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https://www.readbyqxmd.com/read/28245872/public-sector-low-threshold-office-based-buprenorphine-treatment-outcomes-at-year-7
#1
Elenore Patterson Bhatraju, Ellie Grossman, Babak Tofighi, Jennifer McNeely, Danae DiRocco, Mara Flannery, Ann Garment, Keith Goldfeld, Marc N Gourevitch, Joshua D Lee
BACKGROUND: Buprenorphine maintenance for opioid dependence remains of limited availability among underserved populations, despite increases in US opioid misuse and overdose deaths. Low threshold primary care treatment models including the use of unobserved, "home," buprenorphine induction may simplify initiation of care and improve access. Unobserved induction and long-term treatment outcomes have not been reported recently among large, naturalistic cohorts treated in low threshold safety net primary care settings...
February 28, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28210015/frequency-of-bacterial-samples-from-patients-with-chronic-acquired-nasolacrimal-duct-obstruction
#2
Kourosh Shahraki, Ali Makateb, Keyvan Shirzadi, Keivan Khosravifard
INTRODUCTION: Dacryocystitis is an infection of lacremical sac due to obstruction of nasolacrimal duct which has primary or secondary causes. Idiopathic inflammatory obstruction is the primary cause. Trauma, infection, inflammation, neoplasia, and mechanical obstruction are secondary one. AIM: The objective of this study is determination of bacterial samples from patients with chronic acquired nasolacrimal duct obstruction. METHODS: This cross-sectional study was contained 90 patients with dacryocystitis from 2010 to 2011, in Besat hospital...
December 2016: Medical Archives
https://www.readbyqxmd.com/read/28163454/comparative-study-to-evaluate-the-efficacy-of-radiofrequency-ablation-versus-trichloroacetic-acid-in-the-treatment-of-xanthelasma-palpebrarum
#3
Praveen Kumar Shanmugam Reddy, Sumathy Tharayil Kunneth, Shyam Prasad Arakali Lakshminarayana, Suparna Madivalara Yallappa, Ranganathan Chandrashekara, Shivaswamy Kanakapura Nanjundaswamy
BACKGROUND: Xanthelasma palpebrarum (XP) is a metabolic disorder involving the eyelids. Radiofrequency(RF) surgery and trichloroacetic acid (TCA) applications have been listed among the procedures for XP, but comparative studies are not available. AIM: To compare the efficacy of radiofrequency surgery versus trichloroacetic acid application in the treatment of XP. SETTINGS AND DESIGN: 20 consecutive cases of XP attending dermatology, medicine and endocrinology out-patient departments of M...
October 2016: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/28064509/acute-salicylate-poisoning-risk-factors-for-severe-outcome
#4
Rachel M Shively, Robert S Hoffman, Alex F Manini
CONTEXT: Salicylate poisoning remains a significant public health threat with more than 20,000 exposures reported annually in the United States. OBJECTIVE: We aimed to establish early predictors of severe in-hospital outcomes in Emergency Department patients presenting with acute salicylate poisoning. METHODS: This was a secondary data analysis of adult salicylate overdoses from a prospective cohort study of acute drug overdoses at two urban university teaching hospitals from 2009 to 2013...
March 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/27932048/fatal-intravenous-injection-of-potassium-is-postmortem-biochemistry-useful-for-the-diagnosis
#5
Cristian Palmiere, Maria Pia Scarpelli, Vincent Varlet, Pia Baumann, Katarzyna Michaud, Marc Augsburger
Fatal cases of potassium overdoses have traditionally been considered indemonstrable due postmortem biochemical investigation limits (mainly potassium determination in postmortem serum and vitreous humor). Nevertheless, some authors have expressed a divergent opinion over the years based on the results of their own investigations. In this study, we investigated left vitreous, right vitreous, postmortem serum from peripheral blood, postmortem serum from cardiac blood, urine, pericardial and cerebrospinal fluid potassium concentrations in 21 forensic autopsy cases...
November 27, 2016: Forensic Science International
https://www.readbyqxmd.com/read/27916032/-lung-transplantation-for-phase-%C3%A2-silicosis-a-series-of-32-cases
#6
W J Mao, J Y Chen, M F Zheng, R Chen, Y J He, F Liu, S G Ye, R G Lu
Objective: To evaluate the effect of lung transplantation for phase Ⅲ silicosis. Methods: From September 2002 to September 2015, 32 patients with end-stage silicosis underwent lung transplantation at Department of Thoracic Surgery, Affiliated Wuxi People's Hospital, Nanjing Medical University. There were 29 male and 3 female patients aged from 24 to 63 years. Thirty-two patients were diagnosed as phase Ⅲ silicosis by the local occupational disease prevention and control center. Fifteen patients were type Ⅰ respiratory failure and 17 patients were type Ⅱ...
