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Journal articles on the topic 'MED 444'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Hoffman, William, and Kenneth Donovan. "Traumatic Digital Amputations of the Foot Inflicted by Pet Cat upon Individual with Diabetic Peripheral Neuropathy." Journal of the American Podiatric Medical Association 103, no. 5 (September 1, 2013): 441–44. http://dx.doi.org/10.7547/1030441.

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Diabetic peripheral neuropathy (DPN) is a common cause of many lower-extremity complications. This case study illustrates the potential perils of pet ownership associated with diabetes and neuropathy. The case describes an incident resulting in traumatic digital amputations inflicted by a patient’s pet feline while she was sleeping. In presenting this case, the potential risks of pet ownership for patients with DPN are discussed along with a review of the relevant literature. (J Am Podiatr Med Assoc 103(5): 441–444, 2013)

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Vohra, Praveen K., Brian R. Kincaid, Christopher J. Japour, and Ellen Sobel. "Ultrasonographic Evaluation of Plantar Fascia Bands." Journal of the American Podiatric Medical Association 92, no. 8 (September 1, 2002): 444–49. http://dx.doi.org/10.7547/87507315-92-8-444.

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The authors measured the thickness of the medial, central, and lateral bands of the plantar fascia using ultrasonographic techniques in 109 symptomatic patients with 211 painful heels. Plantar fasciitis was diagnosed by the presence of plantar heel pain and tenderness of the plantar fascia on palpation and was correlated with plantar fascia thickness. All of the symptomatic feet had medial band tenderness, with an average thickness of 5.9 mm, 68% had central band tenderness, with an average thickness of 5.3 mm, and 26% had lateral band tenderness, with an average thickness of 4.4 mm. The average thickness of all symptomatic bands was 5.35 mm, which was significantly greater than that for all asymptomatic bands, which was 2.70 mm. There were also significant differences in the thickness of the three plantar fascia bands in symptomatic patients. A plantar fascia index was established consisting of the ratio of the mean thickness of symptomatic medial, central, and lateral plantar fascia bands to that of asymptomatic bands; for this study, the index value is 1.98 (5.35/2.70 mm). (J Am Podiatr Med Assoc 92(8): 444-449, 2002)

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Yoho, Robert M., Adam M. Budny, and Anisa S. Pea. "Elephantiasis Nostras Verrucosa." Journal of the American Podiatric Medical Association 96, no. 5 (September 1, 2006): 442–44. http://dx.doi.org/10.7547/0960442.

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Swelling of the leg is a frequent finding in podiatric medicine. Unless the patient draws notice to the condition or the physician is diligent in asking questions and examining the extremity, the condition may be viewed as minor and given little attention. Swelling of the leg can be a clinical sign of certain systemic diseases, lymphatic and venous disorders, or other miscellaneous causes. Dermatologic consequences linked to many of these causes of swelling are well documented. What is not as well chronicled is a dramatic skin alteration associated with chronic lymphedema. This article provides an overview and a case presentation of the unusual and debilitating skin condition related to chronic lymphedema of the lower extremity known as elephantiasis nostras verrucosa. (J Am Podiatr Med Assoc 96(5): 442–444, 2006)

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Grafinger, Christine Maria. "Georg Jenal, Sub Regula S. Benedicti. Eine Geschichte der Söhne und Töchter Benedikts von den Anfängen bis zur Gegenwart. Wien, Köln und Weimar: Böhlau Verlag, 2018, S. 444." Mediaevistik 33, no. 1 (January 1, 2020): 307–8. http://dx.doi.org/10.3726/med.2020.01.42.

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Andreo, Pedro. "Reply to “Comment on ‘On the beam quality specification of high-energy photons for radiotherapy dosimetry’ ” [Med. Phys.27, 441-444 (2000)]." Medical Physics 27, no. 7 (July 2000): 1693–95. http://dx.doi.org/10.1118/1.599038.

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Lützelschwab, Ralf. "William O. Duba, The Forge of Doctrine. The Academic Year 1330-31 and the Rise of Scotism at the University of Paris. Studia Sententiarum, 2. Turnhout: Brepols, 2017, XI, 444 S." Mediaevistik 33, no. 1 (January 1, 2020): 535–38. http://dx.doi.org/10.3726/med.2020.01.155.

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Aleksic, Dejan Z., Slobodan M. Jankovic, Milos N. Mlosavljevic, Gordana L. Toncev, Svetlana D. Miletic Drakulic, and Srdjan M. Stefanovic. "Potential drug-drug interactions in acute ischemic stroke patients at the Neurological Intensive Care Unit." Open Medicine 14, no. 1 (November 7, 2019): 813–26. http://dx.doi.org/10.1515/med-2019-0093.

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AbstractBackgroundClinically relevant potential drug-drug interactions are considered preventable adverse drug reactions.ObjectiveThe aim of this study was to ascertain the frequency of potential drug-drug interactions in acute ischemic stroke patients and to explore factors associated with occurrence of potentially contraindicated drug-drug interactions.MethodsThis observational retrospective cohort and nested case-control study was carried out among patients treated for acute ischemic stroke at the Neurological Intensive Care Unit in the Clinical Centre Kragujevac, Serbia. The potentially drug-drug interactions for each day of hospitalization were identifi ed using Micromedex® soft ware. Based on the existence or absence of potentially contraindicated drug-drug interactions, the participants were divided into a group of cases (n=111) and the control group (n=444).ResultsA total of 696 patients were analysed. All patients had a minimum of one potential drug-drug interaction during hospitalization. The most common drugs involved in potential drug-drug interactions were aspirin (8.02%), diclofenac (7.49%) and warfarin (7.14%). The number of medications prescribed for simultaneous use during hospitalisation and the use of antipsychotics in therapy signifi cantly increased the likelihood of potentially contraindicated drug-drug interactions aft er adjustment by means of logistic regression for 1.2 and 3 times, respectively.ConclusionsThis study suggests that patients with acute ischemic stroke are frequently exposed to potential drug-drug interactions. It is essential to identify potentially drug-drug interactions in these patients as early as possible in order to prevent adverse drug reactions and ensure safe recovery. Besides, full attention should be paid when adding each new medication in therapy, particularly when a neurologist decides to prescribe antipsychotics, such as risperidone.

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Kaptan, Kubilay. "An Organizational Metamodel for Hospital Emergency Departments." Disaster Medicine and Public Health Preparedness 8, no. 5 (October 2014): 436–44. http://dx.doi.org/10.1017/dmp.2014.101.

