keyword
https://read.qxmd.com/read/38651582/the-approach-to-extracorporeal-cardiopulmonary-resuscitation-ecpr-in-children-a-narrative-review-by-the-paediatric-ecpr-working-group-of-euroelso
#1
JOURNAL ARTICLE
H A Mensink, A Desai, M Cvetkovic, M Davidson, A Hoskote, M O'Callaghan, T Thiruchelvam, P P Roeleveld
Extracorporeal Cardiopulmonary Resuscitation (ECPR) has potential benefits compared to conventional Cardiopulmonary Resuscitation (CCPR) in children. Although no randomised trials for paediatric ECPR have been conducted, there is extensive literature on survival, neurological outcome and risk factors for survival. Based on current literature and guidelines, we suggest recommendations for deployment of paediatric ECPR emphasising the requirement for protocols, training, and timely intervention to enhance patient outcomes...
April 2024: Perfusion
https://read.qxmd.com/read/38651573/mechanical-ventilation-during-extracorporeal-membrane-oxygenation-support-new-trends-and-continuing-challenges
#2
JOURNAL ARTICLE
Konstanty Szuldrzynski, Mariusz Kowalewski, Justyna Swol
BACKGROUND: The impact of mechanical ventilation on the survival of patients supported with veno-venous extracorporeal membrane oxygenation (V-V ECMO) due to severe acute respiratory distress syndrome (ARDS) remains still a focus of research. METHODS: Recent guidelines, randomized trials, and registry data underscore the importance of lung-protective ventilation during respiratory and cardiac support on ECMO. RESULTS: This approach includes decreasing mechanical power delivery by reducing tidal volume and driving pressure as much as possible, using low or very low respiratory rate, and a personalized approach to positive-end expiratory pressure (PEEP) setting...
April 2024: Perfusion
https://read.qxmd.com/read/38651421/assessing-the-effects-and-challenges-of-total-hip-arthroplasty-before-pregnancy-and-childbirth-a-systematic-review
#3
REVIEW
Athanasios Galanis, Stefania Dimopoulou, Panagiotis Karampinas, Elias Vasiliadis, Angelos Kaspiris, Evangelos Sakellariou, Christos Vlachos, Michail Vavourakis, Eftychios Papagrigorakis, Vasileios Marougklianis, Georgios Tsalimas, Dimitrios Zachariou, Christos Patilas, Iordanis Varsamos, Ioannis Kolovos, John Vlamis
Total hip arthroplasty is indubitably one of the most performed operations worldwide. On the other hand, especially in the western world, the average age that women get pregnant has raised confoundedly. Consequently, a steadily increasing number of women become pregnant after they had hip arthroplasty surgery, with copious potential implications. The amount of knowledge on this particular field is considered inadequate in the existing literature. This paper aims to augment clinicians understanding surrounding this topic...
April 4, 2024: Journal of Functional Morphology and Kinesiology
https://read.qxmd.com/read/38649978/cross-continental-national-nutrition-surveys-a-narrative-review
#4
REVIEW
Areej A Alkhaldy, Abeer M Aljaadi, Abbe M Mhd Jalil, Doaa A Alyoubi, Haneen H Saleemani, Ruba H Eid, Najlaa H Almohmadi, Hala H Al-Otaibi, Sarah M Ajabnoor
Many countries use national nutrition surveys (NNSs) to assess their population's health and nutrition needs. However, NNS aims, approaches, tools, and measurements vary among countries. To date, there has been no review evaluating the NNSs and their practices worldwide to help conduct future NSSs. Therefore, this narrative review was conducted to 1) explore and tabulate current NNSs in five continents (Asia, Europe, Africa, North America, and Australia) and 2) help lay the foundation for establishing clear guidelines for future NNSs...
April 22, 2024: BMC Nutrition
https://read.qxmd.com/read/38649726/regional-variability-in-therapeutic-hypothermia-eligibility-criteria-for-neonatal-hypoxic-ischemic-encephalopathy
#5
REVIEW
Jacopo Proietti, Geraldine B Boylan, Brian H Walsh
Early induced therapeutic hypothermia represents the cornerstone treatment in neonates with probable hypoxic-ischemic encephalopathy. The selection of patients for treatment usually involves meeting criteria indicating evidence of perinatal hypoxia-ischemia and the presence of moderate or severe encephalopathy. In this review, we highlight the variability that exists between some of the different regional and national eligibility guidelines. Determining the potential presence of perinatal hypoxia-ischemia may require either one, two or three signs amongst history of acute perinatal event, prolonged resuscitation at delivery, abnormal blood gases and low Apgar score, with a range of cutoff values...
