Gutvirtz G Et Al Supplementary Tables – ICD-9 Codes Neurological
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Central Periodic Breathing During Sleep in 74 Patients with Acute Ischemic Stroke - Neurogenic and Cardiogenic Factors
Siccoli, M M; Valko, P O; Hermann, D M; Bassetti, C L (2008). Central periodic breathing during sleep in 74 patients with acute ischemic stroke - Neurogenic and cardiogenic factors. Journal of Neurology, 255(11):1687-1692. Postprint available at: http://www.zora.uzh.ch University of Zurich Posted at the Zurich Open Repository and Archive, University of Zurich. Zurich Open Repository and Archive http://www.zora.uzh.ch Originally published at: Journal of Neurology 2008, 255(11):1687-1692. Winterthurerstr. 190 CH-8057 Zurich http://www.zora.uzh.ch Year: 2008 Central periodic breathing during sleep in 74 patients with acute ischemic stroke - Neurogenic and cardiogenic factors Siccoli, M M; Valko, P O; Hermann, D M; Bassetti, C L Siccoli, M M; Valko, P O; Hermann, D M; Bassetti, C L (2008). Central periodic breathing during sleep in 74 patients with acute ischemic stroke - Neurogenic and cardiogenic factors. Journal of Neurology, 255(11):1687-1692. Postprint available at: http://www.zora.uzh.ch Posted at the Zurich Open Repository and Archive, University of Zurich. http://www.zora.uzh.ch Originally published at: Journal of Neurology 2008, 255(11):1687-1692. CENTRAL PERIODIC BREATHING IN 74 PATIENTS WITH ACUTE ISCHEMIC STROKE - NEUROGENIC VERSUS CARDIOGENIC FACTORS Massimiliano M. Siccoli, MD Philipp O. Valko, MD Dirk M. Hermann, MD Claudio L. Bassetti, MD Department of Neurology, University Hospital of Zurich, Switzerland Correspondence: Prof. Claudio L. Bassetti Department of Neurology University Hospital of Zurich Frauenklinikstrasse 26 -
FOCUSED PRACTICE in HOSPITAL MEDICINE Maintenance of Certification (MOC) Examination Blueprint
® FOCUSED PRACTICE IN HOSPITAL MEDICINE Maintenance of Certification (MOC) Examination Blueprint ABIM invites diplomates to help develop the Purpose of the Hospital Medicine MOC exam Hospital Medicine MOC exam blueprint The MOC exam is designed to evaluate the knowledge, Based on feedback from physicians that MOC assessments diagnostic reasoning, and clinical judgment skills expected of should better reflect what they see in practice, in 2016 the the certified hospitalist in the broad domain of the discipline. American Board of Internal Medicine (ABIM) invited all certified The exam emphasizes diagnosis and management of prevalent hospitalists and those enrolled in the focused practice program conditions, particularly in areas where practice has changed to provide ratings of the relative frequency and importance of in recent years. As a result of the blueprint review by ABIM blueprint topics in practice. diplomates, the MOC exam places less emphasis on rare This review process, which resulted in a new MOC exam conditions and focuses more on situations in which physician blueprint, will be used on an ongoing basis to inform and intervention can have important consequences for patients. update all MOC assessments created by ABIM. No matter For conditions that are usually managed by other specialists, what form ABIM’s assessments ultimately take, they will need the focus is on recognition rather than on management. The to be informed by front-line clinicians sharing their perspective exam is developed jointly by the ABIM and the American on what is important to know. Board of Family Medicine. A sample of over 100 hospitalists, similar to the total invited Exam format population of hospitalists in age, gender, geographic region, and time spent in direct patient care, provided the blueprint The traditional 10-year MOC exam is composed of 220 single- topic ratings. -
Subcutaneous Phycomycosis: a Review of 31 Cases Seen in Uganda
