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https://read.qxmd.com/read/30877643/factors-associated-with-hospitalization-for-community-acquired-pneumonia-in-home-health-care-patients-in-taiwan
#1
Chien-Ju Lin, Yu-Chen Chang, Meng-Ting Tsou, Hsin-Lung Chan, Ying-Ju Chen, Lee-Ching Hwang
BACKGROUND: Pneumonia is a leading cause of hospitalization and death worldwide. However, studies focusing on risk factors of community-acquired pneumonia (CAP) in the home health care (HHC) population remain scarce. AIMS: This study aimed to evaluate risk factors associated with hospitalization for CAP among HHC patients in Taiwan. METHODS: This retrospective cross-sectional study extracted data from patients' electronic medical records between 1 January 2017 and 31 December 2017...
March 14, 2019: Aging Clinical and Experimental Research
https://read.qxmd.com/read/30863608/management-of-delayed-gastric-conduit-emptying-after-esophagectomy
#2
REVIEW
Rusi Zhang, Lanjun Zhang
Delayed gastric conduit emptying (DGE) is a common complication after esophagectomy. Currently, pyloric interventions are the major prevention and treatment for DGE. In this review, we attempt to evaluate the clinical effect and safety of different pyloric interventions in esophagectomy patients. Moreover, other important management of DGE, including size of esophageal substitute, erythromycin and nasogastric tube (NGT) will also be discussed.
January 2019: Journal of Thoracic Disease
https://read.qxmd.com/read/30854790/gastrostomy-tube-use-in-children-with-cancer
#3
REVIEW
Kathleen H McGrath, Winita Hardikar
Children with cancer are at risk of malnutrition, which can impair critical childhood processes of growth and development and contribute to poor health outcomes. Enteral nutrition can effectively ameliorate malnutrition or weight loss in children with cancer; however, published nutrition support algorithms contain minimal specific information on gastrostomy tube use, and current literature is limited. Decisions about gastrostomy tube insertion in children with cancer can be challenging. Consideration of gastrostomy tube insertion is only appropriate in children with long-term dependence on enteral nutrition, particularly when nasogastric tube insertion is predicted or proven to be problematic...
March 11, 2019: Pediatric Blood & Cancer
https://read.qxmd.com/read/30848419/withholding-treatment-from-the-dying-patient-the-influence-of-medical-school-on-students-attitudes
#4
Aviad Rabinowich, Iftach Sagy, Liane Rabinowich, Lior Zeller, Alan Jotkowitz
PURPOSE: To determine motives and attitudes towards life-sustaining treatments (LSTs) by clinical and preclinical medical students. METHODS: This was a scenario-based questionnaire that presented patients with a limited life expectancy. The survey was distributed among 455 medical students in preclinical and clinical years. Students were asked to rate their willingness to perform LSTs and rank the motives for doing so. The effect of medical education was then investigated after adjustment for age, gender, religion, religiosity, country of origin, and marital status...
March 8, 2019: Journal of Bioethical Inquiry
https://read.qxmd.com/read/30844947/ventilatory-collapse-endotracheal-tube-strangulation-from-a-nasogastric-tube-knot
#5
Sarah A Dunn, Behrouz Ashrafi, Keith Candiotti, Yiliam F Rodriguez-Blanco
No abstract text is available yet for this article.
March 4, 2019: Anesthesiology
https://read.qxmd.com/read/30842815/dual-loop-roux-en-y-reconstruction-with-isolated-gastric-limb-reduces-delayed-gastric-emptying-after-pancreatico-duodenectomy
#6
Offir Ben-Ishay, Reem Abu Zhaya, Yoram Kluger
BACKGROUND: Single loop reconstruction (SLR) was routine in our institution for patients undergoing pancreatico-duodenectomy (PD). Roux-en Y reconstruction with an isolated gastric limb (RIGL) recently became the reconstruction of choice. AIM: To evaluate the impact of RIGL on incidence and severity of delayed gastric emptying (DGE). METHODS: This is a single institution, retrospective analysis of patients undergoing PD. All patients undergoing PD from July 2010 through December 2016 were included in the study...
