The BLEU-ADAPT project, carried out within the framework of the Interreg Italy-Tunisia cross border cooperation programme, investigates the marine biological invasion of two blue crab species (Callinectes sapidus and Portunus segnis) in the Mediterranean Sea, focusing on their ecological impact and socio-economic consequences for coastal fisheries. Framed within the broader environment and trade nexus, this research addresses the urgent need for adaptive and sustainable resource management…

Background: Tranexamic acid (TXA) is widely used in orthopedic surgeries to reduce blood loss, but concerns persist regarding its association with thromboembolic complications. This study aimed to compare the incidence of thromboembolic events in patients undergoing spine, knee, or hip surgeries with and without perioperative TXA administration.

Methods: Using TriNetX, a federated electronic health record network, we identified 406,609 matched…

Background: Cesarean section (C-section) is the most common surgical procedure performed in the United States and a known contributor to initial opioid exposure among women of reproductive age. While neuraxial (epidural) anesthesia is the preferred technique for cesarean delivery, general anesthesia is still used in select clinical scenarios. Given the ongoing opioid crisis, it is critical to understand how anesthesia modality influences postoperative opioid prescribing…

Moya Moya Disease (MMD) is a rare, chronic, and progressive cerebrovascular disorder characterized by the bilateral, stenotic occlusion of the terminal portions of the internal carotid arteries and the proximal parts of the anterior and middle cerebral arteries [1]. This progressive narrowing leads to the formation of a fine, collateral vascular network at the base of the brain, visualized on angiography as a "puff of smoke"—the Japanese term from which the disease derives its name [2]. The…

Background: Chondromalacia patella is a common source of anterior knee pain in athletes, often leading to impaired quadriceps control and delayed return to sport. Conventional rehabilitation typically focuses on single-angle or generalized strengthening, which may not adequately activate muscles throughout the joint’s functional range.

Purpose: This case report introduces the Dynamic Angle-Based Neuromuscular Activation (D.A.N.A.) Protocol, a…

An unusual rare case of hemolytic uremic syndrome in a toddler girl who was a known case of hypoganglionosis initially mimicked appendicitis and intussusception with pulmonary infection but finally leading to very rare complications of sigmoid colonic and jejunal strictures which required operative intervention by laparotomy with resections of the strictures and end to end anastomosis has been reported with complete recovery.

Keywords: Appendicitis, Colon, Complications,…

Instrumental methods of chemical analysis have revolutionized modern analytical science by providing rapid, precise, and highly sensitive techniques for qualitative and quantitative determination of chemical substances. Unlike traditional wet chemical methods, these techniques rely on physical and physicochemical properties such as light absorption, electrical potential, conductivity, and emission intensity to obtain accurate results. This review highlights the fundamental principles,…

Anatomical anomalies of the thyroid gland are very important for the management of thyroidectomy operations. The thyroid gland consists of two lobes and the isthmus connecting them. The absence of the isthmus of the thyroid gland is defined as thyroid isthmus agenesis and very few cases have been reported in the literature. In the present case, isthmus agenesis was detected during thyroidectomy operation performed due to suspicion of malignancy. Caution should be exercised in terms of…

Corneal inflammation from various causes characterized by small scattered spots of loss or injury to the corneal epithelium, observed after instillation of sodium fluorescein dye and under cobalt blue filter illumination [1].

In this case, a 76-year-old woman with evaporative dry eye due to Meibomian gland dysfunction [2] and superficial punctate keratitis, Grade 2 according to Oxford scale, and a score of 20 on the OSDI test [3]. Her symptoms include redness, tearing, photophobia,…

Maternal and child health outcomes are shaped by complex environmental, social, and policy-level determinants that extend far beyond individual clinical care. The upstream perspective emphasizes prevention through action on these structural and environmental factors. This paper explores the upstream determinants of maternal and child environmental health—including air pollution, water sanitation, occupational hazards, and climate change—and highlights the crucial role of midwives in…