27 June 1964 Myelomatosis-Speed et al. BRITISH 1669 Case 10 (19 October 1962); Case 12 (24 February 1964); REFERNCES Case 14 (9 September 1962); and Case 16 (17 February 1963). N. (1947). Lancet, 2, 388. Alwall, Campgn, Case 5 received 10 further courses of melphalan, and the disease Bergel, F., and Stock, J. A. (1953). A.R. Brit. Emp. Cancer Br Med J: first published as 10.1136/bmj.1.5399.1669 on 27 June 1964. Downloaded from 31, 6. remained well controlled until the last 10 weeks of life, when Bergsagel, D. E. (1962). Cancer Chemother. Rep., No. 16, p. 261. the growth extended extremely rapidly. He received one further - Sprague, C. C., Austin, C., and Griffith, K. M. (1962). Ibid., No. 21, p. 87. course of radiotherapy for local pain. Case 9 received eight Bernard, J., Seligmann, M., and Danon, F. (1962). Nouv. Rev. franc. further courses of melphalan, and the disease was well controlled Himat., 2, 611. of ribs which Blokhin, N., Larionov, L., Perevodchikova, N., Chebotareva, L., and except for local pain from pathological fractures Merkulova, N. (1958). Ann. N.Y. Acad. Sci., 68, 1128. was relieved by irradiation. At post-mortem examination a Innes, J. (1963). Proc. roy. Soc. Med., 56, 648. gastric carcinoma, suspected in the last three months of life, - and Rider, W. D. (1955). Blood, 10, 252. Larionov, L. F., Khokhlov, A. S., Shkodinskaja, E. N., Vasina, 0. S., was found. Cases 8, 9, 12, 14, and 16 did not benefit from Troosheikina, V. I., and Novikova, M. A. (1955). Bull. -
Sleep Apnea Sleep Apnea
Health and Safety Guidelines 1 Sleep Apnea Sleep Apnea Normally while sleeping, air is moved at a regular rhythm through the throat and in and out the lungs. When someone has sleep apnea, air movement becomes decreased or stops altogether. Sleep apnea can affect long term health. Types of sleep apnea: 1. Obstructive sleep apnea (narrowing or closure of the throat during sleep) which is seen most commonly, and, 2. Central sleep apnea (the brain is causing a change in breathing control and rhythm) Obstructive sleep apnea (OSA) About 25% of all adults are at risk for sleep apnea of some degree. Men are more commonly affected than women. Other risk factors include: 1. Middle and older age 2. Being overweight 3. Having a small mouth and throat Down syndrome Because of soft tissue and skeletal alterations that lead to upper airway obstruction, people with Down syndrome have an increased risk of obstructive sleep apnea. Statistics show that obstructive sleep apnea occurs in at least 30 to 75% of people with Down syndrome, including those who are not obese. In over half of person’s with Down syndrome whose parents reported no sleep problems, sleep studies showed abnormal results. Sleep apnea causing lowered oxygen levels often contributes to mental impairment. How does obstructive sleep apnea occur? The throat is surrounded by muscles that are active controlling the airway during talking, swallowing and breathing. During sleep, these muscles are much less active. They can fall back into the throat, causing narrowing. In most people this doesn’t affect breathing. However in some the narrowing can cause snoring. -
Fungal Infections in HIV-Positive Peruvian Patients: Could the Venezuelan Migration Cause a Health Warning Related-Infectious Diseases?
Moya-Salazar J, Salazar-Hernández R, Rojas-Zumaran V, Quispe WC. Fungal Infections in HIV-positive Peruvian Patients: Could the Venezuelan Migration Cause a Health Warning Related-infectious Diseases?. J Infectiology. 2019; 2(2): 3-10 Journal of Infectiology Journal of Infectiology Research Article Open Access Fungal Infections in HIV-positive Peruvian Patients: Could the Venezuelan Migration Cause a Health Warning Related-infectious Diseases? Jeel Moya-Salazar1,2*, Richard Salazar-Hernández3, Victor Rojas-Zumaran2, Wanda C. Quispe3 1School of Medicine, Faculties of Health Science, Universidad Privada Norbert Wiener, Lima, Peru 2Pathology Department, Hospital Nacional Docente Madre Niño San Bartolomé, Lima, Peru 3Cytopathology and Genetics Service, Department of Pathology, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru Article Info Abstract Article Notes In patients with human immunodeficiency virus (HIV), opportunistic Received: December 22, 2018 infections occur that could compromise the health of patients. In order to Accepted: March 7, 2019 determine the frequency of fungal opportunistic and superficial infections *Correspondence: in HIV-positive men-who-have-sex-with-men (MSM) patients at the Hospital Jeel Moya-Salazar, M.T, M.Sc., 957 Pacific Street, Urb. Sn Nacional Guillermo Almenara, we conducted a cross-sectional retrospective Felipe, 07 Lima, Lima 51001, Peru; Telephone No: +51 986- study. We include Peruvian patients >18 years-old, derived from infectious or 014-954; Email: [email protected]. gynecological offices, with or without antiretroviral treatment. © 2019 Moya-Salazar J. This article is distributed under the One hundred thirteen patients were enrolled (36.7±10, range: 21 to terms of the Creative Commons Attribution 4.0 International 68 years), which 46 (40.7%) has an opportunistic fungal infection, mainly License. -
