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the vast majority of human thyroid cancers are differentiated and pathological examination reveals that most of these are papillary thyroid cancers ( ptc ) . the long - term prognosis and recommended treatment for patients with ptc are dependent on the stage of disease . papillary thyroid microcarcinoma ( ptmc ) ar...
most human thyroid cancers are differentiated papillary carcinomas ( ptc ) . papillary thyroid microcarcinomas ( ptmc ) are tumors that measure 1 cm or less . this class of small tumors has proven to be a very common clinical entity in endocrine diseases . ptmc may be present in 3040% of human autopsies and is o...
the sit - to - stand ( sts ) movement is a movement people frequently perform as they change from a sitting to standing position , and the ability of an individual to rise from a chair has been considered an important indicator of an elderly person s functional independence ; if impaired , it increases the risk o...
[ purpose ] the purpose of this study was to compare the activation of the tibialis anterior ( ta ) and soleus ( sol ) muscles during the sit - to - stand ( sts ) task with hip adduction and hip abduction in elderly females . [ subjects ] we recruited 16 healthy elderly females with no pain in the knee joint an...
there were 60 registered hiv - positive patients in greenland , most of whom lived in the 2 towns of nuuk and sisimiut ( fig . hiv patients living in nuuk are treated at the central queen ingrid 's hospital in nuuk , while in the districts hiv treatment and control are guided from queen ingrid 's hospital , but admin...
objectivesdespite a high level of sexually transmitted infections , hiv incidence has remained quite stable in greenland with 56 new cases per year ( approximately 10 per 100,000 ) . however , disease control is suboptimal and mortality is relatively high . the aim of the present study was to determine associations b...
the genus aspergillus is a group of filamentous fungi found in the atmosphere and is often the blue green mould found on the bread . a. fumigatus and a. flavus are the most commonly isolated spores of the disease process aspergillosis . inhalation of aspergillus spores can lead to colonization in the upper and lo...
aspergillosis is a common opportunistic fungal infection affecting the nose and paranasal sinuses . the disease presents in various forms ranging from non - invasive to invasive , destructive and allergic types . we report here a rare case of invasive aspergillosis in an immunocompetent host with the literature rev...
disorders of vitamin d metabolism are frequent in chronic kidney disease ( ckd ) and represent a crucial physiopathological mechanism of ckd and mineral bone disorders . vitamin d deficiency is a highly prevalent abnormality in ckd patients,1,2 as well as the reduction of the active form , calcitriol 1,25-hydroxyvi...
this study investigated the factors associated with hypovitaminosis d , in a cohort of 405 prevalent patients with chronic kidney disease ( ckd ) stages 24 , living in italy and followed - up in tertiary care . the effect of cholecalciferol 10,000 iu once - a - week for 12 months was evaluated in a subgroup of 100 co...
sturge weber syndrome ( sws ) has been included in the group of phakomatoses that includes neurofibromatosis , klippel trenaunay syndrome , tuberous sclerosis , and von hippel lindau syndrome.1 sws , also known as encephalotrigeminal angiomatosis , is a condition that includes leptomemeningeal hemangioma , facial a...
sturge weber syndrome has been included in the group of phakomatoses that is characterized by hamartomas involving the brain , skin , and eyes . the characteristic facial port - wine stain , involving the first branch of the trigeminal nerve and the embryonic vasculature distribution in this area , leads to several ...
a 60-year - old man was presented to an orthopedician in the operating theatre as a case of difficult urinary catheterization . the patient was going for a lengthy orthopedic operation that required a drained urinary bladder beforehand . the urologist was called and he found the patient anesthetized , having circum...
hypospadias is a highly prevalent congenital anomaly . english articles , indexed in pubmed , published the long - term sexual and reproductive outcome following hypospadias repair . almost all repairable cases of hypospadias are operated in childhood . although distal hypospadias does not interfere with fertilit...
phospholipidosis was first believed to be observed by nelson and fitzhugh in 1948,(1 ) when they reported the accumulation of foam macrophages in rats after long - term treatment with chloroquine . it has been observed since then that numerous cationic amphiphilic drugs can induce phospholipidosis in several cell typ...
phospholipidosis is an adverse effect caused by numerous cationic amphiphilic drugs and can affect many cell types . it is characterized by the excess accumulation of phospholipids and is most reliably identified by electron microscopy of cells revealing the presence of lamellar inclusion bodies . the development o...
