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Of all the problems that fall into the dentofacial deformity category, mandibular deficiency is the most prevalent that is usually treated with functional appliance in a preadolescent child and with orthognathic surgery or distraction osteogenesis in adults . As a general guideline, even in the most favorable circumsta...
We studied 21 men and 12 women with type 2 diabetes attending the outpatient diabetes clinic of laiko general hospital . Current smokers, subjects aged> 70 years, and those with clinically apparent macrovascular disease, renal impairment or microalbuminuria, a1c> 8.5%, and fasting triglycerides> 300 mg / dl were exclud...
Let f, be the model associated to the univariate gaussian time series {yt; t} that is stationary or nonstationary but with stationary backward differences of order d, and let {yt, t = 1,, we propose a new estimation method for the parameter's vector that is based on the matching between the empirical and model - based ...
Human papillomavirus (hpv) infection is the most frequent sexually transmitted disease in the united states . The major clinical focus in women with hpv has been on the prevention of cervical cancer, predominantly associated with oncogenic hpv types such as 16 and 18, through screening, and, more recently, through hpv ...
The nutrition therapy recommended for people with diabetes is often based on theories or the opinions of the medical treatment provider . People with diabetes often find this frustrating or confusing, because they hear or read that ideally they should be on a low - carbohydrate diet but from other sources they are told...
Vasospastic disorders (vd) are common, with a prevalence of 3.3% to 22% in the general population . If there is an underlying etiologic systematic disorder, it is called secondary form, which is uncommon . The other form of this disorder, without any underlying etiologic factors, most vasospastic disorder diagnosis sti...
Yttrium-90 radioembolization is an effective technique for treatment of primary and secondary liver tumors [18]. A feared complication of the procedure is nontarget embolization of the radiopharmaceutical, which can result in severe damage to the stomach, duodenum, or pancreas . Nontarget embolization to the gastrointe...
Sodium valproate is a broad - spectrum antiepileptic that has proven efficacy against all seizure types, which makes it a useful antiepileptic when the exact seizure classification is unknown or multiple seizure - types exists . The aromatic antiepileptics, namely, phenytoin, carbamazepine, phenobarbitone, and primidon...
Thanks to the advances in therapy and improvements in public heath policies, many of us are now living longer and better . However, the final stage of our lives has also become more heterogeneous and complicated, pending on the different clinical scenarios . Figure 1 shows the four potential clinical courses among agin...
In permanent i-125 seed implants of the prostate, the quality of the implant depends, amongst other factors, on the quality of the image modality used during implantation . The image modality most frequently used in the operation room (or) is transrectal ultrasound (trus), although other modalities like computed tomogr...
In 1968, wiltse et al.20) first described paraspinal sacrospinalis muscle - splitting approach to lumbar spine . This approach decreased bleeding and provided more direct access to the transverse processes and pedicles . Mini - transforaminal lumbar interbody fusion (mini - tlif) is a powerful minimally invasive surgic...
Arthritis is a complex disorder that comprises more than hundred distinct conditions involving damage to the joints of the body . These include cartilage - degrading enzymes, cytokines, leukotrienes (lts), and prostaglandins (pgs). Lts and pgs are produced by the activity of three enzymes5-lipoxygenase, cyclooxygenase ...
Landiolol is an intravenous short - acting beta - adrenoreceptor blocker, and its wide use is exhibited by rapid wash out and a less - sustained effect on cardiac function after decreasing the dose or stopping its administration . We present a patient with drug - resistant and persistent inappropriate sinus tachycardia...
Retroperitoneal liposarcomas represent a rare subtype of soft tissue sarcoma because of their localization (only 20% of soft tissue sarcomas are located retroperitoneally) and histological type (only 15% of soft tissue sarcomas are liposarcomas and, of these, only a third develop from perirenal fat) [1, 2]. The disease...
A 64-year - old, 164 cm, 70 kg woman had a five - year history of hypertension and diabetes mellitus . She experienced insomnia, nausea, visual hallucination and left - side tingling sensation 4 months ago and memory impairment and gait disturbance became evident clinically 2 months ago . At that time, she underwent br...
The quality of outcome must be worth the pain of survival. Burn care has progressed greatly over the past 70 years . Many advances were related to episodes of conflict, with significant progress in the quality of burn care seen during the second world war . The introduction of appropriate first aid ensured that burn in...
