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https://www.readbyqxmd.com/read/30095594/lead-pellet-ingestion-in-3-children-another-source-for-lead-toxicity
#1
Becky Rozier, Erica Liebelt
Acute ingestions of spherical lead ammunition foreign bodies such as bullets and lead shot can cause acute blood lead level elevations and clinical symptoms necessitating emergency department evaluations and sometimes treatment. This article presents 3 cases of children ingesting lead ammunition, all receiving gastrointestinal (GI) decontamination and chelation therapy for significantly elevated blood lead level. Case-specific exposures and treatments for the lead ammunitions are presented. Radiographs documented lead pellet ingestion in all 3 cases...
August 8, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/30083501/nutritional-status-in-patients-with-gastrointestinal-cancer-in-comparison-to-other-cancers-in-shiraz-southern-iran-a-case-control-study
#2
Sanaz Jamshidi, Najmeh Hejazi, Ali Reza Zimorovat
Background: Malnutrition leads to decreased survival rate, quality of life and the response to treatment and increases the risk of mortality in patients with cancer. Clinical evaluation is essential for ontime detection and treatment of malnutrition in these patients. On the other hand, patients with gastrointestinal (GI) cancers are expected to have a higher risk of malnutrition due to the poor digestion and malabsorption. Therefore, the purpose of this study was to compare the nutritional status in patients with GI tract cancers with non-GI cancers...
May 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/30082077/surgical-treatment-of-adult-patients-with-thalamic-tumors-with-the-aid-of-tractography-fmri-transcranial-electrical-stimulation-and-direct-electrical-stimulation-of-the-subcortical-white-matter
#3
Krzysztof Majchrzak, Barbara Bobek-Billewicz, Anna Hebda, Piotr Adamczyk, Henryk Majchrzak, Piotr Ładziński
The aim of investigation was to assess treatment outcomes in adult patients with thalamic tumors, operated on with the aid of tractography (DTI) and monitoring of motor evoked potentials (MEPs) generated due to transcranial electrical stimulation (TES) and direct electrical stimulation (DES) of the subcortical white matter. 38 subsequent patients with thalamic tumors were operated on using tractography (DTI)-integrated neuronavigation, transcranial electrical stimulation (TES) and direct electrical stimulation (DES)...
July 17, 2018: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/30081490/where-children-play-young-child-exposure-to-environmental-hazards-during-play-in-public-areas-in-a-transitioning-internally-displaced-persons-community-in-haiti
#4
Danielle N Medgyesi, John M Brogan, Daniel K Sewell, Jean Philippe Creve-Coeur, Laura H Kwong, Kelly K Baker
Globally, gastrointestinal (GI) infections by enteric pathogens are the second-leading cause of morbidity and mortality in children under five years of age (≤5 years). While GI pathogen exposure in households has been rigorously examined, there is little data about young children's exposure in public domains. Moreover, public areas in low-income settings are often used for other waste disposal practices in addition to human feces, such as trash dumping in areas near households. If young children play in public domains, they might be exposed to interrelated and highly concentrated microbial, chemical, and physical hazards...
August 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30079804/agreement-between-parent-proxy-reports-and-self-reports-of-adolescent-emotional-distress
#5
Chanhee Kim, Heeseung Choi, Heesung Ko, Chang Gi Park
Parents' recognition of adolescents' emotional distress is a significant determinant of early detection and treatment of mental disorders. However, there is dearth of research exploring parent-adolescent agreement regarding adolescents' emotional distress. This cross-sectional, school-based study compared parents' proxy reports and self-reports of adolescent's emotional distress among 289 parent-adolescent dyads in Korea. Findings revealed low agreement between adolescents' and parents' reports of depression, anxiety, and anger, with an average polychoric r of ...
