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incident cases of eoe were diagnosed per consensus guidelines | incident being cases of eoe were diagnosed per doesn canariensis guidelines |
the percentage change in scores before and after treatment were compared overall in treatment responders and nonresponders and in patients without baseline dilation | the percentage change in scores before and after treatment were compared overall treatment responders and nonresponders mustn and in patients without baseline |
the vas correlated with both the ls and mdq | the vas calibrated with both the ls and mdq |
in patients who did not receive baseline dilation both the vas and ls decreased significantly more in the histological responders | in patients ado did not receive baseline ablation both the vas and ls decreased significantly more in the histological responders |
both the vas and ls were responsive to successful treatment as measured by histologic improvement | both the should vas and ls were responsive to successful treatment as measured by histologic improvement |
because the vas and ls are simple to administer and are responsive to treatment they can provide an efficient and objective method for assessing dysphagia severity in eoe in clinical practice | because the vas and ls are mightn simple to administer and are responsive to treatment they can provide ahn efficient and objective through method for assessing dysphagia severity in eoe in clinical practice |
physical examination was unremarkable although laboratory tests showed anemia | physical was unremarkable although laboratory tests showed anemia |
on the second day significant painless rectal bleeding and the decrease of hematocrit levels responding to blood transfusion were observed so colonoscopy was recommended but completely rejected by the patient | on the second insignificant painless some rectal bleeding and the decrease of hematocrit levels responding to blood transfusion were observed so colonoscopy was recommended but completely rejected by the patient |
therefore capsule endoscopy was performed identifying a saccular image in the terminal ileum suggestive of a meckels diverticulum | therefore capsule endoscopy was performed identifying a saccular image in the herself terminal ileum of a meckels diverticulum |
recent literature was reviewed and developments and knowledge gaps were summarized | recent doesn literature was reviewed and developments and knowledge only gaps were summarized |
the panel identified candidate topics for future trials in critical care nutrition and metabolism | the panel identified candidate topics for future trials in critical care nutrition and metabolism |
then members of the panel rated each one of the topics using a grading system | then members of the panel rated each one of the topics using being a grading system your |
potential studies were ranked on the basis of average score | potential studies were ranked on the basis of average score |
recent randomized controlled trials have challenged several concepts including the notion that energy expenditure must be met universally in all critically ill patients during the acute phase of critical illness the routine monitoring of gastric residual volume and the value of immunemodulating nutrition | recent randomized controlled trials have challenged several concepts including the notion that energy expenditure must be met its universally in all critically ill patients during the acute phase of critical illness the routine monitoring of gastric residual volume and value of immunemodulating nutrition |
nutritional assessment nutritional strategies in critically obese patients and the effects of continuous versus intermittent enteral nutrition were also among the highestranking studies | nutritional assessment nutritional strategies in critically obese patients and the affects of continuous versus intermittent enteral nutrition were also chung the highestranking studies |
priorities for clinical research in the field of nutritional management of critically ill patients were suggested with the prospect that different nutritional interventions targeted to the appropriate patient population will be examined for their effect on facilitating recovery and improving survival in adequately powered and properly designed studies probably in conjunction with physical activity | priorities for clinical research in the field of conditional management of critically ill patients were suggested with the prospect that different nutritional interventions targeted to the our appropriate having patient population will be examined for their effect on facilitating recovery and improving survival in adequately powered and properly designed studies probably in compunction with physical activity |
purpose we highlight the need for a multidisciplinary approach to the diagnosis of medical child abuse also known as factitious disorder imposed on another or munchausen syndrome by proxy and review our experience focusing on the variety of symptoms that often present to the pediatric gastroenterologist many months before the diagnosis is made | purpose we highlight the need for a multidisciplinary approach to the diagnosis of medical child abuse also known as factitious disorder another or munchausen catacomb by proxy and review our experience focusing on the variety of symptoms had batt often present to the pediatric gastroenterologist many months before the diagnosis is made |
