396,092 results match your criteria American Journal Of Orthopsychiatry[Journal]

Indications for Maternal Echocardiography in Detecting Disease and the Impact on Pregnancy Management.

Am J Perinatol 2021 May 4. Epub 2021 May 4.

Department of Cardiology, TriHealth Heart Institute, TriHealth-Good Samaritan Hospital, Cincinnati, Ohio.

Objective: Few obstetric-specific guidelines detail the indications for screening echocardiography in pregnancy. The objective of the study is to examine the association of common indications for maternal echocardiography with the likelihood of abnormality identification, pregnancy management alteration, and conformity with current American College of Cardiology Foundation (ACCF) guidelines.

Study Design:  This retrospective cohort analysis categorized all echocardiograms performed within pregnancy and the first month postpartum within a tertiary health system to correlate indications with abnormal findings. Read More

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Treatment strategies for osteochondral lesions of the talus: A review of the recent evidence.

Foot (Edinb) 2021 Apr 20;47:101805. Epub 2021 Apr 20.

East Kent Hospitals NHS University Foundation Trust, Ashford, United Kingdom.

Background: There has been no consensus regarding the treatment of osteochondral lesions of the talus, there has been many attempts to formulate a treatment pathway, with multiple proposed modalities and adjuncts used.

Objectives: The aim of this paper was to investigate the evidence published in the recent history, identify the relevant papers, review and summarize the findings, to help clarify the available operative treatment options and their respective efficacies based on the level of evidence provided.

Study Design & Methods: A literature search through electronic databases MEDLINE and EMBASE was done, these databases were screened for publications and papers form June 2004 to June 2019. Read More

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Matched retrospective analysis of three different fixation devices for chevron osteotomy.

Foot (Edinb) 2021 Jan 21;47:101779. Epub 2021 Jan 21.

Department of Orthopaedics of Herz Jesu Krankenhaus Vienna, Baumgasse 20A, 1030 Wien, Austria.

Chevron osteotomy with consecutive fixation is a commonly performed operative treatment option for hallux valgus deformities. The present retrospective study aims to compare the clinical and radiological outcome of novel bioabsorbable magnesium screw fixation with metal screw and Kirschner wire fixation. Eighteen matched triplets were assembled according to the following criteria: female gender, age difference less than 5 years, date of operation within 4 months, difference in preoperative intermetatarsal angle less than 5°, and equal experience of the first and second surgeon. Read More

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January 2021

What Procedures Are Important to General Pediatricians and Why.

Acad Pediatr 2021 May 1. Epub 2021 May 1.

The American Board of Pediatrics, 111 Silver Cedar Court, Chapel Hill, NC 27514, USA; Tufts School of Medicine, Boston, Massachusetts, 755 Washington St., #334 Boston, MA 02111, USA. Electronic address:

Background/objective: Pediatric residents must demonstrate competence prior to graduation in Accreditation Council for Graduate Medical Education (ACGME) required procedures. Recent literature shows general pediatricians (GPeds) infrequently perform these procedures yet believe them important to learn. The purpose of this study was to determine why GPeds believe learning procedures was important, what barriers prevent them from developing and maintaining procedural skills, and what procedures they believe should be included in training. Read More

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Shifting the National Consciousness about Pain Treatment: The Critical Need for a National Public Education Campaign.

J Pain 2021 May 1. Epub 2021 May 1.

Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA; Departments of Medicine and Health Policy and Management, UCLA, Los Angeles; CA, USA.

The failure of past practices and policies related to opioid prescribing for chronic pain has led federal agencies and professional organizations to recommend multimodal approaches that prioritize evidence-based nonpharmacological pain treatments (NPTs). These multimodal approaches, which include both traditional and complementary/integrative approaches, hold great promise for reducing the burden of chronic pain and reducing opioid use. Unfortunately, NPT approaches are underutilized due to a daunting array of interrelated barriers including the public's attitudes and beliefs about chronic pain and its treatment. Read More

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The proleptic unconscious and the exemplary moment in psychoanalysis.

Mitchell Wilson

Int J Psychoanal 2019 Dec;100(6):1084-1101

San Francisco Center for Psychoanalysis, Psychoanalytic Institute of Northern California, San Francisco, CA, USA.

In this paper I argue that a central feature of manifestations of the unconscious in clinical work is its proleptic dimension. In its essence, the proleptic unconscious is anticipatory and futural in its orientation. The classical view of unconscious mental life posits the existence of a spacial location filled with positive content there to be discovered; but this view risks reification and a clinical approach in which the analyst "finds what she is looking for. Read More

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December 2019

Consumption of sugar-sweetened and artificially sweetened beverages and breast cancer survival.

