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the world health organization ( who ) co - sponsored an international conference on primary health care in alma - ata , ussr ( now in kazakhstan ) in september 1978 . the declaration of alma - ata stated the need for urgent action by all governments , all health and development workers , and the world community to p...
backgroundglobally there is an increase in incidence of chronic kidney diseases ( ckds ) . diabetes mellitus ( dm ) , hypertension and stone diseases are the major risk factors for ckd . we organized kidney disease screening camps in a semi - urban population of gujarat , india on the occasion of world kidney day (...
mycobacterium malmoense is an acid - fast environmental non - tuberculous mycobacterium ( ntm ) that rarely causes disease in humans but is becoming increasingly clinically significant , especially within europe . it was first described in 1977 by schroder and juhlin , following isolation in respiratory tract culture...
mycobacterium malmoense is an acid - fast non - tuberculous organism that most commonly causes pulmonary infection . extrapulmonary infection has also been reported . with an increased emphasis being placed on the clinical importance of this organism , especially within europe , we report the first case of septic art...
creating peptide - based drugs includes the search of active sites or functionally important sites in the target protein and the selection of peptides capable of specific interaction with these sites . such a selection usually can be accomplished using peptide libraries containing random fragments of amino acid seque...
a mirror - symmetry motif was discovered in the n - terminus of the influenza virus pb1 protein . structure of peptide comprised of the corresponding part of pb1 ( amino acid residues 6 - 25 ) was investigated by circular dichroism and in silico modeling . we found that peptide pb1 ( 6 - 25 ) in solution assumes be...
cerebral palsy is a condition in which permanent problems affect movements and postural development due to non progressive lesions in the immature brain . it is accompanied by sensory disabilities , cognitive disorders , communication disorders , hypermetamorphosis , behavioral disorders , or convulsion1 . am...
[ purpose ] the purpose of this study was to compare joint angles between normal children and those with spastic diplegia using three - dimensional gait analysis . [ subjects and methods ] the study subjects were eight patients with spastic diplegia and eight normal children . three - dimensional gait analysi...
the insulin signal transduction pathway in pancreatic -cells is similar to that in most other cell types ( fig . 1 ) . we do not dispute evidence that insulin receptors are expressed in -cells . moreover , it is generally accepted that some elements in the insulin signal transduction pathways play a critical role...
in recent years there has been a growing interest in the possibility of a direct autocrine effect of insulin on the pancreatic -cell . indeed , there have been numerous intriguing articles and several eloquent reviews written on the subject ( 13 ) ; however , the concept is still controversial . although many in vi...
several studies have shown that subjects suffering from low back pain ( lbp ) frequently show persistent involvement of the lumbar multifidus muscle . for example , atrophy and fatty infiltration have been reported1,2,3,4,5,6,7 , reduced activity has been demonstrated in persistent lbp8,9,10,11 , and fiber transf...
[ purpose ] the purpose of this review was to investigate the types of exercises that can improve the tropism of the multifidus muscles , based on clinical evidence . [ methods ] following to the pico ( problem , intervention , comparison , outcome ) model , we considered studies of subjects with specific or no...
organophosphate compounds ( opcs ) are widely used for pest control in agriculture worldwide which leads to increased risk of human exposure . as a result of easy and widespread availability they are also often used as suicidal agents in developing countries killing an estimated 300,000 people per annum . the opcs ...
background : organophosphate compound ( opc ) poisoning is common in the developing countries such as india . the acute and later effects of opc poisoning on pituitary and target gland hormones is largely unknown.materials and methods : this prospective study was conducted at postgraduate institute of medical educati...
its symptomatology could mimic other disease processes such as cholecystitis , diverticulitis , ruptured ovarian cysts and pelvic inflammatory disease . the diagnosis could be further obscured by underlying undiagnosed anatomical anomalies , for instance intestinal malrotation . midgut malrotation is a foetal anoma...
appendicitis is a common surgical condition with various clinical presentations . the diagnosis could be obscured by underlying undiagnosed anatomical anomalies like intestinal malrotation . intestinal malrotation is a rare foetal anomaly resulting from an incomplete , or failure of midgut rotation and fixation . ...
internal hernias comprise 1% of hernias , 8% of which are through the foramen of winslow into the lesser sac . this is the third reported case describing true gastric outlet obstruction secondary to caecal herniation through the lesser foramen . it is common for this type of herniation to initially be misinterprete...
abstractinternal hernias comprise 1% of hernias , 8% of which are through the foramen of winslow into the lesser sac . these hernias can mimic gastric outlet obstruction and cause associated morbidity . in this case , we describe a caecal herniation into the lesser sac presenting as true gastric outlet obstruction ...
the leukodystrophies are a heterogeneous group of genetic diseases involving dysmyelination of brain white matter as a result of substrate accumulation due to enzymatic defects . recognition of leukodystrophies has been revolutionized by mri technology because of its increased sensitivity compared to ct scan and beca...
leukoencephalopathy refers to any disease of the white matter including hereditary as well as acquired and toxic causes . inherited leukodystrophies are diseases of myelin including abnormal myelin development , hypomyelination , or degeneration of myelin . we report a 6-year old female who presented with absence s...
bureaucracy has consequences . in 2004 , time magazine attributed the nearly 400,000 european researchers in the us to two key factors funds and bureaucracy . although many researchers were attracted by money and opportunity , many more were escaping constraints that faced them at home . the european union ( e...
over the past 15 years , the european union ( eu ) has spent around 80 billion on science research via framework programmes ( fp5 , fp6 and fp7 ) . in 2014 , a new programme , horizon 2020 , will likely invest another 70 billion over 6 years . health research has been a major part : between 12% and 17% was ...
although substantial progress has been made in the awareness , prevention , and treatment of cardiovascular disease in women in the united states ( usa ) over the past 10 years , women 's lifetime risk of cardiovascular disease is high . adverse trends in cardiovascular disease risk factors are a growing concern , pa...
background . this study investigated the associations of fitness and fatness with metabolic syndrome in rural women , part of a recognized us health disparities group . methods . fitness , percentage body fat , bmi , and metabolic syndrome criteria were assessed at baseline in 289 rural women with prehypertension ,...
os objetivos do presente estudo foram avaliar as concentraes de flor ( f ) em leites integrais , desnatados e achocolatados disponveis comercialmente no brasil e estimar a ingesto diria de f a partir destas fontes . as concentraes de f foram determinadas em 23 marcas de leite , aps difuso facilitada por hmds , usando...
objectives : the aims of the present study were to evaluate the fluoride ( f ) concentrations in whole , defatted and chocolate milks commercially available in brazil and to estimate the daily f intake from these sources.material and methods : f concentrations were determined for 23 brands of milks , after hmds - facil...
