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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 ...
Jeyaruban Andrew A Faculty of Medicine, James Cook University, Townsville, Queensland, Australia, - - 2014
This systematic review aims to summarise published evidence that assessed the management of gout in regard to the following: prescription of urate lowering therapy (ULT), monitoring of serum urate levels (sUA) and allopurinol dosing in patients with renal impairment, lifestyle advice and acute management of gout. Studies investigating the management ...
Mawet Jerome J Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, MA, USA Emergency Headache Center, Lariboisiere Hospital, Assistance Publique-Hopitaux de Paris, France DHU NeuroVasc, - - 2014
Migraine, particularly with aura, increases the risk for ischemic stroke, at least in a subset of patients. The underlying mechanisms are poorly understood and probably multifactorial. We carried out an extended literature review of experimental and clinical evidence supporting the association between migraine and ischemic stroke to identify potential mechanisms ...
Katsuragi Shinji S Department of Obstetrics and Gynecology, Sakakibara Heart Institute, Fuchu, - - 2014
Abstract Objective: We have reported a 7-fold reduction in newborn umbilical arterial (UA) metabolic acidemia after adoption of a rule-based 5-category colour coded fetal heart rate (FHR) management framework. We sought evidence for the relationship being causal by detailed analysis of FHR characteristics and acid-base status before and after training. ...
Ruchlemer Rosa R Department of Hematology, Shaare Zedek Medical Center, 12 Shmuel Biet St., 91031, Jerusalem, Israel, - - 2014
Medicinal cannabis is an invaluable adjunct therapy for pain relief, nausea, anorexia, and mood modification in cancer patients and is available as cookies or cakes, as sublingual drops, as a vaporized mist, or for smoking. However, as with every herb, various microorganisms are carried on its leaves and flowers which ...
Whiteley Ian I Clinical Nurse Consultant in Stomal Therapy and Wound - - 2014
Protecting the perineum from faecal enzymes and preventing faeces from spreading to wounds has been a major challenge for nurses and doctors. Clinicians whose patients are at risk of faecal contamination of wounds have used various methods and many non-standard devices have been trialled, including: large French urinary catheters; rigid ...
Goldstein S S Center for Acute Care Nephrology, Nephrology and Hypertension, The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7022, RILF2, Cincinnati, OH 45229, USA - - 2014
Standard treatment practice for the hypotensive patient with poor tissue perfusion is rapid volume resuscitation; in some scenarios, such as septic shock, this is performed with targeted goal-directed endpoints within 6 h of presentation. As a result, patients often develop significant positive fluid accumulation, which has been associated with poor ...
Beck K K Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, - - 2014
To describe a practical approach to the community management of treatment-resistant schizophrenia (TRS). A descriptive review of an approach to the assessment and management of patients with TRS, including the community titration of clozapine treatment, and a report of the management recommendations for the first one hundred patients assessed by ...
Kirby Donald F DF aCenter for Human Nutrition, Digestive Disease Institute bDepartment of Rheumatic and Immunologic Diseases, Orthopedics and Rheumatology Institute, Cleveland Clinic, Cleveland, Ohio, - - 2014
The gastrointestinal tract is the most common extra-cutaneous organ system involved with systemic sclerosis (SSc) affecting approximately 90% of patients. This review summarizes the recent advances in the evaluation and management of gastrointestinal manifestations of SSc. There is a growing body of evidence that uncontrolled GERD can play a significant ...
Hahner Stefanie S Dept of Medicine I, Endocrinology and Diabetology, University Hospital - - 2014
To evaluate current management time lines in adrenal crisis (AC) and to establish time targets and limits for emergency treatment. Patients from a prospective study who had reported an AC (n=46) were contacted and asked about management of their AC. A survey among 24 European endocrinologists collected expert recommendations concerning ...
Haas T T Department of Anaesthesia, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland - - 2014
Summary Standard laboratory coagulation tests (SLTs) such as prothrombin time/international normalized ratio or partial thromboplastin time are frequently used to assess coagulopathy and to guide haemostatic interventions. However, this has been challenged by numerous reports, including the current European guidelines for perioperative bleeding management, which question the utility and reliability ...
Anderson Jennifer L JL Integrated Research and Development Laboratory, Marshfield Clinic Research Foundation, Marshfield, Wisconsin, - - 2014
The disease burden and impact of canine blastomycosis in Wisconsin is uncertain. We surveyed small-animal veterinary practices to obtain estimates of disease incidence, determine patient outcomes, and investigate variation in diagnostic and treatment strategies used by veterinarians. Veterinarians representing small-animal practices in Wisconsin were contacted by mail with the option ...
