Related ArticlesCase Study of a Breacher: Investigation of Neurotrauma Biomarker Levels, Self-reported Symptoms, and Functional MRI Analysis Before and After Exposure to Measured Low-Level Blast. Mil Med. 2019 Aug 20;: Authors: Eonta SE, Kamimori GH, Wang KKW, Carr MW, LaValle CR, Egnoto MJ, Tate MCM Abstract We report a case study on a single military member who received moderate blast overpressure (OP) exposure during routine breacher training. We...
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Atmosphere, Vol. 10, Pages 481: A New Monitoring Effort for Asia: The Asia Pacific Mercury Monitoring Network (APMMN) Atmosphere doi: 10.3390/atmos10090481 Authors: Sheu Gay Schmeltz Olson Chang Lin Nguyen The Asia Pacific Mercury Monitoring Network (APMMN) cooperatively measures mercury in precipitation in a network of sites operating in Asia and the Western Pacific region. The network addresses significant data gaps in a region where mercury emission estimates...
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Atmosphere, Vol. 10, Pages 480: Intercomparison of Multiple Satellite Aerosol Products against AERONET over the North China Plain Atmosphere doi: 10.3390/atmos10090480 Authors: Fan Xia Chen In this study, using Aerosol Robotic Network aerosol optical depth (AOD) products at three stations in the North China Plain (NCP)—a heavily polluted region in China—the AOD products from six satellite-borne radiometers: the Moderate Resolution Imagining Spectroradiometer...
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Atmosphere, Vol. 10, Pages 479: Analysis of Pollutant Dispersion in a Realistic Urban Street Canyon Using Coupled CFD and Chemical Reaction Modeling Atmosphere doi: 10.3390/atmos10090479 Authors: Franchesca G. Gonzalez Olivardia Qi Zhang Tomohito Matsuo Hikari Shimadera Akira Kondo Studies in actual urban settings that integrate chemical reaction modeling, radiation, and particular emissions are mandatory to evaluate the effects of traffic-related air pollution on street...
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Police in the U.K. have released an x-ray image of a "zombie" knife that was...Read more on AuntMinnieEurope.com
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Publication date: September 2019Source: Autoimmunity Reviews, Volume 18, Issue 9Author(s):
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Solobacterium moorei, the only species in the genus Solobacterium, is a Gram-positive, non-spore-forming, strict anaerobic, short to long bacillus. It has rarely been documented to cause blood stream infections. ...
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Lyme borreliosis (LB) is a tick-borne disease caused by spirochetes belonging to the Borrelia burgdorferi sensu lato species. Due to a variety of clinical manifestations, diagnosing LB can be challenging, and lab...
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At a time when programs were struggling to design effective regimens for the treatment of multidrug-resistant tuberculosis (MDR-TB), the marketing authorization of bedaquiline and delamanid was a critical deve...
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Isoniazid resistant tuberculosis is the most prevalent type of resistance in Swaziland and over two-thirds of the isoniazid resistant tuberculosis patients are tuberculosis and human immunodeficiency virus co-...
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No comparison data have been reported on viral and epidemiological profiles of hospitalized children with severe acute respiratory infection (SARI) in Beijing or Shanghai, China.
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Common carotid artery (CCA) occlusion (CCAO) is a rare condition. Owing to collateral circulation, ipsilateral internal carotid artery (ICA) and external carotid artery (ECA) are often patent.
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IntroductionThis study protocol describes a trial designed to investigate whether antihistamine alone in patients with acute urticaria does not increase the 7-day Urticaria Activity Score (UAS7) in comparison with an association of antihistamine and glucocorticoids and reduces short-term relapses and chronic-induced urticaria. Methods and analysisThis is a prospective, double-blind, parallel-group, multicentre non-inferiority randomised controlled trial. Two-hundred and forty patients with acute...
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ObjectiveTo assess the efficacy and safety of green-light laser photoselective vaporisation of the prostate (PVP) compared with transurethral resection of the prostate (TURP) for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). DesignSystematic review and meta-analysis, conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. Data sourcesPubMed, EMBASE, the Cochrane Library until October 2018. Eligibility...
