Split (2)

train · 500 rows

Subsets and Splits

No community queries yet

The top public SQL queries from the community will appear here once available.

problem stringlengths 450 2.87k	answer stringclasses 3 values	messages listlengths 2 2
##Context To evaluate the degree to which histologic chorioamnionitis, a frequent finding in placentas submitted for histopathologic evaluation, correlates with clinical indicators of infection in the mother. A retrospective review was performed on 52 cases with a histologic diagnosis of acute chorioamnionitis from 2,...	yes	[ { "content": "##Context\n\nTo evaluate the degree to which histologic chorioamnionitis, a frequent finding in placentas submitted for histopathologic evaluation, correlates with clinical indicators of infection in the mother.\nA retrospective review was performed on 52 cases with a histologic diagnosis of acute...
##Context Complex regional pain syndrome type I is treated symptomatically. A protective effect of vitamin C (ascorbic acid) has been reported previously. A dose-response study was designed to evaluate its effect in patients with wrist fractures. In a double-blind, prospective, multicenter trial, 416 patients with 427...	yes	[ { "content": "##Context\n\nComplex regional pain syndrome type I is treated symptomatically. A protective effect of vitamin C (ascorbic acid) has been reported previously. A dose-response study was designed to evaluate its effect in patients with wrist fractures.\nIn a double-blind, prospective, multicenter tri...
##Context Fournier's gangrene is known to have an impact in the morbidity and despite antibiotics and aggressive debridement, the mortality rate remains high. To assess the morbidity and mortality in the treatment of Fournier's gangrene in our experience. The medical records of 14 patients with Fournier's gangrene who...	yes	[ { "content": "##Context\n\nFournier's gangrene is known to have an impact in the morbidity and despite antibiotics and aggressive debridement, the mortality rate remains high.\nTo assess the morbidity and mortality in the treatment of Fournier's gangrene in our experience.\nThe medical records of 14 patients wi...
##Context The aim of this study was to analyze the properties of the immune cell microenvironment of regional lymph nodes (LNs) positive for lung cancer. Twenty-four patients operated on for stages T1 and T2 of the NSCLC, were enrolled in the study. Peripheral blood and LN tissue were obtained from different lymph nod...	yes	[ { "content": "##Context\n\nThe aim of this study was to analyze the properties of the immune cell microenvironment of regional lymph nodes (LNs) positive for lung cancer.\nTwenty-four patients operated on for stages T1 and T2 of the NSCLC, were enrolled in the study. Peripheral blood and LN tissue were obtained...
##Context If pancreas transplantation is a validated alternative for type 1 diabetic patients with end-stage renal disease, the management of patients who have lost their primary graft is poorly defined. This study aims at evaluating pancreas retransplantation outcome. Between 1976 and 2008, 569 pancreas transplantati...	yes	[ { "content": "##Context\n\nIf pancreas transplantation is a validated alternative for type 1 diabetic patients with end-stage renal disease, the management of patients who have lost their primary graft is poorly defined. This study aims at evaluating pancreas retransplantation outcome.\nBetween 1976 and 2008, 5...
##Context It remains controversial whether there is a gender difference in survival of patients with resected non-small cell lung cancer. We retrospectively analyzed 2770 patients (1689 men and 1081 women) with non-small cell lung cancer who underwent pulmonary resection between 1995 and 2005 at the National Cancer Ce...	yes	[ { "content": "##Context\n\nIt remains controversial whether there is a gender difference in survival of patients with resected non-small cell lung cancer.\nWe retrospectively analyzed 2770 patients (1689 men and 1081 women) with non-small cell lung cancer who underwent pulmonary resection between 1995 and 2005 ...
##Context To assess the impact of the comprehensive HIV/STD Control Program established in Jamaica since the late 1980s on the HIV/AIDS epidemic. AIDS case reports, HIV testing of blood donors, antenatal clinic attenders (ANC), food service workers, sexually transmitted disease (STD) clinic attenders, female prostitut...	yes	[ { "content": "##Context\n\nTo assess the impact of the comprehensive HIV/STD Control Program established in Jamaica since the late 1980s on the HIV/AIDS epidemic.\nAIDS case reports, HIV testing of blood donors, antenatal clinic attenders (ANC), food service workers, sexually transmitted disease (STD) clinic at...
