Endoscopic treatment of an esophageal perforation in eosinophilic esophagitis by insertion of a self-expanding metal stent
We present the case of a 29-year-old patient with multiple allergies, mild asthma and rhinoconjunctivitis who reported a history of esophageal impactions after ingestion of solid foods. These episodes resolved spontaneously at home and by self-induced vomiting and never required endoscopic removal. The patient presented to the emergency department due to a sensation of food impaction lasting more than 12 hours after eating meat the night before, which did not subside with the intake of liquids or self-induced vomiting. Endoscopic evaluation was requested for foreign body extraction. A meat bolus impacted in the distal esop...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Mar ía Belén López Moreno V íctor Jiménez Beltrán Mar ía Antonia Godoy López Jes ús García-Cano Source Type: research
Sarcoidosis with esophageal involvement: an uncommon clinical enigma
We present the case of a 46-year-old male, a former smoker, with a medical history significant for morbid obesity grade III, hypothyroidism, hyperuricemia, and dyslipidemia. Four months ago, he was diagnosed with sarcoidosis involving mediastinal lymph nodes and is currently undergoing treatment with corticosteroids. The patient presented to the emergency department with persistent epigastric and thoracic pain lasting one week, accompanied by dysphagia and odynophagia intermittently. Laboratory tests showed elevated acute-phase reactants, with no other notable abnormalities. Chest X-ray revealed pre-existing mediastinal ad...
Source: Revista Espanola de Enfermedades Digestivas - April 30, 2024 Category: Gastroenterology Authors: Macarena Torres-Larrubia Sergio Casiano-Manzano Alberto Masa-Caballero Zuliani Jim énez-Colmenarez Miguel Fern ández-Bermejo Pablo Sol ís-Muñoz Source Type: research
Reduced Immunogenicity of COVID-19 Vaccine in Obese Patients with Type 2 Diabetes: A Cross-Sectional Study
Acta Med Okayama. 2024 Apr;78(2):185-191. doi: 10.18926/AMO/66927.ABSTRACTThe global pandemic of coronavirus infection 2019 (COVID-19) was an unprecedented public health emergency. Several clinical studies reported that heart disease, lung disease, diabetes, hypertension, dyslipidemia, and obesity are critical risk factors for increased severity of and hospitalization for COVID-19. This is largely because patients with these underlying medical conditions can show poor immune responses to the COVID-19 vaccinations. Diabetes is one of the underlying conditions most highly associated with COVID-19 susceptibility and is consid...
Source: Acta Med Okayama - April 30, 2024 Category: Universities & Medical Training Authors: Hiroko Takahashi Jun Eguchi Mayu Watanabe Masanori Nakayama Jun Wada Source Type: research
The effect of family-centered care on unplanned emergency room visits, hospital readmissions and intensive care admissions after surgery: a root cause analysis from a prospective multicenter study in the Netherlands
CONCLUSION: Based on the insights from the root-cause analysis in this prospective multicenter study, it appears that unplanned emergency room visits and hospital readmissions are not related to the active involvement of family caregivers in surgical follow-up care. Moreover, surgical follow-up care by trained family caregivers during hospitalization was not associated with increased rates of unplanned adverse events. Hence, the concept of active family involvement by proficiently trained family caregivers in postoperative care appears safe and feasible for patients undergoing major abdominal surgery.PMID:38689336 | DOI:10...
Source: Patient Safety in Surgery - April 30, 2024 Category: Surgery Authors: Sani Marijke Kreca Iris Sophie Albers Selma Clazina Wilhelmina Musters Els Jaqueline Maria Nieveen van Dijkum Pieter Roel Tuinman Anne Maria Eskes ARTIS consortium Source Type: research
Pulmonologist Education of the Teach-to-Goal Inhaler Technique for Those With Asthma and COPD
CONCLUSIONS: Pulmonologist education of inhaler technique for patients with asthma and patients with COPD was associated with decreased relative risk for inhaler/dosage increase and increased odds for symptom control. We recommend pulmonologists provide education of inhaler technique to patients with asthma and patients with COPD and not rely on non-pulmonologist education alone. Prospective research is needed to confirm the importance of proper inhaler techniques.PMID:38688545 | DOI:10.4187/respcare.11478 (Source: Respiratory Care)
Source: Respiratory Care - April 30, 2024 Category: Respiratory Medicine Authors: Vaishali Mehta Najia Sayedy Joshua Fogel Eric Lam Pratap Upadrista Bruno Okoro Hira Tahir Jagadish Akella Source Type: research
Underreporting Supplements: A Case of Drug-induced Liver Injury Due to a Testosterone Booster
Mil Med. 2024 Apr 30:usae136. doi: 10.1093/milmed/usae136. Online ahead of print.ABSTRACTAcute liver injuries (ALIs) are caused by a wide range of etiologies, and determining the cause can often be challenging. Detailed history taking is essential in patients with liver injuries to promptly determine the underlying source of injury and for timely treatment and prognosis. A 27-year-old active duty man presented to the emergency department (ED) with jaundice. On medication reconciliation, he only reported taking acetaminophen for a recent upper respiratory infection. The patient had an ALI and was treated with N-acetyl cyste...
