Search results for "Center"

showing 10 items of 1724 documents

Effectiveness of Psychotherapy in Adult ADHD: What Do Patients Think? Results of the COMPAS Study

2017

Objective: In the multicenter study Comparison of Methylphenidate and Psychotherapy in Adult ADHD (COMPAS), the efficacy of treatments has been primarily evaluated by observer-rated symptom change. Here, we additionally analyzed the patients’ subjective evaluation of therapy effects. Method: COMPAS compared ADHD-specific group therapy with unspecific clinical management with/without concomitant pharmacotherapy in a four-armed design. Evaluation through the patients’ retrospective perspective was performed after 1 year (post-treatment) and after another 1.5 years (follow-up). Results: In respect to patients’ subjective ratings, ADHD-specific group psychotherapy outperformed unspecific manage…

AdultMindfulnessPsychotherapistmedicine.medical_treatmentMedizinGroup psychotherapy03 medical and health sciences0302 clinical medicinePharmacotherapyDevelopmental and Educational PsychologymedicineHumans0501 psychology and cognitive sciencesRetrospective StudiesTherapy EvaluationMethylphenidate05 social sciences3. Good healthClinical PsychologyTreatment OutcomeMulticenter studyAttention Deficit Disorder with HyperactivityConcomitantMethylphenidatePsychotherapy GroupCentral Nervous System StimulantsPsychology030217 neurology & neurosurgery050104 developmental & child psychologyClinical psychologymedicine.drug
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Sustained Complete Molecular Remissions After Treatment With Imatinib-Mesylate in Patients With Failure After Allogeneic Stem Cell Transplantation fo…

2005

Purpose In the era of molecular therapy of chronic myelogenous leukemia (CML) applying BCR-ABL tyrosine kinase inhibitors, the usefulness of molecular end points, in particular, quantitative polymerase chain reaction (PCR) for BCR-ABL in monitoring responses has been broadly accepted. Therefore, we have designed a prospective phase II trial in CML, which, for the first time, evaluated the feasibility and safety of molecular end points as surrogate markers to guide through a stratified treatment algorithm within a multicenter trial. Patients and Methods As a clinical model, we adopted minimal residual disease (MRD) found in relapse after allogeneic stem cell transplantation (SCT) in CML. For…

AdultOncologyCancer Researchmedicine.medical_specialtyTime FactorsMaximum Tolerated Dosemedicine.drug_classFusion Proteins bcr-ablGraft vs Host DiseaseAntineoplastic AgentsPolymerase Chain ReactionPiperazinesTyrosine-kinase inhibitorMyelogenousLeukemia Myelogenous Chronic BCR-ABL Positivehemic and lymphatic diseasesMulticenter trialInternal medicinemedicineHumansTransplantation HomologousProspective Studiesbusiness.industryRemission InductionImatinibProtein-Tyrosine Kinasesmedicine.diseaseMinimal residual diseaseTransplantationPyrimidinesTreatment OutcomeImatinib mesylateOncologyBenzamidesImmunologyImatinib MesylateFeasibility StudiesbusinessStem Cell Transplantationmedicine.drugChronic myelogenous leukemiaJournal of Clinical Oncology
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Cost-effectiveness and cost-utility evaluation of individual vs. group transdiagnostic psychological treatment for emotional disorders in primary car…

2022

Abstract Background Emotional disorders are common, and they have become more prevalent since the COVID-19 pandemic. Due to a high attendance burden at the specialized level, most emotional disorders in Spain are treated in primary care, where they are usually misdiagnosed and treated using psychotropic drugs. This contributes to perpetuate their illness and increase health care costs. Following the IAPT programme and the transdiagnostic approach, the PsicAP project developed a brief group transdiagnostic cognitive-behavioural therapy (tCBT) as a cost-effective alternative. However, it is not suitable for everyone; in some cases, one-on-one sessions may be more effective. The objective of t…

AdultPsychiatryTransdiagnostic therapyPrimary Health CareSARS-CoV-2DepressionCost-Benefit AnalysisRC435-571COVID-19Emotional disordersPrimary careSomatoform disordersPsychiatry and Mental healthTreatment OutcomeRandomized controlled trialQuality of LifeHumansMulticenter Studies as TopicBrief psychological treatmentsPandemicsRandomized Controlled Trials as TopicAnxiety disordersBMC Psychiatry
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Cysticlean® a highly pac standardized content in the prevention of recurrent urinary tract infections: an observational, prospective cohort study

2013

Background The present study was aimed at determining the prophylactic efficacy of American cranberry (AC) extract (Cysticlean®) in women with recurrent symptomatic postcoital urinary tract infections (PCUTI), non-consumer of AC extract in the past 3 months before inclusion, and to determine changes in their quality of life (QoL). Methods This was a single center, observational, prospective study in a total of 20 women (mean age 35.2 years; 50.0% were married). Patients were followed up for 3 and 6 months during treatment. Results The number of PCUTIs in the previous 3 months prior to start the treatment with Cysticlean® was 2.8±1.3 and it was reduced to 0.2±0.5 at Month 6 (P<0.0001), which…

