Reduced increase of calcium scores using breath-hold in left-sided whole breast irradiation.

Purpose: In this prospective longitudinal study, Coronary Artery Calcium (CAC) scores determined before the start of whole breast irradiation were compared with those determined 7 years afterwards. The aim was to examine whether the use of a breath-hold (BH) technique is associated with less increase of CAC scores.

Methods And Materials: Changes in CAC scores were analysed in 87 breast cancer patients.

Outcomes of visceral leishmaniasis in pregnancy: A retrospective cohort study from South Sudan.

Introduction: Visceral leishmaniasis (VL) is endemic in South Sudan, where outbreaks occur frequently. Because of changes in the immune system during pregnancy, pregnant women are considered particularly vulnerable for developing complications of VL disease, including opportunistic infections. There is limited evidence available about clinical aspects and treatment outcomes of VL in pregnancy.

[Thrombosis in ovarian hyperstimulation syndrome].

Background: Ovarian hyperstimulation syndrome is a rare complication of IVF treatment. In severe ovarian hyperstimulation syndrome there is an increased risk of thrombo-embolic events. Venous thrombotic complications tend to occur several weeks after the resolution of ovarian hyperstimulation syndrome.

Comparison between thromboelastography and conventional coagulation tests after cardiopulmonary bypass surgery in the paediatric intensive care unit.

Introduction: Following paediatric cardiac surgery using cardiopulmonary bypass (CPB), there is a risk of significant postoperative bleeding. A number of risk factors are associated with postoperative bleeding including; age, complexity of the surgery, dilution and consumption of clotting factors. We conducted a prospective audit comparing different coagulation tests used following paediatric CPB to determine whether thromboelastography (TEG) on the intensive care unit or routine laboratory coagulation assays including fibrinogen are better at assessing bleeding and bleeding risk.

[A man with a contorted knee].

A patient presented with an isolated anterolateral dislocation of the proximal tibiofibular joint. Closed reduction under general anaesthesia was performed by external rotation of the lower leg with the knee in 90 degrees of flexion and the ankle dorsiflexed with an audible pop.