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where does do start in the key of c | C major believe in the supremacy of the C major scale." C major C major (or the key of C) is a major scale based on C, with the pitches C, D, E, F, G, A, and B. C major is one of the most common key signatures used in western music. Its key signature has no flats and no sharps. Its relative minor is A minor and its parallel minor is C minor. The C major scale is: \override Score.TimeSignature #'stencil = ##f \relative c' { </score> On the piano, the C major scale can be played by playing the white | NQ |
how far away is the foul shot line from the basket | Basketball court shot, is located within the three-point arc at 15 feet from the basket. A foul shot is worth 1 point, but if a shot is made from the foul line while in play it is still worth 2 points. † The FIBA three-point line is 2.95 ft (0.90 m) from the sideline in a zone starting at the baseline and ending when it crosses the 22.1 ft (6.75 m) arc. The 21.65 ft (6.60 m) distance exists only at the points on the three-point line that are directly to the left and right of the basket center. The only two | NQ |
what does the right hand represent in the bible | Right hand of God Right hand of God The right hand of God ("Dextera Domini" "right hand of the Lord" in Latin) or God's right hand may refer to the Bible and common speech as a metaphor for the omnipotence of God and as a motif in art. In the Bible, to be at the right side "is to be identified as being in the special place of honor". In Jesus' The Sheep and the Goats, the sheep and goats are separated with the sheep on the right hand of God and the goats on the left hand. It is also a placement next | NQ |
who wrote the song love is in the air | Love Is in the Air (song) Love Is in the Air (song) "Love Is in the Air" is a 1977 disco song sung by John Paul Young. The song was written by George Young and Harry Vanda and it became a worldwide hit in 1978, peaking at No. 3 on the Australian charts and No. 5 in the UK Singles Chart. In the United States, the song peaked at No. 7 on the pop chart and spent two weeks at No. 1 on the adult contemporary chart, his only US top 40 hit. The song was released as the lead single from Young's fourth studio album, | NQ |
who sang lead on 25 or 6 to 4 | 25 or 6 to 4 25 or 6 to 4 “25 or 6 to 4” is a song written by American musician Robert Lamm, one of the founding members of the band Chicago. It was recorded in 1969 for their second album "Chicago", with Peter Cetera on lead vocals. The album was released in January 1970 and the song was edited and released as a single in June, climbing to number 4 on the US "Billboard" Hot 100 chart and number 7 on the UK Singles Chart. It was the band's first song to reach the top five in the US. In concurrence with the | NQ |
where is red sea located in the world | Red Sea Red Sea The Red Sea (also the Erythraean Sea, ) is a seawater inlet of the Indian Ocean, lying between Africa and Asia. The connection to the ocean is in the south through the Bab el Mandeb strait and the Gulf of Aden. To the north lie the Sinai Peninsula, the Gulf of Aqaba, and the Gulf of Suez (leading to the Suez Canal). The Red Sea is a Global 200 ecoregion. The sea is underlain by the Red Sea Rift which is part of the Great Rift Valley. The Red Sea has a surface area of roughly 438,000 km | NQ |
who wrote the song i fought the law | I Fought the Law I Fought the Law "I Fought the Law" is a song written by Sonny Curtis of the Crickets and popularized by a cover by the Bobby Fuller Four, which went on to become a top-ten hit for the band in 1966 and was also recorded by the Clash in 1979. The Bobby Fuller Four version of this song was ranked No. 175 on the "Rolling Stone" list of The 500 Greatest Songs of All Time in 2004, and the same year was named one of the 500 "Songs that Shaped Rock" by the Rock and Roll Hall of Fame. The | NQ |
what is the term for how steep a line is in math | Slope concept of slope can be generalized to functions of more than one variable and is more often referred to as gradient. Slope In mathematics, the slope or gradient of a line is a number that describes both the "direction" and the "steepness" of the line. Slope is often denoted by the letter "m"; there is no clear answer to the question why the letter "m" is used for slope, but it might be from the "m for multiple" in the equation of a straight line "y = mx + b" or "y = mx + c". Slope is calculated by | NQ |
when was the derby last run on a wednesday | Epsom Derby the 20th century, the race was run on the first Wednesday in June from 1900 until 1995, not including 1915 to 1918 (during the First World War), when it was on a Tuesday. During the Second World War, from 1942 until 1945 the race was run on a Saturday, as it was in the post-war years of 1947 to 1950 and again in 1953. In 1995 the day was changed from the first Wednesday in June to the first Saturday, and since then all the races have taken place on that day. The Derby has been run at Epsom in | NQ |
who wrote the song rest your love on me | Rest Your Love on Me went to number one for one week and spent a total of 10 weeks within the Top 40. Rest Your Love on Me "Rest Your Love on Me" is a country ballad performed by the Bee Gees written and sung by Barry Gibb. It was the B-side of the US No. 1 hit "Too Much Heaven". "Rest Your Love on Me" was written by Barry Gibb in 1976 and recorded it in May 2 on the "Children of the World" sessions. Stephen Stills played bass on its original demo. It was not used until "Too Much Heaven" was released, as | NQ |
what is the name of the plastic insert on a 45 record | 45 rpm adapter 45 rpm adapter A 45 rpm adapter (also 45 rpm record insert, 45 rpm spindle adapter, or 7 inch adapter, the common size of 45 RPM records) is a small plastic or metal insert that goes in the middle of a 45-rpm record so it can be played on the LP or 78 rpm size spindle of a turntable. The adapter could be a small solid circle that fits onto the bottom of the spindle (meaning only one 45 could be played at a time) or a larger adapter that fits over the entire spindle, permitting a stack of 45s | NQ |
