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Tuberculosis (tb) continues to be an important public health problem worldwide and according to world health organization reports there were about 8.8 million new cases and 1.6 million deaths from the disease in 2005 . Without treatment, about two - thirds of smear - positive pulmonary cases die within five to eight ye... |
Pulmonary embolism (pe) has become the third most common cardiovascular disease, which can seriously harm human health (1, 2). Pulmonary embolism usually occurs as an emergency with relatively ambiguous clinical symptoms and is prone to be misdiagnosed . The clinical symptoms differ from those of central pulmonary embo... |
We performed a retrospective study among all patients who initiated individualized, community - based mdr - tb therapy from august 1, 1996, to march 1, 2000 . The details of patient identification, enrollment, and treatment are described elsewhere (5). . Regimens generally included at least 5 drugs to which the infecti... |
Merkel cells, which likely derive from the neural crest, are basally located skin cells believed to function in mechano - reception and/or the neuroendocrine system . Merkel cell carcinoma (mcc), is a rare cutaneous malignancy first described in 1972 by toker . Also known as primary neuroendocrine carcinoma of skin, th... |
The argus ii retinal prosthesis may improve visual function in patients with severe vision loss from retinitis pigmentosa . Optimal centration of the electrode array over the macula is important to achieve optimal visual results . Argus tack malrotation is a novel entity that may be encountered during placement, especi... |
Healthcare is unarguably one of the most fundamental needs for sub - saharan africa (ssa), considering the region's multiple medical problems . Yet ssa is the most vulnerable to disease, given the prevalent social, economic, and environmental factors . For instance, the world health organization (who) reports that by t... |
The increased rate of health care costs and the concerns about inefficiency of patient care has led to greater support of health promotion concept and its propagation among health care personnel, particularly nurses . Health - promoting behavior is an important concept in nursing and should be considered as a healthy n... |
Spontaneous superior mesenteric artery (sma) dissection is a rare disease . In literature, a study was conducted on 6666 autopsies, which showed an incidence rate of 0.06% 1, 2 . This condition is more prevalent than reported in literature, undetected due to previous limitations in imaging techniques and asymptomatic c... |
Carcinoid tumors account for 0.5 - 2.5% of all primary lung tumors and are generally considered malignant . It is a low - grade malignant neoplasm believed to be derived from surface of bronchial glandular epithelium . Mostly located centrally, they produce symptoms and signs of bronchial obstruction such as localized ... |
Fasting as a treatment for epilepsy was described in the new testament of the bible, and the earliest scientific approach was introduced by geyelin in the 1920s1). Since its resurgence in the mid-1990s, the ketogenic diet (kd) has been used worldwide, including korea, and is recognized as a valuable adjunct therapeutic... |
The interaction of nanoparticles with biological systems, ie, living cells, has become an attractive field of research in material science and biology . It holds the key for the advent of bionanotechnology, which is important for the interaction and manipulation of biological samples at the nanoscale . Gold nanoparticl... |
Epidemiologically, most streptococcal infections fall under lancefield groups a and b, however few cases have been reported from groups c and g, with a variety of clinical manifestations, . Lancefield groups c and g (gcs and ggs) colonize normal skin and oral flora as well as the genitourinary and gastrointestinal trac... |
The advent of effective combination antiretroviral therapy (art) nearly two decades ago has resulted in a gradual transition in hiv treatment, with more hiv - infected patients receiving therapy earlier in the course of disease . This, in turn, has resulted in non - hiv - related comorbidities becoming a greater contri... |
Between february and may 2015, medical records of all patients who consulted for headache from june 2011 to may 2014 (a 36-month period) were retrospectively collected by a senior consultant neuropsychiatrist involved in patient s care at the outpatient neurology clinic of the butare university teaching hospital (buth)... |
In addition to storing excess energy, adipose tissue is now widely recognized as an important endocrine organ . Indeed, it secretes numerous cytokines called adipokines which have various functions, including macrophage recruitment, regulation of feeding behavior, energy homeostasis, and insulin sensitivity . Adipose t... |
Echocardiography is an ultrasound technique that is an important diagnostic tool in cardiology, which has recently been introduced to veterinary medicine as a non - invasive method for evaluating the anatomy and function of the heart . Conventional echocardiographic modalities include two - dimensional, m - mode, and d... |
