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Polytrauma patients with pelvic fractures challenge the surgeon's diagnostic, operative, and peri - operative management skills, especially because of the frequent associated injuries to the abdominal viscera . The use of an external fixator for the initial and, in some cases, the definitive fixation of unstable, compl...
Falls and fractures are intimately linked and are major causes of morbidity and mortality in older people . Previous fall and/or fracture are the most important risk factor for further events;1 therefore, secondary prevention programs for falls and fractures are highly needed . Although falls clinics have been establis...
The prevalence of obesity has increased dramatically in recent decades both in the united states and abroad . Today, it is estimated that as many as 34% of women of reproductive age are obese (bmi 30 kg / m). Studies have consistently shown a significant association between obesity and adverse pregnancy outcomes [24]. ...
Vertebrate telomeres are essential nucleoprotein structures that protect chromosome ends from promiscuous dna repair activities and nucleolytic degradation (for review, see de lange, 2005). Telomeric dna is composed of repetitive double - stranded ttaggg sequences that extend into a 3 single - stranded overhang on the ...
Myxoglobulosis, a term coined by von hansemann in 1914, is described as a variant of mucocele . It is associated with the formation of opaque globules varying in diameter from 0.1 cm - 1.0 cm and lying in a clear mucous . Mucous retention cyst is a true cyst, pathogenesis of which can be due to ductal dilatation, secon...
The spectrum of chronic hbv infection ranges from asymptomatic infection to chronic hepatitis with progression to cirrhosis, end - stage liver disease and hepatocellular carcinoma . A 30-year - old man presented with recent hypertension, severe headache and lethargy on a background of recently diagnosed hbv infection ....
Hematopoietic stem - cell transplantation (hsct) is an important therapeutic option for many malignant and nonmalignant disorders . Since the first report of bone marrow (bm) transplantation, steady - state bm (ss - bm) has been the only stem - cell source for hsct . In recent years, granulocyte colony - stimulating fa...
Many urologists routinely use transrectal ultrasound (trus) for the diagnosis and staging of localized prostate cancer . However, with the widespread use of prostate - specific antigen (psa) screening, there has been a shift to earlier stages and smaller volumes at the time of diagnosis . Furthermore, trus is limited i...
Nearly, 200,000 malaria cases are reported each year in bangladesh for population of 140 millions . Malaria transmission in bangladesh is mostly seasonal and limited to the border regions with myanmar in the east and india in the north (figure 1). Out of country's 6 administrative divisions (containing 64 districts), d...
In the past few decades, optical biosensors have been developed for applications in food industry, biomedical assay, and monitoring of environmental elements and changes.13 a great deal of effort has been made on developing various techniques for biomedical assays that use detection labels such as fluorophores to attac...
The precise mechanism of the action of the corticosteroids within the inner ear is scarcely known . Corticosteroids bind to glucocorticoid receptors on the cell membrane surface, then are transferred into the cell nucleus where transcription is initiated or modulated, influencing cell signalling pathways . Fluid and io...
Tobacco use is the leading cause of preventable morbidity and mortality in the united states [1, 2]. According to the national youth tobacco survey, 5% of middle school students (grades 68) currently smoke cigarettes and 20% of nonsmokers report willingness to experiment with cigarettes . A growing body of research ind...
Diabetes mellitus (dm) is a common disease in iran and around the world . It is a chronic, progressive and costly disease, and results in a number of complications . For individuals with dm, it is difficult to accept that they must change their lifestyle . Since these patients are unaware of short - term and long - ter...
The institute of medicine report in 1995 stressed the need for change in dental education with better application of basic science to clinical problems and experimentation with different models of education, practice and performance assessment . Rajiv gandhi university of health sciences curriculum in the state of karn...
A 60-year - old man presented to the emergency room with a sudden onset of intractable pain in the left leg . The patient had a history of intermittent abdominal pain and hypertension without other risk factors for atherosclerosis . A computed tomographic angiogram (cta) revealed chronic total occlusion of the abdomina...
Glaucoma is the second leading cause of blindness after cataract, with approximately 60 million cases reported worldwide in 2010 . If undiagnosed, glaucoma causes irreversible damage to the optic nerve leading to blindness . Therefore diagnosing glaucoma at early stages is extremely important for an appropriate managem...
