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Delirium after emergency hip surgery-common and serious, but rarely consented for

World Journal of Orthopedics 2019年第6期10卷 228-234页

作者： Louis J Koizia faye wilson Peter Reilly Michael B Fertleman Geriatric Medicine Imperial College NHS TrustLondon W2 1NYUnited Kingdom Geriatric Medicine City Hospitals SunderlandSunderland SR4 7TPUnited Kingdom Department of Trauma and Orthopaedics Imperial College Healthcare NHS TrustLondon W2 1NYUnited Kingdom

A quarter of patients admitted with a proximal femoral fracture suffer from an acute episode of delirium during their hospital *** it is often unrecognised,poorly managed,and rarely discussed by *** is important not only to the affected individuals and their families,but also socioeconomically to the broader *** increases mortality and morbidity,leads to lasting cognitive and functional decline,and increases both length of stay and dependence on *** should be routinely and openly discussed by all members of the clinical team,including surgeons when gaining *** to do so may expose surgeons to claims of *** we present a concise review of the literature and discuss the epidemiology,causative factors,potential consequences and preventative strategies in the perioperative period.

关键词： Delirium Proximal femoral fractures Consent Hip surgery Montgomery Medicolegal

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Ale beer containing free and immobilized Lactobacillus brevis, a potential deliverysystem for probiotics

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Food Production, Processing and Nutrition 2021年第1期3卷 92-105页

作者： Kriza faye Calumba Vondel Reyes Franklin Bonilla Elio Villasmil Subramaniam Sathivel School of Nutrition and Food Sciences 220 H.D.Wilson LaboratoriesLouisiana State University Agricultural CenterBaton RougeLA 70803USA Department of Biological and Agricultural Engineering Louisiana State UniversityBaton RougeLA 70803USA

Probiotics in ale beer may be attractive to health-conscious ***,beer conditions may decrease probiotic *** produced from durian(Durio zibethinus)rind,a by-product that is currently unutilized,can be used for the immobilization of *** medium was incubated with Lactobacillus brevis and periodically sampled to obtain the growth *** beer with free *** and cells immobilized in durian rind powder was produced and separately assessed during storage at 21°C for 24 *** physico-chemical parameters of both beers did not differ *** rind powder conferred protection up to 12 days of storage with the immobilized cells in the beer having a significantly higher count than the free cells,which can be due to the acid detergent fiber content(19.67%).Free and immobilized cells remained viable with counts of 4.89 and 5.00 log CFU/mL of beer,respectively,at the end of the storage *** treatments had approximate counts of 5 log CFU/mL after 120 min in simulated gastric and intestinal *** predominant bacterial species present at the end of storage were *** and *** study suggests that ale beer could be a potential delivery system for free and immobilized probiotic *** is one of the few studies demonstrating the use of probiotic lactic acid bacteria in beer brewing.

关键词： Probiotics Beer Durian Viability

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