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[Which Digital Services do Psychosomatic Rehabilitation Patients Use During the Corona Pandemic and do Interrelations with Anxiety and Depressive Symptoms Exist?]

Psychother Psychosom Med Psychol 2021 Sep 20. Epub 2021 Sep 20.

Department of Psychology & Methods, Jacobs University Bremen gGmbH, Deutschland.

Objective: The COVID-19 pandemic requires numerous measures to protect against infection, such as contact reduction and adherence to hygiene and social distancing rules. The former leads to mental disorders (possibly requiring treatment) due to social isolation, the latter require adaptation in the implementation of medical therapies. With overall limited therapy capacities, the use of digital (health) applications can be of particular importance in the therapy of chronic and psychological diseases in particular. Read More

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September 2021

Improving the time to ileostomy closure following an anterior resection for rectal cancer in the UK.

Colorectal Dis 2021 Sep 20. Epub 2021 Sep 20.

Department of Surgery, University Hospital of Wales, Cardiff, UK.

Aim: Delayed closure of ileostomy following an anterior resection for rectal cancer in the UK is common. The aims of this study were i) to investigate the variation in patient pathways between hospitals, ii) identify the key learning points from units with the shortest time to closure iii) develop guidance for a pathway to minimize delay in ileostomy closure.

Method: This was a mixed methods study. Read More

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September 2021

A community-centered approach to sickle cell disease and clinical trials participation: an evaluation of perceptions, facilitators, and barriers.

Blood Adv 2021 Sep 20. Epub 2021 Sep 20.

Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.

Sickle cell disease (SCD) is the most common inherited red blood cell disorder in the United States, affecting 70,000-100,000 Americans and causing a range of serious medical complications. Although the cause of SCD was established decades ago, existing therapies have varied effectiveness and side effects, and novel therapies have been slow to develop. The limitations of existing treatment options highlight the need for new therapies that are aligned with the desires of the community. Read More

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September 2021

The financial burden of treating patients presenting with acute and chronic cough.

Curr Med Res Opin 2021 Sep 20:1-32. Epub 2021 Sep 20.

MSD (UK) Limited, London, UK.

Objective: Coughing is a common symptom and responsible for a large number of healthcare visits. This study aimed to characterise healthcare resource use and associated financial costs in people with acute or chronic cough.

Methods: A retrospective cohort study using routine data from the UK National Health Service. Read More

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September 2021

[Guidelines for the ethical assessment of interventions on the human body in view of the emergence of NBIC technologies for enhancement].

Cuad Bioet 2021 May-Aug;32(105):195-211

Instituto de Ciencias de la Vida. Universidad Católica de Valencia ″San Vicente Mártir″. Plaza de San Agustín 3, Esc. A, entresuelo 1. 46002, Valencia. España.

The recent development of NBIC technologies has led to the emergence of new techniques that allow the modification of genetic, morphological, and physiological aspects of the human being to improve their capacities. In light of this situation, the eternal debate continues: is everything technically possible ethically acceptable? To answer this question, an ethical reflection is needed to assess the scope of enhancement techniques and to direct them to the service of human progress and the common good. Many authors have already begun this reflection, opting for a case-by-case evaluation. Read More

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February 2021

Key Intervention Categories to Provide Person-Centered Dementia Care: A Systematic Review of Person-Centered Interventions.

J Alzheimers Dis 2021 Sep 17. Epub 2021 Sep 17.

German Center for Neurodegenerative Diseases e.V., Site Rostock/Greifswald, Germany.

Background: Person-centered care (PCC) is an important concept in many countries' national guidelines and dementia plans. Key intervention categories, i.e. Read More

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September 2021

Effects of dry needling on gait and muscle tone in Parkinson's disease: a randomized clinical trial.

Acupunct Med 2021 Sep 19:9645284211039232. Epub 2021 Sep 19.

Department of Nursing, Physical Therapy, and Occupational Therapy, Toledo Physiotherapy Research Group (GIFTO), University of Castilla-La Mancha, Toledo, Spain.

