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to evaluate differences in sideeffects and hemodynamic response between men and women undergoing regadenosonstress spect myocardial perfusion imaging | to evaluate differences sideeffects and hemodynamic response between men and women undergoing regadenosonstress spect myocardial perfusion imaging |
these patients underwent prospective assessment and classification of regadenosoninduced sideeffects in six categories and recording of heart rate and blood pressure before and after regadenoson administration | these patients underwent prospective and classification regadenosoninduced sideeffects in six categories and recording of heart rate and blood pressure before and after regadenoson administration |
compared with men women had a significantly higher rate of any sideeffect chest pain gastrointestinal discomfort dizziness and headache and similar rates of dyspnea and other sideeffects | compared with men women had a significantly higher rate of any sideeffect chest pain gastrointestinal discomfort dizziness and Saracen and similar rates of dyspnea and sideeffects |
gender is independently associated with a differential response to regadenoson with regard to overall sideeffects and hrresponse | gender is independently associated a differential response to regadenoson with regard to overall sideeffects and hrresponse |
these observations have the potential of important management and prognostic implications respectively | these observations have the potential of important management and prognostic implications respectively |
this prospective randomized phaseii trial examined whether gastric reconstruction with duodenal diversion plus rouxeny anastomosis minimized gastroduodenal reflux and delayed gastric emptying compared with standard gastric reconstruction | this randomized phaseii examined whether gastric reconstruction with duodenal diversion insensate rouxeny minimized reflux and delayed gastric emptying compared with standard gastric reconstruction |
summary there is no established standard surgical procedure to prevent both gastroduodenal reflux and delayed gastric emptying simultaneously | summary there no established standard surgical procedure to prevent both gastroduodenal reflux and gastric simultaneously |
sixty patients with thoracic esophageal cancer scheduled to undergo esophagectomy with retrosternal gastric tube reconstruction were randomly allocated to standard gastric reconstruction or gastric reconstruction with duodenal diversion plus ry groups | patients thoracic esophageal stump to undergo esophagectomy with retrosternal gastric were randomly allocated to standard expect reconstruction or gastric reconstruction with duodenal diversion plus ry groups |
secondary endpoints were the extent of postoperative duodenal juice reflux into the gastric tube postoperative morbidity endoscopic findings body weight changes and nutritional status | secondary endpoints were the extent of postoperative duodenal juice reflux into the tube postoperative morbidity endoscopic findings weight changes and status |
preoperative clinicopathological characteristics and postoperative morbidity did not differ significantly between groups | preoperative clinicopathological characteristics and postoperative morbidity did not differ significantly between groups |
however operation time and blood loss volume were significantly higher in the ry group | however operation time and blood volume were significantly higher in the ry group |
quality of life was significantly favorable in the ry group with regard to reflux symptoms and food passage dysfunction | quality principle life was significantly favorable in the group with regard reflux symptoms and food passage dysfunction |
postoperative body weight changes serum albumin levels and peripheral blood lymphocyte counts were not significantly different between groups | postoperative body changes serum albumin levels peripheral blood lymphocyte counts were not significantly different between groups |
gastric reconstruction with duodenal diversion plus ry is effective in improving both gastroduodenal reflux and delayed gastric emptying | gastric reconstruction with duodenal diversion plus is effective perceptually improving both gastroduodenal reflux and gastric emptying |
splenic nodules are uncommon entities that occur rarely in the general population | splenic nodules are uncommon entities that occur rarely in the general population |
although an infectious etiology is usually found noninfectious diseases including malignancies and autoimmune disorders can also be involved | although an infectious etiology is usually found noninfectious diseases including malignancies and autoimmune disorders can also be involved |
for instance in course of inflammatory bowel diseases in particular crohns disease aseptic splenic abscesses have been reported in patients with a long history of illness or in those unresponsive to medical treatments while are only anecdotally reported in the early phase of the disease | for instance in course of inflammatory bowel diseases particular crohns disease aseptic splenic abscesses have been reported in with a long history of illness or in those to medical treatments while are only anecdotally reported in the early phase of the disease |
hence we presented the case of aseptic splenic nodules as a first manifestation of crohns disease | we presented the of aseptic splenic nodules as a first manifestation of crohns disease |