Source: Military Medicine - April 30, 2024 Category: International Medicine & Public Health Authors: Ashna Manhas Casey Genevieve Arnold Allison Marie Bush Source Type: research
Preparing Future Military Medical Officers to Conduct Emergency Fresh Whole Blood Transfusions in Austere Environments: A Novel Training Curriculum
CONCLUSIONS: Our results suggest that the implementation of streamlined EFWBT training into the undergraduate medical education of future military medical officers offers an efficient way to improve their baseline proficiency in EFWBTs. Future research is needed to assess the impact of this training on real-world applications in forward-deployed environments.PMID:38687599 | DOI:10.1093/milmed/usae162 (Source: Military Medicine)
Source: Military Medicine - April 30, 2024 Category: International Medicine & Public Health Authors: Kevin J Matthews Samuel Walther Zachery L Brown Joshua P Cuestas Jonathan T Shumaker Durwood W Moore Rebekah Cole Source Type: research
Social Work Responses to the COVID-19 Pandemic in Nepal: Current Practices and Future Considerations
Soc Work Public Health. 2024 Apr 30:1-12. doi: 10.1080/19371918.2024.2346119. Online ahead of print.ABSTRACTThis paper examines the findings of a small qualitative study focusing on two virtual discussions facilitated by the Social Workers' Association Nepal (SWAN) in May and June 2020 and follow-up interviews conducted with the participants during June 2020. The aim of these discussions and follow-up interviews was to examine the role of social workers in responding to the COVID-19 pandemic in Nepal. Seven social work practitioners (including Master's of Social Work graduates (n = 3), PhD student (n = 1), and social work ...
Source: Social Work in Public Health - April 30, 2024 Category: International Medicine & Public Health Authors: Rajesh Bhusal Stephen Larmar Source Type: research
Comparing the Emergency Care of Iranian and Afghan Patients During the COVID-19 Pandemic
CONCLUSION: Afghan nationals admitted to the hospital due to traumas were more likely to be admitted to ICUs or die compared to Iranian citizens. It seems that Afghan patients who had traumas went to the hospitals with more serious injuries. There was no difference between Afghan and Iranian patients in terms of COVID-19 consequences. Following the findings of this study, it seems that justice in treatment has been fully established for Afghan patients in Iran.PMID:38685839 | DOI:10.34172/aim.2024.22 (Source: Archives of Iranian Medicine)
Source: Archives of Iranian Medicine - April 30, 2024 Category: Middle East Health Authors: Milad Ahmadi Gohari Maryam Chegeni Mohammad Hossein Mehrolhassani Ali Akbar Haghdoost Moghaddameh Mirzaee Source Type: research
Telehealth Intervention with Emergency Medical Services Personnel for Fall Assessment
This quality improvement project was done to reduce unnecessary emergency department (ED) transfers after a fall by providing a telehealth visit between an advanced practice provider (APP) with the onsite Emergency Medical Services (EMS) personnel. This impacts long term care patients because avoiding ED visits results in improved continuity of care, reduces the risk of hospital acquired infections, enhances patient comfort, cost savings, reduces unnecessary tests and treatments, and frees up ED resources. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 30, 2024 Category: Health Management Authors: Cortney Kulers, Surah Grumet Source Type: research
Feasibility of Registered Nurse Model to Identify Acute Care Preferences
Acute health care interventions for residents of skilled nursing facilities (SNFs) are often unwarranted, unwanted, and/or harmful. A provider-focused model supporting patient centered and appropriate care among SNF patients, Reducing Avoidable Facility Transfers (RAFT), has previously demonstrated reduced emergency department and hospital utilization by emphasizing appropriate use of Provider Orders for Life Sustaining Treatment (POLST) completion and Do Not Hospitalize (DNH) orders. The RAFT model relied heavily on physicians, nurse practitioners and physician ’s assistants. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 30, 2024 Category: Health Management Authors: Daniel S. Stadler, Annaliese Volckaert, Ellen Flaherty, Sharon O'Connor, Bich Tran Source Type: research
Prevalence and Risk Factors Associated with Hypozincemia: A Long-term-care-facility Study
Prevalence of zinc deficiency in long-term care facility (LTCF) varies and depends on socio-economic status of the studied regions. LTCF residents encountered in emergency departments or in hospitals are often found with co-existing nutritional deficiencies. The aim of our study is to report the prevalence of hypozincemia and its associated risk factors so that practitioners could recognize the condition and provide timely treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 30, 2024 Category: Health Management Authors: Kiattisak Phongkusolchit, Jen-Tzer Gau Source Type: research
Evaluating the Strengthening a Palliative Approach in Long Term Care
The objective of this proposed research was to implement and evaluate the Strengthening a Palliative Approach in Long Term Care (SPA-LTC; www.spaltc.ca) program. Specifically, we explored its feasibility, acceptability, and preliminary effects (i.e., resident comfort, use of emergency department at end of life, and location of resident death). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 30, 2024 Category: Health Management Authors: Sharon Kaasalainen, Genevieve Thompson, Lorraine Venturato, Abigail Wickson-Griffiths, Paulette Hunter, Lynn McCleary Source Type: research
Matching Mobile Crisis Models to Communities: An Example from Northwestern Ontario
AbstractPolice are often the first to encounter individuals when they are experiencing a mental health crisis. Other professionals with different skill sets, however, may be needed to optimize crisis response. Increasingly, police and mental health agencies are creating co-responder teams (CRTs) in which police and mental health professionals co-respond to crisis calls. While past evaluations of CRTs have shown promising results (e.g. hospital diversions; cost-effectiveness), most studies occurred in larger urban contexts. How CRTs function in smaller jurisdictions, with fewer complementary resources and other unique conte...
Source: The Journal of Behavioral Health Services and Research - April 30, 2024 Category: Psychiatry & Psychology Source Type: research
Bridging current knowledge gap: better primary colorectal cancer prevention in people living with metabolic dysfunction-associated steatotic liver
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - April 30, 2024 Category: Emergency Medicine Source Type: research
