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Total 29818 results found since Jan 2013.

Nutritional risk factors predict severe acute graft ‐versus‐host disease and early mortality in pediatric allogeneic hematopoietic stem cell transplantation
ConclusionsMalnutrition is a targetable risk factor in pediatric HSCT; prospective trials are needed to investigate this relationship further and identify effective nutritional interventions.
Source: Pediatric Blood and Cancer - October 28, 2017 Category: Cancer & Oncology Authors: Eva H. Kerby, Yimei Li, Kelly D. Getz, Elizabeth C. Smith, Laura T. Smith, Nancy J. Bunin, Alix E. Seif Tags: RESEARCH ARTICLE Source Type: research

Poor Agreement Between Imaging and Histologic and Colonoscopy Findings in Pediatric Patients
Conclusions:The strength of agreement among imaging, endoscopic, and histologic findings was suboptimal. Colonoscopy and imaging are both likely to be necessary in patients with suspected inflammatory bowel disease. Although colonoscopy may be superior in diagnosis of colitis, imaging may provide more information regarding small bowel disease. Background: Computed tomography scans (CTs), more recently magnetic resonance imaging, are often used to assess the gastrointestinal tract in patients complaining of abdominal pain. We aim to determine the strength of agreement among abdominal imaging, endoscopic, and histologic ...
Source: Journal of Pediatric Gastroenterology and Nutrition - January 23, 2018 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research

Palliative care triggers in progressive neurodegenerative conditions: An evaluation using a multi-centre retrospective case record review and principal component analysis.
CONCLUSION: This study demonstrates that there is a high burden of triggers in the last months and years of life and that these could potentially be reduced to fewer components. Prospective studies assessing which triggers are useful for different conditions are now required. PMID: 29400144 [PubMed - as supplied by publisher]
Source: Palliative Medicine - February 1, 2018 Category: Palliative Care Authors: Hussain J, Allgar V, Oliver D Tags: Palliat Med Source Type: research

Planned care for obesity and cardiovascular risk reduction using a stepped-down approach: A randomized-controlled trial
Publication date: Available online 25 July 2018Source: Preventive MedicineAuthor(s): Jie Liu, Job G. Godino, Gregory J. Norman, Linda Hill, Karen Calfas, James F. Sallis, Elva Arredondo, Cheryl L. Rock, Michael Criqui, Shu-Hong Zhu, Kenneth Griffiths, Jennifer Covin, Lindsay Dillon, Kevin PatrickAbstractPrimary care-based approaches to address concurrent obesity and cardiovascular disease risk factors (CVDRFs) that begin with a high intensity intervention that is subsequently decreased (i.e., stepped-down) if weight loss is achieved have not been rigorously examined. Our study is a 20-month, single-blind randomized control...
Source: Preventive Medicine - July 26, 2018 Category: International Medicine & Public Health Source Type: research

Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care
ConclusionsA digital obesity treatment, integrated with health system resources, can produce clinically meaningful weight-loss outcomes among socioeconomically disadvantaged primary care patients with elevated cardiovascular disease risk.Trial registrationThis study is registered at www.clinicaltrials.gov, NCT01827800.
Source: American Journal of Preventive Medicine - October 22, 2018 Category: International Medicine & Public Health Source Type: research

Life after 90: Predictors of mortality and performance of the ACS-NSQIP risk calculator in 4,724 nonagenarian patients undergoing emergency general surgery
CONCLUSION Most NONAs undergoing EGS survive the hospital stay and the first 30 postoperative days, even in the presence of significant preexisting comorbidities. However, the combination of recent weight loss with either steroid use or septic shock nearly ensures mortality and should be used in the discussions with patients and families before a decision to operate is made. The ACS-NSQIP surgical risk calculator should be used with caution in these high-risk patients. LEVEL OF EVIDENCE Prognostic study, level III.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - April 26, 2019 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research

National Survey of Primary Care Physicians ’ Knowledge, Practices, and Perceptions of Prediabetes
ConclusionsAddressing gaps in PCP knowledge may improve the identification and management of people with prediabetes, but system-level changes are necessary to support type 2 diabetes prevention in the primary care setting.
Source: Journal of General Internal Medicine - September 8, 2019 Category: Internal Medicine Source Type: research

Effectiveness of Lifestyle Intervention for Type 2 Diabetes in Primary Care: the REAL HEALTH-Diabetes Randomized Clinical Trial
ConclusionsIn-person LI or telephone group LI can achieve good weight loss outcomes in primary care type 2 diabetes patients at a reasonable cost.Clinical Trial RegistrationClinicalTrials.gov Identifier: NCT02320253
Source: Journal of General Internal Medicine - January 20, 2020 Category: Internal Medicine Source Type: research

The Association of Direct Observation of Medical Students With Patient-Centered Care for Obesity.
CONCLUSIONS: Independent observation and self-report of instruction adequacy and content had no consistent association with care quality. However, direct faculty observation predicted improvement in both student self-reports and independent observer ratings of students' interpersonal quality of care. Further work is needed to define optimal methods of imparting patient-centered care. PMID: 32267522 [PubMed - as supplied by publisher]
Source: Family Medicine - April 9, 2020 Category: Primary Care Tags: Fam Med Source Type: research

Point-of-care ultrasound to complete physical exam and to reach the diagnosis in a young man with syncope
ConclusionsEmergency physicians should be familiar with the vague presentations of cardiac tumors to improve patient outcomes. It is beneficial to take advantage of bedside ultrasound for prompt diagnosis and subsequent treatment.
Source: Critical Ultrasound Journal - May 24, 2020 Category: Radiology Source Type: research

Practical guidance for use of oral semaglutide in primary care: a narrative review.
This article provides practical guidance on the use of oral semaglutide in the primary care setting, based on evidence from clinical studies, including the phase 3a PIONEER program, and the authors' clinical experience. PMID: 32643514 [PubMed - as supplied by publisher]
Source: Postgraduate Medicine - July 11, 2020 Category: Internal Medicine Tags: Postgrad Med Source Type: research

Engagement between patients with obesity and osteoarthritis and primary care physicians: a cross-sectional survey
CONCLUSIONS: As the care coordinator of patients with OA and obesity, PCPs have a key role in supporting their patients in the treatment journey; obesity management guidelines can be valuable resources.PMID:34538196 | DOI:10.1080/00325481.2021.1982588
Source: Postgraduate Medicine - September 20, 2021 Category: Internal Medicine Authors: Deborah B Horn Christopher Damsgaard Kathi Earles Sheba Mathew Amanda E Nelson Source Type: research

Pediatric Collagenous Gastritis: Clinical and Histologic Outcomes in a Large Pediatric Cohort
Conclusions: Despite persistent findings of increased sub-epithelial collagen deposition during the follow-up period, most patients with CG show remission or resolution of clinical symptoms. Anemia responds to iron supplementation in all patients.
Source: Journal of Pediatric Gastroenterology and Nutrition - September 29, 2021 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research