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https://www.readbyqxmd.com/read/29903605/a-retrospective-evaluation-of-nutrition-support-in-relation-to-clinical-outcomes-in-critically-ill-patients-with-an-open-abdomen
#1
Rosalie Yandell, Susan Wang, Peter Bautz, Alison Shanks, Stephanie O'Connor, Adam Deane, Kylie Lange, Marianne Chapman
BACKGROUND: Optimising nutrition support in critically ill patients with an open abdomen is challenging. OBJECTIVES: The aims of this study were to (i) quantify the amount and adequacy of nutrition support administered and (ii) determine any relationships that exist between mode of nutrition support delivery and clinical outcomes in critically ill patients with an open abdomen. METHODS: A retrospective review of critically ill patients mechanically ventilated for at least 48 h with an open abdomen in a mixed quaternary referral intensive care unit...
June 11, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29889260/pulmonary-infarction-right-upper-quadrant-pain-as-a-presenting-symptom-with-review-of-typical-computed-tomography-imaging-features
#2
Steven T Fosmire, Guy N Gibson, John C Copeland, Marcus S Maydew, Christian Eggers
The purpose of this case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial vasculature within the lung parenchyma leading to ischemia, hemorrhage, and ultimately necrosis. Patients with lung infarction typically present with pleuritic chest pain and may have associated signs or symptoms of pulmonary thromboembolism or deep vein thrombosis...
June 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29881313/perforated-tuberculous-appendicitis-a-rare-case-report
#3
Alemayehu Gonie, Kebebe Bekele
Background: Gastrointestinal tuberculosis (TB) accounts for 3% of extrapulmonary TB. Tuberculous appendicitis is a rare type of abdominal TB and is seen in only 0.1%-0.3% of cases. Diagnosis is usually made after histopathologic examination of the appendectomy specimen. In Ethiopia, there had been no previous report of perforated appendicular TB, and to our knowledge, this is the first case report of a patient with perforated tuberculous appendicitis to be presented. Case report: A 22-year-old male patient presented with complaints of severe abdominal cramp, periumbilical pain, nausea, 2 episodes of nonbilious vomiting, as well as high-grade fever...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29869529/illumination-with-630-nm-red-light-reduces-oxidative-stress-and-restores-memory-by-photo-activating-catalase-and-formaldehyde-dehydrogenase-in-samp8-mice
#4
Jingnan Zhang, Xiangpei Yue, Hongjun Luo, Wenjing Jiang, Yufei Mei, Li Ai, Ge Gao, Yan Wu, Hui Yang, Jieran An, Shumao Ding, Xu Yang, Bingui Sun, Wenhong Luo, Rongqiao He, Jianping Jia, Jihui Lyu, Zhiqian Tong
AIMS: Pharmacological treatments for Alzheimer's disease (AD) have not resulted in desirable clinical efficacy over 100 years. Hydrogen peroxide (H2O2), a reactive and the most stable compound of reactive oxygen species (ROS), contributes to oxidative stress in AD patients. Here, we designed a medical device to emit red light at 630±15 nm from a light-emitting diode (LED-RL) and investigated whether the LED-RL reduces brain H2O2 levels and improves memory in senescence-accelerated prone 8 mouse (SAMP8) model of age-related dementia...
June 5, 2018: Antioxidants & Redox Signaling
https://www.readbyqxmd.com/read/29866228/partial-cecum-necrosis-as-a-rare-cause-of-acute-abdominal-pain-in-an-elderly-patient
#5
Onder Karabay, Mustafa Genco Erdem, Mustafa Hasbahceci
Partial necrosis of the cecum is a rare form of ischemic colitis with unknown etiology. A 68-year female patient was admitted due to a severe pain in the right lower quadrant of the abdomen for one week. One month ago, she had coronary artery bypass graft surgery with carotid endarterectomy. During physical examination, tenderness and rebound tenderness at the right lower quadrant were detected. Computed tomography showed a 7-mm tubular structure extending from the back of the cecum to the lower border of the liver...
