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[Clinical guidelines for the managment of intestinal failure secondary to pediatric short bowel syndrome].

Arch Argent Pediatr 2021 Oct;119(5):e441-e472

Hospital Italiano, Ciudad Autónoma de Buenos Aires, Argentina.

Intestinal failure secondary to short bowel syndrome in pediatrics, is a rare condition with high morbimortality. A follow up multidisciplinary team is necessary to minimize complications and optimize the intestinal rehabilitation. There are no gold standard guidelines for the management of this group of complex patients. Read More

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October 2021

Sex Differences in Characteristics Associated with Potentially Inappropriate Medication Use and Associations with Functional Capacity in Older Participants of the Berlin Aging Study II.

Gerontology 2021 Sep 17:1-9. Epub 2021 Sep 17.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Lipid Clinic at the Interdisciplinary Metabolism Center, Berlin, Germany.

Introduction: Medication safety is a vital aim in older adults' pharmacotherapy. Increased morbidity and vulnerability require particularly careful prescribing. Beneath avoiding unnecessary polypharmacy and prescribing omissions, physicians have to be aware of potentially inappropriate medications (PIMs) and related outcomes to optimize older adults' drug therapy, and to reduce adverse drug events. Read More

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September 2021

A Human Trafficking Educational Program and Point-of-Care Reference Tool for Pediatric Residents.

MedEdPORTAL 2021 13;17:11179. Epub 2021 Sep 13.

Associate Professor, Department of Pediatrics, Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine.

Introduction: Trafficked youth experience complex health issues such as substance abuse, severe physical trauma, and sexual health problems, with many entering trafficking between 15 and 17 years old. There is increasing awareness of the need to educate pediatric health care providers on identifying and aiding trafficked children; however, critical gaps in the literature exist regarding educational sessions specific to the human trafficking of pediatric patients. Our objective was to implement and evaluate a survivor-informed educational session for pediatric resident physicians to improve identification of and assistance to trafficked youth in the clinical setting. Read More

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September 2021

-Related Overgrowth Spectrum From Diagnosis to Targeted Therapy: A Case of CLOVES Syndrome Treated With Alpelisib.

Front Pediatr 2021 9;9:732836. Epub 2021 Sep 9.

Medical Genetics Unit, Meyer Children's University Hospital, Florence, Italy.

-related overgrowth spectrum (PROS) is an umbrella term referring to various clinical entities, which share the same pathogenetic mechanism. These conditions are caused by somatic gain-of-function mutations in , which encodes the 110-kD catalytic α subunit of PI3K (p110α). These mutations occur as post-zygotic events and lead to a gain of function of PI3K, with consequent constitutional activation of the downstream cascades (e. Read More

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September 2021

Ovarian Tissue Reservation and Risk of Reimplantation in a Young Girl with Acute Lymphocytic Leukemia after 6-Month Chemotherapy: A Case Report.

South Asian J Cancer 2021 Apr 25;10(2):112-114. Epub 2021 Jul 25.

Molecular Medicine Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

In the fertility preservation programs, ovarian cryopreservation is usually offered when the risk of premature ovarian failure is high (>30-50%) while the risk of ovarian metastasis is low. According to the guidelines, it must be done before the patient receives chemotherapy. A 22-year-old girl with acute lymphocytic leukemia was a candidate for ovarian cryopreservation after 6 months of chemotherapy. Read More

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Acta Ortop Bras 2021 Jul-Aug;29(4):207-210

ABC Medical School (FMABC), Santo André, SP, Brazil.

Objective: To determine the incidence and risk factors for injuries that occurred during the matches of the Brazilian Football Championship.

Methods: A prospective study was carried out with the collection of data referring to injuries that occurred during the 2019 Brazilian Football Championship. The injuries were recorded by the responsible physician of each team, through an online injury mapping system. Read More

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Which criteria is a better predictor of ICU admission in trauma patients? An artificial neural network approach.

Surgeon 2021 Sep 23. Epub 2021 Sep 23.

Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Purpose: One of the most critical concerns in the intensive care unit (ICU) section is identifying the best criteria for entering patients to this part. This study aimed to predict the best compatible criteria for entering trauma patients in the ICU section.

Method: The present study was a historical cohort study. Read More

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September 2021

Establishing and Maintaining a Remote Vascular Surgery Aortic Program, A Single-Center Five-Year Experience at the Veterans Affairs.

J Vasc Surg 2021 Sep 22. Epub 2021 Sep 22.

Division of Vascular & Endovascular Surgery, Department of Surgery, University of Miami Miller School of Medicine & Miami VAMC. Electronic address:

Objective: To detail the process of establishing a vascular surgery aortic telehealth program and to report the outcomes of a five-year experience.

Methods: A telehealth program was established between two regional Veterans Affairs (VA) hospitals, one of which was without a comprehensive aortic surgical program, until such a program was established at the referring institution. A retrospective review was performed of all patients who underwent aortic surgery between 2014 and 2019. Read More

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September 2021

How do primary care doctors compare to dentists in the referral of oral cancer?

Satish Kumar

Evid Based Dent 2021 Jan;22(3):94-95

Arizona School of Dentistry and Oral Health, A. T. Still University, Arizona, USA.

Data sources The authors searched electronic databases of Medline, Embase, Web of Science, Scopus, CINAHL and Google Scholar until May 2019. They also searched within the reference lists of studies, citation indexes and related articles from these electronic databases. Ongoing studies were searched in Research Registry, and Electronic Theses Online Service was used for searching theses. Read More

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January 2021

Humanization of care for adult ICU patients: a scoping review protocol.

JBI Evid Synth 2021 Sep 22. Epub 2021 Sep 22.

School of Nursing Sciences, Faculty of Nursing, Université Laval, Quebec, Canada Quebec Heart and Lung Research Centre- Université Laval, Quebec, Canada CHU de Québec- Université Laval, Quebec, Canada.

Objective: The objective of this review is to review and map data from studies on the humanization of care in intensive care units based on a conceptual framework.

Introduction: The critical context of adult patients in intensive care units directs the focus on clinical medical interventions, drawing attention away from the humanization of care. Rethinking intensive care is imperative and the humanization of care is an absolute priority. Read More

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September 2021

Proposal of a self-assessment questionnaire for the diagnosis of sensitive skin.

J Cosmet Dermatol 2021 Sep 22. Epub 2021 Sep 22.

Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Background: Sensitive skin is very common and distressing. Its diagnosis may be difficult with the tools/methods available at the moment.

Aims: To assess the reliability of a self-assessment questionnaire for the diagnosis of sensitive skin, using the results of lactic acid stinging test (LAST) as a reference for the identification of subjects suffering from this condition. Read More

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September 2021

Practices and pitfalls in medication adherence in hemodialysis settings - a focus-group study of health care professionals.

BMC Nephrol 2021 Sep 22;22(1):315. Epub 2021 Sep 22.

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Background: Medication nonadherence is common among patients with hemodialysis, leading to poorer patient outcomes. Health care professionals have an important role in assessing risk of nonadherence and intervening to support adherence. The aim of this study was to explore physicians' and nurses' current medication adherence practices in hemodialysis settings. Read More

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September 2021

Vulvar cancer staging: guidelines of the European Society of Urogenital Radiology (ESUR).

Insights Imaging 2021 Sep 22;12(1):131. Epub 2021 Sep 22.

Department of Radiology, Institute of Clinical Sciences, Sahlgrenska University Hospital, Bruna straket 11B, 413 45, Gothenburg, Sweden.

Objective: The aim of the Female Pelvic Imaging Working Group of the European Society of Urogenital Radiology (ESUR) was to develop imaging staging guidelines for vulvar cancer and to propose standardised MRI protocols and reporting.

Methods: The guidelines recommended from the ESUR in this article resulted from a questionnaire analysis regarding imaging staging of vulvar cancer that was answered by all members of the Female Pelvic Imaging Working Group. Only the answers with an agreement equal to or more than 80% were considered. Read More

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September 2021

A Statewide EMS Viral Syndrome Pandemic Triage Protocol: 24 Hour Outcomes.