##Context The aim of this study was to evaluate poststapedectomy-delayed facial palsy etiopathogenesis, risk factors, evolution, and prevention. Seven hundred six stapedectomies performed in 580 patients were reviewed. In all patients who developed delayed facial palsy, the dates of onset and subside of facial palsy, ...	yes	[ { "content": "##Context\n\nThe aim of this study was to evaluate poststapedectomy-delayed facial palsy etiopathogenesis, risk factors, evolution, and prevention.\nSeven hundred six stapedectomies performed in 580 patients were reviewed. In all patients who developed delayed facial palsy, the dates of onset and ...
##Context Gallbladder carcinoma is characterized by delayed diagnosis, ineffective treatment and poor prognosis. Surgical resection has been thought to be the treatment of choice, while the role of radiotherapy as adjuvant or palliative treatment has not been fully clarified in the literature. We present the case of a...	yes	[ { "content": "##Context\n\nGallbladder carcinoma is characterized by delayed diagnosis, ineffective treatment and poor prognosis. Surgical resection has been thought to be the treatment of choice, while the role of radiotherapy as adjuvant or palliative treatment has not been fully clarified in the literature.\...
##Context The purpose of this study was to evaluate the value of elevated cardiac troponin I (cTnI) for prediction of complicated clinical course and in-hospital mortality in patients with confirmed acute pulmonary embolism (PE). This study was a retrospective chart review of patients diagnosed as having PE, in whom c...	yes	[ { "content": "##Context\n\nThe purpose of this study was to evaluate the value of elevated cardiac troponin I (cTnI) for prediction of complicated clinical course and in-hospital mortality in patients with confirmed acute pulmonary embolism (PE).\nThis study was a retrospective chart review of patients diagnose...
##Context This study aims to evaluate the efficacy of closed reduction and the effects of timing and fracture types on patient satisfaction. Only patients with isolated nasal fractures were included in the study. Patients with additional maxillofacial fractures and patients whose application time to our clinic was mor...	yes	[ { "content": "##Context\n\nThis study aims to evaluate the efficacy of closed reduction and the effects of timing and fracture types on patient satisfaction.\nOnly patients with isolated nasal fractures were included in the study. Patients with additional maxillofacial fractures and patients whose application t...
##Context To compare children's, parents' and physicians' perceptions of children's body size. We administered a structured questionnaire of body size perception using a descriptive Likert scale keyed to body image figures to children ages 12 to 18 years. The same scale was given to parents of children ages 5 to 18 ye...	yes	[ { "content": "##Context\n\nTo compare children's, parents' and physicians' perceptions of children's body size.\nWe administered a structured questionnaire of body size perception using a descriptive Likert scale keyed to body image figures to children ages 12 to 18 years. The same scale was given to parents of...
##Context To describe clinical characteristics of oral mucoceles/ranulas, with a focus on human immunodeficiency virus (HIV)-related salivary gland diseases. A descriptive and clinical study, with review of patient data. We reviewed 113 referred cases of oral mucocele. The following anatomical sites were identified: l...	yes	[ { "content": "##Context\n\nTo describe clinical characteristics of oral mucoceles/ranulas, with a focus on human immunodeficiency virus (HIV)-related salivary gland diseases.\nA descriptive and clinical study, with review of patient data.\nWe reviewed 113 referred cases of oral mucocele. The following anatomica...
##Context To evaluate the usefulness of half-dose contrast-enhanced magnetic resonance (MR) angiography for depicting the abdominal aorta and its major branches. A total of 72 consecutive patients were randomly assigned to one of four groups that underwent MR angiography after receiving different concentrations (origi...	yes	[ { "content": "##Context\n\nTo evaluate the usefulness of half-dose contrast-enhanced magnetic resonance (MR) angiography for depicting the abdominal aorta and its major branches.\nA total of 72 consecutive patients were randomly assigned to one of four groups that underwent MR angiography after receiving differ...
##Context To evaluate the effects of insulin 30/70 twice daily or bedtime isophane (NPH) insulin plus continued sulfonylurea and metformin in patients with type 2 diabetes in primary care. Open-label, randomized trial. Persons younger than 76 years with type 2 diabetes whose disease had not been controlled with oral h...	yes	[ { "content": "##Context\n\nTo evaluate the effects of insulin 30/70 twice daily or bedtime isophane (NPH) insulin plus continued sulfonylurea and metformin in patients with type 2 diabetes in primary care.\nOpen-label, randomized trial.\nPersons younger than 76 years with type 2 diabetes whose disease had not b...
