Neonatology: Specialized care for the littlest ones among us

About 15 million infants are born prematurely each year around the world. One million of these children die as a result of their premature birth. In the under 5-years-old age group, premature...

High on acid, low on risk?

In nephrology, acid load and disease progression are closely linked: A higher diet-dependent nonvolatile acid load is associated with faster progression of chronic kidney disease (CKD). However,......

The imbalance of vertebral compression fractures

Chinese researchers analyzed the correlation between osteoporotic vertebral compression fractures and spinal sagittal imbalance in 60 elderly patients with old osteoporotic vertebral compression......

Temporary Ileostomy: Calling time early

Patients with low rectal cancer often receive a temporary ileostomy at the time of resection of the rectum, with the aim of reducing the risk of symptomatic anastomotic dehiscence. Most patients......

How to measure central venous pressure

There are several ways to measure central venous pressure (CVP), but not much is known about the accuracy of the available methods, says a team of French and Australian anesthesiologists. In the......

PD or HD for the elderly and frail: The choice between two evils?

The management of elderly, often frail patients requiring dialysis has received increasing attention in recent years, partly because of the rising numbers of this age group, and partly due to the......

Risk factors for patellar instability after dislocation

The incidence of primary lateral patellar dislocation (LPD) in children aged 9 to 14 years is relatively high, at 0.6 to 1.2 per 1,000, report researchers at Sweden’s Karolinska University......

12-Gene DCIS risk score: More info for physicians, less anxiety for patients

For patients with ductal carcinoma in situ (DCIS), the 12-gene DCIS score offers valuable information regarding recommendations after breast-conserving therapy (BCS), confirms the present study......

Recruitment maneuver and fluid responsiveness

Lung recruitment maneuver induces a decrease in stroke volume, which is more pronounced in hypovolemic patients. In the present study, French researchers hypothesized that the magnitude of stroke......

Probiotics work for diabetic hemodialysis patients

Probiotic supplementation has beneficial effects on diabetes patients on hemodialysis, say Iranian researchers: According to their study, a 12-week course of probiotics improves parameters of......

Cementing joint infections

Total joint arthroplasty is one of the most frequently performed surgical procedures and definitely an example of an orthopedic success story, say Taiwanese researchers. However, one problem is......

Trauma patients: No IVC filters please

Trauma patients admitted to the hospital are at an increased risk of bleeding and thrombosis, and are often fitted with inferior vena cava (IVC) filters. The problem: There is no high-quality......

Out-of-hospital emergency anesthesia in adults

The present paper is a statement from the “Out-of-Hospital Emergency Anaesthesia Working Group” of the Emergency Medicine Research Group of the German Society of Anaesthesiology and Intensive......

Kidney disease in adolescents: New selection criterion for bariatric surgery

Severe obesity, defined as an absolute BMI ≥ 35kg/m2, now affects 4 to 6% of US children and adolescents, warn nephrologists and pediatric surgeons at the Cincinnati Children’s Hospital Medical......

Simple fractures, active dynamite

Over 5 decades of research on fracture healing have shown conclusively that controlled dynamization of a fracture stimulates callus formation and leads to faster and stronger healing compared to......

Breast biopsies: The vacuum needle in the cost-stack

In breast biopsy, which is more cost-effective: vacuum-assisted ultrasound-guided breast biopsy instruments or ultrasound-guided 14-gauge spring-loaded core-needle biopsy? A joint......

Kidneys suffer from cardiopulmonary bypass

Acute kidney injury (AKI) is a prevalent complication after cardiac surgery with cardiopulmonary bypass, affecting between 15 and 30 % of patients. Dialysis-dependent AKI, which occurs in 2 to 5 %...

Longer hemodialysis > lower mortality

The mortality of patients undergoing maintenance dialysis in the United States lies at close to 20 % per year and is therefore still “unacceptably high”, say researchers at the University of......

Thromboprophylaxis ineffective after knee arthroscopy

Thromboprophylaxis is commonly used after most orthopedic interventions, as it strongly reduces the risk of thrombosis with an only slight increase of the risk of bleeding. However, the same is......

Breast cancer: Cast the NET wider

The good news: neoadjuvant endocrine therapy (NET) increases breast-conserving surgery (BCS) rates for postmenopausal patients with clinical tumor stage 2–4c estrogen receptor-positive breast......

Epidural + general anesthesia: Better in combination

Epidural analgesia (EA) as an adjunct procedure for postoperative pain control during elective abdominal aortic aneurysm (AAA) surgery has several advantages: In addition to analgesia, modulatory......

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