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Charlie M Wray, Hyung J Cho
No abstract text is available yet for this article.
June 19, 2018: Annals of Internal Medicine
Zaid Al-Qurayshi, Sudesh Srivastav, Alun Wang, Erin Boh, John Hamner, Mohamed Hassan, Emad Kandil
OBJECTIVE: In this study, we aimed to examine the association of demographic and socioeconomic factors with cutaneous melanoma that required admission. METHODS: A cross-sectional study utilizing the Nationwide Inpatient Sample database, 2003-2009, was merged with County Health Rankings Data. RESULTS: A total of 2,765 discharge -records were included. Men were more likely to have melanoma in the head, neck, and trunk regions (p < 0.001), while extremities melanoma was more common in women (p < 0...
June 18, 2018: Oncology
Aziz Ahmad hamİdİ, Beray Gelmez taŞ, Alper GÜndÜz, Safiye Nur Çelebİ, Elif Serap Esen, Dilek Toprak, İlyas DÖkmetaŞ
The safety of vaccines, access to health care, the level of community's knowledge and the attention of physicians play a critical role in the rate of adult vaccination. This study aims to determine the immunization rate of pneumococcal, influenza and tetanus vaccines among the patients and their knowledge and attitudes in the hospital. The study is a cross-sectional point prevalence survey. The patients who agreed to participate in the study were interviewed using a questionnaire. Patients' gender, occupation, educational status, income level and risk factors (immunosuppressed and over 65 years old) were compared with the knowledge and attitudes about vaccinations...
June 18, 2018: Human Vaccines & Immunotherapeutics
R David Hayward, Mary M Fessler, Joseph Buck, Richard D Fessler
INTRODUCTION: Studies have shown an increased risk of traumatic brain injury (TBI) for individuals who suffer an initial TBI. The current study hypothesized that individuals with recurrent neurotrauma would originate from populations considered 'vulnerable', i.e. low income and/or with psychiatric comorbidities. METHODS: Data from the Michigan State Inpatient Database from 2006 to 2014 for the Detroit metropolitan area enlisted a study population of 50 744 patients with neurotrauma...
June 18, 2018: Brain Injury: [BI]
Ting Ji, Xueliang Li, Xiangcheng Zhang, Liangliang Hui, Futai Shang, Xingxing Zhu, Lili Guo, Yiming Xu
BACKGROUND: Computed tomography-measured visceral adipose tissue (VAT) and the distribution of VAT are highly correlated with the severity and prognosis of acute pancreatitis (AP). To date, all available data are from the overall AP patient population; no subgroup analysis has been conducted to evaluate patients with moderately severe AP or patients with hyperlipidemia acute pancreatitis (HLAP) as independent populations. Currently, studies on the relationship between VAT and HLAP are lacking...
June 16, 2018: Journal of Clinical Gastroenterology
Fatma Erden, Erol Rauf Agis, Meside Gunduzoz, Omer Hinc Yilmaz
Background Fixed drug eruptions (FDE) are characterized by recurrent, usually solitary erythematous or dark red macular, plaque or bullous lesions, all at the same site. Among the first choices for antidotal treatment in mercury exposure, 2,3-dimercapto-1-propanesulfonic acid (DMPS) is generally a drug with a low incidence of side effects. FDE due to DMPS was not detected in our literature research and so we aimed to present this rare case. Case Report Forty-eight-year-old male patient, gunpowder and explosives factory worker, was admitted to our hospital because of mercury exposure and we started DMPS treatment...
June 18, 2018: Acta Clinica Belgica
Leonardo Pellicciari, Daniele Piscitelli, Serena Caselli, Fabio La Porta
PURPOSE: The Conley Scale (CS) is a widely used tool for assessing the risk of falling for inpatients. The purpose of this study was to assess its unidimensionality, internal construct validity, targeting and reliability using Confirmatory Factor Analysis (CFA) and Rasch analysis (RA). METHODS: The CS was administrated to a sample of 58,370 subjects admitted to a general hospital. RESULTS: The CFA supported the unidimensionality of the CS (Root Mean Square Error of Approximation (RMSEA) = 0...
