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1. Palliative And End Of Life Care

2. Palliative Care Experience In Breast And Uterine Cervical Cancer Patients In Ibadan, Nigeria

   Introduction: World Health Organisation defined palliative care as an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems,…

3. Discrepancies in provision of end of life care in patients with malignant and non-malignant respirat

   Background: End of life (EoL) care is often suboptimal in chronic respiratory illness, compared to thoracic malignancy despite the benefits of Palliative Care. Objectives: Evaluate differences in current end of life care practices between patients with malignant and non-malignant terminal respiratory illness to improve future delivery of anticipatory care planning.…

4. Defeating Pain: The Brutal Way

   While the analgesics and pain management has seen remarkable advancements, there are places, where still inhumane methods are employed. A brutal practice found in India is described and its existence in the era of modern analgesia and anesthesia is criticized.

5. Defeating Pain: The Brutal Way

   While the analgesics and pain management has seen remarkable advancements, there are places, where still inhumane methods are employed. A brutal practice found in India is described and its existence in the era of modern analgesia and anesthesia is criticized.

6. www.palliativecareglasgow.info: Developing Online Palliative Care Information

   The Glasgow Palliative Care Information Network provides an online source of information about palliative care and palliative care services to patients, their families and professionals, particularly generalists. The information for patients and carers aims to clarify what palliative care is and how such services are accessed. The section for professionals…

7. Anti-epileptic Drugs For Pain Management

   Antiepileptic drugs (AED’s) depress abnormal neuronal discharges and raise the threshold for neural impulse propagation. They have been found to have therapeutic efficacy in neuropathic pain states. Carbamazepine(CZ) and phenytoin (PT) were the drugs of choice for treating trigeminal neuralgia for 40 plus years. These two agents have been largely…

8. Anti-epileptic Drugs For Pain Management

   Antiepileptic drugs (AED’s) depress abnormal neuronal discharges and raise the threshold for neural impulse propagation. They have been found to have therapeutic efficacy in neuropathic pain states. Carbamazepine(CZ) and phenytoin (PT) were the drugs of choice for treating trigeminal neuralgia for 40 plus years. These two agents have been largely…

9. Rare Cases: Tracheal/bronchial Obstruction

10. Rare Cases: Tracheal/bronchial Obstruction

11. Rare Cases: Tracheal/bronchial Obstruction

12. Rare Cases: Tracheal/bronchial Obstruction

13. Rare Cases: Tracheal/bronchial Obstruction

14. Attitudes Of College Students Toward DNR Orders

15. Establishing Palliative Care for American Indians as a Public Health Agenda

    …resources and culturally-inappropriate medical care. Although several studies have investigated health disparities among minorities with terminal illness, very few have addressed the end-of-life (EOL) issues of American Indians. Palliative care for American Indians may qualify as a public health agenda based on four criteria: (1) high burden of death and…

16. Palliative Radiotherapy In Advanced Cancer Of The Cervix

    …role of high dose palliative pelvic radiotherapy in patients with locally advanced/metastatic cancer of the cervix not suitable for radical treatment.Method: Seventy two patients with carcinoma of the cervix receiving palliative radiotherapy to the pelvis from January 2006-December 2010 were included in this study. Patients were treated with parallel-opposed pelvic…

17. Discrepancies In Provision Of End Of Life Care In Patients With Malignant And Non-Malignant Respirat

    Background: End of life (EoL) care is often suboptimal in chronic respiratory illness, compared to thoracic malignancy despite the benefits of Palliative Care. Objectives: Evaluate differences in current end of life care practices between patients with malignant and non-malignant terminal respiratory illness to improve future delivery of anticipatory care planning.…

18. An Ethical Approach To Providing Palliative Care To Patients With Cancer Who Lack Decision-Making Ca

    …ethical approach to providing palliative care to patients with cancer who lack decision-making capacity. The goals and values of these decision makers may conflict with those of each other and with those of the patient, who now lacks the capacity to participate in the decision. Methods: Consecutive patients referred for…

19. Are We Making Progress? One Medical School’s Assessment of an Evolving Integrated Palliative Medicin

    …evolving four year integrated palliative medicine curriculum. Six assessment tools were used to assess the palliative medicine curriculum.Objective and design: This paper describes the assessment tools, findings and limitations associated with this evaluation process. We selected tools focused on students’ attitudes, self-confidence in palliative medicine, and perceptions of curriculum. Measurements:…