##Context The impact of different strategies for management of intercostal and lumbar arteries during repair of thoracic and thoracoabdominal aortic aneurysms (TAA/A) on the prevention of paraplegia remains poorly understood. One hundred consecutive patients with intraoperative monitoring of motor evoked potentials (M...	yes	[ { "content": "##Context\n\nThe impact of different strategies for management of intercostal and lumbar arteries during repair of thoracic and thoracoabdominal aortic aneurysms (TAA/A) on the prevention of paraplegia remains poorly understood.\nOne hundred consecutive patients with intraoperative monitoring of m...
##Context We have previously reported the feasibility of diagnostic and therapeutic peritoneoscopy including liver biopsy, gastrojejunostomy, and tubal ligation by an oral transgastric approach. We present results of per-oral transgastric splenectomy in a porcine model. The goal of this study was to determine the tech...	yes	[ { "content": "##Context\n\nWe have previously reported the feasibility of diagnostic and therapeutic peritoneoscopy including liver biopsy, gastrojejunostomy, and tubal ligation by an oral transgastric approach. We present results of per-oral transgastric splenectomy in a porcine model. The goal of this study w...
##Context Arterial calcification is a significant cardiovascular risk factor in hemodialysis patients. A series of factors are involved in the process of arterial calcification; however, the relationship between malnutrition and arterial calcification is still unclear. 68 hemodialysis patients were enrolled in this st...	yes	[ { "content": "##Context\n\nArterial calcification is a significant cardiovascular risk factor in hemodialysis patients. A series of factors are involved in the process of arterial calcification; however, the relationship between malnutrition and arterial calcification is still unclear.\n68 hemodialysis patients...
##Context To define the concentrations of inhibin in serum and tissue of patients with hydatidiform mole and assess their value as a clinical marker of the condition. Prospective study of new patients with hydatidiform mole, comparison of paired observations, and case-control analysis. A university hospital, two large...	yes	[ { "content": "##Context\n\nTo define the concentrations of inhibin in serum and tissue of patients with hydatidiform mole and assess their value as a clinical marker of the condition.\nProspective study of new patients with hydatidiform mole, comparison of paired observations, and case-control analysis.\nA univ...
##Context To examine the clinical effect (efficacy and tolerability) of high doses of zonisamide (ZNS) (>500 mg/d) in adult patients with pharmacoresistant epilepsy. Between 2006 and 2013, all epileptic outpatients treated with high doses of ZNS were selected. Safety and efficacy were assessed based on patient and car...	yes	[ { "content": "##Context\n\nTo examine the clinical effect (efficacy and tolerability) of high doses of zonisamide (ZNS) (>500 mg/d) in adult patients with pharmacoresistant epilepsy.\nBetween 2006 and 2013, all epileptic outpatients treated with high doses of ZNS were selected. Safety and efficacy were assessed...
##Context A 2008 expert consensus statement outlined the minimum frequency of follow-up of patients with cardiovascular implantable electronic devices (CIEDs). We studied 38 055 Medicare beneficiaries who received a new CIED between January 1, 2005, and June 30, 2009. The main outcome measure was variation of follow-u...	yes	[ { "content": "##Context\n\nA 2008 expert consensus statement outlined the minimum frequency of follow-up of patients with cardiovascular implantable electronic devices (CIEDs).\nWe studied 38 055 Medicare beneficiaries who received a new CIED between January 1, 2005, and June 30, 2009. The main outcome measure ...
##Context Minority patients with cancer experience worse control of their pain than do their white counterparts. This disparity may, in part, reflect more miscommunication between minority patients and their physicians. Therefore, we examined whether patient coaching could reduce disparities in pain control in a secon...	yes	[ { "content": "##Context\n\nMinority patients with cancer experience worse control of their pain than do their white counterparts. This disparity may, in part, reflect more miscommunication between minority patients and their physicians. Therefore, we examined whether patient coaching could reduce disparities in...
##Context To investigate whether the Patient Health Questionnaire-9 (PHQ-9) possesses the essential psychometric characteristics to measure depressive symptoms in people with visual impairment. The PHQ-9 scale was completed by 103 participants with low vision. These data were then assessed for fit to the Rasch model. ...	yes	[ { "content": "##Context\n\nTo investigate whether the Patient Health Questionnaire-9 (PHQ-9) possesses the essential psychometric characteristics to measure depressive symptoms in people with visual impairment.\nThe PHQ-9 scale was completed by 103 participants with low vision. These data were then assessed for...
##Context To evaluate the efficacy of extracorporeal shock wave lithotripsy (SWL) on lower calyceal calculi in relation to the renal anatomical factors and determine which of these factors can be used to select patients who will benefit from SWL. We analyzed retrospectively 78 patients with single radiopaque lower cal...	yes	[ { "content": "##Context\n\nTo evaluate the efficacy of extracorporeal shock wave lithotripsy (SWL) on lower calyceal calculi in relation to the renal anatomical factors and determine which of these factors can be used to select patients who will benefit from SWL.\nWe analyzed retrospectively 78 patients with si...
