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Evidence-based physical diagnosis

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https://www.readbyqxmd.com/read/29147470/retrospective-analysis-of-inferior-vena-cava-collapsibility-with-point-of-care-ultrasound-and-urine-sodium-and-fena-in-patients-with-early-stage-acute-kidney-injury
#1
Faizan Babar, Gurkeerat Singh, Mustafa Noor, Bruce Sabath
Early stage acute kidney injury (AKI) is an independent risk factor for an increase in mortality. Accurate assessment of volume status is a major challenge during the early stages of acute renal injury. Determining volume status based on the history and physical exam lacks accuracy. Urine sodium and free excretion of sodium (FENa) provide objective evidence of intravascular volume status when interpreted carefully and is helpful to delineate prerenal from intrinsic renal failure. In recent years point of care ultrasound has been used to assess volume status...
2017: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29144185/rest-activity-circadian-rhythm-and-sleep-quality-in-patients-with-binge-eating-disorder
#2
E Roveda, A Montaruli, L Galasso, C Pesenti, E Bruno, P Pasanisi, M Cortellini, S Rampichini, S Erzegovesi, A Caumo, F Esposito
Recent findings suggest that altered rest-activity circadian rhythms (RARs) are associated with a compromised health status. RARs abnormalities have been observed also in several pathological conditions, such as cardiovascular, neurological, and cancer diseases. Binge eating disorder (BED) is the most common eating disorder, with a prevalence of 3.5% in women and 2% in men. BED and its associate obesity and motor inactivity could induce RARs disruption and have negative consequences on health-related quality of life...
November 16, 2017: Chronobiology International
https://www.readbyqxmd.com/read/29140490/distress-management-through-mind-body-therapies-in-oncology
#3
Linda E Carlson
Distress is highly prevalent in cancer survivors, from the point of diagnosis through treatment and recovery, with rates higher than 45% reported worldwide. One approach for helping people cope with the inherent stress of cancer is through the use of mind-body therapies (MBTs) such as mediation, yoga, hypnosis, relaxation, and imagery, which harness the power of the mind to affect physical and psychological symptoms. One group of MBTs with a growing body of research evidence to support their efficacy focus on training in mindfulness meditation; these are collectively known as mindfulness-based interventions (MBIs)...
November 1, 2017: Journal of the National Cancer Institute. Monographs
https://www.readbyqxmd.com/read/29126820/blend-design-tools-for-medium-combustion-plants-mcp-firing-biomass-wastes
#4
I Ibarra, G Aragón, I Gómez, I Múgica, J González, J Rodríguez Maroto, E Rojas, D Sanz, R Ramos, R Escalada, E Borjabad, C Gutiérrez-Canas
A feasible alternative for agricultural or forestry waste management is the operation of a distributed network of sustainable Medium Combustion Plants (MCPs). However, one of the main factors that hinder its development is the propensity to operational problems derived from corrosion, slagging and fouling characteristics of both bottom and fly ashes. Therefore, a cost-effective approach for these multi-product MCP could be based on predictive tools for an optimal formulation of a fuel blend. This work focuses on the assessment of the ability of these methods to provide guidance for preventing ash-related operational problems and to provide fuel-blending rules...
November 7, 2017: Waste Management
https://www.readbyqxmd.com/read/29115922/the-prevalence-of-dementia-in-a-portuguese-community-sample-a-10-66-dementia-research-group-study
#5
Manuel Gonçalves-Pereira, Ana Cardoso, Ana Verdelho, Joaquim Alves da Silva, Manuel Caldas de Almeida, Alexandra Fernandes, Cátia Raminhos, Cleusa P Ferri, A Matthew Prina, Martin Prince, Miguel Xavier
BACKGROUND: Dementia imposes a high burden of disease worldwide. Recent epidemiological studies in European community samples are scarce. In Portugal, community prevalence data is very limited. The 10/66 Dementia Research Group (DRG) population-based research programmes are focused in low and middle income countries, where the assessments proved to be culture and education fair. We applied the 10/66 DRG prevalence survey methodology in Portugal, where levels of illiteracy in older populations are still high...
