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Do carers and comforters require lead aprons during general radiographic examinations?

J Med Imaging Radiat Oncol 2021 Jul 31. Epub 2021 Jul 31.

Medical Imaging Department, The Royal Children's Hospital, Melbourne, Victoria, Australia.

Introduction: Carers and comforters frequently remain with children during paediatric general radiographic examinations. As well as improving the likelihood of overall success of the procedure, this can be important for minimising stress and anxiety of the child. Wearing lead aprons can contribute to additional stress and anxiety about the procedure for both carer and child, specifically due to radiation risk. Read More

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The smoker's paradox during the COVID-19 pandemic? The influence of smoking and vaping on the incidence and course of SARS-CoV-2 virus infection as well as possibility of using nicotine in the treatment of COVID-19 - Review of the literature.

Przegl Epidemiol 2021 ;75(1):27-44

Medical University of Lublin, Chair and Department of Epidemiology and Clinical Research Methodology.

Aim Of The Study: The study aims to present the current state of knowledge on the impact of traditional cigarettes and the nicotine contained in them on the incidence and course of SARS-CoV-2 infection. Moreover, we decided to exhibit the possibility of using this substance to treat COVID-19 infections.

Material And Methods: The latest available scientific publications were reviewed until November 14, 2020, from the PubMed platform. Read More

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January 2021

Role of Radiotherapy in Recurrent Intra-Abdominal Yolk Sac Tumor.

Case Rep Oncol 2021 May-Aug;14(2):1010-1018. Epub 2021 Jun 28.

Medical Education Program, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

Yolk sac tumor (YST) is a rare malignant germ cell tumor with no appropriate treatment strategy to date. However, patients are treated on a case-to-case basis as per various case reports that have been published. Here, we present a case of 27-year-old female patient who presented to us with chief complaints of severe abdominal pain associated with leucorrhea. Read More

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Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts.

Patient Prefer Adherence 2021 23;15:1647-1660. Epub 2021 Jul 23.

Department of Research and Development, Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway.

Purpose: Medication has been a central part of treatment for severe mental disorders in Western medicine since the 1950s. In 2015, Norwegian Health Authorities decided that Norwegian health regions must have treatment units devoted to medication-free mental health treatment to enhance service users' freedom of choice. The need for these units has been controversial. Read More

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Robot-assisted enucleation of a giant submucosal tumor in the upper esophagus.

Asian J Endosc Surg 2021 Jul 29. Epub 2021 Jul 29.

Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.

Few reports have demonstrated robotic surgery for large tumors in the upper esophagus. We report a case of a 52-year-old woman with a giant submucosal tumor in the upper esophagus successfully enucleated using robotic surgery. She presented with odynophagia and dysphagia, with subsequent evaluation revealing a submucosal mass measuring approximately 10 cm in diameter in the upper esophagus. Read More

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Updates on the Diagnosis and Management of Hepatocellular Carcinoma.

Euroasian J Hepatogastroenterol 2021 Jan-Jun;11(1):32-40

The Aga Khan University Hospital, Karachi, Pakistan.

Introduction: Globally, the incidence, as well as mortality, related to hepatocellular carcinoma (HCC) is on the rise, owing to relatively few curative options. Underlying cirrhosis is the most common etiology leading to HCC, but risk factors of cirrhosis show great regional variability. Over the years, there has been a steady development in the diagnostic and therapeutic modalities of HCC, including the availability of a wide range of systemic chemotherapeutic agents. Read More

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Prehospital management of a non-intubated inhalation injury patient using transcutaneous monitoring of carbon dioxide.

BMJ Case Rep 2021 Jul 27;14(7). Epub 2021 Jul 27.

Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Hyogo, Japan.

A 46-year-old man experienced facial burns due to a fire in his house. In the prehospital setting, suspecting inhalation injury and carbon monoxide poisoning, an emergency physician decided to bring him to the hospital for carbon dioxide (CO) monitoring without endotracheal intubation for approximately 20 min because of less severe respiratory distress. On the way to the hospital, the patient's end-tidal CO monitoring ranged from 19 to 30 mm Hg, and transcutaneous carbon dioxide (TcPCO) remained between 50 and 55 mm Hg. Read More

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The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients.

J Occup Rehabil 2021 Jul 27. Epub 2021 Jul 27.

Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, The Netherlands.

Purpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with health care professionals, a patient representative and researchers developed the recommendations after systematic review of evidence about (1) Risk factors, (2) Prevention, (3) Prognostic factors and (4) Interventions. Certainty of the evidence was rated with GRADE and the Evidence to Decision (EtD) framework was used to formulate recommendations. Read More

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Clinically decisive (dis)agreement in multidisciplinary team assessment of esophageal squamous cell carcinoma; a prospective, national, multicenter study.

Acta Oncol 2021 Jul 27:1-9. Epub 2021 Jul 27.

Department of Surgical Gastroenterology, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.

Background: Decisions regarding tumor staging, operability, resectability, and treatment strategy in patients with esophageal cancer are made at multidisciplinary team (MDT) conferences. We aimed to assess interobserver agreement from four national MDT conferences and whether this would have a clinical impact.

Methods: A total of 20 patients with esophageal cancer were included across all four upper gastrointestinal (GI) cancer centers. Read More

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Evidence-Based Expert Consensus Regarding Long-Acting Injectable Antipsychotics for Schizophrenia from the Taiwanese Society of Biological Psychiatry and Neuropsychopharmacology (TSBPN).

CNS Drugs 2021 Jul 27. Epub 2021 Jul 27.

Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Sec 2, Shih-Pai Rd., Beitou, 11217, Taipei, Taiwan.

Objective: Schizophrenia is a chronic, debilitating psychiatric disorder with a high risk of relapse. Nonadherence to medication is a significant contributor to poor outcomes. Although long-acting injectable (LAI) antipsychotics prevent the relapse of schizophrenia, several factors present obstacles to the use of LAI antipsychotics, and clinical guidelines for LAI antipsychotics remain limited. Read More

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Colon metastasis from recurrent gallbladder cancer: a case report.

AME Case Rep 2021 25;5:21. Epub 2021 Jul 25.

Medical Oncology Unit, Belcolle Hospital, ASL Viterbo, Viterbo, Italy.

Gallbladder cancer (GBC) is associated with a poor prognosis. Colonic metastases representing approximately 1% of total colorectal cancers, are very rarely reported. According to more recent data in the literature, cases of colon metastases from GBC have not been reported. Read More

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Four-year follow-up in 33 patients after inguinal hernioplasty using the NeT Plug & Patch device.

Ann Ital Chir 2021 ;92:249-253

Aim: To prove that the Net Plug & Patch is a valid device for the surgical treatment of inguinal hernia.

Material Of Study: The authors of a previous study decided to continue the follow-up for a further three years on 33 patients who had had hernia repair surgery using the three-dimensional NeT Plug & Patch device at their Hernia Center.

Results: All of the patients involved took part and the follow-up appointments were scheduled as follows: clinical examination at two years; telephone contact at three years and telephone contact and questionnaire at four years. Read More

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January 2021

Population-based utility scores for HPV infection and oropharyngeal squamous cell carcinoma among Indigenous Australians.

BMC Public Health 2021 Jul 26;21(1):1455. Epub 2021 Jul 26.

Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide Health & Medical Sciences Building, Adelaide, 5005, Australia.

Background: Oropharyngeal squamous cell carcinoma (OPSCC) is associated with high mortality. Human papillomavirus (HPV) infection is a significant risk factor for OPSCC. Utilities are fundamental values representing the strength of individuals' preferences for specific health-related outcomes. Read More

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Incidence of major complications from embolo-sclerotherapy of head and neck vascular malformations in a single specialist centre.

Vascular 2021 Jul 26:17085381211035279. Epub 2021 Jul 26.

Department of Vascular Surgery, 4965Royal Free London NHS Foundation Trust, London, UK.

Objective: Current data on the nature and rate of major complications for embolo-sclerotherapy (EST) of vascular malformations are scarce. However, even fewer studies focus on vascular malformations specific to the head and neck, which confer an increased specific risk of airway compromise, neurologic and ophthalmologic injury. More understanding is required surrounding the type and incidence of complications to improve treatment planning and informed consent. Read More

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Bromide toxicosis (bromism) secondary to a decreased chloride intake after dietary transition in a dog with idiopathic epilepsy: a case report.

BMC Vet Res 2021 Jul 22;17(1):253. Epub 2021 Jul 22.

Department of Internal Medicine/ Neurology, University of Toulouse, ENVT, Toulouse, France.

Background: Bromide is a halide ion of the element bromine usually administered in the form of potassium salt as monotherapy or add-on treatment in epileptic dogs. It is excreted unchanged in the urine and undergoes tubular reabsorption in competition with chloride. Thus, dietary chloride content affects serum bromide concentrations. Read More

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Analysis of MR Signs to Distinguish Between ARCO Stages 2 and 3A in Osteonecrosis of the Femoral Head.