December 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27849133/do-heroin-overdose-patients-require-observation-after-receiving-naloxone
#7
REVIEW
Michael W Willman, David B Liss, Evan S Schwarz, Michael E Mullins
CONTEXT: Heroin use in the US has exploded in recent years, and heroin overdoses requiring naloxone are very common. After awakening, some heroin users refuse further treatment or transport to the hospital. These patients may be at risk for recurrent respiratory depression or pulmonary edema. In those transported to the emergency department, the duration of the observation period is controversial. Additionally, non-medical first responders and lay bystanders can administer naloxone for heroin and opioid overdoses...
February 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/27826118/medical-versus-non-medical-etiology-in-out-of-hospital-cardiac-arrest-changes-in-outcome-in-relation-to-the-revised-utstein-template
#8
A Claesson, T Djarv, P Nordberg, M Ringh, J Hollenberg, C Axelsson, A Ravn-Fischer, A Stromsoe
INTRODUCTION: The Utstein-style recommendations for reporting etiology and outcome in out-of-hospital cardiac arrest (OHCA) from 2004 have recently been revised. Among other etiologies a medical category is now introduced, replacing the cardiac category from Utstein template 2004. AIM: The aim of this study is to describe characteristics and temporal trends from reporting OHCA etiology according to the revised Utstein template 2014 in regards to patient characteristics and 30-day survival rates...
January 2017: Resuscitation
https://www.readbyqxmd.com/read/27547470/loperamide-induced-life-threatening-ventricular-arrhythmia
#9
Ankit Upadhyay, Vijaykumar Bodar, Mohammad Malekzadegan, Sharanjit Singh, William Frumkin, Aditya Mangla, Kaushik Doshi
Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27536057/correlation-between-hertel-exophthalmometric-value-and-refraction-in-young-cameroonian-adults-aged-20-to-40-years
#10
Viola A Dohvoma, Emilienne Epée, Stève R Ebana Mvogo, N Sandra Lietcheu, Côme Ebana Mvogo
PURPOSE: To study the relationship between exophthalmometric value (EV) and refractive error in Cameroonian young adults. PATIENTS AND METHODS: A prospective descriptive study was carried out in the ophthalmic unit of the Yaoundé Central Hospital from March to May 2015. Consenting patients aged 20-40 years with no intraocular pathology who were seen for refractive errors were included. Ocular protrusion was measured using the Hertel exophthalmometer. Automatic refraction was done following cycloplegia with cyclopentolate and tropicamide...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27531209/-after-the-action-t4-regionalized-euthanasia-in-the-g%C3%A3-nzburg-psychiatric-hospital
#11
F Söhner, M V Cranach, H Fangerau, T Becker
BACKGROUND: In Bavarian psychiatric hospitals approximately 15,000 people with mental handicaps and mental illnesses were killed after the so-called Action T4. The Heil- und Pflegeanstalt (psychiatric hospital) Günzburg was a so-called Zwischenanstalt (interim institution). The aim of the study was to analyze its role in carrying out "regionalized euthanasia". METHODS: Based on defined criteria the patient records of deceased patients at the Günzburg Psychiatric Hospital between July 1941 and December 1943 were analyzed to establish whether criteria for "regionalized euthanasia" were fulfilled...
August 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27377019/care-versus-convenience-examining-paracetamol-overdose-in-new-zealand-and-harm-reduction-strategies-through-sale-and-supply
#12
Nadia Freeman, Paul Quigley
AIM: To examine statistics on paracetamol overdose in New Zealand and investigate options to reduce paracetamol overdose rates, through supply reduction strategies. METHOD: Data was gathered from the Ministry of Health's National Minimum Dataset and Wellington Hospital Emergency Department attendances. Twenty articles on supply reduction strategies were sourced through article database searches. A survey on paracetamol availability from online pharmacies within New Zealand was conducted by searching for New Zealand online pharmacies through Google...
October 30, 2015: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27172061/occupational-skin-diseases-from-1997-to-2004-at-the-department-of-dermatology-university-hospital-of-northern-norway-unn-an-investigation-into-the-course-and-treatment-of-occupational-skin-disease-10-15-years-after-first-consultations-with-a-dermatologist
#13
Rosemarie Braun, Lars Kåre Dotterud
OBJECTIVES: We investigate the impact of occupational skin disease consultations among outpatients at the Dermatological Department, University Hospital, Northern Norway. STUDY DESIGN: From 1997 until 2004, 386 patients with occupational skin disease were examined and given advice on skin care, skin disease treatment, skin protection in further work, and on the legal rights of patients with this disease. Ten to fifteen years later, we wanted to look at these patients in terms of their work situation, the current status of their disease, the help they received from the labour offices, and their subjective quality of life...
2016: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/27052445/association-between-sco2-mutation-and-extreme-myopia-in-japanese-patients
#14
Tomotaka Wakazono, Masahiro Miyake, Kenji Yamashiro, Munemitsu Yoshikawa, Nagahisa Yoshimura
PURPOSE: To investigate the role of SCO2 in extreme myopia of Japanese patients. METHODS: In total, 101 Japanese patients with extreme myopia (axial length of ≥30 mm) OU at the Kyoto University Hospital were included in this study. Exon 2 of SCO2 was sequenced by conventional Sanger sequencing. The detected variants were assessed using in silico prediction programs: SIFT, PolyPhen-2 and MutationTaster. To determine the frequency of the mutations in normal subjects, we referred to the 1000 Genomes Project data and the Human Genetic Variation Database (HGVD) in the Human Genetic Variation Browser...
