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Articles Related to ICU

A Clinical Case Study of Paratesticular Rhabdomyosarcoma of Young Adult

Para-testicular rhabdomyosarcoma (RPT) is a rare tumor of children and adolescents. The diagnosis is made by the anatomopathological study. The treatment must be multimodal and involves surgery, chemotherapy and radiotherapy. We report the case of a 19-year-old adolescent in our department for an embryonic-type para-testicular rhabdomyosarcoma. Our aim is to expose a rare and unknown case that may be life-threatening. We would like to emphasize on the fact that paratesticular rhabdomyosarcoma need to be brought up in front of a tissular process expanding in the scrotum with normal testicules.
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Occurrences of Dairy Calf Mortality and Morbidity and the Associated Risk Factors in Sululta and its Environs, Central Ethiopia

Calf morbidity and mortality are important causes of economic losses on dairy farms worldwide. A cross-sectional study and clinical observation was conducted from November 2016 to April 2017 with the objective of determining calf morbidity and mortality and to investigate the potential risk factors for mortality and morbidity in Sululta and its environs. A total of 312 respondents engaged in market oriented small holder dairying were interviewed using a structured questionnaire survey about their farm and calf management practices and major calf health problems encountered and diseases that causes mortality. The overall magnitude of morbidity and mortality of calves were 31.0% and 58.37%, respectively. The major calf diseases found were diarrhea (69.34%), pneumonia (16.54%), liver fluke (2.4%), bloat (2.0%), joint ill (2.4%) and other cases (8.04%). Risk factors such as weaning age, breed and awareness of colostrums, feeding of calf and overall farm management were included. In this study 80.3% of calf mortality occurs under age 3 month and 19.42% is above 3 month. Based on laboratory examination, Salmonella and E.coli were detected from diarrheic calves. Salmonella found at rate of 2/29 (3.6%) and E.coli found at only genus level. In conclusion, the magnitude of calf morbidity and mortality found in this study were much higher than economically tolerable level and could greatly affect the productivity of the dairy farms through mainly decreasing the availability of replacement stock and production of milk. It is therefore, suggested that implementation of improved calf and farm management practices and proper environmental protection in the study areas would significantly reduce calf mortality and morbidity.
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Epidemiological Profile of Congenital Cardiopathy Neonatal Revelation in Tehran

Congenital heart disease is the most common congenital disorder in newborns represents a major cause of perinatal death. The prevalence of these malformations is still unrecognized in Tunisia because of the lack of a national register. The aim of this study was describe the epidemiological and clinical aspects of the heart diseases with neonatal diagnosis in Tunisia.
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His Bundle Pacing: Short Review of Literature and Technical Aspects

History of pacing has evolved from the primitive state of temporary transvenous pacing by a large fixed machine to leadless modern technology. The pacing site has also been changed from traditional right ventricular apex to various other sites. The concept behind such experiment was due to several complications in the long term from traditional Right Ventricular Apical Pacing (RVAP). The His Bundle pacing results in conduction and contraction similar to and more often called physiological pacing. This mini-review describes the short history of the evolution of the concept of His Bundle pacing and its technical aspects of successful implantation.
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Importance of Bats (Order Chiroptera) in Agricultural Services

Bats (order Chiroptera) are one of the diverse mammal groups and distinguishing from other mammals by their real flight. Bats have long been postulated to play essential roles in agriculture including arthropod suppression, seed dispersal, pollination, biological indicator, organic fertilizer provider (guano) and improving soil structure, etc.
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Impact of Myocardial Revascularization on the Range of Joint Motion of the Superior and Inferior Members

The surgical procedure for myocardial revascularization (MRI) may compromise chest stability, compliance and range of motion (ROM) of the shoulder joint due to sternotomy and knee joint due to saphenectomy.To evaluate the impact of myocardial revascularization surgery on upper and lower limb ROM
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Quality of Life after Accidental Major Vascular Injury and Prolonged ICU Stay - A Case Report