who wrote my love is like a red red rose | A Red, Red Rose A Red, Red Rose "A Red, Red Rose" is a 1794 song in Scots by Robert Burns based on traditional sources. The song is also referred to by the title "Oh, My Love is Like a Red, Red Rose", "My Love is Like a Red, Red Rose" or "Red, Red Rose" and is often published as a poem. <poem> O my Luve's like a red, red rose That’s newly sprung in june; O my Luve's like the melodie That’s sweetly play'd in tune: As fair art thou, my bonnie lass, So deep in luve am I: And I will luve | NQ |
what is added to welsh rarebit to make buck rarebit | Welsh rarebit butter over the bottom of a plate, lay the cheese on, pour in two or three spoonfuls of white wine, cover it with another plate, set it over a chafing-dish of hot coals for two or three minutes, then stir it till it is done and well mixed. You may stir in a little mustard; when it enough lays it on the bread, just brown it with a hot shovel. Served with an egg on top, a Welsh rarebit is known as a "buck rabbit" or a "golden buck". Welsh rarebit blended with tomato (or tomato soup) is known as | NQ |
how many cards do you get in shanghai | Shanghai rum person to the dealer's left becomes dealer for the next hand, and so on. Each player is dealt eleven cards for the seven rounds. The rest of the deck is then placed face down in the middle of the players; this is referred to as the deck. One card is taken from the top of the deck and placed face up next to it. This card is called the upcard and becomes the beginning of the discard pile. Each player has a choice at the beginning of their turn. They may either pick up one new card from the top | NQ |
what region of italy is lake como in | Lake Como Lake Como Lake Como ("Lago di Como" , in Italian, also known as Lario , after the Latin name of the lake; , "Cómm" or "Cùmm" ; ) is a lake of glacial origin in Lombardy, Italy. It has an area of 146 square kilometres (56 sq mi), making it the third-largest lake in Italy, after Lake Garda and Lake Maggiore. At over 400 metres (1,300 feet) deep, it is one of the deepest lakes in Europe, and the bottom of the lake is more than 200 metres (660 ft) below sea level. Lake Como has been a popular retreat | NQ |
how many flats or sharps are in the key of f major | F major major. Most of these sound a perfect fifth lower than written, with the exception of the trumpet in F which sounds a fourth higher. (The basset horn also often sounds an octave and a fifth lower.) F major F major (or the key of F) is a major scale based on F, with the pitches F, G, A, B, C, D, and E. Its key signature has one flat: B. Its relative minor is D minor and its parallel minor is F minor. The F major scale is: \override Score.TimeSignature #'stencil = ##f \relative c' { </score> F major is | NQ |
Use of external fixators for open tibial injuries in the rural third world: panacea of the poor? | A retrospective study of 41 patients with open tibial fractures and 1 with infected non-union, treated with tubular external fixators.The average cost to the patient of an external fixator was approximately Rs 600 (or US $12), which compares very favourably with costs of internal fixation of similar effectiveness. | pubmed |
Drooling in oro-motor dyspraxia: is there a role for surgery? | To report the successful use of a surgical approach for the treatment of drooling in a case of oro-motor dyspraxia.A seven-year-old girl with a diagnosis of oro-motor dyspraxia was referred for management of drooling; this was her only symptom. There were no focal neurological abnormalities. Conservative measures had not helped, and her parents were keen for definitive treatment. Bilateral submandibular duct transposition was performed with no complications. The patient's drooling improved immediately. | pubmed |
Third party pharmacy audits: can they be improved? | To discuss issues surrounding the current auditing practices associated with third party insurance prescription claim programs.Audit examples obtained during the last 10 years associated with third party audit methodology.Many unattended issues are associated with third party pharmacy audits. Some issues for discussion are presented in an attempt to produce some possible solutions for the audit inequities. | pubmed |
Distribution of cervical intraepithelial neoplasia: are hysterectomy specimens sampled appropriately? | The frequency with which CIN was identified at a range of positions on the anterior and posterior lips and left and right lateral aspects of the cervix was assessed in 100 cone biopsy specimens.CIN affected one or other cervical lip in all 100 cases studied and involved the midline positions (12 and 6 o'clock) in 94. The lateral edges of the cervical canal were also involved in 38 cases. | pubmed |
Are heterochromatin polymorphisms associated with recurrent miscarriage? | A total of 336 patients with recurrent miscarriages and 427 patients without miscarriages were analyzed.In the recurrent miscarriage group, a structural chromosomal abnormality was found in four patients (1%). Twelve patients had mosaic karyotype (3%) and the total rate of chromosomal abnormalities was 4% in this group. The karyotypes were composed of polymorphisms in 8% of patients with recurrent miscarriages compared with 4% in the control group (P<0.05). | pubmed |
Are pathological (or vital) anxiety and common fear the same experiences? | Some authors affirm that the anxiety of panic attacks is endogenous and of different quality that the common fear. But objective clinical data don't exist that confirm that observation.The authors study by means of a discriminant analysis the description of the anxiety made by subject with panic attacks and normal subjects with common fear.It meet a discriminant function that shows the existence of qualitative differences between both experiences. | pubmed |
Percutaneous biopsy of operable liver lesions: is it necessary or advisable? | Two cases are reported in which percutaneous biopsy of resectable liver tumours was performed unnecessarily and resulted in needle track seeding.In both instances patients who underwent potentially curative liver resection were rendered incurable because of biopsy track recurrence. | pubmed |
Is there a biological basis for the clustering of symptoms? | To examine symptom clusters in oncology patients; to determine if these symptom clusters might share a common biologic mechanism; and to describe potential biologic mechanisms that warrant investigation.Synthesis of the theoretical and research papers on symptom clusters. | pubmed |