Ionizing radiation has been increasingly used during the past decades for diagnosing and treating different medical conditions (1). However, besides its diagnostic and therapeutic effects, ionizing radiation is also associated with different side effects . Severity of side effects varies with the dose, for which there ...
A problem that has frequently emerged as a critical issue in patients with venoarterial (va) extracorporeal membranous oxygenation (ecmo) is a dilatation of the left heart due to volume overload of the left ventricle . Conventionally, a venting cannula is placed in the left atrium via the right upper pulmonary vein or ...
A key idea that has emerged over the past two decades is that neurons in the mpfc, especially the anterior cingulate cortex, encode the recent history of successes and failures in performing a given task (shima and tanji, 1998; shidara and richmond, 2002; ito et al ., 2003; mpfc neurons are thought to process these sig...
Although individuals younger than 40 years of age account for only 3% of all patients with coronary heart disease (chd)1 and also myocardial infarction (mi) mainly occurs in individuals older than 45 years old, the young are not completely immune from these cardiac diseases.2 the causes of mi among patients aged less t...
A monteggia fracture is a rare injury consisting of a proximal ulnar fracture with associated radial head dislocation . Notable differences exist in the treatment and outcomes of monteggia fractures in pediatric and adult populations, with children often having a better prognosis . Surgical fixation of these fractures ...
The rapid development of new digital display devices over the past decade has changed the performance requirements of modern contact lenses . Where previously the lens - wearing population interfaced with primarily large, analog crt screens and low - definition television monitors, current lens wearers increasingly use...
The development of advanced imaging methods has revealed that living cells exhibit highly dynamic structural remodeling [1, 2]. The rate and structural details of cellular motility can change over development or in response to the environment in ways that reveal important details about cellular signaling mechanisms [35...
We obtained cdcl3, sq, tetramethylsilane (tms), and reagents from sigma - aldrich corp . Meibomian glands were expressed by compressing the eyelid between cotton - tipped applicators with strict attention to avoid touching the eyelid margin during expression . All four eyelids were expressed, and approximately 0.5 mg m...
Blood - slide microscopy using thick and thin smears stained with giemsa has remained the gold standard in the diagnosis of malaria for many years.12 however, microscopy has its draw backs and limitations; it has high - fixed cost, and demands well - trained and experienced laboratory technician and microscopist.34 the...
Agranulocytosis is defined as an absolute neutrophil count (anc) less than 100/mm in association with infectious disease . The risk of agranulocytosis is 0.38% of all clozapine treated cases and there is a relatively lesser incidence in indian population . The risk of clozapine - induced agranulocytosis and neutropenia...
Cervical cancer is mainly treated by radiotherapy which consists of external beam radiation therapy (ebrt) and intracavitary radiation therapy (icrt). Due to technological advances intensity modulated radiation therapy (imrt), a form of conformal radiation therapy, is increasingly being used nowadays in cervical cancer...
Lymphoma of the bone is a rare malignancy, first suggested by oberling in 1928 and further described by parker and jackson in a series on reticulum cell sarcoma of bone . Primary bone lymphoma, as originally defined by ostrowski, is a lymphoma of bone without disease present elsewhere for at least 6 months after initia...
Hepatitis c virus (hcv) is noncytopathic virus that causes chronic hepatitis and hepatocellular carcinoma (hcc). Around 30% of chc patients exhibit pnalt and show milder disease activity and slower progression to hepatic cirrhosis [26]. However, it is reported that about 40% of these progress to the active stage of inf...
Paraneoplastic pemphigus, which was initially described by anhalt et al (1), is characterized by non - specific pemphigus accompanying mucosal skin lesions showing erosion and blisters, which occur as a result of the production of autoantibodies against internal tumors . Skin lesions associated with autoantibodies may ...
The impact of land use practices in esthetically - managed landscapes of the united states was summarized in a us environmental protection agency report, which noted: the widespread replacement of millions of acres of native vegetation with primarily non - native ornamental plants in managed landscapes is a growing pro...
Lower urinary tract infections (utis) are among the most frequently seen bacterial infection and account for considerable morbidity among sexually active women. (1) escherichia coli remains the predominant uropathogen, causing 80 - 90% of acute community acquired uncomplicated uti. (2) more than half of all women exper...
A twenty one year old primi gravida at six months gestation presented with a history of rapidly enlarging lump in the left breast associated with pain . On examination, a mass approximately measuring 20 x 14 cm was present in the upper and lower quadrants of the left breast . The specimen received by the pathology labo...
