2,835 results match your criteria: "Public Hospital[Affiliation]"

Aims: Same-day discharge (SDD) after catheter ablation of atrial fibrillation (AF) may address the growing socio-economic health burden of the increasing demand for interventional AF therapies. This systematic review and meta-analysis analyses the current evidence on clinical outcomes in SDD after AF ablation compared with overnight stay (ONS).

Methods And Results: A systematic search of the PubMed database was performed.

View Article and Find Full Text PDF

Background: The COVID-19 pandemic has necessitated changes in European healthcare systems, with a significant proportion of COVID-19 cases being managed on an outpatient basis in primary healthcare (PHC). To alleviate the burden on healthcare facilities, many European countries developed contact-tracing apps and symptom checkers to identify potential cases. As the pandemic evolved, the European Union introduced the Digital COVID-19 Certificate for travel, which relies on vaccination, recent recovery, or negative test results.

View Article and Find Full Text PDF

An impacted third molar is one of the most common abnormalities of the tooth position, impacting patients and their quality of life. Based on the impact and the invasive removal procedure, this study aimed to evaluate the characteristics of impacted third molars based on their radiographic features as well as their association with demographic characteristics. Outpatient dental records of the oral and maxillofacial surgery department of Hasan Sadikin Hospital, Bandung, Indonesia, from 1 January 2018 to 31 December 2019, were sorted, and relevant clinical and demographic data and panoramic radiographic examination results were extracted from these records.

View Article and Find Full Text PDF

Purpose: Our purpose was to evaluate the prognostic value of Vesical Imaging Reporting and Data System (VI-RADS) in bladder cancer (BCa) staging and predicting recurrence or progression.

Methods: We retrospectively analyzed the prospectively collected data from 96 patients with bladder tumors who underwent VI-RADS-based multiparametric magnetic resonance imaging (mpMRI) before endourological treatment from April 2021 to December 2022. Diagnostic performance was evaluated by comparing mpMRI reports with final pathology, using logistic regression for muscle-invasive bladder cancer (MIBC) predictors.

View Article and Find Full Text PDF

Determinant Factors of Children's Blood Lead Levels in Java, Indonesia.

Int J Hyg Environ Health

August 2024

Pure Earth, 475 Riverside Drive, New York, NY, 10115, USA; Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Ziemssenstr. 5, Munich, 80336, Germany. Electronic address:

Introduction: Lead poisoning contributes to a significant burden of disease as a toxic substance found in air, soil, and water. In Indonesia, the risk of exposure is high due to the inappropriate recycling of used lead batteries. The objective was to investigate the factors that influence lead levels in children's blood.

View Article and Find Full Text PDF

Purpose: To assess the role of dexmedetomidine as an adjuvant to local anesthetics (LA) in enhancing the duration and quality of peribulbar blocks for ophthalmic surgeries.

Design: Systematic review with meta-analysis and trial sequential analysis.

Methods: We systematically searched MEDLINE, Embase, and Cochrane for randomized controlled trials involving adult patients undergoing ophthalmic surgery under peribulbar block, comparing LA alone vs LA + dexmedetomidine.

View Article and Find Full Text PDF

Aim: The aim of this study was to update and project the growth of ophthalmologists in New Zealand. This will help decision makers better understand the current ophthalmologist workforce and make appropriate resource allocations.

Method: Supply and demographics of ophthalmologists in New Zealand were obtained from the Medical Council of New Zealand, Health Workforce New Zealand and Health New Zealand - Te Whatu Ora.

View Article and Find Full Text PDF

Primary extrapulmonary tuberculosis diagnosis warrants extra-precautious pulmonary tuberculosis exclusion workup.

World J Clin Cases

June 2024

Department of Women's and Children's Health, Dunedin Public Hospital, Dunedin 9016, New Zealand.

