Adult Onset Morgagni Hernia: Medical vs. Surgical Management.

Morgagni hernia is a type of diaphragmatic hernia where bowel content herniates through an irregular opening into the thoracic cavity. Herein, we present the case of an 84-year-old female patient with multiple hospital admissions for abdominal symptoms. Radiological studies confirmed Morgagni hernia. She underwent a laparoscopic intervention with mesh placement. She was discharged in stable condition and was doing well on follow-up

Mesalamine Associated Bradycardia.

A 38-year-old female presented with an acute flare of ulcerative colitis. She was started on prednisone and mesalamine. Within 24 hours of initiating mesalamine, she developed sinus bradycardia. After holding mesalamine, the heart rate returned to normal within five days. Our case illustrates the third described case, to our knowledge, of severe sinus bradycardia secondary to mesalamine

Anticholinergic Toxicity Secondary to Overuse of Topricin Cream, a Homeopathic Medication.

Adverse reactions from over-the-counter medications present a challenge to physicians. Homeopathic medicine is an alternative practice, originating in Germany and gaining popularity in the United States. It utilizes dilute preparations of substances in order to treat and cure disease. Patients may potentially suffer serious effects from the use of these products as the contents and concentrations are often unclear. Here, we describe a case of suspected atropine toxicity due to the overuse of a topical homeopathic cream, Topricin, which contains belladonna, a plant containing atropine

A Case of Plasmodium falciparum Malaria with a Prolonged Incubation Period of Four Years

With increased global travel, unique diseases from different parts of the world pose a new category of differential diagnosis, and an incubation period of different infectious diseases helps narrow differential diagnosis to point to one specific etiology. The normal incubation period of Plasmodium falciparum malaria is 7-40 days. We report a case of symptomatic P. falciparum malaria that manifested four years after a visit to a malaria-endemic area in a 51- year-old female patient. Our case illustrates the importance of a broad differential with regard to infectious disease including remote travel history and raises questions of the survival of P. falciparum for four years despite the administration of traditional chemoprophylactic agents

The Hilbert kernel regression estimate

AbstractLet (X, Y) be an Rd×R-valued regression pair, whereXhas a density andYis bounded. Ifni.i.d. samples are drawn from this distribution, the Nadaraya–Watson kernel regression estimate in Rdwith Hilbert kernelK(x)=1/‖x‖dis shown to converge weakly for all such regression pairs. We also show that strong convergence cannot be obtained. This is particularly interesting as this regression estimate does not have a smoothing parameter

Propriétés thermodynamiques des solutions liquides bromure de cuivre(I) - bromure de sodium et bromure de cuivre(I) - bromure de potassium à partir des équilibres liquide - solide

Partial molar free enthalpies of mixing and activities of the components in molten solutions of the binary systems CuBr-NaBr and CuBr-KBr have been obtained from the liquidus lines. Both systems indicate negative deviations from ideality, the deviation being more pronounced with increasing size of the alkali metal cation. From the combined results of the integral free enthalpies of mixing and available data on the enthalpies of mixing, the entropies of mixing for the system CuBr-NaBr have been calculated and compared with those for the system CuCl-NaCl. The system CuBr-NaBr indicates positive excess entropies, twice as large as in the system CuCl-NaCl, except in the copper(I) bromide rich solutions (at concentrations above 65 mol%), where they become insignificant. These small excess entropies of mixing may result from the superionic character of the high temperature modifications of copper(I) bromide, having disordered structures

Preface

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