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1. Abstract Metabolic acidosis is a condition of excessive blood acidity characterized by an inappropriately low level of bicarbonate in the blood. A person with mild metabolic acidosis may not have symptoms, but usually has nausea, vomiting and fatigue. Breathing becomes deeper and slightly faster, but most people don’t even notice it.

1. Abstract Objective: To summarize the clinical efficacy of spinal endoscopic surgery in a patient with tophi in the lumbar spinal canal admitted to our hospital. Methods: This patient complained of low back and leg pain for 2 years, which was aggravated for 10 days. After admission, a routine examination was made to formulate a diagnosis and treatment plan, and endoscopic spinal canal debridement was performed.

1. Abstract 1.1. Background Objective: to investigate the clinical character- istics of nine glycolipid antibody-positive patients.

1. Abstract Background of this study is to analyze different kind of challenges are facing during stability studies of the product. Significance of this study is whether the primary Medical Packaging devices are compatible with the product or not. Basic methodology is used wide ranges of Analytical testing required to avoid market complaint and financial loss of the company.

1. Abstract Cutaneous Crohn’s disease (CCD) is a rare specific skin manifestation of Crohn’s disease (CD) that can affect the skin of the external genitalia, abdomen, and inguinal regions without involving the affected gastrointestinal tract.

1. Abstract Cysts of the pineal region are benign, incidental and commonly present on Magnetic Resonance Imaging (MRI) performed for unrelated pathology. When reimaged they are usually stable in size and imaging characteristics. The case report demonstrates spontaneous remission of a pineal cyst in a patient undergoing MR evaluation for cerebral infarction.

1. Abstract Central venous catheters (CVC) provide vascular access for several clinical applications. Patients may suffer from acute or chronic complications, with acute complications being more common. Here, we present a case of CVC erosion through the superior vena cava that was subsequently surgically managed and diagnosed as a lung injury.

1. Abstract Disclosure of standard physical growth values by the WHO has been very important. With this data, physical growth in individual countries becomes easier to assess with the status of global physical growth published as standard physical growth. However, while cross-sectional assessment is possible if standard physical growth distance values are known, longitudinal assessment determined from the velocity curve with differentiation of growth distance values is not.

1. Case Report A 55-year-old female patient was presented to the emergency department because of sudden unconsciousness. She had a history of hypertension for 5 years, but her blood pressure was under uncontrolled. The family described suffering from mild headaches and blurred vision for 2 years.

1. Introduction Renal cell carcinoma is one of the most common malignancies of urinary tract. Metastatic disease on index presentation is quite commonly seen. Nearly 40% of patients will develop metastases after nephrectomy, and about 10% will be diagnosed with late metastatic disease after 5 years [1]. Most metastases are located in the lungs (75%), lymph nodes (36%), bone (20%) or liver (18%) [2]. Gastrointestinal tract is very unusual location for RCC metastases.