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https://www.readbyqxmd.com/read/29912569/overview-of-treatment-guidelines-and-clinical-practical-guidelines-that-recommend-the-use-of-acupuncture-a-bibliometric-analysis
#1
Stephen Birch, Myeong Soo Lee, Terje Alraek, Tae-Hun Kim
INTRODUCTION: As positive evidence emerges for the use of an intervention to treat a health problem, the intervention gradually becomes incorporated into treatment guidelines (TGs) or clinical practice guidelines (CPGs) that are related to that health problem. To assess whether this general hypothesis can apply to acupuncture, 96 health problems were identified for which positive conclusions in systematic reviews and meta-analyses regarding the effectiveness of acupuncture have been made and then searched for TGs or CPGs that have recommended the use of acupuncture...
June 18, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29912044/cardiac-immune-related-adverse-events-in-immune-checkpoint-inhibition-therapy
#2
Aaron D Brumbaugh, Roshni Narurkar, Kaushal Parikh, Michael Fanucchi, William H Frishman
Immune checkpoint inhibitors present clinicians with both an exciting step forward in cancer treatment and the unknown possibilities of an unshackled immune system. The latter phenomena, known as immune-related adverse events (irAEs), are of particular interest because they may affect any organ system with autoimmune-like pathologies, such as hepatitis and colitis. Within the cardiovascular system, irAEs associated with immune checkpoint blockade exist as a broad clinical spectrum, with autoimmune myocarditis being the best-characterized entity at this time...
June 14, 2018: Cardiology in Review
https://www.readbyqxmd.com/read/29911942/outcome-and-clinical-pathological-and-immunohistochemical-factors-associated-with-prognosis-for-dogs-with-early-stage-anal-sac-adenocarcinoma-treated-with-surgery-alone-34-cases-2002-2013
#3
Katherine A Skorupski, Christina N Alarcón, Louis-Philippe de Lorimier, Elise E B LaDouceur, Carlos O Rodriguez, Robert B Rebhun
OBJECTIVE To determine survival time and metastatic rate for dogs with early-stage anal sac adenocarcinoma (ASACA) treated with surgery alone and assess whether specific clinical, pathological, or immunohistochemical factors were predictive of outcome for those dogs. DESIGN Retrospective case series. ANIMALS 34 dogs with early-stage, nonmetastatic ASACA that were treated with surgery only. PROCEDURES Medical record databases of 2 referral hospitals were searched to identify dogs examined between 2002 and 2013 that had a diagnosis of nonmetastatic ASACA that was < 3...
July 1, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29911922/positive-association-between-hypertension-and-urinary-bladder-cancer-epidemiologic-evidence-involving-79-236-propensity-score-matched-individuals
#4
Victor C Kok, Han-Wei Zhang, Chin-Teng Lin, Shih-Chung Huang, Ming-Feng Wu
INTRODUCTION: We hypothesized that hypertensive patients harbor a higher risk of urinary bladder (UB) cancer. MATERIAL AND METHODS: We performed a population-based cohort study on adults using a National Health Insurance Research Database (NHIRD) dataset. Hypertension and comparison non-hypertensive (COMP) groups comprising 39,618 patients each were propensity score-matched by age, sex, index date, and medical comorbidities. The outcome was incident UB cancer validated using procedure codes...
June 18, 2018: Upsala Journal of Medical Sciences
https://www.readbyqxmd.com/read/29911755/emergencies-in-the-treatment-of-wandering-spleen
#5
Osher Cohen, Arthur Baazov, Inbal Samuk, Michael Schwarz, Dragan Kravarusic, Enrique Freud
BACKGROUND: Wandering spleen is a rare entity that may pose a surgical emergency following torsion of the splenic vessels, mainly because of a delayed diagnosis. Complications after surgery for wandering spleen may necessitate emergency treatment. OBJECTIVES: To describe the clinical course and treatment for children who underwent emergency surgeries for wandering spleen at a tertiary pediatric medical center over a 21 year period and to indicate the pitfalls in diagnosis and treatment as reflected by our experience and in the literature...
