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Patients

Distribution by Scientific Domains
Medical Sciences93%
Life Sciences3%
11 Other Domains4%
Distribution within Medical Sciences
Neurology7%
Dermatology6%
Cardiovascular Disease5%
Gastroenterology & Hepatology4%
Hematology3%
Allergy & Clinical Immunology2%
107 Other Subdomains48%

Kinds of Patients

  • AP patient
  • CsA-treat patient
  • HBV-infect patient
  • HCV-infect patient
  • HIV-coinfect patient
  • HIV-infect patient
  • IB patient
  • LQT patient
  • NSTE-AC patient
  • OSA patient
  • One-hundr patient
  • PCO patient
  • PW patient
  • RL patient
  • RRM patient
  • SD patient
  • aboriginal patient
  • abstinent patient
  • achalasia patient
  • acne patient
  • active patient
  • actual patient
  • acute ischemic stroke patient
  • acute myeloid leukemia patient
  • acute myocardial infarction patient
  • acute stroke patient
  • ad patient
  • additional patient
  • adenocarcinoma patient
  • adenoma patient
  • adhd patient
  • adherent patient
  • admitted patient
  • adolescent patient
  • adult epilepsy patient
  • adult female patient
  • adult male patient
  • adult patient
  • adult periodontitis patient
  • adult renal transplant patient
  • adult trauma patient
  • advanced cancer patient
  • af patient
  • affected patient
  • african american patient
  • african patient
  • african-american patient
  • aged patient
  • aggressive periodontitis patient
  • ai patient
  • aid patient
  • al patient
  • alcohol dependent patient
  • alcohol-dependent patient
  • alcoholic patient
  • ald patient
  • alf patient
  • all patient
  • allergic asthmatic patient
  • allergic patient
  • allergic rhinitis patient
  • allowing patient
  • als patient
  • alzheimer patient
  • alzheimer's disease patient
  • ambulatory patient
  • amci patient
  • american patient
  • ami patient
  • aml patient
  • amyotrophic lateral sclerosis patient
  • anaemic patient
  • anaesthetised patient
  • and neck cancer patient
  • anemic patient
  • angina patient
  • angle glaucoma patient
  • anorectic patient
  • anorexia nervosa patient
  • anorexic patient
  • another patient
  • antibody-positive patient
  • anticoagulated patient
  • anxious patient
  • apl patient
  • apnea patient
  • appropriate patient
  • ar patient
  • arrest patient
  • arrhythmia patient
  • artery disease patient
  • arthritis patient
  • as patient
  • asian patient
  • asplenic patient
  • asthma patient
  • asthmatic patient
  • asymptomatic patient
  • at-risk patient
  • atherosclerotic patient
  • atopic dermatitis patient
  • atopic patient
  • atrophy patient
  • australian patient
  • autistic patient
  • average patient
  • awake patient
  • b patient
  • ba patient
  • back pain patient
  • background patient
  • barnesandnoble.com patient
  • baseline patient
  • bdd patient
  • be patient
  • belgian patient
  • benefit patient
  • bipolar depressed patient
  • bipolar disorder patient
  • bipolar i patient
  • bipolar patient
  • birch pollen-allergic patient
  • black patient
  • bladder cancer patient
  • bm patient
  • bmt patient
  • borderline patient
  • bowel disease patient
  • bowel syndrome patient
  • bp patient
  • bpd patient
  • bph patient
  • brain tumor patient
  • brain-injured patient
  • brazilian patient
  • breast cancer patient
  • breast carcinoma patient
  • burn patient
  • burned patient
  • c patient
  • c virus patient
  • cabg patient
  • cad patient
  • cadasil patient
  • cancer patient
  • canine patient
  • cap patient
  • carcinoma patient
  • cardiac arrest patient
  • cardiac patient
  • cardiac surgery patient
  • cardiac surgical patient
  • cardiac transplant patient
  • cardiomyopathy patient
  • cardiovascular patient
  • cardioverter defibrillator patient
  • care patient
  • care unit patient
  • case patient
  • cataract patient
  • caucasian patient
  • cd patient
  • cdg patient
  • cell carcinoma patient
  • cell disease patient
  • cell lung cancer patient
  • cell lymphoma patient
  • cell patient
  • certain high-risk patient
  • certain patient
  • cervical cancer patient
  • cf patient
  • ch patient
  • chb patient
  • chc patient
  • chd patient
  • chemotherapy patient
  • chemotherapy-naive patient
  • chest pain patient
  • chf patient
  • child patient
  • chinese cancer patient
  • chinese female patient
  • chinese patient
  • chronic dialysis patient
  • chronic haemodialysis patient
  • chronic hcv patient
  • chronic hd patient
  • chronic heart failure patient
  • chronic hemodialysis patient
  • chronic hepatitis b patient
  • chronic hepatitis c patient
  • chronic hepatitis patient
  • chronic liver disease patient
  • chronic pain patient
  • chronic patient
  • chronic periodontitis patient
  • chronic renal failure patient
  • chronic schizophrenic patient
  • chronic urticaria patient
  • cirrhosis patient
  • cirrhotic patient
  • cis patient
  • ckd patient
  • cld patient
  • clinic patient
  • clinical patient
  • cll patient
  • cm patient
  • cml patient
  • cmt1a patient
  • co-infected patient
  • cocaine-dependent patient
  • coeliac disease patient
  • coeliac patient
  • coinfected patient
  • colitis patient
  • colon cancer patient
  • colorectal cancer patient
  • comatose patient
  • comparable patient
  • comparing patient
  • competent patient
  • complex patient
  • compliant patient
  • conclusion patient
  • consecutive adult patient
  • consecutive cirrhotic patient
  • consecutive diabetic patient
  • consecutive dyspeptic patient
  • consecutive female patient
  • consecutive patient
  • consecutive stroke patient
  • consenting patient
  • constipated patient
  • continent patient
  • control group patient
  • control patient
  • copd patient
  • coronary artery disease patient
  • coronary heart disease patient
  • coronary patient
  • cosmetic patient
  • cp patient
  • cr patient
  • crf patient
  • critically ill patient
  • crohn patient
  • crohn's disease patient
  • ctcl patient
  • cu patient
  • cured patient
  • cvi patient
  • cvid patient
  • cystic fibrosis patient
  • danish patient
  • dcm patient
  • dd patient
  • de novo patient
  • de patient
  • dead patient
  • deaf patient
  • deceased patient
  • defibrillator patient
  • deficient patient
  • deliberate self-harm patient
  • delirious patient
    		•
  • demented patient
  • dementia patient
  • dental patient
  • dentate patient
  • department patient
  • dependent patient
  • depressed elderly patient
  • depressed patient
  • depressive patient
  • dermatitis patient
  • dermatological patient
  • dermatology patient
  • diabetes mellitu patient
  • diabetes patient
  • diabetic patient
  • diagnosed patient
  • dialysis patient
  • different patient
  • difficult patient
  • difficult-to-treat patient
  • disabled patient
  • discharged patient
  • disease patient
  • disorder patient
  • disordered patient
  • disturbed patient
  • diverse patient
  • dlb patient
  • dlbcl patient
  • dm patient
  • dm1 patient
  • dmd patient
  • down syndrome patient
  • drug-naive patient
  • drug-naïve patient
  • dry eye patient
  • du patient
  • duodenal ulcer patient
  • dutch patient
  • dying patient
  • dyspepsia patient
  • dyspeptic patient
  • dyspneic patient
  • dystonia patient
  • dystonic patient
  • dystrophy patient
  • e patient
  • early breast cancer patient
  • early-stage patient
  • eating disorder patient
  • eczema patient
  • edentulous patient
  • egyptian patient
  • elder patient
  • elderly female patient
  • elderly hospitalized patient
  • elderly hypertensive patient
  • elderly patient
  • elective patient
  • eligible patient
  • emergency department patient
  • emergency patient
  • end-stage renal disease patient
  • endometrial cancer patient
  • endometriosis patient
  • enrolled patient
  • epilepsy patient
  • epileptic patient
  • erythematosus patient
  • escc patient
  • esophageal cancer patient
  • esrd patient
  • essential hypertensive patient
  • et patient
