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I squeeze into the back, next to the two community - owned resource persons (corp) and a tanzanian phd student under the supervision of the principal investigator of the urban malaria control programme (umcp). Our first stop is on the western edge of town, a 20-minute drive from my hotel on the peninsula . Where the el... |
National comorbidity survey reveals that major depressive disorder (mdd) is a debilitating disease with a prevalence rate of 16.2% (kessler et al ., 2003). In depression remission is achieved by only one third of the patients after treatment with antidepressant agents (rush et al ., 2006). Another major disease as a gl... |
We describe a case of pseudotumor cerebri in a young man developing 4 years post - traumatic brain injury (tbi). This is a rare clinical scenario and delayed presentation following tbi with chronic headaches should raise this possibility . Detailed clinical history and examination with appropriate investigations must b... |
Anthracyclines are the most frequent cause of iatrogenic congestive heart failure ranging from acute reversible minor to irreversible reduction in the left ventricular (lv) ejection fraction and death despite preventive measures . Serial surveillance for cardiotoxicity in patients receiving anthracyclines has most comm... |
With increasing medical care costs and a weakening economy more attention is being placed upon obtaining value from how health care dollars are spent . Initiatives to obtain increased value from health care purchases are especially focused upon perceived waste (aaron, 2008). The frequency and cost of hospital acquired ... |
Chronic kidney disease is defined as kidney damage, as assessed by biopsy or markers of kidney damage, for 3 months with or without changes in glomerular filtration rate, or a glomerular filtration rate 60 ml / min/1.73 m for 3 months with or without kidney damage . Chronic kidney disease is an increasingly prevalent p... |
Skin metastasis from a thyroid carcinoma is rarely a presenting feature of an underlying malignancy . Subcutaneous metastasis from differentiated thyroid carcinoma (dtc) is a rare manifestation of disseminated disease . Some of the authors believe that follicular carcinoma of the thyroid has a higher propensity to meta... |
Many people, approximately 20% of the population, suffer from allergic rhinitis worldwide . From the clinical point of view, allergic rhinitis causes sneezing, nasal discharge, and nasal obstruction . From the immunological point of view, allergic rhinitis is a typical th2 immune disorder characterized by a high level ... |
Ectopia cordis is a rare congenital malformation in which the heart is located partially or totally outside the thoracic cavity . Ectopia cordis may occur as an isolated malformation or it may be associated with body wall defects that affect the thorax, abdomen, or both . With the advances in the medical field and surg... |
During the past two centuries, the anatomical variations of the axilla have been described in both textbook of human anatomy and more recently in those of operative surgery . A muscle extending from the latissimus dorsi to the pectoralis major muscle has been called axillary arch or langer's axillary arch . This occurs... |
Vestibular schwannoma (vs) usually arises within the internal auditory canal (iac) from either the superior or inferior vestibular nerve . These tumors usually grow very slowly with the growth rate 0.66 to 2 mm per year6,7). With time, they cause erosion of iac . The location of tumor in iac was closely related in eros... |
Left ventricular thrombus (lvt) is one of the most common complications of myocardial infarction (mi). The incidence of lvt in patients with acute anterior mis in the prethrombolytic era is ranged from 20% to 40% and with a non anterior acute myocardial infarction (ami) and the risk of lvt was <5% . Although controvers... |
Administration of an antibody (natalizumab) to the alpha 4 integrin molecule binding site to the head region of the vascular cell adhesion molecule 1 (vcam-1) molecule was found to be associated with systemic jc viremia and subsequent progressive multifocal leukoencephalopathy (pml) in a 60 year old crohn s disease pat... |
Gliomas account for more than 70% of all brain tumors, and of which, malignant gliomas, the most common primary brain tumor in adults, are generally associated with poor survival relative to other types of brain tumors . Many environmental and lifestyle factors, including several occupations, ionizing radiation, cellul... |
