Changes in submaximal and maximal measures of cardio-respiratory fitness resulting from 6-days of mountain walking.

Trekking is a popular activity associated with cardiovascular benefits. The aim of the present study was to investigate changes in the submaximal heart rate, oxygen uptake, oxygen pulse, and blood lactate concentration associated with a 6-day mountain walk. Over a 12-year period, 134 male (age 21.

Deep learning-based pancreas volume assessment in individuals with type 1 diabetes.

Pancreas volume is reduced in individuals with diabetes and in autoantibody positive individuals at high risk for developing type 1 diabetes (T1D). Studies investigating pancreas volume are underway to assess pancreas volume in large clinical databases and studies, but manual pancreas annotation is time-consuming and subjective, preventing extension to large studies and databases. This study develops deep learning for automated pancreas volume measurement in individuals with diabetes.

Effect of Story-Based Audiovisual Mnemonics in Comparison With Text-Reading Method on Memory Consolidation Among Medical Students: A Randomized Controlled Trial.

Background: Traditional teaching methods via faculty lectures and text-based materials lack interactivity. Hence, this research aimed to compare the effectiveness of story-based audiovisual mnemonics and the conventional text-reading method on medical students' memory consolidation.

Methods: A single-center, systematically randomly sampled, single-blinded, controlled study was conducted among 80 first-year medical students.

Floating thrombus as a marker of unstable atheromatous carotid plaque.

Floating thrombus in a carotid artery is an uncommon pathology with a high risk of embolism. We present three patients diagnosed with acute stroke, with a floating thrombus complicating an atheromatous plaque, who were treated with anticoagulants and statins. Although two patients had satisfactory results, one patient suffered a stroke related to plaque progression nearly 3 years after initial presentation.

Diagnosing brain death by CT perfusion and multislice CT angiography.

Introduction: Although the diagnosis of brain death (BD) is usually based on clinical criteria, in sedated patients, ancillary techniques are needed. This study was designed to assess the accuracy of cerebral multislice computed tomographic angiography (CTA) and CT perfusion (CTP) in diagnosing BD.

Methods: Prospective observational study in 27 BD patients.

[Diagnosis of brain death by multislice CT scan: angioCT scan and brain perfusion].

BD was diagnosed by clinical examination, electroencephalogram (EEG), Transcranial Doppler (TCD) and multislice CT of 64 detectors. Initially, a brain perfusion study was performed. This was followed by supra-aortic trunk and brain artery angiography with acquisition of images using 0.

A decision-maker's perspective on Lavis and Lomas.

Advancement in research synthesis, so well articulated and advocated by Lomas (2005) and Lavis et al. (2005), is a necessary but not sufficient development for the systematized use of research in managerial practice. Although significant progress in the use of evidence-based approaches can be witnessed, enriching efforts need to progress within both the management and research communities.

Physicians' perceptions of integration in three Western Canada Health Regions.

Over the post decade, provincial governments have embarked on ambitious plans to better integrate their healthcare systems, through the introduction of regional governance and management structures. The objective of this study was to examine physicians' perceptions of the current level and facilitators/barriers to integration in three Western Canada Health Regions. Three approaches to integration were investigated: functional, clinical services, and physician system integration.

[Adhesive capsulitis: evaluation of a treatment coupling capsular distension and intensive rehabilitation].

Introduction: Adhesive capsulitis is a clinical entity characterized by a loss of motion and a decrease of the joint volume capacity. Results of clinical trials have shown that distensions can help to decrease pain and increase the range of motion.

Objective: The purpose of the study was to measure the effect of repeated distension arthrography combined with an intensive program of rehabilitation on pain, range of motion, and occupational outcome in patients with adhesive capsulitis.

[MR imaging in the evaluation of blunt pancreatic trauma].

Pancreatic injuries caused by blunt trauma are unusual but associated with a high morbidity and a high mortality because of a delay in diagnosis. Clinical and laboratory findings are non-specific. Accurate grading of blunt pancreatic injury with identification of pancreatic duct disruption helps to define practical treatment guidelines.

[Gastric necrosis from acute dilatation without underlying psychiatric disorder].