  • ethnic minority patient
  • european patient
  • euthymic bipolar patient
  • euthymic patient
  • euthyroid patient
  • evaluable patient
  • examined patient
  • excluding patient
  • experience patient
  • exposed patient
  • eye patient
  • f patient
  • fabry patient
  • failure patient
  • fap patient
  • fd patient
  • febrile patient
  • female breast cancer patient
  • female diabetic patient
  • female patient
  • few patient
  • fewer patient
  • fh patient
  • fibromyalgia patient
  • fibrosis patient
  • fifteen patient
  • filipino patient
  • finnish patient
  • first patient
  • first-episode patient
  • first-ever stroke patient
  • fl patient
  • fm patient
  • fmf patient
  • fontan patient
  • forensic patient
  • former patient
  • forty patient
  • forty-four patient
  • forty-one patient
  • four patient
  • fourth patient
  • fracture patient
  • frda patient
  • free patient
  • french patient
  • ftd patient
  • functional dyspepsia patient
  • future patient
  • g1 patient
  • g2 patient
  • gastric cancer patient
  • gastritis patient
  • gb patient
  • gbm patient
  • gc patient
  • gca patient
  • gd patient
  • gefitinib-treated patient
  • general medical patient
  • gerd patient
  • geriatric patient
  • german patient
  • gingivitis patient
  • gist patient
  • glaucoma patient
  • glaucomatou patient
  • glioblastoma patient
  • glioma patient
  • grass pollen allergic patient
  • grave patient
  • greek patient
  • group a patient
  • group b patient
  • group i patient
  • group ii patient
  • group patient
  • gynaecological patient
  • gynaecology patient
  • h. patient
  • ha patient
  • haematological patient
  • haemodialysis patient
  • haemodynamically stable patient
  • haemophilia patient
  • hbeag-negative patient
  • hbeag-positive chronic hepatitis b patient
  • hbeag-positive patient
  • hbsag-negative patient
  • hbsag-positive patient
  • hbv patient
  • hcc patient
  • hcv patient
  • hcv+ patient
  • hcv-negative patient
  • hcv-positive patient
  • hcv/hiv-coinfected patient
  • hd patient
  • head and neck cancer patient
  • head trauma patient
  • headache patient
  • health patient
  • healthy patient
  • heart disease patient
  • heart failure patient
  • heart transplant patient
  • hemiplegic patient
  • hemodialysis patient
  • hemodialyzed patient
  • hepatitis a patient
  • hepatitis b patient
  • hepatitis c patient
  • hepatitis c virus patient
  • hepatitis patient
  • hepatocellular carcinoma patient
  • heterozygous patient
  • hf patient
  • hh patient
  • hie patient
  • high risk patient
  • high surgical risk patient
  • high-risk melanoma patient
  • high-risk patient
  • highly selected patient
  • hip fracture patient
  • hispanic patient
  • hiv patient
  • hiv positive patient
  • hiv+ patient
  • hiv-1-infected patient
  • hiv-negative patient
  • hiv-positive patient
  • hl patient
  • hlh patient
  • hnc patient
  • hnpcc patient
  • hnscc patient
  • home patient
  • homozygous patient
  • hospice patient
  • hospital patient
  • hospitalised patient
  • hospitalized older patient
  • hospitalized patient
  • hp patient
  • hsp patient
  • human immunodeficiency virus patient
  • human patient
  • hypertension patient
  • hypertensive patient
  • hyperthyroid patient
  • hypothetical patient
  • hypothyroid patient
  • i patient
  • i.e. patient
  • ibd patient
  • ic patient
  • icd patient
  • icu patient
  • idc patient
  • identified patient
  • identifying patient
  • igan patient
  • ige patient
  • ihd patient
  • ii diabetic patient
  • ii patient
  • iii patient
  • ill adult patient
  • ill cancer patient
  • ill patient
  • ill surgical patient
  • immunocompetent patient
  • immunocompromised patient
  • immunodeficiency virus patient
  • immunosuppressed patient
  • impaired patient
  • implant patient
  • implanted patient
  • in pain patient
  • in patient
  • inactive patient
  • incapacitated patient
  • included patient
  • incontinent patient
  • index patient
  • indian patient
  • individual patient
  • infarction patient
  • infected patient
  • infertile patient
  • infertility patient
  • inflammatory bowel disease patient
    		•
  • influenza patient
  • inhibitor patient
  • injured patient
  • injury patient
  • inoperable patient
  • insomnia patient
  • institutionalized patient
  • insulin-resistant patient
  • insulin-treated patient
  • insured patient
  • intact patient
  • intensive care patient
  • intermediate-risk patient
  • intervention group patient
  • intervention patient
  • intubated patient
  • involving patient
  • ipaa patient
  • iranian patient
  • irradiated patient
  • irritable bowel syndrome patient
  • ischaemic stroke patient
  • ischemic patient
  • ischemic stroke patient
  • italian patient
  • itp patient
  • iv patient
  • japanese male patient
  • japanese patient
  • jaundiced patient
  • jehovah's witness patient
  • jia patient
  • jordanian patient
  • jra patient
  • juvenile patient
  • kd patient
  • keratoconjunctivitis patient
  • kidney transplant patient
  • korean patient
  • laryngectomized patient
  • laryngectomy patient
  • lateral sclerosis patient
  • latter patient
  • lbp patient
  • lc patient
  • le patient
  • lean patient
  • leg ulcer patient
  • leprosy patient
  • leukaemia patient
  • leukemia patient
  • leukemic patient
  • liver cirrhosis patient
  • liver disease patient
  • liver failure patient
  • liver patient
  • liver transplant patient
  • liver transplantation patient
  • lobe epilepsy patient
  • long-term hemodialysis patient
  • long-term patient
  • low risk patient
  • low-risk patient
  • lrti patient
  • lt patient
  • lung cancer patient
  • lupus erythematosus patient
  • lupus patient
  • lymphoma patient
  • madit ii patient
  • maintenance patient
  • major patient
  • malaria patient
  • male cancer patient
  • male patient
  • malnourished patient
  • managing patient
  • manic patient
  • many cancer patient
  • many elderly patient
  • many patient
  • matched control patient
  • matched patient
  • mci patient
  • mcl patient
  • md patient
  • mdd patient
  • medicaid patient
  • medical patient
  • medicare patient
  • medicated patient
  • melanoma patient
  • mellitu patient
  • mental health patient
  • mesothelioma patient
  • metastatic breast cancer patient
  • methadone patient
  • methods patient
  • mexican patient
  • mf patient
  • mg patient
  • middle-aged patient
  • migraine patient
  • mild asthmatic patient
  • minority patient
  • mite allergic patient
  • mm patient
  • mo patient
  • monitoring patient
  • mood disorder patient
  • most patient
  • msa patient
  • mtle patient
  • multiple myeloma patient
  • multiple patient
  • multiple sclerosis patient
  • mutation-negative patient
  • myasthenia gravis patient
  • myeloid leukaemia patient
  • myeloid leukemia patient
  • myeloma patient
  • myocardial infarction patient
  • myopic patient
  • n0 patient
  • nafld patient
  • naive patient
  • narcoleptic patient
  • nash patient
  • naïve patient
  • neck cancer patient
  • negative patient
  • nephritis patient
  • nervosa patient
  • neurological patient
  • neuropathy patient
  • neurosurgical patient
  • neutropenic patient
  • new patient
  • nf1 patient
  • nh patient
  • nhl patient
  • niddm patient
  • nine patient
  • nmo patient
  • node-negative patient
  • node-positive patient
  • non-asthmatic patient
  • non-cancer patient
  • non-cirrhotic patient
  • non-demented patient
  • non-depressed patient
  • non-diabetic patient
  • non-malignant pain patient
  • non-neutropenic patient
  • non-obese patient
  • non-responder patient
  • non-small cell lung cancer patient
  • non-surgical patient
  • nonalcoholic patient
  • nondemented patient
  • nondiabetic patient
  • nonischemic patient
  • nonobese patient
  • nonpregnant patient
  • nonresponder patient
  • nonsurgical patient
  • nontransplant patient
  • nontransplanted patient
  • normal patient
  • normotensive patient