The classical renin - angiotensin - system (ras) is a proteolytic cascade which is constituted by multiple enzymes and effector peptides . The cascade starts when angiotensin i (ang 110) is released from the propeptide angiotensinogen by kidney - secreted renin . The peptide metabolites produced from ang 110 by a varie...
Sacral sitting is a poor seated posture with a posterior pelvic tilt and thoracic kyphosis1 . It is typically observed in frail older adults using a wheelchair, and occurs when they lack the ability to retain a seated posture and/or their body size and function do not match the size and structure of the wheelchair2 . I...
In 2005, wood discs were cut from a discolored stump of pinus thunbergii (fig . 1) grown in a forest in taean, chungnam, korea . After washing with tap water the wood pieces were surface - sterilized with 0.5% chlorine lax solution for 2 min, washed twice with sterile water, and air dried . The dried wood pieces were p...
In total, 165 blood and 194 sputum samples were collected from 181 different hiv - positive patients with upper respiratory complaints, regardless of tb suspicions, who were attended at the correia picano hospital and oswaldo cruz university hospital, as shown in fig . The samples were forwarded to pernambuco central l...
Mechanical rotational thrombectomy devices can be utilized as a safe and effective alternative in the treatment of acute or subacute infrainguinal occlusions and chronic occlusions of the iliac and femoropopliteal arteries . The limitation of rotational thrombectomy with rotarex catheter (rotarex, straub medical ag, wa...
Streptococcus agalactiae is the principal cause of bacterial sepsis, neonatal meningitis and endocarditis in parturient women . It is also a cause of pneumonia particularly in the immunocompromised elderly (1). S. agalactiae commonly colonizes the gastrointestinal and urogenital tracts of humans (2) and the proteins en...
Pentacene was deposited on a muscovite mica surface by physical vapor deposition from a knudsen cell in an ultrahigh vacuum chamber . The cell temperature was about 500 k to realize a deposition rate of 1 monolayer / min . The mica samples (10 10 0.01 mm) were attached to a steel plate via tantalum wires . The steel pl...
Ocular dominance is the preference of one eye over the other in terms of sighting, sensory, and oculomotor tasks [1, 2]. Ocular dominance is clinically important in sports vision and vision therapy, but the most important application of the principles of ocular dominance is fitting of monovision contact lenses and appl...
Phechromocytomas are rare cathecholamine secreting tumors derived from the chromaffin cells of the embryonic neural crest . Although these tumors are similar in origin, the clinical manifestations, prognosis and management differ and occurrence of pheochromocytoma in patients with hypertensive symptoms is less than 0.5...
Management is the art of performing jobs by or with other people mary parker follet [figure 1]. This is one of the many definitions of management, but apart from these definitions, it is very important to mention one of the general management theory postulates that gave henry fayol and which proposed the five primary f...
At hcb, as part of the routine workup for febrile patients, serum samples were collected, stored at 20c, and transported in liquid nitrogen to quito for pcr . Hospital personnel also tested these samples by using a dengue igm / igg - capture elisa with high specificity and sensitivity (panbio, waltham, ma, usa). At the...
Stroke, caused by ischemia or hemorrhage, results from the interruption of blood supply to the brain that induces constant deficiency of oxygen and causes brain damage1 . Though fatality after stroke has been greatly reduced by the development of medical technology, stroke presents physical and mental obstacles that im...
Stereoscopic experiments on natural flocks of european starlings were performed in the field in rome using three high speed machine vision cameras shooting at 170 fps . The stereoscopic video acquisitions were then processed using a novel purpose - built three - dimensional tracking algorithm based on a recursive globa...
Failure to perform a phecg is associated with delayed and denied reperfusion treatment in patients with st - elevation myocardial infarction (stemi).59 although some reports suggest that women are less likely than men to have a phecg recorded,10 there is incomplete understanding of the factors associated with the use o...
High oxygen \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document}} {} $({\rm o}_{2})$\end{document} therapy (hyperoxia) is a necessary treatment ...
Prostate cancer (pca) is the most commonly diagnosed malignancy and the second leading cause of cancer - related deaths amongst men . Just as digital rectal examination, prostate - specific antigen (psa) testing and transrectal biopsy have been stalwarts in the diagnosis of pca, staging has relied on computed tomograph...
