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https://www.readbyqxmd.com/read/29923997/euglycemic-diabetic-ketoacidosis-caused-by-dapagliflozin-a-case-report
#1
Yu-Mou Chou, Chen-June Seak, Zhong Ning Leonard Goh, Joanna Chen-Yeen Seak, Chen-Ken Seak, Chih-Chuan Lin
RATIONALE: Diabetic ketoacidosis is a serious and potentially life-threatening acute complication of diabetes mellitus (DM). Euglycemic diabetic ketoacidosis (eDKA) is however challenging to identify in the emergency department (ED) due to absence of marked hyperglycemia, often leading to delayed diagnosis and treatment. eDKA has been recently found to be associated with sodium-glucose cotransporter 2 (SGLT2) inhibitors, one of the newest classes of antidiabetics, though there are very limited reports implicating dapagliflozin as the offending agent in ED patients...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923996/pheochromocytoma-crisis-presenting-with-hypotension-hemoptysis-and-abnormal-liver-function-a-case-report
#2
Renhua Wu, Nanwei Tong, Xinlei Chen, Shishi Xu, Fang Zhang, Lizhi Tang, Yuwei Zhang
RATIONALE: Pheochromocytomas are rare catecholamine-secreting tumors arising from adrenomedullary chromaffin cells, usually causing hypertension, palpitation and headache. However, pheochromocytoma crisis, on the contrary, might present with hypotension, multiple organ dysfunction or even mimicking other diseases, leaving physician with diagnostic difficulties. In this study, we present a case featured hypotension, shock and multiple organ dysfunction syndrome on admission, which nearly lead us to miss the diagnosis of pheochromocytoma...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29922914/association-between-quality-of-life-and-clinical-characteristics-in-patients-with-morphea
#3
G Bali, S Kárpáti, M Sárdy, V Brodszky, B Hidvégi, F Rencz
BACKGROUND: Morphea can lead to considerable cosmetic or functional impairment; nevertheless, health-related quality of life (HRQoL) is rarely documented in adult morphea patients. OBJECTIVE: To investigate the impact of morphea on HRQoL and to identify determinants of impaired HRQoL. METHODS: A cross-sectional study has been carried out among adult morphea patients. HRQoL was evaluated by the Dermatology Life Quality Index (DLQI). The modified Localised Scleroderma Skin Severity Index (mLoSSI) and the Localised Scleroderma Damage Index (LoSDI) were applied to evaluate disease activity and damage, respectively...
June 19, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29921429/water-related-vaginal-injury-a-case-report-and-review-of-the-literature
#4
Isabelle Gauthier, Aisling A Clancy, Jennifer Lipson, Dante Pascali
BACKGROUND: Vaginal injury can result from entry of water into the vagina under high pressure. Previously reported cases describe water-jet vaginal injuries in women participating in water-related activities, including: water skiing, personal watercraft use, waterslides, water hose and fountains, with and without foreign body in situ. CASE: We describe the case of a severe vaginal laceration and hemorrhage in a 44-year-old female from a high-pressure water-jet generated during a water-ski fall requiring operative repair...
July 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29916592/-gender-sensitive-risk-assessment-and-health-medical-surveillance-some-operative-tools
#5
Rudy Foddis, Giulia Ficini, Alfonso Cristaudo, Alessandra Pistelli, Annalaura Carducci, Elisa Caponi, Rita Biancheri, Antonella Ninci, Chiara Breschi, Andrea Cristaudo, Antonella Basso, Roberta Bonfiglioli, Francesca Larese Filon, Silvia Simonini, Giovanna Spatari, Paola Tomao, Maria Gabriella Verso, Maria Luisa Scapellato
OBJECTIVES: A thorough and fully application of the principles of gender mainstreaming, in accordance with the European Community guidelines, to the health and safety at work, implies the systematic review of the whole prevention from the gendered point of view. This means that both biology- and gender-based differences between male and female workers should be conceived not only as determinants of health but also as factors affecting either positively or negatively the health and safety risk prevention...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29915635/-diphyllobothrium-latum-mimicking-subacute-appendicitis
#6
Konika Sharma, Karn Wijarnpreecha, Nancy Merrell
Diphyllobothrium latum ( D. latum ) infection in humans is uncommon in the United States. Although there has been a drastic decline in the report of D. latum infection in this region, physicians should be aware of an uncommon presentation and its clinical relevance. We report a case of 55-year-old female of Ecuadorian/Peruvian origin who presented with an unknown cause of chronic right lower quadrant abdominal pain for 2 months without other particular symptoms. Initial workup revealed evidence of iron deficiency anemia, and stool occult blood test was positive...
