Gastric biopsies are often done to evaluate for Helicobacter gastritis. Given the oncogenic association with Helicobacter gastritis and the relative ease of therapy, it is important for pathology departments to identify all positive cases. We describe an institutional quality assurance study of an institutional method for the diagnosis of Helicobacter ...

Congenital tracheo-or-bronchobiliary fistula is a rare anomaly. Here, we present a malnourished child with persistent and recurrent respiratory symptoms. Flexible bronchoscopy and imaging studies were carried out to ascertain the diagnosis, anatomy and associated anomalies prior to surgery. Patient underwent successful corrective surgery with complete resolution of symptoms.

A 58-year-old woman with cervicomedullary dural arteriovenous fistula (AVF) presenting with myelopathy, ipsilateral occipital neuralgia, and signs of involvement of the brainstem is reported and the previously published cases have been reviewed. The dural AVF was successfully treated surgically after an attempt of embolization.

The authors use an instructive case to review the challenges of diagnosis in subarachnoid hemorrhage (SAH) and to reinforce the nuances of clinical management. The presented case highlights critical issues in patient selection and challenges in the diagnosis of SAH and the management of both aneurysmal and arteriovenous fistula-related SAH. ...

OBJECTIVE: We report one case of a spontaneous resolution of a uretero-vaginal fistula, and we review the current diagnostic and therapeutic features of this condition in the literature. METHODS: We present the case of a 41-year-old woman who, during the late postoperative period of a radical hysterectomy, presented episodes of ...

Menetrier's disease is a rare cause of protein-losing gastropathy characterised by hypertrophy of the gastric folds. Three cases are reported. Helicobacter pylori was detected by culture and CLO test in two cases and on follow-up gastroscopy in the other. The first two patients were given eradication therapy and hypertrophic gastropathy ...

Isolated congenital anterior urethrocutaneous fistula (CAUF) is an extremely rare deformity and few cases have been reported in the English language literature. Moreover, adult CAUF has not been reported up to now. We present a rare adult patient with this unusual isolated CAUF deformity. The possible etiology and treatment strategy ...

Split notochord syndrome (SNS) is an extremely rare congenital malformation associated with anomalies of the vertebral column, gastrointestinal tract and central nervous system. Twenty cases of SNS associated with dorsal enteric fistula have been reported in literature till date. The present report describes a unique case of SNS associated with ...

A report of two neonates of esophageal atresia with tracheoesophageal fistula who had acute gastric volvulus in the postoperative period and required gastropexy after correction of the volvulus. Such postoperative complication has not been reported in the literature so far.

The lacrimal system is comprised of the lacrimal glands for tear production and the lacrimal drainage system for draining tears away from the eyes. Congenital lacrimal system anomalies other than nasolacrimal duct obstruction are uncommon. Congenital lacrimal fistulae are a rare developmental anomaly, and when they occur, they are usually ...

Eleven new records of digenean species are reported in birds in Poland, i.e. Tylodelphys immer found in Gavia stellata, Strigea vanderbrokae in Pernis apivorus, Echinostoma academica in Numenius arquata, Echinochasmus euryporus in Buteo buteo, Patagifer parvispinosus and Petasiger grandivesicularis in Tachybaptus ruficollis, Notocotyloides petasatus in Calidris alpina, Plagiorchis arcuatus in ...

We recorded the nereidid polychaete Leonnates persicus Wesenberg-Lund, 1949 , previously known from coasts of Indian Ocean and western Pacific Ocean, from the coasts of Japan, Korea, and Thailand, based on examination of 27 specimens collected from shallow subtidal or intertidal muddy flats at 16 localities. The morphological characteristics of ...

Two species of Phthiraptera, Bovicola caprae (Ischnocera: Bovicolidae) and Solenopotes binipilosus (Anoplura: Linognathidae), and one species of mite, Psoroptes ovis (Acari: Psoroptidae), were recorded on huemul (Hippocamelus bisulcus) in Chile. The sucking louse S. binipilosus and the mite P. ovis are reported for the first time from this host.

The general counsel can find himself in awkward situations with a dual reporting relationship. The board must maintain the integrity of the office.

We report the first record of ectoparasites from Nelson's woodrat, Neotoma nelsoni, a rare, endemic mammal of east-central Mexico. We also describe a new flea species of Anomiopsyllus (A. perontesis n. sp.), which presents a complete row of bristles on sternum IX and 3 blunt spines on movable process; provide ...

New distribution records of 22 braconid species belonging to Agathidinae, Braconinae, Helconinae, Homolobinae and Rogadinae subfamilies from Brazil, Chile, Costa Rica, Guatemala, Mexico and Panama are presented. Agathirsia ninesevenci Pucci & Sharkey is reported for the first time from Mexico; Homolobus acares van Achterberg, H. antefurcalis van Achterberg and H.infumator ...