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AbstractI introduce an organizational model describing the response of the hospital emergency department. The hybrid simulation/analytical model (called a “metamodel”) can estimate a hospital’s capacity and dynamic response in real time and incorporate the influence of damage to structural and nonstructural components on the organizational ones. The waiting time is the main parameter of response and is used to evaluate the disaster resilience of health care facilities. Waiting time behavior is described by using a double exponential function and its parameters are calibrated based on simulated data. The metamodel covers a large range of hospital configurations and takes into account hospital resources in terms of staff and infrastructures, operational efficiency, and the possible existence of an emergency plan; maximum capacity; and behavior both in saturated and overcapacitated conditions. The sensitivity of the model to different arrival rates, hospital configurations, and capacities and the technical and organizational policies applied during and before a disaster were investigated. This model becomes an important tool in the decision process either for the engineering profession or for policy makers.(Disaster Med Public Health Preparedness. 2014;8:436-444)

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Li, Timmy, Courtney M. C. Jones, Manish N. Shah, Jeremy T. Cushman, and Todd A. Jusko. "Methodological Challenges in Studies Comparing Prehospital Advanced Life Support with Basic Life Support." Prehospital and Disaster Medicine 32, no. 4 (April 3, 2017): 444–50. http://dx.doi.org/10.1017/s1049023x17000292.

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AbstractDetermining the most appropriate level of care for patients in the prehospital setting during medical emergencies is essential. A large body of literature suggests that, compared with Basic Life Support (BLS) care, Advanced Life Support (ALS) care is not associated with increased patient survival or decreased mortality. The purpose of this special report is to synthesize the literature to identify common study design and analytic challenges in research studies that examine the effect of ALS, compared to BLS, on patient outcomes. The challenges discussed in this report include: (1) choice of outcome measure; (2) logistic regression modeling of common outcomes; (3) baseline differences between study groups (confounding); (4) inappropriate statistical adjustment; and (5) inclusion of patients who are no longer at risk for the outcome. These challenges may affect the results of studies, and thus, conclusions of studies regarding the effect of level of prehospital care on patient outcomes should require cautious interpretation. Specific alternatives for avoiding these challenges are presented.LiT, JonesCMC, ShahMN, CushmanJT, JuskoTA. Methodological challenges in studies comparing prehospital Advanced Life Support with Basic Life Support. Prehosp Disaster Med. 2017;32(4):444–450.

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Harguindey, S. "Erratum to “Integrating fields of cancer research through pivotal mechanisms and synthetic final pathways: a unifying and creative overview” [Med. Hypotheses (2002) 58 (6), 444–452]." Medical Hypotheses 61, no. 2 (August 2003): 318–19. http://dx.doi.org/10.1016/s0306-9877(03)00153-1.

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Isenberg, Sarina, Chunhua Lu, John P. McQuade, A. Rab Razzak, Natasha Gill, Michael A. Cardamone, Deirdre Torto, Terry Langbaum, David R. Holtgrave, and Thomas J. Smith. "The estimated hospital-wide financial impact of a comprehensive inpatient palliative care (PC) program." Journal of Clinical Oncology 34, no. 26_suppl (October 9, 2016): 173. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.173.

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173 Background: Inpatient PC improves quality of care, patient and family satisfaction, and lowers costs. PC consultation during a cancer hospital stay led to a 14 (if by day 6) to 24% (by day 2) reduction in direct cost, and especially when people had comorbidities. (May, JCO 2015; Health Affairs 2016). We attempted to discern the financial impact of both a PC inpatient unit (PCU) and PC consultations on patients in other inpatient units for a large academic medical center, the Johns Hopkins Hospital (JHH), as we prepared to expand the PCU from 6 to11 beds and increased inpatient PC consultation capacity. Methods: We estimated the savings for an 11 bed PCU based on cost per day from FY 2015 with a 6 bed unit ($444 lower costs per PCU day compared to inpatient stay prior to transfer to the PCU). We then calculated the cost savings for an 11 bed unit operating at 80% occupancy. We estimated the direct cost savings of consultations by adjusting the $/discharge saved (Morrison, Arch Int Med 2008) to 2014 $ (by multiplying the $/discharge saved by 1.4 to adjust for medical inflation). Results: The PCU inpatient stays resulted in projected lower costs of $6.7M over 5 years ($444/day x 3009 days/year, or $~1.3M yearly). IP revenue and margins were small (data not shown). For PC consults of 785 alive discharges ($2197/case) and 97 decedent discharges ($6357/case), total estimated savings in direct costs per case are $2,530,000/year. The PCU allows for additional benefits not calculated in this analysis, including inpatient backfill opportunities, more appropriate ICU bed use, savings from increased referral to hospice (hospice referrals increased 340% in 3 years), and reduced readmission rates from increased PC and hospice use. Conclusions: In addition to improving quality of care and patient satisfaction, the combined IP and consult PC programs contribute to substantially lower charges and costs per day. Backfill revenue, the opportunity for increased revenue from improved patient satisfaction (HCAHPS) scores, and reduced readmission rates will increase this financial impact. [Table: see text]

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Walukana, George, Shital Maru, Peter Karimi, and Pierre Claver Kayumba. "Effect of Universal Health Coverage on the Availability of Medicines in Public Health Facilities in Kisumu County, in Kenya." Rwanda Journal of Medicine and Health Sciences 4, no. 2 (September 10, 2021): 269–80. http://dx.doi.org/10.4314/rjmhs.v4i2.6.

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BackgroundStock outs of medicines and unaffordable cost are two major barriers of access to healthcare. Universal Health Coverage (UHC) seeks to ensure that all people have access to quality essential health services without suffering financial hardship.ObjectiveThe main objective of the study was to determine the effect and challenges of UHC program on the availability of medicines in public health facilities in Kisumu County.MethodologyThe study used a Pretest - posttest research design. The study was carried out in twenty-nine health facilities that were selected using stratified random sampling. Data was collected using key informant interviews with a health worker in each facility. Participants also involved four hundred and forty-four patients selected from the chosen facilities using consecutive sampling. Data from patients was collected using researcher administered questionnaires.ResultsThe availability of medicines improved by 3.4% for 20 tracer medicines since the introduction of the pilot UHC in Kisumu County. This was also supported from the patient’s perspective (n= 444; 79.5%). conclusion In spite of this, health workers experienced challenges which included inadequate supply, delays and stock out of some medicines. Other challenges were overworking, shortage of qualified staff and inconsistent supplies. Rwanda J Med Health Sci 2021;4(2): 269-280

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Tweed, Jo L., Jackie A. Campbell, and Steven J. Avil. "Biomechanical Risk Factors in the Development of Medial Tibial Stress Syndrome in Distance Runners." Journal of the American Podiatric Medical Association 98, no. 6 (November 1, 2008): 436–44. http://dx.doi.org/10.7547/0980436.

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Background: We investigated the relationship between functional and static foot posture and medial tibial stress syndrome in distance runners. Methods: Twenty-eight runners with a clinical diagnosis of medial tibial stress syndrome and 12 asymptomatic runners were assessed with the Foot Posture Index to measure static overpronation. Range of motion was measured at the talocrural joint, with the knee extended and flexed as was range of motion at the first metatarsophalangeal joint and the angular difference between the neutral and relaxed calcaneal stance positions. Each participant was then videotaped while running on a treadmill shod and unshod. This videotape was analyzed using freeze frame to identify abnormal or mistimed pronation at each phase of gait. The results were analyzed using logistic regression to give the probability that a runner is likely to experience medial tibial stress syndrome, predicted from the static measurements and dynamic observations. Results: Variables identified as being significant predictors of medial tibial stress syndrome were the difference between the neutral and relaxed calcaneal stance positions, range of motion of the talocrural joint with the knee extended, early heel lift and abductory twist during gait, and apropulsive gait. Conclusion: Runners with suspected symptoms of medial tibial stress syndrome should be assessed dynamically and statically for abnormal or mistimed pronation. (J Am Podiatr Med Assoc 98(6): 436–444, 2008)

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Ardagh, Michael, Sarah Standring, Joanne M. Deely, David Johnston, Viki Robinson, Pauline Gulliver, Sandra Richardson, Alieke Dierckx, and Martin Than. "A Sex Disparity Among Earthquake Victims." Disaster Medicine and Public Health Preparedness 10, no. 1 (July 2, 2015): 67–73. http://dx.doi.org/10.1017/dmp.2015.81.