20. Patient Deaths in New Orleans: Mercy Killing or Palliative Care?

21. Management of Bone Pain Secondary to Metastases

    …per the WHO guidelines. Palliative single fraction radiotherapy to the appropriate target volume is recommended for metastatic bone pain relief. Radionuclide therapy is used for multifocal painful bone metastasis both above and below the diaphragm where increased uptake in painful lesions is demonstrated on bone scan. Bisphosphonates ease the symptoms…

22. Aggressive Approach to Pain and Symptom Management is a key For Effective Palliation in Terminally-i

    Palliative care for children represents a special field. The authors are presenting a diagnosed case of Ewing’s sarcoma as an example of comprehensive management of pain and symptoms. Patient’s pain was managed with oral morphine along with NSAIDs, amitriptyline and gabapentin. The patient was kept engaged in different activities during…

23. A Needs Assessment for an End-of-Life Care Curriculum for Advanced Practice Nursing Students

    …theoretical knowledge in EOL care and perceived themselves as having both skill and confidence in those skills in nine EOL topics. Conclusions: These results suggest APN students would be open to an EOL educational curriculum.

24. Well, What Can You Do?: “He is a dying man…”

    Narcotic abuse is a significant problem in this country. Thanks to government initiatives, a growing number of drug abusers are entering rehabilitation where some are put on methadone maintenance therapy. When these patients seek medical, they may complain of pain and other symptoms that require the use of other opioids.…

25. Symptom Control And Palliative Care Used In Patients Affected By Kaposi Sarcoma In Vryheid Hospital

    …pain, symptom control and palliative care done in those at district rural hospital level are exposed. The prognosis of patients was better proportionally with the proper adherence of the relevant protocols, as well as the level of family and community support to them.

26. ARDS following talc pleurodesis

    …the effusion as a palliative measure. . Pleurodesis can be done with talc and various other chemotherapeutic agents. Talc remained the most commonly used one as it is cheaper and easily available. Pleurodesis using mixed talc (containing small talc particles) produces more lungs and systemic inflammation and more hypoxemia than…

27. Dejerine Roussy Syndrome: The Role Of Methadone In The Treatment Of A Central Pain Syndrome

    The Dejerine Roussy syndrome can occur in 2-6% of post-stroke patients. Pain is described as “burning” or “freezing,” and is often accompanied by sensory disturbances, especially those of temperature. Pathophysiology appears to involve lesions of the spinothalamic pathyways with disinhibition and excitation of NMDA receptors in the thalamus. Treatment has…

28. Hospice Care for Alzheimer’s Disease: Caring for the Patient, Family, and Caregivers

    …the benefits of hospice care for the individual with Alzheimer’s disease and their families. This article explains the ways hospice supports the patient and families physically, emotionally, and financially. This article provides the information needed to assist health care professionals in guiding patients and caregivers to the appropriate support they…

29. Advanced Sinus Carcinoma Mistaken for a Malignant Glioma

    A tumour mass involving the ethmoid sinus, the cribriform plate and the frontal lobe of the brain should be assumed to originate from the ethmoid sinus. The case history of a 61-year-old gentleman with ethmoid sinus adenocarcinoma extending to the frontal lobe is reported which demonstrates this.

30. Pain Management in Cancer

    …in prescribing in the palliative care setting and to encourage the timely and proper use of opioids.

31. Post-Graduate Training of Faculty at National Emergency Medicine - CCM Conferences

32. Congenital Heart Disease In Adults: A Historical Perspective

33. Osteoclast like Giant cell Urothelial Carcinoma of Urinary Bladder

    …Patient was placed in palliative care program and lived for a year .

34. Terminal, Vegetable-state Colon Cancer Patient Revived by Herbal Therapy: A Case Study

    …skin and was under palliative care. She was started on herbs and within three months she was able to walk and bounced back to a normal life.

