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https://www.readbyqxmd.com/read/29318565/a-case-of-severe-stenosis-of-hepatic-veins-and-inferior-vena-cava-with-stomal-variceal-bleeding-induced-by-oxaliplatin-based-chemotherapy
#1
Hayato Yamaguchi, Yoshihiro Furuichi, Yoshitaka Kasai, Hirohito Takeuchi, Yuu Yoshimasu, Katsutoshi Sugimoto, Ikuo Nakamura, Takao Itoi
A 27-year-old woman with colon cancer and liver metastasis was referred to our hospital. Colectomy and colostomy were performed to improve her ileus. Following 13 sessions of oxaliplatin-based chemotherapy (OC) with mFOLFOX6 + bevacizumab, thrombocytopenia and frequent peristomal bleeding occurred. Computed tomography showed severe ascites, splenomegaly, significant collateral veins around the stoma, and severe stenosis of the hepatic veins (HV) and inferior vena cava (IVC). Ultrasound elastography showed high liver (and spleen) stiffness values...
January 9, 2018: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/29304945/the-burden-of-peristomal-skin-complications-on-an-ostomy-population-as-assessed-by-health-utility-and-the-physical-component-summary-of-the-sf-36v2%C3%A2
#2
Thom R Nichols, Gary W Inglese
BACKGROUND: Body-altering surgery may affect perceptions of one's self. For those with abdominal stoma surgeries, altered perceptions amplified by peristomal skin condition can increase health burdens. OBJECTIVES: To assess health utility and health-related quality of life in an adult US ostomy sample in the presence of three levels of peristomal skin condition: intact, moderately compromised, and severely compromised. METHODS: The short form 36 health survey version 2, a generic health survey incorporating the six-dimensional health state short form preference-based utility index, was chosen to assess the sample...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29300288/wocn-society-clinical-guideline-management-of-the-adult-patient-with-a-fecal-or-urinary-ostomy-an-executive-summary
#3
(no author information available yet)
This article provides an executive summary of the recommendations from the Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy, published by the Wound, Ostomy and Continence Nurses Society (WOCN Society). It presents an overview of the process used to update and develop the guideline and lists specific recommendations from the guideline. We provide recommendations that include the following topics: stoma construction, preoperative education, stoma site marking, selection of an ostomy pouching system, postoperative education, postoperative management issues, follow-up care after discharge from the acute care setting, health-related quality of life, and stomal and peristomal complications...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29300287/a-randomized-controlled-trial-determining-variances-in-ostomy-skin-conditions-and-the-economic-impact-advocate-trial
#4
Janice C Colwell, Joyce Pittman, Rose Raizman, Ginger Salvadalena
PURPOSE: To compare ostomy-related costs and incidence of peristomal skin complications (PSCs) for ceramide-infused ostomy skin barriers and control skin barriers. DESIGN: The ADVOCATE trial is a multi-centered randomized controlled trial, and double-blinded international study with an adaptive design. SUBJECTS AND SETTING: The sample comprised 153 adults from 25 sites from the United States, Canada, and Europe. Participants were seen in hospital and outpatient care settings...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29288099/diagnosis-and-management-of-peristomal-pyoderma-gangrenosum-a-systematic-review
#5
REVIEW
Ladan Afifi, Isabelle M Sanchez, Matthew M Wallace, Sara F Braswell, Alex G Ortega-Loayza, Kanade Shinkai
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is an uncommon subtype of pyoderma gangrenosum. PPG is a challenging condition to diagnose and treat; no evidence-based guidelines exist. OBJECTIVE: To identify important clinical features of PPG and effective treatments available for its management. METHODS: A systematic literature review of PPG was performed using PubMed, Medline, and Embase databases. RESULTS: We describe 335 patients with PPG from 79 studies...
December 26, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29284898/complications-after-ileal-urinary-derivations
#6
Alden Prcic, Edin Begic
Introduction: The aim of the study was to determine the most frequent early and late complications in different types of ileal urinary diversions. Patients and methods: The study was conducted in a five-year period, on 106 patients who were diagnosed with invasive urinary bladder cancer and who had indication for radical cystectomy with one of the investigated types of urine derivation. They were divided into 2 groups, based on the type of ileal urinary diversions...
October 2017: Medical Archives
https://www.readbyqxmd.com/read/29281915/maintaining-peristomal-skin-integrity
#7
Jennie Burch
No abstract text is available yet for this article.