This editorial article takes an opportunity to apprehend the diagnostic challenges of primary gastrointestinal tuberculosis (an uncommon extrapulmonary tuberculosis condition) utilizing the recently published case report of a young male with prolonged gastrointestinal symptoms and weight loss who received intermittent anti-tubercular treatment and underwent operative interventions to relieve gastric outlet obstruction. The diagnosis chiefly relied on high-end examinations, like computed tomography scans and histopathological evaluation of post-operatively resected bowel tissue, which wasn't preceded by an all-inclusive stepwise primary pulmonary tuberculosis exclusion approach that usually begins with a detailed tuberculosis-pertinent history acquisition. Given the geographic locations where the patient had been (and/or treated), pivotal consideration of tuberculosis-associated endemicities in those regions, like human immunodeficiency virus (HIV) infection, might have improved the case description.

View Article and Find Full Text PDF
Article Synopsis
  • Ovarian cancer often presents chemoresistance challenges due to the presence of cancer stem cells (CSCs) and specific protein expression patterns, which are linked to poor outcomes in patients.
  • A study involving 64 patients in Indonesia analyzed the expressions of CD44/CD24 (CSCs), RAD6, and DDB2 in ovarian cancer tissues to build a predictive scoring system for chemoresistance.
  • Results indicated a significant relationship between increased CSC and RAD6 expressions and decreased DDB2 expression with chemoresistance, leading to the development of the IHC-UNEDO scoring method as a potential predictive tool.
View Article and Find Full Text PDF

Contribution of international cooperation in the management of the first documented case of Lonomia caterpillar envenoming (Lonomism) in Guyana.

Toxicon

August 2024

Intensive Care Unit, Cayenne General Hospital, French Guiana, France; Tropical Biome and Immunopathology CNRS UMR-9017, Inserm U 1019, Université de Guyane, French Guiana, France. Electronic address:

Severe Lonomia caterpillar envenoming is an increasing hazard in South America. It can trigger severe coagulation disorders that can progress to systemic complications and death. We report the first documented case of severe Lonomia caterpillar envenoming in Guyana.

View Article and Find Full Text PDF

Aim: To examine the relationship between self-compassion and caring behaviour in nurses.

Background: Self-compassion can influence nurses' ability to cope with stress and their job performance. High levels of self-compassion may play a role in nurses' coping with compassion fatigue and burnout.

View Article and Find Full Text PDF
Article Synopsis
  • A 71-year-old male presented with a mass in his scrotum that had been growing slowly and was not painful.
  • A physical exam showed a soft, brown tumor measuring 4.5×3.5×3.0 cm, with lab tests indicating elevated blood sugar and a squamous carcinoma marker.
  • The tumor was removed surgically, and no cancer was found; it was diagnosed as giant condyloma acuminatum, which often occurs in people with weakened immune systems.
View Article and Find Full Text PDF

Cardiac amyloidosis (CA) involves the abnormal deposition and accumulation of amyloid proteins in the heart muscle. A hallmark of disease progression is declining heart function, which can lead to structural irregularities, arrhythmias, and ultimately heart failure. Atrial fibrillation (AF) is the most common arrhythmia that presents in CA patients, and this arrhythmia is significant because it can moderately increase the risk of patients developing intracardiac thrombi, thereby putting them at risk for thromboembolic events.

View Article and Find Full Text PDF
Article Synopsis
  • The study evaluates the effectiveness of an MRI protocol with various patient preparations in diagnosing deep pelvic endometriosis (DPE) using data from a multicentric national database.
  • Two radiologists assessed the MRI results, considering factors like bowel preparation, opacification methods, MRI device strength, and contrast dye.
  • Findings show that bowel preparation significantly improves the detection of certain endometriosis lesions compared to other methods, suggesting it is the best preparation approach for accurate diagnosis.
View Article and Find Full Text PDF

Carotid Stents: Predicting Restenosis and Keeping them Shipshape.

Eur J Vasc Endovasc Surg

October 2024

Department of Neurology, Christchurch Public Hospital, Christchurch, New Zealand; Department of Medicine, University of Otago, Dunedin, New Zealand.

