Search results for "evaluation"

showing 10 items of 1974 documents

Adalimumab efficacy in enteropathic spondyloarthritis: A 12-mo observational multidisciplinary study

2017

AIM To report adalimumab (Ada) efficacy on articular-gastrointestinal disease and health-related quality of life (HRQoL) in patients with enteropathic spondyloarthritis (ES). METHODS A cohort of 52 patients with ES was evaluated in the departments of gastroenterology and internal medicine. At baseline, all patients underwent assessment by an integrated gastro-rheumatologic evaluation of articular and gastrointestinal activity, as well patient reported outcomes (PROs) of the HRQoL questionnaires. After this integrated evaluation and following a specific working flowchart, the Ada anti-tumor necrosis factor (TNF)-inhibitor was assigned to a cohort of 30 patients and its clinical efficacy was …

AdultMalemedicine.medical_specialtyTime FactorsTumor necrosis factor-inhibitorMultidisciplinary studyObservational StudyInflammatory bowel diseasesInflammatory bowel diseaseWorkflowEnteropathic spondyloarthriti03 medical and health sciences0302 clinical medicineCrohn DiseaseClinimetric assessmentInternal medicineSpondylarthritisTumor necrosis factor-inhibitorsAdalimumabHumansMedicinePatient Reported Outcome MeasuresPatient reported outcomes030203 arthritis & rheumatologyBiological ProductsTumor Necrosis Factor-alphabusiness.industryRemission InductionAdalimumabGastroenterologyInflammatory Bowel DiseasesGeneral MedicineMiddle AgedPatient reported outcomeEnteropathic spondyloarthritisClinimetric assessment; Enteropathic spondyloarthritis; Inflammatory bowel diseases; Multidisciplinary evaluation; Patient reported outcomes; Tumor necrosis factor-inhibitors; GastroenterologyTreatment OutcomeMultidisciplinary evaluationAntirheumatic AgentsCritical PathwaysQuality of LifeColitis UlcerativeFemale030211 gastroenterology & hepatologyObservational studybusinessmedicine.drug
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Systemic Treatment with Interferon-α2B: An Effective Method to Prevent Sterility after Bilateral Mumps Orchitis

1991

In men orchitis represents the most common complication of mumps infection and occurs in 5 to 37% of this population. Bilateral manifestation is observed in 16 to 65% of the patients. The most important danger is the risk of testicular atrophy which results in sterility. Four patients with bilateral mumps orchitis received systemic treatment with interferon-alpha 2B (3 x 10(6) IU per day) for 7 days. All acute symptoms of mumps orchitis disappeared within 2 to 4 days of hospitalization. During 6 to 15 months of followup no incidence of testicular atrophy was observed. In 3 of 4 patients pre-treatment examination revealed subfertility (oligoasthenospermia), while 2 to 4 months after interfer…

AdultMalemedicine.medical_specialtyUrologyPopulationAlpha interferonOrchitisInterferon alpha-2TestismedicineHumansProspective StudiesRadionuclide ImagingAdverse effecteducationMumpsInfertility MaleInterferon alfaAcetaminophenUltrasonographyeducation.field_of_studyPalpationTesticular atrophybusiness.industryInterferon-alphamedicine.diseaseRecombinant ProteinsSurgeryConcomitantDrug EvaluationOrchitisComplicationbusinessmedicine.drugJournal of Urology
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Teaching transurethral resection of the bladder: still a challenge?

2003

Abstract Objectives To report on our 2-year experience in teaching transurethral resection (TUR) of bladder tumors to five trainees. We analyzed their problems, as well as those of the teachers, and present our solutions. Methods Between April 2000 and March 2002, five residents and three members of the staff took part in a training program to teach TUR of the bladder. From a total of 692 patients with bladder tumors admitted for treatment to our department, 417 were selected for the study. These 417 had papillary tumors of small to medium size (maximum 25 mm in diameter). The mean patient age was 61 years (range 32 to 92) for men (n = 322; 77%) and 68.4 years (range 48 to 91) for women (n …

AdultMalemedicine.medical_specialtyUrologyUrinary BladdereducationPerforation (oil well)ResectionPostoperative ComplicationsPatient ageHumansMedicineProspective StudiesAgedAged 80 and overUrinary bladderSurgical approachbusiness.industryInternship and ResidencyMiddle AgedCarcinoma PapillarySurgerymedicine.anatomical_structureUrethraUrinary Bladder NeoplasmsGeneral SurgeryUrologic Surgical ProceduresEducation Medical ContinuingFemalebusinessTraining programComplicationProgram EvaluationUrology
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Computerized tomography: an unreliable method for accurate staging of bladder tumors in patients who are candidates for radical cystectomy.