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ObjectiveGeneral practitioners (GPs) report finding consultations on fitness to drive (FtD) in people with cognitive impairment difficult and potentially damaging to the physician–patient relationship. We aimed to explore GP and patient experiences to understand how the negative impacts associated with FtD consultations may be mitigated. MethodsIndividual qualitative interviews were conducted with GPs (n=12) and patients/carers (n=6) in Ireland. We recruited a maximum variation sample of GPs using...
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IntroductionSeptic acute kidney injury (AKI) is the most common complication of septic shock and increases mortality. A large body of experimental data suggests alterations in renal perfusion occur, but this is yet to be fully assessed in humans. The aim of the current study is to observe the macro and microcirculations in both the systemic and renal circulations in a cohort of patients with early septic shock. Methods and analysisSingle-centre, prospective, longitudinal, observational study of...
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ObjectiveTo adapt the Child Food Neophobia Scale (CFNS) cross-culturally for use among 12-36-month-old Chinese toddlers and to perform a preliminary assessment of its construct validity and reliability. BackgroundFood neophobia is the fear of eating new or unfamiliar foods, which affects the type and quality of individual dietary intake, especially during early childhood. However, measurements of child food neophobia have rarely been reported in China due to a lack of reliable and valid measurements....
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IntroductionNeck pain (NP) is a common condition that can be effectively treated by acupuncture. However, several treatment point prescriptions (ie, local acupoints, distal acupoints, and sensitised acupoints) may be used. The present study aims to identify the types of sensitisation and the distribution of sensitised points in patients with NP, to analyse the cut-off values and sensitisation rate for acupoint sensitisation, and to summarise the dominant forms of optimally sensitised points. This...
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IntroductionAdverse events following the injection (AEFIs) of human papillomavirus vaccine (HPVv) among female adolescents are still a major public health concern. MethodsAccording to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension statement for systematic reviews incorporating network meta-analyses, all prospective randomised trials will be included. The primary outcome for adverse events is topical pain during the observation period. We will mainly search 17 electronic...
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IntroductionControlled trials support the efficacy of exercise as a treatment modality for chronic conditions, yet effectiveness of real-world Exercise Physiology services is yet to be determined. This study will investigate the efficacy and cost-effectiveness of services provided by Accredited Exercise Physiologists (AEPs) for clients with type 2 diabetes (T2D) in clinical practice. Methods and analysisA non-randomised, opportunistic control, longitudinal design trial will be conducted at ten Exercise...
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ObjectivesWe estimated the prevalence of short sleep duration and multimorbidity in Luxembourg, and assessed whether sleep duration was associated with multimorbidity after adjusting for sociodemographic and behavioural characteristics. DesignCross-sectional study. ParticipantsData from 1508 Luxembourg residents (48% men and 52% women) aged 25 to 64 years came from the European Health Examination Survey 2013–2015. Outcome measuresShort sleep duration and multimorbidity. ResultsParticipants reported...
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ObjectiveFew data regarding the incidence of cancer-associated thromboembolism (TE) are available for Asian populations. We investigated the incidence of TE (TEi) and its risk factors among gastric and colorectal cancer (GCC) patients received chemotherapy in a daily practice setting. DesignA retrospective cohort study. SettingA single-institutional study that used data from Sapporo City General Hospital, Japan, on patients treated between January 2008 and May 2015. ParticipantsFive hundred Japanese...
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ObjectivesTo assess the methodological quality of prognostic model development studies pertaining to post resection prognosis of pancreatic ductal adenocarcinoma (PDAC). Design/settingA narrative systematic review of international peer reviewed journals Data sourceSearches were conducted of: MEDLINE, Embase, PubMed, Cochrane database and Google Scholar for predictive modelling studies applied to the outcome of prognosis for patients with PDAC post resection. Predictive modelling studies in this...
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IntroductionChronic pancreatitis (CP) is thought to present the end stage of a continuous disease process evolving from acute pancreatitis (AP), over recurrent AP, to early and end-stage CP. Due to the irreversible nature of CP, early detection and prevention is key. Prospective assessment based on advanced imaging modalities as well as biochemical markers of inflammation, fibrosis and oxidative stress may provide a better understanding of the underlying pathological processes and help identify novel...