Obesity, which is caused by imbalance between energy intake and energy expenditure, can be multifactorial (unhealthy lifestyle, genetic, economical, cultural and social status). Analysis of 144 studies in different countries during 2010 showed that 43 million preschool children were overweight or obese . In asia, preva... |
5-hydroxytryptophan (5-htp) is a metabolite of l - tryptophan and the immediate precursor of serotonin . L-3,4-dihydroxyphenylalanine (l - dopa) is a metabolite of l - tyrosine and the immediate precursor of dopamine . Brain barrier.1 l - dopa freely crosses the blood brain barrier, then is synthesized into dopamine wi... |
Endothelial cells (ecs) are key cellular components of blood vessels, functioning as selectively permeable barriers between blood and tissues . Under pathological conditions, endothelial cell (ec) apoptosis leads to excess neointima formation [1, 2], a lipid transport disorder [3, 4], and plaque rupture . Thus, maintai... |
Human listeriosis is a relatively rare but serious zoonotic disease, with high morbidity, hospitalization and mortality in vulnerable populations . Among all zoonotic diseases under eu surveillance, listeriosis caused the most severe human disease, with 93.6% of cases hospitalized and 134 fatal cases (fatality rate 12.... |
In the last decade the amount of data regarding micrornas (mirs) and their target genes described in the literature has expanded tremendously . The volume of information on this new group of regulators (i.e., mirs) has complicated attempts to integrate this data within existing metabolic and signalling networks . As re... |
Dengue infection causes various clinical symptoms ranging from mild fever to severe hemorrhagic fever and dengue shock syndrome [13]. The virus uses host cell ribosomes to translate its genomic rna to full - length precursor polyprotein . Subsequently, the host cell furin and dengue ns2b - ns3 serine protease (ns2b - n... |
Bronchial atresia resulting from a localized defect in normal bronchopulmonary embryogenesis is a rare disease . It can produce emphysematous changes in the affected pulmonary segment or lobe with or without dyspnea and/or episodic pulmonary infection . We herein report a case of bronchial atresia associated with pneum... |
Nonalcoholic steatohepatitis (nash) is a progressive form of non - alcoholic fatty liver disease (nafld). The pathogenesis of nash is multifactorial, indicating a significant association with inflammation . In its severe form, nash can lead to cirrhosis, with permanent liver damage (1, 2). Patients with nash show signi... |
The nose is positioned on the center of the face and is significantly anteriorly protruded compared to the other facial structures . Nasal bone fracture is the most common facial fracture, accounting for approximately 40% of all facial fractures . If proper treatment is not provided at an appropriate time, nasal bone f... |
Desmoid tumors (dts), also called aggressive fibromatosis, are very rare with an estimated incidence of 25 cases per million of inhabitants in european countries [1, 2]. Dts lack the capacity to metastasize but may behave in a locally aggressive fashion and possess a high risk of local recurrence despite adequate surgi... |
One of the most important issues of the health system in the worldwide is obesity, which is presented as one of the top 10 global health problems by the world health organization . Nowadays, some believe that it is the most perilous disease in the world . In recent years, with increasing prevalence of obesity, an inten... |
If genetic variation affecting patterns of trait covariation have fitness consequences, then a particular pattern of integration that allows for a closer match to a new local multivariate phenotypic optimum should be favoured [13]. Alternatively, ancestrally conserved patterns of integration may act to constrain the ra... |
Aspergillosis is the most common fungal infection of the paranasal sinuses and it usually occurs unilaterally in maxillary sinus . On the other hand, transverse maxillary deficiency (tmd) is one of the most common skeletal dysplasias observed in clinical practice . It can be treated with several techniques such as slow... |
This fundamental concept has a military origin . The united states navy considers proficiency in basic damage control skills as part of basic seamanship . The stated objectives of shipboard damage control are as follows: take all practicable preliminary measures to prevent damageminimize and localize damage as it occur... |
