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chronic migraine , understood as the presence of headache during 15 or more days in a month in patients with migraine history , is an important health problem . it is estimated that about 2% of general population meets the criteria for chronic migraine with or without analgesic overuse [ 2 , 3 ] . prevalence in wom...
the objective of this study is to analyse our experience in the treatment of refractory chronic migraine ( cm ) with onabotulinumtoxina ( bta ) and specifically in its effects over disabling attacks . patients with cm and inadequate response or intolerance to oral preventatives were treated with pericranial injection...
job involvement has been defined as internalizing values of goodness and importance of working among people . it is a subjective condition that makes people devoted to their work ( 1 ) . it is a desirable feature that makes people spend energy and do their best in their work and organizational roles ( 2 ) . alt...
background : several studies are available on organizational commitment of employees in different organizations . however , the organizational commitment and job involvement of the employees in the prehospital emergency medical system ( pems ) of iran have largely been ignored.objectives:this study aimed to investiga...
osteoporosis is a chronic skeletal disorder characterized by decreased bone density and changes in bone microarchitecture leading to increased skeletal fragility and risk of low - trauma fractures with associated complications eventually leading to reduced health - related quality of life . vertebral fracture is the ...
background : one year , prospective , observational study in an indian subpopulation to assess back pain in patients with severe osteoporosis treated with teriparatide or antiresorptives in a clinical setting.materials and methods : one hundred and nineteen teriparatide - nave indian men and postmenopausal women ( mean...
renal ewing sarcoma ( es ) is a rare small round blue cell tumor ( srbct ) , which predominantly affects adolescents and young adults . cytogenetically , renal ess commonly harbor characteristic chromosomal translocations , more than 90% of which are reciprocal translocation t ( 11;22 ) ( q24;q12 ) , resulting in an ...
renal ewing sarcoma ( es ) is a rare malignant tumor characterized by fusion of the ewsr1 gene with a member of the ets family of oncogenes , arising at a specific chromosomal translocation . diagnosis of es can be problematic , especially from cytological or small bioptical specimens because the differential diagnos...
we prospectively studied consecutive acute nonlacunar middle cerebral artery ( mca ) ischemic stroke patients admitted to our stroke unit from 2008 january to 2010 july who fulfilled criteria to receive intravenous thrombolysis according to our institutional protocol in a standard dose of 0.9 mg / kg . specific addit...
objectiveinsulin resistance ( ir ) may not only increase stroke risk , but could also contribute to aggravate stroke prognosis . mainly through a derangement in endogenous fibrinolysis , ir could affect the response to intravenous thrombolysis , currently the only therapy proved to be efficacious for acute ischemic str...
pancreatic cancer causes many digestive symptoms such as abdominal pain , jaundice , nausea , vomiting , hematemesis , melena and so on , by its direct infiltration into the surrounding organs which include the bile duct , duodenum , stomach , jejunum and colon . it is very important for us to manage these symptoms s...
2.6% of pancreatic cancer patients have the primary manifestation of gastrointestinal bleeding . it is not feasible to stop the duodenal hemorrhage caused by the pancreatic cancer infiltration . a 43-year - old woman who was diagnosed as having pancreatic cancer with multiple hepatic metastases and duodenal infiltr...
metabolic and electrolyte abnormalities , including hypokalemia , hyperglycemia and lactic acidosis , are associated with theophylline overdose . we herein report the first case , to our knowledge , of sinus tachycardia , lactic acidosis , hypokalemia and hyperglycemia associated with the usual theophylline dose in a...
metabolic and electrolyte abnormalities , including hypokalemia , hyperglycemia and lactic acidosis , are associated with theophylline overdose . however , we report an unusual case of sinus tachycardia , lactic acidosis , hypokalemia and hyperglycemia associated with the usual theophylline dose in a patient with ast...
oxidative stress results when the balance between the production of reactive oxygen species ( ros ) overrides the antioxidant capability of the target cell ; oxidative damage from the interaction of reactive oxygen with critical cellular macromolecules may occur . ros may interact with and modify cellular protein , l...
the computational ranking of binding affinities of a congeneric series of ligands to a protein is an invaluable technique in structure - based drug design . of the many computational methods that have been developed for this purpose , free energy perturbation ( fep ) calculations , in combination with molecul...
with a view to improving the consistency of free energy perturbation calculations in monte carlo simulations of protein ligand complexes , we have implemented the replica exchange with solute tempering ( rest ) method in the mcpro software . by augmenting the standard rest approach with regular attempted jum...
since human diets contain many components that may work synergistically to prevent or promote disease , assessing that diet quality may be an informative strategy when studying the relation between nutrition and obesity [ 58 ] . two of these , the healthy eating index ( hei ) and the diet quality index ( dqi ) , were...
background . obesity is considered as a low grade inflammation condition . the aim of this study was to investigate the effect of nutritional education on diet quality and biomarkers of inflammation in iranian obese women . method . sixty obese women voluntarily participated in this randomized clinical trial and ...
in recent times , the status of adipose tissue has changed from mere source of energy store to endocrine organ on discovery of many adipokines and their role in energy homeostasis . rbp-4 a new adipose tissue derived cytokine which specifically binds to retinol , has recently been reported to prove a link between obe...
background : retinol binding protein-4 ( bp-4 ) a new adipocytokine , specifically binds to retinol , through experimental studies , reported its link between obesity and insulin resistance ( ir ) . but till date no studies are available on influence of genetic predisposition of diabetes on rbp-4 expression . hence...
the primary outcome was length of time to failure of maintenance of a sbp goal of < 130 mmhg , an ldl cholesterol goal of < 100 mg / dl , or an a1c goal of < 7% in patients with type 2 diabetes after being discharged from a pharmacist - managed ambulatory care clinic to receive usual care . the secondary goal of the ...
objective . this study evaluated the ability of patients with type 2 diabetes to maintain systolic blood pressure ( sbp ) , ldl cholesterol , and a1c at goal levels after being discharged from a pharmacist - managed ambulatory care clinic . the goals of this study were to 1 ) document the length of time to failure ...
this case illustrates the use of femoral nerve and sciatic nerve peripheral catheters with an elastomeric infusion pump for major intramedullary nailing surgery . a 36-year - old male with fractures to the left leg bones presented for placement of an intramedullary nail under spinal anesthesia . at the end of the pro...
backgroundthe prevalence of anterior knee pain following intramedullary tibial nail insertion is high . continuous peripheral nerve blockade is an alternative method of pain control to opiods . this case illustrates the use of femoral nerve and sciatic nerve peripheral catheters with an elastomeric infusion pump fo...
