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Identification of Torque Teno Virus/Torque Teno-Like Minivirus in the Cervical Lymph Nodes of Kikuchi-Fujimoto Lymphadenitis Patients (Histiocytic Necrotizing Lymphadenitis): A Possible Key to Idiopathic Disease. 组织细胞坏死性淋巴结炎患者颈部淋巴结中Torque Teno病毒/Torque Teno样微型病毒的鉴定:可能是特发性疾病的关键。
Biomedicine Hub Pub Date : 2020-03-24 eCollection Date: 2020-01-01 DOI: 10.1159/000506501
Yosep Chong, Ji Young Lee, Chang Suk Kang, Eun Jung Lee
{"title":"Identification of Torque Teno Virus/Torque Teno-Like Minivirus in the Cervical Lymph Nodes of Kikuchi-Fujimoto Lymphadenitis Patients (Histiocytic Necrotizing Lymphadenitis): A Possible Key to Idiopathic Disease.","authors":"Yosep Chong,&nbsp;Ji Young Lee,&nbsp;Chang Suk Kang,&nbsp;Eun Jung Lee","doi":"10.1159/000506501","DOIUrl":"https://doi.org/10.1159/000506501","url":null,"abstract":"<p><p>Kikuchi-Fujimoto disease (KFD) is rare, and many infectious agents have been suspected for its etiology. This report presents an interesting case of KFD found with torque teno virus/torque teno minivirus (TTV/TTMV), which closely resembles the circovirus that causes necrotizing lymphadenitis in pigs. Three Korean patients showed several enlarged lymph nodes in their neck. Quantitative polymerase chain reaction (qPCR) and subsequent DNA sequencing for TTV/TTMV using formalin-fixed paraffin-embedded tissue were performed. Histologic examination demonstrated typical features of KFD. qPCR showed successful amplification of TTV/TTMV, and DNA sequencing confirmed the results. It is the first report of TTV/TTMV presence in three patients with KFD.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000506501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38248289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
β-Blocker Doses and Heart Rate in Patients with Heart Failure: Results from the National Norwegian Heart Failure Registry. 心力衰竭患者的β受体阻滞剂剂量和心率:挪威国家心力衰竭登记处的结果。
Biomedicine Hub Pub Date : 2020-02-21 eCollection Date: 2020-01-01 DOI: 10.1159/000505474
Torfinn Eriksen-Volnes, Arne Westheim, Lars Gullestad, Eva Kjøl Slind, Morten Grundtvig
{"title":"β-Blocker Doses and Heart Rate in Patients with Heart Failure: Results from the National Norwegian Heart Failure Registry.","authors":"Torfinn Eriksen-Volnes, Arne Westheim, Lars Gullestad, Eva Kjøl Slind, Morten Grundtvig","doi":"10.1159/000505474","DOIUrl":"10.1159/000505474","url":null,"abstract":"<p><strong>Background: </strong>Use of β-blockers and titration to the highest tolerated dose are highly recommended by the European Society of Cardiology (ESC) guidelines for treatment of chronic heart failure (HF) with a reduced ejection fraction (HFrEF), but little attention has been paid to the achieved heart rate (HR) during this treatment.</p><p><strong>Objectives: </strong>The aim of the present study was to examine the achieved HR in relation to the use of β-blockers in these patients.</p><p><strong>Methods: </strong>All of the patients (<i>n</i> = 2,689) in the National Norwegian Heart Failure Registry as part of the Norwegian Cardiovascular Disease Registry with a sinus rhythm and left ventricular ejection fraction (LVEF) <40% at stable follow-up visiting specialised hospital outpatient HF clinics in Norway were included. The β-blocker doses were calculated as a percent of the target dose according to ESC HF guidelines. Differences between baseline variables according to the achieved HR were analysed by the Student's <i>t</i> test for continuous variables and Pearson's χ<sup>2</sup> test for categorical variables. Linear regression was used to determine the predictors of HR ≥70 beats/min (bpm) in the multivariate analysis.</p><p><strong>Results: </strong>One third of the patients had a resting HR ≥70 bpm. Of the patients with an HR ≥70 bpm, 72.3% used less than the target dose of β-blocker; they were younger and had a higher NYHA class, more diabetes mellitus and chronic obstructive pulmonary disease (COPD), and higher N-terminal pro-B type natriuretic peptide (NT-proBNP) levels and estimated glomerular filtration rates compared to the patients with an HR <70 bpm. The 1-year mortality was 3.1, 3.7, 5.8, and 9.1% among the patients with an HR <70, 70-79, 80-89, and >89 bpm, respectively. Only 2 patients used ivabradine.