Month: December 2019

Uncategorized Published - 31 December, 2019    By - Dr Clemens
Performing A “Deep” Extubation

rk.md Nov 2019 A “deep” extubation refers to removing an endotracheal tube (ETT) or laryngeal mask airway (LMA) while the patient is still under anesthesia and his/her airway reflexes (ie, gag) have not returned. Although there are no absolute indications for deep extubation, it’s often performed in pediatric anesthesia as well as adult neurosurgery and […]

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Uncategorized Published - 31 December, 2019    By - Dr Clemens
GI Bleeding With LVADs

rk.md DECEMBER 29, 2019 Left ventricular assist devices (LVADs) are gaining more traction in the world of heart failure primarily as a bridge-to-transplantation or destination therapy (ie, ineligible for a heart transplant). These patients often times develop gastrointestinal (GI) bleeds requiring transfusion and endoscopic interventions. But why? By unloading the LV with an LVAD, many […]

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Uncategorized Published - 31 December, 2019    By - Dr Clemens
Labor Induction at 41 Weeks’ Gestation May Be Safer Than Waiting, Study Suggests

By Amy Orciari Herman For women with pregnancies post-term, labor induction at 41 weeks’ gestation may be safer than waiting another week, according to a study in The BMJ. Nearly 2800 women with low-risk singleton pregnancies at roughly 41 weeks’ gestation were randomized to either labor induction within 24 hours, or expectant management with induction at […]

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Uncategorized Published - 31 December, 2019    By - Dr Clemens
Chemical Analysis Links Kratom to Cases of Severe Liver Injury

HealthDay News Liver injury episodes due to kratom (Mitragyna speciosa) are increasing in the United States, and chemical analysis can confirm the presence of this botanical in herbal and dietary supplements linked to cases of severe liver injury, according to a case series study presented at The Liver Meeting, the annual meeting of the American […]

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Uncategorized Published - 31 December, 2019    By - Dr Clemens
Half of American Adults Could Be Obese by 2030

Author: Kelly Young Nearly one out of every two U.S. adults will be obese by 2030, and nearly one in four will be severely obese, according to new estimates published in the New England Journal of Medicine. Researchers used 1993–2016 data on 6.3 million U.S. adults who participated in the Behavioral Risk Factor Surveillance System to […]

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Uncategorized Published - 30 December, 2019    By - Dr Clemens
Meta-Analysis: Acupuncture Could Help with Cancer Pain Management

By Kelly Young Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS Acupuncture may help ease pain in patients with cancer, according to a meta-analysis in JAMA Oncology. Researchers analyzed 14 randomized trials comparing acupuncture or acupressure with control therapies (placebo, sham acupuncture, analgesics, usual care) in over 900 cancer patients. Compared with sham acupuncture, […]

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Uncategorized Published - 30 December, 2019    By - Dr Clemens
Getting An Epidural While Vomiting Isn’t Impossible, Experts Say

Author: Alice Emery Romper No one plans on vomiting during labor. No, most of us like to picture ourselves with our hair in a messy but becoming top knot, waterproof mascara applied, with perhaps a slight sweaty sheen (i.e glow) to our cheeks. But the truth? Some of us may hurl. And getting an epidural if you’re vomiting honestly […]

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Uncategorized Published - 30 December, 2019    By - Dr Clemens
America’s obesity epidemic, especially among women, expected to get worse

By Erika Edwards NBC Health Women, minorities and the poor are most vulnerable. Almost half of U.S. adults will be considered obese by 2030 — with women, African Americans and people in low-income households most vulnerable, according to new projections published Wednesday in the New England Journal of Medicine. Researchers said those groups in particular are […]

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Uncategorized Published - 30 December, 2019    By - Dr Clemens
Operator Experience Matters for Transcatheter Mitral Valve Repair

Authors: Chhatriwalla AK et al.  J Am Coll Cardiol 2019 Dec 17 Resor CD. J Am Coll Cardiol 2019 Dec 17 A registry analysis demonstrated an improvement in procedure success after an interventionalist’s first 50 cases. Transcatheter mitral valve repair (TMVr) with MitraClip was FDA-approved in 2013. To assess the association between operator experience and procedural outcomes, investigators […]

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Uncategorized Published - 30 December, 2019    By - Dr Clemens
Dramatic Rise in Teen Anxiety Drug Use and Overdoses

The number of teens taking and overdosing from benzodiazepines, commonly prescribed anxiety medications, has risen dramatically over the past decade, according to a national study coauthored by Rutgers researchers. The study, published in the journal Clinical Toxicology, found a 54 percent increase in cases involving children ages 12 to 18 that were reported to U.S. Poison Control […]

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