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Yates Sean S Division of Transfusion Medicine and Hemostasis, Department of Pathology, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, - - 2015
Anticoagulant therapies are increasingly being used for the treatment and prevention of thromboembolic diseases. A growing incidence of anticoagulant-associated intracranial hemorrhage (AICH) has accompanied the rise in their use. Although the rate of intracerebral hemorrhage (ICH) in patients receiving anticoagulation therapies such as heparin and target-specific oral anticoagulants (TSOAs) is ...
Rogart Jason N JN Capital Health Center for Digestive Health, Two Capital Way, Suite 380, Pennington, NJ 08534, USA. Electronic address: - - 2015
Acute endoscopic perforations of the foregut and colon are rare but can have devastating consequences. There are several principles and practices that can lower the risk of perforation and guide the endoscopist in early assessment when they do occur. Mastery of these principles will lead to overall improved patient outcomes.
Boina Dhana Raj DR National Institute of Plant Health Management, Department of Agriculture and Cooperation, Ministry of Agriculture, Government of India, Rajendranagar, Hyderabad, 500 030, Telangana, - - 2014
By 2014, Huanglongbing (HLB), the most destructive disease of citrus, and its insect vector, the Asian citrus psyllid (ACP), Diaphorina citri (Kuwayama), became established in all major citrus growing regions of the world including the United States of America (USA), with the exception of California. At present, application of insecticides ...
Lee Eugene W EW Virginia Mason Medical Center, Seattle, WA, USA, - - 2014
Mixed urinary incontinence is a commonly encountered condition for urologists, urogynecologists, and primary care providers. In this review, we discuss the approach to the evaluation and management of patients with simultaneous stress and urgency urinary incontinence. The available evidence for treatment modalities in the setting of mixed urinary incontinence is ...
Prichard David D Clinical Enteric Neuroscience Translational and Epidemiological Research Program, Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street, Rochester, MN, 55905, USA, - - 2014
Defecatory disorders (DD) and fecal incontinence (FI) are common conditions. DD are primarily attributable to impaired rectoanal function during defecation or structural defects. FI is caused by one or more disturbances of anorectal continence mechanisms. Altered stool consistency may be the primary cause or may unmask anorectal deficits in both ...
Satapathy Sanjaya K SK Division of Surgery, Methodist University Hospital Transplant Institute, University of Tennessee Health Sciences Center, Memphis, TN 38104, - - 2014
Acute variceal bleeding is a potentially life-threatening complication of portal hypertension. Management consists of emergent hemostasis, therapy directed at hemodynamic resuscitation, protection of the airway, and prevention and treatment of complications including prophylactic use of antibiotics. Endoscopic treatment remains the mainstay in the management of acute variceal bleeding in combination ...
Bedford Russell A R AR Neonatal Unit, Birmingham Women's NICU, Birmingham, - - 2014
Early onset neonatal sepsis is persistently associated with poor outcomes, and incites clinical practice based on the fear of missing a treatable infection in a timely fashion. Unnecessary exposure to antibiotics is also hazardous. Diagnostic dilemmas are discussed in this review, and suggestions offered for practical management while awaiting a ...
Shetty Shrimati D SD National Institute of Immunohaematology (ICMR), Department of Thrombosis and Haemostasis, 13th Floor, KEM Hospital, Parel, Mumbai, India. Electronic address: - - 2014
Acquired hemophilia A (AHA) is a rare autoimmune bleeding disorder caused by antibodies which neutralize the function of factor VIII (FVIII). The disease presents a complex clinical challenge to the treating Physicians and Hematologists. As the disease is associated with high mortality, prompt management is necessary. Early recognition, quick diagnosis ...
Kim Caroline C CC Pigmented Lesion Clinic and Cutaneous Oncology Program, Department of Dermatology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, - - 2014
The management of clinically atypical nevi/dysplastic nevi (CAN/DN) is controversial, with few data to guide the process. Management recommendations for DN with positive histologic margins were developed by the Delphi method to achieve consensus among members of the Pigmented Lesion Subcommittee (PLS) of the Melanoma Prevention Working Group (MPWG) after ...