Von hippel lindau (vhl) disease is an autosomal dominant disorder that is characterized by multisystem predilection to develop tumors and cysts.13 the most common tumors manifested include retinal and central nervous system hemangioblastomas, renal cell carcinoma, pheochromocytoma, and pancreatic cystadenoma.1,2 mean a...
In the new approach, all health care providers have been obligated to maintain and improve the quality and have been accountable for it . That is why different countries have used various methods and tools for the improvement of health care quality to date, but their implementation has always proved challenging . Hereb...
With the changes in the international code of nomenclature for algae, fungi, and plants (icn; mcneill et al . 2012), one species of fungus may no longer be referred to by more than one scientific name . The practice of giving separate scientific names to sexual and asexual morphs (dual nomenclature) of the same species...
It then leaves the anterior chamber through the trabecular meshwork to the venous system (outflow). Normally, there is equilibrium between inflow and outflow that creates normal intraocular pressure (iop).1,2 any circumstances that affect the formation of aqueous humor or outflow of aqueous humor cause changes in iop ....
Cardiovascular disease is a major and growing cause of morbidity, mortality, and disability worldwide . Atherosclerosis, a chronic low - grade inflammatory condition, is the underlying cause of most heart attacks and strokes . The atherosclerotic process, which begins early and progresses over the life course, can be i...
Meatus was normal in 3, hypospadiac in 2, and epispadiac in one patient . The most common associated anomaly was bifid scrotum (5 cases), and other common anomalies consisted of bladder duplication (3 cases), imperforate anus (2 cases), and hypospadias (2 cases). Phalloplasty was performed for all but one . All the pat...
Fibrosis is an inappropriate tissue repair of the liver resulting from almost all of the chronic liver injuries including alcohol induced damage, chronic viral hepatitis (hbv and hcv), autoimmune, parasitic, and metabolic diseases, and less frequently toxic or drugs exposure . In contrast with the traditional idea that...
Signature genes are genes that are unique to a certain taxonomic clade, and are common throughout all its major subclades . The plausible evolutionary explanation for such a phylogenetic distribution is that the gene was invented in the ancestral lineage, and constituted an important innovation that possibly allowed th...
The saphenous vein and various arterial grafts have been used and evaluated for their functional efficacy; however, the choice of conduit has been a major concern for cardiac surgeons desiring a good surgical outcome . It is clear that the internal thoracic artery (ita) is superior to the saphenous vein in terms of the...
Transthoracic echocardiography has high sensitivity to detect secundum - type atrial septal defects(asds) and up to 100% for defects of the interatrial foramen primum, while its diagnostic usefulness for more uncommon causes of shunting at the atrial level is considerably less . In particular, diagnostic images of the ...
Haemophilia is a congenital bleeding disorder linked to the x chromosome of the human genome, represented mainly by two types: haemophilia a deficiency of factor viii (most frequent) and haemophilia b deficiency of factor ix . Joint bleeding associated with muscle bleeding represents 90% of bleeding episodes in haemoph...
In response to environmental factors, bacteria have been developing small molecule resistance strategies for millions of years . Recently, drug resistance reached pandemic status while antibiotic development has slowed substantially . Penicillins, the first antibiotics, and cephalosporins (-lactams) are the most common...
The dorsal surface of tongue contains numerous macroscopic papillae . These papillae differ somewhat in shape, are named according to their morphologic characteristics, and serve either a mechanical or a gustatory function (davies et al ., 1979; boshell et al ., 1982; chamorro et al ., 1986; holland et al . Me - chanic...
Prolidase (pr) is a cytosolic enzyme, which hydrolyzes the peptide bonding of imidodipeptides and imidotripeptides, which include proline or hydroxyproline in the carboxyl terminal position [13]. This enzyme is present in many tissues in animals and humans and plays an important role in collagen metabolism . Proline an...
The sinking skin flap syndrome (ssfs) is a rare complication that occurs in patients with large cranial defects following a decompressive craniectomy (dc).2) a known cause is local in - folding of the scalp or scarring at the craniectomy site between the overlying skin and dura, which exerts direct pressure on the brai...
Hearing is the main source for speech and language skill acquisition in children with normal hearing ability . Hearing loss can cause delay in these skills, making the communication process more difficult . In infants, it is recommended that a complete hearing evaluation be performed with electrophysiological and elect...
Genomic disorders are diseases that result from rearrangements of the human genome rather than from dna sequence base changes . Moreover, such rearrangements occur because of architectural features of the genome that incite genome instability . The idea of genomic disorders emanated from locus - specific studies of the...
