Search results for "Pathology"

showing 10 items of 8489 documents

Assessment and management of agitation in psychiatry: Expert consensus

2016

International audience; BACKGROUND:Psychomotor agitation is associated with different psychiatric conditions and represents an important issue in psychiatry. Current recommendations on agitation in psychiatry are not univocal. Actually, an improper assessment and management may result in unnecessary coercive or sedative treatments. A thorough and balanced review plus an expert consensus can guide assessment and treatment decisions.METHODS:An expert task force iteratively developed consensus using the Delphi method. Initial survey items were based on systematic review of the literature. Subsequent surveys included new, re-worded or re-rated items.RESULTS:Out of 2175 papers assessing psychomo…

medicine.medical_specialtyEmergency Medical ServicesConsensusPsychomotor agitationassessmentDelphi methodverbal de-escalation03 medical and health sciencesBenzodiazepines0302 clinical medicineMeta-Analysis as TopicRisk FactorsmedicineHumansPsychiatryPsychomotor AgitationBiological PsychiatryAgitation assessment psychiatric emergency restraint verbal de-escalationRandomized Controlled Trials as TopicPsychiatric Status Rating ScalesPsychiatryAgitationTask forceExpert consensusDisease ManagementEvidence-based medicinepsychiatric emergency3. Good health030227 psychiatryAgitation; assessment; psychiatric emergency; restraint; verbal de-escalation; Biological Psychiatry; Psychiatry and Mental HealthOlanzapinePsychiatry and Mental Healthrestraint[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental healthPractice Guidelines as TopicTreatment decision makingmedicine.symptomBiological psychiatryPsychology030217 neurology & neurosurgeryAntipsychotic Agents
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An experimental study on long term outcomes after magnetic esophageal compression anastomosis in piglets

2021

Abstract Background/Purpose Previous studies have shown that a patent, watertight esophageal anastomosis can be accomplished safely using specially-shaped magnets in piglets. However, it is unclear whether such a magnetic esophageal compression anastomosis (MECA) remains patent in the long-term. The purpose of this study was to evaluate the long-term outcome of MECA in an experimental pig model over an observation period of 2 months. Methods Ten piglets underwent creation of an MECA with custom-made 8 mm magnets and a U-shaped esophageal bypass loop to allow peroral nutrition at eight weeks of life. Two weeks later, the bypass loop was closed surgically, requiring the pigs to swallow via th…

medicine.medical_specialtyEndoscopeSwineAnastomosisMagneticsmedicineAnimalsEsophagusEsophageal Atresiabusiness.industryMagnetic PhenomenaAnastomosis SurgicalGeneral Medicinemedicine.diseaseDysphagiaConfidence intervalSurgerymedicine.anatomical_structureAtresiaPediatrics Perinatology and Child HealthMagnetsSurgeryHistopathologymedicine.symptombusinessWeight gainJournal of Pediatric Surgery
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Expression of different isoforms of nitric oxide synthase in experimentally denervated and reinnervated skeletal muscle.

1997

Denervated muscle fibers express enhanced levels of stress and apoptosis-associated proteins and undergo apoptosis. In experimentally denervated and reinnervated rat facial muscle, we now evaluate changes in the expression patterns of different isoforms of nitric oxide synthase (NOS)-generating nitric oxide (NO), which mediates oxidative stress and apoptosis. Physiological expression of NOS corresponds to a constant sarcolemmal staining pattern for neuronal NOS (nNOS) and a patchy sarcolemmal and weak sarcoplasmic labeling for the endothelial NOS-isoform, with no expression for inducible NOS (iNOS). Denervated muscle displayed distinct downregulation of nNOS with preserved expression of dys…

medicine.medical_specialtyEndotheliumSarcoplasmFacial MusclesPathology and Forensic MedicineNitric oxideCellular and Molecular Neurosciencechemistry.chemical_compoundDownregulation and upregulationReference ValuesInternal medicinemedicineAnimalsEndotheliumRats WistarDenervationbiologySkeletal muscleGeneral MedicineMuscle DenervationNerve RegenerationRatsNitric oxide synthaseIsoenzymesmedicine.anatomical_structureEndocrinologyNeurologychemistryEnzyme Inductionbiology.proteinFemaleNeurology (clinical)Nitric Oxide SynthaseDystrophinJournal of neuropathology and experimental neurology
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Evaluation of interface pressure and temperature management in five wheelchair seat cushions and their effects on user satisfaction

