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Upper urothelial tract carcinomas (utuc) are rare tumors that account for about 5% of genitourinary malignancies . Despite the introduction of minimally invasive techniques and the revisions in some of the indications for radical surgery, especially for low risk patients, radical nephroureterectomy (rnu) with bladder c... |
Despite significant scale - up of antiretroviral prophylaxis, 260,000 pediatric hiv-1 infections are still diagnosed annually [1, 2], of which nearly half are a result of breastfeeding . In the united states, it is recommended that hiv - infected mothers use replacement feeding . However, replacement feeding in resourc... |
The use of various imaging techniques in post - treatment assessment of head neck cancer is gradually on the rise, though clinical examinations at periodic intervals still remains the mainstay of follow - up . 18f fdg pet / ct is increasingly used in the post - treatment setting to diagnose residual / recurrent disease... |
A 29-year - old male develops severe pancreatitis, presumably as a result of heavy alcohol intake . He is admitted to the hospital ward for management but becomes hypoxic over the first 24 hours, requiring intubation and mechanical ventilation . The patient is admitted to the intensive care unit and, in the course of i... |
Both gonadal and adrenal testosterone can be converted into estrogens (c18 steroids) by the p 450 aromatase, encoded by cyp 19, which is present in many peripheral tissues, including bone . Bone cells express androgen receptor (ar) as well as estrogen receptor- (er) and (er). Therefore, androgen action on male bone may... |
All genetic variations originate from mutations, which are defined as changes in dna sequence . Mutations can affect either germline cells (the cells which produce gametes) or somatic cells (all the cells other than germline cells). In human genetics, the term mutation has often been reserved for dna sequence changes t... |
In august, 4 months before presentation, a 35-year - old white woman of scots and english descent developed reddish urine for several days followed by eruption of vesicles and blisters on the dorsal surfaces of her hands and fingers, the sides of her nose, and her upper anterior chest, knees, and legs . She worked as a... |
Electroconvulsive therapy (ect) is a strong option for treating patients with medication - resistant depression, a high risk of suicide, psychotic agitation, and other severe mental issues . However, gaines and rees1 suggested that ect increases cerebral blood flow 1.5-fold to sevenfold and raises intracranial pressure... |
Children s cough is a daily concern for most of pediatricians . In the majority of cases, cough is self - limiting, but its persistence could become annoying and could impair both quality of life and social activities.1 the management of both acute and chronic cough requires a systematic and comprehensive approach . Ne... |
Biochemically, obesity can be defined as a failure of the normal energy homeostasis mechanisms which are required to balance the intake and the expenditure of energy [1, 2]. The regulation of the size of fat stores is a complex process and involves both central and peripheral tissues [1, 3] and over 50 secreted molecul... |
Infection by helicobacter pylori (h. pylori) is associated with gastritis, duodenal and gastric ulcer, gastric adeno - carcinoma and mucosa - associated lymphoid tissue lymphoma . In developing countries infection occurs predominantly in childhood and the infected individuals maintain h. pylori strains in their stomach... |
Studies have reported that men are more prone to diseases and have a higher mortality rate than women . Previous investigations have shown that men adopt more inappropriate lifestyle choices, are less concerned about their health, ignore the warning signs of the disease, and also have late referral to medical centers c... |
Toxocara canis (t. canis), a common dog roundworm, is one of the causative agents of visceral larva migrans (vlm). When infective eggs of t. canis reach the human gastrointestinal tract, they enter the portal system and reach the liver . Some larvae then migrate from the liver to the lung and the heart through the syst... |
As there has been a recent increase in orthodontic treatments of adult patients with aesthetic requirements, the use of ceramic brackets and resin brackets is increasing . In order to improve the aesthetics, orthodontic wires as well as brackets with tooth - colored coatings however, since the coefficient of friction o... |
