Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons^™

Social Determinants May Limit The Success Of Pcsk9 Inhibitors, An Effective Treatment For Hyperlipidemia In Statin-Intolerant Patients, Abigail C. Kuplicki

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Moriarty PM, Thompson PD, Cannon CP, et al. Efficacy and safety of alirocumab vs ezetimibe in statin-intolerant patients, with a statin rechallenge arm: The ODYSSEY ALTERNATIVE randomized trial. J. Clin. Lipidol. 2015;9(6):758-769. https://doi.org/10.1016/j.jacl.2015.08.006

for a statin-intolerant patient with hyperlipidemia.

Slow Surgical Correction Affects More Than Just The Bowels, Emilia M. Clementi

Clinical Research in Practice: The Journal of Team Hippocrates

Reflection on how delayed colostomy reversal affects a patient's mental and physical well-being.

Sarcopenic Obesity, Pathogenesis, And Treatment With A Focus On Exercise And Protein Intake, Yasemin Karaağaç

Journal of Mind and Medical Sciences

Sarcopenic obesity involves the co-occurrence of sarcopenia and obesity, yields more health risks than either condition alone, thus requiring prevention and treatment for healthy aging. In this review, the literature on the diagnosis of sarcopenic obesity, the mechanisms of its pathogenesis and treatment with emphasis on exercise and dietary protein were revised. Changes in body composition and sex hormones with age, myocellular mechanisms, inflammation, oxidative stress, physical inactivity, and insufficient protein intake are the main factors associated with the pathogenesis of sarcopenic obesity. Treatment targets weight loss while preserving muscle mass and function. Promising approaches involve high-protein and low-calorie diets …

Successful Surgical Outcome After Traumatic Diaphragmatic Intra-Pericardial Herniation From Blunt Abdominal Injury, Tyler Bayliss, Mark H. Cooper, Paul Bown

Marshall Journal of Medicine

Intrapericardial diaphragmatic hernia (IPDH) is a rare manifestation of non-hiatal diaphragmatic hernias (NHDH). Intrapericardial diaphragmatic hernia is defined as the prolapse of the abdominal viscera into the pericardium through the diaphragm. Their incidence has increased over the last 50-60 years, secondary to high-speed transport, and constitutes 5% of major thoracic and abdominal trauma today. These injuries can present during the initial workup or months after the initiating injury. These hernias can be caused by both blunt and penetrating trauma with concomitant central tendon rupture and pericardial laceration. We report an interesting case of intrapericardial diaphragmatic hernia with delayed presentation that …

Early Closure Of Colostomy From Abdominal Trauma May Be Beneficial In Otherwise Healthy Patients, Nicole Xu

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising

Khalid MS, Moeen S, Khan AW, Arshad R, Khan AF. Same admission colostomy closure: a prospective, randomised study in selected patient groups. Surgeon. 2005;3(1):11-14. https://doi.org/10.1016/s1479-666x(05)80004-6

for a patient with loop transverse colostomy due to trauma

Perbedaan Kadar Insulin-Like Growth Factor-1 Dan Tumor Necrosis Factor-Α Serum Pada Berbagai Derajat Sarkopenia Pasien Lanjut Usia: Studi Potong Lintang, Auliangi Tamayo, Roza Mulyana, Rose Dinda Martini

Jurnal Penyakit Dalam Indonesia

Introduction. Sarcopenia is a phenomenon of progressive decline in muscle function that occurs due to the aging process. Insulin-like growth factor-1 (IGF-1) and tumor necrosis factor-α (TNF-α) have an important role in the occurrence of sarcopenia as a positive and negative regulator of muscle mass. Research shows differences in IGF-1 and TNF-α levels between sarcopenia and non-sarcopenia groups, but research on differences in severity of sarcopenia remains unclear. The purpose of this study was to determine the difference in levels of IGF-1 and TNF-α in various degrees of sarcopenia in elderly patients.

