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When transplant isn ’t the only option
Nine-year-old Ariana Dufane is happiest when she’s tumbling, whether she’s launching herself off the ground for a cartwheel or practicing how to perform the perfect split. In that moment, the fourth-grader focuses on nothing but strength and balance, a skill she has refined, not just in gymnastics but in life. Born with intestinal pseudo-obstruction — a disorder of abnormal intestinal motility function that may cause the body to go into intestinal failure — Ariana’s first few months were spent in and out of emergency rooms. Her symptoms began with a distended belly and an inability to hav...
Source: Thrive, Children's Hospital Boston - September 18, 2017 Category: Pediatrics Authors: Emily Williams Tags: Our Patients’ Stories Boston Children's Motility and Functional Gastrointestinal Disorders Center Colorectal and Pelvic Malformation Center Intestinal and Multivisceral Transplant Program intestinal transplant Leonel Rodriguez pseudo-obstruc Source Type: news

Making connections: Bonded by short bowel syndrome
At the top of the dual slide, 4-year-old Brayden Austin is buzzing with energy, excited to go careening down to the bottom. Yet he waits patiently until a towheaded boy joins him on the neighboring chute. Two-year-old Camden Glover is a little nervous. But Brayden grabs his hand and the pair sails to the ground together, squealing with delight. It’s a typical playground scene, but also an apt metaphor for the boys’ special connection. The two children — one from Maine, one from Tennessee — have a close friendship. But they might never have met if not for one life-threatening event. Parallel lives &...
Source: Thrive, Children's Hospital Boston - August 28, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Center for Advanced Intestinal Rehabilitation Dr. Bram Raphael Dr. Mark Puder intestinal malrotation Omegaven short bowel syndrome (SBS). TPN Source Type: news

‘An easy decision’: Finding care for short bowel syndrome
Allie DeRienzo loves to dance, sing and play with her big brother, switching from the pink-and-purple cartoon world of Shimmer and Shine to the action-packed fantasy of Star Wars with the blink of an eye. It’s a flexibility that has served her well: In just a few years, she’s endured more ups and downs than most 3-year-olds. Although her pregnancy was normal, it became clear as soon as Allie was born that something wasn’t right. “She was incredibly distended and was transferred almost immediately to a high-level neonatal intensive care unit (NICU) in New York,” remembers her mother, Nanci. Co...
Source: Thrive, Children's Hospital Boston - August 22, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Center for Advanced Intestinal Rehabilitation Danielle Stamm Dr. Bram Raphael Dr. Mark Puder G-tube short bowel syndrome (SBS). total parenteral nutrition Source Type: news

The tube, the team and the family that give life
As 2-year-old Naema Alshehhi turns the pages of her favorite book, her eyes glimmer with curiosity. Sitting with her father, Àbdulla and big sister, Dana, in their temporary Boston apartment, the inquisitive toddler points to a number of shapes and is fascinated by the rainbow of color. During this quiet moment, you see the gentle outline of Naema’s central line through her tiny shirt. The lifesaving tube — surgically inserted into her chest — provides the nourishment needed to manage the rare intestinal disorder she was born with, called microvillus inclusion dis...
Source: Thrive, Children's Hospital Boston - August 11, 2017 Category: Pediatrics Authors: Maureen McCarthy Tags: Diseases & Conditions Our Patients’ Stories Dr. Alexandra Carey Dr. Bram Raphael Dr. Rima Fawaz home parenteral nutrition micorvillus inclusion disease multivisceral transplant Source Type: news

FDA Drug Safety Communication: Serious medication errors from intravenous administration of nimodipine oral capsules
[08-02-2010] The U.S. Food and Drug Administration (FDA) is alerting healthcare professionals that nimodipine capsules should be given ONLY by mouth or through a feeding tube (nasogastric tube). (Source: FDA Center for Drug Evaluation and Research - What's New)
Source: FDA Center for Drug Evaluation and Research - What's New - August 3, 2017 Category: Drugs & Pharmacology Source Type: news

Nutritional Guidelines for Critically Ill Children Released Nutritional Guidelines for Critically Ill Children Released
Guidelines on nutritional support therapy for critically ill children were jointly released by the American Society for Parenteral and Enteral Nutrition and the Society of Critical Care Medicine.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 19, 2017 Category: Consumer Health News Tags: Critical Care News Source Type: news

