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Mayo Clinic Proceedings

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https://www.readbyqxmd.com/read/28325505/clinical-interpretation-of-urine-drug-tests-what-clinicians-need-to-know-about-urine-drug-screens
#1
REVIEW
Karen E Moeller, Julie C Kissack, Rabia S Atayee, Kelly C Lee
Urine drug testing is frequently used in clinical, employment, educational, and legal settings and misinterpretation of test results can result in significant adverse consequences for the individual who is being tested. Advances in drug testing technology combined with a rise in the number of novel misused substances present challenges to clinicians to appropriately interpret urine drug test results. Authors searched PubMed and Google Scholar to identify published literature written in English between 1946 and 2016, using urine drug test, screen, false-positive, false-negative, abuse, and individual drugs of abuse as key words...
March 18, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28302323/new-onset-diabetes-after-acute-and-critical-illness-a-systematic-review
#2
REVIEW
Chirag J Jivanji, Varsha M Asrani, John A Windsor, Maxim S Petrov
Hyperglycemia is commonly observed during acute and critical illness. Recent studies have investigated the risk of developing diabetes after acute and critical illness, but the relationship between degree of in-hospital hyperglycemia and new-onset diabetes has not been investigated. This study examines the evidence for the relationship between in-hospital hyperglycemia and prevalence of new-onset diabetes after acute and critical illness. A literature search was performed of the MEDLINE, EMBASE, and Scopus databases for relevant studies published from January 1, 2000, through August 4, 2016...
March 13, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28291590/an-analysis-of-individual-body-fat-depots-and-risk-of-developing-cancer-insights-from-the-dallas-heart-study
#3
Arjun Gupta, Ambarish Pandey, Colby Ayers, Muhammad S Beg, Susan G Lakoski, Gloria L Vega, Scott M Grundy, David H Johnson, Ian J Neeland
OBJECTIVE: To examine the association between specific adipose tissue depots and the risk of incident cancer in the Dallas Heart Study. PATIENTS AND METHODS: Individuals without prevalent cancer in the Dallas Heart Study underwent quantification of adipose depots: visceral adipose tissue (VAT), abdominal subcutaneous adipose tissue, and liver fat by magnetic resonance imaging, and subcutaneous lower-body fat (LBF) by dual-energy X-ray absorptiometry from January 1, 2000, through December 31, 2002, and were observed for the development of cancer for up to 12 years...
March 10, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28291589/therapy-for-relapsed-multiple-myeloma-guidelines-from-the-mayo-stratification-for-myeloma-and-risk-adapted-therapy
#4
REVIEW
David Dingli, Sikander Ailawadhi, P Leif Bergsagel, Francis K Buadi, Angela Dispenzieri, Rafael Fonseca, Morie A Gertz, Wilson I Gonsalves, Susan R Hayman, Prashant Kapoor, Taxiarchis Kourelis, Shaji K Kumar, Robert A Kyle, Martha Q Lacy, Nelson Leung, Yi Lin, John A Lust, Joseph R Mikhael, Craig B Reeder, Vivek Roy, Stephen J Russell, Taimur Sher, A Keith Stewart, Rahma Warsame, Stephen R Zeldenrust, S Vincent Rajkumar, Asher A Chanan Khan
Life expectancy in patients with multiple myeloma is increasing because of the availability of an increasing number of novel agents with various mechanisms of action against the disease. However, the disease remains incurable in most patients because of the emergence of resistant clones, leading to repeated relapses of the disease. In 2015, 5 novel agents were approved for therapy for relapsed multiple myeloma. This surfeit of novel agents renders management of relapsed multiple myeloma more complex because of the occurrence of multiple relapses, the risk of cumulative and emergent toxicity from previous therapies, as well as evolution of the disease during therapy...
