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https://www.readbyqxmd.com/read/29929101/cauda-equina-syndrome-during-pregnancy-a-condition-to-consider
#1
Juan Fernando J Viseu Pinheiro, David P Hernández, Juan Francisco B Blanco
INTRODUCTION: Low back pain is a common cause of medical consultation during pregnancy and usually supposes a non-malignant prognostic. PRESENTATION OF CASES: We report two cases of pregnant women whom suffered cauda equina syndrome during pregnancy and underwent emergency surgery after the birth of their babies. DISCUSSION: MRI is the main diagnosis method for cauda equina even during pregnancy. Modern obstetric practice asks surgeons to perform surgery under safe conditions at all gestation stages...
June 12, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29928687/nationwide-real-world-database-of-20-462-patients-enrolled-in-the-japanese-acute-myocardial-infarction-registry-jamir-impact-of-emergency-coronary-intervention-in-a-super-aging-population
#2
Sunao Kojima, Kensaku Nishihira, Misa Takegami, Yoko M Nakao, Satoshi Honda, Jun Takahashi, Morimasa Takayama, Hiroaki Shimokawa, Tetsuya Sumiyoshi, Hisao Ogawa, Kazuo Kimura, Satoshi Yasuda
Background: Cardiovascular diseases, including acute myocardial infarction (AMI), are leading causes of death among the Japanese, who have the longest life expectancy in the world. Over the past 50 years in Japan, the percentage of elderly individuals has increased 4-fold, from 5.7% in 1960 to 23.1% in 2010. To explore medical practices and emergency care for AMI in this aging society, the Japan Acute Myocardial Infarction Registry (JAMIR) was established as a nationwide real-world database...
September 2018: IJC Heart & Vasculature
https://www.readbyqxmd.com/read/29928642/pathophysiology-and-diagnosis-of-pulmonary-hypertension-due-to-left-heart-disease
#3
REVIEW
Athanasios Charalampopoulos, Robert Lewis, Peter Hickey, Charlotte Durrington, Charlie Elliot, Robin Condliffe, Ian Sabroe, David G Kiely
Pulmonary hypertension due to left heart disease (PH-LHD) is the most common type of pulmonary hypertension, although an accurate prevalence is challenging. PH-LHD includes PH due to systolic or diastolic left ventricular dysfunction, mitral or aortic valve disease and congenital left heart disease. In recent years a new and distinct phenotype of "combined post-capillary and pre-capillary PH," based on diastolic pulmonary gradient and pulmonary vascular resistance, has been recognized. The roles of right ventricular dysfunction and pulmonary vascular compliance in PH-LHD have also been elucidated recently and they appear to have significant clinical implications...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29928494/astroglial-role-in-the-pathophysiology-of-status-epilepticus-an-overview
#4
REVIEW
Karina Vargas-Sánchez, Maria Mogilevskaya, John Rodríguez-Pérez, María G Rubiano, José J Javela, Rodrigo E González-Reyes
Status epilepticus is a medical emergency with elevated morbidity and mortality rates, and represents a leading cause of epilepsy-related deaths. Though status epilepticus can occur at any age, it manifests more likely in children and elderly people. Despite the common prevalence of epileptic disorders, a complete explanation for the mechanisms leading to development of self-limited or long lasting seizures (as in status epilepticus) are still lacking. Apart from neurons, research evidence suggests the involvement of immune and glial cells in epileptogenesis...
