As the government of New Brunswick moves to improve and strengthen inclusive education, identifying and addressing the systemic barriers to implementing the inclusive education model will be necessary. This brief will attempt to offer the insight of the New Brunswick Association for Community Living/Association du Nouveau-Brunswick pour l’intrégration communautaire on the issue of current syste...

Many cardiac and systemic illnesses can affect the left side of the heart. After a careful history and examination, electrocardiography and chest radiography are first line investigations. Electrocardiography can provide supportive evidence for conditions such as aortic stenosis, hypertension, and mitral stenosis. Recognition of the associated electrocardiographic abnormalities is important as ...

Multifocal and diffuse infantile hepatic hemangioendotheliomas commonly present with signs of high-output congestive heart failure. In addition, prolonged persistent pulmonary overcirculation eventually leads to the development of pulmonary hypertension at a later age. We report a 2-day old, full-term infant with multifocal, large infantile hepatic hemangioendothelioma, who presented with an ea...

Atrial fibrillation is a major health problem with risk of systemic arterial embolism. Acute embolic renal infarction is a rare condition with symptoms that are often nonspecific. We present a 36-year-old previously healthy man with acute embolic renal infarction secondary to new onset atrial fibrillation, who presented with flank pain mimicking renal colic. The patient was treated successfully...

Accidental organophosphate poisoning may occur in persons coming in close contact with animals being treated toitb organophosphate pesticides. The poisoning may manifest itself as a severe systemic disorder, but can be diagnosed by an alert physician and confirmed by specific tests of reduced cholinesterase activity in the blood, plasma and red blood cells. Treatment is with intravenous atropin...

Only physicians experienced in management of systemic immunosuppressive therapy for the indicated disease should prescribe Cyclosporine Capsules USP (Modified). At doses used in solid organ transplantation, only physicians experienced in immunosuppressive therapy and management of organ transplant recipients should prescribe Cyclosporine Capsules USP (Modified). Patients receiving the drug shou...

Wasp stings are not uncommon in Nepal. The manifestations of stings are usually benign and localised at the site of stings. However, susceptible individuals may present with multi-systemic and potentially fatal complications. We report here a child who developed acute kidney injury, nine days after multiple wasp stings. The renal function recovered with supportive management including two sessi...

Agriculture is one of the pillars of economics and its development requires a particular attention to all production factors. This paper aims to provide a systematic and conceptual model that is based on a conceptualization of the field. For this purpose, the theory and methodology based on data derived from field observations and interviews drawn from a systematic conceptual model of key infor...

Extracorporeal membrane oxygenation (ECMO) was developed as a supportive therapy to treat severe respiratory failure. When conventional mechanical ventilation has failed or when there is not enough time to treat the pathology, ECMO has the potential to sustain life. In this report, successful use of ECMO to support an adult patient with antineutrophil cytoplasmic antibody (ANCA)-associated syst...