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Upper thigh subcutaneous emphysema manifested by swelling, crepitus and cellulitis is a common orthopaedic presentation, usually related to underlying musculoskeletal problem or penetrating wound . In a few situations, this can be related to abdominal pathology rather than limb pathology and most of these cases we pres... |
It is well known that patients with long dialysis vintage have low cardiac output for various reasons including dilated cardiomyopathy, which is otherwise known as uraemic cardiomyopathy. Although the aetiology has still not been clearly defined, uraemic states have been associated with sympathetic overactivity and aut... |
Trunk stabilization exercises were developed in the late 1990s in order to improve the stability and mobility of the spine by strengthening the deep trunk muscles1 . These stabilization exercises help to move the spine during posture changes while maintaining a balanced, neutral spine position by causing co - contracti... |
Gastroesophageal acid reflux causes a variety of clinical symptoms, such as heartburn, acid regurgitation, dysphagia and retrosternal pain . Endoscopic evaluation is a reliable method for evaluation of esophagitis [1, 2] and the los angeles classification is one of the most accepted grading systems for esophageal mucos... |
Hairy cell leukemia (hcl) is an indolent neoplasm of small mature b lymphoid cells comprising 2% of lymphoid leukemias and it occurs more frequently in men (male: female - 4:1) and mean age at diagnosis is approximately 52 years . This entity, also called as leukemic reticuloendotheliosis, was initially described in 19... |
Patients with conditions affecting postural control face difficulties performing daily living activities and therapeutic interventions because of postural disturbance and a large negative effect on muscle activity, as their sensory information is often transmitted abnormally1 . Hippotherapy has been used to improve the... |
According to the world health organization (who), physical and social environments are key determinants in maintaining an autonomous, meaningful life along the aging process . Research from epidemiological studies and social sciences has provided sufficient evidence that maintaining health, independency, and autonomy w... |
Malignant tumors arising in the anterior mediastinum are most commonly due to lymphoma or leukemia followed by germ cell tumors . Malignant tumors of the middle mediastinum are usually due to adenopathy from leukemia or lymphoma . Tumors of the posterior mediastinum are usually of neurogenic origin with neuroblastoma b... |
Myostatin, a transforming growth factor- family member, is a negative regulator of skeletal muscle mass and several approaches have been used to knockdown this protein to induce an increase in skeletal muscle growth . This could have important implications in disease conditions including cancer and hiv / aids, which ar... |
Epidemiologic and clinical studies support the cardiovascular benefits of marine - derived omega-3 fatty acids (om-3 fa).15 potential mechanisms for the cardioprotective effects of om-3 fa include reducing triglyceride (tg) levels, stabilizing athero sclerotic plaque, exerting antiarrhythmic, antithrombotic, and anti -... |
Psychiatric illnesses are associated with a high prevalence of therapeutic failure, drug - associated side effects, and recurrent conditions . In psychiatry, as in other diseases, there is a high interindividual variability in drug responses for efficacy, tolerability, and safety, which is determined by patient factors... |
It has been suggested that the majority of back pain is caused by intervertebral disc degeneration (ivd), which is a condition that can lead to spinal stenosis, radiculopathy, disc herniation, and age - related histological alterations.1,2 ivd describes a complex set of biochemical changes that can progress with age an... |
Over a 4-year period (20112014), 245 patients with fractures of the zygomatic complex were retrospectively studied at oral and maxillofacial surgery department, sree balaji dental college and hospital . These patients were selected from a pool of 960 patients who sustained maxillofacial fracture during the period under... |
Endodontic cavity preparations deal with both coronal and radicular cohorts that flow together into a single preparation . A root with gracefully tapering canal and a single apical foramen is more of an exception rather than a rule . Investigators have shown multiple foramina, deltas, accessory canals etc . In most of ... |
The serine / threonine protein kinase b (pkb, aaabbreviations: agc, camp - dependent, cgmp - dependent and protein kinase c; elisa, enzyme - linked immunosorbent assay; mtor, mammalian target of rapamycin; ph, pleckstrin homology; pka, protein kinase a; pkb, protein kinase b; pi3k, phosphatidylinositol-3 kinase; pi(3,4... |
Otosclerosis is a complex inflammatory bone remodeling disorder of the human otic capsule that leads to progressive conductive and/or sensorineural hearing loss as a consequence of stapes footplate fixation and cochlear bone resorption with endosteal involvement . In the caucasian population, the prevalence of clinical... |