</p><p><strong>Conclusions: </strong>In patients with HFrEF and sinus rhythm, an HR ≥70 bpm was associated with worse clinical variables and outcomes. A high proportion of the patients who had an HR ≥70 bpm was not treated with or/did not tolerate the target dose of a β-blocker, although the β-blocker dose was higher than in patients with an HR <70 bpm. This may suggest that increased efforts should be made to further increase the β-blocker dose, and treatment with ivabradine could be considered among patients with an HR ≥70 bpm.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7383246/pdf/bmh-0005-0009.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38248290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Study of MTHFR Polymorphisms with Nonarteritic Anterior Ischemic Optic Neuropathy in a Spanish Population. 西班牙人群中MTHFR多态性与非动脉性前缺血性视神经病变的相关性研究。
Biomedicine Hub Pub Date : 2020-01-21 eCollection Date: 2020-01-01 DOI: 10.1159/000505431
Beatriz Fernández-Vega, Lydia Álvarez, Montserrat García, Enol Artime, Marta Diñeiro Soto, Javier Nicieza, José A Vega, Héctor González-Iglesias
{"title":"Association Study of <i>MTHFR</i> Polymorphisms with Nonarteritic Anterior Ischemic Optic Neuropathy in a Spanish Population.","authors":"Beatriz Fernández-Vega,&nbsp;Lydia Álvarez,&nbsp;Montserrat García,&nbsp;Enol Artime,&nbsp;Marta Diñeiro Soto,&nbsp;Javier Nicieza,&nbsp;José A Vega,&nbsp;Héctor González-Iglesias","doi":"10.1159/000505431","DOIUrl":"https://doi.org/10.1159/000505431","url":null,"abstract":"<p><strong>Introduction: </strong>Nonarteritic anterior ischemic optic neuropathy (NAION), painless loss of central and/or peripheral vision, is a multifactorial disease caused by insufficient blood flow through the posterior ciliary arteries to the optic nerve head. Mutations in the methylenetetrahydrofolate reductase (<i>MTHFR</i>) gene, triggering hyperhomocysteinemia as a consequence of a decreased activity of the codified enzyme, have been considered to be among the risk factors of NAION.</p><p><strong>Objective: </strong>The main aim was to study the association of the most common <i>MTHFR</i> genetic polymorphisms C677T and A1298C with NAION in a Spanish population.</p><p><strong>Methods: </strong>In this case-control study, the association of the most common <i>MTHFR</i> polymorphisms was investigated in 94 unrelated native Spanish patients diagnosed with NAION and 204 healthy controls. Two single nucleotide polymorphisms located in the <i>MTHFR</i> gene, C677T (rs1801133) and A1298C (rs1801131), were analyzed by DNA sequencing and TaqMan assays.</p><p><strong>Results: </strong>The allelic and genotypic frequencies of the <i>MTHFR</i> variants obtained in the NAION group were not significantly different when compared with the control group. A higher frequency of the C677T/A1298C genotype, codifying the nonmutated <i>MTHFR</i> form, was obtained in control subjects (11.27%) compared to NAION patients (4.26%), suggesting a protective effect of the wild-type protein, although this result was not conclusive considering the obtained confidence interval (CI) (95% CI: 0.13-1.06). Study of additional clinical factors including hypertension, diabetes mellitus, and dyslipidemia showed no association with a higher risk of NAION. Conversely, the clinical history of heart or cerebrovascular diseases was significantly higher in NAION patients compared to controls. Over the world, risk variants of the <i>MTHFR</i> gene are highly frequent, excluding African black populations, indicating a racial influence.