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https://www.readbyqxmd.com/read/30024704/acute-non-cirrhotic-portal-vein-thrombosis-review
#1
REVIEW
A Salembier, M Verhamme, P Verhamme, W Van Moerkercke
A 35-year-old man with a medical history of myocardial infarction, presenting with fever, general malaise and vague abdominal discomfort, was diagnosed with a portomesenteric venous thrombosis and acute cytomegalovirus (CMV) infection. Thrombophilia screening resulted in detection of heterozygosity for factor II G20210A gene mutation. Low molecular weight heparin in therapeutic dose was started, followed by disappearance of thrombus on imaging CT two months after diagnosis. The multifactorial origin of portal thrombosis and the importance of awareness of the link between CMV infection and an increased risk of thrombosis is emphasized with this case and review of the literature...
April 2018: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/30024696/can-we-better-protect-patients-with-inflammatory-bowel-disease-against-infections-patient-attitude-and-personal-immunization-knowledge
#2
Karolina Waszczuk, Ewa Waszczuk, Leszek Szenborn
BACKGROUND AND STUDY AIMS: Inflammatory bowel disease (IBD) predisposes patients to a severe course of infections yet adherence to vaccination guidelines is low. Little is known about IBD patient attitude towards immunizations. We aimed to investigate patient attitude towards vaccinations and its influence on personal immunization coverage. PATIENTS AND METHODS: A self-completed survey was completed by 195 IBD patients. The author-designed questionnaire comprised: demographic data, IBD medical history, vaccination history, reasons of influenza vaccine refusal, and the most reliable source of information about immunizations...
April 2018: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/30024562/rheumatoid-arthritis-like-features-in-hansen-disease-a-case-report
#3
Le-Nyu Gao, Bing Zhong, Yong Wang
RATIONALE: Hansen disease is an infectious chronic disease with various clinical manifestations. Its joint performance may easily mimic rheumatoid arthritis. PATIENT CONCERNS: We report a case of a 57-year-old woman diagnosed with Hansen disease 10 years ago, who suffered from joints swelling, pain and joints deformities of both hands for 19 years. The skin on the hands showed rashes, thickening, desquamation and chapping, with both thenar muscles atrophy. She also had severe hypoalgesia of the whole body, and morning stiffness for one hour...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30024534/prevalence-of-previously-unrecognized-peripheral-arterial-disease-in-patients-undergoing-coronary-angiography
#4
Akram Saleh, Hanna Makhamreh, Tareq Qoussoos, Izzat Alawwa, Moath Alsmady, Zaid A Salah, Ali Shakhatreh, Lewa Alhazaymeh, Mohammed Jabber
Coronary artery disease (CAD) and peripheral arterial disease (PAD) are serious manifestations of systemic atherosclerosis. A considerable proportion of patients with CAD have associated PAD; however, many are asymptomatic and this condition remains underdiagnosed. Little is known about the prevalence and clinical implication of PAD in patients undergoing coronary angiography in the Middle East with no history of the disease.To study the prevalence of previously unrecognized PAD of the lower limbs in patients undergoing coronary angiography, and to determine the correlation with CAD...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30024400/pulmonary-embolism-due-to-synthetic-cannabinoid-use-case-report
#5
Gökhan Yırgın, İhsan Ateş, Bilal Katipoğlu, Burak Furkan Demir, Nisbet Yılmaz
A 29-year-old male patient was treated and followed up for a pulmonary embolism. The patient had no relevant medical history, other than the fact that he had smoked bonzai, a synthetic cannabinoid derivative, for 2 years. Hypercoagulability tests were normal. The use of synthetic cannabinoids is increasing in the young population and should be kept in mind among the causes of pulmonary embolism.
July 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/30022917/hepatic-failure-by-spontaneous-reactivation-of-hepatitis-b-virus-without-a-trigger-factor-in-a-patient-with-anti-hbs
#6
Doh Hyung Kim, Seok Bae Kim
A patient who has achieved resolution of acute hepatitis B and acquired anti-HBs would get protective immunity against hepatitis B virus (HBV). However, reactivation of HBV could happen if the patient was exposed to an immunocompromised state by using immunosuppressive drugs or chemotherapeutic agents. That is because cccDNA could reside within hepatocytes after recovery of acute hepatitis B. Therefore, guidelines for hepatitis B recommend the use of prophylactic antiviral agents such as entecavir or tenofovir in patients with anti-HBc IgG...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/30020253/risk-factors-for-sexual-dysfunction-in-brca-mutation-carriers-after-risk-reducing-salpingo-oophorectomy
#7
Jessica L Chan, Suneeta Senapati, Lauren N C Johnson, Laura DiGiovanni, Chan Voong, Samantha F Butts, Susan M Domchek
OBJECTIVE: The aim of the study was to identify risk factors for sexual dysfunction in BRCA mutation carriers who have undergone risk-reducing salpingo-oophorectomy (RRSO). METHODS: A cross-sectional study was performed. BRCA1/2 mutation carriers with and without RRSO were surveyed to determine sexual function (Female Sex Function Index [FSFI]), demographics, medical history, sleep quality, depression, and anxiety scores. Characteristics of patients with the lowest quartile of FSFI scores (<14 ± 8...
