363,895 results match your criteria Emergency Medicine News [Journal]


[Lobectomy of Right Lower Lobe Eight Years after Foreign Body Aspiration].

Pneumologie 2019 Feb 14. Epub 2019 Feb 14.

Thoraxzentrum Ruhrgebiet, Klinik für Thoraxchirurgie, Evangelisches Krankenhaus, Herne.

A young man presented with haemoptysis, eight years after foreign body aspiration. The initial evaluation took place in the emergency department of a general hospital. However, neither chest x-ray nor bronchoscopy were performed. Read More

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http://dx.doi.org/10.1055/a-0830-1524DOI Listing
February 2019

Etiology, seizure type, and prognosis of epileptic seizures in the emergency department.

Epilepsy Behav 2019 Feb 11;92:327-331. Epub 2019 Feb 11.

Epilepsy Unit, Neurology Department, Vall d'Hebron Hospital, Passeig Vall d'Hebron 119-121, 08035 Barcelona, Spain. Electronic address:

Epileptic seizures are a common reason for emergency department (ED) admittance. We aimed to describe the etiological distribution of epileptic seizures and the relationships between etiology and semiology in patients admitted to the emergency room, and to identify early prognostic factors for recurrence and mortality.

Methods: A retrospective observational study was conducted in adult patients consecutively attended in the emergency room with epileptic seizures over a 2-year period. Read More

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http://dx.doi.org/10.1016/j.yebeh.2018.12.008DOI Listing
February 2019

Type B Aortic Dissection post NELLIX endovascular aneurysm sealing (EVAS).

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Vascular Surgery, Singapore General Hospital; Vascular Service, Sengkang General Hospital.

Objectives: Endovascular aneurysm sealing (EVAS) was developed with the intention of expanding the anatomical limitations of conventional endovascular repair (EVAR) devices, as well as decrease rates of re-intervention secondary to migration and type II endoleaks in treatment of abdominal aortic aneurysms (AAA). Since its inception, EVAS has gained much popularity especially for patients with concomitant common iliac aneurysms, with good long term durability suggested by several studies. Currently, the known complications of EVAS, whilst considered uncommon, include endoleaks, renal artery and limb thrombosis. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.014DOI Listing
February 2019

Kidney Preservation Using Renal Heterotopic Autotransplantation During F-Evar For Complex Residual Type-A Aortic Dissection.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.

The treatment of type A acute aortic dissection is a challenge for the surgeon, and serious late-complications may occur even after surgical repair. We report treatment following a type A post-dissection thoraco-abdominal aneurysm in a patient who previously underwent ascending aortic reconstruction using a biological aortic valve and Dacron prosthetic graft implantation in emergency conditions. The multi-staged approach consisted in removing the right kidney and performing a heterotopic autotransplantation in the left iliac fossa before positioning a fenestrated endograft (celiac trunk, superior mesenteric artery and left renal artery). Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.008DOI Listing
February 2019

Prescription opioid misuse among middle-aged and older adults in the United States, 2015-2016.

Prev Med 2019 Feb 11. Epub 2019 Feb 11.

Center for Drug Use and HIV/HCV Research, New York University Rory Meyers College of Nursing, 433 First Avenue, 7th Floor, New York, NY 10010, United States of America; New York University Langone Medical Center, Department of Population Health, 550 First Avenue, New York, NY 10016, United States of America.

Adults ≥50 years of age have high rates of prescription opioid use. The purpose of this study is to estimate the prevalence and correlates of prescription opioid misuse among middle-aged and older adults in the United States who use prescription opioids. Data from adults age ≥ 50 from the two most recent cohorts (2015 and 2016) of the National Survey of Drug Use and Health were examined (N = 17,608). Read More

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http://dx.doi.org/10.1016/j.ypmed.2019.02.018DOI Listing
February 2019

As a spirochete.

Clin Microbiol Infect 2019 Feb 11. Epub 2019 Feb 11.