Survival or mortality rate is a reasonable choice of an outcome measure for critically ill patients in intensive care unit (ICU). But it is also important to assess the impact of critical illness and peri-operative complications on health status and quality of life (QoL) after hospital discharge. The QLQ-C30 is a 30-item cancer-specific questionnaire that incorporates five functioning scales (physical, role, cognitive, emotional, and social), eight symptoms scales, perceived financial impact of the disease and a global scale [1-5].
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Prevalence of Subclinical Levt Ventricular Diastolic Dysfunction in Patient with Metabolic Syndrome in West Region of the Republic of Macedonia

Metabolic Syndrome (MetS) has been associated with subclinical changes in cardiac structure and function, including left ventricular diastolic dysfunction (LVDD) and is strong risk factors for the future development of clinical heart failure, and specifically increases the risk of heart failure with preserved ejection fraction. To date, the evidence on the prevalence of subclinical LVDD in patient with MetS and relation to components of the MetS, in west region of the Republic of Macedonia are scarce.
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Management, Clinical Course and Treatment Outcome of Postpartum Uterine Atony

By reporting a case series from a referral hospital we aimed to determine the treatment options and outcomes of one of the serious complications of the labour uterine atony refractory to the medical treatment. In this study, a total of 58 postpartum uterine atony cases refractory to uterotonic treatment and managed with intrauterine balloon tamponade, B-Lynch suture, internal iliac artery ligation or hysterectomy was a retrospectively analyzed. Initially, thirty two cases managed with intrauterine Bakri balloon tamponade and six B-Lynch compression sutures alone, in eight cases both procedures were done together. Eight cases managed with internal iliac artery ligation and four hysterectomies. Our success rate with intrauterine Bakri balloon tamponade, B-Lynch compression suture and internal iliac artery ligation were 84.4%, 83.3%, 75% respectively in stopping postpartum haemorrhage regarding uterine atony and the most successfull rate was obtained with the Bakri balloon tamponade in the combination with B-Lynch compression suture 87.5%. The median estimated blood loss was 2018ml, intraoperative median hemoglobin was 5.8 mg/dl and the median amount of blood transfused was five units, the median volume infused into balloon was 285ml; balloon was in place for a median duration of 36 hours. In 6 cases Bakri balloon tamponade with or without B-Lynch compression sutures failed to stop haemorrhage and hysterectomy required. In two patients Asherman’s syndrome and infertility, in two patients’ amenore were developed and uterine prolapse was observed in 2 patients, one of which was uterine necrosis. No maternal mortality was observed.
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B-Lines on Chest Ultrasound Predicts Elevated Left Ventricular Diastolic Pressures

Background: Echocardiography and lung ultrasound are important tests for assessing left the ventricular function in patients presented to the emergency department with acute pulmonary edema. Chest ultrasound is becoming an important tool in diagnosing acute pulmonary edema. Aim: To investigate the relationship between the B profile on ultrasound chest and Spectral tissue Doppler echocardiography (E/e’ratio) in patients presented with the suspicion of acute pulmonary edema. Methods: This paper reports a prospective observational study of 61 consecutive patients, which was presented with symptoms and signs of pulmonary edema and B - profile detected by echocardiography with a 5 MHz curvilinear probe. Critical care physicians trained in ultrasound examination performed echocardiography and chest ultrasounds.
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Scalp, Skull, Lung and Bone Metastasis from Follicular Thyroid Carcinoma - A Rare Case Report

Concurrent scalp, skull, lung and bone metastasis from follicular thyroid carcinoma is a very rare event. We herein present the case of a 37- year’s old lady, who presented to us with huge scalp swelling that proved to be metastasis from a follicular thyroid carcinoma. The metastatic workup disclosed bilateral lung metastasis and additional metastasis in right iliac crest and 6th rib. The course of her disease was relentless. Although follicular thyroid carcinoma has an excellent prognosis, the presence of metastatic disease leads to a very dismal prognosis.
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Epiphyseal Closure of Femur, Tibia and Fibula of the Paca (Cuniculus Paca, Linnaeus, 1766)

