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https://www.readbyqxmd.com/read/28730379/vaccine-effectiveness-against-influenza-in-2015-16-in-hospital-and-ambulatory-medical-care-facilities-polish-results-of-the-european-i-move-multicenter-study
#1
Iwona Paradowska-Stankiewicz, Monika R Korczyńska, Katarzyna Cieślak, Dorota Kowalczyk, Karol Szymański, Lidia B Brydak
Influenza vaccination is the best measure available to prevent seasonal influenza infection. The majority of studies on vaccine effectiveness in the 2015/16 season conducted in the European I-MOVE+ Project, show that a match between the circulating influenza strains in the general public and those included in the vaccine for the Northern Hemisphere was low to moderate. As part of I-MOVE+, Poland has implemented a case control negative study design and molecular biology methods, such as real time RT-PCR, to assess the vaccine match and effectiveness...
July 21, 2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28723785/asymptomatic-congenital-tuberculosis-a-case-report
#2
Patrick M Meyer Sauteur, Ewerton Marques-Maggio, Christa Relly, Peter M Keller, Christian F Clarenbach, Christoph Berger
RATIONALE: Congenital tuberculosis (TB) is described as a rare, but severe disease. In contrast to the cases with severe symptoms reported so far, we describe a child with asymptomatic congenital TB. PATIENT CONCERNS: An 8-week-old girl was investigated because of newly diagnosed TB in her mother, which complained about cough since 21 weeks gestation. Lung biopsy tissue specimens of the mother revealed necrotizing granuloma with a single acid-fast bacillus (AFB) and Mycobacterium tuberculosis (MTB) was detected by polymerase chain reaction...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28715513/percutaneous-endovascular-treatment-of-infrainguinal-paod-results-of-the-psi-register-study-in-74%C3%A2-german-vascular-centers
#3
C-A Behrendt, F Heidemann, K Haustein, R T Grundmann, E S Debus
BACKGROUND: The percutaneous infrainguinal stent (PSI) register study aimed to collate all percutaneous endovascular procedures for infrainguinal peripheral arterial occlusive disease (PAOD) conducted in 74 German vascular centers between September and November 2015 (3 months). In order to obtain representative results all consecutive treatment procedures had to be submitted by the participating trial centers. MATERIAL AND METHODS: This was a prospective, nonrandomized multicenter study design...
2017: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/28708753/effectiveness-of-preoperative-intranasal-dexmedetomidine-compared-with-oral-midazolam-for-the-prevention-of-emergence-delirium-in-the-pediatric-patient-undergoing-general-anesthesia-a-systematic-review
#4
James FitzSimons, Laura S Bonanno, Stephanie Pierce, Jennifer Badeaux
BACKGROUND: Emergence delirium is defined as a cognitive disturbance during emergence from general anesthesia resulting in hallucinations, delusions and confusion manifested by agitation, restlessness, involuntary physical movement and extreme flailing in bed. Postoperative emergence delirium develops in 12% to 18% of all children undergoing general anesthesia for surgery. This post-anesthetic phenomenon changes cognitive and psychomotor behavior, and puts pediatric patients and health care personnel at risk of injury...
July 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28699565/household-costs-of-dengue-illness-secondary-outcomes-from-a-randomised-controlled-trial-of-dengue-prevention-in-guerrero-state-mexico
#5
José Legorreta-Soberanis, Sergio Paredes-Solís, Arcadio Morales-Pérez, Elizabeth Nava-Aguilera, Felipe René Serrano-de Los Santos, Diana Lisseth Dimas-Garcia, Robert J Ledogar, Anne Cockcroft, Neil Andersson
BACKGROUND: Dengue is a serious public health problem with an important economic impact. This study used data from a cluster randomised controlled trial of community mobilisation for dengue prevention to estimate the household costs of treatment of dengue illness. It examined the economic impact of the trial intervention in the three coastal regions of Mexico's Guerrero State. METHODS: The 2010 baseline survey covered households in a random sample of 90 clusters in the coastal regions; the clusters were randomly allocated to intervention or control and re-surveyed in 2012...
May 30, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28699016/position-related-renal-perfusion-disturbances-as-a-possible-underestimated-mechanism-in-patients-with-resistant-hypertension-a-case-vignette
#6
Jan Schiefer, Holger Amthauer, Philipp Genseke, Peter R Mertens, Christos Chatzikyrkou
PURPOSE: In patients with resistant hypertension and large blood pressure fluctuations, the role of orthostatic hypertension, associated with position-dependent renal perfusion disturbances, has not been investigated in detail yet. METHODS: In this regard, four patients from our outpatient clinic were investigated by the use of 24-h ambulatory blood pressure monitoring (ABPM), active standing test, renal duplex sonography and Tc99m-mercaptoacetyltriglycine [MAG3] renal scintigraphy in supine and upright position...