Two life-threatening conditions.One remarkable wish.
When Lucas St. Onge blew out the five candles on his birthday cake, he made just one wish. He didn’t ask for ninja turtles, a T-ball set or an Xbox — the only thing he wished was to be just like any other kid. “It was a gift I couldn’t give,” says his mom, Heather. On that same day, last May, he got his wish. “He got a liver, stomach, pancreas, intestine and spleen — the five organs he needed to help him become healthy and happy,” Heather says. Heather was 18 weeks pregnant when she and her husband, Anthony, learned they were about to face a myriad of medical challe...
Source: Thrive, Children's Hospital Boston - June 28, 2017 Category: Pediatrics Authors: Emily Williams Tags: Our Patients’ Stories bone marrow transplant Dana-Farber/Boston Children's Cancer and Blood Disorders Center Dr. Heung-Bae Kim Dr. Khashavar Vakili Dr. Rima Fawaz Intestine and Multivisceral Transplant Program Pediatric Transplant Center ( Source Type: news

Miles to go: From Mississippi to Boston for life-saving care
Whether he’s riding with his family on their all-terrain vehicle (ATV) at home in Mississippi, learning how to fish or playing with his cousins, Ethan Claborn is happiest when he’s outdoors. Simple things like a blade of grass or drop of rain are even more special for this almost four-year-old, considering he spent the first year of his life within hospital walls. Ethan’s parents, Holly and Gary, knew even before he was born that he would face several health challenges. But it still felt like a shock when, not long after birth, he was rushed into surgery to treat an intestinal blockage. Diagnosed with ile...
Source: Thrive, Children's Hospital Boston - June 16, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Center for Advanced Intestinal Rehabilitation Dr. Biren Modi Dr. Mark Puder ileal atresia Omegaven total parenteral nutrition Source Type: news

Baxter ’ s CEO is transforming the company: Here ’ s how
From improved corporate culture to less bureaucracy to internal innovation, CEO José Almeida has been priming Baxter for success since taking over a year and a half ago. The former CEO of Covidien, who led the company to it $50 billion merger with Medtronic in January 2015, jumped at the opportunity to lead Baxter. The company “started with a great mission, products essential to health care,” Almeida said last week at Healthegy’s Medtech Conference in Minneapolis. The company among other things sells lifesaving renal and medical products, including intravenous (IV) solutions, systems...
Source: Mass Device - June 8, 2017 Category: Medical Devices Authors: Chris Newmarker Tags: Business/Financial News Wall Street Beat Baxter MedTech Source Type: news

The American Society for Parenteral and Enteral Nutrition to publish with Wiley
(Wiley) John Wiley and Sons Inc., (NYSE:JWa) (NYSE:JWb) announced today that it has been selected by the American Society for Parenteral and Enteral Nutrition (ASPEN) as its publishing partner for its distinguished publications, The Journal of Parenteral and Enteral Nutrition and Nutrition in Clinical Practice. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - June 1, 2017 Category: International Medicine & Public Health Source Type: news

Faces of IBD: Celebrating our patients and their caregivers
IBD nurse practitioner Caitlin Dolan educating her patient Jenna, 11 Some say it takes a village to raise a child. When it comes to inflammatory bowel disease (IBD), our patients and their families depend on a “village” of caregivers — gastroenterologists, nurses, dietitians, social workers and more — to carry them through their journey. In honor of World IBD Day, May 19, we are celebrating the patients who inspire us and the dedicated Inflammatory Bowel Disease Center team that diagnose, educate and treat nearly 1,500 patients with Crohn’s disease and ulcerative ...
Source: Thrive, Children's Hospital Boston - May 19, 2017 Category: Pediatrics Authors: Maureen McCarthy Tags: Diseases & Conditions Research and Innovation Athos Bousvaros IBD Inflammatory Bowel Disease Center Scott Snapper Source Type: news

How Common is α -1-Antitrypsin Deficiency?
Discussion α-1-Antitrypsin Deficiency (A1AT) is a common single-gene mutation disease that is homozygous recessive. The normal allele is called M and the most common abnormal allele is Z. There are other alleles though. The gene codes for one of the primary protease inhibitors in the serum, thus those who are homozygous for the Z gene are sometimes referred to as “PIZZ” or “PIZ.” α-1-Antitrypsin is found in all body tissues but is especially important in the serum and lung. As noted it is one of the primary neutrophil protease inhibitors in the serum, and acts to neutralize these enzymes...
Source: PediatricEducation.org - April 24, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

