31,867 results match your criteria visited presentation


Gender Differences in Personal and Situational Risk Factors for Traumatic Brain Injury Among Older Adults.

J Head Trauma Rehabil 2021 Jul 26. Epub 2021 Jul 26.

Department of Emergency Medicine, Taipei Medical University Hospital, Taipei, Taiwan, ROC (Dr Yu); Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan, ROC (Drs Yu and Lin); and Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC (Dr Hwang).

Objective: To investigate differences between older men and women in Taiwan in personal and situational risk factors for sustaining a traumatic brain injury (TBI) versus soft-tissue injury (STI) due to a fall.

Design: Matched case-control study.

Participants And Settings: Cases were defined as patients with a primary diagnosis of TBI due to a fall and were identified from those 60 years or older who visited the emergency department (ED) of 3 university-affiliated hospitals in 2015. Read More

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Pregnancy outcomes after exposure to crisis pregnancy centers among an abortion-seeking sample recruited online.

PLoS One 2021 28;16(7):e0255152. Epub 2021 Jul 28.

Department of Obstetrics, Gynecology & Reproductive Sciences, Advancing New Standards in Reproductive Health, University of California, San Francisco, Oakland, CA, United States of America.

Introduction: More than 2,500 crisis pregnancy centers (CPCs), which seek to convince people considering abortion to continue their pregnancies, exist in the United States. However, the characteristics of people who visit CPCs and their pregnancy outcomes are largely unknown. This study sought to describe the characteristics of people considering abortion who report visiting CPCs, and whether CPC visit is associated with abortion or continuing the pregnancy 4 weeks later. Read More

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Prevalence of unmasked and improperly masked behavior in indoor public areas during the COVID-19 pandemic: Analysis of a stratified random sample from Louisville, Kentucky.

PLoS One 2021 28;16(7):e0248324. Epub 2021 Jul 28.

Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky, United States of America.

Wearing a facial mask can limit COVID-19 transmission. Measurements of communities' mask use behavior have mostly relied on self-report. This study's objective was to devise a method to measure the prevalence of improper mask use and no mask use in indoor public areas without relying on self-report. Read More

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Characteristics of hearing loss in elderly outpatients over 60 years of age: an annual cross-sectional study.

Acta Otolaryngol 2021 Jul 28:1-6. Epub 2021 Jul 28.

College of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital; National Clinical Research Center for Otolaryngologic Diseases; Key Lab of Hearing Science, Ministry of Education; Beijing Key Lab of Hearing Impairment for Prevention and Treatment, Beijing, China.

Background: The prevention and treatment of presbycusis becomes a serious health challenge and socio-economic problem.

Objectives: We performed a cross-sectional analysis of the audiometry results of all elderly patients who visited our department throughout the year of 2018.

Material And Methods: A total of 5520 people aged 60 and over were included and divided into three groups: young-old group (60-74 years old), old-old group (75-89 years old), and longevous group (over 90 years old). Read More

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Evaluation of Complications and Weight Outcomes in Pediatric Cerebral Palsy Patients With Gastrostomy Tubes.

Am Surg 2021 Jul 28:31348211034753. Epub 2021 Jul 28.

Division of Trauma and Acute Care Surgery, Department of Surgery, 6797The University of North Carolina, Chapel Hill, NC, USA.

Background: Feeding difficulties are common in children with cerebral palsy (CP). The goal of this study was to examine pediatric CP patients undergoing gastrostomy tube (G tube) placement and assess the association between patient characteristics and weight after 3 months, 6 months, and 1 year.

Methods: This was a retrospective study of all pediatric patients with CP who received a G tube placement between April 2014 and December 2017 at a single institution. Read More

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Explanatory Analysis of a Machine Learning Model to Identify Hypertrophic Cardiomyopathy Patients from EHR Using Diagnostic Codes.

Proceedings (IEEE Int Conf Bioinformatics Biomed) 2020 Dec 13;2020:1932-1937. Epub 2021 Jan 13.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Hypertrophic cardiomyopathy (HCM) is a genetic heart disease that is the leading cause of sudden cardiac death (SCD) in young adults. Despite the well-known risk factors and existing clinical practice guidelines, HCM patients are underdiagnosed and sub-optimally managed. Developing machine learning models on electronic health record (EHR) data can help in better diagnosis of HCM and thus improve hundreds of patient lives. Read More

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December 2020

Pneumococcal nasopharyngeal carriage and antimicrobial susceptibility profile in children under five in southern Ethiopia.

F1000Res 2020 16;9:1466. Epub 2020 Dec 16.

School of Medicine, Hawassa University, Hawassa, Sidama National Regional State, 1560, Ethiopia.

