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Failure to Thrive in the Elderly

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101. Managing undernutrition in the elderly. Prevention is better than a cure

. Malnutrition in the elderly: a multifactorial failure to thrive. The Permanente Journal 2005;9:38–41. 30. Milne AC, Potter J, Avenell A. Protein and energy sup- plementation in elderly people at risk from malnutrition. Cochrane Database syst Rev 2005(2):CD003288. 31. silver hJ. oral strategies to supplement older adults’ dietary intakes: comparing the evidence. nutr Rev 2009;67:21–31. 32. Australian Government Department of health and Ageing and national health and Medical Research Council. nutrient (...) Managing undernutrition in the elderly. Prevention is better than a cure clinical Managing undernutrition in the elderly Prevention is better than cure Damian Flanagan Therese Fisher Michael Murray Renuka Visvanathan Karen Charlton Cathy Thesing Gerald Quigley Kerstin Walther and weight loss. 8,9 Ageing is associated with significant impairment in the regulation of food intake, which means older people are less likely to want to eat and more likely to feel full, and do not automatically

2012 Clinical Practice Guidelines Portal

102. Follow-Up Of Pregnancies Established During Study NT-03 (Thrive-IVF Follow-Up)

Follow-Up Of Pregnancies Established During Study NT-03 (Thrive-IVF Follow-Up) Follow-Up Of Pregnancies Established During Study NT-03 (Thrive-IVF Follow-Up) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Follow-Up Of Pregnancies Established During Study NT-03 (Thrive-IVF Follow-Up) (Thrive-IVF F/U) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01978561 Recruitment Status : Completed First Posted : November 7, 2013 Last Update Posted : September 14, 2015 Sponsor: Nora Therapeutics, Inc. Information

2013 Clinical Trials

103. Why physicians should embrace failure

on behalf of the organism, works at times without our input and leads us astray. Neuroscience has definitively shown that we can only process so much at once. What if Chabris and Simon’s “Invisible Gorilla” is a clavicular tumor, unseen on a routine chest film while analyzing possible airspace disease? Adam and Eve messed up, fooled by the mind and temptation. The Bible tells an old story of failure of the human race, over and over again. Each time, something was learned, and not repeated by someone (...) Why physicians should embrace failure Why physicians should embrace failure Why physicians should embrace failure | | October 22, 2018 439 Shares Failure is a guarantee. “Success” assumes that certain metrics have been set and that the words used to describe those metrics are understood in the exact same way by all parties involved. One patient with parotid cancer and given facial paralysis after surgery was thrilled to be alive. Another is furious about a widened scar. The brain, primed to act

2018 KevinMD blog

104. Anomalous Origin of the Right Pulmonary Artery From the Ascending Aorta in a 10-Month-Old Child: A Case Report From Tanzania Full Text available with Trip Pro

respiratory tract infections, mild effort intolerance, and failure to thrive. (...) Anomalous Origin of the Right Pulmonary Artery From the Ascending Aorta in a 10-Month-Old Child: A Case Report From Tanzania Anomalous origin of the right pulmonary artery from the ascending aorta is a rare congenital deformity associated with poor quality of life and reduced life expectancy. Without a corrective surgery, less than one third of cases will live to see their sixth month. We report a case of a 10-month-old male child from Tanzania who presented with a 6-month history of recurrent

2016 Journal of investigative medicine high impact case reports

105. Unrepaired Tetralogy of Fallot with Absent Pulmonary Valve in a Mildly Symptomatic 16-Year-Old Boy Full Text available with Trip Pro

Unrepaired Tetralogy of Fallot with Absent Pulmonary Valve in a Mildly Symptomatic 16-Year-Old Boy Absent pulmonary valve is a rare and severe variant seen in only 3% to 6% of patients with tetralogy of Fallot. Fetuses with this combined condition who survive through birth typically need intervention in infancy or early childhood because of respiratory distress, heart failure, or failure to thrive. We describe the unusual case of a mildly symptomatic 16-year-old boy with these conditions who