The research area of substituent - free group 15 element ligands in the coordination sphere of transition metal complexes has shown to be a prosperous field in chemistry . Some of these complexes possess planar e3, e4, e5 and e6 rings . From their appealing symmetry, to the lively discussion of their possible aromatici... |
Ovarian stromal tumor with minor sex cord elements was first described by young and scully in 1983 . Only 11 cases of ovarian stromal tumor with minor sex cord elements have been reported till date . Only three cases of ovarian stromal tumors with minor sex cord elements with coexistent endometrial carcinoma have been ... |
Diabetes mellitus may predispose individuals to invasive fungal infections (ifi) probably related to impaired functions of neutrophils, macrophages, cellular and humoral immunity, and iron metabolism (1, 2). Children with type 1 diabetes (t1d) who present with ketoacidosis have increased susceptibility to infections pa... |
Patients with conditions such as psoriasis, eczema, and skin cancer frequently face psychologic challenges which, in turn, impact their social functioning and the kind of life that they lead . Patients may experience fearful anticipation of interaction with others, even when symptoms are not present, and develop avoida... |
Central serous chorioretinopathy (cscr) is a relatively common ophthalmic disorder characterized by the development of a serous detachment of the sensory retina due to a deficient pumping function at the retinal pigment epithelium level.13 diagnosis of cscr is made using fluorescein angiography, while retinal optical c... |
Congenital myasthenic syndromes (cms) are inherited disorders of neuromuscular transmission caused by various genetic defects at presynaptic, synaptic, or postsynaptic levels . They are characterized by fatigable weakness involving ocular, bulbar, and limb muscles with the onset in the early years . Severity and progre... |
What is new?the applicability of clinical practice guidelines to primary care has been questioned for individual conditions such as hypertension and depression, and concerns have been raised about guidelines promoting overtreatment of low - risk populations.until now, evidence from a systematic appraisal of the relevan... |
Plasmodium falciparum is one of the major causes of mortality among children in rural india . States such as odisha have high childhood mortality due to p. falciparum positive malaria often occurring in various forms . Lack of awareness of atypical manifestation leads to delay in diagnosis and early management often le... |
Metastatic disease to the heart is not uncommon . A study conducted on autopsies of patients with a known non - cardiac primary malignant neoplasm revealed cardiac metastasis in 9.710.7% of cases.1 additional post - mortem studies have quoted the number of cardiac metastases in patients who had died of malignancies as ... |
Mycobacterium tuberculosis is the world's largest cause of death from a single microorganism after human immunodeficiency virus (hiv). Globally, there are almost nine million new cases of tuberculosis (tb) each year, two million of which results in death . It is estimated that about 1/3 of the current global population... |
Management can be challenging, in an intensive care setting, in case a patient is afflicted with more than one microbiological infection . It may be possible for two viruses to infect the same cell and as such, there may be interaction of the pathologic pathways of the two viruses, leading to change of virulence or alt... |
Depressive disorders affect 340 million people (approximately 9%) globally regardless of gender, culture, or ethnicity . From 1990 till present time, depression has been rated one of the leading causes of years lived with disability (ylds). For instance, depression predicts future coronary events and cardiac deaths in ... |
Studies have shown that statins can inhibit the action of hmg - coa reductase in the liver, thereby slowing down the cholesterol production process . Clinical studies have also shown that statins can reduce the risk of heart attack, stroke, and death in patients with heart disease such as coronary artery disease and ca... |
Only 30 - 60 per cent of patients respond properly to treatment with antidepressants, beta - blockers, statins and antipsychotic agents . Approximately two days of prolonged hospital visits are caused by adverse drug reactions (adrs), and, in the usa, about 100,000 deaths are estimated to be due to adrs every year . Th... |