The macintosh laryngoscope (ml) remains the most popularly used laryngoscope for endotracheal intubation in routine surgical patients . Despite its popularity, failures during intubation are not uncommon, especially in patients with unanticipated difficulty (1.5 - 8.5% of all general anaesthetics). Better laryngoscopes... |
Free radical - mediated lipid peroxidation and antioxidants are attracting considerable research interest in many areas . Lipid oxidation is one of the major deteriorative processes in many types of foods, leading to the changes in food quality and nutritional value . In particular, investigators report that free radic... |
This condition ranks second among the complaints in the united states, following upper respiratory tract complaints . Herniated discs (hd) account for 4% of the total cases of mechanical low back pain, and occur in approximately 2.8 million patients annually . Patients with lumbar hd experience acute onset unilateral o... |
The study was approved by the medical ethics committee of the stanford university medical center and the research committee at aravind eye hospital, and conducted according to the principles of the declaration of helsinki . This study was carried out from june to august 2012 at the aravind eye hospital, a private eye h... |
Relatively little research to date has tested age - related changes in error detection . Among the existing studies, some have examined young and older individuals' abilities to identify errors that they committed themselves (e.g., [13]). While these studies provide very naturalistic tests of error detection, interpret... |
Between july 1 and november 30, 2000, 428 patients with serologic diagnoses of wnv infection were reported to the ministry of health (moh) department of epidemiology . Diagnosis of wnv infection was made on the basis of symptoms, signs, and laboratory confirmation of the presence of immunoglobulin m (igm) antibodies . ... |
Transcatheter balloon valvuloplasty has been the accepted first line treatment for congenital pulmonic stenosis (ps) in children . Transcatheter closure of perimembranous ventricular septal defect (vsd) with amplatzer vsd occluder is an alternative to surgical repair . A 12 year old boy presented with history of exerti... |
Development of the immune response in childhood is a dynamic process initiated within the fetal period and expanding in time through months and even years of child's life . Physiological phenomenon of immune system maturation, type and timing of activating allergens, and microbial antigens in conjunction with genetic p... |
Glenoid loosening constitutes 32% of all total shoulder arthroplasty (tsa) complications and has a revision rate of 7% (bohsali et al ., 2006). To overcome this, curved - back designs, variations in pegged or keeled designs and other macro - features have been used . Despite many efforts, this difficulty is probably ca... |
Of all the molecules encountered in living organisms, proteins are the most abundant and diverse from a functional point of view . From the hormones and enzymes that control metabolism, the framework forming collagen in bones, the contractile proteins in muscles, to the haemoglobin and albumin in the bloodstream and im... |
Thyroid dysfunction is frequently observed in patients with type 2 diabetes mellitus (t2 dm), but the underlying mechanism is still poorly understood [13]. Nesfatin-1 is a peptide that has been identified in the hypothalamus including the paraventricular nucleus (pvn) and is encoded in the n - terminal region of the pr... |
Despite of increment of liver transplantation (lt), there are still growing numbers of accumulated patients in waiting list in korea . Child - turcotte - pugh (ctp) score - based system has been used for deceased donor allocation in lt in korea from 2002 . Even though the donation rate after brain death was still relat... |
For the last years both competent authorities, the us food and drug administration (fda) and the european medicines agency (ema), force the development of high quality child - appropriate medications and intend to improve the availability of information on the pediatric use . Due to the current lack of sufficient evide... |
Systemic lupus erythematosus (sle) is an autoimmune disease characterized by chronic inflammation in multiple organs such as kidney, lung, heart, joint, and so forth [15]. One of the most severe manifestations of sle is lupus nephritis, which is a potentially fatal complication [68]. Many researchers have reported the ... |
A 6-week - old girl from yorktown heights, new york, was admitted to the hospital on september 16, 2002, with a 2-day history of fever, irritability, and decreased oral intake . The infant s mother had visited parks in westchester and dutchess counties in new york during the pregnancy but was unaware of any tick bites ... |
Endovascular aortic aneurysm repair (evar) is currently an established safe and effective option for management of both elective abdominal aortic aneurysm (aaa) and ruptured abdominal aortic aneurysms (raaas). There are many cases where endografting with bifurcated endoprosthesis is contraindicated due to anatomical re... |
Sainfoin (onobrychis viciifolia scop .) Is a traditional forage legume that was an important forage source as early as the mid-16th century . Although it was a very important forage crop for a long time, it lost importance in the second half of the 20th century, due to other forages exhibiting higher yields and better ... |
