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Related Concept Videos

Unusual Results01:16

Unusual Results

4.1K
Unusual results are those that have a very low chance of occurring. Unusual results can be identified using probabilities and the range rule of thumb. In problems involving probability, unusual results can be observed in 2 instances – an unusually high number of successes or an unusually low number of successes.
According to the range rule of thumb, any value above or below two standard deviations, 2σ  from the mean, μ  is considered unusual.
Maximum unusual value =...
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Drug Excretion: Miscellaneous Routes01:10

Drug Excretion: Miscellaneous Routes

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Drug excretion involves various organs, including the liver, intestines, skin, and eyes. In the case of drugs or toxins, they can be actively secreted into bile by transporters in the hepatocyte's canalicular membrane. These substances enter the GI tract during digestion and may be reabsorbed into the body from the intestine. This process, known as enterohepatic recycling, can significantly prolong the presence and effects of a substance in the body. To interrupt this cycle, specific...
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Amino Acid Biosynthetic Pathways01:29

Amino Acid Biosynthetic Pathways

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Amino acid biosynthesis is essential for cell growth, protein synthesis, and metabolic regulation. Cells generate essential and non-essential amino acids from metabolic intermediates to sustain vital biological functions. These intermediates originate from key metabolic pathways: glycolysis, the tricarboxylic acid (TCA) cycle, and the pentose phosphate pathway. Important precursors include α-ketoglutarate, pyruvate, oxaloacetate, phosphoenolpyruvate, and erythrose-4-phosphate, which...
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Drug Delivery: Miscellaneous Routes01:22

Drug Delivery: Miscellaneous Routes

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Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection,  and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
953
Drug Elimination by Renal Route: Tubular Secretion01:15

Drug Elimination by Renal Route: Tubular Secretion

3.7K
Once the process of glomerular filtration is completed, blood carrying unfiltered drug molecules traverses through efferent arterioles and makes its way into the peritubular capillaries in the proximal tubule. A variety of carriers play a pivotal role in actively secreting drugs from these peritubular capillaries into the tubular fluid. The organic anion transporter transfers acidic drugs, against an electrochemical gradient, from the peritubular capillaries into the renal tubule cells and...
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Solution Concentration and Dilution02:59

Solution Concentration and Dilution

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The relative amount of a given solution component is known as its concentration. Often, though not always, a solution contains one component with a concentration that is significantly greater than that of all other components. This component is called the solvent and may be viewed as the medium in which the other components are dispersed or dissolved. Solutions in which water is the solvent are, of course, very common on our planet. A solution in which water is the solvent is called an aqueous...
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Updated: Mar 21, 2026

A Web Tool for Generating High Quality Machine-readable Biological Pathways
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An unintended path, an unusual solution.

Ad Rian Chong1, Chan Sin Chai1, Swee Kim Chan1

  • 1Division of Respiratory Medicine, Department of Internal Medicine, Sarawak General Hospital, Ministry of Health Malaysia, Kuching, Malaysia.

Breathe (Sheffield, England)
|March 20, 2026
PubMed
Summary
This summary is machine-generated.

An iatrogenic bronchopleural fistula, caused by chest tube injury, led to an air leak in empyema thoracis. Bronchoscopic placement of an endobronchial Watanabe spigot effectively sealed the air leak, providing a minimally invasive treatment option.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Interventional Bronchoscopy

Background:

  • Iatrogenic bronchopleural fistula is a rare but serious complication.

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  • Chest tube insertion, a common procedure for pleural effusions and empyema, can inadvertently cause injury leading to fistulas.
  • Empyema thoracis with persistent air leak presents significant management challenges.