Concurrent bacteremia and colorectal adenocarcinoma with metastasis to the brain - A Case Report.

There is a known relationship between bacteremia and colorectal malignancies. is a gram-positive, anaerobic, spore-forming bacterium that can survive the acidic colorectal tumor microenvironment, where it is thought to enter the blood by tumor-mediated epithelial tissue damage. While in circulation, can release exotoxins which may lead to life-threatening sepsis.

A 10-Year Analysis of 3693 Craniotomies during a Transition to Multidisciplinary Teams, Protocols, and Pathways.

Introduction: A Cochrane review of teams, protocols, and pathways demonstrated improved care efficiency and outcomes over a traditional model. Little is known about this approach for craniotomy.

Methods: This observational study involved sequential implementation of a multidisciplinary team, protocols, and a craniotomy pathway.

Ciguatera fish poisoning in la Habana, Cuba: a study of local social-ecological resilience.

Following the collapse of the Cuban economy in the early 1990s, epidemiologists in the Cuban Ministry of Health noticed dramatic increases in reported outbreaks of ciguatera fish poisoning (CFP) in some coastal communities. This article summarizes the results of a comparative case study which applied an ecosystem approach to human health to investigate this issue. Situated learning and complexity theories were used to interpret the results of the investigation.

Effect of smoke inhalation on viscoelastic properties and ventilation distribution in sheep.

Smoke inhalation injuries are the leading cause of mortality from burn injury. Airway obstruction due to mucus plugging and bronchoconstriction can cause severe ventilation inhomogeneity and worsen hypoxia. Studies describing changes of viscoelastic characteristics of the lung after smoke inhalation are missing.

Co-management of natural resources: a proposed framework.

Co-management acknowledges pragmatic developments and progression of institutional choice theories in natural resource management. This innovative concept embraces a pluralistic management approach based on the principle of subsidiarity and creates opportunities for the reconciliation of competitive property claims. This article reviews definitions of co-management, distinguishes it from other property rights regimes, and develops an organizational structure of the major elements involved.

Some observations on the terminology in co-operative environmental management.

The notion of managing resources in partnership flourishes in natural resources literature. The terms partnership, collaboration, and co-management are associated with co-operative environmental management. Examining issues of definition reveals similarities, differences and, at times, imprecise use of the three terms.