Histopathology of Important Fungal Infections
Journal of Pathology of Nepal (2019) Vol. 9, 1490 - 1496 al Patholo Journal of linic gist C of of N n e o p ti a a l- u i 2 c 0 d o n s 1 s 0 a PATHOLOGY A m h t N a e K , p d of Nepal a l a M o R e d n i io ca it l A ib ss xh www.acpnepal.com oc g E iation Buildin Review Article Histopathology of important fungal infections – a summary Arnab Ghosh1, Dilasma Gharti Magar1, Sushma Thapa1, Niranjan Nayak2, OP Talwar1 1Department of Pathology, Manipal College of Medical Sciences, Pokhara, Nepal. 2Department of Microbiology, Manipal College of Medical Sciences , Pokhara, Nepal. ABSTRACT Keywords: Fungus; Fungal infections due to pathogenic or opportunistic fungi may be superficial, cutaneous, subcutaneous Mycosis; and systemic. With the upsurge of at risk population systemic fungal infections are increasingly common. Opportunistic; Diagnosis of fungal infections may include several modalities including histopathology of affected tissue Systemic which reveal the morphology of fungi and tissue reaction. Fungi can be in yeast and / or hyphae forms and tissue reactions may range from minimal to acute or chronic granulomatous inflammation. Different fungi should be differentiated from each other as well as bacteria on the basis of morphology and also clinical correlation. Special stains like GMS and PAS are helpful to identify fungi in tissue sections. INTRODUCTION Correspondence: Dr Arnab Ghosh, MD Fungal infections or mycoses may be caused by Department of Pathology, pathogenic fungi which infect healthy individuals or by Manipal College of Medical Sciences, Pokhara, Nepal. -
Consultative Comanagement (15%)
Consultative Comanagement (15%) Focused Practice in Hospital Medicine (FPHM) Where Can I Find this topic Blueprint Topic: covered in MKSAP 17? Perioperative Medicine (12.5%) Cardiology Endocarditis prophylaxis MKSAP 17 Cardiovascular Medicine Perioperative risk-stratification MKSAP 17 General Internal Medicine Perioperative arrhythmias MKSAP 17 Cardiovascular Medicine; MKSAP 17 General Internal Medicine Pulmonology Perioperative asthma management MKSAP 17 Pulmonary and Critical Care Medicine; MKSAP 17 General Internal Medicine Perioperative chronic obstructive pulmonary disease MKSAP 17 Pulmonary and Critical Care management Medicine Postoperative hypoxia MKSAP 17 Pulmonary and Critical Care Medicine Hematology Perioperative anticoagulation and antiplatelet therapy MKSAP 17 General Internal Medicine Perioperative deep venous thrombosis prophylaxis MKSAP 17 General Internal Medicine Endocrinology Perioperative diabetes mellitus management MKSAP 17 General Internal Medicine Perioperative stress-dose corticosteroid management MKSAP 17 General Internal Medicine Perioperative thyroid management and thyroid storm MKSAP 17 General Internal Medicine; MKSAP 17 Endocrinology and Metabolism Perioperative and postoperative infections MKSAP 17 Infectious Disease Neurology Postoperative delirium MKSAP 17 Neurology Compressive neuropathies MKSAP 17 Neurology Pregnancy (2.5%) Hypertension in pregnancy (pre-eclampsia and eclampsia) MKSAP 17 Nephrology MKSAP 17 Pulmonary and Critical Care Asthma and pregnancy Medicine Hyperthyroidism during pregnancy or -
Respiratory Assist Device Appendices a and B