AIMS: Documenting the quality of emergency dispatch centres handling of emergency calls regarding intoxicated unconscious patients. METHODS: Interview with eight emergency dispatch centre directors and a nationwide survey among 313 dispatchers in Norway were performed. In addition, a customized scoring system was used to evaluate dispatcher log recordings of real ...

In November and December 2008, six cases of suspect wound botulism were reported in heroin injecting drug users, all residents in Dublin, Ireland. Patients were aged between 23-42 years of age; four cases were male; one patient died shortly after admission. The patients presented to four different hospitals across the ...

The Code of ethics for occupational therapists stipulates how occupational therapists should think about the profession's central concepts in practice, where "Activity" and "Health" are two such concepts. Other guiding principles for practice are the Occupational Therapy Process Model and the ARTUR Case Record Structure. The aim of this study ...

AIM: Granuloma annulare (GA) is a palisading granulomatous skin disease. It is a relatively common dermatosis typically characterized by an annular arrangement of erythematous or flesh-coloured papules. The aim of this study was to assess the epidemiological and clinical pattern of GA and its management. METHODS: A retrospective study dealing ...

BACKGROUND: Encephalitis is a relatively rare presentation of enterovirus (EV) infections. Clinical and epidemiologic characteristics of EV encephalitis (EVE) have not been well characterized. METHODS: Patients with encephalitis enrolled in the California Encephalitis Project from 1998 to 2005 were tested for a range of pathogens, including EV, using a standardized ...

We report the first record of parasites from Nelson's woodrat, Neotoma nelsoni, a rare, endemic mammal of east-central Mexico. We describe a new flea species of the genus Anomiopsyllus (A. perontesis n. sp.) which present a complete row of bristles on sternum IX and 4 blunt spines on movable process, ...

Hemangiopericytomas (HPCs) are rare neoplasms with relatively high rates of recurrence and extracranial metastasis. Though the differential diagnoses from angiomatous meningiomas and from solitary fibrous tumors (SFTs) are both important, the latter diagnosis is somewhat more important in light of the benign prognosis of SFTs and the difficulties in distinguishing ...

OBJECTIVE: To highlight an unusual cause of autonomic dysreflexia in tetraplegia and present a review of the literature. STUDY DESIGN: Case report of a patient in Stoke Mandeville Hospital, UK. METHODS: A 33-year-old woman with C6 incomplete tetraplegia presented with signs and symptoms of autonomic dysreflexia attributed to breastfeeding. RESULTS: ...

INTRODUCTION: One of the most common causes of acute incapacitation among aircrew is barotrauma induced by pressure changes during descent in aviation. However, the incidence of ENT barotrauma during flight among commercial pilots with or without upper respiratory infections (URI) has not been described in detail. METHOD: There were 948 ...

The girellid fish Girella leonina (Richardson) and the holocentrid Myripristis murdjan (Forsskal) are reported for the first time for the Hawaiian Islands from underwater photographs taken at Midway Atoll. Both species can be positively identified by the photographs.

Milia are frequently encountered as a primary or secondary patient concern in pediatric and adult clinics, and in general or surgical dermatology practice. Nevertheless, there are few studies on the origin of milia and, to our knowledge, there is no previous comprehensive review of the subject. We review the various ...

The Johns Hopkins University Center for Craniofacial Development and Disorders estimates that 1 in 3,000 children born in the United States is diagnosed with a rare form of craniosynostosis. Although the medical literature has documented numerous descriptions of craniofacial disorders from an anthropometric or genetic perspective, considerably fewer reports of ...

BACKGROUND: Chemical leucoderma, often clinically mimicking idiopathic vitiligo and other congenital and acquired hypopigmentation, has been increasing rapidly in incidence in developing countries such as India. OBJECTIVES: This study attempts to detect clinical and epidemiological patterns of chemical leucoderma. METHODS: Detailed history-taking, especially of exposure to contributory chemicals, clinical examination, ...

OBJECT: Microsurgical anatomy of the fourth ventricle has been comprehensively addressed by masterly reports providing classic descriptions of this complex region. Neuroendoscopy could offer a new, somewhat different perspective of the "inside" view of the fourth ventricle. The purpose of this study was to examine from the anatomical point of ...

Tardive dystonia is a syndrome of sustained muscle contractions, frequently causing twisting and repetitive movements or abnormal postures, associated with prolonged exposure to antipsychotics. We report a case of a 35-year-old patient with schizophrenia who developed a generalized form of tardive dystonia after switching of clozapine to risperidone treatment that ...

In April 2004 the Irish Government commissioned Judge Maureen Harding Clark to compile a report to ascertain the rate of caesarean hysterectomies at Our Lady of Lourdes Hospital in Drogheda, Republic of Ireland. The report came about as a result of complaints by midwives into questionable practices that were mainly ...

STUDY OBJECTIVE: The aim of this study was to examine the characteristics and outcomes of patients seeking treatment for abuse of supplemental caffeine. METHODS: This was a 3-year analysis conducted of all consecutive cases involving caffeine abuse in patients 10 years and older reported to a regional poison center. Excluded ...