March 10, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28291588/discharge-against-medical-advice-in-the-united-states-2002-2011
#5
Kiara K Spooner, Jason L Salemi, Hamisu M Salihu, Roger J Zoorob
OBJECTIVE: To describe the national frequency, prevalence, and trends of discharge against medical advice (DAMA) among inpatient hospitalizations in the United States and identify differences across patient- and hospital-level characteristics, overall and in clinically distinct diagnostic subgroups. PATIENTS AND METHODS: We conducted a retrospective, cross-sectional analysis of inpatient hospitalizations (≥18 years), discharged between January 1, 2002, and December 31, 2011, using the Nationwide Inpatient Sample...
March 10, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28285785/32-year-old-woman-with-abdominal-pain
#6
Kayin B Jeffers, Donnesha B Clayton, Michele D Lewis
No abstract text is available yet for this article.
March 9, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28238397/65-year-old-man-with-weight-loss-and-progressive-acral-necrosis
#7
Thanh P Ho, Paolo Strati, Tony Y Chon
No abstract text is available yet for this article.
February 23, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28233529/evaluation-and-management-of-the-patient-with-suspected-inflammatory-spine-disease
#8
REVIEW
Vibeke Strand, Jasvinder A Singh
Axial spondyloarthritis (AxSpA) is a chronic inflammatory rheumatic disease characterized by inflammatory back pain (IBP) that manifests in childhood, late adolescence, or early adulthood. Ankylosing spondylitis (AS) and nonradiographic AxSpA represent 2 ends of the AxSpA spectrum. Diagnosis can be challenging because patients develop IBP that may not be associated with radiographic changes in the sacroiliac joints. Patients early in the course of disease are estimated to have at least the same level of disease activity and pain as patients with established disease; thus, they could benefit substantially from earlier diagnosis...
February 20, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28209367/temporary-removal-helicobacter-pylori-the-past-present-and-future-in-management
#9
Amrit K Kamboj, Thomas G Cotter, Amy S Oxentenko
No abstract text is available yet for this article.
February 13, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259237/hazel-amber-by-sonja-blomdahl
#10
Margaret R Wentz
Recognizing the contribution art has had in the Mayo Clinic environment since the original Mayo Clinic Building was finished in 1914, Mayo Clinic Proceedings features some of the numerous works of art displayed throughout the buildings and grounds on Mayo Clinic campuses as interpreted by the author.
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259236/van-gogh-s-portrait-of-dr-gachet
#11
David P Steensma, Robert A Kyle
No abstract text is available yet for this article.
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259235/pleomorphic-adenoma-in-the-parotid-gland
#12
Lori A Erickson
No abstract text is available yet for this article.
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259234/primary-lymphedema-and-viral-warts-in-gata2-haploinsufficiency
#13
Juliana Perez Botero, Vilmarie Rodriguez
No abstract text is available yet for this article.
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259233/randomized-control-intervention-evaluating-the%C3%A2-effects-of-acute-exercise-on-depression-and-mood-profile-solomon-experimental-design
#14
LETTER
Annese Jaffery, Meghan K Edwards, Paul D Loprinzi
No abstract text is available yet for this article.
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259232/guillain-barr%C3%A3-syndrome
#15
REVIEW
Eelco F M Wijdicks, Christopher J Klein
Guillain-Barré syndrome is an acute inflammatory immune-mediated polyradiculoneuropathy presenting typically with tingling, progressive weakness, and pain. Variants and formes frustes may complicate recognition. The best known variant is the sensory ataxic form of Miller Fisher syndrome, which also affects the oculomotor nerves and the brain stem. Divergent pathologic mechanisms lead to demyelinating, axonal, or mixed demyelinating-axonal damage. In the demyelinating form, yet to be identified antigens are inferred by complement activation, myelin destruction, and macrophage-activated cleanup...