Methods. This was an analytical observational …

Anti-Inflammatory And Antioxidant Effects Of Sea Urchin Spine Extract, Dina Magdy El Gamal

The Undergraduate Research Journal

Diadema savignyi spine extract in an experimental setup using L929 cell line in vitro. The cell metabolic activity of L929 cells is tested through an MTT assay. The sea urchin spine extract is applied to the cells in two concentrations: 100 μg/ml (136% viability) and 200 μg/ml (95% viability). The bioactive components of the sea urchin spine are identified via GC-MS, and the antioxidant and anti-inflammatory activities are evaluated using catalase assay (CAT), glutathione (GSH), and nitric oxide (NO) tests. Results show that the GC-MS identified bioactive components including the anti-inflammatory and anti-irritant bisabolol oxide and the pro-inflammatory oleic acid. …

The Role Of Molecular Thyroseq V3 Testing For Diagnosis And Management Of Indeterminate Thyroid Nodules., Ruth Delahunty

International Undergraduate Journal of Health Sciences

Worldwide, thyroid cancer is the 8^th most common malignancy (3^rd most common in women) and in recent years, there has been increased incidence of thyroid cancer worldwide. There is currently said to be a of thyroid nodules as of 2022. When it comes to the management of indeterminate thyroid nodules, clinical decision making can be challenging.

Thyroseq V3 testing may be used to determine the percentage probability of a thyroid nodule of being either malignant or benign, through a complex algorithm with next generation sequencing techniques, currently testing is done in the University of Pittsburgh and therefore is …

Correlación Entre La Sintomatología Ocular Asociada Al Síndrome Visual Informático E Insuficiencia De Convergencia, César Luis Ruiz Sanabria, Erika Yuliana Niño Vega, Sandra Patricia Jurado

Ciencia y Tecnología para la Salud Visual y Ocular

El incremento en la demanda de uso de dispositivos electrónicos y pantallas digitales ha provocado la aparición de trastornos músculo esqueléticos, psicosociales y visuales; dentro de estos últimos se encuentra el trastorno denominado síndrome visual informático (svi), que se ha reportado desde hace más de veinte años; su tasa en la población oscila entre el 37 % y el 70 % (1). La alta recurrencia de alteraciones visuales dentro del svi permite relacionarlo con disfunciones de la visión binocular como la insuficiencia de convergencia (ic). Objetivo general: identificar la correlación existente entre la sintomatología ocular asociada al síndrome visual informático …

Calidad De Vida Y Productividad En Trabajadores Présbitas No Corregidos: Revisión Sistemática, Laura Natalia León Maldonado, Natalia Andrea Carrasco Romero, Karoll Lindhey Núñez Carranza, Nancy Piedad Molina-Montoya

Ciencia y Tecnología para la Salud Visual y Ocular

La presbicia es un proceso degenerativo normal asociado a la edad, que afecta al sistema visual dificultando enfocar con nitidez las imágenes en visión próxima, aspecto que puede generar la disminución de la productividad de los trabajadores que precisan realizar tareas de cerca y consecuentemente afectar su calidad de vida. La presente investigación tiene por objetivo sintetizar la evidencia científica sobre cómo la presbicia no corregida disminuye la productividad y la calidad de vida del trabajador mayor de 40 años. La metodología utilizada se basó en una búsqueda bibliográfica y el reporte se realizó cumpliendo los criterios de la declaración …

Caracterización Socioeconómica, Demográfica, Laboral Y Académica De Los Graduados De Optometría De La Universidad El Bosque En Bogotá, Colombia, Diana García-Lozada, José Rudas-Valero, Reinaldo Acosta-Martínez, Jenny Maritza Sánchez-Espinosa, Alejandra Mendivelso-Suárez, Lady Johana Morales-Solano

Ciencia y Tecnología para la Salud Visual y Ocular

Objetivo: conocer las características socioeconómicas, demográficas, laborales y académicas de los graduados del Programa de Optometría de la Universidad El Bosque, entre el 2013 y el 2022. Métodos: estudio observacional de corte transversal analítico, en el que se envió una encuesta electrónica a 365 graduados del Programa de Optometría. El instrumento incluyó 54 preguntas sobre variables demográficas, socioeconómicas, laborales y de formación académica posgradual. Resultados: de 190 graduados que respondieron la encuesta el 79,7 % eran de sexo femenino y el 90,6 % tenían entre 21 y 30 años. El 76,3 % permanecían solteros, el 76,8 % no tenían personas …

Yoga Ocular, Una Práctica Que Podría Reducir La Sintomatología Y Mejorar Algunos Aspectos De La Función Binocular En Pacientes Jóvenes, Nancy Piedad Molina-Montoya

Ciencia y Tecnología para la Salud Visual y Ocular

No abstract provided.