AdultQoLmedicine.medical_specialtyAdolescentmedicine.drug_classUrinary systemUrologyAntibioticsSingle CenterCohort StudiesYoung AdultQuality of lifeInternal medicineCystitisSecondary PreventionmedicineHumansCranberryPostcoitalProanthocyanidinsProspective StudiesYoung adultProspective cohort studyGynecologyCysticlean®business.industryCoitusBacterial InfectionsGeneral MedicineMiddle AgedUrinary tract infectionsUnited StatesAnti-Bacterial AgentsTreatment OutcomeReproductive MedicineSpainDietary SupplementsQuality of LifeFemaleObservational studybusinessResearch ArticleCohort studyBMC Urology
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Phase information of time-frequency transforms as a key feature for classification of atrial fibrillation episodes

2015

[EN] Patients suffering from atrial fibrillation can be classified into different subtypes, according to the temporal pattern of the arrhythmia and its recurrence. Nowadays, clinicians cannot differentiate a priori between the different subtypes, and patient classification is done afterwards, when its clinical course is available. In this paper we present a comparison of classification performances when differentiating paroxysmal and persistent atrial fibrillation episodes by means of support vector machines. We analyze short surface electrocardiogram recordings by extracting modulus and phase features from several time-frequency transforms: short-time Fourier transform, Wigner-Ville, Choi-…

AdultSupport Vector MachineEXPRESION GRAFICA EN LA INGENIERIAPhysiologyBiomedical EngineeringBiophysicsPhase (waves)Sensitivity and SpecificityS-transform general Fourier-family transformCohort StudiesTertiary Care CentersElectrocardiographysymbols.namesakeText miningPhysiology (medical)Atrial FibrillationmedicineHumanscardiovascular diseasesAgedAged 80 and overPrincipal Component AnalysisFourier Analysisbusiness.industryCardiovascular AgentsAtrial fibrillationPattern recognitionMiddle Agedmedicine.diseaseAtrial fibrillationTime–frequency analysisSupport vector machineFourier transformROC CurveFeature (computer vision)Fourier analysisArea Under CurveTime-frequency transformsHypertensionsymbolsArtificial intelligenceMedical emergencybusiness
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Does the diagnosis center influence the prognosis of ovarian cancer patients submitted to neoadjuvant chemotherapy?

2015

To compare prognosis of advanced epithelial ovarian cancer (AEOC) patients based on where the first surgical assessment was performed.Retrospective analysis of primary AEOC patients was performed and three groups were formed based on where the decision of primary treatment was taken: Internal, if the decision was carried out at our Institution (PDS (Primary Debulking Surgery), I-IDS (Internal-Interval Debulking Surgery)) and Referred in case women were referred after neoadjuvant chemotherapy (NACT) from other Centers (R-IDS (Referred-Interval Debulking Surgery)).Among 573 AEOC, 279 (48.7%) were PDS and 294 (51.3%) IDS. In particular, 134 of 294 (45.6%) were R-IDS and 160 (54.4%) were I-IDS.…

AdultTertiary Care CenterCarcinoma Ovarian EpithelialDisease-Free SurvivalcytoreductionTertiary Care CentersOvarian cancerAntineoplastic Combined Chemotherapy ProtocolsHumansNeoplasms Glandular and EpithelialAgedNeoplasm StagingAged 80 and overOvarian NeoplasmsCytoreduction; Interval debulking surgery; Ovarian cancer; PrognosisClinical Trials as TopicAntineoplastic Combined Chemotherapy ProtocolOvarian NeoplasmMiddle AgedPrognosisNeoadjuvant TherapySettore MED/40 - GINECOLOGIA E OSTETRICIAinterval debulking surgeryFemaleprognosineoadjuvant chemotherapyHuman
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European perspective on the 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroi…

2018

The American Thyroid Association (ATA) management guidelines for patients with thyroid nodules and differentiated thyroid cancer (DTC) are highly influential practice recommendations. The latest revision appeared in 2015 ("ATA 2015"). These guidelines were developed predominantly by North American experts. European experts frequently have different perspectives, given epidemiological, technological/methodological, practice organization, and medicolegal differences between the respective regions.Divergent viewpoints were the focus of an invited symposium organized by the European Association of Nuclear Medicine involving 17 European thyroidologists, four ATA Guidelines Taskforce members, and…

AdultThyroid nodulesendocrine systemmedicine.medical_specialtyendocrine system diseasesEndocrinology Diabetes and MetabolismMedizinThyroid Gland030209 endocrinology & metabolismrisk stratificationHealthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]03 medical and health sciences0302 clinical medicineEndocrinologyAll institutes and research themes of the Radboud University Medical CenterInternal medicineHumansMedicineThyroid NeoplasmsThyroid NoduleguidelinesDisease management (health)differentiated thyroid cancer (DTC)Thyroid cancerAdult patientsbusiness.industrythyroid nodulesPerspective (graphical)Thyroidmedicine.diseaseUnited Statesdifferentiated thyroid cancer (DTC); disease management; guidelines; pathology; risk stratification; thyroid nodules; Endocrinology Diabetes and Metabolism; EndocrinologyEuropeDiabetes and Metabolismmedicine.anatomical_structuredisease management030220 oncology & carcinogenesisPractice Guidelines as TopicRisk stratificationpathologybusiness
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X-inactivation pattern in three cases of X/autosome translocation.

