text
stringlengths
0
868k
Accidentally ingested foreign body is a common emergency, presenting to the otolaryngologists, gastroenterologists, gastrointestinal surgeons, and thoracic surgeons . Over 90% of them we report three patients where endoscopic removal failed or was not attempted; the resulting delay posed considerable difficulty in trea...
Mycosis fungoides (mf) is a cutaneous, extranodal, insidious non - hodgkin t - cell lymphoma [1, 2]. Almost any location in the body can be infiltrated by mf, including the oral cavity and the gastrointestinal (gi) tract . Oral cavity and gi involvement of mf are rare as separate entities [3, 4, 5]. We present one case...
It is estimated that 8,700 women with hiv give birth annually in the united states . Through improvements in early prenatal care initiation and the use of antiretroviral therapy (art) during pregnancy, the rates of perinatal hiv transmission have decreased to as low as 1% to 2% in the developed world . However, women w...
With a current prevalence of up to 30% in industrialized countries, ige - mediated allergies have become an important socioeconomic burden . Symptomatic treatment with antihistamines and corticosteroids can efficiently ameliorate ige - mediated symptoms, but does not stop progression of the underlying allergy . The onl...
Chylous ascites occurring after abdominal surgery is rare but has been reported in certain populations [14]. The reported incidence of this condition has varied because it is rare and sometimes asymptomatic [14]. If it becomes symptomatic, however, a massive loss of fat / protein - enriched fluid and lymphocytes can ca...
A 10-year - old boy presented with genital ambiguity, poor linear growth, and delayed milestones . The aim and to highlight that although rare but congenital, hypogonadotropic hypogonadism may rarely present as ambiguity . The patient was found to have bilateral cryptorchidism with proximal penile hypospadias, micropha...
The advent of ring fixator and distraction histogenesis started a new era of limb lengthening.1 limb lengthening with external fixator alone is fraught with complications of long external fixator period and the risk of fracture of regenerate once the fixator is removed.2 the technique of lengthening over nail (lon) is ...
Type 2 diabetes (t2d) is a complex disease that is reaching epidemic proportions in the developed world . Affected individuals develop insulin resistance and progression of the disease is associated with a loss of -cell mass . Human islet amyloid polypeptide (hiapp, also known as amylin) forms islet amyloid in t2d . Ev...
Reactions were monitored by tlc on silicagel 60 f254 plates, and the products were purified on an automated chromatography instrument using siliaflash f60 sio2 . Nmr spectra were recorded at the indicated frequencies on either a 300 or 500 mhz spectrometer . Chemical shifts are reported in parts per million () and are ...
To assess global phylogeny of influenza a virus h7 and n9 subtypes, we analyzed 715 hemagglutinin and 309 neuraminidase nucleotide sequences of viruses isolated during 19272012 worldwide (technical appendix). Bayesian markov chain monte carlo coalescent analyses were conducted to investigate recent evolutionary history...
We developed a single multiplex pcr reaction to detect etec, epec, eiec, and stec, using specific previously described (46) or new primers (gibco - brl, gaithersburg, md) for diverse virulence traits (table 1). Because primers for loci that unambiguously distinguish pathogenic from nonpathogenic eaggec have not yet bee...
Transglutaminase (ec 2.3.2.13), i.e. Protein - glutamine -glutamyltransferase, belongs to the class of transferases (marx et al . It catalyses the formation of an isopeptide bond between the group of -carboxamides of glutamine residues (donor) and the first - order -amine groups of different compounds, for instance, pr...
Human enterovirus d68 (ev - d68) was first isolated from samples obtained in california in 1962 from four children with pneumonia and bronchiolitis (1). Subsequently, only small numbers of ev - d68 cases were reported until the early 2000s (2). However, from 2008 to 2012, outbreaks in japan, the philippines, the nether...