November 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29102368/-body-dysmorphic-disorder-future-prospects-of-medical-care
#6
E Siegfried, A Ayrolles, H Rahioui
Body dysmorphic disorder (BDD) is characterized by excessive preoccupation with a slight or imagined defect in one's physical appearance, believing they look ugly, abnormal or deformed. While the most common preoccupations focus on the skin, hair and nose, any part of the body may be involved. Preoccupations are intrusive, time-consuming and hard to control. Repetitive behaviors are performed in response to the preoccupations. BDD is associated with marked impairment in socio-professional functioning, poor quality of life and high suicide rates...
November 1, 2017: L'Encéphale
https://www.readbyqxmd.com/read/29101136/mortality-in-dementia-with-lewy-bodies-compared-with-alzheimer-s-dementia-a-retrospective-naturalistic-cohort-study
#7
Annabel Price, Redwan Farooq, Jin-Min Yuan, Vandana B Menon, Rudolf N Cardinal, John T O'Brien
OBJECTIVES: To use routine clinical data to investigate survival in dementia with Lewy bodies (DLB) compared with Alzheimer's dementia (AD). DLB is the second most common dementia subtype after AD, accounting for around 7% of dementia diagnoses in secondary care, though studies suggest that it is underdiagnosed by up to 50%. Most previous studies of DLB have been based on select research cohorts, so little is known about the outcome of the disease in routine healthcare settings. SETTING: Cambridgeshire & Peterborough NHS Foundation Trust, a mental health trust providing secondary mental health care in England...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29099536/aneurysms-in-vascular-access-state-of-the-art-and-future-developments
#8
Nicholas Inston, Hiren Mistry, James Gilbert, David Kingsmore, Zahid Raza, Matteo Tozzi, Ali Azizzadeh, Robert Jones, Colin Deane, Jason Wilkins, Ingemar Davidson, John Ross, Paul Gibbs, Dean Huang, Domenico Valenti
A master class was held at the Vascular Access at Charing Cross (VA@CX2017) conference in April 2017 with invited experts and active audience participation to discuss arteriovenous (AV) vascular access aneurysms, a serious and common complication of vascular access (VA). The natural history of aneurysms in VA is poorly defined, and although classifications exist they are not uniformly applied in studies or clinical practice. True and pseudo aneurysms of AV access occur. Whilst an AV fistula by definition is an abnormal dilatation of a blood vessel, an agreed definition of 18 mm, or 3 times accepted maturation diameter, is proposed...
November 2, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/29095822/adherence-to-clinical-practice-guidelines-cpg-management-of-dengue-infection-in-adults-revised-2nd-edition
#9
Marzilawati Abd Rahman, Rafdzah Ahmad Zaki, Roza Sarimin, Mohd Izhar Ariff, Zailiza Suli, Maimunah Mahmud, Ker Hong Bee, Cecilia Anthonysamy, Azahirafairud Abdul Rahim, Balvinder Singh Gill, Shanti Rudra Deva, Ana Fizalinda Abdullah Sani, Erni Zurina Romli, Izzuna Mudla Mohamed Ghazali, Mohd Aminuddin Mohd Yusof, Nafisah Ahmad Lutfi, Shahril Effendi Shuib, Noormah Mohd Darus, Rugayah Bakri, 'Abqariyah Yahya
The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur...
2017: PloS One
https://www.readbyqxmd.com/read/29081858/prolonged-cough-in-pediatric-population-first-line-care-belgian-guidelines
#10
Sophie Leconte, Stéphanie Valentin, Estelle Dromelet, Michel De Jonghe
BACKGROUND: The clinical approach to a prolonged cough, i.e. a cough lasting more than three weeks, is challenging for general practitioners as well for primary care pediatricians. What the recommended clinical approach in primary care is, how cough duration or cough characteristics impact the diagnosis, and what the efficiency and safety of antibiotics or symptomatic treatments are remain in question for primary care physicians. OBJECTIVE: The last Belgian guidelines were published in 2006 and needed to be reviewed...