the advancement of visual techniques implemented in perinatal medical care enables surgeons and anesthesiologists to perform airway management and to detect , monitor , and surgically treat life - threatening anomalies of the fetal tracheo - bronchial tree [ 111 ] . thus , the tracheo - bronchial angles in the human ...
backgroundboth the advancement of visual techniques and intensive progress in perinatal medicine result in performing airway management in the fetus and neonate affected by life - threatening malformations . this study aimed to examine the 3 tracheo - bronchial angles , including the right and left bronchial angles ,...
mesenchymal breast neoplasms are rare . sarcoma is a heterogeneous neoplasm arising from mesenchymal cells . breast sarcomas are rare neoplasms derived from non- epithelial elements of the gland and represent < 1% of all breast cancers estimated as 45 new cases per 10 million women . most cases of breast sarcoma ...
breast sarcomas are rare neoplasms arising from the few epithelial elements of the gland . it represents much < 1% of all breast cancer . of the heterogeneous group of sarcomas , the more common subtypes include spindle cell sarcoma . the main risk factor for the development of breast sarcomas is previous radiati...
address = administration of drotrecogin alfa ( activated ) in early stage severe sepsis ; apache = acute physiology and chronic health evaluation ; drotaa = drotrecogin alfa ( activated ) ; prowess = recombinant human activated protein c worldwide evaluation of severe sepsis . jf was involved with the conception a...
two international multicentre randomised controlled trials of drotrecogin alfa ( activated ) ( drotaa ) , the recombinant human activated protein c worldwide evaluation of severe sepsis ( prowess ) and administration of drotrecogin alfa ( activated ) in early stage severe sepsis ( address ) trials , have produced incon...
globus pharyngeus , the sensation of something stuck in the throat , has been noted since the time of hippocrates . purcell first used the term globus hystericus in the early 18th century . in 1968 , malcomson suggested the term globus pharyngeus as a more accurate description since not all patients with globus wer...
globus pharyngeus is a common ent condition . this paper reviews the current evidence on globus and gives a rational guide to the management of patients with globus . the aetiology of globus is still unclear though most ent surgeons believe that reflux whether acidic or not plays a significant role . though proto...
metastatic cardiac involvement is reported in the literature highly variable , ranging from 2.3 to 18.3% in different reported studies . tumors can spread to the heart through direct extension of extra cardiac neoplasm , by bloodstream or lymphatic system diffusion and by intracavitary invasion through both the super...
a 52-year - old woman with a lung carcinoma metastatic to bone was admitted to the cardiology department for acute chest pain after 1 week of the oncologic therapy . electrocardiographic examination ( ecg ) revealed ischemic picture with st - t wave abnormalities in di and avl leads and poor progression of r wave in ...
c - reactive protein ( crp ) is an inflammatory marker that raises in inflammation that occurs due to smoking . people with increased levels of crp are on higher risk to develop obesity , diabetes , cardiovascular diseases , and hypertension . it has been experienced that the smoker males had increased levels of se...
background : smoking plays a key role in increasing the inflammatory marker c - reactive protein ( crp).aims : to examine inverse correlation between crp and magnesium levels in smokers and nonsmokers.materials and methods : a total of 192 healthy adult male subjects were included in the present study , out of which 96...
a 73 year old man , 158 cm and weighing 52.8 kg , was scheduled for an emergency repair of a type - a aortic dissection and concomitant coronary arterial bypass grafting . hypertension and a transient ischemic infarct ( tia ) that occurred 3 years ago were under conservative treatment . he had undergone aortic valv...
polycythemia vera is a chronic progressive myeloproliferative disease characterized by increased circulating red blood cells , and the hyperviscosity of the blood can lead to an increased risk of arterial thrombosis . in a previous survey regarding postoperative outcomes in polycythemia vera patients , an increased ris...
leprosy is a disease that shares some characteristics with multiple skin disorders ; the early stage of morphea is one of those disorders with not only clinical but also histopathological similarity . through the history , the true diagnosis of leprosy has always been a challenge , not only for the multiple diseases ...