  • north american patient
  • norwegian patient
  • novo patient
  • npc patient
  • nr patient
  • nsclc patient
  • nursing home patient
  • oa patient
  • obese patient
  • obese type 2 diabetic patient
  • obstetric patient
  • occasional patient
  • ocd patient
  • ocular hypertensive patient
  • oi patient
  • old female patient
  • old patient
  • older cancer patient
  • older patient
  • older primary care patient
  • oldest patient
  • oligozoospermic patient
  • olp patient
  • olt patient
  • oncologic patient
  • oncology patient
  • one other patient
  • one patient
  • one-year patient
  • only a few patient
  • only one patient
  • only patient
  • onset patient
  • open angle glaucoma patient
  • open-angle glaucoma patient
  • operated patient
  • operative patient
  • opiate-dependent patient
  • opioid-dependent patient
  • opioid-naive patient
  • oral cancer patient
  • organ transplant patient
  • orthodontic patient
  • orthopaedic patient
  • orthopedic patient
  • osa patient
  • oscc patient
  • osteoarthritis patient
  • osteoporotic patient
  • other patient
  • our patient
  • ovarian cancer patient
  • overweight patient
  • p patient
  • pacemaker patient
  • paediatric patient
  • pain patient
  • pain-free patient
  • pakistani patient
  • palliative care patient
  • pancreas transplant patient
  • pancreatic cancer patient
  • pancreatitis patient
  • panic disorder patient
  • parkinson's disease patient
  • parkinsonian patient
  • participating patient
  • particular patient
  • pbc patient
  • pc patient
  • pca patient
  • pci patient
  • pd patient
  • pe patient
  • pediatric burn patient
  • pediatric cancer patient
  • pediatric heart transplant patient
  • pediatric oncology patient
  • pediatric patient
  • pediatric renal transplant patient
  • peptic ulcer patient
  • periodontal patient
  • periodontally healthy patient
  • periodontitis patient
  • peritoneal dialysis patient
  • personality-disordered patient
  • ph patient
  • phpt patient
  • placebo patient
  • placebo-treated patient
  • poag patient
  • polish patient
  • pollen allergic patient
  • pollen-allergic patient
  • polyp patient
  • poor patient
  • poor-risk patient
    		•
  • positive patient
  • post-cardiac surgery patient
  • post-mi patient
  • post-surgical patient
  • postinfarction patient
  • postmenopausal patient
  • postoperative patient
  • poststroke patient
  • postsurgical patient
  • potential patient
  • practice patient
  • pre-eclamptic patient
  • preeclamptic patient
  • pregnant patient
  • preoperative patient
  • present patient
  • pretreated patient
  • prevalent patient
  • primary breast cancer patient
  • primary care patient
  • primary open-angle glaucoma patient
  • private patient
  • prospective patient
  • prostate cancer patient
  • prostatectomy patient
  • psc patient
  • psoriasis patient
  • psoriatic patient
  • psp patient
  • psychiatric patient
  • psychosis patient
  • psychotic patient
  • ptsd patient
  • pulmonary hypertension patient
  • purpura patient
  • pv patient
  • ra patient
  • randomized patient
  • rcc patient
  • real patient
  • recruited patient
  • rectal cancer patient
  • refer patient
  • referring patient
  • reflux patient
  • refractory patient
  • registered patient
  • registry patient
  • rehabilitation patient
  • relapsed patient
  • relapsing patient
  • remaining patient
  • renal disease patient
  • renal failure patient
  • renal patient
  • renal transplant patient
  • reported patient
  • resected patient
  • resection patient
  • resistant patient
  • respective patient
  • responder patient
  • responding patient
  • responsive patient
  • result patient
  • retinoblastoma patient
  • rheumatoid arthritis patient
  • rhinitis patient
  • right-handed patient
  • risk patient
  • rituximab-treated patient
  • rp patient
  • rsa patient
  • rt patient
  • rural patient
  • same patient
  • sar patient
  • sarcoma patient
  • sars patient
  • sca patient
  • scc patient
  • scd patient
  • schizophrenia patient
  • schizophrenic patient
  • scleroderma patient
  • sclerosis patient
  • scoliosis patient
  • screened patient
  • screening patient
  • sd patient
  • second patient
  • seizure-free patient
  • select patient
  • selected patient
  • selecting patient
  • self-harm patient
  • sensitive patient
  • sensitized patient
  • sepsis patient
  • septic patient
  • septic shock patient
  • sequential patient
  • seronegative patient
  • seropositive patient
  • several patient
  • severe patient
  • shock patient
  • sickle cell disease patient
  • sickle cell patient
  • similar patient
  • simulated patient
  • single patient
  • sjögren syndrome patient
  • sle patient
  • sleep apnea patient
  • sma patient
  • smoker patient
  • solid tumor patient
  • south african patient
  • south asian patient
  • spa patient
  • spanish patient
  • specific patient
  • splenectomized patient
  • sporadic patient
  • squamous cell carcinoma patient
  • ss patient
  • ssc patient
  • stable patient
  • stage patient
  • standardized patient
  • stemi patient
  • stone patient
  • stroke patient
  • studied patient
  • study patient
  • subsequent patient
  • successive patient
  • suicidal patient
  • suitable patient
  • support patient
  • surgery patient
  • surgical patient
  • surgical risk patient
  • surviving patient
  • susceptible patient
  • suspected patient
  • swedish patient
  • symptomatic patient
  • syndrome patient
  • systemic lupus erythematosus patient
  • systemic sclerosis patient
  • tacrolimus-treated patient
  • taiwanese patient
  • temporal lobe epilepsy patient
  • ten patient
  • test patient
  • tested patient
  • testicular cancer patient
  • thai patient
  • thalassaemia major patient
  • thalassaemia patient
  • thalassaemic patient
  • thalassemia major patient
  • thalassemia patient
  • thalassemic patient
  • therapy patient
  • third patient
  • thirty patient
  • thrombocytopenic patient
  • thyroid cancer patient
  • time patient
  • tolerant patient
  • total laryngectomy patient
  • total patient
  • transfused patient
  • transfusion-dependent patient
  • transplant patient
  • transplantation patient
  • transplanted patient
  • trauma patient
  • treated patient
  • treating patient
  • treatment naïve patient
  • treatment patient
  • treatment-naive patient
  • treatment-naïve patient
  • trial patient
  • tuberculosis patient
  • tumor patient
  • tunisian patient
  • turkish patient
  • two patient
  • type 1 diabetes mellitu patient
  • type 1 diabetes patient
  • type 1 diabetic patient
  • type 1 patient
  • type 2 diabetes patient
  • type 2 diabetic patient
  • type 2 dm patient
  • type 2 patient
  • type i patient
  • type ii diabetic patient
  • type ii patient
  • type iii patient
  • uc patient
  • uk patient
  • ulcer patient
  • ulcerative colitis patient
  • unconscious patient
  • underweight patient
  • unexposed patient
  • uninsured patient
  • unique patient
  • unit patient
  • unrelated patient
  • unselected patient
  • unstable patient
  • untreated patient
  • untreated prostate cancer patient
  • uraemic patient
  • uremic patient
  • urticaria patient
  • v patient
  • va patient
  • vad patient
  • varicocele patient
  • vascular patient
  • vascular surgical patient
  • ventilated patient
  • very elderly patient
  • very old patient
  • veterinary patient
  • vietnamese patient
  • virtual patient
  • virus patient
  • virus-positive patient
  • vitiligo patient
  • vs. patient
  • vulnerable patient
  • vwd patient
  • ward patient
  • way patient
  • wd patient
  • well-selected patient
  • western patient
  • wg patient
  • white patient
  • wild-type patient
  • witness patient
  • woman patient
  • year-old patient
  • young adult patient
  • young asymptomatic patient
  • young diabetic patient
  • young female patient
  • young hcc patient
  • young male patient
  • young patient
  • younger patient
  • youngest patient
  • yr-old patient
  • zoster patient

