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https://www.readbyqxmd.com/read/27898998/nutritional-supplementation-for-hip-fracture-aftercare-in-older-people
#1
REVIEW
Alison Avenell, Toby O Smith, James P Curtain, Jenson Cs Mak, Phyo K Myint
BACKGROUND: Older people with hip fractures are often malnourished at the time of fracture, and subsequently have poor food intake. This is an update of a Cochrane review first published in 2000, and previously updated in 2010. OBJECTIVES: To review the effects (benefits and harms) of nutritional interventions in older people recovering from hip fracture. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, CENTRAL, MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, Embase, CAB Abstracts, CINAHL, trial registers and reference lists...
November 30, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27853047/long-term-management-of-a-dog-with-idiopathic-megaesophagus-and-recurrent-aspiration-pneumonia-by-use-of-an-indwelling-esophagostomy-tube-for-suction-of-esophageal-content-and-esophagogastric-tube-feeding
#2
Yuka Kanemoto, Kenjiro Fukushima, Hideyuki Kanemoto, Koichi Ohno, Hajime Tsujimoto
A 10-year-old neutered male Labrador Retriever dog was diagnosed with idiopathic megaesophagus. Despite receiving conventional treatments including elevated feeding, the dog showed repeated regurgitation and aspiration pneumonia, consequently developing weight loss and severe malnutrition. For the purpose of controlling regurgitation, an esophagostomy tube was placed for draining the esophageal fluid. Additionally, an esophagogastric tube was placed for nutritional support. After tube placement, the average frequency of regurgitation was reduced from 2...
November 17, 2016: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/27818944/an-unusual-case-of-salmonella-enteritidis-causing-pneumonia-septic-shock-and-multiple-organ-failure-in-an-immunocompetent-patient
#3
M L Thompson Bastin, N R Neville, R E Parsons, A H Flannery, S J Tennant, C A Johnson
Salmonella species are facultative intracellular pathogens that most frequently cause self-limiting gastrointestinal disease, often acquired through the ingestion of contaminated food. We report the case of a 33-year-old otherwise healthy, not overtly immunosuppressed, man who was transferred to our facility with the chief complaint of respiratory failure and septic shock. Computed tomography of the chest revealed multifocal pneumonia in both lungs. A bronchial alveolar lavage was performed in the right middle lobe and cultures predominantly grew Salmonella enterica serovar Enteritidis...
2016: IDCases
https://www.readbyqxmd.com/read/27805553/-monoinfection-of-human-metapneumovirus-in-cordoba-first-clinical-and-epidemiological-research-in-children-with-respiratory-infection-in-2011
#4
Pamela Elizabeth Rodriguez, María Pilar Adamo, María Gabriela Paglini, Laura Moreno, Jorge Augusto Camara, Alicia Camara
: Human metapneumovirus (hMPV) RNA virus discovered in 2001, is a pathogen associated with acute respiratory infection (ARI) in children under 5 years; its prevalence ranges from 5-15%. In Córdoba, it is not integrated into the viral research in patients with low IRA (LARI). OBJECTIVE: Detect hMPV in children under 5 years hospitalized for LARI in the Children's Hospital "Santísima Trinidad" of Cordoba (HNC) in 2011 and describe the clinical and epidemiological characteristics of monoinfecciones without comorbidity...
2016: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/27803757/aspiration-related-organizing-pneumonia-complicating-laparoscopic-adjustable-gastric-banding-a-lung-cancer-mimicker
#5
Ahmed A Aljohaney, Amr M Ajlan, Fahad A Alghamdi
There are several described pulmonary complications due to laparoscopic adjustable gastric banding. We report a rare case of a 32-year-old male who presented with pulmonary symptoms and a solitary lung mass 12 years after laparoscopic adjustable gastric banding. A bronchoscopic lung biopsy showed organizing pneumonia that was induced by aspiration pneumonia. The atypical radiological appearance of the aspiration pneumonia may pose a diagnostic challenge, and clinicians' awareness regarding such an entity is needed to avoid unnecessary intervention...
