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Lethal Subarachnoid and Intracerebral Haemorrhage Associated with Temporal Arteritis. A Case Report

Abstract

Giant cell arteritis is a systemic inflammatory vasculitis, typically involving the superficial temporal arteries, but with possible ischemic and hemorrhagic cerebrovascular complications.

The case is reported of a patient with a clinical picture of giant cell arteritis, who had multiple occupational exposures to various infectious agents.

His initial favourable progress was followed by an atypical outcome. Despite immunosuppressive treatment, he developed fatal subarachnoid and intracerebral haemorrhages, possibly due to rupture of a microaneurysm of the posterior cerebral artery.

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Sinonasal inverted papilloma – what’s new

, Batra PS, Barnett S. Skull base inverted papilloma: a comprehensive review. ISRN Surg. 2012;2012:175903. DOI: 10.5402/2012/175903. 14. Shen J, Baik F, Mafee MF, Peterson M, Nguyen QT. Inverting papilloma of the temporal bone. Otol Neurotol. 2011;32(7):1124-33. DOI: 10.1097/MAO.0b013e31822a2b16. 15. Acevedo-Henao CM, Talagas M, Marianowski R, Pradier O. Recurrent inverted papilloma with intracranial and temporal fossa involvement: a case report and review of the literature. Cancer Radiother. 2010;14(3):202-5. DOI: 10.1016/j.canrad.2010.01.012. Epub 2010 Apr

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Post-chemotherapy bone metastasis recurrence of colorectal adenocarcinoma - case report

colon and rectal cancer. J Natl Cancer Inst. 2011; 103:1130-1133. 20. Peters U, Hutter CM, Hsu L et al. Meta-analysis of new genomewide association studies of colorectal cancer risk. Hum Genet. 2012; 131:217-234. 21. Liang PS, Chen TY, Giovannucci E. Cigarette smoking and colorectal cancer incidence and mortality: systematic review and meta-analysis. Int J Cancer. 2009; 124:2406-2415. 22. Roth ES, Fetzer DT, Barron BJ et al. Does colon cancer ever metastasize to bone first? a temporal analysis of colorectal cancer progression. BMC Cancer. 2009; 9

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Endotracheal Tube Biofilm and its Impact on the Pathogenesis of Ventilator-Associated Pneumonia

Abstract

Ventilator-associated pneumonia (VAP) is a common and serious nosocomial infection in mechanically ventilated patients and results in high mortality, prolonged intensive care unit- (ICU) and hospital-length of stay and increased costs. In order to reduce its incidence, it is imperative to better understand the involved mechanisms and to identify the source of infection. The role of the endotracheal tube (ET) in VAP pathogenesis became more prominent over the last decades, along with extensive research dedicated to medical device-related infections and biofilms. ET biofilm formation is an early and constant process in intubated patients. New data regarding its temporal dynamics, composition, germ identification and consequences enhance knowledge about VAP occurrence, microbiology, treatment response and recurrence. This paper presents a structured analysis of the medical literature to date, in order to outline the role of ET biofilm in VAP pathogenesis and to review recommended methods to identify ET biofilm microorganisms and to prevent or decrease VAP incidence.

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The Efficacy of Questionnaire-based Evaluation in Determining the Incidence of Recent Pseudophakic Dysphotopsia

Abstract

Background: Dysphotopsias are optical side effects experienced by patients who underwent cataract surgery. This unwanted photic phenomenon has gained ground and is a major postoperative concern. Visual acuity is not sufficient in evaluating the postoperative visual function.

The aim of this study was to determine the efficacy of using a preexistent questionnaire in determining the presence of dysphotopsia.

Material and method: We conducted a prospective study, using the modified Visual Function Index (VF-14) and the Ocular Surface Disease Index (OSDI) surveys, completed on patients that underwent uncomplicated phacoemulsification with intraocular lens implantation between November 2016 and November 2017. Patients included in the study had no known ocular comorbidities and had no other possible postoperative explanation for these visual phenomena. Three weeks after the surgery, the questionnaire was filled up by one individual examiner.

Results: Of the 50 patients considered, 37 patients met all the inclusion criteria and were successfully enrolled in the study, with a mean age of 75.88 years. Dysphotopsia phenomena were present in 13.51% of cases; 60% of these patients described the presence of positive dysphotopsia, and 40% complained of temporal shadows. The best corrected visual acuity was over 0.8 in 75.67% of the cases.

Conclusion: Although there is no objective test to diagnose this early postoperative complication, pseudophakic dysphotopsia should not be overlooked and additional chair time is needed.

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Sudden Cardiac Death and Post Cardiac Arrest Syndrome. An Overview

Maastricht area on incidence, characteristics and survival. J Am Coll Cardiol. 1997;15;30(6):1500-1505. 4. Lloyd-Jones D, Adams R, Carnethon M, et al. Heart Disease and stroke statistics - 2009 update. A report from the American Heart association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:480-6. 5. Rea TD, Eisenberg MS, Becker LJ, Murray JA, Hearne T. Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation. 2003;107:2780-2785. 6. Rea TD

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Comparative analysis of features of chronic maxillary sinusitis of various genesis

septal deformities in ear, nose, and throat patients: an international study. Am J Otolaryngol. 2008;29(2):75-82. DOI: 10.1016/j.amjoto.2007.02.002. 8. Morokhoyev VI. Optimization of diagnostic methods and surgical correction of curvature of the septum of the nose. (In Russ). Acta Biomedica Scientifica. 2010;6(ch. 1):S73-7. 9. Zubareva A, Nikitin K, Shavgulidze M, Azovtseva Ye. Possibilities of cone Beam CT scan in the account of surgically significant anthropometric indices of middle ear structures with different types of temporal bone structure. (In Russ

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Association between the Incidence of Sudden Cardiac Arrest and the Location of Culprit Lesions in STEMI Patients – Design of a Prospective Clinical Study

, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J . 2018;39:119-177. 5. Khera S, Kolte D, Gupta T, et al. Temporal Trends and Sex Differences in Revascularization and Outcomes of ST-Segment Elevation Myocardial Infarction in Younger Adults in the United States. J Am Coll Cardiol . 2015;66:1961-1972. 6. Atwood C, Eisenberg MS, Herlitz J, Rea TD. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation . 2005;67:75-80. 7. Dumas F

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The Role of Angiopoietine-2 in the Diagnosis and Prognosis of Sepsis

. Mearelli F, Fiotti N, Altamura N, et al. Heterogeneous models for an early discrimination between sepsis and non-infective SIRS in medical ward patients: a pilot study. Intern Emerg Med. 2014;9:749-57. 14. Giuliano JS Jr, Tran K, Li FY, Shabanova V, Tala JA, Bhandari V. The temporal kinetics of circulating angiopoietin levels in children with sepsis. Pediatr Crit Care Med. 2014;15:e1-8. 15. Gores KM, Delsing AS, Kraus SJ, et al. Plasma Angiopoietin-2 concentrations are related to impaired lung function and organ failure in a clinical cohort receiving high

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In-stent Flow Hemodynamics and the Risk of STent Failure Following Bioresorbable Vascular ScAFFolds Implantation – the STAFF Study

REFERENCES 1. Cardiovascular diseases. Available at: http://www.who.int/mediacentre/factsheets/fs317/en/ 2. Windecker S, Kolh P, Alfonso F, et al. 2014 ESC/EACTS Guidelines on myocardial revascularization. The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J . 2014;35:2541-2619. 3. Montone RA, Niccoli G, De Marco F et al. Temporal Trends in Adverse Events After Everolimus-Eluting Bioresorbable Vascular Scaffold Versus Everolimus

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