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endoscopic retrograde cholangiopancreatography ( ercp ) and endoscopic retrograde biliary drainage ( erbd ) are first - line , non - surgical interventions for biliary obstruction , with a success rate of approximately 90%97% , and a less than 10% risk of adverse events .
however , ercp may not achieve biliary decomp... | in 1980 , endoscopic ultrasound ( eus ) was introduced as a diagnostic tool for evaluation of the pancreas . since the introduction of curvilinear - array echoendoscopy
, eus has been used for a variety of gastrointestinal interventions , including fine needle aspiration , tumor ablation , and pancreatobiliary access... |
the mammalian kidney is a highly specialized organ that , while vulnerable to hypoxic and toxic injuries , has a significant capacity for repair and regeneration .
the balance between tissue damage and repair / regeneration is critical for determining the ultimate outcome of the kidney following an insult .
extensi... | the wnt/-catenin signaling cascade is an evolutionarily conserved , highly complex pathway that is known to be involved in kidney injury and repair after a wide variety of insults . while the kidney displays an impressive ability to repair and recover after injury , these repair mechanisms can be overwhelmed , leading ... |
the first one controls muscle activation with eemg feedback , and the second one estimates / predicts fes - induced joint torque with eemg .
model predictive controller is designed in the control part and kalman filter / recurrent neural network ( rnn ) is used in the torque estimation part .
the system tests were ... | as a neuroprosthetic technique , functional electrical stimulation ( fes ) can restore lost motor performance of impaired patients . through delivering electrical pulses to target muscles , the joint movement can be eventually elicited .
this work presents a real - time fes system which is able to deal with two neuro... |
severe combined immune deficiency ( scid ) is a life - threatening primary immunodeficiency usually presenting in the first months of life with ( opportunistic ) infections , protracted diarrhea , and failure to thrive .
patients with scid are highly susceptible to severe and recurrent infections and usually do not s... | severe combined immune deficiency ( scid ) is a fatal primary immunodeficiency usually presenting in the first months of life with ( opportunistic ) infections , diarrhea , and failure to thrive .
hematopoietic stem cell transplantation ( hsct ) and gene therapy ( gt ) are curative treatment options .
the objective... |
mitochondrial disorders are a clinically heterogeneous group of disorders that are caused by defects in the mitochondrial atp production system .
the previously published guidelines and diagnostic criteria for mitochondrial disorders illustrate the challenges of diagnosing patients with a suspected mitochondrial diso... | establishing a diagnosis in patients with a suspected mitochondrial disorder is often a challenge .
both knowledge of the clinical spectrum of mitochondrial disorders and the number of identified disease - causing molecular genetic defects are continuously expanding . the diagnostic examination of patients requires a... |
patients with immune thrombocytopenia ( itp ) who relapse after primary splenectomy should be evaluated for the presence of accessory spleens .
the clinical efficacy of a supplementary accessory splenectomy ( open or laparoscopic ) has varied between clinical studies of adults , and there are few data regarding its s... | we present a 7-year - old boy with recurrent thrombocytopenia after primary laparoscopic splenectomy for immune thrombocytopenia ( itp ) .
imaging modalities ( ultrasound , computed tomography scan , and scintigraphy ) revealed two accessory spleens while the subsequent second laparoscopy revealed 11 , which were suc... |
anxiety is the most commonly reported emotion of children when confronted with surgery or stressful medical procedures and a risk factor for pre- , intra and post - operative compli - cations .
excessive anxiety and stress can affect children 's physical and psychological health and it has been associated with numb... | objectivethe purpose of this study was to examine effects of performing preoperative preparation program on children 's anxiety.methodsthis study was performed in amirkola pediatrics hospital , mazandaran .
a randomized controlled trail was performed on 122 children ( 712 years of age ) admitted for elective surgery ... |
supercapacitors store
charge by the formation of electric double
layers in porous carbon electrodes .
the
energy stored is proportional to the cell capacitance as well as the
square of the operating voltage . as such
, great effort has been made
to develop new carbon structures with increased capacitances... | ionic
liquids are emerging as promising new electrolytes for supercapacitors .
while their higher operating voltages allow the storage of more energy
than organic electrolytes , they can not currently compete in terms
of power performance .
more fundamental studies of the mechanism and
dynamics of charge st... |
velopharyngeal insufficiency ( vpi ) means that for whatever reason the performance of the velopharyngeal ( vp ) closure is inadequate or disturbed .
vpi may be organic or functional , congenital or acquired and is caused by structural alterations or paresis .
the symptoms and signs of palatal dysfunction are prima... | velopharyngeal insufficiency ( vpi ) means that the velopharyngeal closure is inadequate or disturbed .
vpi may be organic or functional , congenital or acquired and is caused by structural alterations or paresis .
the symptoms are primarily to be found in speech ( hypernasality ) , more rarely in swallowing and he... |
in 2006 an otherwise healthy 76-year - old woman presented to her general practitioner ( gp ) with a pigmented skin lesion on her right calf below the popliteal fossa .
the gp took a 5 mm biopsy of this lesion , which was reported as a superficial spreading melanoma with a breslow thickness of 0.6 mm .
there was a ... | this is a case study of a female patient diagnosed with superficial spreading melanoma who decided to treat the lesion by the application of a preparation known as black salve .
persistence of the melanoma was documented five years later with subsequent evidence of metastatic spread to the regional lymph nodes , lung... |
error ! hyperlink reference not valid.forty-one clinical c. sakazakii strains were included in the study .
the strains included those of recent ( 13,1012 ) and those of more historic interest ( > 25 years 1315 ; ) .
strains used in this study , along with patient details and clinical signs , are shown in table 1 . ... | a 7-loci ( 3,036 nt ) multilocus sequence typing scheme was applied to 41 clinical isolates of cronobacter sakazakii . half ( 20/41 ) of the c. sakazakii strains were sequence type ( st ) 4 , and 9/12 meningitis isolates were st4 . c. sakazakii st4 appears to be a highly stable clone with a high propensity for neonatal... |
the study included 57 prepubertal children aged 410 years born either sga ( n = 25 ) or appropriate size for gestational age ( aga ) ( n = 32 ) between april 1997 and december 1998 at the university hospital of ioannina , which hosts the majority ( > 85% ) of births in a well - defined geographical area of northwestern... | objectivethe aim of this study was to test whether being born small for gestational age ( sga ) has an impact on adiponectin and leptin levels and the igf system in relation to insulin sensitivity , taking into consideration the severity of growth restriction.research design and methodsserum levels of adiponectin , lep... |
scoliosis is a 3-dimensional abnormal curvature of the spine , and is the most common
deformity of the spine1 .
its causes
include neurological or neuromuscular dysfunction in cerebral palsy , duchenne myopathy ,
medullary lesion , and others2 .
however ,
even though the main causes of most scoliosis cases ... | [ purpose ] degree of curvature on the spine is known to affect respiratory function and
back muscle activation .
we compared pulmonary function and back muscle strength according
to the degree of curvature of the spine of healthy adults .
