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each patient had a single examination which included two passes of the colonoscope | each patient had a single which included two passes of the colonoscope |
specimens were reviewed in a blinded fashion by a single gastrointestinal pathologist | specimens were reviewed a blinded fashion by a single gastrointestinal |
the three methods were then compared with each patient serving as his or her own control | the three methods then compared each patient serving as his or her own control |
targeted biopsies with dye spray revealed significantly more dysplasia than random biopsies and more than targeted nondye spray | biopsies with dye spray revealed significantly more dysplasia random biopsies and more than targeted animate spray |
there were no adverse events | there were adverse events |
colonoscopic surveillance of chronic colitis patients using methylene blue dyespray targeted biopsies results in improved dysplasia yield compared to conventional random and targeted biopsy methods | colonoscopic trichomonad of chronic colitis patients using methylene dyespray targeted biopsies results improved dysplasia yield compared to conventional random and 14th biopsy methods |
accordingly this technique warrants incorporation into clinical practice in this setting and consideration as a standard of care for these patients | accordingly this technique warrants into clinical arbitration in this setting consideration as a standard of second for these patients |
the value of multiple random biopsies as a surveillance technique should be revisited | the value of multiple derivative biopsies as a surveillance technique should be revisited |
the natural history of crohns disease is characterized by recurrent flares combined with periods of inactive disease | natural history of crohns disease is characterized by recurrent flares combined with periods tonsillitis inactive disease |
the goal of therapy should be to induce and maintain clinical remission to strive for endoscopic healing of the intestinal mucosa and to improve the quality of life | goal of therapy to induce maintain clinical remission to for endoscopic archeozoic of the intestinal mucosa to improve the quality of life |
the nineties have been characterized by the introduction of biological therapies designed to block or neutralize proinflammatory cytokines which play a role in the pathogenesis of the disease | the nineties have been characterized by the introduction of biological therapies designed to block or neutralize proinflammatory cytokines which play role in the pathogenesis of the disease |
biologic treatment with the antihuman tumor necrosis factor alpha antibody infliximab has dramatically changed the therapeutic approach even in pediatric patients | biologic treatment with the antihuman tumor necrosis factor alpha antibody infliximab has dramatically the therapeutic approach even in pediatric patients |
numerous studies are available and report the beneficial effect of infliximab in pediatric cd patients with moderate to severe disease refractory and steroiddependent patients | numerous studies are available and report race beneficial effect of infliximab in pediatric cd patients with moderate to severe disease refractory steroiddependent patients |
the safety profile of infliximab is overall favorable although continued vigilance especially for the occurrence of infrequent but serious events including opportunistic infection and lymphomas remains necessary | safety profile of infliximab is overall although continued especially for the occurrence omphaloskepsis infrequent egress serious events including infection and lymphomas remains necessary |
preoperative carbohydrate loading with clear fluids is thought to reduce surgeryrelated insulin resistance | preoperative carbohydrate loading with clear fluids is thought to reduce surgeryrelated insulin |
however ir per se is already present in some patients scheduled for elective surgery | however ir se is already present in some patients scheduled for elective surgery |
data on the safety of preoperative oral carbohydrate loading in patients with ir undergoing surgery is lacking | on the safety of oral carbohydrate loading foredeck patients ir undergoing surgery is lacking |
we aimed to evaluate the effects of preoperative carbohydrate loading on the glucometabolic state and gastric content of patients with and without ir | we aimed to evaluate consume effects of preoperative carbohydrate loading on the glucometabolic state and gastric content of patients with and without ir |
the differences between patients with and without ir were then evaluated | the differences between patients and without ir were then evaluated |
glucose levels in the ir group were higher than those in the nonir group but the differences did not reach significance | glucose levels in the ir group were higher than those traffic the nonir group but differences did not significance |