The earliest host - cell response to viral infection is activation of the type - i interferon (ifn/) system (see fig . 1), which ultimately leads to the establishment of antiviral responses in infected / neighboring cells and contributes to the shaping of an effective adaptive response [55, 70]. Initiation of the ifn r...
Rheumatoid arthritis (ra) is the most frequent chronic autoimmune inflammatory rheumatism, with a worldwide prevalence around 1% . Ra severity is related to joint destruction characterised by erosion and space narrowing that is responsible for joint functional disability [24]. Early diagnosis and treatment are crucial ...
For all the painstaking attention granted to tracheal intubation, especially with regard to the management of the difficult airway, precious little heed has thus far been paid to tracheal extubation.1 compared to 4.6% respiratory complications in the intubation of elective cases, extubation - related complications aris...
Salmonellosis is a well - known cause of morbidity and mortality in patients, particularly in endemic areas . It is also a well - known cause of pyogenic liver abscess [1, 2]. It is frequently encountered in patients with pre - existing liver pathology such as amoebic abscess or echinococcus cyst . We present a case of...
Generally, there are associations between the concept of social capital and social and civic participation as well as networks of cooperation and solidarity (1). The existing literature is rife with different definitions, conceptualizations and perspectives in social capital area . For example, bourdieu s distinct pers...
In 2005, heimburg and jackson showed that biomembranes may carry solitonic sound waves whose maximum amplitude and minimum velocity are close to the propagation velocity in myelinated nerves. (1) their paper concluded: it would be surprising if nature did not exploit these features . Subsequent works by the same author...
This paper describes a novel assessment and care planning system for improving quality of life (qol) in nursing homes . The quality of life structured resident interview and care plan (qol.sri/cp) builds on a decade of research on measuring qol and is designed to be easily implemented in any us nursing facility . The m...
Dialkyl phthalates, such as di-(2-ethylhexyl) phthalate (dehp), diisononyl phthalate (dinp), diisodecyl phthalate (didp) and dibutyl phthalate (dbp), are petrochemicals used as plasticizers or solvents in a variety of industrial products . These chemicals have been thought to be environmental pollutants and detected in...
Palmar hyperhidrosis is a somatic disorder characterized by excessive sudoresis that is limited to the hands . It is caused by hyperfunctioning of the sympathetic nervous system and is frequently related to a triggering emotional situation.1,2 this hyperfunction goes beyond what is needed for thermoregulation.3,4 it ma...
A 15-year - old boy diagnosed as intracranial germ cell tumor underwent surgery, followed by cranial radiotherapy (45 gy) and later treated with bleomycin, etoposide and cisplatin(bep) regimen . After third cycle of chemotherapy, he developed asymptomatic erythematous rashes over the back, chest and thighs, which later...
Microbial keratitis is a serious condition that could result in corneal scar, corneal perforation, and even blindness . Microbial keratitis usually occurs in the presence of predisposing factors, such as ocular trauma, ocular surface diseases, and contact lens wear . The demographics and microbiological profile of micr...
Road traffic injuries (rtis) are responsible for approximately 1.2 million deaths worldwide and 50 million injuries each year . Rti rates are particularly high in the developing world due to poorly maintained road networks and motor vehicles . These rates are projected to rise as developing countries become increasingl...
Colorectal cancer (crc) is one of the most commonly diagnosed and lethal cancers worldwide . In many years, crc accomplishment has been explained as a multistep process that requires the accumulation of genetic / epigenetic aberrations in signal transduction pathways . A growing body of evidence is increasingly support...
There is growing concern about the marked inadequacy of osteoporosis care for patients who suffer a fragility (low - energy) fracture . Hip fractures increase exponentially with age and are associated with impaired mobility, loss of independence, increased hospitalizations, and mortality for up to one in four women dur...
Several species of bacteria have been linked to chronic infections of colon and have been shown to increase the risk of colon cancer . Streptococcus bovis has been evaluated as one of the possible etiologic agents for colorectal cancer . S. bovis is a gram - positive bacterium, which is considered as a normal inhabitan...
Arachnoid cysts in the brain usually have an indolent course unless complicated by headache, seizures, increasing head circumference, behavioral disturbances, ocular, motor, speech disorders, and sudden cyst changes such as acute cyst expansion, sudden hemorrhage into the cyst, subdural hematoma, or subdural hygroma . ...
