48,231 results match your criteria chart review

Nasal Feeding Tubes Are Associated With Fewer Adverse Events Than Feeding Via Ostomy in Hospitalized Patients Receiving Enteral Nutrition.

Am J Med 2021 Sep 17. Epub 2021 Sep 17.

Columbia University Medical Center, Department of Medicine, Division of Preventive Medicine and Nutrition, 630 West 168th Street, P&S 9-501, New York, NY 10032. Electronic address:

Background: Surgical feeding ostomies (e.g. gastrostomy) have have become required by many nursing facilities for all patients receiving enteral nutrition, whether for short- or long-term use. Read More

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September 2021

Persistent Cough as a Predictor of Poor Responsiveness in Asthma Patients.

Laryngoscope 2021 Sep 20. Epub 2021 Sep 20.

Lerner Research Insititute, Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.

Objectives/hypothesis: The aim of this study is to establish a correlation between persistent cough (PC) and asthma diagnosis and its severity. We hypothesize that patients with past or current diagnosis of PC may have more severe asthma diagnosis and thus poor responsiveness to treatment.

Study Design: Retrospective chart review. Read More

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September 2021

Treatment practices and implementation of guidelines for hyperbilirubinemia and rebound hyperbilirubinemia.

V So F Khurshid

J Neonatal Perinatal Med 2021 Sep 16. Epub 2021 Sep 16.

Department of Pediatrics, School of Medicine, Queen's University, Kingston, Ontario, Canada.

Background: Hyperbilirubinemia (HB), defined as elevated total serum bilirubin (TSB) levels, commonly affects neonates and requires prompt treatment to prevent neurological complications. Up to 10%of neonates experience rebound hyperbilirubinemia (RHB), requiring re-initiation of treatment. Unfortunately, treatment guidelines lack practical recommendations surrounding subthreshold phototherapy, treatment termination, and RHB investigations. Read More

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September 2021

Transesophageal Echocardiography Performed by Intensivist and Emergency Physicians-A 5-Year, Single-Center Experience.

J Intensive Care Med 2021 Sep 20:8850666211042522. Epub 2021 Sep 20.

12289University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

Data on the use of transesophageal echocardiography (TEE) by intensivist physicians (IP) and emergency physicians (EP) are limited. This study aims to characterize the use of TEE by IPs and EPs in critically ill patients at a single center in the United States. Retrospective chart review of all critical care TEEs performed from January 1, 2016 to January 31, 2021. Read More

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September 2021

Efficacy of Adenoidectomy for the Management of Chronic Rhinosinusitis in Children Older Than 7 Years of Age.

Ann Otol Rhinol Laryngol 2021 Sep 18:34894211045270. Epub 2021 Sep 18.

Department of Otorhinolaryngology-Head and Neck Surgery, The University of Chicago Medicine & Biological Sciences, Chicago, IL, USA.

Objectives: While adenoidectomy is the first-line surgical management of chronic rhinosinusitis (CRS) in young children, evidence regarding its utility in older children is lacking. This study aimed to assess the efficacy of adenoidectomy in children 7 to 18 years old with regard to symptom control, postoperative medication use, and the need for additional surgery.

Methods: Single-institution retrospective chart review of patients ages 7 to 18 undergoing adenoidectomy for CRS from 2009 to 2019. Read More

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September 2021

The epidemiology of respiratory syncytial virus: A retrospective review from Steve Biko Academic Hospital 2013 - 2016.

Afr J Thorac Crit Care Med 2018 3;24(1). Epub 2018 Apr 3.

Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa.

Background: Respiratory syncytial virus (RSV) bronchiolitis is a seasonal disease that has an enormous burden on health systems across the world. RSV disease manifestations in children range from mild upper respiratory tract infections to severe lower respiratory tract infections, including pneumonia and bronchiolitis. In South Africa, the seasonality of RSV disease causing both upper and lower respiratory tract illness is well documented. Read More

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Efficacy of Graded Emergency Nursing on Acute Pancreatitis Patients: A Meta-Analysis.

