Postextubation upper-airway obstruction may cause negative-pressure pulmonary edema (NPPE) and, rarely, life-threatening cardiovascular collapse. Apparent clinical recovery after neuromuscular blockade reversal does not necessarily ensure adequate upper-airway function.

A 67-year-old woman underwent laparoscopic cholecystectomy under general anesthesia with induction of rocuronium. At the end of surgery, the train-of-four (TOF) count was 2, and sugammadex over 2 mg/kg was…

Tracheal intubation in patients with large, mobile, or friable glottic lesions may be complicated by lesion contact, displacement, bleeding, dynamic airway obstruction, or difficulty advancing the endotracheal tube. Here, we present a case of airway management using 4-mm cupped-jaw spoon forceps under video laryngoscopy in a 70-year-old man with a large vocal cord mass that was subsequently confirmed as granulation tissue. To facilitate intubation while limiting manipulation of the lesion, a…

Sickle Cell Disease (SCD) is still a major inherited blood disease in Nigeria although the level of public knowledge of its mode of transmission, clinical manifestations and prevention is patchily documented at the community level. The knowledge, attitude and preventative behaviours of SCD among adults in Isiala Mbano, Imo State, Nigeria were investigated in this study. A descriptive cross sectional survey was conducted among 364 persons aged 18 years and above, selected from a target…

Environmental pH is a fundamental physico-chemical factor influencing organismal performance, nutrient availability, chemical behaviour and biological interactions. Although extreme pH conditions are expected to impair seed germination and plant development, different biological components may respond differently to the same environmental stress. This study evaluated the responses of red mung bean (Vigna radiata) across a broad aqueous pH gradient, with particular attention to the unexpected…

Microplastic contamination is an increasing concern in freshwater ecosystems, particularly in urban drainage systems receiving domestic inputs and surface runoff. This study investigated the occurrence and morphological characteristics of suspected microplastics in the gut contents of guppies (Poecilia reticulata) collected in December 2025 from a polluted freshwater drain near Universiti Putra Malaysia, Selangor, Malaysia. Ten individual guppies were examined using light microscopy…

Congenital anomalies of the head and neck derived from the foregut represent a diverse group of developmental disorders involving the branchial apparatus, thyroglossal duct, respiratory and digestive buds, middle and inner ear structures, paranasal sinuses, salivary glands, and upper aerodigestive tract. These anomalies arise from disruptions in foregut partitioning, migration, obliteration, or septation during the third to sixth weeks of gestation. Their clinical spectrum ranges from benign…

The coral reef ecosystem of the Sembilan Archipelago was evaluated through an integrated ecological survey across eight islands. The study integrated benthic surveys using a point intercept transect method with underwater visual census techniques to evaluate coral reef condition, reef fish diversity, and ecosystem health. Findings suggest a fair ecological state of the islands’ reefs, with live coral cover averaging 26.05% and 46 hard coral species recorded. Diversity indices varied among…

Nurses are at the heart of healthcare systems, yet their own health remains inadequately protected. Work-Related Musculoskeletal Disorders (WMSDs), particularly lower back, neck, and upper limb pain, are especially common in this profession, which involves patient transfers, awkward postures, repetitive movements, and physically demanding work [1, 2]. Recent international data confirm that MSDs are a global problem among nurses, with significant variations across regions and professional…

Maternal and child health is a crucial indicator of a nation’s overall health status and socio economic development. Despite improvements in healthcare infrastructure, India continues to face challenges related to high maternal and child morbidity and mortality, particularly among rural and economically weaker populations. To address these issues, the Government of India introduced the Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK) under the National Health Mission.…

Background: Cardiovascular Diseases (CVD) remain the leading cause of mortality in Europe despite substantial improvements in prevention and treatment. Persistent inequalities across the continent suggest that cardiovascular mortality may be influenced not only by individual behavioral risk factors, but also by broader structural, socioeconomic, infectious-disease, and psychosocial conditions. This study examined long-term associations between circulatory-system mortality…