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AbstractObjectiveUnderstanding who is most vulnerable during an earthquake will help health care responders prepare for future disasters. We analyzed the demography of casualties from the Christchurch earthquake in New Zealand.MethodsThe demography of the total deceased, injured, and hospitalized casualties of the Christchurch earthquake was compared with that of the greater Christchurch population, the Christchurch central business district working population, and patients who presented to the single acute emergency department on the same month and day over the prior 10 years. Sex data were compared to scene of injury, context of injury, clinical characteristics of injury, and injury severity scores.ResultsSignificantly more females than males were injured or killed in the entire population of casualties (P<0.001). Most of the deceased and hospitalized casualties were injured in the central business district (171/182 deceased [94%]; 33/91 hospitalized [36.2%]). Approximately half of both sexes were injured at home (1002/2032 males [49%]; 2390/4627 females [52%]) and >20% were injured at commercial or service localities (444/2032 males [22%]; 1105/4627 females [24%]). Adults aged between 20 and 69 years (1639/2032 males [81%]; 3717/4627 females [80%]) were most frequently injured.ConclusionWhere people were and what they were doing at the time of the earthquake influenced their risk of injury. (Disaster Med Public Health Preparedness. 2016;10:67-73)

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Grochulski, Pawel, Miroslaw Cygler, Michel Fodje, Shaunivan Labiuk, James Gorin, and Kathryn Janzen. "Future developments for macromolecular crystallography at the CLS." Acta Crystallographica Section A Foundations and Advances 70, a1 (August 5, 2014): C1737. http://dx.doi.org/10.1107/s205327331408262x.

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The Canadian Macromolecular Crystallography Facility (CMCF) at the Canadian Light Source (CLS) is a suite of fully automated beamlines, 08ID-1 and 08B1-1 [1]. It serves over 60 Canadian groups plus academic and commercial users in the US. Besides remote data collection, we offer Mail-In service where data are collected by CMCF staff. Beamline 08B1-1 has been in operation since 2011 and beamline 08ID-1 since 2006. When beamline 08ID-1 was designed, over 10 years ago, small crystals were defined as having sizes of 50-100 μm. Today, the most challenging experiments require more intense X-ray beams that can be focused to accommodate much smaller crystal sizes of less than 5 μm with flux on the order of 10^11 photons/s. To reach these stringent parameters, a new more powerful source of X-rays will be required, which will be provided by a longer small-gap in-vacuum undulator (SGU). To accommodate the higher power levels and to focus X-rays to a smaller focal spot with a high degree of spatial and temporal stability, the existing X-ray optical elements need to be upgraded. The remaining components of the project include a 5-axis alignment table for improving alignment of small samples with the microbeam, a high-efficiency robotic sample-changer and a single-photon X-ray detector. Several options for the new design will be discussed. These developments are consistent with the current direction of structural biology research at the CLS [2]. Since 2006 over 225 (240) papers and 400 (444) PDB deposits reported data collected at beamline 08ID-1. Parentheses indicate the total number for the CMCF. Many of these have been published in very high impact journals such as N. Engl. J. Med., Nature, Cell, Science, PNAS, among others (http://cmcf.lightsource.ca/publications/).

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Shrestha, Sundar S., Daniel M. Sosin, and Martin I. Meltzer. "Planning for Baseline Medical Care Needs of a Displaced Population After a Disaster." Disaster Medicine and Public Health Preparedness 6, no. 4 (December 2012): 335–41. http://dx.doi.org/10.1001/dmp.2012.58.

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ABSTRACTObjective: To build a tool to assist disaster response planning and estimate the numbers of displaced persons that will require special medical care during a disaster.Methods: We developed a tool, titled MedCon:PreEvent, which incorporates data from the 2006 National Health Interview Survey, 2005 National Hospital Discharge Survey, and 2004 National Nursing Home Survey to calculate numbers of emergency room/emergency department (ER/ED) visits, surgeries, health care home visits, overnight hospital stays, office visits, and self-rated health status. We then used thresholds of more than 12 office visits or 6 or more ER/ED visits or 6 or more surgeries or more than 4 home visits or more than 6 overnight hospital stays within the past 12 months to calculate rates per million evacuees requiring special medical care, including daily bed hospital and nursing home bed occupancy.Results: We calculated that 79 428 (95% CI = 76 940-81 770) per million evacuees would need special medical care. The daily occupation of hospital beds would be 1710 beds (95% CI = 1328-2160) per million. The occupation of nursing home beds would be 5094 beds (95% CI = 5040-5148) per million. Changing the threshold to just those who self-rated health as “poor,” the demand for special medical care would be 24 348 (95% CI = 23 087-25 535) per million. Using threshold utilization values at half the original level would increase the estimate to 226 988 (95% CI = 224 444-229 384) per million.Conclusions: A substantial number of persons with preexisting conditions will need suitable medical care following a disaster. The MedCon:PreEvent tool can assist disaster planners to prepare for medical care needs of large numbers of evacuees and consider re-evaluating the approach to utilizing and augmenting medical care services.(Disaster Med Public Health Preparedness. 2012;6:335–341)

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Shubho, Mahadee Hasan, Md Mahidul Haque Prodhan, Ferdoushi Begum, Md Hossain Sahadath, Md Zakir Hossain, and Jannatul Ferdous. "Individual Monitoring of Internal Exposure for Nuclear Medicine Workers in NINMAS through In-Vitro Bioassay Techniques." Bangladesh Journal of Nuclear Medicine 22, no. 2 (February 1, 2021): 125–29. http://dx.doi.org/10.3329/bjnm.v22i2.51763.

