143,626 results match your criteria treatment discharge


Arginine vasopressin and pathophysiology of COVID-19: An innovative perspective.

Biomed Pharmacother 2021 Sep 15;143:112193. Epub 2021 Sep 15.

Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, AlBeheira, Egypt. Electronic address:

In Covid-19, systemic disturbances may progress due to development of cytokine storm and dysregulation of and plasma osmolarility due to high release of pro-inflammatory cytokines and neuro-hormonal disorders. Arginine vasopressin (AVP) which is involve in the regulation of body osmotic system, body water content, blood pressure and plasma volume, that are highly disturbed in Covid-19 and linked with poor clinical outcomes. Therefore, this present study aimed to find the potential association between AVP serum level and inflammatory disorders in Covid-19. Read More

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September 2021

Early intravenous nitroglycerin use in prehospital setting and in the emergency department to treat patients with acute heart failure: Insights from the EAHFE Spanish registry.

Int J Cardiol 2021 Sep 17. Epub 2021 Sep 17.

Momentum Research, Inc., Durham, NC, USA; INSERM U-942 (Biotherapy in the critically ill), Paris, France.

Background And Objective: Although recommended for the treatment of acute heart failure (AHF), the use of intravenous (IV) nitroglycerin (NTG) is supported by scarce and contradicting evidence. In the current analysis, we have assessed the impact of IV NTG administration by EMS or in emergency department (ED) on outcomes of AHF patients.

Methods: We analyze AHF patients included by 45 hospitals that were delivered to ED by EMS. Read More

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September 2021

Clinical trial on stimulation of suction in preterm cases using neuromotor reactions.

Rev Med Inst Mex Seguro Soc 2020 ;58(4):450-457

Universidad CEU San Pablo, Facultad de Medicina, Departamento de Fisioterapia.

IntroducciÓn: La succión nutritiva es un hito importante para la correcta alimentación del neonato. Los prematuros no tienen desarrollada esta habilidad, por lo que se han diseñado diferentes maneras de estimular su aparición.

Objetivo: Comprobar si la estimulación de los reflejos orales innatos, a través de reacciones neuromotrices, disminuye el tiempo para adquirir la destreza de succión nutritiva. Read More

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January 2020

Effects of interval-based inpatient treatment for anorexia nervosa: An observational study.

Brain Behav 2021 Sep 20:e32362. Epub 2021 Sep 20.

Schoen Clinic Bad Staffelstein, Bad Staffelstein, Germany.

Objective: After inpatient treatment for anorexia nervosa (AN), many patients relapse and need to be readmitted. To obtain a sustained improvement, a pre-planned multistep inpatient procedure might help to improve the patient's skills in dealing with symptoms and transdiagnostic problems, thus decreasing symptoms of AN. However, no data have been reported for such interval treatment yet. Read More

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September 2021

Anticoagulation after intracerebral hemorrhage in patients with atrial fibrillation: between Scylla and Charybdis.

Neurol Sci 2021 Sep 20. Epub 2021 Sep 20.

Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.

Background: Oral anticoagulants (OAC) are indicated in patients with atrial fibrillation (AF) and high risk of ischemic stroke. However, the introduction of anticoagulation in patients with AF and previous intracerebral hemorrhage (ICH) is controversial. We aimed to better understand the efficacy and safety of OAC in this context and to assess the factors that may influence this decision. Read More

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September 2021

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

Authors:
V So F Khurshid

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

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

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

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September 2021

Nasal high flow oxygen therapy in hospitalised neonatal foals.

Equine Vet J 2021 Sep 19. Epub 2021 Sep 19.

Rossdales Equine Hospital, Cotton End Rd, Exning, Newmarket, Suffolk, CB8 7NN, UK.

Background: Respiratory disease is common in critically ill neonatal foals. Traditional oxygen therapy (TOT) with nasal insufflation of oxygen is often used to provide first line respiratory support. Mechanical ventilation is used in foals which require a greater level of support but requires specialist expertise and can be associated with significant complications. Read More

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September 2021

Prospective Comparative Observational Study of Safety and Efficacy of Topical Ozone Gas Therapy in Healing of Diabetic Foot Ulcers versus Only Conventional Wound Management.

Surg J (N Y) 2021 Jul 14;7(3):e226-e236. Epub 2021 Sep 14.

Department of Surgery, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India.

The prevalence of diabetic foot ulcers (DFUs) in India is 11.6%. DFU accounts for major cost expenditure, morbidity, and mortality. Read More

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Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report.