Gonococcal infection has been recognized by different human societies as a distinct disease for over 4,000 years (handsfield and sparling, 2005). Gonorrhea, the infection caused by the neisseria gonorrhoeae, is the second most commonly reported notifiable disease in the united states today with 355,991 cases of gonorrh...
With a view to the preservation of dental, periodontal, articular, and muscular health, it is important to observe adequate static and functional occlusion . In static occlusion, simultaneous, bilateral, and homogeneous contacts should be observed between the maxillary and mandibular teeth; absence of rotation and crow...
Human plasma samples from symptomatic and asymptomatic individuals - human plasma samples were obtained during an epidemiological survey from persons living in the surroundings of porto velho, the capital of the state of rondnia (ro) (brazil). Ethical clearance was obtained from the ethical board of the institute for b...
Liver, the largest organ in the body, is being evolved to maintain the body's internal milieu and also protects itself from the challenges it faces during its functioning . It plays an important role in the metabolism, and storage of drugs; therefore it is susceptible to a high degree of toxicity . When administered at...
Even so, bipolar dislocation of the clavicle is an unusual injury and seldom reported in the literature . Conservative management is used for almost all the cases and only selected cases will undergo surgical treatment . A 52 year old right electrician presented to the emergency department following a fall from a push ...
There are no previous published studies on the incidence, course and prognosis of midback pain (mbp) after traffic collisions . There are no previous published studies on the incidence, course and prognosis of midback pain (mbp) after traffic collisions . Midback pain is a common complaint among those with traffic inju...
Many studies have shown that the strength decreases after age 60 (1, 2).with increasing age, the muscle becomes weak due to several reasons; decrease in the muscle fiber size, decrease in number of type ii fiber, and reduction in the number of motor units and also a reduction in the ability to activate motor units (3)....
Traditional cell culture surfaces cannot provide sufficient control over the cellular microenvironment for use in studying many anchorage - dependent cellular processes such as cellular differentiation, proliferation, and phenotypic expression . Cell supportive substrates, with the requisite spatiotemporal surface prop...
Idiopathic congenital talipes equinovarus is a common condition affecting between 0.6 and 6.8 per 1,000 live births . The ponseti technique is well recognised in the management of clubfoot deformity with high success rates . This technique has decreased the need for extensive corrective surgery . Following the serial a...
Psammomatous melanotic schwannoma (pms) is a very rare pigmented tumor composed of schwann cells capable of melanogenesis . The histopathogenesis of this tumor is debatable considering the common neuroectodermal origin of melanocytes and schwann cells . Pms arises most frequently from the spinal nerve roots and sympath...
Large discrepancies have been reported for the prevalence of ed in the general population, and cv risk accounts for a significant part of this variability . Over the age of 40 years, moderate to severe ed is reported in about 30 to 35% of men . However in men with hypertension the prevalence ranges from 26% to 68% and ...
Unprotected sexual contacts have remained one of the major routes of acquiring hiv and other sexually transmitted infections (sti) in the men who have sex with men (msm) population globally [14]. In hong kong, despite the low hiv prevalence in the general population, a rising trend of new hiv reports in msm has been ob...
Many clinically used drugs such as aspirin, digitoxin, progesterone, cortisone, morphine, vincristine, vinblastine, taxol and several others are derived directly or indirectly from higher plants . Clinically important and well recognized drugs of fungal origin are penicillin, griseofulvin, ergot alkaloids and cyclospor...
In the standard model (sm), direct production of e (e) pairs is forbidden in pp collisions due to lepton flavour conservation . However, in many extensions of the sm, lepton flavour violation (lfv) is permitted . In particular, r - parity - violating (rpv) supersymmetric (susy) models, lfv leptoquarks, and models with ...
Creatine supplements are used as a possible performance - enhancing substance by athletes, bodybuilders, and others who wish to gain muscle mass . Most of the studies that have examined the potential toxicity of creatine supplements have not found evidence of any side effects when consumed at recommended doses [14]. In...
Echocardiography revealed the diagnosis of atrioventricular septal defect (avsd) with two adequate ventricles, closed atrial component and almost closed ventricular component, with what seemed to be aneurysmal tissue that had a tiny leak (figures 1, 2). The patient also had a subaortic membrane with a peak gradient of ...
