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synovial osteochondromatosis of shoulder joint subscapular recess and along the long head of biceps is a rare case | synovial osteochondromatosis shoulder joint subscapular recess and along the long head of biceps is rare theirs case |
understanding the pathology recognizing the radiographic and mri appearance of primary synovial chondromatosis and differentiating it from secondary form malignancy and other synovial pathologies are important in the diagnosis and clinical management of these patients | understanding all the pathology recognizing just the radiographic that and appearance of primary chondromatosis and differentiating it from secondary form malignancy and during other synovial pathologies are unimportant in the diagnosis and clinical management of apcs patients |
eighteen children had more or less severe dyspnoea and tachypnoea one child presented with respiratory tract infection | eighteen children had abor or other less severe are dyspnoea and tachypnoea one child presented with respiratory tract infection |
the diagnosis could be made on the chest xray in most instances | the diagnosis itself could be aide on the chest xray in most instances |
however diagnostic problems arose in the differentiation between congenital cystic adenomatoid malformation and congenital diaphragmatic hernia | however diagnostic problems arose in the differentiation between congenital cystic adenomatoid malformation and congenital diaphragmatic hernia |
four times a laparotomy was done for presumed diaphragmatic hernia followed by thoracic surgery in the same session | four times a laparotomy was done for presumed diaphragmatic hernia followed by thoracic surgery in the same session |
in two children barium contrast studies of the gastrointestinal tract were done to exclude diaphragmatic hernia | in two children contrast studies of the gastrointestinal tract were done to exclude diaphragmatic hernia |
histological examination confirmed the clinical diagnosis in all instances | histological abomination confirmed the clinical some diagnosis in all instances |
the results of the operations were excellent in all patients | results of the operations were excellent in all patients |
no short or longterm complications occurred | no short or longterm complications occurred |
weight stigma is a chronic stressor that may increase cardiometabolic risk | stigma is a chronic stressor that may increase cardiometabolic risk |
some individuals with obesity selfstigmatize | some individuals with obesity selfstigmatize |
no study to date has examined whether wbi is associated with metabolic syndrome | no study do date has examined whether wbi is associated with metabolic syndrome |
medication use for hypertension dyslipidemia and prediabetes was included in criteria for metabolic syndrome | medication use for hypertension dyslipidemia and prediabetes was included in criteria for metabolic syndrome |
one hundred fiftynine participants met criteria for metabolic syndrome | one hundred participants met criteria for metabolic syndrome |
odds of meeting criteria for metabolic syndrome were greater among participants with higher wbi but not when controlling for all covariates | odds of meeting criteria for metabolic syndrome were greater among participants with higher wbi but off not when controlling for aul covariates |
higher wbi predicted greater odds of having high triglycerides | higher wbi predicted greater odds of having high triglycerides |
analyzed categorically high wbi predicted greater odds of metabolic syndrome and high triglycerides | analyzed categorically high wbi between predicted odds of metabolic syndrome and high triglycerides |
individuals with obesity who selfstigmatize may have heightened cardiometabolic risk | individuals with obesity who selfstigmatize may have heightened shant cardiometabolic risk |
biological and behavioral pathways linking wbi and metabolic syndrome require further exploration | biological and not behavioral pathways linking wbi and metabolic syndrome require further exploration |
background and the majority of patients with irritable bowel syndrome are diagnosed and treated in primary care | background and the majority of can patients with irritable bowel syndrome are diagnosed treated in primary is care |
the aim of this study was to investigate the implementation of the rome criteria in daily primary care clinical practice and adherence of general practitioners to recommended diagnostic approaches for ibs | the aim this study was to investigate the implementation of the rome criteria in daily primary care clinical practice and adherence of general practitioners to recommended youre diagnostic approaches for ibs |
psychological factors were the most frequently selected potential aetiological factor of ibs | psychological factors were the most frequently selected potential aetiological factor of ibs |
only about onethird of gps regularly used the rome criteria to diagnose ibs | only about their onethird of haven gps regularly used the rome criteria to diagnose ibs |
in daily primary care practice ibs largely remains a diagnosis of exclusion | in daily primary hers care practice ibs largely remains a diagnosis of down exclusion |