clinically and histopathologically paucibacillary leprosy shows similar features with initial morphea . in this case we report a 24 yr - old male patient who presented to our dermatology department with diagnosed paucibacillary leprosy by his local dermatologist , and confirmed by perineurovascular lymphocytic infilt...
emerging multi - drug resistant organisms are major contributors to morbidity and mortality following burn injury . pseudomonas aeruginosa infections are common following burns , often presenting as wound infections [ 24 ] . current prophylactic measures intended to prevent these infections in burn patients consist...
pseudomonas aeruginosa has developed a complex cell - to - cell communication system that relies on low - molecular weight excreted molecules to control the production of its virulence factors . we previously characterized the transcriptional regulator mvfr , that controls a major network of acute virulence functions...
apoptosis , necrosis , necroptosis , autophagy , and pyroptosis are different modalities of cell death programs that play important roles in regulation of the immune system . failure in cell death program leads to either increased numbers of lymphocytes , increased number of infected phagocytic cells , autoimmune dis...
apoptosis , necroptosis , and pyroptosis are different cellular death programs characterized in organs and tissues as consequence of microbes infection , cell stress , injury , and chemotherapeutics exposure . dying and death cells release a variety of self - proteins and bioactive chemicals originated from cytosol ,...
the first published description of using a recombinant virus to deliver vaccine antigens from another infectious agent was the vaccinia virus recombinant engineered to express hepatitis b surface antigen in animal cells , which upon immunization in chimpanzees , induced protective immune response against hepatitis b ch...
traditional approach of inactivated or live - attenuated vaccine immunization has resulted in impressive success in the reduction and control of infectious disease outbreaks . however , many pathogens remain less amenable to deal with the traditional vaccine strategies , and more appropriate vaccine strategy is in ne...
regulation of protein translation is a critical step of the gene expression process , which allows cellular adaptation during stress conditions by rapidly reprograming the proteome output without the requirement for changes in rna synthesis . in conditions , such as heat shock , hypoxia , endoplasmic reticulum ( er )...
protein synthesis can be segmented into distinct phases comprising mrna translation initiation , elongation , and termination . translation initiation is a highly regulated and rate - limiting step of protein synthesis that requires more than 12 eukaryotic initiation factors ( eifs ) . extensive evidence shows that...
medullary thyroid carcinoma ( mtc ) is a neoplasia of parafollicular cells or of thyroid c - cells , which represents approximately 4% of thyroid malignant tumors . they can be part of multiple endocrine neoplasia ( men ) type 2 , 2a or 2b , or occur as a familial mtc or other inherited forms . molecular studies to...
the role of serum calcitonin as part of the evaluation of thyroid nodules has been widely discussed in literature . however there still is no consensus of measurement of calcitonin in the initial evaluation of a patient with thyroid nodule . problems concerning cost - benefit , lab methods , false positive and low ...
although healthcare is not only medical - care , the part played by medical services is an essential determinant of overall health of a population . all public systems look for an organizational structure on how to channel 710% of the national income into healthcare services . however , most healthcare systems fall...
all public systems look for the best organizational structure to funnel part of their national income into healthcare services . appropriate policies may differ widely across country settings . most healthcare systems fall under one of two broad categories , either bismark or beveridge systems . there is no simpl...
intravenous catheters and those related devices used to gain access to the veins for the purpose of infusing medications or solutions have evolved significantly over the past three decades . early concerns over needle safety for healthcare workers led to the creation of products that provide needle - free access . ...
background . needleless connectors ( nc ) are used on virtually all intravascular devices , providing an easy access point for infusion connection . colonization of nc is considered the cause of 50% of postinsertion catheter - related infections . breaks in aseptic technique , from failure to disinfect , result i...
tear lysozyme is a high molecular weight , long chain glycolytic enzyme secreted by the lachrymal gland . among the tear proteins identified , lysozyme constitutes around 20%40% of the total tear protein ( farris 1985 ) and its concentration in the tear film is higher than in any other fluid of the body ( fleming 192...
the present work studies the effects of topical application of nucleotides on rabbit tear lysozyme levels . lysozyme values were determined by the diffusion in agar method described by van bijsterveld in 1974 , and the protein amount was obtained by measuring the inhibitory halos around a whatman n1 paper disc of 5 m...
