Laparoscopic Natural Orifice Specimen Extraction (NOSE) Total Colectomy with ...semualkaira
The benefit of laparoscopic surgery in terms of
reduced pain and fewer cosmetic problems is not always obvious,
and surgeons continue to seek the best ways to limit incision trauma and improve outcomes in laparoscopic colorectal surgery
This document reviews interventional endoscopic ultrasound (EUS) procedures, including EUS-guided fine needle aspiration (FNA). EUS-FNA is a safe and accurate procedure used to diagnose lesions in the esophagus, pancreas, lymph nodes, liver, lungs and other organs. It has a diagnostic accuracy of 64-94% for pancreatic masses. EUS also guides drainage of pancreatic pseudocysts and bile ducts when conventional endoscopy fails. Emerging applications include EUS-guided celiac plexus neurolysis for pain relief, fiducial placement for tumor localization, and ablation techniques for treating pancreatic cysts and tumors. In summary, the document outlines the various diagnostic and therapeutic applications of
Changes in the Local Therapy of Primary and Secondary Liver Tumors with Curat...semualkaira
Malignant liver tumors encompass a wide range of primary malignancies, and the liver is a vital target organ for metastases from various cancers. Commonly accompanied by systemic therapy, surgical treatment is a well-established option. Numerous innovations made even complex liver resections with extensive tumor burden safe and effective.
Changes in the Local Therapy of Primary and Secondary Liver Tumors with Curat...semualkaira
Malignant liver tumors encompass a wide range of primary malignancies, and the liver is a vital target organ for metastases from various cancers. Commonly accompanied by systemic therapy, surgical treatment is a well-established option. Numerous innovations made even complex liver resections with extensive tumor burden safe and effective.
Changes in the Local Therapy of Primary and Secondary Liver Tumors with Curat...semualkaira
Malignant liver tumors encompass a wide range of primary malignancies, and the liver is a vital target organ for metastases from various cancers. Commonly accompanied by systemic therapy, surgical treatment is a well-established option. Numerous innovations made even complex liver resections with extensive tumor burden safe and effective.
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After LAleksandr Reznichenko
This document describes a case study of a rectal mucocele that was successfully treated with repeated CT-guided drainage after a patient underwent low anterior resection for rectal prolapse. A rectal mucocele developed as a fluid-filled cyst near the rectal stump that caused symptoms. It was drained multiple times under CT guidance, with catheters inserted each time. Analysis of the fluid indicated it was a rectal mucocele rather than an abscess. This case demonstrates that repeated CT-guided drainage can successfully treat a rectal mucocele in a patient who was not a candidate for surgical resection.
Prospective evaluation of single operator peroral cholangioscopy in liverDr. Zubin Sharma M.D.
This study evaluated the feasibility and clinical utility of single-operator cholangioscopy (SOC) using the SpyGlass system in liver transplant recipients with biliary complications. The study found that SOC allowed for direct visualization of biliary anastomotic strictures and identification of two patterns (patterns A and B) with different responses to endoscopic treatment. Pattern A strictures responded better to ERCP therapy and required shorter stenting durations than pattern B strictures. SOC also detected additional bile duct stones in some patients. The results suggest SOC can help predict outcomes and guide management of biliary complications after liver transplant.
Uretero-Enteric Anastomosis Stricture after Urinary Diversion; Detailed Analy...JohnJulie1
To report the lessons we have learned in the management of uretero-enteric anastomosis stricture (UEAS) in a tertiary urology center over a decade of experience.
