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https://www.readbyqxmd.com/read/28203556/complete-mesocolic-excision-in-right-hemicolectomy-comparison-between-hand-assisted-laparoscopic-and-open-approaches
#1
Qin-Song Sheng, Zhe Pan, Jin Chai, Xiao-Bin Cheng, Fan-Long Liu, Jin-Hai Wang, Wen-Bin Chen, Jian-Jiang Lin
PURPOSE: To demonstrate the feasibility, safety, and technical strategies of hand-assisted laparoscopic complete mesocolic excision (HAL-CME) and to compare oncological outcomes between HAL-CME and the open approach (O-CME) for right colon cancers. METHODS: Patients who were scheduled to undergo a right hemicolectomy were divided into HAL-CME and O-CME groups. Measured outcomes included demographic variables, perioperative parameters, and follow-up data. Demographic variables included age, sex distribution, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, previous abdominal surgery, tumor localization, and potential comorbidities...
February 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28202322/sexual-health-competencies-for-undergraduate-medical-education-in-north-america
#2
Carey Roth Bayer, Kristen L Eckstrand, Gail Knudson, Jean Koehler, Scott Leibowitz, Perry Tsai, Jamie L Feldman
INTRODUCTION: The number of hours spent teaching sexual health content and skills in medical education continues to decrease despite the increase in sexual health issues faced by patients across the lifespan. In 2012 and 2014, experts across sexuality disciplines convened for the Summits on Medical School Education and Sexual Health to strategize and recommend approaches to improve sexual health education in medical education systems and practice settings. One of the summit recommendations was to develop sexual health competencies that could be implemented in undergraduate medical education curricula...
February 12, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28179814/prenatal-stress-immune-programming-of-sex-differences-in-comorbidity-of-depression-and-obesity-metabolic-syndrome
#3
Jill M Goldstein, Laura Holsen, Grace Huang, Bradley D Hammond, Tamarra James-Todd, Sara Cherkerzian, Taben M Hale, Robert J Handa
Major depressive disorder (MDD) is the number one cause of disability worldwide and is comorbid with many chronic diseases, including obesity/metabolic syndrome (MetS). Women have twice as much risk for MDD and comorbidity with obesity/MetS as men, although pathways for understanding this association remain unclear. On the basis of clinical and preclinical studies, we argue that prenatal maternal stress (ie, excess glucocorticoid expression and associated immune responses) that occurs during the sexual differentiation of the fetal brain has sex-dependent effects on brain development within highly sexually dimorphic regions that regulate mood, stress, metabolic function, the autonomic nervous system, and the vasculature...
December 2016: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/28178893/sexually-transmitted-infection-prevalence-and-related-risk-factors-among-heterosexual-male-methamphetamine-users-in-china
#4
Dianchang Liu, Zhenxia Jiang, Cuizhen Xiu, Zhizhi Li, Qing Song, Zhenhong Wang
Few studies have examined the association between methamphetamine (MA) abuse and sexually transmitted infection (STI) risk among heterosexual male MA users in China. A total of 288 heterosexual male MA users who met our inclusion criteria were recruited from nightclubs, KTVs, bars, bath centres and an STI clinic. STIs were screened among the participants, and the risk factors related to STIs were analysed by multivariate logistic regression in SPSS 11.0. Among the 288 heterosexual male MA users, 51 (17.7%) had syphilis, 36 (12...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28178032/early-life-socioeconomic-disadvantage-and-metabolic-health-disparities
#5
Camelia E Hostinar, Kharah M Ross, Edith Chen, Gregory E Miller
OBJECTIVE: A quarter of the world's population suffers from metabolic syndrome (MetS). MetS prevalence stratifies by socioeconomic status (SES), such that low SES is associated with higher MetS risk. The present study compared the associations between early-life SES and current SES with MetS. METHODS: Participants (N = 354, ages 15-55, M = 36.5 years, SD = 10.7; 55% female; 72.9% White, 16.9% Asian, 10.2% other) were evaluated for SES and MetS. All were in good health, defined as free of chronic medical illness and acute infectious disease...