June 18, 2018: Disability and Rehabilitation
Dina Watterson, Kerrie Walter, Lisa O'Brien, Desiree Terrill, Kathleen Philip, Indi Swan, Lisa Somerville
Objective: To explore cost-efficiency, safety and acceptability of trans-disciplinary advanced allied health (AH) practitioners for acute adult general medicine inpatients. Design: Quasi-experimental feasibility study. Setting: Three acute general medical units in an Australian urban hospital. Participants: Two hundred and fifty-six acute hospital inpatients. Main Outcome Measures: Cost-efficiency measures included AH service utilization and length of stay (LOS)...
June 15, 2018: International Journal for Quality in Health Care
Mario Vitali, Francesca Sorbo, Martino Mistretta, Bruna Scalese, Raffaella Porrari, Domenica Galli, Giovanna Coriale, Claudia Rotondo, Simona Solombrino, Maria Luisa Attilia
RIASSUNTO. Il termine "doppia diagnosi" è entrato da anni a far parte del lessico clinico ma la complessità riguardo questi quadri clinici caratterizzati dalla compresenza di un disturbo psichiatrico e di un disturbo da uso di sostanze (nel nostro caso, da alcol) è ancora molta. Nonostante sia dimostrato che nella sola popolazione affetta da abuso di alcol (DUA) il 50,3% dei soggetti abbia avuto un concomitante disturbo psichiatrico nell'arco di vita, a oggi non vi sono linee-guida esaustive per la gestione di questi casi...
May 2018: Rivista di Psichiatria
Mario Vitali, Francesca Sorbo, Martino Mistretta, Giovanna Coriale, Marisa Patrizia Messina, Giovanni Alessandrini, Fabio Attilia, Claudia Rotondo, Simona Gencarelli, Roberta Ledda, Domenica Galli, Mauro Ceccanti
RIASSUNTO. Introduzione. La tutela della salute mentale in Italia, dopo la Legge Basaglia del 1978, è caratterizzata da trattamenti (di norma volontari) erogati da servizi centrati sulla comunità, che hanno allargato gli interventi al contesto di vita dell'individuo, alla sua rete di appartenenza e ai gruppi sociali di riferimento. La doppia diagnosi è definita dall'OMS come la «coesistenza nel medesimo individuo di un disturbo dovuto al consumo di sostanze psicoattive e di un altro disturbo psichiatrico»...
May 2018: Rivista di Psichiatria
Yusuke Okubo, Nobuaki Michihata, Naho Morisaki, Koichi Yoshida, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
BACKGROUND: The benefits of glucocorticoid treatment and recent trends of adjunctive treatments during episodes of anaphylaxis remain unclear. OBJECTIVES: The aims of this study were to investigate the recent practice patterns and compare the effects of glucocorticoid for children hospitalized with anaphylaxis. METHODS: Using the Japanese Diagnosis Procedure Combination inpatient database, we compared the length of hospital stay, risk of 10-day readmission, and total hospitalization cost between the steroid and nonsteroid groups...
June 14, 2018: Pediatric Emergency Care
Vicki A Morrison, Jill A Bell, Laurie Hamilton, Augustina Ogbonnaya, Huai-Che Shih, Kristin Hennenfent, Michael Eaddy, Yaping Shou, Aaron Galaznik
AIM: Evaluate healthcare costs and utilization of treated diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL) patients. MATERIALS & METHODS: Adults with newly diagnosed DLBCL and FL between 1 January 2008 and 31 October 2015 were identified in the Optum™ claims database. Healthcare costs and utilization were assessed from diagnosis date until end of follow-up. RESULTS: A total of 1267 DLBCL- and 1595 FL-treated patients were identified...
June 18, 2018: Future Oncology
Naoki Misumida, Gbolahan O Ogunbayo, Sun Moon Kim, Ahmed Abdel-Latif, Khaled M Ziada, Vincent L Sorrell
Takotsubo cardiomyopathy (TC) is definitively diagnosed following the exclusion of acute coronary syndrome. We aimed to examine the rate of coronary angiography in patients diagnosed with TC and also the outcome of patients with TC diagnosed with or without coronary angiography. We analyzed the National Inpatient Sample database from 2010 to 2014 and identified patients hospitalized with a primary diagnosis of TC. We compared in-hospital mortality between patients who underwent coronary angiography and those who did not...