sulfur mustard ( 2,2-dichloroethylsulfide ; sm ) is a bifunctional alkylating and vesicant agent with the highest military significance . after the first world war , iraq 's military usage of sm against iranian military and civilians as well as their own kurdish civilians ( 19801988 ) was the most extensive usage of th...
objective . sulfur mustard ( sm ) is a highly reactive alkylating agent which produces ocular , respiratory , and skin damages . eyes are the most sensitive organ to sm due to high intrinsic metabolic and rapid turnover rate of corneal epithelium and aqueous - mucous interfaces of the cornea and conjunctiva . here ...
diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion , insulin action , or both . there are three major types of diabetes : type 1 diabetes , type 2 diabetes , and gestational diabetes . type 1 diabetes mellitus ( t1 dm ) is produced by the de...
aimsto compare the burden of disease ( bod ) attributable to diabetes expressed in disability - adjusted life years ( dalys ) for five european countries in 2010.methodsdalys lost to diabetes as the sum of years of life lost and years lived with disability were estimated by sex and age using country - specific epidemio...
vitiligo persists to evade the researchers and patients in spite of the considerable advancement in basic understanding of the disease process and the treatment protocol over the years . when the disease becomes refractory to conventional therapy , transplantation techniques are the only options left to replenish the...
stability is taken as the most important parameter before opting for any transplantation technique to treat vitiligo . but , simultaneous donor site repigmentation and depigmentation of grafts at the recipient site has been noted . similarly donor site depigmentation with complete repigmentation of the recipient ar...
mastocytosis encompasses a group of rare disorders characterized by clonal proliferation of mast cells ( mc ) in cutaneous and/or one or more extracutaneous visceral tissue . based on the tissue affected , mastocytosis can be divided into cutaneous mastocytosis , systemic mastocytosis ( sm ) , and unifocal mc tumor ....
systemic mastocytosis ( sm ) is a condition associated with clonal neoplastic proliferation of mast cells . in up to 40% of systemic mastocytosis cases , an associated clonal hematological disease of non mast cell lineage , such as acute myeloid leukemia ( aml ) , is diagnosed before , simultaneously with , or after t...
as environmental health professionals , we are dedicated to controlling and protecting our environment to minimize the factors that contribute to human disease , as well as enhancing human health and well - being . while the historical gains in public health are in large part due to environmental health efforts , man...
future environmental health problems will require a new generation of educated and trained professionals . efforts to enhance the environmental public health workforce have been promoted by several organizations . while progress has been measured by these organizations , many environmental health academic programs ...
strychnine is a bitter , white , powder alkaloid derived from the seeds of the tree strychnos nux - vomica . it has had an interesting past , initially having been introduced in the 16th century as a rodenticide , and until recently it was used as a respiratory , circulatory and digestive stimulant . it is no longe...
introductionstrychnine poisoning is uncommon , and in most severe cases , the patient dies before reaching hospital . the management of strychnine poisoning is well documented , although there are few data on the kinetics of elimination of strychnine after overdose.case reporta 42-year - old man presented shortly aft...
one fourth of the population lives in the capital , nuuk , while the rest live in 16 towns and several settlements ( the districts ) scattered around the island . most persons ( 86% ) are native greenlanders ; the rest are caucasians , mostly danes . the laboratory at queen ingrids hospital in nuuk is the only micr...
invasive bacterial disease occurs frequently among native populations in the arctic . although a variety of bacteria are involved in invasive bacterial disease in greenland , streptococcus pneumoniae , escherichia coli , staphylococcus aureus , and other staphylococci are responsible for most cases ( 69% ) ; incidenc...
transverse vaginal septum is a rare anomaly that results from incomplete fusion of urogenital sinus and the vaginal parts of the mullerian duct . this septum is usually found in the upper and mid - vagina but can be located at any level in the vagina and varies in thickness too . clinical manifestations depend on w...
transverse vaginal septum is a rare anomaly that results from incomplete fusion of urogenital sinus , and the vaginal parts of the mullerian duct . cervical atresia / dysgenesis is still a rare uterovaginal anomaly that can be congenital or acquired leading to fertility problems . transverse vaginal septum when it ...
chronic subdural hematoma ( csdh ) is one of the most common types of intracranial hemorrhage and is a well - known traumatic disease caused by tearing of bridging veins after minor head injury.38 ) however , some patients develop csdh from causes other than head injury , such as brain surgery , neovascularization of t...