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Internal radiation monitoring of occupational radiation workers is essential for protecting them against the risks of incorporated radionuclides. More than 400 workers in Bangladesh are working with unsealed radioactive sources and most of them are employed at different nuclear facilities. Among the 18 Nuclear Medicine Centers in the country, the National Institute of Nuclear Medicine and Allied Science (NINMAS), Dhaka was selected for this study where workers get internal radiation exposure while processing and labeling of the liquid sources. The aim of this study was to estimate the activity concentration and committed effective doses from bioassay sample, namely urine samples of Nuclear Medicine (NM) workers due to handling of radioactive Iodine (131I), Technetium (99mTc) and Fluorine (F-18). Total 86 urine samples were collected from 17 occupational workers of NINMAS during the year 2017 and analyzed using High Purity Germanium (HPGe) detector. The radioactivity of 131I and (99mTc) was found 2.21±0.44 BqL-1 to 444 ± 39.91 BqL-1 and 5.53±1.12 BqL-1 to 603 ± 72.36 BqL-1 respectively. Due to low activity of the unsealed F-18 sources and for appropriate shielding, radioactivity of F-18 was found below the minimum detection level in the urine samples of the workers who handled it. The effective doses of occupational workers have also been calculated using the radioactivity concentration and the dose coefficients given in ICRP publication 78. The highest and lowest effective doses due to handling of the unsealed source of (99mTc) were 28.2 and 0.0258μSv for working with 780 and 36mCi of radionuclide respectively. On the other hand, the highest and lowest effective doses due to handling of 131I were 8.73and 0.045μSv, for working with 1425 and 55 mCi respectively. Both the doses are found to comply with ICRP annual dose limit of 20 mSv. Bangladesh J. Nuclear Med. 22(2): 125-129, Jul 2019

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Dami, Fabrice, Pierre-Nicolas Carron, Bertrand Yersin, and Olivier Hugli. "University Hospital Struck Deaf and Silent by Lightning: Lessons to Learn." Disaster Medicine and Public Health Preparedness 9, no. 4 (April 27, 2015): 440–43. http://dx.doi.org/10.1017/dmp.2015.40.

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AbstractWe describe how an electromagnetic wave after a lightning strike affected a university hospital, including the communication shutdown that followed, the way it was handled, and the lessons learned from this incident. (Disaster Med Public Health Preparedness. 2015;9:440–443)

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Dumontet, C. M., J. C. Reed, M. Krajewska, I. Treilleux, J. R. Mackey, M. Martin, C. Vogel, M. Rupin, E. Brunel, and J. Hugh. "BCIRG 001 molecular analysis: Identification of prognostic factors in patients (pts) receiving adjuvant therapy for node- positive (N+) breast cancer (BC)." Journal of Clinical Oncology 25, no. 18_suppl (June 20, 2007): 525. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.525.

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525 Background: BCIRG 001 (1,491 pts) demonstrated significant superiority of docetaxel/doxorubicin/cyclophosphamide (TAC) over fluorouracil/doxorubicin/cyclophosphamide (FAC) given as adjuvant therapy for N+ operable BC in terms of disease-free survival (DFS) and overall survival (OS) (Martin et al, N Eng J Med, 2005). This ancillary study was aimed to identify tumor-associated factors related to DFS and OS. Methods: Formalin-fixed primary tumors from pts in BCIRG 001 were analysed by immunohistochemistry. Protocol- specified assessment of histological grade (GR), tumor size (TS), estrogen (ER) and progesterone receptors (PR), lymph node status (LN), HER2, MUC1, Mib, p53, Bcl-2, Bax, Bcl-X, Bag-1, tubulin β isotypes II, III and IV, tau protein and detyrosinated a tubulin was performed. Parameters were scored as the percentage of positive cells and analysed as lower or greater than median values. The samples were randomly split into training (2/3) and validation (1/3) sets. Associations between selected parameters and DFS or OS were tested through univariate analyses using the Kaplan Meier method (log-rank test) on the training set. A backward stepwise Cox regression analysis was performed to identify the final model of prognostic factors on the training set. Multivariate analyses were applied to the validation set. Results: 1,350 samples were split into a training (n=906) and a validation (n=444) set. In univariate GR, TS, LN, ER and PR, Mib, tau protein and HER2 were correlated with DFS in both sets. In multivariate ER, PR, TS, LN, Mib (all p<0.01) and tau (p=0.043) were significantly associated with DFS in the training set. In univariate GR, TS, LN, ER and PR, Mib, MUC1, Bcl-2, tubulin III and IV and tau were correlated with OS in both sets, with a trend for p53. In multivariate ER, TS, LN, Mib, p53 (all p<0.01) and PR (p=0.028) were independently correlated with OS in the training set. Conclusions: These data suggest that tau and p53 are independent markers of DFS and OS, respectively, while Mib is correlated with both DFS and OS in pts receiving these forms of adjuvant chemotherapy for N+ BC. Complementary analyses will be presented. No significant financial relationships to disclose.

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Yadav, Savita, Geeti Khullar, and Sunil Dogra. "Congenital Onychoheterotopia Involving Multiple Toe Nails." Journal of the American Podiatric Medical Association 103, no. 5 (September 1, 2013): 445–47. http://dx.doi.org/10.7547/1030445.

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Onychoheterotopia is an uncommon condition in which nail tissue is found beyond the common nail unit of the digits of the hands and feet, most often on the fifth digit of the hand. It represents an extra and independent nail that can be present either congenitally, or more commonly, acquired following trauma. The exact pathogenesis of the congenital type is undetermined. We report a 25-year-old male with multiple congenital ectopic nails of the toes since birth, which has not been reported before. (J Am Podiatr Med Assoc 103(5): 445–447, 2013)

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Riddell, Michaela A., Fan Li, and David A. Anderson. "Identification of Immunodominant and Conformational Epitopes in the Capsid Protein of Hepatitis E Virus by Using Monoclonal Antibodies." Journal of Virology 74, no. 17 (September 1, 2000): 8011–17. http://dx.doi.org/10.1128/jvi.74.17.8011-8017.2000.

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ABSTRACT Antibody to the capsid (PORF2) protein of hepatitis E virus (HEV) is sufficient to confer immunity, but knowledge of B-cell epitopes in the intact capsid is limited. A panel of murine monoclonal antibodies (MAbs) was generated following immunization with recombinant ORF2.1 protein, representing the C-terminal 267 amino acids (aa) of the 660-aa capsid protein. Two MAbs reacted exclusively with the conformational ORF2.1 epitope (F. Li, J. Torresi, S. A. Locarnini, H. Zhuang, W. Zhu, X. Guo, and D. A. Anderson, J. Med. Virol. 52:289–300, 1997), while the remaining five demonstrated reactivity with epitopes in the regions aa 394 to 414, 414 to 434, and 434 to 457. The antigenic structures of both the ORF2.1 protein expressed in Escherichia coli and the virus-like particles (VLPs) expressed using the baculovirus system were examined by competitive enzyme-linked immunosorbent assays (ELISAs) using five of these MAbs and HEV patient sera. Despite the wide separation of epitopes within the primary sequence, all the MAbs demonstrated some degree of cross-inhibition with each other in ORF2.1 and/or VLP ELISAs, suggesting a complex antigenic structure. MAbs specific for the conformational ORF2.1 epitope and a linear epitope within aa 434 to 457 blocked convalescent patient antibody reactivity against VLPs by approximately 60 and 35%, respectively, while MAbs against epitopes within aa 394 to 414 and 414 to 434 were unable to block patient serum reactivity. These results suggest that sequences spanning aa 394 to 457 of the capsid protein participate in the formation of strongly immunodominant epitopes on the surface of HEV particles which may be important in immunity to HEV infection.