Iran J Public Health 2021 Jun;50(6):1097-1107

Department of Anesthesiology, Jinan Central Hospital, Jinan 250013, China.

Background: The efficacy of graded emergency nursing on acute pancreatitis (AP) patients was evaluated by the Meta-analysis system.

Methods: The databases of CNKI, WanFang, VIP, PubMed, the Cochrane Library and Web of Science were searched by computer in January 2021. The references were screened according to the inclusion and exclusion criteria. Read More

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The Positive Value of Rotation-Specific Guides for Resident Education and Patient Care: A Process Improvement Study.

Cureus 2021 Aug 17;13(8):e17262. Epub 2021 Aug 17.

Vascular Surgery, Detroit Medical Center, Detroit, USA.

Introduction Providing high-quality cost-effective patient care requires knowledge of treatment protocols as well as an understanding of the institution's procedures, e.g., what orders to place and how to effectively place them. Read More

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Association Between COVID-19 Outcomes and Patient Characteristics: A Study in an Inner-City Community Hospital.

Cureus 2021 Aug 17;13(8):e17255. Epub 2021 Aug 17.

Internal Medicine, Saint Francis Medical Center, Seton Hall University Hackensack Meridian School of Medicine, Trenton, USA.

Background It has been shown that certain hematological conditions, such as lymphopenia and thrombocytopenia, are associated with increased severity and mortality from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, a majority of the previous data came from large institutional centers with high academic output. We aimed to explore the association between patient's characteristics, hematological parameters, and outcomes in admitted persons with coronavirus disease 2019 (COVID-19) at our community hospital in an inner city. Read More

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Effectiveness of Stem Cell Therapies in Improving Clinical Outcomes in Patients With Heart Failure.

Cureus 2021 Aug 16;13(8):e17236. Epub 2021 Aug 16.

Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Heart failure (HF), continuing to be a notable cause of morbidity and mortality worldwide, also is a noteworthy economic burden to the patients. Current medical management of HF has poor efficacy to completely arrest or reverse the progression to end-stage disease. As the option of cardiac transplantation remains limited to few patients, the stem cell approach continues to be a promising one in developing a novel therapy in the treatment of HF. Read More

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High Frequency 10 kHz Spinal Cord Stimulation as a First Line Programming Option for Patients With Chronic Pain: A Retrospective Study and Review of the Current Evidence.

Cureus 2021 Aug 16;13(8):e17220. Epub 2021 Aug 16.

Department of Neurosurgery, Rutgers New Jersey Medical School, Newark, USA.

Introduction Neuromodulation is an evolving and increasingly popular therapy for chronic pain management. Recent data suggest that novel waveforms have demonstrated greater benefit over traditional spinal cord stimulation (SCS). The authors conducted a retrospective review of patients undergoing high-frequency 10 kHz SCS at a single tertiary medical center for the purpose of contributing further evidence to this growing body of data. Read More

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Transition to an In-House Night Float System for Critical Care Fellows: Resident Experience, Morbidity, and Mortality in a Rural Academic Hospital.

Cureus 2021 Aug 15;13(8):e17200. Epub 2021 Aug 15.

Medicine/Pulmonary and Critical Care, Martin Luther King, Jr. Community Hospital, Los Angeles, USA.

Background In-house night call systems for ICUs are frequently implemented to enable hands-on patient care and provide direct supervision of resident physicians at night. Previous studies have highlighted the benefits of an in-house night float (NF) such as minimized time to intervention but failed to consistently demonstrate an improvement in patient outcomes. This study aimed to evaluate the impact of an in-house critical care fellow at night on the resident experience and assess for impact on patient morbidity and mortality. Read More

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Management of Non-High-Risk Salivary Gland Carcinomas With Surgery Alone.

Cureus 2021 Aug 7;13(8):e16970. Epub 2021 Aug 7.

Otolaryngology - Head and Neck Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.