Ceftazidime is a third generation semisynthetic, broad - spectrum cephalosporin antibiotic for parenteral administration . Like other third generation cephalosporins, it has a broad spectrum activity against gram - positive and gram - negative (e.g., neisseria gonorrhoeae, enterobacteriaceae, acinetobacter) bacteria [f... |
Statistical techniques are used not only by academics and clinicians directly involved in medical research but also by advocates of evidence - based medicine, who must synthesise results from many different sources to reach useful conclusions . Because of this widespread use, it is important that all those involved in ... |
Ethical considerations require the use of efficient trial designs in order to optimize the balance of risk versus benefit for participants . In phase i cancer studies, this would include minimizing the numbers of patients allocated to ineffective or excessively toxic doses, while addressing the principal aim of identif... |
A 39-year - old man developed an 8 7-cm hypopigmented and centrally atrophic plaque with erythematous indurated borders in an area of scar tissue on his forehead (fig . 1a). On the occipital scalp he presented an erythematous brownish plaque resulting in cicatricial alopecia, as well as multiple brownish patches and pa... |
Strain mg13 (= csur p1431 = dsm 29915) is the type strain of m. massilioguelmaensis sp . This bacterium is a gram - negative, facultatively anaerobic, nonhaemolytic, indole - negative rod - shaped bacillus . We recently proposed that genomic and proteomic data, which do not suffer from the lack of reproducibility and i... |
She underwent total abdominal hysterectomy with bilateral salpingo - oophorectomy followed by pelvic radiation in 2004 ., she presented with a gradually enlarging mass on the pubic area extending to the mons pubis for the past 2 months . She had a history of loss of appetite and weight loss of 3 kg within 2 months . Cl... |
Chronic obstructive pulmonary disease (copd) affects more than 200 million people worldwide, is currently the third - leading cause of mortality in the usa,1 and is predicted to become the third most frequent cause of death globally by 2030.2 copd is characterized by alveolar destruction, loss of alveolar attachments, ... |
Overnight oximetry is a commonly used case - finding tool in patients with suspected sleep apnea in the uk . In the latter disorder, the oximetry trace typically shows repetitive desaturation associated with fluctuations in pulse rate . Although sleep apnea is one of the commonest causes of excessive daytime sleepiness... |
Researchers from rutgers cancer institute of new jersey recently presented promising data from a phase 1 clinical trial of an immunotherapeutic vaccine for pancreatic cancer, injected directly into the tumor . Preliminary results of the phase 1 trial were presented at the aacr pancreatic cancer: innovations in research... |
Today, people are continually looking for aesthetic perfection, and this includes a beautiful smile with white teeth . The use of peroxides to promote tooth bleaching is not a recent phenomenon since there is some evidence from earlier in the middle of the xix century that showed hydrogen peroxide (hp) as one of the su... |
Bacteria and their products play an essential role in pathogenesis of pulpo - periapical diseases . A long - standing endodontic infection allows bacteria to propagate to the entire root canal system, including ramifications, isthmuses, apical deltas, and dentinal tubules . In these locations, bacteria may remain viabl... |
Failures, though less common, still occur and venous problems are the most common cause . Essential factors for a reliable microvascular anastomosis are: disease - free vessels with good flow, no tension on the pedicle and a technically perfect anastomosis . Additionally, in post - trauma situations, especially in the ... |
Infectious diseases and epidemics have always accompanied and characterized human history, representing one of the main causes of death . Even today, despite progress in sanitation and medical research, infectious diseases represented a major killer; data published by the world health organization (who 2008, http://www... |
Cesarean section (cs) is a surgical intervention which is being conducted in emergencies to save the lives of mother and child when natural delivery is not possible or is risky for mother or / and child (1). The proportion of cesarean section to the total births in a specific period of time is considered as an importan... |
Coronary artery disease (cad) remains the leading cause of death worldwide despite advances in prevention and treatment . Additional insight into the mechanisms of the development of atherosclerosis and the underlying cause of cad is needed to improve treatment outcomes of these patients . Particularly the contribution... |
Hearing disability is a condition in which individual is either profoundly hearing impaired, or some have a less severe disability to detect audible frequencies . During dental treatment, they often faced communication difficulties which are a barrier to get needed care . In addition, several research studies support t... |