April 22, 2024: Pediatric Research
https://read.qxmd.com/read/38649650/cardiovascular-screening-outcomes-in-the-dutch-survivorship-care-program-for-hodgkin-lymphoma-survivors
#6
JOURNAL ARTICLE
Eline M J Lammers, Annelies Nijdam, Josée M Zijlstra, Cécile P M Janus, Roel J de Weijer, Yolande Appelman, Olivier C Manintveld, Arco J Teske, Flora E van Leeuwen, Berthe M P Aleman
PURPOSE: Hodgkin lymphoma (HL) survivors are at increased risk of cardiovascular disease (CVD) due to former lymphoma treatment. In 2013, cardiovascular screening for 5-year HL survivors according to national guidelines was implemented in Dutch survivorship clinics. We aim to assess the following: (1) adherence to screening guidelines and (2) the yield of (risk factors for) CVD in the screening program. METHODS: The study population consisted of 5-year HL survivors who received survivorship care at three University Medical Centers from 2013 to 2016 through 2021...
April 23, 2024: Journal of Cancer Survivorship: Research and Practice
https://read.qxmd.com/read/38648647/clinical-practice-guidelines-for-diagnostic-and-treatment-of-the-chronic-heart-failure
#7
JOURNAL ARTICLE
Abel A Pavía-López, José A Magaña-Serrano, José A Cigarroa-López, Adolfo Chávez-Mendoza, José L Mayorga-Butrón, Diego Araiza-Garaygordobil, Juan B Ivey-Miranda, Gustavo F Méndez-Machado, Héctor González-Godínez, Luisa F Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J Olalde-Román, Emma M Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, Alexandra A Mendoza, Manlio F Márquez-Murillo, Sergio A Chávez-Leal, Amada Álvarez-San Gabriel, Marissa A Silva-García, Alex D Pacheco-Bouthiller, Jorge A Aldrete-Velazco, Carlos A Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, Gustavo Sánchez-Miranda, Genaro H Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, Bertha B Montaño-Velázquez, Luis F Romero-Moreno, María M Baquero-Hoyos, Liliana Velasco-Hidalgo, Ana L Rodríguez-Lozano, Nancy E Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E Cossío-Aranda
Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients...
2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38648544/blood-derived-eye-drops-for-the-treatment-of-corneal-neuropathic-pain
#8
JOURNAL ARTICLE
Ansa Anam, Chang Liu, Louis Tong, Yu-Chi Liu
Blood-derived preparations, including autologous or allogenic serum, umbilical cord serum/plasma, and platelet-rich plasma eye drops, contain various growth factors, cytokines, and immunoglobulins that resemble natural tears. These components play important roles in corneal cell migration, proliferation, and wound healing. Blood-derived eye drops have demonstrated clinical effectiveness across a spectrum of ocular surface conditions, encompassing dry eye disease, Sjögren's syndrome, graft-versus-host disease, and neuropathic corneal pain (NCP)...
April 22, 2024: Journal of Ocular Pharmacology and Therapeutics
https://read.qxmd.com/read/38648061/biomarker-vs-mri-enhanced-strategies-for-prostate-cancer-screening-the-sthlm3-mri-randomized-clinical-trial
#9
JOURNAL ARTICLE
Lars Björnebo, Andrea Discacciati, Ugo Falagario, Hari T Vigneswaran, Fredrik Jäderling, Henrik Grönberg, Martin Eklund, Tobias Nordström, Anna Lantz
IMPORTANCE: Prostate cancer guidelines often recommend obtaining magnetic resonance imaging (MRI) before a biopsy, yet MRI access is limited. To date, no randomized clinical trial has compared the use of novel biomarkers for risk estimation vs MRI-based diagnostic approaches for prostate cancer screening. OBJECTIVE: To evaluate biomarker-based risk estimation (Stockholm3 risk scores or prostate-specific antigen [PSA] levels) with systematic biopsies vs an MRI-enhanced strategy (PSA levels and MRI with systematic and targeted biopsy) for the detection of clinically significant prostate cancer in a screening setting...
April 1, 2024: JAMA Network Open
https://read.qxmd.com/read/38647838/curative-resection-via-right-hemicolectomy-and-regional-lymph-node-dissection-for-colonic-adenomatous-polyposis-of-unknown-etiology-with-adenocarcinomas-localized-in-the-right-side-of-the-colon-a-case-report
#10
JOURNAL ARTICLE
Shu Aoyama, Akira Inoue, Yoshinori Kagawa, Takamichi Komori, Yuki Ozato, Yujiro Nishizawa, Tomoki Sugimoto, Hisateru Komatsu, Masashi Hirota, Yasuhiro Miyazaki, Akira Tomokuni, Masaaki Motoori, Hiroaki Fushimi, Gou Yamamoto, Kiwamu Akagi, Kazuhiro Iwase, Kazumasa Fujitani
BACKGROUND: APC and MUTYH are both well-known colorectal polyposis causative genes. However, 30-50% of colorectal adenomatous polyposis cases are classified as colonic adenomatous polyposis of unknown etiology and lack identifiable pathogenic variants. Although guidelines recommend total proctocolectomy for colonic adenomatous polyposis of unknown etiology with over 100 adenomas, evidence is lacking. This study presents a unique case of localized colonic adenomatous polyposis of unknown etiology with multiple adenocarcinomas, treated with hemicolectomy and regional lymph node dissection...