January 2, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29238676/double-posterior-based-flap-technique-in-primary-endoscopic-dacryocystorhinostomy-with-and-without-using-powered-instrument
#8
Pradeep Pradhan, Abhishek Bhardwaj, Santanu Mandal, Sudhir Majhi
To demonstrate the surgical technique and outcomes of double posterior based flap technique in primary endoscopic dacryocystorhinostomy (DCR) with and without use of powered instrument. 28 patients of nasolacrimal duct obstruction were included in the study from September 2012 to February 2015. All underwent endoscopic dacryocystorhinostomy with double posterior based nasal and lacrimal flap technique. In patients of group A (14 patients), bone removal was done with the help of Smith-Kerrison punch forceps and in patients of group B (14 patients), powered drill has been used for the same...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29236839/ostomy-patients-perception-of-the-health-care-received
#9
Candela Bonill-de Las Nieves, Concepción Capilla Díaz, Miriam Celdrán-Mañas, José Miguel Morales-Asencio, Sandra Milena Hernández-Zambrano, César Hueso-Montoro
AIM: to describe ostomy patient's perception about health care received, as well as their needs and suggestions for healthcare system improvement. METHOD: qualitative phenomenological study was conducted, involving individual and semi-structured interviews on the life experiences of 21 adults who had a digestive stoma. Participants were selected following a purposive sampling approach. The analysis was based on the constant comparison of the data, the progressive incorporation of subjects and triangulation among researchers and stoma therapy nurses...
December 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29100903/value-of-antibiotic-prophylaxis-for-percutaneous-gastrostomy-a-double-blind-randomized-trial
#10
Christopher R Ingraham, Guy E Johnson, Emily L Albrecht, Siddharth A Padia, Eric J Monroe, Brandon C Perry, Ethan M Dobrow, Daniel S Hippe, Karim Valji
PURPOSE: To compare peristomal infection rates following percutaneous gastrostomy (PG) after a single dose of prophylactic antibiotics versus placebo and evaluate rates of peristomal infection in patients receiving concurrent antibiotics. MATERIALS AND METHODS: This single-center, randomized trial (2012-2016) enrolled 122 patients referred for image-guided PG; all enrolled patients completed the study. Of enrolled patients, 68 were randomly assigned to receive either antibiotics (n = 34) or placebo (n = 34) before PG placement...
November 1, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29017689/peristomal-lesions-in-crohn-s-disease-are-they-always-fistulae
#11
Holger Schäffler, Georg Lamprecht, Maria Witte
No abstract text is available yet for this article.
September 22, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/28980388/incidence-and-risk-factors-for-parastomal-bulging-in-patients-with-ileostomy-or-colostomy-a-register-based-study-using-data-from-the-danish-stoma-database-capital-region
#12
Rune M Andersen, Tobias W Klausen, Anne K Danielsen, Anders Vinther, Ismail Gögenur, Thordis Thomsen
AIM: To investigate incidence and risk factors for parastomal bulging, a clinically important complication, in patients with an ileostomy or colostomy. METHOD: The Danish Stoma Database Capital Region prospectively collects data on patients with a stoma up to a year after surgery. Stoma care nurses clinically assessed the main outcome, parastomal bulging. We linked data from the Stoma Database to data from the Danish Anaesthesia Database. Cumulative incidence of parastomal bulging over the first year was calculated with death and stoma reversal as competing risks...
October 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28875585/peristome-mimetic-curved-surface-for-spontaneous-and-directional-separation-of-micro-water-in-oil-drop
#13
Chuxin Li, Lei Wu, Cunlong Yu, Zhichao Dong, Lei Jiang
Separation of micro-scaled water-in-oil droplets is important in environmental protection, bioassays, and saving functional inks. So far, bulk oil-water separation has been achieved by membrane separation and sponge absorption, but micro-drop separation still remains a challenge. Herein we report that instead of the "plug-and-go" separation model, tiny water-in-oil droplets can be separated into pure water and oil droplets through "go-in-opposite ways" on curved peristome-mimetic surfaces, in milliseconds, without energy input...
September 5, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28865046/prospective-experience-of-percutaneous-endoscopic-gastrostomy-tubes-placed-by-otorhinolaryngologist-head-and-neck-surgeons-%C3%A2-safe-and-efficacious
#14
Johanna Ruohoalho, Katri Aro, Antti A Mäkitie, Timo Atula, Aaro Haapaniemi, Harri Keski-Säntti, Leena Kylänpää, Annika Takala, Leif J Bäck
Percutaneous endoscopic gastrostomy (PEG) is often the treatment of choice in head and neck cancer (HNC) patients needing long-term nutritional support. Prospective studies on PEG tube placement in an otorhinolaryngologist service are lacking. At our hospital, otolaryngologist-head and neck (ORL-HN) surgeons-have performed PEG insertions for HNC patients since 2008. We prospectively analyzed 127 consecutive HNC patients who received their PEG tubes at the Department of Otorhinolaryngology-head and neck surgery, and evaluated the outcome of PEG tube insertions performed by ORL-HN surgeons...
