While most gastroenterologists are aware of the more common complications of endoscopy such as bleeding, infection and perforation, air embolism remains an under-recognised and difficult to diagnose problem due to its varying modes of presentation. This is the case of a 55-year-old man with right upper quadrant pain and imaging notable for cholecystitis and choledocholithiasis, who underwent en...

This study was aimed at evaluating the effect of crop rotation and various tillage systems onthe chemical and biological properties of soil in the years 2013-2015. The first order factorincluded cropping systems: a) crop rotation (pea – winter wheat – spring wheat) and b)monoculture of winter wheat, whereas the second order factor were tillage systems:1) conventional (CT), 2) reduced (RT) and 3...

The d-glyceraldehyde 3-P dehydrogenases of spinach leaf, pea seed, and pea shoot were purified. The NADP and NAD-linked enzymes of either spinach leaves and pea shoots could not be separated. Changes in the ratio of NADP- to NAD-linked activity of the spinach leaf and pea shoot enzymes were observed during both purification and storage of crude extracts. The spinach leaf, pea shoot, and pea see...

P a t i e n t s 1219 patients with an out-of-hospital cardiac arrest who presented with ventricular fibrillation, pulseless electrical activity, or asystole requiring cardiopulmonary resuscitation (CPR) with vasopressor therapy. Exclusion criteria were successful defibrillation without a vasopressor, terminal illness, no intravenous access, hemorrhagic shock, cardiac arrest after trauma, pregna...

Mitral valve (MV) repair is indicated for patients with severe MR. We report a case of acute MR caused by patch detachment after posterior leaflet augmentation in MV repair. A 65-year-old male underwent MV repair with posterior leaflet augmentation and coronary artery bypass graft 1 month prior to this study. An inverted T-shaped incision was made on the posterior mitral leaflet (PML), and a pi...

The neurologic and cardiac toxicities of local anesthetics lidocaine and bupivacaine have long been documented and can be potentiated by inadvertent systemic administration, pre-existing cardiac disease, shock states, and renal failure. We report a peculiar case of acute lidocaine and bupivacaine toxicity during orbital surgery in a woman with stable chronic systolic heart failure due to unexpe...

Introduction Extracorporeal cardiopulmonary resuscitation (ECPR) is a challenging approach for treating refractory out-of-hospital cardiac arrest (OHCA). Case Presentation The authors describe a case of a 40-year-old Caucasian female who suffered from refractory OHCA, was admitted to a hospital while receiving ongoing cardiopulmonary resuscitation, and was connected to venoarterial extracorpo...

We describe a case of sudden and severe pulseless electrical activity in a 30 year old woman which was managed successfully with reteplase and heparin one day following an anterior cruciate ligament repair. The presentation of a sudden collapse with ECG findings of S1Q3T3, early precordial lead ST depression and partial right bundle branch block were indicative of an acute pulmonary embolus. Th...

Electronic cigarettes are novel tobacco products that are frequently used these days. The cartridge contains liquid nicotine and accidental poisoning, even with a small oral dose, endangers children. We present here a mortality case of a 15-month-old child who ingested liquid nicotine mistaking it for cold medicine. When the emergency medical technicians arrived, she was found to have pulseless...