When ocular inflammation involves other connecting intraocular or extraocular tissues, the name of the disease changes depending on the site of inflammation . For example, the diagnosis of the disease may vary from conjunctivitis, scleritis, uveitis (intraocular inflammation), chorioretinitis, to optic neuritis . Our g... |
Patients (n=96) were recruited from our hospital - based dental clinic as a subset of a previous clinical bacteremia study (8, 12). Patients were excluded from the study if they had fewer than 10 teeth, had taken a systemic antibiotic within 2 weeks prior to the study, or were immunocompromised . Patient demographics a... |
To date, there are a few studies reporting the severity of primary and disseminated gastrointestinal aspergillosis in immunocompromised hosts, including children (see also references in). Although aspergilloses are primarily confined to aerobic surfaces, systemic infections and rapid mortality are known to have occurre... |
Before 1969 (bisby 1939; rifai 1969) few species were included in trichoderma (teleomorph: hypocrea) and even fewer species appeared in the literature . Mien rifai (1969) was the first modern mycologist to undertake taxonomy of trichoderma; unsurprisingly he concluded that the genus includes more than a few species . T... |
The continued growth of microbial strain collections used for natural product discovery demands a high - throughput method for rapid strain prioritization . A sensitive and reliable survey of microbial genomes in a strain collection for genes characteristic for biosynthesis of the targeted class of natural products wou... |
Alzheimer's disease (ad) is one of the most common age - related disorders (bachman et al ., 1993). Ad is classified into two forms: sporadic ad, which is correlated to aging, and a rare familial early - onset ad (fad), caused by gene mutations . The pathological hallmarks of the disease are intraneuronal neurofibrilla... |
Chronic myeloid leukaemia (cml) is a myeloproliferative disorder characterized by a reciprocal translocation leading to the philadelphia chromosome (ph) with a fusion gene bcr - abl, the molecular hallmark of cml and ph - positive acute lymphoblastic leukaemia (lal) [13]. The resulting chimeric protein contains the kin... |
The outer hair cells play a crucial role in the mammalian cochlea . These cells are part of a complex system that is necessary to detect low intensity sounds as well as to provide a self - defense against high intensity sounds . In the mammalian cochlea, there is a complex mechanism, also known as cochlear amplificatio... |
A 69-year - old male visited the emergency room due to chest tightness and dyspnea that had occurred 3 days prior . Four years before this visit, the patient had undergone aortic valve replacement, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis using bovine perica... |
Pantoprazole is one of the most frequently used proton pump inhibitors (ppis) in the clinical setting . By irreversibly inhibiting h+/k+ atpase, or proton pump, in gastric cells, it strongly reduces the proton influx into the gastric lumen and therefore the effective stomach acidity . It is therefore used in the treatm... |
Lack of distal dental support and a 13-fold difference in resiliency between the mucosa and the periodontal ligament, result in the formation of levers during compression forces that are potentially destructive to the abutments and the surrounding tissues . Common problems associated with kennedy class i (bilateral dis... |
Sg 20-year - old female complained of irregularly placed upper front tooth and feels uncomfortable to smile . History elicited, revealed no history of orthodontic treatment done before, and she does not remember any extractions done during mixed dentition period, her past medical history was not significant . On extrao... |
Campylobacter causes approximately 200,000 cases of campylobacterosis in the european union (efsa, 2009) and thus is one of the most important bacterial foodborne pathogens . Yersinia infections are of secondary importance with about 7,500 cases yearly (efsa, 2009). Complete elimination of both pathogens in the food ch... |
Multiparametric magnetic resonance imaging (mpmri) and frozen - section analysis (fsa) may play an important role in reducing positive surgical margins (psm) during nerve - sparing robotic - assisted radical prostatectomy (rarp) for localized prostate cancer (pca). Anyway, only a few evidences supporting the combined u... |
Mycobacterium tuberculosis (mtb), the aetiological agent of tuberculosis (tb), is the second leading cause of death by infectious disease worldwide with latent infection affecting as much as one third of the world's population . Rapid diagnosis is essential if treatment is to be initiated and the patient actively engag... |
Concerns about the health care of the elderly, particularly in terms of age - related diseases, have gradually increased worldwide . Osteoporotic fracture, which is more common in older than in younger individuals, is considered an age - related disease . Osteoporotic fractures result in significant health - care costs... |
Physical inactivity is being increasingly recognized as a major problem in global health . The world health organization (who) estimates that 3.3 million people die around the world each year due to physical inactivity, making it the fourth leading underlying cause of mortality1 . It is not surprising that physical ina... |