View Article and Find Full Text PDF

Restoring microvascular circulation with diagnostic ultrasound and contrast agent: rationale and design of the REDUCE trial.

Am Heart J

September 2024

Faculty of Medicine and Health, Charles Perkins Centre Nepean, Sydney Medical School Nepean, The University of Sydney, New South Wales, Australia; Department of Cardiology, Nepean Hospital, Sydney, New South Wales, Australia. Electronic address:

Objectives: This study aims to evaluate the efficacy and cost-effectiveness of sonothrombolysis delivered pre and post primary percutaneous coronary intervention (pPCI) on infarct size assessed by cardiac MRI, in patients presenting with STEMI, when compared against sham procedure.

Background: More than a half of patients with successful pPCI have significant microvascular obstruction and residual infarction. Sonothrombolysis is a therapeutic use of ultrasound with contrast enhancement that may improve microcirculation and infarct size.

View Article and Find Full Text PDF
Article Synopsis
  • The PE-SARD bleeding score was developed to predict early major bleeding in patients with pulmonary embolism (PE) but has not been fully validated externally.
  • A study using data from the COMMAND VTE Registry involving 2,781 acute PE patients categorized them into high, intermediate, and low-risk groups based on this score, revealing a clear increase in bleeding rates with higher risk scores.
  • The results indicated the score has modest effectiveness in predicting bleeding risk overall, with better performance in patients without active cancer.
View Article and Find Full Text PDF

Varicose veins (VVs) are the most common manifestation of chronic venous disease (CVD) and appear as abnormally enlarged and tortuous superficial veins. VVs result from functional abnormalities in the venous circulation of the lower extremities, such as venous hypertension, venous valve incompetence, and venous reflux. Previous studies indicate that enhanced angiogenesis and inflammation contribute to the progression and onset of VVs; however, dysregulations in signaling pathways associated with these processes in VVs patients are poorly understood.

View Article and Find Full Text PDF

Background: By evaluating nurses' attitudes and behaviors regarding narcotic drug safety and addiction, effective strategies need to be developed for combating addiction in healthcare institutions. This study, aimed at providing an insight into patient and staff safety issues through the formulation of health policies, aimed to evaluate nurses' attitudes and behaviors regarding narcotic drug safety and addiction.

Methods: The study was conducted in a descriptive cross-sectional design.

View Article and Find Full Text PDF

Short-term exposure to air pollutants may contribute to an increased risk of acute coronary syndrome (ACS). This study assessed the role of short-term exposure to fine particulate matter (PM) as well as fine and coarse PM (PM) air pollution in ACS events and the effect of blood groups on this phenomenon. A retrospectively collected database of 9026 patients was evaluated.

View Article and Find Full Text PDF

Domain 5 of Beta 2 glycoprotein I: Friend or foe in health? Context matters.

Clin Immunol

August 2024

Faculty of Medicine and Health, University of New South Wales, St George and Sutherland Campus, Level 2, Pitney Building, Kogarah, Sydney, NSW 2217, Australia; Department of Infectious Diseases, Immunology, and Sexual Health, St George Public Hospital, Kogarah, Sydney 2217, Australia. Electronic address:

Beta 2 glycoprotein I (β2GPI) is the major autoantigen in the antiphospholipid syndrome, an autoimmune disorder characterized by thrombotic and obstetric complications. The autoantibodies that target beta 2 glycoprotein I are pathogenic and contribute to disease pathogenesis. The β2GPI molecule is composed of 5 domains that are numbered 1 through to 5.

View Article and Find Full Text PDF

Ambiguous melanocytic lesions/tumors (AMLs) can be simply described as melanocytic neoplasms that cannot be differentiated as either a melanoma or a nevus. Preferentially expressed antigen in melanoma (PRAME) is a novel antibody that can help differentiate between nevi and melanomas. However, its usefulness remains controversial in AMLs.

View Article and Find Full Text PDF