Abstract Though researchers have documented that adolescents are vulnerable to coercion focused on reproductive and sexual autonomy, measures to assess this type of coercion for both adolescent females and males have not been validated in a population-based sample. The present study used secondary data collected from high school students across Kentucky (n = 16,137 from two independent samples in 2010 and 2014) to 1) determine if five items measuring adolescent reproductive and...
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Authors: Toevs CC Abstract Shared decision making requires the exchange of information from the patient and the surgeon (and ideally involves the expertise of the entire multidisciplinary team) to determine the medical and/or surgical treatment that best aligns with the patient's goals and values. Should the surgical patient wish to transition to end-of-life care, the transition to comfort-focused care is within the scope of practice for surgeons. Incorporating the expertise of other health...
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Authors: Ballou JH, Brasel KJ Abstract Surgical palliative care education is in increasing demand to meet the needs of a growing geriatric population. Multiple accrediting agencies for undergraduate and graduate medical education require that students be trained in end-of-life care. These requirements, however, have resulted in didactic curricula that are implemented in various degrees with uncertain levels of success. Reviews of physician communication on palliative care topics find that...
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Authors: Berlin A, Carleton TJ Abstract A common fallacy prevalent in surgical culture is for surgical intervention and palliation to be regarded as mutually exclusive or sequential strategies in the trajectory of surgical illness. Modern surgeons play a complex role as both providers and gatekeepers in meeting the palliative needs of their patients. Surgical palliative care is ideally delivered by surgical teams as a component of routine surgical care, and includes management of physical...
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Authors: Cook MR Abstract Advanced care planning is a critically important part of the care of seriously and critically ill patients. A responsibility of all physicians as part of primary palliative care, advanced care planning discussions are more than discussions about code status and should begin early and proceed in parallel with recovery-focused care. Strategies and best practices for advanced care planning in the elective setting and when time is short are reviewed, as are the myriad...
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This article discusses integrating interdisciplinary palliative care into surgical practice, and some current models of using and expanding palliative care skill sets in surgery, including training initiatives for both physicians and nurses. PMID: 31446910 [PubMed - in process] (Source: The Surgical Clinics of North America)
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Authors: Ketteler ER Abstract Determining valid indications for vascular access creation and hemodialysis initiation in end-stage renal disease requires utilization of verified prognostication tools and recognition of triggers to initiate serious conversations, and implementation of concurrent palliative care and/or hospice care is recommended. Establishment of a multi-disciplinary team that includes consideration of interventionalists in the pre-dialysis medical situation is important....
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Authors: Brown BP, Holt R Abstract Obstetricians and general surgeons frequently navigate the challenges of providing surgical care that is mindful of the unique circumstances of pregnancy. Ensuring pregnant patients have high-quality surgical care is an ethical imperative. Providers should maintain a high index of suspicion for surgical disease to ensure that surgical diagnoses are not missed or inadequately treated. A variety of imaging modalities are used in pregnancy. Surgical management...
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This article provides an overview of key palliative care considerations for management of patients with wounds and ostomies. Ostomy formation is indicated for a variety of intestinal conditions. Specifics of ostomy management, impact on quality of life, and patient perspectives can be complicated. Wound ostomy and continence nursing professionals play a central role in the successful management of this patient population. PMID: 31446916 [PubMed - in process] (Source: The Surgical Clinics of...
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This article reviews a few surgical palliative care procedures that can be performed by surgeons and interventional radiologists using image-guided techniques. Treatment of recurrent pleural effusions, gastrostomy feeding tube maintenance, percutaneous cholecystostomy, and transjugular intrahepatic portosystemic shunts (TIPS) with embolotherapy of bleeding stomal varices is discussed. PMID: 31446918 [PubMed - in process] (Source: The Surgical Clinics of North America)
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Authors: Martin RF PMID: 31446924 [PubMed - in process] (Source: The Surgical Clinics of North America)
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Authors: Miller P PMID: 31446927 [PubMed - in process] (Source: The Surgical Clinics of North America)MedWorm Message: Have you tried our new medical search engine? More powerful than before. Log on with your social media account. 100% free.
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CONCLUSION: Complex chronic conditions are relevant in the activity and costs regarding pediatric hospitalizations in mainland Portugal. Recognizing this and integrating pediatric palliative care from the moment of diagnosis are essential to promote appropriate hospital use, through the development of effective and sustainable alternatives that meet the needs of children, families, and healthcare professionals. PMID: 31445528 [PubMed - in process] (Source: Acta Medica Portuguesa)
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Authors: Reis-Pina P, Santos RG Abstract Palliative care in oncology is an interdisciplinary approach, centered on patients and their families, carried out along the course of neoplastic diseases, based on symptom control, assertive communication and shared decision-making. Although clinical guidelines recommend a holistic intervention, early integration of palliative care into traditional oncological treatment, research shows a great delay in referral of patients, restricting palliative...