November 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28833037/peristomal-skin-complications-what-dermatologists-need-to-know
#15
REVIEW
Dalal Almutairi, Kimberly LeBlanc, Afsaneh Alavi
A stoma is an artificial opening to the skin formed when a part of the gastrointestinal tract is resected and opened to the skin in order to divert the bowel content to the skin surface. The incidence of stomal and peristomal complication varies from 30 to 67% with a significant negative impact on patient quality of life. Despite their prevalence, care providers tend to show insufficient awareness of peristomal skin complications, and research-based evidence related to peristomal skin complication and management options particularly in dermatology literature is sparse...
August 22, 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/28812502/post-discharge-care-for-patients-following-stoma-formation-what-the-nurse-needs-to-know
#16
Jennie Burch
Rationale and key points This article discusses post-discharge care for patients following stoma formation. While the patient is taught the practicalities of managing the stoma appliance in hospital, this learning should be integrated into their daily life following discharge from hospital. Nurses are required to consider and address any issues that might affect the patient in the long term. These include changes in body image, adapting to having a stoma, preventing or treating complications associated with a stoma, and long-term follow-up...
August 16, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28782892/surfaces-inspired-by-the-nepenthes-peristome-for-unidirectional-liquid-transport
#17
REVIEW
Pengfei Zhang, Liwen Zhang, Huawei Chen, Zhichao Dong, Deyuan Zhang
The slippery peristome of the pitcher plant Nepenthes has attracted much attention due to its unique function for preying on insects. Recent findings on the peristome surface of Nepenthes alata demonstrate a fast and continuous unidirectional liquid transport, which is enabled by the combination of a pinning effect at the sharp edges and a capillary rise in the wedge, deriving from the multiscale structure, which provides inspiration for designing and fabricating functional surfaces for unidirectional liquid transport...
August 7, 2017: Advanced Materials
https://www.readbyqxmd.com/read/28769693/a-new-diplommatinid-genus-and-two-new-species-from-the-philippines-gastropoda-caenogastropoda-cyclophoroidea
#18
Barna Páll-Gergely, András Hunyadi, Takahiro Asami
A new diplommatinid genus, Luzonocoptis Páll-Gergely & Hunyadi, gen. n. is erected for two new species, Luzonocoptis antenna Páll-Gergely & Hunyadi, sp. n. and L. angulata Páll-Gergely & Hunyadi, sp. n. Both species inhabit the northeastern part of Luzon Island, Philippines. The genus Luzonocoptisgen. n. is mostly characterized by a very slender shell with 14-18 whorls, a strongly expanded peristome, an interrupted, weak columellar lamella, the absence of any additional plicae or lamellae, and a rachidian tooth having five cusps...
2017: ZooKeys
https://www.readbyqxmd.com/read/28729942/problems-related-to-levodopa-carbidopa-intestinal-gel-treatment-in-advanced-parkinson-s-disease
#19
Marianne Udd, Jukka Lyytinen, Johanna Eerola-Rautio, Anu Kenttämies, Outi Lindström, Leena Kylänpää, Eero Pekkonen
BACKGROUND: Continuous levodopa-carbidopa intestinal gel (LCIG) diminishes daily "off" time and dyskinesia in patients with advanced Parkinson's disease (PD). Complications are common with percutaneous endoscopic gastrostomy with a jejunal extension tube (PEG-J). AIM OF THE STUDY: To report the clinical outcome of LCIG in patients with advanced PD in the years 2006-2014 at Helsinki University Hospital. PATIENTS AND METHODS: Levodopa-carbidopa intestinal gel treatment started following PEG-J placement in patients with advanced PD after successful in-hospital LCIG trial with a nasojejunal tube...
July 2017: Brain and Behavior
https://www.readbyqxmd.com/read/28729611/cryptic-speciation-in-pan-tropical-sea-urchins-a-case-study-of-an-edge-of-range-population-of-tripneustes-from-the-kermadec-islands
#20
Omri Bronstein, Andreas Kroh, Barbara Tautscher, Libby Liggins, Elisabeth Haring
Tripneustes is one of the most abundant and ecologically significant tropical echinoids. Highly valued for its gonads, wild populations of Tripneustes are commercially exploited and cultivated stocks are a prime target for the fisheries and aquaculture industry. Here we examine Tripneustes from the Kermadec Islands, a remote chain of volcanic islands in the southwest Pacific Ocean that mark the boundary of the genus' range, by combining morphological and genetic analyses, using two mitochondrial (COI and the Control Region), and one nuclear (bindin) marker...
July 20, 2017: Scientific Reports
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