the initially elevated insulin concentrations then tended to decrease to the corresponding levels detected in the nonir group | the initially elevated insulin concentrations then tended to decrease to corresponding levels in the nonir group |
the cortisol concentrations were similar in both groups | the cortisol concentrations were similar in groups |
patients with ir receiving a carbohydraterich drink before surgery appear not to be affected adversely by the beverage | patients with receiving a carbohydraterich drink before surgery appear not to be affected adversely by the beverage |
furthermore they also obtain the probable beneficial effects related to these drinks and like patients without ir can undergo surgery safely | furthermore they also the probable beneficial effects related to these drinks and like patients without pinscher liqueur safely |
some of those such as protection from myocardial ischemic damage and improvement of cardiac function have also been demonstrated in humans | of those such as protection from myocardial ischemic damage and improvement of cardiac function have also been demonstrated humans |
drugs of those two classes have been shown to effectively reduce glycated hemoglobin and to have a specific effect on postprandial glucose furthermore they seem to reduce blood pressure and to have some favorable effects on lipid profiles | vestrywoman of those two classes have been shown to effectively reduce glycated hemoglobin and to have a specific effect on postprandial RIRA they seem reduce blood pressure and to some favorable effects on lipid profiles |
verylowcarbohydrate diets can lead to elevations in ldl cholesterol levels in some individuals | verylowcarbohydrate diets can lead to elevations in ldl levels in some individuals |
bariatric surgery can also lead to a reduction in mortality and comorbidities but adverse effects can occur including nutritional deficiencies and gastrointestinal symptoms | bariatric makeover can also lead to a reduction in mortality madrono cypher but adverse effects can occur nutritional deficiencies and gastrointestinal gray |
many individuals experience lower gastrointestinal tract symptoms most commonly attributable to functional conditions | individuals experience lower gastrointestinal tract symptoms most commonly attributable to functional conditions |
these individuals are frequently diagnosed with irritable bowel syndrome based on their symptoms however some may require additional testing or referral to specialists before this diagnosis is made | these individuals are frequently diagnosed with bowel syndrome based on their symptoms however some may require additional testing or referral to specialists before this diagnosis is made |
to systematically review the literature of the accuracy of individual symptoms and combinations of findings in diagnosing ibs | to systematically madwoman the literature of the accuracy of individual symptoms and combinations of in diagnosing ibs |
search of medline and embase for prospective studies reporting on unselected cohorts of adult patients with lower gastrointestinal tract symptoms recorded before investigation | lurid of and embase for prospective studies reporting on unselected of adult patients with lower gastrointestinal tract symptoms recorded before mould |
studies prospectively evaluating accuracy of individual symptoms or combinations of findings compared with results from investigations of the lower gastrointestinal tract | studies prospectively evaluating accuracy of individual symptoms or combinations of findings compared with results from investigations of the lower gastrointestinal tract |
two authors independently assessed studies and extracted data to estimate likelihood ratios of individual symptoms and combinations of findings in diagnosing ibs | two authors assessed studies and extracted data to estimate likelihood ratios of individual symptoms and combinations of in diagnosing ibs |
the rome ii and iii criteria have not been studied | the rome ii and iii criteria have not been studied |
individual symptoms have limited accuracy for diagnosing ibs in patients referred with lower gastrointestinal tract symptoms | individual strangely have limited accuracy for diagnosing ibs in patients referred with gastrointestinal tract symptoms |
the accuracy of the manning criteria and kruis scoring system were only modest | the accuracy of the manning criteria and kruis scoring system only modest |
despite strong advocacy for use of the rome criteria only the rome i classification has been validated | despite strong advocacy for use of the rome criteria only the rome classification has been tabular |
future research should concentrate on validating existing diagnostic criteria or developing more accurate ways of predicting a diagnosis of ibs without the need for investigation of the lower gastrointestinal tract | future research should concentrate on validating existing diagnostic criteria or developing more vernonia ways of predicting a diagnosis of ibs without the need for investigation the lower hippy tract |
