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William J Warrender, Usman Ali M Syed, Sommer Hammoud, William Emper, Michael G Ciccotti, Joseph A Abboud, Kevin B Freedman
BACKGROUND: Effective postoperative pain management after shoulder arthroscopy is a critical component to recovery, rehabilitation, and patient satisfaction. PURPOSE: This systematic review provides a comprehensive overview of level 1 and level 2 evidence regarding postoperative pain management for outpatient arthroscopic shoulder surgery. STUDY DESIGN: Systematic review. METHODS: We performed a systematic review of the various modalities reported in the literature for postoperative pain control after outpatient shoulder arthroscopy and analyzed their outcomes...
October 11, 2016: American Journal of Sports Medicine
Shamshad Ali, Khalid Waheed, Zafar H Iqbal
BACKGROUND: Ventilator associated pneumonia (VAP) is an important and common complication of mechanically ventilated patients. It is the leading cause of morbidity and mortality in Intensive Care Units (ICU) worldwide. The aim of study was to determine the pattern of bacteria involved in VAP in intensive care unit of Jinnah hospital Lahore. METHODS: It was descriptive case series study, conducted over a period of one year on mechanically ventilated 50 patients. American Thoracic Society (ATS) guidelines recommend quantitative/semi-quantitative culture of endotracheal aspirates (ETA) or bronchoscopic aspirates/washing from the infected lung segments for the diagnosis of VAP...
January 2015: Journal of Ayub Medical College, Abbottabad: JAMC
Biswajit Biswas, Monojit Mondal, Rajoo Thapa, Debkrishna Mallick, Asok Kumar Datta
Klebsiella pneumoniae (K. pneumoniae) causing brain abscess in newborn infants is rare. Presented herein, is a 27-day-old male neonate who developed two frontal lobe abscesses in association with K. pneumoniae sepsis and meningitis. Antibiotic susceptibility testing utilizing the double-disk synergy method (Cefotaxime and Amoxycillin-Clavulanate) confirmed the extended spectrum beta-lactamase (ESBL) production by the isolate. He was treated simultaneously with antibiotics (Meropenem and Amikacin) and abscess aspiration through the anterior fontanelle, with less than satisfactory outcome...
November 2014: Journal of Clinical and Diagnostic Research: JCDR
Taha Bekci, Mustafa Calik, Suleyman Akin, Saniye Calik, Hidir Esme
SESSION TITLE: Infectious Disease Global Case ReportsSESSION TYPE: Global Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Aspergillus species is one of the commonest causes of fungal infections.[1] . The aspergillus empyema is a rare clinical entity. Pleural aspergillosis is not characteristically associated with pulmonary aspergillosis in either its allergic, bronchopneumonic, or intracavitary forms [2] Empyemas are rare presentations of fungal infection...
October 1, 2014: Chest
Mounir Maafi, Wassila Maafi
A recently developed Ф-order semi-emperical integrated rate-law for photoreversible AB(2Ф) reactions has been successfully applied to investigate Montelukast sodium (Monte) photodegradation kinetics in ethanol. The model equations also served to propose a new stepwise kinetic elucidation method valid for any AB(2Ф) system and its application to the determination of Monte's forward (Ф(λ(irr))(A-->B)) and reverse (Ф(λ(irr))(B-->A)) quantum yields at various irradiation wavelengths. It has been found that Ф(λ(irr))(A-->B) undergoes a 15-fold increase with wavelength between 220 and 360 nm, with the spectral section 250-360 nm representing Monte effective photodegradation causative range...
August 25, 2014: International Journal of Pharmaceutics
Zubia Mumtaz, Andrea Cutherell, Afshan Bhatti
BACKGROUND: To address it's persistently high maternal mortality rate of 276/100,000 live births, the government of Pakistan created a new cadre of community based midwives (CMW). One expectation is that CMWs will improve access to maternal health services for underserved women. Recent research shows the CMWs have largely failed to establish midwifery practices, because CMW's lack of skills, both clinical and entrepreneurial and funds necessary to develop their practice infrastructure and logistics...