July 11, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28694616/reoperation-in-spinal-dysraphism-does-it-help-in-reversing-the-neurological-deficits
#7
Praful Suresh Maste, Yadhu Kasetti Lokanath, Shambhulingappa S Mahantshetti
AIMS: After initial primary repair by inexperienced hands for the spectrum of pathological conditions in spinal dysraphism (SD), a few percentage of patients present with recurrent symptoms and worsening neurological status especially when primarily pathology is not identified and dealt properly. When the primary intradural tethering element is left untouched, worsening of symptoms is common. In this retrospective study, we tried to analyze the symptomatology, functional outcome at 1-2 months after the second surgery and associated complications...
July 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28680175/outcome-after-discontinuation-of-proton-pump-inhibitors-at-a-residential-care-site-quality-improvement-project
#8
Candy Lee, Anita Lo, Kiran Ubhi, Michael Milewski
BACKGROUND: Increased prescribing of proton pump inhibitors (PPIs) in the past few decades can be attributed mainly to long-term use of this type of therapy. Recent evidence indicates signals of harm associated with long-term use of PPIs, such as increased risk of Clostridium difficile infection, recurrence of C. difficile infection, and fracture. A few studies have assessed the effectiveness of step-down management of patients receiving long-term PPI therapy in ambulatory care settings...
May 2017: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/28679915/medications-related-emergency-admissions-causes-and-recommendations
#9
Namareq Aldardeer, Nabila Benslimane, Mohamed Khalifa
Adverse drug events could require a patient to visit the emergency department, many of these visits lead to hospital admissions. A retrospective study, October 2015 to March 2016, examined the severity and factors contributing to medications related emergency visits leading to admissions at King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. Out of 698 reviewed patients, 92 were medications related admissions. Adverse drug reactions were the primary cause (46.7%), drug prescribing (30...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28678983/prevalence-and-characteristics-of-nonblanching-palpable-skin-lesions-with-a-linear-pattern-in-children-with-henoch-sch%C3%A3-nlein-syndrome
#10
Gregorio P Milani, Sebastiano A G Lava, Vera Ramelli, Mario G Bianchetti
Importance: Linear nonblanching skin lesions are thought to occur very rarely in patients with Henoch-Schönlein syndrome. Objective: To examine the prevalence and characteristics of linear nonblanching skin lesions in children with Henoch-Schönlein syndrome. Design, Setting, and Participants: A prospective case series was conducted at the ambulatory practice of a hospitalist between January 1, 2010, and December 31, 2015, among 31 consecutive children with Henoch-Schönlein syndrome...
July 5, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28665089/post-traumatic-tension-pneumocephalus-the-mount-fuji-sign
#11
J Ryan, G Shields, E Finegan, A Moughty
Pneumocephalus is defined as the presence of intracranial air. This is most commonly secondary to a traumatic head injury. Tension pneumocephalus presents radiologically with compression of the frontal lobes and widening of the interhemispheric space between the frontal lobes. It is often termed the Mount Fuji sign due to a perceived similarity with an iconic mountain peak in Japan. We present the case of a 52-year-old gentleman who presented to the emergency department shortly before 8am on a Saturday morning following an assault...
April 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28660320/acceptance-of-ambulatory-laparoscopic-cholecystectomy-in-central-switzerland
#12
Sandra P Widjaja, Henning Fischer, Alexander R Brunner, Philipp Honigmann, Jürg Metzger
BACKGROUND: Currently, most patients undergoing laparoscopic cholecystectomy (LC) in Switzerland are inpatients for 2-3 days. Due to a lack of available hospital beds, we asked whether day-case surgery would be an option for patients in central Switzerland. The questions of acceptability of outpatient LC and factors contributing to the acceptability thus arose. METHODS: Hundred patients suffering from symptomatic cholecystolithiasis, capable of communicating in German, and between 18 and 65 years old, were included...
June 28, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28660107/optimal-timing-of-surgery-for-intramedullary-cavernous-hemangioma-of-the-spinal-cord-in-relation-to-preoperative-motor-paresis-disease-duration-and-tumor-volume-and-location
#13
Shiro Imagama, Zenya Ito, Kei Ando, Kazuyoshi Kobayashi, Tetsuro Hida, Kenyu Ito, Mikito Tsushima, Yoshimoto Ishikawa, Akiyuki Matsumoto, Masayoshi Morozumi, Satoshi Tanaka, Masaaki Machino, Kyotaro Ota, Hiroaki Nakashima, Norimitsu Wakao, Yoshihito Sakai, Yukihiro Matsuyama, Naoki Ishiguro
STUDY DESIGN: Prospective study. OBJECTIVE: Investigate factors associated with preoperative motor paresis, recovery, ambulatory status, and intraoperative neurophysiological monitoring (IONM) among patients with no preoperative paresis (N group), complete preoperative motor recovery (CR group), and no complete recovery (NCR group) in patients with intramedullary spinal cavernous hemangioma to determine the optimal timing of surgery. METHODS: The study evaluated 41 surgical cases in our institute...
May 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28659116/cardiac-care-for-indigenous-australians-practical-considerations-from-a-clinical-perspective
#14
Warren F Walsh, Nadarajah Kangaharan
Indigenous Australians have a much high burden of cardiovascular disease, which occurs at an earlier age than in the non-Indigenous population. Comorbidities such as diabetes are common. Early diagnosis of ischaemic heart disease may be difficult because of barriers such as distance to medical centres, communication problems and family and cultural responsibilities. Disparities in cardiac care between Indigenous and non-Indigenous populations are well documented, with examples including reduced angiography and revascularisation rates in Indigenous patients...
