Niger J Clin Pract
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The use of paravertebral block (PVB) for postoperative analgesia in the thoracic surgery has increased in recent years. However, the traditional methods used to evaluate the success and adequacy of the block are time-consuming, subjective and depend on the patient's compliance. Therefore, the search still continues to find a method to objectively evaluate the success and adequacy of the paravertebral block. ⋯ The present study has shown that PI is an objective, fast, practical and non-invasive method, when compare with pinprick method, that can be used to evaluate PVB success.
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Phyllodes tumors are uncommon breast neoplasms that constitute of 1-2% of breast malignancies. The tumor can mimic fibroadenoma clinically, radiologically and histologically. ⋯ When ductal carcinoma in-situ is detected within the specimen, the management of treatment changes completely. We report a rare case of low grade ductal carcinoma in-situ arising in a malignant phyllodes tumor in a 55-year-old female patient.
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Central serous chorioretinopathy (CSC) is a posterior segment disease caused by macular serous detachment as a result of inflammation and oxidative stress due to hypoperfusion of choriocapillaris. ⋯ Prevention of the oxidative injury may be considered among the associated treatment options under the light of the changes detected in the oxidative/antioxidative parameters.
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Periodontal regeneration is the anticipated result of periodontal tissue therapy. Of the many scaffold materials utilized, collagen has been shown to possess characteristics that strongly promote the periodontal regeneration process. Gourami (Osphronemusgoramy) scales can be utilized as an alternative source of collagen due to their abundant availability, the absence of risk of zoonosis, and lack of religious strictures against their use. ⋯ The pore sizes ofcollagen extracted from gouramy scalesare suitable for use as scaffold. FTIR analysis indicated that this collagen possessed a triple helix structure. Collagen extracted from gourami scales was completely degraded within seven days when treated with 0.6 g/mL collagenase solution.
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Randomized Controlled Trial
Coronary artery bypass surgery without blood transfusion; is it possible?
Coronary artery bypass surgery is the most commonly performed cardiac operation and approximately 40-70% of patients require a blood transfusion despite improvements in cardiac surgical techniques. Some preventive perfusion methods to avoid transfusions are described, such as acute normovolemic hemodilution, retrograde autologous priming, and usage of integrated arterial filter oxygenator. ⋯ Triple combination technique is safe and cost-effective in coronary artery bypass surgery. We think that most of the patients could be operated without blood transfusion with this technique.