objectiveour study examined the prognostic factors involved in the outcome of patients with chronic subdural hematoma ( csdh ) who had undergone burr hole drainage procedures , and investigated the association between outcome and traumatic head injury . in addition , we explored factors related to recurrence.methodst...
molecular imaging is defined as the in vivo measurement of biological processes at the cellular and molecular levels.24 - 26 molecular - imaging - based visualization of in vivo pathophysiologic processes could provide information regarding specific molecular alterations underlying the disease status of individual pati...
molecular imaging is a novel technology to visualize biological processes at the cellular and molecular levels , which is reshaping both biomedical research and clinical practice . by providing molecular information to supplement and augment conventional anatomy - based imaging , molecular imaging is expected to allo...
with a mortality rate > 40% , management of multi - trauma patients presenting with exsanguinating pelvic fractures is a therapeutic challenge . mortality within the first 24 h is primarily due to complications of the bleeding itself , while associated coexisting cerebral injuries , thromboembolism , and multiple org...
purpose : traditional maneuvers aim to decrease retroperitoneal bleeding in hemodynamically unstable multi - trauma patients with unstable pelvic fractures , are reportedly successful in approximately only 50% . the life - saving effect of extra - peritoneal pressure packing ( eppp ) is based on direct compression an...
l. amylovorus cp1563 was isolated from human fecal specimens and stocked in our culture collection library . it was screened as a strain with high potential by luciferase assays for ppar ligand activity ( 9 ) . here , the strain was cultured in an original food - grade medium ( table 1 ) for 24 h at 37c under a par...
backgroundpreviously , we showed that fragmented lactobacillus amylovorus cp1563 ( cp1563 ) functions as a dual agonist of peroxisome proliferator - activated receptor and in vitro and in vivo.objectivehere , we examined the safety and effect of cp1563 ingestion on body fat in obese class i participants in a double -...
laboratory testing is a highly complex process , and although laboratory services are relatively safe , they are not as safe as they could or should be . clinical laboratories have long focused their attention on quality control methods and quality assessment programs dealing with the analytical aspects of testing . ...
involvement of health personnel in a medical audit can reduce the number of errors in laboratory medicine . the checked control of point of care testing ( poct ) could be an answer to developing a better medical service in the emergency department and decreasing the time taken to report tests . the performance of s...
although most of these measurements were based on manual inspection and intervention , with the advent of fluorescence microscopy , many studies also involved quantitative imaging of living cells either using video or ccd cameras ( inoue , 1981 ; allen and allen , 1983 ) . in the early years of live - cell microscopy ,...
microscopy of cells has changed dramatically since its early days in the mid - seventeenth century . image analysis has concurrently evolved from measurements of hand drawings and still photographs to computational methods that ( semi- ) automatically quantify objects , distances , concentrations , and velocities of ...
it has been estimated that 16.8% of live births across the world in 2013 were in women who had some form of hyperglycemia in pregnancy . in india , gestational diabetes mellitus ( gdm ) has been estimated to affect over 5 million women . gdm poses serious health consequences for mother and the baby both in the shor...
aim : to obtain information on existing practices in the diagnosis and management of gestational diabetes mellitus ( gdm ) among physicians / diabetologists / endocrinologists and obstetricians / gynecologists ( ob / gyns ) in india.methods:details regarding diagnostic criteria used , screening methods , management str...
in oral cavity , mechanical stress was generated in many situations , such as mastication , functional / parafunctional habits , orthodontic treatment , and occlusal trauma . occlusal force plays a pivotal role in the regulation of periodontium homeostasis [ 13 ] . the mechanical force in the range of physiological...
mechanical force was shown to promote igf-1 expression in periodontal ligament both in vitro and in vivo . though the mechanism of this effect has not yet been proved , here we investigated the molecular mechanism of intermittent mechanical stress on igf-1 expression . in addition , the role of hypoxia on the intermi...
in the mammalian eye , the image - forming pathway transmits highly sensitive color , temporal , and spatial light - dependent information from rod and cone photoreceptors through an intermediate retinal network of bipolar , amacrine , and horizontal cells which convey light - dependent responses via conventional retin...
mammalian vision consists of the classic image - forming pathway involving rod and cone photoreceptors interacting through a neural network within the retina before sending signals to the brain , and a non image - forming pathway that uses a photosensitive cell employing an alternative and evolutionary ancient phototra...