February 7, 2017: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28176005/prognosis-of-video-assisted-thoracoscopic-pulmonary-metastasectomy-in-patients-with-colorectal-cancer-lung-metastases-an-analysis-of-154-cases
#6
Fenghao Sun, Li Chen, Mengkun Shi, Xiaodong Yang, Ming Li, Xinyu Yang, Xiyu Dai, Cheng Zhan, Yu Shi, Qun Wang
PURPOSE: Video-assisted thoracoscopic surgery (VATS) is widely used in thoracic surgery and increasingly applied to pulmonary metastasectomy. The purpose of this study was to identify prognostic factors of patients undergoing VATS pulmonary metastasectomy from colorectal cancer (CRC). METHODS: Between January 2005 and June 2015, a total of 154 patients underwent VATS pulmonary metastasectomy from CRC. Patient demographic data and characteristics of the primary tumor and pulmonary metastasis were analyzed to identify factors significantly correlated with prognosis...
February 7, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28173881/the-needs-of-older-people-with-mental-health-problems-in-a-portuguese-psychiatric-setting
#7
Joaquim Passos, Aníbal Fonte, Cláudia Camila Dias, Lia Fernandes
BACKGROUND: This study aims to identify met and unmet needs, according to the patient, the carer and the staff, and their relationship with socio-demographic and clinical characteristics in elderly people with mental health problems. METHODS: A sample of 306 elderly patients ≥65 years, of both sexes, diagnosed with mental illness (ICD-10 criteria), was recruited from inpatient/outpatient settings in a Department of Psychiatry and Mental Health, in northern Portugal...
February 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28159560/are-bariatric-operations-performed-by-residents-safe-and-efficient
#8
Piotr Major, Michał Wysocki, Jadwiga Dworak, Michał Pędziwiatr, Piotr Małczak, Andrzej Budzyński
BACKGROUND: The growing need for surgeons who are educated and trained in bariatric surgery has raised many issues related to training in this field. OBJECTIVES: This study was performed to evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (SG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) performed by doctors-in-training during their residency in general surgery. SETTING: Tertiary referral university teaching hospital, Poland...
November 23, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28133933/the-possibility-of-radiotherapy-as-downstaging-to-living-donor-liver-transplantation-for-hepatocellular-carcinoma-with-portal-vein-tumor-thrombus
#9
J Y Choi, J I Yu, H C Park, C H D Kwon, J M Kim, J-W Joh, G S Choi, J B Park, S J Kim, S H Lee, W-T Cho, K W Lee, B-G Na, D K Oh, N R Lee, C W Cho, S Lee, S-K Lee
: Hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) are difficult to manage with very poor survival and due to universal recurrence after liver transplantation, they have been excluded from indication. Conformer radiation therapy (RT) has been shown to be effective in the treatment of HCC but only few trials have been reported as bridge to liver transplantation (LT) in HCC with PVTT. The purpose of our study was to evaluate the possibility of applying living donor liver transplantation (LDLT) following successful downstaging using RT in advanced HCC with PVTT...
January 30, 2017: Liver Transplantation
https://www.readbyqxmd.com/read/28108084/cholangiocarcinoma-with-spinal-metastasis-single-center-survival-analysis
#10
Pawalee Dowsiriroj, Permsak Paholpak, Winai Sirichativapee, Taweechok Wisanuyotin, Pat Laupattarakasem, Kamolsak Sukhonthamarn, Weerachai Kosuwon, Polasak Jeeravipoolvarn
The aim of this study was to perform a survival analysis of Cholangiocarcinoma (CCA) with spinal metastases. 55 cases of CCA with spinal metastases were retrospectively reviewed. We recorded age, sex, Kanofsky performance score, Frankel scale, number and region of affected vertebrae, presence of appendicular bone metastases, treatment received, and survival time; then performed a survival analysis. Overall median survival was 4months (95%CI, 2.89-5.11). Frankel A had the poorest survival (2months-95%CI, 1.15-2...
