Possible, impossible. Difficult Norwid in difficult Norwid studies

Endoscopic submucosal dissection in the West: difficult but not impossible

The detection rate of early gastric cancer (EGC) in the West constitutes 10% of endoscopically diagnosed gastric carcinoma cases. In contrast, Japanese endoscopists recognize 50% of gastric cancer at an early stage [1]. In these cases, endoscopic submucosal dissection (ESD) technique is considered as the first option for accurate histopathological assessment and alternative therapy to surgery i...

Fighting Tobacco Smoking - a Difficult but Not Impossible Battle

According to the World Health Organization (WHO), tobacco-related disease is the single largest preventable cause of death in the world today, killing around 5.4 million people a year--an average of one person every six seconds. The total number of death caused by tobacco consumption is higher than that of tuberculosis, HIV/AIDS and malaria combined. Unlike other communicable diseases, however,...

Incidence and predictors of difficult and impossible mask ventilation.

BACKGROUND Mask ventilation is an essential element of airway management that has rarely been studied as the primary outcome. The authors sought to determine the incidence and predictors of difficult and impossible mask ventilation. METHODS A four-point scale to grade difficulty in performing mask ventilation (MV) is used at the authors' institution. They used a prospective, observational stu...

Management of the difficult Airway

The appropriate airway management is the important point during the anesthesia. For it dose, ‎taking history, physical examination (head and neck, mandible, mouth opening, neck ‎movements …) must be done completely and they are helpful in estimating difficult ‎intubation.‎ It is necessary to note that one case from every ‎‏5000‏‎ cases of anesthesia, not o...

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain