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https://www.readbyqxmd.com/read/29911623/characterization-of-complex-chronic-pain-patients
#1
E-B Hysing, T Gordh, R Karlsten, L Smith
Aims Treatment of the most complex chronic pain patients, often not accepted in regular pain management programs, remains a challenge.To beable todesign interventions for these patients we must know what characterize them. The aim of this study was to characterize a subgroup of pain patients, treated in our in-patient rehabilitation programme, organized at the University Hospital in Uppsala, the only tertiary treatment for pain patients in Sweden. Methods The study was approved by the Regional Ethical Review Board in Uppsala (Dnr 2010/182)...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29908624/vaginoplasty-complications
#2
REVIEW
Cecile A Ferrando
Complications after vaginoplasty surgery for the transgender woman exist. These adverse outcomes can be minor and easily treatable, whereas others are considered major events and require ongoing care. Adverse outcomes can be immediate or remote after surgery and include bleeding, hematoma, infection, delayed wound healing, neovaginal stenosis, visceral injury, and fistula. Patients may also experience pelvic floor disorders after surgery. Providers performing these surgeries and those providers caring for postoperative patients should be aware of the incidence of these complications and the treatment options that exist to manage them...
July 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29907181/a-patient-presents-with-a-history-suggestive-of-potential-elder-abuse
#3
Ghislaine Young
Catherine is an Advanced Nurse Practitioner and runs clinics in primary care where she is qualified to assess and manage patients autonomously. Today Joan, an elderly woman in her mid-80s, attends for a general health check-up. She is hypertensive and has a history of coronary artery disease. Joan is widowed and lives with her only son.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29904455/high-grade-atrioventricular-block-in-von-recklinghausen-disease-a-rare-phenomenon
#4
Glenmore Lasam, Marcelina Lasam
A case of a 73-year-old woman with a history of von Recklinghausen disease (neurofibromatosis type 1) who presented initially with a gradual onset of shortness of breath and lightheadedness with no associated fever, chills, angina, palpitations, cough, weight loss, night sweats, nausea, vomiting, or constipation. She was found to be severely bradycardic and in third degree atrioventricular block by her primary care physician. She was admitted in the hospital because of intermittent bouts of lightheadedness and progression of the shortness of breath...
June 2018: Cardiology Research
https://www.readbyqxmd.com/read/29898786/acute-contrecoup-epidural-hematoma-that-developed-without-skull-fracture-in-two-adults-two-case-reports
#5
Shunpei Andoh, Chie Matsuura, Yuuki Sakaeyama, Shinichi Okonogi, Yasuhiro Node, Hiroyuki Masuda, Kousuke Kondo, Naoyuki Harada, Masaaki Nemoto, Nobuo Sugo
BACKGROUND: The incidence of acute epidural hematoma not accompanied by fracture is low, and it mostly occurs right below the impact point in children. Acute epidural hematoma on the contralateral side of the impact point without fracture is very rare. CASE PRESENTATION: Case 1: a 52-year-old Japanese woman fell and was bruised in the left occipital region, and acute epidural hematoma developed in the right frontal region. No fracture line was observed in the right frontal region on head computed tomography or during surgery, and the source of bleeding was the middle meningeal artery...
June 14, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29897485/severe-underestimation-of-serum-na-following-ivig-treatment
#6
Mrigender S Virk, Nathan P Dean, Edward C C Wong
Current chemistry analyzers measure ion concentration using ion- selective electrodes; however, may differ in the specific technology at the bedside versus the central laboratory. Instruments utilized for point-of-care testing (POCT) at the bedside use direct ion-selective electrodes, whereas central-laboratory analyzers use indirect ion-selective electrodes. Under most circumstances, these instruments will deliver the same result; however, various substances can cause interferences in one or the other. An 18-year-old Hispanic woman with a history of immune thrombocytopenic purpura (ITP) presented at Children's National Medical Center (CNMC) with a severe headache and required intravenous immunoglobulin (IVIG) therapy...
June 12, 2018: Laboratory Medicine
https://www.readbyqxmd.com/read/29895718/impact-of-prematurity-for-pancreatic-islet-and-beta-cell-development
#7
Frank H Bloomfield
As increasing numbers of babies born preterm survive into adulthood, it is becoming clear that, in addition to the well-described risks of neurodevelopmental sequelae, there also are increased risks for non-communicable diseases, including diabetes. Epidemiological studies indicate that risks are increased even for birth at late preterm and early term gestations and for both type 1 and type 2 diabetes. Thus, factors related to preterm birth likely affect development of the fetal and neonatal beta-cell in addition to effects on peripheral insulin sensitivity...