Laboratoire de Biologie Médicale, Hôpitaux Privés de Metz, Metz, France.

A 59-year-old woman, admitted to the emergency department for a fall, had a subfebrile episode up to 38 °C without localized symptoms of infection. She had relapsed follicular lymphoma. She had not recently been administered chemotherapy nor had she travelled outside of France. Read More

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http://dx.doi.org/10.1016/j.cmi.2019.01.018DOI Listing
February 2019

[Fatal Toxic Epidermal Necrolysis Induced by Diclofenac Re-Administration in the Teaching Hospital of Bouaké (Côte d'Ivoire)].

Bull Soc Pathol Exot 2018 ;111(1):9-11

Service d'anesthésie-réanimation, CHU de Bouaké, BP 1174 Bouaké, Côte d'Ivoire.

Lyell's syndrome or toxic epidermal necrolysis is an acute and severe cutaneous adverse drug reaction with a significant morbidity and mortality. It is a very rare condition but a vital emergency with a poor prognosis. The diagnosis is clinical and confirmed by a cutaneous biopsy showing a necrosis of the epidermis. Read More

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http://dx.doi.org/10.3166/bspe-2018-0009DOI Listing
January 2018

Role of Monthly High-Dose Vitamin D Supplementation in Cancer Prevention-In Reply.

JAMA Oncol 2019 Feb 14. Epub 2019 Feb 14.

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

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http://dx.doi.org/10.1001/jamaoncol.2018.7233DOI Listing
February 2019

Reassessing the Safety of Bicycle Helmets-Finding Vulnerability in Strength.

JAMA Otolaryngol Head Neck Surg 2019 Feb 14. Epub 2019 Feb 14.

Division of Trauma, Emergency Surgery, Critical Care, and Burns, Department of Surgery, University of Arizona, Tucson.

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http://dx.doi.org/10.1001/jamaoto.2018.4184DOI Listing
February 2019

Determinants and Variations of Hospital Costs in Patients With Lumbar Radiculopathy Hospitalized for Spinal Surgery.

Spine (Phila Pa 1976) 2019 Mar;44(5):355-362

I-CHER, Interuniversity Center for Health Economics Research Group, Belgium.

Study Design: A retrospective study.

Objective: The aim of this study was to determine hospital costs related to surgery for lumbar radiculopathy and identify determinants of intramural costs based on minimal hospital and claims data.

Summary Of Background Data: Costs related to the initial hospitalization of patients undergoing surgery for lumbar radiculopathy make up the major part of direct health care expenditure in this population. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002801DOI Listing

Measurement of S100B protein: evaluation of a new prototype on a bioMérieux Vidas® 3 analyzer.

Clin Chem Lab Med 2019 Feb 14. Epub 2019 Feb 14.

Biochemistry and Molecular Biology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Background The addition of S100B protein to guidelines for the management of mild traumatic brain injury (mTBI) decreases the amount of unnecessary computed tomography (CT) scans with a significant decrease in radiation exposure and an increase in cost savings. Both DiaSorin and Roche Diagnostics have developed automated assays for S100B determination. Recently, bioMérieux developed a prototype immunoassay for serum S100B determination. Read More

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http://dx.doi.org/10.1515/cclm-2018-1217DOI Listing
February 2019

Microparticle-induced vascular injury in mice following decompression is inhibited by hyperbaric oxygen: Effects on microparticles and interleukin-1β.

J Appl Physiol (1985) 2019 Feb 14. Epub 2019 Feb 14.

Emergency Medicine, University of Maryland School of Medicine, United States.

Hyperbaric oxygen (HBO) became a mainstay for treating decompression sickness (DCS) because bubbles are associated with the disorder. Inflammatory processes including production of circulating microparticles (MPs) have now been shown to occur with DCS, leading to questions regarding pathophysiology and the role for HBO. We investigated effects of HBO on mice exposed to 790 kPa air pressure for 2 hours, which triggers elevations of MPs ladened with interleukin (IL)-1β that cause diffuse vascular injuries. Read More

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http://dx.doi.org/10.1152/japplphysiol.01109.2018DOI Listing
February 2019

Short- and long-term real-world effectiveness of omalizumab in severe allergic asthma: systematic review of 42 studies published 2008-2018.