April 22, 2024: Surgical Case Reports
https://read.qxmd.com/read/38647039/the-prevalence-of-human-immunodeficiency-virus-infection-among-voluntary-blood-donors-in-mainland-china-a-systematic-review-and-meta-analysis
#11
JOURNAL ARTICLE
Yuhui Li, Xinhui Zhang, Yang Huang, Lei Gao, Zhan Gao, Miao He
Human immunodeficiency virus (HIV) infection through transfusion has been an imperative challenge for blood safety. Despite the implementation of screening strategies, there was still the residual risk of transfusion-transmitted HIV. Considering that the prevalence of HIV infection in blood donors is significant for evaluating blood safety and potential risks to the population, meta-analysis was applied to investigate the HIV prevalence among voluntary blood donors during the past 27 years to characterize the epidemiology and related risk factors of HIV in blood donors...
April 2024: Journal of Medical Virology
https://read.qxmd.com/read/38646917/how-many-blood-pressure-measurements-should-we-take-in-the-office
#12
JOURNAL ARTICLE
Gülsüm Özkan, Şükrü Ulusoy, Rahmi Yılmaz, Serpil Müge Değer, Ülver Derici, Turgay Arınsoy, Yunus Erdem
No consensus has emerged among different guidelines concerning how many blood pressure (BP) measurements should be performed at office visits in the diagnosis of hypertension. The purpose of this study was to examine the compatibility of various multiple average office BP measurements and 24-h BP monitoring (ABPM) in patients followed up in the posthoc analysis of the Cappadocia hypertension cohort. A total 1158 office BP measurements by 207 patients were examined. The results were then classified as G1 (average of the 1st and 2nd BP), G2 (average of the 2nd and 3rd ), G3 (average of the 2nd , 3rd , and 4th ), G4 (average of the 2nd, 3rd, 4th , and 5th ), and G5 (average of all five measurements)...
April 22, 2024: Journal of Clinical Hypertension
https://read.qxmd.com/read/38646857/worldwide-increasing-use-of-nonfasting-rather-than-fasting-lipid-profiles
#13
JOURNAL ARTICLE
Anne Langsted, Børge G Nordestgaard
BACKGROUND: Historically, lipids and lipoproteins were measured in the fasting state for cardiovascular risk prediction; however, since 2009 use of nonfasting lipid profiles has increased substantially worldwide. For patients, nonfasting lipid profiles are convenient and avoid any risk of hypoglycemia. For laboratories, blood sampling in the morning and extra visits for patients who have not fasted are avoided. For patients, clinicians, hospitals, and society, nonfasting sampling allows same-day visits with first blood sampling followed by a short wait for test results before clinical consultation...
April 22, 2024: Clinical Chemistry
https://read.qxmd.com/read/38646670/spinal-tumor-embolization-with-onyx-a-systematic-review-and-meta-analysis
#14
REVIEW
Savio Batista, Filipi Fim Andreão, Marcelo Porto Sousa, Leonardo de Barros Oliveira, Lucca Biolcati Palavani, Guilherme Melo Silva, Livia V de Abreu, Raphael Bertani, Danilo Gomes Quadros
INTRODUCTION: Onyx embolization has emerged as a promising technique for spinal tumor embolization due to its high devascularization rate and low incidence of complications. OBJECTIVE: Evaluate the safety and efficacy of Onyx embolization in spinal tumor procedures. METHODS: Following the PRISMA guidelines, we conducted a systematic review and meta-analysis. To be included, the articles had to report specific outcomes of Onyx embolization for spinal tumors (complications, mortality, blood loss, tumor devascularization, or reduction in tumor blush)...
April 22, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38646384/laparoscopic-management-of-unruptured-cornual-ectopic-pregnancy-in-a-22-year-old-primigravida-a-case-report
#15
Nadia Nishat, Aiysha Gul, Yoalkris E Salcedo, Ekta Chugh
Cornual ectopic pregnancy, though rare, presents significant challenges in diagnosis and management. This case report details the clinical presentation and successful treatment of a 22-year-old primigravida experiencing symptoms of abdominal pain, nausea, and vomiting, ultimately diagnosed with an unruptured left cornual ectopic pregnancy. Employing a multidisciplinary approach involving clinical suspicion, beta-human chorionic gonadotropin (β-hCG) measurements, and transvaginal ultrasound findings, we underscored the importance of timely intervention to avert adverse outcomes...
