Broken basket conundrum

Broken heart: Broken mind.

The increased frequency of sudden cardiac death after earthquakes and bombings has long proposed that emotional distress plays a role in acute coronary syndromes and arrhythmias. Since the 1960s, several controlled, prospective, epidemiological studies have reported emotional distress as a major risk factor for the onset and worsening of coronary heart disease (CHD) [1]. The Interheart study, a...

THE CONUNDRUM OF EUTHANASIA

Crop conundrum.

The lead review “Risk assessment of genetically modified crops for nutrition and health” by Magaña-Gómez and Calderon de la Barca,1 ends with a common plea: “more research is needed”. It is valid to put both this plea and the justification for other similar research into perspective. How selective are the reviews that lead to the conclusion that more of such research is needed?What comparators ...

Cancer Conundrum

The main event is when physiologic EMT is seen in gastrulation; formation and migration of neural crest cells.[3] The progression of EMT is further classified into primary (1°), secondary (2°) and tertiary (3°) EMT,[2] depending on the number or sequential sweeps of EMT and mesenchymal‐epithelial transition (MET).[2] MET signifies the conversion of the mesenchymal phenotype back into the epithe...

Impacted and Fractured Biliary Basket: A Second Basket Rescue Technique

A 59-year-old woman was treated with ERCP, ES, and biliary plastic stent, for large and multiple common bile duct stones. During a second ERCP basket extraction was impacted with a round entrapped stone. The basket handle was cut off; a metal sheath of extraendoscopic lithotriptor was advanced over the basket. The mechanical lithotripsy was complicated with basket traction wires fracturing, wit...