Ultrasound provides a window in the intrauterine environment, which makes the ability to intervene, assess, and provide fetal therapy during pregnancy a possibility. Ultrasound is used to guide several procedures in pregnancy, including amniocentesis, chorionic villus sampling (CVS), fetal blood sampling (FBS), fetal biopsy, and dilation and curettage
Obesity is increasing worldwide, with most of the industrialized world having obesity rates of 20%– 30% in the adult population and some selected populations, such as the southern Pacific, reporting obesity rates of 44%–80%.1,2 Obesity is defined as a body mass index (BMI) of greater than 30 and is generally divided into classes, with class I consisting of BMI of 30.0–34.9 kg/m2, class I…
Orthostatic hypotension is a chronic, debilitating illness that is difficult to treat. The therapeutic goal is to improve postural symptoms, standing time, and function rather than to achieve upright normotension, which can lead to supine hypertension. Drug therapy alone is never adequate. Because orthostatic stress varies with circumstances during the day, a patient-oriented approach that …
Orthostatic hypotension (OH) leads to a significant number of hospitalizations each year, and is associated with significant morbidity and mortality among affected individuals. Given the increased risk for cardiovascular events and falls, it is important to identify the underlying etiology of OH and to choose appropriate therapeutic agents. OH can be non-neurogenic or neurogenic (arising fr…
Dendritic cells (DCs) can be viewed as translators between innate and adaptive immunity. They integrate signals derived from tissue infection or damage and present processed antigen from these sites to naive T cells in secondary lymphoid organs while also providing multiple soluble and surface-bound signals that help to guide T cell differentiation
To investigate the influences of inflammatory bowel disease (IBD), a rare but morbid disease with increasing incidence, on prostate cancer management decisions. We examined whether prostate cancer treatment differed for men with IBD, and whether treatment choice was associated with risk of IBD flare
Following radiotherapy to the abdomen, clinically significant radiation damage may occur to the gastrointestinal tract. The disease process when observed directly (as at surgery or at autopsy) may extend far more than that seen on the radiological examination. One radiological finding is a roundish pool of barium due to many loops of small bowel being matted together and encased in a thick,…
Ventilator-associated pneumonia (VAP) is the second most common ICU nosocomial infection associated with increased mortality. Current VAP guidelines recommend early empiric antibiotic therapy based on local pathogen distribution
As the world population expands, an increasing number of people are living in areas which may be threatened by natural disasters. Most of these major natural disasters occur in the Asian region.