2,820 results match your criteria: "Public Hospital[Affiliation]"

Evaluation and treatment of rhinosinusitis with primary antibody deficiency in children: Evidence-based review with recommendations.

Int Forum Allergy Rhinol

November 2024

Section of Otolaryngology-Head and Neck Surgery, The University of Chicago Medicine, The Comer Children's Hospital, Chicago, Illinois, USA.

Background: There is clear evidence that prevalence of primary antibody deficiency (PAD) is higher in children with chronic rhinosinusitis (CRS) than in the general population. The purpose of this multi-institutional and multidisciplinary evidence-based review with recommendations (EBRR) is to thoroughly review the literature on rhinosinusitis with PAD, summarize the existing evidence, and provide recommendations on the evaluation and management of rhinosinusitis in children with PAD.

Methods: The PubMed, Embase, and Cochrane databases were systematically reviewed from inception through December 2023.

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  • This study investigates the effectiveness of intercostal nerve transfer combined with either umbilical cord-derived mesenchymal stem cells (UC-MSC) or secretome therapy in patients with total brachial plexus injury.
  • Using a randomized controlled method, the research evaluates pre- and post-operative outcomes in muscle strength, quality of life, and histological assessments in 15 patients over 8 months.
  • Results indicate significant functional improvements across both treatment groups, with the UC-MSC group showing better health changes, though no notable differences in histological recovery measures were observed.
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Musculoskeletal involvement in systemic sclerosis.

Reumatologia

August 2024

Department of Rheumatology and Systemic Connective Tissue Diseases, Independent Public Hospital No. 4 in Lublin, Poland.

Article Synopsis
  • Systemic sclerosis (SSc) is a serious connective tissue disease affecting multiple organs, including the lungs, heart, and musculoskeletal system, with musculoskeletal involvement occurring in 40-90% of patients.
  • Common symptoms include joint pain, arthritis, and issues such as tendon rupture and calcinosis, which negatively impact the quality of life and can lead to disabilities.
  • Understanding the causes of these musculoskeletal issues could help develop new treatments, improving patient outcomes and reducing complications.
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Background: Oral cancer (OC) is a major global health issue, with tobacco use being one of the most significant preventable risk factors. Despite its strong association with OC, public awareness about the harmful effects of tobacco remains limited. This study aims to evaluate the awareness and knowledge of tobacco use related to oral cancer among patients referred to the Stomatology Teaching Hospital.

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  • Recovery Colleges (RCs) are special communities that help people recover from mental health issues through learning, but their success in different cultures is not well studied.
  • Researchers looked at 169 RCs from various countries to see how cultural differences affect how well they operate.
  • They found that RCs work best in cultures that are more individualistic and indulgent, but it's important to consider other cultures to make these programs better for everyone around the world.
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  • People with neurodegenerative disorders often experience delays and misdiagnosis, making it important to find effective diagnostic tools.
  • This study compared levels of neurofilament light chain (NfL) in blood and cerebrospinal fluid (CSF) among individuals with neurodegenerative disorders (ND), primary psychiatric disorders (PPD), and healthy controls, showing that plasma NfL was significantly elevated in ND.
  • The research indicates that plasma NfL has strong diagnostic performance, especially in younger individuals, suggesting it could serve as a useful screening test to differentiate between ND and PPD in clinical settings.
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What is pentalogy of Cantrell?

Cardiol Young

October 2024

Department of Pediatrics, Institute for Health Sciences Education, Georgetown Public Hospital Corporation, Georgetown, Guyana.

Article Synopsis
  • An 8-month-old girl was diagnosed with tetralogy of Fallot, a narrowed aorta (coarctation), and a complete form of pentalogy of Cantrell, which consists of multiple congenital defects.
  • Researchers conducted a meta-analysis of 236 cases of Cantrell's syndrome from existing literature to evaluate and compare their heart-related characteristics.
  • The study highlights the complexity of congenital heart defects and contributes to understanding of the rare pentalogy of Cantrell.
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  • A boy with Duchenne muscular dystrophy (DMD) showed exon 63 duplication, along with issues like intellectual disability and being overweight.
  • The patient received a comprehensive care plan, which included medications, dietary changes, and psychological support, even facing challenges due to limited resources.
  • The case emphasizes the importance of holistic, accessible care for DMD patients, focusing on both medical treatments and psychosocial support to enhance quality of life.
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  • The simplified Pulmonary Embolism Severity Index (sPESI) score helps identify low-risk patients for home treatment of pulmonary embolism, but its use with direct oral anticoagulants hasn't been thoroughly studied.
  • A study of 2,496 patients with stable pulmonary embolism found that only 25% had an sPESI score of 0, and among those, only 17% were treated at home, though their 30-day mortality was notably low (0% vs. 4.8% in higher risk groups).
  • Factors promoting home treatment included the absence of temporary risk factors, no elevated cardiac biomarkers, and the use of direct oral anticoagulants during the acute phase.
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Breastfeeding self-efficacy in mothers: The body image and emotional intelligence perspective.

Midwifery

December 2024

Department of Pediatric Nursing, Faculty of Health Sciences, Sakarya University, Esentepe Campüs, Kemalpaşa Neighborhood, Üniversite Street, Sakarya 54187, Türkiye. Electronic address:

Background: Breastfeeding is a dynamic and complex process. Due to its complex nature, many reasons affect one another. Recent studies have focused on breastfeeding rates and factors that affect the early termination of breastfeeding.

