982,090 results match your criteria medical care


[Apps on Prescription in the Medical Office, but how? A Case-based Problem Outline of Medical-ethical Implications of DHA Usage].

Gesundheitswesen 2021 May 6. Epub 2021 May 6.

Institut für Geschichte und Ethik der Medizin, Technische Universität München, München, Deutschland.

Background: Since the approval of the digital care law (Digitale-Versorgung-Gesetz-DVG) on 19.12.2019, physicians have been able to prescribe digital health applications (DHA). Read More

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[How can an emergency department be strengthened against a pandemic?]

Dtsch Med Wochenschr 2021 May 6;146(10):657-666. Epub 2021 May 6.

The emergency department (ED) is one of the crucial parts of the hospital infrastructure during all phases of the pandemic. The ED plays an important part in detecting an increasing number of new contagious diseases, which could potentially lead to an epidemic or pandemic.During a pandemic, the ED's main task is to detect infected individuals. Read More

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[The conservative emergency room - care of acutely critically ill non-trauma patients].

Dtsch Med Wochenschr 2021 May 6;146(10):647-656. Epub 2021 May 6.

Treatment of critically ill non-trauma patients is challenging, due to the broad spectrum of underlying diseases in this clinical setting. It has been shown that outcome in these patients is poor due to high age, comorbidities and severeness of acute disease. In most cases it is crucial to establish diagnosis and start specific treatment immediately to improve patients' outcome. Read More

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Mindfulness Effects in Obstetric and Gynecology Patients During the Coronavirus Disease 2019 (COVID-19) Pandemic: A Randomized Controlled Trial.

Obstet Gynecol 2021 May 6. Epub 2021 May 6.

Department of Obstetrics and Gynecology, University of Arizona College of Medicine, and the Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Phoenix, Arizona.

Objective: To assess the effect of a consumer-based mobile meditation application (app) on wellness in outpatient obstetric and gynecology patients during the coronavirus disease 2019 (COVID-19) pandemic.

Methods: We conducted a randomized controlled trial at a university outpatient clinic of obstetric and gynecology patients during the COVID-19 pandemic. Women were randomly assigned to the intervention group, who was prescribed a mobile meditation app for 30 days, or the control group, which received standard care. Read More

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How Surgical Leaders Transform Their Residents to Craft Their Jobs: Surgeons' Perspective.

J Surg Res 2021 May 3;265:233-244. Epub 2021 May 3.

Department of Surgery, Maastricht University Medical Center (MUMC+), Maastricht, Netherlands.

Background: Surgeons should transform their residents to take the lead in their jobs and optimize their working conditions, so-called job crafting. We investigated the actions undertaken by surgeons with a transformational leadership style to encourage residents' job crafting, about which there is at present a paucity of information.

Methods: We performed a qualitative study based on principles of constructivist grounded theory. Read More

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Long Non-Coding RNA CASC2 Overexpression Ameliorates Sepsis-Associated Acute Kidney Injury by Regulating MiR-545-3p/PPARA axis.

J Surg Res 2021 May 3;265:223-232. Epub 2021 May 3.

Department of orthopedics, Chengdu Second People's Hospital; Sichuau, China. Electronic address:

Background: Long non-coding RNAs (lncRNAs) have been demonstrated to be involved in the progression of sepsis-induced acute kidney injury (AKI). In this study, we aimed to explore the functions of lncRNA cancer susceptibility candidate 2 (CASC2) in sepsis-induced AKI.

Methods: The sepsis cell models were established by exposing HK2 and HEK293 cells into lipopolysaccharide (LPS). Read More

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Tracheostomy on infants born in the periviable period: Outcomes at discharge from the neonatal intensive care unit (NICU).

Int J Pediatr Otorhinolaryngol 2021 Apr 27;146:110746. Epub 2021 Apr 27.

Department of Otorhinolaryngology H & N Surgery, University of Maryland School of Medicine and University of Maryland Children's Hospital, Baltimore, MD, USA.

Objectives: Advances in neonatal intensive care have allowed successful resuscitation of children born at the border of viability. However, there has been little change in the incidence of bronchopulmonary dysplasia (BPD) and anatomical upper airway obstruction which may require a tracheostomy in that group. The benefits of the procedure are accompanied by sequelae that impact outcomes. Read More

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Laryngeal cleft: A literature review.

