Management of Horn Gore Injury of Vagina in a Buffalo: A Case Report

A 6 year old murrah buffalo weighing around 350 kg was presented with the complaint of lacerated wound in the vagina resulted after horn gore injury since eight hours. The area around the injury was debrided and wound was flushed properly with normal saline followed by washing with povidone iodine (5%). After stabilizing the animal, lacerated wound was closed in routine manner. The buffalo had an uneventful recovery.

Surgical Management of Lacerated Wound in a Buffalo

A 4 year old Graded Murrah Buffalo was presented with extensive lacerated wound on right external ear that occurred due to horn gore injury by a bull. The animal was examined thoroughly and prepared for surgery and the wound was sutured in routine manner. Good surgical technique and effective post operative management made the case successful recovery.

Surgical management of oesophageal foreign body using a minimally invasive oesophagotomy technique (MIOT) in an Indian Flap-shell turtle (Lissemys punctata) - a case report

Accidental ingestion of fish hooks is common among turtles. Several techniques are available for retrieving fish hooks, ranging from simple non-invasive techniques to more complicated and invasive surgical procedures. The purpose of this case report is to document the successful surgical retrieval of an oesophageal foreign body (fish hook) using a minimally invasive oesophagotomy technique (MIOT) in an Indian Flap-shell turtle (Lissemys punctata). The adult male Indian Flap-shell turtle (Lissemys punctata) presented with a nylon thread protruding from its mouth. The dorsoventral radiographs confirmed the presence of a foreign body in the caudal oesophagus, just outside the coelomic cavity. After the induction of general anaesthesia, a sterile artificial insemination (AI) sheath was passed intraorally through the fishing line until it reached the hook. The fish hook was then retrieved by making a 5 mm incision at the point where the tip of the AI sheath was felt. The incision in the oesophagus and skin was closed in a routine manner. The turtle was kept in secure captivity for 20 days, following which it was released to its natural habitat. The oesophagotomy technique used in this case reduces the size of the incision considerably, thereby decreasing the possibility of postoperative complications.

Félida, doubled personality, and the ‘normal state’ in late 19th-century French psychology

The case of Félida X and her ‘doubled personality’ served in the last quarter of the 19th century as a proving ground for a distinctively French form of psychology that bore the stamp of physiology, including the comparative term normal state. Debates around Félida’s case provided the occasion for reflection about how that term and its opposites could take their places in the emerging discursive field of psychopathology. This article centres its analysis on Eugène Azam’s 1876–77 study of Félida, and the ways his framing of the case was adopted or critiqued by subsequent researchers. Azam initially deployed the label normal state in a routine manner, in contrast to his use of condition seconde to designate Félida’s other state; this pairing served, I argue, to anchor the scientific legitimacy of Félida’s extraordinary psychological manifestations. Unpacking the conceptual associations of Azam’s use of normal state, we find it marked as qualitatively distinct, temporally fixed, and most of all individualized; this without becoming normative. It was only through responses to and criticism of Azam’s study that there emerged a more generalized sense of normality against which pathological (hysteric) subjects’ comportment could be contrasted. Félida’s case itself constitutes a highly individualized reconfiguration of the concept of a normal state, while the subsequent framing of doubled mental states provides a valuable vantage point from which to consider the articulations between the language of emerging French psychology and its evolving subjects of enquiry.

Audiovisual Consults by Paramedics to Reduce Hospital Transport After Low-Urgency Calls: Randomized Controlled Trial

