Esophageal atresia associating gastrointestinal malformations: a study of clinical approach

Digestive tract malformations requiring surgical repair in association with esophageal atresia are rare occurrences. Because of this uncommon presentation of esophageal atresia, its evaluation and management are often difficult, requiring extensive workup and multiple surgical procedures. We present our experience with esophageal atresia associating gastrointestinal congenital anomalies in the last 10 years. Clinical and surgical perspectives were pointed willing to make relevant observations in matters of diagnosis and treatment strategy in these patients. Therefore, 7 cases resembling this pattern were identified – duodenal atresia and anorectal malformation being the most common coexistent malformations. All the cases exhibited technical and procedural staging difficulties that we shaped according to the patient’s general picture in the absence of a standardized approach. Careful preoperative follow-up, multidisciplinary communication, watchful waiting and an individually patient-shaped approach are elementary requirements for good outcomes in complex cases of EA

A pedunculated esophageal chondromatous hamartoma in a child

Esophageal tumors are uncommon in pediatric population and most of them are benign. Esophageal hamartomas have been reported extremely rare in children. These can present as intramural tumors of the esophageal wall or as polyps. Dysphagia is the main symptom described in their case, but other specific symptoms are also reported. Such symptoms encountered in clinical practice are represented by obstructive apnea episodes and bradycardia, poor weight gain, epigastric or retrosternal pain, hematemesis or melena, dysphonia or tracheal sounds. Diagnosis can be delayed due to the insidious onset and non-specific symptoms, therefore patient’s compliance to follow-up and broad, careful evaluation are mandatory. Preoperative imagistic assessment is extremely important for a precise definition of the tumor’s anatomical relations, especially when facing large tumors located in the posterior mediastinum. Herein we report a case of a large chondromatous polypoid hamartoma of the esophagus in a 9 years old boy, emphasizing over the diagnosis and surgical challenges we have met, along with comments on illustrative similar cases reported in the literature

European health professionals’ knowledge, attitudes and beliefs about perinatal depression and body image concerns

Objective: Health professionals who work with women in pregnancy and postpartum are rarely educated in psychosocial aspects of body image and mental health, despite this being a time of significant bodily change for women. This study presents the results of a needs assessment to determine the extent, nature, and format of health professional education in relation to body image and perinatal mental health. Method: Participants were N = 257 health professionals (89% female) from 16 European countries, recruited through the authors professional networks, who completed an online survey about their existing knowledge and experience, and preferences for further education. Results: Current knowledge about body image was low, and open-ended comments indicated that body image was integrated into pregnancy and postpartum care within the context of encouraging weight loss. Health professionals saw opportunities for the inclusion of conversations about body image and mental health within their clinical care and a need for training about ‘what to say’ to mothers, as well as recommendations for diagnostic and referral pathways, and more general information about postpartum body image and mental health that could inform their practice. Discussion: This research indicates the need for health professional education in relation to perinatal body image and mental health.peer-reviewe

Analysis of the Rollover Behavior of the Bus Bodies

When performing calculations using ANSYS software have been achieved so far, only a part of the requirements imposed by regulation on how to conduct computerized mathematical modeling, the paper presented only a first set of results in this area, following research should be conducted detail