The pubertal growth spurt is considered to be an advantageous period for certain types of orthodontic treatment and should be taken into account together with orthodontic treatment planning13 . Because of the wide individual variation in the timing of the pubertal growth spurt, chronological age is an unreliable guide ...
In healthy women of child - bearing age the protective mucosa in the vagina is populated with microflora typically dominated by lactobacilli, and their dominance over pathogenic anaerobes is positively associated with vaginal health . The majority of healthy women evidence only lactobacillus in the vagina . The functio...
Patients with lumbar pain have greater atrophy of the deep trunk muscles than healthy subjects and they also have weakened proprioceptive senses, which trigger spinal instability, which in turn becomes the cause of recurrent lumbar pain1 . Lumbar stability is a prerequisite element that enables movement of the limbs by...
The bottom or opposing wall of the uticulo - endolymphatic (bast s) valve is the moving and thus functional part of the valve . This structure was discovered by bast, who called it the utriculo - endolymphatic valve . The morphology of the valve has been researched in humans and several mammalians [1, 5, 10]. Bast hims...
Hypertension is the major factor responsible for the most deaths worldwide (around 7 million or 12.8% per year) and this is 46% more than tobacco usage, the next major risk factor . From an epidemiological and clinical perspective, blood pressure at the higher end of the normal population distribution is associated wit...
Localized gingival growths are one of the most frequently encountered lesions in the oral cavity and peripheral ossifying fibroma (pof) is one of them . Pof is a focal, reactive, non - neoplastic tumor like growth of the soft tissue that often arises from the interdental papilla . Though the etiopathogenesis is uncerta...
An 18-year - old male patient presented with pneumothorax on postoperative day four after the minimally invasive repair of pectus carinatum . The pectus carinatum repair was performed using the sandwich technique, which involves a 33.02-cm press - molded internal bar and a 30.48-cm press- molded external bar (fig . A s...
Apparent shortfalls between the supply of health professionals and demand for their services can be addressed in four main ways: (i) increasing training places; (ii) improving retention of qualified people in the workforce; (iii) improving productivity of the existing workforce and (iv) managing demand . In this study,...
It is the most potent toxin known, with as little as 30100 ng potentially fatal to a human adult (peck 2009). There are seven types of botulinum neurotoxin (types a g), which are formed by the gram - positive anaerobe clostridium botulinum and some strains of c. butyricum and c. baratii . Types a, b, e, and f neurotoxi...
You are an intensivist in an institution that performs solid organ transplantations . In an effort to provide patients and families with increased opportunities to donate their organs, the institution has recently developed a policy for donation after cardiac death (dcd). With the new dcd policy, organ donation is offe...
P. falciparum pfi1780w residues 85247 or 98247, pfd1170c residues 132309, and mal8p1.163 residues 131284 were cloned in vector pgex-6p-2 (ge healthcare life sciences, glattbrugg, switzerland), and transformed into escherichia coli bl21(de3). Pfe1605w residues 122335 and mal8p1.4 residues 310456 were cloned in popinf ve...
Patients aged more than 18 years with a diagnosis of active hsv nsk were enrolled . Ulcer measuring more than 2 mm and involving more than one - third of corneal stroma with an overlying epithelial defect were included . Patients were excluded if they had been treated with antiviral therapy and/or topical or systemic s...
As energy expenditure does not seem to have changed substantially over the past 30 years, an increased energy intake is believed to be the main factor explaining the current obesity epidemic . It is generally assumed that energy intake has changed because of changes in the environment: compared to the 1980s, western(iz...
This means that smartphones are used as personal computers as often as they are used to make phone calls . Due to conveniences in terms of portability, various smartphone functions may be utilized while walking or working . In particular, listening to music, sending messages, web surfing, and playing games are frequent...
Gaucher disease (gd) is an autosomal recessive lysosomal storage disorder caused by a profound deficiency in the enzyme glucocerebrosidase [gba (glucosylceramidase, acid beta - glucosidase) ec.3.2.1.45] (brady et al ., 1965). The deficiency in gba results in the accumulation of its lipid substrate glucocerebroside in r...