October 2016: Annals of Thoracic Medicine
https://www.readbyqxmd.com/read/27795943/tailored-deep-brain-stimulation-optimization-for-improved-airway-protective-outcomes-in-parkinson-s-disease
#6
Michelle S Troche, Alexandra E Brandimore, Karen W Hegland, Pamela R Zeilman, Kelly D Foote, Michael S Okun
There is no consensus regarding the effects of deep brain stimulation (DBS) surgery on swallowing outcomes in Parkinson's disease (PD). No prospective studies have compared airway protective outcomes following DBS to the subthalamic nucleus (STN) versus globus pallidus interna (GPi). A recent retrospective study described swallowing outcomes pre- and post-STN vs. GPi DBS in a cohort of 34 patients with PD. The results revealed that the patients who received GPi DBS maintained their swallowing function post-DBS, while those in the STN group significantly worsened in swallowing safety...
September 2016: Interdisciplinary Neurosurgery: Advanced Techniques and Case Management
https://www.readbyqxmd.com/read/27785325/the-role-of-percutaneous-endoscopic-transgastric-jejunostomy-in-the-management-of-enteral-tube-feeding
#7
Ezekiel Wong Toh Yoon
Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gastric passage during enteral nutrition and improving drainage of excessive gastric secretions. This report describes a case where PEG-J was successful in maintaining enteral tube feeding in a 72-year-old man when PEG feeding was not tolerated...
June 2016: Gastroenterology Research
https://www.readbyqxmd.com/read/27738550/propofol-related-infusion-syndrome-in-the-peripartum-period
#8
Akwugo A Eziefule, Solafa Elshatanoufy, Mili Thakur, Frederico G Rocha
Background Propofol is a widely known, commonly used drug. Complications can occur with the use of this drug, including propofol-related infusion syndrome (PRIS). PRIS, in the obstetric population, has not been documented; however, we report a case of a patient who developed PRIS after an emergent cesarean delivery of a preterm infant. Case Study A 35-year-old multigravida woman presented complaining of leakage of fluid and decreased fetal movement. Her pregnancy was complicated by methadone maintenance therapy due to a history of opioid abuse...
October 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/27681235/case-control-study-of-pneumonia-patients-with-streptococcus-anginosus-group-bacteria-in-their-sputum
#9
Jun Hirai, Daisuke Sakanashi, Shusaku Haranaga, Takeshi Kinjo, Mao Hagihara, Hideo Kato, Hiroyuki Suematsu, Yuka Yamagishi, Jiro Fujita, Hiroshige Mikamo
BACKGROUND AND OBJECTIVE: In recent years, Streptococcus anginosus group (SAG) bacteria are becoming increasingly recognized as important pneumonia-causing pathogens. Although several small studies have been reported, the features of SAG pneumonia remain unclear, because the identification of SAG from sputum cultures is not routinely performed in most microbiology laboratories. The aim of this study was to elucidate the clinical characteristics of SAG pneumonia. PATIENT AND METHODS: This was a retrospective case-control study utilizing data obtained in our hospital between September 2009 and June 2016...
September 25, 2016: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/27651976/efficacy-of-hi-lo-evac-endotracheal-tube-in-prevention-of-ventilator-associated-pneumonia-in-mechanically-ventilated-poisoned-patients
#10
Ahmad Ghoochani Khorasani, Shahin Shadnia, Mohammad Mashayekhian, Mitra Rahimi, Abbas Aghabiklooei
Background. Ventilator-associated pneumonia (VAP) is the most common health care-associated infection. To prevent this complication, aspiration of subglottic secretions using Hi-Lo Evac endotracheal tube (Evac ETT) is a recommended intervention. However, there are some reports on Evac ETT dysfunction. We aimed to compare the incidence of VAP (per ventilated patients) in severely ill poisoned patients who were intubated using Evac ETT versus conventional endotracheal tubes (C-ETT) in our toxicology ICU. Materials and Methods...