Expert Rev Clin Immunol 2019 Feb 14:1-17. Epub 2019 Feb 14.

a Division of Research , Matrix45 , Tucson , AZ , USA.

Introduction: Omalizumab is a recombinant monoclonal anti-IgE antibody approved in the US as add-on treatment in moderate-to-severe allergic asthma (in severe allergic asthma [SAA] in Europe). A 2016 review of 24 real-world effectiveness studies in SAA published between 2008-2015 concluded that omalizumab was associated with significant improvements in objective and subjective outcomes with benefits extending beyond 2 years. Several new real-world studies have been published since, bringing the total to 42 studies. Read More

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http://dx.doi.org/10.1080/1744666X.2019.1574571DOI Listing
February 2019

Temporomandibular Disorder: An Important Cause of Temporal Headache in Patients Unlikely to Have Giant Cell Arteritis.

Semin Ophthalmol 2019 Feb 14:1-5. Epub 2019 Feb 14.

a Tennent Institute of Ophthalmology , Gartnavel General Hospital , Glasgow , UK.

Introduction: Temporal headache often results in an Ophthalmology referral to rule out giant cell arteritis (GCA). When clinical suspicion of GCA is low, alternative diagnoses should be considered. Temporomandibular disorder (TMD) commonly causes a temporal headache. Read More

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http://dx.doi.org/10.1080/08820538.2019.1578383DOI Listing
February 2019

Medication adherence as a measure of the quality of care provided by physicians.

Am J Manag Care 2019 Feb;25(2):78-83

USC Schaeffer Center, VPD Suite 414, Los Angeles, CA 90087. Email:

Objectives: To assess the extent to which medication adherence in congestive heart failure (CHF) and diabetes may serve as a measure of physician-level quality.

Study Design: A retrospective analysis of Medicare data from 2007 to 2009, including parts A (inpatient), B (outpatient), and D (pharmacy).

Methods: For each disease, we assessed the correlation between medication adherence and health outcomes at the physician level. Read More

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February 2019

Iodinated contrast-induced sialadenitis: a review of the literature and sonographic findings in a clinical case.

J Ultrason 2018 ;18(75):359-364

Department of Radiology, University Hospital of Verona, Polo Chirurgico "Confortini" , Verona , Italy.

Swelling of the salivary glands, also known as iodide or iodine mumps, is a rare adverse reaction to administration of iodine, a component steadily present in current contrast media and in a variety of medications. We report and compare with published literature the clinical and sonographic findings in a case of iodide mumps that developed after the intravenous administration of iodine-based contrast media for a contrast-enhanced computed tomography scan. The exact pathogenesis is unknown to date: based on sonographic appearance, we support the hypothesis of an acute inflammatory condition elicited by iodine accumulation in the salivary glands. Read More

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http://dx.doi.org/10.15557/JoU.2018.0053DOI Listing
January 2018

The role of ultrasonography in the diagnosis of occult scaphoid fractures.

J Ultrason 2018 ;18(75):325-331

North Cumbria University Hospital NHS Trust , Carlisle , United Kingdom.

Ultrasonography is widely utilized by emergency physicians and radiologists to diagnose various orthopaedic diseases, including fractures. We aim to derive a definitive estimate of the diagnostic accuracy of ultrasonography in clinically suspected scaphoid fractures. We undertook a systematic review and meta-analysis of included diagnostic cohort studies that discussed the use of ultrasonography in the diagnosis of occult scaphoid fractures. Read More

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http://dx.doi.org/10.15557/JoU.2018.0047DOI Listing
January 2018

An investigation of healthcare utilization and its association with levels of health literacy in individuals with chronic pain.

