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SHORTTERM FOLLOW UP OF EVLA: COMPLICATIONS AND MANAGEMENTS, A SINGLE CENTER EXPERIENCE OF BANGLADESH

Research Article of American Journal of Surgical Research and Reviews SHORTTERM FOLLOW UP OF EVLA: COMPLICATIONS AND MANAGEMENTS, A SINGLE CENTER EXPERIENCE OF BANGLADESH Shantonu Kumar Ghosh, MS (CV&TS), Fellowship in vascular surgery1*, Md Mokhlesur Rahman, MS (CV&TS), Fellowship in vascular surgery1, Sultan Mahmud, MS (CV&TS)1, Md Mushfiqur Rahman, MS (CV&TS)1, Sarif Shammirul Alam, Diploma in Anesthesiology2, Alpana Majumder, Fellowship Trainee in Field Epidemiology3, Md Moynul Islam, Trainee in CVS1, SM Minhajul Hasan Chowdhury, MS (CV&TS)1, Md Shamim Reza, MS (CV&TS)1 1Department of Vascular Surgery, 2Department of Anesthesiology, National Institute of Cardiovascular Diseases, Sher-e-Bangla Nagar, Dhaka, Bangladesh. 3Institute of Epidemiology, Disease Control and Research, Mohakhali, Dhaka, Bangladesh. Dodd and Cockett defined varicose veins, saying “a varicose vein is one which has permanently lost its valvular efficiency.” [1] Varicose veins constitute a progressive disease, remission of the disease does not occur, except after pregnancy and delivery. [2] The first documented reference of varicose veins was found as illustrations on Ebers Papyrus dated 1550 B.C. in Athens. [3]Greek philosopher Hippocrates (460-377 B.C.) described the use of compressive bandages and was advisor of small punctures in varicose veins. First patient who underwent operation for his varicose vein appears to be Canus Marius, the Roman tyrant. Giovanni Rima (1777-1843) introduced mid thigh ligation of the saphenous vein. Ligation of the sapheno-femoral junction as it is practiced today was first described by John Homans in his paper in 1916. [2] The Mayo Brothers, postulating that there would be additional benefit in removing the saphenous vein, pursued excision of the GSV through an incision extending from the groin to below the knee. The final technologic leap was introduction of the intraluminal stripper by Babcock. [2] In the era of minimally invasive surgery, the first documented case of Endovenous Laser Ablasion was published in 1999 using 810 ...

Post Appendectomy Blindness, Extremely rare complication after abdominal surgery

Case Report of International Journal of Case Reports Post Appendectomy Blindness, Extremely rare complication after abdominal surgery Maram Salah1, Mohannad Al-Tarakji2, Fakhar Shahid11, Syed Muhammad Ali2*, Khalid Ahmed2, Ahmad Zarour2 1Department of Surgery, Hamad Medical Corporation, P O Box 3050, Doha, Qatar. 2Department of Acute Care Surgery, Hamad Medical Corporation, P O Box 3050, Doha, Qatar. Perioperative visual loss (POVL) is a drastic complication that can result after ocular and more commonly non-ocular surgery, mostly reported after spine and cardiac bypass procedures. Despite the rarity of such complication, it has been reported following the abdominal surgeries. Overall, the most common cause of POVL is ischemic optic neuropathy but any pathology to the optical system from the cornea to the occipital lobe can lead to this rare phenomenon. Here, we are reporting the second case in the literature of post-operative visual loss after laparoscopic appendectomy. A young female, with no underlying disease, underwent laparoscopic appendectomy after septic shock secondary to acute appendicitis. Postoperatively, patient complained of complete blindness after extubation. Neurologic examination revealed bilateral near complete blindness, and hemodynamic ischemic stroke in the occipital cortex. Keywords: Appendectomy; Postoperative visual loss (POVL); Cortical blindness ...

Evaluating the Potential for Improved and Sustainable Adoption of Conservation Agriculture in Northern Namibia

Research Article of American Journal of Agricultural Research Evaluating the Potential for Improved and Sustainable Adoption of Conservation Agriculture in Northern Namibia David Ifeanyi Uchezuba1* & Salom Mbai2 1Senior Lecturer Namibian University of Science and Technology, Department of Agriculture and Natural Resource Sciences, Tel. +264810425716 2Lecturer Namibia University of Science and Technology, Department of Agriculture and Natural Resource Sciences, Tel. +264813902376 The study evaluated the potential for improved and sustainable adoption of conservation agriculture in five regions in Namibia namely, Omusati, Kunene, Oshikoto, Ohangwena, and Oshana. Conventional system of farming involves, monoculture and deep soil tillage with ox-drawn ploughs with limited mechanisation. These practices are unproductive and unsustainable given increased uncertainty due to climate change.Therefore, conservation agriculture was introduced in the regions through the Food and Agricultural Organisation’s (FAO) assisted programme. The aim of the programme was to lower vulnerability by increasing the resilience of the smallholder farmers in the selected regions to adapt to climate change risks through the implementation of Conservation Agriculture (CA) and other complementary Good Agricultural Practices (GAPs). The hypothesis is that increased CA knowledge would enhance improved outcomes. An empirical estimation of the relationship between the farmers learned CA skills, and the level of CA outcome was carried out using econometrics method. One hundred and forty-four farmers were sampled from the selected regions. The result indicates that additional CA knowledge may result in farmers’ improving their General Agricultural Practices. In order words, farmers are more likely to improve weeding than not, the area planted is more likely to increase than decrease and fertilizer application is more likely to increase significantly than not. There is an increase in the ordered log-odds of moving from a lower to a higher outcome level. For instance, a one-unit increase in the farmers' CA knowledge will result in 0.05 unit ...

Diffuse-type tenosynovial giant cell tumour of the temporo-mandibular joint: an indication for alloplastic joint replacement

Case Report of International Journal of Case Reports Diffuse-type tenosynovial giant cell tumour of the temporo-mandibular joint: an indication for alloplastic joint replacement An-Sofie Vandeput1, MD; Michel Bila1, MD; Titiaan Dormaar1, MD; Anne-Marie Delsupehe2, MD; Constantinus Politis1, MD, PhD 1Department of Oral and Maxillofacial Surgery, University Hospital Leuven, Leuven, Belgium; 2Department of Pathology, University Hospital Leuven, Leuven, Belgium A 25-year old female patient was referred to our department with a mass at the level of the right temporomandibular joint (TMJ). The patient experienced symptoms of paroxysmal pain of the TMJ and weight loss. Magnetic resonance imaging (MRI) revealed a tumour in the right masticatory space extending into the right TMJ, with invasion of the temporal bone. Surgical resection of the mass and total TMJ replacement surgery with a custom-made pros-thesis were performed. Final histological diagnosis of the resected specimen showed a dif-fuse-type tenosynovial giant cell tumour (D-TGCT). The multidisciplinary team’s decision was to give adjuvant radiotherapy; however, the patient declined further treatment. At 6 months follow-up, the patient had an excellent recovery with no signs of tumour recurrence on MRI. This is the first described case of D-TGCT treated with total TMJ replacement sur-gery using a custom-made alloplastic device. Keywords: tenosynovial giant cell tumour; temporomandibular joint; alloplastic joint re-placement; prosthesis ...

Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic

Case Report of International Journal of Case Reports Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic– A Rare Case Report Dr. Vaisakh Reghuram1*, Mr. Milind Mehta2, Mr. Gautam Talawadekar3 1Speciality Doctor T&O, Furness General Hospital , Barrow in Furness, UK. 2Specialist Registrar T&O, Furness General Hospital, Barrow in Furness, .UK 3Consultant T&O, Furness General hospital, Barrow in Furness, UK. Introduction: Osteogenesis imperfecta (OI) is a genetic disorder which is characterised by bone deformity, low bone mass, connective tissue manifestations and brittle bones with history of multiple fractures. Although recurrent fractures are known in patient with OI, the occurrence of bilateral simultaneous fracture of humerus is quite rare. Presenting complaint and investigations: The patient had a fall in the outdoors during a storm during the height of covid pandemic and sustained injury to both arms. Radiographs revealed comminuted fracture of left distal humerus and transverse extraarticular supracondylar fracture of right humerus. Diagnoses, therapeutics interventions, and outcomes: Although, conservative measures were advised as per the guidelines for orthopaedic surgery during the covid pandemic for most of the fractures, the decision to operate was made considering the morbid obesity and hampered mobility due to bilateral above elbow plaster.The patient underwent staged open reduction and internal fixation of both distal humerus with anatomical locking plates in a span of 2 weeks. She recovered uneventfully with a good functional range of movements and resumed her routine activities. Conclusion: The treatment for complex and unusual fractures should be individualised and should take into consideration of patient’s general condition and safety. Keywords: osteogenesis imperfecta, brittle bone disease, bilateral, distal humerus fracture ...

Reasons Early Career Black Special Education Teachers Quit Their Positions

Research article of American Journal of Educational Research and Reviews Reasons Early Career Black Special Education Teachers Quit Their Positions LaRon A. Scott Department of Counseling & Special Education, Virginia Commonwealth University Special education policymakers and practitioners are concerned about attrition among teachers, especially those who leave early in their careers and teachers of color. To increase knowledge about attrition, I examined demographic and interview data from 10 Black teachers who quit their positions before they completed their probationary periods (1-3 years). Guided by Cox’s (1994) cultural diversity in organization model designed to capture the complex nature of diversity in organizations, I used phenomenological research methods to better understand the teachers’ experiences surrounding the decision to quit. The qualitative analyses revealed four themes: (a) inadequate mentoring, (b) role abuse, (c) cultural insensitivity, and (d) inadequate resources. I conclude with suggestions for education policies and practices at the local and federal level that special educators can employ to address these issues. This paper highlights issues of attrition within a subgroup of educators (Black special educators) that are underrepresented in the research literature. Keywords: special education; teacher education; teacher attrition; teacher retention; Black special education teachers ...