2016: Scientifica
https://www.readbyqxmd.com/read/27623322/-a-well-inked-pneumonia%C3%A2-can-you-decrypt-it
#11
M Tetart, V Trosini-Désert, A Fekkar, C Chenivesse
INTRODUCTION: We report a case of pneumonia associated with necrotic mediastinal lymph nodes in an immunocompetent patient. The case report illustrates the difficulties in making a diagnosis in necrotic mediastinal lymph nodes and discusses strategies to optimize sampling. OBSERVATION: A 21-year-old immunocompetent woman was admitted to hospital with dyspnea and fever occurring ten days after delivery. Physical examination, biological results and chest X-ray led to the diagnosis of right upper lobe pneumonia...
September 9, 2016: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/27578942/incidental-intraoperative-diagnosis-of-retained-foreign-body-lung-misdiagnosed-as-pulmonary-tuberculosis
#12
Radhakrishna Ramchandani, Ravindra Kumar Dewan, Sarita Ramchandani
Tracheobronchial foreign body aspiration (FBA) is a very common and lethal problem among children. It can easily be diagnosed with a typical history of choking crisis. Clinical examination and radiology play a secondary role in diagnosis. Acute choking episode may lead to death or else to serious sequels such as bronchiectasis, atelectasis, and recurrent pneumonia. Here, we report an interesting case of bronchiectasis in a young female initially thought to be a consequence of pulmonary tuberculosis, who was subsequently found to have retained foreign body in the left lower lobe lung which was the actual cause of her symptoms...
July 2016: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/27578936/role-of-virtual-and-flexible-bronchoscopy-in-the-management-of-a-case-of-unnoticed-foreign-body-aspiration-presented-as-nonresolving-pneumonia-in-an-adult-female
#13
Ravish Manmohan Kshatriya, Nimit V Khara, Rajiv P Paliwal, Sateesh N Patel
It is not so common to aspirate foreign body in normal adults without any predisposing factors as compared to children and those with the altered neurological state. Endobronchial foreign bodies are one of the causes of obstructive pneumonia and difficult to diagnose as signs and symptoms are often nonspecific. However, once they are diagnosed, they can generally be removed, leading to rapid and drastic resolution of symptoms. Bronchoscopy is the gold standard in the identification and localization of an airway foreign body and also for better management of the ailment...
July 2016: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/27575658/endoscopic-peroral-jejunal-fecal-microbiota-transplantation
#14
Alexander Link, Tim Lachmund, Christian Schulz, Jochen Weigt, Peter Malfertheiner
BACKGROUND: Fecal microbiota transplantation (FMT) is a valuable treatment modality for recurrent Clostridium difficile (C. difficile) colitis. Multiple questions including the best delivery route and volume remain unanswered. Here, we report a case series of high-volume FMT using endoscopic jejunal application route. METHODS: In prospective observational study, FMT was performed using fresh specimen from healthy unrelated donors to the patients with recurrent or refractory C...
November 2016: Digestive and Liver Disease
https://www.readbyqxmd.com/read/27568082/a-tapentadol-related-fatality-case-report-with-postmortem-concentrations
#15
F Lee Cantrell, Phyllis Mallett, Lenore Aldridge, Kimi Verilhac, Iain M McIntyre
Tapentadol (TAP) is an analgesic agent indicated for the management of different types of pain. It has a novel mechanism of action in that it induces analgesia via both μ-opioid receptor agonism and norepinephrine reuptake inhibition. Although deaths associated with TAP use have been reported, there is a paucity of published literature regarding TAP concentrations in biological samples obtained from TAP-associated fatalities. We report a case of TAP toxicity resulting in death with postmortem peripheral and central blood concentrations, liver, vitreous, urine, and gastric contents...
September 2016: Forensic Science International
https://www.readbyqxmd.com/read/27566213/feasibility-of-a-bilateral-regional-sternocleidomastoid-muscular-flap-in-the-closure-of-a-persistent-acquired-tracheopharyngeal-fistula
#16
Liang Chye Goh, Kalimuthu Santhi, Balachandran Arvin, Mohamad Yunus Mohd Razif
An acquired persistent tracheopharyngeal fistula secondary to an infected tracheopharyngeal voice prosthesis is a common cause of recurrent aspiration pneumonia in a postlaryngectomy patient. We report a case of a successfully treated tracheopharyngeal fistula whereby both the sternocleidomastoid muscles were used as muscular flaps to close the defect and its outcome.