Background Risk stratification and appropriate treatment selection are essential for the management of head and neck malignancies, in order to optimize long-term outcomes. Salivary gland carcinomas (SGCs) pose a particular challenge due to their extensive biologic heterogeneity. Primary surgical resection remains the mainstay of treatment; however, outcomes with single modality therapy for 'non-high-risk' lesions are less elucidated in the literature present on the subject. Read More

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Short-term tolerability and effectiveness of methotrexate monotherapy in adult patients with Crohn's disease: a retrospective study.

Therap Adv Gastroenterol 2021 13;14:17562848211043017. Epub 2021 Sep 13.

Department of Gastroenterology and Inflammatory Bowel Disease Center, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Republic of Korea.

Introduction: Immunomodulators remain fundamental for the medical treatment of Crohn's disease (CD). Methotrexate (MTX) is widely used as a second-line immunomodulator; however, there is a lack of recent data on MTX monotherapy among the Asian population with CD. Therefore, in this study, we aimed to investigate the tolerability and clinical outcomes of MTX in Korean patients with CD. Read More

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September 2021

Discontinuation of Transmission Precautions for COVID-19 Patients: Polymerase Chain Reaction Diagnostics, Patient Delays, and Cycle Threshold Values.

Infect Dis Clin Pract (Baltim Md) 2021 Sep 29;29(5):e287-e293. Epub 2021 Jan 29.

Department of Microbiology and Immunology.

Background: The decision of when it is safe to discontinue transmission-based precautions for SARS-CoV-2 coronavirus disease 2019 (COVID-19) hospitalized patients has been controversial. The Centers for Disease Control and Prevention offered reverse transcriptase polymerase chain reaction (PCR) diagnostic test- or symptom-based guidelines.

Methods: A retrospective chart review of Vidant Health system, Eastern North Carolina, was conducted. Read More

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September 2021

Outcome and Toxicity of Proton Therapy for Vestibular Schwannoma: A Cohort Study.

Otol Neurotol 2021 Sep 17. Epub 2021 Sep 17.

Department of Otolaryngology, Leiden University Medical Center, Leiden, the Netherlands Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School Department of Otolaryngology - Head and Neck Surgery, University of Arizona College of Medicine, Tucson, Arizona Department of Neurosurgery, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA Holland Proton Therapy Center, Delft, the Netherlands Department of Radiation Oncology, Leiden University Medical Center, Leiden, the Netherlands Department of Otolaryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.

Objective: To assess the efficacy and toxicity of proton radiotherapy in vestibular schwannoma.

Study Design: Retrospective chart review and volumetric MRI-analyses.

Setting: Tertiary referral center. Read More

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September 2021

Impact of Cleft Palate on Tongue-Based Upper Airway Obstruction in Pierre Robin Sequence: Implications for Mandibular Distraction Osteogenesis and Timing of Cleft Palate Repair.

J Craniofac Surg 2021 Sep 17. Epub 2021 Sep 17.

Section of Plastic and Reconstructive Surgery, University of Chicago Medical Center, Chicago IL.

Introduction: The objectives of this study are to analyze the impact of cleft palate (CP) on upper airway obstruction using polysomnography in patients with Pierre Robin Sequence (PRS) undergoing mandibular distraction osteogenesis (MDO) and subsequent CP repair.

Methods: A single-surgeon, retrospective chart review was performed of all patients with nonsyndromic PRS treated with MDO. Severity of upper airway obstruction was evaluated pre- and post-distraction via polysomnography. Read More

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September 2021

Reinfection following successful direct-acting antiviral therapy for HCV infection among people attending an inner-city community health centre in Victoria, Canada.

Int J Drug Policy 2021 Sep 16:103418. Epub 2021 Sep 16.

Cool Aid Community Health Centre, Victoria, Canada.

Background: Studies of HCV reinfection following direct-acting antiviral (DAA) therapy among PWID have been limited by short follow-up and small case numbers. This study evaluated the incidence of HCV reinfection following successful DAA therapy among people attending an inner-city community health centre in Victoria, Canada.

Methods: In this observational study, participants treated with DAA therapy between November 2014 and December 31, 2019 were included. Read More

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September 2021

Predicting 30 - Day outcomes in emergency department patients discharged with COVID-19.