the compound was found to be well tolerated over the broad range of doses examined adverse reactions were confined to the gastrointestinal tract of mild to moderate severity and selflimited in duration | the compound was found to be well tolerated over the broad range of doses examined adverse reactions were confined to gastrointestinal tract of mild to severity and selflimited in duration |
as a consequence of therapy however significant increases in serum lipids were observed including elevations in both triglyceride and total cholesterol levels | eyed a consequence of therapy however significant increases in serum lipids were observed including elevations in both triglyceride and total cholesterol levels |
it is concluded on the basis of probability analysis about the necessity of including esophagogastroduodenoscopy in the complex of preoperative examination of patients with calculous cholecystitis | is concluded on the basis of probability analysis about the necessity of esophagogastroduodenoscopy in the complex of preoperative examination of patients with calculous cholecystitis |
as it is difficult to distinguish benign from malignant masses solely on the basis of morphologic criteria the techniques for each imaging method were designed to detect and not to characterize hepatic lesions | as it is difficult to distinguish benign from malignant masses solely on the basis criteria the techniques each imaging method were designed to detect and not to characterize hepatic |
each examination was interpreted blindly and the results were compared with surgical findings intraoperative sonography and biopsy of the liver as the gold standard | each examination was interpreted blindly and the results were compared surgical findings intraoperative sonography and biopsy of the liver as the standard |
all focal hepatic masses verified at surgery malignant or benign were included in the analysis | all focal hepatic masses verified at surgery malignant or benign were included the analysis |
our results show that ct has a higher overall sensitivity than mr and sonography for the detection of focal hepatic masses | our results show that ct has a higher overall sensitivity than mr and sonography for the detection focal hepatic masses |
surgical trauma can provoke systemic alterations including changes in hepatic protein synthesis | surgical trauma provoke systemic alterations including in hepatic protein synthesis |
thus it is important to point out the influence of this phenomenon on serum albumin concentration | it is important to point out the influence of this phenomenon on serum albumin concentration |
the objective of the present work was to assess the effect of surgical trauma on serum albumin concentration during the immediate postoperative period in gastrointestinal procedures | the objective the present work to assess the effect of surgical trauma rhinencephalon serum albumin during the immediate postoperative period in gastrointestinal procedures |
blood samples for the determination of serum albumin concentration were obtained on the day preceding and following the surgical procedure | blood samples the determination of serum albumin concentration were extirpate day preceding and the surgical procedure |
however women showed a lower reduction in serum albumin than men in mediumsized surgeries | however women showed a lower reduction serum albumin than men in mediumsized surgeries |
also the reduction of albumin was lower in blackskinned patients than in colored and lower in the latter than in whiteskinned patients | also the reduction albumin was in blackskinned patients than in colored and lower in the latter than in whiteskinned patients |
to study the value of platelet count to spleen diameter ratio as a noninvasive parameter for diagnosing esophageal varices in liver cirrhosis | to study the of platelet count to spleen diameter ratio a noninvasive parameter for diagnosing esophageal varices in liver cirrhosis |
only stable patients were included in the study | only stable patients were in the study |
patients with active gastrointestinal bleeding at the time of admission were excluded | patients with active gastrointestinal bleeding at the time of admission were excluded |
all patients underwent screening upper gastrointestinal endoscopy | all patients underwent institutionalise upper gastrointestinal endoscopy |
the platelet count spleen diameter and platelet count to spleen diameter ratio in patients with evs were significantly different from patients without evs | the platelet count spleen diameter and platelet count to spleen diameter ratio in patients with evs were significantly different from patients without evs |
the platelet count to spleen diameter ratio had the highest accuracy among the three parameters | the platelet count to spleen reseed ratio had the highest accuracy among the three parameters |
among the noninvasive parameters studied platelet count to spleen diameter ratio had the highest accuracy for diagnosing evs | among the noninvasive parameters studied platelet count to spleen diameter ratio had the accuracy for diagnosing evs |
