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Osteoporosis
Fractures resulting from osteoporosis become increasingly common in women after age 55 years and men after age 65 years, resulting in substantial bone-associated morbidities, and increased mortality and health-care costs. Research advances have led to a more accurate assessment of fracture risk and have increased the range of therapeutic options available to prevent fractures. Fracture risk …
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Advances in radionuclide imaging of cardiac sarcoidosis
Radionuclide imaging for the diagnosis and monitoring of cardiac involvement in sarcoidosis has advanced significantly in recent years.
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Management of chronic subdural haematoma: haematoma: burr holerndrainage, rep…
Although the treatment of chronic subdural haematoma by burr hole drainage has been performed inrnthe past with or without using a closed drainage system, the problem of intracranial air entrapment stillrnpersists and can cause a deterioration in the level of consciousness or seizures in the postoperative period.rnCerebral infarction may also develop a few days after surgery because of the intr…
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CONTEMPORARY INITIAL ANTIBIOTIC THERAPY OF PRIMARY PLEURAL EMPYEMA
Approximately 15% of all of parapneumonic effusions progress into pleural empyema(PE). PE treatment includes evacuation of pus, re-expansion of lung along with use of antibiotics. Initial antibiotics treatment is often started with antibiotics that are resistant to causes found in microbiological isolates. Objective: definition of contemporary initial antibiotic therapy of PE which can be used …
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Empyema management: A cohort study Q5 evaluating antimicrobial therapy
Empyemas require aggressive antimicrobial and surgical management. However, the specifics of antimicrobial therapy have not been studied in clinical trials. The present study examines management and outcomes among a cohort of patients with empyema cared for in a tertiary-care referral hospital over a decade
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Defining of initial antibiotic treatment of pleural empyema
Parapneumonic effusions are often complications of bacterial pneumonia, occurring in 5-50% patients and in 15% cases it can progress into pleural empyema. Pleural empyema treatment includes drainage of pus, re-expansion of lung by using appropriate antibiotics. Initial antibiotics treatment of pleural empyema is usually started with antibiotics that are resistant to causes found in isolates.
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Obstetric hemorrhage in a case of hypertrophic obstructive cardiomyopathy wit…
The physiological changes occurring during pregnancy and labor may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). The addition of obstetric hemorrhage to this presents a unique challenge to the anesthesiologists and intensivists managing these patients in the operation theatres and the Intensive Care Units. Here we present a case of HOCM with automatic impl…
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EARLY FLUID RESUSCITATION OF END STAGE RENAL DISEASE PATIENTS WITH SEVERE SEP…
The Surviving Sepsis (SS) Guidelines recommend early, aggressive fluid resuscitation with 30mL/kg crystalloid for hypotension or lactate >4mmol/L within the first 3hours of suspected sepsis (t S-3). These guidelines are not always applied to septic patients with end stage renal disease (ESRD) due to fear of developing complications. We hypothesized that ESRD patients with severe sepsis (with h…
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Metabolic syndrome : Consensus & Controversy : State of the Art
Metabolic syndrome is an epidemic that affects more and more people, increasing the probability of suffering metabolic and cardiovascular diseases in the short, medium or long term depending on the severity. The purpose of this article is to review the metabolic syndrome, assessing consensus, controversy and prevalence. The methodology was the preparation of a literature review on various healt…
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The Impact of Vitamin D in the treatment of essential hypertension
The aim of this review is to investigate, whether there is a possible link between vitamin D supplementation and the reduction of blood pressure in hypertensive patients. The renin-angiotensin-aldosterone system is known for being deeply involved in cardiovascular tonus and blood pressure regulation. Hence, many of the pharmaceutical antihypertensive drugs inhibit this system. Interestingly, ex…
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