Am J Emerg Med 2021 Sep 2;50:513-517. Epub 2021 Sep 2.

St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, United States. Electronic address:

Introduction: Determining disposition for COVID-19 patients can be difficult for emergency medicine clinicians. Previous studies have demonstrated risk factors which predict severe infection and mortality however little is known about which risk factors are associated with failure of outpatient management and subsequent admission for COVID-19 patients.

Methods: We conducted a retrospective observational chart review of patients who had a confirmed positive COVID-19 test collected during an ED visit between March 1, 2020 and October 11, 2020. Read More

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September 2021

Wraparound nylon foil implant for isolated orbital floor fractures.

Am J Otolaryngol 2021 Sep 15;43(1):103229. Epub 2021 Sep 15.

Oculofacial Plastic and Orbital Surgery, Indianapolis, IN, USA; Ascension St. Vincent Hospital, Indianapolis, IN, USA; Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address:

Purpose: There are a variety of implant materials available for orbital floor fracture repair. Implant selection is guided by surgeon experience, availability, and patient specific needs. The purpose of this study is to describe a "wraparound" technique for nylon foil implant placement for large, isolated floor fractures that provides excellent results with low incidence of enophthalmos or other complications. Read More

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September 2021

Soil degradation in the European Mediterranean region: Processes, status and consequences.

Sci Total Environ 2021 Sep 4;805:150106. Epub 2021 Sep 4.

Department of Physical Geography and Bolin Centre for Climate Research, Stockholm University, SE-106 91 Stockholm, Sweden; Navarino Environmental Observatory, Costa Navarino, Navarino Dunes Messinia 24001, Greece; Department of Sustainable Development, Environmental Science and Engineering, KTH Royal Institute of Technology, SE-100 44 Stockholm, Sweden.

Soil, a non-renewable resource, sustains life on Earth by supporting around 95% of global food production and providing ecosystem services such as biomass production, filtration of contaminants and transfer of mass and energy between spheres. Unsustainable management practices and climate change are threatening the natural capital of soils, particularly in the Mediterranean region, where increasing population, rapid land-use changes, associated socio-economic activities and climate change are imposing high pressures on the region's shallow soils. Despite evidence of high soil susceptibility to degradation and desertification, the true extent of soil degradation in the region is unknown. Read More

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September 2021

Chronic rhinosinusitis as a risk factor for intracranial and extracranial complications after endoscopic transsphenoidal surgery.

Am J Otolaryngol 2021 Sep 1;43(1):103188. Epub 2021 Sep 1.

Department of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.

Purpose: To elucidate whether chronic rhinosinusitis (CRS), usually an inflammatory-mediated rather than infectious process, is a risk factor for extracranial and intracranial complications after elective endoscopic transsphenoidal surgery (ETSS).

Materials And Methods: A single-center retrospective cohort study of consecutive patients who underwent ETSS between January 2015 and July 2019 was performed, which included chart review and computed tomography assessment. CRS was defined by symptomatology and concurrent endoscopic or radiographic findings. Read More

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September 2021

Prospective Comparison of Dysphagia Following Anterior Cervical Discectomy and Fusion (ACDF) with and without rhBMP-2.

Spine J 2021 Sep 16. Epub 2021 Sep 16.

Department of Orthopaedic Surgery, Emory Spine Center, 59 Executive Park South, Suite 3000, Atlanta, GA, 30329. Electronic address:

Background Context: Previous studies have called into question the safety of using rhBMP-2 in anterior cervical fusion due to the possibility of airway compromise and dysphagia. A retrospective chart review identified a significant increase in the severity of dysphagia after 2-level ACDF with rhBMP-2 compared to patients who did not receive rhBMP-2. To date, this topic has not been studied prospectively. Read More

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September 2021

Clinical Outcomes of Robotic Assisted Partial Nephrectomy for Pathologic T3a Renal Masses with Venous Tumor Thrombus.

Urology 2021 Sep 16. Epub 2021 Sep 16.

