Abstract: The most interesting studies of perfusion-diffusion deficiency in the morpho-functional system mother-placenta-fetus available in women with pre-eclampsia and eclampsia are just described in this review. The main cause of vascular endothelium damage is vasospasm and an accelerated formation of free radicals in women’s with pre-eclampsia. The ophthalmological peculiarities mentioned in the article are such as follows: irregular spasm of small arterioles, including normal pregnancy cases, is usually described with a method of conjunctive vessels biomicroscopy. The most common method of ophthalmological examination is ophthalmoscopy. Pathologic changes of retina and retinal vessels in women with gestosis are most similar to the changes observed in the eyes of patients with essential hypertension. Pregnant women are in a group of risk because of arterial hypo- and hypertension, anemia and gestosis, providing the expressed deficiency of blood circulation of eye.

Abstract: The Child Health Investment Partnership of the Roanoke Valley (CHIP-RV), Virginia, USA, has been helping at risk children and families for the past 24 years. CHIP-RV began as a grassroots effort involving local pediatricians, social service agencies, and the public health department. Working together these professionals have developed and implemented a comprehensive program that provides for health care coordination, family strengthening services, and mental health services all directed at the mission of promoting health of medically under-served children within the greater Roanoke Valley. CHIP services are directed at low-income pregnant women and children from birth to kindergarten entry. Services include home visits with an RN, medical records reviews, in-home comprehensive assessments, health education, preparation for kindergarten, support for management of difficult behaviors, skill development, home and child safety, dental varnish application, and transportation to health and social services. Evaluations of the CHIP-RV model has shown CHIP-RV to be successful at meeting selected health and social needs of at-risk children and families. It is a model that should successfully interface with the Affordable Care Act as well as private/public efforts to reduce the cost of health care, help families to utilize the health care system and keep children well.

Abstract: Despite advances in chemotherapy and radiation, prognosis for all patients with high grade gliomas remains poor. In anaplastic astrocytomas (WHO III) GTR is associated with a 5 year progression free survival (PFS) of 44% compared to 22% when surgical resection is sub-total. While initial studies demonstrated post-radiation chemotherapy improved outcomes, successive chemotherapeutic trials were unable to significantly improve outcomes. Recent trials in adults with recurrent glioblastoma multiforme have shown that the combination of Bevacixumab and Irinotecan have improved 6 month PFS was 46% and overall survival (OS) at 6 months of 77%. Although these adult studies were encouraging, results were not replicated in children with similar pathology. This case series presents two pediatric patients with anaplastic astrocytoma treated with an induction therapy of Temozolamide (90mg/m2 x 42 days) plus standard radiation therapy (5400 cGy) very shortly after surgical resection, followed by a consolidation treatment regimen of 8-cycles of chemotherapy with Bevacizumab (10mg/m2) and Irinotecan (125mg/m2), given on days 1 and 15 of 21 day cycles. These patients did extraordinarily well on this therapeutic regimen, surpassing expectations, with one patient having 18 months of PFS and one patient achieving CR1 at the time of this publication for 20 months. The treatment regimen was well tolerated without unanticipated toxicities or episodes of severe neutropenia induced by this therapy. We are encouraged by the improvements in PFS and OS in these two patients as well as the acceptability of toxicity in this case series and thus recommend prompt induction and consolidation chemotherapy following resection of these neoplasms.

Abstract: The study is being aimed to assess Prothrombin Time and Activated Partial Thromboplastin Time activity in patients on psychotropic drugs. Fifty (50) samples were used, Forty (40) are from the patients on psychotropic drugs while ten (10) are apparently healthy individual that serves as control. The results obtained showed thatPT and APTT of the test subject have a mean value of 26.01 ± 11.04 in compared with the control subject showed a mean value 11.80 ± 1.3. While the result obtained from APTT test subject showed a mean value of 36.70 ± 17.00 compared with the control subject that have a mean value of 36.7.0 ± 3.81. When these results were compared statistically significant difference were observed P<0.01 which indicate a state of prolongation in PT and APTT.

Abstract: Ketamine, a non-competitive NMDA receptor antagonist with rapid antidepressant action, is a novel approach in modulating glutamate receptors for management of treatment-resistant major depressive disorder. It clinically engenders meaningful advances in depression therapeutics. This case series highlights the role of low dose intravenous ketamine infusion i.e., 0.5 mg/kg dissolved in 100 ml normal saline and given over a period of 40 minutes in patients of depression who were contemplating suicide.