35. Images in Medicine: Multiple cystic and cavitary lung lesions

36. Bilateral Leiomyosarcoma Of The Kidney With Family History Of Bilateral Kidney Cancer: Case Report A

    We describe an unusual case of bilateral renal leiomyosarcoma in a 61-year-old white man in a patient who presented with a pulmonary emoblism. The patient also had an uncle with bilateral kidney cancer. The patient did not undergo surgery, as the tumor had invaded the surrounding vasculature and was felt…

37. Specialised Care Staff Attitude to Hospice Policy, Spirituality, and Occupational Quality Of Life

    Using the Coping with Palliative Care Duties questionnaire (CPCD, Caddell, 2002), this study measured spirituality orientation among hospice staff (N = 100) within two specialised care hospices within the west of Scotland (Hospice A & Hospice B). The principle aim was to investigate whether staff with “High”, “spirituality measurement scores”…

38. Knowledge and Experience of Cancer Patients Receiving Chemotherapy in a Teaching Hospital in Nigeria

    …and 4, at which palliative Radiotherapy and chemotherapy are the main stay of treatment. This study was conducted to find out the level of knowledge of our patents about chemotherapy and to assess self reported experience of chemotherapy. Method: Over a period of 10 months in 2011, 100 Consecutive cancer…

39. Obstructive Jaundice- Aetiological Spectrum, Clinical, Biochemical And Radiological Evaluation At A

    …invasive cholangiography (ERCP/PTC) to therapeutic/palliative procedures in biliary obstruction.

40. Celiac Plexus Block – A Palliative Care For Pancretic Malignancy

41. Beyond Pain Management: A Primer For Providing Quality End-of-life Care

    Providing excellent care for a dying patient is something all patients deserve. Hospices and palliative care centers exist in many areas to aid primary care physicians and patients through this difficult time. It is important to remember that most patients want to prepare for death, if at all possible. Everyone…

42. Beyond Pain Management: A Primer For Providing Quality End-of-life Care

    Providing excellent care for a dying patient is something all patients deserve. Hospices and palliative care centers exist in many areas to aid primary care physicians and patients through this difficult time. It is important to remember that most patients want to prepare for death, if at all possible. Everyone…

43. Beyond Pain Management: A Primer For Providing Quality End-of-life Care

    Providing excellent care for a dying patient is something all patients deserve. Hospices and palliative care centers exist in many areas to aid primary care physicians and patients through this difficult time. It is important to remember that most patients want to prepare for death, if at all possible. Everyone…

44. Successful Therapy Of Phantom Pain In The Upper Limb By Blocking The Brachial Plexus

    Early treatment of phantom limb pain in patients after amputation reduces the incidence of chronic pain sensations from 60 - 85 % to 10 - 20 % [1]. A 33 year old patient with osteosarcoma of proximal humerus developed a burning pain VAS 7-8 (Visual analog scale 0-10) of the…

45. Successful Therapy Of Phantom Pain In The Upper Limb By Blocking The Brachial Plexus

    Early treatment of phantom limb pain in patients after amputation reduces the incidence of chronic pain sensations from 60 - 85 % to 10 - 20 % [1]. A 33 year old patient with osteosarcoma of proximal humerus developed a burning pain VAS 7-8 (Visual analog scale 0-10) of the…

46. Anti-epileptic Drugs For Pain Management

    Antiepileptic drugs (AED’s) depress abnormal neuronal discharges and raise the threshold for neural impulse propagation. They have been found to have therapeutic efficacy in neuropathic pain states. Carbamazepine(CZ) and phenytoin (PT) were the drugs of choice for treating trigeminal neuralgia for 40 plus years. These two agents have been largely…

47. Evolving Role of Psychosocial Oncology in Regional Canadian Cancer Center

    Everyone’s cancer experience is different and adjusting to life after treatment can also vary among survivors. A diagnosis of cancer in itself, raises many questions which impact the patient and their families. In addition to treatment patients receive under their oncologists there is a team of knowledgeable professionals available to…

48. Krukenberg Tumor from Gastric Adenocarcinoma: CT findings

    Krukenberg tumors are metastatic ovarian neoplasms from primary lesions inthe gastrointestinal tract. We discuss the CT appearance of a metastatic ovarian tumor from an advanced gastric cancer with a review of the literature.

