BACKGROUND：There have been numerous reports of sudden cardiac death attributable to the condition of commotio cordis. Primarily, these are reports from the USA. Although three Australian cases have been mentioned in ...BACKGROUND：There have been numerous reports of sudden cardiac death attributable to the condition of commotio cordis. Primarily, these are reports from the USA. Although three Australian cases have been mentioned in the published literature, the present case appears to be the first described Australian case. METHODS：A man was brought to the Emergency Department after sudden collapse while playing cricket. His medical history was suggestive of hitting by a cricket ball while batting. RESULTS：The epidemiology and mechanism of arrhythmia induction in commofio cordis are discussed. The emergency management of commotio cordis is outlined. CONCLUSIONS： Commofio cordis is rare in sports （and Emergency Medicine）. However it has a high mortality rate, and rapid recognition of the condition allows early defibrillation, generally with a good outcome. The improvement of participant care is recommended at community and other sport events.展开更多
Ectopia cordis(EC)is a rare malformation due to failure of maturation of the midline mesodermal components of the chest and abdomen.It can be defined as 0.1%of congenital heart diseases,and it could present isolated o...Ectopia cordis(EC)is a rare malformation due to failure of maturation of the midline mesodermal components of the chest and abdomen.It can be defined as 0.1%of congenital heart diseases,and it could present isolated or could belong to the spectrum of the Pentalogy of Cantrell(PoC),which is a rare congenital disorder first described in 1958 by Cantrell.We are reporting a rare case of total ectopia cordis,associated to a major omphalocele,total agenesis of the sternum,anterior diaphragmatic deficiency,absence of pericardium,and persistence of the Ductus arteriosus,making therefore these features compatible with a full spectrum of the Pentalogy of Cantrell,encouraging us to report this case.展开更多
This ten-year retrospective study was designed to examine the morbidity and mortality of three cases of Cantrell＇s syndrome between 1998 and 2008. The three patients showed different degrees of Cantrell＇s pentalogy ...This ten-year retrospective study was designed to examine the morbidity and mortality of three cases of Cantrell＇s syndrome between 1998 and 2008. The three patients showed different degrees of Cantrell＇s pentalogy including abdominal ectopia cordis, thoracic-abdominal ectopia cordis and left ventricular diverticulum. Of the three, the 5-month-old boy suffering from complicated congenital heart disease with abdominal ectopia cordis received a successful single stage repair and reconstruction of the abdominal wall. The 33-week-old premature girl with thoracic-abdominal ectopia cordis underwent two stage correction of tetraology of Fallot. The 4-year-old girl underwent ectomy of left ventricular diverticulum and thoracoabdominal wall repair. Twenty-four to thirty-five months follow-up were satisfactory. We hold that two-stage repair are technically feasible for Cantrell＇s syndrome, especially for those with complex congenital heart diseases. Post-operative ventilatory support and multiple post-operative care should be prolonged. Malnutrition, infection and arrhytbmia are central problems in medical care and surgery should be considered if there was progressive heart failure or hemodynamic instability.展开更多
Purpose:Changes in the world show that the role,importance,and coherence of SSH(social sciences and the humanities)will increase significantly in the coming years.This paper aims to monitor and analyze the evolution(o...Purpose:Changes in the world show that the role,importance,and coherence of SSH(social sciences and the humanities)will increase significantly in the coming years.This paper aims to monitor and analyze the evolution(or overlapping)of the SSH thematic pattern through three funding instruments since 2007.Design/methodology/approach:The goal of the paper is to check to what extent the EU Framework Program(FP)affects/does not affect research on national level,and to highlight hot topics from a given period with the help of text analysis.Funded project titles and abstracts derived from the EU FP,Slovenian,and Estonian RIS were used.The final analysis and comparisons between different datasets were made based on the 200 most frequent words.After removing punctuation marks,numeric values,articles,prepositions,conjunctions,and auxiliary verbs,4,854 unique words in ETIS,4,421 unique words in the Slovenian Research Information System(SICRIS),and 3,950 unique words in FP were identified.Findings:Across all funding instruments,about a quarter of the top words constitute half of the word occurrences.The text analysis results show that in the majority of cases words do not overlap between FP and nationally funded projects.In some cases,it may be due to using different vocabulary.There is more overlapping between words in the case of Slovenia(SL)and Estonia(EE)and less in the case of Estonia and EU Framework Programmes(FP).At the same time,overlapping words indicate a wider reach(culture,education,social,history,human,innovation,etc.).In nationally funded projects(bottom-up),it was relatively difficult to observe the change in thematic trends over time.More specific results emerged from the comparison of the different programs throughout FP(top-down).Research limitations:Only projects with English titles and abstracts were analyzed.Practical implications:The specifics of SSH have to take into account—the one-to-one meaning of terms/words is not as important as,for example,in the exact sciences.Thus,even in co-word analysis,the final content may go unnoticed.Originality/value:This was the first attempt to monitor the trends of SSH projects using text analysis.The text analysis of the SSH projects of the two new EU Member States used in the study showed that SSH’s thematic coverage is not much affected by the EU Framework Program.Whether this result is field-specific or country-specific should be shown in the following study,which targets SSH projects in the so-called old Member States.展开更多
患者男性,76岁.高血压病史12年,吸烟史30年,已成烟10年.2007年1月因不稳定性心绞痛在左前降支和左回旋支近中段分别置入3 0 mm×33 mm Cypher支架和3 0mm×30 mm Endeavor支架（Cordis公司,美国）各1枚,释放压力均为16个大气压...患者男性,76岁.高血压病史12年,吸烟史30年,已成烟10年.2007年1月因不稳定性心绞痛在左前降支和左回旋支近中段分别置入3 0 mm×33 mm Cypher支架和3 0mm×30 mm Endeavor支架（Cordis公司,美国）各1枚,释放压力均为16个大气压（1个大气压=101.325 kPa）,未行后扫张（图1）.展开更多
文摘BACKGROUND：There have been numerous reports of sudden cardiac death attributable to the condition of commotio cordis. Primarily, these are reports from the USA. Although three Australian cases have been mentioned in the published literature, the present case appears to be the first described Australian case. METHODS：A man was brought to the Emergency Department after sudden collapse while playing cricket. His medical history was suggestive of hitting by a cricket ball while batting. RESULTS：The epidemiology and mechanism of arrhythmia induction in commofio cordis are discussed. The emergency management of commotio cordis is outlined. CONCLUSIONS： Commofio cordis is rare in sports （and Emergency Medicine）. However it has a high mortality rate, and rapid recognition of the condition allows early defibrillation, generally with a good outcome. The improvement of participant care is recommended at community and other sport events.