Background: Alterations in gait and muscular rigidity are common and disabling in persons with Parkinson's disease (PD).

Objective: The aim of this study was to determine whether a single dry needling (DN) session can promote changes in gait and muscle tone in the lower extremities as well as in the evolution of the disease in persons with PD.

Methods: A randomized double-blind clinical trial was designed. Read More

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September 2021

Complete lung collapse in a young adolescent.

Afr J Thorac Crit Care Med 2018 21;24(2). Epub 2018 Jun 21.

Division of Pulmonology, Department of Medicine, University of Cape Town Lung Institute and Groote Schuur Hospital, Cape Town, South Africa.

Bronchial carcinoid tumours (BCTs) arise from the neuroendocrine cells of the bronchial epithelium known as Kulchitsky cells. They represent ~25% of all carcinoid tumours, usually have a central distribution, and present with features of bronchial obstruction. They are the most common lung malignancy in children. Read More

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Comparison of Epidural Dexmedetomidine Versus Ropivacaine Infusion Effectiveness in Preventing Erection Following Reconstructive Urethral Surgery: A Randomized Clinical Trial.

Anesth Pain Med 2021 Jun 12;11(3):e114259. Epub 2021 Jul 12.

Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: One of the most common devastating problems that occur after urethroplasty is erection, which causes surgical complications (fistula, wound dehiscence, and surgical graft failure) and the need for repairing the complications. We attempted to compare the effect of continuous epidural infusion of dexmedetomidine and ropivacaine as a post-surgical erection prevention strategy.

Objectives: In this study, we aimed to compare the effect of dexmedetomidine and ropivacaine epidural infusion on the incidence of erection after reconstructive urethral surgery. Read More

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Loss and bereavement in late life (60+): Study protocol for a randomized controlled trial regarding an internet-based self-help intervention.

Internet Interv 2021 Dec 7;26:100451. Epub 2021 Sep 7.

Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Germany.

Background: The death of a close person is a highly stressful, yet common life event in later life. While most individuals seem to cope well with bereavement, a substantial proportion of older individuals suffer from prolonged grief symptoms. E-mental health interventions have been shown to be efficient for a variety of psychological illnesses. Read More

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December 2021

Descriptive epidemiology of the first wave of COVID-19 in Petaling District, Malaysia: Focus on asymptomatic transmission.

Western Pac Surveill Response J 2021 Apr-Jun;12(2):82-88. Epub 2021 Apr 21.

Petaling District Health Office, Selangor, Malaysia.

Background: COVID-19 was first detected in Malaysia on 25 January 2020. Multiple clusters were detected in Petaling District, with the first locally transmitted case reported on 8 February. Descriptive analyses of the epidemiology of the COVID-19 outbreak in Petaling are presented, from the first case to the end of the first wave. Read More

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Immersion pulmonary oedema in a triathlete - a diagnostic challenge in sports cardiology.

J Ultrason 2021 Aug 9;21(86):e252-e257. Epub 2021 Sep 9.

Department of Sports Cardiology and Noninvasive Cardiovascular Imaging, Medical University of Warsaw, Warsaw, Poland.

Immersion pulmonary oedema, also referred to as swimming-induced pulmonary oedema, is a form of pulmonary oedema which usually occurs during swimming in cold water. The condition is most common in triathlon athletes; it was first reported in military divers. The main symptoms include acute dyspnoea, cough, and occasionally haemoptysis, which usually subside within approximately 48 hours. Read More

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Peripheral arterial response during haemodialysis - is two-dimensional speckle-tracking a useful arterial reactivity assessment tool?

J Ultrason 2021 Aug 9;21(86):e213-e218. Epub 2021 Sep 9.

Department of Internal Medicine and Transplantation Nephrology, 1st Chair of Internal Medicine, Medical University of Łódź, Poland.