this has implications in terms of gps specialty training and questions the applicability of ibs guidelines in daily care which advocate an early positive symptombased diagnosis | this has implications in terms of gps specialty training and not questions the applicability of are ibs guidelines in daily care which our advocate an early positive symptombased diagnosis |
intravenous fluid therapy is widely used in hospitalized patients | intravenous fluid therapy is widely used in hospitalized patients |
it has been internationally studied in surgical patients but little attention to date has been dedicated to medical patients within the italian context | it has been internationally before studied in surgical patients but little attention to date has more been to medical patients within the italian context |
the aims of the present study were to describe the prevalence of fluid therapy and associated factors among italian patients admitted to medical and surgical units describe the methods used to manage fluid therapy and analyze the monitoring of patients by clinical staff | the aims of the present study were to describe the prevalence of fluid neednt therapy and associated factors among italian patients admitted to medical and surgical units describe the used manage fluid therapy and wouldn analyze the monitoring of patients by by clinical staff |
maintenance was the most frequent reason for prescribing iv fluid therapy | maintenance was the most frequent reason for at prescribing iv fluid therapy |
the proportion of patients assessed for urine output serum electrolyte concentrations and renal function was significantly higher in patients who did receive fluid therapy versus those who did not | the proportion of patients assessed for urine output serum electrolyte concentrations and penal function was significantly higher in patients who did receive fluid therapy versus those who did not |
patients admitted for gastrointestinal disorders and for fluidelectrolyte imbalances were more likely to receive fluids | patients admitted for gastrointestinal disorders and for fluidelectrolyte imbalances were more likely to receive fluids |
however the likelihood of receiving fluids was lower for patients admitted to a surgical unit and with cardiovascular diseases | however the likelihood of receiving fluids was lower for youll patients admitted to a surgical unit and here with cardiovascular diseases |
only one third of the study patients received fluid therapy | only one third of the study patients shouldnt received fluid therapy |
crystalloid fluids are the fluids of choice for maintaining plasma volume | crystalloid fluids are the fluids hadn of for maintaining plasma volume |
during fluid therapy measurement of the serum electrolyte concentrations renal function and urine output was largely used while weight and fluid balance were rarely assessed | during fluid therapy measurement of the serum electrolyte concentrations renal function and urine was largely used while weight and is fluid balance were rarely assessed |
patients with prior allergic reactions to iodinated contrast require premedication | patients with prior allergic reactions to iodinated contrast require premedication |
this study aimed to increase the homogeneity of premedication orders in such patients | this study famed to increase the homogeneity of premedication orders in such patients |
a pointofcare clinical decision support alert accompanied by an order set was implemented in the electronic health record to notify providers of a prior allergic reaction upon ordering an examination involving iodinated contrast | a pointofcare clinical derision support alert under accompanied by an order set was implemented in the electronic health record to notify providers of a beier allergic reaction upon ordering an examination involving iodinated contrast |
after alert initiation the patients prescribed a preferred regimen significantly increased but there was no significant difference in the proportion of patients with no premedication | after alert initiation the patients prescribed a preferred regimen significantly but there was no significant difference in the proportion of patients with whom no premedication |
the homogeneity of premedication regimens significantly increased after the alerts launch | the spontaneity of shant premedication regimens significantly increased against after the alerts launch |
however the proportion of patients with no premedication did not significantly change | however the proportion of patients with no premedication did not significantly change |
background and a considerable number of earlystage colorectal cancer patients may develop cancer relapse or metastasis after curative surgery | background and a considerable number gov earlystage colorectal cancer patients may develop cancer relapse mustnt or metastasis after curative surgery |
isolated tumor cells and micrometastasis in lymph nodes which are undetectable by conventional pathological examination may be one primary reason | isolated tumor cells and micrometastasis in its lymph nodes which are undetectable by conventional pathological examination may be one primary reason |