June 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29849508/the-impact-of-septic-stimuli-on-the-systemic-inflammatory-response-and-physiologic-insult-in-a-preclinical-non-human-primate-model-of-polytraumatic-injury
#6
Diego A Vicente, Matthew J Bradley, Benjamin Bograd, Crystal Leonhardt, Eric A Elster, Thomas A Davis
Background: Established animal trauma models are limited in recapitulating the pathophysiology of human traumatic injury. Herein, we characterize the physiologic insult and inflammatory response in two clinically relevant non-human primate (NHP) trauma models. Methods: Mauritian Cynomolgus Macaques underwent either a laparoscopic closed abdomen liver injury (laparoscopic 60% left-lobe hepatectomy) in an established uncontrolled severe hemorrhage model (THM), or a polytrauma hemorrhage model (PHM) involving combined liver and bowel injury, uncontrolled severe hemorrhage as well as an open full-thickness cutaneous flank wound...
2018: Journal of Inflammation
https://www.readbyqxmd.com/read/29806290/-effect-of-a-new-front-opening-liposuction-cannula-on-survival-of-transplanted-fat-tissue
#7
Xi Tan, Xiaoxuan Lei, Zhifang Zheng, Biao Cheng, Yanlong Zou, Hongxia Wang, Zhenxiang Wang
Objective: To investigate the effect of a new front opening liposuction cannula on the survival of transplanted fat tissue. Methods: Two groups of fats were obtained from the left and right sides of a female patient during the abdomen liposuction surgery, respectively. And the fats in experimental group and control group were harvested by the new front opening liposuction cannula and the side hole liposuction cannula, respectively. The differences of adipocyte activity in vitro between 2 groups were compared by observation under the electron scanning microscopy and the glucose transportation test...
March 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29785459/intracorporeal-delta-shaped-gastroduodenostomy-in-reduced-port-robotic-distal-subtotal-gastrectomy-technical-aspects-and-short-term-outcomes
#8
Joong Ho Lee, Taeil Son, Jisu Kim, Won Jun Seo, Chul Kyu Rho, Minah Cho, Hyoung-Il Kim, Woo Jin Hyung
BACKGROUND: Gastroduodenostomy is preferred as a method of reconstruction following distal subtotal gastrectomy. However, in initial reports on reduced-port gastrectomy, gastroduodenostomy has rarely been performed therein because of technical difficulties. The present study describes a novel intracorporeal gastroduodenostomy technique applicable during reduced-port robotic distal subtotal gastrectomy. METHODS: Data were retrospectively reviewed for cases of reduced-port (three-port) robotic distal subtotal gastrectomy with intracorporeal delta-shaped gastroduodenostomy performed from February 2016 to December 2016...
May 21, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29780573/volvulus-with-bowel-necrosis-after-laparoscopic-appendectomy-migration-of-clip
#9
Diganta Kakaty, Katharina Mueller, Falk Weippert, Roland Zengaffinen
About 2.8% of patients develop small bowel obstruction, mostly following an open approach appendectomy. CASE REPORT: we present an 18-year-old girl with acute abdomen 10 days following laparoscopic appendectomy. An emergency laparotomy was performed which revealed bowel necrosis and an impacted slipped clip on the mesenterial side of the bowel with signs of bowel strangulation and necrosis. Bowel resection was carried out with primary enteroenteric anastomosis. We suspect the sharp ends of the open clip allowed it to become lodged in the bowel segment resulting in bowel obstruction and subsequent necrosis...
May 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29772617/-urachal-actinomycosis-a-case-report
#10
Yosuke Sekii, Takuya Itou, Ken Takeda, Masahiro Shiba, Hitoshi Takayama
The patient was a 66-year-old woman who was examined by a local physician for the chief complaint of a mass palpable in the left lower abdomen. Abdominal plain computed tomography (CT) indicated a subcutaneous mass extending continuously from the apex of the bladder to the retropubic space, and she was referred to our medical department. Tumor markers were normal, and cystoscopic examination indicated no clear findings. Abdominal contrast-enhanced CT and plain abdominal magnetic resonance imaging results led to suspicion of actinomycosis...