the mode of action of many drugs in clinical use for the treatment of cancer , genetic disorders , and viral diseases is believed to be based on their binding to nucleic acids and subsequent modification of the genetic material [ 1 , 2 ] . the discovery of the double helical structure of deoxyribonucleic acid ( dna )...
bioactive alkaloids occupy an important position in applied chemistry and play an indispensable role in medicinal chemistry . amongst them , isoquinoline alkaloids like berberine , palmatine and coralyne of protoberberine group , sanguinarine of the benzophenanthridine group , and their derivatives represent an importa...
within hcfa 's office of the actuary , the office of national health statistics ( onhs ) is charged with the responsibility for maintaining the national health accounts ( nha ) . these accounts form the structure for maintaining health care expenditure information for the united states . in response to a request by t...
as the first step in a pioneering effort by the health care financing administration ( hcfa ) to measure interstate border crossing for services used by both medicare and non - medicare beneficiaries , the authors study the spending behavior of medicare beneficiaries for 10 medicare - covered services . based on inters...
bereavement is a common term used to describe having lost someone important or significant through death . this intense emotion or distress following bereavement is referred to as grief , or the emotional reaction to bereavement . grief is complex , and incorporates multiple symptoms such as anger and sadness , and...
to date there have been no studies examining complicated grief ( cg ) in aboriginal populations . although this research gap exists , it can be hypothesized that aboriginal populations may be at increased risk for cg , given a variety of factors , including increased rates of all - cause mortality and death by suicid...
image - guided tumour ablation is one of the exciting and promising developments in radiology . radiofrequency ablation ( rfa ) is used in many centres to treat hepato - cellular carcinoma ( hcc ) and hepatic metastases as a complementary method to liver resection . there is interest in using magnetic resonance ( m...
abstractthere is a sustained interest in using magnetic resonance ( mr ) thermometry to monitor the radiofrequency ablation of liver tumours as a means of visualizing the progress of the thermal coagulation and deciding the optimal end - point . despite numerous technical challenges , important progress has been made...
blood flow rate ( bfr ) < 300 ml / min often is used to define hemodialysis catheter dysfunction , including in the national kidney foundation 's ( nkf ) kidney disease outcomes quality initiative ( kdoqi ) vascular access guidelines [ 1 , 2 ] , and in many research studies . causes of catheter dysfunction include mec...
practice guidelines define hemodialysis catheter dysfunction as blood flow rate ( bfr ) < 300 ml / min . we conducted a study using data from davita and the united states renal data system to evaluate the impact of catheter dysfunction on dialysis and other medical services . patients were included if they had 8 c...
a seventy year - old woman presenting gradual evolution pruritus gets worse recently . at clinical examination , both labia were observed as white plates , dispersed , irregular borders and sanded surface , suggestive of high - grade intraepithelial vulvar neoplasia . she was undergone to a vulvar polyp that rev...
neuroendocrine tumours are rare in the gynaecologic tract , comprising approximately 2% of all gynaecological tumours . they have an aggressive behaviour and are a diagnostic and clinical challenge , due to their rarity and the lack of standardized therapeutic approaches . there are a few case reports . it is def...
priapism constitutes a urologic emergency in which persistent erection occurs that is not accompanied by sexual desire , usually lasting for more than 6 h and typically involving only the corpora cavernosa . priapism has been associated with many known different disease states and some situations that constitute risk...
a 15-year - old boy presented with priapism of 46 h duration . there was no known cause of priapism detected in him . during evaluation , biopsy of the lymph node and bone marrow aspiration detected patient to be having niemann pick disease . he was managed with cavernous aspiration , saline irrigation , and int...
the duodenum is a common location for intestinal obstruction in the newborn requiring surgical intervention . intrinsic obstruction ranges from complete atresia with a gap to membranous web and to stenosis . in contrast to small intestinal atresia , ontogeny is thought to be secondary to failure of luminal recanali...
background . a common site for neonatal intestinal obstruction is the duodenum . delayed establishment of enteral nutritional autonomy continues to challenge surgeons and , since early institution of nutritional support is critical in postoperative newborns , identification of patients likely to require alternative...
primary intraosseous odontogenic squamous cell carcinoma ( pioscc ) is a rare and malignant tumor . the etiology seems to be related to the malignant degeneration of embryological remains . in this line , epithelial rests of malassez , dental lamina and epithelium of the dental follicle represent potential suspects...
primary intraosseous odontogenic squamous cell carcinoma ( pioscc ) is a rare tumor . the incidence is low , and approximately 200 cases are reported in literature . the etiology is associated with the malignant degeneration of embryological remains . differential diagnosis includes alveolar carcinomas , jaw meta...
cerebral microbleeds ( cmbs ) are defined as small perivascular hemosiderin deposits . with the widespread use of magnetic resonance imaging ( mri ) , cmbs are more commonly detected . in studies using sensitive mri technique , the prevalence of cmbs is as high as 11.1%23.5% in community - dwelling elderly people . p...
background : with the widespread use of magnetic resonance imaging ( mri ) , cerebral microbleeds ( cmbs ) are commonly detected . ethnicity seems to play a role in the prevalence of cmb , with higher prevalence in participants from asian origin . the purpose of the study is to look for the prevalence of cmbs and a...
dermatitis herpetiformis ( dh ) is one of the subepidermal autoimmune bullous diseases ( abd ) characterized by skin and intestinal lesions . diagnosis of dh is established based on the results of direct immunofluorescence test ( dif ) and the presence of circulating iga antibodies directed against endomysium and/or ...
dermatitis herpetiformis ( dh ) and bullous pemphigoid ( bp ) are skin diseases associated with eosinophilic and neutrophilic infiltrations . although chemokines are critical for the selective accumulation and activation of various leukocyte subsets in the inflammatory process , there are few findings concerning inflam...
preservation of hard tissues close to the living state is essential for understanding of cellular and subcellular structures and functions . the cutting of thin sections by ordinary methods is impossible in the case of tissues such as teeth , bone , teratomas containing bony tissue , lesions that have become partly c...
introduction : the microwave oven has been used quite often for tissue processing , but there are very few studies describing its use in decalcification of bone or teeth . in this study we have attempted to decalcify bone and teeth using a microwave oven and compare the process and results with conventional decalcifi...
the ttm trial randomized 950 adult comatose patients resuscitated after out - of - hospital cardiac arrest of presumed cardiac cause from november 2010 to january 2013 . the trial protocol was approved by the ethics committees in the participating countries and registered at clinicaltrials.gov ( nct01020916 ) . sed...