Cancer 2021 May 4. Epub 2021 May 4.

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Background: The activation of insulin pathways is hypothesized to promote tumor growth and worsen breast cancer survival. Sugar-sweetened beverages (SSBs) can lead to a higher risk of insulin resistance and may affect survival. The authors prospectively evaluated the relation of postdiagnostic SSB and artificially sweetened beverage (ASB) consumption with mortality among women with breast cancer. Read More

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Symptomatic Atlas Hypoplasia in a Latin-American Patient: Case Report and Literature Review.

J Am Acad Orthop Surg Glob Res Rev 2021 May 4;5(5):e21.00041. Epub 2021 May 4.

From the Hospital Italiano de Buenos Aires, Spinal Pathology Service, Almagro, CABA, Argentina. Orthopedic Institute "Prof. Dr. Carlos E. Ottolengui", Adult Spine Pathology Service, Hospital Italiano de Buenos Aires, CABA, Argentina.

Background: Atlas hypoplasia is an infrequent cause of upper cervical stenosis. Only 24 cases in nonsyndromic adult population have been published. We are not aware of previous reports describing isolated fully formed atlas hypoplasia in a Latin-American patient. Read More

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Risk Factors Associated With Extended Length of Hospital Stay After Geriatric Hip Fracture.

J Am Acad Orthop Surg Glob Res Rev 2021 May 4;5(5):e21.00073. Epub 2021 May 4.

From the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL.

Introduction: Within the geriatric hip fracture population, there exists a subset of patients whose length of inpatient hospital stay is excessive relative to the average. A better understanding of the risk factors associated with this group would be of value so that targeted prevention efforts can be properly directed. The goal of this study was to identify and characterize the risk factors associated with an extended length of hospital stay (eLOS) in the geriatric hip fracture population. Read More

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Patient perspectives of barriers to naloxone obtainment and use in a primary care, underserved setting: A qualitative study.

Subst Abus 2021 May 4:1-10. Epub 2021 May 4.

Department of Clinical Sciences, Touro University College of Pharmacy, Vallejo, CA, USA.

Gaps in naloxone obtainment and use are not well studied, particularly among minoritized groups. To describe patient perspectives that serve as barriers to naloxone obtainment and the number of patients who obtained naloxone in a primarily African American population in a primary care, underserved setting. This qualitative study conducted semi-structured interviews and included 36 adults who were prescribed naloxone at a federally qualified health center using convenience sampling. Read More

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Post-surgery rehabilitation following rotator cuff repair. A survey of current (2020) Italian clinical practice.

Disabil Rehabil 2021 May 4:1-11. Epub 2021 May 4.

Department of Physiotherapy, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK.

Aims: To analyse the clinical practice of Italian physiotherapists within the framework of postoperative rehabilitation of rotator cuff (RC) surgery patients, and to compare it with similar studies carried out in other countries.

Methods: A web-based, voluntary, cross-sectional survey with 27 closed multiple-choice questions was developed and submitted to Italian-based physiotherapists in order to assess their clinical practice.

Results: Data from 1160 questionnaires were then analysed. Read More

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Survival Benefit for Individuals With Constitutional Mismatch Repair Deficiency Undergoing Surveillance.

J Clin Oncol 2021 May 4:JCO2002636. Epub 2021 May 4.

Lebanese American University Medical Center-Rizk, Beirut, Lebanon.

Purpose: Constitutional mismatch repair deficiency syndrome (CMMRD) is a lethal cancer predisposition syndrome characterized by early-onset synchronous and metachronous multiorgan tumors. We designed a surveillance protocol for early tumor detection in these individuals.

Patients And Methods: Data were collected from patients with confirmed CMMRD who were registered in the International Replication Repair Deficiency Consortium. Read More

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Carrier Solvents of Electronic Nicotine Delivery Systems Alter Pulmonary Surfactant.

Chem Res Toxicol 2021 May 4. Epub 2021 May 4.

Chemistry Department, Faculty of Arts and Sciences, American University of Beirut, Beirut 1107-2020, Lebanon.

In late 2019, hundreds of users of electronic products that aerosolize a liquid for inhalation were hospitalized with a variety of respiratory and gastrointestinal symptoms. While some investigations have attributed the disease to the presence of vitamin E acetate in liquids that also contained tetrahydrocannabinol, some evidence suggests that chronic inhalation of two common solvents used in electronic nicotine delivery systems (ENDS), propylene glycol (PG) and vegetable glycerin (VG), can interfere with the lipid components of pulmonary surfactant and cause or exacerbate pulmonary injury. The interaction between PG, VG, and lung surfactant is not yet understood. Read More

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Forensic Recreation and Visual Representation of Greek Orthodox Church Saint Eftychios of Crete.