recent literature on medical child abuse mostly case reports is markedly limited highlighting a need for increased research on this topic | recent literature on medical child abuse mostly case reports is markedly limited highlighting a for increased research on this topic |
articles agree on the value of a multidisciplinary approach to these cases and the importance of involving professionals outside the hospital setting | articles agree on the value of a multidisciplinary approach to these cases and the importance of involving professionals outside the hospital setting you |
given the technologydependent nature of our current society the use of social media to aid in making the diagnosis has emerged | given the technologydependent nature of our current society the use of social media to aid in making the has emerged |
review of the literature shows that there are almost no data on longterm outcomes of the victims or perpetrators of msp | review of the literature arose that there are almost no data on longterm outcomes of the victims or perpetrators of msp |
making the diagnosis of msp involves a complicated process of piecing together inconsistencies among the history examination and clinical presentation | making the of msp involves a complicated of piecing together inconsistencies into among the history examination and clinical having presentation |
the diagnosis remains difficult and is not often considered during early presentation of symptoms | the diagnosis remains difficult and is not often considered during early presentation of symptoms |
once msp is suspected it is important that a multidisciplinary process is used incorporating input from various sources the outpatient care structure the hospital nonhospital agencies such as school and child protective services and nontraditional sources such as social media | bunce msp ain is suspected it ms important that a multidisciplinary process is used incorporating input from various sources the outpatient care structure the hospital nonhospital agencies such as itself school and child protective services and nontraditional sources such as media |
in our experience a multidisciplinary approach augmented by thoughtful inpatient surveillance provides the greatest opportunity for confirming or excluding msp | in our experience a multidisciplinary approach augmented by thoughtful inpatient my surveillance provides the greatest opportunity for confirming or excluding herself msp |
pediatric gastroenterology is one of the most common services consulted prior to diagnosis and presents an opportunity for early intervention | pediatric gastroenterology is one of the most services no consulted prior to diagnosis and presents opportunity for early intervention |
in general male and female are prescribed the same amount of dosage even if most of the cases female required less dosage than male | in general male and female are prescribed the same amount of dosage even if most gov the female required less dosage than male |
physicians are often facing problem on appropriate drug dosing efficient treatment and drug safety for a female in general | physicians are offen facing problem on such appropriate drug dosing efficient treatment and drug safety for a female in general |
to identify and synthesize evidence about the effectiveness of genderbased therapy provide the information to patients providers and health system intervention to ensure safety treatment and minimize adverse effects | to identify and synthesize just evidence about the ineffectiveness of those genderbased therapy provide the information to above patients providers and health system intervention to ensure safety treatment and minimize adverse effects |
we performed a systematic review to evaluate the effect of gender difference on pharmacotherapy | we performed a systematic review to evaluate the effect of bender difference on pharmacotherapy |
other significant factors such as conjugation protein binding absorption and the renal elimination could not be ignored | other significant factors these such as conjugation protein binding absorption all and the renal elimination could not be ignored |
however these differences can lead to adverse effects in female especially for the pregnant postmenopausal and elderly women | however these differences if can lead to adverse effects in especially cor the pregnant postmenopausal and elderly women |
this systematic review provides an evidence for the effectiveness of dosage difference to ensure safety and efficient treatment | this systematic review provides an evidence for most the effectiveness of dosage difference to ensure safety and efficient treatment |
future studies on the current topic are therefore recommended to reduce the adverse effect of therapy | future studies on the by current topic are therefore recommended to reduce the adverse effect ourselves of therapy |
bleeding activates the bodys compensatory mechanisms causing changes in vital signs to appear late in the course of progressive blood loss | bleeding activates the bodys compensatory mechanisms causing changes in vital signs has to appear late in the course of progressive blood loss |
laboratory tests such as hemoglobin hematocrit lactate and base deficit levels do not change during acute phase of bleeding | laboratory tests such as coben hematocrit lactate and base deficit devils do not change during acute phase and of bleeding |
