Cerebral edema in a patient following cytoreductive surgery and hyperthermic intraoperative intraperitoneal chemoperfusion

BACKGROUND: Cytoreductive surgery and intraoperative, intraperitoneal hyperthermic chemoperfusion (HIPEC) is increasingly used to treat peritoneal surface metastases. We describe a fatal case of cerebral edema in a patient with appendiceal carcinoma and an underlying seizure disorder who underwent cytoreductive surgery and HIPEC. CASE PRESENTATION: A case of fatal postoperative cerebral edema is presented in a patient with an underlying seizure disorder and recurrent mucinous adenocarcinoma of the appendix. The patient was treated with cytoreductive surgery and intraoperative intraperitoneal hyperthermic chemoperfusion. The details and implications of this complication are discussed. CONCLUSION: The recognition of this potential complication is important for physicians performing cytoreductive surgery and HIPEC. Special caution should be taken when patients with seizure disorders are being considered for this treatment

Early-Life Family Structure and Microbially Induced Cancer Risk

BACKGROUND: Cancer may follow exposure to an environmental agent after many decades. The bacterium Helicobacter pylori, known to be acquired early in life, increases risk for gastric adenocarcinoma, but other factors are also important. In this study, we considered whether early-life family structure affects the risk of later developing gastric cancer among H. pylori (+) men. METHODS AND FINDINGS: We examined a long-term cohort of Japanese-American men followed for 28 y, and performed a nested case-control study among those carrying H. pylori or the subset carrying the most virulent cagA(+) H. pylori strains to address whether family structure predicted cancer development. We found that among the men who were H. pylori(+) and/or cagA (+) (it is possible to be cagA(+) and H. pylori (−) if the H. pylori test is falsely negative), belonging to a large sibship or higher birth order was associated with a significantly increased risk of developing gastric adenocarcinoma late in life. For those with cagA(+) strains, the risk of developing gastric cancer was more than twice as high (odds ratio 2.2; 95% confidence interval 1.2–4.0) among those in a sibship of seven or more individuals than in a sibship of between one and three persons. CONCLUSIONS: These results provide evidence that early-life social environment plays a significant role in risk of microbially induced malignancies expressing five to eight decades later, and these findings lead to new models to explain these interactions

OBSERVATION OF WOODPECKER DAMAGE TO ELECTRICAL DISTRIBUTION LINE POLES IN MISSOURI

Woodpecker damage to electrical distribution poles was monitored in Saline and Pcttis Counties. Damage increased over the four-year monitoring period. There was an increase in both the number of poles damaged and the amount of damage to individual poles. When woodpecker-damaged poles were replaced, the replacement poles proved highly vulnerable to attack. A pole repair and replacement program in Dekalb and Gentry Counties was monitored. The objective was to determine if plastic mesh would effectively protect poles from woodpecker attack and if efficacy could be reliably determined within one year of installation. Plastic mesh failed to provide an acceptable level of protection. It was not possible to get an accurate evaluation of efficacy at the end of one year. Recommendations are made for protecting distribution line poles from damage by woodpeckers

A review of some tumors of interest for demographic study in Hawaii.1974.

Because of its multiracial character, Hawaii presents a unique opportunity to carry out demographic investigations of the etiology of certain common cancers. Tumors with substantially different incidence rates among the major ethnic groups in the Islands, or between a given immigrant group and its country of origin, are of particular interest for such studies. Among the cancer sites meeting these criteria, nasopharynx, stomach, prostate, large bowel, liver, female breast, uterine corpus, ovary, bladder, and thyroid are particularly prominent.NCI-E-71-2170/CI/NCPDCID CDC HHS/United StatesNCI-E-71-2208/CI/NCPDCID CDC HHS/United State

Perceived intercultural impacts of tourism in the Dominican Republic: A rural host community perspective

With the onset of tourism growth in the Dominican Republic, particularly in the province of Samana, a unique opportunity for exploration into intercultural interactions between Dominicans and tourists exists. This thesis brings together some of the current studies on intercultural communication in regards to the tourism industry, perceived community attitudes towards tourism, and host-guest relationships in the tourism context. Two groups of Dominicans were studied, those who worked in the tourism industry and those who did not, teachers, respectively. Data was extracted from collected questionnaires and interviews which revealed positive attitudes towards tourism, interest in expanding tourism, and various positive stereotypes towards tourists and about Dominicans themselves. In conclusion, the results were consistent with past research and include present recommendations on how to make the Dominican tourism sector even more receptive to the importance of intercultural communication

Perceived intercultural impacts of tourism in the Dominican Republic: A rural host community perspective

With the onset of tourism growth in the Dominican Republic, particularly in the province of Samana, a unique opportunity for exploration into intercultural interactions between Dominicans and tourists exists. This thesis brings together some of the current studies on intercultural communication in regards to the tourism industry, perceived community attitudes towards tourism, and host-guest relationships in the tourism context. Two groups of Dominicans were studied, those who worked in the tourism industry and those who did not, teachers, respectively. Data was extracted from collected questionnaires and interviews which revealed positive attitudes towards tourism, interest in expanding tourism, and various positive stereotypes towards tourists and about Dominicans themselves. In conclusion, the results were consistent with past research and include present recommendations on how to make the Dominican tourism sector even more receptive to the importance of intercultural communication

Supplement to Haleakala National Park Crater District resources basic inventory: conifers and flowering plants

Reports were scanned in black and white at a resolution of 600 dots per inch and were converted to text using Adobe Paper Capture Plug-in.This supplement of distribution maps of all the conifers and flowering plants known to exit in the Crater District of Haleakala National Park and its immediate environs. This is a collaborative effort of the RBI team and the park's resource management and science program personnel, including L. Loope, A. C. Medeiros and R. Nagata. Ten species have been added to the Park's inventory eight of which are exotic and two endemic.National Park Service: Contract No. CX8000 7 003 Contribution number CPSU/UH 011/21Suppl