Orthodontic diagnosis and treatment planning involves detailed study of dental occlusion, hard tissue relationships and soft tissue proportions . The orthodontic diagnosis database is derived from three major sources: history, clinical examination and evaluation of diagnostic records including dental casts, radiographs... |
The principal aim of the danish anaesthesia database (dad) is the nationwide collection of data on all danish patients undergoing anesthesia . Collected data are used for quality assurance, quality development, and serve as a basis for research projects . The database was founded in 2004 and during the last decade the ... |
Today, millions of people are suffering from hemorrhoids and it is more prone as you grow older, and it is becoming a major medical and socioeconomic problem . There are various factors responsible for hemorrhoids like constipation, sedentary life style, pregnancy, low fiber diet, obesity, and so forth . Usually, hemor... |
A 45-year - old male presented with sudden onset of headache, vomiting and blurring of vision of 28 days duration . Visual acuity in both eyes was reduced to 20/200 in the right eye and counting fingers close range in the left eye . However, fundoscopic examination revealed a clear optical media with significant advanc... |
Each stage in the development and progression of cancer is the result of cross - talk between the tumor and the host s immune system . The constant selective pressure of the immune system promotes the emergence of tumor cells that are highly resistant to immune rejection ., including cell - mediated immune tolerance, l... |
Arsenic exposure is a major environmental public health concern worldwide and a primary concern for exposure is via drinking water (table 1). The who and australia set or confirmed a guideline level of 10 g / l for arsenic in drinking water in 2008 and 2011, respectively (national health and medical research council 20... |
We present an unusual case of fibromatosis of the flexor pollicus longus, in a young man, causing pain and functional impairment . A thirteen year old left handed schoolboy presented initially to the orthopaedic team with a six month history of pain in his left thumb . This was localised to the thenar eminence and asso... |
Marfan s syndrome (mfs) is a connective tissue disorder with autosomal dominant inheritance and affects about 1 in 5,000 individuals . The cause of mfs is mutation in fibrillin gene on chromosome 15.1 the defective gene can be inherited, so the child of a person who has mfs has a 50% chance of inheriting the disease.1 ... |
Esophageal carcinoma is one of the most common gastrointestinal cancers, which is considered as the sixth leading causes of morbidity and mortality worldwide . The preferred treatment for esophageal cancer or its related benign disease is esophagectomy with gastric conduit reconstruction . Delayed gastric emptying is o... |
Evolution gave rise to recurring patterns and motifs in biological networks, e.g. In signal - processing networks in bacteria, in metabolic networks, in neuronal networks and in ecological food webs (jeong et al, 2000; kollmann et al, 2005; alon, 2007; bluthgen et al, 2007). The recognition of these patterns helps to u... |
Soybean, glycine max (l.), is the largest agricultural commodity of economic importance in brazil, occupying large areas of planting, targeting both domestic consumption and the export market . Given its economic importance, the problems caused by the attack of insect pests reduce production and decrease the quality of... |
Methicillin - resistant staphylococcus aureus (mrsa) has been the common cause of various community acquired and nosocomial infections (1, 2), from skin and soft tissue involvements to life threatening conditions, such as bacteremia and pneumonia (3). Although vancomycin is the recommended drug for mrsa infections (4) ... |
Cystic fibrosis (cf) is an autosomal recessive disease affecting the respiratory, digestive, endocrine, and reproductive systems . Although it primarily affects the lungs, disturbances in the gastrointestinal system is also critical for the management of the disease . Management of pancreatic insufficiency is needed to... |
Melamine (mel) in animal foods and milk products had caused serious accidents, as its metabolism, melamine cyanurate, was easily crystallized in organs and was tending to cause kidney stone and damage [13]. Therefore, establishing a powerful rapid sensitive analytical method for measuring low concentration of mel in ki... |
The remaining 194 patients (age range 29 - 76 years, mean 47 years) constituted the study group . In patients with multifocal, multicentric carcinoma the institutional review board of our institution approved the study and informed consent was obtained from all patients . Mr imaging was performed with a 1.5 t imager (s... |
Non - alcoholic fatty liver disease (nafld) is the most common liver disease, it presents a cluster of hepatic damage ranging from simple non - alcoholic fatty liver to non - alcoholic steatohepatitis . In recent years, changes in lifestyle and dietary intake excess have contributed to a high prevalence of nafld . Insu... |
