Read by QxMD icon Read

Patient documentation

Mehraboon S Irani, Mazen Toushan, Liyun Zhang, Pippa M Simpson, Matthew S Karafin
BACKGROUND: Partial normal saline replacement during plasma exchange procedures is a common practice to reduce procedure costs but may increase the risk of adverse events, such as hypotension and citrate reactions. The goal of this study was to compare adverse event rates for the patients that used albumin or albumin/saline as replacement. STUDY DESIGN AND METHODS: A retrospective chart review was done of plasma exchange procedures that used all albumin or 80% albumin to 20% normal saline (80/20) as replacement...
March 19, 2019: Journal of Clinical Apheresis
Bumsup Lee, Nipun Sodhi, Hiba K Anis, Joseph O Ehiorobo, Michael A Mont
INTRODUCTION: There has been a rapid increase in opioid-related morbidity and mortality worldwide, and the dangers of excessive opioid use have been observed in patients with chronic musculoskeletal pain, including those diagnosed with knee osteoarthritis. Pain management is an important component of nonoperative treatment in knee osteoarthritis and frequently entails the use of opioids. However, this management technique is not without risks, such as addiction, morbidity, and mortality...
March 19, 2019: Surgical Technology International
Sergio Claudio Saccà, Carlo Alberto Cutolo, Tommaso Rossi
Many diseases are related to age, among these neurodegeneration is particularly important. Alzheimer's disease Parkinson's and Glaucoma have many common pathogenic events including oxidative damage, Mitochondrial dysfunction, endothelial alterations and changes in the visual field. These are well known in the case of glaucoma, less in the case of neurodegeneration of the brain. Many other molecular aspects are common, such as the role of endoplasmic reticulum autophagy and neuronal apoptosis while others have been neglected due to lack of space such as inflammatory cytokine or miRNA...
2019: Sub-cellular Biochemistry
Michael-Alexander Malahias, Emmanouil Brilakis, Grigorios Avramidis, Emmanouil Antonogiannakis
PURPOSE: To answer the question whether arthroscopic subacromial balloon spacer (InSpace Balloon-ISB) implantation results in improved outcomes in patients suffering by irreparable massive rotator cuff tears (MRCT). Secondarily, we aimed to compare the outcomes of a combined ISB and arthroscopic partial repair procedure with those of a single ISB implantation without any repair. METHODS: A retrospective single-centre case series, based on prospectively collected data of patients who were suffering by irreparable MRCT, was conducted...
March 19, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Panagiotis Kouloumentas, Efstratios Kavroudakis, Efstathios Charalampidis, Dimitris Kavroudakis, Georgios K Triantafyllopoulos
PURPOSE: To compare the "all-inside technique" for anterior cruciate ligament (ACL) reconstruction using a short, quadrupled semitendinosus tendon (ST4) autograft and suspensory cortical fixation on both the femoral and tibial side vs the "conventional technique" using a semitendinosus/gracilis (ST/G) autograft fixed with a suspensory device on the femoral side and with an interference screw on the tibial side, in terms of clinical and functional outcomes. METHODS: A total of 90 patients were enrolled, randomised into two groups, and prospectively followed...
March 19, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Nicolas-Xavier Bonne, Michaël Risoud, Michael Hoa, Pierre-Emmanuel Lemesre, Rabih Aboukais, Emilie Le Rhun, Frédérique Dubrulle, Marc Baroncini, Jean-Paul Lejeune, Christophe Vincent
BACKGROUND: Hearing response following an osteodural decompression of the internal auditory canal (IAC) is controversial. OBJECTIVE: To evaluate the course of auditory brainstem responses (ABRs) and the early hearing response during the first year following IAC decompression for small to medium-sized vestibular schwannomas occurring in neurofibromatosis type 2 (NF2). METHODS: Retrospective chart review of middle fossa craniotomy for IAC osteodural decompression in NF2-related vestibular schwannomas...
March 19, 2019: Neurosurgery
Nicole Agaronnik, Eric G Campbell, Julie Ressalam, Lisa I Iezzoni
BACKGROUND: Patient-centered care for people with disability requires effective communication and compliance with the Americans with Disabilities Act (ADA). OBJECTIVE: To understand physicians' perspectives on communication experiences with people with disability. DESIGN: Twenty semi-structured individual interviews. Interview recordings were transcribed verbatim for analysis. SETTING: Massachusetts, October 2017-January 2018...
