A 2 Years Child Bronchopneumonia with Down Syndrome

Introduction: Pneumonia and respiratory infections impact infants and children with Down syndrome; pneumonia is a leading cause of mortality in adults with Down syndrome. Case Presentation: A 2 years old child came to AVBRH hospital with a history of fever, cough and cold for 6 days. The patient was admitted to the pediatric ward for management. Suddenly patient started to breathlessness, increase in serum creatinine and acidotic breathing. The patient shifted to the pediatric intensive care unit. Intervention: The treatment of patients was started immediately after admission. The patient's condition was dull after the examination and patient condition inspection doctors decide to intubate the patient for further management and recovery of the patient. Conclusion: In this report, we mainly focus on expert medical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.

Sperner's Theorem

In the course of this work the analysis of the proofs of the simple case of the Sperner Theorem was carried out, the approaches to the proof of the complicated case were proposed, the partial cases of multisets were considered, the theorem for these partial cases was proved, the generalized theorem was proved for some partial cases. (the number of n - element multisets of k - element multiset), developed a small program to graphically show this fact, proved the bimonotonicity of this function. Also, in the course of this work, one of the possible applications of this theorem was considered, namely, the «Procedure for secret distribution», but the applied potential of the theorem does not end there.

Combination of rheumatoid arthritis and sarcoidosis, which had occurred during rituximab therapy, complicated secondary immunodeficiency and intolerance to the main basic drugs: Case repost and literature review

Sarcoidosis is a rare multisystem disease which may accompany various autoimmune diseases in 17,6% cases. Despite of the fact that T-cell immunity impairments play a key role in these two conditions, their combination is extremely rare. It is difficult to choose therapy for patients with coexisted diseases, and it is even harder in case of comorbid pathology. In this article we considered a complicated case of treatment patient with a coexistence of rheumatoid arthritis and sarcoidosis, which had occurred during rituximab therapy. In addition to the combination of two autoimmune diseases, the selection of therapy for this patient was complicated by secondary immunodeficiency and intolerance to the main basic drugs.

Usefulness of Selected Acute-Phase Proteins in the Postsurgical Monitoring of Arthroscopy and Splint Bone Removal in Horses

Background: Arthroscopy and splint bone removal are the common orthopedic procedures in horses. Estimation of the dynamics of acute phase proteins in postoperative monitoring seems to be interesting diagnostic approach. The aim of the study was to investigate changes in the concentrations of plasma inflammatory markers—fibrinogen, haptoglobin, and protease inhibitors—following orthopedic surgery in horses. The study involved 114 horses, divided into two study groups undergoing: arthroscopy (41 horses) and splint bone removal (13 horses). The control group consisted of 60 healthy horses. The blood was collected before the surgery and 24, 48, 72 h, 5, 7, 10, 14 and 28 days after the surgery. Plasma fibrinogen, serum haptoglobin and proteinase inhibitors were measured. Results: In non-complicated cases of arthroscopy and splint bone removal, fibrinogen and haptoglobin increased stepwise from 24 h, achieved the maximum level at 72 h and returned to preoperative levels after 10–14 days. In one complicated case after arthroscopy surgery the marked increase in fibrinogen and haptoglobin concentrations was observed 24 h earlier than standard parameters of inflammation Conclusion: The study shows the evolution of APPs after arthroscopy and splint bone removal in 28 days postsurgery period and in the case of one complicated case of arthroscopy.