After capybara, paca (Cuniculus paca) is the largest rodent in the neotropical region and the body weight varies from 5 to 10 kg, and may reach up to 14 kg. They are animals that reach sexual maturity at around 10 months of age. The aim of this research is to examine, through radiography, the femur, tibia and fibula of the paca. The animals were anaesthetized for radiographic exams. At 6 months of age, the growth line of the femoral proximal epiphysis ceases to perform its functions. At 12 months of age, there is the closure of the line growth of distal femoral epiphysis. At the paca’s tibia, at 12 months old, there was the closure of the growth of the proximal epiphysis. In the distal epiphysis, the closure of the line growth also occurred at 12 months old. At the paca’s fibula, the bone activity of proximal epiphysis ceases with only 23 months old. The distal fibular epiphysis ends its development with 15 months. There are similarities and differences relative to the closure of the pacas’ epiphysis femur, tibia and fibula comparing with dogs and cats.
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Goldenhar Syndrome: A Perpetual Airway Challenge for the Anaesthesiologist

Patients with Goldenhar syndrome present as difficult airway to the anaesthesiologist due to various craniofacial anomalies like hemifacial microsomia, retrognathia and high arched palate. Also, these patients often undergo repeated surgeries for their various deformities. A, 4 year old female with Goldenhar syndrome and diagnosed as Right microphthalmos was posted for second stage lid reconstruction surgery. Previous anaesthesia records revealed no history of difficult intubation. During second stage, difficult intubation was encountered and eventually patient’s trachea was successfully intubated with C-MAC® D-blade videolaryngoscope.
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Forensic Science Curricular and Career Planning: A Modified Systems Theory-Based Model for Student Advising

Following the rise in popularity of forensic science, fueled by the media and perhaps necessity, comes the demand for an effective and productive approach to advising students interested in a career in this vast area. Forensic science is a large-scale umbrella term encompassing a multitude of disciplines. Whereas “forensic” means legal, any discipline that has an application to law or the legal system may be considered a “forensic science”. With the seemingly ever-increasing lure of forensic science as a career option, the question arises as to how best to assist students in making a dream job a reality. The purpose of this research is twofold: (1) summarize findings from forensic science job listings in the United States and (2) provide a framework, derived largely from Systems Theory, for understanding the advisee skillset, and suggest a model for a step by step career decision-making and curricular planning approach for professionals working in an advising capacity.
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Macrocystis of the Lung in a Preterm Neonate: Case Report

Thoracic ultrasonography has been used to evaluate pulmonary parenchyma and the macrocystis of the lung in a preterm with congenital cystic adenomatoid malformation type I. The images gained have been important for diagnosis and therapeutic strategies in our case. An infant was prematurely born with congenital cystic adenomatoid malformation type I. The chest X-ray and computerized tomography showed a great opaque area in the entire right lung, we considered performing a pneumonectomy. This opaque area hampered the expansion of left lung. After draining the macrocystis by ultrasonography-guided puncture, it was possible considering and performing the lobectomy due to the reduction of the volume of macrocystis. During follow up at 4 months, the infant did not show complications and the chest X-ray revealed the reduction of volume of the dense area in parenchyma of right lung.
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Editorial Board Members Related to ICU

Frank F. Seghatol

Assistant Professor
Division of Cardiology
University of Alabama
United States

Monique Mancuso

Researcher
Coastal Marine Environment Institute (IAMC)
National Research Council (CNR)
Italy

WILLIAM FRAZER MORRIS

Professor
School of Osteopathic Medicine
Campbell University
United States

Yosra A. Helmy

Research Associate
Department of Veterinary Preventive Medicine
Food Animal Health Research Program
The Ohio State University
USA

Antoine Trzcinski

Lecturer in Water and Environmental Engineering
Faculty of Engineering
University of Southern Queensland
Australia

HONGYU LI

Associate Professor
Department of Gastroenterology
Shenyang Northern Hospital
China

Farzad Amirabdollahian

Principal Investigator
Department of Health Sciences
Liverpool Hope University
United Kingdom

Douglas Wilson

Professor
School Medicine Pharmacy and Health
Durham University
UK

KRZYSZTOF KOSTRO

Professor
Department of Epizootiology and Clinic of Infectious Diseases
Lublin University
Poland

Nashiru Billa

Associate professor
Faculty of Science
University of Nottingham
Malaysia
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