Musculoskeletal Care 2019 Feb 14. Epub 2019 Feb 14.

University College Dublin, Dublin, Ireland.

Objective: Chronic pain patients are frequent and recurrent users of health services, which may have an impact on levels of health literacy (HL). Therefore, the aim of the present study was to investigate associations between healthcare utilization and varying levels of HL in individuals with and without chronic pain.

Methods: A cross-sectional questionnaire was distributed in three pain clinics in Dublin, Ireland, comprising a demographic section, a validated HL assessment tool (Newest Vital Sign) and self-reported healthcare utilization in the previous year (i. Read More

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http://dx.doi.org/10.1002/msc.1386DOI Listing
February 2019

A prospective, multicenter evaluation of point-of-care ultrasound for small bowel obstruction in the emergency department.

Acad Emerg Med 2019 Feb 14. Epub 2019 Feb 14.

Wellspan York Hospital, Department of Emergency Medicine, 1001 S George Street, York, PA, 17403.

Objective: The main objective of this study was to evaluate the accuracy of emergency physician-performed point-of-care ultrasound (POCUS) for the diagnosis of small bowel obstruction (SBO) compared to computed tomography (CT).

Methods: We performed a prospective, multicenter, observational study examining a convenience sample of adult patients with potential SBO presenting to the emergency department (ED) between July 2014 and May 2017. Each emergency physician-performed POCUS was interpreted at the bedside and retrospectively by an expert reviewer. Read More

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http://doi.wiley.com/10.1111/acem.13713
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http://dx.doi.org/10.1111/acem.13713DOI Listing
February 2019
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Regarding the article entitled "Do emergency physicians rely on point-of-care ultrasound for clinical decision making without additional confirmatory testing?"

J Clin Ultrasound 2019 Feb 14. Epub 2019 Feb 14.

ACEP Emergency Ultrasound Section Past Chair, Carolinas Medical Center, Charlotte, North Carolina.

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http://dx.doi.org/10.1002/jcu.22637DOI Listing
February 2019

Reply to Letter to the Editor.

J Clin Ultrasound 2019 Feb 14. Epub 2019 Feb 14.

Mercy HEalth St. Vincent Medical Center Emergency Department, Regional Academic Affairs/Research, Toledo, Ohio.

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http://dx.doi.org/10.1002/jcu.22713DOI Listing
February 2019

Spontaneous regression of cervical discs: Retrospective analysis of 14 cases.

Medicine (Baltimore) 2019 Feb;98(7):e14521

Department of Neurosurgery, Sakarya Training and Research Hospital, Sakarya, Turkey.

Cervical disc herniation is a condition which arises from compression of cervical spinal nerve root by the degenerated disc and vast majority of the patients are aged between 30 and 40 years. Spontaneous regression of cervical disc was first reported by Kriegerand Maniker in 1992. Our study is the second large series in literature. Read More

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http://dx.doi.org/10.1097/MD.0000000000014521DOI Listing
February 2019

Efficacy of Duohuojisheng decoction monotherapy for the treatment of knee osteoarthritis: A protocol of a systematic review of randomized controlled trials.

Medicine (Baltimore) 2019 Feb;98(7):e14510

First Ward of Orthopedics Department, Inner Mongolia Xilin Gol League Hospital, Xilinhot, China.

Background: This systematic review investigates the efficacy and safety of Duohuojisheng decoction (DHJSD) monotherapy for the treatment of patients with knee osteoarthritis (KOA).

Methods: We searched relevant studies on DHJSD monotherapy for KOA from the databases of CENTRAL, EMBASE, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Information, and Wanfang Data from the inception to January 1, 2019. Two researchers independently selected studies, collected data, and assessed the methodology quality by using Cochrane risk of bias tool. Read More

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http://dx.doi.org/10.1097/MD.0000000000014510DOI Listing
February 2019

Impact of a home health care program for disabled patients in Taiwan: A nationwide population-based cohort study.