Nov was captured on rock outcrops at four sites: on the ranch fazenda jatai (124240 s 481312w), bordering the to-387/296 highway on the stretch between paran and so salvador (124010 s 481216w and 124040 s 481136w) and on fazenda vereda, bangue (122605 s 480359w). All of these sites are within the municipality of paran ...
Creutzfeldt - jakob disease (cjd) is a rare progressive neurodegenerative disease affecting one person per million per year . Prion diseases are caused by abnormal metabolism and conformation of the cellular prion protein, the primary function of which is ambiguous . Cjd is characterized by rapidly progressive dementia...
In daily life, humans are constantly faced with new postural control tasks to which they have to adapt and adjust . To detect motion and adjust voluntary and reflexive muscle responses, the balance system uses sensory information from visual, vestibular and somatosensory receptors1 . Nevertheless, decline in the functi...
With their advantages and defects, self - ligating orthodontic brackets have presented an increased diffusion in orthodontic practice in the last 10 years . Various aspects of self - ligating brackets have been studied in order to evaluate their properties and characteristics . Frictional forces, torque expression, rot...
The transporter classification (tc) system (1), formally adopted by the international union of biochemistry and molecular biology (iubmb) in june 2001, provides a guide to the known types of transport proteins present in living organisms on earth . The development of a classification system for transport proteins has a...
Critical care medicine (ccm) and the intensive care unit (icu) are essential components of modern health care systems around the globe . Ccm has the capability of reversing near - fatal states and of temporarily supporting failing vital functions, systems and organs, while the patient recovers from the underlying disea...
Lactoferrin is classified as a member of the transferrin family based on amino acid sequence homology (lambert et al ., 2005) and similarities in tertiary structure (baker et al ., 2002) most transferrin family proteins are composed of a single polypeptide chain with two lobes and glycochains, and have metal - binding ...
The current research followed the tenets of the declaration of helsinki, and all patients provided informed consent after explanation of the study protocol . This retrospective study involved a series of 65 eyes with exudative amd from march 2009 to december 2012 . The following inclusion criteria were used: (1) no pre...
Diastolic dysfunction is known to develop after myocardial damage.1)2) deceleration time (dt) and mitral e wave to flow propagation velocity ratio are examples shown to be associated with adverse remodeling and/or poor prognosis after acute myocardial infarction (ami).3)4) while systolic dyssynchrony was well studied a...
Noise - induced hearing loss (nihl) is a major public health problem, and its treatment with traditional therapy strategies is often unsuccessful because of the blood labyrinth barrier (blb). Due to tight junctions between cells, substances in the systemic circulation with potentially therapeutic effects additionally, ...
We tested the stability of ebov on 3 materials commonly found in an ebola treatment unit (etu) in west africa: 1) utility - grade (308) stainless steel washers (mcmaster - carr, atlanta, ga, usa); 2) plastic (teflon [polytetrafluoroethylene]; mcmaster - carr); and 3) tyvek (from the front of a coverall). For each time ...
Clostridium difficile produces exotoxins such as toxin a that cause acute colonic inflammation characterized clinically by watery diarrhea and cramps and pathologically by pseudomembranous colitis . The pathway by which toxin a causes colitis is incompletely known . Sulfasalazine is used to treat the chronic human infl...
Osteosarcoma (os) is the most frequently diagnosed malignant bone tumor in children and adolescents, and about half of the cases have lesions localized in the distal femur and proximal tibia . The incidence of os is estimated to be about three to five cases / million / year, accounting for about 5% of childhood maligna...
Congenital heart disease (chd) is defined as a developmental malformation of the heart chambers, valves or great vessels . The incidence of newborns with chd has increased over the last century from 0.6 per 1000 live births in 1930, to 9.1 per 1000 live births after 1995, thereby making chd a major public health issue ...
Breast cancer patients undergoing chemotherapy have an increased risk of developing cardiovascular complications including heart failure (1, 2). Of the various chemotherapeutic agents used in breast cancer treatment, anthracyclines and their related compounds are some of the most frequently implicated agents (1, 2). An...
