Intestinal Spirochaetosis-A case series from the developing world
Trop Doct. 2021 Nov 18:494755211049031. doi: 10.1177/00494755211049031. Online ahead of print.ABSTRACTSpirochaetes comprise a heterogenous group of gram negative, motile, spiral shaped bacteria. Some of these pathogens are known to cause numerous human diseases such as Lyme disease, relapsing fever, syphilis and leptospirosis. However, intestinal spirochetosis is a rare condition. Patients frequently present with long-term complaints of loose stools, abdominal pain and weight loss and rectal bleeding. Hence to establish a diagnosis an endoscopy with biopsy is required. In this article, we describe four such cases, having different ages and socio- economic background, successfully treated with a short course of metronidazole.PMID:34792410 | DOI:10.1177/00494755211049031
ConclusionThe e-TEP-RS technique for large, complex, midline, ventral abdominal hernias can be used with excellent results and acceptable morbidity. This technique is technically challenging and should be mastered in relatively smaller ventral hernias to achieve good results before attempting it in larger, complex ones.
This study evaluates the effectiveness of two postoperative analgesia modalities: epidural cat heter and surgeon-performed TAP-block following VHR performed with transversus abdominis release (TAR).MethodsA retrospective analysis was performed on data prospectively collected between 2012 and 2019. All patients undergoing open VHR with TAR performed by a single surgeon were identified. Parastomal hernia repairs and any patients receiving ultrasound-guided TAP blocks or paraspinal blocks were excluded. Primary outcome was length of stay (LOS) with secondary outcomes including pain scores, opioid requirements, and 30-day morb...
Here are the results of the poll. Is It Time To Give Up On The DOH/NETHA/ADHA Experiment Of Federal Government Involvement In Digital Health In Australia? Yes - It Has Been Long Enough 53% (43) No - They Need More Time To Get It Right 35% (28) I Have No Idea 12% (10) Total votes: 81 A small majority want to see the pain of the last decade stop while many more that usual are really confused. Quite a few wanted to be patient for a while longer - maybe worried about their jobs? Any insights on the poll are welcome, as a comment, as usual! A good number of votes with a clear outcome! A very large 10 of 81 who answer...
The drink may also be protective against type 2 diabetes and metabolic syndrome.
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CONCLUSIONS: Practice-level adoption of PES for patients with musculoskeletal problems was generally not associated with total spending. PES, however, may steer patients toward evidence-based treatments. Opportunities for overall spending reduction exist as indicated by the variation in the subcomponents of total spending by PES adoption.PMID:34836905 | DOI:10.1136/bmjopen-2021-053121
CONCLUSIONS: This study supports the use of transparent face masks by health care professionals in an orthopedic department, particularly by nurses. In addition, this study supports the assumption of problems involving the reliability of VAS.PMID:34836821 | DOI:10.1016/j.pmn.2021.09.005
Conclusions: Regarding prediction accuracy, BSS has been considered competitive with established machine-learning approaches. Nonetheless, considerable misclassification is inherent and further refinements are required to improve predictions.PMID:34831773 | DOI:10.3390/ijerph182212013