Education of trauma patients on opioids and pain management: A quality improvement project.

Background: Our acute care surgery team sustainably launched a pain management quality improvement project to reduce opioid prescriptions without affecting pain control in our elective surgery patients that was adopted on the inpatient acute care surgery service. Consequently, we implemented patient education on opioids and pain management aiming at decreasing opioid use without compromising pain management for acutely injured patients on the trauma service.

Methods: Trauma patients admitted from August 1, 2021, to July 31, 2022, and discharged to home were included.

Role of innate T cells in necrotizing enterocolitis.

Necrotizing enterocolitis (NEC) is a destructive gastrointestinal disease primarily affecting preterm babies. Despite advancements in neonatal care, NEC remains a significant cause of morbidity and mortality in neonatal intensive care units worldwide and the etiology of NEC is still unclear. Risk factors for NEC include prematurity, very low birth weight, feeding with formula, intestinal dysbiosis and bacterial infection.

Vitreoretinal disease: a critical review on current technological perspectives and innovative drug-delivery strategies.

To review the state of the art aspects and contemporary innovative drug delivery strategies, for the treatment of vitreoretinal diseases, their mechanism of action through ocular routes and their future perspectives. Scientific databases such as PubMed, Science Direct, Google scholar were used to obtain 156 papers for review. The keywords searched were vitreoretinal diseases; ocular barriers; intravitreal injections; nanotechnology; biopharmaceuticals.

Saxophone penis - An intriguing manifestation of gastrointestinal metastasis.

Genital elephantiasis is associated with sexually transmitted infections such as lymphogranuloma venereum. Here we present an unusual and rare non-venereal cause of Saxophone penis.

Pancreatic Neuroendocrine Tumors: The Effect of Facility Type on Patient Survival.

Objectives: During the last decades, significant progress has been made in the management of patients with pancreatic neuroendocrine tumors (pNETs). It is unclear how the type of the treating health care facility alters patient outcomes.

Methods: Data from pNETs reported to the National Cancer Database between 2004 and 2016 were examined.

Evaluating the change in patterns of traumatic injury in the setting of pandemic and social distancing restrictions: An analysis of a level 1 trauma center.

Background: Social distancing measures and quarantine during the COVID-19 pandemic have led to reported changes in traumatic injury patterns. We set to examine the effects of these restrictive guidelines in our trauma center.

Methods: This is a retrospective chart review of all patients evaluated for traumatic injuries at a Level 1 trauma center during two time periods: March-June 2020 (COVID) and March-June 2019 (Pre-COVID).

Bullying and lifetime asthma among children and adolescents in the United States.

Purpose: To examine the association of experiencing bullying within the past year with the prevalence of lifetime childhood asthma in U.S. children and adolescents; and whether this association varies with sex of the child and selected socioeconomic indicators.

The effects of Zoo Lights on animal welfare: A case study of great Indian hornbills at Denver Zoo.

Popular evening events, such as Zoo Lights, increase the exposure of animals in managed care to stressors such as artificial light and noise, which may alter their behavior and negatively affect animal well-being. The pair of great Indian hornbills (Buceros bicornis) at Denver Zoo provided an opportunity to study the impacts of these stressors because their exhibit was open every evening during Zoo Lights 2017. We expected the hornbills to display increased aggressive behaviors during Zoo Lights due to more exposure to stressors compared to the periods before and after the holiday event.

Nighttime behavior and the length of social relationships in male Asian elephants.

To evaluate elephant welfare, it is important to understand their use of time both during day and night. The length of social relationships can influence how much time they spend in different activities. We assessed daytime and nighttime activity budgets of male Asian elephants at Denver Zoo and examined how length of relationships influenced nighttime behavior.

Social Dynamics of a Newly Integrated Bachelor Group of Asian Elephants (): Welfare implications.

Male associations are a typical component of elephant society, allowing bulls to practice appropriate social behavior. To improve zoo elephant welfare, it is important to provide bulls with social opportunities. In fall 2018, Denver Zoo added two bull Asian elephants to its existing all-male group of three bulls, offering the opportunity to conduct a systematic behavioral study of the integration of the new bulls into the resident group.

Stimuli-Responsive Polymeric Nanosystem for Colon Specific Drug Delivery.

