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V. Raicea, L. Moraru, Judith Kovacs, H. Suciu and R. Deac

Abstract

We present the case of a 65 years old patient, initially hospitalized at Regional Pneumology Clinic with marked fatigue, severe pulmonary symptoms (suddenly developed severe resting dyspnea, orthopnea, irritating cough), loss of appetite, weight loss and dysphagia. Chest radiography raises the suspicion of giant ascending aortic aneurysm. Echocardiography confirms the presence of the aneurysm, but CT scan with contrast and angiography showed a giant pseudoaneurysm of ascending aorta with severe local compression of the right lung hilum and right main bronchus and in posterior on the esophagus. Coronary angiography also shows significant compression and deformation of the left main coronary artery. Echocardiography reveals marked dilated ascending aorta in the suprabulbar portion without aortic insufficiency. Replacement of the ascending aorta was performed in extracorporeal circulation with a impregnated Dacron prosthesis. Because of technically difficult approach, the ascending aorta ( being the right anterolateral wall of the pseudoaneurysm) was incanculated via right axillary artery, the aortic crossclamp was performed initially transluminal with Foley catheter and later with classical metallic instruments, and myocardial protection was achieved initially by retrograde administration of cardioplegic solution with monitoring of lactic acid, pH and base excess simultaneous from coronary sinus and the coronary ostia during administration of cardioplegic solution. The postoperative evolution was favorable, the weaning from extracorporeal circulation was succeeded without inotropics, with a 48 hours length of stay in ICU, and the patient was discharged after 8 days postoperatively.

Open access

N. Dogotari, Eva Gudumac, C. Tica, V. Eremia, C. Ionescu and S. Babuci

Abstract

The authors present a clinical case that aims to elucidate the diagnostic tactics and the efficiency of the chystostomy procedure performed in children with complicated endobronchial lung hydatid cyst and the potential serious postoperative complications that may occur in the case of this non-capitonary residual cavity technique after pulmonary echinococectomy.

Faced with the clinical, surgical and morphopathological investigations of the endobronchus ruptured lung hydatid cyst, the authors conclude that the spectra of morphological pathogenesis present in these cases are responsible for the development of persistent aerostatic disorder, resulting in a long-term postoperative morbidity, which confirms the need to optimize the methods of surgical correction of postechinococectomial residual cavities.

Open access

Mikhail Mikhaylovskiy, Vyacheslav Stupak, Vadim Belozerov, Nikolay Fomichev, Anatoliy Lutsik, Leonid Afanasyev, Anatoliy Bondarenko, Alexandr Krutko, Dmitriy Dolzhenko, Alla Zaidman, Valeriy Larkin, Andrey Narodov, Alexander Novokshonov, Samuil Rabinovich, Victor Rerikh, Valeriy Prokhorenko, Olga Falameeva, Vladimir Shevtsov and Mikhail Sadovoy

Abstract

Background: The rate of scoliosis in syringomyelia patients ranges from 25 to 74.4%. In turn, syringomyelia occurs in 1.2% to 9.7% of scoliosis patients.

Aim: To evaluate outcomes of surgical correction of the scoliotic deformity in syringomyelia patients.

Materials and methods: Between 1996 and 2015, 3120 patients with scoliosis of various etiologies were treated at the Clinic for Child and Adolescent Vertebrology of the Novosibirsk Research Institute of Traumatology and Orthopedics. We conducted a retrospective analysis of syringomyelia-associated scoliosis cases that required surgical correction.

Results: Syringomyelia was found in 33 patients (1.05%) out of 3120 patients with spinal deformities of various etiologies; in 21 patients (0.9%) with idiopathic scoliosis of 2334 patients. In identifying the neurological deficit, the recommended first step is to perform neurosurgery. Nineteen patients were operated using the CDI, 4 patients underwent correction VEPTR, in 1 case instrumentation could not be established, 9 patients are undergoing treatment in the department of neurosurgery at the moment. Worsening of neurological deficits was not observed in any patient.

Conclusion: A comparison of the results of syringomyelia-associated scoliosis correction with the data of other authors was done. The choice of surgery tactics is strictly individual and depends on the size of the cavity. The result of surgical intervention is generally positive and the loss of correction by the end of follow-up is negligible.

