OBJECTIVE To test whether gastric acid suppressants are associated with an increased risk of postoperative pneumonia in patients undergoing elective surgery. DESIGN Population-wide retrospective cohort analysis. SETTING Canadian acute care hospitals between 1 April 1992 and 31 March 2008. Patients Consecutive patients aged >65 years admitted for an elective operation. OUTCOME MEASURE Post...

Formation of multiple fundic gland polyps or hyperplastic in the gastric mucosa is one well-known adverse effects long-term acid suppression therapy for peptic ulcer disease. However, similar phenomenon has not been reported to occur duodenum. We report a case duodenal polypoid lesion that developed after use suppressants and disappeared cessation treatment. The patient was 76-year-old man with...

Background. Recently in France, primary pulmonary hypertension developed in a cluster of patients exposed to derivatives of fenfluramine in appetite suppressants (anorexic agents), which are used for weight control. We investigated the potential role of anorexic agents and other suspected risk factors for primary pulmonary hypertension. Methods. In a case-control study, we assessed 95 patients ...

In 2012 the American College of Rheumatology (ACR) established its first-ever gout treatment guidelines. These guidelines address whom to treat, how to treat, and lifestyle and medication changes to make when treating patients with gout. In this manuscript, we review the ACR guidelines, with special attention to the issues of treating to target, and when and how to prevent attacks during urate-...

In this case, we present a patient with the diagnosis of bilateral olecranon tophaceous gout. After the surgical treatment, there was no limitation of range of motion or wound problem at 6th month control.

Effects of chemically-passive fire suppressants on laminar premixed hydrogen flames were investigated by combined use of microgravity experiments and computations. The experiments used a short-drop free-fall laboratory facility that provides at least 450 ms of 2 10 g. Near -limit laminar burning velocities were measured for outwardly propagating spherical stoichiometric hydrogen-air flames with...