The social determinants of health: is there a role for health promotion foundations? | If they are to respond effectively to health inequities, organisations involved in health promotion need to refocus on the social determinants of health (SDH) and the distribution of resources for health.This paper examines the potential of health promotion foundations (HPFs), a semi-autonomous arm of the state, to act at several policy and program intervention points to address the SDH and reduce health inequities. | pubmed |
Do alveolar bone defects merit orthodontists' respect? | A flap procedure was performed to expose the labial alveolar bone of the mandibular anterior area of 32 patients. The presence of alveolar defects including dehiscences and fenestrations were recorded.Seventy-eight percent (25) of the examined patients had at least one tooth with an alveolar bony defect. Dehiscences were found to be most commonly associated with the midline of the labial surface of mandibular left and right canines followed by the mesiolabial line of the same teeth. | pubmed |
Transabdominal laparoscopic inguinal hernia repair: is there a place for biological mesh? | Between July and September 2006, 11 patients were operated on using TAPP hernioplasty (bilateral or unilateral) and applying a Surgisis mesh affixed by a fibrin sealant.The mean overall operative time was 75 (+/-15) min. All of the surgeries were performed as a day surgery procedure. Any major or minor complications (early or late), such as prosthesis rejection and/or infection, were recorded. There was only one case of recurrence, likely due to technical error. The mean follow-up was 14.5 (+/-1) months. | pubmed |
Can patients apply the Ottawa ankle rules to themselves? | To determine whether patients with an ankle injury obtained the same results as clinicians when applying the Ottawa ankle rules (a validated clinical decision rule) to themselves.Patients aged>15 years presenting to an inner city emergency department within 48 h of an ankle injury were asked to assess their own injury using the Ottawa ankle rules. The results of their self-assessment were compared with those of a treating clinician.Poor interobserver agreement was found between patients and clinicians. | pubmed |
Do obese persons comprehend their personal health risks? | To test whether overweight and obese individuals believe they are at greater risk of obesity-related diseases and premature mortality.Telephone survey of 1139 US adults analyzed using linear and ordered logistic regressions.Obese (overweight) adults forecast life expectancies 3.9 (2.4) years shorter than those of normal weight adults. Excess weight was associated with greater self-perceived risk of developing diabetes, cancer, heart disease, and stroke. All results were statistically significant. | pubmed |
Ultrasound assessment of bladder volume: is it valid after delivery? | A prospective blinded comparison of bladder volume measurement after vaginal delivery using the BladderScan bladder volume instrument (BVI) 3000 and Foley catheter; comparison using the intraclass correlation coefficient.The mean difference between the two measurements was a 130-mL over-measurement by the bladder scanner (range: -156 mL to +422 mL). The intraclass correlation coefficient was 0.23 (95% confidence interval 0.00, 0.59). | pubmed |
Identifying nursing concepts: are we similar? | The purpose of this article was to define and describe the fundamental aspects of similarity with application to the use of nursing terminologies.Data were obtained from Google, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, and PubMed using the keywords "similarity views,""similarity,""concepts and categorization," and other published sources.Three prominent similarity views were compared, contrasted, and applied to the use of nursing diagnoses. | pubmed |
Are insulin resistance index, IGF-1 and metabolic syndrome components correlates with severe preeclampsia? | Analyse the relation between insulin resistance and severe preeclampsia (SPE).Case control study paired by body mass index and gestational age; including 16 patients with severe SPE and 16 normotensive controls. Insulin resistance was assessed through the HOMA-IR and QUICKI-IS indexes.There was no significant difference between the groups regarding the HOMA-IR and QUICKI-IS indexes and HDL cholesterol. Triglyceride levels were higher and the IGF-1 was lower in the SPE group than in the control group. | pubmed |
Post-methionine load test: A more sensitive tool to reveal hyperhomocysteinemia in Alzheimer patients? | To identify the real number of hyperhomocysteinemic Alzheimer's patients who may benefit from homocysteine-lowering therapy.Basal and post-methionine load homocysteine levels were assessed by rp-HPLC system.PML test revealed twice as many hyperhomocysteinemic AD subjects with respect to the fasting analysis. | pubmed |
Can radio-opaque markers be used to measure mouth-to-stoma transit time in ileostomates? | To determine whether radio-opaque markers can be used to assess mouth-to-stoma transit time (MSTT) in ileostomates.Criterion standard.Metabolic research unit.Five volunteer ileostomates.MSTT assessed by radio-opaque markers (11.3 to 12.5 h) was significantly longer (P<0.5) than that calculated by ileal recovery of dietary starch (6.5 to 8.8 h), the criterion standard. | pubmed |
Is there evidence of recent hepatitis E virus infection in English and North Welsh blood donors? | The risk of hepatitis E virus (HEV) to blood safety remains unknown in England. Reports of persistent HEV infection with serious disease sequelae indicate that transfusion transmitted HEV is not a trivial disease in immunosuppressed patients.Samples from unselected blood donors and donors with a history of jaundice were tested for HEV antibody and RNA.Overall, 10% of the donor sera were anti-HEV IgG reactive. Four of the donor samples were anti-HEV IgM reactive but HEV RNA negative. | pubmed |
Association of aplasia cutis congenita with coarctation of the aorta: a coincidence? | The association of aplasia cutis congenita and aortic coarctation could be a coincidence.A neonate was born with an aplasia cutis congenita in the midline of the scalp. When she was two months old, an aortie coarctation was detected and surgically resected. Spontaneously, the scalp gradually cicatrized. | pubmed |
