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https://www.readbyqxmd.com/read/28913823/dietary-patterns-as-a-red-flag-for-higher-risk-of-eating-disorders-among-female-teenagers-with-and-without-type-i-diabetes-mellitus-adolescents-with-type-i-diabetes-mellitus-are-a-risk-factor-for-eating-disorders-a-case-control-study
#1
Ruth Bartelli Grigolon, Karin Louise Lenz Dunker, Mireille Coelho Almeida, Denise Claudino Achôa, Angélica Medeiros Claudino
BACKGROUND: Female adolescents with type I diabetes mellitus (TIDM) have an increased risk of developing eating disorders (ED) due to the dietary recommendations. OBJECTIVE: Investigate the association between dietary intake and increased risk of ED. METHODS: Case-control study with 50 T1DM female adolescents (11-16 years) and 100 healthy peers (CG). Measures included food frequency questionnaire (FFQ-PP), Child-EDE.12, economic and anthropometric data...
September 14, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28900705/clinical-relevance-of-neurological-evaluation-in-patients-suffering-urinary-retention-in-the-absence-of-subvesical-obstruction
#2
N Schwertner-Tiepelmann, A Hagedorn-Wiesner, C Erschig, K Beilecke, F Schwab, R Tunn
PURPOSE: Clinical relevance of neurological evaluation in patients suffered urinary retention in the absence of subvesical obstruction. Determining whether (1) women complaining residual bladder volume without prolapse and obstruction always suffer pudendal nerve damage; (2) neurogenic damage can be linked to patients history/clinical examination; (3) therapy alters regarding to neurological findings; and (4) electromyography (EMG) of musculus sphincter ani externus (MSAE) can be omitted with electronically stimulated pudendal nerve latency (ESPL) as the standard investigation...
September 12, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28898130/imaging-of-children-with-nontraumatic-headaches
#3
Anna Trofimova, Brianna L Vey, Mark E Mullins, David S Wolf, Nadja Kadom
OBJECTIVE: Headache in children is a common symptom and often is worrisome for clinicians and parents because of the breadth of possible underlying significant abnormalities, including meningitis, brain neoplasms, and intracranial hemorrhage. For this reason, many children with headaches undergo neuroimaging. Most neuroimaging studies performed of children with headaches have normal findings but may lead to significant downstream effects, including unnecessary exposure to ionizing radiation or sedation, as well as unnecessary cost to the health care system...
September 12, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28893343/physiotherapy-as-first-point-of-contact-service-for-patients-with-musculoskeletal-complaints-understanding-the-challenges-of-implementation
#4
Fiona Moffatt, Rob Goodwin, Paul Hendrick
BACKGROUND: Primary care faces unprecedented challenges. A move towards a more comprehensive, multi-disciplinary service delivery model has been proposed as a means with which to secure more sustainable services for the future. One seemingly promising response has been the implementation of physiotherapy self-referral schemes, however there is a significant gap in the literature regarding implementation. Aim This evaluation aimed to explore how the professionals and practice staff involved in the delivery of an in-practice physiotherapy self-referral scheme understood the service, with a focus on perceptions of value, barriers and impact...
September 12, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28890909/patient-provider-and-system-factors-associated-with-failure-to-follow-up-elevated-glucose-results-in-patients-without-diagnosed-diabetes
#5
Michael E Bowen, Zahra Merchant, Kazeen Abdullah, Deepa Bhat, Jason Fish, Ethan A Halm
BACKGROUND: Although elevated glucose values are strongly associated with undiagnosed diabetes, they are frequently overlooked. Patient, provider, and system factors associated with failure to follow-up elevated glucose values in electronic medical records (EMRs) are not well described. METHODS: We conducted a chart review in a comprehensive EMR with a patient portal and results management features. Established primary care patients with no known diagnosis of diabetes and ≥ 1 glucose value >125 mg/dL were included...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28887737/child-with-vomiting
#6
REVIEW
Madhusudan Samprathi, Muralidharan Jayashree
Vomiting is a common problem in children for which parents seek health care consultation. It has a varied etiology encompassing many organ systems, ranging from a benign physiological behavior to a life-threatening systemic disease. Most often, it is benign and self-limiting. Infections within and outside the gastrointestinal tract are the commonest causes. A good history and meticulous physical examination can discern the cause and help in delineating the benign cause from the sinister. Red flags include unstable vital signs, acidotic breathing, presence of bile or blood stained vomitus, features of gastrointestinal (GI) obstruction, encephalopathy and papilledema...