2D speckle tracking is a method used in myocardial strain assessment. However, several studies have confirmed the suitability of its application in the assessment of arterial strain (a marker of arterial stiffness). The aims of our study were to evaluate whether 2D speckle tracking can assess the changes in carotid and femoral strain caused by fluid loss during haemodialysis, and to determine the direction and amount of these changes. Read More

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[Involuntary psychiatric care for incarcerated people: a descriptive study of 73 consecutive judge-ordered discharges from psychiatric hospitalisation in France].

Encephale 2021 Sep 16. Epub 2021 Sep 16.

Inserm, U1172 - Lille Neuroscience & Cognition, University Lille, CHU de Lille, 59000 Lille, France; Centre national de ressources et de résilience Lille-Paris (CN2R), 59000 Lille, France.

Introduction: The procedure of involuntary psychiatric hospitalization has been recently modified in France. Indeed, since 2011, a liberty and custody judge is appointed for each measure, to guarantee the rights of psychiatric inpatients and to prevent abusive hospitalizations. As a result, if procedural errors are noted, the liberty and custody judge may order the immediate ending of the psychiatric hospitalization. Read More

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September 2021

Forehead Movement Discrepancies After Botulinum Toxin Injections: A Review of Etiology, Correction, and Prevention.

Dermatol Surg 2021 Sep 2. Epub 2021 Sep 2.

Department of Dermatology, Geisinger Health System, Danville, Pennsylvania; University of Washington School of Medicine, Seattle, Washington; Chesnut MD Cosmetic Surgery Fellowship, Spokane, Washington.

Background: Forehead rhytides are a popular target for botulinum toxin injections, but neuromodulation of the frontalis can be fraught with complications because of its anatomic complexity and integral role in brow position and expressivity.

Objective: This article explores common forehead movement discrepancies that can occur after neuromodulation of the frontalis, as well as how to correct and prevent them.

Methods: A review of the literature was conducted and combined with clinical experience to examine underlying forehead anatomy, etiology and correction of forehead movement discrepancies, and important factors to consider before injecting the frontalis with botulinum toxin. Read More

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September 2021

Digital health needs for implementing high-quality primary care: recommendations from the National Academies of Sciences, Engineering, and Medicine.

J Am Med Inform Assoc 2021 Sep 19. Epub 2021 Sep 19.

Dignity Pacific Central Coast Health Centers, Lompoc and Santa Ynez Health Centers, Common Spirit Health, Santa Maria, California, USA.

A National Academies of Sciences, Engineering, and Medicine committee developed a plan to implement high-quality primary care. One of the 5 key objectives was designing information technology that serves the patient, family, and interprofessional care team. The committee defined high-quality primary care as the provision of whole person, integrated, accessible, and equitable healthcare by interprofessional teams who are accountable for addressing most of an individual's health across settings and through sustained relationships. Read More

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September 2021

The impact of SARS-CoV-2 vaccination in Dravet syndrome: A UK survey.

Epilepsy Behav 2021 Aug 21;124:108258. Epub 2021 Aug 21.

Department of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, London WC1N 3BG, UK; Chalfont Centre for Epilepsy, Chalfont St. Peter, Buckinghamshire SL9 0RJ, UK. Electronic address:

Background: The COVID-19 pandemic led to the urgent need for accelerated vaccine development. Approved vaccines have proved to be safe and well tolerated across millions of people in the general population. Dravet syndrome (DS) is a severe, early onset, developmental and epileptic encephalopathy. Read More

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The use of qualitative methods in venous thromboembolism research.

Res Pract Thromb Haemost 2021 Aug 12;5(6):e12593. Epub 2021 Sep 12.

Department of Emergency Medicine Indiana University School of Medicine Indianapolis IN USA.

Introduction: Qualitative research has been increasingly used in health care research to allow in-depth insights and understanding of patients' lived experiences for poorly understood phenomena. The psychological stress mechanisms underlying fear, dyspnea, and pain after venous thromboembolism (VTE) remain poorly understood. However, novice VTE researchers may not be familiar with the process of undertaking qualitative research. Read More

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The Impact of COVID-19 on the Orthopaedic Surgery Residency Experience.

