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Nutrition: Vitamin A

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Pressure ulcer and nutrition
Seied Hadi Saghaleini, Kasra Dehghan, Kamran Shadvar, Sarvin Sanaie, Ata Mahmoodpoor, Zohreh OstadiIndian Journal of Critical Care Medicine 2018 22(4):283-289Pressure ulcers can diminish global life quality, contribute to rapid mortality in some patients and pose a significant cost to health-care organizations. Accordingly, their prevention and management are highly important. Nutritional deprivation and insufficient dietary intake are the key risk factors for the development of pressure ulcers and impaired wound healing. Unplanned weight loss is a major risk factor for malnutrition and pressure ulcer development. Suboptim...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Seied Hadi Saghaleini Kasra Dehghan Kamran Shadvar Sarvin Sanaie Ata Mahmoodpoor Zohreh Ostadi Source Type: research

Multiple Micronutrient Plasma Level Changes Are Related to Oxidative Stress Intensity in Critically Ill Children*
Objectives: Micronutrient supplementation in critically ill adults remains controversial. In the pediatric setting, the impact of oxidative stress on the overall micronutrient status has been poorly explored, due to the limited number of studies and to confounding factors (i.e., malnutrition or extra losses). In order to better understand this phenomenon, we aim to describe micronutrient status, focusing on seven micronutrients, in well-nourished critically ill children presenting with severe oxidative stress. Design: Prospective, transversal, observational, single-center study. Setting: PICU, and anesthesiology de...
Source: Pediatric Critical Care Medicine - September 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Feasibility of the Digital Retinography System Camera in the Pediatric Emergency Department
Purpose Direct ophthalmoscopy may be difficult without pupillary dilation and patient cooperation. Nonmydriatic ocular fundus photography (NMOFP) has been shown to be easily and efficiently accomplished by medical providers and improve the detection of abnormalities in adult emergency department (ED) patients. Nonmydriatic ocular fundus photography for pediatric ED patients has not been studied. The purpose of this study was to assess the ease of use of the Digital Retinography System (DRS) camera for NMOFP in ED patients aged 5 to 12 years and the quality of retinal images obtained with the DRS. Methods Retinal image...
Source: Pediatric Emergency Care - July 1, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Vitamin  D assessment in perioperative medicine and critical care : A prospective observational pilot study.
CONCLUSION: The 25(OH)D measurements by chemiluminescence assays can noticeably deviate from those measured by LC-MS/MS, which can be considered the unequivocal gold standard. These assays may still be acceptably reliable in the screening for vitamin D deficiency, especially in the setting of low vitamin D levels. Stricter definitions, e.g. serum 25(OH)D levels lower than 12 ng/ml, may be used to diagnose deficiency with low false positive rate. TRIAL REGISTRATION: DRKS00009216, German Clinical Trials Registry (www.drks.de). PMID: 31802221 [PubMed - as supplied by publisher]
Source: Wiener Klinische Wochenschrift - December 3, 2019 Category: General Medicine Authors: Zajic P, Heschl S, Schörghuber M, Srekl-Filzmaier P, Stojakovic T, Weixler V, Zelzer S, Amrein K Tags: Wien Klin Wochenschr Source Type: research

Ocular Point-of-Care Ultrasound: Description of Intermediate Uveitis in an Adolescent Female
We describe a pediatric patient whose initial point-of-care ultrasound examination appeared to be consistent with bilateral posterior vitreous detachment but who was ultimately diagnosed with intermediate uveitis.
Source: Pediatric Emergency Care - July 1, 2021 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research

Bilateral Retinal Detachment in a Pediatric Patient
Pediatric retinal detachments occur rarely, and thus may be easily missed. Without treatment, this condition leads to permanent vision loss. Patients with Stickler syndrome, an inherited disorder of collagen synthesis, are more likely to have retinal detachments than the general population.
Source: The Journal of Emergency Medicine - February 27, 2019 Category: Emergency Medicine Authors: Caleb Cadis, Alex Wang, Maneesha Julakanti, Andrew Juergens Tags: Clinical Communications: Pediatric Source Type: research

Optical coherence tomography angiography in intensive care medicine : A  new field of application?
CONCLUSION: The non-invasive technique of OCTA is a promising measurement method to enable bedside analysis of the microcirculation in critically ill paients in the future; however, some technical limitations must still be overcome. PMID: 31139886 [PubMed - as supplied by publisher]
Source: Der Ophthalmologe - May 27, 2019 Category: Opthalmology Authors: Hessler M, Lehmann F, Arnemann PH, Eter N, Ertmer C, Alnawaiseh M Tags: Ophthalmologe Source Type: research