pulmonary hypertension ( ph ) in adults with sickle cell disease ( scd ) is associated with early mortality 1 , and other complications , including renal insufficiency , leg ulcers , abnormal liver function , systemic hypertension , avascular necrosis , seizures , and cerebrovascular events 2 . right heart catheteriz...
key clinical messageconjunctival microvascular hemodynamic alterations were reported for the first time in sickle cell subjects with and without pulmonary hypertension . assessment of the conjunctival microcirculation using noninvasive imaging may improve understanding of microvascular hemodynamic alterations that oc...
red blood cell ( rbc ) transfusions are a mainstay of treatment in the management of patients with sickle cell disease ( scd ) . indications for acute and chronic transfusion have expanded , resulting in increased numbers of patients receiving multiple transfusions . overall , there is a paucity of clinical trials ...
the purpose of this study was to characterize transfusion practices in the management of sickle cell disease and to identify factors attributing to differences in prescribing practices among florida hematologists / oncologists . a cross - sectional study was performed in 2005 - 2006 utilizing a mail survey . the su...
gram - positive infections account for up to 50% of cases of severe sepsis in the modern intensive care unit . the complex processes by which gram - positive organisms cause sepsis are poorly understood by comparison with gram - negative sepsis . much interest is currently focused on the role of certain protein exoto...
the production of superantigenic exotoxins by gram positive bacteria underlies the pathology of toxic shock syndrome . future treatment strategies for superantigen - mediated diseases are likely to be directed at blocking the three - way interaction between superantigen , t cell receptor and major histocompatibility ...
this novel ttf system is an fda approved device that delivers intermediate frequency , low intensity alternating electric field directly to the brain for the treatment of recurrent glioblastomas . it is considered a fourth treatment modality for the treatment of cancer in addition to surgery , radiation and chemother...
a novel device that employs ttf therapy has recently been developed and is currently in use for the treatment of recurrent glioblastoma ( rgbm ) . it was fda approved in april 2011 for the treatment of patients 22 years or older with rgbm . the device delivers alternating electric fields and is programmed to ensure...
endometriosis is a common gynaecological condition characterised by the presence of endometrial glands and stroma at extrauterine sites . ectopic endometrial implants have been reported in nearly every tissue or organ , including the skin . of the reported cases of cutaneous endometriosis , over 70% the case of pri...
cutaneous endometriosis that arises de novo , without a prior history of surgery , is a rare phenomenon . the clinical diagnosis of cutaneous endometriosis remains challenging due to the variable clinical appearance and symptoms of the condition , and therefore must be considered in the differential diagnosis of any ...
since the first modified rna ribonucleic acid was found 60 years ago , 150 known rna modifications have been reported . emerging evidences suggest that rna modifications are critical components of the gene regulatory landscape and are involved in a variety of biological processes in the post - transcriptional level ,...
there are many different types of rna modifications , which are essential for numerous biological processes . knowledge about the occurrence sites of rna modifications in its sequence is a key for in - depth understanding of their biological functions and mechanism . unfortunately , it is both time - consuming and ...
missing permanent teeth and non - compliance of the patients can pose anchorage problems during treatment . to eliminate these problems , intraoral skeletal anchorage systems , such as palatal implants1 , retromolar implants,2 onplants,3 zygomatic ligatures,4 minis - crews59 and miniplates10,11 have been introduced t...
objectives : non - homogeneous force distribution along the miniplates and the screws is an unsolved question for skeletal anchorage in orthodontics . to overcome this issue , a miniplate structure was designed featuring spikes placed on the surface facing the cortical bone . the aim of this study was to examine an...
furchgott and zawadzki described the obligatory role of the endothelial cells during relaxations of the isolated rabbit aorta to acetylcholine and demonstrated the transfer of a vasodilator substance termed endothelium - derived relaxing factor . this factor was identified as nitric oxide ( no ) and became a major...
endothelial cells regulate vascular tone by releasing various contracting and relaxing factors including nitric oxide ( no ) , arachidonic acid metabolites ( derived from cyclooxygenases , lipoxygenases , and cytochrome p450 monooxygenases ) , reactive oxygen species , and vasoactive peptides . additionally , another...