January 17, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28057095/-comparison-of-curative-effect-and-prognosis-analysis-of-patients-with-spinal-metastases-treated-by-percutaneous-vertebroplasty-combined-with-postoperative-radiotherapy-and-radiotherapy-alone
#11
X Y Cao, Y S Liu, M X Lei, S B Liu, S G Zhou, Y C Cao, W G Jiang
Objective: To evaluate the efficacy of percutaneous vertebroplasty(PVP) combined with postoperative radiotherapy and radiotherapy alone in the treatment of spinal metastatic tumors and to evaluate the prognostic factors for survival. Methods: From December 2011 to December 2015, according to the choice of treatment, patients in group A(60 cases) were treated with PVP combined with postoperative radiotherapy and those in group B(50 cases) underwent radiotherapy alone, age, sex, primary tumor type , and other basic characteristics were analyzed in both groups in department of orthopedics and radiotherapy department, 307 Hospital of the People's Liberation Army...
December 20, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28053812/outcome-of-gastric-cancer-surgery-in-elderly-patients
#12
Min Sung Kim, Sungsoo Kim
PURPOSE: Owing to increased life expectancy, the number of elderly patients with gastric cancer has increased. This study aimed to identify the outcomes of gastric cancer patients aged 80 years or older through comparison of their clinicopathological characteristics, surgical outcomes, and oncologic outcomes. MATERIALS AND METHODS: Between January 2006 and December 2013, the records of 478 patients who underwent surgery for gastric cancer were retrospectively evaluated...
December 2016: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/28043659/ideal-cardiovascular-health-is-associated-with-self-rated-health-status-the-polish-norwegian-study-pons
#13
Marta Manczuk, Georgeta Vaidean, Mahshid Dehghan, Rajesh Vedanthan, Paolo Boffetta, Witold A Zatonski
BACKGROUND: The concept of ideal cardiovascular health emphasizes a more integrative definition of health to include protective biological factors and behaviors but it has not been investigated in relation to individuals' perspectives on their own health. METHODS: We used cross-sectional data of 10,687 participants, age 45-64years, free of cardiovascular diseases. Ideal cardiovascular health was defined according to the American Heart Association criteria (7 metrics assessed at 3 levels: ideal, intermediate, and poor)...
March 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28017974/expectations-for-endoscopic-training-during-gynaecological-specialty-training-results-of-a-germany-wide-survey
#14
L Gabriel, E Solomayer, S Schott, A von Heesen, J Radosa, D Wallwiener, S Rimbach, I Juhasz-Böss
Question: Endoscopy is an integral part of surgical gynaecology and is playing an increasingly important role in ensuring adequate gynaecological training in the context of specialty training in general. At present, little is known about the expectations and notions of young junior doctors with respect to endoscopic training. For this reason, junior doctors throughout Germany were surveyed on this topic and asked to share their opinions. Methods: Using an anonymized standardized survey, the following information was elicited: importance of endoscopic training, willingness to take courses, expectations for instructors and the hospital, ideas about the number of required operations, both as a surgical assistant and as a surgeon, as well as satisfaction with the current status of training...
December 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27999275/hiv-other-blood-borne-viruses-and-sexually-transmitted-infections-amongst-expatriates-and-travellers-to-low-and-middle-income-countries-a-systematic-review
#15
REVIEW
Gemma Crawford, Roanna Lobo, Graham Brown, Chloe Macri, Hannah Smith, Bruce Maycock
In some high-income countries, a proportion of human immunodeficiency virus (HIV), other blood-borne virus (BBV) or sexually transmitted infection (STI) diagnoses have been reported as acquired overseas in low- and middle-income countries. A review was conducted to explore HIV, other BBV or STI related knowledge, risk behavior and acquisition amongst expatriates and travelers, particularly males, travelling from high to low- and middle-income countries. Seven academic databases were searched for 26 peer reviewed articles that met inclusion criteria...