Invasive fungal infections (ifis) have become a leading cause of morbidity and mortality among immunocompromised patients.1 the incidence of ifis in these patient populations has increased dramatically over the past three decades . However, uncommon pathogens such as non - albicans candida spp, opportunistic yeast - li... |
Gymnosperms are seed - bearing plants that include common trees such as pine, spruce, fir, hemlock, and cedar . Among the living gymnosperms, four phyla could be considered: cycadophyta (cycads), ginkgophyta (ginkgo biloba l.), coniferophyta (conifers), and gnetophyta (gnetophytes). The conifers are the most numerous g... |
Strains and media - e. faecalis strain atcc 51299 (swenson et al . 1995), here referred to as strain x1, which corresponds to a vancomycin - resistant and clinically relevant strain isolated from peritoneal fluid during a clinical outbreak, was used in this study . Two other e. faecalis strains were used to confirm the... |
Many studies have been conducted on the association between exercise training and changes in arterial stiffness in different subject groups, for example young healthy, hypertensive, hyperlipidemic, diabetic, and cardiovascular disease groups [15]. Most of the studies evaluated changes in arterial stiffness by measuring... |
Small intestinal malignancies have been diagnosed in advanced stages due to their non - specific clinical presentations as well as difficulties with endoscopic examinations of the small intestine . In recent years, the preoperative diagnosis for small intestinal malignancy has been dramatically improved due to the adva... |
The high - dose therapy plus autologous stem cell transplantation (asct) procedure following a debulking induction regimen remains the standard of care for transplant eligible patients with multiple myeloma (mm) upfront 1 - 3 . Achievement of complete response (cr) or at least very good partial response (vgpr) at the e... |
Alzheimer s disease (ad) is a catastrophic affliction of the middle and later years of life . Clinically, it is marked by an irreversible decline in mental abilities, including progressive loss of memory, confusion, and dementia, and culminates in childlike helplessness . In the united states, the incidence of ad is ex... |
Data for this study were obtained from the handling diabetes project (11), which recruited children aged <12 years old with diabetes duration> 6 months and their parents at two pediatric diabetes clinics . All children who met the age and disease - duration criteria participants routine care included pediatric diabetes... |
Nf-b binds to the dna sequence known as the b site within the enhancer (ie) located in the j-c intron of the ig light chain gene (fig . 1 and reference 1). The presence of nuclear nf-b dna binding activity in ig - expressing b lymphocytes, but not at earlier stages of b cell differentiation, suggested that it might pla... |
A 32-year - old korean woman (gravida 3, para 2) was referred to our hospital at 28 weeks of gestation because of suspected fetal hepatomegaly . Transabdominal ultrasonogram and doppler examination with a 4-mhz convex transducer (ge kretzvolusom730, ny) were performed on referral . Decreased amniotic fluid (amniotic fl... |
Laparoscopic colon resection is superior to open surgery in regards to postoperative pain, recovery, and hospital stay . However, there are no standardized techniques, and data on technique - specific outcomes are lacking . Various terms are used for laparoscopic colon surgery in the literature, for example, laparoscop... |
Although pupil - sparing in acute unilateral complete third nerve palsy is often a sign of ischemic nerve injury, it is not specific for injury outside of the midbrain.13 this report documents acute pupil - sparing complete third nerve palsy in an otherwise - healthy young adult with patent foramen ovale and associated... |
Inflammation is a complex biological response against pathogens or tissue damage characterized by vasodilation, increased blood flow, vascular permeability, and cellular extravasation . Macrophages, mast cells, and dendritic cells, resident in the tissues, are the first cells of innate immunity that detect and recogniz... |
A review of the literature provides evidence that genital warts (condyloma acuminate) are the most common viral sexually transmitted disease affecting 1% of the population . They are highly contagious disease caused by human papillomavirus (hpv), predominantly hpv 6 and hpv 11 . The high rate of genital warts has been ... |
Hepatitis b virus (hbv) is blood borne and can lead to an acute illness characterized by nausea, abdominal pain, malaise and jaundice if symptomatic . It may lead to chronic infection, associated with the risk of chronic liver disease and hepatocellular carcinoma . The most common routes of transmission are sexual cont... |
However, recent studies suggest the involvement of attentional processes in the regulation of posture during simple or more complex tasks, especially when the latter involves attentional processes1,2,3 . It is well known that visual information plays an important role in postural control in children; visual inputs are ... |
Endodontic treatment used to take multiple visits to complete, with one of the main reasons for this being that it required a considerable amount of time to complete the treatment.1 the use of contemporary endodontics techniques and equipment, such as use of rubber dam,2 magnifying devices,3,4 electronic apex locators,... |