    • Terms modified by Patients

  • patient PBMC
  • patient ability
  • patient acceptability
  • patient acceptance
  • patient access
  • patient activity
  • patient acuity
  • patient adherence
  • patient admission
  • patient advocacy groups
  • patient advocate
  • patient age
  • patient aggression
  • patient alike
  • patient alive
  • patient allergic
  • patient anatomy
  • patient and methods
  • patient anxiety
  • patient arrival
  • patient assessment
  • patient association
  • patient attitude
  • patient autonomy
  • patient avec
  • patient awareness
  • patient b
  • patient baseline characteristic
  • patient behaviour
  • patient being
  • patient belief
  • patient benefit
  • patient best interest
  • patient biopsy
  • patient blood
  • patient body
  • patient body weight
  • patient capacity
  • patient care
  • patient care activity
  • patient case
  • patient category
  • patient cell
  • patient characteristic
  • patient chart
  • patient choice
  • patient classification
  • patient clinical
  • patient clinical condition
  • patient clinical course
  • patient clinical outcome
  • patient clinical status
  • patient cohort
  • patient comfort
  • patient communication
  • patient comorbidity
  • patient complaints
  • patient compliance
  • patient concern
  • patient condition
  • patient confidence
  • patient consecutively
  • patient consent
  • patient consulting
  • patient contact
  • patient correlate
  • patient counselling
  • patient daily life
  • patient data
  • patient day
  • patient death
  • patient decision
  • patient decision aid
  • patient decreased
  • patient delay
  • patient demand
  • patient demographic
  • patient demographic characteristic
  • patient demographic data
  • patient dependent
  • patient description
  • patient desire
  • patient detail
    		•
  • patient diagnosis
  • patient diary
  • patient difficulty
  • patient disability
  • patient discomfort
  • patient disease
  • patient disposition
  • patient dissatisfaction
  • patient distress
  • patient education
  • patient education material
  • patient education programme
  • patient educational level
  • patient eligible
  • patient empowerment
  • patient encounter
  • patient engagement
  • patient enrollment
  • patient environment
  • patient estimate
  • patient ethnicity
  • patient evaluation
  • patient examination
  • patient exhibiting
  • patient expectation
  • patient experience
  • patient exposure
  • patient eye
  • patient face
  • patient factor
  • patient fall
  • patient family
  • patient family member
  • patient feature
  • patient feedback
  • patient feel
  • patient feeling
  • patient file
  • patient first
  • patient flow
  • patient follow-up
  • patient followed-up
  • patient functioning
  • patient gender
  • patient global assessment
  • patient global impression
  • patient goal
  • patient group
  • patient groups
  • patient harm
  • patient health
  • patient health belief
  • patient health outcome
  • patient health questionnaire
  • patient health status
  • patient heterozygous
  • patient history
  • patient home
  • patient homozygous
  • patient igg
  • patient illness
  • patient individual need
  • patient information
  • patient information leaflet
  • patient injury
  • patient interaction
  • patient interview
  • patient involvement
  • patient journey
  • patient knowledge
  • patient lead
  • patient level
  • patient life
  • patient lifestyle
  • patient lifetime
  • patient likely
  • patient load
  • patient management
  • patient material
  • patient medical history
  • patient medical record
  • patient mental status
  • patient mix
    		•
  • patient mobility
  • patient model
  • patient monitoring
  • patient month
  • patient morbidity
  • patient mortality
  • patient mother
  • patient motion
  • patient motivation
  • patient naïve
  • patient need
  • patient negative
  • patient note
  • patient number
  • patient older
  • patient only
  • patient opinion
  • patient organization
  • patient outcome
  • patient pain
  • patient pair
  • patient participation
  • patient pathway
  • patient perception
  • patient personality
  • patient perspective
  • patient phenotype
  • patient photograph
  • patient physical
  • patient physician
  • patient plasma
  • patient platelet
  • patient population
  • patient position
  • patient positive
  • patient preference
  • patient preparation
  • patient present
  • patient presentation
  • patient presenting
  • patient priority
  • patient problem
  • patient profile
  • patient prognosis
  • patient prone
  • patient prospectively
  • patient psychosocial
  • patient qol
  • patient quality
  • patient quality-of-life
  • patient questionnaire
  • patient race
  • patient rating
  • patient ratio
  • patient reaction
  • patient recall
  • patient receiving
  • patient record
  • patient recovery
  • patient refer
  • patient referral
  • patient refractory
  • patient refusal
  • patient regardless
  • patient register
  • patient registry
  • patient relation
  • patient relationship
  • patient relationships
  • patient relative
  • patient report
  • patient reporting
  • patient representative
  • patient request
  • patient resident
  • patient resistance
  • patient resistant
  • patient responding
  • patient response
  • patient result
  • patient right
  • patient risk
  • patient safety
    		•
  • patient safety agency
  • patient safety initiative
  • patient saliva
  • patient sample
  • patient satisfaction
  • patient satisfaction questionnaire
  • patient satisfaction rate
  • patient satisfaction score
  • patient scenario
  • patient score
  • patient screening
  • patient selection
  • patient selection criterioN
  • patient self-assessment
  • patient self-management
  • patient self-report
  • patient sensitive
  • patient sera
  • patient series
  • patient serum
  • patient services
  • patient sex
  • patient showing
  • patient shows
  • patient simulation
  • patient simulator
  • patient situation
  • patient skin
  • patient sociodemographic
  • patient specimen
  • patient status
  • patient stay
  • patient stratification
  • patient studies
  • patient study
  • patient subgroup
  • patient subset
  • patient suffering
  • patient suitable
  • patient support
  • patient survey
  • patient survival
  • patient survival rate
  • patient susceptible
  • patient symptom
  • patient testing
  • patient tolerance
  • patient transfer
  • patient treatment
  • patient trust
  • patient unable
  • patient undergoing cabg
  • patient undergoing crt
  • patient undergoing hd
  • patient undergoing lt
  • patient undergoing olt
  • patient undergoing pci
  • patient undergoing rp
  • patient understanding
  • patient unresponsive
  • patient use
  • patient used
  • patient v
  • patient value
  • patient variable
  • patient views
  • patient violence
  • patient visit
  • patient voice
  • patient volume
  • patient vulnerability
  • patient vulnerable
  • patient want
  • patient weight
  • patient well-being
  • patient wellbeing
  • patient willingness
  • patient worldwide
  • patient year
  • patient younger