Adv Exp Med Biol 2021 ;1317:17-33

Plastic Surgery Unit, Surgical Oncology Clinic, General University Hospital of Heraklion, Heraklion, Greece.

Facial reconstruction is employed in medical science and archaeology. Though quite popular as anthropological method, it has not so far been used in the orthodox ecclesiastical tradition. This work presents the facial reconstruction of St Eftychios of Crete, who lived between the ninth and tenth centuries. Read More

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January 2021

Maternal Education and Low Birth Weight in Low- and Middle-Income Countries: Systematic Review and Meta-Analysis.

Matern Child Health J 2021 May 4. Epub 2021 May 4.

Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.

Objective: Adverse birth outcomes, including low birth weight (LBW), remain the leading causes of child morbidity and mortality in many low- and middle-income countries (LMICs). We carried out a systematic review and meta-analysis to assess the strength and consistency of the association between maternal education and LBW in LMICs.

Methods: We conducted an electronic search of studies published between 2000 and 2014 in four databases using three MeSH keywords - birth outcomes including LBW; individual-level socioeconomic measures including maternal education; and a list of LMICs. Read More

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Invasive American mink (Neovison vison) as potential definitive host of Sarcocystis elongata, S. entzerothi, S. japonica, S. truncata and S. silva using different cervid species as intermediate hosts.

Parasitol Res 2021 May 4. Epub 2021 May 4.

Nature Research Centre, Akademijos 2, LT-08412, Vilnius, Lithuania.

Canids and scavenger birds were shown to act as definitive hosts of numerous Sarcocystis species using members of the Cervidae family as an intermediate host, whereas definitive hosts spreading closely related S. elongata, S. entzerothi, S. Read More

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Additional coracoclavicular augmentation reduces revision rates in the treatment of lateral clavicle fractures as compared to angle-stable plate osteosynthesis alone.

Arch Orthop Trauma Surg 2021 May 4. Epub 2021 May 4.

Department of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany.

Introduction: There is no uniform approach to the management of lateral clavicle fractures. Recent studies have investigated additive coracoclavicular (CC) augmentation as a treatment option; however, it is unclear whether it is superior to conventional locking plate osteosynthesis.

Methods: We carried out a retrospective analysis of 40 patients with lateral clavicle fracture (Neer type IIb) who were treated between 2014 and 2017 with either a hybrid locking plate osteosynthesis/additive arthroscopy-assisted CC augmentation (HP) procedure or a locking plate osteosynthesis only (PO) approach to determine which strategy was more effective. Read More

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OPA1 deletion in brown adipose tissue Improves thermoregulation and systemic metabolism via FGF21.

Elife 2021 May 4;10. Epub 2021 May 4.

Fraternal Order of Eagles Diabetes Research Center and Division of Endocrinology and Metabolism, University of Iowa, Iowa City, United States.

Adrenergic stimulation of brown adipocytes alters mitochondrial dynamics, including the mitochondrial fusion protein optic atrophy 1 (OPA1). However, direct mechanisms linking OPA1 to brown adipose tissue (BAT) physiology are incompletely understood. We utilized a mouse model of selective OPA1 deletion in BAT (OPA1 BAT KO) to investigate the role of OPA1 in thermogenesis. Read More

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Metabolic flexibility via mitochondrial BCAA carrier SLC25A44 is required for optimal fever.

Elife 2021 May 4;10. Epub 2021 May 4.

Endocrinology, Diabetes & Metabolism, Beth Israel Deaconess Medical Center, Boston, United States.

Importing necessary metabolites into the mitochondrial matrix is a crucial step of fuel choice during stress adaptation. Branched chain-amino acids (BCAA) are essential amino acids needed for anabolic processes, but they are also imported into the mitochondria for catabolic reactions. What controls the distinct subcellular BCAA utilization during stress adaptation is insufficiently understood. Read More

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Latent Class Analysis and Predictors of Marijuana Use among Reservation-based American Indian High School Students.

J Psychoactive Drugs 2021 May 4:1-11. Epub 2021 May 4.

Department of Psychology, Colorado State University, Fort Collins, CO, USA.

American Indian (AI) youth residing on reservations report higher rates of marijuana use compared to national youth. Latent class analysis (LCA) was used to identify unique types of marijuana use among 2,884 AI high school students surveyed from 26 schools across six indigenous geographic regions. Predictors of class membership were then assessed using social, cultural, and individual measures relevant to adolescent substance use. Read More

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Lung-RADS Version 1.0 versus Lung-RADS Version 1.1: Comparison of Categories Using Nodules from the National Lung Screening Trial.

