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Rachel Marinch Carpenter, Jessica Wongward
A 39-year-old multigravida woman presented 3 weeks postpartum with worsening generalised pruritus without primary rash. Workup was significant for cholestasis and undiagnosed Graves' disease. She began to have symptomatic relief after starting methimazole, and liver function tests normalised as she became euthyroid.
June 15, 2018: BMJ Case Reports
Naeem Moulki, Jessica V Kealhofer, David G Benditt, Amy Gravely, Kairav Vakil, Santiago Garcia, Selcuk Adabag
PURPOSE: Bifascicular block and prolonged PR interval on the electrocardiogram (ECG) have been associated with complete heart block and sudden cardiac death. We sought to determine if cardiac implantable electronic devices (CIED) improve survival in these patients. METHODS: We assessed survival in relation to CIED status among 636 consecutive patients with bifascicular block and prolonged PR interval on the ECG. In survival analyses, CIED was considered as a time-varying covariate...
June 16, 2018: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Anja Eckstein, Joachim Esser, Michael Oeverhaus, Peerooz Saeed, Hinke Marijke Jellema
PURPOSE: To review the authors' current understanding of motility dysfunction in patients with thyroid eye disease and to summarize appropriate evaluation and available management options. METHODS: Data were retrieved from a systematic search of the literature. RESULTS: Diplopia is one of the most disabling symptoms for Graves orbitopathy patients. It occurs in moderate-to-severe Graves orbitopathy stages and does not respond well to available anti-inflammatory treatment...
June 13, 2018: Ophthalmic Plastic and Reconstructive Surgery
Loizos C Siakallis, Jimmy M Uddin, Katherine A Miszkiel
INTRODUCTION: Thyroid eye disease (TED), is a term referring to the extrathyroidal manifestation of Grave's disease, a disorder which is currently the most common cause of hyperthyroidism and is characterised by underlying autoimmunity.The pathogenic course of the disease can be broadly classified into two stages, an early inflammatory and a late fibrotic stage. These stages are reflected in clinical severity and activity classifications, such as Clinical Activity Score and Class 0: No signs or symptoms, 1: Only signs, no symptoms (e...
June 13, 2018: Ophthalmic Plastic and Reconstructive Surgery
Robin Blythe, David Cook, Nicholas Graves
BACKGROUND: A sepsis care bundle of intravenous vitamin C, thiamine, and hydrocortisone was reported to improve treatment outcomes. The data to support it are uncertain and decision makers are likely to be cautious about adopting it. The objective of this study was to model the opportunity costs in dollars and lives of waiting for better information before adopting the bundle. METHODS: A decision tree was built using information from the literature. We modelled the impact of bundle adoption under three scenarios using a simulation in which the bundle was effective as reported in the primary trial, less effective based on other information, and ineffective...
2018: F1000Research
Emily E John, Laurent Viel
An 8-day-old alpaca was presented for suspected meconium impaction and abnormal gait and posture. Physical examination revealed bilateral medial patellar luxation. In previous reports, medical treatment of patellar luxation in crias has been associated with a poor to grave prognosis; here we report a case of successful resolution.
May 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
Jamison K Walker, Bryan D Merrill, Jordan A Berg, Aziza Dhalai, Douglas W Dingman, Chris P Fajardo, Kiel Graves, Hunter L Hill, Jared A Hilton, Cameron Imahara, Bradley K Knabe, James Mangohig, Josh Monk, Heejin Mun, Ashley M Payne, Alicia Salisbury, Casey Stamereilers, Kathie Velez, Andy T Ward, Donald P Breakwell, Julianne H Grose, Sandra Hope, Philippos K Tsourkas
We present here the complete genomes of eight phages that infect Paenibacillus larvae , the causative agent of American foulbrood in honeybees. Phage PBL1c was originally isolated in 1984 from a P. larvae lysogen, while the remaining phages were isolated in 2014 from bee debris, honeycomb, and lysogens from three states in the USA.
