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Transverse sinus (TS) is a normal structure of pericardium, usually visualized on transesophageal echocardiography (TEE). Rarely, when it is prominent, it may be visualized on transthoracic echocardiography (TTE), as a mobile circumscribed mass in the parasternal short-axis view. Due to its location adjacent to left atrial appendage (LAA), it can be misdiagnosed as an LAA thrombus. A 41-year-old woman presented with heart failure signs. TTE showed a circumscribed mass (1 cm × 2 cm), in or adjacent to the LAA, suggestive of an LAA thrombus. Additional maneuvers with the transducer made it obvious that it was a prominent TS, adjacent to the LAA, while the appendage was empty. TEE confirmed the diagnosis.

If our time is stressful, than protecting and promoting of our mental health is imperative of the time that is coming.In modern literature there is a huge interest for the determination of the mental health of the emotional intelligence, which is treated as a factor for it’s keeping and development. This paper is based on the assumption that the emotional intelligence has considerable contribution for understanding the relationship between psychosocial stress and mental health, seen through three important variables: self-confidence, depression and aggressiveness. In the research were included 72 people, and for variables’ measurement are used: questionnaire for measuring emotional intelligence (P?-45), stress inventory and questionnaire for emotional structure of the person- Profile index of emotions. The results from the regressive analyses showed that stress is connected to the three indicators of the mental health. People with low emotional intelligence react with lower self-confidence and high depression and aggressiveness in stressful situations. The two competencies of emotional intelligence (EI) - self consciousness and social consciousness statistically are different from the other relevant measures which show that EI is important thing in understanding the relationship between the stress and mental health.

If our time is stressful, than protecting and promoting of our mental health is imperative of the time that is coming. In modern literature there is a huge interest for the determination of the mental health of the emotional intelligence, which is treated as a factor for it's keeping and development. This paper is based on the assumption that the emotional intelligence has considerable contribution for understanding the relationship between psychosocial stress and mental health, seen through three important variables: self-confidence, depression and aggressiveness. In the research were included 72 people, and for variables' measurement are used: questionnaire for measuring emotional intelligence (Pk-45), stress inventory and questionnaire for emotional structure of the person-Profile index of emotions. The results from the regressive analyses showed that stress is connected to the three indicators of the mental health. People with low emotional intelligence react with lower self-confidence and high depression and aggressiveness in stressful situations. The two competencies of emotional intelligence (EI) - self consciousness and social consciousness statistically are different from the other relevant measures which show that EI is important thing in understanding the relationship between the stress and mental health. [ABSTRACT FROM AUTHOR]

Background & objective: Surgery and some anesthetic techniques can contribute to tumor cells dissemination. It is known that the use of local anesthetics and regional blocks during mastectomy preserved the immune function. We evaluated and compared, the levels of some cytokines (IFNα, TNFa, IL2, IL12) responsible for immune function, as well as the level of leukocytes before and after breast carcinoma surgery; and to find out and compare the effects of local anesthetics on blood pressure (BP) and on postoperative complications, e.g., pain, vomiting, headache, the need for analgesia and surgical complications. Methodology: In this randomized prospective study, 45 patients were allocated in 3 equal groups: Group GA (n = 15) for standard general anesthesia; Group LA (n = 15) for general anesthesia and infusion of lidocaine; Group PECS (n = 15) for pectoralis I/II block with bupivacaine and general anesthesia. Blood samples were taken to ascertain cytokines and leukocytes levels before surgery and 24 h after surgery. Results: Lidocaine caused fall of BP (P = 0.002t), but bupivacaine (PECS I/II block) produced stable BP during mastectomy (P = 0.1). A significant increase of leucocytes after surgery was seen in Group PECS compared to Group GA (P = 0.033). In 24-h intervals after surgery, lidocaine and bupivacaine produced an increase of TNFa (P < 0.05). Bupivacaine showed a significantly low intensity of postoperative pain compared to other techniques and zero postoperative complications. Conclusion: Local anesthetics lidocaine and bupivacaine enhance the immune response and produce more stable hemodynamics compared to general anesthesia alone during mastectomy in patients with breast carcinoma. [ABSTRACT FROM AUTHOR]