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ObjectiveFood insecurity affects millions of Americans and is associated with a range of adverse health outcomes. Food insecure individuals often obtain food from food pantries/banks, prompting health researchers to implement disease prevention/management interventions at these sites. This review examined the existing peer-reviewed research on disease prevention/management interventions implemented in food pantries/banks. DesignScoping review. Data sourcesDatabases searched included MEDLINE, Web...
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IntroductionChronic obstructive pulmonary disease (COPD) is a common respiratory condition that causes persistent respiratory symptoms and decline in lung function over many years. This chronic disease significantly affects health-related quality of life and is known to contribute to frequent emergency department (ED) presentations. Multidimensional management of these patients, including interconnecting health disciplinarians will allow holistic care provision in the ED. The purpose of this scoping...
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IntroductionMedications with anticholinergic activity are used in the treatment of many diseases common in old age, including depression, psychosis, Parkinson’s disease, allergies, pain and urinary incontinence. A high anticholinergic burden (ACB) is considered a major risk factor for fractures in older adults but recent studies reported inconsistent results. These inconsistencies may partly be due to differences in methodological aspects. However, no systematic review so far has addressed this association...
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ObjectiveCombined paediatric and forensic medical expertise to interpret physical findings is not available in Dutch healthcare facilities. The Dutch Expertise Centre for Child Abuse (DECCA) was founded in the conviction that this combination is essential in assessing potential physical child abuse. DECCA is a collaboration between the three paediatric hospitals and the Netherlands Forensic Institute. DECCA works with Bayes’ theorem and uses likelihood ratios in their conclusions. DesignWe present...
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ObjectivesTo evaluate the prevalence of drink driving and speeding during 2015–2018 in Sao Paulo, Brazil. DesignCross-sectional observational study. SettingRoads representing the five main regions of the city of Sao Paulo in Brazil, one of the world’s largest urban areas. ParticipantsDrivers (N=10 294) stopped at routine roadside breath testing checkpoints and those driving in selected roads for speeding measurement (N=414 664). Primary and secondary outcome measuresMicrowave radar guns were...
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ObjectiveThis study aims to examine the impact of gender and expected gender roles on the career development of young female traditional Korean medicine (KM) doctors. DesignWe conducted semistructured interviews to examine the experiences of study subjects regarding early career choices, employment, job performance and career moves, as well as future career aspirations, from the perspective of gender. The transcription was analysed using the Strauss and Corbin constant comparative analysis method....
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ObjectiveAnonymised patient-level data from clinical research are increasingly recognised as a fundamental and valuable resource. It has value beyond the original research project and can help drive scientific research and innovations and improve patient care. To support responsible data sharing, we need to develop systems that work for all stakeholders. The members of the Independent Review Panel (IRP) for the data sharing platform Clinical Study Data Request (CSDR) describe here some summary metrics...
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Background and aimThere is growing interest in the use of medication-assisted treatments for gambling disorder (GD). Opioid receptor antagonists are hypothesised to blunt the craving associated with gambling. This study was designed to assess the feasibility of using an intranasal naloxone spray to treat GD. DesignAn 8-week, open-label, uncontrolled pilot study. SettingA single study site in the capital region of Finland. SubjectsTwenty problem gamblers (nine men) were randomised into two groups....
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Publication date: Available online 20 August 2019Source: BrachytherapyAuthor(s): Sarah McCauley Cutsinger, Renae Forsman, Stephen Corner, Christopher L. DeufelAbstractPurposeA new Collaborative Ocular Melanoma Study (COMS)-like 24 mm eye plaque was experimentally characterized using physical and dosimetric measurements in preparation for clinical usage. The new eye plaque will enable surgeons and radiation oncologists to accommodate patients who have larger ocular melanoma tumors.Methods and MaterialsPhysical...
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Publication date: Available online 20 August 2019Source: BrachytherapyAuthor(s): Christopher J. Tien, Zhe (Jay) ChenAbstractPurposeThe purpose of the study was to integrate model-based dose calculation algorithm (MBDCA) and 3-D planning into our institutional capabilities for clinical cases with inherent heterogeneities, namely shielded cylinder cases, which were previously performed using templates.Methods and MaterialsAcurosBV (Varian Medical Systems) was selected as MBDCA, and we compared results...