A 68-year - old male patient visited konkuk university hospital due to epigastric pain lasting 2 to 3 seconds 2 months before hospitalization . According to his anamnesis, he was taking 50 mg of atenolol because he had been diagnosed with hypertension 2 years before . He had been diagnosed with esophageal diverticulum ... |
Viral respiratory infections, particularly in young children and the elderly, can lead to substantial morbidity, such as increased rates of lower respiratory tract infections and hospitalization ., relatively few prospective, communitybased studies to define etiologic agents for respiratory infection have been reported... |
Mental disorders there was since of human creation, and based on the world health organization (who) estimation, 25% of the people suffer from at least one of these disorders . These multi - factorial syndromic disorders (genetic, physical, chemical, biological, psychological, and socio - cultural) are known to be asso... |
Pyoderma gangrenosusm (pg) is a chronic, rare, inflammatory cutaneous disorder and is manifested by the development of painful ulcers, bulla, pustules and rarely vegetating lesions and histologically by predominantly neutrophilic infiltration . We report a case of severe pg in a girl since her 4 months of age . The dif... |
We studied two prospective cohorts recruited antenatally in southampton, u.k . In the pah study, caucasian women 16 years old with singleton pregnancies <17 weeks gestation were recruited and a validated food frequency questionnaire (23) was administered at 15 weeks gestation; patients with diabetes and hormonally indu... |
The beijing genotype is commonly present in russian population and in eurasia as a whole . This lineage, especially bo\w subline is characterized by high - level virulence,,, . For our analysis, we chose the mycobacterium tuberculosis strain b9741, isolated from a 33-years - old hiv - positive female patient from irkut... |
Almost all of our knowledge about the effect of inflammatory events on blood - brain barrier is related to chronic diseases or acute events, in which exacerbated responses to pathogens are present . The role of low - grade inflammation in the generation or exacerbation of neuropathologies is recently explored because s... |
They are congenital benign tumor accounting for 15 - 20% of intraventricular mass but only about 1% of intracranial ones (1 - 3). They can be diagnosed at any age but usually become symptomatic in the third to sixth decades and more common in men than women . They usually found incidentally and are asymptomatic; but in... |
Psoriasis is a common chronic inflammatory skin, nails, and joints disease related to the immune system by periods of exacerbations and remissions . It is characterized by thick end, erythematous, and scaling lesions, which affects about 2 to 4 percent of the general population . The disease occurs equally in both sexe... |
Although work provide a range of benefits such as increased income, social contact, and sense of purpose, it can also have negative effects on mental health, particularly in the form of stress . The national institute of occupational safety and health in the us (niosh) estimate the following: 40% of american workers re... |
Atrial fibrillation (af) is a common arrhythmia affecting 1% of the general population increasing to 18% for those over 80 years old . Af can cause turbulence in the blood flow within the heart resulting in clot formation . Clots can then migrate to the peripheral circulation resulting in stroke or limb thromboembolism... |
Subependymoma, first described by scheinker in 1945, is a rare central nervous system tumor . Since its first description in the spinal cord by boykin et al in 1954, 32 involved the cervical cord . In the spinal region, these lesions are predominantly subpial in location, with exophytic components . The location of the... |
Chronic granulomatous disease (cgd) is an inherited phagocytes defect, characterized by defects of nadph - oxidase and inability of bacterial killing, which leads to recurrent life - threatening infections . Respiratory problems, which are the major cause of morbidity in cgd, usually result from recurrent severe infect... |
The etiologies of intracranial artery dissection are various, the exogenous triggers like trauma, infection as well as inherited connective tissue disorders like moyamoya disease, fibromuscular dysplasia, and marfan's syndrome . Alpha 1 antitrypsin deficiency and hyperhomocysteinemia are also distributing factors of ca... |
Only several cases have been reported in the literature and most of them concerned mucous cysts (1 - 3). Although many theories have been suggested for the late cyst formation after rhinoplasty, migration or incorporation of mucosal tissue in the subcutaneous space during the surgical procedure has been accepted as an ... |
