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American Journal of the Medical Sciences

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https://www.readbyqxmd.com/read/28641731/renal-infarction-due-to-renal-artery-dissection-a-diagnostic-challenge
#1
LETTER
Yu-Mei Cheng, Der-Cherng Tarng, Chih-Yu Yang
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641730/benign-appearing-pheochromocytoma-with-late-recurrence
#2
LETTER
Abhilash Koratala, Deepti Bhattacharya, Dara N Wakefield
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641729/dextrocardia-with-situs-inversus-and-levo-transposition-of-great-vessels
#3
LETTER
Qurat Ul Ain Riaz Sipra, Jawad Bilal, Muhammad Husnain
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641728/ocular-manifestations-of-blood-dyscrasias
#4
LETTER
Osama M Mustafa, Patricio M Aduriz-Lorenzo
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641727/metastatic-hepatoid-carcinoma-of-the-pancreas-first-description-of-treatment-with-capecitabine-and-temozolomide
#5
Bruna Pellini Ferreira, Jonathan Vasquez, Allison Carilli
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641726/recurrence-of-cytomegalovirus-viremia-causing-gastrointestinal-tract-bleeding-at-different-sites-in-an-immuno-competent-patient
#6
Tsung-Ta Chiang, Tzu-Chao Lin, Rui-Xin Wu, Chih-Chien Chiu, Ya-Sang Yang
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641725/burkholderia-cepacia-associated-hemorrhagic-pericardial-effusion
#7
Faisal Inayat, Hafeez Ul Hassan Virk, Shumail Fatima, Steven Hobson, Eyal Herzog
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641724/methemoglobinemia-caused-by-indoxacarb-poisoning
#8
Chin-Kai Yen, I-Ting Ku, Chien-Ming Chao, Chih-Cheng Lai
No abstract text is available yet for this article.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641723/left-main-coronary-artery-thrombosis-with-acute-myocardial-infarction-a-management-dilemma
#9
Natasha Purai Arora, Mouhammed Joumaa, Howard Rosman, Raj Mehta
Left main coronary artery (LMCA) thrombosis with acute myocardial infarction is a rare condition with very high mortality. The low incidence of this condition and exclusion of patients with LMCA thrombosis from clinical trials prevent the development of optimal management strategy in these patients. Therefore, there are no clear-cut guidelines describing an evidence-based approach for this condition. We describe a patient with LMCA thrombosis presenting with acute myocardial infarction, who was found to have hypercoagulable state related to homocysteinemia on further work-up...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641722/novel-findings-in-hiv-immune-reconstitution-disease-and-strongyloides-stercoralis-infection
#10
REVIEW
Roberto G Aru, Benjamin M Chilcutt, Saira Butt, Richard D deShazo
We report the successful treatment of an HIV-infected patient with progressive strongyloidiasis as a component of immune reconstitution disease and a review of the literature on this topic. In our experience, pre- and post-antiretroviral therapy intestinal biopsies support a novel mechanism of immune reconstitution disease to Strongyloides stercoralis. We conclude that extended, dual antihelminthic therapy and temporary discontinuation of antiretroviral therapy may be effective in similar patients.