[ subjects and methods ]
twenty - three healthy volunteers were enroll... |
men tend to present with a larger , more invasive and rapid growth prolactinomas than women , possibly because hypogonadism features are less evident .
a 27-year - old , previously asymptomatic saudi man presented with a 3-day history of emesis with severe left - sided frontal headache , left face and right upper lim... | introductionpituitary tumors from lactotrope cells account for about 40% of all functioning pituitary cancers .
men tend to present with a larger , more invasive and rapid growth prolactinomas than women , possibly because hypogonadism features are less evident.case reporta 27-year - old , previously asymptomatic sau... |
trichomoniasis is a sexually transmitted disease ( std ) caused by the protozoon parasite , trichomonas vaginalis . in women
, trichichomoniasis has a range of presentations , from an asymptomatic to an acute inflammatory disease with a copious and malodorous vaginal discharge .
infection is also linked to preterm ... | introduction : trichomoniasis is a relatively neglected area of research in sri lanka . given the number of infections observed , an analysis of sociodemographic characteristics of patients would be valuable in prevention.materials and methods : data were collected from 359 newly registered women at a tertiary level se... |
melanoma is the most deadly form of skin cancer ( hall et al . , 1999 ) .
one - in - fifty americans has a lifetime risk of developing melanoma . in 2009
nearly 63,000 were diagnosed with melanoma in the united states , resulting in approximately 8,650 deaths .
the projected numbers by the national cancer institu... | carboxyl - terminal binding protein 1 ( ctbp1 ) has been shown to suppress the transcription of several tumor suppressors in vitro .
paradoxically , a previous report showed that ctbp1 mrna was down - regulated in melanoma . using immunostaining
, we found that a large percentage of human melanomas were positive fo... |
however , there is no universal agreement among gynecologists about the optimal method of hysterectomy in patients with an enlarged myomatous uterus .
generally , the surgical route for hysterectomy is selected on clinical and technical factors , such as uterine weight or previous vaginal deliveries . in the studies ... | objectives : to compare the surgical and immediate postoperative outcomes for vaginal hysterectomy ( vh ) with those for laparoscopically assisted vaginal hysterectomy ( lavh ) in patients with enlarged myomatous uterus.methods:eighty women requiring hysterectomy for an enlarged myomatous uterus were randomly allocated... |
diabetic retinopathy ( dr ) is the most common microvascular complication of diabetes and remains one of the leading causes of blindness worldwide .
dr is characterized by gradual progressive alterations in the retinal microvasculature , leading to loss of retinal capillary cells , disruption of vascular barrier , re... | this study was conducted to determine the expression of matrix metalloproteinase-9 ( mmp-9 ) and tissue inhibitor of metalloproteinase-1 ( timp-1 ) in a time - dependent manner and the effect of extracellular - signal - regulated kinases-1/2 ( erk1/2 ) inhibition on the expressions of mmp-9 , timp-1 , and inflammatory ... |
data was acquired with a sampling rate of 500 khz on axopatch 200b or axopatch 1b amplifiers filtered at 100 khz .
dna interaction events were detected using a thresholding algorithm as previously described and good events were selected automatically using characteristics such as duration , mean , and standard deviat... | nanopore sequencing of dna is a single - molecule technique that may achieve long reads , low cost and high speed with minimal sample preparation and instrumentation . here
, we build on recent progress with respect to nanopore resolution and dna control to interpret the procession of ion current levels observed duri... |
coagulase - negative staphylococci ( cons ) maintain a benign relationship with their host and are only considered to be pathogenic when natural barriers are damaged , usually due to trauma or the implantation of medical devices [ 1 , 2 ] . rates of cons infections in hospitals have increased , which necessitates the n... | the increasing incidence of coagulase - negative staphylococci ( cons ) in hospital - acquired infections underlines the need for an accurate and simple identification of staphylococcus isolates at the species level .
sequencing of the tuf gene has been shown to be the most accurate for the species identification of ... |
sukhera sheikh made substantial contributions to literature review , drafting the article and final approval of the version to be published .
inithan ganesaratnam made substantial contributions to literature review , revising it critically for important intellectual content and final approval of the version to be pub... | operative vaginal delivery has been described since the middle ages . during this time ,
however , labour would be sustained over several days and intrapartum death almost inevitable . in these circumstances ,
intervention involving the use of surgical instruments or even kitchen utensils would serve purely as an a... |
diabetes is one of the manifestations of metabolic syndrome , characterized by high blood glucose .
diabetic nephropathy ( dn ) , as one of the most severe chronic diabetic microvascular complications , is a leading cause of end - stage renal disease ( esrd ) , which may result in high morbidity and mortality .
the... | diabetic nephropathy ( dn ) is the leading cause of end - stage renal disease ( esrd ) .
the development and progression of dn might involve multiple factors .
connective tissue growth factor ( ccn2 , originally known as ctgf ) is the one which plays a pivotal role .
therefore , increasing attention is being paid... |
the infantile colic is a difficult experience met by the parents in the first few months of an infant s life .
it is a condition in which an infant shows signs of distress such as crying , moaning , etc . for a considerable period without any specific reason .
it is estimated that this condition affects about 10%30... | introductionthe infantile colic is a difficult experience met by parents in the first few months of an infant s life .
this may lead to increased discomfort for infants as well as psychological distress for mothers .
this study aimed at assessing the baseline knowledge of mothers in saudi arabia about infantile col... |
infection related glomerulonephritis ( irgn ) is an immunologically mediated glomerular injury triggered by extrarenal infection . in the past
, the majority of irgn cases were related to infection with nephritogenic streptococcal strains [ 1 , 2 ] .
as the prevalence of streptococcus pyogenes disease in developed ... | we report a case of a 72-year - old diabetic male who developed infection - related glomerulonephritis ( irgn ) in the setting of severe staphylococcus epidermidis infection .
he required renal replacement therapy for 6 weeks , but had full recovery of his kidney function with aggressive treatment of the infection . ... |
neuroendocrine tumors ( nets ) consist of a group of neoplasms that arise from neuroendocrine cells dispersed throughout the body and show variable clinical course . the world health organization ( who ) classifications in 2000 and subsequently in 2004 did not address the diversity of these tumors .
a histologic grad... | neuroendocrine neoplasms ( nens ) are a distinctive entity , and nearly 10% of patients already have liver metastases at presentation .
the management of neuroendocrine liver metastases ( nen - lm ) is complex with differing patterns of metastatic presentation .