Clinically relevant apneas, which are common in preterm infants, may adversely affect later neuropsychological condition in this group of patients. Pharmacotherapy to stimulate respiratory functions may be unsuccessful. Polygraphic recording may help in the differential diagnosis of these clinically relevant events. Twenty-nine preterm neonates born before 36 weeks of gestational ...

An association between Mycobacterium malmoense and underlying lung disease has been described. The purpose of this study was to further explore this relationship and in particular to identify any relationship between Coal Workers' Pneumoconiosis (CWP) and M. malmoense infection. Patient charts were reviewed of all patients who had a positive ...

Over the last 50 years, tobacco has been excluded from and then included in the category of addictive substances. We investigated influences on these opposing definitions and their application in expert witness testimony in litigation in the 1990s and 2000s. A scientist with ties to the tobacco industry influenced the ...

Two-dimensional photoelasticity is based on the classical Wertheim law. The integral Wertheim law can be used in integrated photoelasticity only in the case when the directions of the secondary principal stresses are constant on the light beam. We generalize the integral Wertheim law for the case when a slight rotation ...

Clostridium difficile infection (CDI) in nonhospitalized patients has been reported with increased frequency. An association between CDI and pregnancy has not been stressed. This review will report 4 cases of peripartum CDI with characterization of the infecting strain and a literature review. A PubMed search identified 24 recorded cases of ...

OBJECTIVE: To review the published reports of neuroleptic malignant syndrome (NMS) associated with the use of selective serotonin-reuptake inhibitors (SSRIs) and second-generation antipsychotics. DATA SOURCE: Information was selected from a MEDLINE search of English-language literature (1950-May 2008). Manual search of all published cases indexed in MEDLINE (English language only) of ...

The aims of this study were to study the prevalence of oviduct abnormalities of buffaloes, investigate bacteria accompanying hydrosalpinx, pyosalpinx and salpingitis. In addition, the study was designed to investigate the correlation between bacterial infection of the uterus and oviduct lesions in buffaloes. Bacteriological examinations were performed on hydrosalpinx, pyosalpinx ...

INTRODUCTION: Potassium para-aminobenzoate is an agent used in the treatment of sclerotic diseases including Peyronie's disease of the penis. It has been reported that this medication may have been responsible for cases of acute liver injury. AIM: To inform clinicians of the possibility of an adverse drug event associated with ...

New records, new species, and name changes of shore fishes for the Hawaiian Islands published since 1980 are briefly reviewed. The following species of fishes are new records or recognized as valid species for Hawaii: the moray Gymnothorax elegans Bliss (G. goldsboroughi Jordan & Evermann is a junior synonym), the ...

Three shells of a Xenophora species similar to X. peroniana kondoi Ponder are reported from the Nasca Ridge, Southeast Pacific.

Listening to early recordings of a French theatrical personality, such as Sarah Bernhardt, the emphatic emission of words is very noticeable. It is sometimes ascribed to Bernhardt's theatrical mannerisms, but possibly also caused by an erroneous speed of reproduction. But even at correct speed, huge variations in intenseness are very ...

BACKGROUND: Failure to regain consciousness after general anesthesia has a multitude of life-threatening causes, including neurological injury, metabolic derangements, or drug effects. Failure to promptly recognize the cause of unconsciousness after anesthesia can result in significant patient morbidity or mortality, costly laboratory and radiographic evaluation, and physician anxiety. Rarely, patients ...

We report the case of a 13-yr-old girl scheduled for knee surgery under general anesthesia and posterior lumbar plexus block. A ventricular arrhythmia developed 15 min after local anesthetic injection. A 20% lipid emulsion was successful in converting the ventricular arrhythmia to a sinus rhythm. This is consistent with previous ...

BACKGROUND: The General Practice Research Database (GPRD) has been used to identify associations between pregnancy medication exposures and birth defects, but experts have argued that databases such as this one cannot provide detailed information for the valid identification of complicated congenital anomalies. Our objective was to determine if the GPRD ...

A total of 15 genera and species distributed in 10 families of Polychaeta is reported from hydrothermal vent sites on the Juan de Fuca and Explorer ridges off British Columbia and Washington. One genus and 10 species are new to science. New taxa include Protomystides verenae (Phyllodocidae), Nereis piscesae (Nereididae), ...

A previously healthy 30-year-old African American male presented to our hospital with diabetic ketoacidosis as his first manifestation of diabetes. A transthoracic echocardiogram (TTE) was performed with contrast, which showed isolated noncompaction of the left ventricular myocardium (INVM). The case presented here is followed by an extensive review of the ...

The phylogeny of the avian genus Emberiza and the monotypic genera Latoucheornis, Melophus and Miliaria (collectively the Old World Emberizini), as well as representatives for the New World Emberizini, the circumpolar genera Calcarius and Plectrophenax and the four other generally recognized tribes in the subfamily Emberizinae was estimated based on ...