Laparoscopic Natural Orifice Specimen Extraction (NOSE) Total Colectomy with ...semualkaira
The benefit of laparoscopic surgery in terms of
reduced pain and fewer cosmetic problems is not always obvious,
and surgeons continue to seek the best ways to limit incision trauma and improve outcomes in laparoscopic colorectal surgery
This document reviews interventional endoscopic ultrasound (EUS) procedures, including EUS-guided fine needle aspiration (FNA). EUS-FNA is a safe and accurate procedure used to diagnose lesions in the esophagus, pancreas, lymph nodes, liver, lungs and other organs. It has a diagnostic accuracy of 64-94% for pancreatic masses. EUS also guides drainage of pancreatic pseudocysts and bile ducts when conventional endoscopy fails. Emerging applications include EUS-guided celiac plexus neurolysis for pain relief, fiducial placement for tumor localization, and ablation techniques for treating pancreatic cysts and tumors. In summary, the document outlines the various diagnostic and therapeutic applications of
Changes in the Local Therapy of Primary and Secondary Liver Tumors with Curat...semualkaira
Malignant liver tumors encompass a wide range of primary malignancies, and the liver is a vital target organ for metastases from various cancers. Commonly accompanied by systemic therapy, surgical treatment is a well-established option. Numerous innovations made even complex liver resections with extensive tumor burden safe and effective.
Changes in the Local Therapy of Primary and Secondary Liver Tumors with Curat...semualkaira
Malignant liver tumors encompass a wide range of primary malignancies, and the liver is a vital target organ for metastases from various cancers. Commonly accompanied by systemic therapy, surgical treatment is a well-established option. Numerous innovations made even complex liver resections with extensive tumor burden safe and effective.
Changes in the Local Therapy of Primary and Secondary Liver Tumors with Curat...semualkaira
Malignant liver tumors encompass a wide range of primary malignancies, and the liver is a vital target organ for metastases from various cancers. Commonly accompanied by systemic therapy, surgical treatment is a well-established option. Numerous innovations made even complex liver resections with extensive tumor burden safe and effective.
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After LAleksandr Reznichenko
This document describes a case study of a rectal mucocele that was successfully treated with repeated CT-guided drainage after a patient underwent low anterior resection for rectal prolapse. A rectal mucocele developed as a fluid-filled cyst near the rectal stump that caused symptoms. It was drained multiple times under CT guidance, with catheters inserted each time. Analysis of the fluid indicated it was a rectal mucocele rather than an abscess. This case demonstrates that repeated CT-guided drainage can successfully treat a rectal mucocele in a patient who was not a candidate for surgical resection.
Prospective evaluation of single operator peroral cholangioscopy in liverDr. Zubin Sharma M.D.
This study evaluated the feasibility and clinical utility of single-operator cholangioscopy (SOC) using the SpyGlass system in liver transplant recipients with biliary complications. The study found that SOC allowed for direct visualization of biliary anastomotic strictures and identification of two patterns (patterns A and B) with different responses to endoscopic treatment. Pattern A strictures responded better to ERCP therapy and required shorter stenting durations than pattern B strictures. SOC also detected additional bile duct stones in some patients. The results suggest SOC can help predict outcomes and guide management of biliary complications after liver transplant.
Uretero-Enteric Anastomosis Stricture after Urinary Diversion; Detailed Analy...JohnJulie1
To report the lessons we have learned in the management of uretero-enteric anastomosis stricture (UEAS) in a tertiary urology center over a decade of experience.
When and Where? Hybrid Procedure after Percutaneous Coronary Interventionsemualkaira
Invasive angiography in high risk of significant disease is class A of recommendation. Myocardial infarction caused by dissection of
coronary artery is very rare complication. The infarct-related artery (IRA) should be treated during the initial intervention. If PCI of the
IRA cannot by performed coronary artery bypass (CABG) should be considered.
Incidence of VTE in the First Postoperative 24 Hours after Abdominopelvic Sur...semualkaira
A good number of research reports the incidence of postoperative venous thromboembolism (VTE) mostly
looks at longer postoperative duration, usually days after surgery.
1.2. Objective: We investigated the incidence of early asymptomatic VTE (24 hours postoperatively) to assess the relevance of generalisation of extended post-hospital discharge chemoprophylaxis
Analyses of Risk Factors of Diarrhea in Patients with Esophagectomysemualkaira
Esophageal cancer is one of the most common
cancers of the world and surgery is an effective treatment for that.
