HUGE MALFORMATION OF HEAD (ENCEPHALOCELA) CASE REPORT

The skull is one of the most important elements which serve to protect the human head, and including other organs with the jaw. With this being said, sometimes the skull is not strong enough such as when a baby is born, therefore a condition such as Encephalocele may appear. Encephalocele is a neural tube defect that may appear in Parietal Lobe, Occipital Lobe, and Anterior meaning the face of an individual. Moreover, the most common case is the Occipital Lobe, which is located in the back of the head, while Parietal in on the top of the hea

“Medical treatment” at Pristina Hospital of 30 albanians injured persons in Dubrava prison during the period 19-22 May 1999

The horror experienced by the 30 wounded in Dubrava Prison from 19.05.1999 until release from Pristina Hospital which then continued in Serbian prisons. The study involved 30 patients injured in Dubrava Prison from 19-22 May 1999. Their hospitalization was performed at the Pristina Hospital at the Vascular Surgery Clinic from 26.05.1999-08.06.1999. They stayed in the hospital 1-15 days and then they returned to prison again. Their average age was 32.4 years, The youngest was 17 years old The oldest was 50 years old Two patients had no birthdays in the hospital admission protocol. Of the 30 Albanian wounded, two died during hospitalization and another, after being released from the hospital was then sent in Serbia’s prison where he died after 11 days. Injuries were various: explosive wounds, scapular injuries and injuries from beatings by various means. The aim of this paper is to present the maltreatment, medical and institutional non humanism of the Serb state by violating every human right of the wounded persons in prison as well as those of the patients in hospital

Some inequalities for q-polygamma function and ζq-Riemann zeta functions

In this paper, we present some inequalities for q-polygamma functions and ζq-Riemann Zeta functions, using a q-analogue of Holder type inequality

ElectromyoFigureic Evaluation of Functional Adaptation of Patients with New Complete Dentures

Objective. The objective of this study was to evaluate the level of adaptation of patients to newly fitted complete dentures in their dominant and nondominant sides, by means of ElectromyoFigureic signals. Materials and Methods. Eighty-eight patients with complete dentures were evaluated in the study. Masticatory muscle (masseter and temporal) bioelectric activity of the patients with complete dentures was recorded at maximum intercuspal relation. Parametric statistical data were analyzed with one-way repeated measures ANOVA test. Results. Measurement time was significantly different for both dominant (DS) and nondominant (NDS) sides: FΣs-DS = 21.51, p=0.0001; FΣs-NDS = 13.25, p=0.0001. Gender was also significantly different: FΣs-DS-gender = 41.53, p=0.001; FΣs-NDS-gender = 85.76, p=0.0001. The average surface area values showed significant difference in females. Prior experience with dentures showed no significant difference for both sides of mastication: FΣs-DS-experiences = 1.83, p=0.1772; F Σs-NDS-experiences = 3.30, p=0.0697. Conclusion. The planimetric indicators of bioelectric activity of masseter and temporalis muscles at maximum physiological loading conditions are significant discriminators of the level of functional adaptation of patients with new complete dentures

Poststaphylococcal coagulase negative reactive arthritis: a case report

We report a case of a 49-year-old patient who developed poststaphylococcal coagulase negative reactive arthritis. The woman presented with constitutional symptoms, arthritis, urinary infection and conjunctivitis. The blood culture was positive for the staphylococcal coagulase negative infection. Erythrocyte sedimentation rate and C-reactive protein were elevated, whereas the rheumatoid factor was negative. Radiographic findings confirmed diagnosis of pleuropneumonia, and one year later of chronic asymmetric sacroileitis. Physicians should be aware of possible reactive arthritis after staphylococcal coagulase negative bacteremia

Chylothorax at \u27Signet ring\u27(gastrointestinal) Adenocarcinoma - solving with Talc \u27slurry\u27 pleurodhesis. Case report