Radiology 2021 May 4:203704. Epub 2021 May 4.

From the Department of Diagnostic Radiology, University of Maryland, 22 S Greene St, Baltimore, MD 21136 (J.K., R.H., J.J., F.D., V.M., C.W.); Philips Research North America, Cambridge, Mass (S.D.); and Philips Healthcare, Highland Heights, Ohio (E.D.).

Background The American College of Radiology updated Lung Imaging Reporting and Data System (Lung-RADS) version 1.0 to version 1.1 in May 2019, with the two key changes involving perifissural nodules (PFNs) and ground-glass nodules (GGNs) now designated as a negative screening result. Read More

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Water Is Life: Law, Systemic Racism, and Water Security in Indian Country.

Health Secur 2021 Apr 30. Epub 2021 Apr 30.

Heather Tanana, JD, MPH, is an Assistant Professor of Law (Research) and a Stegner Center Fellow, University of Utah S.J. Quinney College of Law, Salt Lake City, UT. Julie Combs is a JD Candidate and Aila Hoss, JD, is an Assistant Professor; both at the University of Tulsa College of Law, Tulsa, OK. Heather Tanana is a member of the Navajo Nation, and Julie Combs is a member of the Cherokee Nation.

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Comparing Critical Care Admissions Among Urban Populations Before and During the COVID-19 Pandemic.

Health Secur 2021 Apr 30. Epub 2021 Apr 30.

Panagis Galiatsatos, MD, MHS, and Souvik Chatterjee, MD, are Assistant Professors and Edward S. Chen, MD, is an Associate Professor, Division of Pulmonary and Critical Care Medicine; Kathleen R. Page, MD, is an Associate Professor, Division of Infectious Diseases; Felicia Hill-Briggs, PhD, is a Professor, Division of General Internal Medicine; and Sherita H. Golden, MD, MHS, is a Professor, Division of Endocrinology, Diabetes, and Metabolism; all in the Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. Panagis Galiatsatos and Felicia Hill-Briggs are Co-Chairs, Johns Hopkins Health Equity Steering Committee, Office of Diversity, Inclusion, and Health Equity; and Sherita H. Golden is Director, Office of Diversity, Inclusion, and Health Equity, and Lead, Armstrong Institute for Patient Safety and Quality; all at Johns Hopkins Medicine, Baltimore, MD. Panagis Galiatsatos is Co-Director, Medicine for the Greater Good; and Joyce Maygers, DNP, RN, is a Senior Clinical Outcomes Coordinator, Department of Care Management; both at Johns Hopkins Bayview Medical Center, Baltimore, MD. Sauradeep Sarker, MD, is an Internal Medicine Resident, Department of Medicine, Sinai Hospital, Baltimore, MD. Vanya Jones, PhD, is an Associate Professor, Health, Behavior, and Society; Felicia Hill-Briggs and Sherita H. Golden are Professors of Medicine, Welch Center for Prevention, Epidemiology, and Clinical Research; and Sherita H. Golden is a Professor, Department of Epidemiology; all at the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Tina Tolson, RN, is Director, Johns Hopkins Medicine Language Services, Johns Hopkins Health System, Baltimore, MD.

In the context of the COVID-19 pandemic, reassessing intensive care unit (ICU) use by population should be a priority for hospitals planning for critical care resource allocation. In our study, we reviewed the impact of COVID-19 on a community hospital serving an urban region, comparing the sociodemographic distribution of ICU admissions before and during the pandemic. We executed a time-sensitive analysis to see if COVID-19 ICU admissions reflect the regional sociodemographic populations and ICU admission trends before the pandemic. Read More

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First Report of Anthracnose of American Ginseng caused by in Northeast China.

Plant Dis 2021 May 4. Epub 2021 May 4.

Chinese Academy of Agricultural Sciences, 12661, Institute of Special Wild Economic Animal and Plant Science, Chinese Academy of Agricultural Sciences, Juye Street No. 4899, Changchun, Jilin, China, 130112.

American ginseng () is a medicinal plant that is commercially cultivated in China. Anthracnose is a devastating disease of American ginseng, with annual production losses exceeding 20%. In July 2019, anthracnose of American ginseng was observed on 3-year-old plants in Fusong County, Jilin Province, China, the most important region of American ginseng. Read More

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Philip Syng Physick: Father of American Surgery.

Ann Med Hist 1929 Sep;1(5):562-582

Madison, Wisconsin.

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September 1929