HIV-Infected Patient Knowledge, Attitudes, and Beliefs Regarding the Affordable Care Act.

We evaluated patient knowledge, attitudes, and beliefs regarding changes present with the Affordable Care Act (ACA). HIV-infected adults attending an academic medical center HIV clinic in Omaha, Nebraska were asked to complete a self-administered survey between November 2013 and March 2014. Information collected included demographics, knowledge regarding healthcare reform policies, as well as attitudes and beliefs regarding the potential impact of the ACA on patient access to healthcare.

Correlation of transcutaneous bilirubinometry (TcB) and total serum bilirubin (TsB) levels after phototherapy.

Aim: To investigate the correlation between transcutaneous bilirubinometry (TcB) and total serum bilirubin (TsB) in jaundiced infants before and after, but not during phototherapy.

Methods: This study prospectively investigated the correlation between TcB and TsB in term and near term infants before and after phototherapy.

Results: Overall 673 pairs of measurements (TcB and TsB) were performed on 371 infants of ≥35 weeks gestation and with birth weight above 2000 g.

Limitations of the risk factor based approach in early neonatal sepsis evaluations.

Aim: Guidelines for detection of early neonatal sepsis employ a risk factor approach combined with laboratory parameters. In an era of increasing intrapartum antibiotic prophylaxis (IAP), we re-assessed the approach as a whole and each of the risk factors individually.

Method: This retrospective study included infants with risk factors for sepsis or those treated with antibiotics or who had documented early sepsis.

Case of chest-wall rigidity in a preterm infant caused by prenatal fentanyl administration.

The inability to appropriately ventilate neonates shortly after their birth could be related in rare cases to chest-wall rigidity caused by the placental transfer of fentanyl. Although this adverse effect is recognized when fentanyl is administered to neonates after their birth, the prenatal phenomenon is less known. Treatment with either naloxone or muscle relaxants reverses the fentanyl effect and may prevent unnecessary excessive ventilatory settings.

[The influence of hyperweak fields on malignant cells and tissues].

The infrared spectroscopy method was used for investigation of hydrosol water spectral (frequency) characteristics in normal and malignant cells and tissues. Thus our earlies disclosure of an important and statistically significant difference in spectral (frequency) parameters of normal and tumor tissues was confirmed. The investigation explored in controlled hyperweak field effect on behavior of malignant cells and tissues.

Hypoparathyroidism, retardation, and dysmorphism syndrome: impaired early growth and increased susceptibility to severe infections due to hyposplenism and impaired polymorphonuclear cell functions.

Hypoparathyroidism, retardation, and dysmorphism (HRD) syndrome is the first reported disease caused by a defect in the tubulin folding and assembly pathway. We aimed to summarize our experience with a cohort of patients with HRD, analyze their growth, and evaluate patients' polymorphonuclear cell (PMN) functions. The records of 22 HRD patients in a single medical center were reviewed.

[Investigation of dynamic spectral characteristics of water in blood plasma hydrosols from breast cancer patients].

Our data on spectral characteristics of water in blood plasma hydrosols from breast cancer patients and healthy subjects are presented. A substantial difference between the two groups was found. As it was shown by us earlier, in breast cancer patients, as well as in other cancer patients, changes in spectral characteristics of water influence tissue hydrosols of the whole body.

Clinical presentation, natural history, and outcome of patients with the absent pulmonary valve syndrome.

So-called 'absent pulmonary valve syndrome' is a rare cardiac malformation, usually associated with tetralogy of Fallot. Congenital absence of the leaflets of the pulmonary valve is less common when the ventricular septum is intact. Characteristic features of the syndrome include dysplasia or absence of the pulmonary valvar leaflets, permitting severe pulmonary regurgitation, and aneurysmal dilation of the pulmonary arteries.

[A comparative study of the effectiveness of the analgesic effect of electropuncture stimulation and nonnarcotic analgesics in therapy patients in an emergency dental care office].

Analysis of patients' subjective sensations, of rheography and electro-odontometry data has lead the authors to a conclusion that the analgesic effect of rengasil was higher than that of ibuprofen and that rengasil combination with electropuncture was still more effective. The analgesic effect was the most marked in alveolitis and periodontitis, less so in inflammations of the pulp, and no effect could be achieved in acute purulent pulpitis. The authors suppose that pain syndrome alleviation after electropuncture stimulation and after administration of anti-inflammatory drugs is explained mainly by changed hemodynamics at the site of inflammation, this resulting in reduction of the edema and in diminished effects of biochemical substances released in the course of inflammation.