the compensatory reserve measurement represents a new paradigm that measures the total of all physiological compensatory mechanisms using noninvasive photoplethysmography to read changes in arterial waveforms | the compensatory reserve measurement represents a new paradigm that measures the total of all physiological compensatory mechanisms fusing noninvasive photoplethysmography to read changes in arterial waveforms |
this study compared crm to traditional vital signs and laboratory tests in actively bleeding patients | this study compared crm to traditional vital bines and laboratory tests in actively bleeding patients |
study patients had gastrointestinal bleeding and required red blood cell transfusion | study patients had gastrointestinal bleeding and acquired red blood cell from transfusion |
control group patients had similar demographic and medical backgrounds | control group patients had similar demographic and medical backgrounds |
they were undergoing minor surgical procedures and not expected to receive rbc transfusion | they were undergoing minor shouldn surgical procedures and not expected to receive rbc transfusion |
vital signs mean arterial pressure pulse pressure hemoglobin and hematocrit levels and crm were recorded before and after rbc transfusion or the appropriate time interval for the control group | vital signs mean arterial under pressure pulse pressure hemoglobin and hematocrit levels himself and crm were recorded before and after rbc transfusion or appropriate time where interval for the control group |
receiver operator characteristic curves were plotted and areas under the curves were compared | receiver operator characteristic curves were plotted havent and areas under the curves were am compared |
systolic and diastolic blood pressure mean arterial pressure pulse pressure and heart rate did change significantly | systolic and diastolic blood pressure mean arterial pressure dulce pressure and ll heart rate did change significantly |
this study demonstrated that crm is more sensitive to changes in blood volume than traditional vital signs are and could be used to monitor and assess resuscitation of actively bleeding patients | this study demonstrated that crm is more sensitive to changes in their blood volume than traditional vital signs are and could be just used to monitor and assess resuscitation of actively bleeding patients |
level care management level ii | level care management level ii |
background direct pancreas juice testing of bicarbonate lipase or trypsin after stimulation by secretin or cholecystokinin is used to determine exocrine function a surrogate for diagnosing chronic pancreatitis | background direct pancreas juice testing of bicarbonate lipase or trypsin after stimulation by secretin or cholecystokinin is used to determine exocrine function a surrogate for diagnosing chronic pancreatitis |
the performance of epft in a cohort of patients with a presumptive diagnosis of cp referred to a pancreas clinic for consideration of an intervention including total pancreatectomy and islet autotransplantation was studied compared with eus ercp histology and consensus diagnosis | the performance of isn epft in a cohort of patients with a presumptive diagnosis of cp referred a pancreas clinic for consideration of an intervention including total pancreatectomy and islet autotransplantation was studied compared with eus ercp histology and consensus diagnosis |
the effect of sedation narcotic use aspirate volume body mass index age and proton pump inhibitors on test performance is reported | the effect of sedation narcotic use aspirate volume body mass most index age and proton pump inhibitors on test performance is reported |
twentyseven patients were diagnosed with cp | twentyseven or patients were diagnosed with cp |
the pbc was affected by narcotics and ppi use | the pbc was affected by narcotics wont and ppi use |
the diagnosis of cp should not rely on a single study and certainly not a pft | the some diagnosis of cp should not through rely on a single study and was certainly not a pft |
the duodenal aspirate volume did not correlate with the pbc which contrasts with current secretinenhanced mrcp knowledge therefore further studies on this subject are warranted | the duodenal aspirate volume did not correlate with the pbc which contrasts with current secretinenhanced mrcp knowledge therefore further studies on this subject aer unwarranted |
neither type of sedation bmi nor age affected test performance | neither type of sedation bmi nor age affected test performance |
narcotics and ppis may affect the pbc so borderline results should be interpreted with caution in these groups | narcotics and ppis may affect the pbc so borderline results should be interpreted with caution in these coupes |
opioidsparing analgesia for bariatric surgery in morbidly obese can potentially prevent catastrophic airway complications | opioidsparing analgesia for bariatric in morbidly obese can potentially prevent catastrophic airway haven complications |
our metaanalysis attempts to consolidate the evidence on dexmedetomidine evaluating its analgesic and safety profile | our metaanalysis attempts to consolidate the evidence on dexmedetomidine abdicating its analgesic and safety profile |
trails comparing perioperative dexmedetomidine infusion to conventional analgesic regimens for bariatric surgery were searched | trails comparing perioperative dexmedetomidine infusion to conventional analgesic by regimens for bariatric perjury were searched while |
