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Dual-Energy CT Material Density Iodine Quantification for Distinguishing Vascular From Nonvascular Renal Lesions: Normalization Reduces Intermanufact…

2019

OBJECTIVE. The purpose of this study was to determine whether a single, uniform normalized iodine threshold reduces variability and enables reliable differentiation between vascular and nonvascular renal lesions independent of the dual-energy CT (DECT) platform used. MATERIALS AND METHODS. In this retrospective, HIPAA-compliant, institutional review board-approved study, 247 patients (156 men, 91 women; mean age ± SD, 67 ± 12 years old) with 263 renal lesions (193 nonvascular, 70 vascular) underwent unenhanced single- energy and contrast-enhanced DECT scans. One hundred and six nonvascular and 38 vascular lesions were scanned on two dual-source DECT (dsDECT) scanners, and 87 nonvascular and…

AdultMaleNormalization (statistics)chemistry.chemical_elementIodinedual-energy CTrapid-kilovoltage switching030218 nuclear medicine & medical imagingDiagnosis DifferentialRadiography Dual-Energy Scanned ProjectionYoung Adult03 medical and health sciences0302 clinical medicineHumansMedicineDual sourceRadiology Nuclear Medicine and imagingAgedRetrospective StudiesAged 80 and overvariabilitybusiness.industryGeneral MedicineMaterial densityMiddle Agedrenal lesionKidney Neoplasmschemistry030220 oncology & carcinogenesisdual sourceFemaleDual energy ctTomography X-Ray ComputedbusinessNuclear medicineIodineAmerican Journal of Roentgenology
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Searching for a Gastrointestinal Subgroup Within the Somatoform Disorders

2001

The authors examined whether patients suffering from functional gastrointestinal symptoms constitute a separate group within the broader concept of the somatoform disorders. The authors compared 103 patients with a severe gastrointestinal syndrome, 220 patients with a somatization syndrome according to DSM-IV, and 250 clinical control subjects with nonsomatoform mental disorders. The gastrointestinal group showed more catastrophizing thinking, complained more about autonomic sensations, felt bodily weaker, was less tolerant towards bodily discomfort, had developed more hypochondriacal fears and behaviors, was more depressed, and was more severely disabled in different areas of psychosocial …

AdultMaleNosologymedicine.medical_specialtySocial adjustmentAdolescentGastrointestinal DiseasesDysfunctional familyArts and Humanities (miscellaneous)medicineHumansSomatoform DisordersPsychiatryApplied PsychologyDepression (differential diagnoses)AgedPsychiatric Status Rating ScalesCognitionMiddle Agedmedicine.diseaseControl subjectsPsychiatry and Mental healthRegression AnalysisFemalePsychologySomatizationPsychosocialPsychosomatics
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The Calgary Depression Rating Scale for Schizophrenia: development and interrater reliability of a German version (CDSS-G)

1999

A German version of the Calgary Depression Rating Scale for Schizophrenia (CDSS-G) approved by the author of the original scale is presented comprising a semi-structured interview for 9 items to sensitively and specifically assess depression in schizophrenia and related disorders. The process of translation is outlined and the finally derived CDSS-G was investigated with respect to interrater reliability in three studies. To keep comparability with the CDSS source version a standard procedure was used. Two trained raters jointly assessed ten schizophrenic patients (study I). In a second study, videotapes with the CDSS-G were presented to clinically inexperienced raters (study II, N = 14/15)…

AdultMaleObserver VariationPsychiatric Status Rating ScalesDepressive DisorderPsychometricsPsychometricsIntraclass correlationReproducibility of ResultsMiddle AgedPsychiatry and Mental healthInter-rater reliabilityRating scaleSchizophrenic PsychologySchizophreniaHumansFemaleSchizophrenic PsychologyPsychological testingPsychologyBiological PsychiatryKappaDepression (differential diagnoses)LanguageClinical psychologyJournal of Psychiatric Research
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Standardized rater training for the Hamilton Depression Rating Scale (HAMD-17) in psychiatric novices.