Baptista Veronica V Veronica Baptista, Neil Marya, Anupam Singh, Abbas Rupawala, Bilal Gondal, David Cave, Department of Medicine, University of Massachusetts Memorial Medical Center, Worcester, MA 01655, United - - 2014
The diagnosis and management of obscure gastrointestinal bleeding (OGIB) have changed dramatically since the introduction of video capsule endoscopy (VCE) followed by deep enteroscopy and other imaging technologies in the last decade. Significant advances have been made, yet there remains room for improvement in our diagnostic yield and treatment capabilities ...
Baek Seon Ha - - 2014
The clinical benefits of bioimpedance spectroscopy (BIS)-guided fluid management in patients on hemodialysis have been widely demonstrated. However, no previous reports have evaluated the effect of regular and serial BIS-guided fluid management on the residual renal function (RRF) in patients on peritoneal dialysis (PD). Therefore, we will evaluate the clinical ...
Basart Hanneke H Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, Amsterdam, The Netherlands. Electronic address: - - 2014
Robin Sequence (RS) is characterized by micrognathia and upper airway obstruction (UAO), with or without cleft palate, causing respiratory and feeding problems. Management options are: positioning; nasopharyngeal airway (NPA); tongue-lip adhesion (TLA); mandibular distraction (MDO); and tracheostomy. Controversy exists in literature regarding RS definition and management. Here we describe definitions, ...
Linder D D Department of Dermatology, University Hospital of Padua, Italy; Research Unit of Behavioural Medicine, Health Psychology and Empirical Psychosomatics, Medical University of Graz, Graz, - - 2014
There is increasing awareness of the clinical relevance of psoriasis comorbidities and of the importance of timely and effective screening for such comorbidities in the management of psoriatic patients. Previous works have focused on assessing evidence for prevalence of comorbidities and on the best available evidence for sensitivity in diagnosing ...
Boyle Adrian A Consultant Emergency Physician at the Emergency Department, Addenbrookes Hospital, Cambridge CB2 2QQ and Visiting Senior Research Fellow, Cambridge - - 2014
Few performance management measures create as much heat and debate as the 4-hour target for emergency departments. This article critically reviews the history, evidence and effectiveness of the 4-hour standard for patients attending emergency departments.
Ducloy-Bouthors Anne-Sophie AS From the *Pole d'Anesthésie-Réanimation, Academic Hospital Lille, Lille, France; †Pole d'Hématologie Transfusion, Academic Hospital Lille, Lille, France; ‡Université Lille Nord de France, Lille, France; §Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; ∥Department of Anesthesia, Stanford University School of Medicine, Stanford, California; and ¶Duke Transfusion Service, Department of Pathology, DUMC, Durham, North - - 2014
Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide. Recent advances in the management of severe bleeding for trauma patients may provide insight into PPH management, but must be applied with caution considering the significant differences between trauma and obstetric patients. In this review, we summarized evidence for ...
Cairney Kevin K Croydon Health Services NHS Trust, - - 2014
Overcrowding due to poor patient flow increases risk for more than 500,000 patients a year ( College of Emergency Medicine (CEM) 2014 ) and is linked to increased mortality ( Geelhoed and de Klerk 2012 ). CEM ( 2014 ) has called for urgent action to address 'exit block' in ...
Shannon Dorothy - - 2014
Pericardial effusion (PCE) and tamponade as a complication of central venous catheters (CVCs) continues to occur in the neonatal population. It is imperative that clinicians managing neonates with CVCs practice vigilance regarding proper catheter tip location. Furthermore, it is of equal importance that clinicians have a high index of suspicion ...
Shrestha G S GS Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal ; Department of Anaesthesiology, Alka Hospital Pvt. Ltd., Jawalakhel, Lalitpur, - - 2014
Patients with hemophilia are prone to develop spontaneous intracranial hemorrhage. It carries a significant risk of morbidity and mortality. In this case series, we report two cases of hemophilia who suffered spontaneous intracerebral hemorrhage with features of raised intracranial pressure and were successfully managed perioperatively. The patients were managed with ...
Cawcutt Kelly A KA College of Medicine, Mayo Clinic, Rochester, - - 2014
Sepsis is among the oldest themes in medicine; however, despite modern advances, it remains a leading cause of death in the United States. Every clinician should be able to recognize the signs and symptoms of sepsis, along with early management strategies, to expeditiously provide appropriate care and decrease resultant morbidity ...