##Context The cytomorphology of liquid-based preparations in urine cytology is different than classic slide preparations. To compare the performance of liquid-based preparation specimens to classically prepared urine specimens with a malignant diagnosis in the College of American Pathologists Interlaboratory Compariso...	yes	[ { "content": "##Context\n\nThe cytomorphology of liquid-based preparations in urine cytology is different than classic slide preparations.\nTo compare the performance of liquid-based preparation specimens to classically prepared urine specimens with a malignant diagnosis in the College of American Pathologists ...
##Context To determine whether there are differences between blood pressure (BP) measured by the nurse (NBP), BP measured by the physician (PBP) and self-measured BP in treated hypertensive patients and, if found, to evaluate their clinical importance. An observational study is carried out with hypertensive patients r...	yes	[ { "content": "##Context\n\nTo determine whether there are differences between blood pressure (BP) measured by the nurse (NBP), BP measured by the physician (PBP) and self-measured BP in treated hypertensive patients and, if found, to evaluate their clinical importance.\nAn observational study is carried out wit...
##Context From March 2007 to January 2011, 88 DBE procedures were performed on 66 patients. Indications included evaluation anemia/gastrointestinal bleed, small bowel IBD and dilation of strictures. Video-capsule endoscopy (VCE) was used prior to DBE in 43 of the 66 patients prior to DBE evaluation. The mean age was 6...	yes	[ { "content": "##Context\n\nFrom March 2007 to January 2011, 88 DBE procedures were performed on 66 patients. Indications included evaluation anemia/gastrointestinal bleed, small bowel IBD and dilation of strictures. Video-capsule endoscopy (VCE) was used prior to DBE in 43 of the 66 patients prior to DBE evalua...
##Context Cancer of the buccal mucosa is an uncommon and aggressive neoplasm of the oral cavity. Less than 2% of patients treated for cancer of the oral cavity at Roswell Park Cancer Institute (RPCI) from 1971 to 1997 had primary buccal cancers. Because the majority of these patients did not undergo any adjuvant treat...	no	[ { "content": "##Context\n\nCancer of the buccal mucosa is an uncommon and aggressive neoplasm of the oral cavity. Less than 2% of patients treated for cancer of the oral cavity at Roswell Park Cancer Institute (RPCI) from 1971 to 1997 had primary buccal cancers. Because the majority of these patients did not un...
##Context To be able to adhere to discharge instructions after a visit to the emergency department (ED), patients should understand both the care that they received and their discharge instructions. The objective of this study is to assess, at discharge, patients' comprehension of their ED care and instructions and th...	no	[ { "content": "##Context\n\nTo be able to adhere to discharge instructions after a visit to the emergency department (ED), patients should understand both the care that they received and their discharge instructions. The objective of this study is to assess, at discharge, patients' comprehension of their ED care...
##Context To assess pain-related attentional biases among individuals with episodic migraine. Prior studies have examined whether chronic pain patients selectively attend to pain-related stimuli in the environment, but these studies have produced largely mixed findings and focused primarily on patients with chronic mu...	no	[ { "content": "##Context\n\nTo assess pain-related attentional biases among individuals with episodic migraine.\nPrior studies have examined whether chronic pain patients selectively attend to pain-related stimuli in the environment, but these studies have produced largely mixed findings and focused primarily on...
##Context Changes in the spectrum of general surgery and the delivery of surgical care have placed the requirement for a mandatory general surgery rotation in the surgical clerkship in question. We tested the hypothesis that equal mastery of surgical clerkship objectives can be obtained in a clerkship with and without...	no	[ { "content": "##Context\n\nChanges in the spectrum of general surgery and the delivery of surgical care have placed the requirement for a mandatory general surgery rotation in the surgical clerkship in question.\nWe tested the hypothesis that equal mastery of surgical clerkship objectives can be obtained in a c...
##Context There is increasing concern amongst educators that the provision of recorded lectures may reduce student attendance of live lectures. We therefore sought to determine if the provision of prerecorded lecture video podcasts (VODcasts) to first-year Graduate Entry to Medicine (GEM) students, affected attendance...	no	[ { "content": "##Context\n\nThere is increasing concern amongst educators that the provision of recorded lectures may reduce student attendance of live lectures. We therefore sought to determine if the provision of prerecorded lecture video podcasts (VODcasts) to first-year Graduate Entry to Medicine (GEM) stude...
