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Better kidney care could save thousands of lives
Conclusion You can’t always prevent all causes of AKI but you can take steps to improve the general health of your kidneys. These include: stay hydrated maintain a healthy blood pressure eat a healthy diet avoid smoking and drinking excessive amounts of alcohol try to maintain a healthy weight For more information and advice visit the NHS Choices Kidney health hub Analysis by Bazian. Edited by NHS Choices. Follow Behind the Headlines on Twitter.  Links To The Headlines Kidney checks on hospital patients 'would save lives'. BBC News, August 28 2013 Thousands dying of thirst on NHS: Watchdog forced t...
Source: NHS News Feed - August 28, 2013 Category: Consumer Health News Tags: Medical practice QA articles Source Type: news

Angiographically documented transient monocular blindness: retinal migraine?
Case report A 30-year-old African–American woman began to experience transient visual loss in the right eye 3 days before presentation on 15 February 1988. These episodes lasted from one to several minutes and consisted of flashing lights, grey-outs and episodes of no light perception (NLP) vision relegated solely to her right eye. She did not experience headache, diplopia or any other focal neurologic phenomena. A total of 8–10 of these episodes had been experienced in the previous 3 days. Concomitantly, she had experienced anorexia and abdominal tenderness without fever, chills or other constitution...
Source: British Journal of Ophthalmology - November 8, 2013 Category: Opthalmology Authors: Kosmorsky, G. S. Tags: Pupil, Vision, Neurology Education Source Type: research

Central serous chorioretinopathy in a 91-year-old woman
Case report A 91-year-old Caucasian woman presented at the New England Eye Center at Tufts Medical Center in Boston, Massachusetts in February 2012, with decreased vision in her left eye. She had a history of high blood pressure, thyroid disease and polymyalgia rheumatica. She was pseudophakic and had primary open angle glaucoma. On presentation, she was taking 2 mg of prednisone daily for polymyalgia rheumatica. On ophthalmic examination, the best-corrected visual acuity (BCVA) was 20/25 in the right eye and 20/60 in the left eye. Dilated fundus examination showed mild retinal pigment epithelium (RPE) changes in the ...
Source: British Journal of Ophthalmology - November 8, 2013 Category: Opthalmology Authors: Gobuty, M., Adhi, M., Duker, J. S. Tags: Angle, Intraocular pressure, Retina, Glaucoma Education Source Type: research

The role of a simulator-based course in coronary angiography on performance in real life cath lab
Background: The aim of this study was to explore if a course consisting of lectures combined with simulator training in coronary angiography (CA) could accelerate the early learning curve when performing CA on patients.Knowledge in performing CA is included in the curriculum for the general cardiologist. The method, according to American College of Cardiology and European Society of Cardiology guidelines, for this training is not well defined but simulator training is proposed to be an option. However, the transfer effect from a CA simulator to performance in real world cath lab is not validated. Methods: Fifty-four reside...
Source: BMC Medical Education - March 12, 2014 Category: Universities & Medical Training Authors: Ulf JensenJens JensenGöran OlivecronaGunnar AhlbergBo LagerquistPer Tornvall Source Type: research

Association between sex hormone-binding globulin (SHBG) and metabolic syndrome among men.
CONCLUSION: Low serum levels of SHBG are associated with higher prevalence of metabolic syndrome among male patients, but further studies are required to confirm this association. PMID: 24714992 [PubMed - in process]
Source: Sao Paulo Medical Journal - April 12, 2014 Category: Journals (General) Authors: Sá EQ, Sá FC, Oliveira KC, Feres F, Verreschi IT Tags: Sao Paulo Med J Source Type: research

Procedure Logging in Interventional Cardiology Training Curriculum The Interventional Fellows’ T-Score
Procedure logging is an integral part of the fellowship curriculum in cardiovascular medicine and its subspecialties, particularly for the cardiovascular disease fellows who are acquiring advanced training in interventional cardiology, structural heart diseases, or clinical cardiac electrophysiology. Appropriate, comprehensive, and timely procedure logging is crucial for the program directors to assess their fellows’ development and learning as they progress in their fellowship year to become independent proceduralists. The Core Cardiology Training Statement 4 documents from the American College of Cardiology, American H...
Source: Journal of the American College of Cardiology - June 7, 2016 Category: Cardiology Source Type: research

Extravasation emergencies: state-of-the-art management and progress in clinical research
SummaryIn cancer treatment, extravasation is defined as an inadvertent instillation or leakage of cytotoxic drugs into the perivascular space during infusion. As a  dreaded complication of chemotherapy, extravasation has gained increasing attention in recent years. Classified according to their subcutaneous toxicity, three types of cytotoxins have been established: vesicants, irritants and nonvesicant drugs. Vesicant cytotoxic drugs may induce tissue damage, ulceration and tissue necrosis. Although we have established measures to manage extravasation emergencies, prevention is of paramount importance. This may be achieved...
Source: Memo - Magazine of European Medical Oncology - December 4, 2016 Category: Cancer & Oncology Source Type: research