Keegan Joshua J Department of Emergency Medicine, Yale School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06450, USA. Electronic address: - - 2014
Severe sepsis and septic shock have great relevance to Emergency Medicine physicians because of their high prevalence, morbidity, and mortality. Treatment is time-sensitive, depends on early identification risk stratification, and has the potential to significantly improve patient outcomes. In this article, we review the pathophysiology of, and evidence basis for, ...
Daveau Clémentine C Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, - - 2014
To assess the contribution of multidisciplinary team meetings (MTM) on vestibular schwannoma management as well as to (1) compare professional compliance to national guidelines and (2) study the percentage of loss to follow-up in cases of conservative management by radiologic observation. A retrospective descriptive study of MTMs held between January ...
Okada Daisuke D Department of Anesthesiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, - - 2014
Previous studies have shown the utility of indirect glottis viewing videolaryngoscopes for tracheal intubation during chest compression, but the efficacy of a videolaryngoscope with tube guide has not been sufficiently validated. We compared the utility of two videolaryngoscopes, the KingVISION(®) (KingV) with or without tube guide blade and Pentax-AWS Airwayscope(®) ...
Thorstensson Carina A CA Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; BOA Registry, Registercentrum Västra Götaland, Gothenburg, - - 2014
Information and exercise are core treatments of osteoarthritis. Self-management and coping strategies with the disease are crucial to gain benefits. We developed a supported osteoarthritis self-management programme, delivered by trained physiotherapists, to facilitate patient and healthcare compliance. The programme combined peer- and healthcare professional-delivered information, and individually adapted exercise. Physiotherapists ...
Holland Anne E AE La Trobe University, Alfred Health and Institute for Breathing and Sleep, Melbourne, - - 2014
[Holland AE (2014) Physiotherapy management of acute exacerbations of chronic obstructive pulmonary disease.Journal of PhysiotherapyXX: XXX-XXX].
Sullivan J J Urology, Memorial Sloan Kettering Cancer Center, New York, NY, - - 2014
Peyronie's disease (PD) is a poorly understood clinical entity. We performed an in-depth analysis of the knowledge base and current practice patterns of urologists in the United States. A 46-question instrument was created by two experienced PD practitioners and emailed to current American Urology Association members nationally. Questions were either ...
Kitamura Ken K Department of Otolaryngology, Chigasaki Central Hospital, - - 2014
To (1) indicate methods of diagnosis and testing for childhood (<15 years) acute otitis media (AOM) and (2) recommend methods of treatment in accordance with the evidence-based consensus reached by the Subcommittee of Clinical Practice Guideline for Diagnosis and Management of AOM in Children (Subcommittee of Clinical Practice Guideline), in ...
Walz Patrick C PC Department of Pediatric Otolaryngology, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave, Box 23, Chicago, IL 60611-2991, USA; Department of Otolaryngology Head and Neck Surgery, The Ohio State University, 9000 Olentangy River Rd, Suite 4000, Columbus, OH 43212, - - 2014
Advances in prenatal imaging in the last 20 years have enabled prenatal diagnosis of obstructive head and neck masses. These advances, coupled with improvements in maternal-fetal anesthesia, have made possible the development of the ex utero intrapartum treatment (EXIT) procedure for management of obstructive head and neck masses, during which the ...
Biffl Walter L WL Department of Surgery, Denver Health Medical Center/University of Colorado, 777 Bannock Street, MC 0206, Denver, 80204-4507, CO, USA, - - 2014
The optimal management of patients with penetrating abdominal injuries has been debated for decades, since mandatory laparotomy (LAP) gave way to the concept of "selective conservatism." A comprehensive literature review was performed and summarized. A proposed management guideline for patients with penetrating abdominal trauma was created. Indications for immediate laparotomy ...
Masoompour Seyed Masoom SM Shiraz University of Medical Sciences, Shiraz, - - 2014
To determine the level of adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, we compared our inpatient management of exacerbations of chronic obstructive pulmonary disease (COPD) to these guidelines. This cross-sectional descriptive study was conducted from January 2011 to April 2012 in a 360-bed teaching hospital ...