The use of heat for both therapeutic and preventive purposes dates back to 124 bc with the introduction by asclepiads, a greek physician . Temperature is sensed in blood vessels through the trp receptors and transient receptor potential channels, or trp channels, are responsible for managing the body s response to vari... |
Pneumoperitoneum, the presence of free air within the peritoneal cavity outside of the viscera, results from perforation of intra - abdominal organs in 90% of cases . Approximately 515% of pneumoperitoneum cases are not due to intra - abdominal organ perforation but are the result of thoracic, gynecologic or other intr... |
Patient 1 was diagnosed with hiv infection in 2005 at 13 years of age . Since the age of 8, he had complained of a persistent, nonitchy skin rash covering his face and arms . There was no family history of skin disease and no other past medical history of note . A physical examination revealed widespread flat, nonscaly... |
The longevity of the world's population is increasing, and in male patients, so are the complaints of lower urinary tract symptoms (luts). Testing to diagnose luts and to differentiate between the various causes should be quick, easy, cheap, specific, not too bothersome for the patient, and noninvasive or minimally so ... |
Helicobacter pylori is a spiral - shaped, gram - negative, microaerophilic and fastidious bacterium (1, 2), and infects almost 50% of the world s population (3, 4). It is the main cause of chronic gastritis, gastric and duodenal ulcers, mucosa - associated lymphoid tissue lymphoma and gastric adenocarcinoma (2, 5). In ... |
In mammals, a small fraction of the genome (e.g. In human) is transcribed into messenger rnas, whereas the most represents a transcribed dark matter that does not encode for proteins . Among them, long non - coding rnas (lncrnas) are prevalently transcribed from mammalian genomes and are present in large amounts in mam... |
Cone dystrophy is a type of hereditary retinal degeneration characterized by a progressive dysfunctioning of the cone photoreceptors . The possibility of cone dystrophy confined mainly in the periphery had been suggested [1, 2], and krill et al . Reported three patients with cone dystrophy, who had normal or near - nor... |
The exposure of the ear to noise is a known, identified factor leading to hearing loss . In various types of surgeries of the ear and ear - related conductive bones, a wide variety of devices are used that are potential sources of high - frequency noise outputs, which accounts for cochlear acoustic trauma . Drills and ... |
The past and present periods of large - scale genome sequencing have brought an enormous wealth of protein sequences that makes managing, navigating and mining the data an area of research in its own right . Mutations, insertions and deletions create sequence diversity inside a domain family . On a higher level, recomb... |
Bilateral ectopic pregnancy is a rare condition and is divided in two subgroups, primary and secondary, based on history of assisted reproductive technology . A 30 year old primigravid woman with history of infertility and ovulation induction presented to a hospital in kashan in year 2013 . She had vaginal bleeding, ab... |
The actions of glutamate, the main excitatory neuro- transmitter in the mammalian central nervous system (cns), can be finely modulated by metabotropic glutamate receptors (mglurs) [1, 2]. Mglurs are g - protein coupled receptors and are divided into three groups based on sequence homology, pharmacological profile, and... |
Methamphetamine (ma) is used as a recreational drug for its properties which cause sense of energy and euphoria . The same amount of ma may not cause harm in some individuals, however, it also may be seriously toxic for some other individuals . Ma may cause hepatotoxicity, rhabdomyolysis, cardiotoxicity, nephrotoxicity... |
Adenomatoid odontogenic tumor (aot) is a benign, slow - growing, and noninvasive odontogenic lesion associated with an impacted tooth . The presence of so - called unique duct - like structures under microscope imparts the tumor a glandular, i.e., adenomatoid appearance . The tumor is also known as two third's tumor be... |
Our survey covered all small molecule new molecular entity (nme) drugs that are intended for systemic use and were approved by the fda between january 2013 and august 2016 . The new drug application (nda) review documents (drugs@fda, http://www.fda.gov/drugsatfda) and product labels were examined for pbpkrelated inform... |
Stat3 is a transcription factor that is activated by extracellular ligands, e.g., the cytokines il-6, il-10, il-21, il-27, g - csf and leptin, but also by the growth factors egf and hgf, through specific binding to transmembrane receptors and the induction of receptor associated and cytoplasmic tyrosine kinases . Stat3... |
Currently, 106 species are accepted in this genus (denchev & denchev 2011a, 2011b, 2012, vnky & abbasi 2011, vnky 2012, savchenko et al . 2013), but this is certainly not a final number . The magnitude of host plants reported in different publications for some putative species complexes suggests that more species are l... |
Obesity is a major public health issue, both nationally and internationally . Recent reports estimate that 35.7%approximately 72.5 million of american adults are obese (defined as body mass index (bmi) 30 kg / m) [1, 2]. Globally in the year 2000, the number of adults with excessive weight exceeded the number who were ... |
Simultaneous palmar dislocation of the scaphoid and lunate is rare [17] and has been classified into two types depending on whether or not the scapholunate ligament is intact . Ten patients with dislocation of the scaphoid and lunate as a unit have been described to date, as well as six patients with divergent dislocat... |
The class i elements include the long terminal repeat (ltr) retrotransposons, the non - ltr retrotransposons and the short interspersed nucleotide elements (sines) 1, 2 . The class ii elements have terminal inverted repeats with transposase - binding sites, and include the p elements found in drosophila . The best - kn... |
It presents with various obstructive and irritative lower urinary tract symptoms (luts) like frequency, urgency, nocturia, intermittency, weak urinary stream etc . The international prostate symptom score (ipss) is a tool which is very commonly used in the evaluation of the severity of symptoms of the patients . It is ... |
In the pathogenesis of chronic active hepatitis the importance of spell out then abbreviate cmi has been emphasized . The hepatitis b virus is cleared by cytotoxic t - lymphocyte if the clearing is defected, inflammation progresses . Goldyne and goldyne and stobb reported that monocytes play an important role in the re... |
Parkinson's disease (pd) is a chronic and progressive disorder with an estimated prevalence of 2% in adults over age 60 . The study of disease progression and its determinants is of great importance to improve our understanding of the disease in order to optimize treatment . A wide variety of correlations between diffe... |
In the drug - delivery field, several nanocarriers have been proposed to improve the therapeutic index of various biologically active molecules such as peptides . Indeed, in vivo administration of peptides is still limited by their poor bioavailability and susceptibility to cleavage by proteases . In order to obtain a ... |
Epidermolysis bullosa (eb) refers to a group of inherited disorders that involve the formation of blisters following trivial trauma . Eb pruriginosa is a type of dystrophic eb caused by type vii collagen gene mutation, with distinctive clinico - pathological features . It is characterized by nodular prurigo - like lich... |
A 70-year - old male patient presented with painless, gradually increasing swelling in the right lower bulbar conjunctiva for 6 months followed by redness and watering for last 3 weeks . Ocular examination revealed a 14 mm 7 mm red fleshy mass in the lower bulbar conjunctiva in the right eye [fig . 1]. Clinical photogr... |
Dental ectopia is characterised by the change in the normal pathway of a tooth eruption, which may occur in any region of the alveolar and basal bone . In fact, it is a rare developmental anomaly whose aetiology is unknown and controversial . One can suppose that such an eruption process can be altered by genetic facto... |
Neisseria gonorrhoeae is a well - known cause of sexually transmitted diseases such as genital, pharyngeal, and anorectal infections . Bloodstream invasion, however, occurs only in 0.5 - 3% of the infections and results in disseminated gonococcal infection (dgi). We report a patient with n. gonorrhoeae bacteremia in wh... |
Congenital pulmonary vein stenosis occured due to failed incorporation of common right and/or left pulmonary vein into the left atrium . Main pulmonary artery branch or ppas should be suspected when a continuous murmur is heard or chest x - ray shows post stenotic dilatation or area of decreased vascularity . Below is ... |
Hydrazone 1 (0.273 mmol), catalyst 7 (5 mol%), and mg(otbu)2 (5 mol%) were combined in a 2 dram oven dried vial and capped with a teflon / silicon septum inside of a nitrogen drybox . The vial was removed from the drybox and thf (0.25 m) was added and the vial was heated with moderate stirring in an aluminum heating bl... |
