56 Despite the great advances in the management of high-output enterocutaneous fistulas (HOECFs), this condition remains a challenge for surgeons in both the developing and developed worlds. Since the early 1960s, nutritional support has been the mainstay of management that expedites the spontaneous healing of the fistula or, if healing does not occur, ensures that the patient is nutritionally ...

Opportunistic networks (OppNets) are human-centric mobile ad-hoc networks, in which neither the topology nor the participating nodes are known in advance. Routing is dynamically planned following the store-carry-and-forward paradigm, which takes advantage of people mobility. This widens the range of communication and supports indirect end-to-end data delivery. But due to individuals’ mobility, ...

A girl, 21 years of age, was admitted to hospital on February 5, 1960, at the Clinic in a state of acute generalized vaccinia. She had been admitted to the Paediatric Clinic at the age of 17 months from August 21 to October 20, 1959, where a diagnosis of acute leukaemia was established by the clinical picture, the peripheral blood studies and bone marrow examination. After blood transfusions, a...

Today, tablets are still the most desired form of dosage due to the convenient administration, the chemical and physical stability of the drug in a solid state, and the high production rate of a tabletting machine based on the compaction of powders or granules. Because direct compression vehicles are still in the minority, pharmaceutical powders have to be processed in order to obtain a tailore...

Aim: The present investigation highlights the formulation and evaluation of matrix tablets of propranolol hydrochloride (HCl) using a natural polymer, is gum kondagogu. Materials and Methods: Wet granulation method was used for the preparation of matrix tablets of propranolol HCl using varying proportions of natural polymer as a release retardant, Avicel pH 102 as diluent, talc and magnesium st...

in the maternity department of this hospital, a primi-gravida, aged 30, having been in labour for two days, gave birth to a female child. 'The child was born by the breech, and the delivery was extremely difficult. I cannot ascertairn just how the baby was delivered, but it is undouibted that extreme force was required to extricate the infant from its unasked-for position. After birth it was di...

Omega-3 fatty acids are used in both nutraceuticals and pharmaceuticals in the form of triglycerides and ethyl esters. Administration forms available for omega-3 oil include bulk oil, soft gel capsules, emulsions and some powder compositions. However, the niche omega3 tablets have so far remained unexplored. In the present work direct compaction grade powders comprising omega-3 oil as triglycer...

Necrotizing abdominal wall infections, enteric fistulae, or exposed prosthetic material after ventral hernia repair often results in a loss of abdominal wall integrity. Further surgical reconstruction with prosthetic material is usually contraindicated in the contaminated wound because of the high infection rate necessitating prosthetic removal and further abdominal wall debridement. Consequent...

Objective: We have provided evidence based critical review of the “Triangle of wound assessment made easy”. Background: Wound assessment is a vital step in managing patients with acute and chronic wounds in daily clinical practice. The natural progression of most wounds is to heal naturally in a coherent and timely manner, although a minority of wounds will fail to heal. The aim of treating rec...

A new healing procedure has been developed on the basis of the successful treatment of therapy-resistant hypoxic (and practically anoxic) leg ulcerations located within a heavy dermatoliposclerosis. The procedure involves an initial intra-ulceral application of haemoglobin followed by the intermittent administration of normobaric oxygen via inhalation. Haemoglobin is capable of externally suppl...