##Context The aim of the study was to evaluate, if elderly persons are sufficiently protected against infectious diseases by vaccination. 300 elderly (>60 years) and 300 young (<35 years) persons from five Austrian cities were recruited according to the criteria of a field study. Antibody concentrations against tetanu...	no	[ { "content": "##Context\n\nThe aim of the study was to evaluate, if elderly persons are sufficiently protected against infectious diseases by vaccination.\n300 elderly (>60 years) and 300 young (<35 years) persons from five Austrian cities were recruited according to the criteria of a field study. Antibody conc...
##Context The optimal age at which to perform orchiopexy for cryptorchidism has long been debated. The aim of this study was to determine if age at orchiopexy affected testicular atrophy. A retrospective review of patients undergoing orchiopexy from 2000 to 2010 was conducted. An individual testis, rather than patient...	no	[ { "content": "##Context\n\nThe optimal age at which to perform orchiopexy for cryptorchidism has long been debated. The aim of this study was to determine if age at orchiopexy affected testicular atrophy.\nA retrospective review of patients undergoing orchiopexy from 2000 to 2010 was conducted. An individual te...
##Context We aimed to investigate the glomerular hyperfiltration due to pregnancy in women with more parities. Five hundred women aged 52.57 +/- 8.08 years, without a history of hypertension, diabetes mellitus or complicated pregnancy were involved in the study. They were divided into three groups. Group 1: women with...	no	[ { "content": "##Context\n\nWe aimed to investigate the glomerular hyperfiltration due to pregnancy in women with more parities.\nFive hundred women aged 52.57 +/- 8.08 years, without a history of hypertension, diabetes mellitus or complicated pregnancy were involved in the study. They were divided into three gr...
##Context The aim of this study was to investigate the influence of the pharmacokinetics of s.c. anti-TNF agents on the grade of US-detected synovitis in RA patients. Fifty RA patients were prospectively recruited from the Biologic Therapy Unit of our hospital. Inclusion criteria were being in treatment with s.c. anti...	no	[ { "content": "##Context\n\nThe aim of this study was to investigate the influence of the pharmacokinetics of s.c. anti-TNF agents on the grade of US-detected synovitis in RA patients.\nFifty RA patients were prospectively recruited from the Biologic Therapy Unit of our hospital. Inclusion criteria were being in...
##Context The CLASS Act, which was part of the Affordable Care Act of 2010, established a voluntary personal assistance services (PAS) insurance program. However, concerns about enrollment and adverse selection led to repeal of the CLASS Act in 2013. To estimate the number of middle-aged adults interested in purchasin...	no	[ { "content": "##Context\n\nThe CLASS Act, which was part of the Affordable Care Act of 2010, established a voluntary personal assistance services (PAS) insurance program. However, concerns about enrollment and adverse selection led to repeal of the CLASS Act in 2013.\nTo estimate the number of middle-aged adult...
##Context Medical records of 121 people who received inpatient rehabilitation were retrospectively screened; records of 50 people discharged home and at high falls risk (fall in last 12 months, fall preceding/during admission) were audited. Data extracted included falls risk identification during rehabilitation and in...	no	[ { "content": "##Context\n\nMedical records of 121 people who received inpatient rehabilitation were retrospectively screened; records of 50 people discharged home and at high falls risk (fall in last 12 months, fall preceding/during admission) were audited. Data extracted included falls risk identification duri...
##Context We evaluated the differences between percutaneous ethanol injection with and without aspiration of ethanol-mixed fluid for treatment of benign cystic thyroid nodules. We examined 60 patients with benign cystic thyroid nodules confirmed by fine-needle aspiration biopsy and divided them into 2 groups according...	no	[ { "content": "##Context\n\nWe evaluated the differences between percutaneous ethanol injection with and without aspiration of ethanol-mixed fluid for treatment of benign cystic thyroid nodules.\nWe examined 60 patients with benign cystic thyroid nodules confirmed by fine-needle aspiration biopsy and divided the...
##Context Juvenile and adult forms of ankylosing spondylitis (AS) have been shown to have different clinical presentation and outcome in Caucasians. We did this retrospective analysis to see if similar differences exist in the Indian population. Case records of 210 Indian patients diagnosed with AS according to modifi...	no	[ { "content": "##Context\n\nJuvenile and adult forms of ankylosing spondylitis (AS) have been shown to have different clinical presentation and outcome in Caucasians. We did this retrospective analysis to see if similar differences exist in the Indian population.\nCase records of 210 Indian patients diagnosed wi...