    • Selected Abstracts

    Local perspective of the impact of the HIPAA privacy rule on research

    CANCER, Issue 2 2006
    M.P.H., Michael S. Wolf Ph.D.
    Abstract BACKGROUND The operational and economic impact of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 was evaluated. The setting was a natural experiment which involved a single-site, clinical research study that was initiated before the enactment of HIPAA and subsequently modified to be compliant with the new policy. METHODS A formative assessment was conducted of the recruitment process to a clinical trial evaluating the efficacy of an educational strategy to inform Veterans about the National Cancer Institute/Department of Veterans Affairs cosponsored Selenium and Vitamin E Cancer Prevention Trial (SELECT). Personnel time and costs were determined based on weekly accrual for study periods before and after the implementation of HIPAA. Root cause analysis was used to assess the recruitment protocol and to identify areas for improvement. RESULTS The implementation of HIPAA resulted in a 72.9% decrease in patient accrual (7.0 patients/wk vs. 1.9 patients/wk, P < 0.001), and a threefold increase in mean personnel time spent recruiting (4.1 hrs/patient vs. 14.1 hrs/patient, P < 0.001) and mean recruitment costs ($49/patient vs. $169/patient, P < 0.001). Upon review of the modified HIPAA-compliant protocol, revisions in the recruitment procedure were adopted. The revised protocol improved weekly accrual by 73% (1.9 patients/wk vs. 7.1 patients/wk, P < 0.001) and resulted in improvements in personnel time (5.4 hrs/patient) and recruitment costs ($65/patient). CONCLUSION Enactment of HIPAA initially placed a considerable burden on research time and costs. Establishing HIPAA-compliant recruitment policies can overcome some of these obstacles, although recruitment costs and time are likely to be greater than those observed before HIPAA. Cancer 2006. © 2005 American Cancer Society. [source]

    Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs

    ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 7 2010
    S. ESCHERTZHUBER
    Background: This study aims to evaluate sevoflurane and anaesthetic gas consumption using uncuffed vs. cuffed endotracheal tubes (ETT) in paediatric surgical patients. Methods: Uncuffed or cuffed ETT were used in paediatric patients (newborn to 5 years) undergoing elective surgery in a randomized order. Duration of assessment, lowest possible fresh gas flow (minimal allowed FGF: 0.5 l/min) and sevoflurane concentrations used were recorded. Consumption and costs for sevoflurane and medical gases were calculated. Results: Seventy children (35 uncuffed ETT/35 cuffed ETT), aged 1.73 (0.01,4.80) years, were enrolled. No significant differences in patient characteristics, study period and sevoflurane concentrations used were found between the two groups. Lowest possible FGF was significantly lower in the cuffed ETT group [1.0 (0.5,1.0) l/min] than in the uncuffed ETT group [2.0 (0.5,4.3) l/min], P<0.001. Sevoflurane consumption per patient was 16.1 (6.4,82.8) ml in the uncuffed ETT group and 6.2 (1.1,14.9) ml in the cuffed ETT group, P=0.003. Medical gas consumption was 129 (53,552) l in the uncuffed ETT group vs. 46 (9,149) l in the cuffed ETT group, P<0.001. The total costs for sevoflurane and medical gases were 13.4 (6.0,67.3),/patient in the uncuffed ETT group and 5.2 (1.0,12.5),/patient in the cuffed ETT group, P<0.001. Conclusions: The use of cuffed ETT in children significantly reduced the costs of sevoflurane and medical gas consumption during anaesthesia. Increased costs for cuffed compared with uncuffed ETT were completely compensated by a reduction in sevoflurane and medical gas consumption. [source]

    Radiofrequency ablation of hepatic tumors: Lessons learned from 3000 procedures

    JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 10 2008
    Hyunchul Rhim
    Abstract Radiofrequency ablation has been accepted as the most popular local ablative therapy for unresectable malignant hepatic tumors. For 9 years from April 1999, we performed 3000 radiofrequency ablation procedures for hepatic tumors in our institution. Our results on the safety (mortality, 0.15%/patient) and therapeutic efficacy (5-year survival rate, 58%) are similar to those of previous studies reported, supporting the growing evidence of a clear survival benefit, excellent results for local tumor control and improved quality of life. The most important lesson learned from our 3000 procedures is that the best planning, safe ablation and complete ablation are key factors for patient outcome. Furthermore, multimodality treatment is the best strategy for recurrent hepatocellular carcinoma encountered after any kind of first-line treatment. [source]

    Immunohistochemical Model to Predict Risk for Coronary Artery Disease and Failure in Heart Transplant Patients

    AMERICAN JOURNAL OF TRANSPLANTATION, Issue 3 2001
    Carlos A. Labarrere
    Transplant coronary artery disease is the leading cause of long-term morbidity and mortality in cardiac transplantation. We developed a model for early identification of patients who subsequently develop coronary artery disease and graft failure. Serial biopsies obtained from 141 cardiac allografts (5.5 ± 0.1 biopsies/patient) during the first 3 months post-transplant were evaluated immunohistochemically for deposition of myocardial fibrin, depletion of arteriolar tissue plasminogen activator, presence of arterial/arteriolar endothelial activation markers, and changes in vascular antithrombin. An immunohistochemical risk score was developed with a minimum value of 0 (normal) and a maximum value of 4 (most abnormal). Scores of 0 (low risk), 0.5,3.0 (moderate risk), and 3.5,4.0 (high risk) were analyzed for association with graft failure and development, severity, and progression of coronary artery disease detected using serial coronary angiograms (3.9 ± 0.2/patient). Allografts with high immunohistochemical risk scores in the first 3 months post-transplant developed more coronary artery disease (p,<,0.001), developed coronary artery disease earlier (p,<,0.001), developed more severe disease (p,<,0.001), and showed more disease progression (p,<,0.001) than allografts with moderate or low scores. Allografts with high immunohistochemical risk scores in the first 3 months post-transplant failed more (p,<,0.001) and failed earlier (p,<,0.001) than allografts with moderate or low scores. The present study demonstrates that early changes in the microvasculature are associated with impending coronary artery disease and graft failure in cardiac allograft recipients and suggests that treatment needs to be instituted early after transplantation in order to improve outcome. [source]

