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Permanente Journal

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https://www.readbyqxmd.com/read/28678695/body-mass-index-and-mortality-in-a-very-large-cohort-is-it-really-healthier-to-be-overweight
#1
Arthur L Klatsky, Jasmine Zhang, Natalia Udaltsova, Yan Li, H Nicole Tran
CONTEXT: Controversy persists about optimal body weight. Many experts define "normal" (healthy) body mass index (BMI) as 18.5 to 24.9 kg/m(2), 25 to 29.9 kg/m(2) as overweight, and 30 kg/m(2) or greater as obese. Obesity is subdivided into 30 to 34.9 kg/m(2) (Grade 1), 35 to 39.9 kg/m(2) (Grade 2), and 40 kg/m(2) and above (Grade 3). Studies consistently show higher mortality for underweight and Grade 2 or 3 obesity, but results conflict for the overweight category and Grade 1 obesity...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678694/image-diagnosis-carcinoid-tumorlets-and-pulmonary-sequestration-in-a-patient-with-chronic-cough-without-a-history-of-malignancy
#2
Zhou Zhang, Harleen Hayreh
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678693/effect-of-age-on-outcomes-of-shoulder-arthroplasty
#3
Oke A Anakwenze, Tameem Yehyawi, Mark T Dillon, Elizabeth Paxton, Ronald Navarro, Anshuman Singh
CONTEXT: Outcomes of total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA) as a function of age are not well known. OBJECTIVE: To understand the effects of age on revision rate, mortality, and hospital readmissions. DESIGN: A retrospective cohort study of prospectively collected data. Using an integrated health care system's shoulder arthroplasty registry, we identified patients who underwent TSA and RTSA between January 2007 and June 2012...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678692/incidence-of-pulmonary-arterial-hypertension-in-patients-with-psoriasis-a-retrospective-cohort-study
#4
Young M Choi, Shannon Famenini, Jashin J Wu
CONTEXT: Inflammatory signaling may play an important role in the pathogenesis of pulmonary arterial hypertension (PAH). OBJECTIVE: To assess the incidence of PAH in patients with mild and severe psoriasis compared with their respective controls. DESIGN: From January 2004 to November 2012, we performed a retrospective cohort study of patients with psoriasis in the Kaiser Permanente Southern California Health Plan. Patients with an International Classification of Diseases, Ninth Revision Clinical Modification diagnostic code for psoriasis (696...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678691/deer-in-the-headlights
#5
Tom Paluch
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678690/emotional-freedom-techniques-to-treat-posttraumatic-stress-disorder-in-veterans-review-of-the-evidence-survey-of-practitioners-and-proposed-clinical-guidelines
#6
Dawson Church, Sheri Stern, Elizabeth Boath, Antony Stewart, David Feinstein, Morgan Clond
BACKGROUND: High prevalence rates of posttraumatic stress disorder (PTSD) in active military and veterans present a treatment challenge. Many PTSD studies have demonstrated the efficacy and safety of Emotional Freedom Techniques (EFT). OBJECTIVES: To develop clinical best practice guidelines for the use of EFT to treat PTSD, on the basis of the published literature, practitioner experience, and typical case histories. METHODS: We surveyed 448 EFT practitioners to gather information on their experiences with PTSD treatment...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678689/a-clinical-approach-to-animal-bites-with-an-avulsion-flap-a-case-report
#7
Andrew Williamson, Cyril Thomas
INTRODUCTION: Animal bites are a common reason for visits to the Emergency Department in the US and worldwide. There are many different approaches to managing these wounds. CASE PRESENTATION: We present a case of a 90-year-old white woman who sustained a large dog bite to her hand, over the dorsal aspect of the first metacarpal. We used the avulsion flap as a biologic dressing and employed a perforating technique to successfully treat the wound and allow for optimal wound healing...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678688/flood-syndrome-spontaneous-umbilical-hernia-rupture-leaking-ascitic-fluid-a-case-report
#8
Emilie T Nguyen, Leah A Tudtud-Hans
INTRODUCTION: We report a rare case of Flood syndrome, which is a spontaneous rupture of an umbilical hernia. CASE PRESENTATION: A 42-year-old man with decompensated hepatitis C and alcoholic cirrhosis complicated by ascites and esophageal varices presented with 1 day of ascitic fluid drainage after rupture of a preexisting umbilical hernia associated with diffuse abdominal pain and tenderness. A pigtail drain was placed in the right upper abdominal quadrant to decrease fluid drainage from the abdominal wall defect, allowing it to heal naturally...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633732/to-err-is-human-can-american-medicine-learn-from-past-mistakes
#9
Jeffrey B Ritterman