In patients with dysphagia, pharyngeal bolus residue is a significant predictor of postswallow aspiration [1, 2]. Residue is the result of incomplete bolus clearance due to poor propulsion, weak pharyngeal vigor, and/or impaired upper esophageal sphincter (ues) relaxation [2, 3]. As a result, this bolus residual materi...
Until recently, the femoral approach was the preferably used method in interventional cardiology for diagnostics and therapy of coronary artery disease . It has been perceived as being easy and facilitating quick access with relatively low risk . Due to the results of latest studies, the use of the radial approach not ...
Inflammation is a subsequent event of spinal cord ischemia and a plausible pathway in spinal cord ischemia - reperfusion injury (iri). A series of metabolic processes ensue following ischemia . In a porcine model of 45-minute thoracoabdominal aortic occlusion, a strong immune response, which manifested as hyperemia and...
Unintentional injuries are major causes of mortality and morbidity in children, resulting in over 875,000 deaths annually in children <18 years of age [13]. Among children <5 years of age, injuries are the leading cause of death after the first birthday . Additionally, millions of children require medical care with hos...
In recent years, the precise determination of the properties of molecular clusters has become more and more of interest for many scientific fields . For example in atmospheric sciences, they are of special importance for fundamental investigations on heterogeneous as well as homogeneous nucleation (winkler et al ., 200...
A total of 130 participants volunteered; they were divided into physical exercise participants (pep; n = 73; aged between 16 and 80; 36 women) and not - physical exercise participants (n - pep; n = 57; aged between 17 and 86; 25 women) based on a self - report questionnaire about physical exercise participation adminis...
Metabolic syndrome (mets) has become a major public health concern worldwide because of its associations with increased risk of type 2 diabetes (t2 dm), cardiovascular morbidity and mortality and all - cause of mortality (1, 2). Mets prevalence is increasing rapidly due to urbanization and its consequences on life styl...
Cancer is the second most frequent cause of death after cardiovascular diseases, leading to unbearable and hardly controllable symptoms in 70 to 80% of the cases, especially when the healing phase is over and the therapy has to be continued with palliative intent . Depending on the type of cancer and the stage of the d...
Mitogen - activated protein kinases (mapks) are serine / threonine kinases that mediate intracellular signaling associated with a variety of cellular activities including cell proliferation, differentiation, survival, death, and transformation [1, 2]. The three main members that integrate the mapk family in mammalian c...
Cognitive impairment and dementia are common in an aging population with prevalence increasing from 5.0% among people aged 71 to 79 years to 37.4% in those aged 90 and older . The clinical presentations of dementia are nonspecific and various aspects of cognition, such as memory, attention, language, and problem solvin...
The surgical procedures on female urethra are rare occurrences that usually result from urethrovaginal fistula, urethral diverticulas or urethral damage during anti incontinence procedures . In the developing world, the vast majority of urethrovaginal fistulae result from obstructed labor . Due to advances in obstetric...
Medication errors are considered to be the most common type of medical error, and have been defined by the uk department of health and us national coordinating council for medication error and prevention as any preventable event that may cause or lead to inappropriate medication use or patient harm, while the medicatio...
Patients with postural adjustment disorder have impaired balance and posture . In these patients, abnormal delivery of sensory information greatly influences postural sway and muscle activity, causing disability in activities of daily living and interfering with treatment interventions1 . Diverse rehabilitation program...
Anti n - methyl - d - aspartate receptor encephalitis (anmdare), also known as limbic encephalitis, is a rare disorder characterized by quintet of psychiatric manifestations like seizures, unresponsiveness, dysautonomia and movement disorders . It is of clinical interest as it is a paraneoplastic debilitating syndrome,...
With recent advances in material science, workers are now handling new materials that did not previously exist, such as engineered nanomaterials . The mass concentration of aerosolized dust particles is used as the basic index for the threshold exposure limits of materials, but the biological effects of engineered nano...