Medicine (Baltimore) 2019 Feb;98(7):e14502

Department of Family Medicine.

The aim of this study was to evaluate the impact of home health care (HHC) for disabled patients.We conducted a nationwide population-based retrospective cohort study. A total of 5838 disabled patients with HHC were identified to match by propensity score with 15,829 disabled patients without HHC receiving tube or catheter care (tracheostomy tube, nasogastric tube, urinary catheter, cystostomy tube, nephrostomy tube) or stage 3 or 4 pressure sore care from the Taiwanese National Health Insurance Research Database between 2005 and 2009. Read More

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http://dx.doi.org/10.1097/MD.0000000000014502DOI Listing
February 2019

Intracoronary administration of nicorandil-induced cardiac arrest during primary percutaneous coronary intervention: A case report.

Medicine (Baltimore) 2019 Feb;98(7):e14473

Department of Emergency, Qilu Hospital.

Rationale: Primary percutaneous coronary intervention (PPCI) is the most effective therapy for patients with an acute ST-segment elevation myocardial infarction (STEMI). However, up to half of STEMI patients suffer from coronary microvascular dysfunction, presenting as the slow flow or no-reflow phenomenon.

Patients Concerns: A 78-year-old man was admitted to the chest pain center with sudden chest pain and tightness for about an hour. Read More

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http://dx.doi.org/10.1097/MD.0000000000014473DOI Listing
February 2019

Brief Report: Trends in Hospital Utilization After Medicaid Expansion.

Med Care 2019 Feb 12. Epub 2019 Feb 12.

Institute for Healthcare Policy and Innovation.

Background: Medicaid expansion was associated with an increase in hospitalizations funded by Medicaid. Whether this increase reflects an isolated payer shift or broader changes in case-mix among hospitalized adults remains uncertain.

Reseearch Design: Difference-in-differences analysis of discharge data from 4 states that expanded Medicaid in 2014 (Arizona, Iowa, New Jersey, and Washington) and 3 comparison states that did not (North Carolina, Nebraska, and Wisconsin). Read More

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http://dx.doi.org/10.1097/MLR.0000000000001082DOI Listing
February 2019

Chimeric antigen receptor T-cell toxicity.

Curr Opin Pediatr 2019 Feb 11. Epub 2019 Feb 11.

Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Purpose Of Review: Chimeric antigen receptor -(CAR) T-cell therapy has become a commonly used immunotherapy originally used in the treatment of B-cell leukemias but which are now applied broadly across tumor classes. Although high rates of remission are associated with CAR T-cell therapy, toxicities associated with these novel treatment regimens can be lethal if not recognized in a timely manner.

Recent Findings: Cytokine release syndrome and neurotoxicity are the two most common toxicities associated with CAR T-cell therapy. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000747DOI Listing
February 2019
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Erratum to: Does Surgery Reduce the Risk of Complications Among Patients with Multiple Rib Fractures? A Meta-analysis.

Clin Orthop Relat Res 2019 Mar;477(3):667

Y.-S. Liang, K.-C. Yu, School of Medicine, Taipei Medical University, Taipei, Taiwan C.-S. Wong, Department of Emergency, School of Medicine, College of Medicine, Taipei Medical, University, Taipei, Taiwan and Emergency Department, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan Y. Kao, Graduate Institute of Medical Sciences, College of Health Science, Chang Jung Christian University, Tainan, Taiwan and Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan T.-Y. Tiong, Division of Thoracic Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan K.-W. Tam, Division of General Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, Division of General Surgery, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, and Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan.

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http://dx.doi.org/10.1097/CORR.0000000000000607DOI Listing

Use of direct oral anticoagulants in very elderly patients: a case report of apixaban in an ultracentenary patient.

J Cardiovasc Med (Hagerstown) 2019 Feb 11. Epub 2019 Feb 11.

Department of Emergency and Urgency, Biomedic Department of Internal Medicine and Specialities (DIBIMIS).