August 5, 2018: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/30076988/protocol-for-the-imagine-health-study-guided-imagery-lifestyle-intervention-to-improve-obesity-related-behaviors-and-salivary-cortisol-patterns-in-predominantly-latino-adolescents
#6
Marc J Weigensberg, Donna Spruijt-Metz, Cheng K Fred Wen, Jaimie N Davis, Quintilia Àvila, Magaly Juarez, Niquelle Brown Wadé, Christianne J Lane
Innovative lifestyle interventions are needed to reduce type 2 diabetes risk in adolescents. This report describes the protocol of the Imagine HEALTH cluster randomized control trial, that tests an intervention based in Self-Determination Theory (SDT) and uses lifestyle education combined with the mind-body, complementary health modality of guided imagery (GI), to address obesity prevention and treatment in predominantly Latino adolescents. The primary aim is to determine the unique effects of each of the three major components of the 12-week lifestyle intervention (lifestyle education, stress reduction guided imagery, and lifestyle behavior guided imagery) compared to control on primary outcomes of physical activity (accelerometry), dietary intake (3-day recall), and stress biomarker levels (salivary cortisol)...
August 1, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/30076499/brief-report-implementation-of-a-specific-carbohydrate-diet-for-a-child-with-autism-spectrum-disorder-and-fragile-x-syndrome
#7
Kelly Barnhill, Morgan Devlin, Hannah Taylor Moreno, Amy Potts, Wendy Richardson, Claire Schutte, Laura Hewitson
This brief report examines the implementation of dietary intervention utilizing the specific carbohydrate diet (SCD) for the management of gastrointestinal issues in a 4 year old boy diagnosed with Autism Spectrum Disorder (ASD) and Fragile X Syndrome (FXS). Data relating to anthropometrics, dietary intake, blood markers, gastrointestinal (GI) symptoms, sleep issues, and behavioral concerns were gathered at baseline and after 4 months of dietary intervention. The dietary intervention was well tolerated. Improvements in nutrient status, GI symptoms, and behavioral domains were reported...
August 3, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/30071894/a-prebiotic-intervention-study-in-children-with-autism-spectrum-disorders-asds
#8
Roberta Grimaldi, Glenn R Gibson, Jelena Vulevic, Natasa Giallourou, Josué L Castro-Mejía, Lars H Hansen, E Leigh Gibson, Dennis S Nielsen, Adele Costabile
BACKGROUND: Different dietary approaches, such as gluten and casein free diets, or the use of probiotics and prebiotics have been suggested in autistic spectrum disorders in order to reduce gastrointestinal (GI) disturbances. GI symptoms are of particular interest in this population due to prevalence and correlation with the severity of behavioural traits. Nowadays, there is lack of strong evidence about the effect of dietary interventions on these problems, particularly prebiotics. Therefore, we assessed the impact of exclusion diets and a 6-week Bimuno® galactooligosaccharide (B-GOS®) prebiotic intervention in 30 autistic children...
August 2, 2018: Microbiome
https://www.readbyqxmd.com/read/30071866/a-hybrid-design-testing-a-3-step-implementation-model-for-community-scale-up-of-an-hiv-prevention-intervention-in-rural-malawi-study-protocol
#9
Diana L N Jere, Chimwemwe K Banda, Lily C Kumbani, Li Liu, Linda L McCreary, Chang Gi Park, Crystal L Patil, Kathleen F Norr
BACKGROUND: Scaling-up evidence-based behavior change interventions can make a major contribution to meeting the UNAIDS goal of no new HIV infections by 2030. We developed an evidence-based peer group intervention for HIV prevention and testing in Malawi that is ready for wider dissemination. Our innovative approach turns over ownership of implementation to rural communities. We adapted a 3-Step Implementation Model (prepare, roll-out and sustain) for communities to use. Using a hybrid design, we simultaneously evaluate community implementation processes and program effectiveness...
August 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/30063633/the-effects-of-guided-imagery-on-comfort-in-palliative-care
#10
Adriana Coelho, Vitor Parola, Anna Sandgren, Olga Fernandes, Katharine Kolcaba, João Apóstolo
Guided imagery (GI) is a nonpharmacological intervention that is increasingly implemented in different clinical contexts. However, there have been no studies on the effect of GI on the comfort of inpatients of palliative care (PC) units. Therefore, the aim of this study was to evaluate the effects of GI on the comfort of patients in PC. A 1-group, pretest-posttest, pre-experimental design was used to measure differences in heart rate, respiratory rate, pain, and comfort in patients (n = 26) before and after a 2-session GI program...
