MULTIFACETED COMPLICATIONS AND SURGICAL MANAGEMENT OF BRONCHOBILIARY FISTULA WITH ASSOCIATED PNEUMONIA AND INTRAHEPATIC STONES: A CASE REPORT

Multifaceted complications and surgical management of bronchobiliary fistula with associated pneumonia and intrahepatic stones: A case report

Background: Bronchobiliary fistulas (BBFs), primarily stemming from choledocholithiasis, present considerable diagnostic and treatment challenges.Their prolonged nature can lead to life-threatening situations without timely management, often complicated by lung abscesses.Case presentation: A 64-year-old man, presenting with fever, chills, and a cou

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Design and rationale of the CHILL phase II trial of hypothermia and neuromuscular blockade for acute respiratory distress syndrome

The Cooling to Help Injured Lungs (CHILL) trial is an open label, two group, parallel design multicenter, randomized phase IIB clinical trial assessing the efficacy and safety of targeted temperature management with combined external cooling and neuromuscular blockade to block shivering in patients with early moderate-severe acute respiratory distr

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A comprehensive approach for assessing the economic contribution of forage and livestock improvement options to smallholder farming enterprises

The importance of livestock production activities to improving the livelihoods of smallholder farming households and the efficiency of their underlying farming systems is increasingly recognized.A rapid increase in livestock numbers, especially beef cattle, and special purpose forages is being promoted for smallholder farms which have traditionally

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