Pulmonary hydatid cyst in pregnancy

A 26-year-old pregnant lady was referred from a private hospital to the emergency department with a cough, shortness of breath, decreased oxygen saturation, and repeated vomiting. She went to the private hospital for obstetrics and gynecology follow-up for her pregnancy. The patient is 21 weeks pregnant with no known comorbidities. She is gravida three and para two. The patient claimed that since 3 days, the shortness of breath (SOB) and cough have been worsening, and she has been inducing herself to vomit more frequently, however, there is no associated dysphagia. She denied fever, headache, dizziness, abdominal pain, or a change in bowel habits

The Calcareous Nannofossils Biostratigraphy of the Cretaceous Red Bed the in Shiranish Formation, Hiran in Erbil Governorate and Smaqoli Area in Sulaimaniya Governorate, Northern Iraq

On the basis of the stratigraphic ranges of the reported calcareous nannfossils for several species, two sections of the Shiranish Formation from the Hiran in the Erbil Governorate and the Smaqoli area in Sulaimaniya Governorate, Northern Iraq, are analyzed. Four biozones are visible in the examined region, grouped as follows from oldest to youngest: Uniplanarius gothicus Interval zone; Tranolithus phacelosus Interval zone; Rienhardtites lives Interval zone; Micula murus Interval zone. The relationship between these biozones and those of other calcareous nannofossil biozones from local and regional sections allows scientists to determine that these fossils are from the Late Campanian to Early Maastrichtian period

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Study of the effect of fluoxetine on liver enzymes in the blood serum of pregnant albino rats

The current study examined the effect of fluoxetine on liver enzymes in pregnant female rats. 42 rats, including ten males, were used for inoculation only, while the number of females was 32 rats. Female rats were divided into two groups, the control group consisted of 8 rats. The fluoxetine-treated group of 24 females was divided into three groups. The first group included 8 pregnant female rats injected with fluoxetine at a concentration of 20 mg/kg of body weight from day 0 of gestation until day 7 or 18, and the second group also included 8 pregnant females injected with fluoxetine at a concentration of 40 mg/kg. of body weight from day day 0 of gestation until day 7 or 18, and the third group included 8 pregnant females injected with fluoxetine at a concentration of 60 mg/kg of body weight from day 0 of gestation until day 7 or 18, blood samples were collected on the 7 or 18 days From pregnancy from all animal groups to measure the following parameters: ALT, alkaline phosphatase, ALP, and aspartate aminotransferase (AST).&nbsp

Study the possibility of the effect of fluoxetine on the process of implantation of the blastocyst in the uterus of pregnant albino rats?

The current study dealt with knowing the effect of fluoxetine on the process of implantation of the blastocyst in the uterus of pregnant rats, which occurs in the rat on the sixth day of pregnancy because the implantation of the blastocyst is a very critical period of pregnancy. 26 females and male rats were used. Female rats were divided into two groups, the control group, and included 4 rats injected with the physiological solution inside the peritoneal cavity from day zero of pregnancy. The treatment group of 12 females was divided into two groups, the first included 4 females who were injected from day 0 of pregnancy with fluoxetine 20 mg/kg of body weight, and the second also included 4 females who were injected from day 0 of pregnancy with 40 mg/kg of body weight, and the third also included 4 females. From day 0 of pregnancy, she was injected with fluoxetine 60 mg/kg body weight. The histological technique was applied to uterine sections on the 7th day of pregnancy, and samples were stained with hematoxylin-eosin stain.&nbsp

The effect of applying the four stage activity based costing system in achieving cost management: Applied study

The current study focuses on the development of activity-based cost technology after it was in two stages to expand and become more practical and in four stages, where multiple vectors are used to link the cost from the highest level in the economic unit to the lowest level, thus contributing to obtaining detailed cost information at each stage Which leads to understanding and analyzing activities and allocating costs more accurately by tracking the cost across departments, functions and activities to reach the final cost goal, and the information that can be obtained about the cost of the product if the cost is applied on the basis of the four-stage activity can be more reliable and relevant It is important to make various administrative decisions that are commensurate with the modern business environment that requires accurate and detailed information that contributes to achieving competitive positions for the economic unit, in addition to contributing to providing information in the areas of cost and administrative accounting that shows the best methods and means that help economic units to achieve their objectives in cost management and achieving competitive advantages.&nbsp

The effect of employing value engineering as a target costing tool in achieving competitive advantage: Applied study

The contemporary business environment needs to reconsider the traditional methods of costs, as it needs to apply contemporary methods and techniques to measure, define and display data related to costs and in proportion to the modern technological requirements and the intense competition factors that have become an inherent feature of the markets, so the economic units must work on the application of contemporary technologies Which contribute to reducing costs, managing, measuring and allocating them more accurately and justice As the technological development and the business environment are in constant change, and the economic units must keep pace with these developments by adopting techniques that go along with them in order to achieve competitive advantages that help the unit to ensure survival in the competitive market. In economic units, it can be formulated by the following question ( Does the application of value engineering contribute to reaching the target cost and achieving competitive advantages to enhance the position of the economic unit in the competition environment ) , and the research aims to clarify the role of value engineerin

Study the Possibility of the Effect of Fluoxetine on the Process of Implantation of the Blastocyst in the Uterus of Pregnant Albino Rats?

The current study dealt with knowing the effect of fluoxetine on the process of implantation of the blastocyst in the uterus of pregnant rats, which occurs in the rat on the sixth day of pregnancy because the implantation of the blastocyst is a very critical period of pregnancy. 26 females and male rats were used. Female rats were divided into two groups, the control group, and included 4 rats injected with the physiological solution inside the peritoneal cavity from day zero of pregnancy. The treatment group of 12 females was divided into two groups, the first included 4 females who were injected from day 0 of pregnancy with fluoxetine 20 mg/kg of body weight, and the second also included 4 females who were injected from day 0 of pregnancy with 40 mg/kg of body weight, and the third also included 4 females. From day 0 of pregnancy, she was injected with fluoxetine 60 mg/kg body weight. The histological technique was applied to uterine sections on the 7th day of pregnancy, and samples were stained with hematoxylin-eosin stain.&nbsp