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A 9-month - old female patient was brought to a health institute with complaints of coughing persisting for 2 weeks . Her hematologic tests revealed the presence of hyperleucocytosis (107.000/mm), and consequently she was referred to us with the initial diagnosis of leukemia . Her history revealed the presence of vomit...
In this paper, three researchers with different primary research interests (ocular toxicology ftf, dry mouth jjs, and dry eye wdm) examine several hypotheses concerning medications and their possible roles in causing ded . Hypothesis - driven studies are especially difficult for dry eye since diagnosis of this disease ...
Currently, glaucoma is defined as a disturbance of the structural or functional integrity of the optic nerve that causes characteristic atrophic changes in the optic nerve and retinal nerve fiber layer (rnfl) associated with visual field changes with or without increase in intraocular pressure (iop).1 as this injury is...
Leprosy patients with less than five skin lesions are grouped into paucibacillary (pb) group for treatment purposes without taking into account their size and extent of lesions or the number of nerves involved; the clinical classification of leprosy is not considered relevant . They are uniformly treated with pb multid...
Akabane virus (akav) is an arthropod - borne virus belonging to the genus orthobunyavirus in the family bunyaviridae . It causes epizootic and sporadic outbreaks of abortions, premature births, stillbirths, and congenital abnormalities characterized by arthrogryposis, hydranencephaly, or microanencephaly in cattle, she...
After the increasing use of laparoscopy, robotic surgery has provided a new era in minimally invasive surgery . Safety and clinical outcomes have been reported in various fields . The most common complications include ileus, deep vein thrombosis, and pulmonary embolism [1, 2]. However, postoperative acute renal failure...
Tophi can present as a first sign of hyperuricemia but literature has limited reports as far as flexor tendon contracture presenting as a first clinical sign of gout is concerned . We report a case of tophaceous gout with finger flexion contracture as its first sign . A 45 years old man presented in our out patient dep...
They described a clinical entity in which central nervous system disease was associated with hyponatremia and paradoxically increased the renal sodium excretion . The patients also had a high urine osmolarity, high urine output, and a depleted extracellular volume . (2), the syndrome of inappropriate secretion of antid...
Autoimmune pancreatitis has travelled a relatively short way from its first description by sarles et al . In 1961 to the formal suggestion of the very concept of autoimmune pancreatitis by yoshida et al . In 1995, and its subsequent inclusion in a new group of diseases with systemic involvement associated with an incre...
An 18-year - old male transferred to the emergency department presented loss of consciousness, cyanosis, and deteriorated vital signs . According to the rescue team transfer records, he called the control center himself because he was home alone . He complained of aggravating dyspnea after eating dinner and of sudden o...
Natural zeolites are vulcanic hydrated micro porous crystals with defined structures based on alo4 and sio4 tetrahedral building blocks connected through oxygen atoms and with an open structure which can accommodate a wide variety of positive ions . Due to their structure, zeolites exhibit versatile adsorptive, cation ...
They may occur at any point and age along the line of the repaired cleft . Reported recurrence range, after surgical correction of cleft palate, varies between a wide range of 10% and 30% depending on the technique used and age at the time of primary repair . Small fistulas may be asymptomatic but patients commonly com...
Osteoporosis and parkinson s disease (pd) are two chronic diseases among many that can lead to a downward spiral in a patient s quality of life, and they particularly affect elderly people . Osteoporosis is a systemic and metabolic skeletal disease characterized by increased risk of bone fragility due to a reduction in...
Epithelial - mesenchymal transition (emt) and its reverse process (met) are physiological processes operative since the first days of the embryological development [1, 2]. In adults, this phenotypic transition is often just a physiological response to a call for tissue regeneration, as in the case of normal wounds [3, ...
Herpes zoster is a reactivation of the latent varicella zoster virus in the dorsal spinal ganglion that is initiated by triggering factors such as trauma, aging, an immunocompromised state, malignancy, and radiotherapy . When reactivated, the virus replicates, resulting in inflammation, host cell death, and transportat...
Migraine is a periodic, often pulsatile unilateral headache, which is common in all ranges of ages . Migraine headaches usually begin in the early adulthood although it can begins as late as fifth decade of life . A mendelian pattern was not observed in both types of migraine but familial occurrence is common in both t...
The agricultural food production in developing countries and the mediterranean region suffers severely from the infestation of the parasitic weeds striga and orobanche sp.1, 2 seeds of these parasitic weeds can germinate only when a chemical stimulant exuded by the roots of host plants, such as maize, sorghum and mille...
