99851
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Okuda R, Takemura T, Misumi T, Hagiwara E, Ogura T. Multidisciplinary Discussion for Fibrotic Hypersensitivity Pneumonitis with a Positive Antigen Avoidance. J Asthma Allergy 2023; 16:473-479. [PMID: 37168674 PMCID: PMC10166106 DOI: 10.2147/jaa.s409042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 04/29/2023] [Indexed: 05/13/2023] Open
Abstract
Background In the two fibrotic hypersensitivity pneumonitis (fHP) diagnostic guidelines, the multidisciplinary discussion (MDD) is required to be performed in diagnosis of fHP, as in idiopathic pulmonary fibrosis (IPF) diagnostic guideline. Although some patients with fHP can improve disease condition during antigen avoidance, which can facilitate the diagnosis of fHP, it is unclear if MDD is necessary in all patients with suspected fHP who improved an antigen avoidance. Objective To investigate the diagnosis of fHP via MDD with positive antigen avoidance tests (AATs) and the clinical diagnosis with positive AATs. Methods A single-center, retrospective study was conducted. Between 2012 and 2019, patients with fHP were enrolled in the study. Patients in the MDD diagnostic group consisted of patients diagnosed with MDD, including histopathology findings and positive ATTs, and patients in the clinical diagnostic group were diagnosed by two respiratory physicians and had positive ATTs. Results AAT was performed on 72 of 219 patients, and 58 had positive AATs. The study included 37 patients in the MDD diagnosis group and 21 patients in the clinical diagnosis group. No significant differences in overall survival (OS) were detected between the two groups (HR: 1.99 [95% CI: 0.82‒4.83], p = 0.127). The conducting MDD was not a risk factor for OS; only <79% forced vital capacity was a risk factor in the multivariate Cox hazard regression analysis. No significant difference in annual changes of forced vital capacity, diffusion of the lung for carbon monoxide and Krebs von den Lungen-6 between the MDD diagnostic and the clinical diagnostic groups were observed (p = 0.41, 0.79, and 0.81, respectively). Conclusion In patients with positive AATs, the disease progression of the MDD diagnostic and the clinical diagnostic groups were similar. Therefore, MDD could not be necessary in all patients with suspected fHP who had positive AATs.
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Affiliation(s)
- Ryo Okuda
- Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan
- Correspondence: Ryo Okuda, Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, 6-16-1 Tomioka-higashi, Kanazawa-ku, Yokohama, Japan, Tel +81-45-701-9581, Email
| | - Tamiko Takemura
- Department of Pathology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan
| | - Toshihiro Misumi
- Department of Data Science, National Cancer Center Hospital East, Chiba, Japan
| | - Eri Hagiwara
- Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan
| | - Takashi Ogura
- Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan
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99852
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Černá P, Botts MM, Watson A, Carr SV. Dysautonomia in two littermate kittens. JFMS Open Rep 2023; 9:20551169231164579. [PMID: 37151741 PMCID: PMC10155007 DOI: 10.1177/20551169231164579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023] Open
Abstract
Case summary Two 6-month-old littermate Russian Blue cross kittens presented for megaesophagus, intermittent vomiting and regurgitation. The male kitten was diagnosed with aspiration pneumonia and was suspected to have a hiatal hernia on thoracic radiographs. It presented 1 month later in acute respiratory distress and was euthanized. Post-mortem examination revealed a severe gastroesophageal intussusception with approximately 90% of the stomach inverted into the distal esophagus. Histologic examination confirmed dysautonomia with marked neuronal dropout and degeneration with necrosis, satellitosis of the celiac ganglion and the myenteric and submucosal plexuses throughout the gastrointestinal tract. The less-affected littermate showed improvement on cisapride and was doing well at home at the time of writing. Relevance and novel information Dysautonomia is rare in cats, with only a few reports of affected littermates. Both kittens are significantly younger than the median age previously reported. Detailed descriptions of diagnostic and histopathology findings are included. Gastroesophageal intussusception is a novel complication to consider when managing feline dysautonomia.
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Affiliation(s)
- Petra Černá
- Department of Clinical Sciences, Colorado
State University, Fort Collins, CO, USA
- Petra Černá MRCVS, AFHEA, AdvCertFB, Department of
Clinical Sciences, Colorado State University, 300 W Drake Road, Fort Collins, CO
80523-1601, USA
| | - Michaela M Botts
- Department of Microbiology, Immunology and
Pathology, Colorado State University, Fort Collins, CO, USA
| | - Allison Watson
- Department of Microbiology, Immunology and
Pathology, Colorado State University, Fort Collins, CO, USA
| | - Susan V Carr
- Department of Clinical Sciences, Colorado
State University, Fort Collins, CO, USA
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99853
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Tang S, Lu J, Xu C, Wei L, Mei S, Chen R, Meng QT. Feasibility and Safety of Remazolam versus Propofol When Inserting Laryngeal Masks Without Muscle Relaxants During Hysteroscopy. Drug Des Devel Ther 2023; 17:1313-1322. [PMID: 37152102 PMCID: PMC10162397 DOI: 10.2147/dddt.s408584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 04/16/2023] [Indexed: 05/09/2023] Open
Abstract
Purpose This study aimed to evaluate the efficacy and safety of remazolam compared with propofol in patients who underwent laryngeal mask airway (LMA) insertion without the use of muscle relaxant agents during hysteroscopic surgery. Patients and Methods A total of 72 patients undergoing hysteroscopy with LMA insertion were assigned to two groups. The patients in the remazolam group received 0.3 μg/kg sufentanil, 0.3 mg/kg remazolam and 1.2 mg/kg remifentanil, whereas the patients in the propofol group received 0.3 μg/kg sufentanil, 2.0 mg/kg propofol and 1.2 mg/kg remifentanil for insertion of the LMA. The primary endpoint was the summed score of the insertion conditions. The secondary endpoints included hemodynamics, the duration of induction, the duration of insertion, tidal volume, plateau pressure and adverse events. Results No difference was identified between the propofol group and remazolam group in the median summed score [18.0 (18.0, 18.0), 18.0 (17.0, 18.0), respectively, P > 0.05]. The induction duration was significantly longer (P < 0.05) in the remazolam group than propofol group. The cost of dopamine (P < 0.05) was significantly lower in the remazolam group compared with the patients in the propofol group, while the plateau pressure (P < 0.05) and the incidence of transient mild laryngospasm (P < 0.05) were significantly higher in the remazolam group. No differences were identified between the two groups in terms of heart rate, tidal volume, injection pain or hiccups (P > 0.05). Conclusion Remazolam provided similar insertion conditions and better hemodynamic stability than propofol during LMA insertion without the use of muscle relaxant agents. However, a higher incidence of transient mild laryngospasm was found in the remazolam group, which should be considered.
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Affiliation(s)
- Shan Tang
- Department of Anesthesiology, East Hospital, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
| | - Jingxiao Lu
- Department of Anesthesiology, East Hospital, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
| | - Cheng Xu
- Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
| | - Lu Wei
- Department of Anesthesiology, East Hospital, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
| | - Shenglan Mei
- Department of Anesthesiology, East Hospital, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
| | - Rong Chen
- Department of Anesthesiology, East Hospital, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
- Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
| | - Qing-Tao Meng
- Department of Anesthesiology, East Hospital, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
- Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
- Correspondence: Qing-Tao Meng, Tel +8615178857650, Email
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99854
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Bethel JA, McCarthy DP, Weisman PS, Glazer TA, Hanna AS. A combined, supraclavicular, infraclavicular, transaxillary, and posterior subscapular approaches for en bloc resection of giant myxofibrosarcoma. Surg Neurol Int 2023; 14:144. [PMID: 37151449 PMCID: PMC10159300 DOI: 10.25259/sni_273_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 03/31/2023] [Indexed: 05/09/2023] Open
Abstract
Background Myxofibrosarcoma (MFS) is a rare and locally infiltrative tumor that commonly occurs in extremities in older adults; however, truncal and head and neck cases have been reported. They are characterized by multinodular growth, incomplete fibrous septa, and myxoid stroma. Surgical resection is the mainstay of treatment. Case Description The authors report a case of a combined, supraclavicular, infraclavicular, transaxillary, and posterior subscapular approaches for resection of giant MFS. Conclusion The anatomical complexity and rarity of tumors involving the brachial plexus impose many challenges onto surgeons performing surgical resections. Treatment choices and surgical outcomes rely heavily on meticulous multidisciplinary planning, anatomical knowledge, careful dissection, and extent of resection. This case is unique in utilizing four different approaches to the brachial plexus to resect one tumor.
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Affiliation(s)
- Jacob A. Bethel
- Department of Neurosurgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States
| | - Daniel P. McCarthy
- Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States
| | - Paul S. Weisman
- Department of Pathology and Laboratory Medicine, Madison, Wisconsin, United States
| | - Tiffany A. Glazer
- Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States
| | - Amgad S. Hanna
- Department of Neurosurgery, University of Wisconsin, Madison, Wisconsin, United States
- Corresponding author: Amgad S. Hanna, MD, Department of Neurosurgery, University of Wisconsin, Madison, Wisconsin, United States.
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99855
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Ramírez AS, Gutiérrez SVE, Ascencio LMA, Rodríguez PA, Ortiz OAS, González RF, Heredia JNS. Solitary plasmacytoma of the sacrum treated with microwave ablation in conjunction with high dose of dexamethasone: A case report and review of the literature. Surg Neurol Int 2023; 14:145. [PMID: 37151461 PMCID: PMC10159330 DOI: 10.25259/sni_1127_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 04/06/2023] [Indexed: 05/09/2023] Open
Abstract
Background Plasma cell neoplasms are characterized by the neoplastic proliferation of a single clone of plasma cells. Solitary plasmacytomas most often occur in bone, but they can also be found in soft tissues. Case Description A 53-year-old male presented with localized sacral pain and urinary incontinence. His radiographic studies showed a solitary sacral plasmacytoma (i.e., involving the bone). He was successfully managed with high-dose dexamethasone and microwave ablation (MWA). Conclusion Plasmacytomas of bone can be occasionally successfully managed with MWA, adjuvant cytoreduction therapy, and high doses of dexamethasone.
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Affiliation(s)
| | - Sergio Valente Esparza Gutiérrez
- Department of Neurosurgery, Hospital Civil “Dr. Juan I. Menchaca,” Mexico
- Corresponding author: Sergio Valente Esparza Gutiérrez, Department of Neurosurgery, Hospital Civil “Dr. Juan I. Menchaca,” Guadalajara, Mexico.
| | | | | | | | - Rodrigo Fraga González
- Department of Neurosurgery, Hospital Regional Valentin Gomez Farias Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Zapopan, Mexico
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99856
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Oflazian JS, Borders A. Does Rumination Mediate the Unique Effects of Shame and Guilt on Procrastination? J Ration Emot Cogn Behav Ther 2023; 41:237-46. [PMID: 35847054 DOI: 10.1007/s10942-022-00466-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2022] [Indexed: 11/17/2022]
Abstract
Procrastination is common among college students, involving irrational delay of task completion. Theorists understand procrastination to be an avoidance response to negative emotions. Past research suggests that depression and anxiety predict procrastination. However, only limited research has examined the unique effects of shame and guilt-self-conscious emotions-on procrastination, and no studies have examined potential mechanisms. Depressive rumination, the repetitive and maladaptive thinking about a negative event composed of brooding and reflective pondering, is uniquely predicted by shame-but not guilt-and also predicts greater procrastination. Thus, the current cross-sectional survey study examined (1) whether shame and guilt uniquely predict procrastination and (2) whether depressive rumination mediates those effects in a collegiate sample. Results supported a model wherein brooding and reflective pondering mediate the unique relationship between shame and procrastination. A second model suggested that guilt leads to less procrastination directly but greater procrastination indirectly via increased reflective pondering. Theoretical and clinical implications of the current findings are discussed.