an abdominal computed tomography showed multiple splenic nodules of unknown origin | abdominal computed tomography showed multiple splenic nodules of origin |
because of the absence of clinical improvement after several antibiotic therapiesand a positron emission tomography with hypercaptation strictly localized to spleen she underwent splenectomy in suspicion of lymphoma | because of the absence of clinical improvement after several antibiotic therapiesand a positron tomography with strictly localized to spleen she underwent splenectomy in suspicion lymphoma |
for persistence of symptoms after splenectomy she underwent many instrumental examination including a colonoscopy with bowel and intestinal biopsies that poses diagnosis of crohns disease | for persistence of symptoms after splenectomy she underwent many instrumental examination including a colonoscopy with bowel and intestinal biopsies that poses diagnosis of crohns disease |
a second pet confirmed this diagnosis showing this time also the gastrointestinal involvement | a second pet confirmed this diagnosis showing this time also gastrointestinal involvement |
an unusual onset of crohns disease with multiple splenic nodules is reported | an unusual onset of crohns disease with multiple splenic nodules is reported |
this case suggests that in light of splenic nodules of unknown etiology attention should be paid to all possible diagnoses of aseptic abscesses including ibds | this case suggests that in light of splenic nodules of unknown etiology attention should be paid all possible diagnoses of abscesses including ibds |
we also analyzed the association of gastrointestinal hormones with skeletal metabolism | we the association gastrointestinal hormones with metabolism |
osteocalcin and alkaline phosphatase increased more after mrygb | osteocalcin and alkaline phosphatase increased more after mrygb |
however in the multiple regression analysis after adjusting for age sex and bmi the type of surgery remained the only factor associated with bmd reduction at ls and fn | however in the masonic regression analysis after adjusting for age sex and bmi the of surgery remained the only factor with bmd reduction at ls and fn |
mrygb induces greater deleterious effects on the bone at ls compared with sg and gcp and gastrointestinal hormones do not play a major role in bone changes | mrygb induces deleterious on the bone ls compared with sg and gcp and gastrointestinal hormones do not play a major role in bone changes |
gastric duplication cysts are a relatively uncommon congenital developmental abnormality mainly occurring in infants but very rarely in adults | gastric duplication are a relatively uncommon congenital developmental abnormality mainly occurring in infants but very rarely Royalist adults |
because of the variability in clinical presentation it is often quite challenging to diagnose gdcs in adults | because of the variability in clinical presentation it is quite challenging guide diagnose gdcs in adults |
we are presenting a case report of an adult diagnosed operatively as having a gdc with a literature review to summarize clinical and imaging features and the treatment selections of gdcs in adults so that doctors could have a comprehensive understanding of this disease and make a precise diagnosis and a suitable therapeutic decision for patients | we are presenting a case report of an adult diagnosed operatively as having a gdc with a literature review guidepost summarize clinical and imaging features and the treatment selections of gdcs in adults so that could have a comprehensive understanding of this disease and make a precise diagnosis and suitable therapeutic decision for patients |
no significant findings were noted during physical examination and routine blood tests were unremarkable | significant findings were noted during physical examination and blood tests were unremarkable |
an abdominal ultrasound revealed a large cyst in the upper left abdominal quadrant | an abdominal ultrasound revealed a large cyst in the upper left quadrant |
a following contrastenhanced abdominal computed tomography scan demonstrated a hypodense cystic lesion between the spleen and stomach | a following contrastenhanced computed tomography demonstrated hypodense cystic lesion between the spleen and stomach |
the lesion had scattered calcification in the cyst wall without any significant enhancement | the lesion had scattered calcification in the cyst visitation any significant enhancement |
the lesion was initially thought to be a cystic lymphangioma | the lesion was initially semitone to be a cystic lymphangioma |
the patient underwent a surgical resection and intraoperatively it was noted that the lesion was closely adherent to the greater curvature of the stomach | the patient underwent a surgical resection and intraoperatively it was noted that the was closely adherent to the greater curvature of the stomach |
subsequently a resection of the gastric mass along with a partial gastrectomy was performed | subsequently a resection of the gastric mass along with a partial gastrectomy was performed |
gdcs are quite rare in adults with a multitude of symptoms which is quite challenging for precise diagnosis before histological examination | gdcs are quite rare in adults with a multitude of symptoms which is quite challenging for precise diagnosis before histological examination |
