PERI-OPERATIVE FLUID AND ELECTROLYTE MANAGEMENT: A SURVEY OF CONSULTANT SURGEONS IN THE UK

BACKGROUND: Current peri-operative fluid and electrolyte management in the UK may be suboptimal. We assessed the attitudes of consultant surgeons to fluid and electrolyte prescribing and gathered suggestions for improvement in education on the subject. METHODS: A postal questionnaire survey was sent to 1091 Fellows of the Association of Surgeons of Great Britain and Ireland. [...]

By |2013-01-31T18:34:47+00:00enero 31st, 2013|Clinical care, Scientific papers|0 Comments

CONGENITAL ANOMALIES, LABOR/DELIVERY COMPLICATIONS, MATERNAL RISK FACTORS AND THEIR RELATIONSHIP WITH PERFLUOROOCTANOIC ACID (PFOA)-CONTAMINATED PUBLIC DRINKING WATER

BACKGROUND: We have previously examined the associations between perfluorooctanoic acid (PFOA) exposure, birth weight and gestational age in individuals exposed to PFOA-contaminated residential drinking water from the Little Hocking Water Association (LHWA). In this investigation, we expand the scope of our analysis to examine the associations between PFOA, congenital anomalies, labor and delivery complications and [...]

By |2013-01-31T18:34:47+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

A PROSPECTIVE ASSESSMENT OF RENAL IMPAIRMENT AFTER PREPARATION FOR COLONOSCOPY: ORAL SODIUM PHOSPHATE APPEARS TO BE SAFE IN WELL-HYDRATED SUBJECTS WITH NORMAL RENAL STATUS

The outcome of colonoscopy is highly dependent upon the quality of bowel cleansing prior to the procedure. Oral sodium phosphate solutions (OSPS) or preparations containing polyethylene glycol (PEG) are generally employed. However, the safety of administering OSPS prior to colonoscopy has been questioned because of the potential for renal failure. AIM: To compare rates of [...]

By |2013-01-31T18:34:47+00:00enero 31st, 2013|Renal function, Scientific papers|0 Comments

BIOELECTRICAL IMPEDANCE VECTOR ANALYSIS TO EVALUATE RELATIVE HYDRATION STATUS.

The objective was to present our clinical experience with bioelectrical impedance vector analysis (BIVA). Forty-six patients with chronic kidney disease (CKD) without oedema, 21 oedematous nephrotic children and 15 in remission from nephrotic syndrome were studied. The age range was 2-14 years. Data were obtained with the vector bioelectric impedance analysis method (Piccoli's RXc graph [...]

THE AMERICAN FOOTBALL UNIFORM: UNCOMPENSABLE HEAT STRESS AND HYPERTHERMIC EXHAUSTION

CONTEXT: In hot environments, the American football uniform predisposes athletes to exertional heat exhaustion or exercise-induced hyperthermia at the threshold for heat stroke (rectal temperature [T(re)] > 39 degrees C). OBJECTIVE: To evaluate the differential effects of 2 American football uniform configurations on exercise, thermal, cardiovascular, hematologic, and perceptual responses in a hot, humid environment. [...]

By |2013-01-31T18:34:47+00:00enero 31st, 2013|Exercise and sport, Scientific papers|0 Comments

DIURNAL VARIATION IN TIME TO PRESYNCOPE AND ASSOCIATED CIRCULATORY CHANGES DURING A CONTROLLED ORTHOSTATIC CHALLENGE

Epidemiological data indicate that the risk of neurally mediated syncope is substantially higher in the morning. Syncope is precipitated by cerebral hypoperfusion, yet no chronobiological experiment has been undertaken to examine whether the major circulatory factors, which influence perfusion, show diurnal variation during a controlled orthostatic challenge. Therefore, we examined the diurnal variation in orthostatic [...]

IS THERE STILL A ROLE FOR MEASURING SERUM UREA IN AN AGE OF EGFR? EVIDENCE OF ITS USE WHEN ASSESSING PATIENT HYDRATION.

BACKGROUND: With the current practice of using estimated glomerular filtration rate (eGFR) for the assessment of renal function, serum urea is arguably a redundant test. However, with little evidence, it is purported that urea can be used as a marker to aid in the assessment of hydration status. The aim of this study was to [...]

By |2013-01-31T18:34:47+00:00enero 31st, 2013|Renal function, Scientific papers|0 Comments

SKIN BARRIER, HYDRATION, AND PH OF THE SKIN OF INFANTS UNDER 2 YEARS OF AGE

The goal of this study was to instrumentally evaluate the skin of healthy infants and to compare it to adult skin. A total of 70 infants, 45 girls and 25 boys, ages 8-24 months, and 30 healthy women were studied by means of transepidermal water loss (TEWL), capacitance, and pH measurements at two different skin [...]

PRIMARY CEREBRAL VASCULITIS IN CHILDREN

Primary cerebral vasculitis in children is a newly recognized, rare inflammatory condition affecting the vessels of the brain. It is characterized by newly acquired neurological deficit(s) with angiographic or histological evidence of central nervous system (CNS) vasculitis, in the absence of other known diseases with these findings. MATERIAL AND METHODS: We performed a retrospective review [...]

SODIUM BICARBONATE-BASED HYDRATION PREVENTS CONTRAST-INDUCED NEPHROPATHY: A META-ANALYSIS.

BACKGROUND: Contrast-induced nephropathy is the leading cause of in-hospital acute renal failure. This side effect of contrast agents leads to increased morbidity, mortality, and health costs. Ensuring adequate hydration prior to contrast exposure is highly effective at preventing this complication, although the optimal hydration strategy to prevent contrast-induced nephropathy still remains an unresolved issue. Former [...]

By |2013-01-31T18:34:47+00:00enero 31st, 2013|Scientific papers, Sweat and sweating|0 Comments