Mayo Clinic proceedings
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Mayo Clinic proceedings · Jul 2010
Review Meta AnalysisIntraoperative echocardiography in valvular heart disease: an evidence-based appraisal.
Intraoperative (IO) transesophageal echocardiography (TEE) is widely used for assessing the results of valvular heart disease (VHD) surgery. Epiaortic ultrasonography (EAU) has been recommended for prevention of perioperative strokes. To what extent does high-quality evidence justify the widespread use of these imaging modalities? In March 2009, we searched MEDLINE (PubMed and OVID interfaces) and EMBASE for studies published in English using database-specific controlled vocabulary describing the concepts of IOTEE, cardiac surgery, VHD, and EAU. ⋯ The value of IOTEE in isolated aortic valve replacement remains less clear. Evidence supporting EAU is scientifically more robust but conflicting. These findings have important clinical policy and research implications.
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Mayo Clinic proceedings · Jul 2010
Review Meta AnalysisSexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis.
To systematically assess the evidence for an association between sexual abuse and a lifetime diagnosis of psychiatric disorders. ⋯ A history of sexual abuse is associated with an increased risk of a lifetime diagnosis of multiple psychiatric disorders.