an aggressive approach should be used to resect the p... |
we developed a stochastic model of evd transmission ( technical appendix ) using individual - level transmission data from guinea to inform our model structure .
august 2014 suggest substantial variation in the number of secondary cases generated ( 6,7 ) .
in particular , index cases , defined as those that could n... | using an ebola virus disease transmission model , we found that addition of ring vaccination at the outset of the west africa epidemic might not have led to containment of this disease .
however , in later stages of the epidemic or in outbreaks with less intense transmission or more effective control , this strategy ... |
inflammatory myofibroblastic tumor ( imt ) , previously called inflammatory pseudotumor and plasma cell granuloma , belongs to a class of rare spindle cell lesions showing a rather unpredictable biological behavior with occasional tendency toward invasion to the surrounding tissue and local recurrence .
the lesion , ... | inflammatory myofibroblastic tumor ( imt ) is a rare neoplastic lesion with tendency toward local aggressive behavior and recurrence .
the tumor most commonly occurs in the pulmonary system of children and young adult , although it may rarely develop in older patients and other organs .
symptoms are non - specific ... |
informamos sobre la seguridad de la acupuntura sin insercin de agujas ( non - insertive acupuncture , nia ) en 54 neonatos diagnosticados con sndrome de abstinencia neonatal ( san ) en un concurrido hospital urbano .
para esta serie de casos , se realiz una revisin retrospectiva de las historias clnicas .
se recopi... | objective : we report on the safety of non - insertive acupuncture ( nia ) in 54 newborns diagnosed with neonatal abstinence syndrome ( nas ) in a busy inner - city hospital.methods:for this case series , a retrospective chart review was conducted .
data on participant demographics , number of nia treatments , provid... |
endometrial cancer is mostly diagnosed at the early stage . in spite of low value of population screening , postmenopausal bleedings , meno- and metrorhaggia
most women have favorable prognosis after treatment , although there are some histopathologic high risk features .
these are grade 3 tumor , > 50% of myometri... | endometrial cancer is the most frequent cancer of female genital tract . metro- and menorrhagia or postmenopausal bleeding results in its early presentation .
it allows radical treatment .
however , controversies remain on surgery coverage or adjuvant therapies in early endometrial women cancer .
optimal manageme... |
using humor to decrease stress , diminish pain , improve quality of life and even attempt to improve immune functioning has recently become a popular topic in the lay and professional literature ( 14 ) .
laughter in response to a humorous stimulus is a natural occurrence and does not require large amounts of time or ... | articles in both the lay and professional literature have extolled the virtues of humor , many giving the impression that the health benefits of humor are well documented by the scientific and medical community .
the concept that humor or laughter can be therapeutic goes back to biblical times and this belief has rec... |
a 22-year - old man presented with a painful mass in the right proximal leg , explaining that during the previous year , progressive enlargement had occurred .
five years earlier , he had been involved in a traffic accident , resulting in avulsion fracture of the right anterior cruciate ligament .
treatment at a lo... | we report a 22-year - old man with a solid mass in the right proximal leg , which was furned out to be a gossypiboma .
mr imaging revealed a well - defined mass lesion that showed intermediate signal intensity at t1-weighted imaging ( t1wi ) and slightly high signal intensity at t2-weighted imaging ( t2wi ) .
wavy ... |
we present a case of incomplete vesical septum in a transverse plain encountered in a tertiary care center .
a 52-year - old normotensive , nondiabetic married male having borne children , presented with low grade fever , progressively increasing frequency and urgency of urination , dull ache in left flank , and inte... | a rare case of incomplete transverse vesical septum with urinary tract tuberculosis is being reported . a 52-year - old male presented with lower urinary tract and systemic symptoms .
on investigation he had anemia , leucocytosis , and high serum creatinine .
on cystopanendoscopy , there was a transverse ledge of t... |
the rates of ischemic stroke and stsegment elevation myocardial infarction ( stemi ) have decreased substantially since 1950 . the centers for disease control and prevention ( cdc ) estimates that from 1950 to 1999 , deaths from myocardial infarction ( mi ) decreased by 56% and deaths from stroke by 70%.1 fang and coll... | backgroundthe incidence rates of ischemic stroke and stsegment elevation myocardial infarction ( stemi ) have decreased significantly in the united states since 1950 . however , there is evidence of flattening of this trend or increasing rates for stroke in patients younger than 50 years .
the objective of this stud... |
it is well known that ankle - brachial index ( abi ) is simple and useful method to assess the peripheral vascular diseases and it is also widely used in clinical and epidemiological studies [ 13 ] .
ankle - brachial index ( abi ) is the ratio of the resting ankle to brachial systolic blood pressure .
a low abi ( <... | background .
the aim of present study is to observe the association between the levels of ankle - brachial index ( abi ) and cardiovascular risk factors among people with type 2 diabetes mellitus in north india .
a cross - sectional study was carried out at a centre for heart and diabetic clinic in the state of pun... |
globally , cardiovascular disease ( cvd ) is the leading cause of death , with approximately 17 million deaths reported in 2008.1 in absolute numbers , more cvd deaths occurred in women than men.2 cvd risk can be quantified by risk score models using multiple variables and their interactions .
this is a cost effectiv... | purposealthough elevated cardiovascular disease ( cvd ) risk factors are associated with a higher risk of developing heart conditions across all ethnic groups , variations exist between groups in the distribution and association of risk factors , and also risk levels .
this study assessed the 10-year predicted risk i... |
( voltaire ) in the previous issue of critical care , halton and colleagues provided a comprehensive cost - effectiveness analysis comparing antimicrobial catheters with uncoated catheters for prevention of catheter - related bloodstream infection ( bsi ) in the intensive care unit .
central venous access is essentia... | catheter - related bloodstream infection is one of the most serious complications of central venous access devices .
antimicrobial - coated catheters represent one novel strategy to prevent catheter - related bloodstream infection .
a comprehensive economic evaluation is essential to guide informed decision - makin... |
leishmaniasis is one of the world s most neglected vector - borne diseases with different clinical features and diverse epidemiology ( 1 , 2 ) .
overall , official case estimates totaled more than 220,000 cutaneous leishmaniasis ( cl ) and 58,000 visceral leishmaniasis ( vl ) cases per year ( 1 ) .
this disease is ... | background : cutaneous leishmaniasis ( cl ) caused by leishmania tropica is endemic in kerman , southeastern iran .
while dogs have long been implicated as the main domestic reservoirs of l. infantum , etiological agent of zoonotic visceral leishmaniasis ( zvl ) , they can also carry l. tropica infection .