2014: BMC Pregnancy and Childbirth
Said Jai-Andaloussi, Abderrahim Sekkaki, Gwenole Quellec, Mathieu Lamard, Guy Cazuguel, Christian Roux
Breast mass segmentation in mammography plays a crucial role in Computer-Aided Diagnosis (CAD) systems. In this paper a Bidimensional Emperical Mode Decomposition (BEMD) method is introduced for the mass segmentation in mammography images. This method is used to decompose images into a set of functions named Bidimensional Intrinsic Mode Functions (BIMF) and a residue. Our approach consists of three steps: 1) the regions of interest (ROIs) were identified by using iterative thresholding; 2) the contour of the regions of interest (ROI) was extracted from the first BIMF by using the (BEMD) method; 3) the region of interest was finally refined by the extracted contour...
2013: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Bhaskar Thakuria, Preetinder Singh, Sanjay Agrawal, Veena Asthana
BACKGROUND: Ventilator-associated pneumonia (VAP) is the most common cause of hospital acquired infection and death among patients admitted in ICU. Microorganisms responsible for VAP vary from place to place. Gram-negative bacteria (GNB) have emerged as a major group of pathogen causing VAP and over the years carbapenem group of antibiotics has emerged as one of the important antibiotics used in the critically ill patients. There have been reports of increased occurrence of infection by carbapenem-resistant bacteria in health care settings in recent times...
July 2013: Journal of Anaesthesiology, Clinical Pharmacology
U K Ranawaka, E G D S Rajindrajith, K V H K K Perera, K M M P Dassanayake, B A H R Premaratne, H J de Silva
OBJECTIVES: We aimed to describe the pattern of central nervous system (CNS) infections and accuracy of diagnosis in a Sri Lankan tertiary care hospital. METHODS: We prospectively studied all adult patients with suspected CNS infection admitted over a two-year period. Data were collected on demographic and clinical features, laboratory findings, treatment and immediate outcome. Diagnosis of CNS infection was categorized as definite, probable, possible and uncertain...
March 2013: Ceylon Medical Journal
K Madhusudana Rao, B Mallikarjuna, K S V Krishna Rao, S Siraj, K Chowdoji Rao, M C S Subha
A series of novel nanogels (NGs) with both pH and thermoresponsive properties were synthesised by free radical emulsion polymerisation of N-vinyl caprolactam (VCL) and acrylamidoglycolic acid (AGA). 5-Flurouracil, an anti cancer drug, was successfully loaded into these nanogels via equilibrium swelling method. The encapsulation efficiency of 5-FU was found up to 61%. Here we present the novel potential drug delivery system showing both pH and temperature release of 5-FU. Fourier transforms infrared spectroscopy (FTIR), and differential scanning calorimetric (DSC) examined the structure and morphology of the NGs...
February 1, 2013: Colloids and Surfaces. B, Biointerfaces
Michael J Baum
Until recently it was widely believed that the ability of female mammals (with the likely exception of women) to identify and seek out a male breeding partner relied on the detection of non-volatile male pheromones by the female's vomeronasal organ (VNO) and their subsequent processing by a neural circuit that includes the accessory olfactory bulb (AOB), vomeronasal amygdala, and hypothalamus. Emperical data are reviewed in this paper that demonstrate the detection of volatile pheromones by the main olfactory epithelium (MOE) of female mice which, in turn, leads to the activation of a population of glomeruli and abutting mitral cells in the main olfactory bulb (MOB)...
2012: Frontiers in Neuroanatomy
Amulyajit Kaur, Satyajit Singh Gill, Jaswinder Singh, Amandeep Singh, Narayanan Subramaniam Mani
Solitary fibrous tumors in the lung are rare neoplasms with distinct clinicopathological and immunohistochemical features. We report a giant solitary fibrous tumor of the pleura in a young male which remained silent clinically till it assumed gigantic proportions. Histology and immunohistochemistry were classical of a solitary fibrous tumor. Inspite of its appalling size it proved to be benign in behavior. This case depicts the vulnerability of this lesion to a clinical bungle. The report highlights the significance of clinical suspicion of this rare neoplasm and reveals the diagnostic associations and procedures to avoid emperical therapy and delay in curative surgical treatment...
April 2012: Lung India: Official Organ of Indian Chest Society
S De Ridder, X Neyt, N Pattyn, P-F Migeotte
During thoracic impedance signal acquisition, noise is inherently introduced and hence, denoising is required to allow for accurate event detection. This paper investigates the effectiveness of Ensemble Emperical Mode Decomposition to filter random noise. The performance of the EEMD method is compared with an optimal FIR filter and wavelet denoising. The IMF selection for signal reconstruction in the EEMD denoising method is optimized using a sequential search. Denoising performance was evaluated by the SNR and the accuracy in event detection after filtering...
