Effectiveness of standard fasting guidelines as assessed by gastric ultrasound examination: A clinical audit
Conclusion: In our audit, we found that risk factor association has a greater effect on residual gastric volume than hours of fasting. While the current fasting guidelines are adequate for healthy individuals, they are not conclusive in patients with risk factors. Ultrasound assessment of preoperative gastric volume is an effective screening tool in patients with risk factors.
Medtronic's stand-alone continuous glucose monitor Guardian Connect is tied to diabetes outcomes measured by time in healthy glucose range, rather than A1C.
Publication date: Available online 20 April 2019Source: Clinical Epidemiology and Global HealthAuthor(s): Subrata Kumar Palo, Mousumi Samal, Jyoshnamayee Behera, Sanghamitra Pati
Conclusions: Our results suggest that eNOS 894G > T and intron 4a/b polymorphisms influence the risk of SCCHN and, eNOS 894G > T polymorphism modulate the risk of disease by modulating plasma nitrite level.
This article summarizes types of tissue samples, followed by descriptions of the most important non-neoplastic and neoplastic, solid and cystic lesions, including recent developments.
Publication date: Available online 20 April 2019Source: Social Science ResearchAuthor(s): Anthony David Campbell, Elizabeth H. BakerAbstractThose with higher incomes tend to have better health outcomes, including healthy weight status. We use data from the 2003–2008 National Health and Nutrition Examination Survey (NHANES) to examine whether the association between higher weight status and social integration varies by income. We examine gender differences in weight status, measured by BMI and obesity, by social integration and income, and find evidence that high social integration is a risk factor for higher weight s...
ConclusionOur work highlights significant age, racial, and comorbid factors in the development of VTE in hospitalized patients with HCC in the US. These findings can help in stratification of HCC patients according to their VTE risk. Patients at higher risk of VTE may benefit from more aggressive pharmacologic prophylaxis, an area for future investigation.
AbstractPurpose of ReviewTo review our current understanding of the intravascular space, therapeutic goals of fluid resuscitation, suitable endpoints of resuscitation, and appropriate choice of fluids.Recent FindingsAn evolving understanding of the endothelium and glycocalyx has improved our understanding of the intravascular space. More aggressive fluid resuscitation after adoption of the Surviving Sepsis Campaign guidelines has led to an initial reduction in mortality associated with sepsis; however, the untoward effects of volume overload are increasingly evident. Fluid responsiveness is likely the best endpoint for res...
AbstractPurpose of ReviewThis review seeks to highlight the issue of when the best time to operate is given the neurocognitive consequences of pediatric OSA.Recent FindingsLearning and memory deficits persist after adenotonsillectomy in school age children with the disease at 9-month follow-up, suggesting short-term damage to the hippocampus in young children with OSA.SummaryLarger trials with younger children with pediatric OSA are currently ongoing to evaluate the impact of adenotonsillectomy on learning and memory recovery.
AbstractPurpose of ReviewThe aims of this review are to summarize recent data on mortality and cardiovascular disease (CVD) in type 1 and type 2 diabetes and to determine the interventions that could have contributed to a reduction in mortality.Recent FindingsRecent studies found a downward trend in mortality and CVD among both diabetics and non-diabetics worldwide over the last few decades. The decline among diabetics is steeper than that among non-diabetics. Despite a parallel trend of decline, an approximately twofold difference in mortality and CVD between the two populations remains.SummaryA greater emphasis on glycem...
ConclusionsBreast cancer patients receiving metformin as treatment for diabetes showed significant reduction in levels of insulin, fasting glucose, CRP, HOMA, leptin, BMI, and Ki-67.
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