the obje... |
inflammatory bowel disease ( ibd ) is a group of inflammatory conditions of gastrointestinal tract with two major types including ulcerative colitis ( uc ) and crohn 's disease ( cd ) .
ibd is considered an autoimmune disease and the pathogenesis depends on complex interactions between genetic and environmental facto... | inflammatory bowel disease ( ibd ) is a chronically relapsing inflammatory disorder of the gastrointestinal tract .
most ibd treatments are unsatisfactory ; therefore , various dietary supplements have emerged as promising interventions .
laminaria japonica ( lj ) is an edible seaweed used to regulate digestive sym... |
rising of serum amylase concentration is common laboratory finding after endoscopic retrograde cholangiopancreatography ( ercp ) , it may occur over 75% of patients , but association of abdominal pain and hyperamylasemia termed as acute clinical pancreatitis is not so common .
postendoscopic retrograde cholangiopancr... | background : the most common complication of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography ( ercp ) is acute pancreatitis . a number of therapeutic trials have been studied due to reduce the occurrence of postendoscopic retrograde cholangiopancreatography pancreatitis ( pep ) but many of the... |
a farewell to arms , ernest hemingway the ardsnet trial , which compared a low versus a high tidal volume ( vt ) ventilation strategy , appears to have said the final word in the controversy surrounding the clinical relevance of ventilator - induced lung injury .
that study indeed showed that patients with acute resp... | recent studies have shown that application of the ardsnet low tidal volume strategy ( i.e. allowing an increase in respiratory rate in order to minimize hypercapnia in those with low tidal volume ) may generate consistent auto - peep ( positive end - expiratory pressure ) , and this is not efficient in improving cleara... |
benign prostatic hyperplasia ( bph ) and prostate cancer are the most common diseases of men , and the incidence of these diseases increases with age .
testosterone is the most abundant androgen in the blood , whereas dihydrotestosterone ( dht ) is the principle androgen in the prostate gland .
5-reductase inhibito... | the key enzyme in the androgen synthesis and androgen receptor pathways is 5-reductase ( 5-ar ) , which occurs as three isoenzymes .
types i and ii 5-ars the most important clinically , and two different 5-ar inhibitors ( 5-aris ) , finasteride and dutasteride , have been developed .
several urology associations ha... |
in 2008 , the government of india launched its flagship health insurance scheme for the poor .
the rashtriya swasthya bima yojana ( rsby ) combines cutting edge technology with an unusual reliance on incentives to provide inpatient insurance coverage up to an annual sum of rs .
presently , rsby is being implemented... | context : government of india in 2008 , launched its flagship health insurance scheme for the poor .
the rashtriya swasthya bima yojana ( rsby ) combines cutting edge technology with an unusual reliance on incentives to provide inpatient insurance coverage .
the scheme allows for cashless hospitalization services a... |
in september 2005 , a medical microbiologist from the regional medical microbiology laboratory reported to the municipal health department a recurring mrsa infection in a beautician . from december 2004
onwards , the woman had recurrent infections on the legs , buttocks , and groin resulting in incision and drainage ... | an outbreak of community - associated usa300 methicillin - resistant staphylococcus aureus occurred in a beautician and 2 of her customers .
eight other persons , who were either infected ( n = 5 ) or colonized ( n = 3 ) , were linked to this outbreak , including a family member , a household contact , and partners o... |
the present descriptive study of dietary habits using quantitative methods was performed in parallel with a qualitative observational study about food choice and meal situations among people with i d ( to be published elsewhere ) . since many people with idare illiterate , nonverbal and physically impaired ( 17 ) with ... | backgroundknowledge is lacking about dietary habits among people with intellectual disability ( i d ) living in community residences under new living conditions.objectiveto describe the dietary habits of individuals with i d living in community residences , focusing on intake of food , energy and nutrients as well as m... |
retroperitoneal fibrosis is a fibroinflammatory disease of unknown etiology that can be associated with other fibroinflammatory disorders . lately , there have been several reports showing that retroperitoneal fibrosis is a manifestation of igg4-related sclerosing disease , which often presents as autoimmune pancreatit... | introductionretroperitoneal fibrosis is a fibroinflammatory disease of unknown etiology that can be associated with other fibroinflammatory disorders . lately , there have been several reports showing that retroperitoneal fibrosis is a manifestation of igg4-related sclerosing disease , which often presents as autoimmun... |
a 26-year - old male presented with the complaint of defective vision in the left eye .
he noticed dimness of vision in the right eye seven years ago , which has gradually progressed [ figs . 1 and 2 ] .
his best corrected visual acuity ( bcva ) was hand movement ( hm ) in the right eye and 6/60 , improving to 6/9 ... | a 26-year - old male presented to us with defective vision in the left eye .
he had best corrected visual acuity ( bcva ) of hand movement ( hm ) in right eye and 6/9 in left eye .
he had ptosis with ectropion in both eyes and relative afferent pupillary defect ( rapd ) in right eye .
intraocular pressure ( iop )... |
stroke is the leading cause of disability and the second cause of death in the world .
very often it leads to long - lasting disabilities , including motor and sensory deficits on one side of the body , as a result of injury in the contralateral hemisphere . during the acute phase ( < 6 months )
, some motor functi... | motor rehabilitation of stroke survivors may include functional and/or nonfunctional strategy . the present study aimed to compare the effect of these two rehabilitation strategies by means of clinical scales and functional magnetic resonance imaging ( fmri ) .
twelve hemiparetic chronic stroke patients were selected... |
in recent decades , the prevalence of obesity in children and adolescent has risen steeply world wide .
a high prevalence of adolescence obesity and overweight cases has been reported in developing countries undergoing nutritional transition .
early stage of adolescent is characterized by an exceptionally rapid rat... | background : overweight and obesity are epidemic and a public health crisis among adolescents worldwide .
the rising trends in adolescent obesity in girl are poorly documented in india .
the aim of this study was to compare and assess the extent of overweight and obesity in early adolescent school girls using thre... |
the development of cancer is a complex process during which a normal cell undergoes a progressive series of alterations resulting in the acquisition of an altered proliferative capacity , invasiveness , and metastatic potential . for non - melanoma skin cancer ( nmsc ) , these changes are classically defined as occurri... | one of the most common features of exposure of skin to ultraviolet ( uv ) light is the induction of inflammation , a contributor to tumorigenesis , which is characterized by the synthesis of cytokines , growth factors and arachidonic acid metabolites , including the prostaglandins ( pgs ) .
studies on the role of the... |
psoriasis is a common chronic inflammatory immune - mediated skin disease characterised by red , thickened , and scaly skin .
approximately 2 per cent of the world 's population currently live with psoriasis , the prevalence appearing to be highest in scandinavian countries and northern europe .
