A 47-year-old patient visited our outpatient clinic. She was born with tricuspid atresia with normally connected great arteries without pulmonary stenosis (type Ic); a ventricular septal defect connected the pulmonary artery and hypoplastic right ventricle (RV) with the left ventricle. When she was 14 years old, a Fontan-Bjork procedure was performed.1 The atrial and the ventricular septal defe...

More NHS staff caring for patients with suspected or confirmed covid-19 will have access to higher grade personal protective equipment (PPE), including FFP3 masks, under updated guidance on infection prevention and control.1 Issued this week, the obliges organisations assess risk that poses act mitigate any risks, such as by providing PPE masks. These assessments should include evaluations of ...

Abstract Here we present a taxonomic treatment of the subfamily Celastroideae (Celastraceae) in state Espírito Santo, southeastern Brazil, as part ongoing project Flora do Santo. The work is based on analyses herbaria specimens and fieldwork since 2012. Two genera thirteen species are reported for covering all vegetation formations found state. Celastrus represented by one species, C. liebmanni...

Cerebrospinal fluid (CSF) ascites is a rare complication of ventriculoperitoneal (PV) shunt. The etiological factors and especially the mechanisms underlying this remain difficult to explain. We report case voluminous CSF complicating PV shunt, 15 years later. This 16-year-old patient, valved at age one year, admitted for major abdominal distension. scanner shows large free collection in perito...