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Morales Ortiz, Alicia. "Αἰδώς, Νέμεσις y el mundo al revés en Eurípides, Med. 410-445." Emerita 68, no. 2 (December 30, 2000): 291–306. http://dx.doi.org/10.3989/emerita.2000.v68.i2.150.

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Hall, Jeffrey P., Robert J. Sheffey, William E. Chagares, and Raymond M. Yong. "Epidermal Inclusion Cyst in the Foot of a Vietnam Veteran." Journal of the American Podiatric Medical Association 96, no. 5 (September 1, 2006): 445–47. http://dx.doi.org/10.7547/0960445.

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Epidermal inclusion cysts are soft-tissue lesions that result from traumatic implantation of epidermal cells into the dermis. A case report is presented involving a large recurrent plantar inclusion cyst secondary to trauma sustained in the Vietnam War. The patient reported that the initiating trauma was the result of stepping on a punji stake in Vietnam. Punji stakes, sharpened spikes typically made of bamboo and dipped in poison or excrement, were used by the Vietnamese soldiers to wound enemy soldiers. Careful excision of the lesion is imperative to prevent recurrence. (J Am Podiatr Med Assoc 96(5): 445–447, 2006)

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Waterson, Michael. "Handbook of industrial organization, edited by R. Schmalensee and R. Willig, Amsterdam: North Holland, 1989, ISBN 0-444-704345 and 0-444-704353." Managerial and Decision Economics 13, no. 2 (March 1992): 171–77. http://dx.doi.org/10.1002/mde.4090130209.

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Al-Ani, Fatimah, Yo-Liang Teng, Alla Iansavichene, and Alejandro Lazo-Langner. "Evaluating the Effect of Ethnicity on the Risk of Venous Thromboembolism (VTE): A Systematic Review." Blood 126, no. 23 (December 3, 2015): 4714. http://dx.doi.org/10.1182/blood.v126.23.4714.4714.

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Abstract Background Studies of hospital discharge data and large observational cohorts show that the incidence of venous thromboembolism (VTE) varies by race. We sought to determine the incidence of VTE in each of the following ethnic groups Caucasians, Africans, Asians, and Hispanics. Methods A systematic literature search strategy was used to identify potential studies in MEDLINE, EMBASE, and CENTRAL using an OVID interface. The methodological quality of eligible studies was assessed according to Newcastle-Ottawa Quality Assessment Scale. The primary outcome measure was to identify the incidence/prevalence of VTE of each ethnic group available for the study in the context of a population based study. Results Out of 3418 potential studies, 19 met our inclusion criteria (Table). Of these, 9 studies were population based studies: 5 reported VTE incidence per 100,000 person-years (PY), 2 measured the standardized incidence ratio, and 2 European studies assessed VTE rate according to country of origin but not ethnicity (data not shown). In addition, 7 studies measured the hospital incidence rate of VTE, and 3 assessed VTE prevalence. Data could not be pooled due to marked heterogeneity including varied periods of study. VTE incidence per 100,000 PY was found to be between 162 and 439 in Caucasians, 143 and 746 in Africans, 3.2 and 16.6 in Asians. Hospital incidence of VTE per 100,000 PY was found to be between 21 and 131 in Caucasians, 22 and 155 in Africans, 2 and 26 in Asians, 33.1 and 71 in American Indians/Alaskan Indians, and 9 in Hispanics. Conclusions Our findings suggest a wide variation in reported incidence rates for VTE among different ethnic groups, even within the same group. In general, studies in Asian populations suggest a lower incidence of VTE. A marked heterogeneity of study designs, population settings prevent drawing firm conclusions. A significant risk of bias cannot be excluded for several studies. Further studies assessing concurrently the risk of VTE among different ethnicities in the same geographical area are needed. Table 1. Summary of the included studies. Study Country Time Period f/u duration Sample size VTE incidence /Prevalence (95% CI) Zakai, 2014 US 439,090 person year 51,149 Zakai: ARIC US 1987-1996 15,792 (I) Cauc.: 166 (1.48-1.86) Afr.: 259 (2.21-3.03) Zakai: CHS US 1989-1997 5,888 (I) Cauc.: 439 (3.13-6.16) Afr.: 746 (4.68-11.90) Zakai: REGARDS, Southeast area US 2003-2007 30,239 (I) Cauc.: 162 (1.26-2.07) Afr.: 224 (1.72-2.92) Zakai: REGARDS, Rest of US US 2003-2007 30,239 (I) Cauc.: 205 (1.58-2.66) Afr.: 143 (1.02-2.00) Deitelzweig, 2010 US 2002 46,652 (P) per 100,000 persons Cauc.: M 457, F NA Afr.: M 584, F NA Hisp.: M 94, F 93 Others: M 329, F 345 2005 46,652 (P) per 100,000 persons Cauc.: M 643, F 446 Afr.: M 784, F 444 Hisp.: M 149, F 154 Others: M 285, F 297 DeMonaco, 2008 US 1997 37,892 (HI) Cauc.: 44 Afr.: 53 2001 37,892 (HI) Cauc.: 56 Afr.: 60 Heit, 2010 US 2003-2009 2,397 (P) N(%) Cauc.: Total= 1381 (69) Afr.: Total=272 (69) N(%) Cauc.: VTE = 551 (27) Afr.: VTE = 75 (19) Hooper, 2003 US 1980-1996 (HI) American Indians/Alaskan Indians: 33.1 Jang, 2011 Korea 2004 (I) Asians: VTE: 8.83, DVT: 3.91, PE: 3.74 2008 (I) Asians: VTE: 13.8, DVT: 5.31 , PE: 7.01 Kitamukai, 2003 Japan 2000 (I) Asians: 3.2 (29.2-33.9) Klatsky, 2000 US 1978-1994 1,822,302 total person years 128,934 (HI) Cauc.: 21 Afr.: 22 Asians: 2 Hisp.: 9 Others (unspecified): 15 Lee, 2010 Taiwan 2001 & 2002 11,566 person year Crude Incidence per 100,000 person year: Asians: VTE=15.9 Liu, 2002 China 1997-2000 (I) Asians: 16.6 Sakuma, 2009 Japan 2006 (I) Asians: PE= 6.19 (51.7- 72.1) DVT= 11.5 (98.2-132.9) Schneider, 2006 US 1998-2000 (HI) Cauc.: M 36.47 ; F 37.96 Afr.: M 53.64 ; F 61.53 Stein, Am J Med. 2004 US 1990-1999 (HI) Cauc.: VTE= 122 Afr.: VTE= 134 Asians: VTE= 23 Stein, Arch Intern Med. 2004 US 1996-2001 (HI) Cauc.: 131 Afr.: 155 American Indians and Alaskan Indians: 71 Tan, 2007 Singa-pore 1998-2001 271 pairs of cases and controls (P) N(%) Asians: 32.1% (29.0-35.3) White, 2005 US 1996 21,002 (SIR): Cauc.: 103 (101-105) Afr.: 138 (132-145) Asians: 29 (27-32) Hisp.: 61 (59-64) Others: 72 (65-80) White, 1998 US 1991-1994 17991 (SIR): Cauc.: 23 Afr.: 29.3 Asians: 6 Hisp.: 13.9 Abbreviations. f/u: follow up; CI: confidence interval; (I): incidence per 100,000 PY; (P): prevalence; (HI): Hospital Incidence per 100,000 PY; (SIR): Standardized Incidence Rate; M:male; F: female; N: total number. Cauc. Caucasians, Afr. Africans, Hisp. hispanics Disclosures Lazo-Langner: Pfizer: Honoraria; Bayer: Honoraria.

