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Case records of the mass general hospital

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https://www.readbyqxmd.com/read/27916927/vitamin-b12-status-among-pregnant-women-in-the-uk-and-its-association-with-obesity-and-gestational-diabetes
#1
Nithya Sukumar, Hema Venkataraman, Sean Wilson, Ilona Goljan, Selvin Selvamoni, Vinod Patel, Ponnusamy Saravanan
BACKGROUND: To evaluate vitamin B12 and folate status in pregnancy and their relationship with maternal obesity, gestational diabetes mellitus (GDM), and offspring birthweight. METHODS: A retrospective case-control study of 344 women (143 GDM, 201 no-GDM) attending a district general hospital and that had B12 and folate levels measured in the early 3rd trimester was performed. Maternal history including early pregnancy body mass index (BMI) and neonatal data (birthweight, sex, and gestational age) was recorded for all subjects...
December 1, 2016: Nutrients
https://www.readbyqxmd.com/read/27862157/gonadal-tumour-risk-in-292-phenotypic-female-patients-with-disorders-of-sex-development-containing-y-chromosome-or-y-derived-sequence
#2
He Huang, Chunqing Wang, Qinjie Tian
OBJECTIVE: Phenotypic female disorders of sex development (DSD) patients with Y chromosome or Y-derived sequence have an increased risk of gonadal germ cell tumours (GCTs). The objective of the study was to evaluate tumour risk of DSD, summarize the clinical characteristics of patients with GCTs and propose management suggestions. METHODS: Medical records of 292 patients diagnosed DSD and undergoing bilateral gonadectomy at Peking Union Medical College Hospital from January 1996 to March 2016 were retrospectively reviewed...
October 13, 2016: Clinical Endocrinology
https://www.readbyqxmd.com/read/27822120/national-database-of-geriatrics
#3
REVIEW
Pia Nimann Kannegaard, Kirsten L Vinding, Helle Hare-Bruun
AIM OF DATABASE: The aim of the National Database of Geriatrics is to monitor the quality of interdisciplinary diagnostics and treatment of patients admitted to a geriatric hospital unit. STUDY POPULATION: The database population consists of patients who were admitted to a geriatric hospital unit. Geriatric patients cannot be defined by specific diagnoses. A geriatric patient is typically a frail multimorbid elderly patient with decreasing functional ability and social challenges...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27692271/daytime-napping-and-increased-risk-of-incident-respiratory-diseases-symptom-marker-or-risk-factor
#4
Yue Leng, Nick W J Wainwright, Francesco P Cappuccio, Paul G Surtees, Shabina Hayat, Robert Luben, Carol Brayne, Kay-Tee Khaw
BACKGROUND: We have identified a strong association between daytime napping and increased mortality risk from respiratory diseases, but little is known about the relationship between daytime napping and respiratory morbidity. METHODS: Data were drawn from the European Prospective Investigation into Cancer and Nutrition-Norfolk cohort. Participants reported napping habits during 1998-2000 and were followed up for respiratory disease hospital admissions until March 2009...
July 2016: Sleep Medicine
https://www.readbyqxmd.com/read/27591461/paravertebral-block-for-management-of-acute-postoperative-pain-and-intercostobrachial-neuralgia-in-major-breast-surgery
#5
Mercedes Fernández Gacio, Ana Maria Agrelo Lousame, Susana Pereira, Clara Castro, Juliana Santos
BACKGROUND: Several locoregional techniques have been described for the management of acute and chronic pain after breast surgery. The optimal technique should be easy to perform, reproducible, with little discomfort to the patient, little complications, allowing good control of acute pain and a decreased incidence of chronic pain, namely intercostobrachial neuralgia for being the most frequent entity. OBJECTIVES: The aim of this study was to evaluate the paravertebral block with preoperative single needle prick for major breast surgery and assess initially the control of postoperative nausea and vomiting (PONV) and acute pain in the first 24h and secondly the incidence of neuropathic pain in the intercostobrachial nerve region six months after surgery...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27464220/case-18-2016-a-52-year-old-woman-with-a-pleural-effusion
#6
(no author information available yet)
No abstract text is available yet for this article.
