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https://www.readbyqxmd.com/read/29469530/-percutaneous-transsplenic-varices-embolization-in-treatment-of-upper-gastrointestinal-hemorrhage-of-schistosomiasis-cirrhosis
#1
Ji Chang-Xue, Li Ying, Ju Shuai, Qiang Jin-Wei
OBJECTIVE: To evaluate the application value of percutaneous transsplenic varices embolization (PTSVE) in the treatment of upper gastrointestinal hemorrhage in patients with schistosomiasis cirrhosis. METHODS: Sixteen schistosomiasis cirrhosis patients (12 males and 4 females) with portal hypertension complicated with esophageal and upper gastrointestinal hemorrhage were selected as the investigation subjects, all the patients had been treated by esophageal vein ligation and sclerotherapy, but with bleeding again post-operation...
March 27, 2017: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
https://www.readbyqxmd.com/read/29468737/school-based-study-found-that-physical-activity-and-aerobic-fitness-predicted-increases-in-total-body-fat-and-abdominal-fat-at-a-mean-age-of-9-8-years
#2
Anton Danielson, Ola Thorsson, Magnus K Karlsson, Per Wollmer, Lars B Andersen, Magnus Dencker
AIM: We assessed if baseline measurements of physical activity, aerobic fitness, body fat and abdominal fat were predictors of changes in body fat measurements over a two-year period. METHODS: The study comprised of 204 children aged 9.8 ±0.6 years with a normal body mass distribution, who recruited from four schools in middle-class areas of Malmö, Sweden, from 2001-2004. Peak oxygen uptake and physical activity were measured at baseline. Body fat was measured by dual-energy x-ray absorptiometry at baseline and two years later...
February 22, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29465419/assessment-of-pcxmc-for-patients-with-different-body-size-in-chest-and-abdominal-x-ray-examinations-a-monte-carlo-simulation-study
#3
David Borrego, Erin M Lowe, Cari M Kitahara, Choonsik Lee
A PC Program for X ray Monte Carlo (PCXMC) has been used to calculate organ doses in patient dosimetry and for the exposure assessment in epidemiological studies of ra- diogenic health related risks. This study compared the dosimetry from using the built-in stylized phantoms in the PCXMC to that of a newer hybrid phantom library with improved anatomical realism. We simulated chest and abdominal x ray projections for 146 unique body size computational phantoms, 77 males and 69 females, with different combinations of height (125 - 180 cm) and weight (20 - 140 kg) using the built-in stylized phantoms in the PCXMC version 2...
February 21, 2018: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/29464227/childhood-constipation
#4
Michelle Waterham, Jonathan Kaufman, Susan Gibb
BACKGROUND: Constipation is best defined as difficulty passing stools that may be infrequent (≤2 per week), painful and associated with stool retention. Childhood constipation is common, with a prevalence of 3-30% worldwide. Most constipation in children is functional and related to behavioural withholding after an unpleasant stool event. Successful diagnosis and management can occur in primary care, and specialist referral is only needed for refractory cases or concerns regarding organic pathology...
December 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29459565/-diagnosis-of-duplication-of-the-sigmoid-colon-prior-to-surgery-a-case-study
#5
Kumiko Nakamura, Akio Tamura, Tomoaki Kono, Tadayuki Oshima, Hirokazu Fukui, Seiichi Hirota, Kiyoshi Tsukamoto, Naohiro Tomita, Jiro Watari, Hiroto Miwa
A 16-year-old woman identified with colonic distention using chest X-rays visited our hospital. Although abdominal computed tomography (CT), colonoscopy, and barium enema study indicated suspected duplication of the sigmoid colon, the exact portion of communication between the normal colon and the duplicated colon could not be determined. The patient was released, but followed up due to the lack of symptoms. After 7 months, she was urgently re-hospitalized due to the complaint of abdominal pain. Her abdominal CT revealed the wall thickness and distention of the duplication as well as voluminous stool containing barium...
