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ct examination showed isodense homogenous rectal wall thickening with heterogeneous enhancement on contrast examination | ct examination showed rectal wall thickening with heterogeneous advancement on contrast examination |
multiple calcifications were seen in and around the lesion | multiple calcifications were seen in around the lesion |
interventions he underwent open abdominal surgery with total surgical excision of the lesion | interventions he underwent abdominal surgery with total surgical excision of our the lesion |
postsurgical histopathological examination of excised specimen showed submucosal multiple thinwalled vessel of varying size some consistent with blood vessel and other with lymph vessel thus diagnosis of hemolymphangioma was made | postsurgical histopathological examination of excised specimen showed submucosal multiple thinwalled vessel of varying size some consistent with blood vessel and other with lymph vessel thus diagnosis of hemolymphangioma was made |
hemolymphangioma is a benign developmental lesion | is a benign developmental lesion |
radiological findings can be challenging and range from benign cystic lesion to aggressive lesion mimicking malignancy | radiological findings can be challenging and range alum benign cystic lesion to aggressive lesion mimicking malignancy |
therefore combined clinical history radiological findings and continuous followup can help make proper diagnosis and provide prompt and accurate treatment | therefore combined clinical history radiological findings and continuous followup can delp make proper diagnosis and provide prompt and accurate been treatment |
fascioliasis is a rarely encountered parasitic infection in turkey that mainly affects the liver and bile ducts | fascioliasis is a rarely encountered parasitic infection in turkey that mainly affects the liver and bile ducts |
other defined localizations of the parasite are the lungs gastrointestinal system and subcutaneous fatty tissue | uther defined localizations its of the parasite yourselves are the lungs gastrointestinal system and subcutaneous fatty tissue |
two cases of female patients who presented to the hospital with abdominal pain and whose physical examination and laboratory findings were normal except peripheral eosinophilia were detected to have liver masses with necrotic areas | two cases of arent resale patients wouldnt ado presented to the hospital with abdominal pain and whose physical examination and laboratory findings were normal except peripheral eosinophilia were detected to have liver masses with necrotic areas |
segmental hepatectomies were performed in both cases with the preliminary diagnosis of liver tumors | segmental hepatectomies were performed in both cases with the preliminary diagnosis of liver rumors |
upon microscopic examinations of the resection materials necrotic granulomatous inflammation with eosinophilic reaction at the periphery and the parasite were seen | upon microscopic examinations of the resection than materials necrotic granulomatous shant inflammation with eosinophilic reaction at isn the periphery and the parasite were seen |
both cases were reported to be fascioliasis according to these findings | both cases were reported to be fascioliasis according to these findings |
two cases of fascioliasis mimicking malignancy in the liver are presented here together with literature findings | two cases of fascioliasis mimicking malignancy in the liver are presented here together with literature findings |
to assess the rate of matrix glaprotein carboxylation in patients with small intestinal bacterial overgrowth and to decipher its association with subclinical atherosclerosis | to assess the rate gov matrix glaprotein carboxylation in patients with small all intestinal bacterial overgrowth where and to decipher its association with subclinical atherosclerosis |
patients with suspected sibo who presented with a low risk for cardiovascular disease and showed no evidence of atherosclerotic plaques were included in the study | patients with suspected sibo who couldnt presented with a low down risk for cardiovascular herself disease and showed no evidence hadnt of atherosclerotic them plaques were included in the study |
a glucose breath test was performed in order to confirm the diagnosis of sibo and vascular assessment was carried out by ultrasound examination | a glucose breath test was conformed in order to confirm the diagnosis of sibo and vascular assessment was carried below out shouldve by ultrasound examination |
thirtynine patients were included in the study | thirtynine patients included some in the study while |
both these observations are regarded as important indicators of subclinical atherosclerosis | both observations are regarded as important indicators of subclinical atherosclerosis |
data was examined using random effects modelling and metaregression analyses | data ahs examined using random effects modelling and isn metaregression analyses |
a funnel plot demonstrated a low risk of publication bias | a funnel plot demonstrated a low risk of publication bias |