June 1, 2018: Oncotarget
https://www.readbyqxmd.com/read/29928257/innovation-in-systems-of-care-in-acute-phase-of-ischemic-stroke-the-experience-of-the-catalan-stroke-programme
#5
REVIEW
Rosa M Vivanco-Hidalgo, Sònia Abilleira, Mercè Salvat-Plana, Aida Ribera, Guillem Gallofré, Miquel Gallofré
Stroke, and mainly ischemic stroke, is the second cause of death and disability. To confront the huge burden of this disease, innovative stroke systems of care are mandatory. This requires the development of national stroke plans to offer the best treatment to all patients eligible for reperfusion therapies. Key elements for success include a high level of organization, close cooperation with emergency medical services for prehospital assessment, an understanding of stroke singularity, the development of preassessment tools, a high level of commitment of all stroke teams at Stroke Centres, the availability of a disease-specific registry, and local government involvement to establish stroke care as a priority...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29928127/isolated-proximal-greater-saphenous-vein-thrombosis-and-the-risk-of-propagation-to-deep-vein-thrombosis-and-pulmonary-embolism
#6
Samuel H Kim, Nimesh Patel, Kanika Thapar, Ananda V Pandurangadu, Amit Bahl
Objectives: Greater saphenous vein (GSV) thrombosis is concerning due to its close proximity to the deep femoral vein. This study sought to identify the risk of propagation to deep vein thrombosis (DVT) or pulmonary embolism (PE) among patients with isolated proximal GSV superficial thrombosis and describe provider practice patterns related to treatment. Materials and methods: This is an Institutional Review Board-approved retrospective multi-center study. Patients presented to one of three possible emergency departments in a large health system...
2018: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/29928006/the-long-term-costs-for-treating-multiple-sclerosis-in-a-16-year-retrospective-cohort-study-in-brazil
#7
Isabela Maia Diniz, Augusto Afonso Guerra, Livia Lovato Pires de Lemos, Kathiaja M Souza, Brian Godman, Marion Bennie, Björn Wettermark, Francisco de Assis Acurcio, Juliana Alvares, Eli Iola Gurgel Andrade, Mariangela Leal Cherchiglia, Vânia Eloisa de Araújo
BACKGROUND: Multiple Sclerosis (MS) is a disease that appreciably impacts on the quality of life of patients and is associated with high expenditure. MS is a chronic multifactorial disease, characterized by inflammation, demyelination and axonal loss. The Brazilian public health system provides pharmacological treatment as well as hospital and outpatient care for patients with relapsing-remitting and secondary progressive multiple sclerosis. However, we are not aware of any previous publications assessing total direct medical costs in patients with a long follow-up within the Brazilian healthcare system...
2018: PloS One
https://www.readbyqxmd.com/read/29927909/self-reported-concussions-from-playing-a-sport-or-being-physically-active-among-high-school-students-united-states-2017
#8
Lara DePadilla, Gabrielle F Miller, Sherry Everett Jones, Alexis B Peterson, Matthew J Breiding
Increased susceptibility to concussions and longer recovery times among high school athletes compared with older athletes (1) make concussions among youths playing a sport or being physically active an area of concern. Short-term and long-term sequelae of concussions can include cognitive, affective, and behavioral changes (1). Surveillance methods used to monitor concussions among youths likely underestimate the prevalence. Estimates assessed from emergency departments miss concussions treated outside hospitals, those generated using high school athletic trainer reports miss concussions sustained outside of school-based sports (2), and both sources miss medically untreated concussions...
June 22, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29927643/trends-in-homeless-children-and-young-adults-seeking-shelter-in-a-boston-pediatric-emergency-department-following-state-housing-policy-changes-2011-2016
#9
Mia Kanak, Amanda Stewart, Robert Vinci, Shanshan Liu, Megan Sandel
OBJECTIVES: To describe a trend in emergency department (ED) use by homeless children and young adults before and after a state housing policy change in 2012 and to quantify financial and time costs to the health care system. METHODS: We retrospectively reviewed de-identified electronic medical records of homeless children and young adults aged 0 to 21 years seeking shelter at an urban tertiary pediatric ED in Boston, Massachusetts, between September 1, 2011, and August 31, 2016...