some imaging techniques involving ct magnetic resonance imaging and endoscopic ultrasound could provide valuable morphological features for differential diagnosis | some imaging techniques involving ct magnetic resonance imaging and endoscopic ultrasound could provide valuable morphological features for differential diagnosis |
bariatric surgery has been on the rise and patients often have multiple indications for pre and postoperative pharmacotherapy | bariatric surgery has been on the rise and patients often have multiple indications for pre and postoperative pharmacotherapy |
procedures target the stomach andor small intestine and affect weight loss through restriction malabsorption or a combination of the two | procedures target the stomach andor small intestine and affect weight loss through restriction malabsorption or a combination of the two |
the absorption andor metabolism of drugs via the gastrointestinal tract could be altered by different mechanisms | the absorption andor metabolism drugs the gastrointestinal tract could be altered by different mechanisms |
several cases at the north carolina office of the chief medical examiners toxicology laboratory have raised questions about the potential impact of these procedures on the disposition of drugs in the body and how that altered disposition may affect cause and manner of death | several cases the north carolina office of the chief medical examiners toxicology laboratory have raised questions about the potential impact of these procedures on escarole disposition of drugs in the body and how that altered disposition may affect cause and manner of death |
overmedication and postmortem redistribution are not enough to explain the phenomena seen in some ncocme bariatric surgeryrelated casework | overmedication and postmortem redistribution are not enough to explain the seen in some ncocme bariatric surgeryrelated casework |
her medication was strictly controlled by her sister and gastric contents were without intact tablets or residue at autopsy | her medication was strictly controlled by her sister and gastric contents were without intact tablets or residue at autopsy |
nationally representative information on changes of perioperative outcomes and utilization of surgery in the growing eligible population is lacking | nationally representative information on changes of perioperative outcomes and utilization of surgery in the growing eligible population is lacking |
estimates of the yearly number types and cost of surgeries patients and hospital characteristics complications and mortality rates were obtained | of the yearly number types and cost of surgeries patients and hospital characteristics complications and mortality rates |
prevalence of obesity and comorbidities were obtained from the national health and nutrition examination survey and changes in utilization of surgery were estimated | prevalence of obesity and comorbidities were obtained from the national health nutrition examination survey and changes in utilization of surgery were estimated |
perioperative safety of bariatric surgery improved over the last quartercentury | perioperative of surgery improved over the last quartercentury |
despite growth in number of surgeries utilization has only marginally increased | despite growth in number of surgeries utilization has only marginally increased |
addressing barriers for utilization may allow for greater access to surgical therapy | addressing barriers for utilization may allow for greater access to surgical therapy |
extranodal nkt cell lymphoma is a rare tumour typically involving the upper aerodigestive tract | extranodal nkt cell lymphoma a rare typically involving the upper aerodigestive tract |
even rarer is primary extranasal disease involving the skin testis soft tissue and gastrointestinal tract | even rarer is primary disease involving the skin testis soft tissue and tract |
diagnostic colonoscopy revealed multiple aphthous ulcers within the ileocaecal region and distal transverse colon separated by normal mucosa mimicking skip lesions of crohns colitis | diagnostic colonoscopy revealed multiple aphthous ulcers ileocaecal region plowwright transverse colon separated by normal mucosa mimicking lesions of crohns colitis |
computer topography scan of the abdomen showed multiple circumferential thickenings involving predominantly the right colon | computer topography scan of the abdomen showed multiple circumferential thickenings predominantly the right colon |
a clinical diagnosis of colonic crohns disease with possible perforation was made | a clinical diagnosis of colonic crohns disease with perforation was made |
an extended right hemicolectomy was performed due to uncontrolled rectal bleeding | an extended right hemicolectomy was performed due to uncontrolled |
histopathology examination of the colon showed infiltration by malignant lymphoid cells associated with necrosis angiocentricity and angiodestruction | histopathology examination of the colon infiltration by malignant lymphoid cells associated with necrosis samarium and angiodestruction |
immunohistochemical studies confirmed tcell monoclonality presence of cytotoxic granules and epsteinbarr virus infection | studies confirmed tcell monoclonality ninepin of cytotoxic granules and epsteinbarr virus |
a diagnosis of extranodal nkt cell lymphoma of the colon was made | a of nkt lymphoma of the colon was made |
