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High Intensity Focussed Ultrasound Therapy for Prostatic Tumors: Anaesthesiologists Perspective-Juniper Publishers

Juniper Publishers - Journal of Anesthesia Abstract Background: High intensity focussed ultrasound (HIFU) is a fairly recent and excellent addition to the armamentarium of minimally invasive surgical therapy. It causes thermal ablation of targeted diseased tissue through intense local heat generation without affecting the intervening healthy tissue. It is a promising advancement in onco-surgery with the potential to revolutionize carcinoma prostate therapy. Methods: A thorough Medline search was done for this review article with the key words: High intensity focussed ultrasound (HIFU), carcinoma prostate, minimally invasive surgery, and anaesthesia. All the relevant articles found in Google, Pub med, e PUB and EBESCO were fully reviewed. The authors’ personal clinical experience with HIFU for prostate tumour ablation and its anaesthetic implications are also added in this review. Results: The survival rates after HIFU are comparable to those after surgery, ...

The Mediterranean Diet as First Medicine-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Abstract The traditional Mediterranean diet, highly rich in fruits and vegetables and limited in saturated fatty acids, has been associated with reduced incidence of cardiovascular, degenerative and cancer diseases and a long life expectancy. Here we review recent acquisitions showing that the adherence to Mediterranean diet have positive impact on age-related cognitive decline and therefore it can improve the quality of life in patients suffering of Alzheimer’s and other types of dementia. Introduction It is widely known that Italian and Japanese are among the most long living people. This notion is in agreement with the recent epidemiological data published in May 2015 [1]. by the World Health Organization (WHO); accordingly, a child born now in Italy has a life expectancy only one year shorter than that of a child born in any island of Japan (83 and 84...

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Focusing on Fundamentals-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Introduction In a time of rapid knowledge expansion, technological innovation, emphasis on cost containment and improving efficiency in delivering medical care, it is easy to overlook the fundamentals of medicine. The sudden onset of new diseases, such as the Ebola virus which can cause rapid spread, panic, multisystem failure, and death or the Zika virus which is spread by an abundant common factor the mosquito, and which can cause catastrophic developmental anomalies to pregnant women resulting in children who will bear the consequences of these defects for a life time; emphasizes the importance of acquiring and spreading information, quickly.Despite advances in drug development the presence of multi-resistant organisms continues to grow at concomitant rapid pace. With each advancement in medicine the result and consequences also come to light and become more apparent. The need to address these issues help to spur the ...

A Prospective Cohort Study Comparing Medical Student Intubation on Cadaveric and Manikin Models Using the King Vision™ Videolaryngoscope and Direct Laryngoscopy-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Abstract Objective: Compare intubation by medical students with direct laryngoscopy (DL) versus King Vision™ videolaryngoscope in training and cadaveric models. Methods: 24 medical students with no experience intubating humans were randomized into two groups: DL first or King Vision™ videolaryngoscope first. Following a short training, techniques were practiced ona manikin model. Intubation success, ease of use, and one timed manikin intubation was recorded. Students crossed, repeated training and trial with other technique. Students then intubated 3 cadavers with their initial technique, crossed over to intubate these same cadavers using their second technique. Cormack-Lehane (C-L) view of the glottic opening, time to intubation, intubation success, ease of use, and preferred technique were recorded. Results: In manikin intubation, success rate was not significantly different. Mean time to intubation using DL was 1...