Non Ketotic Hyperosmolar Hyperglycemia presenting as Epilepsia Partialis Continua: An unusual presentation of a common disorder

We report a patient with epilepsia partialis continua (EPC) associated with non ketotic hyperosmolar hyperglycemia. EPC is an uncommon presentation of nonketotic hyperglycemia. This case was reported in the Medical Intensive Care Unit in Hamad Medical Corporation, Doha, Qatar

Pneumothorax, Pneumomediastinum, Pneumoperitoneum and Surgical Emphysema in Mechanically Ventilated Patients

A 29 year old male patient of Indian ancestry was admitted to an outside hospital with rapid deterioration of his level of consciousness. The patient required mechanical ventilation and transfer to MICU at Hamad Medical Corporation. The patient remained hypoxic. Chest X-ray, CT of chest, abdomen, pelvis and proximal areas of both lower limbs were performed. Pneumomediastinum, pneumoperitoneum, and extensive surgical emphysema were the diagnoses

Correlation of serum soluble endoglin to the severity of pre-eclampsia and its effect on the pregnancy outcome

Background: Preeclampsia is a major obstetric problem and a significant source of maternal and neonatal morbidity and mortality. Preeclampsia  is associated with  increased  risks of  placental  abruption,  acute renal  failure,  cerebrovascular and  cardiovascular complications, disseminated intravascular  coagulation,  and  maternal death. Consequently, early diagnosis of preeclampsia and  close  observation are imperative. In these cases of preeclampsia, combination of Doppler flowmetry and circulating angiogenic factors levels are recorded. Stepan et al examined endoglin, a cell-surface co-receptor for transforming growth factor in patients with Doppler flow patterns of preeclampsia at 19-24 weeks. Soluble endoglin levels were elevated in second trimester pregnancies with abnormal uterine perfusion in women who experienced preeclampsia. The aim of this study was to test if there is correlation between the level of serum endoglin in pregnant women with severe preeclampsia to the maternal and fetal outcome.Methods: This study was conducted on a group of 90 pregnant women attended to the Antenatal clinic and selected from the preeclampsia unit of EL- Shatby Maternity University Hospital, The selected patients were subdivided in two groups. Group A (control group): 30 cases of normotensive pregnant ladies. Group B (case group): 60 cases of severe preeclamptic pregnant ladies. Routine investigations, maternal serum soluble endoglin and ultrasound results were analysed and compared for both groups.Results: Significant correlation was found between severe preeclampsia and high level soluble endoglin. Significant correlation was found between high level of soluble endoglin and the occurrence of IUGR among the severe preeclamptic patients. Positive correlation was found between serum level of soluble endoglin and uterine artery PI and uterine artery RI, the higher the serum level of soluble endoglin the higher the uterine artery pulsatility and resistance index. Significant correlation was found between high level of soluble endoglin and the occurrence of specific complications, the higher the level of soluble endoglin the higher the risk of exposure to preeclampsia complications as the occurrence of eclamptic fits, the development of HELLP syndrome, the admission to the ICU, the admission of the baby to the NICU, and the fetal death.Conclusions: From our study, it is evident that serum endoglin rises during  normal  as  well  as  preeclamptic  pregnancy  and that  the  rise  in  preeclampsia  is  much  higher, the rise in endoglin levels may  occur  as  early  as  the  first  trimester  in  pregnancies  which  later  develop  preeclampsia.   Hence, used alone or in combination with uterine artery Doppler flowmetry, the measurement of soluble serum endoglin has the potential for use as a predictive clinical test for preeclampsia risk assessment and could potentially improve the outcome of pregnancy

Опыт успешного применения плазменных потоков при лечении обширной постинъекционной флегмоны у больной наркоманией

The usage of home-made narcotic in RF, the main variant of which is intravenous administration, has increased greatly for the last ten years. According to such poor statistics a number of patients with pyoinflammatory complications after injections is increasing as well. The results of group of patients with complex treatment are significantly improving while using additional physical methods in management of wound, and here plasma technology has a special place. The described case shows a successful usage of plasma flows from different sources in dissection and stimulation in difficult clinical situations.Употребление кустарно приготовленных наркотиков в РФ, основным способом введения которых является внутривенный, за последнее десятилетие увеличилось в несколько раз. В соответствии с этими неутешительными данными растет и число больных с постинъекционными гнойно-воспалительными осложнениями. Результаты комплексного лечения приведенной группы пациентов значительно улучшаются при использовании дополнительных физических методов обработки ран, среди которых особое место занимает плазменная технология. Представленный случай демонстрирует успешное использование плазменных потоков из различных источников в режимах диссекции и стимуляции в сложной клинической ситуации

Software Systems Analysis— A Research Area Overview

Software systems analysis is a field in which analysts continually learn new techniques and approaches to properly capture, maintain, understand, and develop more efficient and effective software systems. We begin this research area overview by defining systems, systems analysis, and modeling. In subsequent sections, we focus on data and behavior representation of the system under study, prototyping, and formalism. Finally, we introduce some of the current work such as form-oriented analysis, fisheye views to support system analysis, and extreme programming and consider future work on software systems analysis such as extreme non-programming and new challenges for conceptual modeling.

ABSTRACT Grouping Search-Engine Returned Citations for Person-Name Queries

We present a technique to group search-engine returned citations for person-name queries, such that the search-engine returned citations in each group belong to the same person. To group the returned citations, we use a multi-faceted approach that considers evidence from three facets: (1) attributes, (2) links, and (3) page similarity. Based on the three facets, we construct a relatedness confidence matrix for pairs of citations. We then merge pairs whose matching confidence value is above an empirically determined threshold. Experimental results from the implementation of our multi-faceted approach are promising. 1

Pneumothorax, Pneumomediastinum, Pneumoperitoneum and Surgical Emphysema in Mechanically Ventilated Patients

A 29 year old male patient of Indian ancestry was admitted to an outside hospital with rapid deterioration of his level of consciousness. The patient required mechanical ventilation and transfer to MICU at Hamad Medical Corporation. The patient remained hypoxic. Chest X-ray, CT of chest, abdomen, pelvis and proximal areas of both lower limbs were performed. Pneumomediastinum, pneumoperitoneum, and extensive surgical emphysema were the diagnoses

Pneumothorax, Pneumomediastinum, Pneumoperitoneum and Surgical Emphysema in Mechanically Ventilated Patients

A 29 year old male patient of Indian ancestry was admitted to an outside hospital with rapid deterioration of his level of consciousness. The patient required mechanical ventilation and transfer to MICU at Hamad Medical Corporation. The patient remained hypoxic. Chest X-ray, CT of chest, abdomen, pelvis and proximal areas of both lower limbs were performed. Pneumomediastinum, pneumoperitoneum, and extensive surgical emphysema were the diagnoses. Keywords: Pneumomediastinum, pneumoperitoneum, surgical emphysema, barotrauma, mechanical ventilatio

A Neutrosophic Approach to Digital Images

This research paper presents a neutrosophic mathematical representation of the elements of the digital image by dividing the points of the digital picture matrix into neutrosophic sets (PNS - Picture Neutrosophic Set), and studying the degree of connection between the points of the digital image for us to reach to the connected neutrosophic sets. We have also introduced many mathematical theories and results to calculate the difference and dissimilarity between the neutrosophic sets, which contributes practically in the comparison between digital images and their different uses. Our results help mainly to upgrade and create new neutrosophic algorithms for searching inside images and videos databases