over the past years , lithium - ion batteries have become one of the most promising energy storage technology addressing a large range of applications , from hybrid electric vehicles , electric vehicles to plug - in hybrid electric vehicles , which are essential to reduce the fossil oil dependency . to meet r...
the failure mechanism of silicon - based electrodes has been studied only in a half - cell configuration so far . here , a combination of 7li , 19f mas nmr , xps , tof - sims , and stem - eels , provides an in - depth characterization of the solid electrolyte interphase ( sei ) formation on the surface of sil...
humanized monoclonal antibody against cocaine fragment , antigen - binding fragment , crystallizable antibody - dependent cell mediated cytotoxicity peptide n - glycosidase f 7-fluorobenz-2-oxa-1 , 3-diazole-4-sulfonamide non - equilibrium ph gel electrophoresis 3-(n - morpholino)propanesulfonic acid 2-(n - morpholino)...
variations of post - translational modifications are important for stability and in vivo behavior of therapeutic antibodies . a recombinant humanized anti - cocaine monoclonal antibody ( h2e2 ) was characterized for heterogeneity of n - linked glycosylation and disulfide bonds . in addition , charge heterogeneity ,...
adult onset still 's disease ( aosd ) is a rare , clinical entity characterized by spiking fever , evanescent rash , arthralgia or arthritis , and neutrophilic granulocytosis with negative rheumatoid factor and antinuclear antibody test results1 - 4 ) . the most common cardiac manifestations associated with aosd are ...
adult onset still 's disease ( aosd ) is an uncommon acute systemic inflammatory disease of unknown origin . the clinical features include high spiking fever , arthralgia or arthritis , transient maculopapular rash , lymphadenopathy , hepatosplenomegaly , and serositis . pericarditis is the most common cardiac mani...
t - cell vaccination is the administration of antigenic material to produce t - cell immunity against certain diseases . antigens used in vaccinations range from live viruses or bacteria to peptides of proteins associated with the disease target . edward jenner marked the beginning of modern vaccination by using co...
development of vaccines for infectious diseases has come a long way with recent advancements in adjuvant developments and discovery of new antigens that are capable of eliciting strong immunological responses for sterile eradication of disease . tuberculosis ( tb ) that kills nearly 2 million of the population every ...
the anesthetic management of elderly patients undergoing abdominal surgery is focused on minimizing morbidity and mortality in this highrisk group . although transversus abdominis plane ( tap ) blocks have been used successfully as the primary anesthetic for inguinal hernia surgery , we present a series of cases util...
elderly patients undergoing emergency intra - abdominal surgery are at high risk for morbidity and mortality . the risks and side - effects associated with intubation and mechanical ventilation or neuraxial anesthesia must be balanced against the need to maintain hemodynamic stability while maximizing pain control . ...
early ischemic changes ( eic ) on computed tomography ( ct ) represent early cytotoxic edema and possible development of irreversible tissue injury . as reperfusion to irreversibly injured tissue is not beneficial and can even be harmful if it leads to hemorrhage , european cooperative acute stroke study trials have ...
background and purposewe developed a novel method named gray - matter volume estimate score ( graves ) , measuring early ischemic changes on computed tomography ( ct ) semi - automatically by computer software . this study aimed to compare graves and alberta stroke program early ct score ( aspects ) with regards to o...
obesity is increasing rapidly in the american population ; currently 69.2% of all american adults are overweight ( body mass index ( bmi ) 25 kg / m ) or obese ( bmi 30 kg / m ) . concurrent with this rise in obesity , there is an increase in our aging american population . according to the 2010 us census , more th...
objective . to investigate effects of weight loss on adipokines and health measures in obese older adults with symptomatic knee osteoarthritis . methods . participants were randomly assigned to either weight loss ( wl ) ( men : 12 , women : 14 ) or weight stable ( ws ) group ( men : 12 , women : 13 ) . wl intervent...
it has progressed from removal of the rectum and anus with a permanent colostomy to the present era with total mesorectal excision ( tme ) and sphincter - saving surgery . improvements in treatment and early detection of rectal cancer indicate that more patients will be treated for rectal cancer and , therefore , mor...
purposethe purpose of this study was to prospectively compare rectal resection ( rr ) with colonic resection on sexual , urinary and bowel function and quality of life in both short - term and long-term.methodseighty-three patients who underwent rr were compared to 53 patients who underwent a colonic resection leaving ...
chronic myeloid leukemia ( cml ) affects approximately 1.5 million people worldwide and is characterized by the uncontrolled proliferation of myeloid cells in the bone marrow and blood . the disease hallmark results from a genetic abnormality : a reciprocal chromosomal translocation between the long arms of chromosom...
introduction of tyrosine kinase inhibitors for chronic myeloid leukemia treatment is associated with a 63% probability of maintaining a complete cytogenetic response , meaning that over 30% patients require an alternative methodology to overcome resistance , tolerance , or side effects . considering the potential of ...
the mite , laelaps nuttalli , occurs throughout the world as a parasite of the black rat rattus rattus , the brown rat r. norvegicus and occasionally of other rodents and small mammals . studies on l. nuttalli were mainly concerned with surveys and host - parasite relationships [ 218 ] . considerable literatures we...
the present scanning electron microscopic ( sem ) study includes the redescription of female laelaps nuttalli with emphasis on its gnathosoma and pulvilli which were rarely described in superfamily dermanyssoidea . chaetotaxy of dorsal shield revealed 40 pairs of setae , 22 on prosoma and 18 on opisthosoma . epigyn...
abnormal uterine bleeding ( aub ) observed in a patient on tamoxifen therapy raises concern for primary endometrial abnormalities including atypical endometrial hyperplasia , endometrial polyps , and endometrial cancer 1 , while metastatic breast cancer ( mbc ) is often overlooked as part of the differential diagnoses ...
key clinical messageabnormal uterine bleeding in a patient on maintenance hormonal therapy for breast cancer should raise concern for endometrial abnormalities including rare uterine metastasis from the breast . hormonal receptor profile changes in metastatic lesions favoring human epidermal growth factor receptor 2 ...
it is well - known that stem cells ( human embryonic stem cells , mesenchymal stem cells derived from various human tissue , and induced pluripotent stem cells ) have diverse lineage differentiation potential and self - renewal capacity1,2,3,4,5 . these cells have been studied extensively for applications in the fiel...
objectivesthe purpose of this study was to investigate the neurogenic differentiation of human dental pulp stem cells ( dpscs ) , periodontal ligament stem cells ( pdlscs ) , and stem cells from apical papilla ( scap).materials and methodsafter induction of neurogenic differentiation using commercial differentiation me...