The Unexpected Place Superbugs Are Spreading -- Hospital Sinks And Pipes
Drug-resistant bacteria can lurk in the pipes of hospital sinks, and a new study shows that these dangerous bacteria can also make their way out of sinks and continue on to reach patients. A number of recent reports have found that drug-resistant bacteria grow in the drainpipes of hospital sinks, according to the study, published today (Feb. 24) in the journal Applied and Environmental Microbiology. “The wet, humid and relatively protected environment” of the drainpipes makes for an ideal breeding ground for bacteria, the researchers wrote. In addition, many reports have also found a genetic link between the pa...
Source: Healthy Living - The Huffington Post - February 28, 2017 Category: Consumer Health News Source Type: news

What Causes Hyperammonemia?
Discussion Reye’s syndrome (RS)is named for Dr. Douglas Reye who along with Drs. G. Morgan and J. Baral described encephalopathy and fatty accumulation and degeneration in children in a 1963 Lancet article. RS usually affects children but can occur at all ages. All organs can be affected but the liver and brain are primarily affected causing liver failure and encephalopathy as toxic metabolites (especially ammonia) accumulate, and intracranial hypertension and cerebral edema occurs. As the ammonia levels begin to rise (> 100 mg/dL) patients lose their appetite, have nausea and emesis and mental status changes whic...
Source: PediatricEducation.org - February 20, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Worth every mile: Short bowel syndrome brings family to Boston
During his most recent visit to Boston Children’s Hospital, 3-year-old Konrad Schienke resembles a tiny tornado, gleefully scampering around the room as he mugged for the camera and shouted, “Cheese!” Later, he smiles as a doctor gently felt his abdomen, giggling as if he was being tickled. “It’s hard to believe what a sick little kid he has been,” says his father, Erich. Yet, just a few years ago, this energetic boy resided in the neonatal intensive care unit at his local hospital in Pennsylvania, struggling with a diagnosis of short bowel syndrome. This rare but serious condi...
Source: Thrive, Children's Hospital Boston - February 16, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Center for Advanced Intestinal Rehabilitation Mark Puder short bowel syndrome (SBS). Source Type: news

Teduglutide Can Allow Independence From Parenteral Nutrition Teduglutide Can Allow Independence From Parenteral Nutrition
Many patients with intestinal failure associated with short-bowel syndrome (SBS-IF) can achieve independence from parenteral nutrition with long-term teduglutide treatment, according to a post hoc analysis of data from five clinical trials.Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - December 23, 2016 Category: Intensive Care Tags: Gastroenterology News Source Type: news

How To Talk To Your Health Care Provider About Your End-Of-Life Wishes
One of the most important conversations you will ever have--and also the most difficult--is to share your thoughts and feelings about the end of your life. The people closest to you need to know what you want for your last days so that they can advocate for your wishes, if you, for any reason, are unable to speak for yourself. This conversation could help you avoid being kept alive for months on a ventilator with a brain that no longer functions. Your loved ones will only be able to protect you from excessive futile medical care if they know that this is your preference. Read more here about having an end-of-life discu...
Source: Healthy Living - The Huffington Post - September 7, 2016 Category: Consumer Health News Source Type: news

When Is the Clinical Nadir for Guillain-Barr é Syndrome?
Discussion Guillian-Barré syndrome (GBS) is an acquired, acute, inflammatory, demyelinating polyneuropathy. It is the most common cause of acute and subacute flaccid paralysis in children. GBS causes about 0.4-1.3 cases per 100,000 persons/year in children. It can occur in any age group and the incidence increases among all age groups until a peak in the 50s. Both genders are affected and there may be a slight increase in males. GBS usually occurs 2-4 weeks after a prodromonal gastroenteritis or respiratory illness. It is most often associated with Campylobacter jejunae, Haemophilus infuenza, Mycoplasma pneumoniae,...
Source: PediatricEducation.org - August 8, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Nearly half of California nursing home residents complete end-of-life care orders
UCLA-led research finds broad acceptance of written end-of-life care orders among California nursing home residents, with nearly half completing a Physician Orders for Life-Sustaining Treatment, or POLST, form in 2011. The study, published online in the peer-reviewed Journal of General Internal Medicine, also found no difference in completion of the form by race or ethnicity, suggesting wide acceptance of these orders among California’s highly diverse population. The researchers did, however, identify a few areas where the use of the forms in nursing homes could be improved.       &...
Source: UCLA Newsroom: Health Sciences - July 8, 2016 Category: Universities & Medical Training Source Type: news

