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Yang Shen, Yi-Min Dong, Qing Lu, Jie Xu, Yan-Ting Wu, Seong Seok Yun, Mu-Lan Ren
AIM: To explore the effect of phenolic environmental estrogens (EE) on women with uterine leiomyoma (UL). METHODS: Urine and blood plasma samples were collected from 300 patients diagnosed with UL at the Affiliated Zhongda Hospital of Southeast University between December 2013 and December 2014. Control urine and blood plasma samples were collected from 300 women who are either patients without UL or healthy volunteers presenting to the same hospital for physical examination during the same period...
April 2016: Journal of Obstetrics and Gynaecology Research
Ali Foroutan, Shahram Paydar, Seyed Taghi Heydari, Gholamhussian Erjaee, Kamran Bagheri Lankarani, Abbas Nowroozi, Sam Moslemi
BACKGROUND: Nonlinear analysis of heart rate variability (HRV) has been recently used as a predictor of prognosis in trauma patients. OBJECTIVES: We applied nonlinear analysis of HRV in patients with blunt trauma and intraperitoneal bleeding to assess our ability to predict the outcome of conservative management. PATIENTS AND METHODS: An analysis of electrocardiography (ECG) from 120 patients with blunt trauma was conducted at the onset of admission to the emergency department...
November 2015: Trauma Monthly
Martin Salö, Tania Sjöberg Altemani, Magnus Anderberg
BACKGROUND: A few studies have compared robotic-assisted laparoscopic pyeloplasty (RALP) with open pyeloplasty (OP) in children, but no previous study includes a long-term follow-up of renal function and hydronephrosis in combination with a thorough prospective follow-up of the RALP patients of at least 2 years. OBJECTIVE: To analyze perioperative results and long-term outcome of children with obstruction of the ureteropelvic junction, operated on with RALP compared to OP...
June 2016: Pediatric Surgery International
H Kroll, R Duszak, J Hemingway, D Hughes, M Wintermark
BACKGROUND AND PURPOSE: Monitoring the frequency of same-day sinus and brain CT (Outpatient Measure 14, "OP-14") is part of a recent large Centers for Medicare and Medicaid Services hospital outpatient quality initiative to improve imaging efficiency. This study investigates patient-level claims data in the Medicare population focusing on where same-day sinus and brain CT imaging is performed and how the frequency of same-day studies changed with time before and during OP-14 measure program implementation...
June 2016: AJNR. American Journal of Neuroradiology
Shinichi Yoshioka, Mutsumi Fukunaga, Ryohei Yukimoto, Shinji Tokuyama, Masahiko Kubo, Kiminori Yanagisawa, Akina Saito, Kazuyuki Okada, Hideo Ota, Masaki Kashiwazaki, Hirofumi Miki, Kenji Kobayashi
For patients with Stage Ⅳ colorectal cancer, primary site resection improves survival and relieves symptoms of bleeding and obstruction by the primary lesion. Laparoscopic surgery is thought to be useful for Stage Ⅳ colorectal cancer because of its low aggressiveness and the short recovery time. We examined the usefulness of laparoscopic resection of primary lesions for Stage Ⅳ colon cancer patients. Forty-one cases of Stage Ⅳ colorectal cancer treated by resection of the primary lesion were investigated, and we compared the group of patients with laparoscopic surgery (LAC) to the group of patients with open laparotomy (OP)...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Jeong Mi Moon, Byeong Jo Chun, Yong Soo Cho
AIMS: This study evaluated whether the initial venous glucose level at presentation is associated with fatality in organophosphate (OP)-poisoned patients without diabetes mellitus (DM) and whether the association between glucose and outcome differs depending on the chemical formulation of the OP ingested. METHODS: This retrospective observational case series consisted of 184 patients without DM who had a history of OP poisoning. Initial glucose level at presentation, outcome and general clinical data were recorded...
March 2016: Clinical Toxicology
Youcheng Lin, Xun Wu, Abai Xu, Rui Ren, Xueqiong Zhou, Yong Wen, Yong Zou, Mancheng Gong, Chunxiao Liu, Zexuan Su, Thomas R W Herrmann
PURPOSE: To evaluate the efficacy and safety of transurethral enucleation of the prostate (TUEP) versus transvesical open prostatectomy (OP) for the management of large benign prostatic hyperplasia (BPH). METHODS: Randomized controlled trials (RCTs) comparing TUEP and OP were identified from PubMed, Embase and Web of Science up to February 28, 2015. A meta-analysis was conducted with the STATA 12.0 software. RESULTS: Nine RCTs including 758 patients were enrolled in our meta-analysis...
September 2016: World Journal of Urology
Dominique Dupuis, Georges Ouellet, Louise Roy
BACKGROUND: The rapid increase in glomerular filtration rate in a normal contralateral kidney after uninephrectomy is well known in living kidney donors but much less well described in chronic kidney disease (CKD). The purpose of this study is to determine the magnitude of this initial compensatory capacity in (CKD) groups 3 to 5 (G3 to G5) patients undergoing uninephrectomy and the clinical factors predicting it. This is a retrospective study of all cases (142) of uninephrectomy in patients with estimated glomerular filtration rate (eGFR; with MDRD equation) <60 ml/min/1...