However, long-term complications, such as diarrhea, are the focus
on the postoperative quality of life. Until now, the etiologies of
diarrhea after esophagectomy are still ill-defined
Protective Effect of Essential Oil of Pelargonium Graveolens against Paraceta...semualkaira
Pelargonium graveolens is an aromatic and medicinal plant, belonging to the Geraniaceae family that grows in temperate areas of
the world, which characterized by its therapeutic proprieties. It is
widely known as one of the medicinal herbs with the highest antioxidant activity. T
Axonal Polyneuropathy with Anti-Caspr1 Igg1 Paranodal Antibodiessemualkaira
The main electrophysiological manifestation of
autoimmune paranodopathy with anti-contactin-associated protein
1 (Caspr1) positive reported previously was demyelination, with
or without axonal involvement. Here, we reported a patient with
anti-Caspr1 IgG1 positive who had severe axonal involvement accompanied less evidence of demyelination.
Laryngeal Lesion of Epidermolysis Bullosa: Topical Use of Mitomycin-Csemualkaira
Epidermolysis bullosa (EB) is a mucocutaneous genetic disease
characterized by fragility of the dermoepidermal junction. Laryngeal lesions frequently occur in junctional epidermolysis bullosa
(JEB), a subtype of EB.
The Efficacy and Safety of Convalescent Plasma for COVID-19 Patients: A Meta-...semualkaira
Convalescent plasma (CP) was demonstrated
promising benefit for clinical practice involved in efficacy and
safety in previous coronavirus pandemics, however, the efficacy of
CP from COVID-19 sufferers are still controversial and unascertainable based on current randomized controlled trials (RCTs). The
urgent needs for affirmative replies on the efficacy and safety of
CP for COVID-19 patients must be developed as soon as possible.
Borderline Ovarian Tumors – Diagnostic and Treatment Modalitiessemualkaira
Ovarian tumors occur in one third of all women gynecology organs. Out of that borderline ovarian tumors occur in 10 – 15% out
of all ovarian tumors. They are tumors with low malignant potential, which are different from benign lesions and malignancies by
its’ biological behavior and by histological structure
The human microbiota is an extremely large system with its majority inhabitin...semualkaira
Human microbiota is the system englobing more than 100 trillion
microorganisms living in symbiosis with the hosting body [1, 2].
The majority of the human microbiota inhabits the gastrointestinal
tract especially the colon
COVID-19 Infection Occurring in The Postoperative Period in A Patient Who Und...semualkaira
While the coronavirus-associated Covid-19 infection remains a
risk for people all over the world as a pandemic, it is also a major
catastrophic clinical situation for patients undergoing surgery in
hospitals. If patients encounter this infection picture, especially
after severe operations such as heart surgery, the life-threatening
rates increase gradually.
Incisional Hernia Occurring after Ventriculoperitoneal Shunt Fixationsemualkaira
Ventriculo-peritoneal shunt is the procedure of choice for hydrocephalus. Various complications of ventriculoperitoneal shunts
were reported. Abdominal complications involving the distal tip
of the catheter make the majority of the complications. In this case
report we present a case of incisional hernia occurring in a patient
who underwent fixation of ventriculoperitoneal shunt followed by
revision of the shunt after a while.
Fatal Condition of Aortic Dissection Produces Symptoms of Sudden and Tearing ...semualkaira
Aortic dissection is a very difficult condition in which the inner
sheath of the aortic wall is torn without tearing the outer sheath.
This causes blood to enter the aortic wall through the tear, which
further splits the mediastinum and creates a new channel in the
aortic wall. The serious and often fatal condition of aortic dissection produces symptoms of sudden and tearing chest pain. Although aortic dissection mostly occurs in people around the age of
60, the peak incidence in people with Marfan syndrome is between
20 and 40 years of age.
Deletion of TLR4 Ameliorates Inflammation Response and Apoptosis in Septic Ca...semualkaira
Septic cardiomyopathy (SCM) is featured by
severe myocardial dysfunction and remains one of the lethal complications in clinical sepsis. Toll-like receptor 4 (TLR4) signaling
is known as a classical innate pathway in heart diseases, whereas
the precise underlying mechanism of TLR4 in SCM remains elusive. This study was designed to examine the specific role of TLR4
in SCM with a focus on inflammation and apoptosis.