Progress Noted in Treatment of Several Common Liver DiseasesProgress Noted in Treatment of Several Common Liver Diseases
Dr William Balistreri provides an overview of the latest data on such disorders as alpha-1 antitrypsin deficiency, drug-induced liver injury, and parenteral nutrition-associated cholestasis. Medscape Gastroenterology (Source: Medscape Transplantation Headlines)
Source: Medscape Transplantation Headlines - April 8, 2016 Category: Transplant Surgery Tags: Gastroenterology Commentary Source Type: news

FDA Drug Safety Communication: Serious medication errors from intravenous administration of nimodipine oral capsules
[08-02-2010] The U.S. Food and Drug Administration (FDA) is alerting healthcare professionals that nimodipine capsules should be given ONLY by mouth or through a feeding tube (nasogastric tube). (Source: FDA Center for Drug Evaluation and Research - What's New)
Source: FDA Center for Drug Evaluation and Research - What's New - March 25, 2016 Category: Drugs & Pharmacology Source Type: news

Better Outcomes for Critically Ill Kids When IV Feeding Delayed (CME/CE)
(MedPage Today) -- Results echo earlier studies on parenteral nutrition in adults (Source: MedPage Today Pediatrics)
Source: MedPage Today Pediatrics - March 23, 2016 Category: Pediatrics Source Type: news

Your NEJM Group Today: Mesenteric Ischemia Review, Delaying Parenteral Nutrition in Kids, New Mexico Primary Care Opportunities (FREE)
By the Editors NEJM Group offers so many valuable resources for practicing clinicians. Here's what we chose for you today:NEJM Clinical Practice … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - March 16, 2016 Category: Primary Care Source Type: news

Children in ICU recover faster with ‘little to no nutrition’
Children being treated in intensive care recover more quickly without artificial feeding, contrary to current practice, according to a team of international researchers. (Source: Nursing Times)
Source: Nursing Times - March 15, 2016 Category: Nursing Source Type: news

Forgoing artificial nutrition and hydration
Question: Which of the following statements regarding artificial nutrition and hydration (ANH) is least supported in ethics and/or law? A. One may invoke medical futility and... (Source: Clinical Neurology News)
Source: Clinical Neurology News - March 9, 2016 Category: Neurology Source Type: news

Forgoing artificial nutrition and hydration
Question: Which of the following statements regarding artificial nutrition and hydration (ANH) is least supported in ethics and/or law? A. One may invoke medical futility and... (Source: Family Practice News)
Source: Family Practice News - March 9, 2016 Category: Primary Care Source Type: news

Nathan’s wild ride: An appendectomy, two transplants and the journey ahead
Nathan, pre-transplant, during his Make-A-Wish trip to the San Diego Zoo When the phone rang at the Natale family home in Loudonville, New York, during the early morning hours of Jan. 12, 2013, Nathan Natale knew exactly what it meant. “My little sister had someone sleeping over. And I was like, ‘hello parents of friend, we gotta go.’” The phone call was from Boston Children’s Hospital. A donor match had been found. The Natales quickly packed, hopped in the car and began the three-hour journey to the hospital for Nathan’s kidney and intestine transplant. But Nathan’s transplant jou...
Source: Thrive, Children's Hospital Boston - January 18, 2016 Category: Pediatrics Authors: Emily Williams Tags: Diseases & Conditions Our Patients’ Stories dialysis intestinal transplant kidney transplant Pediatric Transplant Center (PTC) Source Type: news

