Prevention of Neonatal Hypoglycemia With Oral Glucose Gel for High-Risk Newborns.

Background: Neonatal hypoglycemia (glucose <47) is the most common metabolic problem in newborns (incidence 5% - 15%) and can cause adverse outcomes, even in the absence of noticeable symptoms. Oral glucose gel (OGG) is safe and effective for treatment of neonatal hypoglycemia. In order to reduce interventions such as intravenous (IV) dextrose administration and neonatal intensive care unit (NICU) transfer, in October 2017, we implemented a protocol in our Level 1 rural community hospital to identify newborns with asymptomatic hypoglycemia based on risk factors and treat them with OGG.

Delayed hypersensitivity reaction to orodispersible budesonide in a case with eosinophilic esophagitis.

Background: Eosinophilic esophagitis (EoE) is a chronic inflammatory disease that has been known since the early 1990s. Swallowed topical corticosteroids (STC) belong to the therapeutic cornerstones. We describe a delayed hypersensitivity reaction to Jorveza®, a newly developed orodispersible budesonide tablet licensed for the treatment of eosinophilic esophagitis.

Hemophagocytic lymphohistiocytosis (HLH) in a 25-year-old presenting with multisystem organ failure.

Hemophagocytic lymphohistiocytosis (HLH) is a rare syndrome of extreme inflammation caused by pathologic activation of the immune system. Diagnosis of HLH is challenging as the clinical presentation is similar to common medical entities such as sepsis. When a source of the extreme inflammation is not found, HLH should be considered in the differential diagnosis.

Epidemiologic survey in Swiss group-housed breeding rabbits: extent of lesions and potential risk factors.

In Switzerland, group-housing for breeding rabbit does is not explicitly required by law, but label programmes, as well as the general public and animal welfare groups, are advocating it. Although group-housing is of great benefit to the gregariously living rabbits, the establishment of a social hierarchy within the group might lead to stress and lesions. In the present epidemiological study, lesions were scored twice on 30% of the breeding does on all 28 commercial Swiss farms with group-housed breeding does.

Comparison of two methods of contrast sensitivity assessment with young and elderly adults.

The sensitivity of the neural channels which process spatial frequency information may be assessed by determining the threshold contrast for a range of spatial frequencies. The stability and reliability of two methods of assessment, von Bekesy tracking and increasing contrast, were examined over 4 sessions with a sample of 12 young and 12 elderly adults. The stimuli were presented as either a static display or in counterphase at a rate of 7.