2015: Canadian Journal of Kidney Health and Disease
Eric O Klineberg, Peter G Passias, Cyrus M Jalai, Nancy Worley, Daniel M Sciubba, Douglas C Burton, Munish C Gupta, Alex Soroceanu, Luke P Zebala, Gregory M Mundis, Han Jo Kim, D Kojo Hamilton, Robert A Hart, Christopher P Ames, Virginie Lafage
STUDY DESIGN: A retrospective review of a prospective multicenter database. OBJECTIVE: The aim of this study was to identify variables associated with extended length of stay (ExtLOS) and this impact on health-related quality of life (HRQoL) scores in adult spinal deformity (ASD) patients. SUMMARY OF BACKGROUND DATA: ASD surgery is complex and associated with complications including extLOS. Although variables contributing to extLOS have been considered, specific complications and pre-disposing factors among ASD surgical patients remain to be investigated...
July 1, 2016: Spine
Ralf Greisiger, Jon K Shallop, Per Kristian Hol, Ole Jakob Elle, Greg Eigner Jablonski
INTRODUCTION: As of 2014 more than 1200 patients have received a cochlear implant (CI) at Oslo University Hospital (OUS) and approximately half of them have been children. The data obtained from these patients have been used to develop a comprehensive database for a systematic analysis of several objective measurements and programming measurements. During the past 10 years, we have used an objective measurements protocol for our CI surgeries. Our intra-operative protocol includes: Evoked Compound Action Potentials (ECAP), visually observed Electrically evoked Stapedius Reflex Threshold (ESRT), and electrode impedances...
2015: Cochlear Implants International
Salah Al-Awaidy, Sarah Hamid, Idris Al Obaidani, Said Al Baqlani, Suleiman Al Busaidi, Shyam Bawikar, Waleed El-Shoubary, Erica L Dueger, Mayar M Said, Emdeldin Elamin, Parag Shah, Maha Talaat
INTRODUCTION: Acute respiratory infections (ARI), including influenza, comprise a leading cause of morbidity and mortality worldwide. Influenza surveillance provides important information to inform policy on influenza control and vaccination. While the epidemiology of influenza has been well characterized in western countries, few data exist on influenza epidemiology in the Eastern Mediterranean Region. We describe the epidemiology of influenza virus in Oman. METHODS: Using syndromic case definitions and protocols, patients from four regional hospitals in Oman were enrolled in a descriptive prospective study to characterize the burden of severe acute respiratory infections (SARI) and influenza...
2015: PloS One
Feng-You Lee, Wei-Kung Chen, Cheng-Li Lin, Ching-Yuan Lai, Yung-Shun Wu, I-Ching Lin, Chia-Hung Kao
Small numbers of the papers have studied the association between organophosphate (OP) poisoning and the subsequent acute kidney injury (AKI). Therefore, we used the National Health Insurance Research Database (NHIRD) to study whether patients with OP poisoning are associated with a higher risk to have subsequent AKI.The retrospective cohort study comprised patients aged ≥20 years with OP poisoning and hospitalized diagnosis during 2000-2011 (N = 8924). Each OP poisoning patient was frequency-matched to 4 control patients based on age, sex, index year, and comorbidities of diabetes, hypertension, hyperlipidemia, chronic obstructive pulmonary disease, coronary artery disease, and stroke (N = 35,696)...
November 2015: Medicine (Baltimore)
Marie Viprey, Pascal Caillet, Guillaume Canat, Susan Jaglal, Julie Haesebaert, Roland Chapurlat, Anne-Marie Schott
Treatment initiation rates following fragility fractures have often been reported to be low and in recent years numerous programs have been implemented worldwide to increase them. This study aimed at describing osteoporosis (OP) treatment initiation in a representative sample of women who were hospitalized for a distal forearm fracture (DFF) or proximal humerus fracture (PHF) in 2009-2011 in France. The data source was a nationwide sample of 600,000 individuals, extracted from the French National Insurance Healthcare System database...
2015: PloS One
Marius Nedelcu, Pierre Verhaeghe, Mehdi Skalli, Gerard Champault, Christophe Barrat, Hugues Sebbag, Fabian Reche, Laurent Passebois, Daniel Beyrne, Jean Gugenheim, Stephane Berdah, Amine Bouayed, Jean Michel Fabre, David Nocca
The use of parietal synthetic prosthetic reinforcement material in potentially contaminated settings is not recommended, as there is a risk that the prosthesis may become infected. Thus, simple parietal herniorrhaphy, is the conventional treatment, even though there is a significant risk that the hernia may recur. Using new biomaterials of animal origin presently appears to offer a new therapeutic solution, but their effectiveness has yet to be demonstrated. The purpose of this multicenter prospective randomized single-blind study was to compare the surgical treatment of inguinal hernia or abdominal incisional hernia by simple parietal herniorrhaphy without prosthetic reinforcement (Group A), with Tutomesh TUTOGEN biological prosthesis reinforcement parietal herniorrhaphy (Group B), in a potentially contaminated setting...
