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https://www.readbyqxmd.com/read/29055288/osteoinductive-effects-of-cyplexinol-in-the-management-of-osteoporosis-a-case-series
#1
Daniel Tripodi
Aims • A case study was conducted on a subject with a history of documented bone loss and the observed outcome of bone mineral density (BMD) changes when utilizing supplementation with Cyplexinol, a natural bone morphogenetic protein complex. Method and Results • A case of osteoporosis was reviewed with pertinent medical history and dual energy X-ray absorptiometry history described both pre- and postsupplementation. Results demonstrated a significant change in bone density parameter for the individual when the bone support supplement, Cyplexinol, was used...
October 21, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29055285/delayed-spontaneous-resorption-of-lumbar-intervertebral-disc-herniation-a-case-report
#2
You Jin Jung, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-Riong Kim, In-Hyuk Ha
Background • Large intervertebral disc herniation is often managed with surgery, but it is not uncommon for spontaneous resorption of herniated disc material to occur. Although the majority of spontaneous disc resorption occurs in the acute phase, an unusual case of delayed intervertebral disc regression at 18 mo postonset is presented. Case Presentation • A 32-y-old female patient presented with acute low-back pain and pain in both legs a Korean medicine hospital specializing in spinal disorders. Massive intervertebral disc herniation was found on lumbar magnetic resonance imaging (MRI), and inguinal and genital pain and numbness was suggestive of risk of cauda equina syndrome...
October 21, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29055170/global-climate-change-increases-risk-of-crop-yield-losses-and-food-insecurity-in-the-tropical-andes
#3
Richard Tito, Heraldo L Vasconcelos, Kenneth J Feeley
One of the greatest current challenges to human society is ensuring adequate food production and security for a rapidly growing population under changing climatic conditions. Climate change, and specifically rising temperatures, will alter the suitability of areas for specific crops and cultivation systems. In order to maintain yields, farmers may be forced to change cultivation practices, the timing of cultivation, or even the type of crops grown. Alternatively, farmers can change the location where crops are cultivated (e...
October 21, 2017: Global Change Biology
https://www.readbyqxmd.com/read/29055085/current-use-of-baseline-medical-treatment-in-chronic-rhinosinusitis-data-from-the-national-chronic-rhinosinusitis-epidemiology-study-cres
#4
Carl Philpott, Sally Erskine, Rupert Smith, Claire Hopkins, Naveed Kara, Amir Farboud, Mahmoud Salam, Alasdair Robertson, Rob Almeyda, B Nirmal Kumar, Shahram Anari, Jaydip Ray, Russell Cathcart, Sean Carrie, Shahzada Ahmed, Hisham Khalil, Allan Clark, Mike Thomas
OBJECTIVES: According to clinical and comissioning guidelines for chronic rhinosinusitis (CRS), patients being referred to secondary care should have failed primary medical treatment with nasal douching (ND) and intranasal corticosteroids (INCS). The study objectives were to identify the rate of specific medical therapy in CRS patients and establish any differences in medication use, for both CRS and associated medical conditions, between CRS phenotypes. DESIGN AND SETTING: Case-control study in a secondary care setting...
October 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29054944/anaesthesia-and-orphan-disease-airway-and-anaesthetic-management-in-huntington-s-disease
#5
Phuong Thao Nguyen, Daveena Meeks, Despoina Liotiri
We present a case that highlights the issues surrounding the delivery of a safe general anaesthetic to a patient with Huntington's disease (HD) and bulbar dysfunction. In the case of a 46-year-old patient undergoing laparoscopic percutaneous endoscopic gastrostomy tube insertion, we discuss the rationale behind our chosen method and anaesthetic agents as well as airway issues specific to HD. In a patient whose condition would not allow for an awake fibreoptic intubation, we opted for a modified rapid sequence induction...
October 19, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29054909/renal-cell-carcinoma-metastases-to-the-maxillary-sinus
#6
Eugene Hung Chih Wong, Nora Tetter, Katharina Glatz, Yves Brand
Metastasis of renal cell carcinoma (RCC) to the head and neck region is rare. We report the case of a 65-year-old man with history of RCC, presented 7 years after nephrectomy, adrenalectomy and lung metastasectomy for his primary tumour, with symptoms of nasal obstruction, postnasal drip, productive cough and pressure sensation in the left maxillary sinus. CT revealed a unilateral, irregular opacification in the left maxillary sinus with bony erosion of the infraorbital canal wall. A yellow cystic lesion was completely removed from the maxillary sinus during functional endoscopic sinus surgery and histopathological analysis confirmed the diagnosis of a metastatic RCC...
October 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29054899/lung-adenocarcinoma-metastastic-lesion-in-the-internal-auditory-meatus
#7
Eugene Hung Chih Wong, Daniel Bodmer, Nora Tetter, Yves Brand
Metastasis to the cerebellopontine angle (CPA) or internal auditory meatus (IAM) is rare.We report a rare case of a 69-year-old woman with metastatic lung adenocarcinoma, who presented with 2 weeks history of left-sided hearing loss and progressively worsening vertigo. Examination revealed a left-sided facial nerve palsy while pure tone audiometry (PTA) showed a new left-sided deafness. MRI showed a new enhancing soft tissue lesion in the left IAM, highly suspicious of new metastases from her progressive lung cancer, which contributed to her neuro-otological symptoms...