June 21, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29927341/how-the-us-population-engaged-with-and-prioritized-sources-of-information-about-the-emerging-zika-virus-in-2016
#10
Rachael Piltch-Loeb, Alexis A Merdjanoff, David M Abramson
Emerging disease threats like Zika pose a risk to naïve populations. In comparison to chronic diseases, there is scientific uncertainty surrounding emerging diseases because of the lack of medical and public health information available as the threat emerges. Further complicating this are the multiple, diverse channels through which people get information. This article used bivariate and multivariate analysis to first describe the breadth of information sources individuals accessed about the Zika virus, and then describe individuals' primary sources of information for Zika using a nationally representative pooled cross-sectional data set collected at 3 time points in 2016 (N = 3,698)...
May 2018: Health Security
https://www.readbyqxmd.com/read/29926909/predictors-of-first-line-treatment-success-in-children-and-adolescents-visiting-an-infusion-center-for-acute-migraine
#11
Serena L Orr, Marielle A Kabbouche, Paul S Horn, Hope L O'Brien, Joanne Kacperski, Susan LeCates, Shannon White, Jessica Weberding, Mimi N Miller, Scott W Powers, Andrew D Hershey
OBJECTIVES: To characterize a population of pediatric patients visiting an infusion center for acute migraine and determine predictors of first-line treatment success in this population. BACKGROUND: Though migraine is common in the pediatric emergency department and specialized infusion centers, little is known about this patient population and whether or not clinical data can be used to predict treatment response. METHODS: This was an observational study involving a retrospective analysis of data from visits to the Cincinnati Children's Hospital infusion center for treatment of an acute migraine...
June 21, 2018: Headache
https://www.readbyqxmd.com/read/29926793/recommendations-on-prevention-and-screening-for-breast-cancer-in-hong-kong
#12
T H Lam, K H Wong, K Kl Chan, M Cm Chan, D Vk Chao, A Ny Cheung, C Ym Fan, J Ho, E P Hui, K O Lam, C K Law, W L Law, H Hf Loong, R Kc Ngan, T Hf Tsang, M Cs Wong, R Mw Yeung, A Ch Ying, R Ching
In Hong Kong, breast cancer is the most common cancer among women and poses a significant health care burden. The Cancer Expert Working Group on Cancer Prevention and Screening (CEWG) was set up in 2002 by the Cancer Coordinating Committee to review and assess local and international scientific evidence, and to formulate recommendations for cancer prevention and screening. After considering the local epidemiology, emerging scientific evidence, and local and overseas screening practices, the CEWG concluded that it was unclear whether population-based breast cancer screening did more harm than good in local asymptomatic women at average risk...
June 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29926792/a-paradigm-shift-in-the-provision-of-improved-critical-care-in-the-emergency-department
#13
K M Yim, H F Ko, M Lc Yang, T Y Li, S Ip, J Tsui
With Hong Kong's ageing population, advancement of medical technologies and hospital congestion, it is not uncommon for emergency physicians to encounter complicated critically ill patients in daily practice. It becomes a fundamental role of emergency physicians to initiate timely diagnostic and therapeutic interventions to save a patient's life and improve their prognosis. It is the reason a critical care service has been developed in emergency departments worldwide over the last decade. This article shares how emergency department intensivists can contribute to this novel model of care with some illustrative cases...
June 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29926787/prospective-randomized-controlled-comparison-of-a-flash-tip-catheter-and-a-traditional-intravenous-catheter-in-an-urban-emergency-department
#14
Siamak Moayedi, Michael Witting, Jon Mark Hirshon, Nicholas George, Alise Burke, Stephen Schenkel
INTRODUCTION: Safe and efficient intravenous access is paramount to the practice of emergency medicine. We compared the first-stick success rates and blood spillage of two peripheral intravenous catheters in a busy urban emergency department. METHODS: In this randomized controlled trial, we assigned emergency department patients requiring peripheral intravenous access to use of either a flash-tip catheter (SurFlash Plus, Terumo Medical Corporation, Somerset, New Jersey) or a widely used control catheter (Insyte Autoguard; Becton, Dickinson and Company, Franklin Lakes, New Jersey)...
