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Uncategorized Published - 11 January, 2021    By - Dr Clemens
Women may transmit cancer to infants in childbirth, reports suggest

Medical X press In extremely rare instances, newborns can contract cancer from their pregnant moms during delivery, a new case report suggests. Two boys, a 23-month-old and a 6-year-old, developed lung cancers that proved an exact genetic match to cervical cancers within their mothers at the time of birth, Japanese researchers report. It appears that the […]

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Uncategorized Published - 11 January, 2021    By - Dr Clemens
In Los Angeles and Beyond, Oxygen Is the Latest Covid Bottleneck

By Rae Ellen Bichell and Lauren Weber KHN As Los Angeles hospitals give record numbers of covid patients oxygen, the systems and equipment needed to deliver the life-sustaining gas are faltering. “Everybody is worried about what’s going to happen in the next week or so,” said Cathy Chidester, director of the L.A. County Emergency Medical Services Agency.It’s gotten […]

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Uncategorized Published - 11 January, 2021    By - Dr Clemens
Spinal Anesthesia Reduces Myocardial Ischemia–triggered Ventricular Arrhythmias by Suppressing Spinal Cord Neuronal Network Interactions in Pigs

Authors: Yukiko Omura, M.D. et al  Anesthesiology January 2021. Background Cardiac sympathoexcitation leads to ventricular arrhythmias. Spinal anesthesia modulates sympathetic output and can be cardioprotective. However, its effect on the cardio-spinal reflexes and network interactions in the dorsal horn cardiac afferent neurons and the intermediolateral nucleus sympathetic neurons that regulate sympathetic output is not known. […]

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Uncategorized Published - 11 January, 2021    By - Dr Clemens
Anesthesia Gets Some Relief: Conversion Factor Reductions Modified

Author: Tony Mira Anesthesiallc Summary: The recent passage of the Consolidated Appropriations Act provides a modicum of consolation for providers who had been preparing for major cuts in Medicare reimbursement. While the legislation does not reverse these cuts, they have been significantly pared down to a more manageable level. Over the last several months, the American […]

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Uncategorized Published - 11 January, 2021    By - Dr Clemens
Hyperglycaemia and hypoglycaemia associated with poor outcomes in patients with COVID-19

By Denise Baez DG Alerts Both hyperglycaemia and hypoglycaemia were associated with poor outcomes in patients with coronavirus disease 2019 (COVID-19), according to a study published in Diabetes Care. An analysis of 1,544 patients with COVID-19 from 91 hospitals in 12 states — stratified according to achieved mean glucose category during hospitalisation — found that […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Very Low Frequencies Maintain Pain Relief From Dorsal Root Ganglion Stimulation: An Evaluation of Dorsal Root Ganglion Neurostimulation Frequency Tapering

AUTHORS: Kenneth B Chapman, Tariq A Yousef et al. Neuromodulation. 2020 Nov 23 BACKGROUND Dorsal root ganglion neurostimulation (DRG-S) is effective in treating various refractory chronic pain syndromes. In preclinical studies, DRG-S at very low frequencies (<5 Hz) reduces excitatory output in the superficial dorsal horn. Clinically, we have also observed the effectiveness of DRG-S at […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Association Between Preoperative Statin Use and Respiratory Complications After Noncardiac Surgery

AUTHORS: Komatsu, Ryu MD, MS et al Anesthesia & Analgesia: October 2020 – BACKGROUND: Statins possess pleiotropic effects, which potentially benefit noncardiovascular conditions. Previous work suggests that statins reduce inflammation and prevent acute respiratory distress syndrome and infections. However, there is a paucity of data regarding potential benefits of statins on respiratory and infectious complications, particularly […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Phrenic Nerve Block at the Azygos Vein Level Versus Sham Block for Ipsilateral Shoulder Pain After Video-Assisted Thoracoscopic Surgery

AUTHORS: Kimura Kuroiwa, Kaori MD, PhD et al Anesthesia & Analgesia: December 2020 BACKGROUND Ipsilateral shoulder pain (ISP) is a common problem after pulmonary surgery. We hypothesized that phrenic nerve block (PNB) at the azygos vein level, near the location of the surgical operation, would be effective for reducing ISP. Our primary aim was to assess […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Can we do better when delivering bad news in trauma?

Author: VIVEK SANT, MD KevinMD.com On a recent trauma call, we had a busy night, culminating in a horrific motorcycle trauma that came in early in the morning. The patient had devastating injuries and ended up dying. The detectives finally tracked down the patient’s family. I cleaned myself up, put on my white coat and […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
93% of patients with type 2 diabetes are at an increased risk of a fatal heart attack or stroke

Author: Michael Walter Cardiovascular Business News A whopping 93% of adult patients with type 2 diabetes (T2D) are at a high risk of experiencing a fatal acute myocardial infarction (AMI) or stroke, according to new research published in the European Journal of Preventive Cardiology. The study was focused on data out of Catalonia, Spain, but its findings […]

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