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About 340,610 results

Cystic Fibrosis Colorectal Cancer Screening Consensus Recommendations.
https://doi.org/10.1053/j.gastro.2017.12.012
Gastroenterology Hadjiliadis D, Khoruts A et. al.

Dec 31st, 2017 - Improved therapy has substantially increased survival of persons with cystic fibrosis (CF). But the risk of colorectal cancer (CRC) in adults with CF is 5-10 times greater compared to the general population, and 25-30 times greater in CF patients after an organ transplantation. To address this risk, the CF Foundation convened a multi-stakeholder task force to develop CRC screening recommendatio...

Improving Emergency Department Care for Pediatric Victims of Sexual Abuse.
https://doi.org/10.1542/peds.2018-1811
Pediatrics Hoehn EF, Overmann KM et. al.

Nov 10th, 2018 - Evidence-based medical care of sexual abuse victims who present to the pediatric emergency department (PED) is necessary to facilitate forensic evidence collection and prevent pregnancy and sexually transmitted infections. Adherence to testing and treatment guidelines remains low in PEDs, despite recommendations from the American Academy of Pediatrics and Centers for Disease Control and Prevent...

High-Quality Diets Associate With Reduced Risk of Colorectal Cancer: Analyses of Diet Q...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526717
Gastroenterology Park SY, Boushey CJ et. al.

Apr 21st, 2017 - Healthy eating patterns assessed by diet quality indexes (DQIs) have been related to lower risk of colorectal cancer-mostly among whites. We investigated the associations between 4 DQI scores (the Healthy Eating Index 2010 [HEI-2010], the Alternative Healthy Eating Index 2010 [AHEI-2010], the alternate Mediterranean diet score [aMED], and the Dietary Approaches to Stop Hypertension score) and c...

Consensus Recommendations for Evaluation, Interpretation, and Utilization of Computed T...
https://doi.org/10.1053/j.gastro.2017.11.274
Gastroenterology Bruining DH, Zimmermann EM et. al.

Jan 13th, 2018 - Computed tomography and magnetic resonance enterography have become routine small bowel imaging tests to evaluate patients with established or suspected Crohn's disease, but the interpretation and use of these imaging modalities can vary widely. A shared understanding of imaging findings, nomenclature, and utilization will improve the utility of these imaging techniques to guide treatment optio...

2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: exe...
https://doi.org/10.1161/CIR.0000000000000040
Circulation January CT, Wann LS et. al.

Mar 31st, 2014 - 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society.|2014|January CT,Wann LS,Alpert JS,Calkins H,Cigarroa JE,|standards,physiopathology,therapy,standards,standards,

Hygiene strategies to prevent methicillin-resistant Staphylococcus aureus skin and soft...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017895
Clinical Infectious Diseases : an Official Publication Of... Ellis MW, Schlett CD et. al.

Mar 18th, 2014 - Effective measures are needed to prevent methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections (SSTIs) in high-risk community settings. The study objective was to evaluate the effect of personal hygiene-based strategies on rates of overall SSTI and MRSA SSTI. We conducted a prospective, field-based, cluster-randomized trial in US Army Infantry trainees from May 2010...

Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145431
Journal of Neurology, Neurosurgery, and Psychiatry; Nuttin B, Wu H et. al.

Jan 21st, 2014 - For patients with psychiatric illnesses remaining refractory to 'standard' therapies, neurosurgical procedures may be considered. Guidelines for safe and ethical conduct of such procedures have previously and independently been proposed by various local and regional expert groups. To expand on these earlier documents, representative members of continental and international psychiatric and neuro...

Door-to-needle times for tissue plasminogen activator administration and clinical outco...
https://doi.org/10.1001/jama.2014.3203
JAMA Fonarow GC, Zhao X et. al.

Apr 23rd, 2014 - The benefits of intravenous tissue plasminogen activator (tPA) in patients with acute ischemic stroke (AIS) are time dependent and guidelines recommend a door-to-needle (DTN) time of 60 minutes or less. However, studies have found that less than 30% of US patients are treated within this time window. Stroke was designed as a national quality improvement initiative to improve DTN times for tPA a...

Circumcision rates in the United States: rising or falling? What effect might the new a...
https://doi.org/10.1016/j.mayocp.2014.01.001
Mayo Clinic Proceedings; Morris BJ, Bailis SA et. al.

Apr 7th, 2014 - The objective of this review was to assess the trend in the US male circumcision rate and the impact that the affirmative 2012 American Academy of Pediatrics policy statement might have on neonatal circumcision practice. We searched PubMed for the term circumcision to retrieve relevant articles. This review was prompted by a recent report by the Centers for Disease Control and Prevention that f...

Screening pelvic examination in adult women: a clinical practice guideline from the Ame...
https://doi.org/10.7326/M14-0701
Annals of Internal Medicine; Qaseem A, Humphrey LL et. al.

Jun 30th, 2014 - The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the utility of screening pelvic examination for the detection of pathology in asymptomatic, nonpregnant, adult women. This guideline is based on a systematic review of the published literature in the English language from 1946 through January 2014 identified using ME...

Geriatric-specific triage criteria are more sensitive than standard adult criteria in i...
https://doi.org/10.1016/j.annemergmed.2014.04.019
Annals of Emergency Medicine; Ichwan B, Darbha S et. al.