Prospective Study of Acute Appendicitis with its Clinical, Radiological Profi...semualkaira
Acute appendicitis is the most common condition encountered in general surgical practice. Alvarado and Modified Alvarado Scores (MASS) are the commonly used scoring
systems for its diagnosis, but its performance has been found to
be poor in certain populations. Hence, we compared the RIPASA
score with MASS, to find out which is a better diagnostic tool for
acute appendicitis in the Indian population.
Surgery or Endovascular Treatment, which is the Better Way to Treat Acute and...semualkaira
To investigate the influence of surgical and endovascular treatment on the prognosis of acute and chronic mesenteric ischemia and to further evaluate whether endovascular
treatment can reduce postoperative complications by performing
a meta-analysis.
Rare Case Of Primary Pulmonary Dedifferentiated Liposarcomasemualkaira
Liposarcoma is a relatively common soft tissue sarcoma, but primary pulmonary liposarcomas are extremely rare, expecially for
dedifferentiated subtype. We report the case of a 44-year-old African woman, healed from SARS-Covid, who presented with a 8
cm right lung ilary mass and underwent to a right intrapericardial pneumonectomy with diaphragmatic and pleural resections.
Histological test confirmed diagnosis of dedifferentiated primary
pulmonary liposarcoma. The patient recovered well having an uncomplicated postoperative course and was discharged after 7 days.
On four months follow up the patient was still alive and without
evidence of disease. More studies have to be conducted because
very few cases are reported in literature.
Psychological Impact and Sexual Behavior in Patients with Genital and Anal Co...semualkaira
Genital warts are benign viral tumors of the skin or mucous membranes, due to human papillomaviruses. Rare are the authors who
insist on studying the psycho-affective and sexual impact of this
condition.
A Case Report of Hypothermia Rescued by Veno-Arterial Extracorporeal Membrane...semualkaira
Severe hypothermia is a life-threatening condition that often causes hemodynamic instability or cardiac arrest
and carries a high risk of mortality. The use of VA-ECMO in this
indication has greatly improved the prognosis of patients.
Experimental Analysis of Tear Fluid and their Processing for the Diagnosis of...semualkaira
A pilot analysis of the tear fluid of patients with multiple sclerosis (MS) collected by glass microcapillary was performed using
various experimental methods: liquid chromatography-mass spectrometry, Raman spectroscopy
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
When and Where? Hybrid Procedure after Percutaneous Coronary Interventionsemualkaira
Invasive angiography in high risk of significant disease is class A of recommendation. Myocardial infarction caused by dissection of
coronary artery is very rare complication. The infarct-related artery (IRA) should be treated during the initial intervention. If PCI of the
IRA cannot by performed coronary artery bypass (CABG) should be considered.
Incidence of VTE in the First Postoperative 24 Hours after Abdominopelvic Sur...semualkaira
A good number of research reports the incidence of postoperative venous thromboembolism (VTE) mostly
looks at longer postoperative duration, usually days after surgery.
1.2. Objective: We investigated the incidence of early asymptomatic VTE (24 hours postoperatively) to assess the relevance of generalisation of extended post-hospital discharge chemoprophylaxis
Analyses of Risk Factors of Diarrhea in Patients with Esophagectomysemualkaira
Esophageal cancer is one of the most common
cancers of the world and surgery is an effective treatment for that.
However, long-term complications, such as diarrhea, are the focus
on the postoperative quality of life. Until now, the etiologies of
diarrhea after esophagectomy are still ill-defined
Protective Effect of Essential Oil of Pelargonium Graveolens against Paraceta...semualkaira
Pelargonium graveolens is an aromatic and medicinal plant, belonging to the Geraniaceae family that grows in temperate areas of
the world, which characterized by its therapeutic proprieties. It is
widely known as one of the medicinal herbs with the highest antioxidant activity. T
Axonal Polyneuropathy with Anti-Caspr1 Igg1 Paranodal Antibodiessemualkaira
The main electrophysiological manifestation of
autoimmune paranodopathy with anti-contactin-associated protein
1 (Caspr1) positive reported previously was demyelination, with
or without axonal involvement. Here, we reported a patient with
anti-Caspr1 IgG1 positive who had severe axonal involvement accompanied less evidence of demyelination.
