Browse Items (97 total)

B Learning Objectives: b There is scant data comparing Prothrombin Complex Concentrate (PCC) to Vitamin K/Fresh Frozen Plasma (FFP) in trauma patients. Patients that received PCC (PCC group) were compared to those who received Vitamin K/FFP (FFP…

The number of refugees and asylum seekers throughout the world continues to increase, leading to increasing challenges in meeting healthcare needs of these individuals. Women's antenatal health is of particular concern due to their vulnerability to…

Introduction: The use of an electrocautery device (monopolar loop) for patients undergoing transurethral resection of bladder tumors (TURBT) is standard of care. The aim of this study is to establish non-inferiority of complication rates for a…

My family and friends (and even my doctor!) think I’m a strong person, but I don’t see it that way. I just do what I need to do to get through each day. Taking care of my family, friends, and sometimes even complete strangers is actually what keeps…

PURPOSE OF REVIEW: Antimicrobial resistance (AMR) is a global threat worldwide, with deaths associated with AMR infections projected to exceed 10 million per year by the year 2050. The overuse and misuse of antibiotics is the primary driver of this…

This chapter discusses how to use career themes or central tensions to extend clients' occupational plots by identifying fitting settings, possible scripts, and future scenarios. Practitioners assess the educational and vocational interests that…

This chapter describes how to identify client solutions to the problems they pose in their early recollections. With a client's perspective and preoccupations in mind, practitioners begin to consider responses to the question about role models.…

The ability of retroviruses (RVs) to cause neurodegeneration is critically dependent upon two activities of the envelope protein (Env). First, Env facilitates viral genome delivery to CNS target cells through receptor binding and membrane fusion.…

INTRODUCTION: Topical atropine eye drops at low concentrations have been shown to slow myopia progression in East Asian studies. This study explored the effect of atropine 0.01% eye drops on controlling myopia progression in a multiethnic cohort of…

Tan olive skin, wide smile, black hair, dark almond-shaped eyes, short and thin, mid 40s… a very typical person I used to see while I was in medical school. I see such patients less often now in private practice.

Susac syndrome is a rare, immune-mediated disease characterized by encephalopathy, branch retinal artery occlusion, and hearing loss. Herein, we describe the electron microscopic findings of three brain biopsies and two brain autopsies performed on…

Breast elastography has been available for more than 15 years but is not widely incorporated into clinical practice. Many publications report extremely high accuracy for various breast elastographic techniques. However, results in the literature are…

Rate constant estimation with heavy water requires a long-term experiment with data collection at multiple time points (3-4 weeks for mitochondrial proteome dynamics in mice and much longer in other species). When tissue proteins are analyzed, this…

After completing a Career Construction Interview and before beginning counseling with clients, practitioners must understand the meaning presented in clients' stories, relate this meaning to the initial reason they sought counseling, and prepare to…

This book describes methods of career construction counseling based on the conceptual model of life designing. It defines counseling and how career counseling has evolved over the last century. The counseling profession has evolved three distinct…

This chapter examines the core concepts of self, identity, meaning, mastery, and mattering. It begins by discussing the role that language plays in constructing a self and then differentiates 'self' from 'identity.' The chapter explains how identity…

The purpose of this review is to briefly summarize the roles of alcohol (ethanol) and related compounds in promoting cancer and inflammatory injury in many tissues. Long-term chronic heavy alcohol exposure is known to increase the chances of…

This chapter describes how practitioners compose an identity narrative that reconstructs clients' small stories into a large story that encourages reflexivity to clarify choices. Having conducted the eight-step assessment protocol, practitioners…

BACKGROUND CONTEXT: There are several prognostic scores available that intend to inform decision making for patients with spinal metastases. Many of these have not been found to reliably predict survival across the continuum of care. Recently, our…

Career Construction Counselling (CCC) is a narrative intervention that supports individuals in the elaboration of narrative identity and career construction. CCC theory, research, and practice has benefited from the Innovative Moments Model (IMM) to…

Objectives: Primate diagonal sequence (DS) gaits are often argued to be an adaptation for moving and foraging in the fine‐branch niche; however, existing data have come predominantly from laboratory studies that are limited in taxonomic breadth and…

BACKGROUND: Low hospital volume for emergency general surgery (EGS) procedures is associated with worse patient outcomes within the civilian health care system. The military maintains treatment facilities (MTFs) in remote locations to provide access…

OBJECTIVE: To investigate the characteristics and risk factors of a novel parenchymal lung disease (LD), increasingly detected in systemic juvenile idiopathic arthritis (sJIA). METHODS: In a multicentre retrospective study, 61 cases were investigated…

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Pruritus is a common presenting diagnosis associated with a myriad of localized and systemic conditions. Due to many underlying causes, it can be challenging for the provider to assess. Symptoms often persist, causing frustration for the patient and…

The article aims to increase awareness of and dialogue about the achievable benefits and existing challenges of health care organizations' engagement in community development as to continue national efforts which aimed at achieving social, economic,…

Milagros is a 50-year-old Puerto Rican woman whose family I met while over the course of 3 months volunteering at a family medicine clinic in South Bronx. She was accompanied by her two teenage daughters, Amparo, 18, and Beatriz, 13, and her grandson…

The pineal gland is a naturally calcifying endocrine organ which secretes the sleep-promoting hormone melatonin. Age-related changes of the pineal have been observed, including decreased pinealocyte numbers, increased calcification, and a reduction…

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