The history of medicine includes many errors. Some persisted for decades and caused great harm. Several are highlighted in this article, including the mythical thymic diseases: thymic asthma and status thymicolymphaticus. Some medical mistakes, such as the diet-heart hypothesis of Ancel Keys, continue to cause harm. To avoid future errors and their associated harm, I suggest a cultural shift encouraging professional humility and greater questioning of medical dogma. Medical education focused on teaching students this history may help with this cultural shift...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633731/image-diagnosis-multivessel-percutaneous-coronary-intervention-in-dextrocardia-success-with-usual-techniques-in-a-case-of-mirror-image-heart
#10
Mohamed Morsy, Pranab Das, Inyong Hwang, Rami N Khouzam
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633730/lessons-learned-in-war
#11
Alberto Hayek
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633729/image-diagnosis-bronchial-anthracofibrosis-a-bronchoscopic-diagnosis
#12
Ashok Shah, Shekhar Kunal
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633728/bilateral-large-pneumothoraxes-following-implantable-cardioverter-defibrillator-generator-change-a-case-report-of-an-uncommon-event-complicating-a-common-procedure
#13
Ritin Bomb, Sunil K Jha
INTRODUCTION: A bilateral large spontaneous pneumothorax to our knowledge has never been reported after a device implantation. We report an unusual case of a patient developing spontaneous bilateral large pneumothoraxes after an implantable cardioverter-defibrillator generator and lead revision without evidence of any obvious traumatic cardiac injury. CASE PRESENTATION: A 79-year-old white man was scheduled for implantable cardioverter-defibrillator generator change and addition of an atrial lead...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633727/prenatal-development-and-parents-lived-experiences-how-early-events-shape-our-psychophysiology-and-relationships
#14
REVIEW
Anna Luise Kirkengen
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633726/small-bowel-intussusception-in-a-pregnant-woman-a-case-report
#15
Roxana Covali, Lucian Ambrosie, Micea Onofriescu, Alexandru Luca, Gabriela Dumachita-Sargu, Violeta Aursulesei, Dumitru Gafitanu
INTRODUCTION: Intussusception usually is associated with children, rarely with adults. CASE PRESENTATION: A 42-year-old pregnant woman (29 weeks' gestation) reported mild pain in the upper aspect of the abdomen after an intense physical effort. Ultrasound examination found a normally evolving pregnancy and a bowel obstacle, without bowel distention. Because it was not a surgical emergency at the time of evaluation, she was sent to the hospital's Obstetrics Department...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28633725/well-differentiated-neuroendocrine-tumor-a-low-b-grade-tumor-s-aggressive-course-and-dismal-outcome-a-case-report
#16
Dinesh Atwal, Krishna Prasad Joshi, Susanne Jeffus, James Ntambi, Fade Mahmoud
INTRODUCTION: Incidence of well-differentiated neuroendocrine tumors (NETs) of the colon and rectum is increasing and is now approximately 1 per 100,000 in the US. NETs are either well-differentiated (indolent) or poorly differentiated (aggressive). The majority of these tumors are found incidentally during screening colonoscopies and rarely are associated with symptoms of hormonal syndrome, even during the advanced stage. Metastatic well-differentiated NETs of the colon and rectum are incurable, hard to treat, and associated with a poor prognosis and survival rates similar to colorectal adenocarcinoma survival...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28609266/considerations-in-the-neuropsychological-evaluation-and-treatment-of-children-with-limited-english-proficiency
#17
Alonso Cardenas, Laura Villavicencio, Mani Pavuluri
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28609265/image-diagnosis-rapidly-enlarging-scrotal-hematoma-a-complication-of-femoral-access
#18
Raza Askari, Rami N Khouzam, Dwight A Dishmon
No abstract text is available yet for this article.
2017: Permanente Journal
https://www.readbyqxmd.com/read/28609264/supporting-muslim-patients-during-advanced-illness
#19
REVIEW
Nathan A Boucher, Ejaz A Siddiqui, Harold G Koenig
Religion is an important part of many patients' cultural perspectives and value systems that influence them during advanced illness and toward the end of life when they directly face mortality. Worldwide violence perpetrated by people identifying as Muslim has been a growing fear for people living in the US and elsewhere. This fear has further increased by the tense rhetoric heard from the recent US presidential campaign and the new presidential administration. For many, this includes fear of all Muslims, the second-largest religious group in the world with 1...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28609263/image-diagnosis-a-gastric-signet-ring-adenocarcinoma-of-type-linitis-plastica-mimicking-splenomegaly-in-a-patient-with-chronic-lymphocytic-leukemia
#20
Leonid L Yavorkovsky, Shazia Ali
No abstract text is available yet for this article.
2017: Permanente Journal
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