In george lucas epic star wars saga, jedi knights battle an evil empire with light sabers . Now, scientists have started to use light from lasers and light - emitting diodes to explore new concepts for striking back at one of humanity's most threatening foes, cancer . The concept of optogenetics is based on genetically... |
Obesity, most often defined as a body mass index (bmi) of 30 kg / m and caused by an imbalance between energy intake and expenditure, is widely recognised as the largest and fastest growing public health problem in the developed and developing world (https://apps.who.int/infobase/publicfiles/surf2.pdf). Prevalence of t... |
A 20-year - old refugee from liberia was referred to our hospital because of a loud murmur ., he had been admitted to a hospital in his home country several times because of respiratory tract infections and heart problems. He had a low body weight of 45 kg at a height of 1.63 m. he was hypertensive with a 50 mmhg diffe... |
Gene expression is well regulated by the epigenetic modification of dna and histone tails independent of their primary sequences . In particular, cytosine methylation, in which the c5 position of the cytosine base is methylated enzymatically, plays a crucial role in the regulation of chromatin stability, gene regulatio... |
Copd is a progressive disease leading to a decline in lung function over time despite the best available care . The presence of multiple comorbidities is common among copd patients, with the vast majority of patients using multiple classes of chronic non - copd medications.13 in addition to significant effects on morbi... |
The large intestine is composed of the cecum (most proximal portion, receives liquid residue from distal ileum), the colon (ascending, transverse, descending, and sigmoid), the rectum, and the anus . Approximately 1500 ml of liquid residue arrives in the large intestine daily, and normally, more than 90% of the water a... |
For instance, in 1999, john chapin s laboratory at hahnemann university in philadelphia and my own laboratory at duke university collaborated in the first experimental demonstrations of a brain - machine interface in animals . In these experiments, rats learned to use the combined electrical activity of a handful of co... |
With the availability of newer and smaller endoscopes, the utilization of endoscopy to diagnose gastrointestinal disorders in children is increasing . Pediatric upper gastrointestinal endoscopy (ugie) can be completed without sedation, by using intravenous sedation, or with general anesthesia [14]. Various medication c... |
The multi - factorial etiology of the disease necessitates the evaluation and combination of multiple factors.1 although past caries experience has been recognized as the best single caries predictor, other factors must be assessed, especially in children who have not yet developed clinical signs of the disease.2 in ve... |
Cdnas containing the sequence of human wt - ftl and human mutant ftl498499instc were introduced into the pet-28a(+) expression vector (novagen, emd chemicals inc . ). The cdnas were cloned between the bamhi and xhoi sites, downstream from and in - frame with the sequence encoding an n - terminal his6 tag . To eliminate... |
Celiac artery aneurysm is a quite uncommon vascular lesion, accounting for 5.1% of all splanchnic artery aneurysms . Although rare, celiac artery aneurysm carries a definite risk for rupture and other complications . However, because of its rarity, no strong consensus concerning indications for intervention of asymptom... |
Science facilities projects require the collaboration of many different parties, and an effective coordination between these individuals leads to successful outcomes . Architects with experience in designing laboratories bring expertise and creativity as they provide their clients with a variety of issues and examples ... |
Cerebral inflammation plays an important role in the pathogenesis of secondary brain injury following traumatic brain injury (tbi) [1, 2]. Proinflammatory nuclear factor kappa b (nf-b) signaling pathway has been well documented in previous studies of our laboratory [3, 4]. Increased levels of inflammatory agents with t... |
Mucoceles of the appendix are uncommon, accounting for only 0.2 to 0.3% of appendectomy specimens . An appendiceal mucocele is a cystic dilatation of the appendiceal lumen by accumulation of mucus, and may include mucosal hyperplasia, a mucinous cystadenoma, or a mucinous cystadenocarcinoma . Frequently, the diagnosis ... |