July 3, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28655526/agreement-between-electronic-medical-records-and-self-reported-urologic-domains-in-the-national-spina-bifida-patient-registry-nsbpr-implications-for-future-research
#15
Christopher G Halline, Theresa Meyer, Ilina Rosoklija, Elizabeth B Yerkes
BACKGROUND: Self-report (SR) is an efficient data collection method. However, SR data have been shown to be discrepant with medical record (MR) documentation, which raises questions about using SR to supplement retrospective chart review in research. In this study, pediatric spina bifida (SB) patients who completed SR interviews about continence status and personal bladder/bowel management were identified. We examined agreement between SR data and Urology provider notes in MRs. OBJECTIVE: This study aimed to (1) identify demographic, medical, or methodological factors that might contribute to SR/MR disagreement; (2) postulate how these findings might be significant clinically; and (3) recommend improvements to SR data collection and MR documentation...
June 15, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28655085/-effects-of-robot-assisted-minimally-invasive-transforaminal-lumbar-interbody-fusion-and-traditional-open-surgery-in-the-treatment-of-lumbar-spondylolisthesis
#16
G Y Cui, W Tian, D He, Y G Xing, B Liu, Q Yuan, Y Q Wang, Y Q Sun
Objective: To compare the clinical effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion (TLIF) and traditional open TLIF in the treatment of lumbar spondylolisthesis. Methods: A total of 41 patients with lumbar spondylolisthesis accepted surgical treatment in Department of Spinal Surgery of Beijing Jishuitan Hospital From July 2015 to April 2016 were retrospectively analyzed. There were 16 cases accepted robot-assisted minimally invasive TLIF and 25 accepted traditional open TLIF...
July 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28652835/a-randomized-controlled-trial-to-validate-the-alice-pdx-ambulatory-device
#17
Georg Nilius, Ulrike Domanski, Maik Schroeder, Karl-Josef Franke, Anke Hogrebe, Laurent Margarit, Maria Stoica, Marie-Pia d'Ortho
BACKGROUND: Obstructive sleep apnea (OSA) is a highly prevalent condition; however, the majority of patients remain undiagnosed. There is a potential to expand the diagnostic capacity of sleep laboratories. The study objective was to validate a portable respiratory monitoring device (Alice PDX) against polysomnography (PSG) in the laboratory and to assess its reliability at home. METHODS: A total of 85 patients with suspected OSA (80% male, mean age 49.1±13.5 years, body mass index 29...
2017: Nature and Science of Sleep
https://www.readbyqxmd.com/read/28651738/gross-motor-function-change-after-multilevel-soft-tissue-release-in-children-with-cerebral-palsy
#18
Chia-Hsieh Chang, Yu-Ying Chen, Kuo-Kuang Yeh, Chia-Ling Chen
BACKGROUND: Improving motor function is a major goal of therapy for children with cerebral palsy (CP). However, changes in motor function after orthopedic surgery for gait disorders are seldom discussed. This study aimed to evaluate the postoperative changes in gross motor function and to investigate the prognostic factors for such changes. METHODS: We prospectively studied 25 children with CP (4-12 years) who were gross motor function classification system (GMFCS) level II to IV and and underwent bilateral multilevel soft-tissue release for knee flexion gait...
June 2017: Biomedical Journal
https://www.readbyqxmd.com/read/28651587/acsc-indicator-testing-reliability-for-hypertension
#19
Robin L Walker, William A Ghali, Guanmin Chen, Tej K Khalsa, Birinder K Mangat, Norm R C Campbell, Elijah Dixon, Doreen Rabi, Nathalie Jette, Robyn Dhanoa, Hude Quan
BACKGROUND: With high-quality community-based primary care, hospitalizations for ambulatory care sensitive conditions (ACSC) are considered avoidable. The purpose of this study was to test the inter-physician reliability of judgments of avoidable hospitalizations for one ACSC, uncomplicated hypertension, derived from medical chart review. METHODS: We applied the Canadian Institute for Health Information's case definition to obtain a random sample of patients who had an ACSC hospitalization for uncomplicated hypertension in Calgary, Alberta...
June 26, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28648494/characteristics-and-prevalence-of-wilson-s-disease-a-2013-observational-population-based-study-in-france
#20
Aurélia Poujois, France Woimant, Solène Samson, Pascal Chaine, Nadège Girardot-Tinant, Philippe Tuppin
BACKGROUND AND AIMS: Only a few epidemiological studies on the incidence and prevalence of Wilson's disease (WD) have been performed to date, and the results vary widely according to the reports. The aim of the study was to investigate the prevalence, ambulatory care and treatments of patients with WD in France. METHODS: Among the 58 million general health scheme beneficiaries (86% of the French population), people managed for WD in 2013 were identified using hospitalisation diagnosis in 2011-2013 or specific long-term disease status with a 100% reimbursement for specific healthcare in 2013...
June 22, 2017: Clinics and Research in Hepatology and Gastroenterology
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