January 1, 2018: Angiology
Alan Zakko, Paul T Kroner, Rooma Nankani, Raffi Karagozian
Aim: To determine the impact of obesity on development of portal vein thrombosis in cirrhotic patients. Background: Cirrhosis is a known risk factor for portal vein thrombosis (PVT). Evidence also points to obesity as being a risk factor for venous thromboembolism. Limited information is available on how obesity impacts the development of PVT in cirrhotic patients. Methods: This was a retrospective cohort study using the 2013 National Inpatient Sample...
2018: Gastroenterology and Hepatology From Bed to Bench
Sebastian Euler, Johannes Wrege, Mareike Busmann, Hannah J Lindenmeyer, Daniel Sollberger, Undine E Lang, Jens Gaab, Marc Walter
Interpersonal sensitivity, particularly threat of potential exclusion, is a critical condition in borderline personality disorder (BPD) which impairs patients' social adjustment. Current evidence-based treatments include group components, such as mentalization-based group therapy (MBT-G), in order to improve interpersonal functioning. These treatments additionally focus on the therapeutic alliance since it was discovered to be a robust predictor of treatment outcome. However, alliance is a multidimensional factor of group therapy, which includes the fellow patients, and may thus be negatively affected by the exclusion-proneness of BPD patients...
2018: Frontiers in Psychology
Ryuichi Hirano, Yuichi Sakamoto, Junichi Kitazawa, Shoji Yamamoto, Hiroyuki Kayaba
Background: Candidemia is associated with high mortality, and its prognostic factors need to be examined in more detail in order to improve its management. A case of breakthrough (BT) candidemia is defined as the development of candidemia during antifungal therapy. The microbiological characteristics of and appropriate clinical practices for BT candidemia remain unclear. Objectives: The primary objective of the present study was to identify the prognostic factors of candidemia, while the secondary objective was to elucidate the microbiological characteristics of patients with BT candidemia...
2018: Infection and Drug Resistance
Sylvia Becker-Dreps, Anne M Butler, Leah J McGrath, Kim A Boggess, David J Weber, Dongmei Li, Michael G Hudgens, J Bradley Layton
INTRODUCTION: It is recommended that all pregnant women in the U.S. receive tetanus, diphtheria, acellular pertussis (Tdap) immunization to prevent infant pertussis. This study's objective was to examine the clinical effectiveness of prenatal Tdap, and whether effectiveness varies by gestational age at immunization. METHODS: A nationwide cohort study of pregnant women with deliveries in 2010-2014 and their infants was performed. Commercial insurance claims data were analyzed in 2016-2017 to identify Tdap receipt by the pregnant women, and hospitalizations and outpatient visits for pertussis in their infants until the infants reached 18 months of age...
June 11, 2018: American Journal of Preventive Medicine
Amitabh Thacoor, Muholan Kanapathy, Jana Torres-Grau, Jagdeep Chana
BACKGROUND: The deep inferior epigastric perforator (DIEP) flap is widely regarded as the Gold Standard in autologous breast reconstruction. Although drain-free abdominoplasty is performed in many centres, there is a paucity of evidence comparing outcomes when applied to DIEP breast reconstruction. METHOD: A retrospective review of patients who underwent DIEP breast reconstruction without abdominal drain insertion at Royal Free Hospital between Jan 2012-Nov 2016 was undertaken...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Andrzej Jakubczyk, Elisa M Trucco, Maciej Kopera, Paweł Kobyliński, Hubert Suszek, Sylwia Fudalej, Kirk J Brower, Marcin Wojnar
Emotion dysregulation and impulsivity are important factors influencing the development and course of alcohol dependence. However, few empirical studies investigate the association between different aspects of impulsivity (cognitive, attentional, behavioral), emotion regulation, and alcohol use disorder symptoms in the same model. The goal of this study was to assess the association between emotion regulation and different facets of impulsivity among patients with an alcohol use disorder and healthy controls...
August 2018: Journal of Substance Abuse Treatment
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