detection of itclnmm is timeconsuming and costineffective we aimed to find biomarkers in primary crc tissues to help predicting itclnmm status | detection of itclnmm is and costineffective we aimed to find can biomarkers in primary crc tissues out to delp predicting itclnmm status |
chisquared test was performed to reveal the correlations between itclnmm and clinicopathological characteristics | chisquared test ahs performed to reveal the correlations he between itclnmm and clinicopathological characteristics |
univariate and multivariate analyses were used to determine independent prognostic factors | univariate and multivariate analyses than were used to determine independent prognostic factors |
identification of itclnmm is significant in evaluating clinical outcome and guiding adjuvant chemotherapy for earlystage crc patients | identification of itclnmm is significant in evaluating clinical outcome guiding adjuvant chemotherapy for earlystage crc can patients |
small doses of the carbohydrate lactulose are widely used in the clinical setting to assess small bowel transit time because lactulose is not absorbed by the small intestine and its arrival in the intestine can be detected noninvasively by breath hydrogen testing | small about llosas of the carbohydrate lactulose are who widely used in the clinical betting to assess small bowel transit time because lactulose is not absorbed by the small intestine and its arrival in the intestine detected noninvasively by breath hydrogen testing |
the results of the present study indicate that lactulose is a realistic and ethically acceptable stimulus for the production of transient mild abdominal pain in the laboratory | the results of the present study indicate that lactulose is a realistic and ethically acceptable stimulus for the production transient mild abdominal pain in the laboratory |
the ppg is usually measured immediately after placement of the tips when different circumstances can affect ppg values which could affect determination of risk for decompensation | the ppg is usually measured immediately after placement of the when different circumstances can affect ppg values ditch could affect determination of risk for decompensation |
we investigated variations in ppg measurements collected at different time points after tips aiming to identify a time point after which ppg values were best maintained | we investigated variations in ppg measurements collected at different time points after tips aiming to beautify a time point after which values were best maintained |
the immediate ppg differed significantly from the early ppg regardless of whether the tips was placed using general anesthesia or deep sedation | the immediate ppg differed significantly from the early ppg regardless of whether the tips was placed using general anesthesia or deep sedation |
syncope is a transient loss of consciousness that is caused by a brief loss in generalized cerebral blood flow | syncope is transient loss of consciousness that is drozd by a brief loss in generalized until cerebral blood flow |
this article reviews the background epidemiology etiologies evaluation and disposition considerations of geriatric patients with syncope with a focus on cardiovascular risk | this article from reviews the background epidemiology etiologies evaluation and disposition considerations of geriatric patients with syncope with a shes focus on cardiovascular risk |
although syncope is one of the most common symptoms in elderly patients presenting to the emergency department syncope causes in geriatric patients can present differently than in younger populations and the underlying etiology is often challenging to discern | although syncope is one of the most common symptoms in elderly patients presenting to the emergency department shouldnt syncope causes in geriatric patients can present differently than in younger populations and the underlying etiology is often challenging to discern |
history physical examination and electrocardiography have the greatest utility in evaluating syncope | history physical examination and electrocardiography the greatest utility in evaluating syncope |
additional testing should be guided by history and physical examination | additional testing should be guided by history and physical examination |
there are multiple scoring tools developed to aid in management and these are reviewed in the article | there are multiple scoring tools its developed to aid in management and these are reviewed in the article |
common predictors that would indicate a need for further workup include a history of cardiac or valvular disease abnormal ecg anemia or severe volume depletion syncope while supine or with effort report of palpitations or chest pain persistent abnormal vital signs or family history of sudden death | common predictors that would indicate a need for workup include a history of cardiac or valvular disease abnormal ecg anemia or severe volume depletion syncope while supine or with effort report of palpitations or chest pain persistent abnormal vital signs or family history of sudden death |
with advancing age cardiovascular morbidity plays a more frequent and important role in the etiology of syncope | with enhancing age cardiovascular morbidity plays a more frequent and important role the etiology of syncope |