Dd, caused by mutations in the er ca atpase atp2a2 (sakuntabhai, et al ., 1999), is an uncommon (1:30,000) blistering skin disease . Patients with dd suffer from impaired cell - to - cell adhesion, defective keratinocyte differentiation, and non - physiologic keratinocyte apoptosis . Histologically, dd manifests with s... |
Dorsal root ganglion sensory neurons from adult sprague - dawley male rats were isolated and dissociated using a previously described method (1719). Rats were age - matched control or 3- to 5-month stz - diabetic rats that included cohorts receiving insulin implants (two linplant implants placed subcutaneously; linshin... |
Cushing's syndrome (cs) is a fairly common disease entity in endocrine outdoor and indoor departments . However, these features may not be well understood by suregeons and anaesthetists, who face many challenges while dealing with patients of cs . Though cs may have multiple etiological factors, some cases need to be m... |
Regeneration of oxidized glutathione by glutathione reductase to its reduced form, glutathione (gsh) is vitally important in combating oxidative stress in neurons . To reduce oxidized glutathione, glutathione reductase uses nicotinamide adenine dinucleotide phosphate (nadph) as its cofactor . As levels of reactive oxyg... |
Over the last two decades, the biological preeminence of cellular nitric oxide (no) signaling pathways has been intimately linked to many processes and to its regulated enzymatic formation from l - arginine via the actions of no synthases (nos) and to secondary activation of soluble guanylate cyclase as a major physiol... |
This study was carried out at mahatma gandhi memorial (mgm) hospital, a 1200 bed government tertiary care teaching hospital located at warangal, india . Present study was approved by the human ethics committee of the medical college / hospital . Inclusion criteria included age greater than 19 years, receiving cancer tr... |
Acute myocardial infarction (ami) is a secondary thrombus formation in coronary artery induced by unstable atheromatous plaque rupture and bleeding . The thrombus can further cause coronary artery occlusion, as well as serious and long - term myocardial ischemic and myocardial necrosis [15]. Treatment options for ami i... |
A 52-year - old male patient with a height of 163 cm and a weight of 65 kg was admitted to the hospital due to right femoral edema, and following a diagnosis of right femoral abscess, an incision and drainage procedure was performed . With regard to medical history, the patient was paraplegic from the level of the four... |
Rab - type small gtpases are conserved membrane trafficking proteins in all eukaryotes, and they mediate various steps in membrane trafficking, including vesicle budding, vesicle movement along cytoskeletons, vesicle docking to specific membranes, and vesicle fusion . Rabs function as a molecular switch by cycling betw... |
Avascular necrosis (avn) of the femoral or humeral heads in patients with sickle cell anemia is a common and painful condition . Typically, the pain is managed with narcotics and activity restriction until there has been collapse of the subchondral bone with a degree of arthrosis sufficient to warrant total joint arthr... |
A challenge to increasing early childhood immunizations on a state or local level is the limited ability of standard summary measures of up - to - date (utd) rates to identify barriers to improvement . Typically, early childhood utd rates are based on the number of doses of recommended vaccines, by individual antigen o... |
Leucine - rich repeat kinase 2 (lrrk2) is a large protein of 285 kda that is composed of functional gtpase and kinase domains as well as several protein - protein interaction domains such as wd40 and leucine - rich repeat (lrr) (paisan - ruiz et al ., 2004; zimprich et al ., 2004; gloeckner et al ., 2006; west et al .,... |
Recent papers by and show the application of fractional calculus to pharmacokinetics (pk). Leffler function: \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt}... |
Systemic lupus erythematosus (sle) is an autoimmune disease that is typified by multiple abnormalities of the immune system, and which results in widespread pathology of multiple organs, including skin, kidney, heart, lungs, and joints . In addition to peripheral organ dysfunction in sle, there is a high incidence of n... |