DRAFT Appendix A Clinical Indications for the Use of Respiratory Assist Device (RAD) Therapy Indications for use of a RAD is divided into four categories: • Restrictive thoracic disorders, e.g., neuromuscular disorders such as amyotrophic lateral sclerosis; • Severe chronic obstructive pulmonary disease (COPD); o Use of a RAD in COPD patients requires, . A facility-based polysomnogram to rule out obstructive sleep apnea in order to initiate Medicare coverage, . A prerequisite trial of noninvasive ventilation without a backup rate, and . Treatment with continuous positive airway pressure devices. • Central sleep apnea, i.e., apnea not due to airway obstruction; and • Obstructive sleep apnea (OSA). Initial Coverage (First 3 Months of Therapy) Medical record must document symptoms characteristic of sleep-associated hypoventilation, e.g.: • Daytime hypersomnolence; • Excessive fatigue; • Morning headache; • Cognitive dysfunction; • Dyspnea, etc.; and • Beneficiary has one (1) of the disorders listed in the Documentation Verification Procedures section below and meets all coverage criteria for that disorder. Continued Coverage (Beyond First 3 Months of Therapy) - E0470 or E0471 Medical records document the beneficiary was re-evaluated on/after the 61st day of therapy demonstrating: • Progress of relevant symptoms; and • Beneficiary usage of the device (average 4 hours per 24 hours) Documentation in supplier’s records includes the following: • Signed and dated physician statement completed no sooner than 61 days after initiating use of the -
Clinical and Laboratory Profile of Chronic Pulmonary Aspergillosis
Original article 109 Clinical and laboratory profile of chronic pulmonary aspergillosis: a retrospective study Ramakrishna Pai Jakribettua, Thomas Georgeb, Soniya Abrahamb, Farhan Fazalc, Shreevidya Kinilad, Manjeshwar Shrinath Baligab Introduction Chronic pulmonary aspergillosis (CPA) is a type differential leukocyte count, and erythrocyte sedimentation of semi-invasive aspergillosis seen mainly in rate. In all the four dead patients, the cause of death was immunocompetent individuals. These are slow, progressive, respiratory failure and all patients were previously treated for and not involved in angio-invasion compared with invasive pulmonary tuberculosis. pulmonary aspergillosis. The predisposing factors being Conclusion When a patient with pre-existing lung disease compromised lung parenchyma owing to chronic obstructive like chronic obstructive pulmonary disease or old tuberculosis pulmonary disease and previous pulmonary tuberculosis. As cavity presents with cough with expectoration, not many studies have been conducted in CPA with respect to breathlessness, and hemoptysis, CPA should be considered clinical and laboratory profile, the study was undertaken to as the first differential diagnosis. examine the profile in our population. Egypt J Bronchol 2019 13:109–113 Patients and methods This was a retrospective study. All © 2019 Egyptian Journal of Bronchology patients older than 18 years, who had evidence of pulmonary Egyptian Journal of Bronchology 2019 13:109–113 fungal infection on chest radiography or computed tomographic scan, from whom the Aspergillus sp. was Keywords: chronic pulmonary aspergillosis, immunocompetent, laboratory isolated from respiratory sample (broncho-alveolar wash, parameters bronchoscopic sample, etc.) and diagnosed with CPA from aDepartment of Microbiology, Father Muller Medical College Hospital, 2008 to 2016, were included in the study. -
Fungal Diseases
Abigail Zuger Fungal Diseases For creatures your size I offer a free choice of habitat, so settle yourselves in the zone that suits you best, in the pools of my pores or the tropical forests of arm-pit and crotch, in the deserts of my fore-arms, or the cool woods of my scalp Build colonies: I will supply adequate warmth and moisture, the sebum and lipids you need, on condition you never do me annoy with your presence, but behave as good guests should not rioting into acne or athlete's-foot or a boil. from "A New Year Greeting" by W.H. Auden. Introduction Most of the important contacts between human beings and the fungi occur outside medicine. Fungi give us beer, bread, antibiotics, mushroom omelets, mildew, and some devastating crop diseases; their ability to cause human disease is relatively small. Of approximately 100,000 known species of fungi, only a few hundred are human pathogens. Of these, only a handful are significant enough to be included in medical texts and introductory courses like this one. On the other hand, while fungal virulence for human beings is uncommon, the fungi are not casual pathogens. In the spectrum of infectious diseases, they can cause some of the most devastating and stubborn infections we see. Most human beings have a strong natural immunity to the fungi, but when this immunity is breached the consequences can be dramatic and severe. As modern medicine becomes increasingly adept in prolonging the survival of some patients with naturally-occurring immunocompromise (diabetes, cancer, AIDS), and causing iatrogenic immunocompromise in others (antibiotics, cytotoxic and MID 25 & 26 immunomodulating drugs), fungal infections are becoming increasingly important. -