2018: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/29457114/a-pediatric-case-developing-critical-abdominal-distension-caused-by-a-combination-of-humidified-high-flow-nasal-cannula-oxygen-therapy-and-nasal-airway
#6
Satoki Inoue, Yumiko Tamaki, Shota Sonobe, Junji Egawa, Masahiko Kawaguchi
Background: We describe a pediatric patient who suffered from critical abdominal distention caused by a combination of humidified, high-flow nasal cannula (HHFNC) oxygen therapy and nasal airway. Case presentation: A 21-month-old boy with a history of chronic lung disease was admitted to the intensive care unit (ICU). Immediately after admission, his airway was established using a tracheal tube and mechanical ventilation was started. Five days after the commencement of mechanical ventilation, finally, his trachea was extubated...
2018: JA Clin Rep
https://www.readbyqxmd.com/read/29456931/abdominal-obesity-adversely-affects-bone-mass-in-children
#7
Sowmya Krishnan, Michael P Anderson, David A Fields, Madhusmita Misra
AIM: To determine the effect of childhood obesity and insulin resistance on bone health. METHODS: We conducted a cross sectional study in pubertal adolescents and young adults 13-20 years old who were either overweight/obese or normal weight. Participants were Tanner 3 or above for pubertal stage, and had fasting blood work done to measure glucose, insulin, C-reactive protein and lipid levels. Homeostatic model of insulin resistance (HOMA-IR) was calculated using the formula (Fasting Blood Glucose *Insulin/405)...
February 8, 2018: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/29435218/giant-colonic-diverticulum-a-rare-cause-of-acute-abdomen
#8
Athanasios Syllaios, Dimitra Daskalopoulou, Nikolaos Bourganos, Anastasia Papakonstantinou, Evangelia Triantafyllou, Antonios Koutras, Christos Georgiou
Giant colonic diverticulum (GCD), defined as diverticulum larger than 4 cm, is a rare entity. It is generally a manifestation of colonic diverticular disease and can have dramatic complications such as perforation, abscess, volvulus, infarction and adenocarcinoma. This report documents the case of a 63-year-old man coming to the Emergency Department with acute abdomen due to a perforation of a GCD. In the plain abdominal X-ray the 'Balloon-sign' was revealed, computed tomography scan and Hartmann's procedure were performed...
February 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29429527/a-comparison-of-three-methods-to-assess-body-composition
#9
Nilanjana Tewari, Sherif Awad, Ian A Macdonald, Dileep N Lobo
OBJECTIVE: The aim of this study was to compare the accuracy of measurements of body composition made using dual x-ray absorptiometry (DXA), analysis of computed tomography (CT) scans at the L3 vertebral level, and bioelectrical impedance analysis (BIA). METHODS: DXA, CT, and BIA were performed in 47 patients recruited from two clinical trials investigating metabolic changes associated with major abdominal surgery or neoadjuvant chemotherapy for esophagogastric cancer...
March 2018: Nutrition
https://www.readbyqxmd.com/read/29428312/reproductive-and-metabolic-determinants-of-granulosa-cell-dysfunction-in-normal-weight-women-with-polycystic-ovary-syndrome
#10
Annie A Guedikian, Alexandria Y Lee, Tristan R Grogan, David H Abbott, Karla Largaespada, Gregorio D Chazenbalk, Daniel A Dumesic
OBJECTIVE: To determine the degree to which E2 hyperresponsiveness to FSH and antimüllerian hormone (AMH) overproduction in normal-weight women with polycystic ovary syndrome (PCOS) correlate with increased antral follicle number (AFN), hyperandrogenism, and/or metabolic dysfunction. DESIGN: Prospective cohort study. SETTING: Academic medical center. PATIENT(S): Seven normal-weight women with PCOS (1990 National Institutes of Health criteria) ages 20-34 years and 13 age- and body mass index- (BMI-; 18...
February 7, 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/29424916/role-of-surgical-setting-and-patients-related-factors-in-predicting-the-occurrence-of-postoperative-pulmonary-complications-after-abdominal-surgery
#11
V Perilli, P Aceto, P Ancona, R De Cicco, D Papanice, S Magalini, G Pepe, V Cozza, D Gui, C Lai, L Sollazzi
OBJECTIVE: The aim of this retrospective study was to evaluate the role of surgical setting (urgent vs. elective) and approach (open vs. laparoscopic) in affecting postoperative pulmonary complications (PPCs) prevalence in patients undergoing abdominal surgery. PATIENTS AND METHODS: After local Ethical Committee approval, 409 patients who had undergone abdominal surgery between January and December 2014 were included in the final analysis. PPCs were defined as the development of one of the following new findings: respiratory failure, pulmonary infection, aspiration pneumonia, pleural effusion, pneumothorax, atelectasis on chest X-ray, bronchospasm or un-planned urgent re-intubation...