What Are Risk Factors for Cholelithiasis?
Discussion Bile is produced by the liver to aid absorption of fat soluble vitamins and lipids from the gastrointestinal tract and to transport bilirubin, cholesterol and other substances to the gastrointestinal tract. Bile is the main form of cholesterol excretion. Gallstones or cholelithiasis form when the balance of substances within the hepatobiliary tract favors supersaturation with crystal formation and gallstone formation. It is a dynamic state of affairs as gallstones can form and also have a high rate of resorption of up to 50%. Gallstones 3 mm are called gallstones. Gallstones, while not as common as adult popula...
Source: PediatricEducation.org - January 4, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Harley Street's Dr Mark Bonar 'kept patient in the dark about her terminal cancer' 
Dr Mark Bonar should have allowed the woman, who was staying in Mayfair, London, to have end-of-life care but instead allegedly gave her a form of potentially dangerous intravenous feeding. (Source: the Mail online | Health)
Source: the Mail online | Health - December 10, 2015 Category: Consumer Health News Source Type: news

Emerging Crisis for Seniors: It's Probably Not What You Think
As November is National Caregiver Month, I wanted to shine a light on a topic that caregivers and their loved ones are facing at increasing rates, but that very few people are talking about in public - senior malnutrition.The sheer number of malnourished elderly adults is truly staggering. One in three patients who are admitted to the hospital are affected by this condition. Patients diagnosed with malnutrition have a length of stay three times longer than those who do not arrive in a state of malnutrition. Patients who are malnourished prior to undergoing surgery have a 4 times higher risk of developing a pressure ulcer d...
Source: Healthy Living - The Huffington Post - November 20, 2015 Category: Consumer Health News Source Type: news

SLU hepatologist: Babies benefit from a little food in their tummies
(Saint Louis University) AJay Jain, M.D., medical director of the pediatric liver transplant program at SSM Health Cardinal Glennon Children's Medical Center and a SLUCare pediatric hepatologist and gastroenterologist, received a $150,000 grant from the North American Society for Pediatric Gastroenterology Hepatology and Nutrition to study preventative strategies for total parenteral nutrition associated disorders. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - October 28, 2015 Category: Global & Universal Source Type: news

Should Ondansetron Be Used for Acute Gastroenteritis?
Discussion Acute gastroenteritis (AGE) is a common illness worldwide and is “…defined as a decrease in the consistency of stools (loose or liquid) and/or an increase in the frequency of evacuations with or without fever or vomiting….” It is one of the most common reasons for seeking medical care and hospitalizations. In Europe, rotavirus and noroviruses are two of the most frequent viral agents causing AGE and Campylobacter and Salmonella are the most common bacterial AGE causes. For parasitic infections Giardia, and Crytosporidium are most common parasitic infections in Europe. Recommendations f...
Source: PediatricEducation.org - August 24, 2015 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Parent Q&A: Tips for home parenteral nutrition
Thirteen-month-old Lenox Toth has an infectious smile and personality to match. At 1-day-old, Lenox was diagnosed with midgut volvulus, a condition where the intestines are twisted, or form a kink, and suddenly cut off blood supply. The tiny tot underwent a round of emergency corrective surgeries at Massachusetts General Hospital and one month later, was transferred to Boston Children’s Hospital for further surgical and nutritional management. He underwent an additional intestinal surgery at 2-months-old, and went home with his parents on home parenteral nutrition (HPN) management at 3-months-old. HPN provides a...
Source: Thrive, Children's Hospital Boston - August 6, 2015 Category: Pediatrics Authors: Maureen McCarthy Tags: Our patients’ stories Dr. Bram Raphael home parenteral nutrition Source Type: news

NICE produces new draft guidelines on caring for the dying
"England's health watchdog has put forward new draft guidance to improve the care of adults in their last few days of life," BBC News reports. The guidelines, produced by the National Institute for Health and Care Excellence (NICE), have been proposed as an alternative to the controversial Liverpool Care Pathway, which was phased out in 2014.   What was the Liverpool Care Pathway? The Liverpool Care Pathway was developed during the late 1990s at the Royal Liverpool University Hospital, in conjunction with the Marie Curie Palliative Care Institute. It was intended to provide the best quality of care...
Source: NHS News Feed - July 29, 2015 Category: Consumer Health News Tags: QA articles Source Type: news

Omega-3 fatty acids may help improve treatment and quality of life in cancer patients
(American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)) Adding omega-3 fatty acids to anti-tumor medications may improve treatment response and quality of life for cancer patients according to a new study by researchers at the University Hospitals of Leicester in the United Kingdom. (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - July 28, 2015 Category: Cancer & Oncology Source Type: news