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http://dx.doi.org/10.2459/JCM.0000000000000752DOI Listing
February 2019

Comparison of Cone-Beam Computed Tomography and Multislice Computed Tomography in the Assessment of Extremity Fractures.

J Comput Assist Tomogr 2019 Feb 11. Epub 2019 Feb 11.

Emergency Department, Hôpital Edouard Herriot, Hospices Civils de Lyon.

Objectives: The aims of this study were to evaluate the agreement between cone-beam computed tomography (CBCT) and multislice computed tomography for the characterization of extremity fractures and to compare image quality, radiation dose, and patient tolerance.

Methods: Thirty-six patients with suspected fracture affecting distal extremities or who required preoperative fracture assessment were enrolled prospectively. Each patient underwent CBCT and multislice computed tomography the same day. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000843DOI Listing
February 2019

When Large Administrative Databases Provide Less Relevant Information than Randomized Studies.

Anesthesiology 2019 Mar;130(3):514-515

Department of Emergency Medicine and Surgery, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris and Sorbonne Université, UMR Inserm 1166, IHU ICAN, Paris, France (B.R.).

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http://dx.doi.org/10.1097/ALN.0000000000002569DOI Listing

Antibiotic Prescribing Practices: Is There a Difference Between Patients Seen by Telemedicine Versus Those Seen In-Person?

Telemed J E Health 2019 Feb 14. Epub 2019 Feb 14.

2 Department of Emergency Medicine, Weill Cornell Medical Center, New York, New York.

Background: Direct-to-consumer telemedicine is becoming part of mainstream medicine, but questions exist regarding the quality of care provided. We assessed antibiotic stewardship, one measure of quality, by comparing antibiotic prescription rates for acute respiratory infections (ARIs) between patients seen by telemedicine and patients seen in-person in two urban emergency departments (EDs).

Methods: In two urban EDs where low-acuity patients in the ED have the option of being seen by telemedicine rather than in-person, we analyzed telemedicine and in-person visits of patients ≥18 years who received ARI diagnoses between July 2016 and September 2017. Read More

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http://dx.doi.org/10.1089/tmj.2018.0250DOI Listing
February 2019

Diuretic Resistance in Heart Failure.

Curr Heart Fail Rep 2019 Feb 14. Epub 2019 Feb 14.

Department of Emergency Medicine, Vanderbilt University Medical Center, 1313 21st Ave. S, 703 Oxford House, Nashville, TN, 37232, USA.

Purpose Of Review: Diuretic resistance (DR) occurs along a spectrum of relative severity and contributes to worsening of acute heart failure (AHF) during an inpatient stay. This review gives an overview of mechanisms of DR with a focus on loop diuretics and summarizes the current literature regarding the prognostic value of diuretic efficiency and predictors of natriuretic response in AHF.

Recent Findings: The pharmacokinetics of diuretics are impaired in chronic heart failure, but little is known about mechanisms of DR in AHF. Read More

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http://dx.doi.org/10.1007/s11897-019-0424-1DOI Listing
February 2019

The Role of Troponin for Acute Heart Failure.

Curr Heart Fail Rep 2019 Feb 14. Epub 2019 Feb 14.

Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, USA.

Purpose Of Review: To review the mechanisms, clinical interpretation, prognostic role, and future research regarding cardiac troponin (cTn) in the assessment of acute heart failure (AHF) patients presenting to the emergency department (ED).

Recent Findings: cTn has become a necessary component of the evaluation of AHF patients in the ED, largely because of its independently predictive value as a prognosticator of poor outcome. High-sensitivity assays (hs-cTn) may add risk stratification value beyond conventional assays, specifically with regard to identifying low-risk AHF patients. Read More

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http://dx.doi.org/10.1007/s11897-019-0420-5DOI Listing
February 2019

Vasodilator Therapies in the Treatment of Acute Heart Failure.

Curr Heart Fail Rep 2019 Feb 14. Epub 2019 Feb 14.