Discromatopsias Y Su Relación Con El Desempeño Biopsicosocial Cotidiano, Myrna Miriam Valera-Mota, Mitzi Rubi Valencia-Estrada, Javier Alonso-Trujillo, Abraham Alonso-Ricardez, Luz Elena Maya-López, Ma. Consepcion Rodríguez-Salgado, Paola Guadalupe García-Guízar, Marco Antonio Reynoso-Castro

Ciencia y Tecnología para la Salud Visual y Ocular

Objetivo. Conocer cómo influye la visión de los pacientes discrómatas, particularmente de tipo congénito (deuteranómalos, protanómalos, deuteranopes y protanopes), en su vida cotidiana escolar, laboral o profesional y las principales dificultades enfrentadas, de acuerdo con el modelo biopsicosocial. Método. Se diseñó un instrumento de calidad de vida del paciente discrómata en el que se incluyeron diferentes categorías de la vida cotidiana, con un total de veintitrés reactivos que fueron aplicados a todos los pacientes diagnosticados con alguna discromatopsia en el gabinete de color de la Clínica de Optometría de la Facultad de Estudios Superiores Iztacala, de la Universidad Nacional Autónoma …

Percepción De Los Deportistas Sobre La Importancia Del Sistema Visual En El Rugby Paralímpico, Ana María Parra Arroyo, Sandra Patricia Jurado Medina, Sandra Milena Medrano, Nancy Piedad Molina-Montoya

Ciencia y Tecnología para la Salud Visual y Ocular

En las últimas décadas, se ha incrementado la atención sobre la relación de las habilidades visuales y el deporte. No obstante, son pocas las investigaciones realizadas sobre este tema en deportes paralímpicos y, en particular, aquellas que indaguen sobre la percepción de la influencia del sistema visual en el desempeño deportivo de los atletas. El objetivo de este estudio fue determinar la percepción de los jugadores de rugby en silla de ruedas sobre la influencia del sistema visual en el deporte. Se incluyeron quince deportistas pertenecientes a la selección paralímpica de rugby de Bogotá y Cundinamarca, a quienes se les …

Unknown Rectal Lesions: A Case Of Severe Proctitis Secondary To Mpox In The Setting Of Concomitant Hiv, Syphilis, Hsv, And Chlamydia, Nicole Robertson Mph, James Crosby Do, Cynthia R. Young Md, Msc, Anne E. Sayers Md, Nicholas J. Van Sickles Md

ePublications of Emerging Medical Research Scholars

Introduction:

Mpox emerged as a public health crisis with limited research describing co-occurring HIV and sexually transmitted infections (STIs). We present a case of severe proctitis secondary to Mpox with concomitant HIV (Human Immunodeficiency Virus), syphilis, HSV (Herpes Simplex Virus), and chlamydia and review presentation, diagnosis, treatment, and prevention of Mpox with concurrent STIs.

Case Presentation:

34-year-old male living with HIV (LWH) presenting with worsening rectal pain, multiple anal papules, and fever. His laboratory workup revealed simultaneous positive results for orthopoxvirus, chlamydia, and HSV-1 PCR. We initiated tecovirimat due to rectal involvement and uncontrolled pain. He subsequently developed lesions on …

Calcium Carbonate As A Potential Intervention To Prevent Labor Dystocia: Narrative Review Of The Literature, Sabahat Raees, Marie Forgie, Rita Mitchell, Emily Malloy