Spartan Med Res J 2021 30;6(2):25963. Epub 2021 Aug 30.

Detroit Medical Center, Detroit, MI.

Introduction: The rapid spread of the COVID-19 virus led to dramatic changes in graduate medical education and surgical practice. The purpose of this study was to evaluate the effects of the COVID-19 pandemic on Orthopaedic Surgery residency education in the United States.

Methods: A survey sent to all residents of the 201 ACGME-accredited Orthopaedic Surgery programs in the United States. Read More

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[The European ADVANTAGE experience for management of frailty: keys to its applicability in Latin AmericaA experiência europeia ADVANTAGE para manejo da fragilidade: apontamentos para sua aplicabilidade na América Latina].

Rev Panam Salud Publica 2021 13;45:e107. Epub 2021 Sep 13.

Servicio de Geriatría, Hospital Universitario de Getafe GetafeMadrid España Servicio de Geriatría, Hospital Universitario de Getafe, Getafe, Madrid, España.

The European Commission and 22 of its Member States cofinanced, in 2017-2019, the first joint action to address frailty in older persons, known as ADVANTAGE Joint Action. The initiative developed a common strategy, based on the best scientific evidence, to position healthy aging and frailty as priority public health issues in the participating countries and thus contribute to uniformly addressing frailty across Europe. This article details the methodology and main achievements of ADVANTAGE and includes an analysis of the key factors contributing to its success. Read More

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September 2021

A Mixed-Method Assessment of a 10-Day Mobile Mindfulness Intervention.

Front Psychol 2021 31;12:722995. Epub 2021 Aug 31.

Department of Psychology, West Virginia University, Morgantown, WV, United States.

Mobile mindfulness interventions represent a promising alternative to traditional in-person interventions that are resource demanding and have limited accessibility, preventing use by many populations. Despite greater accessibility and popularity of mobile mindfulness applications (apps), research is needed testing the effectiveness of brief interventions delivered these platforms. The present study assessed the efficacy of a brief mobile mindfulness intervention compared to an active control for increasing state and trait mindfulness and improving mood, as well as the acceptability of the app, in a sample of undergraduate students. Read More

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Basic locomotor muscle synergies used in land walking are finely tuned during underwater walking.

Sci Rep 2021 Sep 16;11(1):18480. Epub 2021 Sep 16.

Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro, Tokyo, 153-8902, Japan.

Underwater walking is one of the most common hydrotherapeutic exercises. Therefore, understanding muscular control during underwater walking is important for optimizing training regimens. The effects of the water environment on walking are mainly related to the hydrostatic and hydrodynamic theories of buoyancy and drag force. Read More

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September 2021

Systematic Review: Clinical Symptoms and Laboratory and Radiology Findings in Children with COVID-19.

Niger J Clin Pract 2021 Sep;24(9):1259-1267

Health Directorate, Public Health Directorate, Siirt, Turkey.

Coronavirus disease 2019 (COVID-19) caused by the new [novel] coronavirus, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused a pandemic with exceeding 72 million cases and 1.2 million deaths by the end of November 2020. We aimed to evaluate clinical, laboratory, and radiology findings of COVID-19 in children as reported worldwide and thereby to increase the clinical knowledge about the disease. Read More

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September 2021

Spontaneous ARIA-like Events in Cerebral Amyloid Angiopathy-Related Inflammation: A Multicenter Prospective Longitudinal Cohort Study.

Neurology 2021 Sep 16. Epub 2021 Sep 16.

Hospital Universitario 12 de Octubre, Madrid, Spain.

Background And Objectives: To investigate the natural history and outcomes following treatment for spontaneous amyloid-related imaging abnormalities (ARIA)-like in cerebral amyloid angiopathy-related inflammation (CAA-ri).