June 12, 2018: Journal of Endocrinology
https://www.readbyqxmd.com/read/29892993/pre-pregnancy-weight-loss-in-women-with-obesity-requesting-removal-of-their-intra-uterine-contraceptive-device-in-order-to-conceive-a-pilot-study-of-full-meal-replacement
#8
L Brackenridge, N Finer, R L Batterham, K Pedram, T Ding, J Stephenson, J Barry, P Hardiman
Obesity during pregnancy is associated with increased risks of thromboembolism, gestational diabetes, pre-eclampsia, miscarriage, congenital anomaly, macrosomia and stillbirth. The current practice, directed at reducing gestational weight gain, is largely ineffective. The present pilot study was designed to assess the acceptability of a 24-week intensive weight management programme (IWMP; full meal replacement followed by partial meal replacement and weight stabilization) to achieve weight loss for women with obesity requesting removal of their intra-uterine contraceptive device in order to conceive...
June 11, 2018: Clinical Obesity
https://www.readbyqxmd.com/read/29891510/acute-hepatitis-e-superinfection-leading-to-chronic-hepatitis-b-reactivation
#9
Aysha Aslam, Ammu Susheela, Sentia Iriana, Suzanne S Chan, Daryl Lau
Reactivation of chronic hepatitis B (CHB) can be associated with significant morbidity and mortality. There are many different causes of hepatitis B reactivation. This case describes an Asian woman with stable CHB presenting with significant hepatitis flare with markedly elevated serum aminotransferases and hepatitis B virus DNA level. The clinical symptoms were subtle with fatigue and vague right upper quadrant tenderness. We ruled out drug-associated hepatotoxicity and screened for common causes of acute hepatitis...
June 10, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29891177/venous-thromboembolism-after-induced-abortion-a-population-based-propensity-score-matched-cohort-study-in-canada
#10
Ning Liu, Simone N Vigod, M Michèle Farrugia, Marcelo L Urquia, Joel G Ray
BACKGROUND: A woman's risk of venous thromboembolism during pregnancy is estimated to be two-to-six times higher than her risk when she is not pregnant. Such risk estimates are largely based on pregnancies that result in delivery of a newborn baby; no estimates exist for the risk of venous thromboembolism after induced abortion, another common pregnancy outcome. To fill this knowledge gap, we aimed to assess the risk of venous thromboembolism in women whose first pregnancy ended with induced abortion...
June 8, 2018: Lancet Haematology
https://www.readbyqxmd.com/read/29882455/women-s-perceptions-of-the-adoption-of-personalised-risk-based-breast-cancer-screening-and-primary-prevention-a-systematic-review
#11
Linda Rainey, Daniëlle van der Waal, Yvonne Wengström, Anna Jervaeus, Mireille J M Broeders
INTRODUCTION: Increased knowledge of breast cancer risk factors may enable a paradigm shift from the current age-based mammographic screening programmes to a personalised risk-based approach. This would warrant a significant change in practice, yet the acceptability from a woman's perspective has never been systematically explored. In this systematic review, we inventoried and appraised studies of women's perceptions of risk-based breast cancer screening and prevention to identify factors associated with adopting this new paradigm...
June 8, 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29880370/endovascular-treatment-for-very-early-hepatic-artery-stenosis-following-living-donor-liver-transplantation-report-of-two-cases
#12
Y Goto, N Shirahama, S Sasaki, R Kawahara, H Sakai, H Ishikawa, T Hisaka, T Ogata, M Yasunaga, Y Akagi, H Tanaka, K Okuda
BACKGROUND: Some literature has reported on endovascular treatment for very early hepatic artery stenosis (HAS; within 2 weeks after liver transplantation, and has deemed endovascular treatment to be a contraindication because out of serious complications associated with the procedure. We report on 2 cases of very early HAS successfully treated with endovascular treatment after living-donor liver transplantation (LDLT). CASE 1: A 54-year-old woman underwent LDLT with a left liver graft...