June 2018: Gastroenterology Research
https://www.readbyqxmd.com/read/29915349/development-of-a-computer-aided-tool-for-the-pattern-recognition-of-facial-features-in-diagnosing-turner-syndrome-comparison-of-diagnostic-accuracy-with-clinical-workers
#7
Shi Chen, Zhou-Xian Pan, Hui-Juan Zhu, Qing Wang, Ji-Jiang Yang, Yi Lei, Jian-Qiang Li, Hui Pan
Technologies applied for the recognition of facial features in diagnosing certain disorders seem to be promising in reducing the medical burden and improve the efficiency. This pilot study aimed to develop a computer-assisted tool for the pattern recognition of facial features for diagnosing Turner syndrome (TS). Photographs of 54 patients with TS and 158 female controls were collected from July 2016 to May 2017. Finally, photographs of 32 patients with TS and 96 age-matched controls were included in the study that were further divided equally into training and testing groups...
June 18, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29913852/acceptance-and-commitment-therapy-for-fibromyalgia-a-randomized-controlled-trial
#8
G L Olsson, M Kemani, K Jensen, E Kosek, D Kadetoff, K Sorjonen, M Ingvar, R Wicksell
Background Recent developments within cognitive behavior therapy (CBT) have emphasized the utility of acceptance and mindfulness strategies, contrasting interventions focused on reduction or control of symptoms. A study of fMRI changes after CBT in females with fibromyalgia (FM) has been performed and results are presented elsewhere (under review). The aim of the present study was evaluate the effectiveness of Acceptance and Commitment Therapy (ACT)-based intervention for patient diagnosed with FM in comparison with a wait-list control Method Female patients aged 18-55 years, fulfilling the American College of Rheumatology classification criteria for FM, and with a weekly self-reported average pain intensity of >40 (VAS 0-100) were considered eligible for inclusion...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913102/immunization-rates-of-pneumococcal-influenza-and-tetanus-vaccines-and-knowledge-and-attitudes-of-adult-patients-who-receive-inpatient-treatment-at-hospital-point-prevalence-study
#9
Aziz Ahmad hamİdİ, Beray Gelmez taŞ, Alper GÜndÜz, Safiye Nur Çelebİ, Elif Serap Esen, Dilek Toprak, İlyas DÖkmetaŞ
The safety of vaccines, access to health care, the level of community's knowledge and the attention of physicians play a critical role in the rate of adult vaccination. This study aims to determine the immunization rate of pneumococcal, influenza and tetanus vaccines among the patients and their knowledge and attitudes in the hospital. The study is a cross-sectional point prevalence survey. The patients who agreed to participate in the study were interviewed using a questionnaire. Patients' gender, occupation, educational status, income level and risk factors (immunosuppressed and over 65 years old) were compared with the knowledge and attitudes about vaccinations...
June 18, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29912774/depressive-symptoms-are-associated-with-low-treatment-adherence-in-african-american-individuals-with-systemic-lupus-erythematosus
#10
Erica Heiman, S Sam Lim, Gaobin Bao, Cristina Drenkard
OBJECTIVE: African American (AA) people with systemic lupus erythematosus (SLE) are at high morbidity and mortality risk, and they often require multiple medications. Low medication adherence is a highly prevalent, multidimensional problem associated with poor outcomes in people with SLE. Depression, a predictor of low adherence in people with chronic conditions, has been described in over 35% of AAs with SLE. We hypothesized that depressive symptoms would be increasingly associated with low adherence in this population...