Acute ischemic stroke (ais) is a leading cause of death and permanent disability in china, and is also a cause of enormous financial burden for patients and society . Currently, intravenous thrombolysis (ivt) with alteplase is the only approved therapy in patients with ais presenting within 4.5 hours after the onset [2...
It is well established that our sensorimotor system adapts to a range of distortions in the environment, such as rotated visual feedback (bock et al . 2002) and robotic force fields (shadmehr and mussa - ivaldi 1994; tong et al . When the sensorimotor system is exposed first to distortion a and then to a distinct disto...
Tumor lysis syndrome (tls) is a metabolic disorder caused by an exploding intracellular substance release that occurs when tumor cells lyse after the initiation of cytotoxic therapy (1). Tls is characterized by hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia, metabolic abnormalities that can involve re...
Age - related macular degeneration (armd) is the leading cause of blindness in developed countries.1 since 2005, the advent of antivascular endothelial growth factor (anti - vegf) drugs for the treatment of the neovascular armd has changed the management of this disease . The prognosis of this disease has improved, but...
Equine influenza virus (eiv) causes common respiratory diseases in horses, donkeys, and mules . The horse population of north america suffered an epidemic of respiratory illnesses in 1872, recorded as " the great epizootic of 1872, " the cause of which was likely influenza a virus . Equine respiratory diseases were fir...
Laparoscopic skill acquisition is an area of increasing interest . Not only is the prevalence of laparoscopic surgery due to its minimally invasive nature expanding but expanding also are the questions and concerns regarding necessary preparation for the next generation of surgeons . In general, the current evaluation ...
A major effort in functional glycomics is to catalog the specificities of glycan - binding proteins (gbps) toward the diversity of glycan structures found in biological systems . In nature, the typically weak binding interactions between gbps (e.g., lectins or antibodies) and individual glycans are augmented by their o...
Infections preceding the ischemic stroke (is), as well as infections occurring in the acute phase of is, are a frequent phenomenon [1, 2]. Chronic infections of both viral and bacterial etiology and coexistent vascular inflammatory state promote atherosclerosis, contributing to an increased cerebrovascular risk [3, 4]....
The hypothesis that there is a connection between the immune system and social behaviors such as mate choice mediated via olfactory cues is now nearly four decades old . This idea has not only fascinated numerous scientists stimulating an extensive number of experimental and theoretical studies but at the same time fou...
The surgical options for the treatment of bone loss include bone transport, vascularized fibula graft, and induced membrane . Interestingly patient sustained this injury in spite of having intramedullary nail in tibia which was inserted to stabilize previous fracture 9 months prior to trauma . The proximal half of the ...
Neuroleptic malignant syndrome (nms) was first recognized in 1956 by ayd but was only defined in 1960 by delay and deniker.1) nms is a rarely encountered, life threatening complication that usually appears within the first two weeks of antipsychotic therapy.2) moreover, nms cases due to certain antidepressants, benzodi...
Lysine acetylation plays a critical role in the regulation of transcription, metabolism, and other central biological functions . Acetylation of lysine residues can impact protein and genome function through multiple mechanisms, including physical relaxation of histone dna interactions, recruitment of bromodomain - con...
The rapidly evolving field of materials science is providing dentistry with new treatments and alternatives ., much attention has been paid to calcium phosphate cements (cpcs) because of their advantages in comparison with calcium phosphate bioceramics, regarding in situ handling and shaping abilities [1, 2]. The cpcs ...
Vascular involvement is a key factor in major manifestations of systemic sclerosis (ssc), such as raynaud's phenomenon (rp), myocardial dysfunction, pulmonary hypertension, and renal involvement . Microvascular involvement, in which endothelial injury is present, is the main characteristic of ssc [1, 2] oxidative stres...
Presently, more than 100 different human papillomavirus (hpv) types have been discovered . Among these, at least 30 different types of hpvs are known to cause cancers in the cervix, vagina, anus and penis as well as genital warts in the form of sexually transmitted diseases . In particular, a high oncological risk grou...
Clinically, ventilator - associated pneumonia (vap) is defined by the presence of new or progressive radiographic infiltrates plus clinical evidence that these infiltrates are of infectious origin . The presence of an infiltrate plus at least two out of three clinical features (abnormal temperature [> 38c or <36c], leu...
This study was approved by the ajou university hospital institutional review board (ajirb - bmr - obs-13 - 342). Cytology samples were obtained from fresh ex vivo ptc tissues immediately following surgical resection in cases that provided informed consent . After gross examination of fresh ptc specimens, cytology sampl...