Viverito Kristen - - 2014
This study examined the extent to which patients found to have clinically significant hyperglycemia after beginning a new antipsychotic receive guideline concordant management. This retrospective cohort analysis (N=403) used U.S. Department of Veterans Affairs databases and multivariable logistic regression models to examine the association of patient characteristics with the likelihood ...
Montgomery-Cranny Jodie J Dr Specialist Registrar in Oral Medicine in the Department of Oral Medicine, Charles Clifford Dental - - 2014
Dry mouth can be disabling for the patient and challenging for the clinician to manage. Xerostomia is the subjective perception of oral dryness whereas salivary hypofunction is an objectively measured decrease in whole saliva production. Management includes saliva substitutes and stimulants which may only give partial symptom relief.
Barr Susan S Division of Urogynecology, Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 518, Little Rock, AR 72205, USA. Electronic address: - - 2014
Interstitial cystitis is a diagnosis of exclusion. The definition has expanded over the years to encompass painful bladder syndrome. It is disease state that is often delayed in its diagnosis and difficult to manage. Treatment options include oral and intravesical therapies as well as both minor and major surgical options. ...
Eastwood Glenn M GM Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia. - - 2014
Intensivists frequently prescribe proton pump inhibitors (PPIs) or histamine-2 receptor blockers (H2RBs) to intensive care unit patients for stress ulcer prophylaxis (SUP). Despite the common use of SUP medicines, there is limited high-level evidence to support the choice between them. To describe self-reported practice of SUP by Australian and New ...
Williams Lance A LA 3rd Department of Pathology, University of Alabama at Birmingham, 619 19th Street South, WPP230F, Birmingham, AL 35249-7331, USA. Electronic address: - - 2014
Every year, new studies are undertaken to address the complex issue of periprocedural management of patients on anticoagulants and antiplatelet medications. In addition, newer drugs add to the confusion among clinicians about how to best manage patients taking these agents. Using the most recent data, guidelines, and personal experience, this ...
Kannai Ruth R Hebrew University, Hadassah School of Medicine, Jerusalem, Israel - - 2014
It finally happened to me: I was sued for malpractice by the family of a patient who had died suddenly. My inner turmoil in the aftermath of this traumatic event affected me deeply. While I was an experienced family doctor dedicated to patient-centered medicine, the event challenged my customary approach ...
Sant'anna Bruno S BS Programa de Pós-Graduação em Aquicultura e Pesca, Instituto de Pesca do Estado de São Paulo, São Paulo, SP, - - 2014
The mangrove crab Ucides cordatus is one of the most exploited crustaceans in Brazil. The present study investigated the breeding season of this species and the period of the "andada" phenomenon, when the crabs are active outside their burrows and perform agonistic behaviors. Furthermore related them to environmental factors, in ...
Skweres Justin J Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, - - 2014
When unexpected results are obtained with standard image collection, the nuclear medicine physician must consider many technical factors that may have contributed. When image quality is poor, prior radiotracer administration, among other things, should always be considered. Our case demonstrates how knowledge of patient history and basic principles of nuclear ...
Asai Yuka Y Division of Dermatology, Department of Medicine, Montreal Children's Hospital, Montreal, Que., - - 2014
Background: The Cross-Canada Anaphylaxis Registry (C-CARE) assesses the triggers and management of anaphylaxis and identifies predictors of the development of severe allergic reactions and of epinephrine use. Here, we present data from an urban adult tertiary care emergency department (ED) in Montreal, Canada. Methods: Potential anaphylaxis cases were identified using ...
Szabo Gyorgy - - 2014
This review summarizes drug discovery efforts on mGluR2 positive allosteric modulators (PAMs) from 2000 to 2013. Medicinal chemistry programs and the identified 21 chemotypes are analyzed and compared in terms of their biological activity and ligand efficiency. Comparative analysis of ligand efficiency metrics including ligand efficiency and lipophilic ligand efficiency ...
Steiner Thorsten T Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt, Germany; Department of Neurology, Heidelberg University, Heidelberg, - - 2014
Intracerebral hemorrhage (ICH) accounted for 9% to 27% of all strokes worldwide in the last decade, with high early case fatality and poor functional outcome. In view of recent randomized controlled trials (RCTs) of the management of ICH, the European Stroke Organisation (ESO) has updated its evidence-based guidelines for the ...