alzheimer s disease ( ad ) is a progressive neurodegenerative disease with a great statistical growth in recent years . according to estimations , the number of people with ad dementia is predicted to become nearly triple by 2050 ( 1 ) . dramatic increase in ad prevalence has increased the importance of more works ...
background : alzheimer s disease ( ad ) is a progressive neurodegenerative disease with a high prevalence in recent years . dramatic growth in ad prevalence has increased the importance of more researches on ad treatment . history has shown that traditional medicine can be a source of inspiration to find new therap...
hemophilia is an inherited coagulation disorder caused by a genetic defect of x - chromosome . hemophilia is traditionally classified as mild , moderate , and severe based on the level of coagulation factor in a person 's blood compared to normal individuals . symptoms of hemophilia include hemarthrosis ( especiall...
background : prerequisite for management of a chronic disease involves knowledge about its complications and their prevention . hemophilia in adolescents influences all the aspects of their lives and thier performance.objectives:the present study aimed to determine the performance of iranian hemophilic adolescents in...
, it was initially referred to as the nerve of pinkus . in 1905 , it became classified as terminal because , in other animal species , it was observed to extend into the region of the lamina terminalis ( delineating the anterior wall of the third ventricle and , in its lower section , before the optic chiasma , forming...
it has been known for over a century that these cranial nerves exist , and that they are not typographical errors nor a sensational event reported in the medical literature . a number of scientific articles on anatomy highlight how textbooks on descriptive anatomy do not always consider variables such as differences ...
a cross - sectional observational study was conducted amongst patients in a lower - limb orthopaedic clinic in october 2011 . patients attending this clinic were either awaiting or being followed - up from arthroplasty or soft tissue surgery of the hip or knee . surgery involving robotic and navigation systems was ...
backgroundtechnology in orthopaedic surgery has become more widespread in the past 20 years , with emerging evidence of its benefits in arthroplasty . although patients are aware of benefits of conventional joint replacement , little is known on patients ' knowledge of the prevalence , benefits or drawbacks of surger...
mast cells participate in allergies and inflammation by releasing a variety of chemical mediators , such as histamines , leukotrienes , and platelet - activating factors . activation of mast cells occurs in immunoglobulin e ( ige)mediated ( called type i allergy reactions or anaphylaxis ) reactions and in non - ige -...
objectives : this study was conducted to clarify the effects of agarwood on histamine release from mast cells in rats and on the scratching behaviors in mice.methods:histamine release from rat mast cells induced by compound 48/80 or concanavalin a ( con a ) and compound 48/80-induced scratching behavior in mice were ex...
the vaginal swabs obtained as described in depth previously ( 1 ) were stored at 80c until dna extraction for amplification and sequencing . the first group was a set of 63 healthy women , and a single vaginal swab was taken to define the the second group was a set of 62 women classified as having bv as was assesse...
backgroundthe composition of the vaginal microbiota is known to be important for health . when infections occur , antimicrobial therapy is often poorly efficacious.objective and designwe used 16s rrna gene sequencing to characterize changes in the bacterial microbiota following oral antimicrobial and probiotic interv...
nitric oxide is an important mediator of inflammatory responses in the lung and a key regulator of pulmonary vascular and bronchomotor tone . we have shown that the inducible nitric oxide synthase ( inos ) isoform is continuously expressed in human airway epithelium at mrna and protein / activity levels in vivo . how...
headache can be an accompanying symptom of cerebrovascular diseases ( up to 38% of cases ) , mostly depending on stroke etiology and localization . it is very common in posterior inferior cerebellar artery infarction with a frequency up to 76% in patients with wallenberg s syndrome . few papers reported that headac...
stroke can present , among other signs , with headache . here , we describe the case of a man suffering from severe orbitary pain and autonomic dysfunction secondary to dorsolateral medullary ischemia . the anatomical relationship between lesion and symptomatology could be an indirect sign of hypothalamospinal tract ...
approximately 170 million people are infected with hepatitis c virus ( hcv ) worldwide and natural history studies show that 520% of patients develop cirrhosis after approximately 20 years of infection . currently , the pegylated - interferon ( peg - ifn ) plus ribavirin combination therapy has become the standard of...
summarybackgroundwe aimed to assess differences in early viral dynamics following treatment with either peg - ifn2a or peg - ifn2b in combination with ribavirin in patients with chronic genotype 1b hcv infection.material/methodssixty-one patients in the peg - ifn2a + ribavirin treatment ( group 2a ) and 88 patients in ...
metastases of solid tumors of the kidney are occasionally seen in terminally ill patients with disseminated cancer . renal involvement by metastatic cancer ranges from 3 to 8% based on autopsy series [ 1 , 2 ] . secondary renal neoplasms are typically identified in the tubulointerstitial compartment , whereas intra...
intraglomerular metastasis is a rare manifestation of disseminated malignancies . we present here a case of intraglomerular metastatic carcinoma diagnosed as an incidental finding on a kidney biopsy in a 62-year - old male presenting with acute renal failure and metastatic penile squamous cell carcinoma . a prolifera...
december 2013 , from 125 hospitals throughout the country , we collected 301 serum samples from hospitalized persons who had sfts signs and symptoms , such as high fever ( temperatures > 38c ) , vomiting , diarrhea , and/or fatigue and showed laboratory parameters consistent with thrombocytopenia and/or leukocytopenia ...
during 2013 , severe fever with thrombocytopenia syndrome was diagnosed in 35 persons in south korea . environmental temperature probably affected the monthly and regional distribution of case - patients within the country . phylogenetic analysis indicated that the isolates from korea were closely related to isolat...
in malaysia , emergency medicine ( em ) is a newly recognised specialty with the first postgraduate program starting in 1998 . emergency department universiti kebangsaan malaysia medical centre ( ed ukmmc ) started the em postgraduate program in 2005 . the emergency department is made up of various levels of health...
backgroundairway management is an important part of the management of the critically ill and injured patients in the emergency department ( ed ) . numerous studies from developed countries have demonstrated the competency of emergency doctors in intubation . to date there have been no published data on intubations ...
a major focus of today 's research in neuroscience is on the molecular mechanisms leading to age - related neurologic decline . given the continuous increase in life expectancy in human populations worldwide , finding strategies to maintain health in old age is becoming a matter of increasing socio - economic relevan...
apolipoprotein d ( apod ) is an ancient member of the lipocalin family with a high degree of sequence conservation from insects to mammals . it is not structurally related to other major apolipoproteins and has been known as a small , soluble carrier protein of lipophilic molecules that is mostly expressed in neurons...