The University of Tennessee Medical Center, Knoxville, Department of Urology, 1928 Alcoa Highway, Suite B-222, Knoxville, TN 37920, United States. Electronic address:

Objective: To evaluate the safety, efficacy, and early oncologic outcomes of pT3a renal cell carcinoma (RCC) with venous involvement treated with robotic partial nephrectomy (RPN), given that experience and outcomes in this group is limited.

Methods: A retrospective chart review of patients undergoing RPN from 9/2009-7/2020 was performed. Outcomes were captured from patients with pathologic T3a disease with vein involvement. Read More

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September 2021

Interventions to reduce low-value imaging - a systematic review of interventions and outcomes.

BMC Health Serv Res 2021 Sep 18;21(1):983. Epub 2021 Sep 18.

Institute for the Health Sciences at the Norwegian University of Science and Technology (NTNU) at Gjøvik, NTNU Gjøvik, Postbox 191, 2802, Gjøvik, Norway.

Background: It is estimated that 20-50% of all radiological examinations are of low value. Many attempts have been made to reduce the use of low-value imaging. However, the comparative effectiveness of interventions to reduce low-value imaging is unclear. Read More

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September 2021

F-FDG-PET/CT interpretation pitfalls in patients with head and neck cancer.

Am J Otolaryngol 2021 Sep 10;43(1):103209. Epub 2021 Sep 10.

Department of Otorhinolaryngology-Head and Neck Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

Aim: The aim of the present study is to raise awareness of ENT Surgeons on the limitations of F-FDG PET/CT in head and neck cancer by presenting illustrative cases from our department archives.

Materials And Methods: A retrospective chart review was conducted for all patients with head and neck cancer treated in our ENT department from 2015 to 2020. Cases with various interpretation pitfalls due to false-positive and false-negative PET/CT results that lead to diagnostic dilemmas and treatment delays either in their pre-therapeutic work-up or in their post-therapeutic monitoring were included. Read More

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September 2021

Irritable bowel syndrome is strongly associated with the primary and idiopathic mast cell disorders.

Neurogastroenterol Motil 2021 Sep 17:e14265. Epub 2021 Sep 17.

University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.

Background: Mounting evidence supports a mechanistic association between irritable bowel syndrome (IBS) symptoms and mast cell hyperactivity. Yet, association between IBS and mast cell disorders (MCDs) has not been studied. We examined this association using two large databases and verified with manual chart review. Read More

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September 2021

Maternal disease activity and serological activity as predictors of adverse pregnancy outcomes in women with systemic lupus erythematosus: a retrospective chart review.

Arch Gynecol Obstet 2021 Sep 17. Epub 2021 Sep 17.

Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, 960-1295, Japan.

Purpose: To evaluate the association between disease activity, serological activity, and adverse pregnancy outcomes (APOs) in women with systemic lupus erythematosus (SLE) and determine the cut-off values of complements to predict APOs in live birth cases.

Methods: This retrospective chart review included pregnant women with SLE who had singleton live births after 22 weeks between 2006 and 2020. First trimester maternal disease activity was assessed for SLE onset during pregnancy, antiphospholipid syndrome, SLE pregnancy disease activity index (SLEPDAI), disease flare-ups, lupus nephritis, pancytopenia, and daily prednisolone dosage. Read More

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September 2021

Reducing Ataxic Side Effects from Ventral Intermediate Nucleus of the Thalamus Deep Brain Stimulation Implantation in Essential Tremor: Potential Advantages of Directional Stimulation.

Stereotact Funct Neurosurg 2021 Sep 15:1-9. Epub 2021 Sep 15.

Department of Neurology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Objective: The aim of the study was to retrospectively evaluate the effect of directional deep brain stimulation (DBS) on ataxia in an essential tremor patient population.

Materials And Methods: A retrospective chart review of documented Scale for Assessment and Rating of Ataxia (SARA) scores were analyzed using a case-control design. All subjects we evaluated were treated at a single, tertiary care academic center. Read More

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September 2021