June 15, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29908023/prevalence-of-and-attitudes-to-waterpipe-smoking-among-saudi-arabian-physicians
#11
Mohammed Al Ghobain, Anwar Ahmed, Zynab Abdrabalnabi, Wjdan Mutairi, Ali Al Khathaami
Background: Tobacco smoking kills more than 5 million people annually and it is the most important cause of preventable death. Waterpipe smoking is common in the Middle East and is prevalent among young people. There is a misconception that it is less harmful than cigarette smoking. Physicians are considered role models in the community and their behaviours and attitudes towards smoking can have direct effects on cessation. Aim: The aim of this study was to estimate current prevalence, attitudes and associated factors in regard to waterpipe smoking among Saudi Arabian physicians...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29907201/a-qualitative-study-of-gender-differences-in-the-experiences-of-general-surgery-trainees
#12
Sara P Myers, Katherine A Hill, Kristina J Nicholson, Matthew D Neal, Megan E Hamm, Galen E Switzer, Leslie R M Hausmann, Giselle G Hamad, Matthew R Rosengart, Eliza B Littleton
BACKGROUND: Women surgeons continue to face unique challenges to professional advancement. Higher attrition rates and lower confidence among female surgical residents suggest that experiences during residency differ by gender. Few studies have investigated gender-specific experiences during training. This study identifies gender-based differences in the experiences of general surgery residents that could affect professional development. MATERIALS AND METHODS: Male and female general surgery residents at the University of Pittsburgh Medical Center participated in a semi-structured interview study exploring the significance of gender in training...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29906287/a-combination-of-quantitative-and-qualitative-methods-in-investigating-risk-factors-for-lost-to-follow-up-for-tuberculosis-treatment-in-japan-are-physicians-and-nurses-at-a-particular-risk
#13
Lisa Kawatsu, Kazuhiro Uchimura, Akihiro Ohkado, Seiya Kato
BACKGROUND: The treatment success rate of pulmonary tuberculosis (PTB) patients aged 64 years and below in Japan, a tuberculosis (TB) middle-burden country with a notification of 13.9 per 100,000 populations in 2016, has been fluctuating around 70% for some years. In order to improve treatment outcome, it is critical to address those lost to follow-up (LTFU). The objective of the study therefore was to describe the characteristics of, and analyze the risk factors for those LTFU among pulmonary TB patients aged between 15 and 64, and discuss policy implications...
2018: PloS One
https://www.readbyqxmd.com/read/29905584/human-papilloma-virus-and-the-nurse-s-role-in-education-and-prevention
#14
Jennifer S Sherry, Sandra K Collins, Richard C McKinnies, Anthony Fleege, Marcea L Walter
In the United States, an estimated 20 million people, or 15% of the population, are currently infected with human papilloma virus (HPV). The prevalence of HPV is increasing in females aged 14 to 24 years. Assessing allied health students' knowledge, attitudes, and behaviors regarding HPV was performed using a 34-question survey. The survey was in four sections: general information, measuring knowledge of HPV and the vaccine, HPV vaccine, and HPV screening and diagnosis. Physicians were noted by 31.6% of the participants as the first individual who gave them information about HPV...
June 14, 2018: Health Care Manager
https://www.readbyqxmd.com/read/29904567/serum-25-hydroxyvitamin-d-levels-in-patients-with-skin-diseases-including-psoriasis-infections-and-atopic-dermatitis
#15
Ulrich Amon, Laura Baier, Raul Yaguboglu, Madeleine Ennis, Michael F Holick, Julian Amon
The pathogenetic role of vitamin D as well as its clinical correlation in inflammatory skin diseases is still uncertain. This study aimed to compare serum levels of 25(OH) vitamin D (calcidiol) in outpatients suffering from different skin diseases using the same laboratory method in one study. In routine serum samples of 1,532 patients from the previous 12 months we identified retrospectively 180 (mean age 49.4 years, 80 female, 100 male) and 205 (mean age 36.3 years, 116 female, 89 male) patients with psoriasis (PSO) and atopic dermatitis (AD), respectively...