colorectal cancer is among the most common cancers in the united states , and it has been estimated that more than 50 000 patients died from colorectal cancer in 2007 . consequently , there is great interest in the development of novel therapies for the disease . in particular , recent studies have investigated the ...
there has been an intensive effort to develop novel therapies for the treatment of metastatic colorectal cancer ( mcrc ) . the anti - epidermal growth factor receptor ( egfr ) antibodies panitumumab and cetuximab and the anti - vascular endothelial growth factor ( vegf ) antibody bevacizumab have demonstrated...
the samples included 1,165 american t1d patients with and without dn selected from the genetics of kidneys in diabetes ( gokind ) study ( 11 ) . all patients were of european descent , diagnosed before age 31 years , and treated with insulin within 1 year of diagnosis . the 571 t1d patients ( case subjects ) with d...
objectivehypoxia plays a major pathogenic role in diabetic nephropathy ( dn ) . we have investigated in this study the effect of hypoxia - inducible factor 1 subunit ( hif1a ) genetic polymorphisms on the development of dn.research design and methodsin 1,165 american type 1 diabetic patients with and without dn sele...
in recent years , nanometer - sized chalcogenide semiconductors have drawn attention as a component of nanotechnology , mainly due to their physical and chemical properties , heavily dependent on their shape and size . the ag2s is found amongst the most important chalcogenides and because of its unique optoelectronic...
backgroundin this paper a template - free precipitation method was used as an easy and low cost way to synthesize ag2s semiconductor nanoparticles . the kramers kronig method ( k k ) and classical dispersion theory was applied to calculate the optical constants of the prepared samples , such as the reflective index...
prostate cancer is the leading cause of cancer incidence in males and the second cause of male cancer mortality in colombia . in 2012 , 9564 cases were diagnosed in the country . radiotherapy administered as either external beam radiotherapy ( ebrt ) , high - dose - rate ( hdr ) interstitial brachytherapy or a combin...
purposehigh - dose - rate ( hdr ) brachytherapy has been accepted as an effective and safe method to treat prostate cancer . the aim of this study was to describe acute toxicity following hdr brachytherapy to the prostate , and to examine the association between dosimetric parameters and urinary toxicity in low - ris...
c - reactive protein ( crp ) is an acute phase reactant plasma protein produced in response to diverse inflammatory stimuli . the acute - phase reaction represents an early , non - specific and highly complex reaction of the organism to a variety of injuries such as bacterial , viral or parasitic infection and ischem...
background and objectives : c - reactive protein ( crp ) is a type i acute phase reactant . a number of studies have reported elevated serum crp levels in periodontitis subjects , which decrease following periodontal therapy . however , the data of interventional studies on gingival crevicular fluid ( gcf ) levels ...
much of what we have learned of extracellular dopamine dynamics has been dependent on the neurochemical methods to measure them in vivo . microdialysis ( westerink , 1995 ; watson et al . , 2006 ) has been used to successfully measure dopamine in various terminal regions . because the diffusion - based technique ha...
phasic activity of the mesolimbic dopamine pathway burst - firing of dopamine neurons and the resulting dopamine release events at striatal targets have been associated with a variety of motivational events , such as novelty , salient stimuli , social interaction , and reward prediction . over the past decade , advan...
spontaneous hematomas are more common than post - traumatic epidural hematomas . the annual incidence of spontaneous epidural spinal hematoma has been reported to be 0.1 in 100,000 in the general population , whereas , in the pediatric population , this incidence is significantly lower . only 40 pediatric cases have ...
an 8-month - old male infant had presented with a history of a fall from the crib a fortnight ago . he had developed progressive weakness of both lower limbs . on examination , the infant had spastic paraplegia . magnetic resonance ( mr ) imaging of the cervical spine showed an epidural hematoma extending from th...
substantial intrastrain variation at the nucleotide level complicates molecular and genetic studies in zebrafish , such as the use of crisprs or morpholinos to inactivate genes . in the absence of robust inbred zebrafish lines , we generated nhgri-1 , a healthy and fecund strain derived from founder parents we sequen...
orthodontic force application leads to periodontal ligament tissue injury and the initiation of acute inflammatory processes . subsequent production of pro - inflammatory mediators such as prostaglandins , substance p and cytokines plays an important role in the mediation of orthodontic pain.1 therefore , it is recom...
objective : to investigate and compare the effects of superelastic nickel titanium and multistranded stainless steel archwires on pain during the initial phase of orthodontic treatment.design:a double - blind two - arm parallel design stratified randomized clinical trial.setting:a single centre in india between decemb...
we conducted a cross - sectional , cohort - type diagnostic accuracy study in adult subjects with type 2 diabetes , who were consecutively recruited from the outpatient clinic of obesity , diabetes , and metabolism in the second department of internal medicine , democritus university of thrace , greece , and the diabet...
objectiveto estimate the accuracy of neuropad for the diagnosis and staging of distal symmetric polyneuropathy ( dpn ) across different stages of neuropathy , using multiple - level likelihood ratios ( lrs ) to interpret the time necessary to complete the color change of the test.research design and methodswe conducted...
honey bee venom ( hbv , apis mellifera ) is a bitter , colorless liquid , and its active portion contains a mixture of proteins that , cause local inflammation and act as anti - coagulants . hbv is a complex mixture of enzymes and polypeptides with low molecular weights , and it has been reported to contain the enzym...
objectives : bee venom ( bv ) is a complex mixture of proteins and contains proteins such as phospholipase and melittin , which have an effect on blood clotting and blood clots . the mechanism of action of honey bee venom ( hbv , apis mellifera ) on human plasma proteins and its anti - thrombotic effect were studied ...
a synchronous cancer of squamous cell origin found in the esophagus and stomach is very rare among gastrointestinal cancers . squamous cell carcinomas take up 38% of all esophageal cancers , and it is common in esophagus , but not in stomach.1,2 less than 100 cases were reported until now.3 a synchronous presentation...
synchronous esophageal and gastric cancers with the pathologic features of a squamous cell carcinoma are extremely rare . a 57-year - old male visited our hospital with a history of hematemesis and was diagnosed with a synchronous cancer . he underwent a staging work - up , and the resectable lesion in the stomach ...
insulin - like growth factor - binding protein-1 ( igfbp-1 ) is a member of a family of six igfbps , which have effects on cell metabolism , motility , growth , and survival via igf - dependent and -independent mechanisms . liver is the most important source of igfbp-1 in the human circulation and hepatic igfbp1 tran...
