Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube.

Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure.

Fatal Pulmonary Tumor Embolic Microangiopathy in Young Lady without Known Primary Malignancy.

Pulmonary embolism (PE) is a common cause of morbidity and mortality in hospitalized patients. Malignancy, prolonged recumbence, and chemotherapy are renowned risk factors for development of clinically significant PE. Cancer exerts a multitude of pathophysiological processes, for example, hypercoagulability and abnormal vessels with sluggish circulation that can lead to PE.

Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Intensive care management of pulmonary hypertension.

Pulmonary hypertension (PH) in the Intensive Care Unit (ICU) may be due to preexisting pulmonary vascular lung disease, liver disease, or cardiac diseases. PH also may be caused by critical illnesses, such as acute respiratory distress syndrome (ARDS), acute left ventricular dysfunction and pulmonary embolism, or may occur after cardiac or thoracic surgery. Regardless of the underlying cause of PH, the final common pathway for hemodynamic deterioration and death is RV failure, which is the most challenging aspect of patient management.

A global analysis of Y-chromosomal haplotype diversity for 23 STR loci.

In a worldwide collaborative effort, 19,630 Y-chromosomes were sampled from 129 different populations in 51 countries. These chromosomes were typed for 23 short-tandem repeat (STR) loci (DYS19, DYS389I, DYS389II, DYS390, DYS391, DYS392, DYS393, DYS385ab, DYS437, DYS438, DYS439, DYS448, DYS456, DYS458, DYS635, GATAH4, DYS481, DYS533, DYS549, DYS570, DYS576, and DYS643) and using the PowerPlex Y23 System (PPY23, Promega Corporation, Madison, WI). Locus-specific allelic spectra of these markers were determined and a consistently high level of allelic diversity was observed.

Health care for pesticide applicators in a locust eradication campaign in Kuwait (1988-1989).

Pesticide applicators in the Plant Protection Department of the Agriculture Affairs and Fish Resources Authority are monitored regularly by the Occupational Health Section of the Ministry of Health. The aim is to protect them from the adverse effects of pesticides and to prevent acute poisoning by removing from exposure those who have low cholinesterase (ChE) activity levels or low white blood cell counts. Thirty-eight workers routinely examined in July 1988 were reexamined at the onset of the locust invasion in Kuwait in November 1988; also examined were 36 farmers recruited for the first time to fight locusts and a matched control group of 38 firefighters.