97,448 papers found

Melasma is an acquired pigmentary disorder characterized by symmetrical hyperpigmented macules on the face. Its pathogenesis is complex and involves the interplay of various factors such as genetic predisposition, ultraviolet radiation, hormonal factors, and drugs. An insight into the pathogenesis is important to devis…

PURPOSE OF REVIEW: To critically examine the mortality rates of septic shock over the last 25 years to determine if significant improvements have been accomplished. RECENT FINDINGS: A gradual and progressive improvement in mortality rates associated with septic shock has been realized over the few decades. These impro…

This article traces the regulatory developments in CAM in the U.K. over the last ten years. CAM's regulatory position is analysed in the broader context of regulation across health and social care, including notable regulatory failures and the Government's plans for modernisation of healthcare regulation. Future regula…

The development of nutrition and the knowledge of metabolism has increased exponentially during the last decades since the start of ESPEN. This article, based on the Arvid Wretlind lecture 2003 in Cannes, describes important historical and modern landmarks in the field. The presentation also highlights the important co…

Medical ultrasound has during the last decades experienced enormous technological progress, and in obstetrics and gynaecology it has become an integral part of the clinical work. Within the last years several new ultrasound techniques have appeared. Three-dimensional ultrasound scanning (3DUS), in which there has been…

Data are submitted from the published literature and the authors' observations on causation of pericarditis and transformation of its patterns over the last 24 years. The paper is based on the analysis of 325 patients having been operated on for constrictive pericarditis during the period 1974-1998. Over the last 12 ye…

The current technique of "tumescent anesthesia," popularized by Dr. Jeffrey A. Klein, has evolved from the developments of local anesthetic agents and various infusion devices over the last 110 years. "Tumescent anesthesia" is really a variation of a much older technique known as "massive infiltration" or "hard infiltr…

Statistical examinations concerning the change of germs and their resistance against antibiotics during the last twenty years were performed. The examinations dealed with the material of a bacteriological institute, the material of a department for nephrology and extracorporal dialysis, the material of a center for rea…

CONTEXT: Stroke is the second leading cause of death and the primary cause of disability worldwide. It is uncertain what care patients with stroke receive in their end of life and what trends in care are in recent years. OBJECTIVES: The objective of this study was to investigate the changes in the use of intensive and…

PURPOSE: The purpose of this study was to analyze the long-term clinical and radiological outcomes of patients who underwent closing-wedge High Tibial Osteotomy (HTO) for the treatment of medial compartment osteoarthritis and to evaluate the conversion rate to knee arthroplasty. METHODS: A retrospective, non-randomize…

A retrospective study was undertaken of 25 children with epididymitis seen at our pediatric hospital during the last 5 years. The symptoms and signs in these patients were evaluated, as well as the results of urinalysis, urine culture, excretory urogram, scrotal scan, exploration and white blood count. The presence of…

The investigation of somatometric values to be used as reference patterns for Mexican children has de be scanty; the author mentions the most significant works carried out within the last 50 years. Considering that the material is comparable and in view of the magnitude of the samples, (4,757 vs. 5,533 cases) the autho…

BACKGROUND: Studies suggest a high prevalence of burnout among nurses. The aim of this study was to evaluate the relationship between burnout among nurses and absenteeism and work performance. METHODS: A national sample of U.S. nurses was sent an anonymous, cross-sectional survey in 2016. The survey included items abo…

A retrospective review of 20 pediatric patients with intramedullary spinal cord ependymomas, all of whom underwent operative resection between 1985 and 1996, was undertaken to determine surgical results, long-term follow-up and tumor recurrence. Twelve children operated on in the same period with filum or cauda equina…

The seasonal prevalence of major congenital malformations was studied in a prospective survey of 88,449 children born in the circumscribed Fylde of Lancashire to residents there over 25 years. Ascertainment was thought to be as complete as was practically possible because cases were recorded daily by one, and for 17 ye…

To determine longer-term efficacy of botulinum treatment, the author examined 85 children younger than 14 years of age who had been treated from November 1982 to February 1984, comparing shorter follow-up (range, 6-24 months) with longer follow-up (range, 2-5.5 years) as of last examination before March 1988. Fifty eso…

Multiple sclerosis is a rare finding in pediatric age. The onset of the disease may be in adolescence or pre-adolescence. It is important that pediatricians know the diagnostic criteria and clinical course of multiple sclerosis in childhood. We describe the case reports of two children, a 11- and a 14-years-old girls a…

Although the nineteenth century origins of health visiting have been well documented, rather less attention had been paid to the development of this profession in the last 50 years. Similarly, although 'parenting' is of concern and interest to contemporary society less is known about its development during the past hal…

Ophthalmoscopic examinations were performed on 5678 prematures, born between 1964 and 1984, by the same investigator in the same neonatal care unit. Three periods can be differentiated. In the first period (1964-1970) retinal disorders were frequent (20%), a quarter of them severe (stages 3-5). The inspiratory fraction…

STUDY DESIGN: Retrospective review of prospectively collected data. OBJECTIVE: To determine the relationship between cervical sagittal balance and adjacent segment degeneration (ASD) development after 3-level anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA: ASD is a common complication afte…