ghrelin plays key roles in energy homeostasis by central and peripheral actions that include effects on insulin signalling pathways in liver . insulin is an important inhibitor of production by hepatocytes of insulin - like growth factor - binding protein-1 ( igfbp-1 ) which has an endocrine role to inhibit igf avail...
paks were discovered 20 years ago by serendipity in the search for new gtpase - activating ( gaps ) proteins for the small rho - like g - proteins ( p21s ) cdc42 and rac1 . protein bands of ~65 kda , when immobilized on nitrocellulose filters , were found to stabilize the gtp - bound state of rac1 . the triplet of ...
the p21-activated kinases ( paks ) are a family of ser / thr protein kinases that are represented by six genes in humans ( pak 16 ) , and are found in all eukaryotes sequenced to date . genetic and knockdown experiments in frogs , fish and mice indicate group i paks are widely expressed , required for multiple tissue...
sclerosing stromal tumor ( sst ) is a rare benign ovarian neoplasm of the sex cord stromal category first delineated as a distinct ovarian sex cord stromal tumor entity in 1973 by chalvardjian and scully.1 most patients afflicted with sst present with nonspecific symptoms related to an adnexal mass . it is important ...
sclerosing stromal tumor ( sst ) was first delineated as a distinct ovarian sex cord stromal tumor in 1973 by chalvardjian and scully . it is a benign neoplasm , distinguished from other ovarian stromal tumors by the production of collagen and a pseudolobular pattern , and it tends to occur in the second and third de...
unintentional injuries are the most important causes of morbidity and mortality in 15 year - old children , responsible for 750,000 annual mortalities and 400 million severe injuries / year ( 1 - 3 ) . a total of 16 million injured children are admitted to emergency units in the united states each year , 30,000 of whic...
introduction : different factors such as parents knowledge and attitudes regarding preventive measures ( pm ) have a great role in reducing children unintentional home injuries . the present study aims to evaluate the contributing factors of unintentional home injury prevention in preschool victims presented to the e...
the frequency of endoscopic surgeries based on laparoscopy or thoracoscopy has increased in recent years and the introduction of new surgical techniques has caused an increased occurrence of pneumothorax . during laparoscopic surgery , the use of carbon dioxide to secure the surgical space and visual field can cause ...
we experienced an extremely rare complication during performance of laparoscopic totally extraperitoneal ( tep ) inguinal hernia repair for a 57-year - old healthy man . about 50 minutes after co2 insufflation , the patient developed tachycardia , hypoxemia , hypercapnia and an increased airway pressure . right pne...
the standard management for gsv reflux has been surgical ligation of the sapheno - femoral junction ( sfj ) , with stripping of the gsv . in the recent past there has been a radical shift towards minimally invasive techniques , one of which is radiofrequency ablation ( rfa ) . it is clearly effective and less painf...
the incidence of varicose veins in lower limbs is increasing in the indian subcontinent . with the advent of radiofrequency ablation ( rfa ) , an effective minimally invasive technique is now available to treat varicose veins . rfa can be performed with either unipolar or bipolar probes . we present a simple tech...
acute pancreatitis ( ap ) is an acute inflammatory disorder with variable severity ranging from self - limited to severe conditions . it is about 20% of ap experience severe attacks , such as complicate with multiple - organ dysfunction syndrome frequently . acute renal failure ( arf ) is a common complication of s...
hydrogen ( h2 ) , a new antioxidant , was reported to reduce oh and onoo selectively and inhibit certain proinflammatory mediators to product , without disturbing metabolic redox reactions or ros involved in cell signaling . we herein aim to explore its protective effects on acute renal injury in sodium taurocholate ...
there is no consensus on whether antipsychotic or benzodiazepine should be the primary treatment for catatonia associated with schizophrenia . current clinical practice is to resolve catatonia with benzodiazepine or electroconvulsive therapy ( ect ) and then treat underlying associated schizophrenia with antipsychotic ...
a 32-year - old man , diagnosed with catatonic schizophrenia , was treated with risperidone and lorazepam in the general hospital psychiatry setup . he developed signs of intestinal obstruction , which was diagnosed as paralytic ileus and was treated conservatively along with stopping the offending drug . risperido...
the emerging roles of sirtuins , particularly mammalian sirt1 , in regulating both cellular and organismal metabolism were emphasized throughout the meeting . john denu discussed the role of sirt1 as a major regulator of central cellular metabolic pathways , focusing on new protein targets of this enzyme . he showe...
from february 1216 , 2012 , leading members of the sirtuin scientific community assembled in tahoe , ca to attend the keystone symposium sirtuins in aging , metabolism , and disease . it was a vibrant and lively meeting , and in the spirit of keystone symposia , both established sirtuin researchers and those new to ...
a 64-year - old man with intractable stabbing pain in the distributions of the bilateral gon and lon presented at our hospital . on the day of presentation , he experienced pain all day , and the pain level was 8.9 on the visual analogue scale ( vas ) . approximately 4 years before admission to our hospital , he had ...
occipital neuralgia is usually defined as paroxysmal stabbing pain in the greater or lesser occipital nerve ( gon or lon ) distribution . in occipital neuralgia patients , surgical considerations are carefully taken into account if medical management is ineffective . however , identification of the occipital artery...
it is important to maintain the validity of historical control data for assessment of toxicities , especially carcinogenicity . in carcinogenicity studies for novel pharmaceuticals and chemicals , peto s test is commonly employed as one of the tools of statistical analysis for evaluation of the carcinogenicity ...
historical control data of tumor incidence were collected from the control groups ( 215 animals of each sex ) in four recent carcinogenicity studies that were started between 2005 to 2009 ( terminally sacrificed between 2007 and 2011 ) at bozo research center inc . ( gotemba , shizuoka , japan ) using fischer 344...
gonadal dysgenesis refers to a variety of clinical conditions in which abnormal development of the fetal gonad is present . it consists of 46 , xy gonadal dysgenesis , mixed gonadal dysgenesis ( mgd ) , and 45 , x turner syndrome . mgd , a disorder of sex development ( dsd ) , is defined in individuals who typicall...
highlightsthe clinical presentation of mixed gonadal dysgenesia is known as criptorcidism and undesending testis.mixed gonadal dysgenesia with mosaism 45 , x/46 , x , + mark karyotype are rare case.we present a rare patient case with mixed gonadal dysgenesis as a disorder of sex development ( dsd ) and a new pattern of...
head and neck cancers account for about 3% of all cancers , and have a fairly good chance of healing . because of certain head and neck anatomy , radiotherapy with or without chemotherapy is one of the main treatment that significantly increased the survival of patients . however , besides its anti - tumor effects , ...
background : taste abnormalities are common among cancer patients after starting radiotherapy or chemotherapy . considering the role of zinc and reports on its beneficial effects in taste perception , we evaluated the preventive effects of zinc sulfate on radiation - induced taste alterations.materials and methods : in...
low - back pain is a common musculoskeletal disorder , and many clinicians have tried to improve trunk stability to prevent and treat low - back pain1 , 2 . trunk stability is provided by global muscles , including the rectus abdominis ( ra ) , external oblique ( eo ) , internal oblique ( io ) , and erector spi...