: causes high morbidity and mortality, particularly in children under five. Nasopharyngeal (NP) carriage predisposes individuals to pneumococcal infection and horizontal spread within the community. Overuse of antibiotics has been linked to increased risk of antimicrobial resistance to . Read More

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December 2020

Treatment of subclinical varicocele with acupuncture: A case report.

Explore (NY) 2021 Jul 12. Epub 2021 Jul 12.

Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, China. Electronic address:

Varicocele is a vascular lesion characterized by abnormal dilatation and/or tortuosity of the veins of the pampiniform plexus, which sometimes manifests as chronic, dull pain in the scrotum, testicle or inguinal area. Subclinical varicocele (SCV) is as an early phase in the progression of its clinical analog. Given the lack of relevant studies on treatment strategies, no conclusive answer exists regarding how SCV should be managed. Read More

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Inequality and Inequity in the Use of Oral Health Services in Australian Adults.

JDR Clin Trans Res 2021 Jul 27:23800844211027489. Epub 2021 Jul 27.

Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, Australia.

Objective: Social determinants drive disparities in dental visiting. This study aimed to measure inequality and inequity in dental visiting among Australian adults.

Methods: Data were obtained from the National Study of Adult Oral Health (2017 to 2018). Read More

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SARS-CoV-2 R.1 lineage variants prevailed in Tokyo in March 2021.

J Med Virol 2021 Jul 27. Epub 2021 Jul 27.

Clinical Laboratory, Tokyo Medical and Dental University (TMDU) Hospital, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

Background: The spread of SARS-CoV-2 variants, such as B.1.1. Read More

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Imbalance Model of Heart Rate Variability and Pulse Wave Velocity in Psychotic and Nonpsychotic Disorders.

Schizophr Bull 2021 Jul 27. Epub 2021 Jul 27.

Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, PR China.

Objectives: Patients with psychiatric disorders have an increased risk of cardiovascular pathologies. A bidirectional feedback model between the brain and heart exists widely in both psychotic and nonpsychotic disorders. The aim of this study was to compare heart rate variability (HRV) and pulse wave velocity (PWV) functions between patients with psychotic and nonpsychotic disorders and to investigate whether subgroups defined by HRV and PWV features improve the transdiagnostic psychopathology of psychiatric classification. Read More

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Bevacizumab-associated implant presence-triggered osteonecrosis: A case report and literature review.

J Oral Implantol 2021 Jul 26. Epub 2021 Jul 26.

Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.

The effect of bevacizumab-related osteonecrosis of the jaw on previously osseointegrated dental implants has not been adequately studied. Here, we report a case of osteonecrosis of the jaw detected around dental implants placed prior to bevacizumab therapy. A 66-year-old woman undergoing bevacizumab therapy for metastatic triple-negative breast cancer, developed malocclusion following buccal gingival swelling and pain in the #18, #19, and #20 tooth region. Read More

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Big data-based analysis to characterise and identify variations in the type of Primary Care visits before and during COVID in Catalonia.

J Med Internet Res 2021 Jun 12. Epub 2021 Jun 12.

Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, Carrer Pica d'Estats, 36, Sant Fruitós de Bages, Barcelona, ES.

Background: The COVID-19 pandemic has turned the care model of health systems around the world upside down, abruptly cancelling face-to-face visits to avoid contagion and redirecting the model towards telemedicine. Digital transformation boosts information systems, which, the more robust they are, the easier it is to monitor the healthcare system in a highly complex state and allow for more agile and reliable analysis.

Objective: To analyse diagnoses from primary care visits and distinguish between those that had higher and lower variations, relative to the 2019 and 2020 periods (roughly pre- and during COVID), to identify clinical profiles that may have been most impaired and diagnoses least visited during the pandemic. Read More

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Prevalence and Clinical Characteristics of Fulminant Type 1 Diabetes Mellitus in Korean adults: A Multi-Institutional Joint Research.

J Diabetes Investig 2021 Jul 27. Epub 2021 Jul 27.

Division of Endocrinology and Metabolism, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, School of Medicine, Seongnam, Korea.

Aims/introduction: We aimed to determine the hospital-based prevalence and clinical features of fulminant type 1 diabetes mellitus (FT1DM) in Korea.

Materials And Methods: We identified all patients with diabetes who regularly visited the Endocrinology outpatient clinics at eight centers for a period >1 year between January 2012 and June 2017. We investigated their medical records retrospectively. Read More

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Appendicitis: a rare adverse event in colonoscopy.

BMJ Case Rep 2021 Jul 26;14(7). Epub 2021 Jul 26.

Department of Medicine, Gastroenterology and hepatology unit, Sahlgrenska University Hospital, Gothenburg, Sweden.