A 44-year - old male patient was admitted to the hospital for surgical removal of a duodenal submucosal tumor found incidentally on duodenoscopy . An abdominal ct scan showed a well - defined heterogeneous retroperitoneal enhancing mass measuring 3.6 4.5 3.1 cm in the paraaortic space (fig . He had a 20-year history of...
Kikuchi - fujimoto disease (kfd) is a benign self - limiting disease characterized by fever and lymphadenitis, especially of the neck1,2). Previously, it was thought that some viral infections such as epstein - barr virus (ebv), human herpes virus (hhv), parvovirus b19, and human t - lymphotropic virus-1 (htlv-1) might...
Bacteria belonging to the burkholderia cepacia complex (bcc) have emerged as highly problematic opportunistic human pathogens in immunocompromised individuals and in patients with the genetic disease cystic fibrosis (cf). The virulence of the bcc members is variable and b. cenocepacia and b. multivorans are the most co...
Extensions of the cortex centrally as the columns of bertin separate the medulla into pyramids . The minor calyces unite with their neighbors to form two or possibly three chambers, the major calyces . The minor calyces, the major calyces, the infundibula, and the renal pelvis are collectively called intrarenal collect...
Renal colic is the most frequent nonobstetric cause for abdominal pain and subsequent hospitalization during pregnancy [1, 2]. Symptomatic nephrolithiasis complicates 1 in 3,300 pregnancies with an incidence ranging from 1:200 to 1:1,500 [3, 4]. The physio - anatomical changes in the urinary tract and the presence of t...
The prognosis of hcc is poor and most patients are generally diagnosed at advanced stage . Approximately 600,000 hcc patients die annually, making it the fifth most common cause of cancer - related death worldwide . The 5-year survival rate is about ~50%, and that of the patients with frequent intra- or extra - hepatic...
Rotator cuff tear is a frequent cause of shoulder pain and can result in weakness, alterations in glenohumeral kinematics, and shoulder instability1 . Arthroscopic surgery is a less - invasive approach to treatment of rotator cuff tears4 . Classical teaching has advocated for passive range of motion exercises in the ea...
We sought to investigate the one - year point prevalence for male intimate partner violence (ipv) in men presenting to a university emergency department, to identify types of violence, to examine differences in male ipv rates based on patient demographics, and to identify any differences in prevalence based on types of...
Following the bam devastating earthquake in 2003, the iran s health system learned that an effective disaster response and risk management requires a critical mass of quality human resources and research - based information . In response to these needs, we provide an overview about the progress of disaster and emergenc...
Non - alcoholic fatty liver disease (nafld) is a condition characterized by the accumulation of large fat droplets in hepatocytes (hepatic steatosis) that usually appear in those without a history of alcohol abuse or known liver disease (1). Nafld is a metabolic disorder affecting obese or overweight individuals in par...
The genomes of eukaryotic organisms are characterized by a large number of repetitive dna segments . These sequences are identifiable by a high variability in their nucleotide composition, number of copies, function, distribution and organization in the genome (wagner et al ., 1993; charlesworth et al ., generally, the...
Many workers who perform mmh face a high risk of work - related low back pain and impairment1 . Ergonomic approaches for reducing the incidence of mmh - related injuries have involved engineering design / redesign to fit the task to worker capabilities2 . Lower lifting origin heights increase trunk flexion, and asymmet...
Nurses, as the most significant and largest human resource of healthcare organizations, play a vital role in improving the social health of a community, such that no healthcare organizations can achieve any success without having efficient nurses (1). Considering the annual estimation of 1.8 million hospitalized childr...
Pseudoaneurysms are rare vascular lesions that result from the collection of blood between the tunica media and adventitia . The majority of pseudoaneurysms are iatrogenic, and usually secondary to manipulation of the vascular structure . Pseudoaneurysms are at risk for rupture causing massive exsanguination, or thromb...