April 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/29771438/methylene-blue-attenuates-renal-ischemia-reperfusion-injury-by-negative-regulation-of-nlrp3-signaling-pathway
#11
J-J Liu, L Lu, F-Q Hu, H Yuan, Q Xu, Y-F Qin, J-H Gong
OBJECTIVE: To investigate the effect of methylene blue (MB) on renal ischemia-reperfusion (IR) injury in mice and its possible relevant mechanisms. MATERIALS AND METHODS: A total of 30 male C57/BL6 mice aged 4 months old were randomly divided into the following three groups: Sham group (n=10), IR group (n=10), and MB group (n=10). Mice in MB group were treated with gavage continuously using methylene blue solution (dosage: 25 mg·kg-1·d-1) until they were 7 months old...
May 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29764541/-tianjin-characteristics-of-integrated-traditional-chinese-and-western-medicine-in-first-aid-medical-system
#12
Zhijun Li
Tianjin, as the earliest city to open up, the exchange of Chinese and Western cultures also started earlier. Therefore, today's emergency medicine system with integrated features of Chinese and Western medicine is formed. Professor Wang Jinda, who works in Tianjin First Center Hospital, makes the theory of "treating bronchitis and treating diseases" and "three methods of three syndromes" for the treatment of severe diseases such as sepsis. The surgical aspect is the treatment of acute abdomen with the combination of Chinese and Western medicine which is proposed by Academician Wu Xianzhong who worked in Tianjin Nankai Hospital...
May 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29728884/novel-technique-of-temporary-abdominal-closure-with-continuous-medial-fascial-traction-dynamic-for-patients-with-open-abdomen
#13
S Pereira-Warr, J A Sierra-Marin
Open abdomen has been an effective treatment for abdominal catastrophes in trauma and general surgery, is one of the greatest advances in recent decades and has become a common procedure in both trauma and general surgery. Temporary abdominal closure techniques in managing open abdomen help to achieve many benefits without incurring many complications. We present a series of patients in which a temporary abdominal closure technique was used that generates continuous medial fascial traction dynamic in patients with open abdomen for different causes...
May 4, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29725594/transperitoneal-mini-laparoscopic-pyeloplasty-in-flank-position-a-safe-method-for-infants-and-young-adults
#14
Beatriz Bañuelos Marco, Tom Florian Fuller, Frank Friedersdorff, Ricardo González, Anja Lingnau
Introduction and Objectives: Open dismembered pyeloplasty has been the gold standard treatment for ureteropelvic junction obstruction in children. Laparoscopic pyeloplasty (LP) is becoming a standard procedure, but its acceptance is slow. We report our method for minilaparoscopy (MLP) in children using a tansperitoneal approach with the patient in the lateral flank decubitus which we found technically advantageous. Materials and Methods: Retrospective review of the records of 52 children and adolescents up to 18 years of age who underwent transperitoneal MLP at our institution during March 2012-October 2017 A 5 mm trocar is placed for the camera at the site of the umblicus by open technique, two 3 mm trocars placed in the upper and lower quadrants of the abdomen...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29724775/structural-and-functional-characterization-of-the-contractile-aorta-and-associated-hemocytes-of-the-mosquito-anopheles-gambiae
#15
Leah T Sigle, Julián F Hillyer
The primary pump of the circulatory system of insects is a dorsal vessel that traverses the length of the insect. The anterior portion, located in the head, neck and thorax, is the aorta, and the posterior portion, located in the abdomen, is the heart. Here, we characterize the structure and function of the aorta and conical chamber of the mosquito, Anopheles gambiae The aorta begins in the head with an excurrent opening located above the dorsal pharyngeal plate and ends at the thoraco-abdominal junction where it joins the conical chamber of the heart...
