The Influence of Arm Positioning on Ultrasonic Visualization of the Subclavian Vein: An Anatomical Ultrasound Study in Healthy Volunteers.

We hypothesized that placing the arm in 90[degrees] abduction, through 90[degrees] flexion and 90[degrees] external rotation, could improve ultrasound visualization of the subclavian vein. In 49 healthy volunteers, a single operator performed a view of the subclavian vein in neutral position and abduction position. A second blinded operator measured the cross-sectional area of the subclavian vein. Abduction position increased the cross-sectional area of the subclavian vein from 124 +/- 46 (mean +/- SD) to 162 +/- 58 mm2 (P = 0.001). An increase of the cross-sectional area of >=50% was observed in 41% volunteers (95% confidence interval, 27%-56%, n = 20); this technique offers an alternative approach (maybe safer) for ultrasound-guided catheterization of the subclavian vein. (C) 2016 International Anesthesia Research Society

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Open access colonoscopy: Critical appraisal of indications, quality metrics and outcomes

In an era of cost containment and measurement of value, screening for colon cancer represents a clear target for better accountability. Bundling payment is a real possibility and will likely have to rely on open-access colonoscopy (OAC). OAC is a method to allow patients to undergo endoscopy without prior evaluation by a gastroenterologist. We conducted a cross-sectional study to evaluate the indications and outcomes among patients scheduled for OAC or traditional colonoscopy at a tertiary medical center.

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Non-alcoholic fatty liver disease fibrosis score and preclinical vascular damage in morbidly obese patients

Non-alcoholic fatty liver disease (NAFLD) is strongly related with enhanced morbidity and mortality from cardiovascular disease. In obese patients with both NAFLD and features of the metabolic syndrome, the cardiovascular risk is further increased.

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Open access colonoscopy: Critical appraisal of indications, quality metrics and outcomes

In an era of cost containment and measurement of value, screening for colon cancer represents a clear target for better accountability. Bundling payment is a real possibility and will likely have to rely on open-access colonoscopy (OAC). OAC is a method to allow patients to undergo endoscopy without prior evaluation by a gastroenterologist. We conducted a cross-sectional study to evaluate the indications and outcomes among patients scheduled for OAC or traditional colonoscopy at a tertiary medical center.

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Non-alcoholic fatty liver disease fibrosis score and preclinical vascular damage in morbidly obese patients

Non-alcoholic fatty liver disease (NAFLD) is strongly related with enhanced morbidity and mortality from cardiovascular disease. In obese patients with both NAFLD and features of the metabolic syndrome, the cardiovascular risk is further increased.

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Sonographic evaluation of lumbar interlaminar space opening in a variety of patient body positions for optimal neuraxial anesthesia delivery

To find the position that provided the most comfort, as well as the widest L3-L4 interlaminar space opening.

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FORMULATION AND EVALUATION OF ACORUS CALAMUS GEL FOR TOPICAL CANDIDITIS

2016-05-05T19-36-43Z
Source: Indo American Journal of Pharmaceutical Research
Stimson Jose, Aswathy.C, Sruthy.T, Anusree.S.S, Deepa Sreekanth.
Traditional medicines take part an important role in treatment in many developing as well as developed countries. It emphasis the usage of herbal medicines in patients as an alternative therapy or a complimentary therapy. Herbal medicines are widely used for the treatment of skin and skin related disorders. The objective of this study is to formulate and evaluate the antifungal herbal gel, from rhizome alcoholic extract of the plant Acorus calamus, which is traditionally been used medicinally and also to make fragrances. Pleasant/Odourless Slight yellow extract with good consistency was extracted and converted into phytosomes and then into gel. The physiochemical parameters and invitro antifungal activities of Acorus calamus gel as well as the combination of honey with Acorus calamus gel are evaluated and compared with the standard; Candid B ointment(Clotrimazole1%+Beclomethasonedipropionate 0.025%).Alcoholic extract showed the presence of amino acid, carbohydrates, saponins, alkaloids, glycosides, phenolic compounds and tannins. The water soluble and acid insoluble ash values of Acorus calamus was found to be 1.7% and 2.2% respectively. The alcoholic extractive value of Acorus calamus was found to be 5% and the gel obtained was found to be easily spreadable and extrudable with pH: 6.8, ie nonirritant to skin. The zone of inhibition of Acorus calamus gel preparation found for Standard, sample A and B are 2.0 cm, 1.1cm, and 1.0cm respectively. From all of observation we can conclude that the formulation showed effective antifungal activity against Candida albicans and is quite comparable with the standard.


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