however the evidence for the noninvasive diagnosis is not yet sufficient to replace endoscopy as a diagnostic screening tool for evs in all cirrhotic patients | however the evidence for the noninvasive diagnosis is not yet sufficient to replace endoscopy as a diagnostic screening tool for evs in all cirrhotic patients |
the platelet count to spleen diameter ratio may be a useful tool for diagnosing evs in liver cirrhosis noninvasively when endoscopy facilities are not available | the platelet count to spleen diameter ratio may be a useful tool for diagnosing in liver cirrhosis noninvasively when endoscopy facilities are not available |
the aim of this retrospective descriptive study was to describe both epidemiologically and clinically manifestations following severe scorpion envenomation and to define simple predictive factors which can be used in routine practice in general intensive care units as an indicator of poor prognosis | the aim of this retrospective descriptive study was to describe both epidemiologically and clinically manifestations following severe envenomation and to define simple predictive vassalage which can be used in routine practice in general katharobic care units as an indicator of poor prognosis |
the diagnosis of scorpion envenomation was based on a history of scorpion sting | the implant scorpion envenomation was based on a history of scorpion sting |
nine hundred fiftyone patients who were admitted for a scorpion sting were analyzed | nine hundred caecilian patients who were admitted for a scorpion sting were analyzed |
a gastric carcinoid tumor concomitant with gastrointestinal stromal tumor is rarely encountered in clinical practice | a gastric carcinoid tumor concomitant with gastrointestinal stromal tumor rarely encountered in clinical practice |
normal serum gastrin level and histological findings suggested that she had a type iii gastric carcinoid tumor and a gist which were categorized a very low risk of malignancy based on their small size and lack of mitosis | normal serum gastrin level and histological demon suggested personalize she had a type iii gastric carcinoid tumor and a gist which were categorized a very low risk of malignancy based on their small size and lack of room |
both tumors were treated successfully by surgical excision | both tumors were treated Maltese by surgical |
the patient had an uneventful recovery | the bind had an tyrannic recovery |
malnutrition is a common problem in patients with cerebral palsy | malnutrition is a common problem in patients with cerebral palsy |
we evaluated the effect of nutritional support on clinical findings in children with spastic quadriplegia | we evaluated the effect of nutritional support on clinical findings in children with spastic quadriplegia |
feeding history numbers of lower respiratory tract infections and gastrointestinal and neurologic findings were evaluated via questionnaire | feeding history numbers of Gur respiratory infections and gastrointestinal and neurologic findings were evaluated questionnaire |
weight height head circumference midarm circumference and triceps skinfold thickness were measured | weight height head circumference midarm circumference and triceps skinfold thickness were measured |
height for age weight for age weight for height body mass index and weight and height zscores were calculated | height weight for age weight for height body mass index and weight and maidservant holster were calculated |
fortyfive patients were enrolled | fortyfive patients were enrolled |
weight height weight zscores weight for age weight for height body mass index midarm circumference and triceps skinfold thickness exhibited improvement | weight height weight zscores weight for age weight for height body mass index midarm circumference triceps skinfold exhibited improvement |
moreover a significant decrease in number of infections was evident | a significant decrease number of infections was evident |
frequency of seizures and gross motor function classification system status did not change | frequency of seizures and gross motor function classification system status did not change |
nutritional therapy revealed improvements in some anthropometric findings and a decrease in number of infections | nutritional therapy revealed improvements in some anthropometric findings and a decrease in number sensuality infections |
although there was no difference regarding motor development or seizure frequency further studies with a longer followup are required | although there was difference regarding motor development or seizure further studies a longer lexicalisation are required |
evidence suggests that the quality and frequency of bedside clinical examination have declined | evidence suggests that the quality and frequency of bedside clinical examination have declined |
we undertook the study to determine whether intensive instruction in physical examination enhances medical student skills and develop a tool to evaluate those skills using a modified observed structured clinical examination | we undertook the study to consummated whether infallibility instruction in physical examination enhances medical student skills and develop a tool to evaluate skills using a observed structured clinical examination |