July 28, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27164556/low-birth-weight-and-air-pollution-in-california-which-sources-and-components-drive-the-risk
#7
Olivier Laurent, Jianlin Hu, Lianfa Li, Michael J Kleeman, Scott M Bartell, Myles Cockburn, Loraine Escobedo, Jun Wu
INTRODUCTION: Intrauterine growth restriction has been associated with exposure to air pollution, but there is a need to clarify which sources and components are most likely responsible. This study investigated the associations between low birth weight (LBW, <2500g) in term born infants (≥37 gestational weeks) and air pollution by source and composition in California, over the period 2001-2008. METHODS: Complementary exposure models were used: an empirical Bayesian kriging model for the interpolation of ambient pollutant measurements, a source-oriented chemical transport model (using California emission inventories) that estimated fine and ultrafine particulate matter (PM2...
July 2016: Environment International
https://www.readbyqxmd.com/read/27125411/risk-factor-for-first-incident-hip-fracture-in-taiwanese-postmenopausal-women
#8
Fang-Ping Chen, Kuang-Hung Hsu, Tsai-Sheng Fu, An-Shine Chao, Yu-Wei Yu, Chih-Ming Fan, Chen-Ming Sung, Ingrid Ying-Yu Chern
OBJECTIVE: The variation in hip fracture risk between countries is greater than 10-fold. The present study aimed at identifying risk factors that resulted in the first occurrence of hip fracture in Taiwanese postmenopausal women. MATERIALS AND METHODS: A case-control study with a patient group of 50 postmenopausal women, who were admitted to Keelung Chang Gung Hospital, Keelung, Taiwan due to the first incident of accidental hip fracture, was used to examine potential risk factors, including bone mass...
April 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26937146/risk-factors-for-tuberculosis-after-gastrectomy-in-gastric-cancer
#9
Won Jai Jung, Young Mok Park, Joo Han Song, Kyung Soo Chung, Song Yee Kim, Eun Young Kim, Ji Ye Jung, Moo Suk Park, Young Sam Kim, Se Kyu Kim, Joon Chang, Sung Hoon Noh, Ji Yeong An, Young Ae Kang
AIM: To examine incidence of tuberculosis (TB) in gastrectomy patients and investigate the risk factors for developing TB after gastrectomy in patients with gastric cancer. METHODS: A retrospective cohort study of gastrectomy patients with gastric cancer was performed at a university-affiliated hospital in Seoul, South Korea between January 2007 and December 2009. We reviewed patient medical records and collected data associated with the risk of TB, surgery, and gastric cancer...
February 28, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/26892620/-paravertebral-block-for-management-of-acute-postoperative-pain-and-intercostobrachial-neuralgia-in-major-breast-surgery
#10
Mercedes Fernández Gacio, Ana Maria Agrelo Lousame, Susana Pereira, Clara Castro, Juliana Santos
BACKGROUND: Several locoregional techniques have been described for the management of acute and chronic pain after breast surgery. The optimal technique should be easy to perform, reproducible, with little discomfort to the patient, little complications, allowing good control of acute pain and a decreased incidence of chronic pain, namely intercostobrachial neuralgia for being the most frequent entity. OBJECTIVES: The aim of this study was to evaluate the paravertebral block with preoperative single needle prick for major breast surgery and assess initially the control of postoperative nausea and vomiting (PONV) and acute pain in the first 24hours and secondly the incidence of neuropathic pain in the intercostobrachial nerve region six months after surgery...
