Latest Updates

Viral Hepatitis E

    • HEV is a leading cause of acute viral hepatitis worldwide but is largely underrecognized by the medical community, especially in developed countries.
    • Locally acquired hepatitis E is more common in developed countries than previously thought and can lead to unusual clinical manifestations.
    • Immunocompromised patients, such as transplant recipients, are at an increased risk of complications from HEV infection, including development of chronic infection.
    • A safe and effective vaccine is licensed for use in China, but has not been prequalified by the WHO, thus preventing further distribution.

Intestinal Obstruction

    • Water-soluble contrast medium administered orally can predict whether bowel obstruction will resolve without intervention and shorten hospitalization time.
    • Although laparoscopic adhesiolysis is associated with faster recovery, some evidence suggests that the rate of bowel injury is significantly higher in patients undergoing laparoscopic versus open adhesiolysis.
    • Patients with colonic obstruction who undergo endoscopic placement of a self-expanding metal stent can often undergo resection with primary anastomosis during the same hospitalization.

Viral Hepatitis E

    • HEV is a leading cause of acute viral hepatitis worldwide but is largely underrecognized by the medical community, especially in developed countries.
    • Locally acquired hepatitis E is more common in developed countries than previously thought and can lead to unusual clinical manifestations.
    • Immunocompromised patients, such as transplant recipients, are at an increased risk of complications from HEV infection, including development of chronic infection.
    • A safe and effective vaccine is licensed for use in China, but has not been prequalified by the WHO, thus preventing further distribution.

Noninvasive and Invasive Ventilatory Support II

    • Lung protective ventilation
    • Sedation management in mechanical ventilation
    • Reduction in ventilator induced injury
    • Early liberation from mechanical ventilation

Noninvasive and Invasive Ventilatory Support I

    • Heated high-flow nasal cannula for hypoxemia in chronic obstructive pulmonary disease, congestive heart failure, and selected surgical patients
    • Options for noninvasive support of respiratory failure
    •  Increasing sophistication of available mechanical ventilation modes

Intestinal Obstruction

    • Water-soluble contrast medium administered orally can predict whether bowel obstruction will resolve without intervention and shorten hospitalization time.
    • Although laparoscopic adhesiolysis is associated with faster recovery, some evidence suggests that the rate of bowel injury is significantly higher in patients undergoing laparoscopic versus open adhesiolysis.
    • Patients with colonic obstruction who undergo endoscopic placement of a self-expanding metal stent can often undergo resection with primary anastomosis during the same hospitalization.

Cleft Palate

    • Advances in genetic screening can lead to earlier and more accurate diagnosis of syndromes associated with cleft palate.
    • The establishment of multidisciplinary care for patient with cleft palate is important for optimal long-term outcomes.
    • The Furlow palatoplasty technique lengthens the soft palate and reduces longitudinal scarring, which can result in improved velopharyngeal function.

Pacemaker Therapy

    • The first three positions of the five-position code developed by the North American Society of Pacing and Electrophysiology and the British Pacing and Electrophysiology Group are used to describe commonly used pacing modes.
    • Magnetic Resonance Imaging (MRI) has traditionally been a source of electromagnetic interference, but recent research suggests that protocolized MRI can be safe for patients with pacemakers, even patients with legacy pacemaker systems.
    • The Heart Rhythm Society has published guidelines to assist in decision making regarding lead extraction.
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