Association of Subcapsular Liver Hematoma With Preeclampsia, Eclampsia, or Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome.

Objective: To describe the presentation, outcomes, and management strategies for cases of subcapsular liver hematoma associated with preeclampsia, eclampsia, or HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome.

Methods: This was a case series of individuals with subcapsular liver hematoma managed at a single level IV center over a 10-year period, from 2013 to 2024. Presenting signs and symptoms, laboratory findings, time of onset, management strategies, acute perinatal and maternal outcomes, and long-term outcomes such as subsequent pregnancies were reviewed in the medical record and recorded.

Successful endoscopic resection of a rare extension of peripheral giant cell granuloma into the infratemporal fossa via the maxillary sinus: A case report study.

Introduction And Significance: Peripheral giant cell granuloma (PGCG) is a benign reactive lesion commonly found in the mandible but rarely in the maxillary sinus and extending to the infratemporal fossa, which poses a major challenge in excision in this case. It can occasionally lead to bone erosion. Complete surgical excision is the primary treatment.

Nulliparous with Class III Obesity at Term: Labor Induction or Cesarean Delivery without Labor.

Objective:  This study aimed to compare maternal and neonatal outcomes between labor induction versus cesarean delivery (CD) without labor among nulliparous individuals with class III obesity (body mass index [BMI] ≥40 kg/m).

Study Design:  A retrospective cohort study of all nulliparous singleton deliveries at ≥37 weeks with a BMI of ≥40 kg/m at delivery between March 2020 and February 2022. We excluded individuals with spontaneous labor, fetal malformations, and stillbirths.

Machine learning solutions for renewable energy systems: Applications, challenges, limitations, and future directions.

The Paris Agreement, a landmark international treaty signed in 2016 to limit global warming to 2°C, has urged researchers to explore various strategies for achieving its ambitious goals. While Renewable Energy (RE) innovation holds promise, it alone may not be sufficient as critical deadlines approach. This field of research presents numerous challenges, foremost among them being the costliness of materials involved.

A case of neck paraganglioma in a 49-year-old male: Case report and review of the literature.

Introduction And Significance: Paragangliomas are rare tumors that most commonly occur in the head and neck. They are typically slow-growing tumors that are often associated with genetic syndromes and mutations in the enzyme succinate dehydrogenase.

Case Presentation: We describe a case of a male patient who presented with ear pain and dysphagia.

The history and geographic distribution of a KCNQ1 atrial fibrillation risk allele.

The genetic architecture of atrial fibrillation (AF) encompasses low impact, common genetic variants and high impact, rare variants. Here, we characterize a high impact AF-susceptibility allele, KCNQ1 R231H, and describe its transcontinental geographic distribution and history. Induced pluripotent stem cell-derived cardiomyocytes procured from risk allele carriers exhibit abbreviated action potential duration, consistent with a gain-of-function effect.

Age and multimorbidities as poor prognostic factors for COVID-19 in hemodialysis: a Lebanese national study.

Background: Hemodialysis patients with COVID-19 have been reported to be at higher risk for death than the general population. Several prognostic factors have been identified in the studies from Asian, European or American countries. This is the first national Lebanese study assessing the factors associated with SARS-CoV-2 mortality in hemodialysis patients.

New Concept of Power Generation Using TEGs: Thermal Modeling, Parametric Analysis, and Case Study.

In this manuscript, an innovative concept of producing power from a thermoelectric generator (TEG) is evaluated. This concept takes advantage of using the exhaust airflow of all-air heating, ventilating, and air-conditioning (HVAC) systems, and sun irradiation. For the first step, a parametric analysis of power generation from TEGs for different practical configurations is performed.

A Novel and Simple Exercise Test Parameter to Assess Responsiveness to Cardiac Resynchronization Therapy.

This study assessed the value of heart rate recovery index (HRRI), a new parameter of an exercise test, as the predictor of response to cardiac resynchronization therapy (CRT). : Consecutive patients receiving a CRT device were followed up after implantation and every 6 months. An effort test (ET) was quantified by minimum heart rate/maximum heart rate, as well as acceleration and deceleration times.

Chronic Hypertension in Pregnancy: New Concepts for Classification and Management.

Chronic hypertension in pregnancy is traditionally classified according to degree of blood pressure (BP) elevation. Alternatively, stratifying women as high or low risk based on the etiology of hypertension, baseline work-up, and comorbid medical conditions will better inform clinicians about thresholds to initiate antihypertensive therapy, target BPs, frequency of antepartum visits, and timing of delivery. Women classified as high-risk chronic hypertension as described here require stricter BP management and more frequent follow-up visits as their associated rates of adverse maternal and/or fetal/neonatal outcomes appear higher than women classified as low-risk chronic hypertension.