</p><p><strong>Conclusions: </strong>The <i>MTHFR</i> variants did not significantly increase the risk of suffering from NAION. However, considering that individuals with at least one of the risk variants have the MTHFR enzyme with decreased activity, it cannot be ruled out that these mutations are relevant for the development of NAION in a subgroup of the population with other specific characteristics. These may include high plasma levels of homocysteine along with nutritional deficiencies including low folate or vitamin B12 and the combination of systemic and local risk factors.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000505431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38248291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Outcomes of Infants with Mild Hypoxic Ischemic Encephalopathy Who Did Not Receive Therapeutic Hypothermia. 未接受低温治疗的轻度缺氧缺血性脑病婴儿的预后
Biomedicine Hub Pub Date : 2019-10-10 eCollection Date: 2019-09-01 DOI: 10.1159/000502936
Jonathan Reiss, Mridu Sinha, Jeffrey Gold, Julie Bykowski, Shelley M Lawrence
{"title":"Outcomes of Infants with Mild Hypoxic Ischemic Encephalopathy Who Did Not Receive Therapeutic Hypothermia.","authors":"Jonathan Reiss,&nbsp;Mridu Sinha,&nbsp;Jeffrey Gold,&nbsp;Julie Bykowski,&nbsp;Shelley M Lawrence","doi":"10.1159/000502936","DOIUrl":"https://doi.org/10.1159/000502936","url":null,"abstract":"<p><strong>Introduction: </strong>Accurately diagnosing and treating infants with mild forms of hypoxic ischemic encephalopathy (HIE) is important, as the majority of neonates with signs and symptoms of HIE after birth do not meet clinical criteria for moderate or severe disease. Emerging evidence, however, suggests that infants with mild HIE (mHIE) have an increased risk for neurodevelopmental impairment (NDI).</p><p><strong>Methods: </strong>This retrospective descriptive study examined all inborn infants ≥35 week's gestational age at a single, level III neonatal intensive care unit (NICU) in California between January 1, 2012, and December 31, 2015. International Classification of Diseases codes were used as a proxy to identify neonates with mHIE but who did not receive therapeutic hypothermia (TH). Short- and long-term neurodevelopmental outcomes were documented, including abnormal (1) brain magnetic resonance imaging within 10 days of birth suggestive of HIE, (2) electroencephalogram with electrographic seizures, (3) neurologic discharge examination, or (4) NDI following NICU discharge.</p><p><strong>Results: </strong>Over the 4-year study period, 25 infants met inclusion criteria. Eight of 25 (32%) infants demonstrated neurologic impairment, defined by an abnormality in at least one of the four categories. The remaining 17 infants were without documented evidence for adverse outcomes.</p><p><strong>Conclusion: </strong>Our results indicate that children with mHIE are at significant risk for neurologic injury and may benefit from more aggressive interventions. Further prospective studies should be completed to determine the efficacy of TH in this specific patient population.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000502936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37589818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Abstracts of the 3rd Sechenov International Biomedical Summit 第三届谢切诺夫国际生物医学峰会摘要
Biomedicine Hub Pub Date : 2019-10-01 DOI: 10.1159/000502594
{"title":"Abstracts of the 3rd Sechenov International Biomedical Summit","authors":"","doi":"10.1159/000502594","DOIUrl":"https://doi.org/10.1159/000502594","url":null,"abstract":"","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90668430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Bifidobacterium Supplementation of Colostrum and Breast Milk Enhances Weight Gain and Metabolic Responses Associated with Microbiota Establishment in Very-Preterm Infants. 初乳和母乳中添加双歧杆菌可提高极早产儿体重增加和与微生物群建立相关的代谢反应。
Biomedicine Hub Pub Date : 2019-09-24 eCollection Date: 2019-09-01 DOI: 10.1159/000502935
Tatsuo Oshiro, Satoru Nagata, Chongxin Wang, Takuya Takahashi, Hirokazu Tsuji, Takashi Asahara, Koji Nomoto, Hajime Takei, Hiroshi Nittono, Yuichiro Yamashiro
