1,721,007 research outputs found

    A rare association of emphysematous pyelonephritis with unrecognized diabetes and polycystic kidney

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    Emphysematous pyelonephritis (EPN) is a rare, severe, gas-forming infection for which the treatment of choice is often an immediate nephrectomy, although many reports exist of conservative treatment of cases with antibiotic therapy and percutaneous drainage of abscesses. It usually occurs in diabetic patients and less frequently in subjects with an obstruction of the corresponding renoureteral unit; other predisposing factors are not common. We report here the case of a 51 year-old woman with a rare association of unrecognized diabetes and bilateral polycystic kidney disease who developed monolateral EPN. She had an emergency right nephrectomy and was admitted to Intensive Care Unit (ICU) for septic shock after surgery, requiring intensive resuscitation. The patient was managed with Coupled Plasma Filtration Adsorption (CPFA). Her clinical conditions rapidly improved and the hemofiltration was soon suspended. Urine and blood cultures were positive for the same Escherichia coli , which was susceptible to all tested antibiotics. The patient was transferred to the Nephrology Division and was discharged from the hospital without further dialysis after 34 days. This case report is somewhat unique because of the unusual association between undetected diabetes and polycystic kidney as predisposing factors of a severe infection of the urinary tract

    The brief history of laryngoscope: From lyric theater to operating theater | La breve storia del laringoscopio: dal teatro lirico al teatro operatorio

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    Tracheal intubation is one of the most widely used manoeuvres and laryngoscope is one of the most used devices in medicine. The first mentioned laryngoscopy is attributed to the Roman physician Aulus Cornelius Celsus. In the following centuries the contributions of Andreas van Wesel, known also with his Italian name Vesalio, of the English scientists Robert Hooke and Benjamin Guy Babington and the efforts of the German-Italian physician Philipp Bozzini and, particularly, of the Spanish singing teacher Manuel Patricio Rodríguez García were important. The ancestor of the laryngoscope used today was built by Alfred Kirstein, while the straight blades were designed by Robert Arden Miller and the curve blades by Robert Reynold Macintosh, respectively in 1941 in United States and in 1943 in United Kingdom. Only with Henry Harrington Janeway the laryngoscope lost its diagnostic function and became the essential device for tracheal intubation. Nowadays, the “digital revolution” of 21th century has brought newer technology to the science of tracheal intubation, and the GlideScope, a laryngoscope incorporating a video camera connected to a high resolution LCD monitor designed by the surgeon John Allen Pacey, is one of the most recent devices

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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