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Answer the question based on the following context: To examine selected pregnancy outcomes in women without gestational diabetes mellitus to see whether there was a continuum of risk related to the maternal glucose level. Consecutive women attending two prenatal clinics and three obstetricians in private practice were ...
Pregnancy outcomes in women without gestational diabetes mellitus related to the maternal glucose level. Is there a continuum of risk?
In normal women there is a continuum of risk related to the maternal glucose level 2 h after a glucose tolerance test for the probability of having an assisted delivery and the likelihood of the baby being admitted to an SCN. The chance of having pregnancy-induced hypertension or a LGA baby also increased as the matern...
Question: Pregnancy outcomes in women without gestational diabetes mellitus related to the maternal glucose level. Is there a continuum of risk? Answer: In normal women there is a continuum of risk related to the maternal glucose level 2 h after a glucose tolerance test for the probability of having an assisted delive...
Answer the question based on the following context: To evaluate the value of full field optical coherence tomography (FFOCT) for cancer detection on prostate biopsies Eight consecutive patients who underwent prostate biopsies for an elevated PSA or suspicious DRE findings were included in the study. For each patient, o...
Full field optical coherence tomography of prostate biopsies: a step towards pre-histological diagnosis?
FFOCT of prostate biopsy cores seemed to be feasible and to allow concordant results with those of pathological analysis in the majority of the cases.
Question: Full field optical coherence tomography of prostate biopsies: a step towards pre-histological diagnosis? Answer: FFOCT of prostate biopsy cores seemed to be feasible and to allow concordant results with those of pathological analysis in the majority of the cases.
Answer the question based on the following context: The objective of this study was to review the management of paranasal sinus mucoceles with skull-base and/or orbital erosion in the endoscopic era. A retrospective data analysis. A chart review was performed on 57 patients treated from January 2001 to March 2007. The ...
Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient?
The endoscopic approach can be safely used for the management of mucoceles with skull-base and/or orbital erosion. Open adjunct approaches can be avoided in most cases.
Question: Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient? Answer: The endoscopic approach can be safely used for the management of mucoceles with skull-base and/or orbital erosion. Open adjunct approaches can be avoided in most cases.
Answer the question based on the following context: To investigate whether an intervention designed to improve overall immunisation uptake affected social inequalities in uptake. Cross-sectional small area analyses measuring immunisation uptake in cohorts of children before and after intervention. Small areas classifie...
Do interventions that improve immunisation uptake also reduce social inequalities in uptake?
Despite substantial increase in immunisation uptake, inequalities between deprived and affluent areas persisted or became wider. Any reduction in inequality occurred only after uptake in affluent areas approached 95%. Interventions that improve overall uptake of preventive measures are unlikely to reduce social inequal...
Question: Do interventions that improve immunisation uptake also reduce social inequalities in uptake? Answer: Despite substantial increase in immunisation uptake, inequalities between deprived and affluent areas persisted or became wider. Any reduction in inequality occurred only after uptake in affluent areas approa...
Answer the question based on the following context: Suboptimally debulked patients with advanced ovarian cancer who are treated with a combination of cisplatin plus paclitaxel (TP therapy) have a better survival as compared to patients treated with a combination of cisplatin plus cyclophosphamide (CP therapy), but this...
Is platinum-based chemotherapy with paclitaxel effective in optimally debulked patients with advanced ovarian cancer?
We could not show that ovarian cancer patients with residual disease of<or=2cm who were treated with TP had better survival as compared to patients who were treated with CP. Taking into account the high costs of treatment with TP, a randomized trial comparing the effects of TP therapy and CP therapy in optimally debulk...
Question: Is platinum-based chemotherapy with paclitaxel effective in optimally debulked patients with advanced ovarian cancer? Answer: We could not show that ovarian cancer patients with residual disease of<or=2cm who were treated with TP had better survival as compared to patients who were treated with CP. Taking in...
Answer the question based on the following context: The purpose of this study was to characterize total homocysteine (tHcy) levels at birth in preterm and term infants and identify associations with intraventricular hemorrhage (IVH) and other neonatal outcomes such as mortality, sepsis, necrotizing enterocolitis, bronc...
Homocysteine levels in preterm infants: is there an association with intraventricular hemorrhage?
In our population of preterm infants, there is no association between IVH and tHcy. Male gender, prenatal steroids and preeclampsia were associated with differences in tHcy levels.
Question: Homocysteine levels in preterm infants: is there an association with intraventricular hemorrhage? Answer: In our population of preterm infants, there is no association between IVH and tHcy. Male gender, prenatal steroids and preeclampsia were associated with differences in tHcy levels.
Answer the question based on the following context: OBJECTIVE • To determine how the presence of MP on T1 biopsy specimens affects the outcome of patients undergoing RC as compared to when no MP is identified in the TURBT specimen. • Patients were retrospectively identified from the Columbia University Urologic Oncolog...
Does the presence of muscularis propria on transurethral resection of bladder tumour specimens affect the rate of upstaging in cT1 bladder cancer?
• The lack of MP on TURBT for high grade cT1N0M0 bladder cancer portends a high likelihood of upstaging at RC, although this risk did not translate into a detectable increased risk of disease specific mortality.
Question: Does the presence of muscularis propria on transurethral resection of bladder tumour specimens affect the rate of upstaging in cT1 bladder cancer? Answer: • The lack of MP on TURBT for high grade cT1N0M0 bladder cancer portends a high likelihood of upstaging at RC, although this risk did not translate into a...
Answer the question based on the following context: The pressure on healthcare services worldwide has driven the incorporation of disease state management services within community pharmacies in developed countries. Pharmacists are recognised as the most accessible healthcare professionals, and the incorporation of the...
Can a pharmacy intervention improve the metabolic risks of mental health patients?
The developed framework allowed effective evaluation of the service, and may be applicable to other pharmacy services. The metabolic clinic met key process, quality and outcomes indicators. The positive patient outcomes may assist in securing further funding.
Question: Can a pharmacy intervention improve the metabolic risks of mental health patients? Answer: The developed framework allowed effective evaluation of the service, and may be applicable to other pharmacy services. The metabolic clinic met key process, quality and outcomes indicators. The positive patient outcome...
Answer the question based on the following context: To determine the effect of age on hospital resource use for seriously ill adults, and to explore whether age-related differences in resource use are explained by patients' severity of illness and preferences for life-extending care. Prospective cohort study. Five geog...
Seriously ill hospitalized adults: do we spend less on older patients?
Compared with similar younger patients, seriously ill older patients receive fewer invasive procedures and hospital care that is less resource-intensive and less costly. This preferential allocation of hospital services to younger patients is not based on differences in patients' severity of illness or general preferen...
Question: Seriously ill hospitalized adults: do we spend less on older patients? Answer: Compared with similar younger patients, seriously ill older patients receive fewer invasive procedures and hospital care that is less resource-intensive and less costly. This preferential allocation of hospital services to younger...
Answer the question based on the following context: It is important that the total long-term precision of laboratory methods meet the medical needs of the patients being served. To determine the long-term within- and between-laboratory variation of cortisol, ferritin, thyroxine, free thyroxine, and thyroid-stimulating ...
Total long-term within-laboratory precision of cortisol, ferritin, thyroxine, free thyroxine, and thyroid-stimulating hormone assays based on a College of American Pathologists fresh frozen serum study: do available methods meet medical needs for precision?
For all analytes tested, the total within-laboratory component of variance was the major source of variability in this study. In addition, there are several methods, especially for thyroxine and free thyroxine, that may not meet analytic goals in terms of their imprecision.
Question: Total long-term within-laboratory precision of cortisol, ferritin, thyroxine, free thyroxine, and thyroid-stimulating hormone assays based on a College of American Pathologists fresh frozen serum study: do available methods meet medical needs for precision? Answer: For all analytes tested, the total within-l...
Answer the question based on the following context: Understanding arithmetical principles is a key part of a conceptual understanding of mathematics. However, very little attention has been paid to children's understanding of multiplicative, as compared to additive, principles. This study investigated (a) children's ab...
Does the cue help?
Nine- and 10-year-olds understand commutativity, but are unable to use the distributive principle in multiplication. Their errors suggest that they may confuse some of the principles of multiplication with those of addition. When children do begin to understand the principle of distributivity, they most easily apply it...
Question: Does the cue help? Answer: Nine- and 10-year-olds understand commutativity, but are unable to use the distributive principle in multiplication. Their errors suggest that they may confuse some of the principles of multiplication with those of addition. When children do begin to understand the principle of dis...
Answer the question based on the following context: We evaluated the association of risk factors for breast cancer with reported follow-up procedures after abnormal mammography among diverse women. Women ages 40--80 years were recruited from four clinical sites after receiving a screening mammography result that was cl...
Are risk factors for breast cancer associated with follow-up procedures in diverse women with abnormal mammography?
Demographic profile and breast cancer risk factors have little effect on self-reported use of diagnostic procedures following an abnormal mammography examination. Level of mammography abnormality determines diagnostic evaluation but variance by site of care was observed.
Question: Are risk factors for breast cancer associated with follow-up procedures in diverse women with abnormal mammography? Answer: Demographic profile and breast cancer risk factors have little effect on self-reported use of diagnostic procedures following an abnormal mammography examination. Level of mammography a...
Answer the question based on the following context: The aims of this study were 1) to establish the standard parameters of alignment and total and segmental range of motion (ROM) of the cervical spine in the asymptomatic population, and 2) to identify factors that influence cervical ROM and alignment. The authors measu...
Are the standard parameters of cervical spine alignment and range of motion related to age, sex, and cervical disc degeneration?
Cervical alignment in female subjects was 2.47° lower than that in male subjects. Total ROM was 3.86° greater in female than in male subjects and decreased 6.46° for each decade of aging. Segmental ROM decreased 1.28° for each decade of aging and 2.26° for each category increase in disc degeneration at the level of int...
