Abstract:Aim: \nIn this article we present a rare complication of laparoscopic adjustable gastric banding: Emphysematous gastritis with gastric necrosis secondary to superior mesenteric artery syndrome. Which unlike the rest of the articles, it is explained the cause that led to this syndrome. \nCase presentation:\nA 29 –year-old French woman with a bariatric history (BMI= 55.9; Height=166cm, weight = 154) underwent laparoscopic gastric banding for morbid obesity and was emergency re-operated for band slippage and regained weight. In 2017 she experienced acute abdominal pain associated with nausea without being able to vomit for which she was admitted to the emergency hospital. The computed tomographic revealed a massive distension of her stomach and duodenum, pneumatosis and portal venous gas. A junction syndrome at 3rd level of the duodenum linked to a superior mesenteric artery syndrome. Surgery treatment was needed considering the massive gastric necrosis for which a total gastrectomy with Roux en Y eophagojejunostomy anastomosis was performed. Due to fear of a possible rupture of the duodenum remaining part may occur, a 2cm latero-later duodenojejunostomy anastomosis was performed to ensure a good biliary drainage of the duodenum. The patient was discharged from the hospital within 10 days.\nConclusion\nThe fastest way to treat the patient was to prescribe her parenteral nutrition with the intention of gaining weight but because gastric emptying cannot be achieved the SMA can become a lethal complication due to the gastric necrosis.
Abstract:The paper presents the elucidation of the concept of migration and theories describing the process of migration, determines the issue of openness to immigration and presents its theoretical explanation. The factors determining the attitude towards immigration and immigrants are examined by dividing the factors into the main groups of economic and social-cultural factors. Analysis of immigration trends in Lithuania is presented. The paper aims to develop theoretical framework for assessment of employer openness to immigrants by revealing the main factors determining the attitudes of employers to labour immigrants and apply this framework in order to determine whether it is possible to integrate labour immigrants into the labour market in Lithuania.
Abstract:The Coronavirus (COVID-19) pandemicmanaged to overturn the entire organization of the medical system and changed all medical protocolsincluding surgical ones. Elective and otherroutine operations have been cancelled or postponedwhichled to congestionand hazard between long-established appointments andnew appointments during the COVID-19 pandemic. Small hernias repair should be carefully done respecting all the reported recommendationsfor Coronavirus (COVID-19).
Abstract:Surgeons have sufficient knowledge and should be motivated regarding adopting novel surgical devices, techniques, principles in order to provide the best care for the patients. Not everyone can become a great surgeon, but a great surgeon can come from anywhere. The same principle can be applied also in innovation. Surgery involves not only knowledge, concentration and precision but also imagination and creativity and if the imagined device can facilitate your work why not design it. The role of this article is to help any surgeon regardless of which hospital his working: poor hospital with lack of materials or very developed one with everything a surgeon needs. The device created by us is a very cheap one and any hospital can afford it. We have created a prototype (surgical device for safe and fast surgical swans count) that can be diversified or improved by using electronic technology. The role of this surgical device is to facilitate the collection of the used surgical swabs and to reduce the time allocated to the surgical swabs counting, which implies reducing surgical time.
Abstract:We have demonstrated that LC3Bylation, a covalent modification of target protein lysine residue with the microtubule-associated protein 1 light chain 3B (LC3B) by Atg16L complex as a positive feedback regulation loop, is required for the late autophagy process, instead of its phosphatidylethanolamine (PE) lipidation which is responsible for elongation and recruitment to an autophagosome. We observed that the expression of PIG3 (p53-inducible gene 3; quinone oxidoreductase; PIG3) was enhanced up to 11 times in LC3B overexpression cell line than in its background HEK293 cells based on RNA sequencing analysis. Consequently, we observed that LC3Bylation on 257K in 256FKRG259 of PIG3 was only recognized by site directed mutagenesis. With PIG3 expression alone, cell autophagy activity was enhanced 11 times. These results suggest that PIG3 is feed-backed by its own autophagy machinery through LC3Byaltion to recruit into the autophagosome, eventually enhancing autophagy activity. PIG3 as one target protein of LC3Bylation can enhance cell autophagy and oncogenic activity without showing TP53 expression change.