Hasegawa Junichi - - 2014
Abstract In order to prevent fetal mortality due to vasa previa, it is neceesary to obtain an antenatal diagnosis and perform elective cesarean section prior to membrane rupture. Under present circumstances, management strategies for vasa previa depend on each institutional policy. In our institution, patients are not routinely admitted, although ...
Friel Tim - - 2014
Complete loss of teeth from one or both arches is a disabling condition which is usually managed by a conventional removable denture. Rehabilitation may be poorly tolerated by patients, particularly in the lower jaw, and is more difficult in situations when the anatomy of the denture-bearing area is less favourable. ...
Ryan Donna H DH Professor Emerita, Pennington Biomedical Research Center, Baton Rouge, LA, - - 2014
For patients who do not meet their target weight or weight-related treatment goals with initial lifestyle intervention, or who regain their weight, intensification of therapy is needed.
Chowdhary Sujit K SK Department of Pediatric Urology and Pediatric Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, - - 2014
The presentation and management of ureterocele has been rarely reported from India and is limited to an odd case report. They can be detected antenatally, may have incidental diagnosis or present with consequences of obstructive uropathy. They always present with secondary complications in adulthood, if the diagnosis and treatment is ...
Ayanlowo O - - 2014
Onychomycosis is a fungal infection which affects the nail unit. It was previously thought to be just a cosmetic problem, but presently, it is regarded as a major public health issue because of the impact on the quality of life of the patients.A etiologic factors identified in onychomycosis include increasing ...
Zamosky Lisa - - 2014
Access: It's one word that may ultimately reignite the expansion of retail medicine in 2014 and beyond. CVS Caremark has added 200 new clinics since 2011, with another 850 planned by 2017. While it's still too soon to predict a large-scale national expansion in clinic numbers, some experts believe their ...
Soliz Jose J 0000-0001-9937-8035 Department of Anesthesiology and Perioperative Medicine, MD Anderson Cancer Center, Houston, TX 77030, - - 2014
The use of alternative medicine is prevalent worldwide. However, its effect on intraoperative anesthetic care is underreported. We report the anesthetic management of a patient who underwent an extensive head and neck cancer surgery and presented with a severe intraoperative metabolic alkalosis from the long term ingestion of baking soda ...
Takaishi Kazumi K Assistant Professor, The University of Tokushima Graduate School, Tokushima, - - 2014
Abstract Difficulties with airway management are often caused by anatomic abnormalities due to previous oral surgery. We performed general anesthesia for a patient who had undergone several operations such as hemisection of the mandible and reconstructive surgery with a deltopectoralis flap, resulting in severe maxillofacial deformation. This made it impossible ...
Fountain John S JS Preventive and Social Medicine, University of Otago, PO Box 913, Dunedin, New Zealand. - - 2014
To measure emergency physicians' awareness, acceptance, access to and application of the Australasian Paracetamol Overdose Guidelines. A retrospective record review of 100 consecutive presentations with the complaint of paracetamol overdose to the Dunedin Hospital Emergency Department, New Zealand, from 1 December 2011 to 31 December 2012, with: comparison of management ...
Karasszon Dénes D Hungarian Society of Medical History Budapest Hungary Lónyay u. 37/C H-1093 Budapest - - 2013
The roots of physiology - on the basis of anatomical thinking and mind, which is fundamental idea of the European medicine - go back to Reformation. The following short data from the abundant history of physiology from the ancient speculative natural philosophers to the modern experimental science of our days ...
Singh Tapan T Postgraduate Student, Department of Pedodontics, Saraswati Dental College, Lucknow, Uttar Pradesh, India, e-mail: - - 2013
Ectodermal dysplasia is a hereditary disease characterized by congenital dysplasia of one or more ectodermal structure and other accessory appendages. The oral manifestations are anodontia and poor bony foundation which impairs both esthetic as well as the masticatory function. The prosthodontic management of patients with such dysplastic condition necessitates a ...
Russell W Scott WS Pediatric Emergency Department, Medical University of South Carolina, Charleston, SC 29425, - - 2013
Anaphylaxis is characterized by acute episodes of potentially life-threatening symptoms that are often treated in the emergency setting. Current guidelines recommend: 1) quick diagnosis using standard criteria; 2) first-line treatment with epinephrine; and 3) discharge with a prescription for an epinephrine auto-injector, written instructions regarding long-term management, and a referral ...
Sugaya Makoto - - 2012
In 2010, the first Japanese edition of guidelines for the management of cutaneous lymphoma was published jointly by the Japanese Dermatological Association (JDA) and the Japanese Skin Cancer Society (JSCS) - Lymphoma Study Group. Because the guidelines were revised in 2011 based on the most recent data, we summarized the ...