49. A Case Of Sarcomatoid Hepatocellular Carcinoma With Prominent PD-L1 Expression

    …patient opted to receive palliative care and died 18 months after surgery. The histopathological findings of the resected tumor revealed an ordinary HCC with sarcomatoid features, demonstrating cytological pleomorphism with round cells, giant cells, and spindle cells on hematoxylin and eosin staining. Immunohistological expression of CAM5.2 and hepatocyte paraffin 1…

50. Primary Effusion Lymphoma In A Non-HIV Patient: A Case Report And Discussion Of Treatment Modalities

    Pleural effusion is a rare initial presentation of lymphoma. There is a subset of lymphoma based in serosal surfaces that is almost universally associated with advanced HIV infection. We describe a case of primary pleural SCLL that proved refractory to pleuridesis. With initiation of chemotherapy, his effusions have decreased in…

51. Metastatic Malignant Phyllodes To The Nasal Cavity

    Malignant phyllodes tumours have a propensity for rapid growth and metastatic potential. Common sites of metastases are the lung, liver,bone and abdominal viscera. Here we report a case of malignant phyllodes metastasizing to the nasal cavity. This is the first reported case in the literature of metastases to the head…

52. Strıctureplasty In Dıffuse Intestınal Crohn’s Dısease: Report Of A Case

    …and surgical treatments are palliative; however, operative therapy can provide effective symptomatic relief for those patients with complications from Crohn’s disease, such as intestinal obstruction due to strictures. Segmental intestinal resection followed by primary anastomosis is the usual surgical technique. As an alternative to segmental resection, stricturoplasties have been the…

53. Acute Liver Failure With Malignant Ascites: An Unusual Presentation Of Hepatosplenic T Cell Lymphoma

    Hepatosplenic T cell lymphoma is a rare neoplasm accounting for less than 1 percent of non-Hodgkin lymphomas. It most commonly presents in young men with a median age at diagnosis of 35 years. Ten to 20 percent of patients have a history of chronic immune suppression related to treatment for…

54. Adult Palliative Care/Hospice Program in Arcatao El Salvador: A Paradigm For Developing Nations

    …is to create a palliative care/hospice program that could be implemented in Arcatao, El Salvador and could serve as a paradigm for palliative/ hospice care in other developing nations. First, we will need to develop a Home Palliative Care/Hospice Team that will consist of a nurse, social worker, and pastoral…

55. Sensitivity and Specificity of Digital vs. Film Mammography

56. Advanced cervical cancer in an institutionalized postmenopausal woman with Down’s syndrome

    …in non-sexually active women1,2. Care givers must pay particular attention to signs and symptoms in non-verbal women with intellectual disability. Irregular vaginal bleeding warrants additional evaluation with full gynecological examination.

57. Zellweger Syndrome: A Genetic Disorder That Alters Lipid Biosynthesis And Metabolism

    …ZS are based on palliative and supportive care to optimize quality of life for affected children. In this paper an authentic case is presented and the abnormal biochemical pathways and diagnosis of the disease are discussed. The rationale behind palliative treatment and the role of healthcare providers in supportive care…

58. Oncocytic Carcinoma of Minor Salivary Gland

    Oncocytic neoplasms are tumors composed of epithelial cells with a large, granular cytoplasm that is rich in mitochondria. Oncocytic carcinomas are extremely uncommon neoplasms which occur predominantly in major salivary glands particularly the parotid. Oncocytic carcinoma arising from minor salivary gland is a rare entity. Management and prognosis of oncocytic…

59. Pregnancy with Uncorrected Tetralogy Of Fallot :Anaesthetic Management Of A Case For LSCS

    Among the congenital heart diseases causing intra cardiac R-L shunts Tetrology of Fellot is the most common syndrome, characterized by presence of VSD, aortic overriding, pulmonary artery outflow obstruction and right ventricular hypertrophy. If remains uncorrected it can cause significant morbidity and mortality to the patient. Pregnancy in such a…

60. Pregnancy with Uncorrected Tetralogy Of Fallot : Anaesthetic Management For Cesarean Section

61. Pediatric Advanced Care Team (PACT): A Model for Caritas Baby Hospital in Bethlehem, Palestine and a

    …children, the Pediatric Advanced Care Team (PACT) has been designed as a model for palliative care and hospice care for pediatric patients living in Palestine. PACT intends to educate patients and their families regarding treatment, improve dialogue and communication with medical professionals, provide patient care, and assist families during the…

62. Glioblastoma Multiforme In Elderly Population

    Glioblastoma multiforme (GBM) is the most common and aggressive primary brain malignancy in the human race. The management of glioblastoma multiforme (GBM) in elderly patients is not well established in English literature. Despite treatment advances, survival of elderly GBM patients is usually < 12 months. Prognostically favorable elderly GBM patients…