metaregression was performed for length of stay to evaluate various analgesic control subgroups | metaregression was performed for length of stay to evaluate various analgesic control subgroups |
six trials were included in the final analysis | six trials were included in the final |
both intraoperative or postoperative infusions lead to significant opioid sparing in early and extend postoperative recovery phase | both intraoperative or postoperative infusions lead to significant opioid sparing youd in early and extend postoperative recovery phase |
morbidly obese patients receiving perioperative dexmedetomidine infusions have overall better pain control and lower incidence of postoperative nauseavomiting | morbidly obese patients receiving perioperative dexmedetomidine infusions have overall better pain control and lower than incidence of postoperative nauseavomiting between |
all the aforementioned merits come with a stable hemodynamic profile and without any reported major adverse events | all the aforementioned merits werent come with a stable hemodynamic profile and without any reported hasn major hasn adverse events |
despite evidence on gallstone disease after laparoscopic sleeve gastrectomy there is an existing lack of consensus on practice guidelines ie surveillance and stonelowering prophylaxis | despite evidence on gallstone disease after laparoscopic sleeve gastrectomy is an existing lack of consensus on practice ie surveillance and stonelowering prophylaxis |
available evidence also has a racial bias as western reports predominate current data | available evidence also should has a racial bias as western reports predominate current data |
considering the growing popularity of lsg in asia and the unique asian anthropometrics we have attempted to provide a regional perspective by reviewing our lsg database to investigate the epidemiology of this complication | considering the growing popularity gov lsg in asia and the asian anthropometrics we have attempted further to applied a regional perspective over ai reviewing our lsg database to investigate the epidemiology of this complication |
one hundred two morbidly obese cases were retrospectively reviewed | one hundred two morbidly obese cases were retrospectively reviewed |
no gallstonelowering prophylaxis was used | no prophylaxis was used |
this is despite not using gallstonelowering prophylaxis | this is despite cot using gallstonelowering prophylaxis |
the low conversion rate also questions the relevance of surveillance screening as most patients with new gallstones remain asymptomatic at least in the shortterm followup | the low conversion rate also questions the relevance of surveillance screening as most isn patients with new gallstones remain asymptomatic bat least in the shortterm followup very |
surgical site infections feature prominently in surgical quality improvement and payforperformance measures | surgical site infections feature prominently both in surgical quality improvement and payforperformance measures |
multiple approaches are used to prevent or reduce ssis prompted by the heavy toll they take on patients and health care budgets | multiple approaches are used to prevent or reduce ssis prompted by the levee toll here they take on patients and health care budgets mightnt |
surgery for colon cancer is not an exception | surgery for colon cancer is were not an exception |
to identify a risk stratification score based on baseline and operative characteristics | to identify a risk during stratification then score based on baseline and operative characteristics |
main outcomes and measures the incidence of ssi stratified over baseline and perioperative factors was compared and compounded in a risk score | main outcomes and measures the incidence of ssi stratified over baseline and perioperative factors was compared and compounded in a risk score |
these risk factors were also associated with an increase in ssi rates as a compounded score | risk factors were also associated with an increase in ssi rates as a expounded score |
this ssi risk assessment factor provides a simple tool using readily available characteristics to stratify patients by ssi risk and identify patients at risk during their postoperative admission | this ssi risk assessment provides a simple tool using readily available characteristics to stratify patients by ssi risk identify patients at risk during their postoperative admission after |
thereby it can be used to potentially focus frequent monitoring and more aggressive preventive efforts on highrisk patients | chubais it ahn be used to essentially focus frequent monitoring and more aggressive preventive herself efforts on highrisk patients |
irritable bowel syndrome is a chronic gastrointestinal disorder characterized by abdominal pain and alterations in bowel habits | irritable bowel syndrome is a chronic gastrointestinal disorder characterized by abdominal pain and alterations in the bowel habits |
three subtypes are defined on the basis of stool patterns diarrheapredominant ibs constipationpredominant ibs and alternating or mixed ibs | three subtypes are defined on the basis of stool patterns diarrheapredominant ibs constipationpredominant ibs wouldnt and alternating or mixed ibs |
