La tuberculosis sigue siendo un problema de salud pública en Latinoamérica y forma parte las principales causas mortalidad niños. En su pulmonar paciente inmunocompetente, se encuentran síntomas típicos como hemoptisis, tos productiva, pérdida peso, fatiga, fiebre sudoración nocturna. El presente caso describe una presentación atípica lo es el neumotórax espontáneo. Se trata adolescente, con cu...

BACKGROUND This observational study examined return to duty (RTD) rates following receipt of early mental health interventions delivered by deployed mental health practitioners. METHOD In-depth clinical interviews were conducted among 975 UK military personnel referred for mental health assessment whilst deployed in Afghanistan. Socio-demographic, military, operational, clinical and therapy o...

Both microscopic and mesoscopic models use Helbing’s movement model for estimating the characteristics of an evacuation. Because Helbing’s movement model does not consider the effect of smoke, the influence of smoke on walking speed and the toxic gas effect of the combustion gas were used for applying the smoke effect on human behavior. However, these models cannot consider the psychological pr...

OBJECTIVE Compare coblation tonsillectomy with blunt dissection tonsillectomy to see if there is any difference in intraoperative bleeding, operating time, postoperative pain, tonsillar fossae healing and return to normal diet and activities. METHOD A randomised control trial was carried out to compare coblation tonsillectomy with blunt dissection tonsillectomy in 56 patients. The same surgeo...

In order to compare the performance of four pleural drainage units (PDU [Emerson Post-Operative Pump, Pleur-Evac, Sentinel Seal, Thora-Klex]), we created an animal model of bronchopleural fistula that simulated the type of air leak seen clinically (mean maximal flow = 5 L/min). The PDU were tested at 0 cm (water seal), -20 cm and -40 cmH2O suction. Compared to water seal, -20 cmH2O suction sign...

Local delivery of cancer chemotherapeutics enables sustained drug levels at the site of action thereby reducing systemic side effects. A novel insertable polymeric drug delivery system for cervical cancer treatment is presented. Cisplatin, the first line of therapy employed for cervical cancers, was incorporated in a poly(ethylene-co-vinyl acetate) (EVAc) device that is similar to those current...

Recurrent rhinosporidiosis is a chronic granulomatous disease with a known tendency to reoccur. Coblation EVAC 70 is a novel surgical tool which seems to provide excellent option in management of this notorious disease. We present an interesting case and the innovative approach in its management, using Coblation system. Introduction. Rhinosporidiosis seeberi causes a chronic granulomatous disea...

We introduce an approximation to calculate the gravitational radiation produced by the collision of true-vacuum bubbles that is simple enough to allow the simulation of a phase transition by the collision of hundreds of bubbles. This “envelope approximation” neglects the complicated “overlap” regions of colliding bubbles and follows only the evolution of the bubble walls. The approximation accu...