Existence of non - inflamed or inflamed vermiform appendix in an inguinal hernia is named amyand's hernia in honor to the surgeon claudius amyand who successfully performed first perforated appendicitis . A 69-year - old turkish male patient with a slight right groin pain and swelling was presented to our clinic, and f...
Samuel darling in 1906 is a dimorphic fungal organism found in moist fertile soil contaminated by bird or bat droppings . Although endemic in east and central us states bordering the ohio river valley and the lower mississippi river, in europe some rare autochthone cases in italy, near the po valley, have been describe...
Levothyroxine (l - t4) is used worldwide as replacement therapy for patients with hypothyroidism, and for the last few years it has been the third most commonly dispensed therapy in the united states . Synthetic l - t4 as a therapeutic agent was first used in the 1950s and was widely adopted as the primary agent for th...
Physical mixtures of benfotiamin at three different mass ratios (1:1, 1:2, 1:3 and 1:4) were prepared . The prepared mixtures were then filled in glass bottles, sealed and stored in a dessicator until further use . A mixture of drug and polymers in three different mass ratios were wetted with water and kneaded thorough...
In 1998 kononen and colleagues published in nature medicine, the results of a high throughput analysis of tumor cases, named tissue micro array (tma) technology, via an ingenious substantial modification of a previous method, of transferring cores from several donor blocks into a virgin unique acceptor as replicated sa...
Gastroesophageal reflux (gor) affects a large number of infants and children . For the majority, the condition is self - limiting and most patients improve spontaneously over the first years of life . Medical therapy is the first line treatment of choice, but surgery remains an option if this fails to control reflux ad...
Periodontal diseases (pds) constitute a series of infections caused by the microorganisms that colonize sites at or below the gingival margin . These infections commonly lead to periodontal inflammation and often result in the destruction of the supportive periodontal tissues . The organisms that cause these diseases r...
It is postulated that these cause luminal obstruction resulting in subsequent acute inflammation of the mucosa . Appendicoliths are composed of inspissated faecal material, mucus with trapped calcium phosphate and inorganic salts . Dropped appendicoliths from appendicectomy are rare, but the surgeon and radiologist oug...
Exposures to ambient air pollution and secondhand smoke (shs) have been implicated as health risks, particularly for some conditions such as asthma (chilmonczyk et al .,; roemer et al .,; peters et al ., 1997; vedalet al .,; ostro et al ., 2001; wallace et al ., 2003; measurement error is inherent to air pollution stud...
Major conclusions are that there is a broad range of kinematics and that specific prostheses have specific advantages and disadvantages [2, 5, 27]. For example, posterior - stabilized knee prostheses were developed to prevent reversed anterior translations of the femoral condyles during flexion seen in cruciate sacrifi...
Wilson's disease is a rare autosomal recessive inherited disorder of copper metabolism causing excessive copper accumulation in the liver, brain, cornea and several other organs in the body, requiring specific treatment to remove or detoxify tissue copper and to prevent reaccumulation (1). Most patients with wilson's d...
Integral membrane proteins, such as ion channels, receptors, and transporters, perform their vital tasks through complex mechanisms that often involve major structural rearrangements triggered by stimuli such as ligand or substrate binding . The molecular response to the stimuli is propagated across the membrane, conne...
Recently, the detection of cystic lesions in the pancreas has greatly increased because of the wide use of high - resolution diagnostic imaging techniques.1 in contrast to solid tumors which are usually ductal adenocarcinomas, which have a very poor prognosis, most cystic lesions of the pancreas are either benign or lo...
Children with cerebral palsy experience restrictions on handwriting due to difficulties of motor coordination and balance due to damage to the central nervous system and involuntary movements . One study found that 81.3% of children with cerebral palsy were found to write incorrect, uneven and unrecognizable letters1 ....
Patients of sarcomatoid carcinomas of adrenal can present with non - functional adrenal swellings with pressure symptoms by themselves or the result of their metastatic damage to other organs . Diagnostic modalities include endocrine as well as radiological evaluation of the patient, but the definitive diagnosis is by ...
Heart rate variability (hrv) assesses the differences of the periods between consecutive heartbeats, which vary under autonomic control . Hrv can be measured by the time domain method, the frequency domain method and others . In the time domain method, mean heart rate (mhr), the square root of variance of rr intervals ...
Drug induced safety issues, to include renal impairment, continue to be a significant reason that drugs fail the development process 1 . However, the ability to identify drug induced renal function changes during the development process continues to be a challenge . The traditional renal biomarkers of urea and creatini...
Stroke is a kind of acute cerebrovascular disease characterized by high morbidity, disability and death rates . It is reported that stroke has become one of the most frequently - occurring neurological injuries in usa and china, about 800,000 and 2,000,000 people every year respectively (roger et al ., 2011). Stroke in...
The jhs recruited 5,301 african americans from the jackson, mississippi, metropolitan area between september 2000 and march 2004 . The cohort was composed of four components: 1) 31% of the cohort members were participants from the atherosclerosis risk in communities (aric) study recruited to the jhs; 2) 30% were repres...
Annually, 80,000 anterior cruciate ligament (acl) injuries occur in the united states with an estimated cost of almost a billion dollars . The most common mechanisms of acl injury are noncontact in nature, characterized by sudden deceleration prior to a landing motion or change of direction [2, 3]. These noncontact inj...
Currently available genotyping methods, based on reverse hybridization with subtype - specific primers and probes targeting the 5-untranslated region (5-utr) and core regions (versant hcv genotype 2.0 system; siemens healthcare diagnostics, milan, italy), as well as real - time pcr assays based on 5-utr and ns5b sequen...
Advancing age is related to considerable changes in mental and physical health, including loss of muscle mass (sarcopenia) and muscle function . This can lead to impaired physical ability and reduced quality of life.13 after the age of 70 years, about 1.5% of muscle mass is lost per year.4 denervation, metabolic, hormo...
A common cause of brain injury during the perinatal period is hypoxic - ischemic injury, which frequently results in the chronic handicapping conditions such as cerebral palsy, mental retardation, learning disability, and epilepsy (1). Predicting the outcome of neonates with hypoxic - ischemic injury, however, is diffi...
Hepatitis e virus (hev) is the agent largely responsible for epidemic as well as sporadic hepatitis in the developing countries. (12) the virus is transmitted by the feco - oral route, often through contaminated water . Acute viral hepatitis is a major public health issue in the developing nations that have inadequate ...
Almost 32% of us children aged 2 to 19 years have a body mass index (bmi) at the 85th percentile or greater . Childhood obesity is a risk factor for concurrent diabetes mellitus, nonalcoholic fatty liver disease, hyperlipidemia, and cardiovascular disease, and increases risk for adult obesity . Expert committee guideli...
The herd comprised approximately 550 dairy cows of the israeli - holstein breed raised in a zero - grazing management system . Heifers were transferred at the age of 2 months to another farm and returned pregnant 14 months later . All the cows and heifers were observed at least twice daily by the herd s personnel and a...
Studies have shown that only about 50.00%80.00% of the patients seeking care in emergency departments are real emergency cases . Triage is the process of prioritizing patients seeking emergency care based on their condition severity and initial need for care . This process is intended to allow the truly urgent cases to...
The most common combination of oral antihyperglycaemic agents used for patients with type 2 diabetes is metformin and sulphonylurea [1, 2]. Despite good initial efficacy, for most patients, this dual therapy is associated with progressive worsening of blood glucose control over time, requiring additional medication . C...
The history of total knee arthroplasty (tka) designs demonstrates attempts at implants that more closely match patient anatomy for improved treatment results . Traditional total knee implant systems were designed to provide components of a wide range of sizes to achieve a proper fit in almost all patients . However, se...
Shivering associated with neuraxial anesthesia is a frequent complication; occurring in up to 55% of patients . Shivering is uncomfortable for the patient and may interfere with monitoring of electrocardiogram, blood pressure (bp), and oxygen saturation . The metabolic and hemodynamic consequences of shivering include ...
Fear of hypoglycaemia and gain in body weight act as barriers for initiation of insulin therapy . Modern insulin analogues are a convenient new approach or tool to glycaemic control, associated with low number of hypos and favourable weight change . A1chieve, a multinational, 24-week, non - interventional study, assess...
A 64-year - old woman with no previous medical history sustained a motor vehicle accident (mva) on january 23, 2012 (she crashed into a truck from behind). When examined in the field, the patient noted numbness and weakness in her arms and numbness in her lower limbs . She was put in a philadelphia collar and transferr...
Patients with heart failure (hf) older than 65 years have a two - fold increased risk of cognitive impairment than elders without hf (1). The prevalence of cognitive impairment in adults with chronic heart failure is recognized as a factor contributing to the complexity of care for these patients (2). Cognitive impairm...
