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https://www.readbyqxmd.com/read/29470776/a-path-model-analysis-on-predictors-of-dropout-at-6-and-12-months-during-the-weight-loss-interventions-in-endocrinology-outpatient-division
#1
Simone Perna, Daniele Spadaccini, Antonella Riva, Pietro Allegrini, Chiara Edera, Milena Anna Faliva, Gabriella Peroni, Maurizio Naso, Mara Nichetti, Carlotta Gozzer, Beatrice Vigo, Mariangela Rondanelli
INTRODUCTION: This study aimed to identify the dropout rate at 6 and 12 months from the first outpatient visit, and to analyze dropout risk factors among the following areas: biochemical examinations, anthropometric measures, psychological tests, personal data, and life attitude such as smoking, physical activity, and pathologies. METHODS: This is a retrospective longitudinal observational study. Patients undergo an outpatient endocrinology visit, which includes collecting biographical data, anthropometric measurements, physical and pathological history, psychological tests, and biochemical examinations...
February 22, 2018: Endocrine
https://www.readbyqxmd.com/read/29438207/facial-fracture-associated-blindness
#2
Rasmané Béogo, Toua Antoine Coulibaly, Mariam Traoré Dolo, Ibraima Traoré, Balla Ouattara, Jean Wenceslas Diallo
INTRODUCTION: Yet uncommon, blindness is a potential associated injury of facial fractures. METHODS: Epidemiology, mechanisms, fracture types, and outcome of facial fractures-associated blindness in a 10-year period are retrospectively reviewed. RESULTS: Out of 907 facial fractures patients, 10 had blindness, giving a frequency of 1.1%. There were 9 men and 1 woman whom age range was 6 to 59 years (mean: 31.2 years). Intentional injury patients were significantly the most at risk of blindness (P = 0...
February 12, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29408824/craniofacial-distraction-in-the-management-of-anterior-plagiocephaly-a-novel-idea-and-a-systematic-review-of-the-literature
#3
Tarek Elbanoby
BACKGROUND: The objective of this work is to present a review of all reports involving the management of unicoronal synostosis with distraction osteogenesis (DO). Also, we have innovated a new method in the treatment of cases of anterior plagiocephaly at a young age using DO. METHODS: We present a case in which anterior plagiocephaly was treated by DO of both metopic and hemicoronal sutures in a 4-month-old female patient. A comprehensive systematic literature review was completed using the search terms "distraction osteogenesis," "unicoronal synostosis," "anterior plagiocephaly," and "craniosynostosis...
February 7, 2018: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29380391/rsv-hrv-co-infection-is-a-risk-factor-for-recurrent-bronchial-obstruction-and-early-sensitization-3-years-after-bronchiolitis
#4
Flore Amat, Chloé Plantard, Aurélien Mulliez, Isabelle Petit, Emmanuelle Rochette, Matthieu Verdan, Cécile Henquell, Guillaume Labbé, Marie Christine Heraud, Bertrand Evrard, André Labbé
To assess risk factors of recurrent bronchial obstruction and allergic sensitization 3 years after an episode of acute bronchiolitis, whether after ambulatory care treatment or hospitalization. A monocentric prospective longitudinal study including infants aged under 1 year with acute bronchiolitis was performed, with clinical (severity score), biological (serum Krebs von den Lungen 6 antigen), and viral (14 virus by naso-pharyngeal suction detection) assessments. Follow-up included a quaterly telephone interview, and a final clinical examination at 3 years...
January 30, 2018: Journal of Medical Virology
https://www.readbyqxmd.com/read/29356814/recentering-bias-for-temporal-saccades-only-evidence-from-binocular-recordings-of-eye-movements
#5
Jérôme Tagu, Karine Doré-Mazars, Judith Vergne, Christelle Lemoine-Lardennois, Dorine Vergilino-Perez
It is well known that the saccadic system presents multiple asymmetries. Notably, temporal (as opposed to nasal) saccades, centripetal (as opposed to centrifugal) saccades (i.e., the recentering bias) and saccades from the abducting eye (as opposed to the concomitant saccades from the adducting eye) exhibit higher peak velocities. However, these naso-temporal and centripetal-centrifugal asymmetries have always been studied separately. It is thus unknown which asymmetry prevails when there is a conflict between both asymmetries, i...