objective : to identify reliable predictors of outcome in comatose patients after cardiac arrest using a single routine eeg and standardized interpretation according to the terminology proposed by the american clinical neurophysiology society.methods:in this cohort study , 4 eeg specialists , blinded to outcome , evalu...
daily lifestyle habits , such as physical activity , smoking , alcohol drinking and dietary intake , are associated with the risk of developing impaired glucose tolerance ( igt ) or diabetes mellitus ( dm ) . recently , sleep duration , one of the daily lifestyle habits , has gained attention with regard to its assoc...
abstractaims / introduction : to examine the crosssectional relationship between sleep duration and impaired glucose tolerance ( igt ) , including diabetes mellitus ( dm ) , we analyzed a largescale healthy workers database in japan.materials and methods : we examined the baseline database of 4143 participants ( 34...
the online version of this article ( doi:10.1007/s12471 - 014 - 0624-y ) contains supplementary material , which is available to authorized users . pulmonary vein isolation ( pvi ) has become an important treatment modality for atrial fibrillation ( af ) [ 1 , 2 ] although af recurrences can occur . several pvi tec...
introductionthe endoscopic laser balloon ablation system ( eas ) is a relatively novel technique to perform pulmonary vein isolation ( pvi ) in the treatment of atrial fibrillation ( af ) . the present study aimed to report the results of the first 50 patients treated in the netherlands with the eas in terms of proce...
the archetypal animal mitochondrial dna ( mtdna ) is a 15- to 20-kb circular molecule ( boore 1999 ) . medusozoan cnidarians ( jellyfish and hydroids ) are among the few metazoans whose mtdnas depart significantly from this traditional architecture . staurozoans , scyphozoans , and most hydrozoans have linear mon...
animal mitochondrial dnas ( mtdnas ) are typically single circular chromosomes , with the exception of those from medusozoan cnidarians ( jellyfish and hydroids ) , which are linear and sometimes fragmented . most medusozoans have linear monomeric or linear bipartite mitochondrial genomes , but preliminary data have ...
denvdengue virusesdc - signdendritic cell - specific intercellular adhesion molecule-3-grabbing non - integrinhsp70heat shock protein 70hsp90heat shock protein 90ssrna+single - stranded positive - sense rna virusesmrcamore recent common ancestorutruntranslated regioneenvelope proteinmmembrane proteinns1non - structural...
dengue is a major threat for public health in tropical and subtropical countries around the world . in the absence of a licensed vaccine and effective antiviral therapies , control measures have been based on education activities and vector elimination . current efforts for developing a vaccine are both promising a...
obesity and overweight have both been described as anomalous accumulation of excessive body fat which may be harmful to health . there is no single cause to explain all cases of obesity and overweight but most studies implicate imbalance in the amounts of calories consumed and those expended . the disruption of the...
the aim was to determine the prevalence of obesity and overweight among students in the kumasi metropolis . in a descriptive cross - sectional study , 500 students aged 10 to 20 years were examined from two junior high schools selected by multistage sampling technique and three randomly selected senior high schools ....
malaria is a major public health problem in tropical and subtropical countries including india and its dynamics vary from place to place . among all anopheline vectors , anopheles culicifacies ( diptera : culicidae ) is a principal malaria vector in rural , periurban and tribal settings ( mishra et al . culicifacies ...
background : anopheles culicifacies is an important vector of malaria in southeast asia , contributing to almost 70% of malaria cases in india . it exists as a complex of five morphologically indistinguishable species a , b , c , d and e with varied geographical distribution patterns . in india , 8% of the total po...
cancer is a leading cause of death worldwide and accounts for 7.6 million deaths every year . the first and second most common causes of cancer death in the world are lung cancer ( 1.37 million deaths , annually ) and gastric cancer ( 736000 deaths , annually ) , respectively ( 1 ) . about 70% of all cancer deaths ha...
background : the incidence rate of gastric cancer in western countries has shown a remarkable decline in the recent years while it is still the most common cancer among males in iran . the proto - oncogene myc , located at 8q24.1 , regulates almost 15% of human genes and is activated in 20% of all tumors . the ampl...
november 2014 , a total of 20 suspected cases of illness were clinically diagnosed as dengue in wenzhou ( 5 cases ) and wuhan ( 15 cases ) . the cohort comprised 14 male and 6 female patients 761 ( median 31 ) years of age . of the patients from wuhan , 11 had recently traveled to guangdong province ; 3 had recentl...
in 2014 , 20 dengue cases were reported in the cities of wenzhou ( 5 cases ) and wuhan ( 15 cases ) , china , where dengue has rarely been reported . dengue virus 1 was detected in 4 patients . although most of these cases were likely imported , epidemiologic analysis provided evidence for autochthonous transmissio...
overweight and obesity are serious health problems [ 1 , 2 ] which have increased during the past decades [ 1 , 3 ] in the us , in other they tend to cause health damages with potentially immense expenditures [ 5 , 6 ] . an appropriate definition of overweight and obesity is essential to the public health community...
validation of body - mass relationships requires a careful statistical analysis of data of normal weight individuals . bmi ( ratio between body mass and square of body height ) and bsi values ( ratio between mass and cube of body height ) have been calculated for 99 persons with ages between 1 day and 76 years . ...
esophagorespiratory fistula ( erf ) is an uncommon condition , despite of the anatomical proximity of these structures . malignancy of esophagus , lung , or mediastinum is recognized as the most common cause . causes of erf development include direct tumor invasion and subsequent perforation or after radiation , la...
the most common cause of esophagorespiratory fistulas ( erfs ) is associated with malignancy . the use of self - expandable metal stents is effective for the treatment of malignant erfs , but benign erf is rare , which is why its optimal treatment is not defined yet . there have been few reports describing benign eso...
sjgren 's syndrome is a slowly progressing autoimmune disease characterized by lymphocytic infiltration of the exocrine glands , mainly the lacrimal and salivary glands , resulting in impaired secretory function . simultaneously , systemic features of cutaneous , respiratory , renal , hepatic , neurologic , and vascu...
primary sjgren 's syndrome ( pss ) is a chronic autoimmune disease characterized by a progressive lymphocytic infiltration of the exocrine glands with varying degrees of systemic involvement . overt or latent renal tubular acidosis ( rta ) , caused by tubulointerstitial nephropathy , is a common extraglandular manife...
a 59-year - old female receiving alemtuzumab for chronic lymphocytic leukemia was admitted to a local hospital near her home in eastern kentucky in october 2007 for altered mental status of two weeks duration . admission laboratory values included a white blood count of 5 900/mm , hemoglobin of 10.4 g / dl ...