Laryngeal Lesion of Epidermolysis Bullosa: Topical Use of Mitomycin-Csemualkaira
Epidermolysis bullosa (EB) is a mucocutaneous genetic disease
characterized by fragility of the dermoepidermal junction. Laryngeal lesions frequently occur in junctional epidermolysis bullosa
(JEB), a subtype of EB.
The Efficacy and Safety of Convalescent Plasma for COVID-19 Patients: A Meta-...semualkaira
Convalescent plasma (CP) was demonstrated
promising benefit for clinical practice involved in efficacy and
safety in previous coronavirus pandemics, however, the efficacy of
CP from COVID-19 sufferers are still controversial and unascertainable based on current randomized controlled trials (RCTs). The
urgent needs for affirmative replies on the efficacy and safety of
CP for COVID-19 patients must be developed as soon as possible.
Borderline Ovarian Tumors – Diagnostic and Treatment Modalitiessemualkaira
Ovarian tumors occur in one third of all women gynecology organs. Out of that borderline ovarian tumors occur in 10 – 15% out
of all ovarian tumors. They are tumors with low malignant potential, which are different from benign lesions and malignancies by
its’ biological behavior and by histological structure
The human microbiota is an extremely large system with its majority inhabitin...semualkaira
Human microbiota is the system englobing more than 100 trillion
microorganisms living in symbiosis with the hosting body [1, 2].
The majority of the human microbiota inhabits the gastrointestinal
tract especially the colon
COVID-19 Infection Occurring in The Postoperative Period in A Patient Who Und...semualkaira
While the coronavirus-associated Covid-19 infection remains a
risk for people all over the world as a pandemic, it is also a major
catastrophic clinical situation for patients undergoing surgery in
hospitals. If patients encounter this infection picture, especially
after severe operations such as heart surgery, the life-threatening
rates increase gradually.
Incisional Hernia Occurring after Ventriculoperitoneal Shunt Fixationsemualkaira
Ventriculo-peritoneal shunt is the procedure of choice for hydrocephalus. Various complications of ventriculoperitoneal shunts
were reported. Abdominal complications involving the distal tip
of the catheter make the majority of the complications. In this case
report we present a case of incisional hernia occurring in a patient
who underwent fixation of ventriculoperitoneal shunt followed by
revision of the shunt after a while.
Fatal Condition of Aortic Dissection Produces Symptoms of Sudden and Tearing ...semualkaira
Aortic dissection is a very difficult condition in which the inner
sheath of the aortic wall is torn without tearing the outer sheath.
This causes blood to enter the aortic wall through the tear, which
further splits the mediastinum and creates a new channel in the
aortic wall. The serious and often fatal condition of aortic dissection produces symptoms of sudden and tearing chest pain. Although aortic dissection mostly occurs in people around the age of
60, the peak incidence in people with Marfan syndrome is between
20 and 40 years of age.
Deletion of TLR4 Ameliorates Inflammation Response and Apoptosis in Septic Ca...semualkaira
Septic cardiomyopathy (SCM) is featured by
severe myocardial dysfunction and remains one of the lethal complications in clinical sepsis. Toll-like receptor 4 (TLR4) signaling
is known as a classical innate pathway in heart diseases, whereas
the precise underlying mechanism of TLR4 in SCM remains elusive. This study was designed to examine the specific role of TLR4
in SCM with a focus on inflammation and apoptosis.
Prospective Study of Acute Appendicitis with its Clinical, Radiological Profi...semualkaira
Acute appendicitis is the most common condition encountered in general surgical practice. Alvarado and Modified Alvarado Scores (MASS) are the commonly used scoring
systems for its diagnosis, but its performance has been found to
be poor in certain populations. Hence, we compared the RIPASA
score with MASS, to find out which is a better diagnostic tool for
acute appendicitis in the Indian population.
Surgery or Endovascular Treatment, which is the Better Way to Treat Acute and...semualkaira
To investigate the influence of surgical and endovascular treatment on the prognosis of acute and chronic mesenteric ischemia and to further evaluate whether endovascular
treatment can reduce postoperative complications by performing
a meta-analysis.