    Immunotherapy for allergic rhinitis: clinical benefits and its working mechanisms

    CLINICAL & EXPERIMENTAL ALLERGY REVIEWS, Issue 1 2009
    Y. Nakai
    Summary Pollen immunotherapy exerts greater efficacy in the pollen season when the pollen count is not high than when it is high. Every pollen season, around half or more patients who have received pollen immunotherapy for >5 years are judged as good responders; those who have received immunotherapy for <5 years generally do less well. Therefore, the clinical response seems to depend on natural pollen counts and the duration of immunotherapy. In this study, peripheral blood mononuclear cells (PBMCs) were sampled before and during the pollen season to examine IL-4, IL-5, and IFN-, levels. It was revealed that pollen immunotherapy could decrease IL-4 and -5 expression by pollen antigen-stimulated PBMCs. When patients under immunotherapy were divided into good and poor response groups, clinical effectiveness was related to the depressed level of IL-5 synthesis, but not to that of IL-4 synthesis. Our study suggests that a decrease of IL-5 expression during the pollen season is a key working mechanism of immunotherapy related to clinical effectiveness. In our patients, the incidence of systemic reactions was 5.8%/patient and <0.1%/injection. A higher incidence of systemic reactions was observed in patients with the presence or a past history of asthma, the presence but not a past history of atopic dermatitis, and higher levels of total IgE (>1000 U/mL). The incidence of systemic reactions in patients with 1 risk factor such as asthma, atopic dermatitis, and high IgE was 16.9%/patient and 0.1%/injection, whereas that in those without risk factors was 1.6%/patient and <0.1/injection. [source]

    Playground Injuries in Children: A Review and Pennsylvania Trauma Center Experience

    JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2001
    Lisa Marie Bernardo
    ISSUES AND PURPOSE. To describe patient demographics, injury characteristics, and circumstances of playground injuries in children admitted to Pennsylvania trauma centers and to identify injury prevention strategies. DESIGN AND METHODS. Retrospective, descriptive study of 234 children ages 1 to 18 years sustaining playground-related injuries and whose hospital data were entered into the Pennsylvania Trauma Outcome Study. RESULTS. Most of the injuries occurred between April and September (77%), and noon to 6 P.M. (69%). Falls from playground equipment constituted the highest proportion of incidents (73%). Of 421 injuries (M = 1.8/patient), most were upper extremity (n = 117) and head (n = 110) injuries. PRACTICE IMPLICATIONS. Nurses can advocate for playground safety by teaching children to play safely and recommending age-appropriate equipment and protective surfacing. [source]

    Immunotherapy for allergic rhinitis: clinical benefits and its working mechanisms

    CLINICAL & EXPERIMENTAL ALLERGY REVIEWS, Issue 1 2009
    Y. Nakai
    Summary Pollen immunotherapy exerts greater efficacy in the pollen season when the pollen count is not high than when it is high. Every pollen season, around half or more patients who have received pollen immunotherapy for >5 years are judged as good responders; those who have received immunotherapy for <5 years generally do less well. Therefore, the clinical response seems to depend on natural pollen counts and the duration of immunotherapy. In this study, peripheral blood mononuclear cells (PBMCs) were sampled before and during the pollen season to examine IL-4, IL-5, and IFN-, levels. It was revealed that pollen immunotherapy could decrease IL-4 and -5 expression by pollen antigen-stimulated PBMCs. When patients under immunotherapy were divided into good and poor response groups, clinical effectiveness was related to the depressed level of IL-5 synthesis, but not to that of IL-4 synthesis. Our study suggests that a decrease of IL-5 expression during the pollen season is a key working mechanism of immunotherapy related to clinical effectiveness. In our patients, the incidence of systemic reactions was 5.8%/patient and <0.1%/injection. A higher incidence of systemic reactions was observed in patients with the presence or a past history of asthma, the presence but not a past history of atopic dermatitis, and higher levels of total IgE (>1000 U/mL). The incidence of systemic reactions in patients with 1 risk factor such as asthma, atopic dermatitis, and high IgE was 16.9%/patient and 0.1%/injection, whereas that in those without risk factors was 1.6%/patient and <0.1/injection. [source]

    Predictors of Early Outcome After Coronary Artery Surgery in Patients with Severe Left Ventricular Dysfunction

    JOURNAL OF CARDIAC SURGERY, Issue 2 2003
    Naresh Trehan
    The present study was undertaken to identify the prognostic factors in such patients. Methods: We analyzed the data of 176 consecutive patients (161 men, 15 women), aged 29 to 88 years (mean 58.43), with a left ventricular ejection fraction (LVEF) <30% who underwent isolated coronary artery bypass grafting. The LVEF ranged from 15% to 30% (mean 27.18%). Preoperatively, 33% had angina, 19.9% had recent myocardial infarction, and 21.6% had congestive heart failure. The mean number of grafts was 2.5/patient. The intra-aortic balloon was used prophylactically in 20.5% of patients and therapeutically in 4.0% of patients. Results: The hospital mortality was 2.3%. The complications occurred as follows: perioperative myocardial infarction in two (1.1%), intractable ventricular arrhythmias in two (1.1%), prolonged ventilation in four (2.3%) and peritoneal dialysis in 1 (0.6%). The mean ICU and hospital stay were2.46 ± 0.76and7.57 ± 2.24days, respectively. The predictors of survival on univariate analysis were New York Heart Association (NYHA) class(x2 = 14.458, p < 0.001), recent myocardial infarction(x2 = 5.852, p = 0.016), congestive heart failure (CHF)(x2 = 5.526, p = 0.019), and left ventricular end-systolic volume index (LVESVI)(x2 = 25.833, p < 0.001). However, on multivariate analysis, left ventricular end-systolic volume index was the only independent left ventricular function measurement predictive of survival(x2 = 10.228, p = 0.001). Conclusion: Left ventricular end-systolic volume index is the most important predictor of survival after coronary artery bypass surgery in patients with severe myocardial dysfunction.(J Card Surg 2003;18:101-106) [source]

    Chronic kidney disease care program improves quality of pre-end-stage renal disease care and reduces medical costs

    NEPHROLOGY, Issue 1 2010
    SHU-YI WEI
    ABSTRACT: Aim: Multidisciplinary care of patients with chronic kidney disease (CKD) provides better care outcomes. This study is to evaluate the effectiveness of a CKD care program on pre-end-stage renal disease (ESRD) care. Methods: One hundred and forty incident haemodialysis patients were classified into the CKD Care Group (n = 71) and the Nephrologist Care Group (n = 69) according to participation in the CKD care program before dialysis initiation. The ,total observation period' was divided into ,6 months before dialysis' and ,at dialysis initiation'. Quality of pre-ESRD care, service utilization and medical costs were evaluated and compared between groups. Results: The mean estimated glomerular filtration rates at dialysis initiation were low in both groups; but the levels of haematocrit and serum albumin of the CKD Care Group were significantly higher. The percentages of patients initiating dialysis with created vascular access, without insertion of double-lumen catheter and without hospitalization were 57.7%, 50.7% and 40.8%, respectively, in the CKD Care Group, and 37.7%, 29.0% and 18.8% in the Nephrologist Care Group (P < 0.001). Participation in the CKD care program, though with higher costs during the 6 months before dialysis ($US1428 ± 2049 vs US$675 ± 962/patient, P < 0.001), was significantly associated with lower medical costs at dialysis initiation ($US942 ± 1941 vs $US2410 ± 2481/patient, P < 0.001) and for the total period of observation ($US2674 ± 2780 vs $US3872 ± 3270/patient, P = 0.009). The cost-saving effect came through the early preparation of vascular access and the lack of hospitalization at dialysis initiation. Conclusion: CKD care programs significantly improve quality of pre-ESRD care, decrease service utilization and save medical costs. [source]