Documentation of hospital patients' malnutrition helps maximize care and reimbursement
(American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)) Nutrition support professionals who are well-versed in proper documentation of malnutrition diagnoses in hospital patients can help ensure that hospitals receive maximum funding for patient care according to a new review. (Source: EurekAlert! - Biology)
Source: EurekAlert! - Biology - July 12, 2015 Category: Biology Source Type: news

Nature’s Most Powerful Age Fighter?
When I lecture at anti-aging conferences around the world, I get a good sense of what the leading anti-aging physicians are thinking about. And I’m surprised by how many are still holding out hope for an anti-aging “drug.” But I’m not holding my breath. And even if the FDA approved a drug for aging, it would likely include a laundry list of side effects, and only affect a small range of age-related decline. I’ve always had more faith in nature. Many of the most powerful age fighters are naturally occurring, and they do a better job of supporting and lengthening your telomeres than any drug. Te...
Source: Al Sears, MD Natural Remedies - July 6, 2015 Category: Complementary Medicine Authors: Dr. Al Sears Tags: Anti-Aging Nutrition omega 3 telomere vitamin C Source Type: news

From Shame to Love: Self-Love in the Making
Today I had the most wonderful experience. I got to speak to the staff of Hopewell (hopewellrecovery.com), a program that offers extended care and transitional communities for individuals afflicted with substance abuse issues to help them build a foundation of recovery. Why was it so wonderful, you might ask? Many of the staff that work at Hopewell are individuals who have been through and are continuing through the recovery process themselves. Each person in the room not only wanted to learn more in order to help their clients, but they also wanted to enrich themselves, their own lives, to continue healing their own sto...
Source: Healthy Living - The Huffington Post - June 13, 2015 Category: Consumer Health News Source Type: news

Intravenous nutrition source could reduce side effects of chemotherapy
(Carnegie Mellon University) A single dose of an FDA-approved intravenous nutrition source may be able to significantly reduce the toxicity and increase the bioavailability of platinum-based cancer drugs, according to a study by Carnegie Mellon University biologists published in Scientific Reports. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - June 3, 2015 Category: Global & Universal Source Type: news

What is the Epidemiology of SMA Syndrome?
Discussion Superior mesenteric artery syndrome (SMAS) is caused by the compression of the superior mesenteric artery (SMA) against the 3rd part of the duodenum creating a proximal intestinal obstruction. It is relatively rare and can be hard to distinguish from other causes of intestinal obstruction. Normally the SMA arises from the anterior aorta around the L1 vertebra. It extends anteriorly and caudally into the mesentery of the small bowel. The angle between the SMA and aorta is called the aortomesenteric angle and is usually 38-65°. The distance between the SMA and aorta is usually 10-20 mm. Within the aortomesent...
Source: PediatricEducation.org - June 1, 2015 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Sisters team up to fight rare genetic disorder: Boston Children’s leads LAL-D clinical trial
(L-R) Maureen and Lauren Walsh                                 Sisters Lauren and Maureen Walsh have smiles that light up a room and personalities to match. Though they have very different interests—Maureen, 14, is an avid dancer and member of a high school dance team, and Lauren, 11, is a defensive player on a co-ed hockey team, the duo share one important mission: to conquer the genetic liver disorder lysosomal acid lipase deficiency (or LAL-deficiency). In June 2012, the Walsh sisters were diagnosed with late-onset LAL-deficiency&mdas...
Source: Thrive, Children's Hospital Boston - May 12, 2015 Category: Pediatrics Authors: Maureen McCarthy Tags: All posts Diseases & conditions Our patients’ stories Source Type: news

Unexpected perforated bowel complication – Lauraine’s story
Years of bowel disease and endometriosis had left me with a very sticky, complex pelvis. I reached the age of 50 and an MRI indicated I had ovarian cancer. This proved to be incorrect but my consultant was becoming increasingly concerned at the state of my insides and how the suspect masses presented on ultrasound and MRI’s. So much so he recommended a complete hysterectomy as otherwise I would live with this uncertainty for ever. This was four years ago – I was warned the surgery would be complex owing to numerous operations for bowel disease and endometriosis but on the basis the scans was no longer reliable,...
Source: The Hysterectomy Association - April 22, 2015 Category: OBGYN Authors: Linda Tags: Your Stories endometriosis perforated bowel Source Type: news