World J Clin Cases 2021 Aug;9(24):7154-7162

Department of Hepatobiliary Surgery, Taizhou Central Hospital (Affiliated Hospital of Taizhou University), Taizhou 510000, Zhejiang Province, China.

Background: Hepatic hemangioma is the most common benign tumor of the liver. However, patients with large hemangiomas that cause compression symptoms or that are at risk of rupture may need further intervention. It is necessary to explore additional minimally invasive and personalized treatment options for hemangiomas. Read More

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Platelet Endothelial Aggregation Receptor 1 Polymorphism Is Associated With Functional Outcome in Small-Artery Occlusion Stroke Patients Treated With Aspirin.

Front Cardiovasc Med 2021 1;8:664012. Epub 2021 Sep 1.

Department of Neurology, Yangpu Hospital Tongji University School of Medicine, Shanghai, China.

The role of genetic polymorphisms is important in defining the patient's prognosis and outcomes in coronary artery disease. The present study aimed to explore the association between platelet endothelial aggregation receptor 1 (PEAR1) rs12041331 polymorphism and the outcomes in patients with acute ischemic stroke treated with aspirin or dual antiplatelet therapy (DAPT) with clopidogrel. A total of 868 ischemic stroke patients admitted to our hospital from January 1, 2016 to December 30, 2018 were retrospectively studied. Read More

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September 2021

Ten-Year Trend of Retinopathy of Prematurity Among Extremely Preterm Infants in One Neonatal Intensive Care Unit in China.

Front Pediatr 2021 3;9:717090. Epub 2021 Sep 3.

Department of Neonatology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.

Extremely preterm (EP) infants are at the highest risk of retinopathy of prematurity (ROP). With more EP infants survived in China, recent data of ROP is lacking. The aim of the study is to report the trend of incidence of ROP among EP infants in a large neonatal intensive care unit in China over the past 10-year period, in relation with the overall survival rate and the change of oxygen saturation targets. Read More

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September 2021

The multimodal imaging characteristics of IRVAN syndrome: a case report.

Am J Transl Res 2021 15;13(8):9866-9873. Epub 2021 Aug 15.

School of Clinical Medicine, Weifang Medical University Weifang, Shandong Province, China.

Background: In this case report, we aimed to describe the multimodal imaging characteristics and the successful treatment of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome in a 39-year-old man.

Case Presentation: His both eyes were diagnosed with IRVAN syndrome via multimodal imaging, including fundus color photograph, multicolor imaging, infrared ray, fundus autofluorescence, fundus fluorescence angiography and optical coherence tomography angiography. Both eyes were treated with vitrectomy and laser photocoagulation. Read More

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Takotsubo syndrome after receiving the COVID-19 vaccine.

J Cardiol Cases 2021 Sep 15. Epub 2021 Sep 15.

Department of Cardiology, Loma Linda University Medical Center, Loma Linda, CA, USA.

The coronavirus disease (COVID)-19 pandemic has affected millions worldwide with prevention efforts culminating in the development of a vaccine. An mRNA vaccine, developed by Moderna (Cambridge, MA, USA), mounts an immunologic response leading to antibody neutralization. Commonly reported vaccine side effects include myalgia, fever, and chills, with low reported rates of cardiovascular events. Read More

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September 2021

Antipsychotic polypharmacy in adult patients diagnosed with schizophrenia: A retrospective study.

Exp Ther Med 2021 Nov 27;22(5):1225. Epub 2021 Aug 27.

Department of General Psychiatry, 'Prof. Dr. Alexandru Obregia' Clinical Psychiatry Hospital, 041914 Bucharest, Romania.

Antipsychotic polypharmacy (APP) is a common practice in the treatment of schizophrenia. In this study, we aimed to identify the prevalence of APP in our department, as well as the trends associated with co-prescribing antipsychotics. We collected data from the medical records of all 193 inpatients diagnosed with schizophrenia who were admitted to Prof. Read More

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November 2021

A Prospective Multicenter Registry on Feasibility, Safety, and Outcome of Endovascular Recanalization in Childhood Stroke (Save ChildS Pro).

Front Neurol 2021 3;12:736092. Epub 2021 Sep 3.

Department of Radiology, University Hospital, Munich, Germany.

Early evidence for the benefit of mechanical thrombectomy (MT) in pediatric patients with intracranial large vessel occlusion has been shown in previous retrospective cohorts. Higher-level evidence is needed to overcome the limitations of these studies such as the lack of a control group and the retrospective design. Randomized trials will very likely not be feasible, and several open questions remain, for example, the impact of arteriopathic etiologies or a possible lower age limit for MT. Read More

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September 2021

Quality of life and life-space mobility after total knee arthroplasty in patients with rheumatoid arthritis: a pilot case-controlled study.