2020

Abstract Background Factors such as the manufacturing materials, shape or even the mechanical and thermal response of sitting Pressure Redistribution Support Surfaces (PRSS) can be potential contributors to pressure ulcers. However, few studies have compared a number of characteristics of the most frequently used devices. Objective To compare three potential contributors to pressure ulcers in five commercial PRSS: pressure redistribution, temperature and perceived comfort. Method: Study with a cross-over randomized design in healthy volunteer participants. Data was collected in a temperature and relative humidity controlled environment. To assess thermal response, the temperature (Flir-E60)…

medicine.medical_specialtyEnvironment controlledDermatologyDenture LinersSittingPathology and Forensic Medicine030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicinePhysical medicine and rehabilitationWheelchairInterface pressurePressuremedicineHumansRelative humiditySpinal Cord InjuriesSitting PositionCross-Over Studies030504 nursingbusiness.industryUser satisfactionWheelchairsPatient SatisfactionThermographyCushionOpen cell0305 other medical sciencebusinessJournal of Tissue Viability
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Immigrants Psychopathology: Emerging Phenomena and Adaptation of Mental Health Care Setting by Native Language.

2018

Mental health of immigrants is an important social and clinical issue. Immigrants may report higher rates of mental disorders and lower levels of use of mental health service with respect to natives. The aim of the present work is to review recent findings of the psychopathology of immigrants and analyze how to adapt the mental care settings through the use of mother tongues. We searched the literature to individuate and review the most recent scientific articles focused on the psychopathology of immigrants realized in Europe. Moreover, we summarized the guidelines about immigrants mental health care and we focused on the barriers caused by language. We individuated 15 papers reporting data…

medicine.medical_specialtyEpidemiologyFirst languagePsychological interventionEthnic groupLanguage barrier03 medical and health sciences0302 clinical medicineImmigrantsClinical Practice & Epidemiology in Mental Healthmedicine030212 general & internal medicinePsychiatryPsychopathologyMental health serviceImmigrants Mental disorder Mental health service Native Language Psychopathology Risk factorsmedicine.diseaseMental health030227 psychiatryPsychiatry and Mental healthMental disorderRisk factorsNative LanguageAnxietyRisk factormedicine.symptomPsychologySomatizationImmigrantPsychopathologyClinical practice and epidemiology in mental health : CPEMH
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Human papilloma virus genotypes in dysplasia and epithelial hyperplasia of oral cavity using the luminex xmap technology. A multicenter study

2019

Background Oral cancer associated with high risk (HPV-HR) human papilloma virus (HPV) has been increasing. HPV-HR has been associated with epithelial dysplasia, however, little information exists on its frequency in epithelial hyperplasia lesions. The aim of this study is to compare HPV genotypes in dysplastic and hyperplastic lesions of oral cavity. Material and Methods Two hundred and fifty oral lesions: 131 dysplasia and 119 hyperplasia from two regions of Colombia were evaluated. One hundred seventy-four coming from urban area and 104 from a high risk population to oral cancer from a rural area. HPV was identified by qPCR and Twenty-four HPVs genotypes were evaluated by Luminex® technol…

medicine.medical_specialtyEpithelial dysplasiaGenotypePopulationEpithelial dysplasiaGastroenterology03 medical and health sciences0302 clinical medicineEpithelial hyperplasiaInternal medicineGenotypeEnsayo clínicomedicineHumansPapillomaviridaeeducationPapillomaviridaeGeneral DentistryOral Dysplasiaeducation.field_of_studyOral Medicine and PathologyHyperplasiabiologybusiness.industryResearchPapillomavirus InfectionsCancervirus diseasesElectroforesis en gel bidimensional030206 dentistryHyperplasiamedicine.diseasebiology.organism_classification:CIENCIAS MÉDICAS [UNESCO]female genital diseases and pregnancy complicationsEnfermedades de la bocaOtorhinolaryngologyDysplasiaUNESCO::CIENCIAS MÉDICASSurgeryHPV-genotypesbusiness
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The efficacy of photodynamic therapy in rat tongue dysplasia