recent research rep... | the aim of this integrative review is to identify and discuss patient needs for education to support self - management in daily life with psoriasis . as psoriasis increasingly gains recognition as a serious chronic autoimmune skin disease with long - term impairment on the life course , and not mainly a cosmetic proble... |
the concept of feedback as , an information that a system uses to make adjustments in reaching a goal was first appreciated by rocket engineers in 1940s .
feedback refers to information describing students ' performance in a given activity that is intended to guide their future performance in that same or related a... | introduction : feedback is a divalent bond between the supplier ( teacher ) and the recipient ( student ) . the strength of the bond depends on the instructional design of the feedback .
feedback is central to medical education in promoting self - directed learning in students . in the present study , a structured ve... |
during the last decade , several new chemotherapeutic agents have been evaluated for their beneficial effect in patients with non - small - cell lung cancer ( nsclc ) .
so far , gemcitabine plus cisplatin has emerged as one of the standard regimens for the treatment of advanced nsclc .
gemcitabine ( 2,2-difluorodeo... | objectiveto study the impact of the 79a > c polymorphism in the cytidine deaminase ( cda ) gene on the pharmacokinetics of gemcitabine and its metabolite 2,2-difluorodeoxyuridine ( dfdu ) in non - small - cell lung cancer ( nsclc ) patients.patients and methodspatients ( n = 20 ) received gemcitabine 1,125 mg / m2 a... |
in 1977 physician expenditures of $ 32.2 billion accounted for 20 percent of total national health care spending . of this amount ,
37 percent was paid by private insurance , 24 percent by public programs , and 39 percent directly by patients .
medicare payments accounted for 14 percent of all physician spending , ... | the incentives in the medicare and medicaid physician payment systems and their effects on six interrelated aspects of health care costs and beneficiary access to care were analyzed .
research results and data presented indicate that medicare and medicaid physician payment incentives are inconsistent with current pub... |
adhesive capsulitis can be defined as a common condition characterized by insidious and
gradual inflammation of the glenohumeral joint capsule leading to its contracture and thus
resulting in stiffness and loss of shoulder mobility1 .
the prevalence rate has been reported to be 25.3%2,3,4,5 ,
with individuals i... | [ purpose ] this study aimed to compare the effects of two different mobilization
techniques in the management of patients with adhesive capsulitis .
[ subjects and methods ]
thirty non - diabetic men and women with adhesive capsulitis were randomly allocated to the
reverse distraction group ( n=15 ) or kaltenb... |
testicular neoplasms , which comprise a wide variety of morphologic types , constitute a small proportion of malignancies .
needle aspiration of the testis was first described by huhner in the initial decades of this century for investigating male infertility .
fine needle aspiration cytology ( fnac ) is being incr... | testicular neoplasms which show a wide variety of morphologic types , comprise a small proportion of malignancies .
early identification and treatment is essential for achieving long term survival .
the cytologic findings in fine needle aspiration smears from left testicular swelling of a 49 year old male suggestiv... |
single nucleotide polymorphisms ( snps ) and small insertions / deletions ( indels ) are the most frequently found dna sequence variations ( 1 ) .
the development of high - throughput methods for the detection of snps has led to a revolution in their use as molecular markers ( 2 ) . as such
, they represent one of ... | snpserver is a real - time flexible tool for the discovery of snps ( single nucleotide polymorphisms ) within dna sequence data
. the program uses blast , to identify related sequences , and cap3 , to cluster and align these sequences .
the alignments are parsed to the snp discovery software autosnp , a program tha... |
it is estimated that in 47% of the reported injuries in the united states eye injury registry , the mechanism of injury increased the risk for an ocular foreign body,1 however , the presence of a leech as an ocular foreign body was seldom reported .
herein , we report the youngest case of conjunctival leech infestati... | this case report describes a female toddler with manifestations of ocular leech infestation .
a 2-year - old girl was brought to our outpatient clinic with a complaint of irritable crying after being taken to a stream in hualien 1 day previous , where she played in the water .
the parents noticed that she rubbed he... |
the health risks associated with mrsa infections warrant the implementation of monitoring programs to control its dissemination , given the potential of mrsa to produce invasive infections , particularly in vulnerable patients , and its multiple resistances to antibiotics , which limits the therapeutic options availabl... | increased frequency of methicillin - resistant staphylococcus aureus ( mrsa ) in hospitalized patients requires rapid and reliable characterization of isolates for control of mrsa spread in hospitals .
this study evaluated polymerase chain reaction - restriction fragment length polymorphism ( pcr - rflp ) as a molecu... |
spinal hematoma has been described in autopsies since 1682 and as a clinical diagnosis since 1867 .
it is a rare and usually severe neurological disorder that , without adequate treatment , often leads to death or permanent neurological deficit ( reference ) .
epidural as well as subdural and subarachnoid hematomas... | spinal hematoma is a rare and usually severe neurological disorder that , without adequate treatment , often leads to death or permanent neurological deficit .
epidural as well as subdural and subarachnoid hematomas have been investigated in some studies .
a 66-year - old man referred to our hospital because of acu... |
necrotizing fasciitis ( nf ) is defined as rapidly progressive necrosis of subcutaneous fat and fascia .
it is a life - threatening infection characterized by progressive , rapid necrosis of subcutaneous tissues and fascial planes .
nf of the face is rare and usually originates from dental infection , and the morta... | necrotizing fasciitis ( nf ) is defined as rapidly progressive necrosis of subcutaneous fat and fascia . although nf of the face is rare , its mortality rate is nearly 30% .
it usually originates from dental infection and can lead to involvement of the neck , mediastinum , and chest wall .
complications resulting f... |
the past few years have seen an explosion in the volume of bioinformatics data that is available to researchers .
as the rate of discovery continues apace , it is becoming ever more difficult to make sense of these data .
although they may be categorized as sequence- or structure - oriented , the implications of a ... | the macromolecular structure database ( msd ) group ( http://www.ebi.ac.uk/msd/ ) continues to enhance the quality and consistency of macromolecular structure data in the worldwide protein data bank ( wwpdb ) and to work towards the integration of various bioinformatics data resources .
one of the major obstacles to ... |
the number and severity of crises have been increasing in the world ; in the past 30 years , the number of natural and technological disasters has increased dramatically .
factors such as excessive population , urban industrialization , climate changes , and spreading of infectious diseases with increased traveling a... | background : nurses are members of the health care team for crisis response . identifying nurses capability in responding to a disaster and promoting their preparedness will lead to effective use of human resources and decreasing the detrimental effects of disaster .
the purpose of this article was to determine emerg... |
organisations were randomly selected from public directories of health services in australia . participating health organisations included hospitals , medical clinics , aged care facilities , pharmacies , dental clinics , chiropractic , physiotherapy , and podiatry practices .
