Management of May Thurner Syndrome in Pregnant Patients.

May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underreported, management in pregnant and postpartum patients is based on expert opinion without any formal evidence-based guidance. Herein, we review five pregnancies in four patients with May Thurner Syndrome and general management strategies.

Challenges in Pathology Specimen Processing in the New Era of Precision Medicine.

Context.—: Precision therapies for patients with driver mutations can offer deep and durable responses that correlate with diagnosis, metastasis prognosis, and improvement in survival. The use of such targeted therapies will continue to increase, pushing us to change our traditional approaches.

Proactive and Reactive Aggressive Behaviors: Dimensionality of Self-Report Scales.

The literature distinguishes aggressive behavior as being either proactive or reactive; however, despite being highly comorbid, they appear to possess unique correlation patterns to external variables. We propose to assess the dimensionality and latent profiles that emerged based on the Peer Aggressive Behavior Scale (PAB-S) and the Peer Aggressive and Reactive Behavior Questionnaire (PARB-Q). Confirmatory Factor Analysis (CFA) and Latent Profile Analysis (LPA) was conducted on two self-report scales in a non-representative Brazilian sample composed by 2,517 students of elementary school (1,275 girls; 50.

Safety and Efficacy of Acute Pulmonary Embolism Treated via Large-Bore Aspiration Mechanical Thrombectomy Using the Inari FlowTriever Device.

Purpose: To report initial experience with safety and efficacy in the treatment of pulmonary embolism (PE) using the FlowTriever device.

Materials And Methods: A single-center retrospective study was performed in all patients with acute central PE treated using the FlowTriever device between March 2018 and March 2019. A total of 46 patients were identified (massive = 8; submassive = 38), all with right ventricular (RV) strain and 26% with thrombolytic contraindications.

Multimodality Imaging of Focal and Diffuse Fibrosing Mediastinitis.

Fibrosing mediastinitis is a rare benign but potentially life-threatening process that occurs because of proliferation of fibrotic tissue in the mediastinum. The focal subtype is more common and typically is associated with an abnormal immunologic response to infection. Affected patients are typically young at presentation, but a wide age range has been reported, without a predilection for either sex.

Brazilian caregivers' conception on child bullying.

Background: Bullying is a complex social phenomenon, which is common in peer relationships and is influenced by different individual and contextual characteristics. Despite broad knowledge on the importance of the family for children's development, many studies about bullying neglect the family's active role. In that sense, investigating caregivers' conception about bullying can be an important strategy to promote effective interventions.

Synthesis of carboxymethylcellulose/starch superabsorbent hydrogels by gamma-irradiation.

Background: Superabsorbent hydrogels show a large potential in a wide array of applications due to their unique properties. Carboxymethylcellulose (CMC) is a commercially available water-soluble cellulose derivative of major interest in the hydrogel synthesis. High-energy irradiation allows the chemical crosslinking without the use of crosslinking agents, while the introduction of other natural or synthetic polymers offers a convenient way to modify the gels.

Synthesis and characterization of superabsorbent hydrogels based on hydroxyethylcellulose and acrylic acid.

Hydroxyethylcellulose (HEC)/acrylic acid (AAc) copolymer gels with superabsorbent properties were synthesized from aqueous solutions by radiation-initiated crosslinking. The effect of the acrylic acid content on gel properties was determined at different synthesis conditions. The partial replacement of the cellulose derivative with acrylic acid improved the gelation, leading to higher gel fraction and lower water uptake even in very low concentrations (1-5%).

Ethylene-vinyl alcohol copolymer endobiliary obliteration of hepatic segments in a patient with isolated bile leaks.

A 54-year-old woman with a symptomatic giant hepatic hemangioma underwent an extended left hepatic trisegmentectomy complicated by 250-350 mL/d postoperative bilious drainage. After 5 months of therapy, drainage was unabated, and the patient was no longer a surgical candidate. Sinography revealed three distinct isolated bile duct leaks involving segments 6, 7, and 8.

The Peer Aggressive and Reactive Behaviors Questionnaire (PARB-Q): evidence of validity in the Brazilian context.

Objective: To evaluate the psychometric properties of the Brazilian version of the Peer Aggressive and Reactive Behaviors Questionnaire (PARB-Q), a self-report instrument comprising two independent scales that assess aggressive behavior and reactions to peer aggression.

Method: A total of 727 elementary schoolchildren aged 8-13 years (52% boys) were included. Exploratory and confirmatory factor analyses were used to evaluate the factor structure.

Modification of the HeRO graft allowing earlier cannulation and reduction in catheter dependent days in patients with end stage renal disease: a single center retrospective review.

