No abstract

SUMMARYThis 10-year retrospective study assessed the epidemiology and outcomes of patients withFusobacteriumbacteraemia (FB) at a tertiary-care hospital in the USA – this is the second study focusing on FB in adults to be conducted in the USA in 30 years. Demographic, clinical, laboratory, treatment, and outcome data were collected and statistically analysed. Nineteen patients with FB were identified, representing 0·11% of bacteraemia cases. Mean age was 58·6 years with equal gender distribution. Common comorbidities included cardiovascular disease (CVD) and immunosuppression. Thirty-day mortality was 21·1%, and 68·4% of FB patients required intensive care unit (ICU) admission. Elevated creatinine levels and mental status changes were associated with higher mortality (P = 0·0181 and 0·0374, respectively). CVD, diabetes, and ICU admission were associated with increased length of hospital stay (P = 0·0017, 0·0010, and 0·0379, respectively). The prevalence of FB at our hospital was very low, with poor outcomes associated with increased creatinine level, mental status changes, CVD, diabetes and ICU admission.

Recent analyses of the Promontory Caves assemblages by Ives and colleagues (Billinger and Ives 2015; Hallson 2017; Ives 2014; Ives et al. 2014; Reilly 2015) have renewed interest in Julian Steward’s (1937) hypothesis that the thirteenth century inhabitants of the Promontory Caves have ties to Northern Dene language-speakers, thus shedding new light on Dene migration and Apachean origins. These studies have largely focused on the similarities between Northern Dene and Promontory moccasins, but other artifact classes—namely fibre perishables—have yet to be examined. This paper synthesizes conclusions drawn from the author’s prior research into matting and cordage recovered from the Promontory Caves in comparison to a neighboring Fremont cordage assemblage from the site of Lakeside Cave, with some suggestive differences emerging from material, structure, and knot types. These preliminary results suggest avenues for future comparative analyses of the Promontory perishable artifacts.

References in the popular literature and media support a theory that gastrointestinal pathology may relate to autism. Parents often report their children as having gastrointestinal symptoms that surfaced about the same time autistic symptoms also appeared. The scope and range of information concerning autism available to the public is very extensive. Parents with children having autism are seen in gastroenterology and may request information related to the publicized connection between gastroenterology and autism. It is important for healthcare providers to be able to answer these questions based on the most recent research. The purpose of this article is to review an example of the current literature available to parents on this subject and compare this literature to relevant medical research.

The first successful gastrostomy was performed 130 years ago. Although it is difficult to ascertain the exact number of gastrostomy or jejunostomy tubes placed annually in the United States, it is estimated approximately 230,000 gastrostomy procedures were performed in U.S. hospitals in 2001. Of these, 11,000 were performed in children. Despite the many years gastrostomy tubes have been in use, they are not free from complications. The purpose of this article is to review the authors' experience with pediatric patients who have undergone radiographic placement of gastrostomy or jejunostomy tubes.