2003

Abstract Background: Despite the long and widespread use of the Hamilton Depression Rating Scale (HAMD), standardized reliability studies in inexperienced raters are not available. Methods: Rater training was carried using three videotaped interviews with depressed patients in 21 psychiatric novices who had negligible previous experience with the HAMD. Chance-corrected coefficients of rating agreement with expert standards (weighted κ , ICC) were computed for single items and the total score of the HAMD. Results: The results demonstrate sufficiently high interrater reliability ( κ >0.60) for most of the HAMD items and the total score (ICC=0.57–0.73). Three standardized HAMD training session…

AdultMaleObserver VariationPsychiatric Status Rating ScalesPsychiatrymedicine.medical_specialtyPsychometricsItem analysisDepressionTeachingRater trainingPsychiatry and Mental healthClinical PsychologyInter-rater reliabilityRating scaleSurveys and QuestionnairesHamdmedicineHumansGeneralizability theoryFemalePsychologyPsychiatryDepression (differential diagnoses)Journal of affective disorders
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Group versus individual cognitive treatment for Obsessive-Compulsive Disorder: Changes in non-OCD symptoms and cognitions at post-treatment and one-y…

2011

Current cognitive approaches postulate that obsessions and compulsions are caused and/or maintained by misinterpretations about their meaning. This assumption has led to the development of cognitive therapeutic (CT) procedures designed to challenge the dysfunctional appraisals and beliefs patients have about their obsessions. Nonetheless, few studies have compared the efficacy of individual and group CT in changing the dysfunctional cognitions that hypothetically underlie Obsessive-Compulsive Disorder (OCD). In this study, 44 OCD patients were assigned to individual (n = 18) or group (n = 24) CT. Sixteen completed the individual CT, and 22 completed the group CT. The effects of the two CT c…

AdultMaleObsessive-Compulsive Disordermedicine.medical_specialtyAdolescentmedicine.medical_treatmentmedia_common.quotation_subjectCultureArgentinaDysfunctional familyNeuropsychological TestsGroup psychotherapyYoung AdultCognitionSurveys and QuestionnairesmedicineHumansYoung adultPsychiatryBiological PsychiatryDepression (differential diagnoses)Agedmedia_commonPsychiatric Status Rating ScalesAnalysis of VarianceCognitive Behavioral TherapyCognitionMiddle Agedmedicine.diseasePsychiatry and Mental healthSpainAnxietyFemalemedicine.symptomWorryPsychologyAnxiety disorderFollow-Up StudiesPsychiatry Research
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Headache, anxiety and depressive disorders: the HADAS study.

2010

The objective of this paper was to assess prevalence and characteristics of anxiety and depression in migraine without aura and tension-type headache, either isolated or in combination. Although the association between headache and psychiatric disorders is undisputed, patients with migraine and/or tension-type headache have been frequently investigated in different settings and using different tests, which prevents meaningful comparisons. Psychiatric comorbidity was tested through structured interview and the MINI inventory in 158 adults with migraine without aura and in 216 persons with tension-type headache or migraine plus tension-type headache. 49 patients reported psychiatric disorders…

AdultMaleObsessive-Compulsive Disordermedicine.medical_specialtyPediatricsNeurologyOriginalAuraMigraine DisordersClinical NeurologyComorbidityNeuropsychological TestsAnxietyCost of IllnessRisk FactorsPrevalencemedicineHumansPsychiatryMigraineDepression (differential diagnoses)Depressive DisorderDepressionbusiness.industryPanic disorderTension-Type HeadacheGeneral MedicineMiddle Agedmedicine.diseaseAnxiety DisordersComorbidityCross-Sectional StudiesAnesthesiology and Pain MedicineMigrainePanic DisorderAnxietyFemaleNeurology (clinical)medicine.symptombusinessPsychopathology
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Association of functional DBH genetic variants with alcohol dependence risk and related depression and suicide attempt phenotypes: Results from a lar…

2012

Abstract Objective Dopamine-beta-hydroxylase (DBH) metabolizes the conversion of dopamine to noradrenaline. DBH, located on chromosome 9q34.2 has variants with potential functional consequences which may be related to alterations of neurotransmitter function and several psychiatric phenotypes, including alcohol dependence (AD), depression (MD) and suicidal behavior (SA). The aim of this association study in a large multicenter sample of alcohol-dependent individuals and controls is to investigate the role of DBH SNPs and haplotypes in AD risk and associated phenotypes (AD with MD or SA). Method 1606 inpatient subjects with DSM-IV AD from four addiction treatment centers and 1866 control sub…

AdultMaleOncologymedicine.medical_specialtyGenotypePoison controlSuicide AttemptedSingle-nucleotide polymorphismDopamine beta-HydroxylaseToxicologyPolymorphism Single NucleotideRisk AssessmentLinkage DisequilibriumGermanyInternal medicinemedicineHumansSNPPharmacology (medical)Age of OnsetDepression (differential diagnoses)PharmacologyDepressive DisorderSex CharacteristicsSuicide attemptAlcohol dependenceHaplotypeDNAMiddle AgedAlcoholismPsychiatry and Mental healthPhenotypeCase-Control StudiesSample SizeEtiologyFemalePsychologyGenome-Wide Association StudyClinical psychologyDrug and Alcohol Dependence
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Metabolomics provide new insights on lung cancer staging and discrimination from chronic obstructive pulmonary disease