Am J Otolaryngol 2021 Apr 20;42(6):103072. Epub 2021 Apr 20.

Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, United States of America; Lankenau Institute for Medical Research, United States of America. Electronic address:

Introduction: Laryngeal cleft is a congenital condition in which an opening in the posterior laryngotracheal wall allows food and liquid to pass from the esophageal lumen to the airway and causes aspiration. The severity of a laryngeal cleft is measured using the Benjamin-Inglis system, and can be managed conservatively or with a variety of surgical options With increased awareness, higher suspicion among primary physicians, advanced technology and improved intensive neonatal care services, more babies with laryngeal clefts survive in the modern era. Therefore, the focus has shifted from infant survival to treatment of laryngeal clefts and the challenging, complex medical conditions they create. Read More

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The level of evidence of the publications on conservative surgery for the treatment of diabetic forefoot ulcers: A scoping review.

Foot (Edinb) 2021 Jan 28;47:101784. Epub 2021 Jan 28.

Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, Lebanon; Center for Evidence-Based Anatomy, Sport & Orthopedics Research, Lebanon.

Objective: The diabetic foot disease is one of the most serious complications of diabetes causing high rates of amputations, premature deaths and healthcare cost. While standard non-surgical care is the mainstay of treatment of diabetic foot ulcers (DFU), many reports demonstrated that conservative surgery particularly in the forefoot, compared better in terms of clinical outcomes. Nevertheless, the quality of surgical articles dealing with diabetic ulcers of the forefoot is thought to be average. Read More

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January 2021

Troubleshooting a pacemaker output failure: A case report.

J Electrocardiol 2021 Apr 23;66:148-151. Epub 2021 Apr 23.

Department of Cardiology, Amrita Institute of Medical Sciences, Kochi, India. Electronic address:

The indications for permanent pacemaker (PM) implantation are rapidly expanding resulting in an increasing number of patients receiving PMs. Such PM patients need a good quality medical care. The follow up of these patients and their devices places a heavy burden on cardiology clinics with significant implications for the already stretched hospital resources. Read More

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Effectiveness of home health care in reducing return to hospital: Evidence from a multi-hospital study in the US.

Int J Nurs Stud 2021 Apr 20;119:103946. Epub 2021 Apr 20.

Marquette University College of Nursing, PO Box 1881, Milwaukee, WI, 53201-1881, USA. Electronic address:

Background: Home health care, a commonly used bridge strategy for transitioning from hospital to home-based care, is expected to contribute to readmission avoidance efforts. However, in studies using disease-specific samples, evidence about the effectiveness of home health care in reducing readmissions is mixed.

Objective: To examine the effectiveness of home health care in reducing return to hospital across a diverse sample of patients discharged home following acute care hospitalization. Read More

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Grieving in silence: Experiences of bereaved Taiwanese family members whose loved ones died from cancer.

Eur J Oncol Nurs 2021 Apr 28;52:101967. Epub 2021 Apr 28.

Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Taiwan.

Purpose: To explore the experience of grief in bereaved Taiwanese family members whose loved ones died from cancer.

Method: A qualitative study was used in this interview-based investigation. A purposive sampling technique and maximum variability were used to obtain a comprehensive overview. Read More

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Preliminary results of a clinical research and innovation scholarship to prepare medical students to lead innovations in health care.

Healthc (Amst) 2021 May 3;9(3):100555. Epub 2021 May 3.

Duke Institute for Health Innovation, Durham, NC, USA; Duke University School of Medicine, Durham, NC, USA.

There is consensus amongst national organizations to integrate health innovation and augmented intelligence (AI) into medical education. However, there is scant evidence to guide policymakers and medical educators working to revise curricula. This study presents academic, operational, and domain understanding outcomes for the first three cohorts of participants in a clinical research and innovation scholarship program. Read More

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Are medical students adequately prepared to provide quality care for patients with epilepsy? A cross-sectional study of their knowledge and attitude.

Epilepsy Behav 2021 May 3;120:107976. Epub 2021 May 3.

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Objective: This study assessed preparedness of Palestinian medical students as future physicians to care for patients with epilepsy through assessing their knowledge and attitude.

Methods: The current study was conducted in a cross-sectional design. A pre-validated study tool was used to collect sociodemographic and academic details of the students, test their knowledge using a 16-item test, and test their attitude using a 13-item test. Read More

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Characteristics and evaluation of acute exacerbations in chronic interstitial lung diseases.