Jun 8th, 2014 - We evaluate the sensitivity of Ohio's 2009 emergency medical services (EMS) geriatric trauma triage criteria compared with the previous adult triage criteria in identifying need for trauma center care among older adults. We studied a retrospective cohort of injured patients aged 16 years or older in the 2006 to 2011 Ohio Trauma Registry. Patients aged 70 years or older were considered geriatric...

Invasive group A Streptococcus infections associated with liposuction surgery at outpat...
https://doi.org/10.1001/jamainternmed.2014.1875
JAMA Internal Medicine; Beaudoin AL, Torso L et. al.

May 27th, 2014 - Liposuction is one of the most common cosmetic surgery procedures in the United States. Tumescent liposuction, in which crystalloid fluids, lidocaine, and epinephrine are infused subcutaneously before cannula-assisted aspiration of fat, can be performed without intravenous or general anesthesia, often at outpatient facilities. However, some of these facilities are not subject to state or federa...

Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device ...
https://doi.org/10.1016/j.jacc.2014.04.029
Journal of the American College of Cardiology; Holmes DR, Kar S et. al.

Jul 6th, 2014 - In the PROTECT AF (Watchman Left Atrial Appendage Closure Technology for Embolic Protection in Patients With Atrial Fibrillation) trial that evaluated patients with nonvalvular atrial fibrillation (NVAF), left atrial appendage (LAA) occlusion was noninferior to warfarin for stroke prevention, but a periprocedural safety hazard was identified. The goal of this study was to assess the safety and ...

American Geriatrics Society feeding tubes in advanced dementia position statement.
https://doi.org/10.1111/jgs.12924
Journal of the American Geriatrics Society;

Jul 21st, 2014 - When eating difficulties arise, feeding tubes are not recommended for older adults with advanced dementia. Careful hand feeding should be offered because hand feeding has been shown to be as good as tube feeding for the outcomes of death, aspiration pneumonia, functional status, and comfort. Moreover, tube feeding is associated with agitation, greater use of physical and chemical restraints, he...

Empiric antibiotic treatment reduces mortality in severe sepsis and septic shock from t...
https://doi.org/10.1097/CCM.0000000000000330
Critical Care Medicine; Ferrer R, Martin-Loeches I et. al.

Apr 10th, 2014 - Compelling evidence has shown that aggressive resuscitation bundles, adequate source control, appropriate antibiotic therapy, and organ support are cornerstone for the success in the treatment of patients with sepsis. Delay in the initiation of appropriate antibiotic therapy has been recognized as a risk factor for mortality. To perform a retrospective analysis on the Surviving Sepsis Campaign ...

Effect of oximetry on hospitalization in bronchiolitis: a randomized clinical trial.
https://doi.org/10.1001/jama.2014.8637
JAMA Schuh S, Freedman S et. al.

Aug 20th, 2014 - Routine use of pulse oximetry has been associated with changes in bronchiolitis management and may have lowered the hospitalization threshold for patients with bronchiolitis. To examine if infants with bronchiolitis whose displayed oximetry measurements have been artificially elevated 3 percentage points above true values experience hospitalization rates at least 15% lower compared with infants...

What is the optimal chest compression depth during out-of-hospital cardiac arrest resus...
https://doi.org/10.1161/CIRCULATIONAHA.114.008671
Circulation Stiell IG, Brown SP et. al.

Sep 25th, 2014 - The 2010 American Heart Association guidelines suggested an increase in cardiopulmonary resuscitation compression depth with a target >50 mm and no upper limit. This target is based on limited evidence, and we sought to determine the optimal compression depth range. We studied emergency medical services-treated out-of-hospital cardiac arrest patients from the Resuscitation Outcomes Consortium P...

Automated urinalysis and urine dipstick in the emergency evaluation of young febrile ch...
https://doi.org/10.1542/peds.2013-4222
Pediatrics Kanegaye JT, Jacob JM et. al.

Aug 19th, 2014 - The performance of automated flow cytometric urinalysis is not well described in pediatric urinary tract infection. We sought to determine the diagnostic performance of automated cell counts and emergency department point-of-care (POC) dipstick urinalyses in the evaluation of young febrile children. We prospectively identified a convenience sample of febrile pediatric emergency department patie...

School start times for adolescents.
https://doi.org/10.1542/peds.2014-1697
Pediatrics , et. al.

Aug 26th, 2014 - The American Academy of Pediatrics recognizes insufficient sleep in adolescents as an important public health issue that significantly affects the health and safety, as well as the academic success, of our nation's middle and high school students. Although a number of factors, including biological changes in sleep associated with puberty, lifestyle choices, and academic demands, negatively affe...

Surviving Sepsis Campaign: association between performance metrics and outcomes in a 7....
https://doi.org/10.1097/CCM.0000000000000723
Critical Care Medicine; Levy MM, Rhodes A et. al.

Oct 2nd, 2014 - To determine the association between compliance with the Surviving Sepsis Campaign (SSC) performance bundles and mortality. Compliance with the SSC performance bundles, which are based on the 2004 SSC guidelines, was measured in 29,470 subjects entered into the SSC database from January 1, 2005, through June 30, 2012. Compliance was defined as evidence that all bundle elements were achieved. Tw...