Prehosp Emerg Care 2021 Sep 22:1-10. Epub 2021 Sep 22.

Maryland Institute for Emergency Medical Services, Baltimore, 21201 United States.

Early during the COVID-19 pandemic, Emergency Medical Services (EMS) systems encountered many challenges that prompted crisis-level strategies. Maryland's statewide EMS system implemented the which contained a decision tool to help identify patients potentially safe for self-care at home. This study assessed the effects of the and the safety of referring patients for self-care at home. Read More

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September 2021

A continuous PREMs and PROMs Observatory for elective hip and knee arthroplasty: study protocol.

BMJ Open 2021 Sep 21;11(9):e049826. Epub 2021 Sep 21.

Management and Healthcare Laboratory, Institute of Management and Department EMbeDS, Scuola Superiore Sant'Anna, Pisa, Italy.

Introduction: Scholars, healthcare practitioners and policymakers have increasingly focused their attention on patient-centredness. Patient-reported metrics support patient-driven improvement actions in healthcare systems. Despite the great interest, patient-reported outcome measures (PROMs) are still not extensively collected in many countries and not integrated with the collection of patient-reported experience measures (PREMs). Read More

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September 2021

Provision of pharmaceutical care to suspected high-risk COVID-19 patients through telehealth: a nationwide simulated patient study.

BMC Health Serv Res 2021 Sep 21;21(1):997. Epub 2021 Sep 21.

Pharmacy Practice Department, Faculty of Pharmacy, Beirut Arab University, Riad El Solh, P.O. Box: 11- 5020, 1107 2809, Beirut, Lebanon.

Background: The COVID-19 pandemic has overburdened the healthcare facilities, which demanded the use of alternative and effective methods for delivering healthcare services. The use of telehealth has become a necessity to provide initial health services.

Objective: To identify the pharmaceutical care provided by community pharmacists to suspected high-risk COVID-19 patients using telehealth. Read More

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September 2021

Effect of sodium-glucose cotransporter 2 (SGLT2) inhibitors on left ventricular remodelling and longitudinal strain: a prospective observational study.

BMC Cardiovasc Disord 2021 Sep 21;21(1):456. Epub 2021 Sep 21.

Departmento de Cardiología, Hospital de Jerez de la Frontera, Cádiz, Spain.

Background: Sodium-glucose cotransporter 2 inhibitors (SGLT2i) lower cardiovascular events in type 2 diabetes mellitus (T2DM) patients, although the mechanisms underlying these benefits are not clearly understood. Our aim was to study the effects of SGLT2i on left ventricular remodelling and longitudinal strain.

Methods: Between November 2019 and April 2020, we included 52 patients with T2DM ≥ 18 years old, with HbA1c between 6. Read More

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September 2021

Psychometric Properties of a Persian Version of the SpREUK-P Questionnaire: An Instrument for Measuring the Importance and Frequency of Spiritual/Religious Practices in Iranian Patients with Chronic Gastrointestinal Diseases.

J Relig Health 2021 Sep 21. Epub 2021 Sep 21.

Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Zand Avenue, Shahid Faghihi Hospital, 7134844119, Shiraz, Iran.

Attention to spiritual and religious issues is considered an important therapeutic method for patients with chronic disorders. This study aimed to assess the psychometric properties of a Persian version of the SpREUK-P questionnaire for evaluating spiritual and religious opinions among Iranian patients with chronic gastrointestinal diseases. This cross-sectional study was performed on 233 adult patients referring to the gastrointestinal clinic affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, in 2017. Read More

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September 2021

Pushing the bench: A mixed methods study of barriers to and facilitators of identification and referral into depression care by professional nurses in KwaZulu-Natal, South Africa.

SSM Ment Health 2021 Dec 22;1. Epub 2021 Jul 22.

Centre for Rural Health, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa.