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641721/effective-self-management-interventions-for-patients-with-lupus-potential-impact-of-peer-mentoring
#11
REVIEW
Edith M Williams, Leonard Egede, Trevor Faith, James Oates
Systemic lupus erythematosus (SLE) is associated with significant mortality, morbidity and cost for the individual patient and society. In the United States, African Americans (AAs) have 3-4 times greater prevalence of lupus, risk of developing lupus at an earlier age and lupus-related disease activity, organ damage and mortality compared with whites. Evidence-based self-management interventions that incorporate both social support and health education have reduced pain, improved function and delayed disability among patients with lupus...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641720/fenofibrate-attenuates-hypertension-in-goldblatt-hypertensive-rats-role-of-20-hydroxyeicosatetraenoic-acid-in-the-nonclipped-kidney
#12
Alexandra Sporková, Věra Čertíková Chábová, Šárka Doleželová, Šárka Jíchová, Libor Kopkan, Zdeňka Vaňourková, Elzbieta Kompanowska-Jezierska, Janusz Sadowski, Hana Maxová, Luděk Červenka
BACKGROUND: There is vast evidence that the renin-angiotensin system is not the sole determinant of blood pressure (BP) elevation in human renovascular hypertension or the relevant experimental models. This study tested the hypothesis that kidney deficiency of 20-hydroxyeicosatetraenoic acid (20-HETE), a product of cytochrome P450 (CYP)-dependent ω-hydroxylase pathway of arachidonic acid metabolism, is important in the pathophysiology of the maintenance phase of 2-kidney, 1-clip (2K1C) Goldblatt hypertension...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641719/surfactant-protein-d-inhibits-interleukin-12p40-production-by-macrophages-through-the-sirp%C3%AE-rock-erk-signaling-pathway
#13
Rui Yamaguchi, Arisa Sakamoto, Takatoshi Yamamoto, Yasuji Ishimaru, Shinji Narahara, Hiroyuki Sugiuchi, Yasuo Yamaguchi
OBJECTIVE: Interleukin (IL)-12 has a pivotal profibrotic role in the development of idiopathic pulmonary fibrosis (IPF). Medical research trials based on IPF registry databases have actively recruited patients. Surfactant protein D (SP-D) is a useful biomarker in patients with IPF. SP-D binds to signal regulatory protein α (SIRPα), which acts as an inhibitory receptor, and this SP-D/SIRPα interaction may have an anti-inflammatory effect. Accordingly, the inhibitory effect of SP-D on IL-12p40 production by lipopolysaccharide (LPS)-stimulated macrophages was investigated...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641718/alterations-in-lipid-profile-zinc-and-copper-levels-and-superoxide-dismutase-activities-in-normal-pregnancy-and-preeclampsia
#14
Pardis Keshavarz, B Fatemeh Nobakht M Gh, Seyed Reza Mirhafez, Mohsen Nematy, Mohsen Azimi-Nezhad, Sedigheh Ayati Afin, Habibollah Esmaily, Leila Pourali, Atieh Mehdizadeh Hakak, Mohammad Soukhtanloo, Masoumeh Mirteimouri, Nayereh Ghomian, Gordon A Ferns
BACKGROUND: Increased oxidative stress (OS) and lipid peroxidation may be involved in the pathogenesis of preeclampsia (PE). We conducted a case-control study to evaluate the levels of plasma lipids and trace elements as well as activity of superoxide dismutase (SOD) in PE. MATERIALS AND METHODS: The study consisted of 100 patients who had been diagnosed with PE and 100 normotensive pregnant women who underwent medical checkups that served as the control group. Lipid profile, zinc (Zn) and copper (Cu) levels and SOD activities were measured in the plasma of all subjects...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641717/soluble-cd14-subtype-a-new-biomarker-in-predicting-the-outcome-of-critically-ill-septic-patients
#15
Giovanni Matera, Angela Quirino, Cinzia Peronace, Pio Settembre, Vito Marano, Maria T Loria, Nadia Marascio, Luisa Galati, Giorgio S Barreca, Aida Giancotti, Bruno Amantea, Maria C Liberto, Alfredo Focà
BACKGROUND: We evaluated the role of presepsin (soluble CD14 subtype, sCD14-ST) in predicting the outcome of critically ill septic patients in parallel with procalcitonin and C-reactive protein. METHODS: This study was an observational, prospective study that enrolled 58 surgical and medical intensive care unit patients with suspected sepsis. All studied subjects were retrospectively stratified into survivors and nonsurvivors based on 28 days survival and according to microbiological results in blood culture positive and negative groups...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641716/the-effects-of-pleural-plaques-on-longitudinal-lung-function-in-vermiculite-miners-of-libby-montana