a participation rate of 40% was achieved... | the practice of crisis - probing in proactive organisations involves meticulous and sustained investigation into operational processes and management structures for potential weaknesses and flaws before they become difficult to resolve . in health organisations ,
crisis probing is a necessary part of preparing to man... |
atopic dermatitis ( ad ) is a chronic and relapsing eczematous dermatitis accompanied by the formation of intraepidermal vesicles during the acute phase and scaly pachydermatosis during the chronic phase .
t cells and eosinophils are thought to play a major role in the pathogenesis of this disease .
skin lesions in... | kiom - ma128 is a novel korean herbal medicine with antiatopic , anti - inflammatory , and antiasthmatic effects .
matrine is thought to be a potential chemical marker of kiom - ma128 , but pharmacokinetic studies on kiom - ma128 had not been performed .
this study describes a simple and rapid method using high - p... |
the population has high illiteracy rates , poor environmental health , and crowded and inadequate housing . in kochol
serum samples from 115 persons were made available by the health official of kochol in 2000 .
serum samples were from kochol residents who came to the health service for any medical condition and re... | antibodies against influenza viruses were detected in 115 serum samples from indigenous mayan persons from kochol , yucatn .
seropositivity rates were 26.9% to a / bayern/7/95 , 40.8% to a / sydney/5/97 , 1.7% to a / swine / wisconsin/238/97 , and 79.1% to a / swine / minnesota/593/99 .
this report is the first in ... |
common impairments after stroke include muscle weakness , abnormal muscle tone , and sensory
loss .
these impairments are related to limitations in daily activities as well as balance
ability and gait performance1 . in
particular
, impaired balance likely leads to decreased activities of daily living and
qu... | [ purpose ] the objective of this study was to investigate the effects of whole - body
vibration ( wbv ) in the horizontal direction on the motor function and balance of chronic
stroke survivors . [ subjects and methods ] this study was a randomized controlled trial .
twenty - one individuals with chronic stroke ... |
obesity is a worldwide chronic disease which may lead to type 2 diabetes and cardiovascular diseases .
it is reported that 400 million adults are obese and 1.6 billion are overweight worldwide .
the prevalence of obesity and overweight among iranian population was estimated to be 67% for women and 29% for men . bes... | background and objective .
few data are available linking fast food intake to diet quality in developing countries .
this study was conducted to determine the association between fast food consumption and diet quality as well as obesity among isfahani girls .
methods .
this cross - sectional study was done amon... |
cells need to regulate the expression of a gene in a specific level at specific time and space in order to fulfill specific task .
gene regulation is a ubiquitous phenomenon and is critical in every biological process ( 1 )
. mechanisms of gene regulation include the regulations of transcription , rna processing an... | rna splicing is an important aspect of gene regulation in many organisms .
splicing of rna is regulated by complicated mechanisms involving numerous rna - binding proteins and the intricate network of interactions among them .
mutations in cis - acting splicing elements or its regulatory proteins have been shown to... |
informed consent is a fundamental component of modern medicine and indispensable in the practice of medicine .
effective informed consent advisement not only helps patients select treatment options by receiving adequate counseling about the indications , risks , benefits , and alternatives of medical procedures but a... | purpose . to investigate whether adding video assistance to traditional verbal informed consent advisement improved satisfaction among cataract surgery patients . methods .
this trial enrolled 80 chinese patients with age - related cataracts scheduled to undergo unilateral phacoemulsification surgery .
patients wer... |
kawasaki disease ( kd ) is an acute , selflimiting systemic vasculitis of unknown etiology , which mainly affects children aged < 5 years .
it was first described by tomisaku kawasaki in 1967 in japan.1 kd has now replaced rheumatic fever as the leading cause of acquired heart disease in childhood in the developed w... | background : kawasaki disease ( kd ) is an acute , selflimiting vasculitis of unknown etiology .
the incidence of kd is increasing world wide .
however , the epidemiological data for kd in turkey has not been well described.objective:to describe the demographic , clinical , and laboratory features of children with ... |
the issue of enhancement has been tested in the sports arena around the debate about what technology might give an unfair performance enhancement .
the most high profile example of which is that of south african sprinter oscar pistorius .
when he was a competitive sprinter pistorius was known as the fastest man on ... | abstract . neural enhancement represents recovery of function that has been lost due to injury or disease pathology .
restoration of functional ability is the objective .
for example , a neuroprosthetic to replace a forearm and hand lost to the ravages of war or industrial accident . however , the same basic constr... |
benign prostatic hyperplasia ( bph ) is a progressive disease that occurs with lower urinary tract symptoms ( luts ) .
approximately 25% of all men experience bph , and the prevalence of histopathologic bph is age dependent , with initial development usually after 40 years of age .
the prevalence of bph is about 50... | purposewe investigated the impact on prostate - specific antigen ( psa ) and prostate volume ( pv ) of statin medication for 1 year in patients with benign prostatic hyperplasia ( bph).materials and methodswe retrospectively investigated 791 patients in whom bph was diagnosed . for analysis ,
the patients were divide... |
dental caries is the most common chronic disease in childhood caused mainly by a poor , long - term oral hygiene . in its initial stages ,
the disease can be preventable and reversible ; however , without appropriate and timely control , cariogenic bacteria may seriously destroy the hard dental tissues and consequent... | eugenol ( mixed with zinc oxide powder ) is widely used as direct capping material during pulp therapy in primary teeth .
the aim of the present study was to evaluate the effect of eugenol on diverse genes involved in inflammatory and cell apoptosis processes .
the regulatory effect of eugenol on the expression of ... |
antioxidants are the compounds that when added to lipids and lipid - containing foods can prolong the shelf - life by retarding the process of lipid peroxidation during processing and storage .
synthetic antioxidants such as butylated hydroxy toluene ( bht ) have restricted usage in foods , because it is reported to ... | antioxidant capacities of ethylacetate , butanol , and water fractions of peel , pulp , and seeds of canarium odontophyllum miq .