An ideal colon specific drug delivery system needs to perform multiple functions like greater bio availability, less toxicity and higher therapeutic efficacy, all of which require high degree of smartness. This article focuses on the overview of the stimuli-responsive polymers and various nanodrug delivery systems which have found applications in colon specific delivery of drugs as this system provide a link between therapeutic need and drug delivery. These polymers exhibit a non-linear response to a small stimulus leading to a macroscopic alteration in their structure/properties.

Limited Longitudinal Evidence Suggests That Socioeconomic Position May Influence Periodontal Diseases Over the Course of Life.

Article Title And Bibliographic Information: Socioeconomic position during life and periodontitis in adulthood: a systematic review. Schuch HS, Peres KG, Singh A, Peres MA, Do LG. Community Dent Oral Epidemiol 2017; 45(3):201-8.

Associations of Neighborhood Safety and Neighborhood Support with Overweight and Obesity in US Children and Adolescents.

Objectives: To examine the association of neighborhood safety and support with overweight and obesity and whether these associations vary with age, sex, and race/ethnicity among children and adolescents.

Design: Cross-sectional.

Setting: United States.

Indirect modulation of the endocannabinoid system by specific fractions of nutmeg total extract.

Context: Nutmeg [Myristica fragrans Houtt. (Myristicaceae)] has a long-standing reputation of psychoactivity. Anecdotal reports of nutmeg use as a cheap marijuana substitute, coupled to previous studies reporting a cannabimimetic-like action, suggest that nutmeg may interact with the endocannabinoid system.

Racial/ethnic disparities on self-reported hypertension in New York City: examining disparities among Hispanic subgroups.

Objectives: To investigate differences in self-reported hypertension among Hispanic subgroups as they compare to Asian, non-Hispanic Black and non-Hispanic White groups; and whether these differences depend on nativity status in the New York City Community Health Survey 2006-2008.

Design: Cross-sectional.

Setting: New York City.

Self-reported lifetime asthma and nativity status in U.S. children and adolescents: results from the National Health and Nutrition Examination Survey 1999-2004.

Nativity status seems to have a protective effect on asthma. However, there is little information in the literature on the effect of nativity status on asthma for non-Hispanic Black and White children and adolescents. This study investigates the association between nativity status and self-reported asthma in U.

Sustained improvement in cognitive and emotional status of apneic patients after prolonged treatment with positive airway pressure.

Background: Obstructive sleep apnea-hypopnea syndrome (OSAH) is associated with impairment of cognitive functions and disturbances in emotional status. The aim of this study was to objectively evaluate the benefits of prolonged and sustained treatment for OSAH at two sleep centers serving rural community hospitals.

Methods: Fifty-six patients diagnosed with OSAH syndrome underwent Cognistat, Beck Depression Inventory (BDI) and Millon Behavioral Medicine Diagnostic Inventory (MBMD) testing before initiation of treatment.

The health of homeless children revisited.

To the extent that representative data are available for specific health conditions (eg, under-immunization, asthma prevalence), the authors' data suggest that the gap between the health status of homeless children and housed children in minority, low-income families is narrowing. Studies of the health status of homeless children allow a window into the health status of medically underserved children whose needs may not be readily documented because of their lack of access to the health care system. Although prevalence rates of most of the health conditions discussed in this article exceeded national norms, they were generally consistent with rates characteristic of health disparities based on race-ethnicity and income.

Suppression of ovulation in Nile Hippopotamus (Hippopotamus amphibious) using melengestrol acetate-treated feed or high dose Depo-Provera injection.

Analysis of fecal progestogen profiles during Depo-Provera injection (1,200 mg; DEPO, Pfizer Inc., New York, NY), melengestrol acetate (MGA) in feed (2 or 3 mg/head/day), and a combination treatment (DEPO+MGA) are presented for nine captive female Nile hippos housed at Disney's Animal Kingdom in Florida. All tested treatments reduced fecal progestogen elevations successfully to durations consistent with prevention of ovulation for a portion of the treatment period.

Endocrine patterns associated with reproduction in the Nile hippopotamus (Hippopotamus amphibius) as assessed by fecal progestagen analysis.

The hippopotamus (Hippopotamus amphibius) is a popular zoo animal and an integral part of wetland ecosystems in its native continent of Africa. However, information about the reproductive physiology of the hippopotamus is limited compared to the other megaherbivores of Africa such as the elephant and the rhinoceros. This study is the first to report on the endocrine patterns associated with ovulation and pregnancy in the Nile hippopotamus.