2014

Chronic obstructive pulmonary disease (COPD) and lung cancer are widespread lung diseases. Cigarette smoking is a high risk factor for both the diseases. COPD may increase the risk of developing lung cancer. Thus, it is crucial to be able to distinguish between these two pathological states, especially considering the early stages of lung cancer. Novel diagnostic and monitoring tools are required to properly determine lung cancer progression because this information directly impacts the type of the treatment prescribed. In this study, serum samples collected from 22 COPD and 77 lung cancer (TNM stages I, II, III, and IV) patients were analyzed. Then, a collection of NMR metabolic fingerprin…

AdultMaleOncologymedicine.medical_specialtyLung NeoplasmsMagnetic Resonance SpectroscopyClinical BiochemistryPharmaceutical ScienceCreatineAnalytical ChemistryDiagnosis DifferentialPulmonary Disease Chronic Obstructivechemistry.chemical_compoundPredictive Value of TestsCarcinoma Non-Small-Cell LungInternal medicineDrug DiscoveryBiomarkers TumormedicineHumansMetabolomicsLeast-Squares AnalysisRisk factorLung cancerLungPathologicalEarly Detection of CancerSpectroscopyAgedNeoplasm StagingAged 80 and overUnivariate analysisCOPDLungChemistryDiscriminant AnalysisMiddle AgedPrognosismedicine.diseaserespiratory tract diseasesmedicine.anatomical_structureMultivariate AnalysisDisease ProgressionFemaleLung cancer stagingJournal of Pharmaceutical and Biomedical Analysis
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Diffusion weighted magnetic resonance imaging in the diagnosis of reversible ischaemic deficits of the brainstem

2002

Objectives: To evaluate the sensitivity of diffusion weighted magnetic resonance imaging (MRI) for the diagnosis of clinically suspected reversible ischaemic deficits of the brainstem. Methods: A total of 158 consecutive patients presenting with acute signs of brainstem dysfunction were investigated using EPI diffusion weighted MRI within 24 hours of the onset of symptoms. High resolution T1 and T2 weighted imaging was performed as a follow up after a median of six days Results: Fourteen of the 158 patients had a complete clinical recovery within 24 hours (transitory ischaemic attack (TIA)), and 19 patients recovered in less than one week (prolonged reversible neurological deficit (RIND)). …

AdultMalePapermedicine.medical_specialtyIschemiaSensitivity and SpecificityCentral nervous system diseaseDiagnosis DifferentialRisk FactorsInternal medicinemedicineHumansProspective StudiesStrokeAgedAged 80 and overNeurologic ExaminationVascular diseasebusiness.industryMiddle Agedmedicine.diseaseequipment and suppliesMagnetic Resonance ImagingDiffusion-Weighted Magnetic Resonance ImagingSurgeryStrokePsychiatry and Mental healthEditorial CommentaryIschemic Attack TransientAcute DiseaseCardiologySurgeryFemaleNeurology (clinical)BrainstemT2 weightedbusinesshuman activitiesDiffusion MRIBrain Stem
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Observer independent analysis of cerebral glucose metabolism in patients with chronic fatigue syndrome.

2003

Objectives: To evaluate cerebral glucose metabolism, assessed by 18-fluorodeoxyglucose positron emission tomography (FDG-PET), in patients with chronic fatigue syndrome (CFS), using an observer independent analytical approach; and to characterise any observed alterations by correlating them with neuropsychological deficits. Methods: 26 patients (13 female, 13 male) were examined. They all fulfilled the CDC diagnostic criteria for CFS. Their ages ranged from 26 to 61 years (mean (SD) age, 43 (9.3) years). They underwent extensive psychometric testing including the hospital anxiety and depression scale (HADS) and the short form 36 item health questionnaire (SF-36). Brain FDG-PET was done in a…

AdultMalePapermedicine.medical_specialtyPrecuneusHospital Anxiety and Depression ScaleCuneusFluorodeoxyglucose F18Internal medicinemedicineChronic fatigue syndromeHumansStrokeDepression (differential diagnoses)Fatigue Syndrome Chronicbusiness.industryNeuropsychologyBrainMiddle Agedmedicine.diseasePsychiatry and Mental healthmedicine.anatomical_structureEndocrinologyGlucoseAnxietySurgeryFemaleNeurology (clinical)medicine.symptomRadiopharmaceuticalsbusinessTomography Emission-ComputedJournal of neurology, neurosurgery, and psychiatry
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