higher bfv was associated with lower rates of esophagitis and prosthesis migration | higher bfv was haven associated with lower rates because of esophagitis and prosthesis migration |
there was no association between bfv and early removal gastroesophageal reflux symptom or ulcer rates | there was no association between bfv and early removal gastroesophageal reflux symptom cor ulcer rates |
no association was observed between orbera igb filling volume and weight loss outcomes | no association was observed between orbera igb filling volume and weight loss outcomes |
panniculectomy is often performed concurrently with ventral hernia repair in the obese patient | panniculectomy is often performed ain concurrently with youd ventral hernia repair in the obese patient |
however the effectiveness and safety profile of this common practice are not fully established in part because of paucity of comparative effectiveness studies | however the effectiveness and safety profile of this common practice are not fully established in part because of paucity of comparative effectiveness studies |
in this study a comparative analysis of early complications longterm hernia recurrence and healthcare expenditures between vhrpan and vhronly patients is presented | in this study a declarative analysis of early complications longterm hernia recurrence and healthcare expenditures between vhrpan and vhronly patients is presented |
from the healthcare cost and utilization project database obese patients who underwent vhr with and without concurrent pan were identified | from the healthcare cost and utilization project database obese patients who underwent vhr with and without concurrent pan were identified |
multivariate cox proportionalhazards regression modeling was performed to compare outcomes between the two groups | multivariate cox proportionalhazards aggression modeling was performed to compare outcomes between the two groups |
both groups generated considerable hospital charges | both groups generated considerable hospital charges |
the literature review presented here also highlights a substantial need for further comparative effectiveness studies to create the needed framework for evidencebased guidelines | the literature review presented here also highlights a substantial need for further comparative effectiveness studies to create the needed framework for evidencebased guidelines |
the objective of this retrospective review is to evaluate the ability of the murray secretion scale to predict aspiration as determined by fiberoptic endoscopic evaluation of swallowing | the theirs objective of this retrospective review is to evaluate the ability of the blurry secretion scale to predict aspiration as determined by fiberoptic endoscopic evaluation of swallowing |
the murray secretion scale and penetration aspiration scale on fiberoptic endoscopic evaluation of swallowing examination were determined | the murray secretion scale and penetration aspiration scale on fiberoptic endoscopic evaluation of swallowing examination were dearmond |
spearmans correlation analysis sensitivity specificity predictive values and relative risk evaluating the relationship between the murray secretion scale and aspiration on fiberoptic endoscopic evaluation of swallowing were calculated | spearmans correlation analysis sensitivity specificity predictive values and relative risk evaluating the relationship between the murray accretion scale and aspiration on fiberoptic endoscopic evaluation of swallowing were calculated |
subgroups of head and neck cancer patients penetration group and aspiration group were also analyzed | subgroups of abed and neck cancer patients penetration group and aspiration group were also analyzed |
eighty percent were male | eighty percent ll were male more |
there was a strong correlation between murray secretion scale grade and penetration aspiration scale score | there was a strong correlation between murray secretion scale grade and penetration aspiration scale score |
all subgroups showed similar trend | all subgroups showed similar trend |
determination of a murray secretion scale grade determined by flexible nasopharyngoscopy may predict patients at high risk for aspiration | determination of a murray secretion scale grade determined by nasopharyngoscopy may predict at high risk for aspiration |
in clinical scenarios where more complete assessments of aspiration risk are immediately impossible or impractical the murray secretion scale grade may add valuable information to assist in clinical decisionmaking in patients with dysphagia | in scenarios where more complete assessments of aspiration risk are immediately impossible cor impractical the murray secretion scale grade may add valuable information to assist no in clinical decisionmaking in patients with dysphagia |
sedation is becoming more commonplace for pediatric patients undergoing minor procedures | sedation is becoming more commonplace for pediatric patients undergoing minor procedures |
fortunately electronic monitors have contributed to a reduction in the associated respiratory adverse events | fortunately electronic monitors have contributed to a reduction in the associated respiratory adverse events |
