Synchronous perforation of a duodenal and gastric ulcer: a case report

<p>Abstract</p> <p>Introduction</p> <p>Peritonitis due to peptic ulcer perforation is a surgical emergency with a high risk of mortality and morbidity.</p> <p>Case presentation</p> <p>We present a rare case of a 54-year-old Caucasian man who underwent an emergency laparotomy for peritonitis caused by perforation of two peptic ulcers. The first was located on the anterior wall of the duodenum and the second was posterior, pre-pyloric, close to the lesser curvature.</p> <p>Conclusion</p> <p>To the best of our knowledge, this is only the second report in the medical literature of a simultaneous perforation of two peptic ulcers; though rare, every surgeon performing open or laparoscopic repair of a perforated peptic ulcer should be aware of the possibility of simultaneous perforation.</p

Why are thoracic operations postponed?

<p>Abstract</p> <p>Aim</p> <p>To investigate and present the reasons that cause the postponement of thoracic surgical operations.</p> <p>Methods</p> <p>We retrospectively included in the study all patients submitted to elective thoracic surgery in our department during the 4-year period 2007-2010 and noted all cases of postponement after official inclusion in the operating schedule.</p> <p>Results</p> <p>81 out of a total of 542 patients (14.9%) scheduled for elective thoracic operation had their procedure postponed. The reasons were mainly organisatory (in 42 cases, 51.85%), which in order of significance were: shortage in matching erythrocyte units, shortage in anaesthetic/nursing staff and unavailability in operating rooms. The rest of the cases (39, 48.1%) were postponed due to medical reasons, which in descending order of significance were: respiratory infections and exacerbations of COPD, cardiological problems, misregulation of antiplatelet/antithrombotic drugs and infections from other systems (gastrointestinal, urinary, etc.). Elderly male patients planned for major/oncologic surgery were most possible to have their operation postponed for medical reasons.</p> <p>Discussion-Conclusions</p> <p>Thoracic operations are postponed owed to organisatory as well as medical reasons, the latter mainly affecting elderly, morbid patients awaiting for major/oncologic surgery.</p

Coronary artery surgery in a man with achondroplasia: a case report

<p>Abstract</p> <p>Introduction</p> <p>Achondroplasia is a musculoskeletal disorder associated with short stature. Despite an estimated prevalence of 1:25,000 in the general population, there is little literature concerning the diagnostic and treatment challenges faced by doctors dealing with a heart operation on a patient with this condition.</p> <p>Case presentation</p> <p>We present the case of a 41-year-old Caucasian man of Greek ethnicity with achondroplasia, who underwent bypass heart surgery.</p> <p>Conclusions</p> <p>The surgery was successful and did not present particular difficulties, showing that heart surgery can be safely performed on people with achondroplasia.</p

How many lobes do you see?

Accessory fissures represent a variation of the normal lung anatomy. Incomplete development or even the absence of the major or minor fissures can lead to confusion in distinguishing adjacent lobes. This report aims to present a rare intraoperative finding of an anatomic malformation of the right lung in a 19-year old male patient with recurrent pneumothorax who underwent a surgical repair. An accessory fissure which was separating the superior segment of the lower lobe from the basal segments gave to the whole lung the unique image of a four-lobed one. A profound knowledge of the accessory fissures, even if they are incidentally discovered, is of pivotal importance for the thoracic surgeon and leads to optimal operative assessment and strategic planning

Double auricles of the right atrium: a unique anatomic deformity

<p>Abstract</p> <p>Background</p> <p>Anatomic deviations, especially those detected during the course of an operation, are medically intriguing, as they raise concerns about their clinical significance and putative complications.</p> <p>Case presentation</p> <p>We present, to our knowledge, for the first time a case of an anatomic deviation in the form of a second right atrial auricle in a 70 year-old, coronary bypass-operated male Caucasian patient of Greek origin. No complications were noted intra-or postoperatively.</p> <p>Conclusions</p> <p>A second right atrial auricle was found intraoperatively, without causing any clinical complications, or obstructing the normal course of a surgical procedure.</p

Opportunities for Precision Agriculture in Serbia

The aim of this paper is to analyze the factors leading to low adoption rate of precision farming in Serbia and to describe steps being taken by BioSense institute to increase it. The majority of the arable land in Serbia is grown by small family owned and operated farms most of which are in the range of 2 to 5 ha making them highly unsustainable. Only 16% of the arable land is managed by agricultural companies and cooperatives. We believe that the adoption of advanced technologies with the currently available precision farming solutions is low among the small farmers due to the small size of the agricultural fields and their inability to invest in technologies. Therefore BioSense institute aims to develop low cost, easy to use precision farming solutions that can be applied anywhere regardless of size, the type and age of agricultural machinery used by the farmers and make IT an important tool to drive small farms towards sustainability. With the new applications developed by BioSense all farmers, even small, can benefit from the diffusion of IT into agriculture making precision farming widely accepted in the years to come. In the framework of the “Digital Agriculture of Serbia” program, several technologies are being developed in the areas of nano and microelectronic in-situ sensors, robotic platforms, genotyping/phenotypic, remote sensing (UAS, satellites), internet of things (IoT), and big data analytics as a means to create new information and extract new knowledge that is not otherwise available. A web-based and android-based digital platform named “AgroSense” was recently released for public use and got widely accepted with a large number of large, medium and small farmers registering to the system. The platform brings the benefits of IT to the end users providing free and paid tools (for advanced users) for better decision making. It is also an excellent tool for big data collection that will create new agronomic knowledge. We foresee a great potential for advancing and modernizing farming in Serbia leading towards a more sustainable and environmentally friendly agriculture

Poland's syndrome and recurrent pneumothorax: is there a connection?

Aim. To investigate the possible connection of Poland's syndrome with the presence of lung bullae and, thus, with an increased risk for recurrent pneumothorax. Patients-methods. Two male patients, aged 19 and 21 years respectively were submitted to our department after their second incident of pneumothorax. Both had Poland's syndrome (unilaterally hypoplastic chest wall with pectoralis major muscle atrophy) and both had multiple bullae to the ipsilateral lung based on CT findings. The patients were treated operatively (bullectomy, lung apicectomy, partial parietal pleurectomy and chemical pleurodesis) due to the recurrent state of their pneumothorax. Results. The patients had good results with total expansion of the affected lung. Conclusions. Poland's syndrome can be combined with ipsilateral presence of lung bullae, a common cause of pneumothorax. Whether this finding is part or a variation of the syndrome needs to be confirmed by a larger number of similar cases

Decision Agriculture

In this chapter, the latest developments in the field of decision agriculture are discussed. The practice of management zones in digital agriculture is described for efficient and smart faming. Accordingly, the methodology for delineating management zones is presented. Modeling of decision support systems is explained along with discussion of the issues and challenges in this area. Moreover, the precision agriculture technology is also considered. Moreover, the chapter surveys the state of the decision agriculture technologies in the countries such as Bulgaria, Denmark, France, Israel, Malaysia, Pakistan, United Kingdom, Ukraine, and Sweden. Finally, different field factors such as GPS accuracy and crop growth are also analyzed