We present a case of a 41-year-old woman who visited the emergency department (ED) with acute abdomen. She was diagnosed with perforated appendicitis and abscess formation on CT. She was treated conservatively with antibiotics and discharged. Read More

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A Population-Based Cross-Sectional Study of Visual Impairment in West Godavari and Krishna Districts in Andhra Pradesh: Akividu Visual Impairment Study (AVIS).

Ophthalmic Epidemiol 2021 Jul 22:1-6. Epub 2021 Jul 22.

Allen Foster Community Eye Health Research Centre, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care, L V Prasad Eye Institute, Hyderabad, India.

Purpose: To report the prevalence and causes of visual impairment (VI) among those aged ≥40 years in West Godavari and Krishna districts in Andhra Pradesh, India.

Methods: Trained teams visited the households in the selected clusters and conducted eye examinations. Presenting visual acuity (PVA) was assessed for distance and near. Read More

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Successful Endovascular Treatment of a Spontaneous Rupture of the Ascending Lumbar Vein: A Case Report.

Vasc Endovascular Surg 2021 Jul 22:15385744211032464. Epub 2021 Jul 22.

Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, Jiangsu Province, China.

Although there have been a few case reports of spontaneous rupture of pelvic veins, such as the iliac vein, to date, there have been no reports of spontaneous rupture of the ascending lumbar vein. Here, we report a case of spontaneous rupture of the ascending lumbar vein for the first time. A 66-year-old woman visited the emergency department due to the swelling of the left lower limb for 2 hours. Read More

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Significant treatment gap and co-morbidities identified in an epidemiological survey of pediatric epilepsy in rural suburbs of India.

Seizure 2021 Jul 18;91:417-424. Epub 2021 Jul 18.

State Health Systems Resource Center, Pune, Maharashtra, India.

Purpose: A cross-sectional epidemiological survey of children was conducted in two rural clusters to estimate the point prevalence and study various aspects of childhood epilepsy.

Material And Methods: In the first stage, a house-to-house survey was conducted by health workers using a screening questionnaire, which was pre-validated in a pilot study. All screen positive houses were visited by pediatric neurologist for detailed evaluation. Read More

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Multi-Band Brain Network Analysis for Functional Neuroimaging Biomarker Identification.

IEEE Trans Med Imaging 2021 Jul 26;PP. Epub 2021 Jul 26.

The functional connectomic profile is one of the non-invasive imaging biomarkers in the computer-assisted diagnostic system for many neuro-diseases. However, the diagnostic power of functional connectivity is challenged by mixed frequency-specific neuronal oscillations in the brain, which makes the single Functional Connectivity Network (FCN) often underpowered to capture the disease-related functional patterns. To address this challenge, we propose a novel functional connectivity analysis framework to conduct joint feature learning and personalized disease diagnosis, in a semi-supervised manner, aiming at focusing on putative multi-band functional connectivity biomarkers from functional neuroimaging data. Read More

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Evaluation of Implementation Level of Community Health Strategy and Its Influence on Uptake of Skilled Delivery in Lurambi Sub County-Kenya.

East Afr Health Res J 2020 26;4(1):65-72. Epub 2020 Jun 26.

Department of Community Health and Development, Tropical Institute of Community Development, Great Lakes University of Kisumu, Kisumu, Kenya.

Background: Despite the widespread application of the community health strategy (CHS) in Kenya and evidence of its effectiveness in reducing health outcomes at the household level, data from Kakamega County, of which Lurambi sub-county is part of, still showed that skilled birth delivery was at 47% against the national estimateof 62% and a target of 90%. However, there was limited evidence on the level of CHS implementation and its association with the uptake of skilled delivery.

Methods: The study employed a cross-sectional analytic design. Read More

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Cytomegalovirus colitis induced segmental colonic hypoganglionosis in an immunocompetent patient: A case report.

World J Clin Cases 2021 Jul;9(20):5631-5636

Department of Gastroenterology, Chonnam National University Hospital, Gwangju 501-757, South Korea.

Background: Cytomegalovirus (CMV) colitis is usually seen in immunocompromised patients with risk factors such as human immunodeficiency virus infection, solid organ transplant, inflammatory bowel disease, or malignancy. Therefore, many clinicians usually do not consider the possibility of CMV colitis in immunocompetent patients. We reported a rare case of segmental colonic hypoganglionosis associated with CMV colitis in an immunocompetent patient. Read More

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Diffuse xanthoma in early esophageal cancer: A case report.

World J Clin Cases 2021 Jul;9(19):5259-5265

Department of Gastroenterology and Hepatology, The Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China.

Background: Gastrointestinal xanthomas are asymptomatic and infrequent non-neoplastic lesions that commonly occur in the stomach with -associated gastritis and rarely in the esophagus. To date, there have been no reports of esophageal xanthoma combined with esophageal cancer. Herein, we present the first case in the literature of a diffuse xanthoma complicated with early esophageal cancer. Read More

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Traumatic Dental Injuries: Clinical Case Presentation and a 10-Year Epidemiological Investigation in an Italian Dental Emergency Service.