J Phys Ther Sci 2021 Sep 1;33(9):660-667. Epub 2021 Sep 1.

School of Physiotherapy and Exercise Science, Curtin University, Australia.

[Purpose] The purpose of this study was to identify factors inhibiting improvement in the quality of life after total knee arthroplasty in patients with rheumatoid arthritis. [Participants and Methods] This was a pilot case-control study. The sample comprised of five participants with rheumatoid arthritis and 11 participants with osteoarthritis, who underwent total knee arthroplasty. Read More

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September 2021

Six-Month Quality of Life in COVID-19 Intensive Care Unit Survivors.

J Cardiothorac Vasc Anesth 2021 Aug 28. Epub 2021 Aug 28.

V. A. Negovsky Research Institute of General Reanimatology, Moscow, Russia.

Objectives: Because there is increasing evidence of serious deterioration in long-term quality of life (QoL) in coronavirus 2019 (COVID-19) intensive care unit (ICU) survivors, the authors identified predictors of poor quality of life in these patients.

Design: Prospective cohort study.

Setting: Research hospital repurposed into a COVID-19 center. Read More

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A pilot randomized trial of CBT4CBT for women in residential treatment for substance use disorders.

J Subst Abuse Treat 2021 Sep 13:108622. Epub 2021 Sep 13.

Department of Psychology and Institute of Women's Health, Virginia Commonwealth University, Richmond, VA, United States of America.

Introduction: Despite the effectiveness of cognitive behavioral therapy (CBT) for treatment of substance use disorder, dissemination to clinical practice is limited due to a range of barriers (e.g., time, cost). Read More

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September 2021

Guillain-Barré Syndrome Presenting as Facial Diplegia after COVID-19 Vaccination: A Case Report.

J Emerg Med 2021 Aug 7. Epub 2021 Aug 7.

Department of Emergency Medicine.

Background: Guillain-Barré Syndrome (GBS) is a rapidly progressive immune-mediated polyneuropathy often associated with an antecedent infectious illness or vaccination. The classic presentation of GBS is characterized by ascending limb weakness and numbness with loss of reflexes. However, atypical variants involving the face and arms or with purely sensory symptoms also exist. Read More

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Respiratory physiotherapy interventions focused on exercise training and enhancing physical activity levels in people with chronic obstructive pulmonary disease are likely to be cost-effective: a systematic review.

J Physiother 2021 Sep 15. Epub 2021 Sep 15.

Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Antwerp, Belgium.

Question: What is the cost-effectiveness of respiratory physiotherapy interventions for people with chronic obstructive pulmonary disease?

Design: Systematic review of full economic evaluations alongside clinical trials published between 1997 and 2021. Reviewers independently screened studies for inclusion, extracted data and assessed methodological quality.

Participants: People with chronic obstructive pulmonary disease. Read More

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September 2021

Integration of statistical inferences and machine learning algorithms for prediction of metritis cure in dairy cows.

J Dairy Sci 2021 Sep 15. Epub 2021 Sep 15.

Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis 95616. Electronic address:

The study's objectives were to identify cow-level and environmental factors associated with metritis cure to predict metritis cure using traditional statistics and machine learning algorithms. The data set used was from a previous study comparing the efficacy of different therapies and self-cure for metritis. Metritis was defined as fetid, watery, reddish-brownish discharge, with or without fever. Read More

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September 2021

Endovascular Thrombectomy for Treatment of Acute Ischemic Stroke During Pregnancy and the Early Postpartum Period.

Stroke 2021 Sep 20:STROKEAHA121034303. Epub 2021 Sep 20.

Department of Neurology, Westchester Medical Center, Valhalla, NY. (K.D., C.K., G.K., R.S., S.A.M., F.A.-M.).

Background And Purpose: Acute ischemic stroke (AIS) is a rare occurrence during pregnancy and the postpartum period. Existing literature evaluating endovascular mechanical thrombectomy (MT) for this patient population is limited.

Methods: The National Inpatient Sample was queried from 2012 to 2018 to identify and characterize pregnant and postpartum patients (up to 6 weeks following childbirth) with AIS treated with MT. Read More

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September 2021

Do adolescents and young adults accessing the Emergency Room with substance use receive poor therapeutic indications at discharge? An observational retrospective study.

Int J Clin Pract 2021 Sep 19:e14890. Epub 2021 Sep 19.

Department of Mental Health, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, ASST Fatebenefratelli Sacco, University of Milan, Milan, Italy.

Purpose: Emergency Rooms (ERs) are usually the first point of contact with mental health services for adolescents with Substance Use Disorders (SUDs). However, only a minority of them receives proper treatment and follow-up indications, increasing the risk of relapses and poor prognosis. In this perspective, we sought to characterize and compare sociodemographic and clinical characteristics of adolescents with vs without SUDs accessing the ER, assessing potential differences in terms of discharge instructions. Read More

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September 2021

Clinical efficacy of fixed-dose radioactive iodine for the treatment of hyperthyroidism at a single centre: our experience.

Ir J Med Sci 2021 Sep 18. Epub 2021 Sep 18.

Department of Endocrinology, Royal Berkshire NHS Foundation Trust Hospital, Reading, Berkshire, UK.

Background: Iodine-131 is an effective treatment for thyrotoxicosis. In 2019, National Institute for Clinical Excellence guidelines (UK) suggested offering radioactive iodine as first-line definitive treatment for adults with Graves' disease, toxic nodular and multinodular goitre unless it is unsuitable or anti-thyroid drugs are likely to achieve remission. The aim of this study was to evaluate the clinical outcome 1 year after using fixed-dose Iodine-131 for hyperthyroidism and time (months) to response. Read More

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September 2021

Persistent postoperative opioid use after total hip or knee arthroplasty: A systematic review and meta-analysis.

Am J Health Syst Pharm 2021 Sep 19. Epub 2021 Sep 19.

The University of Sydney, Faculty of Medicine and Health, School of Pharmacy, Sydney, New South Wales, Australia.

Disclaimer: In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Read More

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September 2021

ANATOMO-FUNCTIONAL CLASSIFICATION OF THE HAND POST-TRAUMATIC SOFT TISSUE DEFECTS.

Wiad Lek 2021 ;74(8):1900-1904

DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY, LVIV, UKRAINE.

Objective: The aim: Develop a classification of post-traumatic soft tissue defects of the hand to standardize the care of this group of patients. And in order to simplify the choice of plastic technic for post-traumatic soft tissue defects of the hand by surgeons and traumatologists.

Patients And Methods: Materials and methods: We analyzed the treatment of 54 patients with hand injury and PTSTD. Read More

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January 2021

Pain symptoms and pain management options in SARS-CoV-2 environment

Orv Hetil 2021 09 19;162(38):1511-1519. Epub 2021 Sep 19.

1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Janus Pannonius Klinikai Központ, Aneszteziológiai és Intenzív Terápiás Intézet, Fájdalomterápiás Tanszék, Pécs.

Összefoglaló. Az új koronavírusként megismert SARS-CoV-2-fertőzés legsúlyosabb szövődményeként a gyulladásos folyamatok jelátvivő molekuláinak elszabadulása - az ún. citokinvihar - kritikus légzési elégtelenséggel társuló akut respirációs diszfunkciós szindrómát vagy többszervi gyulladásos szindrómát okoz. Read More

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September 2021

Assessment of oil refinery wastewater and effluent integrating bioassays, mechanistic modelling and bioavailability evaluation.

Chemosphere 2021 Sep 4;287(Pt 3):132146. Epub 2021 Sep 4.

Department of Environment & Health, Vrije Universiteit Amsterdam, 1081 HV, Amsterdam, the Netherlands.

Water is used in petroleum oil refineries in significant volumes for cooling, steam generation and processing of raw materials. Effective water management is required at refineries to ensure their efficient and responsible operation with respect to the water environment. However, ascertaining the potential environmental risks associated with discharge of refinery effluents to receiving waters is challenging because of their compositional complexity. Read More

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September 2021

Bronchoscopic airway clearance therapy for acute exacerbations of bronchiectasis.

EBioMedicine 2021 Sep 16;72:103587. Epub 2021 Sep 16.

Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, No. 507 Zhengmin Road, Shanghai 200092, China. Electronic address:

Background: Persistent cough and large amounts of purulent sputum affects many bronchiectasis patients. No studies have evaluated the efficacy and safety of bronchoscopic airway clearance therapy and bronchoalveolar lavage (B-ACT) for non-cystic fibrosis bronchiectasis patients with acute exacerbation.

Methods: A randomised controlled trial was conducted to explore the efficacy and safety of B-ACT among 189 bronchiectasis inpatients from February 1, 2018 to February 28, 2019. Read More

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September 2021