Medical Bulletin 29/November/2021

Here are Top Medical stories of the day

Glucose electrolyte solution improves kid's safety

Novel 1% glucose isotonic electrolyte solution is beneficial as intraoperative fluid therapy in children, according to a recent study published in the Journal of International Medical Research.

Fluid therapy is fundamental for safe intraoperative anaesthesia management in children. Inappropriate fluid management can result in several serious complications, including brain damage and mortality. Wider intraoperative glycemic fluctuation is associated with an increased incidence of postoperative acute kidney injury after pediatric cardiac surgery. Perioperative hyperglycemia is associated with poor outcomes, including surgical site infections and increased length of hospital stay; hence, glycemic control remains an important consideration in patients undergoing surgery. Hypotonic fluids can cause hyperglycemia and hyponatremia; thus, they should be avoided intraoperatively. Numerous studies and reports stated that physiologically composed isotonic electrolyte solutions containing 1% to 2% glucose are safe for intraoperative maintenance infusion in children. Isotonic solutions are better than hypotonic solutions in children requiring maintenance intravenous infusion in terms of their sodium content.

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Novel 1% Glucose Isotonic Electrolyte Solution Improves Kid's Safety During Intraoperative Period: Study

Primary breast cancer metastasizing to GI tract

Ebrahim Almahmeed and team in a recent study published in the journal Case reports in Surgery have reported a rare case of metastatic breast cancer.

The researchers found a rarest metastatic lobular mammary carcinoma in a 52-year-old Bahraini woman who presented with an obstructing rectal mass which turned out to be a gastrointestinal tract metastasis from primary breast cancer. Though it was considered a rare presentation, doctors state more unusual presentation of metastatic disease has to be predicted nowadays, with survival of breast cancer patients.

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Rare Case Of Primary Breast Cancer Metastasizing To GI Tract

Inflammatory skin diseases tied to CKD

Atopic eczema, psoriasis, and hidradenitis suppurativa are significantly tied with stages 3-5 of chronic kidney disease (CKD), as per a new study published in the British Journal of Dermatology.

Emerging evidence suggests an association between common inflammatory skin diseases and chronic kidney disease (CKD). A group of researchers conducted a study to explore the association between CKD stages 3–5 (CKD3–5) and atopic eczema, psoriasis, rosacea and hidradenitis suppurativa.

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Inflammatory Skin Diseases Associated With Risk Of CKD: Study

PET/MRI help in epilepsy cases

Hybrid PET/MR can help in identifying brain lesions causing seizures in patients with drug-resistant epilepsy in cases of failure of standard approaches, reveals a recent study. The findings of the study, published in the journal Epilepsy Research, offer hope for patients for whom surgery is often the only treatment option as it allows to optimize the presurgical workup and increases the proportion of successful surgery even in the more complex cases.

Previous studies have shown hybrid PET/MR to be a promising tool in focal drug-resistant epilepsy, however, the additional value for the detection of epileptogenic lesions and surgical decision-making remains to be established.

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PET/MRI Helpful In Difficult Cases Of Epilepsy: Study

 Housework linked to sharper memory in elderly

Housework is linked to sharper memory, attention span, and better leg strength, and by extension, greater protection against falls, in older adults, finds research published in the open access journal BMJ Open.

The findings were independent of other regular recreational and workplace physical activities, and active commuting.

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Housework Linked To Sharper Memory And Attention Span Among Elderly: BMJ