BACKGROUND Acquired cholesteatomas are commonly seen in patients less than 30 years. There is a typical history of recurrent middle ear infections with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. OBJECTIVE The aim of the work was to study the role of high resolution computed tomography (HRCT) in detecting, evaluating, and diagnosing m...

Over two-thirds of the world's population lack access to surgical care. Non-governmental organisation's providing free surgeries may overcome financial barriers, but other barriers to care still exist. This analysis paper discusses two different case-finding strategies in Madagascar that aimed to increase the proportion of poor patients, women and those for whom multiple barriers to care exist....

background: the effect of ovariectomy and accompanying sudden loss of circulating gonad hormones on spatial learning performance in the young adult rats was examined. we hypothesized that spatial learning and memory in a considerable number of women who undergo a surgical menopause and estrogen deprivation before their natural menopause be impaired. methods: in this study, we used 26 wistar rat...

Purpose: To retrospectively analyze the results of our therapeutic recommendations for EMR and surgical operation using thin-probe EUS for patients with early colorectal neoplasms. Methods: We retrospectively analyzed the therapeutic recommendation for using EUS and the results in 63 lesions of 63 patients. When the depth of the change for the third layer (submucosal layer) was 1 millimeter or ...

Despite significant advances in critical care management, flail chest remains a clinically significant finding, with a mortality rate of up to 33%. Nonsurgical management is associated with prolonged ventilator support, pneumonia, respiratory difficulties, and lengthy stays in the intensive care unit, as well as chronic pain from nonunion and malunion of the bony thorax. Treatment with aggressi...

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Delayed clinical presentation of patent ductus arteriosus (PDA) in adults is very rare. The clinical presentation in adults consists of either aortic or pulmonary valve endocarditis. We report the case of 34-year-old patient with a known history of rheumatic heart disease in childhood and chronic heart failure for 5 years who presented with acute heart failure and no evidence of PDA at prior ec...

A 59-year old Brazilian woman had undergone ileocolonic resection in 2004 while in Brazil. She now presented to our department with abdominal pain and the passage of liquid stools (more than five daily). Her symptoms had begun 4 months earlier. She had no nausea, vomiting, or fever. The patient could not clarify the indication for her previous surgery and denied the long-term use of medications...

Here are reported data on virulence determinants of Staphylococcus aureus from orthopedic surgical infections, emphasizing on the genes encoding fibronectin (fnbA, fnbB) and collagen (cna) adhesins. 191 S. aureus strains from orthopedic infections (53 from internal fixation devices, 29 external fixation devices, 15 knee arthroprostheses, 30 hip arthroprostheses, 45 surgical reconstruction and 1...

Since the outbreak of Coronavirus 2019 (COVID-19) pandemic, paediatric endoscopic surgery training has taken a backseat. Simulation and virtual learning have become cornerstones in educating trainees across different surgical specialties. Paediatric minimal access is an exceptionally challenging field due to extreme variations size patients, ranging from newborns adolescents. Finding possible s...