Eosinophilic Gastroenteritis Presenting As Unexplained Chronic Abdominal Pain.

A 27-year-old Caucasian female was hospitalized three times over a four-month period for recurrent, intermittent abdominal pain associated with nausea and diarrhea. No signs or symptoms of gastrointestinal (GI) bleeding were present. A stool occult blood test and stool enteric pathogen tests were negative.

Using Herbs and Spices to Increase Vegetable Intake Among Rural Adolescents.

Objective: To test whether adding herbs and spices to school lunch vegetables increases selection and intake compared with lightly salted control versions among rural adolescents.

Design: This study compared intake of vegetables with herbs and spices with lightly salted controls (phase I) and tested whether 5 repeated exposures would increase students' intake of herb and spice seasoned vegetables (phase II).

Participants And Setting: A total of 600-700 students at a rural middle/high school (age 11-18 years).

The Dislocated Hip Hemiarthroplasty: Current Concepts of Etiological factors and Management.

Background: Hip hemiarthroplasty (HA) following an intracapsular neck of femur fracture is an increasingly common procedure as a result of an ageing population. Patients are often frail and so morbidity and mortality figures are significant. As a result the National Institute for Health and Clinical Excellence (NICE) has formulated guidelines and a Best Practice Tariff (BPT) in an attempt to improve the care of such patients.

Treatment for sternoclavicular joint infections: a multi-institutional study.

Background: Sternoclavicular joint (SCJ) infections are rare and difficult to manage. Surgery is necessary for treatment.

Methods: A retrospective chart review of the university hospital and Veterans Administration (VA) hospitals of all patients treated for SCJ infections since 2001 was conducted.

Loperamide-Related Deaths in North Carolina.

Loperamide (Imodium) has been accepted as a safe, effective, over-the-counter anti-diarrheal drug with low potential for abuse. It is a synthetic opioid that lacks central nervous system activity at prescribed doses, rendering it ineffective for abuse. Since 2012, however, the North Carolina Office of the Chief Medical Examiner has seen cases involving loperamide at supratherapeutic levels that indicate abuse.

Successful Treatment of Invasive Pulmonary Mucormycosis in an Immunocompromised Patient.

A 59-year-old man undergoing chemotherapy for acute myelogenous leukemia had a bilateral pneumonic process. The right lung subsequently developed several small cavitary lesions extending from the central hilum to the chest wall. Despite medical therapy, repeat imaging demonstrated coalescence into a single, large, central cavitary lesion.

Assessment of the Geographic Distribution of Ornithodoros turicata (Argasidae): Climate Variation and Host Diversity.

Background: Ornithodoros turicata is a veterinary and medically important argasid tick that is recognized as a vector of the relapsing fever spirochete Borrelia turicatae and African swine fever virus. Historic collections of O. turicata have been recorded from Latin America to the southern United States.

Use of leucocyte esterase reagent strips in the diagnosis or exclusion of prosthetic joint infection.

Infection is a leading indication for revision arthroplasty. Established criteria used to diagnose prosthetic joint infection (PJI) include a range of laboratory tests. Leucocyte esterase (LE) is widely used on a colorimetric reagent strip for the diagnosis of urinary tract infections.

A novel technique for identification of fractured ceramic acetabular liner in total hip arthroplasty: a case report.

In total hip arthroplasty ceramic bearings are liable to fracture. We present the case of an 82-year-old male with groin pain and an audible squeak 6 months post ceramic on ceramic hip arthroplasty. Initial plain radiography and examination under anaesthetic (EUA) were normal.

Development of genetic system to inactivate a Borrelia turicatae surface protein selectively produced within the salivary glands of the arthropod vector.

Background: Borrelia turicatae, an agent of tick-borne relapsing fever, is an example of a pathogen that can adapt to disparate conditions found when colonizing the mammalian host and arthropod vector. However, little is known about the genetic factors necessary during the tick-mammalian infectious cycle, therefore we developed a genetic system to transform this species of spirochete. We also identified a plasmid gene that was up-regulated in vitro when B.

The role and challenges of the food industry in addressing chronic disease.

Increasingly, food companies play an important role in stemming the rising burden of nutrition-related chronic diseases. Concrete actions taken by these companies include global public commitments to address food reformulation, consumer information, responsible marketing, promotion of healthy lifestyles, and public-private partnerships. These actions are reviewed together with eleven specific PepsiCo goals and commitments that address products, the marketplace, and communities at large.