June 14, 2018: Genome Announcements
Timo B Brakenhoff, Kit C B Roes, Karel G M Moons, Rolf H H Groenwold
BACKGROUND: When profiling multiple health care providers, adjustment for case-mix is essential to accurately classify the quality of providers. Unfortunately, misclassification of provider performance is not uncommon and can have grave implications. Propensity score (PS) methods have been proposed as viable alternatives to conventional multivariable regression. The objective was to assess the outlier classification performance of risk adjustment methods when profiling multiple providers...
June 15, 2018: BMC Medical Research Methodology
Sarkis Manoukian, Sally Stewart, Stephanie Dancer, Nicholas Graves, Helen Mason, Agi McFarland, Chris Robertson, Jacqui Reilly
BACKGROUND: Healthcare-associated infection (HAI) affects millions of patients worldwide. HAI is associated with increased healthcare costs, owing primarily to increased hospital length of stay (LOS) but calculating these costs is complicated due to time-dependent bias. Accurate estimation of excess LOS due to HAI is essential to ensure we invest in cost-effective infection prevention and control (IPC) measures. AIM: To identify and review the main statistical methods that have been employed to estimate differential LOS between patients with, and without, HAI; to highlight and discuss potential biases of all statistical approaches...
June 11, 2018: Journal of Hospital Infection
Sadid F Khan, Mythili Tadepalli, John Stenos, Stephen R Graves, Tony M Korman
No abstract text is available yet for this article.
June 18, 2018: Medical Journal of Australia
Loreen R Stromberg, Heather M Mendez, Jessica Z Kubicek-Sutherland, Steven W Graves, Nicolas W Hengartner, Harshini Mukundan
Recognition of Pathogen-associated Molecular Patterns (PAMPs) by Toll-like receptors is central to innate immunity. Many bacterial PAMPs such as lipopolysaccharide (LPS) and lipoteichoic acid have amphiphilic properties. The hydrophobicity of amphiphilic PAMPs contributes to increasing entropy and causes these molecules to self-aggregate or bind host carrier proteins in aqueous physiological environments. The goal of this work was to determine how innate immune signaling is impacted by physical presentation and association of amphiphilic PAMPs with serum carrier proteins, using LPS as an example molecule...
2018: PloS One
Mariela Roldan, Monica Bella, Leandro Dionisio
Ciencias Médicas Universidad Nacional de Córdoba.ResumenLa violencia doméstica es actualmente un problema de salud pública debido a su magnitud y repercusiones sociosanitarias. Objetivo: explorar las características epidemiológicas sociodemográficas y psicopatológicas  de personas denunciadas como agresores en la ciudad de Córdoba. Material y Métodos: estudio exploratorio, retrospectivo y transversal de los registros de personas denunciadas como presuntos agresores de violencia intrafamiliar en la fiscalía de violencia familiar de los tribunales Judiciales Provinciales de Córdoba Capital en el período junio 2011 a mayo 2012...
April 11, 2018: Revista de la Facultad de Ciencias Médicas
Lucía Müller Velázquez, Fernando Bobadilla, Marina Novosak, Iliana Cortese, Margarita Laczeski
Streptococcus agalactiae (SGB) es causa de infecciones severas en menores de tres meses. Meningitis, neumonía y sepsis son los principales cuadros en estos niños. Estas infecciones se encuentran entre las más graves que puede sufrir un individuo en sus primeras doce horas de vida. El niño adquiere la infección por transmisión vertical de la madre colonizada. Para prevenir la enfermedad neonatal se recomienda penicilina como droga de elección en la profilaxis intraparto (PIP) en embarazadas colonizadas...
March 20, 2018: Revista de la Facultad de Ciencias Médicas
Samantha R Mattheiss, Hillary Levinson, William W Graves
Studies of the neural substrates of semantic (word meaning) processing have typically focused on semantic manipulations, with less consideration for potential differences in difficulty across conditions. While the idea that particular brain regions can support multiple functions is widely accepted, studies of specific cognitive domains rarely test for co-location with other functions. Here we start with standard univariate analyses comparing words to meaningless nonwords, replicating our recent finding that this contrast can activate task-positive regions for words, and default-mode regions in the putative semantic network for nonwords, pointing to difficulty effects...