Objective: Integration of mental health and chronic disease services in primary care could reduce the mental health treatment gap and improve associated health outcomes in low-resource settings. Low rates of nurse identification and referral of patients with depression limit the effectiveness of integrated mental health care; the barriers to and facilitators of identification and referral in South Africa and comparable settings remain undefined. This study explored barriers to and facilitators of nurse identification and referral of patients with depressive symptoms as part of integrated mental health service delivery in KwaZulu-Natal, South Africa. Read More

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December 2021

Compliance with the 4Ds of antimicrobial stewardship practice in a tertiary care centre.

JAC Antimicrob Resist 2021 Sep 15;3(3):dlab135. Epub 2021 Sep 15.

Department of Internal Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.

Background: Antimicrobial stewardship describes the practice of promoting the selection of the right drug, dosage, delivery and duration of antimicrobial therapy (the 4Ds) in order to curtail the emergence of resistant organisms. It is important to quantify the inappropriate use of antimicrobials in terms of percentage adherence to each of the 4Ds mentioned.

Methods: We undertook a prospective review of medical records of patients admitted to the medical wards of a tertiary care centre in North India. Read More

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September 2021

Recommendations by the Spanish Society of Rheumatology on the management of patients with fibromyalgia. Part II.

Reumatol Clin (Engl Ed) 2021 Sep 15. Epub 2021 Sep 15.

Hospital Príncipe de Asturias, CIBER de Epidemiología y Salud Pública, Meco, Madrid, Spain.

Objective: To prevent the deterioration of patients with fibromyalgia due to potentially avoidable harmful actions in clinical practice.

Methods: A multidisciplinary panel of experts identified key areas, analysed the scientific evidence and formulated recommendations based on this evidence and qualitative techniques of "formal assessment" or "reasoned judgement".

Results: Thirty-nine recommendations were made on diagnosis, ineffective and unsafe treatments, patient education and practitioner training. Read More

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September 2021

A Rome Working Team Report on Brain-Gut Behavior Therapies for Disorders of Gut-Brain Interaction.

Gastroenterology 2021 Sep 13. Epub 2021 Sep 13.

Dept. of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.

Background And Aims: This Rome Foundation Working Team Report reflects the consensus of an international, interdisciplinary team of experts regarding the use of behavioral interventions in patients with disorders of gut-brain interaction (DGBI), specifically Brain-Gut Behavior Therapies (BGBT).

Methods: The committee members reviewed the extant scientific literature and whenever possible, addressed gaps in this literature through the lens of their clinical and scientific expertise. Delphi method was used to create consensus on the goals, structure and framework before writing the report. Read More

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September 2021

Healthcare Provider Perspectives on the Use of a Digital Behavioral Health App to Support Patients: Qualitative Study.

JMIR Form Res 2021 Sep 13. Epub 2021 Sep 13.

UPMC Health Plan, U.S. Steel Tower600 Grant Street, Pittsburgh, US.

Background: Despite the growing evidence indicating the efficacy of digital interventions for behavioral health treatment, broad and consistent use of such interventions has been limited by knowledge obtained in real-world settings, including factors that impact provider uptake/referral. Engaging providers early in the implementation process offers an opportunity to explore their needs and behaviors, integrate interventions into workflows, and better understand provider setting capabilities.

Objective: To assess providers' views on the feasibility and acceptability of delivering a Cognitive Behavioral Therapy (CBT)-based mobile application (app) in multiple care settings. Read More

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September 2021

Comprehensive approach to children with cerebral palsy.

An Pediatr (Engl Ed) 2021 Sep 12. Epub 2021 Sep 12.

CS Palma-Palmilla, Distrito Málaga-Guadalhorce, Málaga, Spain.

Infantile cerebral palsy is one of the most prevalent diseases and the most frequent cause of disability in paediatrics. Children with cerebral palsy have complex health care needs and often require the care of a multidisciplinary team. However, in many cases there is no paediatrician with overall responsibility for coordinating follow-up. Read More

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September 2021

Endocrine Surgery Patients' and Providers' Perceptions of Telemedicine in the COVID Era.