Introduction:The effect and subjective perception of audiovisual consults (AVCs) by paramedics with a distant physician in prehospital emergency care (PHEC) remain unexplained, especially in low-urgency calls.Objectives:The primary objective of the study was to evaluate the effect of AVCs by paramedics with a base physician on the rate of patients treated on site without the need of hospital transfer. The co-primary safety outcome was the frequency of repeated ambulance trips within 48 hours to the same patient. Secondary objective was the qualitative analysis of perception of the AVCs.Methods:During a six-week period, the dispatching center of Karlovy Vary Emergency Medical Service (EMS) randomized low-urgency events from a rural area (n = 791) to receive either a mandatory phone-call consult (PHONE), AVC (VIDEO), or performed by the paramedic crew in a routine manner, when phone-call consultation is for paramedic crew optional (CONTROL). Secondarily, the qualitative analysis of subjective perception of AVCs compared to consultation over the phone by the paramedic and consulting physician was performed.Results:Per-protocol analysis (PPA) was performed (CONTROL, n = 258; PHONE, n = 193; and VIDEO, n = 192) in addition to the intention-to-treat (ITT) analysis. Patients (PPA) in both mandatory consulted groups were twice as likely to be treated and left on site compared to the CONTROL (PHONE: OR = 2.07; 95% CI, 1.19 to 3.58; P = 0.01 or VIDEO: OR = 2.01; 95% CI, 1.15 to 3.49; P = .01). Repeated trips to patients treated and left on site in 48 hours occurred in three (8.6%) of 35 cases in the PHONE group and in eight (23.5%) of 34 cases in the VIDEO group.Conclusions:The AVCs of the emergency physician by paramedics was not superior to the mandatory conventional phone call in increasing the proportion of patients treated and left at home after a low-urgency call. The AVC improved the subjective feelings of safety by physicians, but not the satisfaction of patients or paramedics, and may lead to an increased need of repeated trips.

Financing university sustainability initiatives in China: actors and processes

Purpose This paper aims to study the mechanism of how the public universities have funded the campus sustainability projects in China, by identifying key actors and examining the processes. Design/methodology/approach Besides a review of campus sustainability initiatives at higher education institutions in China, the case of Central University of Finance and Economics (CUFE) is selected to provide an empirical understanding of the campus sustainability management in a typical university. Findings The paper points to dominant roles played by the state ministries in financing university conservation programs and the absence of a national policy framework and low sustainability proactiveness in a majority of higher educational institutions. It argues that more discretionary power and more policy deliberations are needed for the transformation. Research limitations/implications Universities in China vary distinctively in status, operations and performance. In terms of campus sustainability management, the case of CUFE is highly representative as it shares more common features with universities that develop in a routine manner. Practical implications With the financial support from government agencies, the campus conservation-oriented projects have been conducted and financially supported in hundreds of pilot universities, but failed in diffusing to more universities. This study identifies the barriers and challenges. Social implications An in-depth understanding of the working mechanism in financing university sustainability initiatives will promote a discussion on China’s policymaking process and will provide useful insights regarding its future policy options. Originality/value China has conducted nationwide conservation-oriented campus constriction for almost a decade and many universities increase their investment in campus facilities and their operations; however, there is a lack of understanding of the rationale of the funding models and how they have been implemented.

CYTOGENETIC VARIABILITY OF HYBRID FORMS OF MOUNTAIN ASH AND SIBERIAN ROWAN (SORBUS AUCUPARIA L., 1753 × SORBUS SIBIRICA HEDL., 1901) UNDER ANTHROPOGENIC LOAD

The influence of anthropogenic effects on the cytogenetic indicators of hybrids of mountain ash and Siberian rowan (Sorbus aucuparia L., 1753 × Sorbus sibirica Hedl., 1901) was studied. The study was conducted in the summer of 2018 in the south of the Tyumen region, in the cities of Ishim and Tyumen. For cytogenetic analysis, young mountain ash leaves were collected and fixed with Clark's reagent. The material was stained in a routine manner with aceto-Orsein. In the course of work, about 200 temporary preparations were prepared. It was found that in the studied areas of the cities of Tyumen and Ishim, the frequency of occurrence of mitosis anomalies was statistically significantly higher compared to the control. In total, 5 types of cytogenetic anomalies were revealed in mountain ash: fragments, micronuclei, single, multiple bridges, and abnormal forms of the nucleus. Moreover, such anomalies as micronuclei and fragments are most frequently encountered, and the anomalous forms of the nucleus are the least. In Tyumen, the frequency of occurrence of cytogenetic anomalies is 1.4 times higher than in Ishim, which indicates a higher degree of anthropogenic load on the territory of this city.