February 27, 2019: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30807299/functional-abdominal-pain-in-a-pediatric-patient-after-resolution-of-acute-pancreatitis-a-case-report
#7
Tommy Rappold, M-Irfan Suleman
Children with acute pancreatitis may develop chronic abdominal wall pain after resolution of clinical, laboratory, and radiographic signs of disease. We describe a 13-year-old boy who underwent an unrevealing, complex diagnostic evaluation for persistent abdominal pain after resolution of acute pancreatitis. His pain required an extended leave of absence from school and nasogastric tube feeds. After receiving abdominal nerve blocks and trigger point injections, he experienced near-complete resolution of pain with normalization of eating habits and daily function...
February 21, 2019: A&A practice
https://read.qxmd.com/read/30802208/topical-and-systemic-effects-of-n-acetyl-cysteine-on-wound-healing-in-a-diabetic-rat-model
#8
Hilal Ozkaya, Tulay Omma, Yusuf Murat Bag, Kevser Uzunoglu, Mehlika Isildak, Mehmet Esat Duymus, Kemal Kismet, Mehmet Senes, Vildan Fidanci, Pinar Celepli, Sema Hucumenoglu, Yalcin Aral
OBJECTIVE: This study evaluates the effects of topical and systemic N-acetyl cysteine (NAC) treatment on wound healing in a diabetic rat model. MATERIALS AND METHODS: A total of 48 male Wistar Albino rats were randomly divided into 4 groups of 12. Diabetes was induced with an intraperitoneal injection of 60 mg/kg streptozotocin. A 2-cm x 1-cm full-thickness wound was created on the back of each animal. In group 1 (control) and group 3 (systemic NAC), the wounds were closed with 0...
February 14, 2019: Wounds: a Compendium of Clinical Research and Practice
https://read.qxmd.com/read/30795832/there-may-be-no-differences-among-a-liquid-diet-and-semisolid-diets-at-rapid-or-slow-administration-rates-in-patients-undergoing-orthognathic-surgery-and-receiving-nasogastric-tube-feeding
#9
Romina Brignardello-Petersen
No abstract text is available yet for this article.
February 16, 2019: Journal of the American Dental Association
https://read.qxmd.com/read/30792049/effects-of-antecolic-versus-retrocolic-duodenojejunostomy-on-delayed-gastric-emptying-after-pyloric-preserving-pancreaticoduodenectomy-in-patients-with-periampullary-tumors
#10
Farzad Kakaei, Mohammadbasir Abolghasemi Fakhri, Arsalan Azizi, Touraj Asvadi Kermani, Kowsar Tarvirdizade
BACKGROUND/OBJECTIVE: Delayed gastric emptying (DGE) is one of the most frequent complications after pyloric preserving pancreaticoduodenectomy (PPPD). The aim of this study is to evaluate the effect of antecolic versus retrocolic reconstruction of gastroentric anastomosis on DGE after PPPD. METHODS: 30 patients with diagnosis of operable periampullary malignancies who candidate for PPPD, randomized in two equal groups. Gastroentric reconstruction were done in two methods: antecolic and retrocolic...
February 18, 2019: Asian Journal of Surgery
https://read.qxmd.com/read/30786968/fear-and-coping-in-children-5-9-years-old-treated-for-acute-lymphoblastic-leukemia-a-longitudinal-interview-study
#11
Ingela Leibring, Agneta Anderzén-Carlsson
PURPOSE: The aim of this study was to describe the fears of 5- to 9-year-old children related to having acute lymphoblastic leukemia (ALL) and their strategies for coping with those fears. DESIGN AND METHODS: The study had a qualitative descriptive longitudinal design and included a total of 35 interviews with 13 children at three different times during their treatment period. Data were analyzed using a matrix-based method inspired by the work of Miles et al. RESULTS: Initially, most children reported a fear of needles, but during the treatment period, fewer children reported this fear...
