The great majority of patients admitted to the intensive care unit (ICU) for critical gastrointestinal bleeding (GIB) will have a predictable etiology. Once the site is localized to the upper versus the lower gastrointestinal tract, the number of typically encountered etiological possibilities is quite limited. On rare occasions, the cause of GIB requiring ICU care is not one of the standard considerations, potentially leading to diagnostic and therapeutic delays.
View Article and Find Full Text PDFObjective: To examine the effects of the salinity level of drinking water on the egg production and quality of Alabio ducks.
Materials And Methods: A total of 60 female Alabio ducks, aged 6 months, were subjected to this study. All ducks were kept in stage-type cages (1 m length × 1 m width × 0.
Purpose Antimicrobial resistance (AMR) has become a worldwide environmental and public health problem, causing more than 250,000 deaths per year. Unregulated usage, unsafe hospital practices, and misuse in veterinary contribute to the development of multidrug resistance in various bacteria. Hospital water was hypothesized to be a hotspot for AMR transmission because of (1) increased exposure to antibiotic load, (2) poor drainage and sanitation system, (3) interaction between environmental and clinical microbes.
View Article and Find Full Text PDFLime is one of the most commonly consumed medicinal plants in Indonesia, which must be dried to preserve its quality, but mostly by using traditional, ineffective drying method. Therefore, this study aims to investigate lime drying process a hybrid solar drying method. The hybrid solar dryer consisted of a solar dryer and Liquefied Petroleum Gas as the supplementary heater.
View Article and Find Full Text PDFBackground: Exercise tolerance is reduced in hypertension. Hypertension affects left ventricular (LV) diastolic filling by causing abnormal relaxation and decreasing compliance.
Hypothesis: This study was designed to determine whether worsening of LV diastolic dysfunction during exercise causes decreased exercise tolerance in hypertension.
Background: Resolution of ST-segment elevation is the best bedside predictor of myocardial reperfusion.
Hypothesis: This study was conducted to examine the resolution of ST-segment elevation after streptokinase therapy in anterior versus inferior acute myocardial infarction (MI) and to corroborate it with echocardiographic and coronary angiographic data.
Methods: The study population consisted of 70 patients, 35 each in the anterior and inferior MI groups.
Aortic dissection is a medical emergency carrying high morbidity and mortality. Prompt diagnosis is sometimes difficult because of its varying presentations, but it is critical to the achievement of good clinical outcomes. This report describes 2 cases of painless aortic dissection that presented with aortic valve regurgitation.
View Article and Find Full Text PDFCoronary artery aneurysm is a rare coronary abnormality, usually diagnosed incidentally by coronary angiography. Major causes of coronary aneurysms include coronary ectasia, Kawasaki disease, and atherosclerosis. Most of the discrete coronary aneurysms are of atherosclerotic origin.
View Article and Find Full Text PDFThe origination of all three major coronary arteries from three separate ostia in the right sinus of Valsalva is an exceedingly rare coronary anomaly. Few radiographic and clinical details of this anomaly are available in the literature. We describe this anomaly in a patient with acute myocardial infarction who remained asymptomatic until the 8th decade of her life.
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