Are targeted interventions needed in foreigner workers with latent tubercular infection? | Health care workers (HCWs) are at high risk of latent tubercular infection (LTBI). In this study predictors of anti-tubercular treatment interruption in HCWs with LTBI are evaluated.1056 HCWs with LTBI were followed up to register adverse events and predictors of treatment interruption.289 workers did not complete the treatment. Predictors of treatment interruption were adverse events (OR 1.47; 95CI% 1.07-2.03) and to be born in South-America (OR 1.55; 95CI% 1.06-2.26). | pubmed |
Is there evidence in evidence-based medicine? | In the current study we performed an analysis of the currently used recommendations and gradations in evidence-based medicine and discussed them critically.The great number of the available divisions to evidence-based medicine are often technical and partially differ considerably. An unambiguous assignment of the evidence classes and of recommendation degrees can only succeed if the source is indicated clearly. | pubmed |
House calls: is there an APN in the house? | To report how a group of geriatric advanced practice nurses (APNs) participated in a house calls program that increased access to care for homebound and frail community-dwelling elders.Selected literature and author experiences, illustrated with clinical examples. | pubmed |
Does ondansetron or granisetron prevent subarachnoid morphine-induced pruritus after cesarean delivery? | We compared the efficacy of granisetron and ondansetron for the prevention of subarachnoid morphine-induced pruritus after cesarean delivery.The incidence of pruritus was assessed in parturients who were randomly allocated into Group G (granisetron 3 mg IV, n = 45), Group O (ondansetron 8 mg IV, n = 42), and Group S (saline IV, n = 42).The incidence of pruritus was not significantly different among the 3 groups (86.6% in Group S, 83.3% in Group O, and 88% in the Group G). | pubmed |
Children in out-of-home care: does routine health screening improve outcomes? | Research questionnaires were sent to the Department of Social Services caseworkers of the first 100 children screened.Adherence to health recommendations was high; however, it was not possible to quantify the degree of health benefit to the children screened. A number of systemic problems were identified, which are likely to hinder the accessibility of health care for children in care. | pubmed |
Clonazepam augmentation of antidepressants: does it distinguish unipolar from bipolar depression? | The authors compared the effect of clonazepam supplement treatment on unipolar depression and bipolar depression.A total of 38 protracted depression patients with unipolar depression (n = 19) or bipolar depression (n = 19) were treated with 3.0 mg clonazepam for 4 weeks.In the unipolar depression group, 84.2% of the subjects fulfilled the response criteria (at least an 80% reduction in their HDRS score). However, in the bipolar depression group, only 10.5% of them fulfilled these criteria. | pubmed |
Do nations' mental health policies, programs and legislation influence their suicide rates? | To test the hypothesis that the presence of national mental health policies, programs and legislation would be associated with lower national suicide rates.Suicide rates from 100 countries were regressed on mental health policy, program and legislation indicators.Contrary to the hypothesized relationship, the study found that after introducing mental health initiatives (with the exception of substance abuse policies), countries' suicide rates rose. | pubmed |
Hypoglossia, situs inversus and absence of the pituitary in a neonate: teratogenic effect of maternal hyperthermia? | Hypoglossia is a rare malformation that is not fatal, unlike otocephaly.A neonate, born at 39 weeks of GA and dead at 5th day showed hypoglossia, dextrocardia, situs inversus and pituitary aplasia. Maternal hyperthermia was observed at 4 weeks gestation. | pubmed |
Lumbar spinal stenosis: can positional therapy alleviate pain? | We analyzed a retrospective case series of 52 patients with spinal stenosis confirmed by spinal imaging and walking limitations treated with a wheeled walker set to induce lumbosacral flexion.Of the 52 patients, improvement in ambulation was classified as excellent for 30 (58%), good for 7 (13%), moderate for 8 (16%), and poor for 7 (13%). Among 48 patients with neurogenic pain, pain relief was classified as excellent for 22 (46%), good for 11 (23%), moderate for 7 (14.5%), and poor for 8 (16.5%). | pubmed |
Does the type of exposure to a roadside sobriety checkpoint influence driver perceptions regarding drunk driving? | To determine if the type of exposure to roadside sobriety checkpoints is related to vulnerability of being stopped by the police for drinking and driving.Random household telephone surveys were conducted over 3 years.Personally exposed drivers had lower perceptions of vulnerability than did drivers who knew a family member who had been stopped. Exposed drivers who also had a family member and an acquaintance that had been stopped had higher perceptions of vulnerability. | pubmed |
Is West Nile Virus infection associated with myasthenia gravis? | Myasthenia Gravis (MG) is an autoimmune disease which is characterised by disruption of signal transmission at neuromuscular junction. We aimed to search about a newly reported association between MG and West Nile Virus (WNV) infection.We searched WNV IgG by ELISA in serum samples of 50 available MG patients and 38 controls.None of the samples gave positive results for past WNV infection. | pubmed |
In search of an optimum dose escalation for narrowband UVB phototherapy: is it time to quit 20% increments? | Our aim was to compare 20% with 10% to 5% incremental regimens in narrowband UVB phototherapy.The study included patients with psoriasis (N = 191) with Fitzpatrick skin phototypes II and III.Occurrence of erythema as well as maximum and cumulative doses were higher with 20% escalations, whereas response rates and time to response did not significantly differ.The study was limited by its retrospective nature. | pubmed |
Does aortic valve sclerosis predicts the severity and complexity of coronary artery disease? | In this retrospective study, a total of 482 eligible patients were divided into 2 groups: AVS present and AVS absent. All major cardiovascular risk factors and coronary lesion characteristics were included.Age was the only independent predictor of AVS. AVS was not independently associated with the number of obstructive vessels, degree of lesion obstruction and SYNTAX score. | pubmed |