#16
Kathleen A Clark, J Jay Flynn, Wilfried J J Karmaus, Lawrence C Mohr
BACKGROUND: This study was conducted to assess associations of pleural plaques (PP) and longitudinal lung function in vermiculite miners of Libby, Montana who are occupationally exposed to asbestos. High-resolution computed tomography (HRCT) was used to identify asbestos-related findings in former Libby vermiculite miners. We investigated annual lung function decline in miners with PP only and compared them to miners with normal HRCT findings. MATERIALS AND METHODS: HRCTs from 128 miners were categorized into the following 4 diagnostic groups: (1) normal computed tomography scan (n = 9); (2) PP only (n = 72); (3) PP and interstitial fibrosis (n = 26) and (4) additional HRCT abnormalities (n = 21) such as rounded atelectasis, diffuse pleural thickening, pleural effusions or pulmonary nodules or tumor >1cm in diameter...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641715/urinary-tract-infections-due-to-nontyphoidal-salmonella
#17
Yuri Gorelik, Mical Paul, Yuval Geffen, Mogher Khamaisi
BACKGROUND: We sought to establish the characteristics of symptomatic nontyphoidal Salmonella (NTS) urinary tract infection (UTI) without concomitant gastroenteritis (GE) as a separate clinical entity. MATERIALS AND METHODS: We conducted a retrospective cohort single-center study and reviewed all cases of NTS bacteriuria between 1995 and 2016. Patients were assigned to a group according to their clinical presentation, namely, symptomatic NTS UTI without GE, GE with NTS bacteriuria or isolated asymptomatic NTS bacteriuria...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641714/hepatitis-c-treatment-in-patients-with-porphyria-cutanea-tarda
#18
Ashwani K Singal, Krishna V R Venkata, Sarat Jampana, Fakhar-Ul Islam, Karl E Anderson
BACKGROUND: Hepatitis C virus (HCV) infection is a common susceptibility factor for porphyria cutanea tarda (PCT). Experience on HCV treatment in patients with PCT is limited. Recently, HCV treatment has improved with direct-acting antivirals (DAA). We review our experience on HCV treatment in patients with PCT with older and newer regimens. MATERIALS AND METHODS: A retrospective chart review was conducted. HCV treatment was attempted 22 times in 13 patients with PCT (5 attempts in 1, 2 in 5 and 1 in the other 7 patients)...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641713/assessment-tools-for-use-during-anesthesia-centric-pediatric-advanced-life-support-training-and-evaluation
#19
Scott C Watkins, Paul J Nietert, Elisabeth Hughes, Eric T Stickles, Tracy E Wester, Matthew D McEvoy
BACKGROUND: Pediatric perioperative cardiac arrests are rare events that require rapid, skilled and coordinated efforts to optimize outcomes. We developed an assessment tool for assessing clinician performance during perioperative critical events termed Anesthesia-centric Pediatric Advanced Life Support (A-PALS). Here, we describe the development and evaluation of the A-PALS scoring instrument. METHODS: A group of raters scored videos of a perioperative team managing simulated events representing a range of scenarios and competency...
June 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28641712/wireless-the-life-and-death-of-guglielmo-marconi
#20
EDITORIAL
Harold Smulyan, Robert S Pinals, Lisa Pinals, Daniel Villarreal
With little training in physics, Guglielmo Marconi developed the invention that stunned the world by wirelessly connecting ships and continents. Ten years before his death, he sustained a myocardial infarction followed by unmistakable angina pectoris. His personality and unhappy family life limited his ability to cope with his disease and to deal with Italy's most respected physicians. But their descriptions of his diagnosis and management are surprisingly few. Poor record keeping, intentional news suppression of his failing health or limited medical opportunities could be the reason for this lack of information...
June 2017: American Journal of the Medical Sciences
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