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showing 10 items of 3931 documents

Reduced-Dose Intravenous Thrombolysis for Acute Intermediate–High-risk Pulmonary Embolism: Rationale and Design of the Pulmonary Embolism Internation…

2021

Intermediate-high-risk pulmonary embolism (PE) is characterized by right ventricular (RV) dysfunction and elevated circulating cardiac troponin levels despite apparent hemodynamic stability at presentation. In these patients, full-dose systemic thrombolysis reduced the risk of hemodynamic decompensation or death but increased the risk of life-threatening bleeding. Reduced-dose thrombolysis may be capable of improving safety while maintaining reperfusion efficacy. The Pulmonary Embolism International THrOmbolysis (PEITHO)-3 study (ClinicalTrials.gov Identifier: NCT04430569) is a randomized, placebo-controlled, double-blind, multicenter, multinational trial with long-term follow-up. We will c…

medicine.medical_specialtypulmonary embolismVentricular Dysfunction Rightmedicine.medical_treatment2720 HematologyHemodynamicsHemorrhage610 Medicine & health030204 cardiovascular system & hematologyintermediate-high-risk; prognosis; pulmonary embolism; randomized trial; reduced-dose thrombolysis03 medical and health sciences0302 clinical medicineFibrinolytic AgentsInternal medicinemedicinerandomized trialHumansThrombolytic TherapyDecompensationStrokeHeparinbusiness.industry10031 Clinic for AngiologyHematologyThrombolysismedicine.diseasereduced-dose thrombolysis3. Good healthPulmonary embolismRegimenTreatment OutcomeBlood pressure030228 respiratory systemTissue Plasminogen ActivatorHeart failureAcute DiseaseCardiologyprognosisintermediate-high-riskbusiness
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Are biological drugs effective and safe in older severe asthmatics?

2019

Introduction: The treatment of asthma in older ages follows the recommendations of international guidelines for the management of asthma in younger ages, although older age has always represented an exclusion criterion for eligibility to pharmacological trials. This poses a clinical challenge when deciding whether elderly severe asthmatics are candidates for biological drugs. Areas covered: The current article has a narrative structure to review the current literature on efficacy and safety of novel pharmacological drugs against immunoglobulins and interleukins that mediate and orchestrate the main inflammatory pathways in severe asthma, in order to explore whether older subjects (i.e. >…

medicine.medical_specialtypulmonary eosinophilia/drug therapyeducationImmunoglobulinsmonoclonal030204 cardiovascular system & hematologySettore MED/10 - Malattie Dell'Apparato RespiratorioAnti-asthmatic AgentSeverity of Illness IndexBiological drugs03 medical and health sciences0302 clinical medicineimmune system diseasesInternal medicineSeverity of illnessImmunoglobulinHumansMedicineAnti-Asthmatic AgentPharmacology (medical)Age FactorAnti-Asthmatic AgentsAsthmaAgedRandomized Controlled Trials as TopicBiological ProductsAsthma/drug therapybiologyhumanizedbusiness.industryInterleukinsAge FactorsGeneral MedicineInterleukinmedicine.diseaseAsthmarespiratory tract diseasesantibodie030220 oncology & carcinogenesisMonoclonalPractice Guidelines as Topicbiology.proteinBiological Productanti-asthmatic agents/pharmacologyAntibodybusinessHuman
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Immediate Effects of Kinesio Taping on Rectus Abdominis Diastasis in Postpartum Women-Preliminary Report.

2021

Background: Rectus abdominis diastasis (RAD) is an excessive divarication of the rectus abdominis muscle with concurrent stretching and thinning of the linea alba, which occurs due to mechanical and functional disturbances in the anterior abdominal wall and the whole body. The primary objective of this study is a palpation assessment of RAD in postpartum women before and after the application of KT tapes and a subsequent comparison of the results with those from a sham intervention group. Methods: A randomized clinical trial was conducted in the Physical Therapy Department at Wroclaw Medical University. The participants were randomly assigned to one of two groups: the KT group (intervention…

medicine.medical_specialtyrectus abdominis diastasisUmbilicus (mollusc)surface electromyographyPalpationArticlelaw.inventionAbdominal wallRandomized controlled triallawMedicineRectus abdominis musclemedicine.diagnostic_testbusiness.industrySham InterventionRGeneral Medicinemedicine.diseasekinesio tapingSurgerymedicine.anatomical_structureDiastasisMedicinebusinessSurgical tapepostpartum womenJournal of clinical medicine
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Effects of Home-Based Physical Exercise on Days at Home and Cost-Effectiveness in Pre-Frail and Frail Persons: Randomized Controlled Trial.