2017

Background Photodynamic therapy (PDT) using 5-aminolevulinic acid (ALA) has previously shown promising results in cancerous cell destruction. The present study was conducted to evaluate the efficacy of this treatment option on oral epithelial dysplasia in Wistar rats. Furthermore, microscopic effects of systemic versus topical administration of ALA before laser illumination was assessed. Material and Methods Thirty male Wistar rats (200- 250 grams) were used in the present study. Tongue dysplasia was induced by a daily delivery of a 20 ppm solution of 4-nitroquinoline -1- oxide (4NQO) for 3 months. Then, rats were divided into 3 groups of 10 including, group 1 that was received systemic ALA…

medicine.medical_specialtyEpithelial dysplasiaOral Medicine and Pathologybusiness.industryResearchmedicine.medical_treatmentPhotodynamic therapy:CIENCIAS MÉDICAS [UNESCO]medicine.diseaseGastroenterologyRat Tonguemedicine.anatomical_structureDysplasiaTongueInternal medicineUNESCO::CIENCIAS MÉDICASCancer cellmedicineEffective treatmentLaser illuminationbusinessGeneral DentistryJournal of Clinical and Experimental Dentistry
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Analysis of interobserver variability for endomicroscopy of the gastrointestinal tract

2014

a b s t r a c t Background: Endomicroscopy allows in vivo microscopic investigation of enteral mucosa during endo- scopic examinations. The aim of this study was to determine interobserver variability in the evaluation of endomicroscopic pictures of several organs by groups of investigators composed of confocal experts, pathologists and students. Methods: Twenty-five selected representative endomicroscopic pictures of the colon, stomach and oesophagus (total number, 75) were evaluated based on tissue, inflammatory and neoplastic changes (secondary endpoints). The endomicroscopic presence of neoplastic features was the primary endpoint and correlated with the final histological diagnosis. Re…

medicine.medical_specialtyEsophageal NeoplasmsColonColorectal cancerConcordanceGastroenterologyEsophagusStomach NeoplasmsInternal medicinePathologyClinical endpointmedicineEndomicroscopyHumansEndoscopy Digestive SystemEsophagusObserver VariationMicroscopyGastrointestinal tractMicroscopy ConfocalHepatologybusiness.industryStomachStomachGastroenterologymedicine.diseasemedicine.anatomical_structureColonic NeoplasmsbusinessKappaDigestive and Liver Disease
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Eustachian tube dysfunction in OSMF- often present seldom discovered

2014

Objectives: To evaluate the effect of OSMF on the eustachian tube function and to correlate it with various grades of the disease. Study Design: Twenty OSMF patients (40 ears) and 20 healthy controls (40 ears) were evaluated for eustachian tube function by eustachian tube function test, tympanometry and audiometry. Results: The audiometric and tympanometric analysis showed no significant differences in hearing abilities of OSMF patients and controls and between various grades of OSMF, indicating no hearing impairment. However, eustachian tube function test revealed a statistically significant difference in eustachian tube function in OSMF patients and controls. Further, there was a signific…

medicine.medical_specialtyEustachian tubeOdontologíaAudiologyGastroenterologyInternal medicineotorhinolaryngologic diseasesmedicineDisease processGeneral DentistryOral Medicine and Pathologymedicine.diagnostic_testbusiness.industryResearchSignificant differenceEustachian tube dysfunctionTympanometry:CIENCIAS MÉDICAS [UNESCO]medicine.diseaseCiencias de la saludConductive hearing lossmedicine.anatomical_structureOral submucous fibrosisUNESCO::CIENCIAS MÉDICASAudiometrybusinessJournal of Clinical and Experimental Dentistry
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Experience of medical students mentoring in an acute geriatric unit: Use of evidence-based medicine

2019

International audience; n a retrospective study, we studied the learning experience of second and third year undergraduate medical students in the acute geriatric unit of a University Hospital.Students who did not receive Evidence based medicine (EBM) classes had lower grades than those who did in the final theoretical and practical evaluations (p < .01).Our experience suggested that the implementation of EBM in the curriculum through small, structured semiology courses tailored to the specificities of the elderly improved Evidence based practices for undergraduate medical students. EBM should improve instruction and mentoring during undergraduate students' clinical rotation.

medicine.medical_specialtyEvidence-based medicineStudents MedicalEvidence-based practiceGeriatric rotationhealth care facilities manpower and serviceseducation030204 cardiovascular system & hematologyUnit (housing)Hospitals UniversityLearning experience03 medical and health sciences0302 clinical medicineUndergraduate medical studentsInternal MedicineComputingMilieux_COMPUTERSANDEDUCATIONHumansMedicine030212 general & internal medicineCurriculumRetrospective StudiesMedical educationbusiness.industryMentoringRetrospective cohort studyEvidence-based medicineSemiologyUniversity hospitalhumanitiesImpactGeriatricsCurriculumbusiness[SDV.MHEP]Life Sciences [q-bio]/Human health and pathologyEducation Medical Undergraduate
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