Laugier - hunziker syndrome is a rare acquired disorder characterized by macular hyperpigmentation of the oral mucosa and sometimes genital mucosa as well as longitudinal melanonychia . We report on a woman who concomitantly developed laugier - hunziker syndrome and a carcinoma of the pancreas . A 61-year - old caucasi...
In a study by kurtz et al.1) based on the historical growth trajectory of arthroplasty surgeries, the demand for primary total hip and knee arthroplasty among patients less than 65 years old was projected to exceed 50% of the total hip and knee arthroplasty patients of all ages by 2011 and 2016, respectively . Patients...
Clear cell renal cell carcinoma (ccrcc) is the most common histological type of renal cell carcinoma, also called conventional rcc, which represents 7580% of rcc . Initial treatment is most commonly a radical or partial nephrectomy and remains the mainstay of curative treatment . Where the tumor is confined to the rena...
Chronic pain affects 1518% of the population . As well as allodynia, hyperalgesia, and spontaneous pain, patients with chronic pain also present with cognitive impairment, emotional change, insomnia, and mood disorders . Currently, analgesic drugs are used primarily to treat pain but limited effects are a major issue f...
The role of the adipokine leptin in the regulation of energy balance, has been firmly established since its discovery almost twenty years ago . Animal models lacking either the leptin gene (ob / ob mice) or the gene encoding for its membrane receptor (db / db mice) are extremely obese, hyperinsulinemic and insulin resi...
The cerebellum has often been likened to a neuronal machine or computer with its precise geometrical array of intrinsic cell types that allow for the integration and organization of movement - related information through both of its afferent systems . (1967) posited that this system's organization makes it uniquely app...
Nearly, 90% of americans would prefer to receive end - of - life care at home and one - third of americans die in the hospital, 20% of those in the intensive care unit (icu). Recent studies have shown that over 50% of end - of - life discussions take place for the first time in the hospital rather than in the outpatien...
Since the formation of the fick equation, physiologists have been trying to further enhance the knowledge base of heart rate, stroke volume, a - vo2, and their relationship to vo2 . When considering maximal cardiorespiratory values, maximal vo2 (vo2max) is reached when maximal heart rate (hrmax), maximal a - vo2 (a - v...
Murine ephrin - b2 ectodomain sequence (amino acids 31227) was amplified from the plasmid pcdna3.1-ephrin - b2-hfc (a kind gift from t. miyamoto, keio university), and human ephrin - b1 ectodomain sequence (amino acids 28237) was amplified from palter - max (a kind gift from h. sugimura, hamamatsu university). A c - te...
Renal cell carcinoma (rcc) also known as hypernephroma or adenocarcinoma of renal cells is the most common type of kidney tumour found in adults . It originates in the proximal convoluted tubules, typically affecting men with a peak incidence in 5070 year olds . The tumour is recognized to metastasize to common sites w...
Sur la scne internationale, il apparat de plus en plus clairement que le virus de lhpatite c (vhc) peut tre transmis sexuellement entre hommes positifs au vih ayant des relations sexuelles avec des hommes (harsah). Rendre compte de la premire estimation canadienne de la sro - incidence de vhc entre 2000 et 2010 et de s...
The goal of image segmentation is to partition an image into a number of regions, each having similar characteristic . In the recent years active contours are based on the theory of surface evolution under a speed function determined by local, global and independent properties . They are able to provide smooth and clos...
The procedures involving phlebotomy, for example, time of tourniquet application [14] and blood drawing using vacuum tubes [5, 6] are poorly studied as potential sources of errors . In the daily practices of laboratory medicine, all diagnostic products can be divided into two major categories: in vitro diagnostic (ivd)...
The environmental mold aspergillus fumigatus has become the most important airborne fungal pathogen of humans and is the second most frequent cause of systemic fungal infections. (1) in immunocompetent individuals, a. fumigatus can cause allergic reactions and noninvasive infections such as aspergilloma . However, in i...
From september 2010 through march 2012, rodents were trapped in rural residences from 2 county - level divisions (xintai and daiyue) in taian . After each rodent was numbered and species identified, the spleen was dissected for dna extraction . During 20102011, scrub typhus patients from xintai and daiyue were recruite...
