Obstructive sleep apnea/hypopnea syndrome (OSA/HS) is the basis of the spectrum of sleep-disordered breathing (SDB) and is a condition characterized by the presence of snoring, repetitive partial upper airway obstruction (hypopnea) and/or intermittent complete obstruction (apnea), long enough to cause reduce the level of oxygen in the blood (desaturation), fragmented sleep and excessive daytime...

A 2 year old girl is reported in whom deployment of the Amplatzer ductal occluder caused significant aortic obstruction, requiring surgical removal of the device. This case emphasises the need for careful echocardiographic and angiographic assessment of the position of the Amplatzer ductal occluder before and after detaching the device from its delivery system, with particular emphasis on the p...

Major obstruction to pulmonary artery blood flow such as occurs in massive pulmonary embolism is usually accompanied by a sharp decline in arterial blood oxygen tension. This phenomenon has long been recognized, and over 25 years ago Mendlowitz suggested that it was due to a decrease in the permeability of the alveolar-capillary membrane to oxygen transfer." Later Turino and his associates stat...

BACKGROUND Severely symptomatic arterial insufficiency of the hand and upper extremities requires adequate treatment. Medical therapy and local care are usually unsuccessful, and thoracic sympathectomy can represent an effective procedure to control pain, to help ulcer healing, and to prevent or delay amputation. METHODS We performed 20 thoracoscopic sympathectomies in 15 patients (13 men and...

As an approach to delivery of inert gas to the myocardium in the presence of coronary artery obstruction, Kr in saline was injected into a catheter in the coronary venous system of intact anesthetized dogs. Isotope delivered at the level of the great cardiac vein was selectively localized in the region of myocardium subserved by the vein and the left anterior descending artery. Similarly, injec...

Abstract Small bowel imaging presents a challenge from the variety of clinical presentations and types disease affecting long organ. Emergency presentation most often involves suspicion obstruction, unexplained acute abdominal pain with or without signs sepsis overt obscure GI bleeding. Conversely non-emergency referrals relate to non-specific constitutional symptoms including weight loss, pati...

When the syndrome consisting of sleep-induced apnea and hypersomnolence is due to upper airway obstruction, the hypersomnolence is believed to be the direct result of deprivation of sleep related to such obstructions. The purpose of this report is to describe a group of four asymptomatic subjects with upper airway obstruction during sleep. These subjects were matched with a group of patients wi...

In the past few years, hindbrain herniation has become recognized as a frequent feature of the child with syndromic craniofacial dysostosis. The clinical significance of hindbrain herniation in these disorders is unclear. Abnormalities of respiratory control have frequently been reported. The aim of the present study was to document the incidence of obstructive and central respiratory abnormali...

Chronic obstructive pulmonary disease (COPD) is associated with increased cardiovascular mortality. Endothelial dysfunction may underpin this association. This cross-sectional study aimed to determine the impact of airflow obstruction, systemic inflammation, oxidative stress, sympathetic activation, hypoxaemia and physical activity on endothelial function in COPD. In stable COPD patients, asses...

Background:This Ten-point Surgical Apgar Score also known as the SAS score predicts postoperative mortality and morbidity in patients undergoing laparotomy. Method:50 laparotomy surgery were enrolled. 42 of these emergency surgeries forintestinal obstruction,perforationperitonitis, subacute intestinal obstruction,penetrating injury,blunt injury to abdomen, ovarian cyst rest.8 cases elective sur...