DeepSOZ: A Robust Deep Model for Joint Temporal and Spatial Seizure Onset Localization from Multichannel EEG Data.

We propose a robust deep learning framework to simultaneously detect and localize seizure activity from multichannel scalp EEG. Our model, called DeepSOZ, consists of a transformer encoder to generate global and channel-wise encodings. The global branch is combined with an LSTM for temporal seizure detection.

DeepBreath-automated detection of respiratory pathology from lung auscultation in 572 pediatric outpatients across 5 countries.

The interpretation of lung auscultation is highly subjective and relies on non-specific nomenclature. Computer-aided analysis has the potential to better standardize and automate evaluation. We used 35.

Deep learning diagnostic and risk-stratification pattern detection for COVID-19 in digital lung auscultations: clinical protocol for a case-control and prospective cohort study.

Background: Lung auscultation is fundamental to the clinical diagnosis of respiratory disease. However, auscultation is a subjective practice and interpretations vary widely between users. The digitization of auscultation acquisition and interpretation is a particularly promising strategy for diagnosing and monitoring infectious diseases such as Coronavirus-19 disease (COVID-19) where automated analyses could help decentralise care and better inform decision-making in telemedicine.

Bone cement implantation syndrome.

Bone cement implantation syndrome (BCIS) is characterized by hypoxia, hypotension, cardiac arrhythmias, increased pulmonary vascular resistance and cardiac arrest. It is a known cause of morbidity and mortality in patients undergoing cemented orthopaedic surgeries. The rarity of the condition as well as absence of a proper definition has contributed to under-reporting of cases.

Double aortic arch: an unusual congenital variation.

Double aortic arch is a rare variation of the aortic arch that may cause tracheal and esophageal compression. Two postnatal cases of double aortic arch and their outcomes are reported. Both patients presented with stridor, repeated respiratory infections and episodes of apnea.

Oesophageal tuberculosis: a review of eleven cases.

Tuberculous infection of the oesophagus is rare. This is confirmed by our present review of cases managed in our teaching hospitals over a period of 18 years which uncovered only 11 patients. The main presentation is that of dysphagia whose algorithm of investigation should seek to differentiate tuberculosis from carcinoma, the more common cause of this symptom.

Balloon valvuloplasty versus closed commissurotomy for pliable mitral stenosis: a prospective hemodynamic study.

Closed surgical mitral valvotomy is the procedure of choice in most patients with symptomatic pliable mitral stenosis in developing countries. The procedure is efficacious and safe. Mitral valvotomy performed with a balloon has shown similar good results, with infrequent complications in selected subjects.

A burnout instrument for hospice.

The development of a burnout instrument specifically designed for health and mental health practitioners is presented. Validity and reliability studies are discussed as well as issues regarding possible application.

Pneumonectomy in a patient with ventricular septal defect.

A young man with severe unilateral bronchiectasis and a ventricular septal defect presented for pneumonectomy. Intra-operative monitoring, which included continuous measurement of systemic and pulmonary oxygen saturations by oximetry, revealed transient reversal of the intracardiac shunt across the defect. The implications of this combination of cardiac and pulmonary disease for anaesthetic management are discussed.

Retained knife blade and acute superior vena cava obstruction.

A case is described in which transfixation of the superior vena cava by the retained blade of a knife was the cause of acute caval obstruction. Use of a venous cannula as a stent allowed repair of the caval lacerations.

Esophagopleural fistula after pneumonectomy for inflammatory disease.

The development of an esophagopleural fistula after pneumonectomy is one of the less common complications of pneumonectomy. Herein reported are seven cases over a period of 14 years, five from a series of 896 pneumonectomies performed for malignant or inflammatory disease in the Department of Thoracic Surgery and two referred after pneumonectomy elsewhere. The fistula was demonstrated by the escape of radiographic contrast material, methylene blue, or food particles into the pleural space or was observed at esophagoscopy.

Recurrent desmoid tumour of the abdomen and thorax. A case report.

The life of a young woman was threatened by a large, recurrent, invasive desmoid tumour which penetrated the sternum. The combined thoracic and plastic surgical management is described.

Penetrating neck trauma with tracheal and oesophageal injuries.

Failure to recognize early that penetrating neck wounds include the cervical oesophagus greatly increases morbidity and mortality. From an analysis of experience over 5 years (1978-1983) it emerges that, while tracheal wounds are usually recognized early, cervical oesophageal injuries are not. It is empyema which complicates such oesophageal injury and which prompts referral to a Department of Thoracic Surgery, the patients by this time being mortally ill, with septicaemia and malnutrition.

Tracheo-oesophageal fistula from blunt trauma. A case report.

Tracheo-oesophageal fistula is a rare complication of blunt trauma; by 1980 only 35 cases had been recorded. Presentation is usually delayed and the initial trauma severe. Fractures, pneumothorax, haemoptysis and surgical emphysema are not invariable features.

Peroperative antibiotics in the prevention of chest infection following cardiac operations.

Seventy-nine patients about to undergo cardiac operations were randomly allocated to two treatment groups in an attempt to reduce postoperative chest infections. The group receiving a short peroperative course of cefamandole, an antibiotic effective against both the pneumococcus and Haemophilus influenzae, had a significantly lower postoperative chest infection rate than the group receiving a 3-day course of cephradine, an antibiotic previously chosen to prevent intracardiac infection during the operation. By selecting an appropriate antibiotic it is possible, using a short peroperative course, to reduce the postoperative chest infection rate in patients undergoing cardiac operations.