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99857
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Şahin MA, Külah B, Kuralay E. Left breast necrosis after coronary artery bypass graft surgery. Turk Gogus Kalp Damar Cerrahisi Derg 2023; 31:143-4. [PMID: 36926162 DOI: 10.5606/tgkdc.dergisi.2023.24213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Accepted: 10/24/2022] [Indexed: 03/18/2023]
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99858
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Chatripour R, Feizi A, Zamani-Alavijeh F, Beni AN, Mazaheri MA. Designing a tool for measuring determinants of eye self-care and evaluating its psychometric properties. J Res Med Sci 2023; 28:34. [PMID: 37213465 PMCID: PMC10199367 DOI: 10.4103/jrms.jrms_368_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Revised: 09/13/2022] [Accepted: 11/09/2022] [Indexed: 05/23/2023]
Abstract
Background Eye care is crucial for maintaining healthy vision. This study aimed to design a determinants assessment instrument related to eye self-care in the student community and evaluate its psychometric properties. Materials and Methods The present mixed-method cross-sectional study was conducted in two sections using Creswell and Plano Clark methods for instrument development. The study was conducted in Isfahan, Iran, in 2021. The first section (textual analysis and qualitative research) explained and developed the instrument's fundamental items. This section included in-depth, semi-structured interviews with 21 students and eight experts. In the second, the psychometric properties of the designed instrument have been evaluated. Twenty students assessed the instrument's qualitative and quantitative face validity. The instrument's content was measured by computing the content validity ratio and content validity index. In addition, exploratory factor analysis (performed on 251 students) was used to establish construct validity. Internal and test-retest reliability was determined using Cronbach's alpha and intraclass correlation coefficients (ICC), respectively. Results During face and content validity assessment, a 39-item questionnaire was finalized. Exploratory factor analysis led to the extraction of seven factors, including "perceived self-efficacy and self-regulation," "outcome expectation," "perceived barriers," "motivation," "perceived susceptibility," "normative beliefs," and "perceived severity." The seven extracted factors explained 48.6% of the total variance. Cronbach's alpha was obtained to be 0.780, indicating good internal consistency, and the ICC for the total score of the questionnaire was 0.892 (95% confidence interval: 0.822-0.944), indicating excellent test-retest reliability. Conclusion Our developed questionnaire was a valid and reliable instrument for assessing eye care determinants among students, a vulnerable population afflicted with eye defects and disorders.
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Affiliation(s)
- Rahmat Chatripour
- Department of Health Education and Promotion Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Awat Feizi
- Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fereshteh Zamani-Alavijeh
- Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Afsaneh Naderi Beni
- Department of Ophthalmology, School of Medicine and Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Amidi Mazaheri
- Department of Health Education and Promotionn, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
- Address for correspondence: Dr. Maryam Amidi Mazaheri, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail:
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99859
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Yang GH, Ren ZX, Yang X, Zhang YG. KIF4A Promotes Clear Cell Renal Cell Carcinoma (ccRCC) Proliferation in vitro and in vivo [Retraction]. Onco Targets Ther 2023; 16:309-310. [PMID: 37192931 PMCID: PMC10182796 DOI: 10.2147/ott.s419867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 05/04/2023] [Indexed: 05/18/2023] Open
Abstract
[This retracts the article DOI: 10.2147/OTT.S240734.].
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99860
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Oda T, Sento M, Negera A. Women's Satisfaction with Comprehensive Abortion Care and Associated Factors in Public Health Facilities of Mojo Town, East Ethiopia. Health Serv Insights 2023; 16:11786329231169258. [PMID: 37153882 PMCID: PMC10161328 DOI: 10.1177/11786329231169258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 03/25/2023] [Indexed: 05/10/2023] Open
Abstract
Background Client satisfaction is an important and commonly used indicator for measuring the quality of health care as it affects clinical outcomes, patient retention, and medical malpractice claims. To limit unintended pregnancies and avoid repeated abortions promoting comprehensive abortion care services is crucial. In Ethiopia problems related to abortion were neglected and access to quality abortion care was very limited. Similarly, information related to comprehensive abortion service, particularly clients' satisfaction, and associated factors are limited in the study area that the study will be going to fill. Methods A facility-based cross-sectional study design was employed on 255 women who come for abortion service in public health facilities of Mojo town were included consecutively. The data was coded and entered into Epi info version 7 software and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regression models were applied to identify the associated factors. Model fitness and multicollinearity were checked by using the Hosmer-Lemeshow goodness of fit test and the Variance Inflation Factor (VIF). Adjusted Odds Ratios and their 95% Confidence were reported. Results A total of 255 study subjects were included in this study with a 100% response rate. The study depicted that 56.5% (95% CI: 51.3, 61.7) of the clients were satisfied with comprehensive abortion care. Having college and above educational level (AOR: 0.27; 95% CI: (0.14, 0.95)), Employee occupation (AOR: 1.86; 95% CI: (1.41, 2.93)), medical abortion as a type of uterine evacuation (AOR: 3.93; 95% CI: (1.75, 8.83)) and natural method of family planning users (AOR: 0.36; 95% CI: (0.08, 0.60)) were factors associated with women's satisfaction. Conclusion The overall satisfaction toward comprehensive abortion care was considerably lower. Waiting time, cleanness of rooms, lack of laboratory service, and availability of service providers are mentioned factors for client dissatisfaction.
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Affiliation(s)
- Tola Oda
- Clinician at Meki Hospital, Oromiya Regional State, Eastern Ethiopia
| | - Midekso Sento
- Anatomy Course Unit, Biomedical Department, Adama Hospital and Medical College, Eastern Ethiopia
| | - Atoma Negera
- Nursing Department, College of Health Science, Mattu University, Southwest Ethiopia
- Atoma Negera, Nursing Department, College of Health Science, Mattu University, Mettu, Oromia 318, Southwest Ethiopia.
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99861
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Chen F, Abdullah R. Towards the Contributing Factors for the Inconsistency Between English as a Foreign Language (EFL) Teachers' Equity-Oriented Cognition and Practices. Psychol Res Behav Manag 2023; 16:1631-1646. [PMID: 37163133 PMCID: PMC10164393 DOI: 10.2147/prbm.s409680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 04/28/2023] [Indexed: 05/11/2023] Open
Abstract
Backgrounds and Aims Though EFL teachers now generally hold an equity-oriented mindset, they are often blamed for not implementing equitable practices in the actual teaching. The contributing factors causing cognition-practice inconsistency should be recognized and highlighted to ensure equitable teaching. Therefore, by taking an interpretative qualitative approach, this study explored in-depth the contributing factors that caused the mismatch between EFL teachers' equity-oriented cognition and practices. Methods We adopted classroom observation and stimulated recall interviews with 10 university teachers to examine the contributing factors that lead to cognition-practice inconsistency. Results Our results showed two experiential factors (unpleasant schooling experiences and limited effective training) and five contextual factors (unfavorable student factors, inharmonious classroom climate, toxic school contexts, equity-deficient education system, and negative social cultures) mediated the relationship between teachers' equity-oriented cognition and practices. Conclusion The findings shed light on an association between influential factors and teachers' equity-oriented cognition-practice mismatch. Moreover, an equity-oriented teaching framework was thus proposed to help eliminate the constraining effect of these factors.
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Affiliation(s)
- Feifei Chen
- Department of College English, Zhejiang Yuexiu University, Shaoxing, Zhejiang, People’s Republic of China
- School of Educational Studies, Universiti Sains Malaysia (USM), Penang, Malaysia
- Correspondence: Feifei Chen, Zhejiang Yuexiu University, Shaoxing, Zhejiang, People’s Republic of China, Tel +8013957567140, Email
| | - Rohaya Abdullah
- School of Educational Studies, Universiti Sains Malaysia (USM), Penang, Malaysia
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99862
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Sane S, Sayyadi S, Abbasivash R, Rezaei S, Azadfar A, Salimi S. Comparison of the Effect of Preoperative Oral Tizanidine and Pregabalin on Shoulder Pain in Laparoscopic Cholecystectomy Under General Anesthesia. Adv Biomed Res 2023; 12:58. [PMID: 37200747 PMCID: PMC10186033 DOI: 10.4103/abr.abr_222_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/13/2022] [Accepted: 09/13/2022] [Indexed: 05/20/2023] Open
Abstract
Background Shoulder pain is considered as the most important and relatively common postoperative cholecystectomy complications that often controls in recovery room by systemic narcotics that may have some side effects. The aim of this study was to evaluate the effect of premedication with oral tizanidine on shoulder pain relief after elective laparoscopic cholecystectomy. Materials and Methods In this double-blinded clinical trial, 75 adults of American Society of Anesthesiologist physiologic state 1 and 2 scheduled for elective laparoscopic cholecystectomy under general anesthesia were selected and randomly divided in three groups of T, P, and control groups. Ninety minutes before the induction of anesthesia, patients received either 4 mg tizanidine (T group), 100 mg pregabalin (P group), or orally in 50cc or the same volume of plain water as a placebo (control group). Then, the vital signs, pain intensity, and the need for analgesic were measured during 24 hours and then compared in the groups. Results There was no significant difference in patient characteristics, with respect to age, weight, gender, and duration of anesthesia and surgery between the groups (P > 0.05). The pain intensity and need for analgesic were significantly lower in tizanidine and pregabalin groups than the control group (P < 0.003) vs (P < 0.001). There was no significant difference in vital signs characteristics between the groups. Conclusion Oral administration of 4 mg tizanidine and 100 mg pregabalin 90 minutes before laparoscopic cholecystectomy significantly relive postoperative shoulder pain and analgesic consumption without any complication.