January 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29409907/national-imaging-trends-after-percutaneous-nephrolithotomy
#12
Jessica C Dai, Justin S Ahn, Sarah K Holt, Philip C May, Mathew D Sorensen, Jonathan D Harper
PURPOSE: Follow up imaging after percutaneous nephrolithotomy (PCNL) serves to detect post-operative complications, residual fragments, and silent hydronephrosis. However, the timing and optimal imaging modality remain poorly defined. Herein, we describe imaging utilization patterns after PCNL. MATERIALS AND METHODS: Within the MarketScan® database, we identified patients 17-64 years old who underwent PCNL between 2007-2014. Imaging modalities were identified by CPT, ICD-9, and ICD-10 codes and tracked for 1 year following PCNL, including computed tomography (CT), renal ultrasound (US), abdominal x-ray (KUB), and intravenous pyelogram (IVP)...
January 31, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29394908/intermittent-fasting-energy-balance-and-associated-health-outcomes-in-adults-study-protocol-for-a-randomised-controlled-trial
#13
Iain Templeman, Dylan Thompson, Javier Gonzalez, Jean-Philippe Walhin, Sue Reeves, Peter J Rogers, Jeffrey M Brunstrom, Leonidas G Karagounis, Kostas Tsintzas, James A Betts
BACKGROUND: Prior studies have shown that intermittent fasting is capable of producing improvements in body weight and fasted health markers. However, the extent to which intermittent fasting incurs compensatory changes in the components of energy balance and its impact on postprandial metabolism are yet to be ascertained. METHODS: A total of 30-36 lean participants and 30-36 overweight/obese participants will be recruited to provide two separate study groups who will undergo the same protocol...
February 2, 2018: Trials
https://www.readbyqxmd.com/read/29386304/abdominal-aortic-calcifications-predict-survival-in-peritoneal-dialysis-patients
#14
Satu M Mäkelä, Markku Asola, Henrik Hadimeri, James G Heaf, Maija Heiro, Leena Kauppila, Susanne Ljungman, Mai Ots-Rosenberg, Johan V Povlsen, Björn Rogland, Petra Roessel, Jana Uhlinova, Maarit Vainiotalo, Maria K Svensson, Heini Huhtala, Heikki Saha
BACKGROUND: Peripheral arterial disease and vascular calcifications contribute significantly to the outcome of dialysis patients. The aim of this study was to evaluate the prognostic role of severity of abdominal aortic calcifications and peripheral arterial disease on outcome of peritoneal dialysis (PD) patients using methods easily available in everyday clinical practice. METHODS: We enrolled 249 PD patients (mean age 61 years, 67% male) in this prospective, observational, multicenter study from 2009 to 2013...
January 31, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29385054/a-preliminary-study-for-evaluating-the-dose-dependent-effect-of-d-allulose-for-fat-mass-reduction-in-adult-humans-a-randomized-double-blind-placebo-controlled-trial
#15
Youngji Han, Eun-Young Kwon, Mi Kyeong Yu, Seon Jeong Lee, Hye-Jin Kim, Seong-Bo Kim, Yang Hee Kim, Myung-Sook Choi
d-allulose is a rare sugar with zero energy that can be consumed by obese/overweight individuals. Many studies have suggested that zero-calorie d-allulose has beneficial effects on obesity-related metabolism in mouse models, but only a few studies have been performed on human subjects. Therefore, we performed a preliminary study with 121 Korean subjects (aged 20-40 years, body mass index ≥ 23 kg/m²). A randomized controlled trial involving placebo control (sucralose, 0.012 g × 2 times/day), low d-allulose (d-allulose, 4 g × 2 times/day), and high d-allulose (d-allulose, 7 g × 2 times/day) groups was designed...