strongyloides stercoralis affects over 100 million people worldwide . those people most susceptible to infection are those with an immunocompromising condition , such as cancer or human immunodeficiency virus ( hiv ) . local disease may spread throughout the body of the host , causing a condition termed disseminate...
the study was conducted at specialized deaddiction services provided at a tertiary care hospital in south india . the participants for the study were recruited from an inpatient setting . to be included in the study , the patients were required to be older than 18 years of age , fulfilling the diagnostic criteria f...
background : work - related problems are a serious concern among persons with substance use but due to lack of a standardized tool to measure it ; these problems are neither systematically assessed nor appropriately addressed . most existing measures of work performance cater to the needs of the workplace rather than...
a cyst is a pathological epithelial cell - lined cavity that is filled with fluid or soft material . they are frequently found as intra - bony lesions of the jaw , which can expand so drastically that sometimes the facial appearance can change . although removal of the cyst is necessary in these cases , enucleation...
objectivesthe aim of this study was to verify the clinical effectiveness of decompression in decreasing the size of a cyst . in addition to the different types of cysts , we tried to reveal what effect host factors , such as the initial size of the lesion and the age of the patient , have on the velocity of cyst shri...
fracture of dual columns of the acetabulum is the most complicated type of acetabular fracture . posterior - anterior column fixation is considered to be important for joint stability and early mobilization after surgery . ochs et al . investigated screw placement into the anterior column with ct analysis for 260...
backgroundthe aim of this study was to provide valid data for a plate - screw fixation model for fractured posterior - anterior columns of the acetabulum.material/methodsnineteen cadaveric bony hemi - pelvis specimens were obtained and 50 healthy adults were enrolled . the modified stoppa approach and computed tomograp...
on march 6 , 2015 , we conducted an aerial survey covering a 24-km radius around the pope county facility and identified 100 resident mallards ( anas platyrhynchos ) and 21 trumpeter swans ( cygnus buccinator ) . during march 912 , 2015 , we collected 148 representative waterfowl fecal samples , pooled in groups of up ...
in 2015 , a major outbreak of highly pathogenic avian influenza virus ( hpaiv ) infection devastated poultry facilities in minnesota , usa . to understand the potential role of wild birds , we tested 3,139 waterfowl fecal samples and 104 sick and dead birds during march 9june 4 , 2015 . hpaiv was isolated from a co...
type 2 diabetes mellitus ( t2 dm ) has continued to increase worldwide , reaching a figure of about 370 million in 2011 , with 4.6 million associated deaths per year.1 the standard therapy for this epidemic disease includes diet , exercise , use of oral hypoglycemic drugs , and/or subcutaneous insulin injections.2,3 se...
backgroundberberine is an isoquinoline alkaloid widely used to improve the glucidic and lipidic profiles of patients with hypercholesterolemia , metabolic syndrome , and type 2 diabetes . the limitation of berberine seems to be its poor oral bioavailability , which is affected by the presence , in enterocytes , of p ...
drug delivery strategies commonly use endocytosis to access the cell interior ; however , the potential for disease to affect endocytic behavior remains relatively unexplored , hindering the design of robust therapeutics . endocytosis encompasses several energy - dependent and highly regulated processes thr...
drugs often use endocytosis to achieve intracellular delivery , either by passive uptake from the extracellular fluid or by active targeting of cell surface features such as endocytic receptors . an example is enzyme replacement therapy , a clinically practiced treatment for several lysosomal storage diseas...
the elderly are at risk for nutritional disorders and malnutrition , including undernutrition and nutrient deficiencies and imbalances . several age - related physical , clinical , economic , and social factors can compromise nutritional status ; furthermore , changes in the body composition of elderly people and sed...
introduction poor diet habits and inadequate intake of nutrients are a concern in the elderly . nutritional education with guidance may improve the results of the treatment of vertigo . objective evaluate the presence of benign paroxysmal positional vertigo ( bppv ) associated with feeding habits . methods cro...
injuries to the extrahepatic biliary system in blunt abdominal trauma are uncommon [ 17 ] . extrahepatic hepatic ductal injuries ( ehdis ) occur even less frequently [ 18 ] . because of their rarity and the frequently insidious onset of symptoms , ehdis are commonly missed during the initial trauma evaluation , and...
extrahepatic hepatic ductal injuries ( ehdis ) due to blunt abdominal trauma are rare . given the rarity of these injuries and the insidious onset of symptoms , ehdi are commonly missed during the initial trauma evaluation , making their diagnosis difficult and frequently delayed . diagnostic modalities useful in the...
diabetes mellitus ( dm ) is a chronic progressive metabolic disorder due to absolute ( type 1 ) or relative ( type 2 ) deficiency of insulin hormone . worldwide , 366 million people were estimated to have diabetes mellitus in the year 2011 , and numbers are predicted to double by 2030 [ 24 ] . dm has caused approxi...
the aim of this study was to explore predictors of health related quality of life ( hrqol ) among men and women with type 2 diabetes . this cross - sectional descriptive study consisted of a random sample of 300 adults with type 2 diabetes in a selected public hospital . euro - qol and revised summary of diabetes s...
all subjects were evaluated during a 2010 family forum in chicago , as part of our monogenic diabetes registry ( http://monogenicdiabetes.uchicago.edu ) ( 11 ) . all parents provided informed written consent as approved by the university of chicago institutional review board . the beery - buktenica developmental test...
objectiveto assess performance on an age - standardized neuromotor coordination task among sulfonylurea - treated kcnj11-related neonatal diabetic patients.research design and methodsnineteen children carrying kcnj11 mutations associated with isolated diabetes ( r201h ; n = 8) , diabetes with neurodevelopmental impairm...
diagnosis of fronto - temporal dementia ( ftd ) requires beside brain - imagining a careful evaluation of genetic and neuropathological , cognitive processes disorders , and behaviour problems . the complexity of the symptoms observed after frontal lobe damage creates the necessity for a very careful neuropsycholog...
summarybackgroundthe aim of the paper is the differential diagnosis of various types of fronto - temporal dementia ( ftd ) , with the focus on its behavioural variant ( bvftd).material / methodmaterial and method . screening was done in order to assess the depth of dementia with the short version of mmse , while eval...
arterial baroreflex is the main mechanism for the regulation of the cardiovascular system , and sinoaortic denervation ( sad ) is a widely used tool to study its function.1 it is well established that chronic sad increases blood pressure variability ( bpv ) without increasing mean blood pressure.2 previous studies have...