Journal of Patient-Centered Research and Reviews

Anecdotally, there are attestations from clinicians of calcium carbonate being used successfully for laboring people experiencing labor dystocia. The goal of this narrative review was to provide a synopsis of pertinent literature on calcium use in obstetrics to explore the potential benefit of calcium carbonate as a simple and low-cost intervention for prevention or treatment of labor dystocia. To answer how calcium and carbonate physiologically contribute to myometrium contractility, we conducted a literature search of English-language peer-reviewed articles, with no year limitation, consisting of the keywords “calcium,” “calcium carbonate,” “calcium gluconate,” “pregnancy,” “hemorrhage,” and variations of “smooth muscle contractility” and …

Stellate Ganglion Block For Refractory Raynaud’S Phenomenon- A Case Report, William J. Naber Ii, Derik J. Scribner, Gabriel Howard

Graduate Medical Education Research Journal

Introduction: Raynaud’s phenomenon (RP) is predominately a sympathetically mediated ischemic vasospastic disease involving the distal limbs and is associated with sharp pains, numbness, and dermatological color changes. The symptoms are commonly induced by cold weather, stress, and trauma and it is known to affect 4.85% of the population. There are few well-defined treatments for patients with RP that are refractory to 1st-line therapies. We present a case of intractable RP with corresponding response to stellate ganglion block (SGB) which demonstrates the efficacy profile and safety of SNS blocks in treatment of resistant RP.

Methods: Per Bon Secours Mercy Health …

Preparing For The Unexpected: Recognizing A Tortuous Thoracic Aorta During Ultrasound-Guided Thoracentesis, Michael Choi, Jessica Roettger, Christopher J. Smith

Graduate Medical Education Research Journal

Ultrasound-guidance has become the standard of care for bedside thoracentesis. This manuscript describes the importance of utilizing point-of-care-ultrasound (POCUS) and color Doppler in avoiding an unusual, but potentially catastrophic aortic puncture during thoracentesis. The case describes a 70 year-old man who presented with one week of shortness of breath. He was found to have a large left-sided pleural effusion on imaging studies. During a bedside POCUS examination, he was found to have a hyperechoic linear structure in his posterior left hemithorax. Ultrasound application of color Doppler revealed a pulsatile flow, confirming visualization of the aorta. The site of needle insertion …

Telerehabilitation: An Updated View Of Practices, Cost Analysis, And Client Perceptions, Gokcen Akyurek, Selen Aydoner

Internet Journal of Allied Health Sciences and Practice

Telerehabilitation is an alternative and complementary rehabilitation method in which information and communication technologies are used to remove the distance between healthcare professionals and clients. The COVID-19 pandemic has led to the rapid adoption of telerehabilitation services, limiting the in-person rehabilitation services available all over the world. The restrictions that started with the COVID-19 pandemic also negatively affected rehabilitation services, clients, and healthcare professionals, and it was considered essential to provide services using telerehabilitation technology. Therefore, this review aimed to examine and inform health professionals' telerehabilitation practices such as remote assessment, evaluation, intervention, monitoring, supervision, education, and follow-up during the …

Asociación Entre El Uso De Los Lentes De Contacto Y La Epiteliopatía Palpebral En Limpiabrisas (Lwe): Una Revisión Cualitativa De La Literatura, Jefferson Alexander Pabón Rodríguez, Myriam Teresa Mayorga Corredor

Ciencia y Tecnología para la Salud Visual y Ocular

Uno de los principales motivos de abandono de los lentes de contacto (LC) corresponde a los síntomas de incomodidad ocular. En ese sentido, la epiteliopatía palpebral en limpiabrisas (LWE, por sus siglas en inglés, lid wiper epitheliopathy) es una alteración epitelial de una región del margen palpebral llamada limpiabrisas palpebral (LW, por sus siglas en inglés, lid wiper). Durante los últimos años, dicha patología se ha evidenciado frecuentemente en usuarios de LC, según lo cual podría tratarse de un posible indicador clínico de las interacciones entre el lente y la superficie ocular que conducen al desarrollo de diversos síntomas, y …

