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Partial anomalous pulmonary venous return (PAPVR) is a rare congenital heart disease that complicates surgical management of pulmonary pathology.

This case describes the successful management of a 73-year-old female with a left upper lobe adenocarcinoma and pre-operative discovery of left superior anomalous pulmonary venous return into the innominate vein. This patient presented to our clinic for evaluation regarding her newly discovered adenocarcinoma of the lung. Here, we also discuss findings in the literature for management of these patients regarding the importance of preoperative evaluation to determine the extent to which a lobectomy will alter pulmonary function with special emphasis on identifying patients at risk of increased shunting leading to cardiopulmonary failure.

Consideration should focus on the extent of the shunting, the presence of symptoms, and underlying right heart strain or pulmonary hypertension.

Consideration should focus on the extent of the shunting, the presence of symptoms, and underlying right heart strain or pulmonary hypertension.

Although common, it is not always easy to treat scoliosis in Marfan Syndrome. The distinguished anatomical components make it harder to treat the entity, albeit managing the whole patient. It is already widely known that the correction requires an immersive preoperative planning as well as a vast surgeon experience in order to preparedly face the possible that may happen intra operatively and post operatively.

We present a case of patient with Marfan's syndrome presenting to our outpatient clinic with scoliosis deformity since 4 years ago. Patient also had cardiovascular problems. At the time of visitation, patient had a main thoracic Cobb Angle of 87.5° and lumbar Cobb Angle of 76.7°.

We did a one-step surgical correction of scoliosis. We managed to acutely correct the scoliosis and maintain the correction by using a posterior stabilization. Afterwards patient was well conditioned and was discharged around 6 days later. The follow up was good, patient had no neurological deficits, and was able to walk without walker after 1 month.

Marfan Syndrome with scoliosis requires a good preoperative planning so that we may avoid unnecessary complications. It is still possible to do an acute correction for scoliosis that is severe and still maintain little to no complications rate.

Marfan Syndrome with scoliosis requires a good preoperative planning so that we may avoid unnecessary complications. It is still possible to do an acute correction for scoliosis that is severe and still maintain little to no complications rate.

Anterior cruciate ligament (ACL) rupture is a common injury in young and active population and reconstruction is the mainstay treatment to maintain stability of the knee. Hamstring tendon (HT) is the most popular graft for ACL reconstruction. In certain patient, particularly in women, the size of tendon graft to reconstruct the ACL is unpredictable. In the case of unqualified donor, we need a combined graft from another source to match the size requirement.

We present two cases of ACL reconstruction using combination of HT and PLT graft in adolescent female. read more We evaluate knee functional score and ankle donor site morbidity. In the second case we also did second look for the ACL graft integrity arthroscopically. This study has been reported in line with the Surgical Case Report (SCARE) criteria.

One year after surgery, International Knee Documentation Committee (IKDC) score for both cases were improved and no ankle-donor site morbidity with good motoric power and 100% American Orthopedic Foot Ankle Score (AOFAS).

Additional peroneus longus tendon can be considered as an alternative in undersized hamstring tendon graft without significant donor site morbidity.

Additional peroneus longus tendon can be considered as an alternative in undersized hamstring tendon graft without significant donor site morbidity.To better assess the risk of microplastics (MPs) as a vector for contaminants, it is essential to understand the relative importance of MPs compared to other pathways for chemical transfer as well as the consequences of co-exposure. In this study, we exposed Japanese medaka (Oryzias latipes) to anthracene (ANT, 0.1 mg/L) in the presence or absence of pristine polyethylene MPs (PE-MPs, 106 beads/L), to quantify the vector effect of PE-MPs on ANT accumulation. Under the ANT-MPs co-exposure conditions, PE-MPs rapidly accumulated in the gastrointestinal tract of the medaka during a 14-day uptake phase, with an average bioconcentration factor of 171.4 L/kg. The PE-MPs could absorb and accumulate approximately 70 % of the ANT from the water sample. The PE-MPs changed the pharmacokinetic profile of ANT in medaka by decreasing both the uptake and depuration rate constants. The one compartment with first-order elimination model estimated that the amounts of ANT in the water phase and absorbed by PE-MPs (i.e., a vector effect) contributed about 67 % and 33 % of the ANT accumulation in medaka, respectively. At the end of the uptake (exposure) phase, however, the presence of PE-MPs did not significantly alter the final ANT concentrations in the fish body or alter the behavioral impacts of ANT. Thus, PE-MPs ingestion may act as a vector to concentrate and transfer ANT to medaka, but the presence of these particles may have limited adverse effects on fish under co-exposure systems of the type used in this study.

Dental hard tissues contain trace elements of both dietary and environmental origin. One objective was to demonstrate that a longitudinal record of synchronous Sr incorporation into enamel and dentine can be retrieved from museum specimens of once-free-living endangered species. Further objectives were to quantify sudden fluctuations in Sr concentration and estimate the extent of Sr overprinting back into dentine and enamel formed prior to the time of Sr ingestion.

Daily incremental markings were used to determine rates and times of tooth formation and synchrotron X-ray fluorescence of the same polished ground sections to image Sr distribution in a male and a female orangutan canine. The X-ray beam was monochromatised to 17.0 keV and focused to 500 × 500 nm

. Scans were performed at either 25.0 or 5.0 μm resolution.

Baseline Sr levels ranged between 215-750 ppm. Multiple short, intense Sr labels reaching 750- 1,625 ppm occurred randomly throughout 15-22 years of tooth formation. In dentine, Sr concentration increased gradually away from the EDJ, while in enamel, it reduced towards the enamel surface.