objective : the aim of this study was to evaluate the role of angiotensin i , ii and 17 on left ventricular hypertrophy of wistar and spontaneously hypertensive rats submitted to sinoaortic denervation.methods:ten weeks after sinoaortic denervation , hemodynamic and morphofunctional parameters were analyzed , and the l...
increased expression of genes necessary for detecting and repairing dna damage can result when cells are exposed to certain genotoxic compounds [ 13 ] . these same treatments can also induce differential expression of genes in the ubiquitin- ( ub- ) mediated proteolytic pathway [ 4 , 5 ] , suggesting interplay betwee...
regulation of dna repair can be achieved through ubiquitin - mediated degradation of transiently induced proteins . in saccharomyces cerevisiae , rad4 is involved in damage recognition during nucleotide excision repair ( ner ) and , in conjunction with rad23 , recruits other proteins to the site of damage . we identi...
a ruptured infected aortic aneurysm with staphylococcal sepsis is rare yet potentially life - threatening condition . although ruptured infected aneurysm is usually treated surgically , it has still high operative mortality and morbidity , especially high surgical risk . despite recent improvement in endovascular tre...
the generally accepted treatment for infected aortic aneurysms involves open surgical resection and debridement , with in situ or extra - anatomical bypass . occasionally , endovascular management can be substituted for the standard operation dependent on the patient 's condition . we report the case of an 81-year ...
vesicoureteral reflux ( vur ) in children has been referred as the prostate cancer of pediatric urology , as the 2 conditions share many features such as the high prevalence rates in their respective populations , the recent decline in utilization of diagnostic studies for these conditions , the historically high uti...
the da vinci robotic system has improved surgeon dexterity , ergonomics , and visualization to allow for a minimally invasive option for complex reconstructive procedures in children . over the past decade , robot - assisted laparoscopic ureteral reimplantation ( ralur ) has become a viable minimally invasive surgical ...
clinical manifestations of toxicity are similar to those of cocaine and include sudden death due to cardiac arrhythmia , stroke , seizures , psychosis , and rhabdomyolysis . neuropathologic alterations of amphetamine abuse include cerebral infarcts and hemorrhage , often caused by emboli associated with cardiac arrhy...
we report the case of a 31-year - old woman , admitted to the hospital for chest pain , dying a few days later from septic multiorgan failure , and showing at autopsy foci of acute demyelination in the occipital lobe . gas chromatography / mass spectrometry analysis revealed the presence of amphetamine in the demyeli...
biobanks collect and store human and non - human biological material for diagnostic and research purposes . these biobanks keep sensitive data and biological samples also for long periods of time , and such data and samples can be used for research even many years after they have been deposited . therefore , a well...
backgroundthe center for transfusion medicine , cell therapy and cryobiology , milan , northern italy , is the headquarter of the poli - mi biobank . it co - ordinates the biobank activities of the fondazione ca granda ospedale maggiore policlinico of milan . such activities require specific safeguarding of donors ri...
all the authors provided substantial contributions to conception and design , acquisition of data , or analysis and interpretation of data ; they assisted in drafting the article or revising it critically for important intellectual content ; and they provided final approval of the version to be published . extramural...
background and objective the clinical note documents the clinician 's information collection , problem assessment , clinical management , and its used for administrative purposes . electronic health records ( ehrs ) are being implemented in clinical practices throughout the usa yet it is not known whether they improv...
the different forms of contamination come from different sources and are dealt with in different ways . contamination can occur at the source , between source and storage points or in storage tanks . defective joints , syphonage , rusted pipelines , and crossing over of sewage pipelines are other causes of contamin...
this study is designed to determine the contamination degree of hospital water supplies with pseudomonas aeruginosa , legionella pneumophila , and e. coli in gilan , iran . samples were collected directly into sterile containers and concentrated by centrifuge . half part of any sample transferred to yeast extract b...
the selective modulation of eukaryotic gene expression by small molecules may have important implications in the field of chemical biology and human medicine . pyrrole - imidazole polyamides are a class of synthetic ligands that can be programmed to bind the minor groove of specific dna sequences . antipa...
cyclic py - im polyamides containing two gaba turn units exhibit enhanced dna binding affinity , but extensive studies of their biological properties have been hindered due to synthetic inaccessibility . a facile modular approach toward cyclic polyamides has been developed via microwave - assisted solid - p...
an osteochondroma or exostosis is a benign bone tumour consisting of a bony outgrowth covered by a cartilage cap that occurs commonly in the metaphysis of long bones ( distal femur , proximal tibia , proximal humerus ) and pelvis . osteochondromas are rarely localized in the foot and ankle , except in cases of multip...
introductionan osteochondroma or exostosis is a benign bone tumour consisting of a bony outgrowth covered by a cartilage cap that occurs commonly in the metaphysis of long bones , mainly the distal femur , proximal tibia and proximal humerus.presentation of casewe describe an unusual case of a distal tibia osteochondro...
intraductal papillomas are relatively common benign breast lesions , and represent about 5% of proliferative benign breast lesions 1 . they may clinically present either as mammographically detected or palpable breast masses , with or without nipple discharge . giant intraductal breast papillomas are uncommon and t...
key clinical messagethe differential diagnosis of a large breast mass in a post - menopausal woman can include both benign and malignant etiologies . although rare , diagnosis of giant intraductal papilloma must be considered in the differential . furthermore , although benign , papillomas presenting as a large breas...
immortalized human nscs using a retroviral vector carrying v - myc and vascular endothelial growth factor ( hb1.f3.vegf ) were maintained at a density of 1 10 cells/100-mm dish ( sarstedt , sparks , nv ) in dulbecco 's modified eagle 's medium with high glucose ( dmem , hyclone , logan , ut ) containing 10% fetal bovi...
objectiveto access the feasibility of clinically available 3 t mri to detect the migration of labeled neural stem cells ( nscs ) in intracerebral hemorrhage ( ich ) in a rat model.materials and methodsthe ethics committee of our institution approved this study . ich was induced by the injection of collagenase type iv...
alpha spectrometry is the most widely used method for the determination of plutonium isotopes in environmental samples . however , this method does not permit the determination of beta - emitting pu , a radionuclide abundant in the environment . the best way to determine pu in an environmental sample is by liquid s...
a simple and rapid procedure for the determination of plutonium isotopes in the environment is presented . the procedure combines alpha spectrometry , solvent extraction and liquid scintillation measurements to ensure that both alpha- and beta - emitting isotopes are determined . of five tested extractants , bis-(2-e...
the groups of suprahyoid muscles include four muscles : the digastric , the geniohyoid , stylohyoid and mylohyoid . the bellies of the digastric are joined together by an intermediate tendon that passes through a fibrous sling that is attached to the body of the hyoid bone . these muscle groups anchor the hyoid bon...