Megaloblastic anemia is a group of disorders characterized by ineffective hematopoiesis, frequently manifested by peripheral blood cytopenia . They are usually caused by nutritional deficiencies (most common) of either vitamin b12 or folate or both, inherited disorders of dna synthesis, or following certain drug therap... |
Radical chemistry has always taken a backseat to ionic chemistry . In the basic undergraduate curriculum of organic synthesis, the aldol reaction, grignard addition, and pericyclic transformations like the diels alder reaction are at the forefront . More advanced texts highlight the vital modern - day use of cross - co... |
Metronidazole, a nitroimidazole antimicrobial agent is widely used in the treatment of anerobic and protozoal infections for more than three decades . Common side effects are nausea, vomiting, abdominal discomfort, headache, and metallic taste . Neurological effects such as ataxia, dizziness, peripheral neuropathy, and... |
Expression, purification, and reconstitution of fluc channels were as described in detail27,28 . In the final purification step, fluc protein was collected from a s200 size - exclusion column equilibrated in 100 mm naf (or nacl for zero - f preps), 10 mm hepes ph 7.0, 5 mm n - decylmaltoside (dm). Bpe constructs carrie... |
Ependymomas are relatively rare neuroepithelial tumors and account for 3 to 7% of all central nervous system tumors . The incidence of ependymomas is more frequent in children, and 50% occur in children <5 years of age . Infratentorial locations of ependymomas are more frequent in infants and childhood, whereas suprate... |
Frontotemporal dementia (ftd) is the second most common type of presenile dementia, and a clinically, genetically and pathologically heterogeneous disorder [1, 2]. Four clinical subtypes can be distinguished: the behavioural variant of ftd (bvftd), semantic dementia (sd), progressive non - fluent aphasia (pnfa), and ft... |
Although radical cystectomy with urinary diversion has been regarded as the standard treatment for muscle invasive bladder cancer (mibc), it is associated with high postoperative complication and mortality as well as decreased quality of life . As a result, different kinds of bladder sparing approaches have been propos... |
The success of radiotherapy (rt) depends not upon the expense and complexity involved, but upon the correctness of techniques . Correct portal - design calls for correct knowledge regarding the location of the target volumes to be treated . Traditional bony - landmarks may have been used as a surrogate, but they do not... |
Visceral leishmaniasis (vl) is a fatal protozoan disease caused by leishmania donovani complex in the old and new worlds . Domestic dogs (canis familiaris) are the main reservoir hosts for zoonotic vl in mediterranean region (1,2). Hence, the most important approaches for interrupting domestic cycle of the disease are ... |
A 45-year - old male patient was admitted to an outpatient clinic with blunt thoracic trauma after falling from height (work - related accident) and was referred to kocaeli university faculty of medicine after the detection of ischemia on his electrocardiogram . In the physical examination, the vital signs were stable,... |
The first n - terminal acetylation is catalyzed a variety of n - terminal acetyltransferases (nats), which co - translationally transfer acetyl moieties from acetyl - coenzyme a (acetyl - coa) to the -amino although n - terminal acetylation is rare in prokaryotes, it was estimated that 85% of eukaryotic proteins are n ... |
Posttraumatic cerebral edema leading to refractory intracranial hypertension is the main prognostic factor in brain - injured patients . Morbidity and mortality occur as a result of transtentorial herniation caused by mass effect due to cerebral swelling . The combined medical and surgical objective during the acute ph... |
Cardiac implantable electronic devices (cieds) have become increasingly important in cardiac disease management worldwide . In fact, pacemakers, implantable cardioverter defibrillators (icds), and cardiac resynchronization therapy (crt) have been used and developed since the 1960s . With the increase in the number of p... |
Epithelial - myoepithelial carcinoma (emc) is a rare biphasic low grade malignancy accounting for only 0.5% of all salivary gland tumors . There have been reports suggesting co - existence of another malignancy, like adenoid cystic carcinoma (ad cc) with emc, in the same tumor . If emc develops in a long standing case ... |
Double - balloon enteroscopy (dbe), first described by yamamoto et al 1, allows examination of the small intestine, and retrograde dbe (rdbe) permits access to the distal small intestine . Mehdizadeh et al 2 found a 79% success rate, defining success as intubation of the ic valve, in their review . May et al 3, however... |