January 1, 2018: Journal of Vision
https://www.readbyqxmd.com/read/29351765/retrospective-analysis-of-insulin-responses-to-standard-dosed-oral-glucose-tests-ogts-via-naso-gastric-tubing-towards-definition-of-an-objective-cut-off-value
#6
Tobias Warnken, Julien Delarocque, Svenja Schumacher, Korinna Huber, Karsten Feige
BACKGROUND: Insulin dysregulation (ID) with basal or postprandial hyperinsulinemia is one of the key findings in horses and ponies suffering from the equine metabolic syndrome (EMS). Assessment of ID can easily be performed in clinical settings by the use of oral glucose challenge tests. Oral glucose test (OGT) performed with 1 g/kg bodyweight (BW) glucose administered via naso-gastric tube allows the exact administration of a defined glucose dosage in a short time. However, reliable cut-off values have not been available so far...
January 19, 2018: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/29324986/the-impact-of-the-13-valent-pneumococcal-conjugate-vaccine-on-pneumococcal-carriage-in-the-community-acquired-pneumonia-immunization-trial-in-adults-capita-study
#7
Anna M M van Deursen, Marlies A van Houten, Chris Webber, Michael Patton, Daniel Scott, Scott Patterson, Qin Jiang, William C Gruber, Beate Schmoele-Thoma, Diederick E Grobbee, Marc J M Bonten, Elisabeth A M Sanders
Background: The impact of pneumococcal conjugate vaccination on the prevalence of nasopharyngeal carriage with pneumococci and other bacteria in adults is unknown. The direct effects of the 13-valent pneumococcal conjugate vaccine (PCV13) in community dwelling older adults was investigated as part of the randomized controlled Community Acquired Pneumonia immunization Trial in Adults (CAPiTA). Methods: We determined the carriage of S. pneumoniae, S. aureus, H. influenzae, and M...
January 6, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29320322/multidetector-ct-of-midfacial-fractures-classification-systems-principles-of-reduction-and-common-complications
#8
David Dreizin, Arthur J Nam, Silviu C Diaconu, Mark P Bernstein, Uttam K Bodanapally, Felipe Munera
The advent of titanium hardware, which provides firm three-dimensional positional control, and the exquisite bone detail afforded by multidetector computed tomography (CT) have spurred the evolution of subunit-specific midfacial fracture management principles. The structural, diagnostic, and therapeutic complexity of the individual midfacial subunits, including the nose, the naso-orbito-ethmoidal region, the internal orbits, the zygomaticomaxillary complex, and the maxillary occlusion-bearing segment, are not adequately reflected in the Le Fort classification system, which provides only a general framework and has become less relevant in contemporary practice...
January 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29304328/use-of-intraoperative-computed-tomography-in-craniomaxillofacial-trauma-surgery
#9
Karl Cuddy, Baber Khatib, R Bryan Bell, Allen Cheng, Ashish Patel, Melissa Amundson, Eric J Dierks
PURPOSE: The use of technology to aid in assessment, planning, and management of complex craniomaxillofacial injuries is increasingly common. Preoperative computed tomography (CT) evaluation is considered the standard of care, and intraoperative imaging is becoming increasingly accessible. Limited data exist regarding the implication of intraoperative CT on decision making in the management of all sites of facial fractures. The purposes of this study were to characterize the use of an intraoperative CT scanner for craniomaxillofacial surgery within our institution, to quantify the effect of intraoperative CT on surgical decision making, and to attempt to provide guidance on when to use this technology...
December 13, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29304069/naso-and-oropharyngeal-bacterial-carriage-in-nursing-home-residents-impact-of-multimorbidity-and-functional-impairment
#10
Anja Kwetkat, Wolfgang Pfister, Diana Pansow, Mathias W Pletz, Cornel C Sieber, Heike Hoyer
OBJECTIVE: From April 2013 to February 2014 we performed a multicentre prospective cross-sectional study in 541 German nursing home residents. We determined pharyngeal carriage of Streptococcus pneumoniae (primary objective) and other bacteria (secondary objective) in naso- and oropharyngeal swabs by culture-based standard procedures and explored the influence of multimorbidity and functional status on bacterial carriage. METHODS: Socio-demographic data, vaccination status, multimorbidity, nutrition and functional status defined by Comprehensive Geriatric Assessment were evaluated...