Experience of WEB embolization device implantation for treatment of intracranial arterial aneurisms

For the first time in Ukraine, Woven EndoBridge (WEB) (Microvention – Terumo) for the treatment of intracranial arterial aneurysms was applied at Scientific and Practical Centre of Endovascular Neuroradiology of NAMS of Ukraine on November 29, 2018. To the end of 2019 4 patients were treated with WEB. In all patients aneurysms were accidental findings, diagnosed by magnetic resonance imaging, and confirmed by angio-graphy. Men were 2 (50 %), women – 2 (50 %). The average age of patients was 49 years. All aneurysms were complex for endovascular treatment. In 3 (75 %) cases, the aneurysm was located on the anterior cerebral/anterior connective arteries, in 1 (25 %) case – on the middle cerebral artery. All patients received double disaggregated therapy at the standard dosage (75 mg of clopidogrel and 75 mg of acetylsalicylic acid) during 5 days before surgery in case of an additional intracranial stent implantation. The efficacy of dual disaggregation therapy was monitored by light transmission agrigometry. The size of the WEB depended on the angioarchitectonics of the aneurysm. All surgeries were performed in a routine manner, under general anesthesia. In all cases, the WEB was implanted successfully, there were no intra- and postoperative complications. The next day after surgery, double disaggregation therapy was canceled. All patients were discharged from the hospital in satisfactory condition, under the supervision of a neurologist at the place of residence. A control examination in the form of angiography after 6 months passed all patients. The efficacy of aneurysm occlusion using the WEB embolization device was evaluated on the WEB occlusion scale. Grade 0 and 0’ were achieved in 2 (50 %) patients, Grade 1 – 1 (25 %), Grade 2 – 1 (25 %).

Rational Use of Leads in Artificial Cardiac Pacing

Introduction: Cardiovascular implantable electronic device (CIEDs) are a proven therapy for the treatment of bradyarrhythmias, prevention of sudden death or heart failure. Since the first transvenous pacemaker implantation more than 60 years ago, technological advances in devices and improvements in surgical techniques have occurred. However, this type of therapy is still associated with significant complications, most of them related to the implantation of transvenous leads. Objective: To present a reflection on how to practice the rational use of lead implantation and propose strategies and alternatives to delay or avoid it, based on the current knowledge in the various fields of artificial cardiac stimulation. Methods: Review of literature that used articles from 1995 to 2019, from several platforms and periodicals. Conclusion: There is an expectation that in the coming years there will be technological and knowledge advances in the field of leadless stimulation, allowing these devices to be incorporated into clinical practice in a routine manner. Currently, if the implantation of ventricular electrodes in cases of sinus node disease with preserved atrioventricular conduction is rationalized, the implantation of atrial electrodes in implantable cardioverter-defibrillators (ICD) without the necessity of antibradicardia stimulation or ventricular electrodes in cases without the necessity of antitachycardia stimulation (ATP) considering the subcutaneous ICD implantation, this article will have fulfilled its role.

Assessing decoupling of above and below canopy air masses at a Norway spruce stand in complex terrain

<p>Concurrent below (0.14 • canopy height) and above canopy sonic anemometer vertical velocity (w) measurements reveal frequent decoupling events between the air masses below and above the canopy at a dense spruce forest stand in mountainous terrain. Decoupling events occurred predominantly during nighttime but not exclusively. Several single-level approaches based on steady state and integral turbulence characteristic tests as well as u<sub>*</sub> filtering and two-level CO<sub>2</sub> flux filtering methods are tested. These tests aimed at evaluating the filtering schemes to address decoupling and its effect on above canopy derived eddy covariance CO<sub>2</sub> fluxes. In addition to the already existing two-level filtering approach based on the correlation of σ<sub>w</sub> above and below canopy, two new filtering methods are introduced based on w raw data below and above the canopy. One is a telegraphic approximation agreement, which assumes coupling when w both above and below canopy are pointing in the same direction. Another one evaluates the cross correlation maximum between below and above canopy w data. This study suggests that none of the single-level approaches can detect decoupling when compared to two-level filtering approaches. It further suggests that the newly introduced two-level approaches based on w raw data may have advantages in comparison to the conventional σ<sub>w</sub> approach regarding their flexibility on shorter time scales than one year. We tested the correlation of the newly introduced filtering approaches with the parameters u<sub>*</sub>, global radiation, buoyancy forcing across the canopy and wind shear across the canopy. In any case, this correlation was not existing or weakly positive, suggesting that concurrent below and above canopy measurements are mandatory for addressing decoupling sufficiently. Sonic anemometer measurements near the forest floor and above the canopy are sufficient to apply the new procedures and can be implemented in a routine manner at any forest site globally.</p>