2017: Open Respiratory Medicine Journal
https://www.readbyqxmd.com/read/29071125/management-of-syndesmotic-injuries-of-the-ankle
#11
Jorge de-Las-Heras Romero, Ana María Lledó Alvarez, Fernando Moreno Sanchez, Alejandro Perez Garcia, Pedro Antonio Garcia Porcel, Raul Valverde Sarabia, Marina Hernandez Torralba
Injuries to the tibioperoneal syndesmosis are more frequent than previously thought and their treatment is essential for the stability of the ankle mortise.Recognition of these lesions is essential to avoid long-term morbidity.Diagnosis often requires complete history, physical examination, weight-bearing radiographs and MRI.Treatment-oriented classification is mandatory.It is recommended that acute stable injuries are treated conservatively and unstable injuries surgically by syndesmotic screw fixation, suture-button dynamic fixation or direct repair of the anterior inferior tibiofibular ligament...
September 2017: EFORT open reviews
https://www.readbyqxmd.com/read/29070017/postdiagnostic-physical-activity-sleep-duration-and-tv-watching-and-all-cause-mortality-among-long-term-colorectal-cancer-survivors-a-prospective-cohort-study
#12
Ilka Ratjen, Clemens Schafmayer, Romina di Giuseppe, Sabina Waniek, Sandra Plachta-Danielzik, Manja Koch, Greta Burmeister, Ute Nöthlings, Jochen Hampe, Sabrina Schlesinger, Wolfgang Lieb
BACKGROUND: Lifestyle recommendations for cancer survivors are warranted to improve survival. In this study, we aimed to examine the association of total physical activity, different types of physical activity, hours of sleeping at day and night, and hours spent watching television (TV) with all-cause mortality in long-term colorectal cancer (CRC) survivors. METHODS: We assessed physical activity in 1376 CRC survivors (44% women; median age, 69 years) at median 6 years after CRC diagnosis using a validated questionnaire...
October 25, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29067471/the-incidence-of-psychiatric-medication-use-and-its-effect-on-intraoperative-bleeding-in-facial-cosmetic-patients
#13
Donald Harvey, Ayesha Punjabi, Haruko Okada, Samantha Zwiebel, Hooman Riazi, Bahman Guyuron
PURPOSE: Psychiatric medications, particularly the selective serotonin reuptake inhibitors, have been associated with increased surgical bleeding. This study aims to compare intraoperative surgical bleeding between cosmetic surgery patients who are and are not taking psychiatric medications. METHODS: The charts of 392 consecutive patients who underwent cosmetic facial surgery at the senior author's practice were reviewed. Independent variables included self-reported psychiatric history, psychiatric diagnoses, and psychiatric medications as documented in the preoperative history and physical examination...
October 24, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29065018/validity-evidence-and-scoring-guidelines-for-standardized-patient-encounters-and-patient-notes-from-a-multisite-study-of-clinical-performance-examinations-in-seven-medical-schools
#14
Yoon Soo Park, Abbas Hyderi, Nancy Heine, Win May, Andrew Nevins, Ming Lee, Georges Bordage, Rachel Yudkowsky
PURPOSE: To examine validity evidence of local graduation competency examination scores from seven medical schools using shared cases and to provide rater training protocols and guidelines for scoring patient notes (PNs). METHOD: Between May and August 2016, clinical cases were developed, shared, and administered across seven medical schools (990 students participated). Raters were calibrated using training protocols, and guidelines were developed collaboratively across sites to standardize scoring...
November 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29064273/acculturation-is-associated-with-higher-prevalence-of-cardiovascular-disease-risk-factors-among-chinese-immigrants-in-australia-evidence-from-a-large-population-based-cohort
#15
Kai Jin, Janice Gullick, Lis Neubeck, Fung Koo, Ding Ding
Background Acculturation is associated with increased prevalence of cardiovascular disease (CVD) risk-factors among immigrants in Western countries. Little is known about acculturation effects on CVD risks among Chinese immigrants, one of the fastest growing populations in Western countries. In this study, we aim to examine the association between acculturation and CVD risk-factors among Chinese immigrants, Australia's third-largest foreign-born group. Methods We accessed a subsample of Chinese immigrants ( n = 3220) within the 45-and-Up Study (2006-2009)...
