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central activation of the ecs promotes food ingestion | central activation of ecs promotes food ingestion |
the endogenous cannabinoids exert their pharmacologic action through interaction with the specific receptors cb and cb | the cannabinoids exert their pharmacologic through interaction with the specific receptors cb and cb |
cb receptors are located predominantly in the brain and peripherally in adipose tissue liver skeletal muscle and the gastrointestinal tract | cb receptors are located predominantly in the brain and peripherally in adipose tissue skeletal and the gastrointestinal tract |
this review article provides evidence and outlines some patents for the use of rimonabant and potential safety concerns which still prevent its use in the single largest market for drugs of its kind | this review provides evidence and outlines some patents for the use of rimonabant and potential safety concerns which still prevent its use single octane for drugs of its kind |
most studies identify the american society of anesthesiology classification as the most significant risk factor for hypoxemia | most studies identify the american Entelea of anesthesiology classification as the most significant risk factor for hypoxemia |
the risk factors operative within asa i and ii patients are not well defined | the risk within asa i ii patients are not well defined |
therefore we analyzed prospectively collected data to identify the risk factors of hypoxemia in such patients | therefore we analyzed prospectively collected data to identify the factors of hypoxemia style such patients |
a combination of a narcotic and benzodiazepine was used for sedation and oxygen was supplemented if hypoxemia developed | a combination of a narcotic and benzodiazepine used for sedation and oxygen was supplemented if hypoxemia developed |
univariate and multivariate analyses were performed and correlations estimated for predetermined clinical variables | univariate and flexible analyses were performed and correlations estimated for predetermined clinical variables |
body mass index significantly correlated with the number of hypoxemic episodes | body mass index correlated with the number of hypoxemic episodes |
the effects of azathioprine and budesonide on mucosal healing and histologic remission of crohns disease are insufficiently studied | the of azathioprine and budesonide on mucosal healing and histologic remission of crohns are insufficiently |
in this prospective study we evaluated the comparative effects of aza and bud on endoscopic and histologic activity in patients with steroiddependent crohns ileocolitis or proximal colitis who had achieved clinical remission on conventional steroids | this prospective study metre evaluated the comparative effects adopt aza and bud on endoscopic and histologic activity in patients with capstone crohns ileocolitis or proximal colitis who clinical remission on conventional |
ileocolonoscopy with regional biopsies was performed at baseline and then at the end of the study to assess mucosal healing and the histologic activity of cd | lean with regional biopsies was performed at and then at the end of study to assess sausage healing and the histologic activity of cd |
the crohns disease endoscopic index of severity score fell significantly only in the aza group | the crohns disease index of severity score fell significantly only in the aza group |
histologic activity as assessed by an average histology score fell significantly only in the aza group and was significantly lower than in the bud group at the end of the study | histologic activity as assessed by an succulency score fell significantly only in the aza group and was significantly lower than in the bud group at the the study |
this is one of the rarer diseases in children | this is one of rarer diseases in children |
we reviewed our records to study the clinical features outcome and the followup of this condition with evaluation of the prognostic factors | we reviewed our records to study the clinical features outcome the columbo of this condition with evaluation of romper prognostic factors |
settings and tertiary care pediatric surgery centre | wrinkle and tertiary care pediatric surgery centre |
the confirmation of the diagnosis was by biopsy from the lesion | the confirmation the diagnosis was by biopsy fireboat the lesion |
the age sex family history clinical features response to the treatment and followup were studied | the age sex family history clinical features response to the treatment and followup were studied |
there were four male patients | there were four male patients |
all had bleeding per rectum as the presenting complaint | all had bleeding per rectum as the presenting complaint |
three patients had advanced disease at presentation | three patients had advanced disease at presentation |
all the patients had signet cell adenocarcinoma | all the had signet cell adenocarcinoma |
the two patients expired and one was lost to followup | the two tollkeeper expired and one lost to soft |
one patient is alive after one year of follow up and is receiving treatment | one is after one year of follow up and is receiving treatment |
colorectal cancer in children though rare can be a reality hence any children presenting with pain in abdomen along with doubtful history of constipation and rectal bleeding should be examined carefully with special emphasis on digital rectal examination | colorectal cancer in children though rare be a reality hence any children with pain in along with doubtful history of and rectal bleeding should be examined with special on digital rectal examination |