Rare Case Of Primary Pulmonary Dedifferentiated Liposarcomasemualkaira
Liposarcoma is a relatively common soft tissue sarcoma, but primary pulmonary liposarcomas are extremely rare, expecially for
dedifferentiated subtype. We report the case of a 44-year-old African woman, healed from SARS-Covid, who presented with a 8
cm right lung ilary mass and underwent to a right intrapericardial pneumonectomy with diaphragmatic and pleural resections.
Histological test confirmed diagnosis of dedifferentiated primary
pulmonary liposarcoma. The patient recovered well having an uncomplicated postoperative course and was discharged after 7 days.
On four months follow up the patient was still alive and without
evidence of disease. More studies have to be conducted because
very few cases are reported in literature.
Psychological Impact and Sexual Behavior in Patients with Genital and Anal Co...semualkaira
Genital warts are benign viral tumors of the skin or mucous membranes, due to human papillomaviruses. Rare are the authors who
insist on studying the psycho-affective and sexual impact of this
condition.
A Case Report of Hypothermia Rescued by Veno-Arterial Extracorporeal Membrane...semualkaira
Severe hypothermia is a life-threatening condition that often causes hemodynamic instability or cardiac arrest
and carries a high risk of mortality. The use of VA-ECMO in this
indication has greatly improved the prognosis of patients.
Experimental Analysis of Tear Fluid and their Processing for the Diagnosis of...semualkaira
A pilot analysis of the tear fluid of patients with multiple sclerosis (MS) collected by glass microcapillary was performed using
various experimental methods: liquid chromatography-mass spectrometry, Raman spectroscopy
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Annals of Clinical and Medical Case Reports - Acmcasereport
1. Annals of Clinical and Medical
Case Reports
ISSN 2639-8109
Case Report
Intravenous&EndocavitaryContrastEnhancedUltrasound(CEUS)
in Multiseptated Pyogenic Liver Abscess Drainage
Filippou P1, 2,3
, Bazinas T2
, Loxas D2
, Papadopoulos P1,2
and Doryforou O1*
1
Ultrasound Imaging Department, 251 Airforce General & Veterans Hospital, Athens, Greece
2
Interventional Radiology Laboratory, 251 Airforce General & Veterans Hospital, Athens, Greece
3
2nd
Department of Radiology, National and Kapodistrian University of Athens, Athens, Greece
1. Abstract
Pyogenic liver abscess is a potentially life-threatening pathology, while image-guided drainage is
highly indicative as first-line treatment approach. We report the case of an 84-year-old woman, diag-
nosed with large multiseptated pyogenic liver abscess, aiming to stress out the immense contribution
2. Key words
Liver abscess drainage; Con-
trast-Enhanced Ultrasound;
Endocavitary CEUS; Sonovue;
Image guided intervention
of both intravenous and endocavitary administration of Sonovue™
(Bracco-Milan) in US-guided per-
cutaneous interventional procedures.
3. Abbreviations: CEUS: Contrast-Enhanced Ultrasound; US:
Ultrasound; CT: Computerized Tomography; MRI: Magnetic Res-
onance Imaging; MI: Mechanical Index; IV: Intravenous; PLA:
Pyogenic Liver Abscess
4. Introduction
Throughout the last decades, an imaging revolution with the ac-
cretive use of Ultrasound Contrast agents (UCAs) and a gradual
establishment of Contrast Enhanced Ultrasound (CEUS) as anim-
aging technique, are being witnessed. Although the value of CEUS
in diagnostic practice have been demonstrated by numerous stud-
ies, the utilization of UCAs in interventional procedures has been
emerging the last few years, either with intravenous or endocavi-
tary administration [1].
On the other hand, pyogenic liver abscess (PLA) is a high mortality
associated pathology with a rate ranging from 10-40% [2]. Now-
adays, the vast majority of etiologies of PLAs concern pathologic
conditions of the biliary tract, when a certain risk factor is present
[3]. Combined antibiotic therapy and image-guided percutaneous
drainage have become the first-line treatment in most cases, greatly
improving patients’ prognosis, hence the decrease of the mortality
rate to 6.31% [3-5].
