Davies Schmitt (needcorn3)

Our patient was submitted to mastectomy with sentinel lymph node biopsy due to compromised radial margin. Secretory breast carcinoma is a rare form of breast cancer, especially in male children; which hampers standardization of diagnosis, treatment and prognosis establishment. Secretory breast carcinoma is a rare form of breast cancer, especially in male children; which hampers standardization of diagnosis, treatment and prognosis establishment. Situs inversus abdominalis (SIA) is an uncommon condition that causes intestinal malrotation in the paediatric population as its primary complication (Brown, 2017). Presentations of acute surgical emergencies in adults secondary to SIA are extremely rare (Brown, 2017). A 38-year-old female with situs inversus abdominalis (SIA) presented with small bowel obstruction (SBO). The patient had a history of a paediatric omphalocele repair. The patient failed conservative management and required surgical intervention including a laparotomy and adhesiolysis without intestinal resection for resolution of her symptoms. Only 2 cases of SBO secondary to SIA have been documented in the literature; both resulting in bowel resection with a 50 % mortality rate (Mallick, 2006). This is the third reported case and the only case to avoid bowel ischemia. We attribute this to early presentation by the patient, prompt imaging, careful surgical planning with consultant led surgical intervention and a multidisciplinary team approach to recovery. Acute surgical emergencies in patients with congenital anomalies should have a low threshold for imaging and intervention with detailed pre-operative planning and a senior surgeon led approach. Acute surgical emergencies in patients with congenital anomalies should have a low threshold for imaging and intervention with detailed pre-operative planning and a senior surgeon led approach. The Canadian 24-Hour Movement Guidelines for Children and Youth recommend ≥60 min of physical activity per day, ≤2 h of recreational screen time per day, and 9-11 hours of sleep per night for 11-13 years old and 8-10 hours per night for 14-17 years old. This study examined the association between combinations of these recommendations and school bullying and cyberbullying victimization and perpetration among adolescents. A total of 5615 Canadian students (mean age = 15.2 years) who participated in the 2017 Ontario Student Drug Use and Health Survey (OSDUHS) self-reported their physical activity, screen time, sleep duration, and their involvement in bullying. Logistic regression analyses were adjusted for important covariates. Meeting the screen time recommendation alone was associated with lower odds of being a victim (OR 0.64; 95 % CI 0.46-0.88) or a bully (OR 0.64; 95 % CI 0.43-0.96) at school and a victim of cyberbullying (OR 0.67; 95 % CI 0.49-0.91). Meeting both the screen time and sleep duration recommendations was associated with lower odds of being a bully (OR 0.51; 95 % CI 0.30-0.88). Meeting all 3 recommendations showed stronger associations (i.e. lowest risk) with being a victim of school bullying (OR 0.32; 95 % CI 0.19-0.54), a bully-victim (OR 0.25; 95 % CI 0.08-0.78) or a victim of cyberbullying (OR 0.37; 95 % CI 0.17-0.84). Our findings provide evidence that meeting the 24 -h movement guidelines is associated with lower odds of bullying involvement. Encouraging adherence to the 24 -h movement guidelines could be a good behavioural target to prevent involvement in both school bullying and cyberbullying. Our findings provide evidence that meeting the 24 -h movement guidelines is associated with lower odds of bullying involvement. Encouraging adherence to the 24 -h movement guidelines could be a good behavioural target to prevent involvement in both school bullying and cyberbullying.Subsurface denitrification plays a key role in the reduction