Since couinaud's segment viii is the largest segment of the liver and patients with hepatocellular carcinoma (hcc) often have impaired liver function, reduced anatomical resection of the ventral part of segment viii (s8vent) has been used as an alternative to full anatomical resection of segment viii in its entirety in... |
Patients with cervical radiculopathy due to single - level degenerative disc disease who fail to improve with nonoperative therapy are candidates for anterior decompression and reconstruction with either an arthrodesis or arthroplasty . Both procedures require minimal hospitalization and are highly effective in relievi... |
The age - standardized incidence rate of thyroid cancer in 2012 was 62.5 per 100,000 persons (23.0 per 100,000 men and 102.4 per 100,000 women), and was the most common cancer (sixth most common cancer in men and the most common cancer in women) among koreans . The average annual percentage change in thyroid cancer inc... |
Conventionally, calculated daily dose of levothyroxine (lt4) is recommended for otherwise healthy and middle - aged patients for initiating treatment for primary hypothyroidism . The recommended initiating dose of lt4 is 1.6 g / kg body weight in overt primary hypothyroidism of autoimmune etiology . Lower dose of lt4 i... |
Primary infection involves eyes, ears, larynx, lungs, and sinuses, followed by liver, spleen, bone, and meninges . Worldwide, aspergillus fumigatus is the most common species, followed by aspergillus niger and aspergillus flavus, whereas a. flavus is the most common species in india . Predisposing factors that promote ... |
The efforts made to comprehend the essence of disease and its causes have shaped the history of medicine . Even today we are unable to grasp why a particular person suffers from this or that affliction, and despite the advances made in deciphering the genetic code which in any case explains only how the basic mechanism... |
Idiopathic hypereosinophilic syndrome (he s) is characterized by persistent or recurrent hypereosinophilia of unknown origin . Currently, we recognize that he s consists of the myeloproliferative form and the lymphocytic form (t - cell - mediated disorders).1 recent identification of fip1l1-pdgfra fusion gene - positiv... |
Commercially pure titanium has been employed as the best material for dental implants due to its biocompatibility and excellent mechanical properties . Healing of peri - implant tissue can be influenced by the physicochemical and mechanical properties of the implant material, microstructures, macrostructures, and surfa... |
In the last decade, a rapid growth of the prevalence of obesity was experienced worldwide, the importance of which can be best illustrated with the forecast that this phenomenon could reverse the increase in life expectancy having been observed in the past decades . Similar trends of obesity epidemic were also observed... |
Local anesthetic compounds, such as lidocaine, suppress the ionic current through na channels . By attenuating central and peripheral neuronal excitability, these compounds enjoy widespread use in the treatment of epilepsy and the relief of pain . In addition, local anesthetic compounds block na channels in skeletal an... |
The patient was a 33-year - old, 156 cm, and 62.5 kg primipara on the sixth day of the 40th week of pregnancy, and she was hospitalized on the day before the operation for vaginal delivery . The patient had not undergone any specific disease or operation according to her history, and the vital signs were normal at the ... |
Since the international symptomatic aneurysm trial was published, endovascular treatment of intracranial aneurysms has become the first treatment option in many centers.17) recent advances in endovascular techniques and devices such as stent - assisted coiling, balloon remodeling, neck bridges, waffle cones, and so on ... |
Germ cell tumors (gcts) represent a well - recognized group of heterogeneous neoplasms with diverse clinical, histopathological, diagnostic, and prognostic characteristics . Being the most common solid tumor in the 3rd and 4th decades, gcts assume a particular significance among young adult males . Gonads are the most ... |
Gels have been described as materials that are easier to recognize than define . Most of the times this problem comes from industry, which develops products with a gel name, just to be attractive to consumers . However, gels have been accepted as semisolid materials comprising low concentrations (<15%) of gelator molec... |
