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Nutrition Screening and ADIME
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Jennifer L. Smith, Teresa A. Capello
PES Statement ____(P)_____ related to _____(E)_____ as evidenced by _____(S)_____.
Uterine Artery Embolization
Published in John C. Petrozza, Uterine Fibroids, 2020
Gloria M. Salazar, Eric Paul Wehrenberg-Klee
Tissue necrosis after embolization of the perifibroid vascular plexus leads to postembolization syndrome (PES) that affects up to 90% of patients in the first 48–72 hours [24]. Patients may experience PES for approximately a week after the procedure. These symptoms include low-grade fever, fatigue, nausea, vomiting and pain commonly described as analogous to the flu. We suggest management with oral NSAIDs such as ibuprofen for the week following the procedure.
Essential Oils as Carrier Oils
Published in K. Hüsnü Can Başer, Gerhard Buchbauer, Handbook of Essential Oils, 2020
Romana Aichinger, Gerhard Buchbauer
PEs use four different mechanisms of action: (a) disrupting the highly ordered intercellular lipid structure between corneocytes in SC via extraction, fluidization, polarity alteration, and phase separation, which leads to higher permeability; (b) interacting with the intercellular domain of keratinized protein to induce their conformational modification; (c) increasing the partitioning—several solvents alter the SC properties and thus force up the partitioning of a drug; and (d) enhancers acting on desmosomal connections between corneocytes or altering metabolic activity within the skin. There are also three possible pathways that can be used, which include intracellular diffusion across the corneocytes of SC, penetration through the SC intercellular lipid spaces, and appendage penetration across hair follicles and sebaceous and sweat glands. The intracellular pathway is normally chosen by hydrophilic compounds while lipophilic permeants prefer the intercellular route. Although most molecules cross the SC via both routes, the intercellular lipid domain of the SC describes the main pathway; thus, the extraction of SC lipids can be seen as one of the key mechanisms (Fung Chye Lim et al., 2009; Herman and Herman, 2014; Chen et al., 2016; Jiang et al., 2017).
Effect of 3D printed insoles for people with flatfeet: A systematic review
Published in Assistive Technology, 2023
Aliyeh Daryabor, Toshiki Kobayashi, Hassan Saeedi, Samuel M. Lyons, Noriaki Maeda, Sedigheh Sadat Naimi
Insoles are effective interventions in rehabilitation to control excessive foot pronation, decrease pain, and improve physical functions for people with flexible flatfeet (Banwell et al., 2014; Choi et al., 2020; Genova & Gross, 2000). It has been reported that insoles can also reduce vertical impact forces due to added cushioning (Dixon, 2007). A variety of prefabricated or customized insoles are available to alleviate pes-planus gait in conservative therapies. Some people are prone to feelings of discomfort while wearing traditional prefabricated insoles (Rasenberg et al., 2018). In clinical practice, hand-casted insoles are generally applied since they are customized according to individual foot morphology (Ki et al., 2008). In the traditional plaster-molded process, insoles are molded to the foot utilizing non-weight bearing casting techniques with various materials, such as copolymer or polypropylene. However, the manufacturing time is long and human errors may occur (Lee et al., 2009).
Diagnostic incremental value of sputum in patients with pleural tuberculosis
Published in Infectious Diseases, 2021
Shuai Guo, Chao Han, Yu He, Mao-Shui Wang
Our findings suggest that as a routine sample for the diagnosis of pleural TB, PE is of limited use in the diagnosis of pleural TB using Xpert. This also may contribute that PEs are produced because of a local inflammatory reaction. However, even in those culture-confirmed pleural TB, a high proportion of patients were negative in our study. Further research is required to improve the sample processing method to enhance the sensitivity of the test. A few studies have evaluated the diagnostic yield of Xpert by comparing centrifuged and un-centrifuged PE samples. Unfortunately, Xpert sensitivity was not improved by concentrating larger volumes of PE [20–22]. In a previous study, we found repeated sputum Xpert has an incremental diagnostic yield of about 10% [23]. It is therefore repeated Xpert on PE may have the potential to improve the diagnostic yield of Xpert. Moreover, an investigation to evaluate the risk factors of false-negative Xpert results may be helpful to understand the role in the management of pleural TB patients.
Advances in pleural effusion diagnostics
Published in Expert Review of Respiratory Medicine, 2020
Lucía Ferreiro, María E. Toubes, María E. San José, Juan Suárez-Antelo, Antonio Golpe, Luis Valdés
If PE remains undiagnosed, repeat thoracentesis to obtain a new cytologic sample perform a percutaneous ultrasound/radiologically guided pleural biopsy, and a pleuroscopy or video-assisted thoracoscopic surgery. The indications and performance of each of these tests have been described above. Figure 4 includes a diagnostic algorithm for undiagnosed PE [116]. Most undiagnosed PEs are benign or resolve spontaneously. Yet, 8.3% will be found to be associated with a neoplasm during follow-up [117]. Follow-up of undiagnosed PE is crucial, although no recommendations have been made on its duration. If the course of the disease is favorable, follow-up should continue until effusion resolves. Conversely, if the patient has an advanced age and is likely to be secondary to a neoplasm, it is recommended to repeat an invasive diagnostic test.