{"title":"<i>Bifidobacterium</i> Supplementation of Colostrum and Breast Milk Enhances Weight Gain and Metabolic Responses Associated with Microbiota Establishment in Very-Preterm Infants.","authors":"Tatsuo Oshiro,&nbsp;Satoru Nagata,&nbsp;Chongxin Wang,&nbsp;Takuya Takahashi,&nbsp;Hirokazu Tsuji,&nbsp;Takashi Asahara,&nbsp;Koji Nomoto,&nbsp;Hajime Takei,&nbsp;Hiroshi Nittono,&nbsp;Yuichiro Yamashiro","doi":"10.1159/000502935","DOIUrl":"https://doi.org/10.1159/000502935","url":null,"abstract":"<p><strong>Background: </strong>Postnatal growth restriction in very-preterm infants (VPIs) may have long-lasting effects. Recent evidence suggests that developmental problems in VPIs are related to abnormalities in intestinal microbial communities.</p><p><strong>Objective: </strong>To investigate the effect on growth outcomes in VPIs of supplementation with <i>Bifidobacterium</i> along with mother's colostrum and breast milk.</p><p><strong>Methods: </strong>A randomized controlled study was performed on 35 VPIs, born between 24 and 31 weeks of gestation with birth weights <1,500 g. The patients received either daily <i>Bifidobacterium breve</i> supplementation (Bifid group) or vehicle supplement only (placebo group). Parenteral nutrition was initiated with glucose, amino acids, and fatty acids for all of the infants soon after birth. Each infant received their own mother's colostrum within 24 h of birth, and breast milk on subsequent days. Fecal bacteria, organic acids, pH, bile acids, and plasma fatty acids were analyzed.</p><p><strong>Results: </strong>Seventeen infants were allocated to the Bifid group and 18 to the placebo group; the birth weights and gestational ages did not differ significantly between the two groups. Compared to the placebo group, the Bifid group showed significantly greater and earlier weight gain by 8 weeks; significantly higher total fecal bacterial counts, including bifidobacteria; higher levels of total fecal short-chain fatty acids and nominally (but not significantly) higher concentrations of plasma <i>n</i>-3 fatty acids; and lower levels of total fecal bile acid.</p><p><strong>Conclusions: </strong>Bifidobacterial supplementation of maternal colostrum and breast milk yielded the establishment of a beneficial microbiota profile, leading to favorable metabolic responses that appeared to provide improved growth in VPIs.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000502935","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37589817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Teaching Helping Babies Breathe via Telehealth: A New Application in Rural Guatemala. 通过远程医疗教学帮助婴儿呼吸:在危地马拉农村的新应用。
Biomedicine Hub Pub Date : 2019-09-24 eCollection Date: 2019-09-01 DOI: 10.1159/000502934
Caitlin Jones-Bamman, Susan Niermeyer, Kelly McConnell, John F Thomas, Christina Olson
{"title":"Teaching Helping Babies Breathe via Telehealth: A New Application in Rural Guatemala.","authors":"Caitlin Jones-Bamman,&nbsp;Susan Niermeyer,&nbsp;Kelly McConnell,&nbsp;John F Thomas,&nbsp;Christina Olson","doi":"10.1159/000502934","DOIUrl":"https://doi.org/10.1159/000502934","url":null,"abstract":"<p><strong>Background: </strong>Helping Babies Breathe (HBB) is a neonatal resuscitation curriculum that teaches life-saving interventions utilized in the first minutes after birth, reducing morbidity and mortality. Traditionally, it requires in-person facilitators for didactic and hands-on training.</p><p><strong>Objectives: </strong>The aim of this study was to offer HBB to nurses and nursing students in Guatemala, with the lead facilitator presenting concepts via telehealth and in-person facilitators providing hands-on demonstration.</p><p><strong>Methods: </strong>Learners completed pre- and post-tests that included the standard HBB knowledge check, as well as an assessment of the course teaching model. Learners also completed the standard Objective Structured Clinical Evaluations (OSCEs).