Acute gastric dilatation with necrosis is a rare and severe complication associated with anorexia nervosa, bulimia, and psychogenic polyphagia. The Authors report an unusual case without underlying psychiatric context. Gastric necrosis was suspected based on imaging findings (plain radiograph and computed tomography).

Partial thrombosis of an idiopathic azygos vein aneurysm.

Aneurysms of the azygos vein are often asymptomatic, detected on a chest radiograph simulating paratracheal mass. When the aneurysm is totally thrombosed, it is impossible to distinguish it from another cause of mediastinal mass. A case is presented in which partial thrombosis of the aneurysm and communication with the superior vena cava led to a diagnosis on angiography and CT.

[Radiologic appearance of epiploic appendages and their complications].

A wide spectrum of pathologic processes can involve epiploic appendages, and primary epiploic appendagitis is the most frequent. Pathologic processes are today more frequently identified with the increased use of radiological assessment (ultrasound and computed tomography) of patients presenting with acute abdominal pain. Recognition of specific imaging abnormalities of complications enables the radiologist to make the diagnosis, thus allowing appropriate treatment.

[Congenital absence of a cervical spine pedicle: misdiagnosis in a context of trauma].

Absence of a cervical spine pedicle is an exceptional congenital anomaly with a characteristic radiographic triad: i) absence of pedicle producing a pseudo-enlargement of the homolateral foramen, ii) dysplastic aspect with posterior displacement of the homolateral facets and lamina, and iii) defect or absence of the homolateral transverse process. It is particularly important to recognize this radiographic picture in order to avoid misdiagnosis, e.g.

[Characterization of adrenal incidentaloma discovered with tomography. General review].

The detection of an incidentaloma at abdominal Computed Tomography (CT), except CT features that permit a specific diagnosis (hemorrhage, myelolipoma or cyst), become a problem to differentiate adenomas from "non adenomas" (primary or secondary malignancy) incidentalomas. A density of ten Hounsfield units or less with a nonenhanced CT is a feature of benign incidentaloma (essentially lipid-rich adrenal adenomas). There are two limitations of this characterization: incidentalomas initially detected at enhanced CT and lipid-poor adrenal adenomas.

[Iatrogenic renal perforation during percutaneous angioplasty].

Percutaneous transluminal angioplasty is recommended as the first choice of therapy for renal artery stenosis. However, morbidity and mortality are significant. Among hemorrhagic complications, renal perforation is unusual.

[Isolated dissection of the superior mesenteric artery].

Isolated spontaneous dissection of the superior mesenteric artery is uncommon. We report a case complicated by arterial rupture and discuss diagnostic imaging work-up. Diagnosis is usually made by conventional arteriography.

[Enterolith ileus: a rare complication of small bowel diverticulosis].

An elderly patient with subacute small bowel obstruction due to an enterolith that evolved within a small bowel diverticulum is reported. Presence of small bowel diverticulum is not rare. But small bowel obstruction secondary to an enterolith formed within a small bowel diverticulum is a rare complication.

Biomechanical evaluation of a bipedicular spinal fixation device: three different strength tests.

Disadvantages of thoracic posterior implants and developments in rod contouring in situ led to the design of a new spinal implant: the bipedicular spinal fixation device (BSF). The BSF is composed of two bifid hooks linked by a compression transverse connector and inserted into the costo-vertebral and costo-transverse joints. The aim of this biomechanical study was to determine the loading tolerance of the BSF.

[Ischemic cholangitis after ligation of the hepatic artery: a case report].

We report a case of ischemic cholangitis that occurred after ligation of the hepatic artery performed to remove a celiac neurofibroma. At seven weeks in a septic setting, the patient developed ischemic cholangitis. Ligation of the hepatic artery and dissection of the hepatic hilum to remove a neurofibroma have played a role in the development of ischemic cholangitis.

[Isolated gallbladder contusion following blunt trauma: a case report].

We report a case of isolated gallbladder contusion with hemobilia. Isolated gallbladder injury following blunt trauma is rare and early diagnosis is difficult. However, ultrasonography and computed tomography are valuable for investigating gallbladder injuries.

[Traumatic atlanto-occipital dislocation with regressive tetraparesia].

We report a case of traumatic atlantooccipital dislocation in a 31 year old woman, with regressive quadriparesia after orthopedic stabilization.