February 17, 2019: Journal of Pediatric Nursing
https://read.qxmd.com/read/30783075/nasogastric-tubes-can-cause-intramural-hematoma-of-the-esophagus
#12
Toru Yamada, Yasuaki Motomura, Eiji Hiraoka, Aki Miyagaki, Juichi Sato
BACKGROUND Intramural hematoma of the esophagus (IHE), a rare manifestation of acute mucosal injuries of the esophagus, can be caused by trauma such as endoscopic surgeries. Coagulation disorders increase the risk of IHE. The most common location of IHE is in the distal esophagus. The characteristic clinical triad of manifestations comprises acute retrosternal pain, odynophagia or dysphagia, and hematemesis. It is important to distinguish IHE from other acute conditions such as acute coronary syndrome, aortic dissection, and pulmonary embolism...
February 20, 2019: American Journal of Case Reports
https://read.qxmd.com/read/30775857/cerebral-oxygenation-associated-with-insure-versus-lisa-procedures-in-surfactant-deficient-newborn-piglet-rds-model
#13
Carmen Rey-Santano, Victoria E Mielgo, Miguel A Gomez-Solaetxe, Fabrizio Salomone, Elena Gastiasoro, Begoña Loureiro
BACKGROUND: Nasal continuous-positive airway pressure (nCPAP) with the INSURE (INtubation-SURfactant-Extubation) or LISA (Less-Invasive Surfactant Administration) procedures are increasingly being chosen as the initial treatment for neonates with surfactant deficiency. Our objective was to compare the effects on cerebral oxygenation of different methods for surfactant administration: INSURE and LISA, using a nasogastric tube (NT) or a LISAcath® catheter, in spontaneously breathing SF-deficient newborn piglets...
February 18, 2019: Pediatric Pulmonology
https://read.qxmd.com/read/30773435/ct-guided-percutaneous-gastrostomy-without-preliminary-placement-of-a-nasogastric-tube
#14
Xiong-Ying Jiang, Anne-Sophie Bertrand, Guo Li, Christophe Hebert, Pierre-Yves Marcy, Marie-Noëlle Falewee, Antoine Iannessi
Percutaneous radiologic gastrostomy (PRG) requires preliminary gastric inflation through a nasogastric tube (NGT) to safely perform gastric puncture. However, in case of pharyngeal or esophageal obstruction, NGT placement may be impossible even with a hydrophilic angiography catheter and wire. This brief report describes percutaneous computed tomography (CT)-guided gastrostomy with a 2-stick approach without nasogastric insufflation in 13 patients. Technical success rate was 100% with a mean of 1.8 punctures ± 1...
February 14, 2019: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/30773393/retrograde-endoscopic-dilatation-for-difficult-caustic-esophageal-strictures-feasibility-and-effectiveness
#15
Khaled Mohamed El-Asmar, Ahmed Abdelhaseeb Youssef
BACKGROUND: Difficult caustic esophageal strictures may need a more sophisticated dilatation technique before referring for esophageal replacement surgery. PATIENTS & METHOD: Retrospective review of caustic esophageal strictures managed at our center between January 2010 and June 2018 was done. Twenty two patients labeled as undilatable strictures were enrolled. These patients had another trial for endoscopic dilatation using retrograde approach. RESULTS: Among these 22 patients, 5 patients could be dilated by antegrade approach...
