7 research outputs found

    Extensive Pulmonary Embolism in late pregnancy associated with Anticardiolipin Antibodies

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    The leading cause of morbidity and mortality during pregnancy and the puerperium is venous thromboembolism. Though uncommon, the risk is five times higher in a pregnant woman than in a non-pregnant woman of similar age.1,2 In pregnancy, all three underlying factors for venous thrombosis are present: hypercoagulability, venous stasis and vascular damage (Virchow's triad). Of these, the most constant predisposing factor is increasing venous stasis due to the pressure of the gravid uterus on the pelvic vasculature. In addition the presence of a thrombophilia, (congenital or acquired) will increase this risk substantially. During pregnancy hypercoagulability is a physiological preparation for the haemostatic challenge of delivery. There are increases in procoagulant factors, such as von Willebrand factor, factor VIII, factor V, and fibrinogen together with an acquired resistance to activated protein C and a reduction in protein S. Increases in plasminogen activator inhibitors impair fibrinolysis. The third factor of this triad, vascular damage, is a possible complication of trophoblastic invasion of the uterine spiral arterioles or of delivery.peer-reviewe

    Lower back pain in a patient on long-term haemodialysis

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    A 60-year-old woman with end-stage renal disease secondary to adult polycystic kidney disease, presented with a 6-month history of worsening sacral and rectal pain. She reported anorexia and significant weight loss. She was on haemodialysis for 5 years prior to receiving a renal transplant, which failed after 8 years. She was then recommenced haemodialysis for another 4 years to date. She underwent bilateral nephrectomy of her native kidneys prior to transplantation. Clinical examination showed cachexia, hepatomegaly and a right iliac fossa graft. Rectal examination was normal. Passive movements of both lower limbs were painful; however, there was no neurological deficit.peer-reviewe

    The use of ultrasound in the diagnosis of Tenchkoff catheter tunnel infection

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    Exit site infections of Tenchkoff catheters in patients on peritoneal dialysis are rather common. These very often remain localised but they may spread along the tunnel of the catheter. These infections are very important to be diagnosed quickly as untreated they usually necessitate the removal of the dialysis catheter. The use of ultrasound to aid diagnosis has been reported in various case studies. We here report the use of ultrasound to aid the diagnosis of a tunnel infection in a patient on peritoneal dialysis.peer-reviewe

    Magnetic determination of the current center line for the superconducting ITER TF coils

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    The ITER tokamak includes 18 superconducting D-shaped toroidal field (TF) coils. Unavoidable shape deformations as well as assembly errors will lead to error fields in the final configuration, which can be modeled with the knowledge of the current center line (CCL). We are building a room temperature magnetic measurement system using low frequency ac excitation current through the TF coil and arrays of pick-up coils, fabricated with printed circuit board technology. Deviations from the expected shape of the CCL will be obtained by comparing the amplitude of magnetic flux measured at several locations around the perimeter of the TF coil, with values computed assuming the nominal current distribution. We present experimental results obtained with a cable placed in one turn groove of a full scale radial plate.peer-reviewe

    Mhux li kieku jaħasra!

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    Ġabra ta’ poeżiji u proża li tinkludi: Ħsieb ta’ Trevor Zahra – Rebħu t-tnejn ta’ Alfred Massa – Nikol Biancardi ta’ Manwel Nicholas Borg – Alcide de Gasperi ta’ Karmenu Ellul Galea – L-għanja tax-xogħol ta’ Wallace Ph. Gulia – “Jien Alla Sidek......” ta’ J. Camilleri – Meta morna z-zoo ta’ Pawlu Mifsud – Sbuħija ta’ Tarcisio L. Xerri – Twajjeb Ġesù, aħfirli ta’ P. Alb. Sammut – Il-poeżija tal-ħajja ta’ Pawlu Cachia – Karba ta’ suldat ta’ Louis Buttigieg – Mhux li kieku jaħasra! ta’ Spiro Buhagiar.peer-reviewe

    Malta : language, literacy and identity in a Mediterranean island society

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    Available documentation for the early modern period indicates that the Malta harbor towns achieved literacy earlier than the countryside. The Maltese townsmen lived on a trading route, and it was necessary for them to learn the lingua franca, as the language of trade in the Mediterranean. The educated elite were able to acquire fluent speaking knowledge, as well as the ability to write, Tuscan (a dialect then in the process of becoming standard Italian), while continuing to employ their local Maltese ‘dialect’ on numerous occasions. By and large, the erosion of the position of Maltese as the subordinate language was an inevitable by-product of this development. The Maltese language was able to attain the function of a literary language in the nineteenth century but it had no standard orthography until 1931 and was only adopted as Malta’s official language in 1964.peer-reviewe