Question: Are the standard parameters of cervical spine alignment and range of motion related to age, sex, and cervical disc degeneration? Answer: Cervical alignment in female subjects was 2.47° lower than that in male subjects. Total ROM was 3.86° greater in female than in male subjects and decreased 6.46° for each d...
Answer the question based on the following context: Practice-based Internet communication allows patients to obtain health information, ask questions, and submit requests through a personalized Web site. While such online tools also bring great promise for educating patients with the goal of fostering behavior change, ...
Using claims data to examine patients using practice-based Internet communication: is there a clinical digital divide?
Patients using practice-based Internet communication and having significant health risks can be identified through the use of administrative data, presenting an opportunity to test online educational efforts to improve health.
Question: Using claims data to examine patients using practice-based Internet communication: is there a clinical digital divide? Answer: Patients using practice-based Internet communication and having significant health risks can be identified through the use of administrative data, presenting an opportunity to test o...
Answer the question based on the following context: To test the impact of a theory-based, SMS (text message)-delivered behavioural intervention (Healthy Text) targeting sun protection or skin self-examination behaviours compared to attention control. Overall, 546 participants aged 18-42 years were randomised using a co...
Can skin cancer prevention and early detection be improved via mobile phone text messaging?
The Healthy Text intervention was effective in inducing significant improvements in sun protection and any type of skin self-examination behaviours.
Question: Can skin cancer prevention and early detection be improved via mobile phone text messaging? Answer: The Healthy Text intervention was effective in inducing significant improvements in sun protection and any type of skin self-examination behaviours.
Answer the question based on the following context: To analyze the impact of surgeon's experience on surgical margin status, postoperative continence and operative time after radical prostatectomy (RP) in a surgeon who performed more than 2000 open RP. We retrospectively analyzed 2269 patients who underwent RP by one s...
Surgical learning curve for open radical prostatectomy: Is there an end to the learning curve?
In the present study, we showed evidence that surgeon's experience has a strong positive impact on pathologic and functional outcomes as well as on operative time. While significant learning effects concerning positive surgical margin rate and preserved long-term continence were detectable during the first 750 and 300 ...
Question: Surgical learning curve for open radical prostatectomy: Is there an end to the learning curve? Answer: In the present study, we showed evidence that surgeon's experience has a strong positive impact on pathologic and functional outcomes as well as on operative time. While significant learning effects concern...
Answer the question based on the following context: The purpose of the study was to determine the utility of routine contrast enema prior to ileostomy closure and its impact on patient management in patients with a low pelvic anastomosis. Two hundred eleven patients had a temporary loop ileostomy constructed to protect...
Routine contrast imaging of low pelvic anastomosis prior to closure of defunctioning ileostomy: is it necessary?
All patients who developed an anastomotic leak in this study were diagnosed clinically, and the diagnosis was confirmed by selective use of radiographic tests. Routine contrast enema evaluation of low pelvic anastomoses before loop ileostomy closure did not provide any additional information that changed patient manage...
Question: Routine contrast imaging of low pelvic anastomosis prior to closure of defunctioning ileostomy: is it necessary? Answer: All patients who developed an anastomotic leak in this study were diagnosed clinically, and the diagnosis was confirmed by selective use of radiographic tests. Routine contrast enema evalu...
Answer the question based on the following context: The risk of cholangiocarcinoma in primary sclerosing cholangitis is widely recognized to be 8-30%, whereas the risk of acquiring hepatocellular carcinoma in primary sclerosing cholangitis is unknown. As in other chronic liver diseases, the presence of hepatocellular c...
Are patients with cirrhotic stage primary sclerosing cholangitis at risk for the development of hepatocellular cancer?
The prevalence of hepatocellular carcinoma in patients with primary sclerosing cholangitis undergoing orthotopic liver transplantation is 2%. These data suggest that patients with advanced cirrhotic-stage primary sclerosing cholangitis are at increased risk for developing hepatocellular carcinoma and should be screened...
Question: Are patients with cirrhotic stage primary sclerosing cholangitis at risk for the development of hepatocellular cancer? Answer: The prevalence of hepatocellular carcinoma in patients with primary sclerosing cholangitis undergoing orthotopic liver transplantation is 2%. These data suggest that patients with ad...
Answer the question based on the following context: to investigate if combining VT to DGR through the pylorus can modulate the biological behavior of PL induced by DGR and to verify if TV alone can induce morphologic lesions in the gastric mucosa. 62 male Wistar rats were assigned to four groups: 1 - Control (CT) gastr...
Does troncular vagotomy modify the proliferative gastric lesions induced in rats by duodenogastric reflux?
DGR induces the development of PL in the pyloric mucosa and at the gastrojejunal stoma. TV does not change the morphologic pattern of the proliferative lesions induced by DGR. TV alone is not able to induce morphologic lesions in the gastric mucosa.
Question: Does troncular vagotomy modify the proliferative gastric lesions induced in rats by duodenogastric reflux? Answer: DGR induces the development of PL in the pyloric mucosa and at the gastrojejunal stoma. TV does not change the morphologic pattern of the proliferative lesions induced by DGR. TV alone is not ab...
Answer the question based on the following context: To describe the relationship of age-related maculopathy (ARM) to hearing loss. Population-based cohort study. All 3397 adults (age range, 48-92 years) living in Beaver Dam, Wis, who were examined for age-related eye disease and hearing loss from March 1, 1993, to July...
Is age-related maculopathy related to hearing loss?
These population-based estimates document the frequent coexistence of signs of ARM and hearing loss. As late ARM is an important cause of loss of vision, and as hearing loss is associated with difficulty in communicating, the high frequencies of sensory comorbidity may affect maintenance of independent functioning as p...
Question: Is age-related maculopathy related to hearing loss? Answer: These population-based estimates document the frequent coexistence of signs of ARM and hearing loss. As late ARM is an important cause of loss of vision, and as hearing loss is associated with difficulty in communicating, the high frequencies of sen...
Answer the question based on the following context: Myocarditis is an inflammation of the heart muscle and represents a challenge for diagnosis and treatment. On account of the lack of sensitivity and specificity of routine cardiac tests, there is a need for accurate diagnostic imaging. The aim of this study is to revi...
Gated myocardial perfusion scintigraphy in children with myocarditis: can it be considered as an indicator of clinical outcome?
Tc-methoxyisobutylisonitrile G-MPS is therefore helpful in providing additional diagnostic and prognostic information in patients with myocarditis.
Question: Gated myocardial perfusion scintigraphy in children with myocarditis: can it be considered as an indicator of clinical outcome? Answer: Tc-methoxyisobutylisonitrile G-MPS is therefore helpful in providing additional diagnostic and prognostic information in patients with myocarditis.
Answer the question based on the following context: To determine the effect of tonsillectomy on morbidity in patients listed for tonsillectomy. Questionnaire survey of 257 children and 159 adults who had been listed for tonsillectomy. The cohort studied had experienced delays of greater than 12 months between being lis...
Does tonsillectomy lead to improved outcomes over and above the effect of time?
The morbidity reported by patients suffering from chronic, untreated tonsillitis decreases with time. Tonsillectomy produces significantly greater reductions in morbidity than time alone.
Question: Does tonsillectomy lead to improved outcomes over and above the effect of time? Answer: The morbidity reported by patients suffering from chronic, untreated tonsillitis decreases with time. Tonsillectomy produces significantly greater reductions in morbidity than time alone.
Answer the question based on the following context: Endoscopic sphincterotomy (ES) is indicated in patients with confirmed bile duct stones at endoscopic retrograde cholangiopancreatography (ERCP). The role of ES in patients with suspected bile duct stones but a normal cholangiogram, in the prevention of recurrent bili...
Does prophylactic endoscopic sphincterotomy prevent recurrent biliary problems in patients with gallstones and a normal cholangiogram?
Patients with gallstones, suspected common bile duct (CBD) stones and a normal cholangiogram need not have a prophylactic sphincterotomy since there is no reduction in recurrent biliary problems and this potentially increases the morbidity.
Question: Does prophylactic endoscopic sphincterotomy prevent recurrent biliary problems in patients with gallstones and a normal cholangiogram? Answer: Patients with gallstones, suspected common bile duct (CBD) stones and a normal cholangiogram need not have a prophylactic sphincterotomy since there is no reduction i...
Answer the question based on the following context: Neuromuscular electrical stimulation (NMES) has been used in rehabilitation protocols for patients suffering from muscle weakness resulting from knee osteoarthritis. The purpose of the present study was to assess the effectiveness of an eight-week treatment program of...
Is neuromuscular electrical stimulation effective for improving pain, function and activities of daily living of knee osteoarthritis patients?
NMES, within a rehabilitation protocol for patients with knee osteoarthritis, is effective for improving pain, function and activities of daily living, in comparison with a group that received an orientation program. CLINICAL TRIAL REGISTRATION ACTRN012607000357459.
Question: Is neuromuscular electrical stimulation effective for improving pain, function and activities of daily living of knee osteoarthritis patients? Answer: NMES, within a rehabilitation protocol for patients with knee osteoarthritis, is effective for improving pain, function and activities of daily living, in com...
Answer the question based on the following context: Nausea and vomiting (NV) related to DMSO affect patients undergoing auto-SCT despite antiemetic measures. Orange flavoring may reduce gastrointestinal symptoms. A multicenter, randomized, three-arm, open-label trial in four Italian large bone marrow transplant centers...
Are orange lollies effective in preventing nausea and vomiting related to dimethyl sulfoxide?
The vasoconstrictive action of ice may prevent NV related to DMSO in the acute phase and reduce the need for rescue antiemetic therapy. Ice lollies offer a simple, noninvasive, and economic means for relieving nausea and vomiting related to this preservative.