63. Long term Complete Response to Bexarotene, Photopheresis and Ampicillin

64. Quality Of Life At End Of Life: Spirituality And Coping Mechanisms In Terminally Ill Patients

    …(N = 120) undergoing palliative care over a six month period within 2 specialised hospice units (Hospices A & B). Using an adapted version of the McGill Quality of Life Questionnaire (Cohen et al, 1995), the self-assessed scores of “Believing & Practising Church Members” (B), “Believers but Non-practising Church Members”…

65. Prostatic Leiomyosarcoma –A Rare Case Report With Review Of Literature

    Majority of the prostate malignancies are adenocarcinoma in nature. Prostate leiomyosarcoma is an extremely rare and highly aggressive neoplasm that accounts for less than 0.1% -3.7% of primary prostate malignancies1. Prostate sarcomas are diagnostically and therapeutically very challenging. This neoplasm is a mesenchymal tumor that originates from smooth muscles of…

66. Preventing the Worst Case Scenario: An Analysis of RFID Technology and Infant Protection in Hospital

    …and for the health care facilities’ staff and executives. This article looks at the nature of newborn and infant abductions, analyzing data on these kidnappings from the FBI and from the National Center for Missing & Exploited Children. Then, the article examines the potential for RFID (radio frequency identification) based…

67. Malignant Ascites Of Unknown Primary Tumour Site: A Clinical Dilemma

    Malignant Ascites is an adverse event in the course of malignancy. In 10-20% of cases, the primary tumor may be difficult to detect and presents as a clinical enigma. Ascitic fluid analysis, tumor markers, radiological imaging and even diagnostic laparoscopy may fail to detect the primary tumor. Due to the…

68. Prevalence Of Prostate Cancer Among Nigerians With Intermediate Total Prostate Specific Antigen Leve

    Prostate cancer is a common clinical condition among adult males world wide1 ; its prevalence in the intermediate total PSA values (4-10ng/ml) has not been assessed among Nigerians. This study was carried out to determine the prevalence of prostate cancer among patients with intermediate total PSA values seen in Lagos…

69. Foley’s Catheter Technique For Removal Of Endobronchial Fractured Polyvinyl Chloride Tracheostomy Tu

    Through out the world Otolaryngologists and the Anesthetists face challenges in dealing with endobronchial foreign bodies from time to time which are often difficult to diagnose but once discovered, they are removed, leading to immediate and dramatic resolution of symptoms. We describe a difficult presentation of a fractured tracheostomy tube…

70. Presentations of Gastro-Intestinal Stromal Tumours: Experiences from a tertiary care level hospital

    Eighteen patients of gastrointestinal stromal tumours (diagnosed on histopathohology) were studied retrospectively. The period of study extended over sixty months. It takes into account the age, distribution, mode of presentation, diagnostic modalities, treatment including surgery and the role of Imatinib. It also analyses the recurrence pattern and risk categorization of…

71. Current and future treatment of epilepsy

    Epilepsy is a common disease with a complex range of aetiological factors; this is mirrored by the diverse classification systems in use. This article considers current supportive, pharmacological and surgical management in the context of epilepsy classification and casts a critical eye towards the possible contributions of new drug discoveries,…

72. Oral Manifestations Of COVID-19. A Case Report.

    …the disease. As health care providers we should be alert of the clinical manifestation in our patients, to identify early oral signs and symptoms of COVID-19, to control the spread of this deadly disease.

73. Review Article On Nutrition Screening And Assessment Tools In The Elderly

    In order to review the literature on nutrition screening and assessment tools in older people we searched MEDLINE, Web of Science and Scopus, and did a manual search in J Nutr Health Aging, Clin Nutr, Eur J Clin Nutr and free online available publications.

74. Rapidly Progressive Malignant Chylous Ascites Due To Metastatic Adenocarcinoma Managed With Denver S

    We report a rare case of chylous ascites due to metastatic adenocarcinoma with a pelvic mass, treated with Denver shunt, which achieved symptomatic relief.

