56 results match your criteria: "University Health Care System[Affiliation]"

Objectives: This study aims to objectively evaluate turning gait parameters in Parkinson disease (PD) patients using 2D-RGB video-based analysis and explore their relationships with imbalance.

Methods: We prospectively enrolled PD patients for clinical assessments, balance analysis and gait with 180' turning. Spatiotemporal gait parameters during turning were derived based on video-based analysis and correlated with modified Hoehn and Yahr (mHY) stages and center of pressure (COP) oscillations.

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Exercise Habits in People with Parkinson's: A Multinational Survey.

Mov Disord Clin Pract

November 2024

Chulalongkorn Centre of Excellence for Parkinson's Disease and Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.

Article Synopsis
  • Exercise improves physical function, cognition, and quality of life for people with Parkinson's (PwP), but participation levels vary among individuals.
  • A survey of 2,976 PwP found that 40.6% exercised regularly, with higher activity linked to group workouts, weightlifting, and use of muscle-building equipment.
  • Factors promoting exercise included education level, receiving advice from doctors, being diagnosed at a younger age, while issues like falls and bothersome symptoms deterred exercise participation.
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Article Synopsis
  • * Results show that 75.3% of PD patients had AS accumulation compared to only 8.5% of control patients, indicating the diagnostic potential of AS presence in identifying PD.
  • * The research found that longer disease duration and the specific rostrocaudal distribution of AS accumulation in the GI tract serve as predictors for the presence of AS in PD patients, suggesting a distinct progression pattern in the disease.
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A Practical Guide for Clinical Approach to Patients With Huntington's Disease in Korea.

J Mov Disord

April 2024

Department of Neurology, BJ Center for Comprehensive Parkinson Care and Rare Movement Disorders, Chung-Ang University Health Care System, Hyundae Hospital, Namyangju, Korea.

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Impact of perioperative chemotherapy on survival in patients with cholangiocarcinoma undergoing curative resection.

Eur J Surg Oncol

November 2023

Department of Oncology, University Hospitals Seidman Cancer Center and Case Western Reserve University, Cleveland, OH, USA; Mayo Clinic Comprehensive Cancer Center, Rochester, MN, USA. Electronic address:

Background: Most patients with localized cholangiocarcinoma (CCA) endure cancer relapse after curative resection underscoring the importance of systemic therapy. The current study attempts to determine the impact of perioperative chemotherapy (PC) on survival in patients with CCA undergoing resection.

Methods: Patients diagnosed with CCA undergoing curative-intent resection between January 1, 2000, and December 31, 2019, in a tertiary care center were included.

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Background: Biomarkers have been proposed as tools to aid in the identification and prognostication of interstitial lung disease (ILD) in rheumatoid arthritis (RA). We performed a systematic review of studies evaluating peripheral blood biomarkers and their association with RA-ILD and its prognosis.

Methods: Medline, Embase, the Cochrane Library, and Scopus were queried for relevant studies, with the final search update on July 12, 2021.

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Association of Peripheral Serum MicroRNAs With Persistent Phantom Limb Pain in Individuals With Amputation.

Am J Phys Med Rehabil

December 2022

From the Center for Rehabilitation Sciences Research, Uniformed Services University of the Health Sciences, Bethesda, Maryland (MB, MH, PP, JT); The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland (MB, NB, MZ, MH); Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, Maryland (MB, NB, BK-R); University of Pennsylvania, Philadelphia, Pennsylvania (AA-M); University of California-San Francisco, San Francisco, California (MT, SF); Boston Medical Center, Boston, Massachusetts (BP); Institute of Biomedical Engineering, University of New Brunswick, Fredericton, New Brunswick, Canada (WH); Dalhousie University, Fredericton, New Brunswick, Canada (CO); University Neurosciences-University Health Care System, Augusta, Georgia (SH); Walter Reed National Military Medical Center, Bethesda, Maryland (MH, PP); Department of Neurology, The University of Tennessee Health Science Center, Memphis, Tennessee (JT); and Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, Tennessee (JT).

Objective: Individuals with major limb amputation(s) frequently experience phantom limb sensations, which are described as vivid impressions of either parts or entire missing limb(s). Despite the high incidence and prevalence of phantom limb pain, the underlying pathophysiology of phantom limb pain remains poorly understood. The objective of this study was to evaluate a possible role of microRNAs in the pathophysiology of phantom limb pain.

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Background: We present our experience on reconstructive versatility and risk of nodal transfer with the submental island flap (SIF). We also examine the role of comorbidity as a predictor of complications.

Methods: Retrospective cohort study of patients undergoing SIF over 10-year period.

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Outcome-Based Decision-Making Algorithm for Treating Patients with Primary Aldosteronism.

Endocrinol Metab (Seoul)

April 2022

Division of Endocrinology and Metabolism, Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: Optimal management of primary aldosteronism (PA) is crucial due to the increased risk of cardiovascular and cerebrovascular diseases. Adrenal venous sampling (AVS) is the gold standard method for determining subtype but is technically challenging and invasive. Some PA patients do not benefit clinically from surgery.