Methods: A multicenter, hospital-based, longitudinal, prospective observational study of inpatients meeting CAA-ri diagnostic criteria, recruited through the iCAβ International Network, in the period January 2013 - March 2017. A protocol for systematic data collection at first-ever presentation and at subsequent in-person visits, including T1-weighted, GRE-T2*, fluid-suppressed T2-weighted (FLAIR), and T1 post-gadolinium contrast-enhancement images aquired on 1. Read More

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September 2021

Shape of the OGTT glucose response curve: relationship with β-cell function and differences by sex, race, and BMI in adults with early type 2 diabetes treated with metformin.

BMJ Open Diabetes Res Care 2021 Sep;9(1)

Research and Development, VA Puget Sound Health Care System Seattle Division, Seattle, Washington, USA.

Introduction: The shape of the glucose curve during an oral glucose tolerance test (OGTT) reflects β-cell function in populations without diabetes but has not been as well studied in those with diabetes. A monophasic shape has been associated with higher risk of diabetes, while a biphasic pattern has been associated with lower risk. We sought to determine if phenotypic or metabolic characteristics were associated with glucose response curve shape in adults with type 2 diabetes treated with metformin alone. Read More

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September 2021

Multidisciplinary management of temporomandibular joint ankylosis in an adult: journey from arthroplasty to oral rehabilitation.

BMJ Case Rep 2021 Sep 16;14(9). Epub 2021 Sep 16.

Oral & Maxillofacial Surgery, Aesthetica, Kolkatta, India.

Ankylosis of the temporomandibular joint is a debilitating condition resulting in progressive trismus and facial disfigurement. Common trigger factors include paediatric mandibular trauma, middle ear infection or traumatic childbirth. Although diminishing in incidence among urban population, it is still prevalent in the underprivileged world. Read More

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September 2021

Buschke-Löwenstein tumour: a rare and challenging entity.

BMJ Case Rep 2021 Sep 16;14(9). Epub 2021 Sep 16.

General Surgery, Hospital da Luz, Vila Nova de Gaia, Portugal.

Buschke-Löwenstein tumour (BLT) is rare and locally aggressive, and malignant transformation is a possibility. Because there is no consensus on the best treatment approach, the authors present a treatment algorithm based on several case reports. A 57-year-old male patient resorted to surgical consultation with a giant perianal cauliflower-like mass. Read More

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September 2021

Neonatal giant dural sinus ectasia: a multimodality imaging approach.

BMJ Case Rep 2021 Sep 16;14(9). Epub 2021 Sep 16.

Department of Radiology, Philippine General Hospital, Manila, Metro Manila, Philippines.

Dural venous sinus ectasia is a rare anomaly characterised by the formation of a large vascular lake within the leaves of the dural sinuses, usually associated with thrombosis. These lesions can cause brain compression, cardiac insufficiency and disseminated intravascular coagulation, which may lead to poor prognosis. We present the case of a neonate who presented with an intracranial mass on prenatal ultrasound. Read More

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September 2021

Mumps virus outbreak related to a water pipe (narghile) shared smoking.

Enferm Infecc Microbiol Clin (Engl Ed) 2021 Sep 13. Epub 2021 Sep 13.

Consorcio de Investigación Biomédica de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain; Laboratorio Regional de Salud Pública de la Comunidad de Madrid, Dirección General de Salud Pública, Consejería de Sanidad Comunidad de Madrid, Madrid, Spain.

Introduction: This study describes a mumps outbreak among a group of young people who shared a same narghile to smoking. Saliva and blood samples were obtained from 3 cases for RT-PCR and serology respectively.

Methods: The notification of a mumps case started an epidemiological investigation. Read More

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September 2021

The acorn squash problem: a digestible conceptualisation of barriers to emergency food assistance.

Public Health Nutr 2021 Sep 17:1-5. Epub 2021 Sep 17.

Department of Health and Sport Science, University of Dayton, Dayton, OH, USA.

Background: In common narratives of emergency food assistance, donors likely believe their efforts directly manifest as people consuming their donated food. For example, a person donating canned lima beans during a canned food drive may visualise someone eventually eating those lima beans. However, cultural and socio-economic barriers often exist that prevent people from accessing and consuming the donated food. Read More

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September 2021