Question: Are orange lollies effective in preventing nausea and vomiting related to dimethyl sulfoxide? Answer: The vasoconstrictive action of ice may prevent NV related to DMSO in the acute phase and reduce the need for rescue antiemetic therapy. Ice lollies offer a simple, noninvasive, and economic means for relievi...
Answer the question based on the following context: To establish whether a questionnaire incorporating MacKie's risk factor flow chart can identify patients at high risk for melanoma so that they can be targeted for primary and secondary prevention. To validate the risk score derived from the questionnaire and test the...
Can primary prevention or selective screening for melanoma be more precisely targeted through general practice?
This questionnaire helped to identify a group at high risk for melanoma. Furthermore, good agreement was found when the patient's risk scores were compared with results of the clinical skin examination. This risk score is potentially useful in targeting primary and secondary prevention of melanoma through general pract...
Question: Can primary prevention or selective screening for melanoma be more precisely targeted through general practice? Answer: This questionnaire helped to identify a group at high risk for melanoma. Furthermore, good agreement was found when the patient's risk scores were compared with results of the clinical skin...
Answer the question based on the following context: Treatment of rectal cancer in North America has been associated with lower rates of sphincter-preserving surgery in comparison with other regions. It is unclear if these lower rates are due to patient, tumor, or treatment factors; thus, the potential to increase the u...
Population-based use of sphincter-preserving surgery in patients with rectal cancer: is there room for improvement?
These data suggest that the receipt of a permanent colostomy by many patients with rectal cancer may be inappropriate, and there is potential to increase the use of sphincter-preserving surgery in patients with rectal cancer.
Question: Population-based use of sphincter-preserving surgery in patients with rectal cancer: is there room for improvement? Answer: These data suggest that the receipt of a permanent colostomy by many patients with rectal cancer may be inappropriate, and there is potential to increase the use of sphincter-preserving...
Answer the question based on the following context: Previous work has shown that stimulation of GABAergic, opioid, or dopaminergic systems within the nucleus accumbens modulates food intake and food-seeking behavior. However, it is not known whether such stimulation mimics a motivational state of food deprivation that ...
Increases in food intake or food-seeking behavior induced by GABAergic, opioid, or dopaminergic stimulation of the nucleus accumbens: is it hunger?
These findings suggest that pharmacological stimulation of any of these neurochemical systems in isolation is insufficient to enable acquisition of a food-reinforced operant task. Thus, these selective processes, while likely involved in control of food intake and food-seeking behavior, appear unable to recapitulate th...
Question: Increases in food intake or food-seeking behavior induced by GABAergic, opioid, or dopaminergic stimulation of the nucleus accumbens: is it hunger? Answer: These findings suggest that pharmacological stimulation of any of these neurochemical systems in isolation is insufficient to enable acquisition of a foo...
Answer the question based on the following context: Socio-cultural factors have been hypothesized to be important drivers for inappropriate antibiotic prescribing in ambulatory care. This study sought to assess any potential role in perioperative surgical prophylaxis (PAP) administered for>24 h (PAP>24). Within hospita...
Prolonged perioperative surgical prophylaxis within European hospitals: an exercise in uncertainty avoidance?
Cultural factors, namely UA, appear to be an important driver for PAP>24. Any strategy aimed at improving prolonged PAP should be informed by clear knowledge of local socio-cultural barriers, so as to achieve the most successful intervention possible.
Question: Prolonged perioperative surgical prophylaxis within European hospitals: an exercise in uncertainty avoidance? Answer: Cultural factors, namely UA, appear to be an important driver for PAP>24. Any strategy aimed at improving prolonged PAP should be informed by clear knowledge of local socio-cultural barriers,...
Answer the question based on the following context: In Zimbabwe, socioeconomic development has a complicated and changeable relationship with HIV infection. Longitudinal data are needed to disentangle the cyclical effects of poverty and HIV as well as to separate historical patterns from contemporary trends of infectio...
HIV incidence and poverty in Manicaland, Zimbabwe: is HIV becoming a disease of the poor?
HIV incidence and mortality, and perhaps sexual risk, are lower in higher socioeconomic groups. Reduced vulnerability to infection, led by the relatively well off, is a positive trend, but in the absence of analogous developments in vulnerable groups, HIV threatens to become a disease of the poor.
Question: HIV incidence and poverty in Manicaland, Zimbabwe: is HIV becoming a disease of the poor? Answer: HIV incidence and mortality, and perhaps sexual risk, are lower in higher socioeconomic groups. Reduced vulnerability to infection, led by the relatively well off, is a positive trend, but in the absence of anal...
Answer the question based on the following context: To determine the effect of treatment by a cardiologist on mortality of elderly patients with acute myocardial infarction (AMI, heart attack), accounting for both measured confounding using risk-adjustment techniques and residual unmeasured confounding with instrumenta...
Does physician specialty affect the survival of elderly patients with myocardial infarction?
In a large population of elderly patients with AMI, we found significant treatment differences but no significant incremental mortality benefit associated with treatment by cardiologists.
Question: Does physician specialty affect the survival of elderly patients with myocardial infarction? Answer: In a large population of elderly patients with AMI, we found significant treatment differences but no significant incremental mortality benefit associated with treatment by cardiologists.
Answer the question based on the following context: In this study, we investigated whether the potassium channel blocker, cesium chloride (CsCl), which is capable of producing early after-depolarizations (EADs) and polymorphic ventricular tachyarrhythmias resembling torsades de pointes, might exert similar effects in t...
Cesium-induced atrial tachycardia degenerating into atrial fibrillation in dogs: atrial torsades de pointes?
CsCl induces atrial EADs that provoke P-AT that degenerates into atrial fibrillation. P-AT has some characteristics similar to ventricular torsades de pointes.
Question: Cesium-induced atrial tachycardia degenerating into atrial fibrillation in dogs: atrial torsades de pointes? Answer: CsCl induces atrial EADs that provoke P-AT that degenerates into atrial fibrillation. P-AT has some characteristics similar to ventricular torsades de pointes.
Answer the question based on the following context: Eighty-six patients with non-small cell lung cancer, colorectal liver metastases, or metastatic melanoma who were scanned for therapy monitoring purposes were prospectively recruited in this multicenter trial. Pre- and posttreatment PET scans were acquired in protocol...
Does PET SUV Harmonization Affect PERCIST Response Classification?
Reconstruction algorithm-dependent variability in PERCIST classification is a significant issue but can be overcome by harmonizing SULs using a proprietary software tool.
Question: Does PET SUV Harmonization Affect PERCIST Response Classification? Answer: Reconstruction algorithm-dependent variability in PERCIST classification is a significant issue but can be overcome by harmonizing SULs using a proprietary software tool.
Answer the question based on the following context: To compare the distribution of pro-inflammatory cytokines in heart valve lesions with their plasma levels. Plasma levels of TNF-alpha and IL-10 were determined in 70 patients with heart valve lesions. TNF-alpha and IL-6 levels were also quantified in tissue specimens ...
Association between plasma levels and immunolocalization of cytokines in heart valve lesions: a possible target for treatment?
The association between plasma and tissue sample cytokine concentrations suggests that plasma cytokine levels reflect the extent and severity of valvular lesions. Statins may attenuate progressive calcific valve stenosis. Statins also affect TNF-alpha and IL-10 plasma levels. These associations may help not only predic...
Question: Association between plasma levels and immunolocalization of cytokines in heart valve lesions: a possible target for treatment? Answer: The association between plasma and tissue sample cytokine concentrations suggests that plasma cytokine levels reflect the extent and severity of valvular lesions. Statins may...
Answer the question based on the following context: From a cognitive neuroscience perspective, the emotional attentional bias in post-traumatic stress disorder (PTSD) could be conceptualized either as emotional hyper-responsiveness or as reduced priming of task-relevant representations due to dysfunction in 'top-down' ...
Biased emotional attention in post-traumatic stress disorder: a help as well as a hindrance?
These findings document that hyper-responsiveness to threat but not to positive stimuli is specific for patients with PTSD.
Question: Biased emotional attention in post-traumatic stress disorder: a help as well as a hindrance? Answer: These findings document that hyper-responsiveness to threat but not to positive stimuli is specific for patients with PTSD.
Answer the question based on the following context: The aim of this study was to determine the effect of a multilevel school based intervention on adolescents' emotional wellbeing and health risk behaviours. School based cluster randomised controlled trial. Students were surveyed using laptop computers, twice in the fi...
The Gatehouse Project: can a multilevel school intervention affect emotional wellbeing and health risk behaviours?
While further research is required to determine fully the processes of change, this study shows that a focus on general cognitive skills and positive changes to the social environment of the school can have a substantial impact on important health risk behaviours.
Question: The Gatehouse Project: can a multilevel school intervention affect emotional wellbeing and health risk behaviours? Answer: While further research is required to determine fully the processes of change, this study shows that a focus on general cognitive skills and positive changes to the social environment of...
Answer the question based on the following context: Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) has been shown to significantly improve motor symptoms in advanced Parkinson's disease (PD). Only few studies, however, have focused on the non-motor effects of DBS. A consecutive series of 15 patients was assessed ...
Does subthalamic nucleus stimulation induce apathy in Parkinson's disease?
Although STN-DBS constitutes a therapeutic advance for severely disabled patients with Parkinson's disease, we should keep in mind that this surgical procedure may contribute to the inducing of apathy. Our observation raises the issue of the direct influence of STN- DBS on the limbic system by diffusion of stimulus to ...
Question: Does subthalamic nucleus stimulation induce apathy in Parkinson's disease? Answer: Although STN-DBS constitutes a therapeutic advance for severely disabled patients with Parkinson's disease, we should keep in mind that this surgical procedure may contribute to the inducing of apathy. Our observation raises t...
Answer the question based on the following context: No data regards lipoprotein particle profiles in obese and non-obese metabolic health subtypes exist. We characterised lipoprotein size, particle and subclass concentrations among metabolically healthy and unhealthy obese and non-obese adults. Cross-sectional sample o...