June 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29911505/filling-procedures-for-lip-and-perioral-rejuvenation-a-systematic-review
#6
Michele Pascali, Davide Quarato, Francesco Carinci
The ideal perioral and lip rejuvenation technique provides the longest period of efficacy, lowest complication rate, and best aesthetic results. Genetics, intrinsic aging, sun exposure and repetitive muscle twitching of the orbicularis oris produce angular, radial, and vertical lines of the perioral lines and, for this reason, the needs of patients in the treatment of this anatomical area can range from simple lip enhancement to a broader and more comprehensive treatment with simultaneous correction of perioral wrinkles...
June 18, 2018: Rejuvenation Research
https://www.readbyqxmd.com/read/29911468/do-low-dose-corticosteroids-improve-survival-or-shock-reversal-from-septic-shock-in-adults-meta-analysis-with-trial-sequential-analysis
#7
Rui Xu, Qian Wang, Yan Huang, Ling Wu, Qi Liu, Wei Hu, Chengfu Zhou, Quan Du
Objective This meta-analysis with trial sequential analysis (TSA) was performed to determine whether low-dose corticosteroids (LDCs) can improve survival or shock reversal from septic shock in adults. Methods A literature search was performed using several databases (Medline, Cochrane Library, Embase, and Chinese Biological Medical Database) until 23 October 2017. The systematic review was registered in PROSPERO. Results Nine randomized controlled trials (RCTs) (n = 1182) were included. LDC intervention improved 7-day shock reversal compared with the control group (relative risk, 1...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29911393/renal-and-cardiac-implications-of-sodium-glucose-cotransporter-2-sglt2-inhibitors-the-state-of-the-science
#8
Joseph E Cruz, Tania Ahuja, Mary Barna Bridgeman
OBJECTIVE: To review the role of the sodium-glucose cotransporter-2 (SGLT2) inhibitors in the management of type 2 diabetes (T2DM), including the effects on renal and cardiovascular (CV) outcomes. DATA SOURCES: A literature search of MEDLINE databases (1964 through May 2018) was conducted utilizing key words sodium-glucose co-transporter-2 inhibitors, SGLT2 inhibitors, and diabetes; additional limits for drug names were added. STUDY SELECTION AND DATA EXTRACTION: Available English-language data from reviews, abstracts, presentations, and clinical trials of use of SGLT2 therapy specifically detailing outcomes on CV and renal disease in humans were reviewed...
June 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/29910845/changes-in-medical-services-and-drug-utilization-and-associated-costs-after-narcolepsy-diagnosis-in-the-united-states
#9
Kathleen F Villa, Nancy L Reaven, Susan E Funk, Karen McGaughey, Jed Black
Background: Healthcare utilization and the cost implications associated with undiagnosed and/or misdiagnosed narcolepsy have not been evaluated, and there is scant literature characterizing the newly diagnosed population with narcolepsy with respect to treatment patterns and resource utilization. Objective: To analyze the changes in medication use, healthcare utilization, and the associated costs after a new diagnosis of narcolepsy. Methods: In this retrospective cohort study, we used data from the Truven Health Analytics MarketScan Research Databases, between January 2006 and March 2013, to identify patients who had a probable new diagnosis of narcolepsy-defined as a de novo medical claim for a multiple sleep latency test-which was preceded by ≥6 months of continuous insurance and was followed by a de novo diagnosis of narcolepsy...