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Affiliation(s)
- Shahryar Sane
- Department of Anesthesiology, School of Medicine, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
| | - Shahram Sayyadi
- Department of Anesthesiology, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Rahman Abbasivash
- Department of Anesthesiology, School of Medicine, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
| | - Seyfollah Rezaei
- Department of General Surgery, School of Medicine, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
| | - Ashkan Azadfar
- Department of Anesthesiology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
| | - Sohrab Salimi
- Department of Anesthesiology, School of Medicine, Anesthesiology Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Address for correspondence: Dr. Sohrab Salimi, Department of Anesthesiology, School of Medicine, Anesthesiology Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. E-mail:
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99863
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Saez-Calveras N, Bryarly M, Salinas M. Limb myorhythmia treated with chemodenervation: a case report. Ther Adv Neurol Disord 2023; 16:17562864221150317. [PMID: 36993940 PMCID: PMC10041613 DOI: 10.1177/17562864221150317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 12/21/2022] [Indexed: 03/31/2023] Open
Abstract
We describe a case of limb myorhythmia successfully palliated with botulinum toxin injections. The patient is a 30-year-old male evaluated for abnormal movements of the left lower foot that began after an ankle injury for which the patient underwent Achilles tendon scar tissue debridement without improvement. On examination, he had near-constant involuntary, slow, rhythmic flexion/extension tremor of toes 2-4 that was diminished during active movement. Needle electromyography (EMG) revealed a rhythmic, 2-3 Hz tremor isolated to the flexor digitorum brevis. After failure of medical management with muscle relaxants, gabapentin, and levodopa trials, the patient underwent two EMG-guided chemodenervation procedures with incobotulinum toxin A injections of the left flexor digitorum brevis. At 3-month follow-up, he had achieved a sustained 50% reduction in the intensity of the movements and improved quality of life. Myorhythmia is a rare condition characterized by a repetitive, rhythmic, slow frequency (1-4 Hz) movement affecting the cranial and limb muscles. The most common causes include stroke, demyelinating disorders, drug or toxin intake, trauma, and infections. The management of this condition is very limited with pharmacologic agents such as anticholinergics, antispasmodics, anticonvulsants, or dopaminergic agents showing limited efficacy. The use of botulinum toxin chemodenervation aided by EMG muscle targeting can be a useful therapeutic intervention in cases of medication-refractory regionally distributed myorhythmia involving accessible muscles.
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Affiliation(s)
| | - Meredith Bryarly
- University of Texas Southwestern Medical Center, Dallas, TX, USA
- Neurology Section, Medical Service, VA North Texas Health Care System, Dallas, TX, USA
| | - Meagen Salinas
- University of Texas Southwestern Medical Center, Dallas, TX, USA
- Neurology Section, Medical Service, VA North Texas Health Care System, Dallas, TX, USA
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99864
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Groessl E, Yeh G. Where we've been and where we're going-A brief look. Glob Adv Integr Med Health 2023; 12:27536130231156973. [PMID: 36994446 PMCID: PMC10041577 DOI: 10.1177/27536130231156973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Affiliation(s)
- Erik Groessl
- Herbert Wertheim School of Public Health, University of California, San Diego, CA, USA
| | - Gloria Yeh
- Beth Israel Deaconess Medical Center; Osher Center for Integrative Medicine, Harvard Medical School, Boston, MA, USA
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99865
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Coenen J, van der Heijden RECM, van Riel ACR. Expediting the Implementation of Closed-Loop Supply Chain Management: a Facilitated Case Study on Re-using Timber in Construction Projects. Circ Econ Sustain 2023; 3:93-124. [PMID: 35813125 PMCID: PMC9252559 DOI: 10.1007/s43615-022-00186-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 06/14/2022] [Indexed: 11/25/2022]
Abstract
An increasing number of firms are aiming to implement closed-loop supply chain (CLSC) management to contribute to a more circular economy. However, for many of these firms, it is difficult to translate this strategic aim into fruitful operational decisions. They need to address many deep uncertainties and dynamic complexities in their supply chain system, which make their transition towards CLSC management challenging. This article aims to develop a better understanding of how supply chain actors taking steps towards CLSC management could be supported to reach higher levels of maturity in dealing with deep uncertainty and dynamic complexity. This is investigated in a single, facilitated, embedded case study: a future-oriented decision-making process regarding the use of timber with four real-world actors in the construction industry. The process is structured and supported with analyses, following a methodology based on the capability maturity approach. In this empirical context, the selected approach is shown to have positive effects on clarifying the potential impact of transitions to CLSC management. Furthermore, it stimulates important learning processes during the transition, and as such supports actors to achieve higher levels of maturity and to take further steps towards CLSC management. In this context, a conceptual distinction is made between 'situational maturity' and 'mental maturity', which enriches double-loop learning theory in the context of transitions.
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Affiliation(s)
- Jannie Coenen
- Institute for Management Research (IMR), Radboud University (RU), PO Box 9108, NL-6500 HK, Nijmegen, the Netherlands
| | - Rob E. C. M. van der Heijden
- Institute for Management Research (IMR), Radboud University (RU), PO Box 9108, NL-6500 HK, Nijmegen, the Netherlands
| | - Allard C. R. van Riel
- Faculty of Business Economics, Hasselt University, Martelarenlaan 42, B-3500 Hasselt, Belgium
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99866
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Asllanaj B, Farr M, McWhorter Y. Acute partial papillary muscle rupture as a rare complication following non-ST elevation myocardial infarction. SAGE Open Med Case Rep 2023; 11:2050313X221145618. [PMID: 37113388 PMCID: PMC10126593 DOI: 10.1177/2050313x221145618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 11/28/2022] [Indexed: 04/29/2023] Open
Abstract
Papillary muscle rupture is a life-threatening complication of acute myocardial infarction that most commonly occurs 2-7 days after the infarct. We present a rare case of acute partial anterolateral papillary muscle rupture following non-ST elevation myocardial infarction. Our patient was an elderly male who had a detached anterolateral papillary muscle, which required emergent mitral valve replacement. Papillary muscle rupture is a rare complication of acute myocardial infarction, and anterolateral muscle rupture occurs even less commonly. When papillary muscle rupture is diagnosed, patients need to be emergently referred to cardiothoracic surgery as mortality without surgery is over 90% within a week.
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Affiliation(s)
- Blerina Asllanaj
- Department of Internal Medicine, HCA
Healthcare, MountainView Hospital, Las Vegas, NV, USA
- Blerina Asllanaj, Department of Internal Medicine,
HCA Healthcare, MountainView Hospital, 2880 N Tenaya Way, Las Vegas, NV 89128, USA.
| | - Matthew Farr
- Department of Anesthesiology, HCA Healthcare,
MountainView Hospital, Las Vegas, NV, USA
| | - Yi McWhorter
- Department of Critical Care Medicine, HCA
Healthcare, MountainView Hospital, Las Vegas, NV, USA
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99867
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Sciamanna CN, Lemaster KA, Danilovich MK, Conroy DE, Schmitz KH, Silvis M, Ladwig M, Ballentine N. Accuracy of Self-Reported Physical Capacities as a Clinical Screening Test for Older Adults With Mobility Disability. Gerontol Geriatr Med 2023; 9:23337214231167979. [PMID: 37113797 PMCID: PMC10126779 DOI: 10.1177/23337214231167979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 03/10/2023] [Accepted: 03/17/2023] [Indexed: 04/29/2023] Open
Abstract
Background: Screening for poor physical performance has the potential to identify older adults at risk for loss of future independence, yet clinically feasible measures have yet to be identified. Methods: Using data from the National Health and Aging Trends Study, we evaluated the diagnostic utility of self-reported physical capacities of older adults (walking three blocks or six blocks, climbing 10 stairs or 20 stairs) compared to the objectively measured Short Physical Performance Battery (SPPB). Sensitivity, specificity, and likelihood ratio (LR) were calculated across three SPPB cut-points (≤8, ≤9, ≤10). Results: Sensitivity of single item-measures for detecting a low SBBP averaged 0.39 (range: 0.26-0.52), specific averaged 0.97 (range: 0.94-0.99) and likelihood ratio averaged 20.0 (range: 9.0-35.5). Among age and gender subgroups, all measures maintained clinically applicable LRs (minimum = 4.59). Conclusion: Single-item self-reported physical capacities are accurate for screening older adults with physical limitations, making them potentially useful in healthcare settings.
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Affiliation(s)
- Christopher N. Sciamanna
- Penn State College of Medicine, Hershey, PA, USA
- Christopher N. Sciamanna, Penn State College of Medicine, The Pennsylvania State University, 500 University Drive, Hershey, PA 17033, USA.
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99868
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Lian B, Qu M, Zhang W, Dong Z, Chen H, Jia Z, Wang Y, Li J, Gao X. Establishment and Validation of a Novel Prediction Model for Early Natural Biochemical Recurrence After Radical Prostatectomy Based on Post-Operative PSA at Sixth Week. Cancer Manag Res 2023; 15:377-385. [PMID: 37113984 PMCID: PMC10126833 DOI: 10.2147/cmar.s402241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 04/03/2023] [Indexed: 04/29/2023] Open
Abstract
Objective Based on post-operative PSA at 6th week (PSA6w) after radical prostatectomy to establish an optimal model for predicting natural biochemical recurrence (BCR). Methods A total of 742 patients with post-operative PSA6w from PC-follow database, between January 2003 and October 2022, were included. All the patients had not received any hormone therapy and radiotherapy before operation and BCR. Of these patients, 588 cases operated by one surgeon were enrolled for modelling and another 154 cases operated by other surgeons were for external validation. After screened by Cox regression, the post-operative PSA6w, pathological stage, Gleason Grade and positive surgical margins were adopted for modelling. The R software was used to plot the nomogram of the prediction model for BCR. C-index and calibration curve were calculated to evaluate the new model. Finally, integrated discrimination improvement was adopted to evaluate the prediction performances of the new nomogram model and the classical Kattan nomogram. Results The C-index of the new model was 0.871 (95% CI: 0.830-0.912). The calibration curve of the new model demonstrated superior consistency between the predicted and actual value. The C-index of the external validation group was 0.850 (95% CI: 0.742-0.958), which demonstrated perfect universality. The integrated discrimination improvement showed a 12.61% improvement in prediction performance over that of the classical Kattan nomogram (P < 0.01). Based on the new nomogram, patients were divided to high and low BCR group with a 3 year BCR-free cutoff probability as 74.72%. Low-risk patients, accounting for 77.89% of the patients, have no need to follow up frequently with a false-negative rate only 5.24%, which will save medical resources to a large extent. Conclusion Post-operative PSA6w is a sensitive risk biomarker for early natural BCR. The new nomogram model could predict BCR probability with a higher accuracy and will further simplify the clinical follow-up strategies.