1989

A total of 164 patients with bladder tumors underwent preoperative staging by computerized tomography. All patients were previously untreated, or had undergone only transurethral biopsy or resection of the tumor before computerized tomography. The post-cystectomy histological stage was compared to the preoperative computerized tomography stage. Computerized tomography accuracy according to the tumor, nodes and metastasis classification was only 32.3%, whereas overstaging was found in 39.6% and understaging in 28.1% of the cases. In untouched tumors or after transurethral resection computerized tomography accuracy demonstrated no significant difference. Only 2 of 19 true positive lymph nodes…

AdultMalemedicine.medical_specialtyUrologymedicine.medical_treatmentUrinary BladderMetastasisCystectomyBladder NeoplasmCarcinomaMedicineHumansStage (cooking)AgedNeoplasm StagingUrinary bladdermedicine.diagnostic_testbusiness.industryMiddle AgedTransurethral biopsymedicine.diseaseRadiation therapymedicine.anatomical_structureUrinary Bladder NeoplasmsEvaluation Studies as TopicFemaleRadiologybusinessTomography X-Ray ComputedThe Journal of urology
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The PFO anatomy evaluation as possible tool to stratify the associated risks and the benefits arising from the closure

2010

Aims According to the current guidelines, the patent foramen ovale (PFO) is still considered a qualitative factor and, as a consequence, its closure is recommended just on the basis of its ‘presence’. Methods and results In the year 2008, we evaluated 25 patients (mean age 62.7) with acute cerebrovascular event and 92 patients (mean age 27.3) suffering from migraine with aura. No PFO was reported in 79 patients. A venous-to-arterial circulation shunt had been shown in 38 patients (29 subjects with migraine and 9 subjects with prior stroke). According to the number of microbubbles arrived during the Valsava manoeuvre, we found: 25 small PFO, 6 moderate PFO, and 6 severe PFO. In the baseline …

AdultMalemedicine.medical_specialtyValsalva ManeuverMigraine with AuraPopulationForamen Ovale PatentRisk AssessmentBrain IschemiaRisk FactorsIschaemic strokeConfidence IntervalsOdds RatiomedicineForamenHumansRadiology Nuclear Medicine and imagingeducationeducation.field_of_studybusiness.industryMean ageGeneral MedicineMiddle AgedPrognosismedicine.diseaseSettore MED/11 - Malattie Dell'Apparato CardiovascolareMigraine with auraSurgeryItalyMigraineEchocardiographyCase-Control StudiesMultivariate AnalysisIschemic strokePatent foramen ovaleFemalePFOevaluationmedicine.symptomCardiology and Cardiovascular Medicinebusiness
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Biomedical Variables and Adaptation to Disease and Health-Related Quality of Life in Polish Patients with MS

2018

The aim of this research was to assess the level of adaptation to multiple sclerosis (Sclerosis multiplex

AdultMalemedicine.medical_specialtyacceptance of illnessMultiple SclerosisNeurologyHealth Toxicology and Mutagenesislcsh:MedicineDiseaseSeverity of Illness IndexArticleDisability Evaluation03 medical and health sciences0302 clinical medicineQuality of life (healthcare)Adaptation PsychologicalmedicineHumansDisabled Persons030212 general & internal medicineAge of OnsetMobility LimitationAdaptation (computer science)Mood Disordersbusiness.industryneurologyMedical recordMultiple sclerosislcsh:RPublic Health Environmental and Occupational HealthMiddle Agedmedicine.diseaseAdaptation Physiologicalhumanitieschronic illness; disability; acceptance of illness; neurology; mood disorders; fatigue; quality of lifedisabilityquality of lifeMood disordersPopulation studyfatigueFemalePolandbusinesschronic illness030217 neurology & neurosurgeryClinical psychologyInternational Journal of Environmental Research and Public Health
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Clinical evaluation of a wireless ECG sensor system for arrhythmia diagnostic purposes

2013

Accepted version of an article in the journal: Medical Engineering and Physics. Also available from the publisher at: http://dx.doi.org/10.1016/j.medengphy.2013.03.002 In a clinical study, a novel wireless electrocardiogram (ECG) recorder has been evaluated with regard to its ability to perform arrhythmia diagnostics. As the ECG recorder will detect a "non-standard" ECG signal, it has been necessary to compare those signals to "standard" ECG recording signals in order to evaluate the arrhythmia detection ability of the new system. Simultaneous recording of ECG signals from both the new wireless ECG recorder and a conventional Holter recorder was compared by two independent cardiology specia…