Department of Emergency Medicine, Indiana University, 720 Eskenazi Ave., Fifth Third Bank Building 3rd Floor, Indianapolis, IN, 46202, USA.

Purpose Of Review: Vasodilators are commonly recommended to treat acute heart failure (AHF), yet they are infrequently used. This review aims to evaluate the clinical utility of traditional, historical, and novel vasodilators in the treatment of AHF.

Recent Findings: No traditional vasodilator (i. Read More

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http://dx.doi.org/10.1007/s11897-019-0421-4DOI Listing
February 2019

Acute mental health symptoms among individuals receiving a sexual assault medical forensic exam: the role of previous intimate partner violence victimization.

Arch Womens Ment Health 2019 Feb 14. Epub 2019 Feb 14.

Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.

Sexual assault and intimate partner violence (IPV) are common in the USA, and they often co-occur. Individuals with multiple victimization experiences have more severe mental health outcomes compared to those with one victimization. The current study examined mental health symptoms and their association with IPV victimization history among a sample of individuals who experienced a recent sexual assault and received a sexual assault medical forensic examination. Read More

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http://dx.doi.org/10.1007/s00737-019-0947-1DOI Listing
February 2019

Comparison of CT angiography collaterals for predicting target perfusion profile and clinical outcome in patients with acute ischemic stroke.

Eur Radiol 2019 Feb 14. Epub 2019 Feb 14.

Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, No.300 Guangzhou Road, Gulou district, Nanjing, Jiangsu Province, China.

Objectives: To compare collateral status on single-phase CT angiography (sCTA) and multiphase CT angiography (mCTA) and their ability to predict a target mismatch on CT perfusion (CTP) and clinical outcome in patients with acute ischemic stroke (AIS).

Methods: Seventy-three AIS patients with stroke onset between 5 and 15 h or with unclear onset time and occlusions in the M1/M2 segment of the middle cerebral artery and/or intracranial internal carotid artery underwent head non-contrast CT and CTP. Simulated sCTA and mCTA were reconstructed from CTP data and were compared for collaterals assessment. Read More

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http://dx.doi.org/10.1007/s00330-019-06027-9DOI Listing
February 2019

Appendicectomy in older patients with acute appendicitis is not an indication for routine colonoscopy.

Int J Colorectal Dis 2019 Feb 14. Epub 2019 Feb 14.

Department of Accident and Emergency, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK.

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http://dx.doi.org/10.1007/s00384-019-03264-8DOI Listing
February 2019

Docetaxel extravasation vesicant reaction of the forearm and arm.

G Ital Dermatol Venereol 2019 Feb 14. Epub 2019 Feb 14.

Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.

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https://www.minervamedica.it/index2.php?show=R23Y9999N00A190
Publisher Site
http://dx.doi.org/10.23736/S0392-0488.19.06227-8DOI Listing
February 2019

Paramedic and Emergency Medical Technician Reflections on the Ongoing Impact of the 9/11 Terrorist Attacks.

Prehosp Disaster Med 2019 Feb;34(1):56-61

3Harvard Humanitarian Initiative,Harvard University and Harvard T.C. Chan School of Public Health,Cambridge,MassachusettsUSA.

IntroductionIn the years following the September 11, 2001 terrorist attacks in New York City (New York USA), otherwise known as 9/11, first responders began experiencing a range of health and psychosocial impacts. Publications documenting these largely focus on firefighters. This research explores paramedic and emergency medical technician (EMT) reflections on the long-term impact of responding to the 9/11 terrorist attacks. Read More

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http://dx.doi.org/10.1017/S1049023X18001255DOI Listing
February 2019

Barriers to Breastfeeding in Disasters in the Context of Iran.

Prehosp Disaster Med 2019 Feb;34(1):20-24

2School of Nursing and Midwifery,Tehran University ofMedical Sciences,Tehran,Iran.