Crowned dens syndrome (cds), related to microcrystalline deposition in the periodontoid process, is the main cause of acute or chronic cervical pain . Microcrystal - line deposition most often consists of calcium pyrophosphate dehydrate crystals and/or hydroxyapatite crystals . This report describes the case of an 89-y... |
Various type 1 diabetes mellitus (t1 dm) registries have showed that the incidence of t1 dm increases with age, in childhood and peaks at puberty . Furthermore, studies have shown that the pubertal growth and sexual maturation are dependent on intricate physiological mechanisms, which work in unison . Chronic diseases ... |
Non - hodgkin lymphomas (nhl) are a spectrum of neoplastic diseases arising from lymphatic germ lines . The definition of primary extranodal lymphoma remains a controversial issue and the different definitions impact on incidence and prognosis . Most of them originates from the gastrointestinal tract, but other common ... |
For localized prostate cancer, radical retropubic prostatectomy is considered the standard treatment . However, during this surgery, patients lose large amounts of blood and may therefore require blood transfusions . Patients unwilling to accept transfusions present a challenge to the surgeon . In this study, we admini... |
On may 8, 2012, acute symptomatic tbev infection was diagnosed in a kidney transplant patient in slovenia (table, patient 1). A possible link between the infection and consumption of raw goat milk was revealed, triggering a detailed investigation of possible sources of infection and of 3 other persons who, together wit... |
Primary focal hyperhidrosis is a disorder that involves excessive, bilateral, and relatively symmetric sweating in the axillae, palms, soles, or craniofacial region . The condition, particularly in palmoplantar hyperhidrosis, can result in psychological and physical impairment and can also result in social stigmatizati... |
Genus psychrobacter belongs to the family moraxellaceae, and includes gram - negative, non - pigmented, oxidase - positive, cold - adapted, halotolerant, strictly aerobic organisms . Members of this genus are particularly successful in cold environments and have been isolated from diverse sources including permafrost s... |
Chronic hepatitis c virus (hcv) infection is a global health problem that affects 130150 million people worldwide . With a risk of progression to cirrhosis, liver failure, and hepatocellular carcinoma (hcc), it has resulted in 350,000 preventable deaths annually in the usa.1 on the us liver transplant wait list, 81% of... |
Low back pain (lbp) is the most common musculoskeletal problem and the most common cause of disability in people aged 45651 . It is also a socio - economic problem since lbp is the most common cause of workforce absenteeism1, 2 . It is classified as chronic when the complaints last longer than three months3, 4 . Exerci... |
Genome projects (1) are generating an enormous amount of data in molecular and evolutionary biology . One goal of functional genomics is to determine the function of proteins predicted by these sequencing projects (2). To overcome the problem of assigning protein functions to sequences one approach is to classify them ... |
The ideal blood donor is a voluntary, nonnumerated, repeat donor as this donor will have the lowest risk of having an infection that may be transmitted through blood transfusion . Thus, a major task for the blood banks is to take care of the regular donors . An important part of this strategy is to avoid donor deferral... |
The traditional management of the gastrointestinal bleeding due to this etiology has been conservative management with blood transfusion, balloon tamponade of varices, and drugs to lower splanchnic pressure followed by sclerotherapy or banding . In refractory cases, splenectomy and devascularization in emergency situat... |
In the decade and a half since the edmonton protocol report of 1-year insulin independence following pancreatic islet transplantation in seven consecutive type 1 diabetes mellitus patients, the position of islet transplantation in clinical medicine has been reappraised [2 - 5]. During this period, insulin therapy has d... |
Gastric cancer is the second leading cause for cancer - related mortality worldwide with almost 22,280 patients being diagnosed with gastric cancer annually in the united states [1, 2]. Peritoneal dissemination occurs commonly in patients with gastric cancer by means of intracoelomic dissemination or due to tumor spill... |
Shivering, an involuntary, oscillatory muscular activity, is a physiological response to core hypothermia in an attempt to raise the metabolic heat production.1 prolonged impairment of thermoregulatory autonomic control under anesthesia along with the cold environment of operating rooms and cold infusion fluids, contri... |
Colorectal cancers (crcs) are the fourth leading cause of cancer death in korea, and the number of patients dying of crc is increasing steadily . One half of all patients develop metastatic disease . With advances in systemic therapy for metastatic crc, the survival of these patients has been prolonged up to 6 months w... |
Covalent organic frameworks (cofs) represent an emerging class of crystalline, porous materials exhibiting unique structural and functional diversity . By combining multidentate building blocks via covalent bonds, two- or three - dimensional frameworks with defined pore size and high specific surface area in conjunctio... |