Lipoprotein particle subclass profiles among metabolically healthy and unhealthy obese and non-obese adults: does size matter?
Metabolically healthy adults displayed favourable lipoprotein particle profiles, irrespective of BMI and metabolic health definition. These findings underscore the importance of maintaining a healthy lipid profile in the context of overall cardiometabolic health.
Question: Lipoprotein particle subclass profiles among metabolically healthy and unhealthy obese and non-obese adults: does size matter? Answer: Metabolically healthy adults displayed favourable lipoprotein particle profiles, irrespective of BMI and metabolic health definition. These findings underscore the importance...
Answer the question based on the following context: Edible oils are an empiric approach for the prevention of oral diseases. The present in situ study investigated the effect of edible oils on initial bacterial colonization of enamel surfaces. Initial biofilm formation was performed on enamel specimens mounted on maxil...
Do edible oils reduce bacterial colonization of enamel in situ?
Rinses with edible oils have no significant impact on the initial pattern and amount of bacterial colonization on enamel over 8 h.
Question: Do edible oils reduce bacterial colonization of enamel in situ? Answer: Rinses with edible oils have no significant impact on the initial pattern and amount of bacterial colonization on enamel over 8 h.
Answer the question based on the following context: Medical management of severe ulcerative colitis has used cyclosporine with increasing frequency as an adjuvant to systemic steroids and mercaptopurine. However, the effects of combined management with cyclosporine and prednisone may lead to significant immune compromi...
Pneumocystis carinii pneumonia postrestorative proctocolectomy for ulcerative colitis: a role for perioperative prophylaxis in the cyclosporine era?
In the era of aggressive medical management for ulcerative colitis with both steroids and cyclosporine, the complications of immunosuppression may be significant, including opportunistic pneumonia. Prophylaxis against P. carinii pneumonia with sulfa antibiotics should be considered, especially in patients for whom proc...
Question: Pneumocystis carinii pneumonia postrestorative proctocolectomy for ulcerative colitis: a role for perioperative prophylaxis in the cyclosporine era? Answer: In the era of aggressive medical management for ulcerative colitis with both steroids and cyclosporine, the complications of immunosuppression may be si...
Answer the question based on the following context: Hemoglobin (Hb) levels are regarded as an important determinant of outcome in a number of cancers treated with radiotherapy. However, for patients treated with intensity modulated radiotherapy (IMRT), information regarding the prognostic value of hemoglobin level is s...
Is Hemoglobin Level in Patients with Nasopharyngeal Carcinoma Still a Significant Prognostic Factor in the Era of Intensity-Modulated Radiotherapy Technology?
Hemoglobin level is a useful prognostic factor in NPC patients receiving IMRT. It is important to control the level of hemoglobin both before and during chemoradiotherapy.
Question: Is Hemoglobin Level in Patients with Nasopharyngeal Carcinoma Still a Significant Prognostic Factor in the Era of Intensity-Modulated Radiotherapy Technology? Answer: Hemoglobin level is a useful prognostic factor in NPC patients receiving IMRT. It is important to control the level of hemoglobin both before ...
Answer the question based on the following context: There is controversy regarding tumor control of incidental prostate cancer (PC). We evaluated in a large cohort if we can recommend radical prostatectomy after TURP. In 52 (4.3%) from a total of 1207 patients undergoing radical prostatectomy the diagnosis had been mad...
Incidental carcinoma of the prostate: can we and should we recommend radical prostatectomy?
The rate of incidentally detected PC by TURP decreases over time, but in almost all cases we found clinically relevant cancer. TURP is not an adverse prognostic factor and morbidity is similar compared with patients who were diagnosed by needle biopsy. Our data confirm that we should recommend radical prostatectomy to ...
Question: Incidental carcinoma of the prostate: can we and should we recommend radical prostatectomy? Answer: The rate of incidentally detected PC by TURP decreases over time, but in almost all cases we found clinically relevant cancer. TURP is not an adverse prognostic factor and morbidity is similar compared with pa...
Answer the question based on the following context: A stated goal of the DSM-5 Work Group on Personality and Personality Disorders (PDs) has been to reduce the high rate of comorbidity among PDs. Few studies have examined whether the diagnosis of multiple PDs has clinical significance. In the present report from the Rh...
Does the diagnosis of multiple Axis II disorders have clinical significance?
The co-occurrence of PDs conveys clinically significant information. Moreover, despite high levels of comorbidity, each PD also existed as a stand-alone entity. These findings raise questions about the DSM-5 Work Group's emphasis on reducing comorbidity in Axis II.
Question: Does the diagnosis of multiple Axis II disorders have clinical significance? Answer: The co-occurrence of PDs conveys clinically significant information. Moreover, despite high levels of comorbidity, each PD also existed as a stand-alone entity. These findings raise questions about the DSM-5 Work Group's emp...
Answer the question based on the following context: To compare the grade 3 genitourinary toxicity and oncological outcome for localized prostate cancer between high-dose-rate (HDR) brachytherapy and external beam radiation therapy (EBRT) alone in patients with previously undergone Transurethral resection of the prostat...
Can high-dose-rate brachytherapy prevent the major genitourinary complication better than external beam radiation alone for patients with previous transurethral resection of prostate?
In patients with prostate cancer who have previously undergone TURP, we observed that HDR brachytherapy was able to control prostate cancer with fewer GU morbidities and oncological outcomes that were similar to those associated with traditional EBRT alone. Moreover, HDR brachytherapy led to a decrease in major GU toxi...
Question: Can high-dose-rate brachytherapy prevent the major genitourinary complication better than external beam radiation alone for patients with previous transurethral resection of prostate? Answer: In patients with prostate cancer who have previously undergone TURP, we observed that HDR brachytherapy was able to c...
Answer the question based on the following context: Plasma cystatin (pCyst) is a well-assessed tool for measuring renal function, and it could also play a part in hemodialysis adequacy. pCyst and other uremic toxins (urea, creatinine, parathyroid hormone, prolactin) were assessed before and after a dialysis session in ...
Could plasma cystatin C be useful as a marker of hemodialysis low molecular weight proteins removal?
Only MCD removes pCyst, but the amount of removal is different for other low molecular weight proteins (prolactin and parathyroid hormone) and similar for creatinine, a classic 'little molecule'. In view of the discrepancy of these findings, the use of pCyst in hemodialysis still seems premature and needs further studi...
Question: Could plasma cystatin C be useful as a marker of hemodialysis low molecular weight proteins removal? Answer: Only MCD removes pCyst, but the amount of removal is different for other low molecular weight proteins (prolactin and parathyroid hormone) and similar for creatinine, a classic 'little molecule'. In v...
Answer the question based on the following context: This study explored the usefulness of measures commonly employed in the examination of persons with balance impairment to discriminate between performances of young and older adults and older adults with and without neurological disease. Eighteen young adults, 22 heal...
Are measures employed in the assessment of balance useful for detecting differences among groups that vary by age and disease state?
When examining individuals with balance difficulty, combinations of measures are needed to discriminate between clinically distinct groups.
Question: Are measures employed in the assessment of balance useful for detecting differences among groups that vary by age and disease state? Answer: When examining individuals with balance difficulty, combinations of measures are needed to discriminate between clinically distinct groups.
Answer the question based on the following context: This study examines the extent to which policies influence participation of adolescents in alcohol and tobacco consumption and in unsafe sex. Data were obtained from the 1995 Youth Risk Behavior Surveys (YRBS) conducted by 20 different states and cities in the U.S. Th...
Can government policies help adolescents avoid risky behavior?
State policies, such as taxes on beer, and restrictions on location of cigarette vending machines, and placement of family planning clinics influence adolescents' behavior. Because there is interrelationship between these behaviors, systems estimators, can offer improved estimates of these effects.
Question: Can government policies help adolescents avoid risky behavior? Answer: State policies, such as taxes on beer, and restrictions on location of cigarette vending machines, and placement of family planning clinics influence adolescents' behavior. Because there is interrelationship between these behaviors, syste...
Answer the question based on the following context: Dentitions of 45 sub-adults were examined using standard macroscopic methods and systematically recorded. A total of 557 teeth were examined with a *5 lens and photographed. Ages of the individuals were estimated from their dental crown and root development stages and...
Nothing new under the heavens: MIH in the past?
The extensive lesions seen on many of the molars displayed cuspal enamel hypoplasia (CEH). Many of these teeth also exhibited Molar Incisal Hypomineralisation (MIH).
Question: Nothing new under the heavens: MIH in the past? Answer: The extensive lesions seen on many of the molars displayed cuspal enamel hypoplasia (CEH). Many of these teeth also exhibited Molar Incisal Hypomineralisation (MIH).
Answer the question based on the following context: Although continuity of care is an important component of primary care, few mechanisms for improving it have been studied. To determine if automated reminders to providers and patient schedulers can improve continuity of care in a practice. Prospective randomized contr...
Can continuity of care be improved?
Prompting providers for patients with poor continuity of care may improve it.
Question: Can continuity of care be improved? Answer: Prompting providers for patients with poor continuity of care may improve it.
Answer the question based on the following context: During the last decade, there has been an on-going debate with regard to whether percutaneous coronary intervention (PCI) or thrombolysis should be preferred in patients with ST-elevation acute myocardial infarction (AMI). Some studies clearly advocate PCI, while othe...
Characteristics and outcome of patients with ST-elevation infarction in relation to whether they received thrombolysis or underwent acute coronary angiography: are we selecting the right patients for coronary angiography?
In a Swedish university hospital with a high volume of coronary angioplasty procedures, we found no significant difference in mortality between patients who had thrombolysis and those who underwent acute coronary angiography. However, requirement of revascularization and symptoms of angina pectoris 1 year later was con...
Question: Characteristics and outcome of patients with ST-elevation infarction in relation to whether they received thrombolysis or underwent acute coronary angiography: are we selecting the right patients for coronary angiography? Answer: In a Swedish university hospital with a high volume of coronary angioplasty pro...