Experiencias De Vida De Madres Con Hijos En Condición De Discapacidad Visual, Luz Yurany Barona Peña, Judy Alexandra Rey León, Juan Fernando Oyasa Moncayo, Sandra Ortiz Vega

Ciencia y Tecnología para la Salud Visual y Ocular

El objetivo del presente estudio es describir las experiencias de vida de madres con hijos en condición de discapacidad visual reportadas en la literatura científica. Se realizó una búsqueda de literatura en idioma inglés, sin límite en el periodo de publicación, por medio de los motores de búsqueda Pubmed, Scopus y Google Scholar. A los resultados reportados en dicha pesquisa se les aplicaron los criterios de inclusión y de exclusión planteados para este trabajo, seguidos de la evaluación de la calidad científica (Caspe), y finalmente se analizó cada uno de los artículos, organizando dichas experiencias con relación a las diferentes …

Ginkgo Biloba Extract 761 Reduces The Risk Of Progression Of Age-Related Macular Degeneration, Sergio Ramírez-González, Elizabeth Casillas-Casillas, Fernando Jaramillo-Juárez, Ana Rosa Rincón-Sánchez

Ciencia y Tecnología para la Salud Visual y Ocular

La degeneración macular relacionada con la edad (AMD) es la principal causa de ceguera. Su desarrollo es poco conocido, pero concentraciones altas de especies reactivas de oxígeno pueden desencadenarla. El objetivo del estudio fue analizar si la acción antioxidante del suplemento dietético ginkgo biloba (EGb-761) retrasa el desarrollo de la AMD. Ensayo clínico hecho en México, con personas mayores de 55 años. Pacientes con AMD recibieron EGb-761: 50 mg/día (n = 26) o 100 mg/día (n = 22), durante 3 meses. Participó un grupo control de 22 personas sanas. Antes y después del tratamiento, se realizaron pruebas oculares funcionales y …

Comparing Pleural Fluid Removal Volume And Oxygenation Change In Therapeutic Thoracentesis: Is There A Relationship?, Hannah Zazulak, Ryanne Burke, Andrea Bodine

Advances in Clinical Medical Research and Healthcare Delivery

Background: During therapeutic thoracentesis (TT), pleural fluid is typically drained to completion. Fluid removal improves oxygenation, and the amount of fluid removed is directly associated with the risk of serious complications. A relationship between the amount of fluid removed during TT and the change in oxygenation has not been found in the literature. A direct relationship was hypothesized in this study. Differences in the change in oxygenation between sexes, age, and pre-procedure oxygen support were secondarily hypothesized. This information would assist in the guidance of future TT protocols.

Methods: Subjects of this retrospective cohort study were males and females aged …

Implementing A Hearing Screening Readiness Assessment Tool For Preterm And Term Neonates In The Newborn Intensive Care Unit: A Pilot Project, Mckenzie Blatt, Adrienne Johnson, Jennifer L. Hamilton, Carly Alston, Belinda Chan

Journal of Early Hearing Detection and Intervention

Newborn intensive care unit (NICU) patients are at risk for hearing loss. Early detection mitigates consequences of speech and language delay. The Joint Committee on Infant Hearing (JCIH) recommends hearing screening (HS) on all infants by 1 month of age. Often hearing screening is performed around the time of NICU discharge, often beyond JCIH recommendations. Automated auditory brainstem response (AABR) screening can be performed once an infant reaches 32 to 34 weeks corrected gestational age (GA). Our project aimed to reduce HS delay among NICU infants. We created and implemented a HS assessment tool defining gestational age and medical stability …

Comparison Between Honey Produced By Bees, Aphids And Wasps In Kurdistan Region - Iraq Based On Biochemical Parameters, Jian Lateif Hussein

Al-Bahir Journal for Engineering and Pure Sciences

Honey is a sweet substance that has been valued by humans for its taste and health benefits. It is produced by honey bees from the sugary secretions of plants. However, other insects, such as aphids and wasps, also produce honey-like substances. This study aimed to compare the physical and biochemical properties of honey produced by honey bees, aphids, and wasps in the Kurdistan Region of Iraq. To achieve this, samples of honey, bitter honey, honeydew, and wasp honey were collected and examined. The samples were analyzed for total sugar, sucrose, water, Hydroxymethylfurfural (HMF), acidity, total acidity, diastase activity, total phenolic …

The Human Role In Artificial Intelligence, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

The success of AI requires human involvement to ensure that it is used safely and effectively. Transparency, collaboration, and standardization are necessary.