March 18, 2019: Journal of General Internal Medicine
Yuichi Hori, Shiro Nakahara, Naoki Nishiyama, Reiko Fukuda, Tomoaki Ukaji, Hirotsugu Sato, Yuri Koshikawa, Shu Inami, Tetsuya Ishikawa, Sayuki Kobayashi, Yoshihiko Sakai, Isao Taguchi
BACKGROUND: The reduction in the left atrial appendage (LAA) flow velocity is related to the presence of emboli in atrial fibrillation (AF) patients. The LAA is located on the left superior side of the left atrial (LA) anterior wall, and we investigated the relationship between the reduction in the LAA flow velocity (LAAFV) and low voltage zones (LVZs < 0.5 mV) on the LA anterior wall. METHODS: In 146 persistent AF patients, LAAFV measurements, by transesophageal echocardiography, and catheter ablation were performed...
March 18, 2019: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Alexandre Bani Sadr, Bastien Gregoire, Jeremie Tordo, Jacques Guyotat, Andre Boibieux, Marc Janier
OBJECTIVE: Currently, the diagnosis of bone flap osteomyelitis (BFO) remains a challenge for medical imaging. The present study aimed to identify predictive scintigraphic patterns of BFO. METHODS: This retrospective study reviewed planar bone scan of patients with suspected BFO between 2010, and 2016. A total of 15 patients were included. Final diagnosis of BFO was obtained by histological and bacteriological documentation. Eight scintigraphic signs potentially helpful were reviewed and correlated with the final diagnosis individually or in combination through Fischer exact test...
March 18, 2019: Annals of Nuclear Medicine
Melissa M Gadsden, David E Kaplan
Multidisciplinary tumor boards have evolved to address the increasing complexity of cancer care management. Given that hepatocellular carcinoma (HCC) often arises in the setting of underlying cirrhosis, expert input from hepatologists alongside hepatobiliary and transplant surgeons, radiation oncologists, interventional and body radiologists, and medical oncologists has become increasingly important in order to offer patients appropriate cancer treatments. The MDLTB structure has evolved since the early 2000s to bring these specialists together at regularly scheduled meetings to develop a therapeutic treatment plan for HCC management...
March 18, 2019: Digestive Diseases and Sciences
Anja Haase-Fielitz, Martin Ernst, Franziska Lehmanski, Julia Gleumes, Gundwara Blödorn, Anke Spura, Bernt-Peter Robra, Saban Elitok, Annemarie Albert, Christian Albert, Christian Butter, Michael Haase
BACKGROUND: Delayed diagnosis and undertherapy of acute-on-chronic kidney injury (AKI-on-CKD) may trigger multiple organ injury and worsen clinical outcome. OBJECTIVES: This study focused on description of in-hospital care and cross-sectoral information transmission of patients with AKI-on-CKD including subgroup analyses (under surgical vs. non-surgical and nephrology vs. non-nephrology care). MATERIALS AND METHODS: At a university clinic, we analysed clinical measures and documentation in patients with AKI-on-CKD...
March 18, 2019: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Stephan G Bodkin, Brian C Werner, Lindsay V Slater, Joseph M Hart
PURPOSE: The purpose was to calculate the incidence of osteoarthritis in individuals following Anterior Cruciate Ligament Reconstruction (ACLR) in a large, national database and to examine the risk factors associated with OA development. METHODS: A commercially available insurance database was queried to identify new diagnoses of knee OA in patients with ACLR. The cumulative incidence of knee OA diagnoses in patients after ACLR was calculated and stratified by time from reconstruction...
March 18, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Anne C Bay-Jensen, Adam Platt, Martin A Jenkins, Michael E Weinblatt, Inger Byrjalsen, Kishwar Musa, Mark C Genovese, Morten A Karsdal
Background: Biomarkers of rheumatoid arthritis (RA) disease activity typically measure inflammation or autoimmunity (e.g. CRP, RF). C1M and C3M, metabolites of type I and III collagen, are markers reflecting tissue metabolism. These markers have been documented to provide additional prognostic and predictive value compared to commonly used biomarkers. We investigated the relationship of high serum levels of C1M or C3M to radiographic progression, and benchmarked them to CRP and RF. Methods: Placebo treated patients of the OSK1, 2 and 3 studies (Phase III clinical trials testing efficacy of fostamatinib) with baseline serum biomarkers C1M, C3M, CRP and RF were included (nBL  = 474)...