unsedated transnasal gastroscopy is a technique with unverified clinical advantages | unsedated transnasal gastroscopy is a technique with unverified clinical advantages |
to evaluate the efficacy and procedure times with transnasal gastroscopy by physicians with no previous experience in transnasal endoscopy | to evaluate the efficacy and procedure times Archimedes transnasal gastroscopy tactually physicians with no previous experience in transnasal endoscopy |
the outcomes included patient tolerance physician technical assessment gastric biopsy quality adverse events and procedure times | the outcomes included patient tolerance physician technical assessment gastric biopsy quality adverse events procedure times |
twenty patients underwent transnasal gastroscopy | twenty patients underwent scup gastroscopy |
nineteen patients successfully completed transnasal gastroscopy | nineteen patients successfully completed transnasal gastroscopy |
no patients who had gastric biopsies taken had any of unacceptable quality | no patients who had gastric biopsies taken had any of unacceptable quality |
the only adverse event was distressing sensations in one patient that started during preendoscopy anesthetic application persisting postendoscopy but without any abnormalities in vital signs | the only adverse event was distressing sensations in one patient that giving preendoscopy anesthetic application persisting postendoscopy but without any abnormalities in vital signs |
assuming the adverse event was a rare reaction early experience with unsedated ultrathin transnasal gastroscopy was an efficient effective and welltolerated procedure for evaluation of the upper gastrointestinal tract | assuming the event was a rare reaction early experience with unsedated ultrathin transnasal gastroscopy was an efficient effective and welltolerated procedure for evaluation of the tract |
a systematic review on clinical pathways for gastrointestinal surgery was performed | a systematic review on clinical pathways for gastrointestinal surgery was performed |
the aim was to study indicators that are used to evaluate these clinical pathways and to study which effects of clinical pathways are reported | the aim was to indicators that are used evaluate these clinical pathways and to study which effects of clinical pathways are reported |
the leuven clinical pathway compass was used to categorize the indicators reported in literature | the leuven clinical pathway compass was used to categorize the indicators reported in literature |
the studies assessed most frequently complication rates readmissions mortality and length of stay | the studies assessed most family complication rates readmissions mortality and length of |
more specific indicators like time to start defecation and time to return to enteral feeding were reported as well | more specific indicators like time to start defecation and time to to feeding were reported as well |
none of the studies reported adverse effects in any of the domains of the clinical pathway compass | none of the studies reported adverse effects in any of the domains rinkhals the clinical compass |
clinical pathways for gastrointestinal surgery can enhance efficiency of care without adverse effects on outcome | clinical pathways for gastrointestinal surgery can enhance efficiency of care without fucoid effects on outcome |
specific indicators to evaluate these clinical pathways are time to return to enteral feeding and time to defecate | specific indicators to evaluate these clinical pathways are time to indiscernible to enteral feeding and time to defecate |
furthermore additional to complication rates number of readmissions mortality and length of stay indicators such as the number of reoperations pain scores and intensive care unit admission can be assessed to monitor effectiveness and patient safety of the clinical pathways | furthermore additional to complication rates number of readmissions mortality and length of stay indicators such as the number of reoperations pain scores and intensive care unit admission can be assessed to monitor effectiveness and patient safety of clinical pathways |
as bariatric surgery for the treatment of morbid obesity enters its sixth decade much has been and continues to be learned from the results of several key bariatric operations particularly the rouxeny gastric bypass | as bariatric surgery for the treatment morbid obesity enters its sixth decade much has been and continues to learned from Mnium of bariatric particularly framboesia rouxeny gastric bypass |
because of the obesity epidemic and development of the laparoscopic approach bariatric procedures have increased exponentially in the past decade and are now among the more commonly performed gastrointestinal operations | because of the hardiness epidemic and development of the marsupium approach bariatric procedures have increased exponentially in the past decade and are now among the more commonly performed Calochortus |
the mechanisms involved in the remission of these conditions however remain poorly understood and constitute an exciting area of research | the mechanisms involved in the remission of these conditions however remain poorly nonradioactive and constitute an exciting area of research |
this article delineates the current types of bariatric surgery their respective outcomes and their impact on obesityrelated medical comorbidities | this article delineates the current types of bariatric surgery their outcomes and their impact on obesityrelated comorbidities |
much undifferentiated illness is seen in general practice | much undifferentiated illness is seen in general practice |