Case Rep Dent 2021 29;2021:8649663. Epub 2021 Jun 29.

Department of Surgery, Medicine, Dentistry and Morphological Sciences-Unit of Dentistry and Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Modena, Italy.

Traumatic dental injuries (TDIs) are very common in the world population, and international literature reports several studies which helped in the definition of international guidelines. The aim of this study is to present two clinical cases of TDI and to investigate epidemiological and etiological aspects of TDIs in patients treated in Modena, Italy, between January 2010 and December 2020. The presented case reports are two explicative clinical cases of successful TDI management with a long-term follow-up. Read More

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Changes in Emergency Department Performance during Strike of Junior Physicians in Korea.

Emerg Med Int 2021 8;2021:1786728. Epub 2021 Jul 8.

Department of Emergency Medicine, Dong-A University Hospital, Busan, Republic of Korea.

Objective: A nationwide strike that took place from August 21 to September 7, 2020, which was led by young doctors represented by residents and interns, resulted in shortages of manpower at almost all university and training hospitals. This study aimed to identify differences in the process and outcomes of emergency department (ED) patient care by comparing the performance over about 2 weeks of the strike with that during the usual ED operations.

Methods: This retrospective observational study evaluated ED flow and performance during the junior doctors' strike and compared it with the usual period in a single tertiary-care academic hospital. Read More

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Diaphragmatic hernia during treatment of lung cancer harboring an EGFR mutation.

Oxf Med Case Reports 2021 Jul 21;2021(7):omab054. Epub 2021 Jul 21.

Center for Pulmonary Disease, National Hospital Organization Tokyo Hospital, Kiyose, Tokyo 204-8585, Japan.

Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) are a first-line treatment for patients with nonsmall-cell lung cancer harboring EGFR mutations. We report a 65-year-old Japanese woman with nonsmall-cell lung cancer taking an EGFR-TKI who visited the emergency department with acute nausea and vomiting. Imaging studies demonstrated an incarcerated diaphragmatic hernia. Read More

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Methods Used in Smoking Cessation and Reduction Attempts: Findings from Help-Seeking Smokers.

J Smok Cessat 2021 9;2021:6670628. Epub 2021 Mar 9.

Norwegian Institute of Public Health, Oslo, Norway.

In addition to traditional smoking cessation methods like nicotine replacement therapy (NRT), new methods such as mobile applications and e-cigarettes have been added to the toolbox. The purpose of this study was to examine which methods smokers currently use in quit or reduction attempts and map characteristics of users of the various methods. In this study, participants were smokers who visited a website or called a quit line for smoking cessation and who were currently in quit or reduction attempts ( = 740). Read More

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Smoking Cessation Treatment for Parents Who Dual Use E-Cigarettes and Traditional Cigarettes.

J Smok Cessat 2021 17;2021:6639731. Epub 2021 Mar 17.

Massachusetts General Hospital for Children, Division of General Academic Pediatrics, Boston, MA, USA.

Introduction: An increasing number of parents use both e-cigarettes and cigarettes (dual users). Previous studies have shown that dual users may have higher rates of contemplating smoking cessation than parents who only smoke cigarettes. This study was aimed to assess the delivery of tobacco cessation treatment (prescription for nicotine replacement therapy and referral to the quitline) among parents who report being dual users vs. Read More

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Tinkering With Testing: Understanding How Museum Program Design Advances Engineering Learning Opportunities for Children.

Front Psychol 2021 8;12:689425. Epub 2021 Jul 8.

Department of Psychology, Loyola University Chicago, Chicago, IL, United States.

Using a design-based research approach, we studied ways to advance opportunities for children and families to engage in engineering design practices in an informal educational setting. 213 families with 5-11-year-old children were observed as they visited a tinkering exhibit at a children's museum during one of three iterations of a program posing an engineering design challenge. Children's narrative reflections about their experience were recorded immediately after tinkering. Read More

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ANCA-Associated Vasculitis Clinical Presentation and Clinical Predictors of Relapse in Saudi Arabia.

Open Access Rheumatol 2021 17;13:213-220. Epub 2021 Jul 17.

Rheumatology Unit, Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Background: Anti-neutrophil cytoplasm antibodies-associated vasculitis (AAV) is a rare autoimmune condition with high-relapsing rate and incidence of complications, resulting in increased morbidity and mortality. Characters of patients with anti-neutrophil cytoplasm antibodies-associated vasculitis in Saudi Arabia require further exploration.

Objective: To evaluate the clinical profile, relapse rate and disease-related complications among patients with AAV at a tertiary hospital in Saudi Arabia. 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