In this study, the feasibility of intravenous and intracatheterad-
ministration of Sonovue™
as an UCA in management of a complex
PLA is demonstrated, aiming to stress out Contrast Enhanced Ul-
trasound contribution and possibilities in ultrasound guided inter-
ventional procedures, as well as the benefits arising from the use
of UCAs contrary to B-mode imaging, for daily clinical practice,
in complex septic liver fluid collections needing percutaneous in-
tervention.
5. Case Report
An 84-year-old female with no prior relevant medical history
presented to the emergency department with symptoms of acute
cholangitis and sepsis. Initial laboratory results demonstrated in-
creased white blood cell (WBC) count (~14X103
) and deranged
values of hepatic enzymes and C-Reactive Protein (CRP). Imag-
ing investigation with unenhanced abdominal US, revealed a large
(~15X13 cm) hypoechoic micro cystic lesion in the right liver
lobe, dilated common bile duct and choledocholithiasis, indicative
of liver abscess due to ascending cholangitis. Abdominal CT and
MRI scans demonstrated a large multiloculated, peripherally en-
hancing lesion, with low density (on CT)/hyperintense (on DWI)
numerous central regions, involving multiple liver segments (IV, V,
VI), confirming the diagnosis of a large multiseptated liver abscess
(Figure 1).
*Corresponding Author (s): Ortansia Doryforou, Head of Imaging Department of
Ultrasound, 251 Airforce General & Veterans Hospital, 3, P. Kanellopoulou Av., 11525,
Athens, Greece, E-mail: odoryforou@yahoo.gr
http://www.acmcasereport.com/
Citation: Filippou P, Bazinas T, Loxas D, Papadopoulos P and Doryforou O. Intravenous & Endocavitary
Contrast Enhanced Ultrasound (CEUS) in Multiseptat- ed Pyogenic Liver Abscess Drainage. Annals of Clinical
and Medical Case Reports. 2020; 3(4): 1-4.
Volume 3 Issue 4 2020
Received Date: 15 Mar 2020
Accepted Date: 16 Mar 2020
Published Date: 24 Mar 2020
3. Volume 3 Issue 4-2020 Case Report
http://www.acmcasereport.com/ 3
Figure 4: Endocavitary CEUS; injection via the misplaced catheter. Note
the microbubble jet over the liver capsule to the peritoneal cavity (arrow).
Following a slight retraction, intracatheter Sonovue™
injection demonstrates
correct catheter sitting.
On the contrary to other contrast-enhanced modalities, CEUS is a
cost-effective, radiation-free and real-time examination and may
be performed bedside, proving portability as an important char-
acteristic for image-guided interventional procedures. Moreover,
modern second generation UCAs (such as Sonovue™
) have a non
nephrotoxic profile and their administration is rarely complicated
with allergic or severe adverse reactions [1, 11, 14, 16].
CEUS is a well proven imaging modality that improves the de-
tection and characterization of a liver abscess, with the presence
of rim enhancement (in arterial phase), septa enhancement (hon-
eycomb appearance), no enhancement in the cystic areas and ve-
nous hypoenhancement being the most common imaging features
of this certain pathology [10]. While hepatic abscesses require the
careful assessment of several aspects (number of lesions, size, con-
tent, extent of the abscess and presence of fistulas) CEUS improves
imaging quality, thus being very useful for interventional proce-
dure planning and process[9-11].
7. Conclusion
Pre-interventional intravenous CEUS is a useful tool, providing
substantial details in PLA imaging. Abscess cavities, as long as the
surrounding structures can be distinctly depicted, in order to plan
the ideal track towards the target sites [12, 14, 16, 17].
In concordance with current literature, endocavitary injection of
Sonovue™
in PLA has been an invaluable process in our case, delin-
eating the abscess cavities, confirming inter septal communication
and allowing the identification of correct positioning of drainage
catheters [15, 16, 18-21].
The utilization of both intravenous and endocavitary CEUS could
further assist interventional radiologists in management of com-
plex liver abscesses, increasing the success rate in drainage, whilst
lessening the complication rates and the patient-doctor radiation
induced.
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