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No abstract available (Source: Journal of Nursing Care Quality)
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Burnout is common amongst palliative care clinicians. Resilience helps to reduce burnout, compassion fatigue and is associated with longevity in palliative care. (Source: Journal of Pain and Symptom Management)MedWorm Message: If you are looking to buy something in the January Sales please visit TheJanuarySales.com for a directory of all the best sales in the UK. Any income gained via affiliate links keeps MedWorm running.
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Abstract Background Ovarian metastatic tumors from lung adenocarcinoma are rare, and a serial study of these tumors is lacking to date. Additionally, a better understanding of the clinicopathological and molecular characteristics of metastatic tumors is needed. Methods Seven cases of ovarian metastasis from lung adenocarcinoma from 2013 to 2017...
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[NiFe]-hydrogenases have attracted attention as potential therapeutic targets or components of a hydrogen-based economy. [NiFe]-hydrogenase production is a complicated process that requires many associated accessory proteins that supply the requisite cofactors and substrates. Current methods for measuring hydrogenase activity have low throughput and often require specialized conditions and reagents. In this work, we developed a whole-cell high-throughput hydrogenase assay based on the colourimetric...
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During enteroviral infections, the canonical translation factor, eukaryotic translation initiation factor 4 γ I (eIF4GI) is cleaved by the viral protease 2A. The resulting C-terminal fragment is recruited by the viral internal ribosome entry site (IRES) for efficient translation of the viral RNA. However, 2A protease is not present in the viral capsid and is synthesized only after the initial round of translation. This presents a conundrum of how the initial round of translation occurs in the absence...
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The reductive pyrimidine catabolic pathway is the most widespread pathway for pyrimidine degradation in bacteria, enabling assimilation of nitrogen for growth. This pathway, which has been studied in several bacteria including Escherichia coli B, releases only one utilizable nitrogen atom from each molecule of uracil, while the other nitrogen atom remains trapped in the end product β-alanine. Here, we report the biochemical characterization of a β-alanine:2-oxoglutarate aminotransferase (PydD) and...
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Chemokines play diverse roles in human pathophysiology, ranging from trafficking leukocytes and immunosurveillance to the regulation of metabolism and neural function. Chemokine function is intimately coupled to binding tissue glycosaminoglycans (GAGs) heparan sulfate (HS), chondroitin sulfate (CS), and dermatan sulfate (DS). Currently, very little is known about how the structural features and sequences of a given chemokine, the structure and sulfation pattern of a given GAG, and structural differences...
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Abstract In recent years, endoscopic placement of intraluminal stents is increasingly used to manage a widening range of colorectal disorders. Self-expanding metal stents represent an established alternative to surgery for the palliation of unresectable carcinomas and currently allow a “bridge-to-surgery” strategy to relieve large bowel obstruction and optimise the patients’ clinical conditions before elective oncologic resection. Additionally, intraluminal stents represent an...
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Abstract Objectives To analyse the coverage and main bibliometric indicators of Insights into Imaging in Scopus and the Emerging Sources Citation Index (ESCI) from the Web of Science Core Collection database. Methods The evolution of journal production in the Scopus database was analysed according to document types, collaboration indexes between...
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Abstract One of the ways in which modern radiology is manifesting itself in higher education and research is through the increasing importance of scientific mobility. This article seeks to provide an overview and a prospective of radiology fellows in their last year of training about the current trends and policy tools for promoting mobility among young radiologists, especially inside the European Union. Nowadays, the need to promote international cooperation is even greater...
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54 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: "Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"[jour] These pubmed results were generated on 2019/08/27PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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Related ArticlesDistance-Induced Changes in Walking Speed After Stroke: Relationship to Community Walking Activity. J Neurol Phys Ther. 2019 Aug 20;: Authors: Awad L, Reisman D, Binder-Macleod S Abstract BACKGROUND AND PURPOSE: Physical inactivity is a major contributing factor to reduced health and quality of life. The total distance walked during the 6-Minute Walk Test is a strong indicator of real-world walking activity after stroke. The purpose of...
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Related ArticlesThe Effect of Stroke on Middle Cerebral Artery Blood Flow Velocity Dynamics During Exercise. J Neurol Phys Ther. 2019 Aug 20;: Authors: Kempf KS, Whitaker AA, Lui Y, Witte E, Perdomo SJ, Ward JL, Eickmeyer S, Ledbetter L, Abraham M, Billinger SA Abstract BACKGROUND AND PURPOSE: Previous work demonstrates that older adults have a lower response in the middle cerebral artery velocity (MCAv) to an acute bout of moderate-intensity exercise...
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Related ArticlesMental Singing Reduces Gait Variability More Than Music Listening for Healthy Older Adults and People With Parkinson Disease. J Neurol Phys Ther. 2019 Aug 20;: Authors: Harrison EC, Horin AP, Earhart GM Abstract BACKGROUND AND PURPOSE: Previously, we showed that internal cues (such as singing) produce similar motor benefits as external cues (such as listening to music) for people with Parkinson disease (PD). This study takes that research...