IntroductionNatural disasters have many effects on vulnerable groups, especially infants and children. Protecting breastfeeding in disasters is important, because artificial feeding puts a lot of risk to the child. In disasters, artificial nutrition is dangerous to children and its supplementation requires special equipment. Read More

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http://dx.doi.org/10.1017/S1049023X18001243DOI Listing
February 2019

Idiopathic cervical spinal subdural haematoma: a case report and literature review.

J Int Med Res 2019 Feb 14:300060519829666. Epub 2019 Feb 14.

1 Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.

This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupying lesion at the C4-T1 levels. Read More

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http://dx.doi.org/10.1177/0300060519829666DOI Listing
February 2019

Cholecystectomy for acute cholecystitis in octogenarians: impact of advanced age on post-operative outcome.

Minerva Chir 2019 Feb 13. Epub 2019 Feb 13.

Emergency Surgery Unit, St. Orsola University Hospital, Alma Mater Studiorum, Bologna, Italy.

Background: The number of surgical operations in elderly patients is increasing due to the aging demographics of western populations. The aim of the present study was to investigate the peri- operative outcome of octogenarian patients undergoing cholecystectomy for acute cholecystitis.

Methods: We performed a retrospective analysis including all patients who underwent cholecystectomy for acute cholecystitis from January 2013 to December 2017. Read More

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http://dx.doi.org/10.23736/S0026-4733.19.07891-XDOI Listing
February 2019

[Retroperitoneoscopic resection of the calyceal diverticulum wall in an 8-year-old child].

Urologiia 2018 Oct(4):130-134

Research Institute of Emergency Pediatric Surgery and Traumatology of MHD, Moscow, Russia.

A renal calyceal diverticulum is a cystic cavity within the renal parenchyma, which is lined by transitional epithelium and communicates with the calyx or, more rarely, the renal pelvis. In children, this anomaly is extremely rare. The article describes the resection of the middle calyceal diverticulum in an 8-year-old child using retroperitoneoscopic access. Read More

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October 2018

Emergency surgery and American Society of Anesthesiologists physical status score are the most influential risk factors of death in nonagenarian surgical patients.

Geriatr Gerontol Int 2019 Feb 13. Epub 2019 Feb 13.

Department of General and Digestive Surgery, University Hospital of Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.

Aim: The number of nonagenarians undergoing surgery has increased considerably in recent decades as a result of population aging. Greater knowledge of the most influential factors affecting perioperative morbidity and mortality would improve the quality of care and provision of health resources for these patients. The objective of the present study was to analyze the perioperative mortality, and its most determinant factors, among nonagenarian patients who underwent a surgical procedure in the Department of General and Digestive Surgery. Read More

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http://dx.doi.org/10.1111/ggi.13624DOI Listing
February 2019

Accuracy of self-monitoring: does experience, ability or case difficulty matter?

Med Educ 2019 Feb 14. Epub 2019 Feb 14.

Centre for Health Education Scholarship, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Context: The ability to self-monitor one's performance in clinical settings is a critical determinant of safe and effective practice. Various studies have shown this form of self-regulation to be more trustworthy than aggregate judgements (i.e. Read More

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http://dx.doi.org/10.1111/medu.13801DOI Listing
February 2019

Developing the Geriatric Injury Documentation Tool (Geri-IDT) to Improve Documentation of Physical Findings in Injured Older Adults.

J Gen Intern Med 2019 Feb 13. Epub 2019 Feb 13.

Department of Family Medicine and Geriatrics, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA.

Background: Standardization in tools and documentation of child abuse and intimate partner violence have proven helpful in completely documenting injuries and suspected abuse among these populations. Similar tools do not yet exist for older adults and elder abuse.

Objective: To (1) use insights from experts to develop a tool to assist clinicians in appropriately and completely documenting physical findings in injured older adults for potential future forensic investigation of abuse or neglect and (2) to assess the feasibility of incorporating this tool into clinical practice. Read More

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http://dx.doi.org/10.1007/s11606-019-04844-8DOI Listing
February 2019