the digastric muscle is composed by two muscle bellies : an anterior and a posterior , joined by an intermediate tendon . this muscle is situated in the anterior region of the neck . the region between the hyoid bone and the mandible is divided by an anterior belly into two triangles : the submandibular situated late...
staphylococcus aureus is a main source of hospital - acquired infections causing pneumonia , endocarditis , osteomyelitis , soft - tissue , and skin infections . s. aureus also causes serious nail infections ( paronychia ) and is a common cause of food poisoning due to the production of enterotoxin . a main problem...
the regulation of rna decay is now widely recognized as having a central role in bacterial adaption to environmental stress . here we present an overview on the diversity of ribonucleases ( rnases ) and their impact at the posttranscriptional level in the human pathogen staphylococcus aureus . rnases in prokaryotes...
partial gonadal dysgenesis ( pgd ) , one of the 46,xy disorders of sex development ( dsd ) , is a rare disorder characterized by sex ambiguity due to variable degrees of testicular dysgenesis in individuals without a syndromic picture who have a normal male karyotype . the histology of dysgenetic testes may vary from...
background / aims . studies on 46,xy partial gonadal dysgenesis ( pgd ) have focused on molecular , gonadal , genital , and hormone features ; little is known about follow - up . our aim was to analyze long - term outcomes of pgd . methods . retrospective longitudinal study conducted at a reference service in b...
the ingestion of instruments or materials used in various dental procedures may occur accidentally in dentistry . foreign bodies vary in size and shape and range from burs , posts , root pieces , teeth , orthodontic brackets , endodontic instruments ( files , broaches ) , impression materials , implant components , a...
one of the complications during a routine dental implant placement is accidental ingestion of the implant instruments , which can happen when proper precautions are not taken . appropriate radiographs should be taken to locate the correct position of foreign body ; usually the foreign body passes asymptomatically fro...
clinical studies of the efficacy of fingolimod ( fty ) investigated fty as first line medication in relapsing - remitted multiple sclerosis ( rrms ) in comparison to placebo or once weekly intramuscular interferon--1a showing its superiority regarding relapse rate , progression of disability and end points of mri ....
although fingolimod is registered as a second - line drug in relapsing - remittend multiple sclerosis ( rrms ) in europe there are no clinical studies available comparing fingolimod ( fty ) and natalizumab ( n ) . this observational cohort - study used health data routinely collected in outpatient neurology practices...
spinal epidural angiolipomas are uncommon , benign tumors accounting for 0.041.2% of spinal axis tumors and 23% of extradural spinal tumors . all angiolipomas show iso- or hyperintensity on t1-weighted images and hyperintensity on t2-weighted images of magnetic resonance imaging ( mri ) and most lesions enhance with ...
spinal epidural angiolipomas are rare , benign tumors composed of mature lipocytes admixed with abnormal blood vessels . only 128 cases of spinal epidural angiolipomas have been reported in literature till now . spinal angiolipomas are predominantly located in the mid - thoracic region . we report a case of dorsa...
advances in three - dimensional imaging resulted in a better understanding of the craniofacial structures . one of the modern techniques , cone beam computed tomography ( cbct ) , which was invented for angiography in 1982 , was then used for maxillofacial imaging . in contrast to the common cephalometric radiograp...
background : bone density measurement in a radiographic view is a valuable method for evaluating the density of bone quality before performing some dental procedures such as , dental implant placements . it seems that cone - beam computed tomography ( cbct ) can be used as a diagnostic tool for evaluating the density o...
neuroendocrine tumors ( nets ) of the pancreas are rare , comprising 12% of all pancreatic malignancies . the vast majority of these are primary pancreatic malignancies , as metastases to the pancreas are rare , and metastases of neuroendocrine tumors from other primary sources to the pancreas are even rarer . pulm...
introductionprimary pancreatic neuroendocrine tumors are a well - established disease entity , however , neuroendocrine metastases to the pancreas from other sites have been scarcely documented . specifically , pancreatic metastases from a pulmonary carcinoid tumor have only previously been described in a single case...
obesity , an excessive accumulation of fat in an individual , is an important public health issue and contributes to serious health problems and extensive economic costs worldwide . a common measure of adult obesity is body mass index , defined as a person 's weight ( in kilograms ) divided by the square of his or he...
psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance . the purpose of this paper is twofold . first , in the light of recent evidence in the fields of neuropsychology and obesity , particularly on the deficits in the executive function...
the term comorbidity was introduced in 1970 by feinstein , a doctor of internal medicine and epidemiologist who studied cooccurrence of diseases among persons with diabetes . any distinct clinical entity that has existed or that may occur during the course of a patient who has the index disease under study , in whic...
type 2 diabetes and depression are regarded as comorbid conditions , and three possible directions of the association between the diseases can underlie this observation of comorbidity . first , common etiology can increase a person 's risk of both diseases ; second , persons with type 2 diabetes have increased preval...
nearly all types of malignant cells and many types of diseased tissue cells demonstrate alterations in their glycosylation patterns when compared to their normal counterparts . alterations in glycosyltransferases expression , sugar nucleotide donors , and disruption of the golgi contribute to the development of disea...
background . tumor cells show alterations in their glycosylation patterns when compared to normal cells . lectins can be used to evaluate these glycocode changes . chemiluminescence assay is an effective technique for quantitative analysis of proteins , nucleic acids , and carbohydrates due to its high sensitivit...
access to public ltss programs varies across states and across disability and age groups , resulting in inequities based on where one lives , whether one s disability is lifelong or acquired , and which functions it affects . a complex , fragmented system is at the root of the problem , along with the institutional ...
in response to a new federal initiative to improve the u.s . long - term services and supports ( ltss ) system , this commentary discusses an array of policies and practices that could potentially improve ltss provision by shifting from institutional to community - based services , increasing equity across population...
to evaluate the role of high resolution ultrasonography ( us ) and endoscopic ultrasonography ( eus)-elastography in predicting malignant lymphadenopathy . this prospective study included 88 patients who underwent eus or us examination of different groups of lymph nodes ( lns ) . the classification as benign or mal...
objective : to evaluate the role of high resolution ultrasonography ( us ) and endoscopic ultrasonography ( eus)-elastography in predicting malignant lymphadenopathy.methods:this prospective study included 88 patients who underwent eus or us examination of different groups of lymph nodes ( lns ) . the classification ...
it classically occurs in the second decade of life , has its onset during puberty , and affects both sex and all ethnicities . the estimated prevalence in the general population is 54 per 100,000 . using a combination of four indices , ie , central k ( descriptive of central steepening ) , the i - s value ( inferio...