Answer the question based on the following context: No evidence exists that profound hypothermic circulatory arrest (PHCA) improves survival or reduces the likelihood of distal aortic reoperation in patients with acute type A aortic dissection. Records of 307 patients with acute type A aortic dissection from 1967 to 19...
Does profound hypothermic circulatory arrest improve survival in patients with acute type a aortic dissection?
Aortic repair with or without circulatory arrest was associated with comparable early complications, survival, and distal aortic reoperation rates in patients with acute type A aortic dissection. Despite the lack of concrete evidence favoring the use of PHCA, it does no harm, and most of our group uses PHCA regularly b...
Question: Does profound hypothermic circulatory arrest improve survival in patients with acute type a aortic dissection? Answer: Aortic repair with or without circulatory arrest was associated with comparable early complications, survival, and distal aortic reoperation rates in patients with acute type A aortic dissec...
Answer the question based on the following context: The OneDosePlusTM system, based on MOSFET solid-state radiation detectors and a handheld dosimetry reader, has been used to evaluate intra-fraction movements of patients with breast and prostate cancer. An Action Threshold (AT), defined as the maximum acceptable discr...
Is the in vivo dosimetry with the OneDosePlusTM system able to detect intra-fraction motion?
The method described in the paper, easily implemented in the clinical practice, combines all the advantages of in vivo procedures using the OneDosePlusTM system with the possibility of detecting intra-fraction patient movements.
Question: Is the in vivo dosimetry with the OneDosePlusTM system able to detect intra-fraction motion? Answer: The method described in the paper, easily implemented in the clinical practice, combines all the advantages of in vivo procedures using the OneDosePlusTM system with the possibility of detecting intra-fractio...
Answer the question based on the following context: In this study, we compared duration for reaching desired Ramsay Sedation Score (RSS) and postoperative recovery according to Modified Aldrete Score (MAS) of propofol and propofol-ketamine combination in a group of colonoscopy patients. Rates of cardiovascular, respira...
Propofol-ketamine combination: a choice with less complications and better hemodynamic stability compared to propofol?
Propofol-ketamine combination is an advantageous choice in means of achieving sedation in a shorter period of time, a better hemodynamic stability, less nausea and vomiting and respiratory complication rates. Yet it seems that this choice might be related with longer recovery duration.
Question: Propofol-ketamine combination: a choice with less complications and better hemodynamic stability compared to propofol? Answer: Propofol-ketamine combination is an advantageous choice in means of achieving sedation in a shorter period of time, a better hemodynamic stability, less nausea and vomiting and respi...
Answer the question based on the following context: Radiographs are routinely obtained at postoperative visits during the first year after posterior spinal fusion (PSF) for idiopathic scoliosis (IS). The goal of this study was to determine how often radiographic findings change postoperative care. A total of 227 consec...
Are routine postoperative radiographs necessary during the first year after posterior spinal fusion for idiopathic scoliosis?
After obtaining baseline postoperative radiographs, additional radiographs during the first year after surgery for IS may not be required in the absence of clinical symptoms. Reducing the number of radiographs taken during the first year after surgery for IS in patients without symptoms can reduce radiation exposure to...
Question: Are routine postoperative radiographs necessary during the first year after posterior spinal fusion for idiopathic scoliosis? Answer: After obtaining baseline postoperative radiographs, additional radiographs during the first year after surgery for IS may not be required in the absence of clinical symptoms. ...
Answer the question based on the following context: Many researchers have speculated that markers of malnutrition such as albumin, prealbumin, cholesterol, and transferrin are influenced by inflammation. The mechanism of this interaction has not been well understood. This was a prospective cross-sectional study. We eva...
Is malnutrition overdiagnosed in older hospitalized patients?
Inflammation increases the incidence of hypoalbuminemia and hypocholesterolemia, potentially leading to overdiagnosis of malnutrition. We suggest that albumin, cholesterol, prealbumin, and transferrin be used with caution when assessing the nutritional status of older hospitalized patients. In the future, soluble IL-2 ...
Question: Is malnutrition overdiagnosed in older hospitalized patients? Answer: Inflammation increases the incidence of hypoalbuminemia and hypocholesterolemia, potentially leading to overdiagnosis of malnutrition. We suggest that albumin, cholesterol, prealbumin, and transferrin be used with caution when assessing th...
Answer the question based on the following context: Routine photography of all patients admitted to the West of Scotland Regional Burns Unit was introduced in 2003. To date, there are few burns units to evaluate the usefulness of photographs taken.AIM: To assess the usefulness of photographs of patients admitted to the...
Are burns photographs useful?
Photographs of burns patients are useful overall to all members of the multidisciplinary team.
Question: Are burns photographs useful? Answer: Photographs of burns patients are useful overall to all members of the multidisciplinary team.
Answer the question based on the following context: Certain pulmonary diseases are associated with cardiovascular disease (CVD). Therefore we investigated the incremental predictive value of pulmonary, mediastinal and pleural features over cardiovascular imaging findings. A total of 10,410 patients underwent diagnostic...
Cardiovascular disease prediction: do pulmonary disease-related chest CT features have added value?
Pulmonary, mediastinal and pleural features have limited predictive value in the identification of subjects at high risk of CVD events beyond cardiovascular findings on diagnostic chest CT scans.
Question: Cardiovascular disease prediction: do pulmonary disease-related chest CT features have added value? Answer: Pulmonary, mediastinal and pleural features have limited predictive value in the identification of subjects at high risk of CVD events beyond cardiovascular findings on diagnostic chest CT scans.
Answer the question based on the following context: We were interested in determining the current practices and views of European intensive care doctors regarding communication with patients and informed consent for interventions. A questionnaire was sent to the 1272 western European doctor members of the European Soci...
Information in the ICU: are we being honest with our patients?
Doctors are often not completely honest with their patients regarding their diagnosis or prognosis, or in the event of an iatrogenic incident. However, most doctors will respect a patient's right to refuse treatment. Informed consent practices vary substantially and are largely determined by locally accepted policy and...
Question: Information in the ICU: are we being honest with our patients? Answer: Doctors are often not completely honest with their patients regarding their diagnosis or prognosis, or in the event of an iatrogenic incident. However, most doctors will respect a patient's right to refuse treatment. Informed consent prac...
Answer the question based on the following context: Electroconvulsive therapy (ECT) is generally recommended for treating catatonic schizophrenia. Non-catatonic schizophrenia patients also receive ECT. We compared the speed of response to ECT among patients with catatonic and other subtypes of schizophrenia. Consecutiv...
Does catatonic schizophrenia improve faster with electroconvulsive therapy than other subtypes of schizophrenia?
Catatonic schizophrenia responds faster to ECT than non-catatonic schizophrenia. However, the magnitude of the difference is modest.
Question: Does catatonic schizophrenia improve faster with electroconvulsive therapy than other subtypes of schizophrenia? Answer: Catatonic schizophrenia responds faster to ECT than non-catatonic schizophrenia. However, the magnitude of the difference is modest.
Answer the question based on the following context: Paracervical blocks (PCBs) relieve labor pain, but reports of associated complications have caused many physicians to question their safety. We designed a prospective observational study to examine the association between PCBs and umbilical artery hydrogen ion concent...
Is paracervical block safe and effective?
After adjusting for other variables, neither PCB nor nalbuphine use were associated with umbilical artery pH at birth. PCBs using 1% lidocaine injected superficially should be considered a safe and effective form of obstetric analgesia. PCBs may be especially useful for women giving birth in hospitals where other obste...
Question: Is paracervical block safe and effective? Answer: After adjusting for other variables, neither PCB nor nalbuphine use were associated with umbilical artery pH at birth. PCBs using 1% lidocaine injected superficially should be considered a safe and effective form of obstetric analgesia. PCBs may be especially...
Answer the question based on the following context: To evaluate the possible association between plasma total homocysteine or other amino acid concentrations and gestational diabetes or glucose intolerance (GI), in normotensive and preeclamptic pregnant women. Prospective study including 243 pregnant women without prev...
Are plasma total homocysteine and other amino acids associated with glucose intolerance in uncomplicated pregnancies and preeclampsia?
(a) A higher incidence of preeclampsia was observed in abnormal glucose tolerance patients, (b) total homocysteine and alanine were the only individual amino acids whose plasma concentrations varied according to the glucose tolerance classes, and (c) an association between hyperhomocysteinemia and glucose intolerance i...
Question: Are plasma total homocysteine and other amino acids associated with glucose intolerance in uncomplicated pregnancies and preeclampsia? Answer: (a) A higher incidence of preeclampsia was observed in abnormal glucose tolerance patients, (b) total homocysteine and alanine were the only individual amino acids wh...
Answer the question based on the following context: An air pressure driven, piston device was used to generate controlled compressions in a manikin model. The pressure was applied for chest compressions with each of the following: the cylindrical end of the piston, a wooden block as dummy for the CPREzy, and the CPREzy...
Does use of the CPREzy involve more work than CPR without feedback?
The subjective feeling of increased rescuer fatigue with the CPREzy can, at least in part, be attributed to the extra work required for compressing the spring of the CPREzy. Improved accuracy in chest compression depth is likely to be another, more significant, factor in rescuer fatigue.
Question: Does use of the CPREzy involve more work than CPR without feedback? Answer: The subjective feeling of increased rescuer fatigue with the CPREzy can, at least in part, be attributed to the extra work required for compressing the spring of the CPREzy. Improved accuracy in chest compression depth is likely to b...
Answer the question based on the following context: Pre-publication peer review of manuscripts should enhance the value of research publications to readers who may wish to utilize findings in clinical care or health policy-making. Much published research across all medical specialties is not useful, may be misleading, ...
Are peer reviewers encouraged to use reporting guidelines?
