Hypertrophic pyloric stenosis

A 6-week old baby was brought to A&E by her parents, after a 3 week history of frequent vomiting, not tolerating feeds, and weight loss. She was well for the first 3 weeks of life, before she stopped tolerating any feeds. Despite several changes with the feeds given, the baby’s symptoms did not improve. Moreover, she started losing weight, while she became increasingly irritable and inconsolable. Her consultant paediatrician decided to admit her for a trial of other formula feeds, and further investigations. In hospital, examination was unremarkable, except for an intermittently palpable mass in the RUQ. An ultrasound of the abdomen confirmed the diagnosis of pyloric stenosis. She was kept nil by mouth, an NG tube inserted for drainage, and intravenous fluids administered, with close monitoring of fluid input and output. Pyloromyotomy was performed and the patient was discharged after ensuring that she was tolerating feeds.peer-reviewe

Outline of the 2005 European Resuscitation Council Guidelines

Resuscitation guidelines are revised and updated about every 5 years and this happens because resuscitation science continues to advance and clinical guidelines must be updated regularly to reflect these developments and advise healthcare providers on best practice. To date, the 2000 resuscitation guidelines are followed in Malta and other countries worldwide. These guidelines have been now revised by the International Liaison Committee on Resuscitation (ILCOR) and a consensus has been reached resulting in the publication of the 2005 guidelines. The ILCOR was formed in 1993 and its mission is to identify and review international science and knowledge relevant to CPR, and to offer consensus on treatment recommendations. A total of 281 experts completed 403 worksheets on 276 topics. Three hundred and eighty specialists from 18 countries attended the 2005 International Consensus Conference on Cardiopulmonary Resuscitation (CPR) Science, which took place in Dallas in January 2005. Science statements and treatment recommendations were agreed by the conference participants and the results are now the new 2005 Resuscitation Guidelines. These ILCOR guidelines will be published internationally on the 28 th November 2005 for the first time. The Malta Resuscitation Council (MRC) participated in meetings of the European Resuscitation Council (ERC) where the dissemination of these new guidelines was discussed. This article will try to summarize the major changes incorporated in the new guidelines.peer-reviewe

A survey of fungal diseases associated with Vitis vinifera L. in the Maltese Islands

A survey was carried out between July and September 2000 in l'Ovineyards, (8 in Malta and 2 in Goro) to investigate which fungal diseases were present. Samples, which included leaves, berries and stems infected by the fungi, came from both traditional and modem vineyard cultivation. Pathogenic fungi identified included 26 different fungi belonging to 21 genera; 21 taxa were reported on Vitis vinifera L. for the . first time in the Maltese Islands. It was observed that the intensity of diseases was much more pronounced in the traditional rather than in the modem method of vine-training.peer-reviewe

Elytrigia repens L. Desvaux ex Nevski (Poaceae), a new record for the Maltese Islands

The discovery of an indigenous population of Elytrigia repens extending for 420m through the valleybed of Wied il- Guasri, Gozo, is reported. The accompanying vegetation is described. The species' distributional range and local status are also given.peer-reviewe

Etude expérimentale de l'agrégation de microparticules dans un métal liquide

National audienceL'agrégation de petites particules dans un métal liquide est un phénomène gênant et mal connu, qui se produit dans les réacteurs sidérurgiques. La difficulté d'effectuer des expériences réalistes permettant de le quantifier se traduit par une absence de données expérimentales. Nous avons dimensionné et construit un réacteur de laboratoire compatible avec un métal liquide et adapté à l'étude de l'agrégation. Différents modes opératoires seront décrits et quelques résultats expérimentaux relatifs à l'état d'agrégation des particules seront présentés