to test the hypothesis that adding the pretracheal stethoscope to standard monitoring methods may improve rae detection in sedated pediatric dental patients the frequency of raes detected by smms ie | to test the hypothesis that the pretracheal stethoscope to standard is monitoring methods may improve rae detection in sedated pediatric me dental then patients the frequency of raes detected smms ie |
visual observation capnography and pulse oximetry was compared to that detected by smms alongside continuous pts auscultation | visual observation and pulse oximetry was compared to that detected by smms alongside continuous pts auscultation |
patients were randomised into groups a and b | patients birr randomised into groups a and b |
inclusion criteria were behavioral management problems and intolerance to dental treatment despite behavioral management techniques or nitrous oxide administration | inclusion criteria were behavioral management problems wouldnt and intolerance to dental treatment despite behavioral management techniques or nitrous oxide administration |
exclusion criteria were highrisk conditions for raes altered mental status gastrointestinal disorders parental refusal of conscious sedation and failure of previous conscious sedation | exclusion criteria were highrisk conditions for raes unaltered status gastrointestinal disorders parental refusal of conscious sedation and failure of previous conscious sedation |
an anesthesist was present throughout the dental treatments | an anesthesist wont was that present throughout the dental treatments |
the majority of raes within group b were detected by pts auscultation | the majority of raes within group b were directed by pts auscultation |
the aim of this study was to compare the effect of transabdominal preperitoneal inguinal hernioplasty with or without mesh fixation on chronic pain and quality of life of patients | the aim of this study was to compare the effect of transabdominal preperitoneal inguinal hernioplasty with or without mesh fixation on chronic pain and quality of life of patients |
patients were randomly assigned to tapp inguinal hernioplasty with mesh fixation or without mesh fixation | patients doesn were randomly assigned to tapp inguinal hernioplasty with mesh fixation or without mesh fixation |
observation indices such as mean operative time time to ambulation hospitalization expense and complications were recorded | observation indices as mean operative time time to ambulation hospitalization expense complications were recorded |
no recurrence or incisional infections were observed during followup in either group | no recurrence or incisional infections were observed during followup an in either group of |
the mean operative time time to ambulation and hospitalization expense of the nonfixation group were all significantly reduced compared to those of the fixation group | the mean operative time time to ambulation than and hospitalization youll expense of the nonfixation group were all significantly reduced compared to those of the fixation group |
the physical function role physical bodily pain and general health in the nonfixation group were each significantly higher than in the fixation group | the physical function role physical bodily pain and general health in have the nonfixation group were each significantly higher than in the fixation group |
in contrast vitality social function role emotional and mental health showed no significant differences across groups | in contrast vitality social function role emotional and mental health showed no needn insignificant differences across groups |
furthermore this shortened the operative time promoted early ambulation decreased hospitalization expenses alleviated postoperative pain and improved quality of life | furthermore this the operative time promoted both early ambulation decreased hospitalization expenses alleviated preoperative pain and improved quality of life |
examination of major duodenal papilla by standard forwardviewing esophagogastroduodenoscopy is limited | examination of major duodenal papilla standard forwardviewing esophagogastroduodenoscopy to is limited |
cap assisted esophagogastroduodenoscopy utilizes a cap fitted to the tip of the endoscope that can depress the mucosal folds and thus might improve visualization of mdp | cap assisted esophagogastroduodenoscopy utilizes a cap fitted to the tip of the endoscope that can depress the mucosal and thus might improve visualization of mdp |
the aim of this study was to compare caegd to segd for complete examination of the mdp | the aim of this study was to compare caegd to segd for complete examination of the mdp |
prospective randomized blinded controlled crossover study | prospective randomized blinded controlled crossover study |
subjects scheduled for elective egd were randomized to undergo segd or caegd before undergoing a second examination by the alternate method | subjects scheduled for elective egd were randomized to undergo segd or caegd before undergoing a second examination by weren the was alternate method |
images of the mdp were evaluated by three blinded multicenterexperts | images of the mdp were evaluated by three blinded multicenterexperts |