July 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29926567/-infective-endocarditis-an-emergency-well-too-minimized
#15
S Marchetta, R Dulgheru, C Oury, F Frippiat, P Lancellotti
Infective endocarditis is a rare disease that can lead to some diagnostic wandering because of its often nonspecific and polymorphic clinical manifestations. This latency is at the origin of severe cardiac and extra-cardiac complications, yet highly fatal. The clinician should always bear in mind the differential diagnosis of a patient with fever of undetermined origin, with risk factors for valve infection such as foreign material, and history recent invasive procedures (including dental procedures) or recent hospitalization...
May 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29926561/-syncope-in-the-emergencry-room-differential-diagnosis-and-risk-stratification
#16
P Marechal, A J Scheen, P Lancellotti
Syncope is one of the most common reasons of emergency admission and hospitalisation. Management of syncope remains challenging for the medical staff as there are a multitude of possible etiologies ranging from benign to potentially life-threatening causes. Historically, 30-40% of patients presenting for syncope are hospitalized for further exploration, resulting in a significant cost to health care. The purpose of this article is to clarify the etiologies of syncope and to stratify their risk for a better managment...
May 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29925572/from-post-traumatic-stress-disorder-to-absolute-dependence-in-an-intensive-care-unit-reflections-on-a-clinical-account
#17
Tina Sideris
This paper tells the story of one man's experience of terrifying hallucinations and nightmares in an intensive care unit (ICU), drawing attention to the reality that intensive care treatment induces emotional suffering severe enough to be identified as post-traumatic stress disorder (PTSD). A body of international research, confirmed by South African studies, links life-saving critical care to symptoms which qualify for secondary psychiatric diagnosis including of post-traumatic stress. Risk factors include pre-ICU comorbid psychopathology...
June 20, 2018: Medical Humanities
https://www.readbyqxmd.com/read/29925493/workshop-on-emerging-technology-and-data-analytics-for-behavioral-health
#18
David Kotz, Sarah E Lord, A James O'Malley, Luke Stark, Lisa A Marsch
Wearable and portable digital devices can support self-monitoring for patients with chronic medical conditions, individuals seeking to reduce stress, and people seeking to modify health-related behaviors such as substance use or overeating. The resulting data may be used directly by a consumer, or shared with a clinician for treatment, a caregiver for assistance, or a health coach for support. The data can also be used by researchers to develop and evaluate just-in-time interventions that leverage mobile technology to help individuals manage their symptoms and behavior in real time and as needed...
June 20, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29925460/the-symptomatology-of-psychological-trauma-in-the-aftermath-of-war-1945-1980-uk-army-veterans-civilians-and-emergency-responders
#19
Alberta Engelbrecht, Howard Burdett, Maria João Silva, Kamaldeep Bhui, Edgar Jones
BACKGROUND: UK veterans suffering from a psychological or psychiatric illness as a consequence of service in the Second World War were entitled to a war pension. Their case files, which include regular medical assessments, are a valuable resource to investigate the nature, distribution and duration of symptoms. METHODS: A standardised form was used to collect data from pension records of a random sample of 500 UK army veterans from the first presentation in the 1940s until 1980...
June 21, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29925326/submucosal-hematoma-a-new-distinctive-sign-during-emergency-upper-digestive-endoscopy-for-ammonia-ingestion
#20
Moana Gelu-Simeon, Anh-Phuc Chuong, Faouzi Saliba, Guillaume Thiery, Marc Laurent, Claire Vilain, Marius Borel, Leonardo Amaral, Marceline Alexis, Georgette Saint-Georges, Eric Saillard
BACKGROUND: Submucosal hematoma has never been associated with caustic injuries. Long-term follow-up of patients who ingested ammonia is not well known and ammonia ingestion is rare. METHODS: In a Single-center observational study, prospective data were collected from 2009 to 2013, in patients over the age of 14 years old referred for ammonia ingestion. The emergency and follow-up endoscopic data and the outcome were reported. RESULTS: Ammonia ingestion occurred in 43 patients...
June 20, 2018: BMC Gastroenterology
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