January 22, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30773220/results-of-endoscopic-nasal-surgery-in-the-treatment-of-invasive-fungal-sinusitis-in-children-with-cancer-and-immunosuppression
#16
Jorge Javier Ramírez Argueta, Juan Pablo Díaz Molina, Ricardo Jose Ortiz Oliva, Roman Carlos Bregni, Yomara Bustamante
BACKGROUND AND OBJECTIVE: to describe the results of the treatment of invasive fungal sinusitis with nasal endoscopic surgery in an immunocompromised paediatric oncological population. METHODS: retrospective study of all patients diagnosed with invasive fungal sinusitis operated in the National Paediatric Oncology Unit between 2012 and 2016. Data taken from their medical history included: epidemiological characteristics, oncological diagnosis, haematological data, symptoms, tomographic studies, surgical interventions, results of pathology and cultures, medications received, complications, evolution and survival...
February 14, 2019: Acta Otorrinolaringológica Española
https://read.qxmd.com/read/30771821/oropharyngeal-mother-s-milk-state-of-the-science-and-influence-on-necrotizing-enterocolitis
#17
REVIEW
Nancy A Garofalo, Michael S Caplan
Oropharyngeal administration of mother's own milk-placing drops of milk directly onto the neonate's oral mucosa-may serve to (ex utero) mimic the protective effects of amniotic fluid for the extremely low birth weight infant; providing protection against necrotizing enterocolitis. This article presents current evidence to support biological plausibility for the use of OroPharyngeal Therapy with Mother's Own Milk (OPT-MOM) as an immunomodulatory therapy; an adjunct to enteral feeds of mother's milk administered via a nasogastric or orogastric tube...
March 2019: Clinics in Perinatology
https://read.qxmd.com/read/30766919/perioperative-lung-protective-ventilatory-management-during-major-abdominal-surgery-a-hungarian-nationwide-survey
#18
EDITORIAL
Zoltán Ruszkai, Erika Kiss, Zsolt Molnár
Lung protective mechanical ventilation (LPV) even in patients with healthy lungs is associated with a lower incidence of postoperative pulmonary complications (PPC). The pathophysiology of ventilator-induced lung injury and the risk factors of PPCs have been widely identified, and a perioperative lung protective concept has been elaborated. Despite the well-known advantages, results of recent studies indicated that intraoperative LPV is still not widely implemented in current anaesthesia practice. No nationwide surveys regarding perioperative pulmonary protective management have been carried out previously in Hungary...
January 2019: Journal of Critical Care Medicine
https://read.qxmd.com/read/30762778/impact-of-a-home-health-care-program-for-disabled-patients-in-taiwan-a-nationwide-population-based-cohort-study
#19
Yi-Hsuan Lee, Chia-Wen Lu, Chi-Ting Huang, Hao-Hsiang Chang, Kuen-Cheh Yang, Chia-Sheng Kuo, Yu-Kang Chang, Chih-Cheng Hsu, Kuo-Chin Huang
The aim of this study was to evaluate the impact of home health care (HHC) for disabled patients.We conducted a nationwide population-based retrospective cohort study. A total of 5838 disabled patients with HHC were identified to match by propensity score with 15,829 disabled patients without HHC receiving tube or catheter care (tracheostomy tube, nasogastric tube, urinary catheter, cystostomy tube, nephrostomy tube) or stage 3 or 4 pressure sore care from the Taiwanese National Health Insurance Research Database between 2005 and 2009...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30762764/integrating-traditional-chinese-medicine-healthcare-into-dementia-care-plan-by-reducing-the-need-for-special-nursing-care-and-medical-expenses
#20
Shun-Ku Lin, Pei-Chia Lo, Wang-Chuan Chen, Jung-Nien Lai
Reducing the need for advanced nursing care and medical expenses is an essential concern of dementia care. We investigated the impact of traditional Chinese medicine (TCM) on advanced nursing care and medical costs.We used Longitudinal Health Insurance Database to implement a cohort study of patients with dementia between 1997 and 2012 in Taiwan. Data from the onset of dementia to 1st advanced nursing care for the endotracheal tube, urinal indwelling catheterization, and nasogastric tube were assessed using Cox regression proportional hazards model, and independent t test was used to determine the difference of hospitalization costs and days...
February 2019: Medicine (Baltimore)
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