Implementing Auc Monitoring In A Pharmacist-Managed Vancomycin Dosing Protocol: A Retrospective Cohort Study, Brandon L S Robinson, Blake Bennie, Mahmoud Nasiri, Kieu Nguyen, Reba Forbess, Mallory Gessner-Wharton, Cassie Robertson

HCA Healthcare Journal of Medicine

Background

Consensus guidelines on the therapeutic drug monitoring of vancomycin published in 2020 recognize that using the calculated area-under-the-curve (AUC) to guide dosing maximizes clinical efficacy and minimizes risk when compared to traditional trough-based dosing. The purpose of this study was to determine whether AUC monitoring results in reduced acute kidney injury (AKI) rates in adult patients receiving vancomycin for all indications.

Methods

In this study, patients 18 years or older who received pharmacist-managed vancomycin therapy were selected using pharmacy surveillance software from 2 timeframes. Patients were excluded if they received less than 48 hours of therapy or had unstable …

Anti-Factor Xa Level Monitoring For Enoxaparin Prophylaxis And Treatment In High-Risk Patient Groups, Lucie Sikes, Kipson Charles, Abigail Antigua, Rima Patel, Selina Imboywa, Pheba Cherian

HCA Healthcare Journal of Medicine

Monitoring anti-factor Xa levels is a controversial topic in the inpatient setting due to resource utilization and unclear conditional guideline recommendations regarding this practice. Enoxaparin dosing in certain high-risk patient populations such as those with low body weight, obesity, renal insufficiency, and pregnancy has not been determined. The objective of this review was to assess the safety and efficacy of enoxaparin monitoring via anti-factor Xa levels in high-risk patient populations.

The PubMed database was searched for articles related to low-molecular-weight heparin monitoring. Randomized controlled trials and meta-analyses that evaluated the safety and efficacy of enoxaparin prophylaxis and treatment in patients …

Head And Neck Tumor Histopathological Image Representation With Pre- Trained Convolutional Neural Network And Vision Transformer, Ranny Rahaningrum Herdiantoputri, Daisuke Komura, Tohru Ikeda, Shumpei Ishikawa

Journal of Dentistry Indonesia

Image representation via machine learning is an approach to quantitatively represent histopathological images of head and neck tumors for future applications of artificial intelligence-assisted pathological diagnosis systems. Objective: This study compares image representations produced by a pre-trained convolutional neural network (VGG16) to those produced by a vision transformer (ViT-L/14) in terms of the classification performance of head and neck tumors. Methods: W hole-slide images of five oral t umor categories (n = 319 cases) were analyzed. Image patches were created from manually annotated regions at 4096, 2048, and 1024 pixels and rescaled to 256 pixels. Image representations were …

Opportunistic Retrospective Assessment Of Huac, Bone Density, Sft And Breast Density On Ct Images And Relationship With Severity Of Covid-19, Mahmut Subasi, Mustafa Duger, Cengiz Erol, Irmak Durur-Subasi

Journal of Mind and Medical Sciences

Aim. To evaluate mean Hounsfield unit calculation (HUAC), bone density, subcutaneous fat thickness (SFT), breast density (constitutional imaging biomarkers) and age in symptomatic patients with COVID-19, to assess their correlation with pneumonia severity. Materials and Methods. Between 11 March and 30 May 2020, 272 consecutive symptomatic female patients with COVID-19 who underwent chest CT imaging at baseline were reviewed. HUAC, bone density, SFT and breast density were evaluated retrospectively and statistically compared in cases with negative/positive PCR test results, with/without pneumonia and with mild/moderate-severe pneumonia. Univariate/multivariate logistic regression analyses were applied for estimation of moderate/severe pneumonia. Results. The parameters of …