J Surg Res 2021 Sep 12;269:76-82. Epub 2021 Sep 12.

Division of Endocrine Surgery, MedStar-Washington Hospital Center, Washington, District of Columbia 20010. Electronic address:

Background: Telemedicine has become a key modality for health care delivery during the COVID-19 pandemic, including for endocrine surgery. Little data exists on patients' and referring endocrinologists' perspectives of its use. The study aimed to assess and compare endocrine surgery patients' attitudes about telemedicine to that of referring endocrinologists. Read More

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September 2021

Prediction for pathological and immunohistochemical characteristics of triple-negative invasive breast carcinomas: the performance comparison between quantitative and qualitative sonographic feature analysis.

Eur Radiol 2021 Sep 14. Epub 2021 Sep 14.

Shanghai Key Laboratory of Multidimensional Information Processing, East China Normal University, #500 Dongchuan Rd., Shanghai, 200241, China.

Objective: Sonographic features are associated with pathological and immunohistochemical characteristics of triple-negative breast cancer (TNBC). To predict the biological property of TNBC, the performance using quantitative high-throughput sonographic feature analysis was compared with that using qualitative feature assessment.

Methods: We retrospectively reviewed ultrasound images, clinical, pathological, and immunohistochemical (IHC) data of 252 female TNBC patients. Read More

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September 2021

Strategies for Lynch syndrome identification in selected and unselected gynecological cancers.

Eur J Cancer Prev 2021 Sep 13. Epub 2021 Sep 13.

UO Anatomia Patologica, ASST Settelaghi, Ospedale di Circolo Centro di ricerca dei tumori eredo-familiari Dipartimento di Ostetricia e Ginecologia, ASST Settelaghi, University of Insubria, Varese, Italy.

Background: Endometrial carcinoma represents a sentinel cancer for Lynch syndrome (LS) identification. It is crucial to highlight how other types of tumors can arise in the gynecological tract acting as sentinel tumors in LS patients.Up to now, no established LS patient management strategy has incorporated the presence of these additional candidate sentinel tumors to improve the prevention and management of LS tumors. Read More

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September 2021

Exploring the impact of diagnostic imaging decision support embedded in an electronic referral solution on the appropriate ordering of magnetic resonance imaging for patients with knee pain: a retrospective chart review.

J Eval Clin Pract 2021 Sep 13. Epub 2021 Sep 13.

Department of Diagnostic Imaging, Grand River Hospital, Kitchener, Ontario, Canada.

Rational And Objective: Requests for magnetic resonance imaging (MRI) exams have notably increased in Canada. However, many of these exams may not always be indicated. The Joint Department of Medical Imaging and the eReferral Program have worked collaboratively to embed an integrated clinical decision support (DS) tool within the eReferral process for diagnostic imaging requests. Read More

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September 2021

Diagnostic Classification of Bruch's Membrane Opening-Minimum Rim Width and Retinal Nerve Fiber Layer Thickness in Myopic Eyes by Optical Coherence Tomography.

Front Med (Lausanne) 2021 25;8:729523. Epub 2021 Aug 25.

Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.

This study was conducted in order to compare the diagnostic classification of Bruch's membrane opening-minimum rim width (BMO-MRW) and RNFL thickness in normal myopic subjects by using optical coherence tomography (OCT). This cross-sectional study involved 75 healthy myopic subjects [spherical equivalent (SE) ≤ -0.5D] from April 2019 to January 2020. Read More

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Measuring the Value of a Practical Text Mining Approach to Identify Patients With Housing Issues in the Free-Text Notes in Electronic Health Record: Findings of a Retrospective Cohort Study.

Front Public Health 2021 27;9:697501. Epub 2021 Aug 27.

Center for Population Health IT, Johns Hopkins School of Public Health, Baltimore, MD, United States.

Despite the growing efforts to standardize coding for social determinants of health (SDOH), they are infrequently captured in electronic health records (EHRs). Most SDOH variables are still captured in the unstructured fields (i.e. Read More

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