July 2016: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27011675/impact-of-grey-zone-sample-testing-by-enzyme-linked-immunosorbent-assay-in-enhancing-blood-safety-experience-at-a-tertiary-care-hospital-in-north-india
#15
Archana Solanki, Abhay Singh, Rajendra Chaudhary
BACKGROUND: Enzyme-linked immunosorbent assay (ELISA) used for screening blood donors for transfusion transmitted infections (TTIs) can sometimes fail to detect blood donors who are recently infected or possessing the low strength of pathogen. Estimation of a grey zone in ELISA testing and repeat testing of grey zone samples can further help in reducing the risks of TTI in countries where nucleic acid amplification testing for TTIs is not feasible. MATERIALS AND METHODS: Grey zone samples with optical density (OD) lying between cut-off OD and 10% below the cut-off OD (cut-off OD × 0...
January 2016: Asian Journal of Transfusion Science
https://www.readbyqxmd.com/read/27006385/overdose-of-oral-contraceptive-pills-as-a-means-of-intentional-self-poisoning-amongst-young-women-in-sri-lanka-considerations-for-family-planning
#16
Manjula Weerasinghe, Flemming Konradsen, Michael Eddleston, Melissa Pearson, Thilini Agampodi, Frederikke Storm, Suneth Agampodi
OBJECTIVE: Oral contraceptive pills (OCPs) are one of the most popular family planning methods in Sri Lanka. As part of two hospital-based studies on self-harm, the use of OCPs was identified, from yet unpublished results, as a means of intentional self-poisoning. To inform future guidelines for better OCP promotion, this article aims to describe the extent, patient characteristics and outcomes of OCP self-poisoning in the North Central Province of Sri Lanka. METHODS: A secondary analysis was carried out on two hospital-based self-harm case series, from January 2011 to June 2014...
March 22, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/26985247/use-of-sodium-bicarbonate-in-cardiac-arrest-current-guidelines-and-literature-review
#17
REVIEW
Dimitrios Velissaris, Vassilios Karamouzos, Charalampos Pierrakos, Ioanna Koniari, Christina Apostolopoulou, Menelaos Karanikolas
The aim of the review was to summarize the literature over the last 25 years regarding bicarbonate administration in out-of-hospital cardiac arrest. A PubMed search was conducted using the terms "bicarbonates" and "cardiac arrest", limited to human studies and reviews published in English (or at least with a meaningful abstract in English) in the last 25 years. Clinical and experimental data raised questions regarding the safety and effectiveness of sodium bicarbonate (SB) administration during cardiac arrest...
April 2016: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/26980509/italy-and-argentina-compared-an-epidemiological-study-of-occupational-diseases
#18
S De Sio, C Goglia, A Cristaudo, E Pacella, F Romanelli, V Santilli, A Vitarelli, D Mandolesi, F Balladore, H Nieto
BACKGROUND: The research presented in this paper analyses the clinic-pathological manifestations and work-related health risks identified among outpatients treated in the hospitals of Rome and Buenos Aires. MATERIALS AND METHODS: The occupational anamnestic data were collected between 2013 and 2014 through questionnaires with specific items aimed at detecting occupational diseases classified by target organ systems in outpatient clinics of cardiology, dermatology, physical medicine, ophthalmology, orthopedics, endocrinology (thyroid and gonads)...
January 2016: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/26958695/monitored-supplementation-of-vitamin-d-in-preterm-neonates-a-primary-report
#19
Alicja Kołodziejczyk, Maria Katarzyna Borszewska-Kornacka
AIM: To evaluate vitamin D (vitD) monitored therapy effectiveness and safety in preterm neonates. PATIENTS AND METHODS: Our observational study was carried out in 80 neonates born before 33 weeks' gestational age (GA) hospitalized in the Clinical Department of Neonatology and Neonatal and Intensive Care Department Medical University of Warsaw from July 2013 to July 2014. Daily vitamin D oral supplementation was provided from 1 to 3 weeks of age at the dose of 500-1000 IU/24 h...
July 2015: Developmental Period Medicine
https://www.readbyqxmd.com/read/26957344/non-fatal-self-poisoning-across-age-groups-in-sri-lanka
#20
Thilini Rajapakse, Helen Christensen, Sue Cotton, Kathleen Margaret Griffiths
Attempted or non-fatal self-poisoning in common in Sri Lanka, but little is known about variation of psychiatric morbidity and suicidal intent across differing ages. The aim of this study was to investigate factors associated with non-fatal self-poisoning in Sri Lanka across three different age groups (namely 14-24 years, 25-34 years and ≥ 35 years). It was anticipated that the findings of the study would inform and guide development of preventive interventions for non-fatal self-poisoning in this country...
February 2016: Asian Journal of Psychiatry
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