Respir Med 2021 Apr 26;183:106400. Epub 2021 Apr 26.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, UT Southwestern Medical Center, Dallas, TX, USA.

Acute exacerbations of fibrosing interstitial lung disease (ILD) occur in both idiopathic pulmonary fibrosis (IPF) as well as non-IPF ILDs. An expert consensus definition has allowed for more frequent reporting of IPF exacerbations. The same is lacking for non-IPF ILD exacerbations. Read More

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A correlation between anaesthesia-related cardiac arrest outcomes and country human development index: A narrative review.

J Clin Anesth 2021 May 3;72:110273. Epub 2021 May 3.

Anaesthesia Cardiac Arrest and Mortality Study Commission, Department of Surgical Specialties and Anaesthesiology, Botucatu Medical School, Sao Paulo State University - UNESP, Botucatu, SP, Brazil.

Studies have demonstrated gaps between developed and developing countries in the quality of surgical and anaesthesia care. The aim of this review was to provide a critical overview of documented outcomes from the 2010s of anaesthesia-related cardiac arrest events in countries with largely differing Human Development Indexes (HDIs). The HDI ranges from 0 to 1, representing the lowest and highest levels of development, respectively. Read More

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Outcomes for in-hospital cardiac arrest for COVID-19 patients at a rural hospital in Southern California.

Am J Emerg Med 2021 Apr 27;47:244-247. Epub 2021 Apr 27.

Department of Emergency Medicine, University of California, San Diego, CA, United States of America; Department of Emergency Medicine, El Centro Regional Medical Center, El Centro, CA, United States of America.

Background: In-hospital cardiac arrest (IHCA) carries a high mortality and providing resuscitation to COVID-19 patients presents additional challenges for emergency physicians. Our objective was to describe outcomes of COVID-19 patients suffering IHCA at a rural hospital in Southern California.

Methods: Single-center retrospective observational study. Read More

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Multidisciplinary management of a traumatic posterior meningeal artery pseudoaneurysm: A case report and review of the literature.

Int J Surg Case Rep 2021 Apr 29;82:105933. Epub 2021 Apr 29.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Background: Meningeal arterial injuries represent <1% of all blunt traumatic brain injuries (TBIs). Middle meningeal artery (MMA) lesions comprise the majority. However, there is little clinical data on posterior meningeal artery (PMA) injuries. Read More

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Benefits of conservative management of a retained appendicolith after laparoscopic appendectomy: A case series.

Int J Surg Case Rep 2021 Apr 27;82:105925. Epub 2021 Apr 27.

Trauma and Acute Care Surgery Unit, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia. Electronic address:

Introduction: Acute appendicitis is a disease with multifactorial etiology and frequently includes lumen obstruction. Appendicoliths can pose a challenge during the appendectomy procedure if not identified.

Methods: This is a prospective case series at our academic institution involving two medically free patients with intra-abdominal abscess formation secondary to an overlooked appendicolith who were treated conservatively with a follow up period of one year for each patient. Read More

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A simplified cluster model and a tool adapted for collaborative labeling of lung cancer CT scans.

Comput Methods Programs Biomed 2021 Apr 18;206:106111. Epub 2021 Apr 18.

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Petrovka str., 24, Moscow, 127051, Russia; Federal Research Center "Computer Science and Control" of Russian Academy of Sciences, Vavilova str., 44/2, Moscow, 119333, Russia. Electronic address:

Background And Objective: Lung cancer is the most common type of cancer with a high mortality rate. Early detection using medical imaging is critically important for the long-term survival of the patients. Computer-aided diagnosis (CAD) tools can potentially reduce the number of incorrect interpretations of medical image data by radiologists. Read More

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Clinical characteristics and outcomes of 56 patients with pneumonia caused by carbapenem-resistant Klebsiella pneumoniae.

J Glob Antimicrob Resist 2021 May 3. Epub 2021 May 3.

Division of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic address:

Objectives: Pneumonia caused by carbapenem-resistant Klebsiella pneumoniae (CRKP) is associated with a high mortality. However, clinical studies on CRKP infections often involve bacteremia exclusively, with only a few studies having focused on pneumonia. This retrospective study was conducted to investigate the clinical and microbiological characteristics of pneumonia caused by CRKP. Read More

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Neuroprotective effect of stroke pretreated MSCs against cerebral ischemia/reperfusion injury in rats.