2019: BMC Rheumatol
Dhanashree Ratra, Archayeeta Rakshit, Vineet Ratra
Background: Stargardt disease, a common form of heredomacular degeneration, leads to severe vision loss. Video game play can act as a positive biofeedback to reinforce visual rehabilitation and fixation training. It can potentially lead to visual improvement. This study was done to explore the possibility of visual improvement using video game stimulation for visual rehabilitation in Stargardt disease. Methods: We evaluated eight patients with Stargardt disease who had nonatrophic retina surrounding the area of degeneration at the macula...
January 2019: Therapeutic Advances in Ophthalmology
Leslie J Bisson, Paul Phillips, John Matthews, Zehua Zhou, Jiwei Zhou, William M Wind, Marc S Fineberg, Geoffrey A Bernas, Michael A Rauh, John M Marzo, Melissa A Kluczynski
Background: Bone marrow lesions (BMLs) have been found on magnetic resonance imaging in patients with meniscal tears. Purpose: We sought to determine the prevalence and location of BMLs, the association between BMLs and chondral lesions, and the association between BMLs and pain in patients without radiographic evidence of degenerative joint disease who underwent arthroscopic partial meniscectomy (APM). Study Design: Cohort study; Level of evidence, 2...
March 2019: Orthopaedic Journal of Sports Medicine
Ambrose Atosona, Christopher Larbie
Background: The occurrence and complications of diabetes are increasing worldwide. This study examined the prevalence and determinants of diabetic foot ulcers and lower extremity amputations in three selected tertiary hospitals in Ghana. Methods: A cross-sectional multicenter study involving 100 subjects was carried out. Subjects were selected through simple random sampling from three selected tertiary hospitals in Ghana. A structured questionnaire was used to document information on sociodemographic, medical history, lifestyle, and physical characteristics of subjects...
2019: Journal of Diabetes Research
Kemal Karapınar, Celalettin İbrahim Kocatürk
Background: The rate of surgical site infections (SSIs) has decreased in parallel to advances in sterilization techniques. Such infections increase morbidity and hospitalization costs. The use of iodine-impregnated sterile wound drapes (SWDs) is recommended to prevent or reduce the incidence of these infections. However, there is a paucity of data regarding their use in thoracic surgical procedures. The aim of the present study was to evaluate the effectiveness of sterile wound drapes in the prevention of these infections and the effects on hospitalization costs...
2019: BioMed Research International
Elisabeth Sogodogo, Mustapha Fellag, Ahmed Loukil, Vanessa Demonfort Nkamga, Justin Michel, Patrick Dessi, Pierre-Edouard Fournier, Michel Drancourt
The authors report the cases of 9 patients eventually diagnosed with methanogenic archaea refractory or recalcitrant chronic rhinosinusitis, a condition known to involve various anaerobic bacteria but in which the role of methanogenic archaea is unknown. The authors retrospectively searched these microorganisms by PCR in surgically-collected sinusal pus specimens from patients diagnosed with refractory sinusitis, defined by the persistance of sinus inflammation and related-symptoms for more than 12 weeks despite appropriate treatment...
2019: Frontiers in Public Health
Eric Black
Objective: Spinocerebellar ataxia type 1 (SCA1) is but one subtype of spinocerebellar ataxia (SCA), each of which can possibly be considered a separate neurological condition (N. Whaley, S. Fujioka, Z. K. Wszolek, 2011). SCA is hereditary, progressive, and degenerative. SCA1 symptoms initially include coordination problems and ataxia. SCA1 can also include speech and swallowing difficulties, spasticity, ophthalmoplegia, cognitive difficulties, and even sensory neuropathy, dystonia, atrophy, and fasciculations...
2019: Case Reports in Psychiatry
Lara Nassar, Amro Baassiri, Fatima Salah, Andrew Barakat, Elie Najem, Fouad Boulos, Ghina Berjawi
Objectives: The aim of this study is to demonstrate the various imaging appearances of stromal fibrosis on mammography, ultrasound, and magnetic resonance imaging (MRI). Material and Methods: This study included 75 female patients who presented to the American University of Beirut Medical Center between January 2010 and October 2015 for breast imaging. 66 (88%) patients obtained a mammogram, 71 (95%) had an ultrasound, and 6 (8%) had an MRI. Patients included had stromal fibrosis proven on biopsy...
2019: Radiology Research and Practice
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"