A high level of plasma in cholesterol is a risk factor for atherosclerosis, and high plasma levels of low - density lipoprotein cholesterol (ldl - c) promote the development of atherosclerotic disease.13 since modified ldl (eg, by oxidation) is capable of loading macrophages with cholesterol, while unmodified ldl is no...
The dynamics of the diabetes and hyperlipidemia are changing rapidly in low- to middle - income countries . In 2030 the number of adult with impaired glucose tolerance may rise from 344 million (2010) to 472 million by 2030 . International diabetes federation (idf) estimated that 80% of world diabetic population live i...
This study was based on data from the healthcare cost and utilization project national inpatient sample (hcup nis) for the 5-year period 20002004 . Hcup nis is a stratified random sample from 20% of all us community hospitals . For 2004, the nis contains all discharge data from> 1,000 acute - care hospitals in 37 state...
Odontogenic cysts are more common in the oral cavity, but odontogenic tumors are less likely to be seen . The epithelial layer of dentigerous cyst may transform into ameloblastoma, squamous cell carcinoma or intraosseous mucoepidermoid carcinoma . In 2005, the world health organization working group considered the para...
Nuclear receptor (nr) mediated gene activation or repression is regulated by the cellular context of transcriptional coactivators and corepressors (cors) [cheng, 2000; glass and rosenfeld, 2000; mckenna and o'malley, 2002]. Due to the complexity of endogenous nr coregulators in mammalian cells it is difficult to determ...
Migraine is a disabling neurological condition that is commonly observed to occur in an episodic manner . In many cases, migraine attacks begin centrally, leading to classical neurological symptoms, including prodromes and aura, followed by a headache phase . The pathophysiology of migraine is unclear, but several stud...
Chyle leakage has been known to result from damage to the thoracic duct or its branches during neck or thoracic surgery . However, postmastectomy chyle leakage with axillary clearance is a rare phenomenon; chronic lymphoedema or seroma formation in the upper limb is a more commonly seen complication . Herein, we descri...
The efficacy of glycoprotein iib / iiia (gp iib / iiia) inhibitors in high risk, non - st - segment elevation myocardial infarction (nstemi) acute coronary syndrome (acs) patients has been well established . According to the updated american college of cardiology foundation / american heart association (accf / aha) gui...
There have been great advances in restorative dentistry recently as a result of new formulations in composite resins and adhesives . Immediate bonding agents that involve several complex steps, exhibit high technique sensitivity, and are time consuming are gradually becoming obsolete and replaced with simplified and le...
In clinical practice, it is essential to preserve the pulp vitality during restorative procedures in order to avoid postoperative endodontic complications . Iatrogenic pulp exposure compromises pulpal health and increases the risk for pulp necrosis . Diffuse calcification of the pulp chamber increases the risk of iatro...
The primary defects observed in type 2 diabetes are insulin resistance and inadequate insulin secretion by pancreatic -cells (1). By the time clinical hyperglycemia develops, debate exists over the relative importance of these two abnormalities, which are distinct but integrated in the clinical manifestations of type 2...
(2014) in vivo genome - wide analysis of multiple tissues identifies gene regulatory networks, novel functions and downstream regulatory genes for bapx1 and its co - regulation with sox9 in the mammalian vertebral column . . The bapx1/nkx3.2 protein was tagged in vivo with the s - peptide epitope to give specificity to...
Androgens are central to sexual differentiation and the maintenance of male secondary sexual characteristics and functions . Individuals with inactivating mutations of their androgen receptor (ar) (androgen insensitivity syndromes (ais)) are phenotypically female in appearance and behavior and lack male sex accessory o...
More than 10 million children worldwide have some form of epilepsy . Long - term adverse effects of antiepileptic drugs (aeds) are well - known, particularly in children . The issue of aed withdrawal in patients with clinical remission of seizures still draws the attention of physicians involved in the management of pa...