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Related Articles[IgG4-associated diseases mainly with auricular symptoms: a case report and literature review]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Sep;33(9):814-819 Authors: Niu XM, Zhang XL, Gao RZ, Zhang W, Chen XW Abstract Summary To analyze the clinical features of IgG4-related diseases mainly with otologic manifestations and investigate diagnosis and treatment of IgG4-related diseases. We report the clinical course and diagnosis...
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Related Articles[Renbök phenomenon versus Flow phenomenon]. Ann Dermatol Venereol. 2018 01;145(1):49 Authors: Lipsker D PMID: 28797707 [PubMed - indexed for MEDLINE]
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Abstract Background Nerve block of the lateral femoral cutaneous nerve (LFCN) is a predominantly sensory block. It reduces pain following total hip arthroplasty (THA), but the non-responder rate is high. We hypothesized, that an increased volume of ropivacaine, would result in greater coverage of incisions used for THA. Methods We conducted...
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Abstract Background Intravenous use of sufentanil can elicit cough. This study aimed to evaluate the inhibitory effect of pre-injection of a mall dose of remifentanil on sufentanil-induced cough during the induction of general anesthesia. Methods This prospective, randomized, controlled trial was conducted from January 10, 2019 to March 01,...
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Publication date: September 2019Source: Palaeoworld, Volume 28, Issue 3Author(s):
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Lung cancer is the most common cancer worldwide. It also has the highest malignancy-associated mortality rate. Treatment options are limited by cancer and tumor heterogeneity, resistance to treatment options, and an advanced stage at time of diagnosis, all of which are common. Statins are a class of lipid-lowering medications that have been studied for their antitumor effects in various types of cancers. Multiple mechanisms have been proposed to explain their observed off-target effects. Most of...
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Introduction: Studies have consistently identified an increased risk of pancreatic cancer in diabetics, yet the role hyperglycemia may play in predicting prognosis is less clear. This work aims to evaluate the impact of glycemic state and antidiabetics on outcomes after systemic and local treatment for locoregionally advanced pancreatic cancer. Materials and Methods: This retrospective study consisted of 303 patients with newly diagnosed advanced-stage pancreatic cancer treated from 2004...
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Objectives: Vitamin K antagonists (VKAs) remain one of the most commonly used anticoagulation therapies. The potential anticancer effect of long-term use of VKAs has been a matter of debate with conflicting results. Our goal was to perform a systematic review and meta-analysis examining the association between long-term VKAs use and cancer risk. Methods: Systematic searches of multiple major databases were performed from inception until January 2018. We included studies of adults that compared...
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Objective: The Milan criteria are recommended as the major reference for liver transplantation in patients with small hepatocellular carcinoma (HCC). However, alternative anticancer treatments are often utilized due to severe donor organ shortage. This study aimed to develop and validate an albumin-bilirubin (ALBI) grade–based prognostic model to stratify survival in patients within Milan criteria undergoing nontransplant therapy. Patients and Methods: A total of 1655 patients were assigned...
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Background: Colonoscopies are effective in finding early stage colorectal cancer (CRC), which when found in a timely manner, dramatically improve survival rates. A significant number of at-risk patients are still not screened. We investigated the utility of a blood-based protein assay to assess for CRC in patients with elevated risk on the quality of preventive care delivered by board-certified primary care physicians (PCPs) in the United States. Methods: We report on the results of a 3-part,...
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Objectives: Higher facility surgical volume predicts for improved outcomes in patients with muscle-invasive bladder cancer (MIBC) who undergo radical cystectomy. We investigated the association between facility radiotherapy (RT) case volume and overall survival (OS) for patients with MIBC who received bladder-preserving RT, and the relationship with adherence to National Comprehensive Cancer Network (NCCN) guidelines for bladder preservation. Methods: The National Cancer Database was used...
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Objectives: The impact of anemia on cancer survival has been previously mentioned in various oncological fields. To date, however, it remains unknown whether prechemotherapy hemoglobin (Hgb) levels are predictive of ovarian cancer survival (OC). The purpose of the present systematic review is to accumulate evidence in this field. Materials and Methods: We used the Medline, Scopus, Clinicaltrials.gov, EMBASE, Cochrane Central Register of Controlled Trials CENTRAL, and Google Scholar databases...
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Objectives: Smoking is associated with an increased tumor mutational burden. As tumor mutational burden has been shown to correlate with response to immunotherapy (IO), we hypothesized that a history of smoking may be associated with better response to IO. Methods: We utilized a systematic review with stratified meta-analysis of randomized clinical trials of IO versus standard of care in patients with advanced solid organ malignancies. Results: Among 9 relevant studies, we found no significant...
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