2011: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Mehat Abdel Halim, Torki Al-Otaibi, Osama Gheith, Osama El-Kholy, Khaled Abdel Tawab, Tarek Said, Prasad Nair, M R N Nampoory
BACKGROUND: Induction of the hepatic and intestinal cytochrome P450-3A4 system and intestinal P-glycoprotein is an unavoidable consequence of rifampin administration which requires substantial increase in tacrolimus dose when given concurrently. Chronic diarrhea is known to precipitate tacrolimus toxicity irrespective of its cause in renal transplant recipients. CASE REPORT: A 28 years old lady had a second renal transplant when she was 15 years old which is functioning normally...
January 2010: Annals of Transplantation: Quarterly of the Polish Transplantation Society
W E Webb, J T Marino
The optimum detection threshold in an on-off binary optical communications system operating in the presence of atmospheric turbulence has been investigated assuming a Poisson detection process and log normal scintillation. The dependence of the probability of bit error on log amplitude variance and received signal strength has been analyzed, and semi-emperical relationships to predict the optimum detection threshold have been derived. On the basis of this analysis, a piecewise linear model for an adaptive threshold detection system is presented...
June 1, 1975: Applied Optics
B Söderpalm, E Löf, M Ericson
Alcoholism is a chronic recurring brain disorder causing the afflicted a multitude of social and health problems and enormous costs to society. The psychosocial and pharmacological treatment options available have but small to moderate effect sizes, underlining the great need for new effective remedies. Alcohol like all other drugs of abuse acutely activates the mesolimbic dopamine system and, upon chronic administration, produces functional alterations of this important part of the brain reward system. Available data suggests that the mesolimbic dopamine system is involved both in the positive and negative reinforcing effects of ethanol...
May 2009: Pharmacopsychiatry
S K Agrawal, B S Reddy, P Bhalla, H Kaur
The purpose of this study was assessment of prevalence of Chlamydia trachomatis and utility of Direct Fluorescent Antibody (DFA) test for its detection in male patients with non gonococcal urethritis in New Delhi, India. Thirty male patients with symptoms of dysuria showing polymorphs in their gram stained urethral smears with no evidence of Neisseria gonorrhoeae, and negative for Trichomonas vaginalis and Candida albicans by wet mount were subjected to DFA test for detection of C. trachomatis in urethral samples...
March 2003: Indian Journal of Dermatology, Venereology and Leprology
M A Zayed, M F Hawash, M A Fahmey
Codeine is an analgesic with uses similar to morphine, but it has a mild sedative effect. It is preferable used as phosphate form and it is often administrated by mouth with aspirin or paracetamol. Therefore, it is important to investigate its structure to know the active groups and weak bonds responsible for its medical activity. Consequently in the present work, codeine was investigated by mass spectrometry and thermal analyses (TG, DTG and DTA) and confirming by semi-empirical MO-calculation (PM3 method) in the neutral and positively charged forms of the drug...
May 15, 2006: Spectrochimica Acta. Part A, Molecular and Biomolecular Spectroscopy
S Malhotra, D K Mehta, P Kumar
Conjunctivitis is the most common disease of conjunctiva which occurs by exogenous or endogenous source. Bacterial conjunctivitis is the most common type of this infection for which emperical treatment is started without knowing the etiological agents because prior cultures are generally not taken. We conducted this survey to study the etiological agents of conjunctivitis in a total of 6763 swabs obtained over a period of four years (2001 to 2004). The prevalence of bacterial conjunctivitis was found to be 20...
October 2005: Indian Journal of Pathology & Microbiology
Arjun P Dutta, Michael A Pyles, Patrick A Miederhoff
The purpose of this literature review was to determine the extent to which health profession students experience counterproductive stress and to examine the existing gaps in the literature concerning all health profession students and stress. The literature search process included using Eric, Education Abstracts, Psyc INFO, ABIN, WebSpirs Databases, FactSearch, Biological Sciences, International Pharmaceutical Abstracts, MEDLINE, Lexis-Nexis, CINAHL and Registry of Nursing Research. Key articles were identified that documented stress, the causes of stress or "stressors," and psychiatric symptoms as a result of counterproductive stress in the disciplines of medicine, dentistry, nursing, and allied health...
July 2005: Journal of National Black Nurses' Association: JNBNA
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