Retinol and retinyl palmitate in foetal lung mice: sexual dimorphism.
In conclusion, there is a sexual dimorphism in the lung retinoids content and in its metabolism during mice development. PMID: 23365730 [PubMed]
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Examiner Position in Ocular Point-of-Care Ultrasound: A Proposed Technique
Ocular point-of-care ultrasound (POCUS) is a fast and safe non-invasive procedure used to evaluate the structural integrity and pathology of the eye. Ocular POCUS can be used for evaluation of posterior chamber and orbital pathology, including retinal detachment, vitreous detachment or hemorrhage, foreign body, lens dislocation, and increased intracranial pressure.
Source: The Journal of Emergency Medicine - April 15, 2019 Category: Emergency Medicine Authors: Eyad Khattab, Beatrice Hoffmann, Jesse Schafer, Leily Naraghi, John Hardin, Daniel Balk, Tyler Beals Tags: Ultrasound in Emergency Medicine Source Type: research

Eye signs in anaesthesia and intensive care
This article describes the signs associated with iatrogenic injury to the eye in the operating theatre and the intensive care unit. Patients are at risk of corneal abrasions, exposure keratopathy and chemosis. The prone patient encounters an additional risk of ischaemic optic neuropathy and acute glaucoma. In the intensive care setting, the intensivist should be alert to signs of ocular infection, for example, conjunctivitis, microbial keratitis and endophthalmitis. In the trauma patient, careful evaluation of the eye is required to rule out sight-threatening conditions such as retrobulbar haemorrhage, globe rupture, orbit...
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Diagnosing Central Retinal Artery Occlusion via Point-of-Care Ultrasound in the Emergency Department
The evaluation of ocular emergencies has been improved by the use of point-of-care ultrasound (POCUS) in the emergency department (ED). Central retinal artery occlusion (CRAO) is one such emergency in which, typically, only 20 –25% will have central visual field improvement without treatment (1). Hyperbaric oxygen therapy (HBOT) is controversial, but recent evidence seems to indicate that patients treated with HBOT within 12 h of the onset of CRAO had the most improvement in their visual acuity (2).
Source: The Journal of Emergency Medicine - February 10, 2021 Category: Emergency Medicine Authors: Hideaki L. Tanaka, Daniel Popa, Stephen R. Hayden Tags: Visual Diagnosis in Emergency Medicine Source Type: research

A Narrative Review of Common Uses of Ophthalmic Ultrasound in Emergency Medicine
The timely evaluation of ocular conditions in the emergency department (ED) can be difficult due to a general lack of specialized equipment, trained personnel, and the time-sensitive nature of emergent ocular conditions. Recently, the use of ocular point-of-care ultrasound (POCUS) has been shown to be particularly useful in the ED. POCUS can be used to promptly diagnose various ocular pathologies, which include ocular trauma, vitreous hemorrhage, central retinal artery occlusion, and retinal detachment.
Source: The Journal of Emergency Medicine - September 8, 2020 Category: Emergency Medicine Authors: Chad Skidmore, Tate Saurey, Robinson M. Ferre, Richard Rodriguez-Brizuela, Justin Spaulding, Nena Lundgreen Mason Tags: Ultrasound in Emergency Medicine Source Type: research

Examining diagnostic variability among pediatric subspecialists using case examples of infant head injury
CONCLUSIONS: Additional peer review processes and consensus guidelines for challenging issues in abusive head trauma may be beneficial.PMID:37536244 | DOI:10.1016/j.chiabu.2023.106371
Source: Child Abuse and Neglect - August 3, 2023 Category: Child Development Authors: Angela Doswell Emily Killough Timothy P Zinkus Ashley Sherman James Anderst Source Type: research

Computer Assisted REhabilitation (CARE) Lab: A novel approach towards Pediatric Rehabilitation 2.0.
Authors: Olivieri I, Meriggi P, Fedeli C, Brazzoli E, Castagna A, Roidi MLR, Angelini L Abstract Pediatric Rehabilitation therapists have always worked using a variety of off-the-shelf or custom-made objects and devices, more recently including computer based systems. These Information and Communication Technology (ICT) solutions vary widely in complexity, from easy-to-use interactive videogame consoles originally intended for entertainment purposes to sophisticated systems specifically developed for rehabilitation.This paper describes the principles underlying an innovative "Pediatric Rehabilitation 2.0" approach,...
Source: Journal of Pediatric Rehabilitation Medicine - April 10, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research