</p><p><strong>Results: </strong>Eighteen learners were included in the analysis. All but one learner (94%) passed the course, and the average percent improvement from the pre- to post-test was 12%. All learners achieved passing scores on the OSCEs. Learners responded positively to questions regarding the technology, connection with the instructor, and ability to ask questions. Ninety-four percent of the learners agreed with the statement \"this lecture was as good via telehealth as in person.\" A cost analysis demonstrated approximately USD 3,979.00 in savings using telehealth compared to a standard in-person course.</p><p><strong>Conclusions: </strong>The telehealth model was successful in delivering course material to the learners and was well received. This model represents a cost-effective way to improve access to HBB. This study may not be generalizable to other populations, and the ability to use telehealth requires reliable internet connectivity, which may not be available in all settings. Further study and expansion of this pilot are needed to assess success in other settings.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000502934","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37587444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Primary Pulmonary MALT Lymphoma: A Case Report and Literature Review. 原发性肺部MALT淋巴瘤1例报告及文献复习。
Biomedicine Hub Pub Date : 2019-09-01 DOI: 10.1159/000502488
Carlos Couto, Vera Martins, Vicência Ribeiro, Cristina Rodrigues, Joana Nogueira, Ana Oliveira, Jorge Roldão Vieira
{"title":"Primary Pulmonary MALT Lymphoma: A Case Report and Literature Review.","authors":"Carlos Couto,&nbsp;Vera Martins,&nbsp;Vicência Ribeiro,&nbsp;Cristina Rodrigues,&nbsp;Joana Nogueira,&nbsp;Ana Oliveira,&nbsp;Jorge Roldão Vieira","doi":"10.1159/000502488","DOIUrl":"https://doi.org/10.1159/000502488","url":null,"abstract":"<p><strong>Background: </strong>Primary pulmonary MALT (mucosa-associated lymphoid tissue) lymphoma is a rare entity that imposes a rigorous and demanding diagnostic work-up.</p><p><strong>Case report: </strong>We present the case of a 74-year-old female non-smoker with a previous healed pulmonary tuberculosis and a history of arterial hypertension and fibromyalgia. She was referred to the pulmonology clinic to investigate a right inferior lobe (RIL) rounded pulmonary opacity (4 × 3.4 cm) identified on a previous thoracic CT scan performed for unrelated reasons. The remaining findings were non-specific and included small calcified mediastinal and hepatic adenopathies and multiple calcified hepatosplenic foci. The <sup>18</sup>F-FDG-PET revealed high <sup>18</sup>F-FDG uptake at the RIL lesion (SUV 4.7), suspicious for neoplastic involvement. Flexible bronchoscopy and CT-guided transthoracic needle biopsy were non-diagnostic and she was submitted to videothoracoscopy with surgical biopsy. The histological and immunohistochemical examination of the clear margin RIL segmentectomy were in keeping with a MALT lymphoma.</p><p><strong>Conclusion: </strong>The authors present this case to highlight this rare entity, which is particularly challenging to diagnose due to non-specific multimodality imaging features, frequently implying more invasive procedures and surgical biopsy for a final diagnosis.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000502488","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10772972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report and Literature Review. 食用鱼骨向下颌腺的迁移:一例报告及文献回顾。
Biomedicine Hub Pub Date : 2019-08-20 eCollection Date: 2019-05-01 DOI: 10.1159/000501873
Jinhua Ma, Yahui Sun, Baoqiang Dai, Hongqin Wang