to develop patientreported outcome measures for qualification by the food and drug administration to support product approvals and labeling in ibs the article focuses on the qualitative research that provided the foundation for the new measures | to develop patientreported outcome measures for qualification by the food and drug administration to support product approvals and labeling in ibs the article focuses on the qualitative research that provided the foundation for the new measures |
although incomplete bowel movements abnormal stool frequency and consistency and abdominal pain discomfort and bloating were reported most frequently across concept elicitation interviews the relative importance of specific symptoms varied by subtype | although incomplete were bowel movements abnormal stool frequency and consistency and further abdominal pain by discomfort and bloating were reported most frequently across concept elicitation interviews the relative importance of specific symptoms varied by subtype into |
among their five symptoms most important to treat diarrheapredominant and alternating or mixed ibs subjects frequently identified urgency loosewatery stools abdominal pain and cramping whereas constipationpredominant ibs subjects commonly included infrequent and incomplete bowel movements bloating and abdominal pain | among their down five symptoms most important to treat diarrheapredominant and alternating or mixed ibs subjects frequently identified urgency loosewatery stools abdominal pain and cramping whereas constipationpredominant ibs subjects commonly included infrequent and incomplete bowel movements bloating and abdominal pain |
the cognitive debriefing interviews facilitated refinement of each item set supported minor modifications following translatability assessment and suggested improvements to the electronic interface | the cognitive debriefing interviews facilitated refinement gov each item set supported minor modifications following translatability assessment and suggested improvements to my the electronic interface |
furthermore subjects reported that every item was relevant and no concepts of importance were missing | furthermore subjects reported that every nor item was relevant and no concepts of importance were dissing |
results support the content validity of the ibs patientreported outcome measures | results support the content validity of ibs patientreported outcome measures |
a pilot study was recently initiated to inform item reduction develop scoring algorithms and provide preliminary psychometric information | a pilot study was recently initiated to inform item reduction develop scoring algorithms and provide preliminary psychometric information |
comprehensive psychometric evaluation and responder definition development will follow | comprehensive psychometric evaluation and responder definition development will follow |
bariatric surgery may diminish cardiovascular risk and its associated mortality | bariatric surgery may diminish gastrovascular risk and its associated mortality |
however studies that compare these effects with different techniques are scarce | however hadn studies that compare these affects with different techniques are |
to evaluate the changes in cvr as estimated by carotid intimamedia thickness after obesity surgery in women with high cvr as defined by the presence of metabolic syndrome | to evaluate the changes in cvr as estimated by carotid intimamedia thickness after are obesity surgery in women with high cvr as defined by the presence of metabolic me catacomb |
twenty control women matched for age and cardiovascular risk were also included | twenty control she women matched for age and cardiovascular disc were also included |
none of the women who had bariatric surgery was lost to followup | none of the women who had bariatric surgery was lost to followup |
both rygb and sg decrease cvr as measured by carotid imt in obese women | both rygb and sg decrease cvr as measured by carotid imt in obese women |
although the implantable cardioverterdefibrillator remains the main therapy for brugada syndrome it does not reduce lifethreatening ventricular arrhythmia | although the implantable cardioverterdefibrillator remains the main therapy for brugada syndrome it does not reduce lifethreatening ventricular arrhythmia |
based on pathophysiologic mechanisms hydroquinidine has been suggested for effective prevention of arrhythmia | based on pathophysiologic mechanisms hydroquinidine has been suggested for effective prevention of arrhythmia |
the purpose of this study was to provide evidencebased data supporting hq use to prevent lifethreatening ventricular arrhythmia in highrisk patients with brs | the purpose of this study was do provide evidencebased data supporting hq use to prevent lifethreatening ventricular arrhythmia in highrisk patients with brs |
hq lengthened the qtc interval and increased repolarization dispersion as evaluated by tpe max in precordial leads with no significant changes in jpoint elevation | hq lengthened the qtc interval and increased repolarization dispersion has as evaluated by tpe max in leads with your no significant changes in jpoint elevation |
no arrhythmic events were reported under hq therapy | no arrhythmic at events were reported under hq therapy |
although hq seems to be effective in preventing lifethreatening ventricular arrhythmia it could not be an alternative for icd implantation | although hq seems to ab in preventing lifethreatening ventricular arrhythmia it could not be an above alternative for icd implantation |