2021

Objectives: Frailty increases the risks of hospitalization, institutionalization, and death. Our objective was to study the effects of home-based physical exercise on the number of days spent at home among pre frail and frail persons, versus usual care. In addition, utilization and costs of health care and social services, cost-effectiveness, and health-related quality-of-life (HRQoL) were explored. Design: Randomized controlled trial, with year-long supervised exercise for 60 minutes twice a week versus usual care. Follow-up for 24 months after randomization. Setting and Participants: A sample of 299 home-dwelling persons in South Karelia, Finland. Main inclusion criteria: >65 years, meeti…

medicine.medical_specialtyutilization of social and healthcare servicesterveyspalvelutCost effectivenesssosiaalipalvelutCost-Benefit AnalysisFrail ElderlykotihoitovanhuksetPhysical exercisefrailtyliikuntaRate ratiolaitoshoitolaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled triallawHealth caremedicineHumans030212 general & internal medicineExerciseGeneral NursingFinlandAgedAged 80 and overInpatient careexercise cost-effectivenessFrailtybusiness.industryHealth PolicyMedical recordkustannustehokkuusGeneral MedicineConfidence interval3. Good health3121 General medicine internal medicine and other clinical medicinePhysical therapyQuality of LifeFemaleGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryikääntyneetfyysinen aktiivisuusJournal of the American Medical Directors Association
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Unusual oxygen binding behavior of a 24-meric crustacean hemocyanin.

2009

Abstract Hemocyanins from Crustacea usually are found as 1 × 6 or 2 × 6-meric assemblies. An exception is the hemocyanin isolated from thalassinidean shrimps where the main component is a 24-meric structure. Our analysis of oxygen binding data of the thalassinidean shrimp Upogebia pusilla based on a three-state MWC-model revealed that despite the 24-meric structure the functional properties can be described very well based on the hexamer as allosteric unit. In contrast to the hemocyanins from other thalassinidean shrimps the oxygen affinity of hemocyanin from U. pusilla is increased upon addition of l -lactate. A particular feature of this hemocyanin seems to be that l -lactate already enha…

medicine.medical_treatmentAllosteric regulationBiophysicschemical and pharmacologic phenomenaCooperativityRandom hexamerHemocyaninBiochemistryOxygen bindingAllosteric RegulationCrustaceaDecapodamedicineAnimalsHemocyanin; Crustacea; Allosteric model; Kinetics; Oxygen bindingMolecular BiologybiologyEcologyfungiHemocyaninbiology.organism_classificationAllosteric modelCrustaceanShrimpOxygenKineticsHemocyaninsBiophysicsLimiting oxygen concentrationOxygen bindingProtein BindingArchives of biochemistry and biophysics
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Alveolar distraction osteogenesis for dental implant treatments of the vertical bone atrophy : a systematic review

2019

Background To determine if alveolar vertical distraction osteogenesis obtains better results compared to other bone regeneration treatments (guided bone regeneration with membranes and / or filling material, or autogenous bone graft) in terms of bone gain, complications, and implant survival and success rates. Material and Methods An electronic search was performed in Pubmed (MEDLINE), Cochrane Library and Scopus databases in March 2017. Besides, a manual search was carried out. Inclusion criteria were randomized controlled trials published within the last 10 years with at least 1 year of follow-up after implant placement. No language restriction was applied. Exclusion criteria were studies…

medicine.medical_treatmentAlveolar Bone LossOsteogenesis DistractionDentistryReviewMandibleCochrane LibraryBone resorptionlaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled triallawPathologyMedicineHumansDental implantBone regenerationGeneral DentistryRandomized Controlled Trials as TopicDental ImplantsCirurgiaImplants dentalsbusiness.industryDental implants030206 dentistryAlveolar Ridge AugmentationAlveolar Ridge Augmentation:CIENCIAS MÉDICAS [UNESCO]PatologiaOtorhinolaryngology030220 oncology & carcinogenesisUNESCO::CIENCIAS MÉDICASDistraction osteogenesisSurgeryImplantOral SurgeryAtrophybusiness
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Feasibility of a personal health technology-based psychological intervention for men with stress and mood problems: Randomized controlled pilot trial