The oct scans from patients whose visual acuity increased gradually after successful closure of macular hole surgery were analyzed retrospectively . The vertical and horizontal scans with 5 mm lengths were obtained by a skilled technician . The identical locations of the serial scans for each patient were confirmed bas...
Penetrating spinal cord injuries (psci) in cervical region are extremely rare in children . They mostly occur in a mechanism of a gunshot or a stab injury with the use of sharp objects . Stab wounds may be less severe and result in partial neurological syndrome . In the management of psci in children, reliable diagnost...
The mobile diabetes intervention study was a cluster - randomized clinical trial conducted in primary care practices in four distinct maryland areas . Eligible practices included groups of at least three physicians without academic affiliation who provided diabetes care to at least 10% of their patients and were identi...
With the advent of electron microscopy (em) in the 40s and 50s, george palade, keith porter, and their colleagues were discovering new structures and organelles within the cell with each new micrograph . These pictures were displayed outside their labs along the hallways of rockefeller university: each one posing new q...
Congenital pulmonary lymphangiectasis (cpl) is a poorly documented disease, and the disease is characterized by prominent lymphatic dilatation of septal, sub - pleural, and peribronchial tissue throughout both lungs . Although there have often been debates on the classification and differential diagnosis of the disease...
His medical history was relevant for profound developmental delay secondary to brain malformation including polymicrogyria and complex - focal seizures . The patient was on topiramate therapy for 1.5 years (dose: 6.5 mg / kg / day; recommended daily dose: 39 mg / kg / day). Ultrasonography and plain abdominal x - ray r...
The study by rajajee and colleagues published in the previous issue of critical care,' real - time ultrasound - guided percutaneous dilatational tracheostomy', is certainly thought provoking . Although both percutaneous tracheostomy and ultrasound for critically ill patients have been studied for decades, rajajee and c...
Identification of all the infants (aged 3 months) with hearing loss should be done as early as possible to enable early treatment . Initial hearing screening has been perceived as the forecaster of hearing loss in infants.1 the aim of universal hearing screening was to recognize hearing loss at an early age and provide...
The intensive care units (icu) admitted patients usually have wide range of physiological individualities . Comparison of the patient's outcomes without consideration of individual physiological differences does not seem to be sensible . It is obvious that, some measures to represent the physiological conditions of icu...
Glial cells actively participate in brain development and function necessitating communication between neurons and glia (allen and barres, 2009). Their functions range from metabolic support to myelination, immune defense, and engagement in synapse formation and plasticity . Myelination requires intense communication b...
The endosomal sorting complexes required for transport (escrt) were initially identified as genes required for vacuolar protein sorting (vps) in yeast (bankaitis et al ., 1986; rothman & stevens, 1986). Subsequently, escrt mutants were found to form an exaggerated pre - vacuolar structure, named the class e compartment...
Hcc is a frequent cancer that is among the leading causes of cancer deaths worldwide . Most cases are associated with an underlying liver disease, usually liver cirrhosis, and hcc is the leading cause of death among cirrhotic patients . The treatment of hcc is based on various classification systems . In europe and in ...
Gastrointestinal stromal tumor (gist) is very rare tumor arisen from gastrointestinal tract that constitutes 0.1%~3.0% of gastrointestinal malignant tumor.1 - 5 gists may be occurred at the esophagus, stomach, small intestine, large intestine, anal canal, mesentery, greater omentum, and retorperitoneum.6 the small inte...
Although cardiac arrest and death rarely occur during the perioperative period, these events represent the worst patient outcomes . A past study of our institution, a general tertiary teaching hospital in brazil, which is considered a high human development country according to the human development index (hdi) set by ...
Cardiovascular diseases (cvd) are the main cause of diabetes - related morbidity and mortality [1, 2]. They include myocardial infarction, which is due to premature atherosclerosis, and diabetic cardiomyopathy, both leading to heart failure . Patients with diabetes have a higher prevalence of cardiovascular morbidity a...