May 3, 2018: Journal of Experimental Biology
https://www.readbyqxmd.com/read/29713558/effect-of-4dryfield-%C3%A2-ph-a-novel-adhesion-barrier-on-recurrence-of-intestinal-adhesions-after-extensive-visceral-adhesiolysis
#16
Gerhard Blumhardt, Matthias Haas, Stefanie Polte
Background: Adhesions occur after up to 97% of abdominal interventions causing chronic pain, infertility, and intestinal obstruction. Various concepts to prevent adhesions have been presented but mostly either have low efficacy or are not applicable in resective intestinal surgery or incomplete hemostasis. In this retrospective one-center clinical trial, the course of patients with extensive abdominal adhesiolysis and application of a recent starch-based formulation, 4DryField PH (4DF), is analyzed...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29712750/x-ray-computed-tomography-study-of-the-flight-adapted-tracheal-system-in-the-blowfly-calliphora-vicina-analysing-the-ventilation-mechanism-and-flow-directing-valves
#17
Lutz Thilo Wasserthal, Peter Cloetens, Rainer H Fink, Lennard Knut Wasserthal
After the discovery of the flight-motor driven unidirectional gas exchange with rising PO2 in the blowfly, X-ray computer tomography (CT) was used to visualize the organization of the tracheal system in the anterior body with emphasis on the arrangement of the pathways for the airflows. The fly's head is preferentially supplied by cephalic tracheae originating from the ventral orifice of the mesothoracic spiracle (Sp1). The respiratory airflow during flight is a by-product of cyclic deformations of the thoracic box by the flight muscles...
April 30, 2018: Journal of Experimental Biology
https://www.readbyqxmd.com/read/29703016/a-case-report-of-life-threatening-acute-dysphagia-in-dermatomyositis-challenges-in-diagnosis-and-treatment
#18
Kyoung Min Kwon, Jung Soo Lee, Yeo Hyung Kim
RATIONALE: Although dysphagia is a known complication of dermatomyositis, sudden onset of dysphagia without the notable aggravation of other symptoms can make the diagnosis and treatment challenging. PATIENT CONCERNS: A 53-year-old male diagnosed as dermatomyositis 1 month ago came to our emergency department complaining of a sudden inability to swallow solid foods and liquids. The patient showed generalized edema, but the muscle power was not different compared with 1 month ago...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29701344/median-arcuate-ligament-syndrome-literature-review-and-case-report
#19
Nelson Camacho, Gonçalo Alves, Frederico Bastos Gonçalves, Rodolfo Abreu, Rita Ferreira, Joana Catarino, Ricardo Correia, Rita Bento, Maria Emília Ferreira
INTRODUCTION: Median arcuate ligament syndrome (MALS) or Dunbar syndrome is a rare clinical entity characterized by celiac trunk compression by median arcuate ligament and variable gastrointestinal symptoms (postprandial epigastric pain, nausea, weight loss, anorexia and diarrhea). However, some degree of radiographic compression is observed in 10%-24% of asymptomatic patients. Besides the extrinsic vascular compression, MALS has a multifactorial etiology and it has been suggested as a neurogenic disease resulting in altered sensation and pain from the somatic nerves in the splanchnic plexus...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29691098/improved-patency-after-axillofemoral-bypass-for-aortoiliac-occlusive-disease
#20
Russell H Samson, David P Showalter, Michael R Lepore, Deepak G Nair, Douglas A Dorsay, Ricardo E Morales
OBJECTIVE: Axillofemoral bypasses (AxFBs) have been used since 1962 to treat aortoiliac disease. In the past, reported patency rates (37%-76%) for these extra-anatomic grafts have been inferior to those for anatomic aortic grafting. Reported low survival rates after AxFB (40%-50%) have confirmed that these procedures have been used primarily in patients at high risk for complications from aortofemoral bypass. However, modern medical and anesthesia management, preoperative scanning, donor artery preparation, postoperative graft surveillance, and graft technology may improve outcomes after AxFB, possibly supporting expansion of its use...
April 21, 2018: Journal of Vascular Surgery
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