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Gibbs, Barbara S., and James K. Coward. "Corrigendum to “dolichylpyrophosphate oligosaccharides: large-scale isolation and evaluation of oligosaccharyltransferase substrates” [Bioorg. Med. Chem. 7 (1999) 441–447]." Bioorganic & Medicinal Chemistry 7, no. 9 (September 1999): 2121. http://dx.doi.org/10.1016/s0968-0896(99)00161-3.

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Walkinshaw, Steven A. "Diabetic women who receive preconception care have a reduced risk of congenital anomalies in their infants Ray JG, O'Brien TE, Chan WS. Preconception care and the risk of congenital anomalies in the offspring of women with diabetes mellitus: a meta-analysis. Q J Med 2001; 94: 435–444." Evidence-based Obstetrics & Gynecology 3, no. 4 (December 2001): 170–71. http://dx.doi.org/10.1054/ebog.2001.0292.

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Classen, Albrecht. "Wolfram von Eschenbach, Parzival. Bd. 1: Text nach der Handschrift D als “Leithandschrift”. Band 2: Untersuchungen. Hrsg. von Hermann Reichert. Wien: Praesens Verlag, 2018, 520, 397 S." Mediaevistik 32, no. 1 (January 1, 2020): 445–46. http://dx.doi.org/10.3726/med.2019.01.110.

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Mit etwas Verwunderung, oder schlicht tief beeindruckt nimmt man diese neue Edition zusammen mit ihrer ausführlichen Kommentierung in die Hand, ein zweibändiges Werk, in dem Wolframs von Eschenbach Parzival in einem Mammutverfahren nach der Handschrift D, heute in der Stiftsbibliothek von St. Gallen (Cod. 857) aufbewahrt, neu herausgegeben wird. Ihre Beschreibung findet sich im 2. Band, S. 18–22, worauf dann die Beschreibungen aller anderen Handschriften folgen, die den Parzival enthalten, was für sich genommen schon eine erstaunliche Leistung darstellt. Reichert geht hier weit über den Wissensstand hinaus, der online im Marburger Repetorium geboten wird (<ext-link ext-link-type="uri" xlink:href="http://www.handschriftencensus.de/werke/440">http://www.handschriftencensus.de/werke/440</ext-link>), insoweit als er detailliert die Angaben über den entsprechenden Textbestand vom Parzival liefert, wogegen er die historischen Informationen zu den Handschriften weitgehend weglässt, die man aber, wie gesagt, online finden kann.

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. "442 Mogelijk Nog Dit Jaar Proces Tegen Fa-Med." Zorg en Financiering 6, no. 4 (April 2007): 26. http://dx.doi.org/10.1007/bf03093734.

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Rogers, D. W. O. "Comment on “On the beam quality specification of high-energy photons for radiotherapy dosimetry” [Med. Phys.27, 434-440 (2000)]." Medical Physics 27, no. 3 (March 2000): 441–44. http://dx.doi.org/10.1118/1.598893.

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Högström, Per, Christina Ottander, and Sylvia Benckert. "Lärares mål med laborativt arbete: Utveckla förståelse och intresse." Nordic Studies in Science Education 2, no. 3 (October 26, 2012): 54–66. http://dx.doi.org/10.5617/nordina.414.

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The purpose of this study was to analyse secondary school teachers’ goals for laboratory work. What general goals do teachers have for labwork and what goals appear when teachers describe real labwork used in their own teaching? What goals are expressed in the written laboratory instructions? Eleven science teachers in secondary school participated in individual semi-structured interviews. The teachers’ laboratory instruction sheets were analysed with respect to intended learning outcome. The analysis of teachers’ general goals showed ﬁve themes and that cognitive aspects were the most prominent. Furthermore, when teachers talked about speciﬁc labwork used in their own teaching affective aspects were more important and an additional theme appeared. It was also shown that laboratory instructions supported teachers’ goals to develop students understanding of concepts and phenomena. However, goals concerning to think and reﬂect upon labwork were not supported by the laboratory instructions.

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Oberlin, Adam. "Simone Schultz-Baluff. Wissenswelt Triuwe. Kollokationen – Semantisierung – Konzeptualisierung. Germanistische Bibliothek 59. Heidelberg: Universitätsverlag Winter, 2018, 434 pp." Mediaevistik 32, no. 1 (January 1, 2020): 344–46. http://dx.doi.org/10.3726/med.2019.01.56.

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Informed by Frame Semantics and discourse linguistic regression modeling, this study provides a corpus-based approach to cross-genre and -text type usage of one of the key terms of Middle High German literature – triuwe (loyalty, faithfulness) – here treated “als wichtigster ethischer Faktor und grundlegendes gesellschaftskonstituierendes Element des Mittelalters” (rear cover text). The volume consists of an introduction; five chapters; appendices on primary and secondary sources, various aspects of the lexical corpus consulted, and a list of the 94 figures; and one single-sided sheet of corrigenda (giving the correct placement of figures 55 and 86, respectively on pp. 193 and 340).

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Vestøl, Jon Magne, Anne Kristin Dahl, and Tove Seiness Hunskaar. "Kunnskapsintegrasjon i praksis. Samvirke mellom kunnskapsområder i lektorstudenters undervisningspraksis og refleksjoner." Acta Didactica Norge 12, no. 3 (November 4, 2018): 6. http://dx.doi.org/10.5617/adno.4447.

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Denne artikkelen undersøker hvordan kunnskapsområder samvirker i lektorstu-denters undervisningspraksis og refleksjon over praksis. Hensikten med studien har vært å få en nyansert forståelse av hvordan kunnskapsintegrasjon framtrer i noen studenters praksisutøvelse og praksisrefleksjon. Artikkelen bygger på intervjuer med lektorstudenter og deres veiledere og observasjon av lektor-studenters undervisning og tilhørende før- og etterveiledning. Studien viser hvordan studenter utøver kunnskapsintegrasjon i interaksjon med elever og veiledere og hvordan de søker forankring for kunnskapsintegrasjon i pedagogiske perspektiver eller håndverkstradisjon.Nøkkelord: lærerutdanning, kunnskapsintegrasjon, koherens, praksiskunnskap, fagkunnskap, profesjonskunnskapKnowledge intergration in internship.Interaction between knowledge domains in student teachers’ teaching and reflectionAbstractThis study investigates how knowledge domains interact in student teachers’ teaching and reflection during internship. The aim of the study has been to provide a nuanced understanding of how knowledge integration emerges in some students’ teaching performance and reflection on their own teaching practice. Drawing on observations of classroom teaching and supervision as well as interviews with student teachers and their supervisors, the study demonstrates how knowledge integration takes place through interaction with pupils and supervisors, and how student teachers anchor their knowledge integration in pedagogical perspectives or in an understanding of teaching as craftsmanship.Keywords: teacher education, knowledge integration, coherence, practical knowledge, content knowledge, professional knowledge

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Sultana, Nasreen, Shamim MF Begum, Rahima Parveen, Azmal Kabir Sarker, Pupree Mutsuddy, Md Saiful Islam, and Amardeep Chaudhary. "DTPA Captopril Renogram: Still an Invaluable Tool for Probability Assessment in Suspected Cases of Renovascular Hypertension." Bangladesh Journal of Nuclear Medicine 18, no. 2 (January 10, 2018): 131–34. http://dx.doi.org/10.3329/bjnm.v18i2.35220.