August 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30057620/cronkhite-canada-syndrome-sustained-clinical-response-with-anti-tnf-therapy
#11
S A Taylor, J Kelly, D E Loomes
Cronkhite-Canada syndrome (CCS) is a rare, nonfamilial syndrome that occurs in the sixth to seventh decades of life. It is characterized by acquired gastrointestinal polyposis with an associated ectodermal triad, including alopecia, onchodystrophy, and hyperpigmentation. CCS is characteristically a progressive disease, with a high mortality rate despite medical interventions. Disease complications are typically secondary to severe malnutrition, malignancy, GI bleeding, and infection. CCS is believed secondary to immune dysregulation; however, the underlying etiology remains to be determined...
2018: Case Reports in Medicine
https://www.readbyqxmd.com/read/30041694/preoperative-exercise-therapy-for-gastrointestinal-cancer-patients-a-systematic-review
#12
Sarah A Vermillion, Alston James, Robert D Dorrell, Peter Brubaker, Shannon L Mihalko, Adrienne R Hill, Clancy J Clark
BACKGROUND: Gastrointestinal cancer patients are susceptible to significant postoperative morbidity. The aim of this systematic review was to examine the effects of preoperative exercise therapy (PET) on patients undergoing surgery for GI malignancies. METHODS: In accordance with PRISMA statement, all prospective clinical trials of PET for patients diagnosed with GI cancer were identified by searching MEDLINE, Embase, Cochrane Library, ProQuest, PROSPERO, and DARE (March 8, 2017)...
July 24, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/30034239/practice-survey-adherence-monitoring-and-intervention-in-pediatric-gastroenterology-and-hepatology
#13
Michele H Maddux, Shawna Ricks, Julie A Bass, James F Daniel, Ellen Carpenter, Kimberely Radford
Purpose: Despite significant medication nonadherence rates among youth with pediatric gastroenterology and hepatology disorders, little is known about current adherence practices in pediatric gastroenterology care. This study summarizes current practices surrounding adherence monitoring and intervention in pediatric gastrointestinal (GI) and hepatologic care in the USA. Participants and methods: One hundred and fifty-four pediatric GI providers completed an online survey designed to examine current practices surrounding adherence monitoring and intervention, specific strategies used to monitor and treat poor adherence, and the barriers currently experienced in relation to adherence monitoring and intervention...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/30032965/application-of-contextual-design-methods-to-inform-targeted-clinical-decision-support-interventions-in-sub-specialty-care-environments
#14
Anne Miller, Jejo D Koola, Michael E Matheny, Julie H Ducom, Jason M Slagle, Erik J Groessl, Freneka F Minter, Jennifer H Garvin, Matthew B Weinger, Samuel B Ho
BACKGROUND & OBJECTIVES: In healthcare, the routine use of evidence-based specialty care management plans is mixed. Targeted computerized clinical decision support (CCDS) interventions can improve physician adherence, but adoption depends on CCDS' 'fit' within clinical work. We analyzed clinical work in outpatient and inpatient settings as a basis for developing guidelines for optimizing CCDS design. METHODS: The contextual design approach guided data collection, collation and analysis...
September 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/30029461/short-term-daily-intake-of-polydextrose-fiber-does-not-shorten-intestinal-transit-time-in-constipated-adults-a-randomized-controlled-trial
#15
Peter I Duncan, Catherine F Enters-Weijnen, Nashmil Emami, Peter McLean, Tiago Nunes, Maurice Beaumont, Rafael Crabbe, Kevin Whelan, S Mark Scott, Niek J deWit, Teunis Weits, Gabriela Bergonzelli, Diederick E Grobbee
Chronic constipation (CC) remains a common gastrointestinal (GI) disorder that conveys a substantial healthcare burden. Expert guidelines recommend increasing fiber intake, yet the clinical evidence to support this needs strengthening for specific fibers. The aim was to evaluate changes in intestinal transit time and GI symptoms in CC patients who consumed polydextrose. In a randomized, double-blind, placebo-controlled trial, 128 adults with CC received 8 g or 12 g polydextrose, or placebo, daily for 4 weeks...