March 2016: Wound Repair and Regeneration
Juan Gómez Rivas, Sergio Alonso Y Gregorio, Leslie Cuello Sánchez, Pamela Fontana Portella, Ángel Tabernero Gómez, Jesús Cisneros Ledo, Jesús Díez Sebastián, Jesús Javier de la Peña Barthel
INTRODUCTION: The treatment of ureteropelvic junction has evolved considerably over the past 20 years, resulting in new surgical techniques, but traditional open surgery remains the gold standard treatment. Currently, less invasive techniques are used for the treatment of ureteropelvic junction obstruction. The purpose of our study is to compare the surgical and functional results between laparoscopic and open pyeloplasty performed at our department during the last 12 years. MATERIAL AND METHODS: This is a retrospective review of 92 cases performed in a period of 12 years...
2015: Central European Journal of Urology
Rahul Choudhary, Ashish Goel, Sonal Pruthi, Sarathi Kalra, Sunil Agarwal, Om Prakash Kalra
INTRODUCTION: With an increasing number of sicker patients, limited hospital beds, and an emphasis on day care, the profile of patients hospitalized to medicine wards has undergone a radical re-definition. The increasing share of patients hospitalized through the emergency department for acute care to medicine wards has left little space for hospitalization through the outpatient department (OPD). There are some global data available on the profile of patients presenting to the emergency rooms (ERs) and their subsequent outcome...
December 2015: Prehospital and Disaster Medicine
Joel Katz, Aliza Weinrib, Samantha R Fashler, Rita Katznelzon, Bansi R Shah, Salima Sj Ladak, Jiao Jiang, Qing Li, Kayla McMillan, Daniel Santa Mina, Kirsten Wentlandt, Karen McRae, Diana Tamir, Sheldon Lyn, Marc de Perrot, Vivek Rao, David Grant, Graham Roche-Nagle, Sean P Cleary, Stefan Op Hofer, Ralph Gilbert, Duminda Wijeysundera, Paul Ritvo, Tahir Janmohamed, Gerald O'Leary, Hance Clarke
Chronic postsurgical pain (CPSP), an often unanticipated result of necessary and even life-saving procedures, develops in 5-10% of patients one-year after major surgery. Substantial advances have been made in identifying patients at elevated risk of developing CPSP based on perioperative pain, opioid use, and negative affect, including depression, anxiety, pain catastrophizing, and posttraumatic stress disorder-like symptoms. The Transitional Pain Service (TPS) at Toronto General Hospital (TGH) is the first to comprehensively address the problem of CPSP at three stages: 1) preoperatively, 2) postoperatively in hospital, and 3) postoperatively in an outpatient setting for up to 6 months after surgery...
2015: Journal of Pain Research
Gagandeep Kaur, Brandon Markley, Karen Schlauch, Kenneth E Izuora
BACKGROUND: This study looked at the effect of replacing an intensive subcutaneous insulin correction protocol (old subcutaneous insulin correction protocol [OP]) with a less intensive protocol (new subcutaneous insulin correction protocol [NP]) in a tertiary hospital with the hypothesis that using the NP will result in less hypoglycemia and improved hospital outcomes. METHODS: The charts for 200 hospitalized patients managed with the OP (glycemic target 90-116 mg/dL for intensive care and 90-130 mg/dL for nonintensive care patients) and 200 with the NP (glycemic target 150-200 mg/dL) were reviewed...
December 2015: American Journal of the Medical Sciences
K Keetarut, F Kiparissi, S McCartney, C Murray
INTRODUCTION: The adolescent clinic is a tertiary referral clinic including patients with a wide variety of complex gastroenterology conditions predominantly tertiary referrals fromGreat Ormond Street Hospital transition clinic. PURPOSE: To assess the benefit of the low FODMAP diet versus the "Milk, egg, wheat and soya" (MEWS) free diet for symptom control in patients with functional gut disorders and/or food allergy from June 2013 to June 2015. METHODS: A total of 436 patients were seen during this time period for dietetic advice and the age range varied from 13-21 years old with 43terms of diagnosis used...
October 2015: Journal of Pediatric Gastroenterology and Nutrition
Anna Rybak, Carlos Tutau Gomez, Keith Lindley, Nikhil Thapar, Mohamed Mutalib
INTRODUCTION AND AIM: Diagnosis of aerophagia is based on clinical symptoms and described in Rome III Criteria. The aim of this study was to estimate the normal and pathological values for air swallows measured with pH-impedance in children. MATERIAL AND METHODS: We analysed features of air swallowing in pH-impedance for patients hospitalized in the Great Ormond Street Hospital in 2008-2014, with the clinical symptoms of aerophagia, who have met the Rome III Criteria...
October 2015: Journal of Pediatric Gastroenterology and Nutrition
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