[ purpose ] we investigated the effects of unstable conditions on the electromyographic ( emg ) activity of the rectus abdominis ( ra ) and the transverse abdominis internal oblique ( tra - io ) muscles , and lumbar kinematics during unilateral upper - limb resistance exercises using elastic tubing bands . [ s...
cytokine production is a feature of immune stimulation , and alterations in the cytokine profile can influence both the iron status and red blood cell profile . depending on the cause of the immune stimulation , the purpose of this decrease is to reduce the bioavailability of iron in order to stem uncontrolled cellul...
forty - eight patients were subdivided according to c - reactive protein ( crp ) levels , resulting in 19 patients with normal ( 2.8 2.8 mg / l ) and 29 with elevated ( 82.2 76.2 mg / l ) crp levels . the elevated crp group had iron and red blood cell ( rbc ) profiles characteristic of chronic immune stimul...
although metastatic gastric tumors are uncommon , gastric metastasis from ovarian carcinoma is extremely rare because malignant cells from the ovary usually spread through the intraperitoneal cavity.1 - 3 here , we report a case of gastric metastasis from ovarian adenocarcinoma presented as a submucosal tumor without u...
metastatic gastric cancer is extremely rare and gastric metastasis from ovarian adenocarcinoma has rarely been reported . all of the previously reported metastatic lesions presented as an ulcerative lesions . we report a case of 49-year - old woman in which gastric metastasis from ovarian adenocarcinoma presented a...
microorganisms quickly adapt to a changing environment by sensing and responding to environmental cues , such as nutrients . understanding how pathogens sense and utilize nutrients during pathogen - host interactions provides important insights into how to control diseases caused by these microbes . inositol is a nut...
abstractinositol is an essential nutrient with important structural and signaling functions in eukaryotes . its role in microbial pathogenesis has been reported in fungi , protozoans , and eubacteria . in a recent article , porollo et al . [ mbio 5(6):e01834 - 14 , 2014 , doi:10.1128/mbio.01834 - 14 ] demonstrated ...
many large asian cities rely on groundwater for their water supply , and the abstraction of groundwater has commonly caused the development of large depression cones . in addition , some of these cities , exemplified by kolkata and hanoi , are situated on top of aquifers that are seriously contaminated by geo...
recharge of red river water into arsenic - contaminated aquifers below hanoi was investigated . the groundwater age at 40 m depth in the aquifer underlying the river was 1.3 0.8 years , determined by tritium helium dating . this corresponds to a vertical flow rate into the aquifer of 19 m / year . el...
a bag of assorted toys was purchased at a local thrift store for six children of a household . upon arriving at their home , the children opened the toys and played with them . one item ( fig.1 , 2 , 3 ) was a small , gun - like object . they reported hearing a loud pop and seeing a red cloud of smoke shoot out of ...
we present an unusual case of chlorobenzylidenemalonitrile ( cs ) tear - gas exposure from the unwitting discharge of a personal - protection handgun loaded with cs gas . the gun was in a bag of toys purchased from a local thrift store and was discharged by a child . the responding paramedic presumptively identifie...
malignant melanoma has a unique position in the surgical and oncological fields as it is responsible for 79% of mortalities despite representing less than 5% of cutaneous malignancies . the considerable variation in recurrence and survival rates among melanoma patients has motivated many researchers to look at differ...
background . although postoperative complications are common after lymph node dissection , its association with disease recurrence has not yet been fully investigated . methods . a retrospective review of a prospectively maintained database was conducted , looking at all malignant melanoma patients with sentinel ...
the reintroduction of transcranial direct current stimulation ( tdcs ) has kindled great enthusiasm in the field of neurosciences . tdcs involves application of weak direct electric currents ( up to 2ma ) using scalp electrodes ( usually cathode and anodal electrodes in bipolar stimulation ) . apart from research i...
transcranial direct current stimulation ( tdcs ) involves application of weak direct electric currents ( up to 2ma ) using scalp electrodes with resultant neuroplasticity modulation by altering the cortical excitability . though the side effect profile of tdcs is benign and less severe , the utility and safety of tdc...
ovaries nurture eggs and produce several steroids and peptide hormones that play major role in regulation of reproductive cycle , maintenance of gestation , and initiation of parturition . there is a relationship between the intrauterine development , pubertal and adulthood variations , anomalies , and pathology of o...
background : there is a relationship between the intrauterine development , pubertal and adulthood variations , anomalies , and pathology of ovaries . but the entire development spectrum of the ovaries from fetal to menopausal age has not been examined among indian females.objectives:this study was conducted with an ...
the present study was carried out at a tertiary care referral eye hospital , in south india . images were obtained from subjects with diabetes who were part of a population - based cross - sectional and follow - up study : sn - dreams , conducted between 2003 and 2006 . , pennsylvania , usa ) and + 20 d lens ( niko...
aim : to evaluate the efficacy of an automated retinal image grading system in diabetic retinopathy ( dr ) screening.materials and methods : color fundus images of patients of a dr screening project were analyzed for the purpose of the study . for each eye two set of images were acquired , one centerd on the disk and...
patients with congestive heart failure ( chf ) often have generalized weakness or weakness of respiratory muscles that can restrict ventilation ( ve ) and lead to the major symptoms of orthopnea , dyspnea on exertion , exercise intolerance , fatigue , or even poor activities of daily living . some clinical studies ha...
abstractbackgroundcardiopulmonary function can be adversely affected after a cerebrovascular accident in patients with congestive heart failure ( chf ) . the aim of this study was to investigate the efficacy and feasibility of inspiratory muscle training ( imt ) for stroke patients with chf.methodsa prospective rando...
the treatment of intraarticular distal humerus fractures is subject of continuous debate in the orthopaedic literature [ 113 ] . they are uncommon , the anatomy is complex , and bone is frequently comminuted [ 14 , 15 ] . the nowadays debate is related to the type of treatment ( open reduction and plate osteosynthe...
several alternative approaches have been described to avoid the complications related to the olecranon osteotomy used to treat distal articular humerus fractures . the published experience with the triceps - sparing approach is scant . in this prospective study , a total of 12 patients with an articular humeral fra...