June 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29880181/rare-case-of-undifferentiated-uterine-sarcoma-with-neuroectodermal-differentiation-and-osteoclast-like-giant-cells
#13
Chiu-Hsuan Cheng, Borcherng Su, Dah-Ching Ding
OBJECTIVE: We describe the first case of a rare undifferentiated uterine sarcoma exhibiting both neuroectodermal differentiation and osteoclast-like giant cells, and elaborate its morphology. CASE REPORT: A 54-year-old woman presented with suprapubic pain, frequent urination, and perimenopausal abnormal vaginal bleeding. Computed tomography revealed a large heterogeneous uterine mass and multiple lung nodules. She received a staging surgery. The tumor pathology examination revealed an undifferentiated uterine sarcoma (UUS) with neuroectodermal differentiation and osteoclast-like giant cells (OGCs)...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29880177/mechanical-induction-of-labor-and-ecbolic-less-vaginal-birth-after-cesarean-section-a-cohort-study
#14
Hytham Atia, Mohamed Ellaithy, Ahmed Altraigey, Mohamed Kolkailah, Amal Alserehi, Shabana Ashfaq
OBJECTIVE: During delivery counseling, some women with previous uncomplicated cesarean section (CS) wish mechanical induction of labor (IOL) but they are not accepting the added risk of using ecbolics to induce and/or augment labor. The objective of the study was to assess the safety and efficacy of the isolated use of transcervical Foley's catheter balloon as a mean of mechanical cervical ripening (CR)/IOL and successful ecbolic-less vaginal birth after cesarean section (VBAC). MATERIALS AND METHODS: A cohort study was conducted in two tertiary care maternity hospitals between October 2013 and July 2016 and recruited women with singleton pregnancy and cephalic presentation who had previous one uncomplicated CS and were scheduled for mechanical CR/IOL at term for routine obstetric indications...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29879992/determinants-of-antenatal-care-attendance-among-women-residing-in-highly-disadvantaged-communities-in-northern-jordan-a-cross-sectional-study
#15
Heba H Hijazi, Mohammad S Alyahya, Amer M Sindiani, Rola S Saqan, Abdulhakeem M Okour
BACKGROUND: One of the major reproductive health challenges among disadvantaged populations is to provide pregnant women with the necessary antenatal care (ANC). In this study, we suggest applying an integrated conceptual framework aimed at ascertaining the extent to which attendance at ANC clinics may be attributed to individual determinants or to the quality of the care received. METHODS: Using a cross-sectional design, data were collected from a sample of 831 women residing in nine sub-districts in three northern governorates of Jordan and designated according to national categorization as persistent poverty pockets...
June 7, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29879077/metastasizing-pleomorphic-adenoma-in-the-multiple-organs-a-case-report-on-fdg-pet-ct-imaging
#16
Masamichi Koyama, Takashi Terauchi, Mitsuru Koizumi, Hiroko Tanaka, Yukiko Sato
RATIONALE: Pleomorphic adenoma, the most common tumor of the salivary glands, is usually benign. It is well known, however, that pleomorphic adenomas occasionally undergo malignant transformation to carcinoma ex pleomorphic adenoma and can metastasize. More rarely pleomorphic adenomas can metastasize without histological malignant transformation. We herein report an unusual case of pleomorphic adenoma with multiple metastases comprehensively demonstrated on F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT)...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29877979/dog-attack-causing-lip-wound
#17
Gabriela Vasconcelos Maia, Amanda Lobão de Albuquerque, Talyne Albuquerque Ximenes, Tibério Gomes Magalhães, Abrahão Cavalcante Gomes de Souza Carvalho
Animal bites are relatively common occurrences reaching about 4.5 millions of people every year. The main aggressor is the domesticated dog, responsible for around 90% of the patients, with children being the most affected, with 70% of the registered patients, while with adults that number is a lot lower (15%). Bites around the head and neck require special attention. Due to the presence of noble structures and the rich local vascularization, any wounds have been immediately addressed to stop bleeding and further complications...
June 5, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29877894/vulvar-tuberculosis-cutis-orificialis-concomitant-to-pulmonary-tuberculosis-a-case-report
#18
Mayara Oliveira, Clarissa Vita-Campos, Thiago Jeunon
Tuberculosis (TB) is a common condition with increasing incidence worldwide. Cutaneous TB represents a small portion of extrapulmonary TB. Health care professionals must be aware of cutaneous forms of TB to avoid delay in diagnosis and treatment. We present a case of a 59-year-old woman with vulvar TB cutis orificialis in association with pulmonary TB without any other involvement of genitourinary system. We discuss epidemiological aspects, classification, treatment, range of histopathological patterns, and use of ancillary techniques for diagnosis...
May 30, 2018: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29877256/takotsubo-cardiomyopathy-in-a-patient-with-previously-undiagnosed-hypertrophic-cardiomyopathy-with-latent-obstruction
#19
Kentaro Arakawa, Toshikazu Gondo, Kensuke Matsushita, Hideo Himeno, Kazuo Kimura, Kouichi Tamura
A 62-year-old woman with takotsubo cardiomyopathy (TCM) accompanied by cardiogenic shock due to the obstruction of left ventricular outflow tract (LVOT) and massive mitral regurgitation (MR) was admitted to the emergency department. After successful treatment with intensive care, dobutamine stress-echocardiography (DSE) was performed, which showed a dynamic LVOT gradient, severe MR and cardiogenic shock. A histological examination obtained from the right ventricular septum demonstrated hypertrophied and bizarre myocytes, with myocyte disarray...
June 6, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29874705/maternal-confidence-for-physiologic-childbirth-a-concept-analysis
#20
REVIEW
Carrie E Neerland
INTRODUCTION: Confidence is a term often used in research literature and consumer media in relation to birth, but maternal confidence has not been clearly defined, especially as it relates to physiologic labor and birth. The aim of this concept analysis was to define maternal confidence in the context of physiologic labor and childbirth. METHODS: Rodgers' evolutionary method was used to identify attributes, antecedents, and consequences of maternal confidence for physiologic birth...
June 6, 2018: Journal of Midwifery & Women's Health
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