2016 Texas Heart Institute Journal

106. Common Arterial Trunk in a 3-Day-Old Alpaca Cria Full Text available with Trip Pro

arose from the common arterial trunk and bifurcated to the left and right pulmonary artery, consistent with a Collet and Edwards' type I common arterial trunk with aortic predominance. Although uncommon, congenital cardiac defects should be considered in animals presenting with clinical signs of hypoxemia, dyspnea, or failure to thrive. (...) Common Arterial Trunk in a 3-Day-Old Alpaca Cria A 3-day-old alpaca cria presented for progressive weakness and dyspnea since birth. Complete bloodwork, thoracic radiographs, and endoscopic examination of the nasal passages and distal trachea revealed no significant findings. Echocardiogram and contrast study revealed a single artery overriding a large ventricular septal defect (VSD). A small atrial septal defect or patent foramen ovale was also noted. Color flow Doppler and an agitated saline

2016 Case Reports in Veterinary Medicine

107. Embryonal Hepatoblastoma with Co-existent Glycogen Storage Disease in a Seven-month-old Child Full Text available with Trip Pro

are uncommonly documented. We describe a rare case of hepatoblastoma with co-existent glycogen storage disease in an infant male who presented with a progressively increasing mass in abdomen along with failure to thrive. (...) Embryonal Hepatoblastoma with Co-existent Glycogen Storage Disease in a Seven-month-old Child Hepatoblastoma is an uncommon malignant liver tumour diagnosed usually during the first three years of life. It presents as abdominal mass with elevated alpha fetoprotein levels. The definite diagnosis requires histopathological confirmation. Although conditions like Familial Adenomatous Polyposis (FAP) or Beckwith-Wiedman Syndrome may be associated with hepatoblastomas, storage disorders

2016 Journal of clinical and diagnostic research : JCDR

108. Effect of Milk Formula Supplemented With L. Reuteri on Crying Time in Colicky Infants Less Than 3 Months Old

: birth weight less than 2500 g failure to thrive chronic illness or major medical problem gastrointestinal disease cow's milk allergy ( confirmed prior to exclusion; difficult to diagnose so early ??) use of any antibiotic or probiotic in the week (7 days) prior to enrollment use of proton pump inhibitors in the week (7 days) prior to enrollment if breastfeeding, use of probiotic by the mother in the week (7 days) prior to enrollment infant receiving solid foods (such as cereals, mashed fruits (...) to enrollment. parental motivation to postpone changes in the infant feeding mode, unles Exclusion Criteria: - birth weight less than 2500 g failure to thrive chronic illness or major medical problem gastrointestinal disease cow's milk allergy ( confirmed prior to exclusion; difficult to diagnose so early ??) use of any antibiotic or probiotic in the week (7 days) prior to enrollment use of proton pump inhibitors in the week (7 days) prior to enrollment if breastfeeding, use of probiotic by the mother

2015 Clinical Trials

109. Five-Weekend Care of the Elderly Certificate Course: Continuing professional development activity for family physicians Full Text available with Trip Pro

approximately 6 months.Each weekend focuses on a different theme including cognitive impairment, gait disorders, mental health and pain management, geriatric medical problems, and failure to thrive. Participants complete written assignments between weekend sessions, which involve self-reflection on how the new knowledge and skills gained through the course will be incorporated in the management of elderly patients in their practices.The 5-Weekend Care of the Elderly Certificate Course is an accredited (...) Five-Weekend Care of the Elderly Certificate Course: Continuing professional development activity for family physicians Primary care practitioners have unique clinical challenges in caring for elderly patients and require educational courses that are specifically designed for their needs in caring for this patient population.To improve family physicians' knowledge of and confidence in managing common geriatric problems.The accredited course curriculum is delivered on 5 weekends over

2015 Canadian Family Physician

110. Successful combination of endoscopic pyloromyotomy and balloon dilatation for hypertrophic pyloric stenosis in an older child: A novel procedure Full Text available with Trip Pro

of HPS, and there are only a small number of reported cases who had had successful endoscopic pyloromyotomy (EP) for HPS only in infants.The patient was suspected of having HPS when the patient was 1 year old after infancy. However, his parents thought that the vomiting and poor sucking were caused by Down syndrome-associated muscular hypotonia. Since then, no additional tests have been performed at their request. At 6 years of age, he was readmitted to our department because of persistent vomiting (...) and failure to thrive, and HPS was diagnosed again. However, it was unknown whether the HPS had been persisting since infancy or was acquired. The first EPBD was slightly effective but did not remain effective for a long time. When the second EPBD was performed in combination with EP, the amount and frequency of vomiting were reduced dramatically.The combination of EP and EPBD procedure may represent a safe, effective, and minimally invasive option for selected HPS patients in whom laparotomy would pose