Open access

Tomislav Nikolic, Milan Radovanovic, Miodrag Sreckovic, Marina Markovic and Dejan Petrovic

combined heart and kidney dysfunction in the setting of acutely decompensated heart failure. J Am Coll Cardiol 2012; 60: 1031–42. 12. Mullens W, Abrahams Z, Francis GS, et al. Importance of venous congestion for worsening of renal function in advanced decompensated heart failure. J Am Coll Cardiol 2009; 53: 589–96. 13. Costanzo MR, Jessup M. The cardiorenal syndrome: do we need a change of strategy or a change of tactics? J Am Coll Cardiol. 2009; 53 (7): 597-9. 14. Kopp UC, DiBona GF. Neural regulation of renin secretion. Semin Nephrol 1993; 13: 543

Open access

Valentin Nădăşan

Internet Res. 2014;16(2):e60. doi: 10.2196/jmir.2939. 12. Kata A. Anti-vaccine activists, Web 2.0, and the postmodern paradigm--an overview of tactics and tropes used online by the anti-vaccination movement. Vaccine. 2012;30(25):3778-89. doi: 10.1016/j.vaccine.2011.11.112. 13. Gangarosa E, Galazka A, Wolfe C, Phillips L, Gangarosa R, Miller E, et al. Impact of anti-vaccine movements on pertussis control: the untold story. Lancet 1998;351(9099):356–61. 14. Bhandari N, Shi Y, Jung K. Seeking health information online: does limited healthcare access matter

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Gholam Hossein Shahraki, Hafidzi Mohd Noor, Javad Rafinejad, Mohd Khadri Shahar and Yusof Bin Ibrahim

GA, Eric PB. 1997 4 April. IPM Tactics for Cockroach Control. Available from: http://www.aces.edu/pubs/docs/A/ANR-1016/. Accessed 4 April 2006. 15. Bonnefoy X, Kampen H, Sweeney K. Public health significance of urban pests. Copenhagen:WHO Europe, 2008. p. 569 16. Stephan RE. Factors influencing the movement German cockroaches [Dissertation]. Purdue Purdue University; 1984. p. 85. 17. Christensen C. Cockroach baits. Pest Control Technol. 1991; 19:45-51. 18. Noureldin EM, Farrag HA. The role of

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Oleg Gerush, Olena Lenytska, Larysa Yakovleva, Liudmyla Gladkova and Igor Gerush

pharmacological sciences. 96, 3, 229-245, 2004. 5. Kobzar A.Y. (2007). Pharmacognosy in medicine. Educational manual. Кyiv: Medicine.; 544 p. 6. Masevich Ts.G., Sitkin S.I.: Chronic hepatitis. Tactics of treatment depending on etiology. Aqua Vitae., 23-26, 2000. 7. Mayer K.P. (2000). Hepatitis and consequences of hepatitis: practical guidance. Translation from German; edited by A.A.Sheptulin. Мoscow: Geotar Medicine.; P.157-310. 8. Rybolovlev Yu.R., Rybolovlev R.S. Dosage of substances for mammals by the constants

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Gholam Hossein Shahraki, Hafidzi Mohd Noor, Javad Rafinejad, Mohd Khadri Shahard and Yusof Bin Ibrahim

;78:595-8. 10. Kaakeh W, Bennett GW. Evaluation of trapping and vacuuming compared with low-impact insecticide tactics for managing German cockroaches in residences. Journal of Economic Entomology. 1997; 90:976-82. 11. Mulla MS. Control of chironomid midges in recreational lake. Journal of Economic Entomology. 1971; 64:300-7. 12. Anon. Integrated Pest Management curriculum for the German cockroach. California: Department of Pesticide Regulation; 2005. 26 p. 13. Cochran DG. Food and water consumption during the reproductive cycle

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Othman Wan-Norafikah, Wasi Ahmad Nazni, Han Lim Lee, Pawanchee Zainol-Ariffin and Mohd Sofian-Azirun

-773. 38. Georghiou GP. The Magnitude of Resistance Problem. In: Glass EH, editor. Pesticide Resistance: Strategies and Tactics for Management. National Academy Press : Washington DC; 1986; p. 14-43. 39. Nelson DR, Koymans L, Kamataki T, Stegeman JJ, Feyereisen R, Waxman DJ, Waterman MR, Gotoh O, Coon MJ, Eastbrook RW, Gunsalus IC, Nebert DW. P450 superfamily: Update on new sequences, gene mapping, accession numbers and nomenclature. Pharmacogenetics. 1996; 6:1-42. 40. Roberts DR, Andre RG. Insecticide resistant issues in vectors. Am J

Open access

Jaime A. Teixeira da Silva

Abstract

Science is becoming more challenging, not only for scientists, but also for editors and publishers. Faced with limited funding within an expanding economic crisis, competition between scientists is increasing. The struggle for professional survival is leading some to revert to dishonest tactics to get ahead of the pack and cheating or fraud may be involved. Confronted with these new realities, which have become more debatable within the public arena, mainly as a result of an increase in blogs and social media, editors and publishers are reinforcing current publishing platforms in a bid to reduce the risks and to fortify their journals against future submission- and fraud-related problems. Ultimately, this places greater scrutiny — and stress — on the authorship, leading to an increase in militarization. At some point — which certain hints already indicate — the criminalization of science will begin as publishers fail to curtail fraud.