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  • Kastrup Zimmerman posted an update 8 hours, 11 minutes ago

    8% believed in the reversibility of BD. At least 90% of individuals, however, independent from donation status, would authorize organ donation of a relative if they previously knew the donation status of that relative. CONCLUSION We observed, despite a high prevalence of potential donors, conflictive concepts regarding BD. This information suggests directions for the design of educative measures. AIM To compare the changes in visceral adipose tissue (VAT), liver fat fraction, and liver stiffness using quantitative magnetic resonance imaging (MRI) during a very-low-calorie ketogenic (VLCK) diet and a standard low-calorie diet (LC). MATERIALS AND METHODS The study involved secondary analysis of prospective collected clinical data. Patients undergoing weight loss interventions were randomised to either a LC or a VLCK diet. VAT, liver fat fraction, and stiffness were measured at baseline and after 2 months. RESULTS Forty-six patients were included; 39 patients were evaluated at baseline and at 2 months follow-up. Mean weight loss was -9.7±3.8 kg (interquartile range [IQR] -12.3; -7 kg) in the VLCK group and -1.67±2.2 kg (IQR -3.3, -0.1 kg) in the LC group (p less then 0.0001). Mean VAT reductions were -39.3±40 cm2 (IQR -52, -10 cm2) and -12.5±38.3 cm2 (IQR -29, 5 cm2; p=0.0398), and mean liver proton density fat fraction (PDFF) reductions were -4.77±4.2% (IQR -7.3, -1.7%) and -0.79±1.7%, (IQR -1.8, -0.4%; p less then 0.005) in the VLCK group and in the LC group, respectively. No significant changes in liver stiffness occurred from baseline to follow-up. CONCLUSION A VLCK diet resulted in greater weight loss than a standard low-calorie diet and in significantly greater reduction in liver PDFF. As anthropometric measurements may not correlate with liver fat changes, it may be advantageous to include quantitative MRI to the monitoring strategies of patients undergoing weight-loss programmes. Subclinical thyroid disease represents an early stage of thyroid dysfunction, which is usually asymptomatic and biochemically defined; its diagnosis can be performed thanks to the high sensitivity of the hypothalamic-pituitary-thyroid axis. The approach to this disorder requires correct diagnosis, clinical assessment and treatment. Cardiovascular diseases (e.g. atrial fibrillation, heart failure, and coronary heart disease), bone loss and fractures, and dementia represent the main adverse events of severe subclinical hyperthyroidism with undetectable TSH levels. Treatment of patients with subclinical hypothyroidism with a serum TSH level above 10 mIU/L is justified in order to reduce the risks of coronary heart disease and heart failure. In cerebral palsy (CP) patients suffering pathological knee joint motion, spastic muscle’s passive state forces have not been quantified intraoperatively. Besides, assessment of spastic muscle’s active state forces in conditions involving intermuscular mechanical interactions and gait relevant joint positions is lacking. Therefore, the source of flexor forces limiting joint motion remains unclear. The aim was to test the following hypotheses (i) in both passive and active states, spastic semitendinosus (ST) per se shows its highest forces within gait relevant knee angle (KA) range and (ii) due to intermuscular mechanical interactions, the active state forces elevate. Isometric forces (seven children with CP, GMFCS-II) were measured during surgery over a range of KA from flexion to full extension, at hip angle (HA) = 45° and 20°, in four conditions (I) passive state, (II) individual stimulation of the ST, simultaneous stimulation of the ST (III) with its synergists, and (IV) also with an antagonist. Gait analyses intraoperative data for KA = 17-61° (HA = 45°) and KA = 0-33° (HA = 20°) represent the loading response and terminal swing, and mid/terminal stance phases of gait, respectively. Intraoperative tests Passive forces maximally approximated half of peak force in condition II (HA = 45°). Added muscle activations did increase muscle forces significantly (HA = 45° on average by 42.0% and 72.5%; HA = 20° maximally by 131.8% and 123.7%, respectively in conditions III and IV, p  less then  0.01). In conclusion, intermuscular mechanical interactions yield elevated active state forces, which are well above passive state forces. This indicates that intermuscular mechanical interactions may be a source of high flexor forces in CP. INTRODUCTION An in-patient clinical service has been set up in March 2016 in the Occupational Diseases Center of Brest University Hospital, France, to seek for work-relatedness of diseases in patients hospitalized into the oncology and hematology departments. We present here data after two years of existence. METHODS All cases of cancers or malignant hematological diseases (ICD-10 codes C00 to C97 and D37 to D48) seen between March 1, 2016, and March 1, 2018, have been identified. We present sociodemographic data, occupational exposures, occupation, business sector, and tobacco consumption. The causation level between the disease and each of the occupational exposures has been rated as strong, intermediate, weak or null by the occupational medicine specialist of the Occupational Diseases Center. RESULTS Among the 196 patients encountered, there are 127 work-related diseases and 82 of these had one occupational exposure rated as strong or intermediate. The most frequent occupational hazards were asbestos (48 cases) and ionizing radiation (23 cases). The most frequent business sectors were metallurgy, mechanical engineering, and agriculture. Lung cancer was the most frequently reported disease (49 cases). DISCUSSION . We identified well-known couples with occupational exposures and diseases, such as asbestos and lung cancer. We also identified a link between pesticides and leukemias. This in-patient clinical service is helpful to identify work-related exposures and in helping patients to get compensated. Although intravitreal injections of anti-vascular endothelial growth factor medications are generally safe and effective, endophthalmitis remains a rare but potentially devastating complication. This review evaluates recent evidence for prophylactic strategies to prevent postinjection endophthalmitis. Povidone-iodine applied to the ocular surface before injection remains the most effective technique to prevent infection although aqueous chlorhexidine may be an acceptable alternative. Minimizing oral flora exposure, particularly with a no-talking policy, has been shown to reduce endophthalmitis rates. Recent studies of prefilled syringes suggest that the technology significantly lowers the risk of injection, likely by eliminating the transfer of medication from a storage vial to a syringe. BFA inhibitor Avoiding lid or lash touch during the injection process is an important tool to decrease patient risk, although this may be accomplished with manual lid retraction rather than a lid speculum. Same-day bilateral intravitreal injections have been shown to be safe.

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