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Affiliation(s)
- Bijun Lian
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
- Department of Urology, the 903rd PLA Hospital, Hangzhou Medical College, Hangzhou, People’s Republic of China
| | - Min Qu
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
| | - Wenhui Zhang
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
| | - Zhenyang Dong
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
| | - Huan Chen
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
| | - Zepeng Jia
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
| | - Yan Wang
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
| | - Jing Li
- Centre for Translational Medicine, Naval Medical University, Shanghai, People’s Republic of China
- Jing Li, Center for Translational Medicine, Navy Medical University, No. 800 Xiangyin Road, Yangpu District, Shanghai, 200438, People’s Republic of China, Tel +86 21-31161718, Email
| | - Xu Gao
- Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China
- Correspondence: Xu Gao, Department of Urology, Changhai Hospital, NO. 168 Changhai Road, Yangpu District, Shanghai, 200438, People’s Republic of China, Tel +86 21-31161717, Email
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99869
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Feng S, Li T, Wu Y, Shi H, Liu Y, Xu B, Xu C, Zhou Q, Qu F, Li R, Tao C, Sun W, Hu W, Liu X. Endovascular treatment of acute basilar artery occlusion in patients with and without atrial fibrillation: results from the ATTENTION registry. Ther Adv Neurol Disord 2023; 16:17562864231159438. [PMID: 37114069 PMCID: PMC10126602 DOI: 10.1177/17562864231159438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 01/31/2023] [Indexed: 04/29/2023] Open
Abstract
Background Previous studies have shown a potential beneficial effect of endovascular therapy (EVT) in patients with acute basilar artery occlusion (BAO). It was unclear that whether atrial fibrillation (AF) can affect the clinical outcomes for BAO patients treated with EVT. Objectives To investigate the association between AF and clinical outcomes, and whether AF can modify the efficacy and safety of EVT in patients with BAO. Design We conducted a multicenter, nationwide, retrospective analysis to investigate how the presence of AF affects treatment allocation for BAO patients. Methods The endovascular treatment for acute basilar artery occlusion (ATTENTION) registry was a multicenter, prospective study in China that included acute BAO patients who underwent EVT or received best medical management (BMM) between 2017 and 2021. The outcomes include the distribution of 3-month modified Rankin scale (mRS) score, functional independence (defined as mRS 0-3), symptomatic intracerebral hemorrhage, and mortality. Results 2134 patients were included in the study, of which 619 had AF and 1515 did not have AF. The median age was 65 (interquartile range [IQR]: 56-73) years, and 689 (32.3%) patients were female. Multivariate regression analysis indicated no significant association existed between AF and the distribution of mRS (adjusted common odds ratio, 1.05 [95% CI: 0.88, 1.25]; p = 0.564) at 90 days. Similarly, AF was not found to have a significant association with and other measured outcomes, or with the effects of EVT in AF subgroups for at 90 days as measured by ordinal mRS (p for heterogeneity = 0.247). Finally, no significant differences were found for symptomatic intracerebral hemorrhage and mortality within 90 days between the EVT and BMM groups across AF subgroups. Conclusions Our results illustrated that the effect of EVT did not differ statistically in acute ischemic stroke patients with and without AF. Moreover, no significant association between AF and functional or safety outcomes could be detected at 90 days.
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Affiliation(s)
| | | | | | - Hongchao Shi
- Department of Neurology, Nanjing First Hospital, Nanjing, China
| | - Yongchang Liu
- Department of Neurovascular Intervention, Cangzhou Central Hospital, Cangzhou, China
| | - Bo Xu
- Department of Neurology, Affiliated Qingdao Central Hospital, Qingdao University, Qingdao, China
| | - Chenghua Xu
- Department of Neurology, Taizhou First People’s Hospital, Taizhou, China
| | - Qingqing Zhou
- Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China
| | - Fengling Qu
- Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China
| | - Rui Li
- Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China
| | - Chunrong Tao
- Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China
| | - Wen Sun
- Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China
| | | | - Xinfeng Liu
- Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China
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99870
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Shirahige T, Miwa Y, Takehara K, Sawada K, Funakoshi H. Cerebral venous thrombosis in a young man. Acute Med Surg 2023; 10:e853. [PMID: 37261371 PMCID: PMC10228671 DOI: 10.1002/ams2.853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 04/12/2023] [Accepted: 04/24/2023] [Indexed: 06/02/2023] Open
Affiliation(s)
- Tomoyuki Shirahige
- Department of Emergency and Critical Care MedicineTokyobay Urayasu Ichikawa Medical CenterUrayasuJapan
| | - Yusuke Miwa
- Department of NeurosurgeryTokyobay Urayasu Ichikawa Medical CenterUrayasuJapan
| | - Kei Takehara
- Department of Emergency and Critical Care MedicineTokyobay Urayasu Ichikawa Medical CenterUrayasuJapan
| | - Kana Sawada
- Department of NeurosurgeryTokyobay Urayasu Ichikawa Medical CenterUrayasuJapan
| | - Hiraku Funakoshi
- Department of Emergency and Critical Care MedicineTokyobay Urayasu Ichikawa Medical CenterUrayasuJapan
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99871
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MicroRNA-143-3p Suppresses Tumorigenesis by Targeting Catenin-δ1 in Colorectal Cancer [Retraction]. Onco Targets Ther 2023; 16:233-4. [PMID: 37051318 DOI: 10.2147/OTT.S415732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 04/04/2023] [Indexed: 04/14/2023] Open
Abstract
[This retracts the article DOI: 10.2147/OTT.S184118.].
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99872
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Schimschal SE, Cleary M, Kornhaber RA, Barnett T, Visentin DC. Psychometric Evaluation of the Grit Psychological Resources Scale (GPRS). J Multidiscip Healthc 2023; 16:913-925. [PMID: 37041887 PMCID: PMC10083025 DOI: 10.2147/jmdh.s401652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 03/16/2023] [Indexed: 04/13/2023] Open
Abstract
Background Psychological resources have been shown to play a prominent role in buffering against stress and are associated with various positive constructs, including grit, defined as having the disposition to pursue long-term goals with both passion and perseverance. Objective The objective of this study was to validate a new scale developed to measure the psychological resources of grit. Methods A quantitative research study was conducted online with an international sample of 277 adults from a range of professional backgrounds. The psychometric properties of the 20-item Grit Psychological Resources Scale (GPRS) were evaluated by performing tests of reliability and validity. Results Reliability tests provided evidence of high internal consistency (α = 0.91) and test-retest reliability (r = 0.75). Demographic variables did not significantly predict scores or influence survey completion. Face, content and convergent validity provided additional psychometric support for the GPRS with this sample. Confirmatory factor analysis results supported a second-order model with four sub-scales. The first-order factors loaded highly onto the second-order factor, with correlations ranging from 0.80 to 0.97. Conclusion The GPRS showed satisfactory psychometric properties, indicating that the scale is a reliable and valid instrument for measuring the psychological resources of grit. This scale can be used to identify more targeted developmental approaches for personal and professional growth. Further, the tool enables information to be gathered on changes pre- and post-improvement initiatives to assess their effectiveness in training and continuing education.
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Affiliation(s)
- Sarah E Schimschal
- Centre for Rural Health, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
- Correspondence: Sarah E Schimschal, Centre for Rural Health, School of Health Sciences, Locked Bag 1322, Launceston, Tasmania, 7250, Australia, Email
| | - Michelle Cleary
- School of Nursing, Midwifery & Social Sciences, CQUniversity, Sydney, New South Wales, Australia
| | - Rachel A Kornhaber
- School of Nursing, University of Tasmania, Sydney, New South Wales, Australia
| | - Tony Barnett
- Centre for Rural Health, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
| | - Denis C Visentin
- School of Health Sciences, University of Tasmania, Sydney, New South Wales, Australia
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99873
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Moradi B, Tabibian E, Kazemi MA, Shirazi M, Chavoshi M, Rashedi S. Diagnostic models for the detection of intrauterine growth restriction and placental insufficiency severity based on magnetic resonance imaging of the placenta. Pol J Radiol 2023; 88:e155-e164. [PMID: 37057203 PMCID: PMC10086608 DOI: 10.5114/pjr.2023.126224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 12/23/2022] [Indexed: 04/15/2023] Open
Abstract
Purpose We aimed to provide diagnostic models based on different parameters of placental magnetic resonance imaging (MRI) to detect intrauterine growth restriction (IUGR), as well as the severity of placental insufficiency. Material and methods We included 44 foetuses with appropriate weight for gestational age (AGA) and 46 foetuses with documented IUGR, defined as the estimated foetal weight (EFW) below the 10th centile. Using Doppler ultrasound, IUGR cases were divided into 2 groups: 1) IUGR with severity signs: EFW < 3rd centile, or cerebroplacental ratio < 5th centile, or abnormal umbilical/uterine artery pulsatility index; and 2) non-severe IUGR without any of this criterion. For all these participants, placental MRI was performed in the third gestational trimester, and its parameters were compared between AGA and IUGR, as well as between the severe and non-severe IUGR groups. Two diagnostic models consisting of significant predictors were developed, and their performance was investigated with accuracy metrics. Results The severity signs were detected in 25 (54.3%) IUGR cases. The diagnostic model for the differentiation of IUGR from AGA revealed an acceptable performance (area under the curve [AUC] of 0.749) and consisted of 2 variables: 1) the largest size of infarct ≥ 25 mm (odds ratio [OR] = 5.01, p = 0.001), and 2) thickness : volume ratio ≥ 0.043 (OR = 3.76, p = 0.027); while, the logistic regression model for detection of the severity signs was even better, with AUC = 0.862, and comprised of 2 predictors: 1) placental infarct percent ≥ 10% (OR = 26.73, p = 0.004), and 2) placental globular shape (OR = 5.40, p = 0.034). Conclusions Placental MRI parameters can differentiate IUGR from AGA, and more precisely, assess the severity of placental insufficiency in IUGR foetuses.
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Affiliation(s)
- Behnaz Moradi
- Department of Radiology, Women’s Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
- Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
| | - Elnaz Tabibian
- Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran
- Correspondence address: Elnaz Tabibian, Assistant Professor in Department of Radiology, Medical Imaging Centre, Imam Khomeini Hospital Complex, End of Keshavarz Blvd., Tehran, Iran, postal code: 1419733141, phone: +98-21-61190, e-mail:
| | - Mohammad Ali Kazemi
- Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
- Department of Radiology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahboobeh Shirazi
- Maternal, Foetal and Neonatal Research Centre, Women’s Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammadreza Chavoshi
- Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Sina Rashedi
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
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99874
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Nozarimirarkolaei M, Dadashi M, Ghasemi A, Samiee S, Shaeigan M, Zadsar M. Frequency of Human Platelet Antigens -1 to -5 and -15 in Turkmen Blood Donors. Adv Biomed Res 2023; 12:47. [PMID: 37057228 PMCID: PMC10086666 DOI: 10.4103/abr.abr_282_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 11/17/2021] [Accepted: 12/07/2021] [Indexed: 04/15/2023] Open
Abstract
Background Due to the presence of platelet antigen polymorphisms, human platelet membrane glycoproteins can be identified as an alloantigen or autoantigen. The aim of this study was to determine the frequencies of human platelet antigens (HPAs)-1 to-5 and-15 in Turkmen blood donors and establish a panel of accredited HPAs negative donors as well as an HPA-typed platelet donor registry. Materials and Methods HPA-1 to-5 and-15 typing was performed by the polymerase chain reaction-sequence-specific primer techniques on 80 unrelated Turkmen donors who were referred to Aq-Qala Blood Transfusion Center in Golestan Province from September 2018 to October 2019. Results The frequencies of HPA phenotypes were determined as follows: HPA-1aa: 92.5%, HPA-1ab: 7.5%, HPA-2aa: 77.5%, HPA-2ab: 20.0%, HPA-2bb: 2.5%, HPA-3aa: 75.3%, HPA-3ab: 50%, HPA-3bb: 11.2%, HPA-4aa: 100%, HPA-5aa: 78.5%, HPA-5ab: 21.5%, HPA-15aa: 41.2%, HPA-15ab: 56.2% and HPA-15bb: 17.5%. Conclusion Determining the genotype of HPAs that play an important role in platelet refractory can improve the management of alloimmunization due to the incompatibility of HPAs between the recipients and donors. Therefore, the registration process for national platelet donors can help patients accelerate and improve the quality of transfused platelets.