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Publication date: Available online 20 August 2019Source: BrachytherapyAuthor(s): Eric Vigneault, Khaly Mbodji, Damien Carignan, André-Guy Martin, Nelson Miksys, Rowan M. Thomson, Sylviane Aubin, Nicolas Varfalvy, Luc BeaulieuAbstractPurposeThe objective of this study was to evaluate the impact of intraprostatic calcifications (IC) on long-term tumor control in patients treated with permanent implant prostate brachytherapy (PIPB).Materials and MethodsData from 609 I-125 patients treated with PIPB...
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Publication date: October 2019Source: Brain and Language, Volume 197Author(s): Kevin Kim, Luke Adams, Lynsey M. Keator, Shannon M. Sheppard, Bonnie L. Breining, Chris Rorden, Julius Fridriksson, Leonardo Bonilha, Corianne Rogalsky, Tracy Love, Gregory Hickok, Argye E. HillisAbstractWe aimed to identify neural regions where ischemia acutely after stroke is associated with impairment in phoneme discrimination, and to determine whether such deficits are associated with impairment of spoken word comprehension....
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Publication date: Available online 21 August 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Bok Ki Jung, Young Seok Kim, Woong Ki Jung, Ji Myung Kim, Yeon Ho Jung, Tai Suk RohSummaryBackgroundLower blepharoplasty is one of the most common cosmetic rejuvenation procedures. Occasionally, adverse effects of the operation, ranging from operated and somewhat flattened unnatural look of the lower eyelid region to more severe cases of ectropion, retraction leading to functional...
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Related ArticlesPediatric cochlear implantation: A quarter century in review. Cochlear Implants Int. 2019 Aug 20;:1-11 Authors: Teagle HFB, Park LR, Brown KD, Zdanski C, Pillsbury HC Abstract Objective: To review the growth of a pediatric cochlear implant (CI) program at one large tertiary care medical center over a 25-year period in order to (1) describe the population of pediatric cochlear implant recipients, (2) document word recognition outcomes,...
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Background: In 2013, investigators from A Randomized Trial of Unruptured Brain Arteriovenous Malformations (AVM; ARUBA) reported that interventions to obliterate unruptured AVMs caused more morbidity and mortality than medical management. Objective: We sought to determine whether interventions for unruptured AVM decreased after publication of ARUBA results. Methods: We used the Nationwide Readmissions Database to assess trends in interventional AVM management in patients ≥18 years of age from 2010...
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Background and Objectives: This paper aims to describe and compare the characteristics of 2 stroke populations in Singapore and in St. Louis, USA, and to document thrombolysis rates and contrast factors associated with its uptake in both populations. Methods: The stroke populations described were from the Singapore Stroke Registry (SSR) in Singapore and the Cognitive Rehabilitation Research Group Stroke Registry (CRRGSR) in St. Louis, MO, USA. The registries were compared in terms of demographics...
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Background: Basilar artery occlusion (BAO) is a rare stroke subtype with high mortality rates. Best BAO reperfusion strategy is still controversial. Objective: We aim to describe outcomes of BAO patients submitted to mechanical thrombectomy (MT) in a comprehensive stroke center in Brazil and analyze which previous published computed tomography angiography (CTA) collateral score better predict functional outcomes. Methods: Retrospective analysis of consecutive BAO patients. CTA was used to evaluate...
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Cell Death & Disease, Published online: 21 August 2019; doi:10.1038/s41419-019-1865-xCorrection: Mechanism of Snhg8/miR-384/Hoxa13/FAM3A axis regulating neuronal apoptosis in ischemic mice model
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Abstract Microglia are essential to sculpting the developing brain, and they achieve this in part through the process of phagocytosis which is regulated by microenvironmental signals associated with cell death and synaptic connectivity. In the rat cerebellum, microglial phagocytosis reaches its highest activity during the third postnatal week of development but the factors regulating this activity are unknown. A signaling pathway, involving prostaglandin E2 (PGE2) stimulation of...
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Abstract Purpose To describe patient characteristics by disease stage, resectability status and current treatment management after first diagnosis of IIIB to IV1c advanced (AM)/metastatic melanoma (MM). Methods/patients Multicentre, retrospective study based on data from medical charts of patients > 18 years at MM first diagnosis, visited by oncologists...