Autoimmune hepatitis (aih) is a chronic progressive hepatitis characterized by positive antinuclear antibody (ana) and hypergammaglobulinemia, portal inflammatory cell infiltration with plasmacyte dominance, and piecemeal necrosis 1 . Acuteonset cases of aih account for up to 25% of all cases, some of which present as ...
Stress cardiomyopathy (scm), a disease with many names like the broken heart syndrome, takotsubo cardiomyopathy, and apical ballooning syndrome, is characterized by regional myocardial dysfunction, typically occurring in the wake of a significant physical or emotional stressor . The pathophysiology of the condition rem...
Three types of calibrated microspheres have recently been approved in japan as embolic agents for hypervascular tumors and arteriovenous malformations . To date, two types of embolic microspheres capable of being loaded with drug have been introduced: dc bead (biocompatibles, farnham, uk) and hepasphere (biosphere medi...
We report a case of iga pemphigus with iga antibodies to desmoglein 1 (dsg1) and desmoglein 3 (dsg3). We report the case of an 60-year - old man with intraepidermal neutrophilic iga pemphigus with iga antibodies to dsg1 and dsg3 . The disease was not effectively controlled by conventional therapeutic regimens (colchici...
Topical bimatoprost is a popular prostaglandin analog used primarily as a powerful ocular hypotensive agent for treatment of glaucoma (approved in 2001). It is also used cosmetically to induce hypertrichosis, approved by the us food and drug administration in 2008 as latisse (allergan, inc, irvine, ca, usa). However, i...
Esophageal cancer is a relatively common form of cancer in the eastern world (3). The disease is highly lethal, with overall five - year survival rates less than 10% . Histologically, there are two main types; one type grows in the inside layer of the lining of the esophagus squamous cell carcinoma (scc) a second cance...
Perinatal depression is a major public health problem, affecting up to a quarter of all pregnant women in rural countries . It is associated with profound physical and emotional changes and associated risks for the onset or exacerbation of several mental disorders such as depression . In addition to its effects on the ...
Depending on the location of the perforation, signs of peritoneal irritation may be evident in cases of intra - peritoneal free perforation but hidden in cases of retroperitoneal perforation . The abscess or colonic gas may spread via various anatomic pathway when perforation of diverticulitis in the retroperitoneum oc...
Breast conserving therapy (bct) is currently considered as the standard management of early breast cancer . Reduced risk of local recurrence in patients administered a boost dose of 16 gy to the tumor bed in addition to 50 gy delivered to the whole breast, was confirmed in a large randomized trial [1, 2]. Boost options...
Plant researchers took efforts to elucidate biological roles and functioning mechanisms of phytohormones in various plant responses (1). And thus, phytohormones had been revealed to mediate a whole range of developmental processes, as well as to interact with environmental factors by extensive physiological and genetic...
There are a number of open issues in the hfd mouse modeling of t2dm: will these mouse models be useful in preclinical investigations?what about the differences identified between wild type mouse strains?why some protocols do not elicit dcm?can the research community agree upon a common hfd feeding protocol? Comparisons...
Psychiatric and psychological morbidity has been reported in patients with genital warts . Even though, genital warts are generally not associated with severe symptoms, they have profound adverse impact on quality of life of patients . If patient with genital warts, complains of severe and unusual symptoms are often co...
A packet was sent to the clinical microbiology laboratories of the 77 hospitals in the area . It included a letter describing the project, a questionnaire on hospital characteristics and laboratory testing methods, and a request for existing antibiograms from the most recent period for which completed data were availab...
Midaortic syndrome (mas) is a rare disease characterized by luminal narrowing of the abdominal aorta, and involves stenosis of the major branches in the abdomen . In 1963, the first paper was published describing the narrowing of the descending aorta as mas, unlike takayasu's syndrome that involves the aortic arch and ...
Pseudomonas aeruginosa has become the most common gram - negative bacterial species associated with serious hospital - acquired infections [1, 2].mortality rates outbreaks from p. aeruginosa in burn units can be significantly high (60%).immediate use of effective antimicrobial therapy for p. aeruginosa bacteremia has b...
According to recent estimates, developing countries in asia and in the middle east will have the largest increase in the prevalence of diabetes by 2030 (1). The prevalence of type 2 diabetes (t2d) is reported to be more than 14% in tehran, iran, with an estimated incidence of new cases in about 1% of population per yea...
The dentigerous cyst is a common non - inflammatory odontogenic cyst of the oral cavity . It's pathogenesis involves the accumulation of fluid between the unerupted tooth crown and surrounding follicle, giving rise to the characteristic clinical and radiographic finding of a cystic lesion surrounding the neck of the to...
