for medical treatment and when it is appropriate ...
Lemstra Mark - - 2012
INTRODUCTION: Adherence to statin medications is known to be suboptimal. What is less known is the rate of discontinuation immediately after therapy has been initiated. The primary objective of this study was to determine what proportion of nonadherence in the first year of statin therapy was due to discontinuation after ...
Scotto Rosato Nancy - - 2012
OBJECTIVE:To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management.METHODS:Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus conference of researchers, policymakers, clinicians, ...
Chisholm Anna - - 2012
PURPOSE: Doctors will increasingly encounter opportunities to support obese patients in lifestyle change efforts, but the extent to which medical schools prepare their students for this challenge is unknown. Further, despite evidence indicating theory-based techniques are effective in facilitating patients' behavioral changes, the methods taught to medical students and the ...
Van Niekerk L - - 2012
International data reveal that medical students are at higher risk of attempting suicide than the general population. We aimed to determine the prevalence of suicidal ideation and attempt among South African medical students from three universities and identify key predisposing risk factors. Data were collected via a questionnaire to medical ...
Freeman Andrew - - 2012
Enoxaparin is commonly used to prevent venous thromboembolism(VTE) [1,2] but has not been well-studied in patients with extreme obesity,a population at high risk for VTE. We prospectively compared three enoxaparin dosing regimens for the achievement of goal peak anti-Factor Xa levels in medically ill patients (n 5 31) with extreme ...
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