January 31, 2018: Nutrients
https://www.readbyqxmd.com/read/29380478/a-comparison-of-care-delivered-in-hospital-based-and-freestanding-emergency-departments
#16
Jesse M Pines, Mark S Zocchi, Bernard S Black
OBJECTIVE: We compare case-mix, hospitalization rates, length of stay (LOS), and resource use in independent freestanding emergency departments (FSEDs) and hospital-based emergency departments (H-EDs). METHODS: Data from 74 FSEDs (2013-5) in Texas and Colorado, were compared to H-ED data from the 2013-14 National Hospital Ambulatory Medical Care Survey. In the unrestricted sample, large differences in visit characteristics (e.g. payer and case mix) were found between patients that use FSEDs compared to H-EDs...
January 30, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29374985/preptin-in-women-with-polycystic-ovary-syndrome
#17
Agata Mierzwicka, Justyna Kuliczkowska-Plaksej, Katarzyna Kolačkov, Marek Bolanowski
INTRODUCTION: Polycystic ovary syndrome (PCOS) patients, frequently develop metabolic complications, such as insulin resistance (IR), impaired carbohydrate metabolism, dyslipidemia, obesity. Among the new markers responsible for metabolic disorders, preptin seems to be of great significance. MATERIAL: One hundred and thirty-four women aged 17-45 were enrolled. PCOS was diagnosed in 73 women on the basis of ESHRE-ASRM criteria. Non-PCOS group consisted of 61 women with regular menstruation matched for nutritional status...
January 27, 2018: Gynecological Endocrinology
https://www.readbyqxmd.com/read/29372125/dilated-thoracic-esophagus-presenting-with-painful-progressive-persistent-dysphagia-and-leukocytosis-of-unknown-origin
#18
Kyawzaw Lin, Jamil Shah, Emmanuel Ofori, Vahe Shahnazarian, Madhavi Reddy
Esophageal cancer is the eighth-most common cause of cancer-related mortality worldwide. The most common presenting symptom in advanced distal esophageal cancer is the sensation of sticking food, but it may sometimes present with bleeding and related complications, or asymptomatic leukocytosis. We present the case of a 77-year-old afebrile man with chronic alcoholism and a dilated thoracic esophagus with painful, progressive, and persistent dysphagia and leukocytosis of unknown origin. A 77-year-old man with a past medical history of hypertension and colonic cancer status post right hemicolectomy (surveillance negative) presented to the emergency department with painful, progressive, persistent, and worsening dysphagia for the past three weeks...
November 16, 2017: Curēus
https://www.readbyqxmd.com/read/29363760/a-comparison-of-gantry-mounted-x-ray-based-real-time-target-tracking-methods
#19
Tim Montanaro, Doan Trang Nguyen, Paul J Keall, Jeremy Booth, Vincent Caillet, Thomas Eade, Carol Haddad, Chun-Chien Shieh
PURPOSE: Most modern radiotherapy machines are built with a 2D kV imaging system. Combining this imaging system with a 2D-3D inference method would allow for a ready-made option for real-time 3D tumor tracking. This work investigates and compares the accuracy of four existing 2D-3D inference methods using both motion traces inferred from external surrogates and measured internally from implanted beacons. METHOD: Tumor motion data from 160 fractions (46 thoracic/abdominal patients) of Synchrony traces (inferred traces), and 28 fractions (7 lung patients) of Calypso traces (internal traces) from the LIGHT SABR trial (NCT02514512) were used in this study...
January 24, 2018: Medical Physics
https://www.readbyqxmd.com/read/29362663/laparoscopy-in-small-bowel-obstruction-current-status-review
#20
Jacek Szeliga, Marek Jackowski
Introduction: Acute small bowel obstruction (SBO) is an urgent medical condition. Its diagnosis is based mainly on a clinical examination followed by confirmatory simple routine radiological examinations such as plain X-ray of the abdominal cavity or computed tomography (CT). However, a real surgical challenge is not a decision whether to perform a surgery, but a decision when and how to perform it. Aim: To determine the place of laparoscopy in contemporary management of acute SBO based on the current literature...
December 2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
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