, the indicated amounts of expression plasmid were transfected into baby hamster kidney (bhk) cells together with 1 g of a -galactosidase (-gal) expression construct . 24 h later the cells were stained for -gal activity and the percentage of blue and morphologically apoptotic cells with respect to all blue and transfec... |
Populations worldwide started to enjoy significantly longer life expectancies starting in the 20th century due to improved medical care and economic / social development . According to the health and affair forum on " the life expectancy and health - adjusted life expectancy of koreans"11), the life expectancy at birth... |
This work was supported by the national health and medical research council (nhmrc) of australia project grant 1021456 and a nhmrc senior principal research fellowship 1002863 to sk. |
Patients are often admitted into the intensive care unit (icu) due to the need for mechanical ventilatory support using a ventilator . Cardiopulmonary tests could benefit icu patients significantly, because they could help to determine the most suitable ventilator settings, and help to avoid the common problem of venti... |
The renin - angiotensin system (ras) is thought to exert an important role in the pathogenesis of hypertension and is a hormonal cascade initiated by renin . Renin is a major regulator of blood pressure through its modulation of salt and water homeostasis . Researchers proposed that, based on plasma rennin activity (pr... |
The orientation of surface - anchored macromolecules is a crucial determinant of function in contexts as diverse as molecular electronics,(1) dna(2) and carbohydrate(3) microarrays, and membrane biophysics. (4) in the last category, interactions between cell surface proteins and their binding partners that can include ... |
Acanthamoeba is one of the most common free - living amoebae found in the environment.1 acanthamoeba keratitis, a painful, progressive, sight - threatening corneal disease, was first reported by naginton et al.,2 in the united kingdom in 1974 and shortly thereafter by jones et al.,3 in the united states in 1975 . This ... |
Diabetes is a major concern of public health, affecting more than 371 million people, with an expected doubling of diabetes cases by 2030 . Diabetic patients might experience life - threatening macrovascular (atherosclerosis, cardiovascular disease) and microvascular complications (microangiopathy) of the retina, nervo... |
The availability of ce - mra and ce - cta has reduced the need for conventional angiography . Both waiting times and the marginal cost analyses for ce - mra and ce - cta have reduced . The impact of new therapies, research studies (e.g. Astral) and adverse events is illustrated . The imaging modalities of choice in vas... |
Our solution - phase synthesis of monodisperse cspbx3 ncs (figure 1) takes advantage of the ionic nature of the chemical bonding in these compounds . Controlled arrested precipitation of cs, pb, and x ions into cspbx3 ncs is obtained by reacting cs - oleate with a pb(ii)-halide in a high boiling solvent (octadecene) at... |
Gemifloxacin mesylate (gfx) is a fluoronaphthyridone with a novel oxime functionalised pyrrolidine (figure 1). It possesses a dual mechanism of action by inhibiting the bacterial topoisomerase iv and gyrase enzymes, resulting in interruption of bacterial dna synthesis . Therefore, it has broad - spectrum activity again... |
Turner's syndrome (ts) is one of the most common human genetic disorders, affecting approximately 1 in every 2500 live - born females . Growth failure is a cardinal feature of ts, which may impair their quality of life, and adult patients have a mean height approximately 20 cm lower than that of unaffected women of the... |
Drains are routinely used during closure in total knee arthroplasty (tka) due to the traditional belief that it will prevent wound hematoma, facilitate wound healing and minimize chances of infection12). However, the use of drains during tka is associated with excessive blood loss, the need for postoperative allogenic ... |
In 2012, a total of 416,700 men were diagnosed with prostate cancer (pc) in europe and 241,700 in the usa, making pc the second and first, respectively, most frequent malignancy in the male population . Transrectal ultrasound - guided (trus) biopsy of the prostate has been a state - of - the - art tool for pc detection... |
The patient, a 41-year - old woman with a non - relevant past medical history, concluded her fourth pregnancy by cesarean delivery owing to macrosomic product (july 2013). Tubal ligation was performed on postoperative day one by the kroener fimbriectomy method, which coursed uneventfully and without any remarkable find... |
Actinic cheilitis is a pathological condition that most frequently affects the vermilion border of the lower lip.13 in persons with everted lower lips, as a racial characteristic or as an inherited trait, the mucosal surface of the lower lip, which is partly exposed to sunlight, is also affected . When both the upper a... |
The ultimate aim of our formal project is to examine the impact of a tailored intervention for reducing blood pressure in a cohort of stroke survivors in southwest nigeria . The conceptualization of this study evolved as a proposal for innovative research collaboration between low- and middle- and high - income countri... |
