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Wernicke's encephalopathy is a fatal neurological disease caused by thiamine deficiency. Many reports indicate that Wernicke's encephalopathy is caused by malnutrition. We report the case of a 79-year-old female patient who had a left masticator space and parapharyngeal space abscess who was diagnosed with Wernicke's encephalopathy. She reported problems while eating due to the presence of the abscess, but the true quantities of food she was ingesting were never assessed. Clinicians have a responsibility to provide adequate nutritional support by ensuring that patients receive adequate nutrition. Clinicians should also keep in mind that Wernicke's encephalopathy may occur in patients who experienced prolonged periods of malnutrition.


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Background:  The aim of this study was to investigate the prognostic significance and various classifications for anatomic masticator space involvement (MSI) in patients with nasopharyngeal carcinoma (NPC).

Conclusions:  MSI was an independent prognostic factor for OS and DMFS. NPCs invading the masticator space should be separately categorized into MLPI and IFI prognostic groups. We suggest that MLPI should be staged as T3 while IFI is staged as T4 disease in future TNM staging revision.

A, Axial CT scan shows a large lobulated bone density mass in the right masticator and parapharyngeal space. This mass is located in the intermuscular spaces between the medial and lateral pterygoid muscles. Central low-density areas (arrow) are seen.

B, Coronal CT scan shows a large lobulated bone density mass in the right masticator and parapharyngeal space. This mass is located in the intermuscular spaces between the medial and lateral pterygoid muscles. Central low-density areas (arrow) are seen.

D, Axial T1-weighted (750/15 [TR/TE]) image shows a low-signal-intensity mass in the right masticator and parapharyngeal space. Multiple nodules within the mass show a low-signal-intensity rim and a central high signal intensity.

It is not easy to differentiate mandibular COF from fibrous dysplasia. When it presents as a large lobulated bone-density mass in the parapharyngeal and masticator space, extraosseous osteosarcoma, chondrosarcoma, and foreign-body injection granuloma should be differentiated.

Objective:  To determine the characteristics and diagnostic value of dynamic contrast enhanced MRI (DCE-MRI) in differentiating benign soft tissue lesions from malignant tumors affecting the masticator space (MS).

To assess the effects of proportion of energy intake from fat on measures of weight and body fatness (including obesity, waist circumference and body mass index) in people not aiming to lose weight, using all appropriate randomised controlled trials (RCTs) and cohort studies in adults, children and young people

Trials where participants were randomised to a lower fat intake versus usual or moderate fat intake, but with no intention to reduce weight, showed a consistent, stable but small effect of low fat intake on body fatness: slightly lower weight, BMI and waist circumference compared with controls. Greater fat reduction and lower baseline fat intake were both associated with greater reductions in weight. This effect of reducing total fat was not consistently reflected in cohort studies assessing the relationship between total fat intake and later measures of body fatness or change in body fatness in studies of children, young people or adults.

Idealni omjeri energije iz masti u naoj hrani i njena povezanost s tjelesnom teinom nije jasna. Ovaj Cochrane sustavni pregled istraio je uinak smanjenja udjela masti u naoj hrani na tjelesnu teinu i koliinu masti u tijelu kod odraslih i djece kojima nije cilj smanjiti tjelesnu teinu. Dokazi se temelje na 32 klinika pokusa s vie od 52.000 ispitanika. Rezultati sustavnog pregleda pokazuju da smanjenje udjela masti u prehrani dovodi do malog, ali zamjetnog smanjenja tjelesne teine, indeksa tjelesne mase i opsega struka. Taj je uinak utvren i u odraslih i u djece. Uinak se nije promijenio tijekom vremena. 9af72c28ce

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