After creation of an arteriovenous fistula or placement of an arteriovenous graft, several weeks are required for maturation prior to first cannulation. Patients need an alternative way to receive hemodialysis during this time, frequently a catheter. After multiple failed access attempts, patients can run out of options and become catheter dependent.

Efficacy of peripheral interventional radiologists performing endovascular stroke therapy guided by CT perfusion triage of patients.

Purpose: To assess safety and efficacy of intraarterial mechanical thrombectomy for treatment of ischemic stroke in a community hospital by peripheral interventional radiologists employing computed tomography (CT) perfusion imaging for patient selection.

Materials And Methods: Forty patients, 11 men (27.5%) and 29 women (72.

The Peer Aggressive and Reactive Behavior Questionnaire (PARB-Q): measurement invariance across Italian and Brazilian children, gender and age.

This study examines measurement invariance, reliability and scores differences of the Peer Aggressive and Reactive Behaviors Questionnaire (PARB-Q) across Italian and Brazilian children, gender and age. Participants were 587 Italian and 727 Brazilian children, aged 7-13 years from 12 elementary schools. The PARB-Q is a brief self-report instrument composed by two scales that assess aggressive behavior and reactions to peer aggression.

Behavioural/emotional problems in Brazilian children: findings from parents' reports on the Child Behavior Checklist.

Background. To compare Child Behavior Checklist (CBCL) findings for a large Brazilian general population sample with those for US children considering: (a) mean problem item ratings; (b) fit of the US-derived CBCL 8-syndrome model; (c) scale internal consistency measured by Cronbach's alphas; (d) effects of society, age, gender on CBCL problem scores; and (e) ability to discriminate referred from non-referred children. Methods.

14-item resilience scale (RS-14): psychometric properties of the Brazilian version.

The Resilience Scale (RS) was developed to evaluate the levels of resilience in the general population. Its reduced version (RS-14) has presented reliable internal consistency and external validity. However, its psychometric properties have not been systematically evaluated.

Effect of selected antimicrobial compounds on the radiosensitization of Salmonella Typhi in ground beef.

Aims: In this study, we extended our previous work to determine the efficiency of antimicrobial compounds in increase of relative radiosensitivity of Salmonella Typhi in medium fat ground beef (23% fat) by testing 41 different essential oils (EOs), oleoresins and food sauces.

Methods And Results: Ground beef samples inoculated with Salmonella Typhi (10(6) CFU g(-1)) were treated with each antimicrobial compound at a concentration of 0.5% (w/w).

Combined effect of natural essential oils, modified atmosphere packaging, and gamma radiation on the microbial growth on ground beef.

Selected Chinese cinnamon, Spanish oregano, and mustard essential oils (EOs) were used in combination with irradiation to evaluate their ability to eliminate pathogenic bacteria and extend the shelf life of medium-fat-content ground beef (23% fat). Shelf life was defined as the time when the total bacterial count reached 10(7) CFU/g. The shelf life of ground beef was determined for 28 days at 4 degrees C after treatment with EOs.

Effect of selected plant essential oils or their constituents and modified atmosphere packaging on the radiosensitivity of Escherichia coli O157:H7 and Salmonella typhi in ground beef.

Twenty-six different essential oils were tested for their efficiency to increase the relative radiosensitivity of Escherichia coli and Salmonella Typhi in medium-fat ground beef (23% fat). Ground beef was inoculated with E. coli O157:H7 or Salmonella (10(6) CFU/g), and each essential oil or one of their main constituents was added separately at a concentration of 0.

Combined effect of carvacrol and packaging conditions on radiosensitivity of Escherichia coli and Salmonella Typhi in ground beef.

This study was undertaken to evaluate the effect of 1.0% carvacrol and 0.1% tetrasodium pyrophosphate on the radiation D10 of Escherichia coli and Salmonella Typhi added to ground beef at a concentration of 10(5) CFU/g.

The cost of hospital care in Canada: a comparison of two alternatives.

This article compares resource intensity weight costs with case costs for selected patient groups at St. Paul's Hospital, British Columbia. Analysis found that average case costs for surgical patients were 23.

Radiosensitization of Escherichia coli and Salmonella Typhi in ground beef.

The radiosensitization of two pathogenic bacteria, Escherichia coli and Salmonella Typhi, was evaluated in the presence of thyme and its principal essential oil constituents (carvacrol and thymol) in ground beef. Ground beef was inoculated with E. coli or Salmonella Typhi (10(5) CFU/g), and each compound was added separately at various concentrations (0 to 3.