Early Enteral Nutrition (within 48 h) for Patients with Sepsis or Septic Shock: A Systematic Review and Meta-Analysis.

Objective: Medical nutrition therapy provides the opportunity to compensate for muscle wasting and immune response activation during stress and trauma. The objective of this systematic review is to assess the safety and effectiveness of early enteral nutrition (EEN) in adults with sepsis or septic shock.

Methods: The MEDLINE, Embase, CENTRAL, CINAHL, ClinicalTrials.

Hoodplasty: Individualized Approach for Labiaplasties.

Introduction: Hoodplasties and labia minora reductions are some of the most requested operative procedures by women distressed with the appearance of their vulvar region. In the majority of cases, a concomitant hoodplasty (HP) is performed to achieve a better aesthetic appearance. Various surgical methods have been described for the removal of excess tissue within the clitoris hood area.

Complications of Fat Grafting Versus Implants in Gluteal Augmentation: A Retrospective Review and Lessons Learnt.

There have been various studies and literature reviews about gluteal augmentation, possibly due to the high complication rates associated with the procedure. But in the recent past, there has been extensive work in an effort to reduce the complications and various different methods have been developed for this purpose. This article brings to view the procedure followed in our surgery centre for fat grafting and implants for gluteal augmentation.

Multi-hazard perception during COVID-19: Evidence from rural communities in West Sumatra, Indonesia.

Risk perception in a multi-hazard environment improves the ability of risk prioritization management. The undertaken approaches to reduce the negative impacts of the disaster differ from the single hazard's effects. This work applies an online survey targeting West Sumatra-Indonesia rural communities, aiming to examine their perception of multi-hazards during the COVID-19 pandemic.

Vaginal Tightening.

The natural aging process and pregnancies come with certain body changes that influence overall our performance and the vagina is no different. Today more and more patients seek for new ways to enhance their sexual gratification. It is important to listen and examine the patient to look for vagina wall looseness and if a big prolapse is present it is not an ideal case for the procedure.

Prescription patterns of somatostatin analogs in patients with acromegaly and neuroendocrine tumors.

Purpose: Acromegaly and neuroendocrine tumors are rare diseases that, under certain conditions, can be treated with somatostatin analogs. The aim was to determine the prescription patterns of somatostatin analogs in a group of patients with acromegaly and neuroendocrine tumors affiliated with the Colombian Health System.

Methods: A retrospective study.

Assessment of Female Genital Surgery Education in Plastic Surgery Training: Report of an Expert Opinion Survey.

Background: Patient demand for aesthetic genital surgery has markedly increased. The International Society of Aesthetic Plastic Surgery reported 95,010 labiaplasties and 50,086 vaginal rejuvenation procedures in 2015.

Methods: We performed an online anonymous survey to evaluate the teaching of female genital procedures in plastic surgery training programs worldwide.

Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar.

Transsexual individuals with gender dysphoria or gender identity disorder are rare, with a prevalence reported to range from 0.002% to 0.014%.

Laser Resurfacing for Latin Skins: The Experience with 665 Cases.

Background: CO2 resurfacing and CO2 microfractionated laser systems are reliable tools to improve different facial pathologic skin conditions but are associated with a high rate of complications specially in Fitzpatrick III, IV, and V skin phototypes, predominant in the Latin population, which has pushed many surgeons to change technologies and abandon its use.

Objective: To compare patient results with the CO2 resurfacing laser and microfractionated CO2 laser resurfacing in all skin types and show similar results to those obtained worldwide in patients with phototypes III, IV, and V.

Methods: Standardized review of medical records from a database of private practice patients treated since January 1998 to July 2012 with SlimE30 MiXto SX(®) CO2 laser.

Aesthetic surgery of female external genitalia.

Aesthetic surgery of the external genitalia in women encompasses many procedures and may address the labia minora, clitoral hood, labia majora, mons pubis, or vaginal opening. During the initial evaluation, the surgeon should consider all aspects of the external genitalia to develop an appropriate surgical plan. It may be necessary to perform 2 or more procedures during the same surgical session to achieve the desired aesthetic result.

Refreshing labioplasty techniques for plastic surgeons.

Background: Patient requests for plastic surgery of the female genitalia have become more common. There are several technical options to manage hypertrophic labia minora, including direct excision, wedge resection, and deepithelialization. Labia majora hypertrophy and hypoplasia can also be managed surgically.

[Necrotizing pneumonia by community-acquired, methicillin-resistant Staphylococcus aureus in Colombia].

The emergence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) as a cause of severe infections has been described in the recent years. In 2006, the first report of skin and soft tissue infection by CA-MRSA was published in Colombia. Herein, two additional cases of CA-MRSA are reported with a clinical course characterized by rapid progression, prolonged stay in the intensive care unit and complication of pneumonia with the onset of empyema.

Liposuction: 25 years of experience in 26,259 patients using different devices.

Background: The development of liposuction provided plastic surgeons with a safe and effective way to sculpt the human figure. The techniques and instrumentation used in the performance of liposuction have evolved significantly since its introduction.

Objective: The authors review their experience with different liposuction techniques over the past 25 years.

3-Hydr-oxy-5,5-dimethyl-2-(2-oxo-propyl)cyclo-hex-2-enone.

The title compound, C(11)H(16)O(3), was obtained by reaction of dimedone, 5,5-dimethylcyclohexane-1,3-dione, and α-chloro-acetone. The cyclo-hexenone ring exhibits an envelope conformation with puckering amplitudes Q = 0.433 (2) and Φ = -109.

Effect of antimalarial drugs on plasmodia cell-free protein synthesis.

A cell-free system from Plasmodium falciparum able to translate endogenous mRNA was used to determine the effect of artemisinin, chloroquine and primaquine on the protein synthesis mechanism of the parasite. The antimalarial drugs did not inhibit the incorporation of [3H] methionine into parasite proteins even at concentrations higher than the ones found to strongly inhibit the parasite growth. Results clearly indicate that these compounds do not have a direct effect on protein synthesis activity of P.