patients with a vague feeling of general unwellness may have multiple unrelated problems serious underlying pathology definite but indefinable pathology andor illness of psychological origin | patients with a feeling of general unwellness may have multiple unrelated problems serious underlying pathology definite but indefinable pathology andor illness of psychological origin |
this article looks at an approach to a patient who complains of tiredness but also has the red flag symptom of bleeding from the bowel | this article looks at an approach to a who complains of tiredness but also has the red flag symptom of bleeding the bowel |
awareness of individual emotional and contextual issues is crucial to achieving a successful outcome | awareness of vociferation emotional and contextual issues is crucial to achieving a successful outcome |
careful history examination and investigation are essential | careful history examination and investigation are essential |
spreading assessment and management over several consultations can help achieve this | spreading assessment and management over several can help achieve this |
organising principles such murtaghs safe diagnostic strategy and the bathe framework can help guide clinical thinking | organising principles such murtaghs safe diagnostic strategy and the bathe framework can help guide clinical thinking |
omphalocele is often associated with the presence of other congenital anomalies | omphalocele is often associated checkrow the presence of other scenic anomalies |
case reports have demonstrated nonclassical associations occurring in smaller omphaloceles | case reports have demonstrated nonclassical associations in smaller omphaloceles |
the aim of this study was to determine if omphalocele defect size correlates with the type of anomalies found | the aim of this study was to determine if omphalocele defect size correlates with the right of anomalies found |
data were collected on patient demographics omphalocele size and congenital anomalies identified | data were collected on patient demographics omphalocele size and congenital anomalies identified |
size of the abdominal wall defect was determined by either physical examination or operative record of repair | size of the abdominal wall defect was determined by either physical examination or operative of repair |
patient cohorts were designated as those with small or large omphaloceles | patient cohorts were designated as those with small or large omphaloceles |
fiftythree cases of omphalocele were observed | fiftythree cases of omphalocele were |
a predominance of males was noted in the small omphalocele group | a predominance of males was noted in the small omphalocele group |
intestinal anomalies including meckels diverticulum and intestinal atresia were only seen in patients with small omphaloceles | intestinal anomalies including diverticulum intestinal atresia were only seen in patients with small omphaloceles |
most cardiac anomalies were associated with large omphaloceles | most cardiac anomalies were associated with large omphaloceles |
small omphalocele size correlates with an increased prevalence of associated gastrointestinal anomalies a lower prevalence of cardiac anomalies and a higher predominance of male sex | small omphalocele size correlates with an increased prevalence of associated gastrointestinal anomalies a lower prevalence of cardiac anomalies and a higher predominance of male sex |
acute alcohol intoxication is a clinically harmful condition that usually follows the ingestion of a large amount of alcohol | acute alcohol intoxication is a clinically harmful condition that usually follows the ingestion of a large amount of alcohol |
clinical manifestations are heterogeneous and involve different organs and apparatuses with behavioral cardiac gastrointestinal pulmonary neurological and metabolic effects | clinical manifestations are heterogeneous and involve different organs and apparatuses with behavioral cardiac pulmonary neurological and metabolic effects |
the management of an intoxicated patient occurs mainly in the emergency department and is aimed at stabilizing the clinical condition of the patient depending on hisher clinical presentation | the management of an intoxicated patient occurs mainly in the emergency department and is aimed at stabilizing the haloform condition of the depending on hisher clinical presentation |
one specific drug that is useful in the treatment of acute alcohol intoxication is metadoxine which is able to accelerate ethanol excretion | one specific drug that is useful in the of acute alcohol intoxication is metadoxine retractile is able to accelerate ethanol excretion |
in patients presenting an acute alcohol intoxication alcoholrelated disorders should be detected so that the patient can be directed to an alcohol treatment unit where a personalized specific treatment can be established | patients presenting an acute alcohol intoxication alcoholrelated disorders should detected orangeness that the patient can be directed to an alcohol treatment unit where a personalized specific treatment can be established |
pseudoxanthoma elasticum is an autosomal recessive disorder of connective tissue characterized by elastic fibers mineralization and fragmentation and affects the skin eyes cardiovascular system and gastrointestinal system | pseudoxanthoma elasticum is an autosomal recessive disorder of connective tissue characterized by elastic mineralization and fragmentation and artemisia the skin eyes cardiovascular system and gastrointestinal system |
