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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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Τετάρτη 24 Μαΐου 2017
Scholar : These new articles for Asian Geographer are available online
Pediatric Psoriasis
Abstract
Psoriasis is a chronic inflammatory systemic disease associated with an important physical and physiological burden. It primarily affects the skin, but it is associated with several serious medical co-morbidities. One third of total psoriatic cases have their onset during the pediatric age, although some of them may not be diagnosed until the patient reaches adulthood. Additionally, in the pediatric age, there is an association with several medical co-morbidities; thus, an early recognition of the disease and a subsequent appropriate approach may delay or even prevent considerable co-morbidities. Because children are not just 'small adults', specific guidelines for the diagnosis, management, and treatment of psoriasis are of extreme importance. However, these guidelines are still lacking in this age group. Most of the psoriasis treatments used in adults are not officially approved for the pediatric age and require off-label prescription. Moreover, efficacy and safety studies are lacking in this population, especially with long-term follow-up and outcomes. Many biologic agents have been recently approved for the treatment of psoriasis in children, while others are currently being studied. This bibliographic review aims to summarize the most relevant aspects, as well as updated information about the epidemiology, pathogenesis, clinical features, diagnosis, co-morbidities and treatment of pediatric psoriasis.
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Celebrate Men’s Health Month with MyPlate!
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
Author(s): David Herring
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What's New Online
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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Introducing the Academy’s 2017-2018 President: Donna Martin, EdS, RDN, LD, SNS, FAND
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
Author(s): Dayle Hayes
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Healthier Children, Healthier Nation
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
Author(s): Donna S. Martin
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Table of Contents
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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Academy of Nutrition and Dietetics Board of Directors 2017-2018
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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Changes to the Board of Editors
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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Fighting for the Profession: The Recent History of Legislative and Public Policy Efforts at the Academy
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
Author(s): Karen Stein
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June 2017 People & Events
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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June 2017 New in Review
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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June 2017 Classified Advertisements
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
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What Is Oral Allergy Syndrome?
Source:Journal of the Academy of Nutrition and Dietetics, Volume 117, Issue 6
Author(s): Jill Balla Kohn
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Immune Checkpoint Inhibitor-Induced Colitis: Diagnosis and Management
Abstract
Immune checkpoint inhibitors are monoclonal antibodies indicated for an increasing number of malignant diseases. These agents can cause specific side effects, which need to be anticipated while clear patterns of management need to be established. Immune checkpoint inhibitor-mediated gastrointestinal side effects, including diarrhea and colitis, occur in up to 30% of patients. Severe colitis can lead to severe dehydration or intestinal perforation. Endoscopic lesions and histopathological features of immune checkpoint inhibitor-induced colitis are similar to an inflammatory bowel disease (IBD) flare. Patients with immune checkpoint inhibitor-induced diarrhea and colitis are treated with corticosteroids. Infliximab can be used in cases of corticosteroid failure. Rectosigmoïdoscopy or colonoscopy should be performed when severe immune checkpoint inhibitor-induced colitis is suspected, but endoscopic investigations should not delay treatment. Specific patient education as well as co-operation between oncologists and gastroenterologists is essential.
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Speed Mentoring: An Innovative Method to Meet the Needs of the Young Surgeon
Publication date: Available online 23 May 2017
Source:Journal of Surgical Education
Author(s): Rebecca C. Britt, Amy N. Hildreth, Shannon N. Acker, Nicolas J. Mouawad, Joshua Mammen, Jacob Moalem
ObjectiveSpeed mentoring has recently been used by several medical organizations as a strategy to establish mentoring relationships, which are felt to be critically important in the development of the surgeon. This study assesses a surgical speed-mentoring program at the 2015 American College of Surgeons (ACS) Clinical Congress.DesignA steering committee designed the speed-mentoring program to match 60 ACS Resident and Associate Society mentees with a mix of junior and senior leadership of ACS. Each mentee met with 5 mentors for 10 minutes each during the 1 hour session. After participation in the activity, surveys were provided to assess the event. The survey included forced-choice questions using Likert-scales as well as open-ended questions. Mentor and mentee responses were compared using Medcalc software using comparison of means and comparison of proportion, with p < 0.05 considered significant.SettingThe study was undertaken at the 2015 ACS Clinical Congress.ParticipantsA total of 60 mentors and 49 mentees participated in the inaugural ACS Speed-Mentoring activity. The postactivity survey was completed by 54 mentors (90%) and 39 mentees (79.5%).ResultsThere was a high level of satisfaction with the activity, with 100% of mentors and mentees stating that they would recommend the activity to a colleague. There was overall high satisfaction with the organization of the session by both the mentors and the mentees although the mentors were more likely to feel that they needed more time for each interaction. More mentees (93%) than mentors (68.5%) felt they were likely to develop a mentoring relationship with one of their matches outside of the organized session.ConclusionsWe demonstrated that a speed-mentoring event at a national surgical meeting offers an effective platform for mentoring and is mutually beneficial to both mentors and mentees. Data collected here will be used to modify and improve the design of future speed-mentoring sessions.
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APX005M With Concurrent Chemoradiation for Resectable Esophageal and Gastroesophageal Junction Cancers
Interventions: Drug: APX005M; Radiation: Radiation Therapy; Drug: Paclitaxel; Drug: Carboplatin; Procedure: Surgical resection of tumor
Sponsors: University of California, San Francisco; Apexigen, Inc.
Not yet recruiting - verified May 2017
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RCT With Cross-over on Efficacy of Cervical Pillows and Education
Interventions: Device: Viscospring PostuRite - "medium" model; Other: Education
Sponsors: University of Bologna; SOFF-ART S.r.l.
Not yet recruiting - verified May 2017
http://ift.tt/2qWXRdx
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Publication date: September 2017 Source: Free Radical Biology and Medicine, Volume 110 Author(s): Lucía Fernández-del-Río, Anish Nag, Elen...