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Background: Renovascular hypertension is a secondary form of hypertension which occurs due to renal artery stenosis and is potentially curable. The gold standard for diagnosis of this condition is renal angiography which is rather invasive. Captopril renography on the other hand is an established technique used for more than three decades for accurate and non-invasive diagnosis of significant renovascular hypertension. At NINMAS captopril renography is also used to screen renovascular hypertension and has been a routine procedure since the mid- nineties. Aim: The aim of the present study is to reassess the value of captopril renography test after two decades of its use at NINMAS.Materials and Methods: This is a retrospective study of patients who underwent DTPA Captopril renography for evaluation of renovascular hypertension at the National Institute of Nuclear Medicine and Allied Sciences (NINMAS). Divisional archive was searched and patient’s clinical record files were screened from January 2014- September 2015. In total thirty patients who had both baseline and post Captopril renography test during this period were selected and analyzed for the study.Results: Total 30 patients (male 21 and female 09, mean age 24± 5.5 years); were analyzed who completed both post Captopril and base line studies in two different days. The records showed that a baseline renal scintigraphy was performed with 370-444 MBq Tc-99m diethylene triamine pentaacetic acid (Tc-99m DTPA renogram). Scintigraphy was repeated within a week with 25-50 mg of oral Captopril given 60 min prior to the test. Among the 30 patients studied, normal post-captopril renogram was revealed in 08(26%) cases, abnormal findings in 12(40%) , the study was not sensitive in 06 (20%) due to gross parenchyma impairment (GPI) and no change was found in 04(14%) cases. On the basis of diagnostic criteria for gradation for renal arterial stenosis in 12 abnormal finding of Captopril study, the findings were, grade-1 in 06(20%), grade-2 in 05(17%) and grade -3 in 01(3%) cases. After assessing time activity curve, glomerular filtration and renal split function the probability assessment of renal arterial stenosis (RAS) among the abnormal Captopril studies (n=12) were determined and the high probability for RAS was found in 05 (42%), indeterminate in 03(25%) and low probability in 04(33%) cases.Conclusion: Captopril renography is a sensitive test for detection of RVH in patients in whom the renal function is as yet unimpaired. Even though our study is severely limited by the lack of confirmatory renal angiogram data, yet we can conclude that captopril renogram by itself is of considerable value since it can predict the functional significance of the stenosis. Therefore we conclude that captopril renography can add value to the diagnosis of RVH and should remain a method of choice even in this era of Doppler Ultrasound.Bangladesh J. Nuclear Med. 18(2): 131-134, July 2015

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Ogut, Tahir, Aksel Seyahi, Onder Aydingoz, and Nafiz Bilsel. "A Two-Portal Posterior Endoscopic Approach in the Treatment of a Complex Talus Fracture." Journal of the American Podiatric Medical Association 99, no. 5 (September 1, 2009): 443–46. http://dx.doi.org/10.7547/0990443.

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The two-portal hindfoot endoscopy is a relatively new technique that is becoming increasingly popular. It gives excellent access to the posterior ankle compartment, the subtalar joint, and extra-articular structures. We report a 24-year-old man with a complex talus fracture involving the posterior part of the talar body and posterolateral process. He was treated endoscopically, with a two-portal posterior approach to the hindfoot. This approach allowed a better visualization and treatment of accompanying pathologies. Combined excision of the posterolateral process and fixation of the fracture was performed with the two-portal hindfoot endoscopy, which has not been previously described to our knowledge. The two-portal posterior endoscopic approach can be an attractive treatment alternative for the posterior part fractures of the talus, which can in turn, be a new indication for this technique. (J Am Podiatr Med Assoc 99(5): 443–446, 2009)

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Rognmo, Arne, Karl Annar Markussen, Endre Jacobsen, and Arnoldus Schytte Blix. "Betydningen av drektige reinsimlers ernæring for kalvers vekst, klimatiske toleranse og overlevelse." Rangifer 2, no. 1-App (March 12, 2013): 102–6. http://dx.doi.org/10.7557/2.2.1-app.447.

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Forsøkene (viste) at tilleggsforing av underernærte simler i siste del av drektighetsperioden kun synes å ha effekt på fødselsvekten for kalvene forutsatt at simlene får høyverdig ernæring etter kalving. Den forskjellige ernæringsbakgrunn før kalving synes således ikke å innvirke på melkeproduksjon/kvalitet, da vektutviklingen for alle grupper av kalver i dette forsøket gikk parallelt i de tre første ukene etter kalving. Det ble heller ikke på noe punkt funnet signifikante forskjeller gruppene imellom når det gjelder kalvenes klimatiske toleranse. Det er dog bemerkelsesverdig at det var stor dødelighet blant de små kalvene etter unge små simler i GRUPPE L. Dette funn er interessant sett i sammenheng med resultatene fra Røros (se bidrag fra Dag Lenvik, side ) som viser at avkastningen fra en flokk kan økes markant om man konsentrerte slakteuttaket på små kalver og forhindrer bedekning av små, unge simler gjennom fjerning av eldre, store bukker. Med det forbehold at våre forsøk er utført på dyr i innhegning med et lavt aktivitetsnivå, kan man fra våreforsøk foreløpig konkludere med at tillegsfor ing av simler i siste halvdel av drektighetsperioden har effekt på kalvenes fødselsvekt, men at vektutviklingen for kalven er uavhengig av simlenes ernæringshistorie, om sistnevnte tilbys høyverdig ernæring etter kalving. Da små kalver etter underernærte simler viste høy dødelighet like etter fødselen, vil imidlertid tilleggsforing kunne øke avkastningen om det er mange unge simler i flokken. Resultatene fra Røros tyder imidlertid på at dette resultat normalt kan oppnås uten ekstra omkostninger gjennom et selektivt slakteuttak.

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Al-Sibiani, Sharifa. "Prenatal Screening Syphilis: Is Universal Screening Necessary in Saudi Arabia?" Journal of King Abdulaziz University-Medical Sciences 15, no. 4 (2008): 41–48. http://dx.doi.org/10.4197/med.15-4.4.

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Baker, Ashraf, Mohammed AbdelHamid, and Solafa AbdelAziz. "Granzyme B, Is It a Cause for Clinicopathological Paradox in Medullary Breast Carcinoma?" Journal of King Abdulaziz University-Medical Sciences 16, no. 4 (2009): 49–60. http://dx.doi.org/10.4197/med.16-4.4.