July 16, 2018: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/30019998/retrospective-study-of-factors-associated-with-surgical-site-infection-in-dogs-following-tibial-plateau-leveling-osteotomy
#8
Daniel J Lopez, Gretchen M VanDeventer, Ursula Krotscheck, Yazdan Aryazand, Marina J McConkey, Kei Hayashi, Rory J Todhunter, Galina M Hayes
OBJECTIVE To identify risk factors associated with surgical site infection (SSI) in dogs following tibial plateau leveling osteotomy (TPLO). DESIGN Retrospective cohort study. ANIMALS 320 dogs that underwent unilateral or bilateral TPLO (n = 405 procedures) between 2007 and 2015 and were reexamined by a veterinarian at least once ≥ 8 weeks after the procedure. PROCEDURES Data were extracted from medical records regarding signalment, TPLO procedure details, medical history of dermatitis, and SSI status. Logistic regression was performed to identify factors associated with SSI development...
August 1, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/30019316/use-of-emergency-medication-in-adult-patients-with-epilepsy-a-multicentre-cohort-study-from-germany
#9
Jeannette Kadel, Sebastian Bauer, Anke M Hermsen, Ilka Immisch, Lara Kay, Karl Martin Klein, Susanne Knake, Katja Menzler, Philipp S Reif, Felix Rosenow, Adam Strzelczyk
BACKGROUND: Emergency treatment with benzodiazepines is indicated in prolonged seizures, seizure clusters and status epilepticus. OBJECTIVE: The aim of this study was to evaluate the use of emergency medication in adult patients with epilepsy. PATIENTS AND METHODS: All adult epilepsy patients attending the epilepsy outpatient clinics of the university hospitals in Frankfurt and Marburg in 2015 were asked to participate in this questionnaire-based, retrospective survey...
July 17, 2018: CNS Drugs
https://www.readbyqxmd.com/read/30018910/vaginal-sling-implant-misdiagnosed-as-rectal-subepithelial-tumor
#10
Su-Mi Kim, Ji-Suk Han, Jin-Wan Park, Jong-Soo Kim, Hwan Namgung, Yun-Dan Kang
As cosmetic procedures receive increasing attention from the media, female genital cosmetic surgery (FGCS) has become quite popular in Korea. The safety and efficacy of these surgeries and procedures have yet to be thoroughly documented. We report a case of a 47-year-old woman who underwent a vaginal sling implantation, which resulted in the misdiagnosis of a rectal subepithelial tumor during endoscopic mucosal resection (EMR). This patient suffered an iatrogenic rectal perforation during the EMR, which necessitated an exploratory operation...
July 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/30018832/a-case-of-recurrent-erysipelas-caused-by-streptococcus-mitis-group
#11
David Nygren, Bo Nilson, Magnus Rasmussen
The aetiology of erysipelas remains poorly defined though beta-haemolytic streptococci are considered as the main causative pathogens. We describe a case of a 70-year-old woman with recurrent erysipelas in her left arm due to infection with streptococci of the mitis group. Her past medical history includes lymphoedema of the left arm secondary to lymph node dissection due to breast cancer surgery. On seven different occasions during a decade, she has presented a clinical picture of erysipelas and in three of them with Streptococcus mitis group bacteraemia...
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/30017581/risk-for-and-consequences-of-endometriosis-a-critical-epidemiologic-review
#12
REVIEW
A L Shafrir, L V Farland, D K Shah, H R Harris, M Kvaskoff, K Zondervan, S A Missmer
Endometriosis affects approximately 10% of women of reproductive age. Characteristics robustly associated with a greater risk for endometriosis include early age at menarche, short menstrual cycle length, and lean body size, whereas greater parity has been associated with a lower risk. Relationships with other potential characteristics including physical activity, dietary factors, and lactation have been less consistent, partially because of the need for rigorous data collection and a longitudinal study design...
July 3, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/30017488/isotretinoin-induced-achilles-tendinopathy-histopathological-and-biomechanical-evaluation-on-rats
#13
Ozan Beytemür, Serdar Yüksel, Ümit Seza Tetikkurt, Erdinç Genç, Ercan Olcay, Akif Güleç
OBJECTIVE: The aim of the present study was to evaluate histopathological and biomechanical effects of isotretinoin on Achilles tendon. MATERIALS & METHODS: Sixteen rats were divided into two groups including the control group (n = 8) and isotretinoin group (n = 8). The control group received 1.42 ml/kg soy oil per day whereas the isotretinoin group received 15 mg/kg/day (gavage dose 1.42 ml/kg) isotretinoin dissolved in soy oil through gavage method for 6 weeks...
