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Airway Management for Deep Sedation: Current Practice, Limitations, and Needs as Identified by Clinical Observation and Survey Results.

Using deep sedation, adjunct airway devices such as oral or nasal airways are frequently required to maintain airway patency. Traditional oral airways (TOAs, made of rigid plastic) or nasal airways (made of pliable materials) can be associated with adverse effects, contributing to a trend of anesthesia providers placing nasal airways orally. A clinical observational study and an electronic provider survey were conducted to examine this emerging practice. The observation study objective was to investigate reported postoperative sore throat occurrence associated with use of either a nontradition

Этнические вирусы связаны со средним ростом индейского энтерита.

С августа 2014 года в ветеринарную лабораторию Университета Миннесоты поступают случаи энтерита индейки, которые клинически отличаются от ранее описанных случаев синдрома энтерита пульта и синдрома легкой индейки. Птицы развивают темно-зеленый и чрезвычайно вонючий диарейный понос начиная с 8-10 лет в год, что может длиться до 15-16 лет в год. Затрагиваемые стада индейок характеризуются низкой однородностью, а трансформация кормов и рыночный вес уменьшаются. Множественные фермы страдают чаще, чем фермы с одним возрастом. Заболеваемость варьируется от стада до стада, а в некоторых случаях дости

Совпадение в аннотации оригинала
Since August 2014, the University of Minnesota Veterinary Diagnostic Laboratory has received cases of turkey enteritis that are clinically different from previously described cases of poult enteritis syndrome and light turkey syndrome. The birds develop dark green and extremely foul-smelling diarrhea starting at 8-10 wk of age, which may last up to 15-16 wk …

Myocardial Fibrosis and Prognosis in Heart Transplant Recipients.

BACKGROUND: Myocardial fibrosis is a well-described histopathologic feature in heart transplant recipients. Whether myocardial fibrosis in heart transplant recipients is independently associated with clinical outcomes is unclear. We sought to determine whether myocardial fibrosis on late gadolinium enhancement cardiovascular magnetic resonance imaging in heart transplant recipients was independently associated with all-cause death or major adverse cardiac outcomes in the long-term. METHODS: Using a cohort of consecutive heart transplant recipients that had cardiovascular magnetic resonance im

LESIONS OF THE FEMALE REPRODUCTIVE TRACT IN JAPANESE MACAQUE ( MACACA FUSCATA) FROM TWO CAPTIVE COLONIES.

Reproductive lesions have been described in various nonhuman primate species, including rhesus macaques ( Macaca mulatta), cynomolgus macaques ( Macaca fascicularis), baboons ( Papio spp.), squirrel monkeys ( Saimiri sciureus), and chimpanzees ( Pan spp.); however, there are few publications describing reproductive disease and pathology in Japanese macaques ( Macaca fuscata). A retrospective evaluation of postmortem reports for two captive M. fuscata populations housed within zoos from 1982 through 2015 was completed, comparing reproductive diseases diagnosed by gross pathology and histopathol

Rehospitalization to a child and adolescent psychiatry unit: Role of trauma and bullying.

OBJECTIVE: Psychiatric rehospitalizations results in a significant burden to patients, families, and health care systems. Understanding psychiatric rehospitalizations offers an opportunity to identify weaknesses in current systems of care. The objective of this study was to test the hypothesis that a history of trauma or ongoing bullying increases the risk of psychiatric rehospitalization. METHOD: Retrospective cohort study of 366 individual patients (71% female) admitted to a pediatric psychiatry unit between 1/1/2015 and 12/31/2015. The primary outcome measure was rehospitalization to the s

Pregnancy unshackled: Increasing equity through implementation of perinatal depression screening, shared decision making, and treatment for incarcerated women.

BACKGROUND: Perinatal depression (PD) is one of the most common medical complications of pregnancy. The prevalence of women in correctional settings has grown eight-fold in the last 30 years. A quarter of these women were either pregnant or within a year postpartum when entering custody. Recommendations to screen and treat all pregnant women for PD are being implemented nationwide. LOCAL PROBLEM: In 2016, 71% of pregnant women entering Milwaukee County Jail had minimal or no prenatal care and significant rates of high-risk medical and social risk factors. The jail system was not screening for

Disparities for LGBTQ and Gender Nonconforming Adolescents.

OBJECTIVES: To identify patterns of childhood adversity in a sample of adolescents and assess disparities in these experiences for lesbian, gay, bisexual, transgender, and questioning adolescents and by level of gender nonconformity. METHOD: By using the cross-sectional, statewide, anonymous 2016 Minnesota Student Survey, 81 885 students were included in the current study (50.59% male; mean age = 15.51). Participants were enrolled in grades 9 and 11 in a total of 348 schools. RESULTS: Four patterns of childhood adversity were identified with sex-stratified latent class analyses (entropy = 0.…

Identification and validation of functional gastrointestinal disorder subtypes using latent class analysis: a population-based study.

OBJECTIVE: Attempts to categorize distinct functional gastrointestinal disorders based on reported symptoms continue but symptoms frequently overlap. The study objective was to use latent class analysis (LCA) which accommodates both continuous and discrete manifest variables to determine mutually exclusive subgroup assignments of a population-based sample using gastrointestinal symptom and patient data. MATERIALS AND METHODS: A validated bowel disease questionnaire and somatic symptom questionnaire were mailed to an age and gender stratified randomly selected community sample. Responses to th

High-resolution Anorectal Manometry for Identifying Defecatory Disorders and Rectal Structural Abnormalities in Women.

