Problems identified by the National Patient Safety Agency Analysis of incidents involving placement of nasogastric feeding tubes since 2005 suggested that misinterpretation of x ray images was the largest single contributory factor, accounting for about half of all serious incidents and deaths. Other f ndings indicated that healthcare professionals were not following the original NPSA guidance....

We describe three patients with bilateral cerebrospinal fluid (CSF) otorhinorrhea with unilateral progressive hearing loss in whom CT showed the defect to be located in the lamina cribrosa of the internal auditory canal. CT cisternography showed the CSF fistula in two of the three patients who had Mondini malformation, whereas the CSF fistula was obvious on the plain high-resolution temporal bo...

A 65-year-old female patient was brought to our emergency department (ED) with alleged history of road traffic collision (RTC). The patient had respiratory distress on arrival and hence she was immediately intubated and ventilated. Blood pressure and peripheral pulses were not measurable; however the central pulses were present. Aggressive fluid resuscitation was started. Primary assessment rev...

Superior mesenteric artery syndrome was observed in an adolescent patient. He had a 1-day history of nausea, vomiting, and abdominal pain, without chronic or recurrent symptoms. Diagnosis was established by abdominal plain x-ray, contrast enhanced abdominal computed tomography, and endoscopic examination. The patient was hospitalized, monitorized, and decompressed by nasogastric tube without or...

In the present decade, research regarding solar thermal air heaters (SAHs) has noticed a continuous progression in thermo-hydraulic performance augmentation approaches. There now exists wide variety of approaches and researchers have designated various structures. Nevertheless, there seems to be no generalization any employed. The numerical investigation reports on characteristics for flow thro...

chest tube (ct) or tube thoracostomy placement is often indicated following traumatic injuries. premature movement of the chest tube leads to increased hospital complications and costs for patients. placement of a chest tube is indicated in drainage of blood, bile, pus, drain air, and other fluids. although there is a general agreement for the placement of a chest tube, there is little consensu...

A 64-year-old man was admitted to our hospital due to dyspnea. He had a history of renal cell carcinoma (RCC) and had undergone radical left nephrectomy 23 years earlier. A chest X-ray showed a right pleural effusion. After a trocar tube was inserted, plain computed tomography of the chest revealed small masses (Picture 1). Diagnostic thoracoscopy disclosed a small, white mass on the pleura (Pi...

A 67-year-old female patient developed an esophagocutaneous fistula 4 mo after C4 and C5 partial corpectomy. Plain radiograph and computed tomography (CT) scan of cervical spine showed inferior screws pullout with plate migration that caused the esophageal perforation. Management included removal of anterior hardware, revision C4-5 corpectomy, iliac crest strut autograft and halo orthosis immob...

With a tube etching process, conical-ended optical fibers for middle infrared lasers that have lateral emissions can be produced, a feature of benefit for delivering laser energy onto the root canal walls. This study examined the ability of these improved laser tips when Er:YAG and Er,Cr:YSGG lasers were used in root canals in which thick smear layers had been created intentionally to provide a...