The high incidence of fractures of the angle of the mandible is attributed to a thinner cross - sectional area relative to the neighboring segments of the mandible, the curvature of trajectories in the angle region, and the presence of third molars, particularly those that are impacted, which weakens the region2 . It i... |
We conducted a prospective cohort study in 951 young people aged 1220 years with type 1 diabetes of minimum 2 years duration at a tertiary hospital in australia between 1990 and 2007 as previously described (14). All were free of retinopathy at baseline and had a minimum of two diabetes complication assessments . The n... |
Human islets were obtained from donors of both sexes, of ages ranging from 5 to 70 years and with a majority being in the 2050 year range, and with purity ranging from 5095%, through the islet cell resource centers (icrs) and juvenile diabetes research foundation basic science islet distribution programs . Human kidney... |
Postero - lateral thoracotomy incision is a relatively common surgical approach for thoracic procedures in infants and children . This approach results in division of the latissimus - dorsi and serratus - anterior muscles . Division of these muscles can result in significant post - operative pain, diminished pulmonary ... |
Amputation is a complex procedure with physical, social, and psychological components . In developing countries, amputation rates have increased because of accidents, trauma, and various systemic diseases . A study in 2008 estimates nearly 2 million people are living with limb loss in the united states and it is projec... |
Ulcerative colitis is a chronic inflammatory disease of the large intestine . Its exact cause is unknown, but it appears to be multifactorial, with a proposed interaction between genetic and environmental factors that results in continuous activation of the intestinal mucosal immune system . The inflammation affects th... |
The landmark veterans administration laryngeal cooperative study published in 1991 initiated the era of organ preservation . Today, many patients are advised to choose chemoradiation as their primary treatment for advanced oropharyngeal carcinomas (stages iii, this typically results in high doses to the parotids, subma... |
As rising health care costs continue to draw attention, the rate of increase in medicare expenditures, which significantly exceeded those of the overall u.s . Health care system (9.3 versus 6.9 percent in 2005), is of particular concern to policymakers . The escalation in medicare part a spending is consuming a greater... |
A 10-year - old asian indian male child was brought to the emergency services of our tertiary care hospital with progressive bulging of the left eye for the past 7 days . It was associated with deep constant periorbital pain, inability to close the eye, fever with no rigors or chills, discharge, and decreased vision . ... |
A positive family history of prostate cancer (pca) is an established risk factor for pca . First - degree relatives of affected men have a 23 fold increased risk of pca . When 3 or more first - degree relatives are affected (or at least 2 first - degree relatives before the age of 55 years), the family is considered a ... |
The influenza virus neuraminidase (na, aaabbreviations: fu, fluorescent unit; munana, 4-methylumbelliferyl - n - acetylneuraminic acid; na, neuraminidase; kdn, 2,3-difluoro-2-keto-3-deoxy - d - glycero - d - galactononulosonic acid . Ec 3.2.1.18) functions in virus infection to remove sialic acid from receptors present... |
Between april and august 1999, 22 consecutive patients underwent ferumoxides - enhanced mr imaging to assess known or suspected focal liver lesions . The criteria for inclusion in this study were as follows: hcc was depicted at contrast - enhanced ct, lesions were distributed in such a way that they were resectable, an... |
Musculoskeletal disorders of the upper back, shoulders, and neck are common in many occupations that require physical exertion, repetitive movements, static muscle contraction, prolonged sitting before a computer, or maintaining fixed or extreme postures.16 in some instances, muscle fatigue subsequent to overwork or to... |
Age - related macular degeneration (amd) is the most common cause of legal blindness in the elderly population of developed countries with over 300,000 newly diagnosed patients per year in europe and north america [1, 2]. It is widely believed that amd starts with the insidious, slowly progressing dry form (dry amd) an... |
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