July 1, 2018: Cerebral Cortex
Jiaqi Li, Huiwen Tan, Juan Huang, Dan Luo, Ying Tang, Ruichao Yu, Hui Huang
RATIONALE: Thyrotropin-secreting adenoma (TSHoma) is rare. Even though the thyrotoxicosis is mild in patients with TSHoma, it is still a rare cause of arrhythmia, ignore of mild disfunction of thyroid function of TSHoma can lead to the delayed diagnosis of pituitary tumor or leading to recurring of complications. Graves' disease is an auto-immue endocrinological disorder. Association of TSHoma and Graves's disease is extremely rare. Coexistence of these two diseases made the diagnosis and treatment complicated...
June 2018: Medicine (Baltimore)
Khadija T Toor, Rita V Burke, Natalie E Demeter, Jeffrey S Upperman, Russell J Merritt, Catherine J Goodhue, Choo Phei Wee
OBJECTIVES: Disruption in the care of special healthcare needs children may lead to life-threatening situations or preventable secondary conditions. California averages more than one hundred earthquakes per week. Subsequent power outages, damage to utility systems, and road damage after an earthquake can have grave consequences for families with parenteral nutrition (PN)-dependent children. The purpose of the study was to demonstrate that we could improve disaster preparedness of families with PN-dependent children utilizing individualized family education and distribution of personalized disaster survival toolkits...
June 12, 2018: Journal of Pediatric Gastroenterology and Nutrition
Khalaf Kridin, Mogher Khamaisi, Doron Comaneshter, Erez Batat, Arnon D Cohen
There is a little consensus regarding the association of pemphigus with autoimmune thyroid diseases. While this association had been confirmed by some observational studies, others had refuted it. We aimed to study the association between pemphigus and Hashimoto's thyroiditis, Grave's disease, and thyroid cancer using a large-scale real-life computerized database. A cross-sectional study was performed to compare pemphigus patients with age-, sex-, and ethnicity-matched control subjects regarding the prevalence of overt thyroid diseases...
2018: Frontiers in Medicine
Bernhard A Sabel, Jiaqi Wang, Lizbeth Cárdenas-Morales, Muneeb Faiq, Christine Heim
The loss of vision after damage to the retina, optic nerve, or brain has often grave consequences in everyday life such as problems with recognizing faces, reading, or mobility. Because vision loss is considered to be irreversible and often progressive, patients experience continuous mental stress due to worries, anxiety, or fear with secondary consequences such as depression and social isolation. While prolonged mental stress is clearly a consequence of vision loss, it may also aggravate the situation. In fact, continuous stress and elevated cortisol levels negatively impact the eye and brain due to autonomous nervous system (sympathetic) imbalance and vascular dysregulation; hence stress may also be one of the major causes of visual system diseases such as glaucoma and optic neuropathy...
June 2018: EPMA Journal
Terry Polevoy
Complementary Alternative Medicine (CAM) that targets infants and children can place them at grave risk. Our plan is to review some of the major cases of CAM used by parents, and by unlicensed and even licensed health professionals. Complications from CAM are rarely the focus of regulatory bodies, or even the courts. Even regulated health professionals, who have profited by misrepresenting science-based evidence for treatment or prevention of disease, have been rarely sanctioned by their respective Boards or Colleges...
June 12, 2018: Journal of Clinical Medicine
Kg Sajeeth Kumar, Santhosh Narayanan, V Udayabhaskaran, N K Thulaseedharan
Background: Snake bites are a neglected public health problem in all tropical countries, and particularly in Malabar region of Kerala, India. Demographic characteristics and clinical parameters vary in this part of the world, and studies based on them are scarce. Increased incidence of capillary leak syndrome (CLS) in hemotoxic snake bites and emergence of cases of hump-nosed pit viper (HNPV, Hypnale hypnale ) envenomation are some notable features seen here. Objectives: The study was conducted to assess the epidemiological profile and clinical features to identify factors contributing to outcome in patients with venomous snakebites...
2018: International Journal of General Medicine
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