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Affiliation(s)
- Maedeh Nozarimirarkolaei
- Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Maryam Dadashi
- Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Ali Ghasemi
- Department of Biochemistry and Hematology, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
| | - Shahram Samiee
- Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Mojgan Shaeigan
- Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Maryam Zadsar
- Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
- Address for correspondence: Dr. Maryam Zadsar, Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran. E-mail:
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99875
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Xu M, Song T, Yang P, Qiongda D, Liu M, Baisang C, Pubu C, Wangmu C, Xi Z, Nima D, Zhou P. Complete mitochondrial genomes reveal the phylogenetic relationships of Duoma with eight representative sheep breeds and two ovis species. Mitochondrial DNA B Resour 2023; 8:518-521. [PMID: 37091581 PMCID: PMC10120523 DOI: 10.1080/23802359.2023.2189495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2023] Open
Abstract
The Ovis aries Duoma breed is one of the most important alpine grassland-type sheep breeds in China. In this current study, we first reported the complete mitochondrial genome of Duoma sheep. Mitochondrial genome is 16,618 bp in length and exhibits the same typical structure as the other published sheep breeds. The genome contains 37 genes (22 tRNA, two rRNA, and 13 protein-coding genes (PCGs)) and a control region (D-loop region). Phylogenetic analysis shows that the Duoma sheep breed is closer to Ganjia sheep. Our findings will help the further evolution and conservation studies of Duoma sheep.
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Affiliation(s)
- Mengsi Xu
- State Key Laboratory of Sheep Genetic Improvement and Healthy Production, Xinjiang Academy of Agricultural and Reclamation Sciences, Shihezi, China
| | - Tianzeng Song
- Institute of Animal Science, Tibet Academy of Agricultural & Animal Husbandry Science, Lhasa, China
| | - Peng Yang
- State Key Laboratory of Sheep Genetic Improvement and Healthy Production, Xinjiang Academy of Agricultural and Reclamation Sciences, Shihezi, China
| | - Dawa Qiongda
- The Service Station of Agricultural and Animal, Husbandry Technical of Zhongba County, Zhongba, China
| | - Mengjun Liu
- Institute of Animal Science, Tibet Academy of Agricultural & Animal Husbandry Science, Lhasa, China
| | - Chilie Baisang
- The Service Station of Agricultural and Animal, Husbandry Technical of Zhongba County, Zhongba, China
| | - Ciren Pubu
- The Service Station of Agricultural and Animal, Husbandry Technical of Gongjue County, Gongjue, China
| | - Ciren Wangmu
- The Service Station of Agricultural and Animal, Husbandry Technical of Gongjue County, Gongjue, China
| | - Zha Xi
- The Service Station of Agricultural and Animal, Husbandry Technical of Gongjue County, Gongjue, China
| | - Danzeng Nima
- The Service Station of Agricultural and Animal, Husbandry Technical of Gongjue County, Gongjue, China
| | - Ping Zhou
- State Key Laboratory of Sheep Genetic Improvement and Healthy Production, Xinjiang Academy of Agricultural and Reclamation Sciences, Shihezi, China
- CONTACT Ping Zhou State Key Laboratory of Sheep Genetic Improvement and Healthy Production, Xinjiang Academy of Agricultural and Reclamation Sciences, 221 Wuyi Road, Shihezi, Xinjiang, China
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99876
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Lohrey A, Boreham B. The two principles that shape scientific research. Commun Integr Biol 2023; 16:2203625. [PMID: 37091831 PMCID: PMC10114983 DOI: 10.1080/19420889.2023.2203625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2023] Open
Abstract
This paper argues that all scientific research is framed by one of two organizing principles that underpin and shape almost every aspect of scientific research as well as nonscientific inquiry. The most commonly employed principle within mainstream science is content determines content. This is a closed, circular principle that is usually unstated within hypotheses but plays a major role in developing methodologies and arriving at conclusions. The second more open principle is context determines content. This principle represents the implied background embedded within hypotheses. The difference between these two principles revolves around the issue of context, with the first principle closing off contexts by ignoring, erasing, or devaluing them, while the second more holistic principle explicitly takes them into account. Each of these research principles has a focus on the explicit detailed nature of 'content' while differing in relation to the source and cause of such content. We argue that the more open and holistic principle of context determines that content is superior in producing reliable evidence, results and conclusions.
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Affiliation(s)
- Andrew Lohrey
- CONTACT Andrew Lohrey P O Box 249 St Marys, TAS7215, Australia
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99877
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Dongarwar D, Lee M, Manikkuttiyil C, Salihu HM. Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups. Int J MCH AIDS 2023; 12:e570. [PMID: 37091354 PMCID: PMC10115211 DOI: 10.21106/ijma.570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2023] Open
Abstract
Background and Objective Social determinants of health impact various clinical health outcomes in the population. We conducted this study to examine the impact of adverse social determinants of health (SDOH) characteristics on maternal obesity among hospitalized pregnant women in the US and its potential differential impact on women of different races/ethnicities. Methods The nationwide pregnancy hospitalization data analyzed in this study were collected through the Nationwide Inpatient Sample (NIS) database during 2016-2018. We conducted descriptive analyses to evaluate the relationship between patient characteristics and maternal obesity. Using the adjusted survey logistic regression model, we calculated the independent association between social determinants of health (SDOH) risk factors and hospitalization characteristics (exposure) and maternal obesity (outcome). Lastly, stratified survey logistic regression models were created for each racial/ethnic group to examine the differential impact in the association between SDOH issues and maternal obesity. Results The prevalence of SDOH issues was highest in non-Hispanic (NH) Black women (6.59 per 1000 hospitalizations), whereas the prevalence of obesity among those with SDOH issues was highest in Hispanic women (15.3 per 100 hospitalizations). We observed that pregnant women with SDOH issues were 1.15 times as likely (95% CI: 1.05-1.25) to experience maternal obesity compared to those without SDOH issues. Relative to their counterparts without SDOH issues, Hispanics and NH-Others with SDOH issues had increased odds of obesity, whereas NH-White and NH-Black mothers with SDOH had similar odds of obesity (p>0.05). Conclusion and Global Health Implications In conclusion, pregnant women with SDOH issues had an increased likelihood of obesity diagnosis and the association demonstrated differential impact across racial/ethnic sub-populations. This information has potential utility for counseling and formulation of targeted interventions for pregnant women.
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Affiliation(s)
- Deepa Dongarwar
- Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas, USA
- Corresponding author
| | - Morgan Lee
- Graduate School of Biomedical Sciences, Baylor College of Medicine, Houston, Texas, USA
| | - Christo Manikkuttiyil
- Graduate School of Biomedical Sciences, Baylor College of Medicine, Houston, Texas, USA
| | - Hamisu M. Salihu
- Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas, USA
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA
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99878
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Hazir KE, Şïmşek EÇ, Çabuk G, Sari C. Unexpected Course of Left Ventricular Thrombus after COVID-19 Infection in a Woman with Peripartum Cardiomyopathy Single Shield Against Double Shock. J Saudi Heart Assoc 2023; 35:55-58. [PMID: 37020974 PMCID: PMC10069704 DOI: 10.37616/2212-5043.1331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/26/2023] [Accepted: 02/28/2023] [Indexed: 04/07/2023] Open
Abstract
Peripartum cardiomyopathy (PPCMP) is defined as heart failure that develops in the last trimester of pregnancy or in the first few months after delivery without an underlying cause. Altought it is seen rarely, it can lead to thromboembolic events and can be life-threatening. Similarly, COVID-19, which is a viral pneumonia agent, is known to cause thrombogenesis. In this case report, the unexpected course of left ventricular thrombus developing in a patient with peripartum cardiomyopathy accompanied by COVID-19 infection is presented.
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Affiliation(s)
- Kutluhan E. Hazir
- Corresponding author at: Izmir Provincial Directorate of Health Health Sciences University İzmİr Tepecİk Education and Research Hospital, GÜney Mahallesİ 1140/1 Street No: 1 YenİŞEHİr - Konak, İzmİr, Turkey. E-mail address: (K.E. Hazir)
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99879
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Ba-Atiyah W, Gabel H, Jamjoom A, Al-Ata J. Novel Cause of Late Atrial Septal Defect Devices Embolization. J Saudi Heart Assoc 2023; 35:50-54. [PMID: 37020970 PMCID: PMC10069705 DOI: 10.37616/2212-5043.1330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 02/15/2023] [Accepted: 02/20/2023] [Indexed: 04/07/2023] Open
Abstract
Transcatheter closure of septal defects using specialized devices is a common procedure that has a high success rate. Embolization of Atrial septal defect devices is a known complication seen at a rate of 0.5%. We report a case of late ASD device occluder embolization immediately after brain MRI with clinical consequences and intraoperative evidence of right atrial wall thermal injury. To our knowledge Atrial septal occluder (ASO) device embolization post magnetic resonance imaging (MRI) was not reported before, although theoretically possible and that's why six to eight weeks post device implantation MRI is prohibited even with current MRI compatible devices.
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Affiliation(s)
| | - Hala Gabel
- Pediatric Cardiology, KAUH, East Jeddah General Hospital, Jeddah,
Saudi Arabia
| | - Ahmad Jamjoom
- Cardiothoracic Surgery, KFSH&RC-Jeddah, Jeddah,
Saudi Arabia
| | - Jameel Al-Ata
- Department of Pediatrics, Pediatric Cardiology section, King Faisal Specialist Hospital and Research Center, Jeddah,
Saudi Arabia
- Department of Pediatrics Cardiology section, King Abdulaziz University Hospital, Jeddah,
Saudi Arabia
- Corresponding author at: Department of Pediatrics, Pediatric Cardiology section, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. E-mail address: (J. Al-Ata)
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99880
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Díaz-Sánchez LM, Blanco-Tirado C, Combariza MY. Electron-transfer MALDI MS methodology for microalgae/phytoplankton pigments analysis. MethodsX 2023; 10:102140. [PMID: 37007620 PMCID: PMC10050785 DOI: 10.1016/j.mex.2023.102140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 03/15/2023] [Indexed: 04/04/2023] Open
Abstract
The method describes pigment analysis from microalgae/phytoplankton extracts using electron-transfer Matrix-Assisted Laser Desorption Ionization Mass Spectrometry (ET MALDI MS). Current microalgae/phytoplankton pigment analysis requires resource- and time-intensive chromatographic methods due to the broad polarity range of the target analytes. On the other hand, traditional MALDI MS chlorophyll analysis, using proton-transfer matrices such as 2,5-dihydroxybenzoic acid (DHB) or α-cyano-4-hydroxycinnamic acid (CHCA), results in central metal loss and phytol-ester cleavage. ET MALDI MS is an alternative for the rapid screening and detection of pigments in microalgae extracts.•MALDI matrices with ionization energies above 8.0 eV guarantee electron-transfer processes from photosynthetic and photoprotective pigments whose ionization energies lay below 7.5 eV.•ET MALDI MS pigment analysis agrees with data gathered from conventional chromatographic techniques (HPLC) and optical microscopy for pigment extracts from C. vulgaris cultures and freshwater phytoplankton samples.•The ET MALDI MS method allows fast and reliable detection of pigments in microalgae cultures and freshwater phytoplankton samples.