the term liver function tests ( lft ) is commonly used in clinical practice when referring to liver enzymes . however this term is misleading since these tests primarily assess liver injury rather than liver function . in addition , this term also implies that these tests are solely of hepatic origin , but in fac...
the liver enzymes , alanine transaminase ( alt ) or aspartate transaminase ( ast ) , are commonly used in clinical practice as screening as well as diagnostic tests for liver diseases . alt is more specific for liver injury than ast and has been shown to be a good predictor of liver related and all - cause mortality ...
introduced by cowley in the 1970s , the golden hour concept has since governed planning and preparedness in trauma systems development as a major source of morbidity and mortality to the population that contributes to the economy , i.e. , people less than 45 years of age , trauma is a significant problem that needs c...
background : achieving definitive care within the golden hour by minimizing response times is a consistent goal of regional trauma systems . this study hypothesizes that in urban level i trauma centers , shorter pre - hospital times would predict outcomes in penetrating thoracic injuries.materials and methods : a r...
this retrospective study included 40 dogs that were diagnosed with biliary sludge and gallbladder mucoceles , and had their gallbladder contents collected during surgery or autopsy at the university of miyazaki veterinary teaching hospital , miyazaki , japan , between may 2012 and july 2016 . component analysis...
the pathophysiology of canine gallbladder diseases , including biliary sludge , gallbladder mucoceles and gallstones , is poorly understood . this study aimed to evaluate the component of gallbladder contents and bacterial infection of the gallbladder in order to elucidate the pathophysiology of biliary sludge ...
the state of lowered metabolism during hibernation in mammals is a showcase of cell preservation strategies for muscle , bone , and the circulatory and innate immune systems . hibernating mammals tolerate extremes in organ perfusion , oxygen saturation , temperature , immobilization , and calorie intake - which in co...
background : hibernation involves periods of severely depressed metabolism ( torpor ) and decreases in body temperature ( tb ) . small arctic mammals ( < 5 kg ) , in which tb generally drop drastically , display leukopenia during hibernation . this raised the question of whether the decreased leukocyte counts in mamm...
it was discovered in 1839 by christian friedrich schonbein when he noticed the emergence of a pungent gas with an electric smell . the word ozone is derived from greek word ozein that means odor . since then it has been the field of research and clinical application in medicine and dentistry . the first medical app...
the oral cavity is an open ecosystem that shows a dynamic balance between the entrance of microorganisms ( bacterial , viral or fungal ) , colonization modalities , nutritional balance , and host defenses against their removal . the oral lesions including aphthous ulcerations , herpes labialis , oral candidiasis , or...
the cast index ( ci , a ratio of anteroposterior to lateral internal diameters of the cast at the fracture site ) is a simple , reliable marker of quality of molding and a ci of > 0.8 correlates with increased risk of redisplacement . we hypothesize that an acceptable ci is more difficult to achieve and does not pred...
background : many pediatric forearm fractures can be treated in plaster following closed reduction . the cast index ( ci , a ratio of anteroposterior to lateral internal diameters of the cast at the fracture site ) is a simple , reliable marker of quality of molding and a ci of > 0.8 correlates with increased risk of r...
multifocal motor neuropathy ( mmn ) and chronic inflammatory demyelinating polyradiculoneuropathy ( cidp ) are acquired immune - mediated peripheral neuropathies ( pn ) . mmn is a pure motor neuropathy syndrome usually beginning in one or both hands and principally affecting the upper extremities , characterized by a...
objective . this cross - sectional study analyzes the pattern of ultrasound peripheral nerve alterations in patients with chronic inflammatory demyelinating polyradiculoneuropathy ( cidp ) and multifocal motor neuropathy ( mmn ) at different stages of functional disability . material and methods . 22 cidp and 10 ...
causes of anisocoria include compression or destruction of the third cranial nerve by increased intracranial pressure ( icp ) from tumour , thrombus , oedema , aneurysm or haemorrhage . cases of anisocoria have rarely been reported in the postoperative intensive care unit ( icu ) setting . we report a case of aniso...
anisocoria is an uncommon entity in general postoperative intensive care . we present a case of a 45-year - old man suffering from severe acute pancreatitis with a past history of traumatic brain injury ( tbi ) , who developed hypertension , bradycardia and anisocoria soon after re - exploration surgery under general...