Fusobacterium nucleatum is a strict anaerobic microorganism commensal to the human oropharynx and gastrointestinal tract, which causes a wide spectrum of human diseases and it is an important pathogen in abscesses . We report the case of a previously healthy 64-year - old woman with multiple abscesses due to fusobacter... |
The cervicobrachialgia is defined as the presence of pain (algia) in the cervical region with irradiation to the arm, due to compression of the nerve root of the brachial plexus . This problem can be related to brusque movements, and long periods standing in uncomfortable positions which cause frequent muscular spasms ... |
Prostate - specific antigen (psa) is one of the most important tools for the early detection of prostate cancer . An elevated serum psa level is an indication to pursue additional diagnostic evaluation, including ultrasound - guided prostate biopsies, to rule out prostate cancer . However, the major drawback of serum p... |
Hemoglobin e (hbe)--thalassemia cases behave clinically as thalassemia intermedia or thalassemia major . Untreated patients exhibit hepatosplenomegaly, severe anemia, hypersplenism, and skeletal disease . Hydroxyurea has been used in patients with different hemoglobinopathies in india with some success . With increasin... |
Strabismus (squint) and amblyopia are not infrequent causes of ocular morbidity in india . Both typically affect children in the early years and subsequently result in vision loss and impaired binocular function. (1) while these have not been disorders under the spotlight of india's national program for control of blin... |
The increasing popularity of ubiquitous computing has motivated the deployment of wireless communication devices that require ad hoc communication . One such application of pervasive computing is in wireless sensor networks (wsn), which is used to monitor the physical world parameters like temperature, radiation levels... |
Bone tissue is dynamic and subject to a continuous formation and resorption process . During this process many reports have shown that reactive oxygen species (ros) may be involved in the pathogenesis of bone loss and can contribute to degradation of the cartilage matrix . The presence of oxygen free radicals (ofr) ins... |
Over the last 20 years, a significant paradigm shift has occurred in the treatment of atherosclerotic arterial disease . Endovascular interventions, including angioplasty and stenting, have become the first - line approach for the treatment of patients with simple and complex peripheral atherosclerotic lesions, includi... |
A committed group of physicians (geographically at distant places) wanted to collaborate for shared clinical decision - making on patients, they encounter in their daily practices . The objectives of such intention lie in evidence - based collective assessment, management, and dissemination of information among peer gr... |
Lung cancer is one of the most frequent and commonly diagnosed cancers worldwide, with a high mortality rate . The most common sites for distant metastases of lung cancer are adrenal glands, liver, brain, and bone . We present a case of a 75-year - old nonsmoker male who presented with an ischioanal mass . The biopsy s... |
The estimated number of scorpion stings is 1.2 million / year with 0.27% (3250) deaths; children having the highest mortality . The majority of the cases are nonlethal with localized pain and minimal systemic involvement . Scorpion envenomation with high morbidity and mortality is usually due to either excessive autono... |
Diabetic retinopathy (dr) is the most common complication of diabetes and one of the leading causes of visual impairment and preventable blindness in working age adults in the world [2, 3]. In fact, dr is highly prevalent in both type 1 and type 2 diabetic patients: nearly 77% of type 1 diabetic patients present some d... |
Jarcho levin syndrome is an eponym that represents a spectrum of short - trunk skeletal dysplasias with variable involvement of the vertebrae and ribs . Levin syndrome, including neural tube defects, arnold chiari malformation, renal / urinary tract abnormalities, hydrocephalus, hydroureteronephrosis, and meningomyeloc... |
Standard precautions are the minimum infection prevention practices that apply to all patient care, irrespective of suspected or confirmed infection status of the patient, in any health care setting . These practices aim to both protect health care workers (hcws) and prevent them from transmitting the infections to the... |
Dramatic rise in the rate of caesarean section is a cause of concern in developing nations like india . Subarachnoid block is one of the common modes of anaesthesia opted for emergency caesarean sections if the maternal and foetal conditions are favourable . Parturients undergoing caesarean section will be anxious abou... |
A previously well 59-year - old lady presented to her gastroenterologist with per rectal bleeding . Apart from intermittent inhaled salbutamol for asthma a staging ct of chest / abdomen / pelvis revealed no obvious distal metastatic disease . Both lymphatic and venous invasion were noted; 17 of 18 regional lymph nodes ... |
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