September 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26855527/clinicopathological-pattern-of-cranial-unifocal-langerhans-cell-histiocytosis-a-study-at-medical-college-hospital
#11
Salma Bhat, Parvez Nazir, Humaira Bashir, Ruby Reshi, Sheema Sheikh, Rohi Wani
BACKGROUND: Eosinophilic granuloma (EG) of bone refers to a generally benign form of Langerhans cell histiocytosis localized to the bone. Patients may present with a solitary lesion (monostotic) or multiple sites of involvement (polyostotic). MATERIALS AND METHODS: This study was done to evaluate the clinicopathological pattern of 6 cases of EGs of the skull diagnosed at a tertiary care hospital. All patients of EG were included with the help of medical records over a 5-year period that is, November 2009 to November 2014...
July 2015: Indian Journal of Medical and Paediatric Oncology
https://www.readbyqxmd.com/read/26713434/risk-of-post-discharge-venous-thromboembolism-and-associated-mortality-in-general-surgery-a-population-based-cohort-study-using-linked-hospital-and-primary-care-data-in-england
#12
George Bouras, Elaine Marie Burns, Ann-Marie Howell, Alex Bottle, Thanos Athanasiou, Ara Darzi
BACKGROUND: Trends towards day case surgery and enhanced recovery mean that postoperative venous thromboembolism (VTE) may increasingly arise after hospital discharge. However, hospital data alone are unable to capture adverse events that occur outside of the hospital setting. The National Institute for Health and Care Excellence has suggested the use of primary care data to quantify hospital care-related VTE. Data in surgical patients using these resources is lacking. The aim of this study was to measure VTE risk and associated mortality in general surgery using linked primary care and hospital databases, to improve our understanding of harm from VTE that arises beyond hospital stay...
2015: PloS One
https://www.readbyqxmd.com/read/26712495/impact-of-the-surgical-experience-on-leak-rate-after-laparoscopic-sleeve-gastrectomy
#13
Patrick Noel, Marius Nedelcu, Michel Gagner
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) has become one of the most commonly performed bariatric procedures, largely due to several advantages it carries over more complex bariatric procedures. LSG is generally considered a straightforward procedure, but one of the major concerns is a staple line leak. OBJECTIVE: The objectives of this study are to evaluate the correlation between surgeon's experience and leak rate and to assess the different risk factors for developing a gastric leak after LSG...
August 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26559575/case-records-of-the-massachusetts-general-hospital-case-35-2015-a-72-year-old-woman-with-proteinuria-and-a-kidney-mass
#14
D Bora Hazar, Nwamaka D Eneanya, Aoife Kilcoyne, Ivy A Rosales
A 72-year-old woman presented with flank pain, proteinuria, and a new kidney mass. Magnetic resonance imaging of the kidney revealed a complex, solid mass (3 cm x 2.9 cm x 2.9 cm) in the lower pole of the right kidney. Diagnostic tests were performed.
November 12, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/26559426/prevalence-of-obstructive-sleep-apnoea-among-patients-admitted-for-bariatric-surgery-a-prospective-multicentre-trial
#15
P Peromaa-Haavisto, H Tuomilehto, J Kössi, J Virtanen, M Luostarinen, J Pihlajamäki, P Käkelä, M Victorzon
BACKGROUND: Obesity has become one of the greatest public health concerns worldwide and is known to be the most important risk factor for obstructive sleep apnoea (OSA). Prevalence of OSA has increased over the last two decades, but it is estimated that the majority of cases still remain undiagnosed. The aim of this study was to investigate the prevalence of OSA in Finnish bariatric surgery candidates. METHODS: In this prospective multicentre study, standard overnight cardiorespiratory recording was conducted in 197 consecutive patients from three different hospitals...
July 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26510025/case-records-of-the-massachusetts-general-hospital-case-34-2015-a-36-year-old-woman-with-a-lung-mass-pleural-effusion-and-hip-pain
#16
Arezou Khosroshahi, Subba R Digumarthy, Fiona K Gibbons, Vikram Deshpande
Presentation of Case. Dr. Dustin Dezube (Medicine): A 36-year-old woman was admitted to this hospital because of a mass in the middle lobe of the right lung. The patient had been in her usual health until 1 month before this admission, when pain in the right shoulder and discomfort in the left..