December 16, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27998024/prevalence-of-primary-sj%C3%A3-gren-s-syndrome-in-a-population-based-cohort-in-the-united-states
#16
Gabriel Maciel, Cynthia S Crowson, Eric L Matteson, Divi Cornec
Objective To report the point prevalence of primary Sjögren's syndrome (pSS) in the first population-based study performed in the United States. Methods Cases of all potential pSS patients living in Olmsted County, Minnesota on January 1, 2015 were retrieved using the Rochester Epidemiology Project resources, and ascertained by manual medical record review. pSS cases were defined according to physician diagnosis. The use of diagnostic tests was assessed and the performance of classification criteria was evaluated...
December 20, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27995358/ecological-momentary-assessment-of-affective-and-interpersonal-instability-in-adolescent-non-suicidal-self-injury
#17
Philip S Santangelo, Julian Koenig, Vera Funke, Peter Parzer, Franz Resch, Ulrich W Ebner-Priemer, Michael Kaess
Affective and interpersonal instability, both core features of Borderline Personality Disorder (BPD), have been suggested to underlie non-suicidal self-injury (NSSI). Ecological momentary assessment (EMA) is the method of choice when investigating dynamic processes. Previously no study addressed affective and interpersonal instability in daily life of adolescents engaging in NSSI. Female adolescents with NSSI (n = 26) and age- and sex-matched healthy controls (n = 20) carried e-diaries on 2 consecutive weekends and were prompted in hourly intervals to rate their momentary affective state and feelings of attachment towards their mother and best friend...
December 19, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/27975042/predictive-values-derived-from-lower-wisdom-teeth-developmental-stages-on-orthopantomograms-to-calculate-the-chronological-age-in-adolescence-and-young-adults-as-a-prerequisite-to-obtain-age-adjusted-informed-patient-consent-prior-to-elective-surgical-procedures
#18
Reinhard E Friedrich, Kirsten Schmidt, András Treszl, Jan F Kersten
Introduction: Surgical procedures require informed patient consent, which is mandatory prior to any procedure. These requirements apply in particular to elective surgical procedures. The communication with the patient about the procedure has to be comprehensive and based on mutual understanding. Furthermore, the informed consent has to take into account whether a patient is of legal age. As a result of large-scale migration, there are eventually patients planned for medical procedures, whose chronological age can't be assessed reliably by physical inspection alone...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/27968880/exposure-to-the-chinese-famine-of-1959-61-in-early-life-and-current-health-conditions-a-systematic-review-and-meta-analysis
#19
Chihua Li, L H Lumey
BACKGROUND: Many middle-aged Chinese people have experienced the Great Leap Forward Famine of 1959-61, which could have profound long-term health consequences for exposed birth cohorts. We undertook a systematic review and meta-analysis to summarise reported famine effects on long-term health. METHODS: We searched PubMed, Embase, Chinese Wanfang Data, and Chinese National Knowledge Infrastructure databases up to December, 2015, for health outcomes related to the Chinese famine, with the keywords "China", "famine", "undernutrition", "Chinese famine", "Great Leap Forward", and "Great famine", and the MESH terms "starvation" or "malnutrition" combined with "China" or "Chinese"...
October 2016: Lancet
https://www.readbyqxmd.com/read/27965922/pulmonary-metastasectomy-in-adult-patients-with-synovial-sarcoma-a-single-center-experience
#20
Kanghoon Lee, Moon Chul Kang, Hae Won Lee, Jong Ho Park, Hee Jong Baek, Sung Joon Cho, Dae-Geun Jeon
BACKGROUND: This study assessed the efficacy of pulmonary metastasectomy for synovial sarcoma in adult patients. METHODS: Fifty patients, diagnosed with pulmonary metastasis from June 1990 to August 2010, were reviewed retrospectively. Twenty-eight patients underwent complete pulmonary metastasectomy, and their survival was evaluated. Age, sex, time to metastatic progression, laterality, number of tumors, size of largest nodule, and number of metastasectomies were analyzed as potential prognostic factors...
December 2016: Korean Journal of Thoracic and Cardiovascular Surgery
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