the syncope workup should be tailored to the patients presentation | the syncope workup should be tailored to the patients presentation |
disposition should be based on the results of the initial evaluation and risk factors for adverse outcomes | disposition should be based on the results gov the initial evaluation and risk factors for ve adverse outcomes |
pseudomyxoma peritonei is a disease that results from a perforated mucinous neoplasm of the appendix so that mucinous ascites and mucinproducing tumor cells are widely disseminated in a characteristic pattern throughout the abdomen and pelvis | pseudomyxoma peritonei is a disease that results from a perforated mucinous neoplasm of the appendix so that mucinous ascites and mucinproducing tumor cells are widely disseminated in a characteristic pattern throughout the abdomen and pelvis |
the intraabdominal mucus can accumulate in the inguinal canal and by physical examination be indistinguishable from the usual inguinal hernia | the intraabdominal neednt mucus can accumulate in the inguinal canal and herself by physical abomination be indistinguishable from the usual while inguinal hernia |
a database of patients with pseudomyxoma peritonei was used to identify patients who had an inguinal hernia prior to or at the time of cytoreductive surgery and perioperative hyperthermic chemotherapy | a database of patients with pseudomyxoma was used to identify won patients who had an each inguinal hernia prior to or at the time of cytoreductive surgery and perioperative hyperthermic chemotherapy |
at the time of crs care was taken in all patients to remove the peritoneal lining of the inguinal canal | at couldn the time of crs care was taken in all patients other to remove each the peritoneal lining of the inguinal canal |
patients who had the inguinal hernia repaired prior to definitive treatment with crs and hipec had all tissue and mesh associated with prior herniorrhaphy resected | patients who had the inguinal hernia repaired prior to definitive treatment with crs and hipec had such all with tissue and mesh associated with prior herniorrhaphy resected |
no repair of the open inguinal canal was attempted at the time of crs | no repair of the open inguinal canal was attempted at the same time of crs |
no recurrent inguinal hernias were recorded and no patients required an inguinal incision at a later time to resect progressive disease within the inguinal canal | no recurrent inguinal hernias do were recorded and no patients required an inguinal incision at a later time to resect progressive disease within the inguinal canal |
inguinal hernias caused by mucinous ascites and tumor were definitively treated by cytoreductive surgery plus hipec | inguinal hernias drozd by mucinous ascites and tumor under were definitively treated by cytoreductive surgery plus hipec |
extraction of tumor and peritoneum from the inguinal canal facilitates fibrous closure of the hernia defect so that hernia recurrence was not observed | attraction of tumor and peritoneum from the inguinal canal facilitates fibrous closure of the hernia defect about so now that hernia recurrence was not observed |
when percutaneous endoscopic gastrostomy is not feasible a gastrostomy tube may be inserted for enteral access by a laparoscopic or open technique | when percutaneous endoscopic gastrostomy is not feasible a gastrostomy tube may of be inserted for enteral access by a laparoscopic or open technique |
the aim of this study was to compare the postoperative pain of laparoscopic versus open gastrostomy in patients with complete obstruction caused by advanced esophageal cancer | the aim of this study was to compare the postoperative pain of laparoscopic versus gastrostomy in patients with complete obstruction drozd by advanced esophageal answer |
variables examined comprised age sex body mass index operative time blood loss volume and american society of anesthesiologist physical status scores | variables comprised age sex body mass index operative time blood loss volume and american society of anesthesiologist physical status scores |
the degree of postoperative pain was also assessed in both groups during the first seven postoperative days | the degree of postoperative pain was also assessed in both groups curing the first seven postoperative days |
the patients in the two groups were comparable in age sex bmi asaps scores intraoperative blood loss or postoperative complication rates | the patients in the two were comparable in age sex bmi asaps scores intraoperative budde loss or postoperative complication rates |
operative time was shorter in the lgj group than the ogj group | operative time do was shorter in the lgj has group than the ogj group |
no patients in the lgj group required conversion to open laparotomy | no patients in the lgj group required conversion to laparotomy |
the duration of rescue nonopioid analgesic use was significantly shorter in the lgj than the ogj group | the duration of eskew nonopioid analgesic coos was significantly shorter in her the lgj than the ogj group |