75. Radical External Beam Radiotherapy With Intraluminal High Rate Dose Brachytherapy In Patients With C

    Aims: - Oesophageal carcinoma is an uncommon malignancy, accounting for approximately 1% of all malignancy and 6% of all gastrointestinal malignancies, patients with carcinoma oesophagus usually present with advanced disease. A combination of external and intraluminal radiation therapy is useful to palliate these patients. We report the findings of a…

76. Healthcare for U.S. Veterans: Is the system sufficient?

    The Department of Veterans Affairs (VA) has made a valiant effort at preserving and protecting the health of U.S. veterans, however inefficiencies in the system have resulted in a myriad of problems regarding accessibility. This undermines the entire system and is a disservice to its inhabitants. More effective protocols regarding…

77. Anesthetic management of a patient with Meckle-Gruber Syndrome with complex cardiac anomalies for no

    An 8-month old male patient of Meckle-Gruber Syndrome with a single ventricle with unrestricted pulmonary blood flow leading, moderate ventriculoseptal defect, rudimentary right ventricle and a single atrioventricular valve presented for excision of occipital meningo-encephalocele. Previous banding of pulmonary artery trunk to reduce pulmonary blood flow had failed. Pre-anesthetic examination…

78. Metastatic Pericardial Effusion And Cardiac Tamponade Due To Parotid Adenocarcinoma

    Metastatic malignancy presenting as cardiac tamponade is not uncommon; however, hematogenous spread from carcinoma is rare. There are only three previously reported cases of parotid malignancy with pericardial metastasis. We report a case of parotid adenocarcinoma leading to cardiac tamponade in a 61-year old man. The patient presented with signs…

79. Evaluation Of Different Approaches To Screening For Pain In The Oncology Outpatient Department

    Context Screening for pain is an effective means of identifying patients with untreated pain in the oncology outpatient department. However, evaluation of different approaches to screening for pain has not been investigated. Objectives To identify which screening approaches resulted in the highest rate of completed and returned screening forms. To…

80. Advanced Head & Neck Cancer: Care Beyond Cure

    …personal habits, especially oral care, tend towards poor nutrition and have a higher incidence of personality and character disorders. They are also less successful socio-economic group. Most of those who succumb to head and neck cancer have uncontrolled local disease irrespective of the presence of metastasis. Distant metastasis arises in…

81. An initiative to end-of-life decisions in cancer care

    Care of cancer patients more than often becomes limited to providing only comfort measures at the advanced stage of their diseases. Patients or family should be given accurate, relevant and comprehensible information about the goals of the treatment options. These discussions should paint a realistic picture of the outcome to…

82. An initiative to end-of-life decisions in cancer care

    Care of cancer patients more than often becomes limited to providing only comfort measures at the advanced stage of their diseases. Patients or family should be given accurate, relevant and comprehensible information about the goals of the treatment options. These discussions should paint a realistic picture of the outcome to…

83. Sister Mary Joseph’s Nodule: An Indicator Of Intraabdominal Malignancy

    Umbilical metastasis is one of many characteristic signs of extensive neoplastic disease. It suggests advanced distant metastasis and is associated with poor prognosis; mean survival is approximately 10–12 months, although long-term survival has been reported, but only in the presence of a solitary metastatic umbilicus nodule. Sister Mary Joseph’s nodule…

84. Adult Nigerian With Untreated Tetralogy Of Fallot- A Case Report

    Background: Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart .. Unlike in the western world where adult TOF is a rarity, in the developing countries without cardiac surgical centers and inadequate medical treatment, patients die early so adult untreated TOF is worth reporting. A 23…

85. Gas Gangrene Of The Liver With Acute Liver Failure And Septic Shock Syndrome Caused By Clostridium P

    …infection. Despite all intensive care measures taken including an interventional pigtail catheterizing, the physical condition of the patient deteriorated rapidly and took a lethal outcome. In this case report we describe the symptoms of isolated liver gas gangrene abscess as well as the taken treatment measures in comparison with the…

86. Gas Gangrene Of The Liver With Acute Liver Failure And Septic Shock Syndrome Caused By Clostridium P

    …infection. Despite all intensive care measures taken including an interventional pigtail catheterizing, the physical condition of the patient deteriorated rapidly and took a lethal outcome. In this case report we describe the symptoms of isolated liver gas gangrene abscess as well as the taken treatment measures in comparison with the…

87. Postoperative 30-Day Mortality After Colon Cancer Surgery: A Descriptive Case Series

    Objective: To analyze postoperative 30-day mortality (PostopM) after colon cancer (CC) surgery and to propose perioperative measures that can decrease complications and death. Patients and methods: Patients with CC who had undergone primary surgery at the Central Armed Forces Hospital (CAFH) in Montevideo, Uruguay, between 1989 and 2005 were identified.…