male sprague dawley rats ( 4 weeks old ; 7580 g ) , purchased from slc , inc . , were maintained at a temperature of 2326c and a relative humidity of 5065 % for 2 weeks after arrival . rats were divided into five groups ( hfd - control , hfd-5 % ele , hfd-003 % asp , hfd-01 % asp and hfd-03 % asp ; n 6...
eucommia leaves ( eucommia ulmoides oliver ) contain chlorogenic acid ( a caffeic acid derivative ) and geniposidic acid and asperuloside ( asp ) , iridoid glucosides used in beverages . we used a metabolic syndrome rat model , produced by feeding a 35 % high - fat diet ( hfd ) , to examine potential anti - ob...
tungiasis is a common but highly neglected health problem in many of the economically depressed communities in sub - saharan africa , the caribbean and south america . after penetration , which takes place commonly on the feet , the female sand flea tunga penetrans undergoes an impressing hypertrophy , expelling severa...
tungiasis is caused by infestation with the sand flea ( tunga penetrans ) . this ectoparasitosis is endemic in economically depressed communities in south american and african countries . however , data on the epidemiology of tungiasis in tanzania are very limited and the disease does not receive much attention fro...
epilepsy is one of the most common chronic noncommunicable neurologic disorders found throughout the world . approximately 50 million people worldwide have epilepsy , and nearly 80% of them live in developing regions . the annual incidence rates reported are 11/100,000/year in norway , 33/100,000 in italy , and 48/...
objectives : epilepsy is a very common chronic neurological disorder in children throughout the world . this study was conducted to assess saudi male schoolteachers knowledge of epilepsy and practice in southern saudi arabia.subjects and methods : a cross - sectional descriptive study was conducted among male teacher...
multiple experimental and clinical data suggest that drugs activating the gabab receptor constitute a new class of pharmacological agents with potential anti - addictive properties : treatment with both orthosteric gabab receptor agonists and positive allosteric modulators ( pams ) of the gabab receptor has indeed been...
recent studies demonstrated that activation of the gabab receptor , either by means of orthosteric agonists or positive allosteric modulators ( pams ) , inhibited different nicotine - related behaviors , including intravenous self - administration and conditioned place preference , in rodents . the present study inve...
the identification of permeation enhancers has gained interest in the development of drug delivery systems to improve the bioavailability of therapeutic agents that need to reach the systemic circulation . tight junctions between adjacent epithelial cells are major absorption barriers for therapeutic agents.1 studies...
backgroundthe identification of permeation enhancers has gained interest in the development of drug delivery systems . a six - mer peptide , h - fcigrl - oh ( at1002 ) , is a tight junction modulator with promising permeation - enhancing activity . at1002 enhances the transport of molecular weight markers or agents...
the experiments were conducted on nitroxide - labeled t4l double mutants using the acert ku - band ( 17.3 ghz ) pds spectrometer ( both deer and dqc ) . all t4l mutants used in this study were previously well - characterized by standard four - pulse deer .
we describe significantly improved long - distance measurements in biomolecules by use of the new multipulse double electron electron spin resonance ( deer ) illustrated with the example of a five - pulse deer sequence . in this sequence , an extra pulse at the pump frequency is used compared with standard f...
almost 30% of renal cancer patients will die after radical treatment because of metastases formation during follow - up . such recognized prognostic factors as pathological staging ( pt ) and histological grading ( g ) are not sufficient for prognosis . therefore , it is crucial to identify risk factors to determin...
backgroundthe formation of lymphatic vessels ( lymphangiogenesis ) occurs in tumor tissues and is crucial for tumor development and progression in some cancers . lymphangiogenesis and its clinical effect on renal cell carcinoma have been less thoroughly investigated in comparison with angiogenesis . the aim of this...
smoking of tobacco remains the leading cause of preventable disease and death in the united states resulting in approximately a half million premature deaths annually . it has been shown that brief physician counseling on the risks of tobacco smoking and the benefits of cessation is an effective method of increasing ...
background : physician counseling on the risks of tobacco smoking and the benefits of cessation has been shown to be an effective method of increasing the rate of smoking cessation . using the help your patients quit smoking : a coaching guide also referred to as the 7a 's of smoking cessation guideline from the ne...
phenolic compounds are important components of many fruits , vegetables , and beverages contributing to their colour and sensory properties . epidemiological studies have demonstrated that the composition of phenol - rich food retards the progression of arteriosclerosis and reduces the incidence of heart dise...
the effect of two extraction methods of pomegranate juice on its quality and stability was evaluated . the first method consisted of separation of the seeds from fruits and centrifugation . the second method consisted of squeezing fruit halves with an electric lemon squeezer . during a period of 72 hours of...
vaccines are one of the most successful outcomes of modern medicine in improving the global health . nevertheless , many diseases are still a challenge for vaccine development and the attempt to make new vaccines using more recent technologies has required the use of adjuvants , which enhance the magnitude and modula...
the filamentous bacteriophage fd , codisplaying antigenic determinants and a single chain antibody fragment directed against the dendritic cell receptor dec-205 , is a promising vaccine candidate for its safety and its ability to elicit innate and adaptive immune response in absence of adjuvants . by using a system vac...
psammomatoid ossifying fibroma ( pof ) is a rare , slowly progressive tumor of the extragnathic craniofacial bones , with a tendency toward locally aggressive behavior . the pathognomonic histologic feature is the presence of spherical ossicles , which are similar to psammoma bodies . fibro - osseous lesions compos...
introductionpsammomatoid ossifying fibroma ( pof ) is a rare , slowly progressive tumor of the extragnathic craniofacial bones , with a tendency toward locally aggressive behavior.case reportthe pathognomonic histologic feature is the presence of spherical ossicles , which are similar to psammoma bodies.discussionfibro...
dry eye syndrome or keratoconjunctivitis sicca is one of the most common diseases in ophthalmology [ 1 , 2 ] . according to published investigations , its prevalence ranged from 5% to 6% in the general populations , and it reached 34% in the elderly . severe cases can cause serious complications , even loss of visual...
objectives . to investigate whether botulinum toxin type a ( btxa ) could control excessive secretion after submandibular gland ( smg ) transplantation in rabbits and its possible mechanisms . methods . a new smg transplantation model was established in rabbit . 30 successfully constructed models were randomly assi...
workers are exposed to hazardous noises high enough to cause hearing loss . according to a study , based on data from the national health interview survey between 1997 and 2003 , 24% of the cases of hearing disorder in the united states are due to occupational exposures . since it is often difficult , for technological...