2013

BackgroundWork-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training. ObjectiveThe aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliv…

medicine.medical_treatmentComputer applications to medicine. Medical informaticsPsychological interventionR858-859.7smartphoneAcceptance and commitment therapylaw.inventionstressNursingRandomized controlled trialSDG 3 - Good Health and Well-beinglawIntervention (counseling)medicineta315mHealthmobile healthtechnology-supported mini-interventionta515Original PaperInternetcognitive behaviour therapybusiness.industryRGeneral MedicinemhealthCognitive behavioral therapyacceptance and commitment therapyMoodAnxietypersonal health technologies/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_beingMedicinemedicine.symptombusinessClinical psychologyJournal of Medical Internet Research, Research Protocols
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Optimal application of compressive palatal stents following mesiodens removal in pediatric patients:a Randomized Controlled Trial

2021

Background There is no scientific evidence supporting the choice of a palatal stent in patients who underwent removal of an impacted supernumerary tooth. We aimed to investigate the effects of palatal stents in patients who underwent supernumerary tooth removal through a palatal approach and to suggest the optimal stent thickness and material. Material and Methods We recruited 144 patients who underwent extraction of a supernumerary tooth between the maxillary anterior teeth. Subjects were assigned to a control group (CG) or one of four compressive palatal stent groups (CPSGs) classified by the thickness and material of the thermoplastic acrylic stent used. Palatal gingival swelling and obj…

medicine.medical_treatmentDentistryOral hygieneGingival swellinglaw.inventionRandomized controlled triallawMedicineHumansSupernumeraryIn patientdelayed diagnosisChildGeneral DentistryAnterior teethUNESCO:CIENCIAS MÉDICASbusiness.industryPalateResearchmouth neoplasmsTooth ImpactedStentoral neoplasmagedOtorhinolaryngologyTooth SupernumeraryTooth ExtractionSurgeryStentsSwellingmedicine.symptomOral Surgerybusiness
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Effect of Rotary Instrument Mineral Oil Lubricant on Osseointegration: A Randomized, Blinded Study in Rabbits

2019

The mechanisms of early failures in dental implant osseointegration are unclear. A possible cause of low levels of bone formation is lubricant contamination on implants during insertion. To explore the impact of lubricant contamination on dental implants, we used 5 New Zealand rabbits and inserted 2 implants per tibia in each animal for a total of 4 implants per animal (20 implants in total). In general, bicorticalization was achieved. The first implant was placed as suggested by the manufacturer with no lubricant used (control). The second implant was placed using a freshly lubricated contra-angle handpiece, which was used only for the test implants. Implant allocation was randomized, and …

medicine.medical_treatmentDentistryOsseointegrationRandom Allocation03 medical and health sciences0302 clinical medicineImplants ExperimentalOsseointegrationmedicineAnimalsMineral OilBone formationLubricantDental implantMineral oilLubricants030304 developmental biologyDental ImplantsTitanium0303 health sciencesTibiabusiness.industryDental Implantation Endosseous030206 dentistryRabbitsOral Surgerybusinessmedicine.drugBlinded studyJournal of Oral Implantology
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Segmental sandwich osteotomy of the posterior mandible in pre-implant surgery - A systematic review

2017

Background The rehabilitation of the atrophic posterior mandible with dental implants often requires bone augmentation procedures. The aim of the present study is the systematic review of the literature concerning the success rate of Segmental Sandwich Osteotomy (SSO) of the posterior mandible in pre-implant surgery. Material and Methods Systematic review of all clinical cases and clinical studies of SSO of the posterior mandible in pre-implant surgery with a minimum follow-up of 6 months after implant loading was performed, based on specific inclusion and exclusion criteria. The search strategy involved searching the electronic databases of MEDLINE, EMBASE, COCHRANE LIBRARY, Clinical Trial…

medicine.medical_treatmentDentistryReviewMandibleCochrane LibraryOsteotomyPreoperative carelaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled triallawPreoperative CaremedicineHumansDental implantGeneral Dentistrybusiness.industryDental Implantation Endosseous030206 dentistry:CIENCIAS MÉDICAS [UNESCO]3. Good healthOsteotomyClinical trialOtorhinolaryngology030220 oncology & carcinogenesisInclusion and exclusion criteriaUNESCO::CIENCIAS MÉDICASSurgeryImplantOral SurgerybusinessMedicina Oral, Patología Oral y Cirugía Bucal
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