{"title":"Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report and Literature Review.","authors":"Jinhua Ma,&nbsp;Yahui Sun,&nbsp;Baoqiang Dai,&nbsp;Hongqin Wang","doi":"10.1159/000501873","DOIUrl":"https://doi.org/10.1159/000501873","url":null,"abstract":"<p><strong>Background: </strong>Fish bone is one of the most common foreign bodies that gets lodged in the upper digestive tract, often located in the tonsil, epiglottis, pear-shaped fossa, and esophagus, where it may be easily located on routine inspection and removed. The forcible swallowing of food such as rice balls after ingesting fish bones by mistake may lead to the migration of the fish bone from the pharynx, throat, or esophagus to the surrounding tissues. Migration most commonly occurs to the soft tissues of the neck, even to the thyroid gland, but migration to the submandibular gland has rarely been reported.</p><p><strong>Conclusions: </strong>Foreign body ingestion may cause a series of complications and endanger a patient's life. Cases require high awareness and attentiveness on the part of the first physician to diagnose and manage the condition, and appropriate health education should be imparted to the patient.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000501873","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37587437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
A Randomized Controlled Trial Comparing a Mapleson Circuit with Nasal Trumpet to Standard Oxygen Supplementation during EBUS Bronchoscopy under Monitored Anesthesia Care. 一项随机对照试验,比较监测麻醉护理下EBUS支气管镜检查时Mapleson循环与鼻喇叭与标准氧补充。
Biomedicine Hub Pub Date : 2019-08-20 eCollection Date: 2019-05-01 DOI: 10.1159/000502110
Wissam Abouzgheib, Talia K Ben-Jacob, Amit Borah, Rocco Terrigno, Karla Cruz-Morel, Robert Dy, Irwin Gratz, Ziad Boujaoude
{"title":"A Randomized Controlled Trial Comparing a Mapleson Circuit with Nasal Trumpet to Standard Oxygen Supplementation during EBUS Bronchoscopy under Monitored Anesthesia Care.","authors":"Wissam Abouzgheib,&nbsp;Talia K Ben-Jacob,&nbsp;Amit Borah,&nbsp;Rocco Terrigno,&nbsp;Karla Cruz-Morel,&nbsp;Robert Dy,&nbsp;Irwin Gratz,&nbsp;Ziad Boujaoude","doi":"10.1159/000502110","DOIUrl":"https://doi.org/10.1159/000502110","url":null,"abstract":"<p><strong>Background: </strong>Endobronchial ultrasound (EBUS) procedures tend to be longer than routine bronchoscopies. Increased duration and sedative dosing put patients at increased risk for -hypoxic events.</p><p><strong>Objective: </strong>To determine whether oxygen supplementation via a nasal trumpet connected to a Mapleson B circuit (NTM) was effective in decreasing hypoxic events when compared with the standard of care, oxygen supplementation with a nasal cannula (NC).</p><p><strong>Methods: </strong>Patients referred for EBUS-guided transbronchial needle aspiration with monitored anesthesia care (MAC) were randomized 1:1 to NTM or to NC. Hypoxia-related procedural interruptions, the primary endpoint of the study, were documented for all patients. Patients in the NC group who had refractory desaturations were allowed to cross over to the NTM group. Secondary endpoints included: number of crossovers from NC to NTM, sedative dosing, total procedure times, whether procedure goals were achieved, complications apart from hypoxia, patient discharge status.</p><p><strong>Results: </strong>Fifty-two patients were randomized to NC and 48 to NTM. Baseline characteristics were comparable. The NC group had significantly more interruptions than did the NTM group (<i>p</i> < 0.001). Procedure duration was also significantly (<i>p</i> < 0.03) shorter for the NTM group. Fourteen patients were crossed over from NC to NTM because of hypoxia. Thirteen out of the 14 completed the procedure with no interruptions. All procedures were successfully completed, and all goals were achieved. All patients returned to baseline status prior to discharge. Three minor complications of epistaxis occurred.</p><p><strong>Conclusion: </strong>For patients undergoing EBUS with MAC, oxygen supplementation with NTM significantly decreased the incidence of hypoxic events when compared with NC. NTM may also be of value for other subsets of patients who are at increased risk for desaturation when undergoing bronchoscopy.</p>","PeriodicalId":9075,"journal":{"name":"Biomedicine Hub","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000502110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37587438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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