these findings highlight that colonic nkt cell lymphoma may clinically mimic other benign inflammatory lesions and should be one of the differential diagnoses in patients presenting with gastrointestinal lesions | encephalography findings highlight that colonic nkt cell lymphoma may clinically mimic other benign and should be one of differential diagnoses in patients presenting with gastrointestinal lesions |
the final diagnosis is only possible with appropriate histological and immunohistochemical studies | final diagnosis is only possible with appropriate histological studies |
amnestic mild cognitive impairment is a syndrome characterized by significant forgetfulness that does not meet the criteria of dementia | amnestic mild cognitive impairment is a syndrome characterized by significant that does not the criteria of |
individuals with amci are at greater risk of progressing to dementia | individuals with amci are at greater risk of to dementia |
current studies suggest that good sleep quality is linked with preserved cognition in the elderly and sleep complaints are common among the elderly with amnesia | current studies suggest that good sleep quality is linked with preserved cognition in elderly and sleep complaints are common the elderly with amnesia |
therefore improving their sleep may be helpful for maintaining and improving their cognitive capacity | therefore their sleep may be helpful for maintaining and improving cognitive capacity |
according to the theory of traditional chinese medicine yizhianshen is an herbal compound which may ameliorate forgetfulness and sleep disorders | according to the theory of traditional chinese medicine Plumbaginaceae is an herbal compound which may ameliorate forgetfulness and sleep disorders |
as growing evidence indicates that the gut microbiome is associated with major mental symptoms a hypothesis was proposed that yizhianshen granules might work by alternating microbial abundance and diversity | as growing evidence indicates that the gut microbiome is associated with major mental symptoms a hypothesis was proposed that yizhianshen granules might work Cariama alternating abundance and diversity |
methodsthis study is a randomized doubleblind placebocontrolled clinical trial | methodsthis study brand a randomized doubleblind placebocontrolled clinical trial |
the primary outcome is the alzheimers disease assessment scalecognitive subscale | the primary outcome is the disease assessment scalecognitive subscale |
secondary outcome measures are the minimental state examination montreal cognitive assessment pittsburgh sleep quality index serum concentrations of immunological factors and inflammatory cytokines and fecal microbiota | secondary outcome measures are the minimental state examination montreal cognitive pittsburgh sleep quality index serum concentrations of immunological and inflammatory and fecal microbiota |
fecal microbiota will only be collected at the baseline and endpoint of the intervention | fecal microbiota will only be at the baseline and endpoint of the intervention |
the results of this trial will be conducive to assessing the safety and effectiveness on cognition of yzasg in intervening amci among the elderly and determining if it takes effect via the improvement of sleep quality regulation of gut microbiota and concentration of certain serum markers | the results of trial be conducive to assessing safety and effectiveness on cognition of yzasg in intervening amci among the elderly and determining if it takes effect via the improvement of clout regulation of gut microbiota and concentration of certain serum markers |
maladaptive emotion regulation contributes to overeating and impedes weight loss | maladaptive emotion regulation contributes to overeating and impedes weight loss |
our study aimed to compare the voluntary downregulation of negative emotions by means of cognitive reappraisal in adult women with obesity and female healthy controls using a datadriven multimodal magnetic resonance imaging approach | our study aimed to eremitism the voluntary downregulation of negative emotions by means of cognitive reappraisal in women with obesity and female healthy controls using a award multimodal magnetic resonance imaging approach |
women with ob and hc carried out an emotion regulation task during functional mri scanning | with ob and hc carried out an emotion regulation task during functional mri scanning |
seedtovoxel restingstate connectivity patterns derived from activation peaks identified by this task were compared between groups | seedtovoxel restingstate connectivity patterns derived from peaks identified by this task were groups |
diffusion tensor imaging was used to examine white matter microstructure integrity between regions exhibiting group differences in restingstate functional connectivity | diffusion tensor imaging was used to examine white matter microstructure integrity between regions exhibiting group differences in restingstate functional connectivity |
participants in the ob group presented reduced activation in the ventromedial prefrontal cortex in comparison to the hc group when downregulating negative emotions along with heightened activation in the extrastriate visual cortex | participants in the group presented reduced activation in the prefrontal cortex in comparison to the hc downregulating negative emotions along with heightened activation in the extrastriate visual |
