OBJECTIVE Dilated cardiomyopathy (DCM) is characterised by left ventricular dilation and dysfunction not caused by coronary disease, valvular disease or hypertension. Owing to the considerable aetiological and prognostic heterogeneity in DCM, an extensive diagnostic work-up is recommended. We aimed to assess the value of diagnostic testing beyond careful physical examination, blood tests, echoc...

today radiology and imaging are the only and main method to generate geometrical data from body. 3d model of the body will give us the best and reliable information for better understanding and diagnostic. on the other hand with development of cad/cam and rapid prototyping, the 3d printers were born to build 3d models without considering the geometry. today the 3d printers are able to makes a 3...

OBJECTIVE To evaluate patient characteristics, symptoms, and examination findings in the clinical diagnosis of lumbosacral nerve root compression causing sciatica. METHODS The study involved 274 patients with pain radiating into the leg. All had a standardised clinical assessment and magnetic resonance (MR) imaging. The associations between patient characteristics, clinical findings, and lumb...

BACKGROUND Clinical examination findings are used in primary care to give an initial diagnosis to patients with low back pain and related leg symptoms. The purpose of this study was to develop best evidence Clinical Diagnostic Rules (CDR] for the identification of the most common patho-anatomical disorders in the lumbar spine; i.e. intervertebral discs, sacroiliac joints, facet joints, bone, mu...

Suday, O cber 8, 2017 CONCLUSION: Open cranial vault remodeling with fronto-orbital advancement is a safe and reproducible procedure with excellent literature to support short-term outcomes. However, little data exist to evaluate this patient population as they mature. Our study critically evaluates physical exam findings, neurocognitive development, and anthropometric assessments in this patie...

screening interval urinalysis has long been considered essential to pediatric health care. a urinalysis is recommended at four times: in infancy, early childhood, late childhood, and in adolescence. several chemical parameters can be measured as commercially available in dipstick test. this test is relatively inexpensive and it takes less than 5 minutes to be completed. in a 3 month follow up p...

OBJECTIVE To examine the effects of exam room presentations and teaching (ERPT) in a busy outpatient pediatric setting on visit duration and on parent, preceptor, and resident perceptions. METHODS This 8-week, 2-method crossover study compared first-year pediatric resident patient presentations and attending physician teaching and discussion in the exam room (ERPT) with conference area presen...

BACKGROUND A substantial fraction of all American healthcare expenditures are potentially wasted, and practices that are not evidence-based could contribute to such waste. We sought to characterize whether Prothrombin Time (PT) and activated Partial Thromboplastin Time (aPTT) tests of preoperative patients are used in a way unsupported by evidence and potentially wasteful. METHODS AND FINDING...

background: direct thrombin inhibitors and factor xa inhibitors are gaining popularity as alternatives to warfarin for patients requiring anticoagulation. toxicity due to these medications is difficult to manage because overdose experience is very limited and there is no clear guidance on when or whether to use antidote in this setting. case presentation: a 50-year-old man with normal renal fun...

Suday, O cber 8, 2017 CONCLUSION: Open cranial vault remodeling with fronto-orbital advancement is a safe and reproducible procedure with excellent literature to support short-term outcomes. However, little data exist to evaluate this patient population as they mature. Our study critically evaluates physical exam findings, neurocognitive development, and anthropometric assessments in this patie...