May 2018: American Health & Drug Benefits
https://www.readbyqxmd.com/read/29910709/a-complex-relationship-between-suicide-dementia-and-amyloid-a-narrative-review
#10
Ismael Conejero, Sophie Navucet, Jacques Keller, Emilie Olié, Philippe Courtet, Audrey Gabelle
Background: Suicide rates are high among older adults and many conditions have been related to suicide in this population: chronic illnesses, physical disabilities, cancer, social isolation, mental disorders and neurocognitive disorders. Objectives: Among neurocognitive disorders, analysis of the relationships between dementia and suicidal behaviors led to conflicting results and some questions are still without answer. Particularly, it is not known whether (i) Alzheimer's disease (AD) increases the risk of suicidal ideation and suicide attempts (SA) or the frequency of death by suicide; (ii) the presence of suicidal ideation or SA in people older than 65 years of age is an early dementia sign; and (iii) amyloid load in frontal areas facilitates SA by modifying the decision-making pathway...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29910639/cystectomy-for-bladder-cancer-in-elderly-patients-is-not-associated-with-increased-30-and-90-day-mortality-or-readmission-length-of-stay-and-cost-propensity-score-matching-using-a-population-database
#11
Wei-Yu Lin, Chun-Te Wu, Miao-Fen Chen, Ying-Hsu Chang, Cheng-Li Lin, Chia-Hung Kao
Purpose: Radical cystectomy (RC) is an effective but underused treatment for bladder cancer in elderly patients. This study performed analysis of propensity scores (PSs) to determine the outcomes of RC for elderly patients, with results generalizable at the population-based level. Patients and methods: We conducted a population-based, retrospective cohort study of patients who underwent RC in Taiwan during 2000-2010. Multivariable logistic regression was implemented to evaluate 30- and 90-day mortality and readmission rates, length of intensive care unit (ICU) stay, length of hospital stay (LOS), and cost...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/29909860/outcomes-and-associated-factors-in-malpractice-litigation-involving-inferior-vena-cava-filters
#12
REVIEW
Kenny Oh, Anil Hingorani
OBJECTIVE: Placement of inferior vena cava (IVC) filters is a controversial focus of medical malpractice. Clinicians currently have little information to guide them regarding key issues and outcomes in litigation. In this retrospective legal case review, we analyzed the factors associated with malpractice actions involving IVC filters. METHODS: The legal databases LexisNexis and Westlaw were searched from 1967 to 2016 for all published legal cases in the United States involving placement of IVC filters...
July 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29909660/-effectivity-of-the-nissen-fundoplication-and-the-influencing-factors-of-the-success-results-at-the-medical-centre-of-p%C3%A3-cs-depending-on-the-indications-and-symptoms
#13
Péter Varjú, Örs Péter Horváth, András Papp, Noémi Gede, József Czimmer
INTRODUCTION: Gastroesophageal reflux disease is one of the most common gastrointestinal diseases in developed countries. Besides the conservative modalities, surgery plays an increasing role in the treatment of the disease. AIM: Our aim was to investigate and compare the surgical and 6-month follow-up data of patients to the literature (quality control), who underwent Nissen fundoplication in the Medical Centre of Pécs between 2007 and 2014, and to assess the factors (especially psychiatric comorbidity and antidepressants) influencing the success...
June 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29909514/mid-term-4-year-outcomes-with-single-anastomosis-duodenal-ileal-bypass-with-sleeve-gastrectomy-surgery-at-a-single-us-center
#14
Hinali Zaveri, Amit Surve, Daniel Cottam, Austin Cottam, Walter Medlin, Christina Richards, LeGrand Belnap, Samuel Cottam, Benjamin Horsley
BACKGROUND: Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification. PURPOSE: To analyze the outcomes with SADI-S at 4 years. METHODS: Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed...
June 16, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29909476/the-use-of-ehealth-to-promote-physical-activity-in-cancer-survivors-a-systematic-review
#15
Ciarán Haberlin, Tom O'Dwyer, David Mockler, Jonathan Moran, Dearbhaile M O'Donnell, Julie Broderick
PURPOSE: Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors...