World Neurosurg 2021 May 3. Epub 2021 May 3.

Department of General Medicine, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China. Electronic address:

Background: Mesenchymal stem cells (MSCs) have been shown to enhance neurological recovery after stroke. In this study, a middle cerebral artery occlusion (MCAO) rat model was designed to assess the neuroprotective effects of stroke pretreated MSCs on cerebral ischemia/reperfusion (I/R) injury.

Method: The MSCs were isolated and cultured in medium with 10% FBS, normal control serum (NS), or stroke serum (SS). Read More

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Natural History and Disease Impact of Rome IV versus Rome III Irritable Bowel Syndrome: A Longitudinal Follow-up Study.

Clin Gastroenterol Hepatol 2021 May 3. Epub 2021 May 3.

Leeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK; Leeds Gastroenterology Institute, St. James's University Hospital, Leeds, UK. Electronic address:

Objectives: Irritable bowel syndrome (IBS) is a chronic functional bowel disorder diagnosed using the Rome criteria, which have evolved since their original description 30 years ago. Little is known about the effects on the natural history of IBS of moving to the latest iteration, Rome IV, from the previous Rome III criteria. We conducted a 12-month longitudinal follow-up study examining this. Read More

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Applying the Exploration, Preparation, Implementation, Sustainment (EPIS) Framework to Safe Surgery 2020 Implementation in Tanzania's Lake Zone.

J Am Coll Surg 2021 Apr 14. Epub 2021 Apr 14.

Department of Health, Social Welfare and Nutrition Service, President's Office Regional Administration and Local Government, Dodoma, Tanzania; Center for Reforms, Innovation, Health Policies and Implementation Research (CeRIHI), Dodoma, Tanzania.

Background: Access to safe, high-quality surgical care in sub-Saharan Africa is a critical gap. Interventions to improve surgical quality have been developed, but research on their implementation is still at a nascent stage. We retrospectively applied the Exploration, Preparation, Implementation, Sustainment Framework to characterize the implementation of Safe Surgery 2020, a multicomponent intervention to improve surgical quality. Read More

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Does Advanced Trauma Life Support Training work? 10-Year Follow Up of Advanced Trauma Life Support India Program.

J Am Coll Surg 2021 Apr 28. Epub 2021 Apr 28.

- Sharda Hospital, Greater Noida, Uttar Pradesh, India, & Advanced Trauma Life Support, India.

Background: Studies evaluating the efficacy of ATLS in Low & Middle-income countries (LMICs) are limited. We followed up ATLS providers certified by ATLS India program over a decade (2008-2018), aiming at measuring the benefits, if any, in knowledge, skills & attitude (KSA) from ATLS, and attrition over time.

Methods: Survey instrument was developed taking a cue from published literature on ATLS and improvised using the Delphi method. Read More

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Accountable Care Organizations (ACOs) could potentially improve the quality of care in those afflicted with dementia.

J Pain Symptom Manage 2021 May 3. Epub 2021 May 3.

Professor of Health Services Policy & Practice, Brown University School of Public Health.

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Utilization and outcomes of transesophageal echocardiography in 1.3 million CABG procedures.

J Am Coll Cardiol 2021 Apr 28. Epub 2021 Apr 28.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, Florida.

Background: Utilization of intraoperative transesophageal echocardiography (TEE) at time of isolated coronary artery bypass grafting (CABG), impact on clinical decision making and associated outcomes are not well understood.

Objective: To determine the association of TEE with post-CABG mortality and changes to the operative plan.

Methods: We performed a retrospective cohort study of planned isolated CABG patients from the Society of Thoracic Surgeons Adult Cardiac Surgery Database between January 1, 2011 and June 30, 2019. Read More

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eHealth for the prevention of healthcare-associated infections: a scoping review.

J Hosp Infect 2021 May 3. Epub 2021 May 3.

Department of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the Netherlands.

Background: The increase in smartphone use and mobile health applications (apps) holds potential to use apps to reduce and detect healthcare-associated infections (HAIs) in clinical practice.

Aim: To obtain an overview of available apps for HAI prevention, by selecting the clinically relevant apps and scoring functionality, quality and usefulness.

Methods: This scoping review of available apps in the iOS and Android app stores uses an in-house-developed tool (scraper https://holtder. Read More

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