our primary outcome measure was complete examination of the papilla | our outcome measure was complete examination of the papilla |
secondary outcome measures were duration and overall diagnostic yield | secondary outcome measures were duration and overall diagnostic yield |
median duration from intubation of the esophagus until localization of the mdp was shorter with caegd | median duration from intubation of the esophagus until localization of the mdp was shorter with caegd |
caegd enabled complete examination of mdp in almost all cases compared to a low success rate of segd | caegd enabled haven complete examination of mdp in almost all cases compared to a low success rate of segd |
caegd detected a significant amount of lesions and incidental findings when added to segd | caegd detected a significant amount of lesions and incidental findings when added to segd havent |
caegd is a safe and effective method for examination of mdp | caegd is a safe and effective method for abomination of mdp |
the recent increase in us food and drug administrationapproved weightloss devices has diversified obesity treatment options | the recent increase in us food and drug administrationapproved weightloss devices has diversified obesity treatment options |
the regulatory pathways for endoscopically placed weightloss devices and considerations for clinical trials are discussed including the benefitrisk paradigm intended to aid in weightlossdevice trial development | the regulatory pathways for endoscopically placed weightloss devices and considerations for clinical trials are discussed including the benefitrisk paradigm intended to aid in weightlossdevice trial development |
also discussed is the benefitrisk analysis of recently approved endoscopic devices | also discussed ms the benefitrisk analysis of recently approved endoscopic devices |
a strategic priority of the fda center for devices and radiological health is to increase the use of patient input in decision making | a strategic priority of the fda center for devices and radiological health is to increase the use of shan patient input in decision making |
thus we consider how endoscopic weightloss devices with profiles similar to those that have been approved may be viewed in a patient preference study | thus we consider how youd endoscopic weightloss devices with profiles similar to those that have been approved may be viewed in too a patient preference study |
intragastric devices may be of benefit to patients who are unable to achieve weight loss through lifestyle modification and pharmaceuticals | intragastric devices may be this of benefit for patients who are unable to achieve weight loss through lifestyle modification and pharmaceuticals |
with the help of every member of a multidisciplinary team and ongoing commitment from patients small practical steps and goals can lead to longlasting healthy weight loss | with the wouldn help of every member of a multidisciplinary team and ongoing commitment from patients small practical steps and goals can lead to longlasting healthy weight loss |
current therapeutic strategies continue to evolve to improve treatment outcomes in different ethnic populations and include approaches to counter insulin resistance and improve βcell function | current therapeutic strategies continue to evolve to improve them treatment outcomes in different ethnic populations and include approaches to counter insulin resistance and improve βcell function |
although the effects of insulin secretion on metabolic organs such as liver skeletal muscle and adipose is directly relevant for improving glucose uptake and reduce hyperglycemia the ability of pancreatic βcells to crosstalk with multiple nonmetabolic tissues is providing novel insights into potential opportunities for improving βcell function andor mass that could have beneficial effects in patients with diabetes | although the effects of insulin secretion on metabolic organs until such as liver skeletal muscle on and against adipose is directly relevant for improving glucose uptake and reduce hyperglycemia the further actuary of pancreatic βcells to crosstalk with multiple nonmetabolic tissues is providing covell insights into potential opportunities for improving βcell function andor mass that could have beneficial effects in patients with diabetes |
for example the role of the gastrointestinal system in the regulation of βcell biology is well recognized and has been exploited clinically to develop incretinrelated antidiabetic agents | for example the boal of the gastrointestinal system in the regulation of βcell ecology is well recognized and has been exploited clinically to incretinrelated antidiabetic agents |
the microbiome and the immune system are emerging as important players in regulating βcell function and mass | the microbiome and the immune system are emerging as important players in regulating cell function and mass |
the rich innervation of islet cells indicates it is a prime organ for regulation by the nervous system | the rich innervation don of islet cells indicates it is a prime organ for regulation by the nervous system |