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Objectives: The aim of this study was to compare the effectiveness of the Mulligan mobilization (MM) technique and Core stabilization (CS) exercises added to the conventional physiotherapy (CP) program in female patients with knee osteoarthritis (KOA).

Methods: The study included 42 female patients diagnosed with bilateral KOA. Participants were randomly divided into 3 groups as CP group (mean age: 57.

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  • Adult spinal deformity (ASD) surgeries, specifically posterior lumbar interbody fusion with multiple grade II osteotomies (PLIF + MOs) and lateral lumbar interbody fusion (LLIF), have shown promising patient outcomes, yet a direct comparison of how these methods affect spinal canal dimensions had not been performed until this study.
  • The researchers examined 44 ASD patients who underwent either LLIF or PLIF + MOs from 2010 to 2021, using advanced imaging techniques to analyze changes in aspects like anterior vertical column length (AVCL), spinal canal length (SCL), and spinal canal volume (SCV).
  • Results indicated that LLIF significantly improved both AVCL and SCL compared to PLIF +
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Background: Workplace-based assessments (WPBA) have become integral to learner-centred medical education. As previous research has linked learner engagement to WPBA implementation, this study explores residents' and faculty members' experiences with learner engagement in the normalisation of WPBA practice.

Methods: Transcendental phenomenology was used as the qualitative approach, focusing on the participants' lived experiences.

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Favourable outcome of severe, unstable grade III slipped capital femoral epiphysis managed by closed reduction percutaneous pinning with mid-term follow up: A case report and literature review.

Int J Surg Case Rep

October 2024

Orthopaedic Surgeon, Department of Orthopaedic & Traumatology, Dr. Cipto Mangunkusumo National Central Public Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta 10430, Indonesia.

Article Synopsis
  • Slipped capital femoral epiphysis (SCFE) is a prevalent hip issue in adolescents, where the severity and stability of the condition significantly influence management outcomes and risks, particularly for avascular necrosis (AVN).
  • A case study of a 13-year-old boy with acute, unstable high-grade SCFE showed successful treatment through closed reduction and percutaneous pinning, resulting in restored hip function without AVN after 18 months.
  • The findings suggest that even after 2 weeks from the initial injury, aggressive management like closed reduction can lead to favorable outcomes, challenging the notion that such procedures should only be performed in exceptional cases.
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Background: Empagliflozin administered after acute myocardial infarction proofed to improve cardiometabolic parameters and biomarkers, but the impact on cardiac function is still largely unknown. The aim of this post-hoc echocardiographic sub-analysis of the EMMY trial was to provide in-depth echocardiographic analysis on the effects of empagliflozin versus placebo on standard and novel echocardiographic structural and functional parameters after acute myocardial infarction.

Methods: In this post-hoc analysis of the EMMY trial a subset of 313 patients (157 empagliflozin vs.

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Background: Failed sleeve gastrectomy (SG), defined by inadequate weight loss or weight regain and by reflux and structural complications, can be treated by a laparoscopic conversion to Roux-en-Y gastric bypass (RYGB).

Objectives: To examine the efficacy and outcomes of conversion surgery over a 14-year follow-up period.

Setting: Government and private medical centers in university settings.

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Background/aim: Symptoms of COVID-19 may persist for months. One of the persistent symptoms of COVID-19 is fatigue, which reduces functional status. The relationship between fatigue, functional status, and various other factors has received little attention, which this study aims to address.

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Background: Polymyxin-B direct hemoperfusion (PMX-DHP) is an endotoxin adsorption column-based blood purification therapy. Since one of the most potent effects of PMX-DHP is blood pressure elevations, it may be the most effective when it is introduced at the time when the need for vasopressors is the greatest, which, in turn, may reduce mortality.

Methods: A multicenter retrospective study was conducted at 24 ICUs in Japan.

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Aims: The aim of this study is to explore in-depth the experiences of patients enrolled in Community Mental Health Centers regarding the illness process.

Design: This study employed interpretative phenomenological analysis (IPA), one of the phenomenological design approaches within qualitative research methods.

Methods: The study was conducted between 24 May 2023 and 23 December 2023, at two different Community Mental Health Centers located in the eastern and western regions of Turkey.

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Background: In patients with low-gradient (LG) aortic stenosis (AS), confirming disease severity and indication of intervention often requires dobutamine stress echocardiography (DSE) or aortic valve calcium scoring by computed tomography. We hypothesized that the mean transvalvular pressure gradient to effective orifice area ratio (MG/EOA, in mm Hg/cm) measured during rest echocardiography identifies true-severe AS (TSAS) and is associated with clinical outcomes in patients with low-flow, LG-AS.

Objectives: The purpose of this study was to evaluate the diagnostic and prognostic value of MG/EOA ratio.

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Objectives: Free-of-charge vaccination against human papillomavirus (HPV) of 12-13-year-old teenagers was introduced on the 1st of June 2023 in Poland. Data on baseline HPV genotype cervical distribution are crucial to evaluate potential changes after full implementation of the vaccination program. We aimed at evaluating the status of HPV infection and distribution of HPV genotypes in cervical cytology of gynecological patients tested in one of the largest HPV laboratories in Poland.

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The immunopathogenesis of COVID-19 infection is initiated by the entry of the SARS-CoV-2 virus into the human body through droplets, entering the lungs and binding to the ACE-2 receptor. Activated macrophages stimulate an immune and inflammatory response, leading to the activation of the coagulation cascade, including profibrinolytic and fibrinolytic inhibitor processes. One of the proteins involved in profibrinolytic is encoded by the gene, while fibrinolytic inhibitor proteins are encoded by the and genes.

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