BACKGROUND & AIMS: Contrary to conventional wisdom, the rectoanal gradient during evacuation is negative in many healthy people, undermining … years) assessed by HRM, the rectal balloon expulsion test (BET), and MRI at Mayo Clinic, Rochester, Minnesota, from February 2011 through March 2013. Thirty healthy asymptomatic women (age, 37 ± 2 years) served as controls. We used principal components analysis of HRM variables to identify rectoanal pressure patterns associated with rectal prolapse and phen …

The role of the generalist in the initial treatment of adolescent anorexia nervosa.

Anorexia nervosa is a potentially serious illness characterized by the sufferer having a malignant fear of gaining weight and being fat. It was believed to stem from psychosocial problems. Treatment of the adolescent with anorexia has typically involved an inpatient stay in a specialized center where he or she can receive therapy aimed at changing thinking and exploring family dynamics. A newer strategy, family-based treatment, focuses on the young person's physical state. It can be initiated by a primary care physician during an outpatient visit. This article introduces this new paradigm for

The effect of work location on urolithiasis in health care professionals.

The objective of this study is to compare the prevalence and risks factors for urolithiasis among health care professionals who work in the operating room (OR) versus other locations. Electronic surveys, focusing on a history of urolithiasis, were sent to 3,921 randomly selected employees at our institution, 34 % (1,340) of which worked in an OR. Additional information regarding potential risk factors such as quantity of daily fluid intake, stress level, activity level, body mass index, relevant medical conditions and family history of urolithiasis were obtained and analyzed. Of those surveyed

Suicidal thinking and behavior among youth involved in verbal and social bullying: risk and protective factors.

PURPOSE: To identify risk and protective factors associated with thinking about or attempting suicide among youth involved in verbal and social bullying. METHODS: We analyzed data on 130,908 students in the sixth, ninth, and twelfth grades responding to the 2010 Minnesota Student Survey. Among students involved in frequent bullying (once a week or more during the past 30 days), we compared those who did and did not report suicidal ideation or a suicide attempt during the past year. Separate analyses were conducted for perpetrators only, victims only, and bully-victims. RESULTS: Overall, 6.1%…

The economics of coeliac disease: a population-based study.

BACKGROUND: Despite increasing prevalence, the economic implications of coeliac disease are just emerging. AIMS: To assess the impact of coeliac disease diagnosis on healthcare costs and the incremental costs associated with coeliac disease. METHODS: Administrative data for a population-based cohort of coeliac disease cases and matched controls from Olmsted County, Minnesota were used to compare (i) direct medical costs 1 year pre- and post-coeliac disease diagnosis for 133 index cases and (ii) 4-year cumulative direct medical costs incurred by 153 index cases vs. 153 controls. Analyses excl…

Japanese Encephalitis Among Three U.S. Travelers Returning from Asia, 2003-2008.

Japanese encephalitis virus (JEV), a mosquito-borne flavivirus, is a leading cause of encephalitis in Asia. The risk for Japanese encephalitis (JE) for most travelers is low, but varies by travel destination, duration, season, and activities. As part of routine surveillance and diagnostic testing, state health officials or clinicians send specimens from patients with unexplained encephalitis to CDC. To characterize the epidemiologic and clinical features of JE cases, CDC reviewed all laboratory-confirmed cases that occurred during 1992 (when a JE vaccine was first licensed in the United States

Analysis of fin clips as a nonlethal method for monitoring mercury in fish.

Monitoring of mercury in fish typically involves removal of individuals from the sampled population and subsequent analysis of fillets. This study assessed whether the analysis of fins, structures routinely clipped to mark released fish in population studies, could provide a nonlethal approach for estimating mercury concentrations in axial muscle (fillets). We analyzed fillets and selected fins from 401 northern pike (Esox lucius) and 79 walleye (Sander vitreus) from 21 lakes in Minnesota and Wisconsin, 19 Arctic grayling (Thymallus arcticus) from Toolik Lake, Alaska, and 14 winter flounder (P…

Systemic histoplasmosis: a 15-year retrospective institutional review of 111 patients.

To our knowledge, an institutional review of systemic histoplasmosis has not been conducted in the United States since the major outbreaks in Indianapolis in 1978-4982. We conducted a retrospective review of all patients with systemic histoplasmosis diagnosed at Mayo Clinic over a 15-year period. The case definitions employed were based on an international consensus statement by the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group (EORTC/IFICG) and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (MSG). One hun

Marijuana and adolescents.

Marijuana is the most frequently used illicit drug in the United States. The health risks associated with its use are underestimated by adolescents, their parents, and health care providers. This article identifies current trends regarding marijuana use among adolescents and provides a summary of current information about the risks of marijuana use for both users and society at large. It also urges physicians and other health care providers to be aware of the dangers of marijuana as well as the subtle and seemingly unexplained changes in adolescent behavior belying its use. In addition, it cal

Using biologic markers in blood to assess exposure to multiple environmental chemicals for inner-city children 3-6 years of age.

We assessed concurrent exposure to a mixture of > 50 environmental chemicals by measuring the chemicals or their metabolites in the blood of 43 ethnically diverse children (3-6 years of age) from a socioeconomically disadvantaged neighborhood in Minneapolis. Over a 2-year period, additional samples were collected every 6-12 months from as many children as possible. We analyzed blood samples for 11 volatile organic compounds (VOCs), 2 heavy metals (lead and mercury, 11 organochlorine (OC) pesticides or related compounds, and 30 polychlorinated biphenyl (PCB) congeners. The evidence suggests tha