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27559982/significant-symptoms-alleviation-and-tumor-volume-reduction-after-combined-simultaneously-integrated-inner-escalated-boost-and-volumetric-modulated-arc-radiotherapy-in-a-patient-with-unresectable-bulky-hepatocellular-carcinoma-a-care-compliant-case-report
#17
Young-Hsiang Lin, Shih-Kai Hung, Wen-Yen Chiou, Moon-Sing Lee, Bing-Jie Shen, Liang-Cheng Chen, Dai-Wei Liu, Wei-Ta Tsai, Po-Hao Lin, Yi-Ting Shih, Feng-Chun Hsu, Shiang-Jiun Tsai, Michael W Y Chan, Hon-Yi Lin
BACKGROUND: Clinically, elderly patients with unresectable bulky hepatocellular carcinoma (HCC) are difficult to manage, especially in those with co-infections of hepatitis B and C virus. Herein, we reported such a case treated with radiotherapy (RT) by using combined simultaneously integrated inner-escalated boost and volumetric-modulated arc radiotherapy (SIEB-VMAT). After RT, significant symptoms alleviation and durable tumor control were observed. CASE SUMMARY: At presentation, an 85-year-old male patient complained abdominal distention/pain, poor appetite, and swelling over bilateral lower limbs for 1 month...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27557875/asymptomatic-hepatic-portal-venous-gas-with-gastric-emphysema-as-a-chronic-complication-of-gastrostomy-tube-placement-a-case-report
#18
Toyoaki Sawano, Tsuyoshi Nemoto, Masaharu Tsubokura, Claire Leppold, Akihiko Ozaki, Shigeaki Kato, Yukio Kanazawa
BACKGROUND: Percutaneous endoscopic gastrostomy feeding is widely used as a route for enteral feeding for patients with impaired swallowing ability, particularly in older patients. Hepatic portal venous gas is a condition that may arise from several causes. Hepatic portal venous gas that develops after an endoscopic procedure is generally reported to be nonfatal, yet there is little information available concerning the characteristics of hepatic portal venous gas as a chronic complication of percutaneous endoscopic gastrostomy feeding...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27532657/effectiveness-of-allied-health-therapy-in-the-symptomatic-management-of-progressive-supranuclear-palsy-a-systematic-review
#19
Erica Tilley, James McLoughlin, Simon A Koblar, Sebastian H Doeltgen, Cindy Stern, Sarahlouise White, Micah D J Peters
BACKGROUND: Progressive supranuclear palsy (PSP) is an adult onset neurodegenerative condition associated with mobility, balance, speech, swallowing, vision and cognitive changes. The condition is diagnosed using the National Institute for Neurological Disorders and Stroke (NINDS) and the Society of Progressive Supranuclear Palsy (SPSP) criteria. Therapeutic interventions for PSP are important, and a healthcare team should include a physiotherapist, occupational therapist and speech therapist...
June 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27530017/-an-outbreak-of-pulmonary-tuberculosis-due-to-definite-exogenous-reinfection-among-elderly-individuals-in-welfare-facilities
#20
Shinichi Iwamoto, Shuichi Yano, Emiko Nishikawa, Mitsuhiro Tada, Toru Kadowaki, Masahiro Kimura, Kanako Kobayashi, Toshikazu Ikeda
PURPOSE: We report an outbreak of 64 cases of tuberculosis (TB) that spread in a welfare facility for elderly individuals. OBJECTIVE AND METHODS: First, 64 TB patients who had contact with the source patient were screened at our hospital. We examined the time course up to the discovery of symptoms and analyzed the results for variable numbers of tandem repeats (VNTR) and the drug susceptibility tests. Second, we performed chest computed tomography to examine lesions due to a previous TB infection...
April 2016: Kekkaku: [Tuberculosis]
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