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Dickkopf-3 (DKK3), a tumor suppressor, is frequently downregulated in various cancers. However, the role of DKK3 in ovarian cancer has not been evaluated. This study aimed to assess aberrant DKK3 expression and its role in epithelial ovarian carcinoma.

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Objective: Percutaneous portal vein (PV) stent placement can be an effective treatment for symptoms associated with portal hypertension. This study aimed to evaluate the effect of PV stenting on the overall survival (OS) in patients with malignant PV stenosis.

Materials And Methods: Two groups of patients with malignant PV stenosis were compared in this retrospective study involving two institutions.

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Data for nearly all patients undergoing transcatheter edge-to-edge repair (TEER) and transcatheter mitral valve replacement (TMVR) with an approved device in the United States is captured in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry. All data submitted for TEER or TMVR between 2014 and March 31, 2020, are reported. A total of 37,475 patients underwent a mitral transcatheter procedure, including 33,878 TEER and 3,597 TMVR.

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Data for nearly all patients undergoing transcatheter edge-to-edge repair (TEER) and transcatheter mitral valve replacement (TMVR) with an approved device in the United States is captured in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry. All data submitted for TEER or TMVR between 2014 and March 31, 2020, are reported. A total of 37,475 patients underwent a mitral transcatheter procedure, including 33,878 TEER and 3,597 TMVR.

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The effects of cannabis and cannabinoids on the endocrine system.

Rev Endocr Metab Disord

June 2022

Department of Medicine, Division of Endocrinology, Loyola University Health Care System, Maywood, Illinois, USA.

With the increase in cannabis use due to policy changes and areas of decriminalization, it is important to recognize the potential impact of these substances on endocrine processes. Cannabinoids have many effects by activating the endocannabinoid system. This system plays a role in the normal functioning of nearly every organ and consists of the body's natural endocannabinoids, the cannabinoid receptors, and the enzymes and processes that regulate endocannabinoids.

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Background: We performed an observational Veterans Health Administration cohort analysis to assess how risk factors affect 30-day mortality in SARS-CoV-2-infected subjects relative to those uninfected. While the risk factors for coronavirus disease 2019 (COVID-19) have been extensively studied, these have been seldom compared with uninfected referents.

Methods: We analyzed 341,166 White/Black male veterans tested for SARS-CoV-2 from March 1 to September 10, 2020.

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The STS-ACC TVT Registry (Society of Thoracic Surgeons-American College of Cardiology Transcatheter Valve Therapy Registry) from 2011 to 2019 has collected data on 276,316 patients undergoing transcatheter aortic valve replacement (TAVR) at sites in all U.S. states.

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The STS-ACC TVT Registry (Society of Thoracic Surgeons-American College of Cardiology Transcatheter Valve Therapy Registry) from 2011 to 2019 has collected data on 276,316 patients undergoing transcatheter aortic valve replacement (TAVR) at sites in all U.S. states.

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As SARS-CoV-2 (COVID-19) overtakes the world, causing moderate to severe disease in about 15% of infected patients, COVID-19 is also found to have widespread effects throughout the body with a myriad of clinical manifestations including the endocrine system. This manuscript reviews what is known about the impact of COVID-19 on the pathophysiology and management of diabetes (both outpatient and inpatient) as well as pituitary, adrenal, thyroid, bone, and gonadal function. Findings in this area are evolving, and long-term effects of infection remain an active area of further research.

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Tyrosine kinase inhibitors can cause significant hypoglycemia in patients with diabetes on other antihyperglycemic medications. These patients should be monitored, and their medications adjusted accordingly.

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Applications and pitfalls of hemoglobin A1C and alternative methods of glycemic monitoring.

J Diabetes Complications

August 2020

Department of Medicine, Division of Endocrinology, Aga Khan University Hospital, Karachi, Sindh, Pakistan.

Introduction: Intensive glycemic control minimizes the risks of microvascular complications in diabetes. A1C is a convenient estimate of mean blood glucose, but is not the only marker available. The practical use and limitations of alternative markers and continuous glucose monitors are the focus of this review.

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[The Key Role of Taiwanese Nurses in Combating COVID-19 Pandemic].

Hu Li Za Zhi

June 2020

PhD, RN, President, Taiwan Nurses Association, and Professor, School of Nursing, Kaohsiung Medical University, Taiwan, ROC.

As the COVID-19 pandemic continues to rage worldwide, Taiwan has achieved outstanding performance in controlling the spread of the outbreak domestically, earning global appreciation. Nurses on the frontlines deserve much of the credit for the ongoing success in fighting against this outbreak in Taiwan. Taiwan's success to date is grounded in proactive preparedness and deployment by the government and effective teamwork among government agencies, medical institutions, enterprises, and the public.

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To commemorate the 200th birthday of Florence Nightingale, the World Health Organization announced 2020 as the "International Year of the Nurse and the Midwife." Nursing is in the frontline of transformational care. The actions of nurses help bring positive changes to the world.

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Current guidelines from the American College of Obstetricians and Gynecologists recommend insulin as the standard therapy for treatment of pregestational and gestational diabetes (PGDM and GDM). However, the guidelines do not specify which type(s) of insulin to utilize. Additionally, there are limited published data regarding safety parameters of insulin in this population.

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