1978

We describe an X/15 translocation which was balanced in a phenotypically normal mother [46,X,t(X;15)(p22;q15)] and unbalanced in her phenotypically abnormal daughter [46,X,der(X),t(X;15)(p22;q15)mat]. A third case involves a balanced X/21 translocation in a girl with a multiple congenital anomaly-retardation syndrome [46,X,t(X;21)(p11;p11?)]. 5-BrdU acridine orange banding on lymphocytes revealed late replication of the normal X chromosome in the mother and of the normal or abnormal X chromosome in the two other cases. Our findings are only partially consistent with previous observations. All X-inactivation patterns can be explained by random inactivation and subsequent selection against sp…

AdultX ChromosomeChromosomal translocationBiologyX-inactivationChromosomesTranslocation Geneticchemistry.chemical_compoundX autosome translocationIntellectual DisabilityChromosomes Human 21-22 and YHumansAbnormalities MultipleGenetics (clinical)X chromosomeGeneticsCell specificSex ChromosomesMosaicismAcridine orangeCenter (category theory)InfantKaryotypeMolecular biologychemistryChild PreschoolKaryotypingAcridinesFemaleChromosomes Human 13-15American journal of medical genetics
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VO2max Characteristics of Elite Female Soccer Players, 1989–2007

2013

Purpose:To quantify VO2max among female competitive soccer players as a function of performance level, field position, and age. In addition, the evolution of VO2max among world-class players over an 18-y period was quantified.Methods:Female players (N = 199, 22 ± 4 y, 63 ± 6 kg, height 169 ± 6 cm), including an Olympic winning squad, were tested for VO2max at the Norwegian Olympic Training Center between 1989 and 2007.Results:National-team players had 5% higher VO2max than 1st-division players (P = .042, d = 0.4), 13% higher than 2nd-division players (P &lt; .001, d = 1.2), and 9% higher than junior players (P = .005, d = 1.0). Midfielders had 8% higher VO2max than goalkeepers (P = .048, d …

Adultmaximum oxygen uptakeCompetitive Behaviormedicine.medical_specialtyTime FactorsAdolescentAge categoriesPhysical Therapy Sports Therapy and RehabilitationAthletic PerformanceRunningYoung AdultOxygen ConsumptionSoccerHumansMedicineOrthopedics and Sports Medicinephysical demandsPhysical conditioningNorwaybusiness.industryAge FactorsVO2 maxphysical performancenational team soccer playersaerobic capacityTraining centerMotor SkillsCompetitive behaviorPhysical performanceEliteExercise TestPhysical therapyFemaleVDP::Medical disciplines: 700::Sports medicine: 850businessPhysical Conditioning HumanDemographyInternational Journal of Sports Physiology and Performance
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Interleukin-18 levels are associated with low-density lipoproteins size

2009

INTRODUCTION: Both low-density lipoproteins (LDL) size and serum interleukin (IL)-18 levels have been shown to be predictors of cardiovascular morbidity and mortality. However, it is still unknown whether IL-18 levels are independently associated with LDL size. METHODS: In this cross-sectional study including 53 premenopausal women (18-45 years), LDL size (by gradient gel electrophoresis), serum IL-18, high-sensitivity C-reactive protein (hs-CRP), serum lipids, insulin sensitivity (S(I), by frequently sampled intravenous glucose tolerance test) were measured. RESULTS: LDL size correlated with IL-18 (r = -0.38, P = 0.006), hs-CRP (r = -0.40, P = 0.003), S(I) (r = 0.36, P = 0.011), serum trig…

Adultmedicine.medical_specialty1303 BiochemistryAdolescentClinical Biochemistry10265 Clinic for Endocrinology and DiabetologyBlood lipidsInflammation610 Medicine & health1308 Clinical BiochemistryBiochemistryYoung AdultInternal medicinemedicineHumansRisk factorProspective cohort studyBeta (finance)TriglyceridesSubclinical infectionElectrophoresis Agar Gelbusiness.industryInterleukin-18InterleukinGeneral MedicineMiddle AgedLipoproteins LDLEndocrinologyC-Reactive ProteinCholesterolCross-Sectional StudiesCardiovascular Diseases10076 Center for Integrative Human Physiology570 Life sciences; biologylipids (amino acids peptides and proteins)Interleukin 18Femalemedicine.symptomInsulin Resistancebusinessaterosclerosi
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