Halorhodospira halochloris is an anoxygenic photosynthetic halophile that was isolated from the hypersaline wadi natrun lakes in egypt, residing in the mats near the sediments 8 . The genus halorhodospira was formed by separating species h. halophila, h. halochloris and h. abdelmalekii from genus ectothiorhodospira bas...
It is estimated that hypertension affects about one billion people, and the number will increase by 60% until 2025 (7). According to the world health organization and the international society of hypertension, high blood pressure is defined when the systolic blood pressure is 140 mmhg (18.7 kpa) or more, and/or level o...
It has become after the introduction of chemotherapy [14] and new radiation regimen [57]. But with increasing cure rates of mostly patients, late toxicities have been reported among survivors . The long - term frequency of cardiopulmonary, gonadal, and neoplastic treatment complications has been alarming after mopp, mo...
Creating and maintaining a functional hemodialysis access conduit is challenging . With an increasing number of patients needing hemodialysis per year, the demand for a durable access with minimum complications is also increasing . Among the postoperative complications, dialysis associated steal syndrome (dass) is the ...
Diagnosis, treatment planning, and treatment monitoring in endodontics, depend to a large scale on finding the true etiologic factor(s) of the current disease . The goal of endodontic treatment is to prevent and when required, to cure apical periodontitis (ap). Like other diseases, ap can be resolved only if the etiolo...
In the 19th century, robert koch postulated a causal relationship between a pathogenic microbe and a disease . This was later extended to the role of autoantibodies in the pathogenesis of human disease by witebsky et al . . In 1957, they proposed the fulfillment of several criteria to proof the pathogenic effects of au...
The need for new antibiotics has arisen due to the widespread resistance to current drugs . Despite this need, the antibiotic pipeline in the past few decades has been relatively dry in terms of new antibacterial classes when compared with progress against other diseases . One strategy to fight bacterial resistance is ...
Due to the lower level and impaired binding activity of cell - surface receptors on monocytes, a poorly controlled diabetic state increases susceptibility to infections such as endotoxemia . In the diabetic patients, infection is more serious and difficult to eradicate . However, the severity of cardiopulmonary dysfunc...
Histological features of nonalcoholic fatty liver disease (nafld) include steatosis, hepatocellular ballooning, the formation of mallory bodies, apoptosis / necrosis, and inflammation . Around 1020% of patients with nafld have nonalcoholic steatohepatitis (nash), which can develop into cirrhosis and hepatocellular carc...
The methodology has been described in detail in a previously published article.9 in summary, this study involved the prospective collection of data on all trauma patients attended to by the scottish ambulance service (sas) and emergency medical retrieval service (emrs) in scotland, for a complete year . Patients were n...
Injections of botulinum toxin type a (btx - a, botox cosmetic, allergan inc, ca, usa) have become one of the most popular cosmetic procedures worldwide (pitman 2005). In the us, more than 2.2 million cosmetic injections were reported in 2003, only a year after it received food and drug administration (fda) approval for...
Odorants are troublesome in water samples, because they dramatically influence the esthetic quality and consumers' acceptability of drinking water [1, 2]. These odorants are often associated with the metabolites that are produced in the degradation of cyanobacteria, actinomyces, fungi, and blue - green algae [35]. The ...
Corvids collected as part of the wnv dead bird surveillance programs in manitoba and ontario, canada, in 2001 and 2002 were used . Laboratories in each province received dead birds, collected oropharyngeal or cloacal swabs or tissues, performed the antigen - capture assay, and shipped tissues or swabs to the national m...
Bladder cancer is the 7th most common cancer in men and the 17th most common cancer in women in the world . Occupational risks, environmental risks, dietary habits, and cigarette smoking are lifestyle factors influencing the development of bladder cancer . It is a common malignancy requiring a high degree of surveillan...
Comorbidity indicates the presence of one or more additional medical disorders co - occurring with a primary disease within the same individual . The prevalence of disease rises with age; therefore, comorbidity becomes increasingly more common over a person's life span . With the aging of the general population and adv...
Falls are the leading cause of injury among older adults and the risk of falls and subsequent fall - related injury increases with age . Falls are not only associated with morbidity and mortality in older populations, but are also related to immobility, decreased quality of life, fear of falling, functional dependency,...
The pursuit for a global and self - consistent conceptual, mechanistic, and theoretical framework within which to discuss the denaturing properties and behaviors of cosolvents such as urea and guanidinium chloride (gdmcl) continues to garner a significant amount of scientific curiosity and effort . The quest for a fund...