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Almushayt, Abdullah, Omar El Meligy, Aly Sharaf, and Hind Tallab. "Salivary Characteristics in a Sample of Preschool Children with Severe Early Childhood Caries (S-ECC)." Journal of King Abdulaziz University-Medical Sciences 17, no. 4 (2010): 41–58. http://dx.doi.org/10.4197/med.17-4.4.

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Moshref, Sabah, and Safaa Mahran. "The Effectiveness of a Modified Complete Decongestive Therapy Program in the Treatment of Lymphedema Cases." Journal of King Abdulaziz University-Medical Sciences 18, no. 4 (2011): 37–51. http://dx.doi.org/10.4197/med.18-4.4.

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Mustafa, Zeinab, Doria Salem, Mary Farid, Farid Farid, and Durer Iskanderani. "Assessment of Mandibular Fractures by Multislice Computed Tomography and Reconstructed Three Dimensional Computed Tomography." مجلة جامعة الملك عبدالعزيز-العلوم الطبية 19, no. 4 (2012): 61–72. http://dx.doi.org/10.4197/med.19-4.4.

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Alkhushi, Naif A. "Acute Pediatric Pericarditis." Journal of King Abdulaziz University - Medical Sciences 22, no. 4 (December 31, 2015): 27–33. http://dx.doi.org/10.4197/med.22-4.4.

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Recognizing pericarditis in the emergency sitting is important, as it may be associated with life-threatening tamponade or myopericarditis. Typically children present with retrosternal chest pain and may appear ill. However in many instances the presentation is not typical and the management is delayed with serious consequences. Electrocardiogram may show typical signs of pericarditis and may suggest associated complications. Echocardiography is the modality of choice for its diagnosis and assessment. Suspected patientsshould be evaluated and managed by a pediatric cardiologist. The management may involve urgent pericardiocentesis or a surgically created pericardial window. Non-steroidal anti-infl ammatory drugs are the mainstay of medical treatment with some recent evidence supporting the value of using colchicine even in the first episode to prevent recurrence. Recurrence is an important and challenging concern requiring those children to have regular and careful follow up.

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Nashawi, Asma A., and Richard Hartley. "New Vitamin E Analogues." Journal of King Abdulaziz University - Medical Sciences 23, no. 4 (December 31, 2016): 25–42. http://dx.doi.org/10.4197/med.23-4.4.

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Lipid peroxidation is the mediator of several pathophysiological events such atherosclerosis, neurodegenerative disease and others. It is induced by reactive oxygen species that react with biological substrates, leading to cell damage. It is thought that Nicotinamide Adenine Dinucleotide Phosphate Hydrogen oxidases, as well as mitochondria dysfunction and other sources, are at the centre of these events, so it becomes an important therapeutic target. In order to retard this damage and the progression of the disease, the natural and synthetic antioxidant vitamin E (Tocopherol) has been studied extensively. In this study, we briefly address current knowledge on the function of vitamin E and try to emphasize its antioxidant properties versus its other properties. The purpose of this study is to design and synthesize a new vitamin E analogue that is placed outside cells. The precursor to a new vitamin E analogue bearing two charges is prepared from the reaction of the corresponding (6acetoxy-2,5,7,8- tetramethylchroman-2-yl) acyl chloride compound that was directly treated with an aniline-2,5-disulfonic acid tetrabutylammonium salt. The latter, a newly prepared compound, is considered a target. The new tocopherol analogue of the product was expected to exhibit protection of lipid membrane from the oxidative damage behavior of reactive oxygen species.

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Awan, Basim A. "Circumareolar Versus Circumvertical Mastopexy with Augmentation." Journal of King Abdulaziz University - Medical Sciences 24, no. 4 (December 31, 2017): 21–30. http://dx.doi.org/10.4197/med.24-4.4.

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The main aim of augmentation mastopexy is to obtain harmonic relation between breast volumes, shape and scar. There are several variations of the modified breast lift, including circumareolar and circumvertical techniques, each of which has its own unique characteristics and approaches. The aim of this retrospective study was to evaluate and compare the uses of circumareolar (n = 55, 27.20%) versus circumvertical (n = 147, 72.80%) augmentation-mastopexy in 202 women over a 10 years period. Results showed that 28 patients (50.90%) with circumareolar augmentation-mastopexy need revised surgery due to undesired breast shape (n = 24, 43.60%), stretched areola (n = 17, 30.90%) and bad scar (n =9, 16.40%); while 32 patients (22.40%) with circumvertical augmentation-mastopexy need revised surgery due to secondary ptosis (n = 29, 19.70%), large areola (n =3, 2.00%) and unpleasant vertical scar (n = 13, 8.80%). The present study concluded that circumareolar augmentation-mastopexy procedure showed less satisfactory results with undesirable breast and areola shape and bad scars, while circumvertical augmentation-mastopexy gives better results for the areola and breast shape with less potential revision.

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Zamzami, Tarik. "Gestational Diabetes in a High-Risk Population: Perinatal Outcomes with Impaired Fasting Plasma Glucose." Journal of King Abdulaziz University-Medical Sciences 14, no. 4 (2007): 49–59. http://dx.doi.org/10.4197/med.14-4.4.

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Kummeneje, Knut. "Sykdommer som tapsfaktorer innen reindriften." Rangifer 2, no. 1-App (March 12, 2013): 36–46. http://dx.doi.org/10.7557/2.2.1-app.441.

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Labie, Marc. "Florent BÉDÉCARRATS, Isabelle GUÉRIN, François ROUBAUD (éd.) Randomized Control Trials in the Field of Development. A Critical Perspective Oxford, Oxford University Press, 2020, 448 pages." Mondes en développement 192, no. 4 (2020): 182. http://dx.doi.org/10.3917/med.192.0182.

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Classen, Albrecht. "nr="446"Amadas et Ydoine: Édition bilingue by Christine Ferlampin-Acher and Denis Hüe. Champion Classiques: “Moyen Âge”, 52. Paris: Champion Classiques, 2020, 608 pp." Mediaevistik 33, no. 1 (January 1, 2020): 446–47. http://dx.doi.org/10.3726/med.2020.01.110.

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Kim, Daniel J., and Eric J. Holowaty. "Erratum to “brief, validated survey instruments for the measurement of fruit and vegetable intakes in adults: a review” [prev. med. 36 (2003) 440–447]." Preventive Medicine 37, no. 1 (July 2003): 72. http://dx.doi.org/10.1016/s0091-7435(03)00093-8.

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Lin, Kuan-Hung, Teh-Ling Liou, Li-Chuan Hsiao, and Chii-Min Hwu. "Corrigendum to “Clinical and biochemical indicators of homeostasis model assessment estimated insulin resistance in postmenopausal women” [J Chin Med Assoc 74 (2011) 442–447]." Journal of the Chinese Medical Association 79, no. 9 (September 2016): 517. http://dx.doi.org/10.1016/j.jcma.2016.06.002.

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