Clustering of 770,000 genomes reveals post-colonial population structure of North America.

Despite strides in characterizing human history from genetic polymorphism data, progress in identifying genetic signatures of recent demography has been limited. Here we identify very recent fine-scale population structure in North America from a network of over 500 million genetic (identity-by-descent, IBD) connections among 770,000 genotyped individuals of US origin. We detect densely connected clusters within the network and annotate these clusters using a database of over 20 million genealogical records.

Rhinotopic therapy for refractory chronic rhinosinusitis: a study of 20 cases.

The management of refractory chronic rhinosinusitis (CRS) after endoscopic sinus surgery is complex and challenging. We conducted a prospective clinical pilot study to evaluate the effectiveness of a rhinotopic protocol for the treatment of refractory CRS. Our study population was made up of 20 patients--8 men and 12 women, aged 31 to 76 years (mean: 50.

The benefit of the reverse transfer function in the fitting process of the Vibrant Soundbridge middle ear implant.

Conclusion: Reverse transfer function (RTF) measurement of the Vibrant Soundbridge (VSB) middle ear implant (MEI) is an objective method to evaluate the function of the VSB and can be used to adjust the Connexx value required to reach the optimal VSB gain during fitting sessions.

Objectives: To investigate the sound transfer of the VSB with the RTF in implanted patients and evaluate the role of RTF in the fitting process of the VSB.

Methods: This was a prospective study including patients undergoing VSB implantation and RTF recording from March 2007 to October 2010.

High-frequency skull vibration-induced nystagmus test in partial vestibular lesions.

Objectives: To establish the effectiveness of the skull vibration-induced nystagmus test (SVINT) as a rapid high-frequency stimulation test, in the evaluation of partial unilateral vestibular lesions (pUVL).

Methods: SVINT (30, 60, and 100 Hz), caloric, and head-shaking tests were performed in 99 patients with pUVL. These results were compared with those in 9 patients with symmetrical partial bilateral labyrinthine malformations, 131 patients with total unilateral vestibular lesions (tUVL), and 95 control subjects.

Endoscopically guided chitosan nasal packing for intractable epistaxis.

Background: The purpose of this study was to evaluate the effectiveness and safety of endoscopically guided chitosan packing in controlling intractable epistaxis. A prospective case series was performed.

Methods: This is a prospective clinical study conducted in a tertiary rhinology fellowship training hospital between January 2009 and November 2009.

Optimal treatment of cervical necrotizing fasciitis associated with descending necrotizing mediastinitis.

Background: Cervical necrotizing fasciitis (CNF) associated with descending necrotizing mediastinitis (DNM) is a rapidly evolving and life-threatening condition. The aim of this retrospective study was to describe a treatment strategy for CNF with DNM and present a management algorithm for mediastinal extensions of CNF.

Methods: Patients diagnosed and treated for CNF with DNM over 14 years in a tertiary referral centre were included.

Right versus left stapes surgery: is there a difference?

Objectives: To search for a statistically significant difference in auditory results between right and left ears after surgery for otosclerosis.

Study Design: Retrospective case-review study.

Setting: Academic tertiary referral center.

Guided bone regeneration using an allograft material: review and case presentations.

Post extraction sites may have residual ridge deformities with insufficient bone present for future implant placement. This presents a challenge to the clinician attempting to obtain optimum results. To predictably augment these areas and obtain aesthetically pleasing results, bone grafting may be required.

Gastro-omental free flap in the reconstruction of the unfavourable hypopharyngeal defects: a functional assessment.

Background: Reconstruction flaps following major head and neck cancer surgery should consider the state of tissue at the recipient site. This study presents the cumulative experience of the use of the gastro-omental free flap (GOFF) for pharyngeal reconstruction in cases with unfavourable recipient site conditions.

Methods: The GOFF reconstruction procedure and postoperative follow-up are described in details, and the functional results are analysed retrospectively.

Vestibular neurectomy vs. chemical labyrinthectomy in the treatment of disabling Menière's disease: a long-term comparative study.

Objective: To compare the efficiency of vestibular neurectomy (VN) and chemical labyrinthectomy (CL) in the treatment of Menière's disease's disabling vertigo, and to assess their subsequent effects on hearing.

Methods: This is a retrospective study of 58 VN procedures and 35 CL procedures. Treatment results were assessed by caloric testing and pure-tone audiometry performed before and after treatment.

[Treatment of a voluminous rhinophyma].

Objective: The purpose of this study was to present an advanced case of rhinophyma and to discuss the pathophysiology, clinical presentation and treatment of this pathology.

Case Report: A 75-year-old patient presented to the ENT out-patient department with a large rhinophyma causing nasal obstruction and eating problems in addition to its aesthetic social burden.

Results: The patient was operated under antibiotic coverage.