March 2024: Curēus
https://read.qxmd.com/read/38646329/comparison-of-the-effectiveness-and-safety-of-metoprolol-and-diltiazem-in-atrial-fibrillation-with-rapid-ventricular-rate-patients-a-systematic-review-and-meta-analysis
#16
REVIEW
Abshiro H Mayow, Tanya Sinha, Mansoor Ahmad, Ye Kyaw Myint, Samyuktha Balaji, Sandipkumar S Chaudhari, Divine Besong Arrey Agbor, Areeba Khan
This study aims to assess the association between intravenous diltiazem and metoprolol in rate control for atrial fibrillation (AF) patients with rapid ventricular rate, focusing on rate control efficacy and hemodynamic adverse events. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, electronic searches were conducted in Embase, PubMed, and Cochrane Central Register of Controlled Trials (CENTRAL) until February 20, 2024. The primary outcome was achieving ventricular rate control < 110/min...
March 2024: Curēus
https://read.qxmd.com/read/38646259/concomitant-case-of-anti-glomerular-basement-membrane-gbm-antibody-disease-and-membranous-nephropathy
#17
Chetan U Phadke, Shreeharsh S Godbole, Atul D Sajgure, Tushar A Dighe, Charan B Bale
Anti-glomerular basement membrane (GBM) disease is a form of rapidly progressive glomerulonephritis with acute deterioration of kidney function. Atypical forms of this disease have been described which do not show positive serology for the classical anti-GBM antibody (Ab) but their presence on kidney biopsies. Furthermore, concomitantly any other separate glomerular pathology along with anti-GBM disease has been only rarely seen. A 40-year-old male patient presented with complaints of lower limb swelling and hematuria...
March 2024: Curēus
https://read.qxmd.com/read/38645434/emerging-contaminants-in-food-matrices-an-overview-of-the-occurrence-pathways-impacts-and-detection-techniques-of-per-and-polyfluoroalkyl-substances
#18
REVIEW
Chukwuebuka Gabriel Eze, Emmanuel Sunday Okeke, Chidiebele Emmanuel Nwankwo, Raphael Nyaruaba, Uttpal Anand, Onyekwere Joseph Okoro, Elza Bontempi
Per- and polyfluoroalkyl substances (PFAS) have been used in industrial and consumer applications for ages. The pervasive and persistent nature of PFAS in the environment is a universal concern due to public health risks. Experts acknowledge that exposure to high levels of certain PFAS have consequences, including reduced vaccine efficacy, elevated cholesterol, and increased risk of high blood pressure. While considerable research has been conducted to investigate the presence of PFAS in the environment, the pathways for human exposure through food and food packaging/contact materials (FCM) remain unclear...
June 2024: Toxicology Reports
https://read.qxmd.com/read/38645242/functional-analysis-of-g6pd-variants-associated-with-low-g6pd-activity-in-the-all-of-us-research-program
#19
Nicholas R Powell, Renee C Geck, Dongbing Lai, Tyler Shugg, Todd C Skaar, Maitreya Dunham
Glucose-6-phosphate dehydrogenase (G6PD) protects red blood cells against oxidative damage through regeneration of NADPH. Individuals with G6PD polymorphisms (variants) that produce an impaired G6PD enzyme are usually asymptomatic, but at risk of hemolytic anemia from oxidative stressors, including certain drugs and foods. Prevention of G6PD deficiency-related hemolytic anemia is achievable through G6PD genetic testing or whole-genome sequencing (WGS) to identify affected individuals who should avoid hemolytic triggers...
April 14, 2024: medRxiv
https://read.qxmd.com/read/38643570/hypertensive-disorders-of-pregnancy-and-long-term-maternal-cardiovascular-risk-bridging-epidemiological-knowledge-into-personalized-postpartum-care-and-follow-up
#20
REVIEW
Anne Cathrine Staff, Maria Laura Costa, Ralf Dechend, Daniel P Jacobsen, Meryam Sugulle
Cardiovascular disease (CVD) is globally the leading cause of death and disability. Sex-specific causes of female CVD are under-investigated. Pregnancy remains an underinvestigated sex-specific stress test for future CVD and a hitherto missed opportunity to initiate prevention of CVD at a young age. Population-based studies show a strong association between female CVD and hypertensive disorders of pregnancy. This association is also present after other pregnancy complications that are associated with placental dysfunction, including fetal growth restriction, preterm delivery and gestational diabetes mellitus...
April 20, 2024: Pregnancy Hypertension
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