October 29, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/26353872/development-and-validation-of-risk-prediction-equations-to-estimate-future-risk-of-heart-failure-in-patients-with-diabetes-a-prospective-cohort-study
#17
Julia Hippisley-Cox, Carol Coupland
OBJECTIVE: To develop and externally validate risk prediction equations to estimate the 10-year risk of heart failure in patients with diabetes, aged 25-84 years. DESIGN: Cohort study using routinely collected data from general practices in England between 1998 and 2014 contributing to the QResearch and Clinical Research Practice Datalink (CPRD) databases. SETTING: We used 763 QResearch practices to develop the equations. We validated it in 254 different QResearch practices and 357 CPRD practices...
2015: BMJ Open
https://www.readbyqxmd.com/read/26339900/gastrointestinal-endoscopic-ultrasound-guided-fine-needle-aspiration-biopsy-specimens-adequate-diagnostic-yield-and-accuracy-can-be-achieved-without-on-site-evaluation
#18
Kate O'Connor, Danny G Cheriyan, Hector H Li-Chang, Steven E Kalloger, John Garrett, Michael F Byrne, Alan A Weiss, Fergal Donnellan, David F Schaeffer
BACKGROUND: Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) is the preferred method for biopsying the gastrointestinal tract, and rapid on-site cytological evaluation is considered standard practice. Our institution does not perform on-site evaluation; this study analyzes our overall diagnostic yield, accuracy, and incidence of nondiagnostic cases to determine the validity of this strategy. DESIGN: Data encompassing clinical information, procedural records, and cytological assessment were analyzed for gastrointestinal EUS-FNA procedures (n = 85) performed at Vancouver General Hospital from January 2012 to January 2013...
2015: Acta Cytologica
https://www.readbyqxmd.com/read/26313782/primary-pulmonary-synovial-sarcoma-in-a-tertiary-referral-center-clinical-characteristics-ct-and-18f-fdg-pet-findings-with-pathologic-correlations
#19
Gun Ha Kim, Mi Young Kim, Hyun Jung Koo, Joon Seon Song, Chang-Min Choi
The purpose of this study was to describe the patient characteristics, computed tomography (CT) and F-fluorodeoxyglucose positron emission tomography (FDG PET) findings, and clinical outcomes of primary pulmonary synovial sarcoma (PPSS), together with their pathologic correlations. The medical records of 14 patients with pathologically proven PPSS in a tertiary hospital from January 1997 to December 2014 were retrospectively reviewed. The CT findings were evaluated. The maximum standardized uptake value (maxSUV) of the tumors was obtained, and clinical outcomes with respect to tumor recurrence and mortality were assessed by Kaplan-Meier analysis...
August 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26294292/elevated-incidence-of-fractures-in-women-with-invasive-breast-cancer
#20
B J Edwards, W J Gradishar, M E Smith, J A Pacheco, J Holbrook, J M McKoy, B Nardone, S Tica, V Godinez-Puig, A W Rademaker, I B Helenowski, A D Bunta, P H Stern, S T Rosen, D P West, T A Guise
UNLABELLED: This study evaluates the incidence of bone fractures in women with BC.We found that women with invasive breast cancer are at an increased risk for bone fractures, with fractures most commonly occurring at lower extremity and vertebral sites. The risk is further increased in women undergoing cancer therapy. INTRODUCTION: Bone loss and fractures in breast cancer have generally been attributed to aromatase inhibitor use. This study assessed the incidence of fractures after invasive breast cancer diagnosis and evaluated bone density and FRAX risk calculation at time of fracture occurrence...
February 2016: Osteoporosis International
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