Although almost half of instructions mentioned reporting guidelines, their value in improving research publications is not being fully realised. Journals have a responsibility to support peer reviewers. We make several recommendations including wider reference to the EQUATOR Network online library (www.equator-network....
Question: Are peer reviewers encouraged to use reporting guidelines? Answer: Although almost half of instructions mentioned reporting guidelines, their value in improving research publications is not being fully realised. Journals have a responsibility to support peer reviewers. We make several recommendations includi...
Answer the question based on the following context: The total number of admissions to Caerphilly District Miners' Hospital in the year 2001 was noted along with the admission criterion for elective general and vascular surgical patients. Among the 10,608 in-patients only 120 (1.13%) developed general surgical/vascular ...
Is there a need for resident general surgical cover in small peripheral hospitals?
A resident staff grade surgeon is not required in a small peripheral hospital and this service could be provided by the resident on-call surgical SpR in a neighbouring larger hospital.
Question: Is there a need for resident general surgical cover in small peripheral hospitals? Answer: A resident staff grade surgeon is not required in a small peripheral hospital and this service could be provided by the resident on-call surgical SpR in a neighbouring larger hospital.
Answer the question based on the following context: A chronic arteriovenous malformation (AVM) model using the swine retia mirabilia (RMB) was developed and compared with the human extracranial AVM (EAVM) both in hemodynamics and pathology, to see if this brain AVM model can be used as an EAVM model. We created an arte...
Is a swine model of arteriovenous malformation suitable for human extracranial arteriovenous malformation?
The AVM model described here is similar to human EAVM in hemodynamics and immunohistochemical features, but there are still some differences in anatomy and pathogenetic mechanism. Further study is needed to evaluate the applicability and efficacy of this model.
Question: Is a swine model of arteriovenous malformation suitable for human extracranial arteriovenous malformation? Answer: The AVM model described here is similar to human EAVM in hemodynamics and immunohistochemical features, but there are still some differences in anatomy and pathogenetic mechanism. Further study ...
Answer the question based on the following context: Whether serum leptin levels are associated with insulin resistance independent of the effects of hyperinsulinemia and adiposity is an important unanswered question. We examined the relationship between the rate of insulin-mediated glucose uptake and serum leptin conce...
Is fasting leptin associated with insulin resistance among nondiabetic individuals?
Cross-sectionally, leptin was significantly associated with insulin resistance in this nondiabetic sample of men and women. There may be a different physiological mechanism to explain the leptin/insulin resistance association apart from the insulin/adiposity link. Confirmatory evidence awaits the results of clinical tr...
Question: Is fasting leptin associated with insulin resistance among nondiabetic individuals? Answer: Cross-sectionally, leptin was significantly associated with insulin resistance in this nondiabetic sample of men and women. There may be a different physiological mechanism to explain the leptin/insulin resistance ass...
Answer the question based on the following context: Laparoscopic donor nephrectomy has become the standard of care in many renal transplant centers. Many centers are reluctant to perform right laparoscopic donor nephrectomies, primarily due to concerns about transplanting a kidney with a short renal vein. A retrospecti...
Is right laparoscopic donor nephrectomy right?
Right laparoscopic donor nephrectomy requires less operating time than, and is associated with similar outcomes for donors and recipients as, left laparoscopic donor nephrectomy. Right laparoscopic donor nephrectomy may be preferable in general and should be considered when multiple renal vessels are present on the lef...
Question: Is right laparoscopic donor nephrectomy right? Answer: Right laparoscopic donor nephrectomy requires less operating time than, and is associated with similar outcomes for donors and recipients as, left laparoscopic donor nephrectomy. Right laparoscopic donor nephrectomy may be preferable in general and shoul...
Answer the question based on the following context: The purpose of this study was to assess the value of the Belgium system to control the indications for the implantable defibrillator. We reviewed the answers of our official organization (Riijksinstituut voor Ziekte en Invaliditeitsverzekering-RIZIV) to our requests o...
The Belgian system to control indications for the implantable defibrillator: a model for other European countries?
In the most ideal type of cooperation between official organisms and implanting physicians, such as the Belgian system, the official organization has to realize that uncommon patients with disputable indications exist. To avoid refusal of reimbursement in these cases, the decision taken by the treating physician can be...
Question: The Belgian system to control indications for the implantable defibrillator: a model for other European countries? Answer: In the most ideal type of cooperation between official organisms and implanting physicians, such as the Belgian system, the official organization has to realize that uncommon patients wi...
Answer the question based on the following context: To determine the two-year outcome of patients with later-onset polyarticular rheumatoid factor (RF) negative (-) juvenile idiopathic arthritis (JIA), and predictors of outcome. All patients ages 10 to16 years diagnosed and followed in the Rheumatology Clinic at SickKi...
Later-onset rheumatoid factor negative polyarticular juvenile idiopathic arthritis (JIA): a unique patient group?
The two-year outcome of patients with late-onset RF- polyarticular JIA was very good with the majority of patients having minimally active disease at last follow-up. Presence of significant polyarthritis at presentation was the only feature associated with long-term joint activity. Sex and lab results did not show any ...
Question: Later-onset rheumatoid factor negative polyarticular juvenile idiopathic arthritis (JIA): a unique patient group? Answer: The two-year outcome of patients with late-onset RF- polyarticular JIA was very good with the majority of patients having minimally active disease at last follow-up. Presence of significa...
Answer the question based on the following context: There is limited information about whether a diagnosis of metabolic syndrome (MS) predicts peripheral arterial disease independently of diabetes. This study assessed whether MS adds prognostic information beyond that relating to diabetes in the identification of a low...
Does diagnosis of metabolic syndrome predict the likelihood of peripheral arterial disease as defined by a low ankle-brachial index?
Screening of participants with MS does not improve the identification of abnormal ABI provided by diabetes.
Question: Does diagnosis of metabolic syndrome predict the likelihood of peripheral arterial disease as defined by a low ankle-brachial index? Answer: Screening of participants with MS does not improve the identification of abnormal ABI provided by diabetes.
Answer the question based on the following context: The objective was to determine if hospital admission of children with blunt abdominal trauma for observation of possible intraabdominal injury (IAI) is necessary after a normal abdominal computed tomography (CT) scan in the emergency department (ED). The authors condu...
Is hospital admission and observation required after a normal abdominal computed tomography scan in children with blunt abdominal trauma?
Children with blunt abdominal trauma and a normal abdominal CT scan in the ED are at very low risk of having a subsequently diagnosed IAI and are very unlikely to require a therapeutic intervention. Hospitalization of children for evaluation of possible undiagnosed IAI after a normal abdominal CT scan has a low yield a...
Question: Is hospital admission and observation required after a normal abdominal computed tomography scan in children with blunt abdominal trauma? Answer: Children with blunt abdominal trauma and a normal abdominal CT scan in the ED are at very low risk of having a subsequently diagnosed IAI and are very unlikely to ...
Answer the question based on the following context: Borderline personality disorder (BPD) is characterized by a pervasive pattern of instability and impulsivity. There is a high prevalence of BPD patients among those admitted to the emergency department for suicide attempts. However, little empirical research exists to...
Should hospitalization be required after the emergency discharge of patients with borderline personality disorder who have attempted suicide (FRENCH CRISIS cohort)?
Our exploratory study suggests that hospitalization may not increase suicide attempts among patients with BPD when the health organization does not include a specific device such as DBT.
Question: Should hospitalization be required after the emergency discharge of patients with borderline personality disorder who have attempted suicide (FRENCH CRISIS cohort)? Answer: Our exploratory study suggests that hospitalization may not increase suicide attempts among patients with BPD when the health organizati...
Answer the question based on the following context: Thrombopoietin (TPO), the major hormone controlling platelet production, has been measured in thrombocytopenias with discordant results. The aim of our work was to assess the value of the TPO assay for differential diagnosis of thrombocytopenias in a large cohort of p...
Is the thrombopoietin assay useful for differential diagnosis of thrombocytopenia?
Although the median serum TPO is increased in thrombocytopenia with decreased platelet production from bone marrow aplasia, it does not differentiate patients with pure genetic thrombocytopenia from those with ITP.
Question: Is the thrombopoietin assay useful for differential diagnosis of thrombocytopenia? Answer: Although the median serum TPO is increased in thrombocytopenia with decreased platelet production from bone marrow aplasia, it does not differentiate patients with pure genetic thrombocytopenia from those with ITP.
Answer the question based on the following context: Conventional exercise testing before hospital discharge is the most useful procedure in order to estimate postinfarction prognosis and in detecting multivessel coronary disease which is associated with a poor long-term prognosis. There are no bibliographic reports abo...
Is the predischarge exercise test valid in patients younger than 40 years old after myocardial infarct for determination of multivascular disease?
Due to the lower sensitivity of this test in young myocardial infarction survivors for detecting multivessel artery disease, we remark on the need for predischarge complementary tests such as isotopic, stress echocardiography or coronariography testing.
Question: Is the predischarge exercise test valid in patients younger than 40 years old after myocardial infarct for determination of multivascular disease? Answer: Due to the lower sensitivity of this test in young myocardial infarction survivors for detecting multivessel artery disease, we remark on the need for pre...
Answer the question based on the following context: The objective of our study was to evaluate the presence of respiratory symptoms and chronic obstructive pulmonary disease (COPD) in a human immunodeficiency virus (HIV)-infected outpatient population and to further investigate the role of highly active antiretroviral ...
Chronic obstructive pulmonary disease: an emerging comorbidity in HIV-infected patients in the HAART era?
We evidenced a high prevalence of respiratory symptoms and COPD among HIV-infected patients. HIV infection, current cigarette smoking and previous bacterial pneumonia seem to play a significant role in the development of respiratory symptoms and COPD. Thus, our results suggest that the most at-risk HIV-infected patient...