    Immunotherapy for allergic rhinitis: clinical benefits and its working mechanisms

    CLINICAL & EXPERIMENTAL ALLERGY REVIEWS, Issue 1 2009
    Y. Nakai
    Summary Pollen immunotherapy exerts greater efficacy in the pollen season when the pollen count is not high than when it is high. Every pollen season, around half or more patients who have received pollen immunotherapy for >5 years are judged as good responders; those who have received immunotherapy for <5 years generally do less well. Therefore, the clinical response seems to depend on natural pollen counts and the duration of immunotherapy. In this study, peripheral blood mononuclear cells (PBMCs) were sampled before and during the pollen season to examine IL-4, IL-5, and IFN-, levels. It was revealed that pollen immunotherapy could decrease IL-4 and -5 expression by pollen antigen-stimulated PBMCs. When patients under immunotherapy were divided into good and poor response groups, clinical effectiveness was related to the depressed level of IL-5 synthesis, but not to that of IL-4 synthesis. Our study suggests that a decrease of IL-5 expression during the pollen season is a key working mechanism of immunotherapy related to clinical effectiveness. In our patients, the incidence of systemic reactions was 5.8%/patient and <0.1%/injection. A higher incidence of systemic reactions was observed in patients with the presence or a past history of asthma, the presence but not a past history of atopic dermatitis, and higher levels of total IgE (>1000 U/mL). The incidence of systemic reactions in patients with 1 risk factor such as asthma, atopic dermatitis, and high IgE was 16.9%/patient and 0.1%/injection, whereas that in those without risk factors was 1.6%/patient and <0.1/injection. [source]

    Safety and efficacy of a sucrose-formulated recombinant factor VIII product for the treatment of previously treated patients with haemophilia A in China

    HAEMOPHILIA, Issue 4 2007
    J. SHI
    Summary., The use of plasma-derived products has contributed to a high rate of blood-borne infections among haemophilia patients in China. Recombinant factor VIII (rFVIII) products that are manufactured without human or bovine albumin and include dedicated viral inactivation steps, hold a significant safety advantage over plasma products. However, there is little information published on the use of rFVIII products in non-caucasian populations. This is the first reported evaluation of the efficacy and safety of a rFVIII product in Chinese haemophiliacs. An open-label, non-randomized, prospective, multicentre trial enroled previously treated Chinese patients with haemophilia A. All treatments were administered using a sucrose-formulated rFVIII-FS (Kogenate®). Forty-nine patients received totals of 291 infusions (mean, 5.94/patient) and 742 140 IU rFVIII-FS (mean, 2550.3 IU/infusion). Of the 60 acute bleeding episodes that were treated, 90% were successfully managed with only one (81.7%) infusion or two (8.3%) infusions. Physicians reported haemostasis control for acute bleeds to be ,Excellent' or ,Improved' with rFVIII-FS therapy. No FVIII inhibitors were detected in any patient. Only one treatment-related adverse event was reported, which was mild dizziness that resolved spontaneously. rFVIII-FS was efficacious, safe and well tolerated in the treatment of previously treated patients with haemophilia A in China. [source]

    Chronic kidney disease care program improves quality of pre-end-stage renal disease care and reduces medical costs

    NEPHROLOGY, Issue 1 2010
    SHU-YI WEI
    ABSTRACT: Aim: Multidisciplinary care of patients with chronic kidney disease (CKD) provides better care outcomes. This study is to evaluate the effectiveness of a CKD care program on pre-end-stage renal disease (ESRD) care. Methods: One hundred and forty incident haemodialysis patients were classified into the CKD Care Group (n = 71) and the Nephrologist Care Group (n = 69) according to participation in the CKD care program before dialysis initiation. The ,total observation period' was divided into ,6 months before dialysis' and ,at dialysis initiation'. Quality of pre-ESRD care, service utilization and medical costs were evaluated and compared between groups. Results: The mean estimated glomerular filtration rates at dialysis initiation were low in both groups; but the levels of haematocrit and serum albumin of the CKD Care Group were significantly higher. The percentages of patients initiating dialysis with created vascular access, without insertion of double-lumen catheter and without hospitalization were 57.7%, 50.7% and 40.8%, respectively, in the CKD Care Group, and 37.7%, 29.0% and 18.8% in the Nephrologist Care Group (P < 0.001). Participation in the CKD care program, though with higher costs during the 6 months before dialysis ($US1428 ± 2049 vs US$675 ± 962/patient, P < 0.001), was significantly associated with lower medical costs at dialysis initiation ($US942 ± 1941 vs $US2410 ± 2481/patient, P < 0.001) and for the total period of observation ($US2674 ± 2780 vs $US3872 ± 3270/patient, P = 0.009). The cost-saving effect came through the early preparation of vascular access and the lack of hospitalization at dialysis initiation. Conclusion: CKD care programs significantly improve quality of pre-ESRD care, decrease service utilization and save medical costs. [source]

    The use of water-jet dissection in open and laparoscopic liver resection

    HPB, Issue 4 2008
    H. G. RAU
    Abstract Background. We intend to give an overview of our experiences with the implementation of a new dissection technique in open and laparoscopic surgery. Methods. Our database comprises a total of 950 patients who underwent liver resection. Three hundred and fifty of them were performed exceptionally with the water-jet dissector. Forty-one laparoscopic partial liver resections were accomplished. Results. Using the water-jet dissection technique it was possible to reduce the blood loss, the Pringle- and resection time in comparison to CUSA® and blunt dissection. In the last five years we could reduce the Pringle-rate from 48 to 6% and the last 110 liver resections were performed without any Pringle's manoeuvre. At the same time, the transfusion-rate decreased from 1.86 to 0.46 EC/patient. In oncological resections, the used dissection technique had no influence on long-time survival. Conclusions. The water-jet dissection technique is fast, feasible, oncologically safe and can be used in open and in laparoscopic liver surgery. [source]

    CONCURRENT GASTRIC AND COLONIC LOW-GRADE MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMATA IN A PATIENT WITHOUT HELICOBACTER PYLORI INFECTION

    DIGESTIVE ENDOSCOPY, Issue 1 2003
    HIROYUKI OKADA
    Mucosa-associated lymphoid tissue (MALT) lymphomata observed simultaneously in the stomach and colon are rare. We report concurrent gastric and colonic low-grade MALT lymphomata that originated from the same clone in a 58-year-old Japanese man without Helicobacter pylori infection. Endoscopy showed multiple erosive lesions in the gastric body and antrum, and a single flat elevation with an irregular margin in the sigmoid colon. Histopathological findings of both lesions suggested low-grade MALT lymphoma. Lymphoepithelial lesions were evident in the gastric lesions, but not in the colonic lesion. Southern blot analysis of lymphoma cells revealed the same immunoglobulin heavy-chain rearrangement pattern. The chromosomal translocation t(11;18)(q21;q21) was also observed. After six courses of cyclophosphamide, doxorubicin, vincristine and predonisolone, the gastric lesions disappeared endoscopically, while the colonic lesion persisted. A sigmoidectomy was consequently performed. The chromosomal translocation may be related to the pathogenesis of the present MALT lymphoma case without H. pylori infection. It is interesting that the gastric and colonic lesions differed in response to treatment and in their endoscopic and histologic features, despite having the same origin. [source]