J Magn Reson Imaging 2021 Jul 26. Epub 2021 Jul 26.

Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Background: MRI is the most effective diagnostic tool of osteonecrosis of the femoral head (ONFH), especially for early diagnosis, but its detection of subchondral or cortical fractures is less accurate than CT. Therefore, it is difficult to accurately stage ONFH in the peri-collapse period by MRI.

Purpose: To improve the accuracy of MR for distinguishing between Association Research Circulation Osseous (ARCO) stages 2 and 3A in ONFH. Read More

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A systematic review and meta-analysis of effect of vitamin D levels on the incidence of COVID-19.

Cardiol J 2021 Jul 26. Epub 2021 Jul 26.

Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.

Background: Coronavirus disease 2019 (COVID-19) is a disease primarily affecting the respiratory tract, however due to the nature of the pathogenesis it is able to affect the whole body. So far, no causative treatment has been found and the main strategy when dealing with COVID-19 relies on widespread vaccination programs and symptomatic treatment. Vitamin D due to its ability to modulate the immunological system has been proposed as a factor playing role in the organism response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Read More

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THRIVE intervention development: using participatory action research principles to guide a mHealth app-based intervention to improve oncology care.

J Hosp Manag Health Policy 2021 Mar 25;5. Epub 2021 Mar 25.

Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Background: Women with hormone receptor-positive, early-stage breast cancer who adhere to adjuvant endocrine therapy (AET) reduce the risk of cancer recurrence and mortality. AET, however, is associated with adverse symptoms that often result in poor adherence. We applied participatory action research (PAR) principles to conduct focus groups and interviews to refine and enhance a web-enabled app intervention that facilitates patient-provider communication about AET-related symptoms and other barriers to adherence. Read More

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Case Report: A Rare Case of Fourth Ventricle to Spinal Subarachnoid Space Shunt Migration: Surgical Pearl and Literature Review.

Front Surg 2021 8;8:696457. Epub 2021 Jul 8.

ICVNS - CMC Bizet, Paris, France.

In the event of syringomyelia communicating with the fourth ventricle, a fourth ventricle to cervical subarachnoid space shunting could be proposed. In this review article, we describe the case of a 40-year-old woman who had a previously implanted fourth ventricle to spinal subarachnoid space shunt for the treatment of syringomyelia in the context of Chiari syndrome. The catheter migrated intradurally to the lumbosacral space, but in the absence of neurological repercussions, we decided to leave it in place. Read More

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Circular RNA Expression: Its Potential Regulation and Function in Abdominal Aortic Aneurysms.

Oxid Med Cell Longev 2021 29;2021:9934951. Epub 2021 Jun 29.

Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China.

Abdominal aortic aneurysms (AAAs) have posed a great threat to human life, and the necessity of its monitoring and treatment is decided by symptomatology and/or the aneurysm size. Accumulating evidence suggests that circular RNAs (circRNAs) contribute a part to the pathogenesis of AAAs. circRNAs are novel single-stranded RNAs with a closed loop structure and high stability, having become the candidate biomarkers for numerous kinds of human disorders. Read More

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[COMBINING MODALITY THERAPY WITH SURGERY CAN PROVIDE LONG-TERM SURVIVAL WITH IMPROVED QUALITY OF LIFE FOR PATIENTS WHO HAVE PROSTATE CANCER WITH INTRACRANIAL DURAL METASTASIS: A CASE REPORT].

Nihon Hinyokika Gakkai Zasshi 2020 ;111(3):98-101

Department of Urology, Faculty of Medicine Fukuoka University.

A 61-year-old man visited our hospital with a headache and left visual field defect. A head MRI showed an intracranial dural tumor with cerebral compression, which was suspected to be metastatic. Analysis of the tumor markers revealed an increase in prostate-specific antigen (PSA) levels (172. Read More

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January 2020

Rare case of congenital coronary artery fistula coexistent and coalesced with aortopulmonary fistula.

BMJ Case Rep 2021 Jul 23;14(7). Epub 2021 Jul 23.

Department of Cardiovascular Medicine, Mito Medical Center, Mito, Ibaraki, Japan.

Coronary artery fistula (CAF) is an uncommon congenital heart disease. Furthermore, aortopulmonary fistula is a rare congenital heart disease of adult onset. We report the case of a 79-year-old man who presented with chest pain. Read More

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Penile schwannoma mistaken for hemangioma: a rare case report and literature review.