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Publication date: Available online 21 August 2019Source: Clinical TherapeuticsAuthor(s): Debra L. Michaels, Mary Jo Lamberti, Yaritza Peña, Barbara Lopez Kunz, Kenneth GetzAbstractPurposeA growing number of biopharmaceutical companies have been implementing patient-centric initiatives (PCIs). The Drug Information Association (DIA) and the Tufts Center for the Study of Drug Development (CSDD) collaborated on a study to gather data on the usage and impact of these PCIs to characterize company experience...
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Condition: Esophageal Squamous Cell CarcinomaIntervention: Drug: Anlotinib Hydrochloride, Paclitaxel, cisplatinSponsors: Henan Cancer Hospital; Chia Tai Tianqing Pharmaceutical Group Co., Ltd.Not yet recruiting
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My name is Kayla Gasbarro, and following breast implant surgery, I have lived with breast implant illness for the last 7 years. This is my story.
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Purpose of review The purpose of this article is to review the use of total intravenous anaesthesia (TIVA) in ambulatory care. Recent findings The number of ambulatory surgery cases is likely to increase in coming years. Recent meta-analyses suggest that TIVA offers decreased postoperative nausea and vomiting (PONV) and decreased pain scores in the postanaesthesia care unit (PACU) in day case/ambulatory surgery patients when compared with volatile anaesthesia. Particular improvements have...
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EHMT2 (euchromatic histone lysine methyltransferase 2), a histone methyltransferase, has been shown to be involved in multiple human cancers. In this study, we determined mRNA and protein expression of EHMT2 in cervical cancer cells and normal cervical epithelial cells. EHMT2 was inhibited with short hairpin RNA (shEHMT2) in cervical cancer cells. Cell viability, colony proliferation, apoptosis, adhesion, and invasion assays and Western blot were performed to assess the function of EHMT2. As a result,...
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Embryonic chromosome abnormalities are the most important causes of early spontaneous abortions. The aim of this study was to evaluate the spectrum and the frequencies of chromosomal anomalies in spontaneous miscarriages and to correlate these with maternal and gestational age. A retrospective study was conducted based on data obtained from a single medical genetics laboratory that collects cases from Western Romania. Long-term cultures of chorionic villus samples were established for karyotype analysis...
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Publication date: Available online 20 August 2019Source: CytotherapyAuthor(s): SILVIA PELLEGRINI, ELISA CANTARELLI, ANTONIO CITRO, ELENA INCERTI, LORENZO PIEMONTI, VALERIA SORDIAbstractBackgroundBone marrow (BM) is as an alternative site for islet transplantation, but it is not an immunoprotected microenvironment and allogeneic islets are rejected. However, the BM, for its structure and anatomic position, offers the possibility to modulate microenvironment by local interventions. We here investigate...
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Home remedies for bad breath include green tea, herbal rinses, and water. People should see a doctor if their breath does not improve. Learn more about home remedies for bad breath here.
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Related ArticlesOptical coherence tomography imaging of oral mucosa bullous diseases: a preliminary study. Dentomaxillofac Radiol. 2019 Aug 20;:20190071 Authors: Di Stasio D, Lauritano D, Della Vella F, Loffredo F, Gentile E, Petruzzi M, Lucchese A Abstract OBJECTIVES: Optical coherence tomography (OCT) is a non-invasive technique based on optical imaging with a micrometre resolution. The purpose of this study is to investigate the potential role of...
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Related ArticlesUse of fractal analysis in dental images: a systematic review. Dentomaxillofac Radiol. 2019 Aug 20;:20180457 Authors: Kato CN, Barra SG, Tavares NP, Amaral TM, Brasileiro CB, Mesquita RA, Abreu LG Abstract OBJECTIVES: This study reviewed the use of fractal analysis (FA) in dental images. METHODS: A search was performed using PubMed, MEDLINE, LILACS, Web of Science and SCOPUS databases. The inclusion criteria were human studies...
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Diagnostics, Vol. 9, Pages 100: Design and Benchmark Testing for Open Architecture Reconfigurable Mobile Spirometer and Exhaled Breath Monitor with GPS and Data Telemetry Diagnostics doi: 10.3390/diagnostics9030100 Authors: Fung Tan Duong Schivo Littlefield Delplanque Davis Kenyon Portable and wearable medical instruments are poised to play an increasingly important role in health monitoring. Mobile spirometers are available commercially, and are used to...