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99881
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Collein I, Syamsu AF, Nurmalisa BE. Knowledge, Attitudes, and Practices (KAP) About Antibiotic Use in Hemodialysis Patients with Chronic Kidney Disease and Their Household Contacts [Letter]. Infect Drug Resist 2023; 16:2475-2476. [PMID: 37131455 PMCID: PMC10149093 DOI: 10.2147/idr.s417464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 04/22/2023] [Indexed: 05/04/2023] Open
Affiliation(s)
- Irsanty Collein
- Department of Nursing, Poltekkes Kemenkes Palu, Palu, Indonesia
- Correspondence: Irsanty Collein, Faculty of Nursing, Poltekkes Kemenkes Palu, Thalua Konchi Street Number 09, North Palu, Palu, Center Sulawesi, Indonesia, Email
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99882
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Chilunga FP, Agyemang C. Tracking the progress of inequalities in SARS-CoV-2 infections into the third covid-19 wave. BMJ Med 2023; 2:e000512. [PMID: 37063236 PMCID: PMC10083516 DOI: 10.1136/bmjmed-2023-000512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 02/16/2023] [Indexed: 04/18/2023]
Affiliation(s)
- Felix P Chilunga
- Public and Occupational Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
| | - Charles Agyemang
- Public and Occupational Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
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99883
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Forbrigger S, Liblong M, Davies TC, DePaul V, Morin E, Hashtrudi-Zaad K. Considerations for at-home upper-limb rehabilitation technology following stroke: Perspectives of stroke survivors and therapists. J Rehabil Assist Technol Eng 2023; 10:20556683231171840. [PMID: 37124709 PMCID: PMC10134106 DOI: 10.1177/20556683231171840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
Introduction This study investigated the needs of stroke survivors and therapists, and how they may contrast, for the design of robots for at-home post stroke rehabilitation therapy, in the Ontario, Canada, context. Methods Individual interviews were conducted with stroke survivors (n = 10) and therapists (n = 6). The transcripts were coded using thematic analysis inspired by the WHO International Classification of Functioning, Disability, and Health. Results Design recommendations, potential features, and barriers were identified from the interviews. Stroke survivors and therapists agreed on many of the needs for at-home robotic rehabilitation; however, stroke survivors had more insights into their home environment, barriers, and needs relating to technology, while therapists had more insights into therapy methodology and patient safety and interaction. Both groups felt a one-size-fits-all approach to rehabilitation robot design is inappropriate. Designs could address a broader range of impairments by incorporating household items and breaking activities down into their component motions. Designs should incorporate hand and wrist supports and activities. Designs should monitor trunk and shoulder motion and consider incorporating group activities. Conclusion While therapists can provide insight in the early stages of design of rehabilitation technology, stroke survivors' perspectives are crucial to designing for the home environment.
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Affiliation(s)
- Shane Forbrigger
- Department of Electrical and Computer Engineering, Queen’s University, Kingston, ON, Canada
- Keyvan Hashtrudi-Zaad, Department of Electrical and Computer Engineering, Queen’s University, 19 Union St, Kingston, ON K7L 3N9, Canada. Email:
| | - Madeleine Liblong
- Department of Mechanical Engineering, Queen’s University, Kingston, ON, Canada
| | - TC Davies
- Department of Mechanical Engineering, Queen’s University, Kingston, ON, Canada
| | - Vincent DePaul
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Evelyn Morin
- Department of Electrical and Computer Engineering, Queen’s University, Kingston, ON, Canada
| | - Keyvan Hashtrudi-Zaad
- Department of Electrical and Computer Engineering, Queen’s University, Kingston, ON, Canada
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99884
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Colombié JB, Ladoucette S. Changing a Reflex Motor Pattern Using the Allyane Technique: Case Report of a Dancer's Chronic Ankle Instability. J Orthop Case Rep 2023; 13:32-36. [PMID: 37143557 PMCID: PMC10152962 DOI: 10.13107/jocr.2023.v13.i01.3504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 11/08/2022] [Indexed: 05/06/2023] Open
Abstract
Introduction The treatment of chronic ankle instability (CAI) is quite long and problematic. In dance, about 53% of dancers have CAI. CAI is a major cause of musculoskeletal disorders such as sprains, posterior ankle impingement, and shin splints. Moreover, CAI leads to a loss of confidence and becomes a key factor for reducing or stopping dance. This case report assesses the effectiveness of the Allyane technique on CAI. Furthermore, it provides a better understanding of this pathology. The Allyane process is a neuromuscular reprogramming method based on the scientific background of neuroscience. Its aim is to strongly activate the afferent pathways of the reticular formation, responsible for voluntary motor learning. It uses mental skill imagery, afferent kinaesthetic sensations, and specific sequences of low-frequency sounds coming from a patented medical device. Case Report A. Is a 15-year-old female dancer who practices ballet 8 h per week. She has suffered from CAI for 3 years, with repeated sprains as well as a loss in confidence, with a direct implication on her career. Despite physiotherapy rehabilitation, her CAI tests were still deficient and she still felt strongly apprehensive while dancing. Conclusion After 2 h of the Allyane technique, we notice a 195% gain of strength of the peroneus, 266% for the posterior tibialis, and 141% for the anterior tibialis muscles. Side hop test and the functional test (Cumberland Ankle Instability tool) normalized. 6 week later, the control assessment confirms this screening and gibes an idea of the durability of the technic. This neuroreprogramming method could not only open the door to interesting perspectives in the treatment of CAI, but it can also help in the understanding of this pathology in case of central muscle inhibitions.
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Affiliation(s)
- Jean-Baptiste Colombié
- Department of Orthopaedic, Gare du Midi, Biarritz, France
- Address of Correspondence: PT. Jean-Baptiste Colombié, Department of Orthopaedic, Gare du Midi, Biarritz, France. E-mail:
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99885
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Homa M, Ziarko M, Litwiniuk M. Coping with cancer and a history of health-related events. Rep Pract Oncol Radiother 2023; 28:66-73. [PMID: 37122910 PMCID: PMC10132196 DOI: 10.5603/rpor.a2023.0012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 02/06/2023] [Indexed: 05/02/2023] Open
Abstract
Background Cancer is a source of stress related to the resulting change in lifestyle. The processes which take place when a patient is coping with a disease may be explained in terms of the transactional concept of psychological stress (Lazarus, Folkman) and the critical life events model (Filipp). These two complementary theoretical approaches set the direction and aim of the study which was to determine the role played by earlier events responsible for health loss due to a chronic, serious disease in the course of a stress transaction in cancer patients. Materials and methods The study involved 121 patients with either breast or colorectal cancer undergoing chemotherapy as part of their treatment. They were asked to complete a purpose-designed set of questionnaires which included Revised Illness Perception Questionnaire (IPQ-R), the Mini-Mental Adjustment to Cancer (Mini-MAC) questionnaire, the Hospital Anxiety and Depression Scale (HADS), Acceptance of Illness Scale (AIS). The interdependencies between variables were determined using difference significance tests (Mann-Whitney, Kruskal-Wallis) and the Dunn's correction test. The significance level (alpha) of 0.05 was assumed appropriate for the study. Results Patients with previous health-related events were found to expect the struggle with cancer to be a greater and more serious challenge. Those patients had suffered loss of health prior to getting cancer and their emotional reactions were heightened. This finding allowed the identification of patients more prone to creating a negative view of their disease. Conclusions When planning a psychological treatment of patients with cancer, an account must be taken of their past life events and earlier experiences of being ill, in order to implement appropriate psychological intervention aimed at reducing their emotional stress.
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Affiliation(s)
- Marta Homa
- Department of Clinical Psychology, Greater Poland Cancer Centre, Poznan, Poland
| | - Michał Ziarko
- Faculty of Psychology and Cognitive Studies, Adam Mickiewicz University, Poznan, Poland
| | - Maria Litwiniuk
- Clinical Oncology and Immunooncology, Greater Poland Cancer Centre, Poznan, Poland
- Department of Cancer Pathology and Prevention, Poznan University of Medical Sciences Faculty of Medicine, Poznan, Poland
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99886
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Zelko E, Bollig G. Report from the Third International Last Aid Conference: cultural diversity in palliative care. Palliat Care Soc Pract 2023; 17:26323524231166932. [PMID: 37123172 PMCID: PMC10134108 DOI: 10.1177/26323524231166932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
The Third International Last Aid Conference was held from October 28 to 29, 2022, as a hybrid event. Altogether, there were 85 participants from 14 different countries. The main topics of the conference were cultural diversity in palliative care, public palliative care education (PPCE), experience with Last Aid courses from different countries, and founding possibilities for courses and research in Last Aid. The speakers from different countries presented their experiences with Last Aid courses for adult and children, as well as the online courses. The contribution of the work of the Last Aid Research Group International (LARGI) for the development of Last Aid was presented. This report provides an overview of the conference and the content of presentations and highlights the most interesting discussions points.
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Affiliation(s)
| | - Georg Bollig
- Last Aid Research Group International (LARGI); Department of Anesthesiology, Intensive Care, Palliative Medicine and Pain Therapy, HELIOS Klinikum Schleswig, Schleswig, Germany
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99887
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Costanzo S, De Summa S, Maurmo L, Digennaro M, Patruno M, Paradiso A. Remote vs in-person BRCA1/2 non-carriers test disclosure: patients' choice during Covid-19 pandemic restriction. Fam Cancer 2023; 22:43-48. [PMID: 35867288 PMCID: PMC9304797 DOI: 10.1007/s10689-022-00307-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 07/09/2022] [Indexed: 01/17/2023]
Abstract
During Covid-19 pandemic most hospitals have restricted in-person delivery of non-essential healthcare services, including genetic testing delivery, to slow the spread of the virus. Our Onco-Genetic Service also faced this challenging period and had to re-organize its clinical practice with the use of tele-health. Aim of the present paper is to understand whether and how Covid-19-related changes in medical practice influenced patients' satisfaction about the health service provided. 125 BRCA1/2 non carriers (109/125, 87.2% female and 16/125, 12.8% male) in Istituto Tumori "Giovanni Paolo II" of Bari were enrolled. All participants were asked to choose whether they prefer in-person or remote post-test counselling session. Basing on patients' choice, two groups of subjects were composed. One week after the post-test counselling session, participants were phone called and asked to complete: a socio-demographic form, a brief structured interview about their Covid-19 related worries and their satisfaction with the health service provided, Hospital Anxiety and Depression Scale and Fear of Covid-19 scale. Qualitative information about patients' choice were also collected. No significant difference about patients' satisfaction with the health service provided emerged between groups. Patients who preferred remote post-test counselling had higher anxiety, worries and fear-of Covid-19 than the others. All remote-counselling subjects preferred tele-genetics because of Covid-19 security, would choose it again and would recommend it to others. Cancer tele-genetics offers good guarantees of comfort and efficacy, but patients' choices are related to personal and psychological variables. The use of tele-genetics has to be a patient's choice.