January 1, 2017: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29048320/development-of-the-carmen-q-questionnaire-for-mental-workload-assessment
#16
Susana Rubio-Valdehita, María I López-Núñez, Ramón López-Higes, Eva M Díaz-Ramiro
BACKGROUND: Mental workload has emerged as one of the most important occupational risk factors present in most psychological and physical diseases caused by work. In view of the lack of specific tools to assess mental workload, the objective of this research was to assess the construct validity and reliability of a new questionnaire for mental workload assessment (CarMen-Q). METHOD: The sample was composed of 884 workers from several professional sectors, between 18 and 65 years old, 53...
November 2017: Psicothema
https://www.readbyqxmd.com/read/29046208/-clinical-and-genetic-study-of-an-infant-with-alagille-syndrome-identification-of-a-novel-chromosomal-interstitial-deletion-including-jag1-gene
#17
Hua Li, Jia-Jia Liu, Mei Deng, Li Guo, Ying Cheng, Yuan-Zong Song
Alagille syndrome (ALGS) is an autosomal dominant disease affecting multiple systems including the liver, heart, skeleton, eyes, kidneys and face. This paper reports the clinical and genetic features of an infant with this disease. A 3-month-and-10-day-old female infant was referred to the hospital with jaundiced skin and sclera for 3 months. Physical examination revealed wide forehead and micromandible. A systolic murmur of grade 3-4/6 was heard between the 2th and 3th intercostal spaces on the left side of the sternum...
October 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/29037648/test-retest-reliability-of-myofascial-trigger-point-detection-in-hip-and-thigh-areas
#18
E Rozenfeld, A S Finestone, U Moran, E Damri, L Kalichman
BACKGROUND: Myofascial trigger points (MTrP's) are a primary source of pain in patients with musculoskeletal disorders. Nevertheless, they are frequently underdiagnosed. Reliable MTrP palpation is the necessary for their diagnosis and treatment. The few studies that have looked for intra-tester reliability of MTrPs detection in upper body, provide preliminary evidence that MTrP palpation is reliable. Reliability tests for MTrP palpation on the lower limb have not yet been performed. OBJECTIVE: To evaluate inter- and intra-tester reliability of MTrP recognition in hip and thigh muscles...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29029554/cross-sectional-relationships-of-physical-activity-and-sedentary-behavior-with-cognitive-function-in-older-adults-with-probable-mild-cognitive-impairment
#19
Ryan S Falck, Glenn J Landry, John R Best, Jennifer C Davis, Bryan K Chiu, Teresa Liu-Ambrose
Background: Mild cognitive impairment (MCI) represents a transition between normal cognitive aging and dementia and may represent a critical time frame for promoting cognitive health through behavioral strategies. Current evidence suggests that physical activity (PA) and sedentary behavior are important for cognition. However, it is unclear whether there are differences in PA and sedentary behavior between people with probable MCI and people without MCI or whether the relationships of PA and sedentary behavior with cognitive function differ by MCI status...
October 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28994355/treating-depression-with-physical-activity-in-adolescents-and-young-adults-a-systematic-review-and-meta-analysis-of-randomised-controlled-trials
#20
A P Bailey, S E Hetrick, S Rosenbaum, R Purcell, A G Parker
We aimed to establish the treatment effect of physical activity for depression in young people through meta-analysis. Four databases were searched to September 2016 for randomised controlled trials of physical activity interventions for adolescents and young adults, 12-25 years, experiencing a diagnosis or threshold symptoms of depression. Random-effects meta-analysis was used to estimate the standardised mean difference (SMD) between physical activity and control conditions. Subgroup analysis and meta-regression investigated potential treatment effect modifiers...
October 10, 2017: Psychological Medicine
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