July 19, 2018: Nutrients
https://www.readbyqxmd.com/read/30024515/long-term-follow-up-of-patients-with-obscure-gastrointestinal-bleeding-examined-with-video-capsule-endoscopy
#16
Robert J Sealock, Aaron P Thrift, Hashem B El-Serag, Joseph Sellin
BACKGROUND: Video capsule endoscopy (VCE) is a commonly used test for the evaluation of obscure gastrointestinal bleeding. However, long-term outcomes of patients undergoing VCE are unclear. AIMS: To evaluate the long-term outcomes in patients undergoing VCE for suspected obscure bleeding including iron deficiency anemia (IDA), and determine the need for additional intervention for persistence or recurrence of symptoms in patients with a diagnostic as well as non-diagnostic VCE...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30022452/both-full-glasgow-blatchford-score-and-modified-glasgow-blatchford-score-predict-the-need-for-intervention-and-mortality-in-patients-with-acute-lower-gastrointestinal-bleeding
#17
Asad Ur-Rahman, Jian Guan, Sameen Khalid, Alvina Munaf, Mohammad Sharbatji, Evgeny Idrisov, Xiaoping He, Archana Machavarapu, Khalid Abusaada
BACKGROUND: Glasgow-Blatchford score (GBS) has been developed for risk stratification in management of acute upper gastrointestinal (GI) bleeding. However, the performance of GBS in patients with lower GI bleeding is unknown. AIM: To evaluate the performance of full or modified GBS and modified GBS in prediction of major clinical outcomes in patients with lower GI bleeding. METHODS: A retrospective study of patients admitted to a tertiary care center with either non-variceal upper GI bleeding or lower GI bleeding was conducted...
July 19, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/30018947/vesicoamniotic-shunting-improves-outcomes-in-a-subset-of-prune-belly-syndrome-patients-at-a-single-tertiary-center
#18
Jeffrey T White, Kunj R Sheth, Aylin E Bilgutay, David R Roth, Paul F Austin, Edmond T Gonzales, Nicolette K Janzen, Duong D Tu, Angela G Mittal, Chester J Koh, Sheila L Ryan, Carolina Jorgez, Abhishek Seth
Objective: Review outcomes of Prune Belly Syndrome (PBS) with the hypothesis that contemporary management improves mortality. Methods: A retrospective chart review of inpatient and outpatient PBS patients referred between 2000 and 2018 was conducted to assess outcomes at our institution. Data collected included age at diagnosis, concomitant medical conditions, imaging, operative management, length of follow-up, and renal function. Results: Forty-five PBS patients presented during these 18 years. Prenatal diagnoses were made in 17 (39%); 65% of these patients underwent prenatal intervention...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/30016503/the-cecal-microbiome-of-commercial-broiler-chickens-varies-significantly-by-season
#19
Brian B Oakley, Elton J R Vasconcelos, Pedro P V P Diniz, Kimberly N Calloway, Ella Richardson, Richard J Meinersmann, Nelson A Cox, Mark E Berrang
Next-generation DNA sequencing is rapidly becoming a powerful tool for food animal management. One valuable use of this technology is to re-examine long-standing observations of performance differences associated with animal husbandry practices to better understand how these differences may be modulated by the gastrointestinal (GI) microbiome. The influences of environmental parameters such as air temperature and relative humidity on broiler chicken performance have commonly been observed, but how the GI microbiome may respond to seasonal environmental changes remains largely unknown...
July 17, 2018: Poultry Science
https://www.readbyqxmd.com/read/30014225/quality-improvement-in-gastroenterology-a-systematic-review-of-practical-interventions-for-clinicians
#20
REVIEW
Courtney Reynolds, Eric Esrailian, Daniel Hommes
BACKGROUND: Quality improvement (QI) identifies practical methods to improve patient care; however, it is not always widely known which QI methods are successful. We sought to create a primer of QI in gastroenterology for the practicing clinician. METHODS: We performed a systematic review of QI literature in gastroenterology. We included search terms for inflammatory bowel disease, irritable bowel syndrome, celiac disease, gastroesophageal reflux disease, pancreatitis, liver disease, colorectal cancer screening, endoscopy, and gastrointestinal bleeding...
July 16, 2018: Digestive Diseases and Sciences
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