Concentration of oxymorphone in postmortem fluids and tissue.

Oxymorphone, a semi-synthetic opioid analgesic, has been available as Numorphan since the 1950s in the form of injectable solutions and a suppository. Recently, in 2006, oxymorphone was approved by the Federal Drug Administration for use in the form of immediate and extended release tablets under the trade name Opana. Since the advent of Opana, the number of deaths involving oxymorphone has risen considerably in the State of North Carolina.

Role of gymnastics in the Army School of Physical Training.

Introduction: As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996.

Patients And Methods: This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception.

Results: Over 75% of the injuries that were serious enough to result in soldiers having their training terminated were as a direct result of gymnastic events such as vaulting, trampolining and somersaults.

Indications for orbital exenteration in mucormycosis.

Purpose: To determine whether evidence-based standards exist regarding the indications for orbital exenteration in patients with orbital mucormycosis.

Methods: A literature review was performed of 113 articles (1943 to 2004). Factors possibly related to patient survival were analyzed.

Ruptured distal biceps in military personnel.

Early operative repair is the currently accepted treatment of distal biceps rupture. However, we describe 6 patients (with 7 ruptures), 5 of whom are in the armed forces with distal biceps tendon ruptures who, as a result of delays in presentation, were treated non-operatively. The subsequent clinical success of these patients (with three excellent, three good and one poor result), has led us to question whether the role of non-operative treatment has been underestimated within the orthopaedic, military and sports medicine literature.

Does pulse lavage reduce hip hemiarthroplasty infection rates?

This paper reports a prospective randomized trial involving four hospitals in the south of England, in which every hemiarthroplasty (American Association of Anaesthetists grade IV and above) was randomized to one of two limbs. In the first group, the patients received a 2-L pulse lavage normal saline washout; in the second group, they received a 2-L normal saline washout via a jug or a syringe. All wounds were reviewed during their time in hospital up to 30 days post surgery or discharge (using criteria from the Nosocomial Infection National Surveillance Survey).

Brown's Syndrome in the absence of an intact superior oblique muscle.

Brown's Syndrome was initially described as a superior oblique tendon sheath syndrome-a short anterior tendon resulting in a restricted elevation of the globe in the nasal field. Brown believed that a congenital paralysis of the inferior oblique muscle resulted in this secondary shortening of the anterior sheath of the superior oblique tendon. The definition of Brown's Syndrome has changed over time.

The first fatal case of capnocytophaga canimorsus sepsis caused by a cat scratch.

A case is presented of fatal capnocytophaga canimorsus sepsis caused by a neglected cat scratch. Although fatalities are known to occur as a result of sepsis caused by this organism, death following cat scratch transmission has not previously been reported. The case is important as it demonstrates how a seemingly innocuous injury can have devastating consequences that may have been prevented by simple first aid measures.

Student-faculty perceptions of multicultural training in accredited marriage and family therapy programs in relation to students' self-reported competence.

Although the marriage and family therapy field's recent attention to multicultural issues is laudable, there appears to be little clarity on what constitutes an effective multicultural training program and the impact of the effects of such training on trainee multicultural competence. The field continues to be challenged at different levels-training, practice, research, the setting of the standards and the work of the Commission on Accreditation for Marriage and Family Therapy Education, and the goals and strategic plan of the American Association for Marriage and Family Therapy Board. This study focused on assessing the extent of multicultural integration at different levels of training and the relationship between such training and students' perception of their own multicultural competence.

Anterior tibial spine fracture - an easy fracture to miss.

Fractures of the intercondylar tibial spine are uncommon injuries that occur more frequently in the growing skeleton. They are easy to miss in the triage setting often being diagnosed as 'sprains' after sporting injuries. We report three cases that occurred in adolescents attending the same sporting event.

Iron status in association with cardiovascular disease risk in 3 controlled feeding studies.

Background: The role of body iron stores in free radical-induced peroxidation and cardiovascular disease risk has been debated, but controlled feeding studies using measurements of non-transferrin-bound iron (NTBI) and LDL oxidation have not been conducted.

Objective: We tested the hypothesis that NTBI and other measures of iron status do not affect oxidative susceptibility in healthy subjects with normal iron status.

Design: Plasma samples were analyzed from 77 healthy men and women aged 20-65 y who participated in 3 controlled feeding studies in which the type and amount of dietary fat were controlled.