September 8, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28885219/recognition-of-possible-risk-factors-for-clinically-significant-drug-drug-interactions-among-indian-people-living-with-hiv-receiving-highly-active-antiretroviral-therapy-and-concomitant-medications
#7
Poka Siva Sai Lakshmi Priyanka, Danturulu Muralidhar Varma, Kavyasri Immadisetti, Radhakrishnan Rajesh, Sudha Vidyasagar, Vasudeva Guddattu
BACKGROUND: Greatest challenges for clinician is to recognize risk factors for clinically significant drug interactions (CSDIs). There is a lack of awareness about CSDIs among healthcare professionals in India. OBJECTIVE: To recognize all possible risk factors for drug-drug interactions (DDIs) and to identify clinically significant drug interactions (CSDIs), the prevalence, pattern of occurrence of DDIs in People Living with HIV (PLW-HIV) receiving highly active antiretroviral therapy (HAART) and concomitant medications...
2017: International Journal of Risk & Safety in Medicine
https://www.readbyqxmd.com/read/28878898/tourniquet-induced-common-peroneal-nerve-injury-in-a-pediatric-patient-after-knee-arthroscopy-raising-the-red-flag
#8
Kah Ming Saw, Hwan Ing Hee
Peripheral nerve injury following the use of arterial tourniquets is a rare but potentially debilitating complication. Further education on the safe and appropriate practice of tourniquets is imperative to reduce the incidence of tourniquet-related complications.
September 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28876706/-acute-kidney-injury-in-2017-management-in-a-secondary-care-hospital-an-example-of-interdisciplinary-collaboration
#9
Guido Marco Caronni, Hadrien Komaromi, Alexandre Guillermin, Mélissa Schneider, Zina Fumeaux
Acute kidney injury (AKI) is frequent and can lead to serious complications. It is classified according to the degree of renal function impairment and classically divided into three categories: pre-renal, intrinsic and post-renal. Identification of risk factors and wise use of additional tests are crucial to the diagnosis, as there are numerous causes of AKI. Identification and specific treatment of the underlying mechanism are essential, all while protecting the kidney. Resorting to a nephrologist is systematic when there are red flags...
September 6, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28873363/epileptic-seizures-heralding-a-relapse-in-high-grade-gliomas
#10
Carlo Di Bonaventura, Mariarita Albini, Alessandro D'Elia, Jinane Fattouch, Martina Fanella, Alessandra Morano, Giulia Lucignani, Mario Manfredi, Claudio Colonnese, Maurizio Salvati, Nicola Vanacore, Alfredo Berardelli, Anna Teresa Giallonardo
PURPOSE: Seizures are a common clinical symptom in high-grade gliomas (HGG). The aim of the study was to investigate the relationship between seizures and HGG relapse (HGG-R). METHODS: We retrospectively evaluated 145 patients who were surgically treated for HGG-R. By analyzing clinical characteristics in these patients (all operated and treated by the same protocol), we identified 37 patients with seizures during follow-up. This cohort was divided into four subgroups according to a) presence or absence of seizures at the time of diagnosis and b) temporal relationship between seizure occurrence and HGG-R during follow-up: subgroup A (25pts) had seizures at follow-up but not at onset, subgroup B (12pts) had seizures both at follow-up and onset, subgroup C (30pts) had seizures before MRI-documented HGG-R, and subgroup D (7pts) had seizures after MRI-documented HGG-R...
August 24, 2017: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/28869393/ethics-of-clinical-research-in-patients-with-als-is-there-a-risk-of-exploitation
#11
Carmel Armon
Amyotrophic lateral sclerosis is the most common degenerative disease of the motor neuron network. Due to its inevitably fatal outcome, numerous attempts have been made to ameliorate its course. The emergence of every new technology has spurred research to see if it might benefit patients with ALS (PALS). This paper suggests a detailed road map to be followed when performing clinical research in PALS to satisfy the ethics requirements of the Declaration of Helsinki, expressed using the terminology of Beauchamp and Childress...
September 4, 2017: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
https://www.readbyqxmd.com/read/28866790/weekend-surgical-handover-enhances-early-management-of-acute-clinical-changes-using-a-red-flag-system
#12
A White-Gibson, C Manole, D Kearney, D Kavanagh
INTRODUCTION: Recent implementation of the European Working Time Directive in Ireland has resulted in a change from thetraditional model of patient care to a system characterised by shift work among clinicians. Effective handover ofpatient information is essential for transfer of responsibility between clinicians and maintaining continuity of care. The weekend has been identified as a particularly vulnerable transition of patient care. AIMS AND METHODS: Our study aims to determine if implementing a formal face-to-face handover accompanied by an electronictemplate in our surgical department can improve the number of adverse events reported back to the primary teamafter a weekend on call...