Franik Sebastian S Nijmegen Centre for Mitochondrial Disorders (NCMD) at the Amalia Children's Hospital, Radboudumc, P.O. Box 9101, 6500 HB, Nijmegen, The - - 2014
Despite major advances in understanding the pathophysiology of mitochondrial diseases, clinical management of these conditions remains largely supportive, and no effective treatment is available. We therefore assumed that the burden of disease combined with the lack of adequate treatment leaves open a big market for complementary and alternative medicine use. ...
Szymanski Konrad M KM Division of Pediatric Urology, Riley Hospital for Children at Indiana University Health, Indianapolis, IN. Electronic address: - - 2014
Early Malone antegrade continence enema (MACE) complications are rare, but can be devastating, particularly if they involve loss of the channel. Management of these complications is not well described. We report on a patient who had her MACE channel successfully salvaged in the immediate postoperative period using a colonoscopic retrograde ...
Rosati Carl C Department of Surgery, Albany Medical Center, 50 New Scotland Avenue, Albany, NY 12208, USA. Electronic address: - - 2014
Management of splenic trauma has evolved, with current practice favoring selective angiographic embolization and non-operative treatment over immediate splenectomy. Defining the optimal selection criteria for the appropriate management strategy remains an important question. This retrospective registry review was conducted at a Level I trauma center. The patient population consisted of ...
Ottosen Julie J Division of Trauma, Critical Care, and Burns, Harborview Medical Center, 325 Ninth Avenue, Box 359796, Seattle, WA 98104, - - 2014
Defining health care-associated pneumonia, which includes both hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), is problematic and controversial. Aspiration pneumonia is often included as a subtype of HAP but may be related to community-acquired aspiration events. Scoring systems exist and new surveillance guidelines have been implemented to make early recognition ...
Schultz Corinna L CL Children's Hospital of Philadelphia, Philadelphia, Pennsylvania2currently with Alfred I. duPont Hospital for Children, Wilmington, - - 2014
In 2011, the American Society of Hematology (ASH) published updated guidelines for the management of childhood immune thrombocytopenia (ITP) recommending management with observation alone when there are mild or no bleeding symptoms, regardless of platelet count. Little is known about practice patterns of newly diagnosed ITP in the United States. ...
Pearce J J University of Edinburgh Medical School, Edinburgh, UK - - 2014
We undertook a retrospective case note review of our monthly multi-speciality penile dermatoses clinic (which includes clinicians from Genitourinary medicine, Dermatology and Urology), to examine conditions presenting to the service, and compare clinical management and outcomes with other similar services in the UK. Over the 3-year study period, 226 patients ...
Kumar Sumit S Department of Internal Medicine, Abington Memorial Hospital, 1200 Old York Road, Abington, PA 19001, - - 2014
Acute variceal bleeding (AVB) is a potentially life-threatening complication of cirrhosis and portal hypertension. Combination therapy with vasoactive drugs and endoscopic variceal ligation is the first-line treatment in the management of AVB after adequate hemodynamic resuscitation. Short-term antibiotic prophylaxis, early resuscitation, early use of lactulose for prevention of hepatic encephalopathy, ...
Fleet J J Department of Ageing and Health,Guy's and St. Thomas' Hospital Foundation Trust,Westminster Bridge Road,London,SE1 - - 2014
ABSTRACT Background: Delirium is a major cause of morbidity and mortality amongst hospital patients. Previous studies have shown that it is often poorly recognized and managed. We wanted to assess the impact of a multifaceted intervention on delirium management. Methods: A pre/post-intervention design was used. The local hospital delirium guideline ...
Fierro Julie L JL Division of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, - - 2014
Objective. To compare practice patterns regarding the diagnosis and management of streptococcal pharyngitis across pediatric primary care practices. Design. Retrospective cohort study. Setting. All encounters to 25 pediatric primary care practices sharing an electronic health record. Methods. Streptococcal pharyngitis was defined by an International Classification of Diseases, Ninth Revision code for acute pharyngitis, positive ...
- - 2014
THE GOVERNMENT has been criticised by MPs for its lack of urgency in preventing deaths from sepsis. An estimated 37,000 patients in England die of the condition every year because of failings such as delayed examination and inadequate record taking.