Patient, 57 years old, male, with right pleural effusion. Condition after ambulantory pleural puncture evacuation of 2700 ml fibrinous serous fluid (turbid, purulent?). State after lymph node biopsy in the left inguinal region, 10 months ago (Tirana,ALbania);with dg. Adenocarcinoma Signet ring cell; Metastasis from the gastrointestinal tract (Stone-shaped cell in the ring); Ambulantory treated, week after, he is hospitalized in Thoracic Surgery Clinic and drained 2 L of pleural fluid (turbid, pus?) from the right hemithorax. At the Thoracic Clinic it is treated with antibiotics , but meanwhile the pleural fluid takes on an opalescent color (yellowish) which is suspect on lymph leakage. There is also crural (see photo) and corporal lymphedema (abdominal and back); After reviewing the literature, we learn that there are cases of Adenocarcinoma signet ring of the gastrointestinal tract (90% of the stomach) (with stone-shaped cells in the ring) in the presence of lymph flow (chyle) in the thorax (pleura): chylothorax; Laboratory: Hypoalbuminemia--\u3ealbumine:29.3 --\u3e 27.3 ---\u3e 28.6 g/L; Albumin 20% is added to the therapy 2 times a day as well. After the analysis of pleural fluid (17 days after hospitalization ) Glucose 5.82mmol/L; albumine: 13.9 g / L; LDH: 199 U / L and from clinical point of view (crural / corporal lymphedema) it\u27s decided to start with treatment with low fat diet, rich in protein and with Octreotide acetate Injection (Sandostatin * Novartis with a dose of 100 micrograms / 8 h subcutaneously . Four days later, 250 ml of chyle per day is produced .We continue with broad-spectrum antibiotherapy and Octreotide , Albumin and low-fat diet.Hematologic findings: RBC: 4.47 x 109/; Le: 7.3 x 109/; Hb: 139g/L; Hct: 45; Biochemistry: glucosae: 4.73mmol/L; cholesterol: 3.71mmol/L ; Creatinine: 86.5mikromol/L; Total bilirubine 4.5mikromol/L; Direct bilirubine: 1.25mikromol/L; ALT 14 U/L; AST 18 U/L; Albumine: 28.6 g / L; Total protein 47.8 g / L; CRP 10.0 mg / L; So, we indicate pleurodesis (it\u27s three week after admitting on Clinic) with \u27Talc slurry’ solution (4 g) Steritalc + 5 amp Lidocaine 2% +100 ml saline Na Cl 0.9%. The next day there is no pleural fluid leakage. The drain is removed 4 days later. The patient has corporal swelling; oxymetry: 91%, Pp: 90/min; Five month later there is pleural effusion of the opposite side which is treated with evacuation punctures of pleural fluid. Patients in preterminal and terminal state exit

Variety of Operations at the Laparoscopic Center in UCCK – Prishtina, November 1999 - MAY 2017

Laparoscopic Center near UCCK has started its work on 12.11.1999. Lecturer and trainer of laparoscopy was prof.dr. Faris al Hadi. He has also equipped the Laparoscopic Center with the equipment and has refurbished it. Four UKUK surgeons were trained by this professor and received diplomas in June 2000. Subsequently, there were also trained 8 other surgeons who received diplomas in December 2000.In the Laparoscopic Center at the beginning only cholecysts (gallbladder) have been operated. Subsequently, other operations have been carried out with a laparoscope. Up to now 7200 laparoscopic operations have been performed so far, over 90% of them have been laparoscopic cholecystectomy and others with laparoscopic surgery of other organs.Laproscopic cholecystectomy is the most common operation in the world and in the laparoscopic world. However, nowadays, other operations in the abdomen with laparoscopy are also being carried out in the world. We have a bit of stagnation due to the lack of experience and equipment, but we have done some of the other operations apart from laparoscopic cholecystectomy. We will present a series of them with video-presentation

A rare case of spontaneous rupture of renal cell carcinomas

RCCs are now discovered as ‘incidentalomas’ in contrast to the classic presentation.[1] The spontaneous bleeding of the kidney (subcapsular and/or perinephric space) was first described by Carl Reinhold August Wunderlich.[2] Wunderlich syndrome is uncommon and most of the causes are benign.[3] CECT is the most reliable modality in diagnosing retroperitoneal hemorrhage and RCC.[7] After initial CT evaluation, radical nephrectomy is the treatment of choice for tumors diagnosed as malignant and embolization may be the modality of choice for benign conditions.[9,10] Material and Methods: A total of 257 patients with a total of 5 spontaneus ruptures of renal tumours were surgically treated at our hospital between May 2005 and May 2019.We describe a case , where the tumor was localized in the lower lobe of the left Kidney, with a subcapsular hemorrhage , to whom a partial nephrectomy was performed, because the total renal function was compromised. Results: In 4 cases the spontaneous ruptures were angiomyolypomas and only one case was RCC , respectively clear renal cell carcinoma . From literature we can see that the rupture of renal tumors , mainly happened in the angiomyolypomas and very rare in the RCC carcinomas. We included in our study this case, because of the rupture of RCC, as a very rare case and we decided to do partial nephrectomy, because the total renal function was compromised. Conclusions: The extensive necrosis regularly found in RCC can cause rupture of the tumour followed by subcapsular or retroperitoneal bleeding. CT findings are usually not characteristic and can mimic a simple hematoma of unknown origin. The final correct diagnosis of the renal tumor is frequently established only by the pathologist