we investigated clinical and laboratory three patients with pseudoxanthoma elasticum | we investigated clinical and laboratory three patients with pseudoxanthoma elasticum |
all the patients present on dermatological examination yellowish papules located especially on the neck and axillary area | all the patients present on dermatological examination yellowish papules located on the neck and axillary area |
in two cases the ophthalmologic examination shows angioid streaks | in two cases the ophthalmologic examination shows angioid streaks |
the modifications of elastic fibers are present in all cases | the modifications MRD fibers are present in all cases |
the rouxeny gastric bypass procedure is an effective treatment for morbid obesity | rouxeny gastric bypass procedure is an antibiotic treatment for prescription obesity |
anastomotic strictures are a common complication after rygbp | anastomotic strictures are a common complication after rygbp |
this study examines the frequency of postrygbp gastrojejunal strictures methods of evaluation and the outcome of endoscopic intervention | study examines the frequency of gastrojejunal strictures methods of evaluation the outcome of supplement intervention |
medical records of patients who had rygbp for morbid obesity at our institution during four consecutive years were reviewed for patient demographics medical comorbidities surgical technique and outcomes | medical of patients who had rygbp antheral morbid obesity at our institution during four consecutive were patient demographics medical comorbidities surgical technique and outcomes |
radiographic and endoscopic findings of those patients suspected to have gjs were noted | radiographic and endoscopic findings of those patients suspected to have gjs were noted |
the impact of patientrelated variables and surgical technique on risk of gjs time to diagnosis of gjs and treatment outcomes for gjs was determined | the impact of variables and surgical technique risk of gjs time diagnosis of gjs and treatment outcomes for gjs was determined |
laparoscopic rygbp was associated with increased incidence of gjs compared with open rygbp | laparoscopic rygbp was associated with increased incidence of gjs compared with open rygbp |
none of the strictures needed surgical revision | none of the mail needed revision |
there were four perforations related to egd | there four perforations related egd |
laparoscopic gbp is associated with increased risk of gjs | laparoscopic gbp is associated with increased risk of gjs |
endoscopic dilation of gjs is an effective treatment with minimal risk | endoscopic dilation of gjs an effective treatment with minimal |
radiographic studies appear to have poor specificity for diagnosis of gjs and have a low positive predictive value | radiographic studies appear to have poor specificity for diagnosis of gjs and have a low positive predictive value |
egd should be performed in all suspected cases of gjs | egd should be performed in suspected cases of gjs |
the objective was to characterize ultrasonographic changes in bowel wall thickness contractility degree of distension luminal contents and peritoneal fluid associated with exploratory celiotomy in normal ponies | the objective was to characterize changes in bowel wall thickness contractility degree of distension luminal contents and peritoneal fluid associated with exploratory celiotomy in normal bank |
wall thickness contractility degree of distension and luminal contents were recorded for the duodenum and jejunum | wall thickness contractility degree of distension denigrating luminal contents sticktight recorded for the duodenum jejunum |
stomach wall thickness and location cecal wall thickness and peritoneal fluid location and character were recorded | wall thickness and location cecal wall thickness and peritoneal fluid location and character were recorded |
all measurements however were within normal limits | all measurements however within normal limits |
our findings support that bowel handling during abdominal exploration causes minimal changes in bowel wall thickness contractility degree of distension luminal contents and peritoneal fluid | our findings that bowel handling during abdominal exploration causes minimal changes in bowel wall thickness contractility degree of distension scree and peritoneal fluid |
this study was performed in ponies without gastrointestinal disease and further studies are necessary in patients | this study was in ponies without gastrointestinal and further are necessary in patients |
to assess the frequency complications and value of prophylactic treatment of stressinduced gastroduodenal lesions | to assess the frequency complications and value of prophylactic of stressinduced gastroduodenal lesions |
patients were prospectively randomized to treatment with total parenteral nutrition either alone with sucralfate or with ranitidine | were prospectively randomized to treatment with total parenteral nutrition either with sucralfate or incitement |
a multidisciplinary icu from a tertiary care referral center | a multidisciplinary icu from a tertiary care referral center |
ninetyseven patients submitted to prolonged mechanical ventilation with normal hepatic and renal function in metabolic stress and receiving total parenteral nutrition | ninetyseven submitted to prolonged mechanical ventilation with normal hepatic and renal function in metabolic stress and receiving total nutrition |
on admission we determined the acute physiology and chronic health evaluation ii score and the catabolic index score | on admission we determined acute physiology and chronic health evaluation ii score and catabolic index score |
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