October 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29054892/transthoracic-littre-s-hernia-presenting-with-faecopneumothorax-following-perforation-of-the-meckel-s-diverticulum-a-late-complication-of-oesophagectomy
#8
Charles West, Karen Erskine, Khaled Hamdan
A Littre's hernia is an unusual phenomenon where a Meckel's diverticulum protrudes through a potential abdominal opening. We wish to present a unique case of a 79-year-old man with respiratory distress following a fall from standing, initially managed as a haemothorax. After a chest drain was placed, bowel contents were drained from the pleural cavity and he was taken to theatre. He had a history of minimally invasive oesophagectomy for cancer and had subsequently developed a diaphragmatic hernia. A blind ending diverticulum with a perforation at its tip was found in the left oblique lung fissure that was subsequently confirmed histologically as a perforated Meckel's diverticulum...
October 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29054814/laparoscopic-management-of-solid-pseudo-papillary-neoplasm-of-pancreas-in-tertiary-care-center-from-south-india
#9
Palanisamy Senthilnathan, Kailash Chandra Dhaker, Vivek Kaje, Subrahmaneswara Babu Naidu, M Sarvani, Sandeep C Sabnis, Sivakumar Srivatsan Gurumurthy, V P Nalakilli, Natesan Anand Vijay, Subbaiah Rajapandian, Palanivelu Praveen Raj, Ramakrishnan Parthasarathi, Chinnusamy Palanivelu
BACKGROUND: Solid pseudo papillary neoplasm (SPN) of the pancreas which predominantly affects young women is a relatively indolent entity with favorable prognosis. Resection through minimal access approach helps to achieve better short term benefits. The aim of this study is to describe our experience in laparoscopic management of this disease. METHODS: A retrospective review of our prospectively maintained database revealed that 17 patients with SPN were managed with surgical resection between March 2009 and October 2016...
September 11, 2017: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/29054771/spinal-cavernous-angioma-associated-with-klippel-trenaunay-weber-syndrome-a-case-report-and-literature-review
#10
Kazunori Oda, Daijiro Morimoto, Kyongsong Kim, Kanako Yui, Takao Kitamura, Akio Morita
Klippel-Trenaunay-Weber syndrome (KTWS) is a rare congenital vascular disorder characterized by the classic triad of cutaneous nevi, venous varicosities, and osseous and soft tissue hypertrophy of the affected limb. Various vascular anomalies of the central nervous system have also been described in patients with this syndrome. The English-language literature to date contains six reports of associations between KTWS and spinal cord cavernous angioma (CA), but the management of these patients has not been well described...
October 17, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29054770/challenges-in-rendering-coral-triangle-habitat-richness-in-remotely-sensed-habitat-maps-the-case-of-bunaken-island-indonesia
#11
Eghbert Elvan Ampou, Sylvain Ouillon, Serge Andréfouët
The Coral Triangle is the epicenter of marine biodiversity, yet the numbers of habitats that can be found on coral reefs remain poorly described. First surveys for habitat mapping in Indonesia revealed a high number of habitats (>150) even for structurally simple reefs. To be able to represent all these habitats, typical habitat mapping procedures and performances are poorly effective even using very high resolution satellite images. Using Bunaken Island (North Sulawesi, Indonesia) as a case study, we devised a way to maintain all the in situ habitat information in remote sensing habitat map products without loss and with mapping procedures based on photo-interpretation...
October 17, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/29054752/esophageal-lesions-following-button-battery-ingestion-in-children-analysis-of-causes-and-proposals-for-preventive-measures
#12
J Lahmar, C Célérier, E N Garabédian, V Couloigner, N Leboulanger, F Denoyelle
OBJECTIVES: To study recent cases of esophageal injury due to button-battery ingestion in children presenting in pediatric ENT emergency departments of the Paris area of France (Île-de-France region), in order to propose appropriate preventive measures. MATERIAL AND METHOD: A retrospective descriptive single-center study included all children under 15 years of age, presenting in pediatric ENT emergency departments between January 2008 and April 2014 for button-battery ingestion with esophageal impaction requiring emergency removal...
October 17, 2017: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29054745/lower-limb-injuries-in-men-s-elite-gaelic-football-a-prospective-investigation-among-division-one-teams-from-2008-to-2015
#13
Mark Roe, John C Murphy, Conor Gissane, Catherine Blake
OBJECTIVES: To prospectively investigate incidence and associated time-loss of lower limb injuries in elite Gaelic football. Additionally, to identify sub-groups of elite players at increased risk of sustaining a lower limb injury. DESIGN: Prospective, epidemiological study. METHODS: Team physiotherapists provided exposure and injury on a weekly basis to the National Gaelic Athletic Association (GAA) Injury Surveillance Database. Injury was defined using a time-loss criterion...
