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Neurologia
One of the questions with no answer is the one relative to survival in patients with an advanced stage of dementia, and the answer to this question often influences the decisions of possible hospitalizations in palliative care structures. With a prospective study, the prevision of death among 606 patients hospitalized in a protected structure in Massachusetts have been examined, according to two parameters: the ADEPT (Advanced Dementia Prognostic Tool) score, an evaluation scale including 12 factors, among which age, presence of trophic ulcers, incontinence, recent weight loss, where the scale ranges from 1 to 32.5 points and where the highest score indicates a lower survival.
MedNews - Mer, 2 Maggio 2012
http://mn.medsurfnews.com/
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Odontoiatria
From some studies, a risk of endothelial dysfunction and an increase in the markers of inflammation following intensive periodontal treatments were found, but we do not know whether this increase in the risk has some repercussions on a greater incidence in cardiovascular diseases.
MedNews - Mer, 2 Maggio 2012
http://mn.medsurfnews.com/
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Ostetricia e Ginecologia
With the spreading of ultrasound and hysteroscopic techniques, the finding of endometrial polyps, which are generally considered as harmless and with no cancer risk, has greatly increased. But is it really so? Some researchers have performed a meta-analysis on 17 studies concerning 10,572 women, to whom endometrial polyps, undergoing then histological examinations, had been removed.
MedNews - Mer, 2 Maggio 2012
http://mn.medsurfnews.com/
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Oncologia
A 58-year-old man presented with symptoms of abdominal pain of several weeks duration. At physical evaluation, jaundice and ascites were present. In addition, a palpable mass was identified in the right upper quadrant. Surgical resection was performed. What is your diagnosis?
cancernetwork.com - Mer, 2 Maggio 2012
http://www.cancernetwork.com
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Trapiantologia
Facebook as a way to answer to the critical shortage of donated organs in the United States: Facebook users can now share their organ donor status with friends and family in the same way they share basic information about where they went to college or who they are married to. The hope is that, by starting a conversation with friends and family through social media, the discussion will go viral, with a critical mass of people educating themselves about the benefits of organ donation and choosing to register as organ donors.
Johns Hopkins Hospital - Mer, 2 Maggio 2012
http://www.hopkinshospital.org
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Neurologia
Researchers have analyzed past studies to investigate possible associations between maternal age and autism spectrum disorder. While much research has been done to identify potential genetic causes of autism, the current analysis suggests that non-heritable and environmental factors may also play a role in children's risk for autism.
Karolinska Institutet - Mer, 2 Maggio 2012
http://ki.se/ki/jsp/polopoly.jsp?d=130&l=en
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Diabetologia
A comparison of the efficacy of three treatment regimens to achieve durable glycemic control in children and adolescents with recent-onset type 2 diabetes shows that monotherapy with metformin appears to be associated with durable glycemic control in approximately half of children and adolescents with type 2 diabetes. The addition of rosiglitazone, but not an intensive lifestyle intervention, resulted superior to metformin alone.
New England Journal of Medicine - Mer, 2 Maggio 2012
http://www.nejm.org
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Pneumologia
Plain-film radiographic images of a chest can reveal evidence of pneumoperitoneum, with gas extending from the infradiaphragmatic region to the inferior margin of the liver, outlining the gallbladder. Moreover, gas outlined the spleen on the lateral view can be highly suggestive of bowel perforation.
New England Journal of Medicine - Mer, 2 Maggio 2012
http://www.nejm.org
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Medicina generale
Patients increasingly use social media to communicate. Their stories could support quality improvements in participatory health care and could support patient-centered care. Active use of social media by health care institutions could also speed up communication and information provision to patients and their families, thus increasing quality even more. Hospitals seem to be becoming aware of the benefits social media could offer. A longitudinal study explored the use of social media by hospitals in 12 Western European countries through an Internet search and showed that social media awareness in Western European hospitals is growing, as well as its use.
Journal of Medical Internet Research - JMIR - Mer, 2 Maggio 2012
http://www.jmir.org
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Dermatologia
Internet and computer tailored (CT) technology fosters the development of highly individualized health communication messages. A cross-sectional research showed that involvement with skin cancer was reflected in more positive beliefs toward sunscreen use, and that the CT Internet program was well accepted. Moreover, a pro-active approach is very well suited to reach various groups of people and is more likely to be successful than a reactive approach.
Journal of Medical Internet Research - JMIR - Mer, 2 Maggio 2012
http://www.jmir.org