Possible prevention of postoperative nausea and vomiting

Simon B N Thompson

    Postoperative Nausea and Vomiting (PONV) are frequently reported. Prominence following cardiac surgery and particularly associated with pediatric adnexal surgery in non-menstruating females is less well documented but nonetheless anecdotally known to anesthetists and adnexal surgeons. Risk of PONV, based on four independent risk predictors, may be assessed using scoring systems such as Apfel; however, Apfel is dependent upon age and guidelines are available for adults undergoing surgery...

Down syndrome and incidental pediatric basal ganglia calcifications at autopsy

Richard A Prayson

    Basal ganglia calcifications in the pediatric population are an unusual finding and in radiologic studies, have been noted in between 1-2% of patients in that age group. The causes for calcification are myriad but most commonly include tumors, congenital infections and tuberous sclerosis. The current report describes a case of a 17-year-old female with Down syndrome (trisomy 21) who presented with agitation, dry cough, decreased appetite, and fever. She experienced a 3 minute apneic episode followed by cardiopulmonary resuscitation...

Structural and functional brain differences in key opinion journal leaders

Roger Smith; Marvin Monroe; Alfred Bellows; Frasier Crane; Joe Hung; Jose Williams*; Katrina Cornwell

    Objectives: With the emergence of an exponential growth in the number of scientific journals, it becomes difficult to ascertain those which are reputable from those which are of the so-called ‘predatory’ type. The current study aimed to investigate whether the brain morphology and neuropsychological profiles differ between the editors of these two types of journals.

Surgery for elderly meningioma

Fusao Ikawa*; Kaoru Kurisu

    We tried to clarify the results of elderly meningioma based on the literature review. We searched the PubMed database using the terms "meningioma," "elderly," and "surgery" for English-language clinical studies and collected related papers published from 2003 to 2018. Twenty-four papers were reviewed and a total number of cases was 10,009. The mean rate of tumor size over 40mm in diameter was 62.8%, 38.9% of location was skull base related, and 30.7% of the cases was asymptomatic cases.

The novelty of the lamprey ear: Small sense organ, full motor control

Adel Maklad*, Amany Mahmoud

    The systematic position of the lamprey, as one of only two extant jawless vertebrate, makes its ear of particular interest from evolutionary, developmental and physiological standpoints. Studying the ear of the lamprey could give us insight into the morphology of the archetype/prototype ear of lamprey/jawed vertebrates' ancestor. Moreover, the seemingly simple neural circuits that relay information between the ear and brain to control gaze and posture could help us better understand the complex circuitry underlying vestibuloocular and vestibulospinal reflexes in a more derived vertebrates.

Significance of headache in stroke mimics during stroke alert

Evgeny V Sidorov*; David M Thompson; Vijay Pandav; Joshua Santucci; Bradley Bohnstedt; Bappaditya Ray

    When patients present to emergency department (ED) with acute focal neurological deficit sometimes it is hard to make decision about IV thrombolysis. In such situation a neurologist needs to make a judgement call about it. According to some studies IV thrombolysis is safe for patients with stroke mimics, but small possibility of hemorrhage still exists. Furthermore, unnecessary IV thrombolysis in stroke mimics significantly increases cost of care. We aimed to determine if presence of headache in patients with focal neurological deficit during stroke alert makes a difference in neurologist's decision about IV thrombolysis.

Diagnosing disorders of consciousness: Technological convergence in assessment options

Denis Larrivee, PhD

    Disorders of consciousness (DOC) are a clinically significant and personally tragic class of health impairments posing significant diagnostic challenge. Uncertainties in the understanding of consciousness and the inability of patients to communicate their physical status pose obstacles to the resolution of states with overlapping manifestations.

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