introduction : present methods of measuring the attenuation of hearing protection devices ( hpds ) have limitations . objective measurements such as field microphone in real - ear do not assess bone - conducted sound . psychophysical measurements such as real - ear attenuation at threshold ( reat ) are biased due t...
cognitive and behavioral impairments are considered to occur frequently in amyotrophic lateral sclerosis / motor neuron disease ( mnd ) . rarely , apraxia has been reported in mnd . orofacial , or buccofacial , apraxia is characterized by a loss of voluntary control of facial , lingual , pharyngeal and masticatory mu...
introductioncognitive and behavioral impairments are considered to occur frequently in amyotrophic lateral sclerosis / motor neuron disease ( mnd ) . rarely , apraxia has been reported in mnd . orofacial , or buccofacial , apraxia is characterized by a loss of voluntary control of facial , lingual , pharyngeal and ma...
therefore , thoracic radiculopathy due to degenerative root canal stenosis is a rare entity . here , we present a patient with right t2 nerve root canal stenosis with pain in the right axilla and posteromedial arm . he had undergone c56 anterior fusion for cervical spondylosis 5 years prior . a 60-year - old man p...
thoracic radiculopathy is a rare entity . symptomatic adjacent - segment disease after anterior cervical fusion occurs commonly in the lower cervical spine segment . we describe the clinical presentation and treatment of t2 radiculopathy after c56 anterior fusion . a 60-year - old man presented with the right axill...
despite technical advances in liver surgery in the last decades , the consequences of liver ischemia / reperfusion injury remain a major concern for surgeons . liver ischemia / reperfusion ( i / r ) injury is a complex cascade of events mediated by numerous inflammatory cells and molecular mediators , resulting in he...
pentoxifylline ( ptx ) has been shown to have beneficial effects on microcirculatory blood flow . in this study we evaluate the potential hemodynamic and metabolic benefits of ptx during hepatic ischemia . we also test the hypothesis that portal ptx infusion can minimize the i / r injury when compared to systemic i...
thiopeptides are potent antibiotics that inhibit protein synthesis . they are made by a remarkable post - translational modification process that transforms a linear peptide into a polycyclic structure . we present here the in vitro biosynthesis of the core scaffold of thiomuracin catalyzed by six proteins ...
familial / sporadic hemiplegic migraine ( fhm / shm ) is a rare migraine with aura subtype , usually inherited in an autosomal dominant manner . mutations on cacna1a on chromosome 19p13 , ( fhm1 ) , atp1a2 on chromosome 1q23 ( fhm2 ) and scn1a genes on chromosome 2q24 ( fhm3 ) were identified as causing fhm [ 2 , 3 ]...
familial hemiplegic migraine ( fhm ) type 1 is a rare monogenic dominant autosomal disease due to cacna1a gene mutations . besides the classical phenotype , mutations on cacna1a gene are associated with a broader spectrum of clinical features including cerebellar ataxia , making fhm1 a complex channelopathy . we re...
the specificity of interactions is mostly determined by structural and physico - chemical properties of interfaces of interacting proteins . proteins highly similar in sequence can participate in different interactions , and even a small number of amino acid substitutions or insertions / deletions at binding in...
the crucial prerequisite for proper biological function is the protein s ability to establish highly selective interactions with macromolecular partners . a missense mutation that alters the protein binding affinity may cause significant perturbations or complete abolishment of the function , potentially lead...
intracranial germ cell tumors ( gcts ) account for about 2% of brain tumors in children in india . spread of tumor outside the primary site occurs in 10 - 30% of cases , however , metastasis outside the central nervous system is rare . we report a case of liver metastasis in an adolescent , 2 years after treatment ...
systemic dissemination of intracranial germ cell tumors ( gcts ) occur only in 3% of cases and the common sites are bone , lungs , and lymph nodes . metastasis to the liver is rare . as far as we could find , only six cases of liver metastasis of intracranial gcts have been reported so far . we report an adolesce...
stress induced hyperglycemia is a known complication of neonatal sepsis , but sometimes it may become very difficult to distinguish it from neonatal diabetes mellitus . we present a case of neonatal septicemia with stress induced hyperglycemia mimicking neonatal diabetes mellitus . extremely high blood sugar values...
stress / sepsis induced transient hyperglycemia in the newborn may present with extremely high blood sugar values and may mimic neonatal diabetes mellitus . we present a case of neonatal septicemia with stress induced hyperglycemia mimicking neonatal diabetes mellitus . extremely high blood sugar values upto 1529 m...
between 3,00,000 and 4,00,000 babies are born each year with serious hemoglobin disorders and up to 90% of these births occur in low and middle income countries . many of these inherited hemoglobin disorders are malaria resistance genes and in the heterozygous state influence the susceptibility to p. falciparum malar...
inherited hemoglobin disorders like alpha thalassemia and sickle gene are common in the indian subcontinent . these disorders in the heterozygous state act as malaria resistance genes and influence the susceptibility to plasmodium falciparum malaria . there is inadequate knowledge about the epidemiology of these ma...
in south - west nigeria , haemoglobin s has a stable gene frequency of 2.4% homozygote ( hb ss ) and 25% heterozygote ( hbas).1 the point mutation in position 6 of the beta - globin gene results in the replacement of hydrophilic glutamic acid by a hydrophobic valine . the consequence is haemoglobin s with reduced sol...
background : sickle cell disease ( scd ) is an inherited haemoglobinopathy characterised by recurrent organ hypoxia - reperfusion cycles which may result in repeated organ damage including the lungs and heart . in scd , pulmonary hypertension is a known complication that may precede or complicate acute chest syndrome w...
integrative health care ( ihc ) has become a popular term used in practice and research to define the blending of complementary and alternative medicine ( cam ) and conventional care as an innovative approach to health care delivery . to conduct a bibliometric analysis to develop a better understanding of the evoluti...
backgroundintegrative health care ( ihc ) has become a popular term used in practice and research to define the blending of complementary and alternative medicine ( cam ) and conventional care as an innovative approach to health care delivery.purpose and objectivesto conduct a bibliometric analysis to develop a better ...
human action recognition has been in great demand in the field of pattern recognition , given its direct relation to video surveillance , human - computer interaction , and ambient - assisted living ( aal ) , among other application scenarios . especially in the latter , human behavior analysis ( hba ) , in which human...
this paper presents a novel silhouette - based feature for vision - based human action recognition , which relies on the contour of the silhouette and a radial scheme . its low - dimensionality and ease of extraction result in an outstanding proficiency for real - time scenarios . this feature is used in a learning...