( co ) were determined using various in vitro antioxidant models .
ethylacetate fraction of peel ( eafpe ) exhibited the highest total phenolic ( tpc ) , total flavonoid content ( tfc ) ... |
biodiesel production from microalgae mainly consists of biomass production , lipid extraction , and transesterification of extracted lipids [ 1 , 2 ] . among these processes ,
lipid extraction is the most costly , and can create a bottleneck of biodiesel production . among the many types of microalga , scenedesmus sp... | marine microalga , scenedesmus sp . , which is known to be suitable for biodiesel production because of its high lipid content , was subjected to the conventional folch method of lipid extraction combined with high - pressure homogenization pretreatment process at 1200 psi and 35c .
algal lipid yield was about 24.9% ... |
renal cell carcinoma ( rcc ) accounts for ~330,000 cases diagnosed each year and 140,000 deaths worldwide.1 most cases are localized ; however , one - third of patients present with an advanced disease at diagnosis and ~30% of subjects eventually develop metastatic disease after nephrectomy .
the vhl protein plays a ... | the treatment of metastatic renal cell carcinoma ( mrcc ) has markedly improved over the last few years with the introduction of several targeted agents in clinical practice . nevertheless , either primary or secondary resistance to inhibition of vegf and mtor pathways has limited the clinical benefit of these systemic... |
to report a case of cancer - associated nummular loss of the retinal pigment epithelium .
a 47-year - old man with a history of hepatocellular carcinoma presented with three weeks of bilateral visual loss .
he had multiple round confluent grayish - brown patches at the level of retinal pigment epithelium , and no p... | purposeto report a case of cancer - associated nummular loss of the retinal pigment epithelium.methodsa 47-year - old man with a history of hepatocellular carcinoma presented with three weeks of bilateral visual loss .
his best - corrected visual acuity was 20/40 in each eye .
he had multiple round confluent grayis... |
the colonization and growth of cancer metastases in the bone depends on a cooperative interaction of the cancer cells with the host cells in the bone microenvironment .
this microenvironment includes the resident osteoblasts , osteoclasts , endothelial cells , bone - lining cells , stromal cells , hematopoietic stem ... | it is commonly accepted that cancer cells interact with host cells to create a microenvironment favoring malignant colonization .
the complex bone microenvironment produces an ever changing array of cytokines and growth factors . in this study , we examined levels of mcp-1 , il-6 , kc , mip-2 , vegf , mig , and eotax... |
the treatment of metastatic colorectal cancer has progressed significantly after developments of irinotecan ( cpt-11 ) and oxaliplatin ( l - ohp ) .
currently , the folfiri or folfox regimen with or without a targeted monoclonal antibody , is the standard treatment 1 - 4 , and future improvements will likely require ... | objectives : the irinotecan ( cpt-11 ) + 5-fluorouracil ( 5-fu)/leucovorin ( lv ) + uft / lv chemotherapy , in which repetitive oral administration of uft / lv replaces the infusion of 5-fu / lv in the folfiri regimen , has been proposed previously . in this study ,
five of 10 patients were injected with a bolus of 5... |
in line with previous studies recording from ventral striatum ( leung and yim , 1993 ; kasanetz et al . , 2002 ; berke et al . , 2004 ;
berke ( 2009 ) , van der meer and redish ( 2009b ) , and kalenscher et al .
however , they noted distinct power bands , with one centered at around 50 hz ( gamma-50 ) , and anot... | a vast literature implicates the ventral striatum in the processing of reward - related information and in mediating the impact of such information on behavior .
it is characterized by heterogeneity at the local circuit , connectivity , and functional levels . a tool for dissecting this complex structure that has rec... |
we are honored to feature the following authors and articles , among others , in this inaugural issue of global advances in health and medicine .
tido von schoen - angerer , based in switzerland and working with medecins sans frontires ( msf ) , and coauthors nathan ford from south africa and james arkinstall from sw... | science , technology , and medicine ( stm ) are not immune to the widespread and persistent crises that have defined the 21st century .
we , the editors of global advances in health and medicine ( gahmj ) , a new scholarly medical journal , believe that solutions in healthcare will be ones that accelerate the applica... |
a screening clinical neurologic assessment was conducted in 87 patients with t2 dm , consecutively recruited from the diabetes centre at prince of wales hospital in sydney . exclusion criteria for this study were current treatment with neuropathic medications , clinical or electrophysiological features of carpal tunnel... | objectivepharmacological agents for diabetic peripheral neuropathy ( dn ) target a number of mechanisms , including sodium channel function and -aminobutyric acid minergic processes . at present ,
prescription is undertaken on a trial - and - error basis , leading to prolonged medication trials and greater healthcar... |
sodium 2,3-dimercapto-1-propane sulfonate ( dmps , dimaval ) is a water - soluble chelating agent that can be given by mouth or systemically and has been used to treat metal intoxication since the 1960s in the former soviet union and since 1978 in germany .
to better approximate the body burdens of hg and as in human... | |
the prevalence of overweight and obesity has been increasing throughout the globe over the past decades [ 1 , 2 ] .
according to a recent survey conducted in germany from 2008 through 2011 , 67.1% of men and 53.0% of women are overweight , and 23.3% of men and 23.9% of women are obese .
since obesity is an importan... | obesity is increasing throughout the globe and characterized by excess adipose tissue , which represents a complex endocrine organ .
adipose tissue secrets bioactive molecules called adipokines , which act at endocrine , paracrine , and autocrine levels .
obesity has recently been shown to be associated with period... |
pituitary tumors secreting prolactin ( prl ) , also called prolactinomas , are the most common noncancerous pituitary tumors followed by somatotropinomas ( tumors secreting growth hormone ( gh ) ) and corticotropinomas ( tumors secreting corticotropin hormone or adrenocorticotropic hormone ( acth ) ) .
they usually a... | introduction : prolactinomas are less frequent , but more invasive in males .
giant ones ( 4 cm ) are extremely rare in literature . their neurological , psychiatric and endocrine complications are life threatening .
our aim was to report the largest mono center series in order to analyze their frequency , their ch... |
approximately 5.1 million americans suffer from heart failure , and over 800,000 new cases are diagnosed each year in the united states .
its incidence approaches 10 per 1000 in those older than 65 years of age and accounts for 1 million hospitalizations and 3 million office visits annually.1 in patients diagnosed wi... | heart failure constitutes a significant source of morbidity and mortality in the united states , and its incidence and prevalence continue to grow , increasing its burden on the health care system .
renal dysfunction in patients with heart failure is common and has been associated with adverse clinical outcomes .
t... |
the international diabetes federation predicts that by the year 2035 , 41.5 million sub - saharan africans will have diabetes and 66 million will have prediabetes ( 1 ) . this represents a 109% increase in the prevalence of diabetes and is the highest anticipated increase in the world ( 1 ) . hemoglobin a1c ( a1c ) , a... | objectiveabnormal glucose tolerance is rising in sub - saharan africa .
hemoglobin a1c by itself and in combination with fasting plasma glucose ( fpg ) is used to diagnose abnormal glucose tolerance .