this case report describes a 17-year - old boy with sensory strabismus due to keratoconus and an ipsilateral nodular lesion of the bulbar conjunctiva . the aligned eye was the right eye and keratoconus in this eye was of late onset . vision in the left eye was poor and keratoconus was advanced in this eye . due to th...
in the current issue of critical care , venkatesh and colleagues present a novel study on adiponectin in critical illness . this article , along with the concept of adipose tissue and adipocytokines being involved in the mechanisms of critical illness , requires some commentary . historically , adipose tissue was t...
historically , adipose tissue was thought to be a passive tissue that stores energy and protects the body from temperature and injury . in contrast to this concept , it is now evident that adipose tissue is an active endocrine organ secreting many kinds of adipocytokines , including adiponectin . presumably , adipose...
it has now been 20 years since the first reports appeared demonstrating that interleukin-2 is required to prevent the development of systemic autoimmune disease . subsequent studies by sakaguchi and colleagues identified cd25 , the interleukin-2 receptor chain ( il2r ) , as one of the first useful markers for the id...
interleukin-2 and its downstream target stat5 have effects on many aspects of immune function . this has been perhaps best documented in regulatory t cells . in this review we summarize the initial findings supporting a role for il2 and stat5 in regulatory t cell development and outline more recent studies describi...
the light microscopic study was performed on 40 human horizontal rectus muscles obtained from 3 normal subjects and 34 patients with oculomotor disorders . six control horizontal rectus muscles were obtained from the right globe of 3 multiorgan donors ( 2 muscles from each ) a few hours after postmortem in conformity...
purposeto analyze innervated myotendinous cylinders ( imcs ) in the extraocular muscles ( eoms ) of normal subjects and strabismic patients.methodsthe rectus muscles of 37 subjects were analyzed . distal myotendinous specimens were obtained from 3 normal subjects , 20 patients with acquired strabismus , 11 with infan...
incomplete spinal cord injury ( sci ) is characterized by partial functional loss , with varying degrees of voluntary motor and sensory functions remaining in the three segments below the injury at a neurological level1 , 2 . the majority of patients with incomplete sci showed impaired upper extremity function ...
[ purpose ] in this study , we examined effects of modified constraint - induced movement therapy ( m - cimt ) and functional bimanual training , when applied to a patient with incomplete spinal cord injury , on upper extremity function and daily activities . [ subject and methods ] one patient , diagnosed with...
the classic scenario for crc progression is the lymphatic , hematogenous ( to the liver , the lungs , etc ) and peritoneal metastases . there have been standard treatment strategies for the first two forms of metastases , but a unified treatment guideline is yet to be formulated for the third form of metastasis , whi...
backgroundadvanced colorectal cancer ( crc ) is prone to developing peritoneal carcinomatosis ( pc ) . this case - control study was to compare the efficacy and safety of cytoreductive surgery ( crs ) versus crs plus hyperthermic intraperitoneal chemotherapy ( hipec ) in chinese patients with crc pc.methodsthe 62 con...
traumatic brain injury ( tbi ) is known to cause several secondary effects , which lead to peripheral organs dysfunction . the close relationship between brain injury and subsequent intestinal mucosal injury has been recognized [ 1 , 2 ] . this pathologic course may not only influence the intestinal mucosa itself b...
traumatic brain injury ( tbi ) can induce intestinal inflammatory response and mucosal injury . antioxidant transcription factor nuclear factor erythroid 2-related factor 2 ( nrf2 ) has been shown in our previous studies to prevent oxidative stress and inflammatory response in gut after tbi . the objective of this ...
microencapsulation has gained importance in the fields of cell and tissue engineering , as well as in the development of drug formulations and oral delivery systems . the term microencapsulation , in this work , encompasses the terms microcapsules , microparticles , microspheres , and microemulsions . generally , t...
microencapsulation is a technology that has shown significant promise in biotherapeutics , and other applications . it has been proven useful in the immobilization of drugs , live mammalian and bacterial cells and other cells , and other biopharmaceutics molecules , as it can provide material structuration , protecti...
cutaneous leishmaniasis ( cl ) is a serious and increasing health problem worldwide and is endemic in nearly 90 countries , including iran ( 1 ) . in iran , the disease is mainly caused by leishmania major and l. tropica , although leishmania infantum has been infrequently isolated from patients with cutaneous leishman...
background : cutaneous leishmaniasis ( cl ) is a parasitic disease with a relatively wide distribution in different areas of the world , including iran . the parasite is mainly diagnosed microscopically , but serological approaches might be useful for diagnosis as well . this study aimed to assess the efficacy of a...
every year , more than one million cases of scorpion stings are reported in the world ( 1 ) . most of these cases are reported in mexico , tunisia , and brazil ( 2 ) . the hemiscorpius genus of scorpions is distributed throughout asia ( iran , iraq , oman , pakistan , saudi arabia , yemen , and the united arab emir...
scorpion stings are significant causes of death in the western and southern regions of iran . to date , reports have indicated that the h. lepturus species is the main cause of mortality due to scorpion stings . one of the species that belongs to this genus is hemiscorpius acanthocercus ( h. acanthocercus ) . thi...
the study population consisted of overweight ( bmi 25 kg / m ) adults without diabetes who were abdominally obese ( waist circumference > 40 inches in males and > 35 inches in females ) and who lived in eight rural underserved communities in southwestern pennsylvania . we excluded individuals who reported a diagnosis...
objectiveto determine the comparative effectiveness of three lifestyle intervention modalities in decreasing risk for diabetes.research design and methodsfive hundred and fifty - five individuals ( 86.1% female , 95.1% white , and 55.8% obese ) from eight rural communities were screened for bmi 25 kg / m2 and waist cir...
prostate cancer is the second most common cancer in male worldwide , which accounts for 14.5% of all cancer , according to globocan 2012 from world health organization . in united states and europe , it is amounting to 25% of newly diagnosed cancer . in korea , annual incidence of prostate cancer in korea was 8.5 per...
purposewe compared location of positive cores in biopsy and location of positive surgical margin ( psm ) following radical prostatectomy.materials and methodsthis retrospective analysis included patients who were diagnosed as prostate cancer by standard 12-core transrectal ultrasonography guided prostate biopsy , and w...
during the past decade , organic light - emitting diodes ( oled ) have been one of the most intensively explored topics in chemistry and applied physics owing to their wide applications in full - color displays with color filters , backlighting for liquid crystal displays , and general lighting sources [ 13 ] . while...