Abstract:A snowpit study was conducted in the vicinity of the Jang Bogo Station (JBG).\nSeasonal variations of the isotopic and chemical compositions of snowpits can provide useful\ntools for dating the age of the snowpit and examining the sources of aerosol. Distinct seasonal\nvariations of stable water isotopes of the snowpit were observed, with a slope of 8.2 from the\nlinear isotopic relationship between oxygen and hydrogen, which indicates that the snow\naccumulated during three years without a significant post-depositional process. Based on the\nseasonal layers with δD and δ18O maxima and minima, it was determined that the snowpit\ncontained snow deposited over a three-year period (2008–2010). The positive correlations (r >\n0.85) between sea-salt ions and the values of the MSA and nssSO4\n2– warm period indicate the\ncontribution of an oceanic source. This study will support further investigations in this region.
Abstract:The main objective of this research was the realization of advanced oxide materials, obtained by technologies consistent with sustainable development, materials that are used in special operating conditions (the existence of a temperature difference of over 10000C between the mold wall and steel crust) as in the case of continuous casting of steel. These are the lubricating powders for the crystallizer, in the composition of which the blast furnace slag was harnessed as a basic raw material.
Abstract:The objective was to use the technique of the abdominal aortic artery (abdominal aortic artery) to treat subclinical mastitis. The study was carried out at the Faculty of Agricultural Sciences, two treatments were applied: Lincomycin hydrochloride and oxytetracycline, for the first case it was applied for three consecutive days and for the second three applications with intervals of 48 hours all intra-arterially, two groups of 20 cows formed by an experimental unit were formed. As for the bacteria responsible for mastitis and that were found in a greater number of samples before applying the treatments, they correspond to: Staphylococcus hyicus 25.00%, Staphylococcus aureus 21.87%, and Staphylococcus epidermis 18.75%, which are directly responsible for the infestation of the breasts, while the least frequent bacteria were Staphylococcus disgalactiae 3.12% and Corynebacterium in 2.5%, whereas after the treatments it was determined that with the treatment of Lincomycin Hydrochloride it was eliminated in its entirety and with oxytetraxicline Bacteria such as: Staphylococcus agalatie, Staphylococcus hyicus, Staphylococcus uberis and Staphylococcus aureus were maintained in a smaller number of samples ten. Lincomycin was more expensive, but this item can be recovered by milk production. Concluding that the use of the treatment with Lincomycin, three doses of 2.5g / cow / intra-arterial route for three consecutive days managed to recover 100% of infected cows, but not those treated with oxytetracycline that presented a 90% positive response.
Abstract:Young females who complain about acute abdominal pain are often on the edge of diagnosis between digestive and gynecological diseases. Sometimes even with the help of imaging tests the diagnosis remains uncertain. For these cases exploratory laparoscopy is the gold standard. In this article we present a rare case of fallopian tube torsion due to a paratubal cyst near the infundibulum confirmed laparoscopically, but inconclusive on CT scan being interpreted as a right fluid filled structure lateral to bladder of unknown origin and without being visualized on the abdominal ultrasound.
Abstract:Recently, the importance of healthy nutrition has been demonstrated once again around the world. Fisheries products with high content of unsaturated fatty acids and rich protein are among the most value food products. In this study, sardines (Sardina pilchardus) were coated with chitosan biofilms enriched with vegetable origin oils (rosemary, nettle, orange, and lemon oil) with different antioxidant - antimicrobial properties. Than protein denaturation and lipid oxidation of these fillets were periodically examined during 15 days of cold storage (+40C). For this purpose; protein denaturation was performed by total volatile basic nitrogen (TVB-N) analysis + determination of thermal properties (with Differential Scanning Calorimeter (DSC)+ sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE)), lipid denaturation by thiobarbituric acid reactive substance (TBARS) analysis and high-performance thin layer chromatography (HPTLC) (taking into consideration pH measurements). At the end of the storage period, the DSC results of the sardines stored in cold storage showed that protein denaturation loss was minimum in chitosan + rosemary oil (p<0.05). The same group (chitosan + rosemary oil) was also more effective in terms of TVB-N results and gave lower values than control and other applications (p<0.05). Coating of orange oil from chitosan film applications containing essential oils was more effective in reducing lipid peroxidation (p<0.05). In the lipid profile determining analysis, 7 classes of lipids were detected and it was determined that the application of essential oil was effective in slowing lipid oxidation and hydrolysis. (p<0.05). Chitosan + rosemary oil, chitosan + nettle oil and chitosan + orange oil applications showed better results on pH value which increased parallel to storage time (p<0.05).