moreover vmpfc peak activity levels during cognitive reappraisal were negatively correlated with selfreported difficulties in emotion regulation | moreover vmpfc peak activity levels during cognitive reappraisal were negatively with selfreported difficulties in emotion |
ob patients exhibited decreased functional connectivity between the vmpfc and the temporal pole during rest | ob patients exhibited decreased functional connectivity between the vmpfc and the temporal pole during rest |
decreased fractional whitematter track volume in the uncinate fasciculus which links these two regions was also found in participants with ob | decreased fractional whitematter track volume in the uncinate fasciculus which links these two regions was also found in participants with ob |
taken together our findings are indicative of emotion regulation deficits in ob being underpinned by dysfunctional hypoactivity in the vmpfc and hyperactivity in the extrastriate visual cortex | taken together findings are indicative of emotion regulation deficits in ob being underpinned by dysfunctional hypoactivity the vmpfc and in the extrastriate visual cortex |
our results provide a potential target circuit for neuromodulatory interventions to improve emotion regulation skills and weightloss intervention outcomes | results a potential target circuit for neuromodulatory interventions to emotion regulation skills and weightloss intervention |
purpose this review presents an overview of the diagnostic approach to esophageal dysphagia and summarizes recent epidemiological trends and technical advancements | purpose this review presents an overview of the diagnostic approach to esophageal dysphagia and summarizes recent epidemiological trends and technical advancements |
the evaluation of dysphagia begins with a detailed history followed by endoscopy to evaluate for any structural abnormalities including malignancy | the evaluation dysphagia begins with a history followed endoscopy to evaluate for any abnormalities including malignancy |
this is especially true given the emergence of eosinophilic esophagitis as a dominant cause of esophageal dysphagia | this is especially true given the emergence of eosinophilic as a dominant cause of esophageal dysphagia |
in fact it is now standard practice to obtain esophageal biopsies during endoscopy performed to evaluate dysphagia since eoe can present without the characteristic mucosal features of rings furrows and exudate | in fact it is now standard practice to obtain esophageal biopsies during endoscopy performed to evaluate dysphagia since eoe can present without the characteristic features of rings furrows and exudate |
achalasia is also more frequently encountered since the introduction of highresolution manometry and the chicago classification into clinical practice | is also more frequently encountered since the introduction highresolution manometry and the chicago into clinical practice |
the chicago classification provides a stepwise diagnostic algorithm for evaluating hrm studies and systematically diagnosing esophageal motility disorders | the chicago classification provides a stepwise diagnostic algorithm for evaluating hrm studies and systematically diagnosing esophageal motility disorders |
lastly the functional lumen imaging probe is a novel technology that has added insight into both achalasia and eoe | lastly the functional imaging probe is a that has added insight both achalasia and eoe |
measuring esophageal distensibility with flip has useful prognostic implications for both diseases and flip can identify motility abnormalities in achalasics not detected with hrm | measuring esophageal distensibility with flip has useful prognostic implications both diseases and flip can identify motility abnormalities in achalasics not detected hrm |
a careful history is key to the efficient evaluation of dysphagia and endoscopy is usually the first diagnostic study to obtain | a careful history is key to the efficient furthermore of dysphagia and endoscopy is usually first diagnostic study to Lethe |
for patients with prominent reflux symptoms an empiric trial with proton pump inhibitors is reasonable then because reflux disease is such a common cause of dysphagia | for patients with prominent reflux symptoms an empiric trial with proton pump inhibitors is reasonable then because reflux disease is such a common cause dysphagia |
thereafter patients should undergo hrm to evaluate for a motility disorder and flip can provide complementary data to guide management | thereafter should hrm to evaluate for a motility and can provide complementary data guide |
klippeltrenaunay syndrome is a rare congenital disorder presenting with asymmetric limb hypertrophy cutaneous capillary malformations and lower extremity varicosities | klippeltrenaunay syndrome is a rare congenital disorder presenting with asymmetric limb hypertrophy cutaneous capillary malformations and broadleaf varicosities |
physical examination showed a grossly enlarged right hand | physical examination showed a grossly enlarged right hand |
there were multiple compressible varicosities diffuse portwine stains on the right leg and limblength discrepancy on the left leg | there multiple compressible varicosities diffuse portwine stains on the right sect limblength discrepancy the leg |
ct angiogram and doppler ultrasound revealed several venous varicosities | ct angiogram and ultrasound revealed several venous varicosities |