Question: Chronic obstructive pulmonary disease: an emerging comorbidity in HIV-infected patients in the HAART era? Answer: We evidenced a high prevalence of respiratory symptoms and COPD among HIV-infected patients. HIV infection, current cigarette smoking and previous bacterial pneumonia seem to play a significant r...
Answer the question based on the following context: The objective of this study was to explore students' perceptions of school policy characteristics that influence the location of smoking while at school. Data were collected from a nationally representative sample of Canadian youth in grades 7-12 as part of the 2006-2...
Do students' perceptions of school smoking policies influence where students smoke?
Clearly perceived rules about smoking encourage students not to smoke on school grounds; however, perceptions of rules, along with strong enforcement, may displace behavior off of school grounds. Non-smoking policies should be part of a comprehensive approach, that supports cessation.
Question: Do students' perceptions of school smoking policies influence where students smoke? Answer: Clearly perceived rules about smoking encourage students not to smoke on school grounds; however, perceptions of rules, along with strong enforcement, may displace behavior off of school grounds. Non-smoking policies ...
Answer the question based on the following context: The purpose of this study was to compare the risk of injury to the suprascapular nerve during suture anchor placement in the glenoid when using an anterosuperior portal versus a rotator interval portal. Ten bilateral fresh human cadaveric shoulders were randomized to ...
Injury to the suprascapular nerve during superior labrum anterior and posterior repair: is a rotator interval portal safer than an anterosuperior portal?
Using an anterosuperior or rotator interval portal results in consistent penetration of 1 o'clock and 2 o'clock posterior anchors and might place the suprascapular nerve at risk of iatrogenic injury. Based on closer proximity of the anchor tip to the suprascapular nerve, the risk of injury is significantly greater with...
Question: Injury to the suprascapular nerve during superior labrum anterior and posterior repair: is a rotator interval portal safer than an anterosuperior portal? Answer: Using an anterosuperior or rotator interval portal results in consistent penetration of 1 o'clock and 2 o'clock posterior anchors and might place t...
Answer the question based on the following context: C sign is used to alert the physician of the possible presence of talocalcaneal coalition (TCC), so that advanced imaging can be ordered. The purpose of this study was to know the prevalence of the C sign among patients with TCC and its relationship to the presence of...
C sign: talocalcaneal coalition or flatfoot deformity?
The so-called true C sign (complete or interrupted type A) indicates the presence of a TCC and it is not related to flatfoot deformity. However, it is only present in 41% of the cases. The interrupted C sign is much more likely to be related to flatfoot deformity than to the presence of a TCC, specifically when a type ...
Question: C sign: talocalcaneal coalition or flatfoot deformity? Answer: The so-called true C sign (complete or interrupted type A) indicates the presence of a TCC and it is not related to flatfoot deformity. However, it is only present in 41% of the cases. The interrupted C sign is much more likely to be related to f...
Answer the question based on the following context: Previous studies reporting the impact of osteoarthritis (OA) on pain and function after hip arthroscopy largely predate resection of femoroacetabular impingement (FAI).QUESTIONS/ We determined (1) functional improvement after resection of FAI impingement lesions in pa...
Does arthroscopic FAI correction improve function with radiographic arthritis?
FAI correction with milder degrees of preoperative radiographic joint space narrowing resulted in improvements in pain and function at short-term followup. Patients with advanced radiographic joint space narrowing do not improve and we believe should not be considered for arthroscopic FAI correction.
Question: Does arthroscopic FAI correction improve function with radiographic arthritis? Answer: FAI correction with milder degrees of preoperative radiographic joint space narrowing resulted in improvements in pain and function at short-term followup. Patients with advanced radiographic joint space narrowing do not i...
Answer the question based on the following context: An "aborted" myocardial infarction is defined as an acute coronary syndrome where there is rapid resolution of existing ST segment elevation associated with a rise in creatine kinase (CK) less than twice the upper limit of normal or a small troponin release compatible...
Does prehospital thrombolysis increase the proportion of patients who have an aborted myocardial infarction?
Although prehospital thrombolysis improved pain-to-needle time and a shorter pain-to-needle time increased the incidence of aborted infarction, prehospital thrombolysis was not associated with an increase in the proportion of aborted myocardial infarctions. Further work is required to understand this unexpected finding...
Question: Does prehospital thrombolysis increase the proportion of patients who have an aborted myocardial infarction? Answer: Although prehospital thrombolysis improved pain-to-needle time and a shorter pain-to-needle time increased the incidence of aborted infarction, prehospital thrombolysis was not associated with...
Answer the question based on the following context: Congenital lobar emphysema (CLE) is characterized by unilobar alveolar distension secondary to bronchomalacia or absent cartilage. In contrast, congenital pulmonary lymphangiectasis (CPL) is defined as distended lymphatics in the bronchovascular bundle, in the interlo...
Unilobar congenital pulmonary lymphangiectasis mimicking congenital lobar emphysema: an underestimated presentation?
Diagnosis of CLE is not as straightforward as the literature suggests. Even retrospectively, radiologic distinction between CLE and CPL could not be achieved by an experienced pediatric radiologist. CPL, thus, mimics CLE clinically and radiologically and, therefore, should be considered in the differential radiologic d...
Question: Unilobar congenital pulmonary lymphangiectasis mimicking congenital lobar emphysema: an underestimated presentation? Answer: Diagnosis of CLE is not as straightforward as the literature suggests. Even retrospectively, radiologic distinction between CLE and CPL could not be achieved by an experienced pediatri...
Answer the question based on the following context: Traditionally, tinnitus accompanied by hemifacial spasm has been considered a type of hyperactive neurovascular compression syndrome that is similar to hemifacial spasm alone because of the anatomically close relationship between the facial nerve and cochlear nerve as...
'Is tinnitus accompanied by hemifacial spasm in normal-hearing patients also a type of hyperactive neurovascular compression syndrome?
The MEG results from normal-hearing patients who had tinnitus accompanied by hemifacial spasm suggest that the hyperactivity of the auditory central nervous system may be a crucial pathophysiological factor in the generation of tinnitus in these patients. The neurovascular compression that causes sensory input from the...
Question: 'Is tinnitus accompanied by hemifacial spasm in normal-hearing patients also a type of hyperactive neurovascular compression syndrome? Answer: The MEG results from normal-hearing patients who had tinnitus accompanied by hemifacial spasm suggest that the hyperactivity of the auditory central nervous system ma...
Answer the question based on the following context: The aim of this study was to observe how changes in perioperative and postoperative treatments affect the incidence of pulmonary complications in bariatric patients. This is a retrospective clinical study of 400 consecutive bariatric patients. The patients, who either...
Do Changes in Perioperative and Postoperative Treatment Protocol Influence the Frequency of Pulmonary Complications?
Operation time increases the risk for pulmonary complications. Changes in perioperative care toward the ERAS protocol may have a positive effect on the number of pulmonary complications.
Question: Do Changes in Perioperative and Postoperative Treatment Protocol Influence the Frequency of Pulmonary Complications? Answer: Operation time increases the risk for pulmonary complications. Changes in perioperative care toward the ERAS protocol may have a positive effect on the number of pulmonary complication...
Answer the question based on the following context: To study hyperglycaemia in acute medical admissions to Irish regional hospital. From 2005 to 2007, 2061 white Caucasians, aged>18 years, were admitted by 1/7 physicians. Those with diabetes symptoms/complications but no previous record of hyperglycaemia (n=390), under...
Can HbA1c detect undiagnosed diabetes in acute medical hospital admissions?
HbA1c can play a diagnostic role in acute medicine as it diagnosed another 2% of admissions with diabetes but the discrepancy in sensitivity shows that it does not reflect transient/acute hyperglycaemia resulting from the acute medical event.
Question: Can HbA1c detect undiagnosed diabetes in acute medical hospital admissions? Answer: HbA1c can play a diagnostic role in acute medicine as it diagnosed another 2% of admissions with diabetes but the discrepancy in sensitivity shows that it does not reflect transient/acute hyperglycaemia resulting from the acu...
Answer the question based on the following context: To evaluate the impact of Down syndrome on the early postoperative outcomes of children undergoing complete atrioventricular septal defect repair. Retrospective cohort study. Single tertiary pediatric cardiac center. All children admitted to PICU following biventricul...
Early postoperative outcomes following surgical repair of complete atrioventricular septal defects: is down syndrome a risk factor?
In our study, we found no difference in the prevalence of atrioventricular valve dysplasia between children with and without Down syndrome undergoing complete atrioventricular septal defect repair. This finding contrasts with previously published data, and further confirmatory studies are required. Although clinical ou...
Question: Early postoperative outcomes following surgical repair of complete atrioventricular septal defects: is down syndrome a risk factor? Answer: In our study, we found no difference in the prevalence of atrioventricular valve dysplasia between children with and without Down syndrome undergoing complete atrioventr...
Answer the question based on the following context: The present study investigated the risk of lymph node metastasis according to the depth of tumour invasion in patients undergoing resection for rectal cancer. The histology of patients undergoing oncological resection with regional lymphadenectomy for rectal cancer at...
Can depth of tumour invasion predict lymph node positivity in patients undergoing resection for early rectal cancer?
Whilst the degree of vascular invasion and poor differentiation of rectal tumours were significant risk factors for lymph node metastasis, depth of submucosal invasion was not. This has important implications for patients with superficial early rectal cancers in whom local excision is being considered.
Question: Can depth of tumour invasion predict lymph node positivity in patients undergoing resection for early rectal cancer? Answer: Whilst the degree of vascular invasion and poor differentiation of rectal tumours were significant risk factors for lymph node metastasis, depth of submucosal invasion was not. This ha...
Answer the question based on the following context: Both impact of rheumatoid arthritis (RA) on valued life activities and dissatisfaction with abilities have been linked to depression among individuals with RA. We integrated these concepts by examining the hypothesis that satisfaction with one's abilities may explain ...