Vertebral artery dissecting aneurysms (vadas) are diagnosed as a reason for subarachnoid hemorrhage (sah).14) once ruptured and causing sah, the percentage of re - bleeding of these lesions is up to 30% and is associated with a high rate of mortality.1)18) thus, early treatment is strongly recommended . The most genera...
, they account for less than 5% of all osseous neoplasms, and less than 0.2% of all cancers24,25). Dorfman and czerniak9) analyzed data on 2627 primary malignant tumors of bone including spine collected in the surveillance, epidemiology, and end results (seer) program . Their tumors were osteosarcoma (35.1%), followed ...
Tumor necrosis factor receptor - associated factors (trafs) act as adapter molecules controlling signaling pathways, such as nuclear factor kappa b (nf-b), interleukin-1 receptor (il-1r), toll - like receptor (tlr), and transforming growth factor- (tgf-) [1, 2]. For a long time it is important that traf6 contributes to...
Questing ticks were collected from vegetation by flagging in 3 regions in germany (9 sites total) in march three sites, including renatured gravel pits and walking areas near villages and cities (a c), were located in the federal state of saarland . One site in southern germany was in a natural alluvial forest north of...
Azoospermia, the absence of sperm in the ejaculate is seen in 1015% of infertile men . Examination of the testis and vas - deferens along with semen volume and serum follicle stimulating hormone (fsh) levels help in identifying the cause of azoospermia . Obstruction of the ductal system is responsible for approximately...
Eligible participants were insulin - nave adults (1880 years) with type 2 diabetes treated for 3 months with 1,500 mg / day metformin and a1c values of 7.010.0% or with metformin and sulfonylurea (less than or equal to half of the maximum approved dose) and a1c values of 7.08.5% (supplementary data online). The trial w...
Patellofemoral osteoarthritis (pfoa) commonly occurs among middle - aged and elderly people, especially among asian women . Pathogenically, lower limb alignment abnormalities will result in wear and tear on cartilage in the patellar / groove joint surface, subchondral sclerosis, and osteophytosis . Patellofemoral osteo...
The increasing number of patients with type 2 diabetes mellitus is a prominent health problem worldwide . Incretin - based therapy is one of the promising new treatments for type 2 diabetes mellitus, and has recently become a first - line drug . Although side effects do not often appear with this class of drug, several...
Toll - like receptors (tlrs) are type i transmembrane receptors that are expressed on the cell membrane and are critical for the induction of downstream signals during innate immune responses to bacterial components . Tlr4 is expressed in many cells, including endothelial cells, keratinocytes, epithelial cells, macroph...
Ocular toxoplasmosis is a common inflammatory eye disease and a major cause of posterior uveitis worldwide . The importance of toxoplasmosis is even greater in brazil, where the prevalence and severity of ocular disease are higher than those in the rest of the world . A study conducted in brazil showed that 90% of newb...
Some earlier works from this laboratory were concerned with electrosorption and electroreactivity of small organic molecules at well - ordered pt single - crystal surfaces, including: aliphatic oximes [1, 2] and guanidinium [g / nh2 = c(nh2)2]-type ions [35]. With respect to g ions, their presence in solution was revea...
The existing treatment options for mild to moderate alzheimer s disease (ad) patients are limited to a small number of fda - approved pharmaceuticals, including the acetylcholinesterase inhibitors (acheis) tacrine, donepezil, galantamine, and rivastigmine . These compounds prevent the degradation of acetylcholine (ache...
Patients infected with hiv have one thing in common; a deficit in cell mediated immunity, resulting predominantly from a significant reduction in the number of circulating cd4 + t cells . The mechanism by which the virus depletes these cells is not clearly understood and remains one of the most fundamental and controve...
Because of their unique ability to self - renew while retaining pluripotency, human embryonic stem cells (hescs) are considered an invaluable resource in regenerative medicine . Stem cell mediated repopulation of diseased muscles and hesc- or induced pluripotent stem cells (ipsc)-derived generation of skeletal muscles ...
One of the most essential components of the evaluation programs on children's health status is investigation of their developmental skills . Nowadays, social changes, advancements in medical sciences, burdensome economic condition, and disabling changes in the families have resulted in occurrence of behavioral, social,...
In addition to the known harmful effects caused to the human body, the oral cavity is directly affected by the smoking habit . Several studies have demonstrated that tobacco is, per se, a risk factor in the etiology of periodontal disease, with a local and systemic effect9,28 . A positive association between cigarette ...