Study patients - hiv-1-infected women - the promoter and crd - encoding regions of the langerin gene were studied in convenience samples of 116 and 118 hiv-1-infected women, respectively, who were recruited during a gynaecological follow - up (for technical reasons, analyses of 2 samples could not be performed in the s... |
Since the 1952 outbreak of tbe in roava, slovakia, all registered cases of tbe have been required to be reported to the national health institute . We analyzed 1,786 tbe cases registered in slovakia by the regional institute of health during 19612004 . We calculated the average altitude of cadastral units corresponding... |
Midsize and large - size arteries are primarily responsible for carrying blood from the heart to the tissues (conductive function) and contribute little to the total vascular resistance . However, the arterial tree must also cope with the cyclic cardiac output and assure the perfusion of organs even during diastole . I... |
, the etiology of nasal defects relates mostly to ablation of cutaneous malignancies or external trauma such as accidents, conflicts, or animal bites . New medical advancements have set higher standards for nasal reconstruction . Given the vital functions of the nose in everyday life, it is necessary that the reconstru... |
Zollinger ellison syndrome (zes) is characterized by severe peptic ulcer disease and often diarrhea caused by uninhibited secretion of gastrin from a gastrinoma that stimulates excessive production and release of gastric acid . Originally described as pancreatic neuroendocrine tumors, gastrinomas are now known to most ... |
Participation in decision making (pdm) by workers, including all types of nurses, is recognized internationally as an important aspect of effective management in nursing and healthcare [15]. Prior researchers, however, have noted deficiencies in the conceptualization of pdm [5, 6]. Two factors, little consensus as to i... |
Spontaneous abortion, also known as miscarriage is the natural death of an embryo or fetus before 20 weeks of pregnancy without surgical procedure for a human (sierra & stephenson, 2006). Several mechanisms have previously been described for pathogenesis of spontaneous abortion, including chromosomal anomalies, hormona... |
Because of recent technological and manufacturing advancements, the production and use of enms has increased at a rapid pace . The term enm broadly encompasses a number of nano - sized materials that vary in shape, such as nanotubes, nanowires, or nanoparticles (nps), which are generally defined as any material having ... |
Endoscopic ultrasound (eus) has revolutionized the field of advanced endoscopy since it was first introduced in the early 1980s . Many indications, including staging and diagnosis of gastrointestinal and lung malignancies; evaluation of subepithelial lesions and pancreatic cysts; and diagnoses of chronic pancreatitis a... |
According to american association of suicidology, the disruption of sleep schedules is considered a potential warning sign of suicide 1, 2 . A recent systematic review has indicated the relationship between shortened sleep period (<6 h) and suicidal behavior (sb) in the context of an active psychiatric disorder 3 . Dep... |
As a first step towards developing this concept, our aim was to design a catalyst that selectively functionalized cis-1,2-diols, a prevalent motif in biologically relevant molecules (fig . We previously reported that scaffold 1 is an effective catalyst for the desymmetrization of cis-1,2-diols via silylation . The cata... |
To mine genomes for transcription regulatory elements (res), a generic vertebrate genome can be viewed as containing three major categories of sequence elements: the exons of protein - coding genes, non - coding non - repetitive dna and repetitive elements . While coding exons in general cover as little as 12%, non - c... |
Autoimmune haemolytic anemia (aiha) is a complex process characterized by an immune reaction against red blood cell self - antigens . The analysis of specimens, drawn from patients with cold auto - immune hemolytic anemia is a difficult problem for automated hematology analyzer . This paper was written to alert technol... |
The first and now archetypal member of the p38 mapk family, p38 mapk, was identified by four independent groups in 1994 . It was isolated as a 38 kda protein rapidly tyrosine phosphorylated in response to lipopolysaccharide stimulation, as a molecule that binds pyridinyl - imidazole drugs which inhibit the synthesis of... |
Following the success of hip resurfacing procedures, large head metal - on - metal hip (mom) arthroplasty has become popular due to perceived advantages of low wear rate of metal - on - metal bearings and reduced dislocation rate of utilising large heads (36 mm). Systemic effects of metal ions and wear debris of metal ... |
One of the particular clinical features of this arrhythmia is its self - perpetuating nature . Paroxysmal af (self - terminating episodes) may eventually turn into persistent (> 7 days) and perhaps even permanent af. This progression is considered to be, in part, due to both structural and electrophysiological remodeli... |