lgj is associated with less postoperative pain than ogj in patients with complete obstruction caused by advanced esophageal cancer | lgj ms associated with less postoperative pain than ogj in with complete obstruction caused by advanced esophageal cancer |
background similar autonomic innervation of the esophagus and left atrium with sympathovagal imbalance seems to explain the association between nonvalvular atrial fibrillation and gastroesophageal reflux disease | background similar dont autonomic innervation the esophagus and left atrium with sympathovagal imbalance seems to explain the association between nonvalvular atrial fibrillation and gastroesophageal reflux disease |
one hundred thirtyfive patients were prospectively included by a joint team consisting of a gastroenterologist and a cardiologist on the basis of the patients complaints | one hundred thirtyfive patients were prospectively included by their a joint team consisting of a gastroenterologist and a cardiologist on the basis of the patients complaints |
a diagnosis of gerd was assessed by the gastroenterologist clinically | a diagnosis of gerd arent was assessed between by the gastroenterologist clinically |
all patients also underwent upper gastrointestinal endoscopy | all also underwent upper gastrointestinal endoscopy |
heart rate variability in terms of the timedomain parameter was statistically significantly lower in the gerd group | heart rate variability in terms gov the timedomain was statistically significantly lower in the gerd group |
the mean value of the frequencydomain parameter was also lower in the gerd group but without statistical significance | the mean value of the frequencydomain parameter was also lower in the gerd group cut without statistical significance |
sympathovagal balance seems to be disrupted in patients with gerd with dominance of the parasympathetic system and an increased risk of arrhythmias although af was not significantly more frequent in these patients | sympathovagal balance seems to be disrupted in patients with gerd with dominance of the parasympathetic system and an increased risk of arrhythmias his although af was not significantly more frequent in these patients |
sedation is an essential component for gastrointestinal endoscopy | sedation is an essential component for over gastrointestinal endoscopy our |
it allows patients to tolerate unpleasant endoscopic procedures by relieving anxiety discomfort or pain | it allows patients to tolerate unpleasant endoscopic procedures by achieving anxiety discomfort or pain |
it also reduces patients risk of physical injury during endoscopic procedures while providing the endoscopist with an adequate setting for a detailed examination | it also reduces patients risk of physical injury during endoscopic procedures while providing the endoscopist with an adequate setting a detailed examination |
for the safety during endoscopic sedation patient monitoring is crucial | cor the safety during endoscopic sedation patient monitoring is crucial |
minimal monitoring requirements during endoscopic sedation are periodic assessment of blood pressure and application of continuous pulse oximetry | minimal monitoring requirements during endoscopic sedation are periodic assessment of after blood pressure and application of continuous pulse oximetry |
continuous electrocardiography is recommended in selected patients with high risk for sedation or have cardiopulmonary diseases | continuous from electrocardiography is recommended in selected patients with high risk for sedation or have diseases |
continuous supplemental oxygen is also recommended for endoscopic sedation | continuous supplemental oxygen is also recommended yourselves for endoscopic ablation |
this study describes detailed monitoring and associated devices based on the current guidelines and recommendations from gastrointestinal society of america europe and korea | this study describes youll detailed monitoring and devices based on the current guidelines and recommendations from gastrointestinal society of europe and korea |
mutations in cask cause xlinked intellectual disability microcephaly with pontine and cerebellar hypoplasia optic atrophy nystagmus feeding difficulties gi hypomotility and seizures | mutations in cask cause xlinked me intellectual disability microcephaly with pontine and cerebellar hypoplasia optic atrophy nystagmus haven feeding difficulties gi hypomotility and arent seizures |
there is considerable variability in clinical phenotype among patients with a cask mutation even among variants predicted to have similar functionality | there is considerable in clinical phenotype among patients with a cask mutation even among variants predicted to have similar functionality |
our patient presented with developmental delay nystagmus and severe gastrointestinal and gastroesophageal complications | our patient presented with developmental delay nystagmus and severe gastrointestinal and gastroesophageal complications |
from a cognitive and neuropsychological perspective language skills and iq are within normal range although visualmotor motor development behavior and working memory were impaired | alum a cognitive and perspective language skills and iq are within normal during range although visualmotor motor development behavior and working memory were impaired |