Catheter-related bloodstream infections examined in home parenteral nutrition patients
Catheter-related bloodstream infection is the most prevalent and severe complication for patients who receive parenteral nutrition therapy at home. A new study examined whether environmental factors have any influence on the amount of time before a first infection. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - April 7, 2015 Category: Science Source Type: news

Standardization and simplification is key to helping NICU babies feed and grow
(Nationwide Children's Hospital) A new standardized approach for feeding infants in the neonatal intensive care unit helps babies attain full oral feeds sooner, improves their growth and sends them home sooner. The guidelines, developed by clinician-scientists and published in the Journal of Parenteral and Enteral Nutrition, also reduces the cost of care for these babies by shortening their stays in the NICU by as much as two weeks. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - March 2, 2015 Category: Global & Universal Source Type: news

Inositol During Perinatal Transition
myo-Inositol (inositol) is a common micronutrient. Its content is high in breast milk, especially in colostrum. However, it is not included in parenteral nutrition of extremely preterm infants. On the basis of a meta-analysis of 2 trials, addition of inositol to parenteral nutrition or to enteral feeding decreased the risk of retinopathy of prematurity. During the presurfactant era, inositol additionally increased survival without serious pulmonary morbidity. Placenta is active in inositol synthesis, and the fetus reuses inositol secreted to amniotic fluid. As a result of loss of inositol to urine and inositol metabolism, ...
Source: NeoReviews recent issues - February 2, 2015 Category: Pediatrics Authors: Hallman, M. Tags: Pediatric Drug Labeling Update Articles Source Type: news

Nearly $130,000 in grants awarded to support clinical nutrition and metabolism research
(American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)) The American Society for Parenteral and Enteral Nutrition Rhoads Research Foundation today announced that it is awarding nearly $130,000 to support promising clinical nutrition and metabolism research. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 6, 2015 Category: Global & Universal Source Type: news

Poor vitamin D status linked to longer respiratory support in ICU patients, study finds
(American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)) Vitamin D status may influence the duration of respiratory support needed for surgical intensive care patients, according to a new cohort study conducted by researchers at Boston's Massachusetts General Hospital and Harvard Medical School. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 6, 2015 Category: Global & Universal Source Type: news

Malnutrition: is under or over-nutrition a greater public health concern?
With constant headlines telling us about soaring obesity rates, malnutrition, in the form of under-nutrition, may not be the first nutrition related concern which springs to mind. However, the NHS reports that one in three people admitted to hospitals and care homes are either malnourished or at risk of malnutrition in the UK. Therefore, the elderly living in institutional settings must be considered a high risk population as under-nutrition is often misunderstood and neglected. Screening is key to identify risk Malnutrition can be difficult to recognise and studies have found that reported international prevalence varies ...
Source: The Nutrition Society - December 4, 2014 Category: Nutrition Authors: cassandra Source Type: news

Hero Doctor Vows To Continue Working After Recovering From Ebola
DAKAR, Senegal (AP) — For eight weeks, Dr. Komba Songu-M'briwa worked at the understaffed Hastings Ebola Treatment Center outside Sierra Leone's capital. When he began feeling sick, he thought it might be exhaustion but on Nov. 26 he got dreadful news: He had tested positive for Ebola. Songu-M'briwa and just two other doctors, along with 77 nurses, work at the 120-bed treatment center. It was the "most difficult, most pitiful" work of his life, the 32-year-old said in a telephone interview with The Associated Press from his isolation room. Even so, he vowed to return to that crucial work if he recove...
Source: Science - The Huffington Post - December 2, 2014 Category: Science Source Type: news

Weight loss surgery 'not a quick fix' for good health
ConclusionThis study provides some tentative evidence that adding a six-month exercise programme shortly after people have weight loss surgery might lead to more improvements in insulin sensitivity compared with a six-month-long educational programme.However, the picture is muddied by the fact quite a few people dropped out or did not adhere to the exercise programme fully. It seemed that if people were able to stick to the exercise programme, it was more beneficial than no exercise. This might seem obvious, but if this programme was introduced more widely, you might expect a similar proportion of people not to complete it...
Source: NHS News Feed - December 2, 2014 Category: Consumer Health News Tags: Food/diet Lifestyle/exercise Obesity Source Type: news