Chemical thinning, the most common and cost-effective thinning method, is conducted during early apple fruit development over a 3- to 4-week period using multiple applications of plant growth regulators. It critical provide growers with tools assess efficacy chemical thinners quickly accurately because visible responses are not apparent for up 2 weeks after application. The objective this study...

INTRODUCTION: Maintaining optimal coagulation is vital for successful microvascular flap transfer. Hypercoagulate states are risk factors for pedicle thrombosis and flap loss.1 Therefore, identifying patients who are at risk for such events is paramount. The viscoelastic Thromboelastography (TEG) is a modern method to assess a patient’s coagulation status and in the past, it has predominantly b...

Editorial EdItORIAL I began my career in 1994 as an interventional cardi-ologist, and I thought the world of medicine was totally mechanistic. My patient has a blocked artery; I have a stent and a statin in my toolbox; I fix the artery—end of story. There is nothing wrong with this approach in acute care. This type of medicine, the backbone of conventional medical education, can save lives. We ...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Cardiopulmonary resuscitation (CPR) is a lifesaving procedure often performed in the intensive care unit (ICU). Post-cardiac arrest centers on supportive as well identifying and treating underlying etiology of cardiac arrest. Consideration myocardial infarction, pulmonary embolism ongoing atrial fibrillation may prom...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Cerebral Amyloid Angiopathy (CAA) is amyloid deposition within cerebral vessel walls which increases risk for spontaneous intracerebral hemorrhage (ICH) and occurs almost exclusively in patients over age 65. We report a young woman patient who presented ICH with both imaging tissue pathology consistent CAA. CASE PRES...

M is a highly toxic alcohol with a smell and taste similar to ethanol. Small amount around 50 100 ml causes permanent blindness and severe neurological dysfunction leads to death.1 More than half of methanol related morbidity and mortality is classified as accidental and therefore preventable. In addition, it can be suicidal by ingestion of a variety of commercial paint thinners, gasoline anti-...

Toluene (methylbenzene) is an aromatic hydrocarbon widely used as an organic solvent in both industrial settings and common household products such as gasoline, glue and paint. (U.S. Public Health Service, ’89; Verschueren, ’77). Inhalation of air-borne toluene as a vapor is the most common route of human exposure. Approximately 80% of an initial inhaled dose is absorbed with decreasing absorpt...

Diagnostic investigations of aneurysm, hemorrhagic stroke, and other asymptomatic cardiovascular diseases neurological disorders due to the flow choking (biofluid/boundary layer blockage persuaded choking) phenomenon in circulatory system humans animals on Earth human spaceflight are active research topics topical interest {Kumar et al., “boundary leads stroke earth spaceflight,” Paper presente...

According to the Centers for Disease Control and Prevention, “Heart disease is the leading cause of death in the United States and is a major cause of disability” (CDC, 2013). Research on heart disease has been ongoing for more than 50 years. Until recently, “the lipid hypothesis of heart disease has dominated medical thinking” (Fallon, Sally, & Enig, Mary, 2009). Cholesterol was found to be a ...

For the complete list of authors including members American College Emergency Physicians Clinical Policies Committee (Oversight Committee) and to read this ACEP clinical policy please go to: https://www.acep.org/patient-care/clinical-policies/ This from addresses key issues in management adult patients presenting emergency department with mild traumatic brain injury. A writing subcommittee cond...