The rising number of people claiming no religious affiliation across europe and the united states represents one of the most significant social changes over the past century, with implications upon the role of religious institutions in civil society, as well as on family and fertility patterns (chaves 1994; lesthaeghe ... |
Strontium and its isotopes as effective tracers are applied for characterizing geochemical and biogeochemical behaviors in the fields of archaeology [1, 2], water - rock interactions, and geologic chronology to identify and trace the origins and evolutions of the climate and the environment [5, 6]. The separation of st... |
A 24-year - old man driver was involved in a collision with another car, and he was thrown forward and backward . He later noted of tremor of left hand, which was exacerbated by action and was also present at rest and while sleeping . 2 months after the accident, left arm and shoulder movements were limited by pain and... |
A male neutered ragdoll cat aged 11 years and 9 months presented with a 6 month history of weight loss and a 1 month history of lethargy and adipsia . A thorough clinical investigation confirmed a diagnosis of primary adipsia and hypernatraemia secondary to a non - secretory neuroendocrine pituitary macroadenoma . This... |
Although aging appears to be inexorable, lifespan can be experimentally manipulated . Genetic modification and environmental challenges angiotensin type 1a receptor knockout resulted in marked prolongation of lifespan in mice with less cardiac and renal injury, and less oxidative damage, than in wild - type mice . Furt... |
The bg consists of four major nuclei, including the striatum (caudate and putamen), globus pallidus (gp), subthalamic nucleus (stn), and substantia nigra . Each of these nuclei differs in their neurochemistry, projection pattern, and function (see following sections). More than 95% of neurons in the striatum are projec... |
The introduction of laparoscopic techniques is one of the most significant events in the evolution of surgery in the 20th century . In just a few years, advanced laparoscopic techniques have been developed for treating most surgical pathologies, including colorectal pathologies . Advanced laparoscopic procedures requir... |
In developing this medical test methods guide, we sought to apply theory and empirical evidence, supplemented by personal experience and judgment, and to maintain consistency as much as possible with the principles described in ahrq s general methods guide . We were guided by two fundamental tenets: 1) evaluation of th... |
The toe - plantar surface of the foot is the only part of the body that directly contacts the ground in the standing position and during walking, making toe - plantar function very important1, 2 . Many studies have reported that foot - gripping strength is related to toe - plantar function3,4,5,6 . Foot - gripping, lik... |
Prolongation of pregnancy beyond term is often associated with oligohydramnios and with increased perinatal mortality and morbidity [13]. Several studies have shown a relationship between the presence of oligohydramnios and an unfavourable pregnancy outcome, regardless of gestational age [1, 47]. The ultrasonographic a... |
Hearing loss is one of the most common sensorineural disorder and affects one out of 500 live births . The prevalence of hearing loss increases as children get old.1) while many causes such as viral infections, ototoxic drugs and acoustic trauma could induce hearing loss, more than half of congenital bilateral profound... |
It can have a disabling effect because of pain and reduced mobility of the stroke survivor, which may limit the potential effect of rehabilitation . Quality of life can affected by spasticity and can be highly detrimental to daily functional ability . Spasticity can cause urinary incontinence, limit sexual ability, int... |
A 57-year - old man with newly diagnosed chronic myelomonocytic leukaemia (cmml) receiving etoposide chemotherapy presented to his primary medical doctor with a two - month history of abdominal pain and altered bowel habit . Subsequent investigation with colonoscopy and computed tomography (ct) scan revealed a primary ... |
He was known to have nonalcoholic steatohepatitis with cirrhosis and had suffered in the past two years from esophageal varix ruptures that were successfully treated using band ligation . Upon admission, hemoglobin level was 8.1 g / dl and mean corpuscular volume 71 m . Initial endoscopy of the upper gastrointestinal t... |
Risk factors not only include obesity, sedentary lifestyle, and age but also genetics and environmental factors contribute to it . Hypertension is usually asymptomatic and the patient presents to the hospital with one of the complications especially in developing countries where very minimal importance and minimal reso... |
This chromaffin cell tumor may secrete catecholamines and other substances, either continuously or intermittently, causing sustained or paroxysmal symptoms, respectively . As some patients may have recurrences after removal of the primary tumor, follow - up is essential . There may be a common pathophysiological mechan... |
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