September 2, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28859023/isolated-third-cranial-nerve-palsy-leading-to-the-diagnosis-of-disseminated-burkitt-lymphoma-a-case-report-and-literature-review
#13
Arens Taga, Marco Russo, Irene Florindo, Giovanni Pavesi
INTRODUCTION: Dysfunction of the third cranial nerve can result from lesions anywhere along its course between the midbrain and the orbit. Lymphoma is a rare cause of isolated oculomotor nerve palsy (OMP), with only 19 cases reported in the literature. We describe a case of an isolated OMP leading to the diagnosis of disseminated Burkitt lymphoma (BL). CASE REPORT: A 37-year-old man presented with acute onset diplopia and right ptosis and was found to have a right pupillary sparing OMP...
September 2017: Neurologist
https://www.readbyqxmd.com/read/28855216/osteoma-of-the-hyoid-an-unusual-cause-of-a-neck-lump
#14
Nicola Rachel Wooles, Saba Jarrar, Richard Bickerton
A 65-year-old man with a 2-month history of left-sided neck swelling presented through the cancer pathway. There was no associated 'red flag' symptoms, and clinical examination revealed a left anterior triangle, non-pulsatile firm swelling atypical of a lymph node. Ultrasound scan imaging confirmed a complex structure with an echogenic centre and hypoechoic periphery, which was confirmed on CT as an osteoma of the hyoid.This is an extremely unusual cause of a neck lump, and an extensive literature review revealed only two previously documented cases...
August 30, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28842813/crying-infant
#15
REVIEW
Javed Ismail, Karthi Nallasamy
Excessive crying is a common complaint in young infants, especially in those less than 3 mo of age. Altered circadian rhythm, immaturity of central nervous system and alteration of intestinal microbiota are some of the proposed mechanisms for this problem. Although it is commonly benign, crying can be the only clinical manifestation of many serious underlying illnesses, thus warranting careful clinical examination for ruling out organic causes. Urgent care clinics are best suited for evaluation and treatment of benign etiologies and promptly referring children with red flags to an emergency department...
August 26, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28831693/febrile-child
#16
Mounika Reddy, Arun Bansal
Fever without focus (FWF) is a common symptom in children for which parents seek health care consultation. It can be secondary to benign or serious causes. A pediatrician should be able to discriminate the benign from the serious causes by identifying the red flag signs. A systematic approach using detailed history, careful examination and laboratory tests is essential for early recognition, timely management and prompt referral to any emergency department. At the same time, benign cases require parental reassurance, symptomatic treatment and appropriate follow-up advice, taking care to avoid unnecessary investigations and antimicrobials...
August 23, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28798035/red-flags-or-red-herrings-redefining-the-role-of-red-flags-in-low-back-pain-to-reduce-overimaging
#17
EDITORIAL
Gilat L Grunau, Ben Darlow, Timothy Flynn, Kieran O'Sullivan, Peter B O'Sullivan, Bruce B Forster
No abstract text is available yet for this article.
August 10, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28793143/intraoperative-diagnosis-of-anderson-fabry-disease-in-patients-with-obstructive-hypertrophic-cardiomyopathy-undergoing-surgical-myectomy
#18
Franco Cecchi, Maria Iascone, Niccolò Maurizi, Laura Pezzoli, Irene Binaco, Elena Biagini, Maria Laura Fibbi, Iacopo Olivotto, Federico Pieruzzi, Ana Fruntelata, Lucian Dorobantu, Claudio Rapezzi, Paolo Ferrazzi
Importance: Diagnostic screening for Anderson-Fabry cardiomyopathy (AFC) is performed in the presence of specific clinical red flags in patients with hypertrophic cardiomyopathy (HCM) older than 25 years. However, left ventricular outflow tract obstruction (LVOTO) has been traditionally considered an exclusion criteria for AFC. Objective: To examine a series of patients diagnosed with HCM and severe basal LVOTO undergoing myectomy in whom the diagnosis of AFC was suspected by the cardiac surgeon intraoperatively and confirmed by histological and genetic examinations...
August 9, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28792305/be-aware-of-extremism
#19
Sarah Hammerton
It's as simple as picking up the phone and making a referral. For those who have done Prevent training, it's about recognising the red flags; the same red flags as recognising vulnerabilities in safeguarding and making a referral there. I get that we are all busy and rushed off our feet, honestly I do. But it's not about spotting a bomb, it's about spotting a vulnerability early. We do it every day.
August 9, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28783809/macroscopic-t-wave-alternans-a-red-flag-for-code-blue
#20
Peter K Moore, Katie E Raffel, Isaac R Whitman
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
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