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Small bowel obstruction: a recurrence of melanoma during the second trimester of pregnancy

Background: The incidence of melanoma is on the rise in the United States and is particularly prevalent among women of childbearing age. Obtaining a complete history and understanding the unpredictable behavior of melanoma is essential to make the diagnosis of recurrent disease during pregnancy. Case: A 35-year-old G2P1 at 23 weeks and 1 days’ gestation with a remote history of ...

Non-invasive measures of coronary microcirculation: Taking the long road to the clinic

Although coronary microvascular disease is now a well-recognized entity that is associated with significant morbidity and mortality, current non-invasive strategies cannot differentiate between coronary microvascular disease (CMD) and obstructive epicardial stenosis. While the evaluation of intramyocardial blood volume as a surrogate measure for microvascular health may have ...

Peripartum Cardiomyopathy: A Cause of Heart Failure in Young Women

Introduction: Peripartum cardiomyopathy (PPCM), also known as postpartum cardiomyopathy, is an infrequent cause of systolic heart failure that can affect women in the last month of pregnancy and up to five months after delivery. While PPCM is a type of dilated cardiomyopathy, the etiology of this condition remains largely unknown.1 Given the infrequency with which PPCM is ...

An Empirical Approach to Assessing Pediatric Residents

additional authors Authors Jeffrey D. Shahidullah PhD, Paul W. Kettlewell PhD, Kathryn DeHart MD, Kris Rooney MD, Ilene Ladd MA, Tyler Bogaczyk BS, Amy Signore PhD, and Sharon L. Larson PhD This article is

Intravascular Lymphoma in the CNS: Options for Treatment

Purpose of review The purpose of this review was to discuss therapeutic manipulations and effective current interventions available to treat intravascular lymphoma in the central nervous system. Recent findings Patients experienced resolution and remission of disease for 14 months and up to 2 years after eight cycles of R-CHOP and four courses of intrathecal therapy with MTX, ...

Jefferson Neurologist Shows Two-Thirds Reduction in Mortality Rate after Epilepsy Surgery

Sudden Unexpected Death by Epilepsy (SUDEP) is a rare occurrence among patients with well-controlled epilepsy. However, patients with drug-resistant epilepsy who continue to have seizures have a 1 in 150 risk of death by SUDEP. Michael Sperling, MD, Baldwin Keys Professor of Neurology and the Director of the Jefferson Comprehensive Epilepsy Center, has been researching this complex ...

Recruiting Rural Healthcare Providers Today: a Systematic Review of Training Program Success and Determinants of Geographic Choices

Background Rural areas have historically struggled with shortages of healthcare providers; however, advanced communication technologies have transformed rural healthcare, and practice in underserved areas has been recognized as a policy priority. This systematic review aims to assess reasons for current providers’ geographic choices and the success of training programs aimed at ...

Similar Cost Savings of Bundled Payment Initiatives Applied to Lower Extremity Total Joint Arthroplasty Can Be Achieved Applying Both Models 2 and 3

, and Feifei Zhang, Health Data Analyst at PBC Advisors, LLC. Compliance with Ethical Standards Conflict of Interest: Allyson Alfonso, BS, BA; Lorraine Hutzler, MPA; Bill Robb, MD; and Joseph Bosco, MD

The Incidence of Perioperative Cardiac Events after Orthopedic Surgery: A Single Institutional Experience of Cases Performed over One Year

. Wolfe, BA; Neil M. Sanghavi, BS; Kara Fields, MA; and Steven K. Magid, MD have declared that they have no conflict of interest. Human/Animal Rights: All procedures followed were in accordance with the ... . Anesthesiology . 2013 ; 118 : 1046 - 58 . 19. Oberweis BS , Smilowitz NR , Nukala S , Rosenberg A , Xu J , Stuchin S et al. Relation of perioperative elevation of troponin to long-term mortality after orthopedic

Should Response-Adapted Therapy Now Be the Standard of Care for Advanced Hodgkin’s Lymphoma?

Longley MB BS 0 0 Department of Medical Oncology, University Hospital Southampton NHS Foundation Trust , Tremona Rd., Southampton, SO16 6YD , UK Hodgkin's lymphoma I FDG-PET I Chemotherapy-related toxicity

The Recuperating Ability of Cauliflower Coral (Pocillopora Damicornis) and Staghorn Coral (Acropora sp.) to Temperature Stress

Roy Adsit, BS, Saipan Southern High School Coordinating Center: University of Hawaii John A. Burns School of Medicine , USA 2 Journal of Health Disparities Research and Practice Volume 9, Special

Navigating Language Barriers: A Systematic Review of Patient Navigators’ Impact on Cancer Screening for Limited English Proficient Patients

OBJECTIVES To systematically review the literature on the impact of patient navigators on cancer screening for limited English proficient (LEP) patients. DATA SOURCES Electronic databases (PubMed, PsycINFO via OVID, Web of Science, Cochrane, EMBASE, and Scopus) through 8 May 2015. ELIGIBILITY CRITERIA Articles in this review had: (1) a study population of LEP patients eligible for ...

Effects of Light Attenuation on Local and Bulk Mechanical Properties of Photopolymerized PEG Hydrogels

Cell experiments investigating cell behavior as a function of material stiffness are often carried out on the surface of hydrogels. An assumption that the bulk hydrogel mechanical properties represent the surface properties is often employed but in many cases is not valid. In photo-initiated radical polymerization, photons are absorbed by initiator chromophores generating high ...

Does Medicaid Insurance Confer Adequate Access to Adult Orthopaedic Care in the Era of the Patient Protection and Affordable Care Act?

Background A current appraisal of access to orthopaedic care for the adult patient receiving Medicaid is important, since Medicaid expansion was written into law by the Patient Protection and Affordable Care Act (PPACA). Questions/Purposes (1) Do orthopaedic practices provide varying access to orthopaedic care for simulated patients with Medicaid insurance versus private insurance ...