    ILEITIS AS A MAIN RECURRENT LESION IN A PATIENT WITH ULCERATIVE COLITIS: REPORT OF A CASE

    DIGESTIVE ENDOSCOPY, Issue 2 2000
    Shuichi Sano
    We report a case of ulcerative colitis complicating ileitis that endoscopically and histologically resembled a colonic lesion. Eight years prior to the time of writing, the patient had undergone proctosigmoidectomy and ileocecal resection because of severe hemorrhagic lesions of ulcerative colitis. A month prior to the time of writing, bleeding from the stoma occurred. Endoscopy revealed erosions on easy-bleeding mucosa in the ileum but no active inflammatory lesions in colonic mucosa except for small erosions in the descending colon beneath the stoma. Histologic findings of biopsy specimens from the ileal mucosa showed marked inflammation including neutrophile infiltration and crypt abscesses. This is a rare case of ulcerative colitis showing ileitis as a main recurrent lesion, suggesting that careful observation of the small intestine will be required after ileocecal resection in ulcerative colitis patients. [source]

    POSTTRAUMATIC SUBGALEAL HEMATOMA WITH ORBITAL EXTENSION ASSOCIATED WITH CLOPIDOGREL USAGE IN AN ELDERLY PATIENT: CASE REPORT

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2007
    Sanjay H. Chotirmall MBBCh
    No abstract is available for this article. [source]

    A DELIRIOUS PATIENT WITH OPIOID INTOXICATION AFTER CHEWING A FENTANYL PATCH

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2006
    Rein Van Rijswijk MD
    No abstract is available for this article. [source]

    CHICKENPOX IN A GERIATRIC PATIENT

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2006
    Christos G. Savopoulos MD
    No abstract is available for this article. [source]

    COMBINATION THERAPY FOR POSTPRANDIAL AND ORTHOSTATIC HYPOTENSION IN AN ELDERLY PATIENT WITH TYPE 2 DIABETES MELLITUS

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2006
    Naomune Yamamoto MD
    No abstract is available for this article. [source]

    AN UNEXPECTED CAUSE OF DELIRIUM IN AN OLD PATIENT

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 3 2005
    Juan Marti MD
    No abstract is available for this article. [source]

    EXERCISE-RELATED SYNCOPE INDUCED BY VASODILATOR THERAPY IN AN ELDERLY HYPERTENSIVE PATIENT

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2005
    Akiyoshi Ogimoto MD
    No abstract is available for this article. [source]

    ALL PATIENT REFINED DIAGNOSIS RELATED GROUPS: A NEW ADMINISTRATIVE TOOL FOR IDENTIFYING ELDERLY PATIENTS AT RISK OF HIGH RESOURCE CONSUMPTION

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2005
    Alberto Pilotto PhD
    No abstract is available for this article. [source]

    SEPTIC SHOCK IN AN ELDERLY PATIENT ON DIALYSIS: ENEMA-INDUCED RECTAL INJURY CONFUSING THE CLINICAL PICTURE

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2004
    Ravi K. Bobba MD
    No abstract is available for this article. [source]

    TETRAPLEGIA IN A PATIENT WITH HUGE HETEROTOPIC OSSIFICATION OF THE HIP JOINT AFTER TOTAL HIP ARTHROPLASTY: ADDITION OR REINFORCEMENT OF HANDICAPS

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2003
    Satoshi Ishikawa MD
    No abstract is available for this article. [source]

    DONEPEZIL AND ATHETOSIS IN AN ELDERLY PATIENT WITH ALZHEIMER'S DISEASE

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2003
    Makoto Tanaka MD
    No abstract is available for this article. [source]

    AZATHIOPRINE AND LOW-DOSE CORTICOSTEROIDS FOR THE TREATMENT OF CRYPTOGENIC ORGANIZING PNEUMONIA IN AN OLDER PATIENT

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 3 2003
    André Laszlo MD
    No abstract is available for this article. [source]

    AUTOMIC FAILURE AND NORMAL PRESSURE HYDROCEPHALUS IN A PATIENT WITH CHRONIC DEMYELINATING INFLAMMATORY NEUROPATHY

    JOURNAL OF THE PERIPHERAL NERVOUS SYSTEM, Issue 1 2002
    M. Laurà
    A 75-year-old man with HCV hepatitis developed at the age of 70 presented with rest and action tremor localized at both hands and progressive cognitive impairment with memory loss. Four years later he begun to complain of progressive fatigue, occasional falls, numbness at the extremities and orthostatic hypotension. One month after admission, he rapidly worsened with inability to walk, mainly because of autonomic failure. Neurological examination revealed gait disturbances, including a wide base of support and short stride, slurred speech, reduction of upward gaze, rest and action tremor at both hands, intrinsic hand muscle and anterior tibialis muscle wasting and weakness on both sides, absent deep tendon reflexes, loss of vibration sense at lower limbs, and bilateral pes cavus. Routine laboratory studies, autoantibodies, thyroid function, neoplastic markers and immunoelectrophoresis were normal. Cryoglobulins were absent, whereas CSF protein content was increased (142 mg/dl). Autonomic nervous system investigation detected severe orthostatic hypotension. Nerve conduction studies showed absent sensory potentials and a marked reduction of compound motor action potential amplitudes and of motor conduction velocities. A sural nerve biopsy revealed remarkable onion bulb-like changes, endoneurial and perivascular infiltrations of inflammatory cells. Psychometric tests showed mild cognitive impairment. Brain MRI was consistent with normotensive hydrocephalus. The findings indicated the presence of chronic inflammatory demyelinating polyneuropathy, autonomic nervous system involvement and normal pressure hydrocephalus. A condition of multiple system atrophy (MSA) might be taken into account, even if somatic peripheral nerve involvement may rarely occur in MSA. Moreover the normal pressure hydrocephalus could be due to the high protein content in CSF (Fukatsu R et al., 1997). [source]

    A FATAL HYPOTENSION BY SILDENAFIL IN AN END-STAGE RENAL DISEASE PATIENT WITH HYPERTENSION AND ABNORMAL PHARMACOKINETICS OF THE MEDICINE

    NEPHROLOGY, Issue 3 2009
    YOSHIHIRO WADA
    [source]

    ATYPICAL REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A CHRONIC HAEMODIALYSIS PATIENT WITH SEVERE HYPERTENSION

    NEPHROLOGY, Issue 6 2008
    JONGHA PARK
    [source]

    THE UNIDENTIFIED PARASITE: A PROBABLE CASE OF NORTH AMERICAN CUTEREBRID MYIASIS IN A PEDIATRIC PATIENT

    PEDIATRIC DERMATOLOGY, Issue 4 2004
    ALEXANDRA H. AHMET M.D., B.SC.
    No abstract is available for this article. [source]