September 6, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29054690/removable-rigid-dressings-for-postoperative-management-of-transtibial-amputations-a-review-of-published-evidence
#14
REVIEW
James P Reichmann, Phillip M Stevens, John Rheinstein, Christopher D Kreulen
Forty years of clinical experience and peer reviewed research studies support the use of non-weight bearing removable rigid dressings (RRD) as an effective means of post-operative management of transtibial amputations. We reviewed the published medical evidence regarding the use of RRDs as a postoperative management strategy, culminating in an evidence-based practice recommendation. Published peer reviewed literature on the topic was searched and classified by level of evidence based on the research design utilizing the scale recommended by the PM&R Journal (level I through V)...
October 17, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29054614/accounting-for-dynamics-of-mean-precipitation-in-drought-projections-a-case-study-of-brazil-for-the-2050-and-2070-periods
#15
Freddie Mpelasoka, Joseph L Awange, Rodrigo Mikosz Goncalves
Changes in drought around the globe are among the most daunting potential effects of climate change. However, changes in droughts are often not well distinguished from changes in aridity levels. As drought constitutes conditions of aridity, the projected declines in mean precipitation tend to override changes in drought. This results in projections of more dire changes in drought than ever. The overestimate of changes can be attributed to the use of 'static' normal precipitation in the derivation of drought events...
October 17, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29054594/what-can-be-achieved-with-a-single-payer-nhi-system-the-case-of-taiwan
#16
William C Hsiao, Shou-Hsia Cheng, Winnie Yip
The United Nations has incorporated the noble goal of Universal Health Coverage (UHC) in its 2030 Agenda for Sustainable Development. Most nations have already embraced UHC as their goal. However, an intense policy debate has risen about which health system structure can best achieve UHC. Is a single-payer system more efficient, equitable and effective than a multiple-payer system for middle income countries? We argue that empirical evidence and in-depth analysis of single-payer and multiple-payer systems should inform this debate...
December 7, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/29054233/managing-a-mycotic-thoracoabdominal-aneurysm-the-importance-of-molecular-diagnostics
#17
Christopher D Bayliss, Karen L Booth, Robin Williams, John H Dark, Kate F Gould
Pneumococcal mycotic aneurysms are rare and associated with significant mortality and morbidity. Early intravenous antibiotic therapy and surgical intervention is the mainstay of treatment. Pneumococci frequently autolyze in blood cultures, making microbiological diagnosis challenging. We present the case of a man in his mid 70s with multiple thoracoabdominal mycotic aneurysms. Surgery was performed to a threatening saccular aortic arch aneurysm. Samples were sent for microbiological analysis and all were culture negative...
November 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29054082/ecological-risk-assessment-of-coastal-ecosystems-the-case-of-mangrove-forests-in-hormozgan-province-iran
#18
Saber Ghasemi, Sina Siavash Moghaddam, Amir Rahimi, Christos A Damalas, Abolfazl Naji
Sediment quality of mangrove forests in Hormozgan Province of Iran with a focus on two distinct habitats - the Hara Protected Area and the area of the Azini Bay - was studied. The accumulation of heavy metals in the sediments of the Hara Protected Area in terms of concentration was in the order of Pb > Zn > Cu > Cd and in those of the Azini Bay in the order of Zn > Cu > Pb > Cd. Based on Pearson's correlation coefficient, no significant correlations were found between concentrations of heavy metals in the sediments of the Hara Protected Area, while Zn and Pb concentrations were positively correlated in the sediments of the Azini Bay, implying a common pollution source...
October 9, 2017: Chemosphere
https://www.readbyqxmd.com/read/29053898/chronic-pain-has-a-strong-impact-on-quality-of-life-in-facioscapulohumeral-muscular-dystrophy
#19
Germán Morís, Libby Wood, Roberto Fernández-Torrón, José Andrés González Coraspe, Chris Turner, David Hilton-Jones, Fiona Norwood, Tracey Willis, Matt Parton, Mark Rogers, Simon Hammans, Mark Roberts, Elizabeth Househam, Maggie Williams, Hanns Lochmüller, Teresinha Evangelista
INTRODUCTION: Earlier small case series and clinical observations reported on chronic pain playing an important role in facioscapulohumeral dystrophy (FSHD). The aim of this study was to determine the characteristics and impact of pain on quality of life (QoL) in patients with FSHD. METHODS: We analysed patient reported outcome measures collected through the UK FSHD Patient Registry. RESULTS: Of 398 patients, 88.6% reported pain at the time of study...
October 20, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/29053742/are-current-chronic-fatigue-syndrome-criteria-diagnosing-different-disease-phenotypes
#20
Laura Maclachlan, Stuart Watson, Peter Gallagher, Andreas Finkelmeyer, Leonard A Jason, Madison Sunnquist, Julia L Newton
IMPORTANCE: Chronic fatigue syndrome (CFS) is characterised by a constellation of symptoms diagnosed with a number of different polythetic criteria. Heterogeneity across these diagnostic criteria is likely to be confounding research into the as-yet-unknown pathophysiology underlying this stigmatised and debilitating condition and may diagnose a disease spectrum with significant implications for clinical management. No studies to date have objectively investigated this possibility using a validated measure of CFS symptoms-the DePaul Symptom Questionnaire (DSQ)...
2017: PloS One
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