Does satisfaction with abilities mediate the relationship between the impact of rheumatoid arthritis on valued activities and depressive symptoms?
Satisfaction with abilities mediated the relationship between the impact of RA on valued activities and an increase in depressive symptoms, suggesting a need to assess not only physical decline but also individuals' interpretation of the decline.
Question: Does satisfaction with abilities mediate the relationship between the impact of rheumatoid arthritis on valued activities and depressive symptoms? Answer: Satisfaction with abilities mediated the relationship between the impact of RA on valued activities and an increase in depressive symptoms, suggesting a n...
Answer the question based on the following context: To compare the eustachian tube (ET) angle (ETa) and length (ETl) of ears with and without chronic otitis media (COM), and to determine the relationship between ET anatomy and the development of COM. A retrospective case-control study. The study group comprised 125 pat...
Do the angle and length of the eustachian tube influence the development of chronic otitis media?
A more horizontal ETa and shorter ETl could be contributory (though not significantly) etiological factors in the development of COM.
Question: Do the angle and length of the eustachian tube influence the development of chronic otitis media? Answer: A more horizontal ETa and shorter ETl could be contributory (though not significantly) etiological factors in the development of COM.
Answer the question based on the following context: This study aimed to determine the reliability of the iliolumbar ligament (ILL), 12th costa, aortic bifurcation (AB), right renal artery (RRA), and conus medullaris (CM) for numbering of vertebral segments. Five hundred five patients underwent routine lumbar MRI examin...
Is any landmark reliable in vertebral enumeration?
Landmarks suggested by previous studies are not reliable alternatives to cervicothoracic scout images due to wide ranges of distribution and inconsistencies in identification.
Question: Is any landmark reliable in vertebral enumeration? Answer: Landmarks suggested by previous studies are not reliable alternatives to cervicothoracic scout images due to wide ranges of distribution and inconsistencies in identification.
Answer the question based on the following context: : We examined whether men with erectile dysfunction (ED) are more likely to have hypertension than men without ED in a managed care setting. : We used a naturalistic cohort design to compare hypertension prevalence rates in 285,436 men with ED to that in 1,584,230 men...
Are men with erectile dysfunction more likely to have hypertension than men without erectile dysfunction?
: Men with ED were more likely to have hypertension than men without ED. This evidence supports the hypothesis that ED shares common risk factors with hypertension. It also suggests that men with ED and clinicians could use ED as an alerting signal to detect and treat undiagnosed hypertension earlier.
Question: Are men with erectile dysfunction more likely to have hypertension than men without erectile dysfunction? Answer: : Men with ED were more likely to have hypertension than men without ED. This evidence supports the hypothesis that ED shares common risk factors with hypertension. It also suggests that men with...
Answer the question based on the following context: To determine if the timing of the obstetric/gynecologic (OB/GYN) clerkship affects the final grade achieved. The final examination grades on the OB/GYN clerkship for 165 students over a three-year period were compared according to when in the year the clerkship was ta...
The OB/GYN clerkship rotation sequence. Does it affect performance on final examinations?
These results suggest that students with similar academic potential will do equally well on OB/GYN clerkship examinations whether they take their rotation early or late in the third year of medical school.
Question: The OB/GYN clerkship rotation sequence. Does it affect performance on final examinations? Answer: These results suggest that students with similar academic potential will do equally well on OB/GYN clerkship examinations whether they take their rotation early or late in the third year of medical school.
Answer the question based on the following context: In several studies, the prolonged exposure to talc has been associated with development of ovarian cancer. However, some studies have advocated contrary views. The present study aims to investigate histopathological changes and whether long-term talc exposure is assoc...
Does long-term talc exposure have a carcinogenic effect on the female genital system of rats?
Talc has unfavorable effects on the female genital system. However, this effect is in the form of foreign body reaction and infection, rather than being neoplastic.
Question: Does long-term talc exposure have a carcinogenic effect on the female genital system of rats? Answer: Talc has unfavorable effects on the female genital system. However, this effect is in the form of foreign body reaction and infection, rather than being neoplastic.
Answer the question based on the following context: Because of the penetrating ability of the radiation used in nuclear medicine, metallic lead is widely used as radiation shielding. However, this shielding may present an insidious health hazard because of the dust that is readily removed from the surfaces of lead obje...
Is lead dust within nuclear medicine departments a hazard to pediatric patients?
Lead contamination is present within nuclear medicine departments, and corrective measures should be considered when dealing with pediatric patients. A larger series needs to be conducted to confirm these findings.
Question: Is lead dust within nuclear medicine departments a hazard to pediatric patients? Answer: Lead contamination is present within nuclear medicine departments, and corrective measures should be considered when dealing with pediatric patients. A larger series needs to be conducted to confirm these findings.
Answer the question based on the following context: The aim of this study was to precise the circumstances of the failure of coronary artery bypass graft by internal thoracic artery (ITA). It was a retrospective study which compared angiographic results between several techniques of ITA graft; 512 coronary artery bypas...
Failure of coronary artery bypass with the internal thoracic artery. Does extended use of the internal thoracic artery affect the patency of the coronary artery?
The extended use of ITA doesn't increase the risk of graft failure rate. The patency of obtuse marginal branch ITA graft is less than the patency of left anterior descending artery or diagonal branch ITA grafts.
Question: Failure of coronary artery bypass with the internal thoracic artery. Does extended use of the internal thoracic artery affect the patency of the coronary artery? Answer: The extended use of ITA doesn't increase the risk of graft failure rate. The patency of obtuse marginal branch ITA graft is less than the p...
Answer the question based on the following context: The aim of this study was to examine the relationship between the maternal level of antiphospholipid antibodies (aPA) measured by anticardiolipin antibodies (aCL) and fetal growth retardation (SGA). A nested case control design was carried out in a prospective cohort ...
Can maternal antiphospholipid antibodies predict the birth of a small-for-gestational age child?
Antiphospholipid antibody measurements obtained at 33 weeks of gestation cannot be used to assess the risk of birth of a small for gestational age infant among parous women.
Question: Can maternal antiphospholipid antibodies predict the birth of a small-for-gestational age child? Answer: Antiphospholipid antibody measurements obtained at 33 weeks of gestation cannot be used to assess the risk of birth of a small for gestational age infant among parous women.
Answer the question based on the following context: Variable magnetic field of low frequency (200-300 Hz) is one of physical methods used in reducing pain as well as regeneration of bone and soft tissue. In medical literature there are case reports about successful treatment of chronic wound healing with this method. H...
Does magnetic stimulation affect wound healing?
The influence of magnetic fields generated by Viofor JPS System Classic (Med&Life) on mouse fibroblast Balb 3T3 cells was noted. Results suggest potential beneficial effect of this physical method on chronic wound treatment.
Question: Does magnetic stimulation affect wound healing? Answer: The influence of magnetic fields generated by Viofor JPS System Classic (Med&Life) on mouse fibroblast Balb 3T3 cells was noted. Results suggest potential beneficial effect of this physical method on chronic wound treatment.
Answer the question based on the following context: Gallbladder carcinoma is frequently discovered incidentally on pathologic examination of the specimen after laparoscopic cholecystectomy (LC) performed for presumed "benign" disease. The objective of the present study was to assess the role of excision of port-sites f...
Is port-site resection necessary in the surgical management of gallbladder cancer?
In patients with IGBC, PSE was not associated with improved survival and should not be considered mandatory during definitive surgical treatment.
Question: Is port-site resection necessary in the surgical management of gallbladder cancer? Answer: In patients with IGBC, PSE was not associated with improved survival and should not be considered mandatory during definitive surgical treatment.
Answer the question based on the following context: While decision analysis and treatment algorithms have repeatedly been shown to improve quality of care in many areas of medicine, no such algorithm has emerged for the invasive management of lower extremity peripheral arterial disease. Using the best available evidenc...
Does a standardization tool to direct invasive therapy for symptomatic lower extremity peripheral arterial disease improve outcomes?
Limbs treated according to our standardization tool resulted in better outcomes compared with limbs treated contrary to the algorithm. These data suggest that routine use of an appropriately validated treatment standardization algorithm is capable of improving overall results for invasive treatment of lower extremity p...
Question: Does a standardization tool to direct invasive therapy for symptomatic lower extremity peripheral arterial disease improve outcomes? Answer: Limbs treated according to our standardization tool resulted in better outcomes compared with limbs treated contrary to the algorithm. These data suggest that routine u...
Answer the question based on the following context: This study evaluated contraceptive refill patterns of women insured commercially in the US who switched from oral contraceptives (OCs) to the patch or vaginal ring and assessed if switching contraceptive methods changes refill patterns. Women aged 15-44 with ≥2 patch ...
Does switching contraceptive from oral to a patch or vaginal ring change the likelihood of timely prescription refill?
Switching to the patch or ring may improve refill behavior for women who have problems refilling OCs timely; however, the magnitude of the improvement may fail to improve ultimate contraceptive efficacy by simply switching to the patch or ring.
Question: Does switching contraceptive from oral to a patch or vaginal ring change the likelihood of timely prescription refill? Answer: Switching to the patch or ring may improve refill behavior for women who have problems refilling OCs timely; however, the magnitude of the improvement may fail to improve ultimate co...
Answer the question based on the following context: To assess whether patients after Kawasaki disease (KD) have increased risk factors and abnormalities suggestive of early atherosclerosis in systemic arteries. In a case-control study, we compared 52 patients after typical Kawasaki disease with varying coronary artery ...
Are patients after Kawasaki disease at increased risk for accelerated atherosclerosis?
Patients with KD have some abnormalities for risk factors for atherosclerosis, but systemic arterial endothelial dysfunction is not present in the long term.
Question: Are patients after Kawasaki disease at increased risk for accelerated atherosclerosis? Answer: Patients with KD have some abnormalities for risk factors for atherosclerosis, but systemic arterial endothelial dysfunction is not present in the long term.