the benzothiadiazole arylene alternating conjugated oligomers have been designed and synthesized via suzuki coupling reaction . the structures and properties of the conjugated oligomers were characterized by 1hnmr , 13cnmr , uv vis absorption spectroscopy , photoluminescence ( pl ) spectroscopy . the luminescent me...
ami and scd are among the most serious and catastrophic of acute cardiac disorders , accounting for hundreds of thousands of deaths each year worldwide . although the incidence of ami has been decreasing in the us according to the american heart association , heart disease is still the leading cause of mortality in a...
acute myocardial infarction ( ami ) and sudden cardiac death ( scd ) are among the most serious and catastrophic of acute cardiac disorders , accounting for hundreds of thousands of deaths each year worldwide . although the incidence of ami has been decreasing in the us according to the american heart association , h...
although considerable evidences have demonstrated that percutaneous coronary intervention ( pci ) is the most advantageous and rewarding reperfusion strategy available in patients with acute st - segment - elevation myocardial infarction ( stemi ) , but they fail to restore optimal myocardial reperfusion in a sizeable ...
background : no - reflow phenomenon after percutaneous coronary intervention ( pci ) in patients with acute st - segment - elevation myocardial infarction ( stemi ) is relatively common and has therapeutic and prognostic implications . cigarette smoking is known as deleterious in patients with coronary artery disease...
fibromatoses / desmoid tumors are fibroblastic proliferations with an intermediate dignity between benign fibroblastic tumors and fibrosarcoma . they are characterized by an infiltrative growth pattern , high rate of local recurrence , and the inability to metastasize [ 13 ] . referring to weiss and goldblum there ar...
background . magnetic resonance imaging is considered as imaging modality of choice in diagnosis of desmoid tumors , though even this technique can lack the ability to distinguish aggressive fibromatosis from other benign or malignant soft tissue tumors . the aim of this study was to investigate if desmoid tumors w...
osseointegrated implants have provided alternative treatments to conventional prostheses for patients who lost their teeth and achieved predictable long - term results.1,2 an accurate and passively fitting prosthesis as well as successful surgical operation is suggested as one of the critical requirements for long term...
purposethe aim of this study was to evaluate the effect of dimensional stability of splinting material on the accuracy of master casts.materials and methodsa stainless steel metal model with 6 implants embedded was used as a master model . implant level impressions were made after square impression copings were splin...
schizophrenia is a chronic and often debilitating illness affecting approximately 1% of the world population.1 it is a complex disorder characterized by profound disturbance of perception , cognition , emotion , and social function . the onset of schizophrenia is typically in late adolescence or early adulthood , and...
accumulating evidence suggests that neuroinflammation affecting microglia plays an important role in the etiology of schizophrenia , and appropriate control of microglial activation may be a promising therapeutic strategy for schizophrenia . minocycline , a second - generation tetracycline that inhibits microglial ac...
endodontic treatment of teeth is a routine therapy to treat inflammation or necrosis of the pulp . it is established that the success rate of conventional endodontic therapy is 85% to 95% . inspite of this high success rate , root canal therapy occasionally fails for which retreatment is needed . however , some c...
objectives : to evaluate the efficacy of 35% orthophosphoric acid , 24% ethylenediaminetetraacetic acid ( edta ) and 10% citric acid in the removal of smear layer from retrocavities prepared with ultrasonic retro - tips using scanning electron microscopy.materials and methods : root canals of fifty single - rooted teet...
vascular calcification is often observed in advanced vascular lesions and is a common consequence of aging , diabetes mellitus , and chronic kidney disease . patients with diabetes mellitus or chronic kidney disease often exhibit more severe atherosclerosis and a higher prevalence of vascular calcification . vascul...
vascular calcification , abnormal mineralization of the vessel wall , is frequently associated with aging , atherosclerosis , diabetes mellitus , and chronic kidney disease . vascular calcification is a key risk factor for many adverse clinical outcomes , including ischemic cardiac events and subsequent cardiovascula...
outpatients with mucocele of the glands of blandin nuhn treated with absolute ethanol at the department of oral and maxillofacial surgery , tianjin hospital for stomatology , totaled 14 patients from 2013 to 2015 . of them , the age range was from 6 to 30 years , with an average age of 14.4 years . lesion dimensio...
abstractmucocele of the anterior lingual salivary glands is a more common cystic lesion , especially in patients aged less than 20 years . the study is aimed to observe the effect of treatment by injection of absolute ethanol instead of surgery . fourteen outpatients diagnosed as mucocele of the glands of blandin ...
a 73-year - old man was admitted to our intensive care unit ( icu ) via the emergency department with severe diarrhea , oliguria , and generalized edema . the patient 's vital signs were blood pressure ( bp ) 85/50 mmhg , heart rate 120 beats / min , and drowsy mental status . his medical history included diabetes ...
coronary air embolism is a rare event . we report a case in which an acute myocardial infarction occurred in the region supplied by the right coronary artery after the removal of a double - lumen hemodialysis catheter . emergent coronary angiography revealed air bubbles obstructing the mid - segment of the right co...
although differential diagnosis of deep t - wave inversion includes life - threatening conditions , such as myocardial infarction and stroke , even a thorough workup may not reveal its etiology 2 . deep t - wave inversion is commonly associated with takotsubo cardiomyopathy or takotsubo - like myocardial dysfunction ...
key clinical messagethe electrocardiogram ( ecg ) of a 73-year - old , asymptomatic woman showed deep t - wave inversion . the complete workup was negative . ten years later , she developed takotsubo cardiomyopathy with abnormal ecg again . isolated deep t - wave inversion might be an aftereffect of takotsubo car...
cells of the immune system continually monitor a host for invading pathogens and participate in clearing those pathogens so the body remains free of infection . this active response is an immunogenic response . under non - infectious conditions , cells of the immune system are also continually exposed to proteins o...
dendritic cells ( dc ) are central to the immune system because of their role in antigen presentation leading to either tolerance or immunity among cells of the adaptive immune response . it is becoming increasingly evident that dc show extensive plasticity in terms of their origin and function , giving rise to a num...
lung cancer can be mainly classified into squmous cell carcinoma , adenocarcinoma , small cell carcinoma and the other subtypes . it is very important to diagnose the subtype of lung cancer fast and accurately as the therapy is different . endobronchial ultrasound - guided transbronchial needle aspiration ( ebus - ...
aims : endobronchial ultrasound ( ebus ) is a relatively new modality that can be used to guide transbronchial needle aspiration ( tbna ) of mediastinal lymph nodes . at present , researches on the sensitivity and specificity of cytopathology based on the ebus - tbna are deficient ; therefore , we want to evaluate the ...