2018: Dermato-endocrinology
https://www.readbyqxmd.com/read/29903628/how-female-and-male-physicians-communication-is-perceived-differently
#16
Marianne Schmid Mast, Keou Kambiwa Kadji
OBJECTIVE: This paper is based on a 2017 Baltimore International Conference on Communication in Healthcare (ICCH) plenary presentation by the first author and addresses how female and male physicians' communication is perceived and evaluated differently. Female physicians use patient-centered communication which is the interaction style clearly preferred by patients. Logically, patients should be much more satisfied with female than male physicians. However, research shows that this is not the case...
June 7, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29903050/self-assessment-differences-between-genders-in-a-low-stakes-objective-structured-clinical-examination-osce
#17
Lorenzo Madrazo, Claire B Lee, Meghan McConnell, Karima Khamisa
OBJECTIVE: Physicians and medical students are generally poor-self assessors. Research suggests that this inaccuracy in self-assessment differs by gender among medical students whereby females underestimate their performance compared to their male counterparts. However, whether this gender difference in self-assessment is observable in low-stakes scenarios remains unclear. Our study's objective was to determine whether self-assessment differed between male and female medical students when compared to peer-assessment in a low-stakes objective structured clinical examination...
June 15, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29902691/pharmacological-cognitive-enhancement-among-non-adhd-individuals-a-cross-sectional-study-in-15-countries
#18
Larissa J Maier, Jason A Ferris, Adam R Winstock
BACKGROUND: Psychoactive substance use aiming at increased performance at work or while studying, usually referred to as pharmacological cognitive enhancement (PCE), has been extensively researched in recent years. While large scale national studies have tried to assess the prevalence of PCE among the general population, cross-cultural comparisons have been hampered by the different definitions and designs included. In addition, the non-medical use of prescription drugs indicated to treat the symptoms of the Attention Deficit Hyperactivity Disorder (ADHD) has been the focus of discussion, yet no study has addressed the association between ADHD rates, prescribing behaviour and PCE yet...
June 11, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29902224/premorbid-risk-perception-lifestyle-adherence-and-coping-strategies-of-people-with-diabetes-mellitus-a-phenomenological-study-in-the-brong-ahafo-region-of-ghana
#19
Philip Teg-Nefaah Tabong, Vitalis Bawontuo, Doris Ningwiebe Dumah, Joseph Maaminu Kyilleh, Tolgou Yempabe
BACKGROUND: One of the non-communicable diseases which is on the rise is type 2 diabetes (T2D). T2D is largely preventable with healthy lifestyle. We therefore conducted this study to explore premorbid perception of risk, behavioural practices and the coping strategies of patients with T2D. METHODS: Using descriptive phenomenology approach to qualitative enquiry, we conducted eight focus group discussions (N = 73) with diabetic patients; four among males (N = 36) and four among females (N = 37)...
2018: PloS One
https://www.readbyqxmd.com/read/29901631/neurological-melioidosis-burkholderia-pseudomallei-in-a-chronic-psychotic-patient-treated-with-antipsychotics-a-case-report
#20
Guan-Bo Chen, Sheng-Hui Tuan, Li-Hsiang Chen, Wen-Sou Lin
RATIONALE: Neurological melioidosis, an extremely rare condition, is caused by the gram-negative bacterium Burkholderia pseudomallei. If treatment is suboptimal or delayed, this infection can produce diverse clinical symptoms and result in death. PATIENT CONCERNS: A healthy 65-year-old female who had been treated with antipsychotic medication for neurotic depression for over 2 years presented with acute-onset fever, headache, lead-pipe rigidity of all limbs, and delirium...
June 2018: Medicine (Baltimore)
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