Microsomal enzyme p450 (cyp450), encoded by the cyp3a gene family, accounts for most in the hepatic cytochrome oxidase, which is mainly expressed in the adult liver and small intestine . Cyp3a plays an important role in metabolism of most xenobiotics, including more than 120 different kinds of drug metabolism, and rela...
Wearable electrocardiogram (ecg) monitoring and diagnostic systems are developed for cardiovascular disease detection . For disease detection in [1, 2] ecg signal processing [35] is carried out using smartphone . Had demonstrated that ecg signal processing algorithm execution in asic (in 45-nm technology operating at 1...
Pigmented paraganglioma is a special type of paraganglioma, and it is rare in the thyroid . We report a case of a 41-year - old woman who had complained of a mass in the thyroid gland . Histology revealed tumor cells arranged in a nest - like or organoid pattern, separated by delicate fibrovascular septa . Two distinct...
A 43-year - old man, impacted in his chest by a car accident, complained of severe chest pain in his anterior chest wall with palpable sternal instability . Computed tomography (ct) of the chest showed a displaced compound mid - body sternal fracture (fig . 1). Troubled with fracture of several cervical bones accompani...
The pharmacokinetics of many medications change as we age, dictating the need for dosing strategies that adjust for these changes . One such example is vancomycin . The half - life of vancomycin ranges from approximately 2 to 10 hours depending on age (table 1). Focusing on patients aged 3 months to 4 years old compare...
There has been a growing recognition that pain is a complex perceptual experience influenced by a wide range of psychosocial factors including emotions, social and environmental context, socio cultural background, the meaning of pain to the person, beliefs, attitudes, and expectations, as well as biological factors (1)...
Tobacco is used in various forms (smoking / smokeless forms) all over the world today . The world health organisation reports it to be the leading preventable cause of death worldwide, and estimates that it currently causes 5.4 million deaths per year . . However, they continue to rise in the developing countries . As ...
Clas are fatty acids that are mainly found in foods derived from ruminant animals (pariza & ha, 1990). They are geometrical and positional isomers of its parent molecule, linoleic acid (cis-9,cis-12 - 18:2, n-6 (la)). The cis-9, trans-11 (9z,11e - octadecenoic acid, c18:2) isomer, also known as rumenic acid (ra), is ge...
Historically, 50% of spontaneously expelled abortuses have been thought to be chromosomally abnormal; about 60% are trisomies . In general, trisomy 16 is the most frequent chromosomal abnormality, followed by trisomy 21 and trisomy 22 . So far only 1 case of a female fetus with multiple congenital malformations associa...
Crossfit is a physically and metabolically demanding strength and conditioning method in which the ultimate training goal is often to maximize power output (32). This program has become increasingly popular as a mode of exercise as well as a competitive sport . Among others, crossfit incorporates gymnastics, strength t...
Nonalcoholic fatty liver disease (nafld) is the most prevalent form of chronic liver disease in the west today . Nafld is associated with the diseases of diabetes mellitus (dm) and obesity and has come to be considered a hepatic manifestation of the metabolic syndrome [24]. The most severe form of nafld is an inflammat...
In the united states, venous thromboembolism (vte) affects approximately 900,000 people annually.1 roughly 300,000 cases are fatal; the 600,000 nonfatal cases result in multiple hospitalizations or extended inpatient stays costing $5.8$7.8 billion.1,2 virchow s triad states that the development of thrombosis can be att...
Adrenal cysts are usually unilateral lesions discovered incidentally during imaging procedures or surgery and at autopsy . Endothelial or lymphangiomatous cysts account for nearly 45% of these lesions and are usually small, measuring 0.1 to 1.5 cm in diameter . Adrenal pseudocysts that lack an epithelial lining are the...
This phenomenon is more evident in obese than in normal - weight patients [3, 4]. Increase in body mass index (bmi) is directly related to the impairment of arterial oxygenation, which is mainly attributable to development of ventilation - perfusion (v / q) mismatches and intrapulmonary shunt (i.e., atelectasis); in fa...