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Evidence-based management of gastrointestinal diseases
This special issue of Gastroenterology Report is directed at “Evidence-based management of gastrointestinal (GI) diseases”. Gastroenterologists are now using a range of diagnostic tests and therapies that were largely unavailable twenty years ago. Ours is a fast-moving field, with innovations being developed at a rapid pace
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A Randomized Trial of Central Venous Catheter Type and Thrombosis in Critical…
Observational studies suggest peripherally inserted central venous catheters (PICCs) are associated with a high risk of catheter-related large vein thrombosis (CRLVT) in critically ill neurologic patients. We evaluated the difference in thrombosis risk between PICCs and centrally inserted central venous catheters (CICVCs).
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ASCENDing to New Heights in Our Understanding of the Treatment of Depression …
Depression is the most common psychiatric condition among patients receiving maintenance hemodialysis. Depression negatively affects functional status and quality of life and is associated with increased treatment nonadherence, hospitalizations, and mortality (1). Despite the clinical and patient-reported significance of depression, clinicians often underrecognize and undertreat depressive symp…
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Fetomaternal Outcome in Medically Indicated Induction of Labour at Term Gesta…
It was a retrospective observational study and manual and electronic data were retrieved from a tertiary care centre of Southern India. All women after 37th week of gestation with single live fetus in cephalic presentation with a Bishop score
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FETOMATERNAL OUTCOME OF PREGNANCY WITH PREVIOUS CESAREAN SECTION
The current study concludes that women with a prior cesarean are at increased risk for repeat cesarean section. Vigilance with respect to indication at primary cesarean delivery, proper counseling for trial of labor and proper antepartum and intrapartum monitoring of patients, are key to reducing the cesarean section rates. The antepartum, intrapartum and postpartum complications are more in re…
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Monocyte/lymphocyte ratio as a better predictor of cardiovascular and all-cau…
Patients with chronic kidney disease, especially those with end-stage renal disease, have an increased risk of death. Previous studies have suggested neutrophil/lymphocyte ratio (NLR) was related to worse outcome in patients undergoing hemodialysis (HD). However, monocyte/lymphocyte ratio (MLR) has not been evaluated in HD patients. In this study, we prospectively studied the predictive value o…
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Neutrophil-to-Lymphocyte Ratio, Monocyte-to-Lymphocyte Ratio, Platelet-to-Lym…
Neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume-to-platelet count (MPV/PC) ratio are readily available parameters that might have discriminative power regarding outcome. The aim of our study was to assess prognostic value of these biomarkers regarding outcome in critically ill patients with secondary sepsi…
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Tonsillectomy Does Not Decrease the Risk of Helicobacter pylori Transmission
This study has shown that tonsillectomy has no protective effect on H. pylori transmission. There may be 2 reasons for this. First, after bacteria reach into the oral cavity, it directly transmits to the stomach without colonization on the tonsillar tissue. On the other hand, H. pylori may be colonizing upper respiratory tract mucosal tissues other than the tonsils and subsequently causing gas…
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An Unusual Case of Peripartum Cardiomyopathy in a Parturient With Preeclampsia
Here we report an unusual development of peripartum cardiomyopathy (PPCM) in a parturient woman with preeclampsia. A 36-year-old nulliparous parturient woman underwent elective cesarean section for delivery of twins under spinal anesthesia. Both preoperative workup and past history were unremarkable except for proteinuria and hypertension for 1 week. Approximately 4 hours after cesarean sectio…
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Vaccination in Pregnancy – Recent Developments
As early as the 19th century vaccination in pregnancy has been observed to protect both mothers and infants against smallpox, pertussis and tetanus. More recently the pace and focus of maternal vaccination has accelerated, most significantly since the influenza pandemic of 2009.
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