Before she arrived, it was as if she had already left. Her chart was riddled with indicators. This past February, when she had her first stroke, she had left the hospital against medical advice. Two months later, when she had her second, she left the emergency department against medical advice. The…
Thu Mar 12, 2020 02:00
When abortion is legally restricted or otherwise inaccessible, girls, women, and those who care about them look outside formal medical care to end pregnancies. Worldwide, people increasingly choose misoprostol or a combination of mifepristone and misoprostol to end pregnancies on their own…
Thu Mar 12, 2020 02:00
Americans love freedom, but our freedom is not unlimited. It ends, as the Supreme Court has repeatedly ruled, when it is exercised in such a way that we harm or threaten to harm other people. New York’s measles epidemic of 2018–2019 is a good example of such harm. Whatever one believes about the…
Thu Mar 12, 2020 02:00
Thu Mar 12, 2020 02:00
Human insulin was the first major product of the modern biotech industry and has been available in the U.S. market since 1982. Yet as insulin patents have expired in the early 21st century, the prices of human insulins have been rising sharply rather than falling. Draft guidance recently released…
Thu Mar 12, 2020 02:00
Presentation of Case. Dr. Emily W. Lopes: An 89-year-old man was evaluated at this hospital because of recurrent bloody stools. Two years before the current evaluation, the patient underwent repair of a right inguinal hernia. After he recovered from that procedure, he had intermittent pain in the…
Thu Mar 12, 2020 02:00
Abstract Cyst-like lesions are a rare radiologic presentation following fractures in children. We report the case of a 3-year-old boy having three cyst-like lesions after a buckle fracture of his left radius that was diagnosed with digital radiography and CT scan. We also describe the lesions’ ultrasonographic appearance, which has not been addressed in other studies. The keys to diagnosis depend on the clinical context and the radiologic appearance. The cyst-like lesions occur...
Thu Mar 12, 2020 10:37
Abstract Ultrasonography (US) is the imaging method of choice for evaluating the pediatric thyroid gland, complemented by scintigraphy and thyroid function tests, especially when evaluating children with suspected congenital hypothyroidism, goiter, infectious or autoimmune diseases, or neoplasm. Diagnostic considerations in newborns with congenital hypothyroidism mainly include dysgenesis, dyshormonogenesis, transient hypothyroidism and central (hypophyseal) hypothyroidism....
Thu Mar 12, 2020 10:37
Abstract Background Our nearly 500-member department implemented the shadowing program “Walk in My Shoes” to improve intradepartmental relationships and build a stronger sense of community. The program provides both clinical and non-clinical employees an opportunity to shadow colleagues in their various roles and learn more about one another’s contribution to the overarching mission of caring for children and their families. The...
Thu Mar 12, 2020 10:37
Abstract Background Altered biodistribution of [F-18]2-fluoro-2-deoxyglucose (FDG) is sometimes encountered in pediatric patients undergoing chemotherapy for lymphoma on post-induction positron emission tomography (PET) imaging. A characteristic pattern of increased FDG uptake in white adipose tissue can be seen, particularly in the buccal regions, body wall and gluteal regions, with a shift of radiotracer away from the blood...
Thu Mar 12, 2020 10:37
Abstract Background Although the provision of pediatric emergency and trauma radiology has become increasingly prevalent in North America over the last few years, many hospitals differ in their models of providing after-hours coverage. Objective To describe the scope of after-hours radiology services provided in children’s hospitals in North America,...
Thu Mar 12, 2020 02:00
In general, use of herbal remedies and preparations is on the ascendency in recent times among the general population and especially in young pregnant women, and this may be very dangerous due to adverse effects and interactions with drugs. A survey by the World Health Organization revealed that 70–80% of the world population resort to nonconventional medicines especially, herbal medicines in their primary healthcare. A lot of work has been done on the positive effects of herbs on the human body...
Thu Mar 12, 2020 09:35
Abstract Serrated polyps are a clinically and molecularly heterogeneous group of lesions that can contribute to the development of colorectal cancers. However, the molecular mechanism underlying the development of serrated lesions is still not well understood. Here, we combined multiple approaches to analyze the genetic alterations in 86 colorectal adenomas (including 35 sessile serrated lesions, 15 traditional adenomas and 36 conventional adenomatous polyps). We also investigated the in vitro...
Thu Mar 12, 2020 10:27
Abstract Pectin exists in significant amounts in vegetables and fruits as a component of the plant cell wall. In human diet, pectin is not degraded by the human digestive enzymes due to its complex structure; only gut bacteria degrade pectin in the large intestine. To date, although pectin is one of the most important sources of dietary fiber in human diet, there have been only few reports on human gut-originated pectinolytic bacteria. In this study, the strain Enterococcus mundtii...
Thu Mar 12, 2020 02:00
New England Journal of Medicine, Ahead of Print.
Wed Mar 11, 2020 11:07
New England Journal of Medicine, Ahead of Print.
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New England Journal of Medicine, Volume 382, Issue 11, Page 985-987, March 2020.
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New England Journal of Medicine, Volume 382, Issue 11, Page 1041-1041, March 2020.
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New England Journal of Medicine, Volume 382, Issue 11, March 2020.
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New England Journal of Medicine, Volume 382, Issue 11, Page 983-985, March 2020.
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