Data were collected during routine care from specialized diabetes centers in germany and austria by means of a computerized documentation called the diabetes prospective documentation initiative (diabetes patienten verlaufsdokumentation [dpv]). The dpv register started in 1995 in germany on a nationwide basis . For qua... |
Mammals are susceptible to a wide range of infectious agents, including, but not limited to, viruses, bacteria, and protozoan parasites . While many microbes cause debilitating illnesses, are responsible for much morbidity and mortality worldwide, and garner much of the public's attention, other organisms stealthily in... |
Plexiform neurofibroma is the term applied to a diffuse neurofibromatosis of nerve trunks, which is often associated with an overgrowth of the skin and subcutaneous tissues . It is a distinct type of neurofibroma that expands a nerve into a large tortuous mass of fibers that has a bag of worms appearance . Plexiform ne... |
Dexamethasone is a glucocorticoid with a relevant clinical use mainly due to its anti - inflammatory and immunosuppressive effects . However, the great number of side effects, such as hypertension, hydroelectrolytic disorders, hyperglycemia, peptic ulcers, and glucosuria, restricts the use of dexamethasone in prolonged... |
Ventral hernias are the second most common type of abdominal wall hernias, after inguinal hernias . The majority of ventral hernias are incisional, occurring in 3% to 13% of laparotomy incisions, necessitating approximately 90 000 ventral hernia operations per year . The use of prosthetic material, such as polypropylen... |
Errors in the administration of chemotherapeutic agents have been reported in the literature . The majority of these reports concern the overdose of a single agent during combination chemotherapy . Mistakes are usually decimal point errors or occur by confounding drugs with similar names . Although combination chemothe... |
Esthesioneuroblastoma is an uncommon malignant neoplasm that arises from the olfactory neuroepithelium1 and is typically located in the upper nasal cavity and cribriform plate.2 in this article we report a case of esthesioneuroblastoma presenting concomitantly with a growth - hormone (gh)-secreting pituitary macroadeno... |
Preliminary tests revealed ch2cl2 as a suitable extraction solvent for the roots of k. lappacea in order to maximize the yield of lignan derivatives and to minimize the vegetable tannin content in the resultant extract . Eleven previously known lignan derivatives, comprising neolignans, norneolignans, and 7,7-epoxy lig... |
A pleasant face can be a great asset to one's personality while a facial deformity can greatly affect one's social acceptance and behavior . The role of skeletal structures influencing the facial form is a recognized and accepted fact . However, one must not lose sight of the fact that the soft tissue that covers the b... |
Astroblastoma is a rare glial tumor occurring predominantly in the cerebral hemispheres of young adults . It is difficult to determine exact number of astroblastoma cases since the number may include some that are not typical astroblastoma . However in some report it was estimated that only 0.45 - 2.8% of all neuroglia... |
Oroantral fistula (oaf) is an abnormal communication between the oral cavity and the maxillary sinus . The chances of occurrence of oroantral communication increases, if there is an underlying peripical infection or a preexisting sinus disease . The chronic long standing nature of oaf may be due to fungal infection lik... |
Guaifenesin (gf), 3-(2-methoxyphenoxy)-1,2-propanediol; is reported to increase the volume and reduce the viscosity of tenacious sputum and is used as expectorant for productive cough . Different methods have been reported for the analysis of gf including hplc [28], gc [9, 10], capillary electrophoresis mass spectromet... |
Bilateral cystic nephromas are very rare with five cases described in the english literature . Though rhabdomyosarcoma is a very common soft tissue sarcoma that occurs in children, rhabdomyosarcoma affecting the penile urethra is extremely rare . Here, we present a case of bilateral cystic nephroma who subsequently dev... |
Foot and mouth disease (fmd) is an economically important disease of cloven - hoofed livestock such as cattle, sheep, and other domestic animals in addition to several wild - life species . The causative agent of the fmd is the foot and mouth disease virus (fmdv). The disease is considered one of the most important bar... |
Breast - conserving surgery and radiation therapy are the standard alternatives to mastectomy for eligible women with stage 0, i, or ii breast cancer [1, 2]. Survival outcomes are equivalent to women who undergo initial mastectomy, and the long - term rates of ipsilateral breast tumor recurrence (ibtr) are on the order... |