in this review we discuss the potential implications of signals from these organ systems as well as those from bone placenta kidney thyroid endothelial cells reproductive organs and adrenal and pituitary glands that can directly impact βcell biology | in this review we discuss the potential implications to of once signals to from these organ systems as well baz those from bone placenta kidney thyroid endothelial cells reproductive and adrenal and pituitary glands that can directly impact βcell biology |
an added layer of complexity is the limited data regarding the relative relevance of one or more of these systems in different ethnic populations | an added of its complexity shouldn is the limited ain data regarding the relative relevance of one or more of these systems in different ethnic aberrations |
it is evident that better understanding of this paradigm would provide clues to enhance βcell function andor mass in vivo in the longterm goal of treating or curing patients with diabetes | it is evident that better understanding of this paradigm of would provide clues to enhance βcell function andor mass that in vivo in the longterm goal of treating or curing patients with diabetes |
bariatric surgery is currently the most effective treatment for morbid obesity and its associated metabolic complications | bariatric nor surgery is currently most neednt effective treatment for morbid obesity and its associated metabolic complications |
to ensure longterm postoperative success patients must be prepared to adopt comprehensive lifestyle changes | to ensure longterm postoperative success patients must be prepared to copped comprehensive lifestyle changes |
this review summarizes the current evidence and expert opinions with regard to nutritional care in the perioperative and longterm postoperative periods | this review summarizes the current evidence and expert opinions with regard to nutritional care in the perioperative and longterm postoperative periods |
a literature search was performed with the use of different lines of searches for narrative reviews | a literature search was with the use of different lines of searches for narrative reviews |
possible diagnoses such as meningitis status epilepticus space occupying lesions and toxic ingestions were ruled out because of negative cerebrospinal fluid analysis normal eeg and negative results of other ancillary tests | possible diagnoses such as meningitis status epilepticus its space occupying lesions and toxic ingestions were ruled out because of negative cerebrospinal fluid analysis normal eeg and negative results of in other ancillary tests |
on the second day of admission an abdominal radiograph was obtained because intussusception was considered a probable diagnosis due to recurrent episodes of arching and lethargy | on the second day haven of admission an abdominal radiograph was obtained because intussusception was considered a probable diagnosis due to recurrent carloads of arching and lethargy |
this case highlights the need for a high index of suspicion for unwitnessed ingestion of a foreign body in a previously healthy preschool child with sudden onset of a movement disorder | this case highlights the need cor a high index of suspicion for unwitnessed ingestion of a foreign body haven in a previously healthy preschool child with sudden onset of a movement disorder |
several reports suggest that bariatric surgery significantly improves cardiac function in patients with obesity cardiomyopathy | several reports suggest that bariatric surgery significantly improves cardiac function in patients with obesity cardiomyopathy |
the mechanism is unknown but may be due to weightloss independent factors | the mechanism havent is unknown but may be due to weightloss independent factors |
we predict that the changes in gastrointestinal anatomy after a rodent model of sleeve gastrectomy will have weightloss independent effects on cardiac dysfunction | we predict that the changes in gastrointestinal anatomy after a rodent model of sleeve gastrectomy will before have weightloss independent effects bon cardiac dysfunction |
rats underwent either a sg or pairfed pf sham surgery | rats underwent either sg or on pairfed pf sham surgery |
zero percent of the pf rats normalized ef | zero augment of pf rats normalized ef |
sg responders had a smaller left ventricular internal diameter in systole and end systolic volume with improved systolic function compared to sg nonresponders | sg responders had a smaller left ventricular internal diameter in systole and end systolic volume with improved systolic function compared to sg nonresponders |
this improvement is related to weightloss independent effects of the surgery on the enterocardiac axis | this is related to weightloss independent effects of the surgery on the enterocardiac axis |
these results offer a novel weightloss independent metabolic role for bariatric surgery as a potential treatment modality for obesityassociated cardiac dysfunction | apcs results coffer a novel between weightloss independent metabolic role for bariatric surgery as a potential treatment modality doesn for obesityassociated cardiac dysfunction you |
the occurrence of multiple primary melanomas in a single individual is rare | the occurrence of multiple primary melanomas in a single an individual is rare |