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← Older revision Revision as of 13:27, 21 August 2019 (One intermediate revision by the same user not shown)Line 1: Line 1: {{Test Header {{Test Header−| test = B12 vitamin levels+| test = B12 (active) vitamin levels | testid = 100 | testid = 100 | lab = TDL | lab = TDL−| price = 52.00+| price = 54.00 | bloods = blood | bloods = blood | referralreq = }} | referralreq = }}
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Background: Hidradenitis suppurativa (HS) has a high impact on quality of life. However, sexual health has scarcely been investigated. Objective: To describe the frequency of sexual dysfunction (SD) in women and erectile dysfunction (ED) in men with HS and to explore potential risk factors. Patients and Methods:We conducted a cross-sectional study using a crowd-sourced online questionnaire spread by the Spanish hidradenitis suppurativa patients’ association (ASENDHI). Results: In total, 393 participants...
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Background: This study aimed to compare the Hospital Anxiety and Depression Scale (HADS) and the Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in evaluating anxiety and depression in psoriatic arthritis (PsA) patients. Methods: A total of 70 PsA patients were enrolled. Demographic and clinical characteristics were collected after enrollment. HADS-A and SAS were used to evaluate the anxiety of PsA patients, while HADS-D and SDS were used to evaluate the depression of PsA patients. Results: Similar...
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Background: Little is known about the impact of keratinocyte cancer (KC) and its treatment on health-related quality of life (HRQoL). Objectives: The objectives of the present study were (1) to evaluate HRQoL among patients with KC in a population-based setting and compare this with an age- end sex-matched normative population and (2) to compare HRQoL, satisfaction with care, and cosmetic results among patients who underwent conventional excision, Mohs’ micrographic surgery, or radiotherapy. Method:...
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WEDNESDAY, Aug. 21, 2019 -- Short-term exposure to inhalable particulate matter (PM) with an aerodynamic diameter of 10 µm or less (PM10) and fine PM (PM2.5) is positively associated with daily all-cause, cardiovascular, and respiratory mortality...
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WEDNESDAY, Aug. 21, 2019 -- Older adults with cancer have increased odds of developing Clostridiodes difficile infection (CDI), according to a study published in the September issue of Emerging Infectious Diseases, a publication of the U.S. Centers...
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WEDNESDAY, Aug. 21, 2019 -- Facial involvement in primary headaches occurs infrequently, according to a study published online Aug. 21 in Neurology. Christian Ziegeler, M.D., and Arne May, M.D., Ph.D., from the University Medical Center...
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WEDNESDAY, Aug. 21, 2019 -- Oral antibiotic use is associated with an increased risk for colon cancer and a reduced risk for rectal cancer, according to a study published online Aug. 20 in Gut. Jiajia Zhang, M.D., M.P.H., from the Bloomberg-Kimmel...
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WEDNESDAY, Aug. 21, 2019 -- An infusion of serelaxin does not result in a lower incidence of death from cardiovascular causes or worsening of heart failure among patients hospitalized for acute heart failure, according to a study published in the...
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WEDNESDAY, Aug. 21, 2019 -- Women with diagnosed diabetes are more likely than men to not take their medications as prescribed, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for...
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WEDNESDAY, Aug. 21, 2019 -- Chronic exposure to high levels of nitrogen dioxide (NO2) and carbon monoxide (CO) is associated with an increased risk for age-related macular degeneration (AMD) in a population in Taiwan, according to a study published...
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WEDNESDAY, Aug. 21, 2019 -- Among former smokers, the prevalence of depression and substance use has increased over time, according to a study published online Aug. 20 in the American Journal of Preventive Medicine. Keely Cheslack-Postava, Ph.D.,...
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WEDNESDAY, Aug. 21, 2019 -- There appears to be a correlation for high and increasing blood pressure (BP) from early adulthood and into midlife with white matter hyperintensity volume (WMHV) and smaller brain volumes at age 69 to 71 years, according...
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WEDNESDAY, Aug. 21, 2019 -- Using buprenorphine to treat opioid use disorder (OUD) may increase adherence to treatments for other chronic conditions, according to a study published in the September issue of Medical Care. Hsien-Yen Chang, Ph.D., from...
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