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Affiliation(s)
- Silvia Costanzo
- Experimental Oncology and Biobanking Unit, Heredo-Familiar Cancer Clinic, IRCCS - Istituto Tumori “Giovanni Paolo II”, Bari, Italy
| | - Simona De Summa
- Molecular Diagnostics and Pharmacogenetics Unit, IRCCS - Istituto Tumori “Giovanni Paolo II”, Bari, Italy
| | - Leonarda Maurmo
- Molecular Diagnostics and Pharmacogenetics Unit, IRCCS - Istituto Tumori “Giovanni Paolo II”, Bari, Italy
| | - Maria Digennaro
- Experimental Oncology and Biobanking Unit, Heredo-Familiar Cancer Clinic, IRCCS - Istituto Tumori “Giovanni Paolo II”, Bari, Italy
| | - Margherita Patruno
- Experimental Oncology and Biobanking Unit, Heredo-Familiar Cancer Clinic, IRCCS - Istituto Tumori "Giovanni Paolo II", Bari, Italy.
| | - Angelo Paradiso
- Scientific Direction, IRCCS - Istituto Tumori “Giovanni Paolo II”, Bari, Italy
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99888
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Yuksen C, Tienpratarn W, Promkul R, Jenpanitpong C, Watcharakitpaisan S, Yaithet J, Phonphom V. A Clinical Score for Predicting the Paroxysmal Supraventricular Tachycardia's Recurrence Risk; a Retrospective Cross-sectional Study. Arch Acad Emerg Med 2023; 11:e2. [PMID: 36620742 PMCID: PMC9807948 DOI: 10.22037/aaem.v11i1.1825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Introduction Identifying prognostic variables associated with the probability of recurrent paroxysmal supraventricular tachycardia (PSVT) would aid decision-making regarding disposition of the patients. This study aims to develop a clinical scoring system to predict PSVT recurrence after adenosine administration in the emergency department (ED). Methods This retrospective cross-sectional study was conducted on patients who were referred to the emergency department of Ramathibodi Hospital, a university-affiliated super-tertiary care hospital in Bangkok, Thailand, with diagnosis of PSVT during a 10-year period from 01 January 2010 until 31 December 2020. The cases were divided into recurrent and non-recurrent PSVT based on the response to standard treatment and the independent predictors of recurrence were studied using multivariable logistic regression analysis. Results 264 patients were diagnosed with PSVT and successfully converted by adenosine. 24 (9.1%) had recurrent PSVT, and 240 (90.9%) had no recurrent PSVT in the same ED visit. The risk of PSVT recurrence in ED corresponded with the history of hypertension (p = 0.059), valvular heart disease (p = 0.052), heart rate ≥ 100 (p = 0.012), and systolic blood pressure < 100 after electrocardiogram (ECG) converted to sinus rhythm (p = 0.022) and total dose of adenosine (p = 0.002). We developed a clinical prediction score of PSVT recurrence with an accuracy of 79.5%. A score of 0 (low risk), 1-2 (moderate risk), and > 2 (high risk) had a positive likelihood ratio (LR+) of 0.31, 0.56 and 2.33, respectively. Conclusion It seems that, using the PSVT recurrence score we could screen the high-risk patients for PSVT recurrence (score>2) who need to be observed for at least 6-12 hours and receive cardiologist consultation in ED. In addition, the moderate and low-risk group (score 0-2) need to be observed for 1 hour and can be discharged from ED.
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Affiliation(s)
- Chaiyaporn Yuksen
- Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Welawat Tienpratarn
- Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. ,Corresponding author: Welawat Tienpratarn; Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Thung Phaya Thai, Ratchathewi, Bangkok, Thailand, 10400. E-mail:
| | - Rungrawin Promkul
- Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Chetsadakon Jenpanitpong
- Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Sorawich Watcharakitpaisan
- Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Jenjira Yaithet
- Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 111 Moo 14, Bang Pla, Bang Phli, Samut Prakarn 10540, Thailand
| | - Viruji Phonphom
- Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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99889
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Vazirizadeh-mahabadi M, Yarahmadi M. Canadian C-spine Rule versus NEXUS in Screening of Clinically Important Traumatic Cervical Spine Injuries; a systematic review and meta-analysis. Arch Acad Emerg Med 2023; 11:e5. [PMID: 36620739 PMCID: PMC9807951 DOI: 10.22037/aaem.v11i1.1833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Introduction The Canadian C-spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (NEXUS) are two criteria designed to rule-out clinically important traumatic cervical Spinal Cord Injury (SCI). In this systematic review and meta-analysis, we reviewed the articles comparing the performance of these two models. Methods Search was done in Medline, Embase, Scopus and Web of Science until June 2022. Observational studies with direct comparison of CCR and NEXUS criteria in detection of clinically important cervical SCI were included. Two independent reviewers screened the relevant articles and summarized the data. Certainty of evidence was assessed based on QUADAS-2. Data were recorded as true positive, true negative, false positive, and false negative. Then, using "diagma" package and applying weighted random effect model, area under the receiver operating characteristic (ROC) curve (AUC), sensitivity, specificity, negative likelihood ratio, positive likelihood ratio, and diagnostic odds ratio (DOR) were calculated with 95% confidence interval (95% CI). Results We included 5 studies with direct comparison. Area under the ROC curve of NEXUS in screening of patients with clinically important cervical SCI was 0.708 (95% CI: 0.647 to 0.762). Pooled sensitivity and specificity of NEXUS criteria in screening of patients with clinically important cervical SCI were 0.899 (95% CI: 0.845 to 0.936) and 0.398 (95% CI: 0.315 to 0.488). The positive and negative likelihood ratios of NEXUS were 1.494 (95% CI: 1.146 to 1.949) and 0.254 (95% CI: 1.155 to 1.414), respectively. Diagnostic odds ratio of NEXUS was 5.894 (95% CI: 3.372 to 10.305). Furthermore, area under the ROC curve of CCR in screening of clinically important cervical SCI was 0.793 (95% CI: 0.657 to 0.884). Meta-analysis results showed that pooled sensitivity of CCR criteria in screening of patients with clinically important cervical SCI was 0.987 (95% CI: 0.957 to 0.996) and specificity was 0.167 (95% CI: 0.073 to 0.336). The positive and negative likelihood ratios of CCR were 1.184 (95% CI: 0.837 to 1.675) and 0.081 (95% CI: 0.021 to 0.308), respectively. Diagnostic odds ratio of CCR was 14.647 (95% CI: 3.678 to 58.336). Conclusion Based on studies, both CCR and NEXUS were sensitive rules that have the potential to reduce unnecessary imaging in cervical spine trauma patients. However, the low specificity and false-positive results of both of these tools indicate that many people will continue to undergo unnecessary imaging after screening of cervical SCI using these tools. In this meta-analysis, CCR appeared to have better screening accuracy.
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Affiliation(s)
| | - Mobina Yarahmadi
- Student Research Committee, School of Medicine, Iran University of Medical sciences, Tehran, Iran.,Corresponding author: Mobina Yarahmadi; Student Research Committee, School of Medicine, Iran University of Medical sciences, Tehran, Iran. , Phone: +989396332067, ORCID: 0000-0003-2543-8597
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99890
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Wang H, Chen X, He L. High-grade pulmonary mucoepidermoid carcinoma supplied by the pulmonary artery and vein in a 6-year-old child: a case description and literature analysis. Quant Imaging Med Surg 2023; 13:546-549. [PMID: 36620128 PMCID: PMC9816712 DOI: 10.21037/qims-22-244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 07/28/2022] [Indexed: 01/11/2023]
Affiliation(s)
- Haoru Wang
- Department of Radiology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China
| | - Xin Chen
- Department of Radiology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China
| | - Ling He
- Department of Radiology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China
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99891
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Kim J, Boo Y, Lee CU, Ko KJ, Chung JH, Sung HH, Baek M, Jeon SS, Han DH. Effects of hormone therapy on the clinical outcomes of endoscopic intervention in patients with endometriosis-related ureteral obstruction. Investig Clin Urol 2023; 64:13-19. [PMID: 36629061 PMCID: PMC9834571 DOI: 10.4111/icu.20220224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 08/23/2022] [Accepted: 10/13/2022] [Indexed: 11/26/2022] Open
Abstract
PURPOSE We investigated whether endoscopic interventions, including laser endoureterotomy and balloon dilatation following hormone therapy, are a good choice to treat ureteral obstruction due to ureteral endometriosis instead of laparoscopic or open surgery. MATERIALS AND METHODS Patients with ureteral obstruction due to endometriosis who underwent endoscopic intervention between 2004 and 2021 were reviewed. Patients with other causes of ureteral obstruction or previous ureteral surgery were excluded from the study. The primary endpoint was the 3-month success rate of endoscopic intervention with or without hormone therapy. Secondary endpoints were the success rate of endoscopic intervention between the hormone-treated and hormone-untreated groups at 6 months and the success rate according to the hormone therapy response of endometriosis at 3 and 6 months. RESULTS Eighteen patients with 19 ureter units were evaluated in this study, including 12 patients receiving hormone therapy and six patients not receiving hormone therapy. Among patients receiving hormone therapy, one patient had bilateral ureteral obstruction. The success rate of endoscopic intervention was higher in patients who received hormone therapy than in those who did not receive hormone therapy three months after endoscopic intervention (76.9% vs. 0.0%, p=0.003). The same result was also found 6 months after endoscopic intervention (75.0% vs. 0.0%, p=0.005). In addition, the success rates were higher in the hormone-responsive group than in the non-responsive group (100.0% vs. 57.1%), although the difference was not statistically significant (p=0.122). CONCLUSIONS Ureteral obstruction caused by endometriosis can be effectively treated by endoscopic intervention with hormone therapy in select patients.
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Affiliation(s)
- Jungyu Kim
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Youngjun Boo
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Chung Un Lee
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Kwang Jin Ko
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Jae Hoon Chung
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Hyun Hwan Sung
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Minki Baek
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Seong Soo Jeon
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Deok Hyun Han
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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99892
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Teye-Gaga P, Obeng CK, Afful B, Boadu MT. Economic integration and survival of Ghana's manufactured and agriculture raw material exports. Heliyon 2023; 9:e12723. [PMID: 36632102 PMCID: PMC9826831 DOI: 10.1016/j.heliyon.2022.e12723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 07/26/2022] [Accepted: 12/21/2022] [Indexed: 12/31/2022] Open
Abstract
The paper investigates the effects of economic integration agreements on the survival of Ghana's manufactured and agriculture raw material exports. Using annual trade data for Ghanaian manufactured and agriculture raw material product exports from 1988 to 2018 and a discrete-time proportional hazard model, we found that economic integration agreements enhance the survival of manufactured products and agriculture raw material exports. The Non-Reciprocal Preferential Trade Agreement is the most survival-enhancing. In addition, economic integration agreements strengthen the survival of existing active export relations but decrease the survival of export relations initiated after the agreement was signed. We also found that the average duration of manufactured products and agriculture raw material exports is 9.041 and 8.817 years, respectively. The study recommends that the Ministry of Trade and Industry should continue negotiating for Non-Reciprocal Trade Agreements.