June 16, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29909184/rates-causes-risk-factors-and-outcomes-of-readmission-following-deep-brain-stimulation-for-movement-disorders-analysis-of-the-u-s-nationwide-readmissions-database
#16
Kavelin Rumalla, Kyle A Smith, Kenneth A Follett, Jules M Nazzaro, Paul M Arnold
OBJECTIVE: Deep brain stimulation (DBS) surgery has proven benefit for several movement disorders and medically-refractory psychiatric conditions and is considered a fairly safe procedure. We sought to determine the national rates, causes, predictors, and outcomes associated with 30-day and 90-day readmission. PATIENTS AND METHODS: The Nationwide Readmissions Database was queried (January-September 2013) using ICD-9-CM codes, identifying patients who underwent DBS for movement disorder (Parkinson's disease [PD], essential tremor [ET], or dystonia)...
June 10, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29908062/validation-of-the-acuros-xb-dose-calculation-algorithm-versus-monte-carlo-for-clinical-treatment-plans
#17
Lone Hoffmann, Markus Alber, Matthias Söhn, Ulrik Vindelev Elstrøm
PURPOSE: The two distinct dose computation paradigms of Boltzmann Equation Solvers and Monte Carlo simulation both promise in principle maximum accuracy. In practice, clinically acceptable calculation times demand approximations and numerical short-cuts on one hand, and modelling the beam characteristics of a real linear accelerator to the required accuracy on the other. A thorough benchmark of both algorithm types therefore needs to start with beam modelling, and needs to include a number of clinically challenging treatment plans...
June 16, 2018: Medical Physics
https://www.readbyqxmd.com/read/29908037/alpha-blockers-as-medical-expulsive-therapy-for-ureteral-stones-a-cochrane-systematic-review
#18
Thijs Campschroer, Xiaoye Zhu, Robin W M Vernooij, M T W Tycho Lock
OBJECTIVES: To assess the effects of alpha-blockers compared to standard therapy or placebo for ureteral stones 1 cm and less confirmed by imaging in adult patients presenting with symptoms of ureteral stone disease. PATIENTS AND METHODS: We performed a systematic search in multiple databases and grey literature with no restrictions on the language of publication or publication status, up until November 2017. We included randomised controlled trials evaluating ureteral stone passage in adult patients, that compared alpha-blockers with standard therapy or placebo...
June 16, 2018: BJU International
https://www.readbyqxmd.com/read/29908027/factors-affecting-empathetic-patient-care-behaviour-among-medical-doctors-and-nurses-an-integrative-literature-review
#19
REVIEW
Muntaha Elayyan, Janet Rankin, M W Chaarani
Background: Healthcare professionals' empathic behaviour is an important component of quality health care. Patients' reports suggest that empathy is often lacking. Specific factors that may facilitate or inhibit empathetic behaviour have not been extensively examined. In Qatar, empathy may be affected by a completely multicultural, multilinguistic setting where healthcare professionals and patients interact. Aim: The purpose of this integrative literature review is to provide the latest evidence on factors that influence the demonstration of empathetic behaviour of nurses and physicians toward patients and to draw general conclusions that increase understanding...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29907949/cholinergic-crisis-caused-by-cholinesterase-inhibitors-a-retrospective-nationwide-database-study
#20
Hiroyuki Ohbe, Taisuke Jo, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
INTRODUCTION: In contrast to information on the effects of organophosphate, pesticide, or environmental exposures, data on cholinergic crisis caused by pharmaceutical cholinesterase inhibitors are sparse. The present study aimed to describe the characteristics, demographics, and mortality of patients with cholinergic crisis caused by pharmaceutical cholinesterase inhibitors using a nationwide inpatient database in Japan. METHODS: We identified patients diagnosed with cholinergic crisis as a result of taking cholinesterase inhibitor medications in the Japanese Diagnosis Procedure Combination inpatient database from July 2010 to March 2016...
June 15, 2018: Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology
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