Principles of Practice Parameters for The
ERJ Express. Published on July 28, 2016 as doi: 10.1183/13993003.01975-2015 TASK FORCE REPORT IN PRESS | CORRECTED PROOF Principles of practice parameters for the treatment of sleep disordered breathing in the elderly and frail elderly: the consensus of the International Geriatric Sleep Medicine Task Force Nikolaus C. Netzer (Chair)1,2, Sonia Ancoli-Israel (Co-chair)3, Donald L. Bliwise4, Stephany Fulda5, Christine Roffe6, Fernanda Almeida7, Hakki Onen8, Fannie Onen9, Friedhart Raschke10, Miguel Angel Martinez Garcia11 and Helmut Frohnhofen12 Affiliations: 1Hermann Buhl Institute for Hypoxia and Sleep Medicine Research, Dept of Sports Science, Faculty of Psychology and Sports Science, University Innsbruck, Austria. 2Division of Sports Medicine and Rehabilitation, Dept of Medicine, University Hospitals Ulm, Ulm, Germany. 3Depts of Psychiatry and Medicine, University of California, San Diego, CA, USA. 4Sleep Program, Dept of Neurology, Emory University, Atlanta, GA, USA. 5Sleep and Epilepsy Center, Neurocenter of Southern Switzerland, Lugano, Switzerland. 6Institute for Science and Technology in Medicine, Keele University, Keele, UK. 7Dental Medical School, University of British Colombia, Vancouver, BC, Canada. 8Geriatric Sleep Center, Edouard Herriot University Hospital, HCL, Lyon, France. 9Dept of Geriatrics, Bichat University Hospital, APHP and INSERM U669, Paris, France. 10Institute for Rehabiltation Research, Hospital Norderney, Norderney, Germany. 11Respiratory Dept, La Fe University and Polytechnic Hospital, Valencia, Spain. 12Dept of Geriatric Medicine, Kliniken Essen Mitte, Essen, Germany. Correspondence: Nikolaus C Netzer, Hermann Buhl Institute for Hypoxia and Sleep Medicine Research, Ghersburg Clinic for Geriatric Rehabilitation, Ghersburgstr. 9, 83043 Bad Aibling, Germany. Email: [email protected] ABSTRACT Sleep disordered breathing (SDB) is a leading cause of morbidity worldwide. -
A Review on Recent Diseases Caused by Microbes
Journal of Applied & Environmental Microbiology, 2014, Vol. 2, No. 4, 106-115 Available online at http://pubs.sciepub.com/jaem/2/4/4 © Science and Education Publishing DOI:10.12691/jaem-2-4-4 A Review on Recent Diseases Caused by Microbes Smruti Ranjan Singh, Krishnamurthy N.B., Blessy Baby Mathew* Department of Biotechnology, Sapthagiri College of Engineering, Bangalore, India *Corresponding author: [email protected] Received May 03, 2014; Revised May 15, 2014; Accepted May 15, 2014 Abstract Microbes are called disease-causing microbes and can make humans, animals and plants sick by causing infection and disease. Disease-causing microbes can also be called pathogens, germs or bugs and are responsible for causing infectious diseases. Microorganisms are very diverse. They include all of the prokaryotes, namely the bacteria and archaea and various forms of eukaryotes, comprising the protozoa, fungi, algae, microscopic plants (green algae), and animals such as rotifers and planarians. Some microbiologists also classify viruses as microorganisms, but others consider these as nonliving. This review deals with the current status of disease causing microbes and the recent diseases which mostly went unnoticed. Keywords: microbes, disease causing microorganisms, algae, fungi Cite This Article: Smruti Ranjan Singh, Krishnamurthy N.B., and Blessy Baby Mathew, “A Review on Recent Diseases Caused by Microbes.” Journal of Applied & Environmental Microbiology, vol. 2, no. 4 (2014): 106-115. doi: 10.12691/jaem-2-4-4. microscopic organisms are found in both plants and animals as well as in the human body [2,3]. Mainly these 1. Introduction microbes cause different types of infectious diseases [2,4].