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Affiliation(s)
- Prince Teye-Gaga
- Department of Economic Studies, School of Economics University of Cape Coast, Cape Coast, Ghana
- Corresponding author.
| | - Camara Kwasi Obeng
- Department of Economic Studies, School of Economics University of Cape Coast, Cape Coast, Ghana
| | - Benedict Afful
- Department of Economic Studies, School of Economics University of Cape Coast, Cape Coast, Ghana
| | - Michael Tutu Boadu
- Department of Data Science, School of Economics University of Cape Coast, Cape Coast, Ghana
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99893
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Kendall S, Merritt R, Eida T, Pérez‐Escamilla R. Becoming breastfeeding friendly in Great Britain-Does implementation science work? Matern Child Nutr 2023; 19 Suppl 1:e13393. [PMID: 35851990 PMCID: PMC9835571 DOI: 10.1111/mcn.13393] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 05/18/2022] [Accepted: 05/24/2022] [Indexed: 01/21/2023]
Abstract
The Becoming Breastfeeding Friendly (BBF) in Great Britain study was conducted during 2017-2019 comprising three country studies: BBF England, Wales and Scotland. It was part of an international project being coordinated during the same period by the Yale School of Public Health across five world regions to inform countries and guide policies to improve the environment for the promotion, protection and support of breastfeeding. This paper reports on the application of the BBF process that is based on an implementation science approach, across the countries that constitute Great Britain (England, Wales and Scotland). The process involves assessing 54 benchmarks across eight interlocking gears that drive a country's 'engine' towards a sustainable policy approach to supporting, promoting and protecting breastfeeding. It takes a consensus-oriented approach to the evaluation of benchmarks and the development of recommendations. This paper provides a critical overview of how the process was conducted, the findings and recommendations that emerged and how these were managed. We draw on critical theory as a theoretical framework for explaining the different outcomes for each country and some considerations for future action.
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99894
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Shahid R, Tang WHW, Klein AL, Kwon D, Amdani S. Is the mRNA COVID-19 Vaccine Safe in Patients With a Prior History of Myocarditis? J Card Fail 2023; 29:108-11. [PMID: 35842104 DOI: 10.1016/j.cardfail.2022.06.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 06/03/2022] [Accepted: 06/22/2022] [Indexed: 01/19/2023]
Abstract
BACKGROUND Numerous studies have reported myocarditis resulting from messenger RNA (mRNA) coronavirus disease 2019 (COVID-19) vaccination. However, to date, there have been no reports highlighting the safety of mRNA COVID-19 vaccines in children and adults with a prior history of myocarditis, which was the intent of this study. METHODS AND RESULTS Children and adults cared for at the Cleveland Clinic were identified through the electronic health records, who had a history of myocarditis before the COVID-19 pandemic and had subsequently received at least 2 doses of the mRNA COVID-19 vaccines (n = 34). Only 1 patient in this series had recurrence of myocarditis confirmed by cardiac magnetic resonance imaging after receiving the second dose. He was a White man who had his first episode of myocarditis at age 20 and was 27 years of age at the time of recurrence. He was hospitalized for 2 days with no need for cardiac support or reported arrhythmias and was stable at outpatient follow-up. CONCLUSIONS In patients with an old history of non-COVID-19 myocarditis, the risk of recurrent myocarditis after receipt of mRNA COVID-19 vaccination is low, and when it occurs it seems to be self-limiting. Our study will be valuable to clinicians while discussing the risk-benefit ratio of vaccinations in patients with a prior history of myocarditis.
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99895
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Cai R, Li Y, Xu W, Gao X, Feng Q. Hereditary coagulation factor VII deficiency caused by novel compound heterozygous mutations in a Chinese pedigree: A case report. J Clin Lab Anal 2023; 37:e24768. [PMID: 36572978 PMCID: PMC9833959 DOI: 10.1002/jcla.24768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 08/15/2022] [Accepted: 10/27/2022] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Congenital coagulation factor VII (FVII) deficiency is a rare, autosomal-recessive haemorrhagic disorder with an estimated incidence of 1:500,000. This disorder is caused by mutations in the F7 gene. CASE DESCRIPTION Here, we report a pedigree of congenital FVII deficiency. The proband was a 30-year-old female with severely low FVII activity and a history of menorrhagia and epistaxis since her childhood who was subsequently diagnosed with congenital compound heterozygous FVII deficiency. A genetic study revealed a novel combination of compound heterozygous mutations (c.64G 〉 A, p.Gly22Ser and c.1027G 〉 A, p.Gly343Ser). Her father and older son had the c.64G 〉 A, p.Gly22Ser (heterozygous) mutation. Her mother and younger son had the c.1027G 〉 A, p.Gly343Ser (heterozygous) mutation. The predicted results of PolyPhen-2 and MutationTaster indicated that these mutations were probably damaging and disease-causing, respectively. CONCLUSION In this study, we identified a novel combination of genetic mutations that could expand the mutant library and help in elucidating the pathogenesis of hereditary human coagulation FVII deficiency. A novel combination of compound heterozygous mutations was reported for the first time in Chinese individuals.
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Affiliation(s)
- Ruimin Cai
- Department of Clinical Laboratory, The Affiliated Taian City Central Hospital of Qingdao University, Taian, China
| | - Yi Li
- Department of Clinical Laboratory, The Affiliated Taian City Central Hospital of Qingdao University, Taian, China
| | - Wei Xu
- Department of Clinical Laboratory, The Affiliated Taian City Central Hospital of Qingdao University, Taian, China
| | - Xue Gao
- Department of Clinical Laboratory, The Affiliated Taian City Central Hospital of Qingdao University, Taian, China
| | - Qiang Feng
- Department of Clinical Laboratory, The Affiliated Taian City Central Hospital of Qingdao University, Taian, China
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99896
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Mishra NK, Kumar S, Singh SK. MmLwThV framework: A masked face periocular recognition system using thermo-visible fusion. APPL INTELL 2023; 53:2471-2487. [PMID: 35572051 PMCID: PMC9084274 DOI: 10.1007/s10489-022-03517-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2022] [Indexed: 01/14/2023]
Abstract
In wake of COVID-19, the world has adapted to a new order. People have started wearing mask on their faces to prevent getting infected. The present face recognition models are no longer proving to be efficient in the current circumstances. This is because, most of the informative part of the face is covered by mask. The periocular recognition therefore holds the key to future of face recognition. However, the periocular region proves to be insufficiently enough to generate highly discriminative features. Also, most of the pre-COVID-19 algorithms fail to work in cases, where the number of training images available is very less. We propose a lightweight periocular recognition framework that uses thermo-visible features and ensemble subspace network classifier to improve upon the existing periocular recognition systems named as Masked Mobile Lightweight Thermo-visible Face Recognition (MmLwThV). The framework successfully improves the accuracy over a single visible modality by mitigating the effect of noise present in the thermo-visible features. The experiments on WHU-IIP dataset and an in-house collected dataset named, CVBL masked dataset, successfully validate the efficacy of our proposed framework. The MmLwFR framework is lightweight and can be easily deployed on mobile phones with a visible and an infrared camera.
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Affiliation(s)
- Nayaneesh Kumar Mishra
- grid.417946.90000 0001 0572 6888Indian Institute of Information Technology, Allahabad, India
| | - Sumit Kumar
- grid.417946.90000 0001 0572 6888Indian Institute of Information Technology, Allahabad, India
| | - Satish Kumar Singh
- grid.417946.90000 0001 0572 6888Indian Institute of Information Technology, Allahabad, India
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99897
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Asgary S, Parhizkar A. Pulp Vitality Preservation of an Involved Tooth in a Large Radicular Cyst: A Case Report with 4-Year Recall. Iran Endod J 2023; 18:63-64. [PMID: 36751411 PMCID: PMC9900147 DOI: 10.22037/iej.v18i1.40394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 11/24/2022] [Accepted: 12/04/2022] [Indexed: 02/09/2023]
Abstract
The current case study presents the surgical endodontic retreatment of a central incisor with a large periapical cyst that had extended to the adjacent lateral incisor. After anaesthesia, a full mucoperiosteal flap was carefully incised and completely reflected. Then, the cyst was cautiously excised without performing curettage of the apical region of the adjacent tooth. A 3-mm deep root-end cavity on tooth #21 was prepared, filled and sealed with calcium-enriched mixture cement. At 6-month and 4-year follow-ups, tooth #21 was fully functional and exhibited no clinical signs/symptoms, and complete periapical healing was evident. This report indicates the importance of proper diagnosis as well as a careful surgical approach in the successful management of comparable cases without the overtreatment of involved teeth.
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Affiliation(s)
- Saeed Asgary
- Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ardavan Parhizkar
- Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Corresponding author: Ardavan Parhizkar; ICER, Research Institute for Dental Sciences, School of Dentistry, Daneshjoo Blvd., Evin, Tehran, Iran.
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99898
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Cumming D, Johan S, Khan Z, Meyer M. E-Commerce Policy and International Business. Manag Int Rev 2023; 63:3-25. [PMID: 36337376 DOI: 10.1007/s11575-022-00489-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The rise of digitization and information and communication technologies (ICT) is playing a vital role in facilitating global trade and business activities and in overcoming cross-border transaction costs. In so doing, it offers firms significant benefits and opportunities to compete on a global scale, as witnessed during the ongoing COVID-19 pandemic. The growth and widespread diffusion of internet-enabled technologies and platforms have created numerous opportunities for firms to provide products and services across both developed and developing markets. Yet, limited research has been conducted in the international business domain to explore the rise of ecommerce and its implications for international business scholarship. In this focused issue, we present an examination of the role played by e-commerce in international business, paying particular attention to the policy aspect of e-commerce and issuing a call for a greater integration of e-commerce policy in international business research.
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99899
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Varnoosfaderani NJ, Amiri-Ardekani E. Critical Considerations Regarding the Article "Association between Complementary and Alternative Medicine Use and Fear of Cancer Recurrence among Breast Cancer Survivors". Korean J Fam Med 2023; 44:66-67. [PMID: 36709964 PMCID: PMC9887450 DOI: 10.4082/kjfm.22.0183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 12/06/2022] [Indexed: 01/20/2023] Open
Affiliation(s)
| | - Ehsan Amiri-Ardekani
- Department of Phytopharmaceuticals (Traditional Pharmacy), Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran,Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran,Corresponding Author: Ehsan Amiri-Ardekani https://orcid.org/0000-0001-8948-9153 Tel: +98-9171465523, Fax: +98-07138309442, E-mail:
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99900
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Willingness to Accept COVID-19 Vaccine and Associated Factors Among Adult Household Members in Dire Dawa City Administration, East Ethiopia [Retraction]. Patient Prefer Adherence 2023; 17:349-50. [PMID: 36789208 DOI: 10.2147/PPA.S405526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 01/20/2023] [Indexed: 02/10/2023] Open
Abstract
[This retracts the article DOI: 10.2147/PPA.S380393.].
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