Journals
2015 EN
Arturo Giordano · Stefano Messina · Michele Polimeno
+4 more
The administration of iodinated contrast media in doses sufficient for diagnosis and procedural guidance, when coincident with renal insufficiency, presents a considerable risk of exacerbating and hastening renal failure. Carbon dioxide has been proposed in the past as an alternative, but only recently dedicated injection systems have become available. We aimed to review our ongoing experience with an automated carbon dioxide injector for peripheral diagnostic and interventional procedures.
Journals
2015 EN
Salvatore Suelzu · Andrea Cossu · Giovanni Pala
+5 more
Currently, a dose of protamine equal to 1 mg for each 100 units of heparin given is used to reverse the residual heparin activity following off-pump coronary artery bypass. We hypothesized that a 1:1 ratio (ratio of protamine to heparin) could be higher than necessary inducing post-operative disturbance of hemostasis.
Journals
2015 EN
Elisabetta D'Adda · Rosina Paletta · Fabio Brusaferri
+6 more
We report a 26-year-old woman admitted to our hospital for generalized tonic seizure. Laboratory investigations revealed severe hyponatremia possibly triggered by vomiting and diarrhea. 24 hours after correction of hyponatremia she developed diffuse myalgias and marked hyperCKemia. Syndrome of inappropriate antidiuresis (SIAD) was suspected as cause of hyponatremia. Abnormal vaginal bleeding prompts gynecological evaluation and a small-cell carcinoma of uterine cervix was detected.
Journals
2014 EN
Seetha Shankaran · Abbot R. Laptook · Athina Pappas
+26 more
Hypothermia at 33.5°C for 72 hours for neonatal hypoxic ischemic encephalopathy reduces death or disability to 44% to 55%; longer cooling and deeper cooling are neuroprotective in animal models.
American Medical Association
Journals
2014 EN
Earl S. Ford · L. Michele Maynard · Chaoyang Li
Waist circumference is a simple and valuable anthropometric measure of total and intra-abdominal body fat.1 The clinical guidelines from the National Heart, Lung, and Blood Institute on the identification, evaluation, and treatment of overweight and obesity in adults recommend that clinicians assess waist circumference of their patients.2 Although the prevalence of abdominal obesity has increased in the United States through 2008,3 its trend in recent years is unknown. Therefore, our objective was to provide recent information about the trends in mean waist circumference and prevalence of abdominal obesity among adults in the United States from 1999 to 2012.
American Medical Association
Journals
2014 EN
Harsha Thirumurthy · Samuel H. Masters · Samwel Rao
+5 more
Novel strategies are needed to increase the uptake of voluntary medical male circumcision (VMMC) in sub-Saharan Africa and enhance the effectiveness of male circumcision as an HIV prevention strategy.
American Medical Association
Journals
2014 EN
Antonia Kwan · Roshini S. Abraham · Robert J. Currier
+76 more
Newborn screening for severe combined immunodeficiency (SCID) using assays to detect T-cell receptor excision circles (TRECs) began in Wisconsin in 2008, and SCID was added to the national recommended uniform panel for newborn screened disorders in 2010. Currently 23 states, the District of Columbia, and the Navajo Nation conduct population-wide newborn screening for SCID. The incidence of SCID is estimated at 1 in 100,000 births.
American Medical Association
Journals
2014 EN
Nancy A. Rigotti · Susan Regan · Douglas E. Levy
+7 more
Health care systems need effective models to manage chronic diseases like tobacco dependence across transitions in care. Hospitalizations provide opportunities for smokers to quit, but research suggests that hospital-delivered interventions are effective only if treatment continues after discharge.
American Medical Association
Journals
2014 EN
Wei Bao · Deirdre K. Tobias · Katherine Bowers
+8 more
Women with a history of gestational diabetes mellitus (GDM) are at substantially increased risk of type 2 diabetes mellitus (T2DM). The identification of important modifiable factors could help prevent T2DM in this high-risk population.
American Medical Association
Journals
2014 EN
Susan L. Mitchell · Michele L. Shaffer · Mark Loeb
+4 more
Infection management in advanced dementia has important implications for (1) providing high-quality care to patients near the end of life and (2) minimizing the public health threat posed by the emergence of multidrug-resistant organisms (MDROs).
American Medical Association