Angiodysplasia can be a major source of gastrointestinal bleeding, responsible for 6.0% of cases of lower gastrointestinal bleeding and 1.2 - 8.0% of cases of upper gastrointestinal bleeding . Small bowel angiodysplasia includes a large number of cases of gastrointestinal bleeding of unknown origin, in approximately 30...
Medicaid was mentioned as the major source of health insurance by 9,230 persons from this survey (9.2 percent). Of the 9,230 persons for whom medicaid was identified as the major source of health insurance, 5,137 or 55.7 percent were children under age 18, and 44.3 percent were adults age 18 or over at the time of the ...
Alloderm (lifecell corp . ; brancburg, nj) is an acellular dermal matrix (adm) obtained from cadaveric human skin that has been processed to remove all antigenic epitopes and cells, resulting in an immunologically inert scaffold (1 - 3). The remaining dermal matrix contains collagen, elastin, hyaluronic acid, fibronect...
Optical coherence tomography (oct) is a noninvasive imaging technique that enables in vivo cross - sectional visualization of biological tissue at micrometer resolution . Low axial resolution of firstly developed octs (15 micrometers) made them less useful in quantitative analysis of retinal layers; however, current mo...
Supernumerary teeth may be defined as any teeth or tooth substance in excess of the full complement of primary and permanent teeth . Most cases are found in association with syndromes such as gardner's syndrome, cleidocranial dysostosis, and cleft lip and palate. [14] supernumerary teeth may occur as single (7686%), do...
Rheumatoid arthritis (ra) is a chronic systemic disorder that causes destruction of joints through inflammation and proliferation of the synovial membrane [1, 2]. In ra, the synovial tissue lining the joints becomes inflamed . In comparison with the normal synovial membrane, which is normally 1 - 2 cell layers thick, r...
Several adhesive systems are manufactured and investigated with the objective of seeking an effective bond to different dentinal substrates, resulting in different substrate conditioning techniques, and application modes of these systems . Development efforts attempting to simplify the application procedure of adhesive...
They can have any combination of dolichostenomelia, arachnodactyly, pectus deformities of the chest, mitral or aortic regurgitation, ectopia lentis, and mild joint laxity . Other evidence of a generalized connective tissue disorder may be present such as scoliosis and skin striae . Patients with marfan syndrome are typ...
The ability of red blood cells to facilitate the journey of oxygen from the atmosphere to the mitochondrion has been repeatedly demonstrated in a vast literature of mammalian physiology . The physical characteristics of red cells and the properties of their contents allow these cells to increase the solubility of plasm...
The rural household biogas in china has rapidly developed in recent years . By 2010, the number of rural household biogas users had reached 41.8 million in china [1, 2]. However, the rural household biogas industry has been facing a fermented material shortage due to the changes in agricultural structure . Moreover, th...
Tomato (solanum lycopersicum) is one of the most important vegetable crops cultivated worldwide . Tomato has a diploid (2n = 2x = 24) and relatively compact genome of approximately 950 mb . Genetic linkage maps of tomato have been created by crossing cultivated tomato (s. lycopersicum) with several wild relatives, s. p...
Juvenile idiopathic arthritis (jia) covers a heterogeneous group of diseases which are similar in onset which is before the age of 16 and that they last for at least 6 weeks (1). International league of associations for rheumatology (ilar) replaced juvenile chroni c arthritis (jca), mostly used in europe, and juvenile ...
Poststroke depression (psd) is regarded as one the most common mental sequela of stroke patients1 . Psd patients have low physical and cognitive function, and low self - worth compared to those with no depression2, and they have a decreased quality of life3 . All these factors can have adverse effects on the functional...
Sjgren syndrome is chronic, systemic autoimmune disease characterized by lymphocytic infiltration of the exocrine glands.1 thus, an elaborate involvement of the salivary and lacrimal glands leads eventually to, keratoconjuctivitis sicca and xerostomia . Sjgren syndrome may occur in two forms: primary sjgren syndrome an...
An isolated cortical vein thrombosis (icvt) causing a venous hemorrhagic infarction without involving venous sinuses or deep cerebral veins is rare and accounts for less than 1% of strokes8). An icvt is more difficult to diagnose than a cerebral venous thrombosis because the symptoms are non - specific and there is hig...
Production of extended - spectrum -lactamases (esbls) is the most common mechanism of resistance to third - generation cephalosporins among enterobacteriaceae including klebsiella pneumoniae and escherichia coli [1, 2]. Esbl determinants have been detected not only in clinical isolates but also in commensal bacteria fr...