the diagnostic ability of a1c in africans with heterozygous variant hemoglobin , such as sickle cell trait or hemog... |
many studies have examined a range of ways to identify the attributes desired in candidates for admission to health professions education programs , including several reports on the physician assistant ( pa ) and physical therapist ( pt ) professions [ 1 - 7 ] . however , to date there is no clear consensus on the best... | we compared and contrasted physician assistant and physical therapy profession admissions processes based on the similar number of accredited programs in the united states and the co - existence of many programs in the same school of health professions , because both professions conduct similar centralized application ... |
hepatitis c virus ( hcv ) infection , the major cause of chronic liver disease , cirrhosis , and liver cancer , affects approximately 170 million individuals worldwide.1 combination therapy with pegylated interferon ( peg - ifn ) plus ribavirin has become the current standard regimen for patients with chronic hepatitis... | it is known that neutropenia caused by combination pegylated interferon plus ribavirin therapy for hepatitis c virus ( hcv ) infection is well tolerated and carries a negligible risk of infection .
neutropenic enterocolitis is encountered most frequently in patients with hemato - oncologic diseases who are undergoing... |
post - operative sensitivity after tooth colored composite restoration remains a challenge and in most studies postoperative sensitivity was found to be up to one - third of the study sample . in spite of great improvement in technology of materials and adhesive systems , postoperative sensitivity is always likely to o... | background : one of the major disadvantages associated with using composites is polymerization shrinkage ; stresses are generated at the margins , and if these stresses exceed the bond strength , microleakage occurs at the tooth restoration interface which causes ingress of cariogenic bacteria , post - operative sensit... |
malignant mesothelioma is an aggressive tumor of serosal surfaces , most commonly involving the pleura followed by the peritoneum ( boffetta , 2007 ) .
incidence rates range between 0.2 and two cases per million in women ( boffetta , 2007 ) , versus approximately 6.8 cases per million of serous primary peritoneal can... | backgroundmalignant peritoneal mesothelioma ( mpm ) can masquerade as an ovarian epithelial neoplasm , with very similar presenting clinical symptoms and imaging findings .
the gold standard in differentiating between these two diagnoses lies in tissue pathology.case reportthis is a case of mpm that was initially mis... |
the overall velocity of human immunodeficiency virus / acquired immunodeficiency disease syndrome ( hiv / aids ) epidemic appears to have stabilized both globally and in india , but the numbers of new infections are still high.(12 ) the indian national aids control programme ( nacp ) places highest priority on preventi... | background : male migrants act as a bridge for transmitting infection from core risk groups to general population and hence this group becomes essential for the hiv control program .
migrant workers constitute a large proportion of workforce in india and hiv / aids epidemic in them would cause huge economic losses.ob... |
a 57-year - old woman was admitted to chonnam national university hospital , south korea , with fatigue , generalized myalgia , and nausea of 2 weeks duration .
three weeks before admission , she had worked in a field in a rural area .
her vital signs were blood pressure 140/90 mm hg , heart rate 80/min , temperatu... | hemophagocytic lymphohistiocytosis -- which is associated with a variety of infections , malignant neoplasms , autoimmune diseases , and immunodeficiencies -- is an uncommon syndrome with a rapidly fatal outcome .
we describe the first case of hemorrhagic fever with renal syndrome due to hantaan virus presenting with... |
the simplicity of the gdp output per resource input ratio makes resource productivity an appealing and widespread environmental sustainability indicator .
an abundant literature discusses both resource productivity and its inverse , resource intensity , for a variety of resources ( see the supporting information for ... | resource productivity , measured as gdp output per resource input , is a widespread sustainability indicator combining economic and environmental information .
resource productivity is ubiquitous , from the ipat identity to the analysis of dematerialization trends and policy goals .
high resource productivity is in... |
blood samples were collected from 1,938 suspected case - patients from the 3 states ; serum was separated and transported to the laboratory on wet ice .
immunoglobulin m ( igm ) antibodies to chikv ( igm anti - chik ) and dengue virus ( igm anti - dengue ) ( 8) were assayed by igm capture elisa . for chikv elisa ,
... | chikungunya fever is reported in india after 32 years .
immunoglobulin m antibodies and virus isolation confirmed the cause .
phylogenic analysis based on partial sequences of ns4 and e1 genes showed that all earlier isolates ( 19631973 ) were asian genotype , whereas the current and yawat ( 2000 ) isolates were af... |
dermatologic abnormalities are common in chronic kidney disease ( ckd ) and range from the nearly universal xerosis and pruritus to uncommon conditions such as hyperpigmentation of exposed areas , purpuric skin changes , acquired perforating dermatosis , and nail abnormalities . in a study by pico et al . , all patient... | there are diverse ways in which the skin is affected by chronic kidney disease ( ckd ) .
various specific and nonspecific skin abnormalities are observed in patients with ckd .
the aim of the study was to document the prevalence of skin diseases that commonly occur in patients with ckd on medical treatment and dial... |
the use of self - expanding stents has revolutionized endovascular treatment ( evt ) of wide - necked aneurysms.11 ) these stents provide support to minimize the risk of coil herniation into the parent vessel , potentially provide a scaffold for orifice endothelialization and permit increased packing density of the ane... | objectivethis study investigated the clinical and angiographic outcomes of treatment with stent - assisted coil embolization using the solitaire ab stents for wide - necked intracranial aneurysms.methodsfrom october 2010 to december 2011 , 22 patients with aneurysms were treated with the solitaire ab stent .
one pati... |
textiloma and gossypiboma are non - medical terms used to describe a mass of cotton matrix that is left behind in a body cavity during an operation [ 9 , 18 , 20 ] .
although these masses and their associated complications may occur , they are rarely reported due to medico - legal implications .
most cases of texti... | items such as cotton or gauze pads can be mistakenly left behind during operations . such foreign materials ( called textilomas or gossypibomas ) cause foreign body reaction in the surrounding tissue .
the complications caused by these foreign bodies are well known , but cases are rarely published because of medico -... |
three intensive care units selected from two university hospitals ( a and b ) , were participated in this study .
feedings used in this study , were prepared in the main kitchen of each hospital by chef under nutritionist supervision . all tube feeding ingredients ( egg , milk , meat , etc . ) were cooked and mixed (... | background : hospital - prepared tube feedings from three intensive care units of two hospitals in isfahan , iran were analyzed for microbial contamination.methods:a total number of 152 samples ( 76 samples each at the time of preparation and 18 hours following preparation ) were collected .
standard plate count , co... |
hypertension ( ht ) , either as a primary cause or consequence of renal failure , is a major risk factor for high cardiovascular morbidity in uremic patients ( 1 ) .
ht in patients with end stage renal disease ( esrd ) who are on hemodialysis ( hd ) is defined by either a systolic blood pressure ( sbp ) > 150 mmhg or... | this study was designed to examine how such factors as hemodialysis parameters , body mass index , renin and aldosterone concentrations , sympathetic nervous activity , and parathyroid hormone concentrations are associated with the control of hypertension in hemodialysis patients .
hemodialysis patients ( n=114 ) wer... |
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