Is it safe to perform endoscopic band ligation for the duodenum? | Overall, EBLs were performed at nine sites in duodenum sampled from a pig immediately after sacrifice. Submucosal saline injections were placed in three of the nine studied sites.Regardless of saline injection, the full thickness of the duodenal wall was ligated in all attempts. | pubmed |
Epistaxis in children under the age of two: possible marker of abuse/neglect? | A file review of all cases of epistaxis occurred in children under the age of 2 who were admitted into the ED in our area over a period of two years was carried out.We have collected data concerning 10 cases of epistaxis occurred in children under 2 years of age with an incidence of 10.4 cases per 10000 accessions to the ED of children under the age of 2. Four of the cases had attendances for head injury or facial trauma. | pubmed |
Are patch tests useful in plasma cell vulvitis? | To evaluate eventual contact sensitization in 7 patients with plasma cell vulvitis (PCV).Seven women with PCV underwent patch tests with the Italian standard series and with additional batteries of allergens (perfumes, preservatives, emulsifiers, medicaments and corticosteroid series).One patient experienced a positive reaction t o balsam of Peru and wool alcohol. | pubmed |
Morning report: is the time ripe for a change? | Morning report is a time-honored part of the medical day. However, recent changes in house officer training and staffing raise questions about the educational efficacy of this daily conference.As it is currently conducted, Morning Report is an exercise in role playing that fails to achieve its main teaching objectives. This article suggests ways to modify Morning Report in an attempt to sustain the valuable purpose for which it was initially conceived. | pubmed |
Is amelogenesis imperfecta an indication for renal examination? | The term 'amelogenesis imperfecta' (AI) describes a diverse group of hereditary conditions primarily affecting the quality and/or quantity of dental enamel.This paper describes a case in which hypoplastic AI with delayed/failure of eruption of the permanent teeth was shown to be associated with renal calcification. | pubmed |
Retro-orbital metastasis from differentiated thyroid carcinoma in a radioiodine therapy-naïve patient: any lesson learned? | To present the case of a radioiodine therapy-naïve thyroid cancer patient with postthyroidectomy diplopia.A 63-year-old male patient presented with goiter. Histology performed after thyroidectomy proved follicular thyroid cancer. Without (131)I therapy, diplopia occurred from metastasis to the right medial rectus muscle. Improvement followed after one therapy dose of (131)I. | pubmed |
Posterior dislocation in total knee replacement: a price for deep flexion? | Post-cam dislocation in TKA is a rare complication after posterior stabilized TKA.Four cases of posterior dislocation of the tibia relative to the femur are described in one current posterior stabilized design. | pubmed |
Mental health social work and nursing in the USA and the UK: divergent paths coming together? | When the mental health systems of the UK and the USA are compared, one of the most striking differences is that social workers are the largest professional group in the USA and community nurses the largest in the UK.This paper examines the history of the development of both professional groups in both countries, and their education and training.Demand, supply and economic factors are important influences and reasons for these differences. | pubmed |
Should we consider hypohidrotic ectodermal dysplasia as a possible risk factor for malignant melanoma? | Hypohidrotic ectodermal dysplasia (HED) is a rare multisystem disorder that typically affects hair, teeth, nails, and sweat glands in combination with abnormalities of ectodermal originated tissues.To raise the issue of whether heightened awareness is required in the follow-up of pigmented lesions in patients with HED.METHODS/Two patients with HED are reported. The first had a history of two malignant melanomas, whereas the second presented with a novel malignant melanoma. | pubmed |
Changing stillbirth rates: quality of care or quality of patients? | To explain the U-shaped curve of stillbirth rates (SBR) in Harare.A retrospective descriptive study.Greater Harare Maternity UnitA 15pc (approx.) sample of deliveries recorded in Labour Ward registers in 1979, 1984 and 1989.Stillbirth or livebirth.Some changes over the three years (e.g. proportion of primipara) indicate that obstetric "riskiness" of the population changed in a way which could explain the changes in SBR. | pubmed |
Can pulse oxymetry be used for measuring intestinal blood flow? | IBF was measured with radiolabeled erythrocytes and POX in the rabbit intestinal volvulus model. The study was performed on 3 groups: 1) baseline, 2) volvulus, 3) volvulus plus devolvulus.The POX and scintigraphic measurements were in correlation and showed that IBF stopped for 6 hours following volvulus. IBF was significantly decreased in the volvulus plus devolvulus group compared to the baseline group (p<0.01). IBF measured with POX correlated with scintigraphic measurements. | pubmed |
Is esophagectomy the paradigm for volume-outcome relationships? | Esophagectomy is considered one of the most complicated, difficult to perform, and physiologically altering operations performed by surgeons.Outcome, not only depends upon surgeon and hospital volume but also involves a "supporting cast" of health professionals, such as physical therapy and ICU. The complementary skill set of the surgeon may also influence esophagectomy outcomes. | pubmed |
Are patients who are found deeply unconscious, without having suffered a cardiac arrest, always breathing normally? | Patients with Glasgow Coma Scale (GCS) 3 (1+1+1) and without cardiac arrest were retrospectively evaluated, via ambulance records, for signs of abnormal breathing.Of 45 patients who fulfilled inclusion criteria, 24 (53%) had signs of abnormal breathing, as reported by the ambulance crew. | pubmed |
Ciclesonide therapy in asthma: a potential effect on small airway inflammation? | In asthma small airways inflammation often persists despite inhaled corticosteroids therapy.To discuss the effects of ciclesonide, a newer inhaled corticosteroid on small airways inflammation and the reliability of some biomarkers of small airways inflammation in asthma.Evaluation of a study assessing the short-term effects of ciclesonide on small airways inflammation in patients with mild to moderate asthma. | pubmed |