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259231/zika-virus-meningoencephalitis-in-an-immunocompromised-patient
#16
Pedro V Schwartzmann, Leandra N Z Ramalho, Luciano Neder, Fernando C Vilar, Sílvia M Ayub-Ferreira, Marília F Romeiro, Osvaldo M Takayanagui, Antonio C Dos Santos, André Schmidt, Luiz T M Figueiredo, Ross Arena, Marcus V Simões
The World Health Organization considers the Zika virus (ZIKV) outbreak in the Americas a global public health emergency. The neurologic complications due to ZIKV infection comprise microcephaly, meningoencephalitis, and Guillain-Barré syndrome. We describe a fatal case of an adult patient receiving an immunosuppressive regimen following heart transplant. The patient was admitted with acute neurologic impairment and experienced progressive hemodynamic instability and mental deterioration that finally culminated in death...
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259230/vulvovaginal-issues-in-mature-women
#17
REVIEW
Mary L Marnach, Rochelle R Torgerson
Mature women often present with symptomatic vulvovaginal atrophy and vulvar dermatoses, causing noncoital pain, dyspareunia, and sexual changes. Diagnosis of these conditions can be challenging, and long-term management is required to decrease morbidity and enhance quality of life. Vaginal estrogen therapies remain safe and effective for treating symptomatic vulvovaginal atrophy. A vulvar biopsy is easy to perform and generally well tolerated when indicated for the diagnosis of lichen simplex chronicus, lichen sclerosus, and lichen planus...
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259229/clinical-practice-guidelines-a-primer-on-development-and-dissemination
#18
REVIEW
M Hassan Murad
Trustworthy clinical practice guidelines should be based on a systematic review of the literature, provide ratings of the quality of evidence and the strength of recommendations, consider patient values, and be developed by a multidisciplinary panel of experts. The quality of evidence reflects our certainty that the evidence warrants a particular action. Transforming evidence into a decision requires consideration of the quality of evidence, balance of benefits and harms, patients' values, available resources, feasibility of the intervention, acceptability by stakeholders, and effect on health equity...
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259228/cha2ds2-vasc-score-a-predictor-of-thromboembolic-events-and-mortality-in-patients-with-an-implantable-monitoring-device-without-atrial-fibrillation
#19
Christine Parsons, Salma I Patel, Stephen Cha, Win-Kuang Shen, Santosh Desai, Alanna M Chamberlain, Sushil Allen Luis, Maria I Aguilar, Bart M Demaerschalk, Farouk Mookadam, Fadi Shamoun
OBJECTIVE: To determine if the CHA2DS2-VASc score (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, stroke or transient ischemic attack, vascular disease, age 65-74 years, sex category) predicts thromboembolism and death in patients without atrial fibrillation in a population with implantable cardiac monitoring devices. PATIENTS AND METHODS: A retrospective review utilizing the Rochester Epidemiology Project research infrastructure was conducted to evaluate the CHA2DS2-VASc tool as a predictor of mortality and ischemic stroke, transient ischemic attack, or systemic embolism in patients without atrial fibrillation...
March 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28259227/prehospital-predictors-of-initial-shockable-rhythm-in-out-of-hospital-cardiac-arrest-findings-from-the-taichung-sudden-unexpected-death-registry-thunder
#20
Yen-Nien Lin, Shih-Sheng Chang, Lee-Min Wang, Hwan-Ting Chi, Kwo-Chang Ueng, Chin-Feng Tsai, Chee-Seong Phan, Li-Hua Lu, Choon-Hoon Hii, Yu-Ting Chung, Sumeet S Chugh, Ming-Fong Chen, Tsu-Juey Wu, Kuan-Cheng Chang
OBJECTIVE: To identify the incidence and prehospital predictors of ventricular tachycardia/ventricular fibrillation (VT/VF) as the initial arrhythmia in patients with out-of-hospital cardiac arrest (OHCA) in central Taiwan. PATIENTS AND METHODS: The Taichung Sudden Unexpected Death Registry program encompasses the Taichung metropolitan area in central Taiwan, with a population of 2.7 million and 17 destination hospitals for patients with OHCA. We performed a detailed analysis of demographic characteristics, circumstances of cardiac arrest, and emergency medical service records using the Utstein Style...
March 2017: Mayo Clinic Proceedings
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