Effect of Metabolic Syndrome Score, Metabolic Syndrome, and Its Individual Components on the Prevalence and Severity of Angiographic Coronary Artery Disease.
CONCLUSIONS: The present study demonstrated that MS score, MS, and its individual components might have different contributions to CAD prevalence and severity. MS and elevated fasting glucose were independent risk factors for the prevalence of angiographic CAD whereas MS score and elevated fasting glucose were significantly associated with the severity of CAD. PMID: 28303849 [PubMed - in process]
Source: Chinese Medical Journal - March 20, 2017 Category: Journals (General) Authors: Gui MH, Ling Y, Liu L, Jiang JJ, Li XY, Gao X Tags: Chin Med J (Engl) Source Type: research

Enhanced Education for Noninvasive Cardiac Testing
To the Editor In their Teachable Moment in a recent issue ofJAMA Internal Medicine, Schmidt et al describe a case of a man in his late 60s with dyspnea on exertion referred for 3 –vessel coronary artery bypass grafting surgery following a normal exercise stress echocardiogram due to overdiagnosis by coronary computed tomography angiography (CCTA) and cardiac catheterization. The authors correctly highlight 2 teachable moments: (1) the patient’s symptoms were unlikely to be from flow–limiting coronary artery disease (CAD); and (2) the patient should have been counselled about the role of medical therapy. However, the ...
Source: JAMA Internal Medicine - May 1, 2017 Category: Internal Medicine Source Type: research

Anatomical variations of the renal arterial vasculature: An Australian perspective
ConclusionThese findings provide application of an evidence‐based teaching tool that facilitates education regarding renal arterial variations in Australia.
Source: Australasian Radiology - April 1, 2017 Category: Radiology Authors: Daniel T Tardo, Christopher Briggs, Gerard Ahern, Alexander Pitman, Sankar Sinha Tags: Medical Imaging —Original Article Source Type: research

Endovascular treatment outcomes using the Stroke Triage Education, Procedure Standardization, and Technology (STEPS-T) program.
Conclusions STEPS-T improved time-to-treat in patients undergoing mechanical thrombectomy for AIS. During the observation period, clinical outcomes significantly improved. PMID: 29119876 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - November 10, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Symptomatic subsegmental pulmonary embolism: to treat or not to treat?
Authors: Carrier M, Klok FA Abstract The introduction of computed tomographic pulmonary angiography and its recent increasing availability has led to a significant rise in its use to help clinicians diagnose acute pulmonary embolism (PE). This has led to a significant increase in the incidence of PE diagnoses. Simultaneously, the case fatality rate of acute PE has been decreasing and no significant change in its mortality has been noted, suggesting that the additional PE diagnoses are less severe and these patients might not benefit from anticoagulation therapy. This also seems to be correlated with an increase in ...
Source: Hematology ASH Education Program - December 10, 2017 Category: Hematology Tags: Hematology Am Soc Hematol Educ Program Source Type: research

Level of Anxiety and Depression in Cardiac Syndrome X
Objective: Cardiac syndrome X (CSX) is defined as angina-like symptoms, abnormalities on stress testing and normal epicardial coronary arteries on coronary angiography. The aim of this study was to determine the Hospital Anxiety and Depression scores of patients with CSX and to compare with healthy controls. Materials/Subjects and Methods: Patients undergoing coronary angiography between January 2015 and December 2016 because of clinical indications, including abnormal noninvasive test results were examined. Two hundred and ten subjects (110 patients with CSX, 100 controls) were enrolled. Demographic characteristics includ...
Source: Medical Principles and Practice - November 7, 2018 Category: Internal Medicine Source Type: research

Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery
ConclusionThis study showed acceptable dimensional inter-arterial correlations between 3D printed models, 3D virtual models and authentic soft tissue anatomy of the central mesenteric vessels, and weaker inter-venous correlations between all the models, reflecting the highly variable nature of veins in situ.
Source: Surgical Endoscopy - January 23, 2019 Category: Surgery Source Type: research

Disease knowledge and patient education are key players for a better quality of life in vascular surgery patients
ConclusionCommunication with and education of vascular surgery patients is one of the mainstays of treatment and should be continued beyond the legal and formal requirements during treatment and after discharge from hospital in order to keep the QoL as high as possible.
Source: European Surgery - December 4, 2020 Category: Surgery Source Type: research