Pleural metastases from bronchial carcinoma: is a cure possible? | The 2009 TNM classification of lung cancer reclassified patients with pleural invasion from stage IIIB (T4) to stage IV (M+). However, the 2009 TNM separates patients with pleural metastases (M1a) from patients with others visceral metastases (M1b), the patients with stage M1a having the better prognosis.Two cases are reported of patients with non-small cell lung cancer (NSCLC) metastatic to the pleura, having a long disease free survival (50 and 34 months). | pubmed |
Hemorrhage or Ischemia? | A 78-year-old woman was transferred directly to an ICU because of intracerebral hemorrhage. However, on careful review of the initial imaging, the likely diagnosis was ischemic stroke and reperfusion hemorrhage.Case report was explained.The patient suffered significant reperfusion hemorrhage. A CT angiogram revealed contrast extravasation "spot sign" in the bed of the expanding hemorrhage and an occlusive thromboembolism distal to the initial ischemic insult. | pubmed |
Does cognitive-behavioural therapy promote meaning making? | This study examined the extent to which cognitive-behavioural therapy (CBT) for geriatric depression promoted meaning made of stress.Fifty-one participants received CBT and were assessed at pre- and post-treatment.The primary outcome was the Integration of Stressful Life Experiences Scale (ISLES) and demographic factors were examined as moderators of changes over time.Those with more education showed improvement in their ability to regain positive values, worldviews, and purpose in life after a stressor. | pubmed |
Are high levels of oestradiol after implants associated with features of dependence? | To determine whether features of dependence develop in women receiving oestradiol implants, and if so, whether these features are related to serum oestradiol levels.A questionnaire survey of women attending for implants over a six month period.An implant clinic in a district general hospital.Psychological symptoms and their relationship to serum oestradiol levels.Women with serum oestradiol levels below 500 pmol/L were generally asymptomatic of psychological symptoms. | pubmed |
An uncommon case of failed suicide in a 94-year-old woman: "masked" depression or rational decision? | This case was analysed in the light of a careful literature review.This was an unusual case of failed suicide, attempted by a 94-year-old woman who had planned the suicide several days earlier. | pubmed |
Can we put a simplified algorithm for reconstruction of large scalp defects following tumor resection? | Reconstruction of large scalp defects after tumor resection is a challenging problem. We aimed at putting an algorithm for reconstruction of those defects.Forty-two patients with scalp malignancies were enrolled in this study. Tumors were resected to a 1 cm negative margin and defects were reconstructed according to their size and to patient general condition.No peri-operative mortality was encountered. Usage of free flaps was superior in cosmoses and function with an acceptable rate of complications. | pubmed |
Is Impaired Comfort a Nursing Diagnosis? | Discussion of the "Impaired Comfort" nursing diagnosis.Discussion paper based on the authors' ongoing PhD research about the development of comfort as a complex intervention.When the patient has impaired comfort, the nursing intervention should be specific to the etiological factor. Some arguments are raised about impaired comfort as a nursing diagnosis and the discussion is led about the possibility of the referred diagnosis being considered a syndrome. | pubmed |
Can Whipple's disease be transmitted by gastroscopes? | To determine whether disinfection protocols currently used for gastroscopes are effective against cultures of Tropheryma whipplei.The bactericidal activity of 2% glutaraldehyde and two peracetic acids on the Twist-Marseille strain of T. whipplei grown in cell monolayers was determined.Two patients who were diagnosed as having Whipple's disease 3 years after they had had intestinal biopsies.The disinfectants reduced bacteria by approximately 2 log to 3 log10 after 5 to 60 minutes of contact. | pubmed |
Pachydermodactyly in adolescents: a sign of discomfort? | Pachydermodactyly is an acquired dermatosis related to psychological disturbances.A 16 year-old boy presented with fibrous skin hypertrophy of proximal interphalangeal joint areas of both hands suggestive of pachydermodactyly. Skin biopsy confirmed the fibromatous nature of hypertrophy. The personal history of the child confirmed that pachydermocactyly was due to compulsive rubbing stretching movements in a patient with psychological troubles. | pubmed |
A young female with a cholangiocarcinoma in the past: is pregnancy allowed? | A 28-year-old woman developed a cholangiocarcinoma after using oral contraceptives for eight years. The common bile duct and the gallbladder were removed and four hepaticojejunostomies were performed.Seven years after surgery no evidence of disease recurrence is detectable and the patient wants advice regarding her wish for pregnancy. | pubmed |
Intrascrotal lithiasis: an infrequent finding? | To report on 10 additional cases of intrascrotal calculi and briefly review the literature and pathogenesis of this benign lesion.10 patients that had consulted for diverse testicular conditions were evaluated by ultrasound using the 7.5 MHz probe.All patients were found to have a hydrocele of a larger or smaller volume with a mobile hyperechoic focus that produced acoustic shadows. | pubmed |
Does the continuum of care improve the timing of follow-up services? | To identify the impact of the continuum-of-care treatment philosophy on the timing of follow-up services received by individuals discharged from inpatient facilities.Using data from the Fort Bragg Evaluation, the analyses involve hazard modeling of the timing of follow-up services.The continuum-of-care treatment philosophy greatly accelerated the receipt of follow-up services and strengthened the link between the timing of follow-up services and individual and family characteristics. | pubmed |