Large numbers of plastic and reconstructive surgical procedures are performed every year to repair soft tissue defects that result from deep burns, tumor resections and hereditary and congenital defects such as romberg's disease and poland syndrome (1). Despite the increasing clinical demand, the optimal strategy for t... |
Bladder cancer (bca) is the fifth most common cancer in the united states . In 2012, it is projected that 73,510 people will be diagnosed with bca and 14,880 will die from the disease . Muscle invasive bc (nmibc), about 30% of patients will either initially present or later progress to muscle invasive bladder cancer (m... |
A number of diseases affect the biliary tree (cholangiopathies), though the pathological mechanisms involved and the anatomical level of the biliary tree affected vary . For example, small interlobular bile ducts are mainly affected by a th1-dominated microenvironment and cell - mediated immune response in pbc, while a... |
We used protein sequences from the swiss - prot database release 45.0 (http://www.ebi.ac.uk/swissprot) for training and testing purposes in this study . To obtain high - quality datasets, we filtered the data as follows: (1) include sequences only from the animal species that have experimentally derived annotations for... |
Netrin family proteins play essential roles in the development of the axonal pathway and neuronal migration during embryonic development of the vertebrate nervous system (1 - 3). The commissural neurons in the embryonic spinal cord project their axons to the ventral side of the spinal cord, and cross midline to give ri... |
Aki remains an immense clinical problem that is associated with high morbidity and mortality rates and affects a growing number of hospitalized patients . There is not only significant physical injury to millions of individual patients but also a large economic impact to society as evidenced by increased length of hosp... |
The study was conducted at the copenhagen neuromuscular center, rigshospitalet, denmark, in collaboration with the danish national rehabilitation centre for neuromuscular diseases . One hundred nineteen patients registered with a diagnosis of cm aged older than 5 years were invited . The age limit of 5 years was chosen... |
Dronedarone is a relatively new antiarrhythmic drug and is held to be less proarrhythmic than comparable compounds, although its proarrhythmia potential in humans has not been sufficiently evaluated . We describe a so far unreported dronedarone effect, namely a significant alteration of both the morphology and the dura... |
Peri - renal sepsis in the setting of chronic renal failure requiring an emergency nephrectomy is rare . There is a single case report of overwhelming mrsa urosepsis in a patient with stag horn calculus who required an emergency nephrectomy . Pyelonephritis accounts for 34 hospital admissions per 10 000 females, with n... |
Early detection of a hearing problem with a diagnostic tool like newborn hearing screening test is important . Early detection can bring improvements in hearing ability and language development of children by promoting the use of rehabilitation strategies including hearing aid and cochlear implant . Auditory neuropathy... |
Knowledge management, based on information transfer between experts and analysts, is crucial for the validity and usability of data envelopment analysis (dea). To design and develop a methodology: i) to assess technical efficiency of small health areas (sha) in an uncertainty environment, and ii) to transfer informatio... |
Scfe occurs in 10 per 100,000 in some regions of the united states with the incidence continuing to increase . Percutaneous screw fixation is a well - accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature . We describe a case where a traumatic un... |
Certain parts of the alveolar ridge are sensitive to the pressure of hard prosthetic materials, due to thin overlying mucosa.1 when the shock absorbing behaviour of mucosa is diminished, masticatory impact forces are directly transmitted to the underlying tissue . As a result, there is an increased burden on the residu... |
This study aims to model the financial benefits of implementing an electronic medical record (emr) system for hospitals in low - income settings . To date the limited attention given to analyzing financial soundness has been couched solely in high - income settings . We quantify three areas of significant potential cos... |
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