2018: PloS One
https://www.readbyqxmd.com/read/29303314/statistical-model-for-the-orientation-of-nonspherical-particles-settling-in-turbulence
#11
K Gustavsson, J Jucha, A Naso, E Lévêque, A Pumir, B Mehlig
The orientation of small anisotropic particles settling in a turbulent fluid determines some essential properties of the suspension. We show that the orientation distribution of small heavy spheroids settling through turbulence can be accurately predicted by a simple Gaussian statistical model that takes into account particle inertia and provides a quantitative understanding of the orientation distribution on the problem parameters when fluid inertia is negligible. Our results open the way to a parametrization of the distribution of ice crystals in clouds, and potentially lead to an improved understanding of radiation reflection or particle aggregation through collisions in clouds...
December 22, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/29287070/a-diagnostic-and-epidemiologic-investigation-of-acute-febrile-illness-afi-in-kilombero-tanzania
#12
Christine Hercik, Leonard Cosmas, Ondari D Mogeni, Newton Wamola, Wanze Kohi, Victor Omballa, Melvin Ochieng, Shirley Lidechi, Juma Bonventure, Caroline Ochieng, Clayton Onyango, Barry S Fields, Sayoki Mfinanga, Joel M Montgomery
INTRODUCTION: In low-resource settings, empiric case management of febrile illness is routine as a result of limited access to laboratory diagnostics. The use of comprehensive fever syndromic surveillance, with enhanced clinical microbiology, advanced diagnostics and more robust epidemiologic investigation, could enable healthcare providers to offer a differential diagnosis of fever syndrome and more appropriate care and treatment. METHODS: We conducted a year-long exploratory study of fever syndrome among patients ≥ 1 year if age, presenting to clinical settings with an axillary temperature of ≥37...
2017: PloS One
https://www.readbyqxmd.com/read/29280432/a-combined-syndromic-approach-to-examine-viral-bacterial-and-parasitic-agents-among-febrile-patients-a-pilot-study-in-kilombero-tanzania
#13
Christine Hercik, Leonard Cosmas, Ondari D Mogeni, Newton Wamola, Wanze Kohi, Eric Houpt, Jie Liu, Caroline Ochieng, Clayton Onyango, Barry Fields, Sayoki Mfinanga, Joel M Montgomery
The use of fever syndromic surveillance in sub-Saharan Africa is an effective approach to determine the prevalence of both malarial and nonmalarial infectious agents. We collected both blood and naso/oro-pharyngeal (NP/OP) swabs from consecutive consenting patients ≥ 1 year of age, with an axillary temperature ≥ 37.5°C, and symptom onset of ≤ 5 days. Specimens were analyzed using both acute febrile illness (AFI) and respiratory TaqMan array cards (TAC) for multiagent detection of 56 different bloodstream and respiratory agents...
December 26, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29276961/mri-determination-of-volumes-for-the-upper-airway-and-pharyngeal-lymphoid-tissue-in-preterm-and-term-infants
#14
Anilawan Smitthimedhin, Matthew Whitehead, Mahya Bigdeli, Nino Gustavo, Perez Geovanny, Otero Hansel
We aim to determine average volumes of the upper airway, adenoids and tonsils in preterm and term infants and assess for the differences according to weight, sex and ethnicity. The volumes of the upper airways, tonsils and adenoids were measured from brain MR images in 96 (49 preterm and 47 term) infants and compared using a two-tailed t-test (significant at p<0.05). The average volumes are reported for both groups. Term infants showed larger naso- and oropharyngeal volumes (independent of weight, sex, and ethnicity)...