July 12, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/30017214/how-molecular-diagnosis-may-modify-immunotherapy-prescription-in-multi-sensitized-pollen-allergic-children
#14
Genoveva Del-Río Camacho, Ana María Montes Arjona, José Fernández-Cantalejo Padial, Rodríguez Catalán Jesús
INTRODUCTION: Specific immunotherapy (SIT) is used to treat asthma and allergic rhinitis, and a dose-response relationship has been found for SIT efficacy, creating a need to accurately select the allergen used in therapy. This need is especially pronounced in poly-sensitized children living in areas where different pollen allergen sources coexist in the same season, as this circumstance complicates diagnostic efforts. In such cases, component-resolved diagnosis (CRD) can increase diagnostic accuracy and aid in SIT prescription...
July 12, 2018: Allergologia et Immunopathologia
https://www.readbyqxmd.com/read/30016937/immunoglobulin-induced-aseptic-meningitis-a-case-report
#15
Luísa Graça, Joana Alves, João Nuak, António Sarmento
BACKGROUND: Immunoglobulin associated meningitis is a rare disease that mimics infectious meningitis. This is, to our knowledge, the first case of Immunoglobulin-associated meningitis described in a patient with Systemic Lupus Erythematosus and hypogammaglobulinemia secondary to Rituximab. CASE PRESENTATION: A 46-year-old female with a past medical history of Systemic Lupus Erythematosus, presented with meningismus 36 h after first infusion of intravenous immunoglobulin...
July 17, 2018: BMC Neurology
https://www.readbyqxmd.com/read/30015111/an-ecological-exploration-of-individual-family-and-environmental-contributions-to-parental-quality-of-life-in-autism
#16
Cyrielle Derguy, Solenne Roux, Marine Portex, Katia M'bailara
The aim of this study was to assess the respective weight of individual and environmental factors on quality of life (Qol) of parents of children with autism spectrum disorders (ASD). Few studies have investigated both individual and environmental predictors of Qol but to our knowledge, none of them has considered the child's and parents' characteristics, family context and services available in the same design. Participants were 115 parents (73 mothers and 42 fathers) of children with ASD aged from 3 to 10 years...
July 7, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/30013300/satisfaction-with-medication-reconciliation-completed-by-pharmacy-technicians-in-an-emergency-department
#17
Sajani Patel, A Scott Mathis, Jennifer Costello, Hoytin Lee Ghin, Germin Fahim
Purpose: To survey advanced nurse practitioners, physician assistants, nurses, physicians, and resident physicians involved with collecting and reconciling medication histories in the emergency department (ED) to measure their satisfaction with the current process involving pharmacy technicians. Methods: Two sites within a large health system with pharmacy technician-driven medication reconciliation processes asked health care professionals to complete a survey of 20 multiple-choice questions...
July 2018: P & T: a Peer-reviewed Journal for Formulary Management
https://www.readbyqxmd.com/read/30012085/association-between-nonalcoholic-fatty-liver-disease-and-subclinical-atherosclerosis-a-cross-sectional-study-on-population-over-40-years-old
#18
Jilin Zheng, Yong Zhou, Kuo Zhang, Yu Qi, Shimin An, Siyuan Wang, Xingquan Zhao, Yi-Da Tang
BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) refers to fatty infiltration of liver in the absence of excessive alcohol abuse. However, the problem that whether NAFLD is correlated with subclinical atherosclerosis assessed by carotid intima-media thickness (CIMT) and brachial-ankle pulse wave velocity (ba-PWV) remains a source of controversy. This can be attributed to the differences in diagnosis methods, population ethnicity, sampling size and bias. This study aimed to further investigate the association of NAFLD with subclinical atherosclerosis...
July 16, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/30009864/second-primary-melanomas-increased-risk-and-decreased-time-to-presentation-in-patients-exposed-to-tanning-beds
#19
Yang Li, Mukti Kulkarni, Kathryn Trinkaus, Lynn A Cornelius
BACKGROUND: Melanoma incidence has increased; the primary modifiable risk factor is ultraviolet radiation (UVR) from the sun or artificial (arUVR) from tanning beds. OBJECTIVE: To determine whether certain characteristics distinguish patients who developed melanoma following arUVR. METHODS: A retrospective study of 434 melanoma patients was performed. Patients were consented at initial appointment and completed a questionnaire regarding phenotypic traits, medical history, and UVR exposure...
July 12, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/30009065/retained-glass-fragment-in-the-cervical-spinal-canal-in-a-patient-with-acute-transverse-myelitis-a-case-report-and-literature-review
#20
Simonas Jesmanas, Kristina Norvainytė, Rymantė Gleiznienė, Algirdas Mačionis
A 50-year-old male presented with a one-day history of right leg weakness, numbness, and urinary retention. Weakness was present for two weeks but worsened significantly during the last 24 hours. On the right there was sensory loss in the leg and below the Th8 dermatome. On the left there was sensory loss below the Th10 dermatome and distal loss of temperature sensation. Past medical history revealed a cervical trauma 30 years ago when a glass chip lodged into the left side of the neck. The patient did not seek medical attention after removing it himself...
2018: Case Reports in Neurological Medicine
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