Sharma Ketan - - 2012
ABSTRACT: Reflecting the growing understanding of vascular endothelial growth factor (VEGF) in cancer survival and growth, the anti-VEGF antibody bevacizumab (Avastin) is increasingly used to treat advanced malignancy. However, because VEGF also mediates proper wound healing, bevacizumab may lead to potentially severe wound-healing complications (WHCs). Because bevacizumab expands in use, ...
Jordan C J - - 2012
This report describes the successful management of peristomal tissue necrosis following prepubic urethrostomy in a cat. The novel technique of temporary urethral ligation was used in combination with temporary tube cystostomy and vacuum assisted closure to allow for wound management prior to performing wound closure by utilization of a flank ...
Covens Peter - - 2012
OBJECTIVE: Nuclear medicine technologists are exposed daily to the risk of skin contamination with radiopharmaceuticals. This study deal with the different elements associated with skin contaminations. METHODS: To assess the incidence, routes and contamination activities, a long-term on-site survey was organized using a measurement system built in-house, together with a ...
Meaume S - - 2012
To evaluate the efficacy and tolerability of an innovative absorbent wound dressing (UrgoClean; Laboratoires Urgo) in the local management of venous leg ulcers and pressure ulcers, during the sloughy stage of the healing process.
Cleland Heather - - 2012
Background Appropriate care of minor burns is key if complications, leading to the need for surgical intervention and increased likelihood of poor outcomes, are to be avoided. Objective This article provides guidance to support the appropriate management of thermal burns in the general practice setting. DiscussionCorrect initial assessment of the ...
Menon Jane - - 2012
This review highlights the challenges associated with highly exuding venous leg ulcers for both the patient and the clinician. The main focus of the author's article is the management of heavy exudate levels, and key to this is the assessment process, which is discussed. The wide range of products and ...
Hoogenboom Barbara J - - 2012
Bleeding or open wounds of the integumentary system occur frequently in athletics. Integumentary wounds vary from minor scrapes, blisters, and small punctures to more serious lacerations and arterial wounds that could threaten the life of the athlete. The Sports physical therapist (PT) must realize that integumentary wounds and subsequent bleeding ...
Basavaraj K H - - 2012
Nanotechnology and nanomedicine are complementary disciplines aimed at the betterment of human life. Nanotechnology is an emerging branch of science for designing tools and devices of size 1-100 nm, with unique functions at the cellular, atomic and molecular levels. The concept of using nanotechnology in medical research and clinical practice ...
Reguiai Z - - 2012
PURPOSE: Cutaneous adverse events induced by epidermal growth factor receptor (EGFR) inhibitors can hamper the patients' quality of life. The aim of our work was to draft an algorithm for the optimised management of this skin toxicity. METHODS: This algorithm was built in three steps under the responsibility of a ...
Albertal J M - - 2012
The data on the proper way to establish the preauricular incision (PAI) line and manage skin tension during lifting are limited. Undoubtedly, proper tissue handling represents a true challenge during a lifting procedure and is a crucial step in avoiding disfiguration. The authors describe their approach to PAI demarcation and ...
Laws Philip M - - 2012
Background:  UK medical graduates are required to reach standards defined by the General Medical Council (in Tomorrows Doctors) in all specialties, including dermatology. Aims:  We assessed the self-reported competence of Foundation Year 1 (FY1) doctors in the diagnosis and management of skin disease correlated against their undergraduate dermatology experience. Methods:  ...
Sakthivel K M - - 2012
Research on medicinal plants began to focus on discovery of natural products as potential active principles against various diseases. Medicinal plants are very interesting, have the ability to produce remarkable chemical structures with diverse biological activities. Biophytum sensitivum is used as traditional medicine to cure variety of diseases. During the ...
Wu Xiao-Bo - - 2012
AIM OF THE STUDY: Polygonum cuspidatum has long been used as a traditional medicine inducing wound healing. In this study, the extract from the Chinese medicinal herb Polygonum cuspidatum was investigated on its wound healing activity, in order to obtain an accurate elucidation of its traditional use value. MATERIALS AND ...
Pazyar Nader - - 2012
Keloid scars are large protruding claw-shaped lesions that develop beyond the confines of the wound and uniquely appears only in humans. For thousands of years ginseng has been used in the traditional medicine in oriental countries. It occupies a prominent position in the list of the best-selling medicinal herbs in ...
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