Is there a link between the food-cobalamin malabsorption and the pernicious anemia? | A relation between food-cobalamin malabsorption and pernicious anemia has been suggested, particularly in the event of food-cobalamin malabsorption related to hypochlorhydric atrophic gastritis.This work describes three cases of well-documented cobalamin deficiency related to food-cobalamin malabsorption in three women aged 56, 82 and 68 Years who had atrophic gastritis (not associated with Helicobacter pylori infection) and later developed authentic pernicious anemia. | pubmed |
Mathematics preparation for medical school: do all premedical students need calculus? | The premedical student confronts a disparate set of required and recommended courses from the various medical schools to which the student might apply.Students may feel compelled to take courses such as calculus even though most medical schools do not require it and even though it may not be related to either undergraduate academic plans or the core academic needs of the typical future physician. | pubmed |
Left ventricular hypertrophy in chronic kidney disease. Is pulse pressure an independent risk factor? | The study's aim was to evaluate the relations between pulse pressure (PP), hypertension and anemia with left ventricular hypertrophy (LVH).The risk factors and prevalence of LHV were evaluated in 111 patients with CRF.LVH was diagnosed in 81.9% of all patients. The prevalence of hypertension was 72.6%. Anemia was present in all patients. Of the variables tested lower levels of hemoglobin, systolic blood pressure (SBP) and PP predicted the occurrence of LVH. | pubmed |
Is endosonography useful to select patients for endoscopic treatment of rectal cancer? | data were collected prospectively from a consecutive series of patients with rectal cancer who underwent TEM between January 1994 and December 1997.the accuracy of rectal endosonography in predicting rectal wall invasion was 72.7%. 18.2% of the tumors were overstaged and 9. 1% were understaged. | pubmed |
Prehospital Emergency Medical Services Departure Interval: Does Patient Age Matter? | This was a 3-year observational study. Departure intervals of ambulances, according to age of patients, were analyzed and a multivariate analysis, according to time of day and suspected medical problem, was performed.A total of 44,113 missions were included, 2,417 (5.5%) in the pediatric group. Mean departure delay for the adult group was 152.9 seconds, whereas it was 149.3 seconds for the pediatric group (P =.018). | pubmed |
Domestic violence: what do nurse practitioners think? | To examine factors that influence nurse practitioners' (NPs) ability to incorporate universal domestic violence screening practices (e.g., asking, identifying, referring and reporting) into their practices.A stratified random survey of certified NPs in New York state was conducted in 1999. There were 118 family, women's health, OB/GYN, and adult NPs in the survey. Chi-square and ANOVA were used to analyze the data. | pubmed |
Can baseball improve balance in blind subjects? | This modified version of baseball maintains the fast-moving characteristic ensuring the athlete safety. Forty total blind subjects were enrolled: 20 baseball athletes and 20 sedentary participants, as control. The balance was evaluated using the Fukuda Test and Tinetti Test, both in silence and in noise.This baseball game may help to improve the balance ability in blind subjects. The balance was significantly improved in blind athletes as compared with blind sedentary subjects. | pubmed |
Renal clear-cell adenocarcinoma and type B lymphomatous proliferation: a fortuitous association? | To discuss the potentially fortuitous occurrence of both renal carcinoma and B-cell malignant proliferation and its physiopathology.We describe a series of eight patients presenting with both diseases.In these patients renal carcinoma was associated with either malignant non-Hodgkin lymphoma (seven cases) or multiple myeloma (one case). Of the eight patients three had both malignancies within the same renal tumor. | pubmed |
Quetiapine XR-induced neutropenia: is a clozapine trial still possible for treatment-resistant schizophrenia? | We present the case of a young woman treated with clozapine at a first-episode psychosis clinic after a moderate quetiapine XR-induced neutropenia (0,5-1,0 × 10(9) L(-1) ).The patient was successfully treated with clozapine and lithium, with less psychotic symptoms and a better level of functioning. The neutrophil count remained normal during the treatment period, which has been longer than a year. | pubmed |
Simple peritoneal sclerosis and sclerosing peritonitis: related or distinct entities? | 438 peritoneal biopsies from 253 patients were re-examined. 174 were obtained prior to peritoneal dialysis and 224 after various periods of dialysis. Forty biopsies were from peritoneal dialysis patients who developed sclerosing peritonitis. Peritoneal morphology was studied for signs of transition from simple sclerosis to sclerosing peritonitis.Evidence was found sustaining the hypothesis that simple sclerosis to sclerosing peritonitis patients have distinct pathologies. | pubmed |
The hybrid of basic science and clinical training for the urologic oncologist: Necessity or waste? | To examine the necessity and adequacy of basic science training for urologic oncology training programs.Evaluated whether urology physician scientists are adequately trained in the basic sciences.The current urologic oncology training system does not adequately train physician scientists. We propose a major reform to define, train, and maintain the urology physician scientists. | pubmed |
Increasing clinical pregnancy rates after IVF/ET. Can immunosuppression help? | To evaluate the safety and efficacy of immunosuppression as an adjunct to improving the success of in vitro fertilization/embryo transfer (IVF-ET).A randomized, double-blind, placebo-controlled clinical trial.Seventy-five patients were randomized to receive either prednisone (39 patients, 51%) or placebo (36 patients, 49%). Patients in both groups had similar ages and numbers of preembryos transferred. | pubmed |
Do retinal haemorrhages occur in infants with convulsions? | Prospective study of children aged 15 days to 2 years admitted with a diagnosis of first convulsion over a 2-year period (May 2004-May 2006). All infants were examined by an experienced ophthalmologist using indirect ophthalmoscopy within 72 h of admission.182 of 389 children seen in the accident and emergency department were admitted and two were found to have retinal haemorrhages. Both children were eventually diagnosed as being abused. | pubmed |