Transl Androl Urol 2021 Jun;10(6):2512-2520

Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

Penile neoplasm is uncommon. Schwannomas of the penis are especially rare. For this reason, it is difficult to get an accurate impression to enable decision making. Read More

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UK Vessel Health and Preservation (VHP) Framework: a commentary on the updated VHP 2020.

J Infect Prev 2021 Jul 14;22(4):147-155. Epub 2020 Dec 14.

The Christie NHS Foundation Trust, Manchester, UK.

Background: In 2016, a UK vessel health and preservation (VHP) framework was developed to support healthcare staff to select the most appropriate vascular access device for patients requiring intravenous therapy. The VHP framework was based on available evidence and expert consensus. The VHP was based on available evidence and expert consensus. Read More

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Primary Fibular Sarcomas: Do They Behave Differently? An Institutional Review of 14 Patients.

Indian J Surg Oncol 2021 Jun 12;12(2):298-305. Epub 2021 Feb 12.

Department of Pathology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.

Surgical resection with wide margins is pivotal for sarcoma treatment but achieving the same for fibular sarcomas is a surgical challenge. Thus, we decided to evaluate our own institutional database of primary fibular sarcomas for surgical treatment, margins and pattern of relapse. From July 2014 to October 2018, we identified fourteen patients with histologically confirmed fibular sarcomas. Read More

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Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report.

Int J Surg Case Rep 2021 Jul 9;85:106190. Epub 2021 Jul 9.

Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco; University Hospital Center Mohamed VI, Oujda, Morocco.

Introduction: The false aneurysm of the aortic isthmus is, given its severity and case fatality rate, a subject of interest in vascular surgery. The interest of this article is the analysis of the different characteristics of this pathology based on the study of a case report and on a review of the literature.

Case Report: This is a 21-year-old patient admitted for the management of a severe polytrauma following a fall from a cliff, causing him paraplegia following a fracture of the dorsal spine which is objectified on the CT bodyscan, which also shows the presence of a localized dissection with ruptured false aneurysm of the isthmus. Read More

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Myositis and myasteniform syndrome related to pembrolizumab.

BMJ Case Rep 2021 Jul 21;14(7). Epub 2021 Jul 21.

Pharmacy Department, Hospital Vall d'Hebron, Barcelona, Spain.

This case report concerns a 63-year-old man affected by metastatic undifferentiated liposarcoma. After receiving pembrolizumab as a second-line treatment in a clinical trial, the patient experienced an immune-mediated myocarditis, myositis and myasteniform syndrome. The last two adverse events showed significant clinical relevance in terms of severity, duration and the required specific treatment. Read More

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Conservative cesarean scar pregnancy treatment: local methotrexate injection followed by hysteroscopic removal with hysteroscopic tissue removal system.

Fertil Steril 2021 Jul 18. Epub 2021 Jul 18.

Division of Gynecology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Objective: To describe a conservative cesarean scar pregnancy (CSP) treatment in a patient with the desire for future pregnancy. To date, there is no gold standard for the management of a viable CSP. There is a wide range of treatment options that include major surgery and minimally invasive procedures. Read More

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Proposal of use of the autotransplantation of the third molar as space maintainer in growing patients: a review of literature and a clinical case.

J Biol Regul Homeost Agents 2021 May-Jun;35(3 Suppl. 1):179-184

Department of Neuroscience, School of Dentistry, University of Padua, Italy.

The review of literature shows that 48,22% of the autotranspated teeth were orthodontically treated. A 13-year-old male patient presented a destructive decay in the element 3.6, which was underoccluded. Read More

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The importance of adequate diagnosis of pediatric forearm bowing fractures: A case report.

Trauma Case Rep 2021 Aug 1;34:100508. Epub 2021 Jul 1.

AZ St-Blasius Dendermonde, Department of Orthopaedic Surgery and Traumatology, Kroonveldlaan 50, 9200 Dendermonde, Belgium.

Introduction: Correct diagnosis of pediatric bowing fractures has proven to be challenging. Consequently, these entities are often underdiagnosed both at the initial presentation and at further follow-up. We present a case of an ulnar fracture with subsequent non-union and initially missed associated plastic deformity of the radius to highlight the importance of adequate diagnosis of bowing fractures and obtaining appropriate imaging in pediatric forearm trauma to prevent sequelae. Read More

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