2016 Surgical Case Reports

111. Transient neonatal renal failure and massive polyuria in MEGDEL syndrome Full Text available with Trip Pro

revealed massive polyuria and renal failure with 3-methylglutaconic aciduria. Symptoms and biological findings progressively improved with symptomatic treatment but lactic acidosis and high lactate to pyruvate ratio along with 3-methylglutaconic aciduria persisted. At 8 months of age, a subacute neurological degradation occurred with severe hypotonia, dystonia with extrapyramidal movements and failure to thrive. Brain MRI revealed basal ganglia lesions suggestive of Leigh syndrome. At 3 years of age (...) Transient neonatal renal failure and massive polyuria in MEGDEL syndrome MEGDEL (3-methylglutaconic aciduria with deafness, encephalopathy, and Leigh-like syndrome) syndrome is a mitochondrial disorder associated with recessive mutations in SERAC1.To report transient neonatal renal findings in MEGDEL syndrome.This 7 year-old girl was the first child of consanguineous Turkish parents. She exhibited an acute neonatal deterioration with severe lactic acidosis and liver failure. Initial evaluation

2016 Molecular genetics and metabolism reports

112. Development of a risk-stratification tool for medical child abuse in failure to thrive. Full Text available with Trip Pro

Development of a risk-stratification tool for medical child abuse in failure to thrive. To develop a risk-stratification tool to help identify medical child abuse (MCA) in children evaluated for failure to thrive (FTT).In this case-control study, the control group consisted of children who were seen in the pediatric gastroenterology department and diagnosed with FTT before the age of 5 years between 2000 and 2010. Cases were distinguished by having also been referred to the Child Advocacy

2011 Pediatrics

113. An Unusual Case of Hematemesis in a 12-Month-Old. (Abstract)

An Unusual Case of Hematemesis in a 12-Month-Old. A 12-month-old male with a history of failure to thrive and hypothyroidism presented to a pediatric emergency department twice in a 24-hour period with complaint of hematemesis. The patient had a recent upper endoscopy and biopsy as part of a work-up for failure to thrive, but had no other pertinent positives in clinical history. Ultrasound demonstrated findings concerning for an intramural duodenal hematoma. The patient was admitted

2014 Pediatric Emergency Care

114. WHO Grade 2 Neuroendocrine Tumor in a 15-Year-Old Male: A Case Report and Literature Review Full Text available with Trip Pro

WHO Grade 2 Neuroendocrine Tumor in a 15-Year-Old Male: A Case Report and Literature Review Neuroendocrine tumors, distinguished from adenocarcinomas by their neuroendocrine differentiation, are the most common pediatric epithelial malignancy that most often occurs in the appendix. In 2010, the WHO classified neuroendocrine neoplasms into three grades based on morphology, mitotic count, and Ki67 proliferation index. A 15-year-old male with a history of anemia and failure to thrive was diagnosed

2014 Case Reports in Pathology

115. GFAP mutations, age at onset, and clinical subtypes in Alexander disease. Full Text available with Trip Pro

analysis to identify predictors of mortality, and χ(2) tests to assess the effects of common GFAP mutations. Finally, we performed latent class analysis (LCA) to statistically define AxD subtypes.LCA identified 2 classes of AxD. Type I is characterized by early onset, seizures, macrocephaly, motor delay, encephalopathy, failure to thrive, paroxysmal deterioration, and typical MRI features. Type II is characterized by later onset, autonomic dysfunction, ocular movement abnormalities, bulbar symptoms (...) GFAP mutations, age at onset, and clinical subtypes in Alexander disease. To characterize Alexander disease (AxD) phenotypes and determine correlations with age at onset (AAO) and genetic mutation. AxD is an astrogliopathy usually characterized on MRI by leukodystrophy and caused by glial fibrillary acidic protein (GFAP) mutations.We present 30 new cases of AxD and reviewed 185 previously reported cases. We conducted Wilcoxon rank sum tests to identify variables scaling with AAO, survival

