introduction : very severe head trauma cases, defined as glasgow coma scale (gcs) scores of less than 6, have a higher mortality rate and poorer outcome. the purpose of this study was to recognize factors associated with survival and 6-month favorable outcome of very severe head trauma patients presenting to emergency department.  methods: in this historical cohort study, the authors retrospect...

background: the measure of expressed emotion (ee) has been extensively used for the investigation of family interaction in different clinical populations. however, very few clinical data exist which clarify the nature of the relationship between family ee and eating disorders, as well as the prognostic value of the ee variables. objective: the purpose of this study is to determine if family ee ...

background: venoarterial extracorporeal membrane oxygenation (ecmo) provides systemic arterial support without directly unloading the left heart, which causes an elevated left ventricular (lv) pressure. the aim of the present study was to investigate the adjunctive application of the impella device for lv unloading in patients during ecmo. methods: this retrospective cohort study included patie...

introduction: allogeneic hematopoietic stem cell transplantation is a potentially curative treatment modality for hematological malignancies. we evaluated the outcome of patients suffering from hematological malignancies, including acute leukemias, chronic myeloid leukemia and myelodysplastic syndrome after allogeneic transplantation. methods: all patients having hematological malignancies with...

background: c linical trials of revascularization have routinely under-enrolled elderly subjects. thus, symptom relief and improved survival might not apply to elderly patients, in whom the risk of mortality and disability from revascularization procedures seems to be high and co-morbidity is more prevalent. the present case control study was performed to draw a comparison in terms of the proce...

A variety of measures are used for evaluating patients’ responses to substance abuse treatments. These range from physical measures (such as samples of urine, breath, hair, or blood), self-reports of drug use (such as the Addiction Severity Index (ASI) or the Time Line Follow-Back), self-reports of psychological or physiological functioning (such as symptom checklists or craving or mood ratings...

There is at present some confusion about the relative value of clinical trials performed to investigate efficacy vs. those designed to investigate effectiveness. This is particularly challenging when studies performed as experiments for regulators by companies are used to shape and inform clinical practice, especially if studies conducted under more real life conditions fail to support predicte...

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This study addressed two self-evaluation questionnaires in investigating the effects of voice hygiene lecture (VHL, 3 h) and additional voice training (VT) or Voice Massage (VM; both 5 h) in 90 female teachers. The subjects assessed their voice quality, ease of phonation and tiredness of throat before and after a working day at the beginning and end of the school term using a visual analogue sc...