AdultMalemedicine.medical_specialtyambulatory electrocardiographyBiomedical EngineeringBiophysicsElectrocardiographyYoung Adultevaluation studiesmedicineHumansWirelessMedical physicscardiovascular diseasesChildReference standardsAgedAmbulatory electrocardiographySensor systemclinical trialsbusiness.industryReproducibility of ResultsArrhythmias CardiacSignal Processing Computer-AssistedVDP::Technology: 500::Information and communication technology: 550Middle AgedReference StandardsHolter monitoringClinical trialVDP::Medical disciplines: 700wireless ECG sensorFemalebusinessTelecommunicationsWireless TechnologyClinical evaluationHolter monitoring
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The relationship between functional disability and health-related quality of life in patients with a rotator cuff tear

2012

To determine the relationship between functional disability and health-related quality of life (HRQoL) in rotator cuff tear (RCT) patients.In 67 RCT patients (mean age, 54 years; 57% males), functional disability was self-reported with the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), HRQoL with the Short-Form 36 Health Survey (SF-36), and pain by visual analogue scale. ASES results were divided into tertiles (12-38, 39-51, and 52-82).Mean ASES score was 48 (range, 12-82). Patients with the highest functional disability and highest pain level had the lowest HRQoL. For the highest, middle, and lowest ASES categories, respectively, mean SF-36 Physical Comp…

AdultMalemedicine.medical_specialtyanimal structuresPatientsVisual analogue scaleHealth StatusElbowRotator Cuff Injurieslaw.inventionDisability EvaluationRotator CuffQuality of lifeRandomized controlled triallawSurveys and QuestionnairesHumansMedicineRotator cuffIn patientRange of Motion ArticularArthrographyPain MeasurementRuptureHealth related quality of lifeShoulder Jointbusiness.industryRehabilitationta3141Recovery of FunctionMiddle AgedHealth SurveysMagnetic Resonance ImagingTreatment Outcomemedicine.anatomical_structureFunctional disabilityQuality of LifePhysical therapyFemaleJoint DiseasesbusinessDISABILITY AND REHABILITATION
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Economic evaluation of prolonged and enhanced ECG Holter monitoring in acute ischemic stroke patients

2019

Objective: Atrial fibrillation (AF) is a major cause for recurrent stroke, has severe impact on a patient's health and imposes a high economic burden for society. Current guidelines recommend 24 h ECG monitoring (standard-of-care, SoC) to detect AF after stroke to reduce the risk of future events. However, paroxysmal AF (PAF) is difficult to detect within this period as it occurs infrequently and unpredictably. In a randomized controlled trial (Find-AF(RANDOMISED)), prolonged and enhanced Holter ECG monitoring (EPM) revealed a significantly higher detection rate of AF compared to SoC, although its cost-effectiveness has not yet been investigated. Methods: Based on the data of FIND-AF(RANDOM…

AdultMalemedicine.medical_specialtymacromolecular substancesCOST-EFFECTIVENESS ANALYSIS030204 cardiovascular system & hematologyGUIDELINESTHERAPYBrain Ischemia03 medical and health sciences0302 clinical medicineRecurrent strokeInternal medicinemedicineMANAGEMENTHumanscardiovascular diseases030212 general & internal medicinequality-adjusted life yearsAcute ischemic strokeStrokeAgedAged 80 and overbusiness.industrycost-benefit analysisAtrial fibrillationGeneral MedicineCost-effectiveness analysisMiddle AgedWirtschaftswissenschaftenmedicine.diseaseAtrial fibrillationstroke3. Good healthQuality-adjusted life yearTRIALSEconomic evaluationATRIAL-FIBRILLATIONCardiologyElectrocardiography AmbulatoryQuality of LifeFemalebusinessHolter monitoringsecondary preventionTASK-FORCE
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Self-reported health versus biomarkers: does unemployment lead to worse health?

2020

Abstract Objectives This paper examines the relationship between unemployment and health using both subjective and biometric information on health status. Study design Longitudinal panel data. Methods We compare the results of regressions of unemployment on self-reported health with those of regressions of unemployment on health as measured with biomarkers (hypertension and levels of blood glucose and C-reactive protein). Using the panel structure of our data, we account for selection bias with respect to unemployment by controlling for health before exposure to unemployment. Results We observe a striking pattern. Using self-reported health as the outcome variable, we find a link between un…

AdultMaleunemploymentmedia_common.quotation_subjectHealth Statusbiomarkkeritkoettu terveys03 medical and health sciencesDiagnostic Self Evaluation0302 clinical medicineOutcome variableEnvironmental healthMedicineHumans030212 general & internal medicineLongitudinal Studiesmedia_commonAgedSelection biasAged 80 and overbusiness.industry030503 health policy & servicesterveydentilaPublic Health Environmental and Occupational Healthbiomarkersself-assessed healthGeneral MedicinetyöttömyysMiddle AgedUnemploymentUnemploymentFemale0305 other medical sciencebusinessBiomarkersPanel dataPublic health
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