2011 Neurology

116. Endoscopic cricopharyngeal myotomy (CPM) for management of cricopharyngeal achalasia (CA) in an 18-month-old child. Full Text available with Trip Pro

Endoscopic cricopharyngeal myotomy (CPM) for management of cricopharyngeal achalasia (CA) in an 18-month-old child. A 6-month-old patient presented with dysphagia and failure to thrive. Video fluoroscopic swallow study (VFSS), esophagogastroduodenoscopy, and manometry were diagnostic for CA. A gastrostomy tube was placed at 8 months. Botulinum toxin injection improved symptoms, but within 10 weeks symptoms returned. At 18 months, an uncomplicated endoscopic CPM was performed. A postoperative

2012 Laryngoscope

117. Chronic Renal Failure (Overview)

, there is a rising incidence and prevalence of kidney failure, with poor outcomes and high cost (see ). CKD is more prevalent in the elderly population. However, while younger patients with CKD typically experience progressive loss of kidney function, 30% of patients over 65 years of age with CKD have stable disease. [ ] CKD is associated with an increased risk of cardiovascular disease and chronic renal failure. Kidney disease is the ninth leading cause of death in the United States. The Kidney Disease Outcomes (...) to contribute to an age-related decrease in renal blood flow. Renal hemodynamic measurements in aged humans and animals suggest that altered functional response of the renal vasculature may be an underlying factor in diminished renal blood flow and increased filtration noted with progressive renal aging. The vasodilatory response is blunted in the elderly when compared to younger patients. However, the vasoconstrictor response to intrarenal angiotensin is identical in young and older human subjects

2014 eMedicine.com

118. Chronic Renal Failure (Treatment)

study to determine the effectiveness of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) in preventing ESRD in older patients with CKD, researchers found that these treatments had only marginal benefit. Among over 370,000 patients aged 70 years and above with CKD, the number needed to treat (NNT) to prevent 1 case of ESRD was more than 100 for most patients (even with an exposure time of >10 y). In younger patients, the researchers found that the NNT (...) infarction exceeding 10% Low-density lipoprotein cholesterol is an insufficient test for cardiovascular risk in individuals with CKD, and adults with newly diagnosed CKD should undergo lipid profile testing Adults aged 50 years or older with CKD and an estimated GFR of 60 mL/min/1.73 m2 or higher should be treated with a statin Previous Next: Renal Replacement Therapy Indications for renal replacement therapy in patients with chronic kidney disease (CKD) include the following: Severe metabolic acidosis

2014 eMedicine.com

119. Chronic Renal Failure (Follow-up)

study to determine the effectiveness of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) in preventing ESRD in older patients with CKD, researchers found that these treatments had only marginal benefit. Among over 370,000 patients aged 70 years and above with CKD, the number needed to treat (NNT) to prevent 1 case of ESRD was more than 100 for most patients (even with an exposure time of >10 y). In younger patients, the researchers found that the NNT (...) infarction exceeding 10% Low-density lipoprotein cholesterol is an insufficient test for cardiovascular risk in individuals with CKD, and adults with newly diagnosed CKD should undergo lipid profile testing Adults aged 50 years or older with CKD and an estimated GFR of 60 mL/min/1.73 m2 or higher should be treated with a statin Previous Next: Renal Replacement Therapy Indications for renal replacement therapy in patients with chronic kidney disease (CKD) include the following: Severe metabolic acidosis

2014 eMedicine.com

120. Chronic Renal Failure (Diagnosis)

, there is a rising incidence and prevalence of kidney failure, with poor outcomes and high cost (see ). CKD is more prevalent in the elderly population. However, while younger patients with CKD typically experience progressive loss of kidney function, 30% of patients over 65 years of age with CKD have stable disease. [ ] CKD is associated with an increased risk of cardiovascular disease and chronic renal failure. Kidney disease is the ninth leading cause of death in the United States. The Kidney Disease Outcomes (...) to contribute to an age-related decrease in renal blood flow. Renal hemodynamic measurements in aged humans and animals suggest that altered functional response of the renal vasculature may be an underlying factor in diminished renal blood flow and increased filtration noted with progressive renal aging. The vasodilatory response is blunted in the elderly when compared to younger patients. However, the vasoconstrictor response to intrarenal angiotensin is identical in young and older human subjects

2014 eMedicine.com

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