Sprinks Jennifer - - 2014
OVERCROWDING IN emergency departments (EDs) must be addressed urgently to ensure patients waiting to be admitted to wards are not put at risk, the College of Emergency Medicine (CEM) has warned.
Patel Lina L Pediatric Emergency Medicine Attending, Assistant Professor, Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Mercy Hospital & Clinics, University of Missouri-Kansas City, Kansas City, - - 2014
Fingertip crush injuries are common hand injuries in children and often are evaluated initially in an emergency department. Nail bed injuries can be classified into subungual hematomas, simple or stellate lacerations, crush injuries, and avulsions. Emergency department physicians with good knowledge of fingertip anatomy can appropriately manage these injuries so ...
Elgendy Hamed H Department of Anesthesia, King Abdullah Medical City, Makkah, Kingdom Saudi Arabia; Assiut University Hospital, Assiut, Egypt, - - 2014
Tracheobronchial injury (TBI) may lead to catastrophe if remains undetected or managed improperly. The incidence of TBI is less in children as compared with adults due to their pliable chest wall. Its clinical manifestations include persistent pneumothorax, cervical subcutaneous emphysema, pneumomediastinum, cyanosis, and respiratory insufficiency. The recommended airway management is ...
Block Stan L - - 2014
Patients presenting with cervical lymphadenitis are a complex and common occurrence in a general pediatric practice. Although Staphylococcus aureus (often methicillin-resistant S. aureus [MRSA]) and Streptococcus pyogenes predominate as causative pathogens, the next most common pathogens, Bartonella, atypical mycobacterium, and mononucleosis, also must be considered early on. The best way ...
Bibby Anna C AC Academic Respiratory Unit, North Bristol NHS Trust, Southmead Hospital, - - 2014
Chyle leaks occur when there is interruption to the lymphatic ducts that transport chyle around the body. The loss of this protein-rich, calorie-rich fluid can cause serious complications including dehydration, malnutrition and immunosuppression. Treatment of chyle leaks depends on the underlying cause, which may be surgical, secondary to malignant invasion ...
Tomashek Kay M KM Dengue Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, San Juan, Puerto - - 2014
Dengue is a major cause of morbidity in Puerto Rico and is well-known to its physicians. Early case identification and timely initiation of treatment for patients with severe dengue can reduce medical complications and mortality. To determine clinical management and reporting practices, and assess knowledge of dengue and its management, ...
Kim Yoon Ho YH Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine, Suwon, - - 2014
To identify post-treatment prognostic factors for medication-related osteonecrosis of the jaw (MRONJ). We evaluated 54 MRONJ patients who visited the Department of Dentistry, Ajou University Hospital, from May 2007 to March 2014. Twenty-one patients were surgically managed with debridement or sequestrectomy and 33 patients were conservatively managed using antibiotics. Correlations ...
Bibby Anna C AC Academic Respiratory Unit, North Bristol NHS Trust, Southmead Hospital, - - 2014
Chyle leaks occur when there is interruption to the lymphatic ducts that transport chyle around the body. The loss of this protein-rich, calorie-rich fluid can cause serious complications including dehydration, malnutrition and immunosuppression. Treatment of chyle leaks depends on the underlying cause, which may be surgical, secondary to malignant invasion ...
Sukh Ram R Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, - - 2014
Interdisciplinary approach for the management of malocclusion provides a holistic approach of patient management. Prudent treatment planning is necessary to achieve the various treatment goals. This case report describes the orthodontic management of a 16-year-old adolescent female patient with bilateral labially impacted maxillary canines. The problems associated with impacted maxillary ...
Goyal Navendu N Fellow in Knee Reconstruction, Sydney Knee Specialists , Sydney, NSW, Australia - - 2014
Hyperglycemia is also seen amongst non-diabetics and can cause significant morbidity and mortality. SIH has been reported in literature and studied in relation to trauma and critically ill patients. However, literature specific to orthopaedics on this topic is very small. Further, management of hyperglycemia in such patients is still a ...
Adams Denise D CARE Program, Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, - - 2014
The use of complementary and alternative medicine is high among children and youth with chronic illnesses, including patients with cardiac conditions. Our goal was to assess the prevalence and patterns of such use among patients presenting to academic pediatric cardiology clinics in Canada. A survey instrument was developed to inquire ...
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