The leucine - rich, glioma inactivated 1 (lgi1) gene was identified at the brake point of a reciprocal chromosome translocation t(10;19)(q24;q13) in the glioblastoma cell line t98 g . Lgi1 protein includes domains presumably involved in protein - protein interaction such as the leucine - rich repeats flanked by cystein...
A medication error can be defined as a failure in the treatment process that leads to, or has the potential to lead to, harm to the patient. The use of the term failure signifies that the process has fallen below an attainable standard . As per the us institute of medicine's report (1999) to err is human, every year 70...
Human cells show a different ddr during mitosis than in other cell cycle phases . During most of the cell cycle, after cells reach the point of no return, however, dsbs on mitotic chromosomes do not trigger cell - cycle delay or arrest; and the cells rather proceed through mitosis even if they contain unrepaired dsbs o...
The expenditure series (tables 1 - 9) initially was conceived as a national accounting (income and product accounts) series meant to satisfy two criteria: quasi - comprehensiveness of the underlying identity and adherence to rigorous economic classification principles . The identity ensures that all costs incurred for ...
Double male syndrome is a rare sex chromosome aneuploidy condition characterized by presence of two extra x and y chromosomes with an incidence of 1:18,000 - 1:40,000 male births . This syndrome is clinically manifested later in life with developmental delays, learning disabilities, behavioral problems, and delayed or ...
It is a phospholipase with little triacylglycerol lipase activity and plays a significant role in the metabolism of highdensity lipoprotein (hdl). Decreased hdl cholesterol and phospholipid levels have been shown in mouse models overexpressing el, whereas inhibition of el activity by antibodies or gene knockout leads t...
Conserved domains in proteins have crucial roles in protein interactions, dna binding, enzyme activity and other important cellular processes . With recently released predictions of the number of genes in the human genome being less than many previous predictions, interactions among protein domains protein domains are ...
The postpartum stage for women is marked by a feeling of contentment and pleasure while being stressful and problematic . Various studies undertaken in fields related to this experience indicate that becoming a mother is accompanied by prominent physical, social, and psychological changes which can affect not only moth...
A key determinant of a successful glaucoma filtering surgery (gfs) is the healing response of the sclera, tenon tissue, and conjunctiva . Histologically, functional blebs show low inflammatory response with scattered conjunctival epithelium cells and fibroblasts, whereas dysfunctional blebs are characterized by dense c...
Currarino syndrome (cs) is a hereditary pathology that is characterized by a triad of malformations: sacrococcygeal bone defect, presacral mass, and anorectal malformation . Radiologic imaging modalities such as ultrasonography (us), computed tomography (ct), and magnetic resonance imaging (mri) play a vital part in di...
Dyslipidemia may cause complications such as stroke, kidney failure, coronary heart disease, and atherosclerosis . High concentrations of triglyceride - rich lipoproteins, and apolipoprotein b in infants with a low gestational age; and increase of apo c-1 rich in high - density lipoprotein (hdl) with low birth weight a...
The specific causes of tle in the elderly have not been clearly disclosed . With advancing age underlying coexisting factors are more likely to be identified, and the proportion of people classified as idiopathic is less when compared to the younger age groups . Nonetheless, up to half of elderly patients with epilepsy...
Heterozygous hnf4a mutations cause a beta cell phenotype of neonatal hyperinsulinism with macrosomia and young onset diabetes . Autosomal dominant idiopathic fanconi syndrome (a renal proximal tubulopathy) is described but no genetic cause has been defined . We report six patients heterozygous for the p.r76w hnf4a muta...
Ureteritis cystica (uc) is usually suspected when defects of filling are seen in the ureter in contrasted images of the urinary tract . Although is the condition is usually an incidental finding during the evaluation of the urinary tract, it presents occasionally with acute flank pain . A urinalysis showed a ph of 6, w...
Gastroschisis is a right - sided, small, and full - thickness paraumbilical defect of the abdominal wall that occurs in 1 of 4000 births . Unlike an omphalocele, theories concerning the etiology of gastroschisis are usually considered to be the result of a vascular insult . Cardiac and genitourinary abnormalities have ...
Pediatric ms (pms) is defined by an initiation prior to the age of 16 years (sadaka et al ., 2012; renoux et al ., 2007). Although a variety of features characteristic for pms have been described recently (e.g., hummel et al ., 2013; bigi and banwell, 2012; sadaka et al ., 2012; vargas - lowy et al ., 2012; polman et a...