Does occupation explain gender and other differences in work-related eye injury hospitalization rates? | We sought to determine whether demographic differences in eye injury rates persist after adjusting for occupational exposure.On-duty eye injury hospitalizations were linked to occupation among active-duty US Army personnel.Eye injury rates were higher for white soldiers, men, and for younger soldiers, even after adjusting for occupational group and specific job titles using multivariate models. | pubmed |
Detection of galectin-3 in patients with inflammatory bowel diseases: new serum marker of active forms of IBD? | It is an open question whether multifunctional galectin-3 can be a serum marker in inflammatory bowel disease.Western blots and commercial ELISA detected and quantitated the lectin immunocytochemistry using double labeling localized it in tissue sections.Serum concentrations were significantly increased in specimen of patients with active and remission-stage ulcerative colitis and Crohn's disease, associated with emerging positivity of CD14(+) cells. | pubmed |
Does low resilience causes to greater psychological impairment? | In a sample of 3784 individuals, the association of resilience with anxiety and depression was examined using a linear regression model. In addition to resilience, age and gender as well as the combination of these factors and their effects on resilience were analyzed.Low resilience predicts both anxiety and depression. Gender moderates this association. In male persons a stronger association between resilience and depression was found. | pubmed |
Molecular detection of epidermal growth factor receptor in colorectal cancer: does it still make sense? | Analysis of EGFr by IHC was performed in 230 colorectal cancer patients using monoclonal anti-EGFr. Total and activated EGFr (pY1068) contents were determined in 92 patients and real-time PCR, to determine the level of EGFr messenger RNA, was carried out in 60 patients.There was no association between EGFr IHC groups and the mean total EGFr levels measured using ELISA. | pubmed |
Can the Internet be used to reach parents for family-based childhood obesity interventions? | This study aimed to identify socioeconomic correlates of computer/Internet use among parents of overweight preschool-aged children.A total of 470 baseline participants in a trial to prevent obesity in children 2 to 6.9 years old with body mass index ≥ 95th percentile or 85th to 95th percentile with one overweight parent were studied. Interviews with parents used Health Information National Trends Survey questions.RESULTS/ | pubmed |
Chin-up strength tests: does stature matter? | A statistical summary of 85 chin-up test outcomes is analyzed for likelihood of maximum scores as a function of stature. Scoring tables modified by reducing the number of chin-ups required for maximum score in a ratio inverse to a fixed power of the stature ratios are introduced.Statistical analysis shows that short individuals are more likely to achieve maximum chin-up test scores (P<0.05). Stature adjusted scoring tables are shown to neutralize this trend. | pubmed |
Could halophilic archaea improve the traditional salted anchovies (Engraulis encrasicholus L.) safety and quality? | The positive influence of two selected extremely halophilic archaea strains in the production of salted anchovies (Engraulis encrasicolus, L., 1758) was highlighted.Anchovies produced with salt artificially contaminated with halophiles exhibited lower loads of staphylococci, Enterobacteriaceae and lactic acid bacteria, and a reduced content of histamine as well as an improved organoleptic acceptance. | pubmed |
Whipple's disease. Do we think of it enough? | Whipple's disease is a chronic, systemic, relapsing bacterial illness, which is always fatal without treatment, and means a diagnostic challenge for both clinicians and pathologists. It occurs in Caucasian, white, middle-aged men in 80 % of the cases.The authors present three cases, and review the etiology, clinical features, presumed pathomechanism and the possibilities of treatment. | pubmed |
Search for secondary osteoporosis: are Z scores useful predictors? | A retrospective cross sectional study was conducted among 136 consecutive patients with osteoporosis at Ninewells Hospital, Dundee, UK, between 1998-2002.20.5% of female patients in this study were identified with previously unrecognised contributors to the low bone mineral density. In women, at a Z score cut-off of -1, the sensitivity of detecting a secondary cause for osteoporosis is 87.5% with a positive predictive value of 29.2%. | pubmed |
Is the prevalence of CYP2C19 genetic variants different in Pacific people than in New Zealand Europeans? | Individuals who self-identified as either Pacific people (n=14) or NZ European (n=12) were genotyped for the *2, *3 or *17 functional variants of CYP2C19.There was a significantly lower frequency (P<0.01) of the CYP2C19*17 allele in Pacific people compared with NZ Europeans. No CYP2C19*17 variant alleles were detected in Pacific people in this preliminary study. | pubmed |
Does lithotripsy cause hearing loss? | To determine whether lithotripsy with the Dornier MPL9000 has any significant effect on the hearing of either patients or operators, as determined by pure tone audiometry.Twenty patients had audiometry prior to a single exposure to lithotripsy and one hour after treatment. Staff were monitored on a 3 monthly basis.No evidence was found to suggest that single or repeated exposure to the noise emitted by this Dornier lithotripter was associated with any hearing loss. | pubmed |
Does the admitting officer system reduce the time taken to arrange an emergency admission to hospital? | Five metropolitan hospitals of comparable size from each country were selected and the time taken to contact the relevant doctor in order to arrange admission of an acutely ill patient was documented.A total of 120 contact attempts were made, 60 in each country. The total time taken to contact the admitting doctor in order to arrange an emergency assessment for a patient was significantly longer in New Zealand than it was in Australia (p<0.05). | pubmed |
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