文摘Ectopia cordis(EC)is a rare malformation due to failure of maturation of the midline mesodermal components of the chest and abdomen.It can be defined as 0.1%of congenital heart diseases,and it could present isolated or could belong to the spectrum of the Pentalogy of Cantrell(PoC),which is a rare congenital disorder first described in 1958 by Cantrell.We are reporting a rare case of total ectopia cordis,associated to a major omphalocele,total agenesis of the sternum,anterior diaphragmatic deficiency,absence of pericardium,and persistence of the Ductus arteriosus,making therefore these features compatible with a full spectrum of the Pentalogy of Cantrell,encouraging us to report this case.
文摘This ten-year retrospective study was designed to examine the morbidity and mortality of three cases of Cantrell＇s syndrome between 1998 and 2008. The three patients showed different degrees of Cantrell＇s pentalogy including abdominal ectopia cordis, thoracic-abdominal ectopia cordis and left ventricular diverticulum. Of the three, the 5-month-old boy suffering from complicated congenital heart disease with abdominal ectopia cordis received a successful single stage repair and reconstruction of the abdominal wall. The 33-week-old premature girl with thoracic-abdominal ectopia cordis underwent two stage correction of tetraology of Fallot. The 4-year-old girl underwent ectomy of left ventricular diverticulum and thoracoabdominal wall repair. Twenty-four to thirty-five months follow-up were satisfactory. We hold that two-stage repair are technically feasible for Cantrell＇s syndrome, especially for those with complex congenital heart diseases. Post-operative ventilatory support and multiple post-operative care should be prolonged. Malnutrition, infection and arrhytbmia are central problems in medical care and surgery should be considered if there was progressive heart failure or hemodynamic instability.
文摘Purpose:Changes in the world show that the role,importance,and coherence of SSH(social sciences and the humanities)will increase significantly in the coming years.This paper aims to monitor and analyze the evolution(or overlapping)of the SSH thematic pattern through three funding instruments since 2007.Design/methodology/approach:The goal of the paper is to check to what extent the EU Framework Program(FP)affects/does not affect research on national level,and to highlight hot topics from a given period with the help of text analysis.Funded project titles and abstracts derived from the EU FP,Slovenian,and Estonian RIS were used.The final analysis and comparisons between different datasets were made based on the 200 most frequent words.After removing punctuation marks,numeric values,articles,prepositions,conjunctions,and auxiliary verbs,4,854 unique words in ETIS,4,421 unique words in the Slovenian Research Information System(SICRIS),and 3,950 unique words in FP were identified.Findings:Across all funding instruments,about a quarter of the top words constitute half of the word occurrences.The text analysis results show that in the majority of cases words do not overlap between FP and nationally funded projects.In some cases,it may be due to using different vocabulary.There is more overlapping between words in the case of Slovenia(SL)and Estonia(EE)and less in the case of Estonia and EU Framework Programmes(FP).At the same time,overlapping words indicate a wider reach(culture,education,social,history,human,innovation,etc.).In nationally funded projects(bottom-up),it was relatively difficult to observe the change in thematic trends over time.More specific results emerged from the comparison of the different programs throughout FP(top-down).Research limitations:Only projects with English titles and abstracts were analyzed.Practical implications:The specifics of SSH have to take into account—the one-to-one meaning of terms/words is not as important as,for example,in the exact sciences.Thus,even in co-word analysis,the final content may go unnoticed.Originality/value:This was the first attempt to monitor the trends of SSH projects using text analysis.The text analysis of the SSH projects of the two new EU Member States used in the study showed that SSH’s thematic coverage is not much affected by the EU Framework Program.Whether this result is field-specific or country-specific should be shown in the following study,which targets SSH projects in the so-called old Member States.
文摘患者男性,76岁.高血压病史12年,吸烟史30年,已成烟10年.2007年1月因不稳定性心绞痛在左前降支和左回旋支近中段分别置入3 0 mm×33 mm Cypher支架和3 0mm×30 mm Endeavor支架（Cordis公司,美国）各1枚,释放压力均为16个大气压（1个大气压=101.325 kPa）,未行后扫张（图1）.