88. Pain and Ethics

89. Risk Factors For Mortality From Infectious Diseases Among Elderly From Long-Term Care Facilities

    …acquired infections in long-term care facilities (LTCF) and were transferred to an acute care hospital. Methods: A retrospective medical record review was conducted in Okinawa Chubu Hospital, a 550-bed community teaching hospital in Okinawa, Japan. Study population included elderly LTCF residents in central Okinawa with signs or symptoms suggestive of…

90. A Pilot Phase Ii Study Of Capecitabine With Carboplatin In Patients With Advanced Nonsmall Cell Lung

    Carboplatin forms the backbone of many regimens for nonsmall cell lung cancer (NSCLC). 5-fluorouracil (5-FU) is modestly active in NSCLC and is synergistic with platinum analogs. This trial evaluated the activity and toxicity of capecitabine, an oral 5-FU prodrug, with carboplatin in patients with unresectable NSCLC. Eligibility criteria included untreated…

91. Coronary Artery Bypass Surgery In An Elephantiasis Patient: The First Case In Literature

    Elephantiasis generally results from obstructions of the lymphatic vessels. Its most common site is the leg and it’s characterized by the gross enlargement of a limb. In this study, we aimed to report a case of chronic elephantiasis undergoing uneventful coronary artery bypass that had undergone an unsuccessful reconstructive surgery…

92. Anesthesia For Interventional Neuroradiology: Part 1

93. Rhabdoid Meningioma: Rare And Highly Aggressive

    Rhabdoid meningioma was designated anaplastic (grade III) in 2000 in recognition of its biological aggressive potential. We present the case of a caucasian man with this extremely rare sub-type of malignant meningioma which had a very aggressive clinical course. Mangement of malignant menigiomas should at least consist of radical surgery…

94. Adult Nigerian With Untreated Tetralogy Of Fallot- A Case Report Background: Tetralogy of Fallot (TO

    Background: Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart .. Unlike in the western world where adult TOF is a rarity, in the developing countries without cardiac surgical centers and inadequate medical treatment, patients die early so adult untreated TOF is worth reporting. A 23…

95. Extensive metastases from Gastric Adenocarcinoma In a teen male presenting as anemia

    Gastric carcinoma is the most common gastrointestinal malignancies worldwide, but is extremely rare in teenagers. We report a case gastric adenocarcinoma in a 13-year male who presented with anemia. He also found to have multiple hepatic metastases and ascites. A review of the literature was done.

96. Paraquat Poisoning: First Case Report in Australia

    …was treated in intensive care unit for 23 days but unfortunately passed away due to respiratory failure. This case report serves to explore the complications associated with paraquat poisoning and current recommended treatment.

97. Mini-dose Combined Spinal-epidural Anaesthesia In A Parturient With Univentricular Heart And Severe

    This case report describes the anaesthetic management of a 35-year-old parturient with a univentricular heart when she required uterine curettage after a medical mid-term termination of pregnancy. The anaesthetic options are discussed with our justification for using a mini-dose combined spinal-epidural anaesthetic for this procedure. An intrathecal injection of 5mg…

98. Mini-dose Combined Spinal-epidural Anaesthesia In A Parturient With Univentricular Heart And Severe

    This case report describes the anaesthetic management of a 35-year-old parturient with a univentricular heart when she required uterine curettage after a medical mid-term termination of pregnancy. The anaesthetic options are discussed with our justification for using a mini-dose combined spinal-epidural anaesthetic for this procedure. An intrathecal injection of 5mg…

99. Six-month-to-live-patient with Bone Cancer of Unknown Origin Revived by Herbs: A Case Study

    Nathan (not real name), a 66-year-old male, was diagnosed with bone cancer of unknown primary. After undergoing chemotherapy and radiotherapy, he was immobilsed to the extent of not being able to lie down. He had severe pains and was on daily morphine intake. Nathan was put on herbs and within…

100. Mini-dose Combined Spinal-epidural Anaesthesia In A Parturient With Univentricular Heart And Severe

     This case report describes the anaesthetic management of a 35-year-old parturient with a univentricular heart when she required uterine curettage after a medical mid-term termination of pregnancy. The anaesthetic options are discussed with our justification for using a mini-dose combined spinal-epidural anaesthetic for this procedure. An intrathecal injection of 5mg…