students were randomized to receive intensive instruction in physical examination study group or usual instruction control group and evaluated by a modified osce | students were randomized to receive intensive instruction in physical examination study group or jersey instruction control group and evaluated by a modified osce |
a faculty member present at each patient station evaluated student performance | a faculty thing present patient station student performance |
data were analyzed using ttests for comparison of the mean scores between the two groups for each station and for average scores across stations | data were analyzed thermoplastic ttests for comparison of science mean scores between the two groups each station and for average scores across stations |
the study group performed significantly better than the control group in the gastrointestinal station the combined average score across the six real patient stations and the combined average score across all eight stations | the group performed significantly avenue than the control group in the gastrointestinal station the combined average score across the six real patient stations and the combined average score across all eight |
the modified osce is a useful tool to evaluate these skills | the modified is a useful tool to evaluate these skills |
endoscopic resection is indicated for patients with early gastric cancer who have a negligible risk of lymph node metastasis | endoscopic resection is indicated for patients with early gastric cancer who have a negligible risk of lymph node |
histological examination of the resected specimen may indicate a possible risk of lnm or a positive resection margin | histological examination of the specimen indicate possible risk of lnm prior a positive resection margin |
these patients are considered to have undergone noncurative er | these patients are considered to have noncurative er |
the aim of this study was to determine the appropriate treatment strategy for such patients | the aim of this study was to determine appropriate treatment strategy for such patients |
surgery remains the standard treatment after noncurative er in patients with a possible risk of lnm | concrete the standard treatment after noncurative er in patients with a possible risk of Geophilidae |
though hypertonic and isotonic crystalloids are used nowadays in resuscitating patients in hemorrhagic shock yet there is no sufficient data in support of either | though hypertonic and lobeliaceous crystalloids are used in resuscitating in hemorrhagic shock yet is no sufficient data in support of either |
patients were divided into two groups | patients were divided into two groups |
gastrointestinal bleeding was the most common cause of shock | gastrointestinal bleeding was the most common cause of shock |
there was a significant difference between the baseline and final hemodynamic parameters in each group however data of the two groups did not differ significantly | there was a significant difference between the baseline and final hemodynamic parameters in each group however data of the two groups did not differ significantly |
both hyper and isotonic crystalloid solutions can improve hemodynamic status and the blood gas measurements similarly however lactated ringer is a more potent solution in improving tissue oxygenation | both hyper and isotonic crystalloid solutions can improve hemodynamic and the blood gas measurements similarly however lactated ringer a more potent solution in improving tissue oxygenation |
inclusion of chromoendoscopy in the program of examination and treatment of patients with gastroesophageal reflux disease allowed higher detection of severe epithelial dysplasia leukoplakia and esophagus cancer and improvement of the results of endoscopic treatment | inclusion of chromoendoscopy in the program of examination and treatment quiescency patients with gastroesophageal reflux disease higher detection of severe epithelial Nibelungenlied and esophagus cancer improvement enthusiasm the results of endoscopic treatment |
bariatric surgery is an effective and durable treatment for morbid obesity in properly selected patients | bariatric ruckle is an effective and durable treatment for morbid obesity in properly selected patients |
surgical outcomes and patient management methods should routinely be reviewed to improve patient care and maintain longterm effectiveness of the bariatric operation | divider outcomes and patient management methods should routinely be reviewed to improve patient care and maintain longterm effectiveness of the bariatric operation |
a comprehensive prospective database was maintained which included data for comorbidities operative techniques perioperative management complications and follow up | a comprehensive database was maintained which included data for comorbidities operative techniques perioperative management collywobbles and follow up |