December 16, 2017: Clinical Imaging
https://www.readbyqxmd.com/read/29246757/closed-technique-for-naso-orbito-ethmoid-fracture-management-technical-note
#15
Anson Jose, Shakil Ahmed Nagori, Bhaskar Agarwal, Ajoy Roychoudhury
Trauma to the Naso-orbito-ethmoid region invariably results in detachament of Medial Canthal Tendon. The shape of medial canthus is of important esthetic and functional concern. Accurate reposition of the medial canthus is important to achieve normal form and function. The various available techniques advocate open approach leaving an obvious scar in the esthetically prominent region. This technique intends to address these fractures through a closed approach with the possibility to make finer adjustments as and when required...
December 12, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29243502/evidence-based-management-of-incidental-focal-uptake-of-fluorodeoxyglucose-on-pet-ct
#16
Deborah Pencharz, Malavika Nathan, Thomas L Wagner
Focal incidental uptake, with or without CT abnormalities, is a common finding on FDG PET/CT and evidence based management for this type of uptake is lacking. This article reviews the evidence on focal incidental uptake including the incidence of malignancy, differential diagnosis and imaging criteria which can be used to further characterise it. The article focusses on PET rather than CT criteria. The strength of the evidence base is highly variable ranging from systematic reviews and meta-analyses to a virtual absence of evidence...
December 15, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/29240637/the-boomerang-lift-a-3-step-compartment-based-approach-to-the-youthful-cheek
#17
Jillian E Schreiber, Jordan Terner, Carrie S Stern, Javier Beut, Elizabeth B Jelks, Glenn W Jelks, Oren M Tepper
BACKGROUND: Autologous fat grafting (AFG) is an important tool for plastic surgeons treating the aging face. Malar augmentation with fat is often targeted to restore the youthful facial contour and provides support to the lower eyelid. The existence of distinct facial fat compartments suggests a step-wise approach may be appropriate in this regard [1]. Here we describe a three-step approach to malar augmentation using targeted deep malar fat compartmental augmentation, termed the "Boomerang Lift"...
December 13, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29240505/hoarseness-in-children
#18
Salil Sood, Ian Street, Adam Donne
Hoarseness or dysphonia are terms used to describe a change in the quality of the voice. The voice quality can be raspy, breathy, strained, fatigued, rough, tremulous or weak. There may be a change in pitch, restriction of range, voice breaks, decreased projection, or abnormal resonance. It is important to remember that a voice disorder is not a disease in itself but rather a presentation of an underlying pathology. Clinicians' knowledge of paediatric hoarseness is limited as it can be difficult to examine children using fibreoptic laryngoscopy and the child may not comprehend the need for detailed examination...
December 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29227855/a-case-report-of-successful-management-of-clostridium-difficile-colitis-with-antegrade-fidaxomicin-through-a-mucous-fistula-obviating-the-need-for-subtotal-colectomy
#19
Suzanne Arnott, Matthew Skancke, Sheena Chen, Bruce Abell
INTRODUCTION: Clostridium difficile is the most common cause of healthcare-associated infections and can have devastating morbidity and mortality. Traditional treatment algorithms involve intravenous metronidazole and enteric metronidazole or vancomycin. Fidaxomicin (DificidR) targets "switch regions" within RNA polymerases and effectively kills clostridium difficile bacteria and is typically administered orally primarily or through a naso/oro-gastric conduit. PRESENTATION OF CASE: 55-year-old with a recent elective surgical procedure was hospitalized with multifocal pneumonia and subsequently developed clostridium difficile colitis...
November 27, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29225738/naso-jejunal-tube-insertion-interface-between-radiology-and-endoscopy
#20
Naomi Riddel, Mo Hameed Thoufeeq
A survey was performed to identify the practice associated with endoscopic placement of naso-jejunal (NJ) tubes. We had a total of 236 responses, of which 228 responded to the frequency of requesting X-ray after placing NJ tubes. The responses suggested that there was a strong variation in the practice. The practice was independent on clinicians' area of interest, hospital setting or experience in endoscopy. Currently there are no accepted guidelines on this. Hence, we advise hospitals to have robust local guidelines until there is internationally agreed consensus...
November 28, 2017: World Journal of Radiology
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