the explosion in the knowledge of cancer genetics of the past 25 years has totally changed our approach to cancer treatment . but , as is true of many political and cultural revolutions , the pace of progress is maddeningly ponderous . although recent relaxations of the grips of smoking and hormone replacement ther...
cancer is the most common acquired genetic disease . great progress has been made in documenting the genetic abnormalities that cause the disease , and in the future each tumor will be subjected to genetic analysis and the appropriate combination of drugs selected . although there are serious technological and cost...
androgen insensitivity gives rise to a wide spectrum of disorders in man , the most severe being complete sex reversal , to milder forms of pais associated with ambiguous or underdeveloped genitalia , or even milder forms causing only male infertility in otherwise healthy males . often mutations in the androgen rec...
partial androgen insensitivity syndrome ( pais ) is associated with impaired male genital development and can be transmitted through mutations in the androgen receptor ( ar ) . the aim of this study is to develop a cell model suitable for studying the impact ar mutations might have on ar interacting proteins . for th...
intraoperative blood loss is one the most commonly used parameters to assess the safety of surgical procedures . available data regarding laparoscopic radical prostatectomy ( lrp ) indicates unambiguously that the surgery is safe , also in terms of blood loss [ 1 , 2 ] . what is more , reduced blood loss remains on...
introductionthe traditional assessment of blood loss during laparoscopic radical prostatectomy ( lrp ) is based on the blood volume collected intraoperatively in the suction device bottles . while this method is not perfect , analysis of changes in blood cell count ( bcc ) resulting from lrp is advisable.material and...
in the human male , testosterone ( t ) and estradiol ( e2 ) are the main circulating sex steroids acting on bone tissue . the first is produced from the leydig cells in the testis , while the latter derives from the aromatization of the androgens by means of the enzymatic complex of aromatase . aromatase is a cytochr...
before the characterization of human and animal models of estrogen deficiency , estrogen action was confined in the context of the female bone . these interesting models uncovered a wide spectrum of unexpected estrogen actions on bone in males , allowing the formulation of an estrogen - centric theory useful to expla...
autoimmune hepatitis ( aih ) is a chronic inflammatory disease of unknown etiology characterized by the presence of circulating autoantibodies , hypergammaglobulinemia , necroinflammatory changes on hepatic histology , and a dramatic response to immunosuppressive therapy . earliest descriptions include those by amber...
autoimmune hepatitis ( aih ) is a chronic inflammatory disorder characterized by periportal inflammation , elevated immunoglobulins , autoantibodies , and a dramatic response to immunosuppression . an environmental agent is hypothesized to trigger an immune - mediated attack directed against liver antigens in genetic...
walking is the most common form of human motion , and is composed of cyclically switching single - support phases . moreover , the trunks ability to balance load is a very important element in this switching motion1 . the trunk needs to maintain the body s center of gravity within the base of support , and is...
[ purpose ] the study was conducted to determine the effect of horse riding simulation combined with blindfolding on healthy individuals balance and gait . [ subjects and methods ] thirty subjects were randomly divided into an experimental group ( n=15 ) and a control group ( n=15 ) . the subjects in the expe...
a and v patterns describe horizontal strabismus that is vertically incomitant and is characterized by a substantial change in the horizontal deviation from the midline position in upgaze as compared to downgaze . v patterns [ 14 ] . a and v patterns are relatively frequent in patients with infantile - onset s...
vertically incomitant pattern strabismus comprises 50% of infantile horizontal strabismus . the oblique muscle dysfunction has been associated with pattern strabismus . high - resolution orbit imaging and contemporary neurophysiology studies in non - human primate models of strabismus have shed light into the mecha...
although the etiology of ulcerative colitis ( uc ) remains unknown , a systemic immune disorder might be involved in its development . patients with uc are treated with anti - inflammatory or immunosuppressive treatments , including 5-aminosalicylic acid ( 5-asa ) , corticosteroids , immunomodulators or biologics . h...
refractory ulcerative colitis ( uc ) that does not respond to medical therapy often requires surgery even during pregnancy . although surgical cases of uc during pregnancy were reported previously , the standard surgical strategy for both colitis and pregnancy was unclear . herein , fetal and maternal safety as wel...
ultrasound guided fine - needle aspiration ( usfna ) is accepted as the least invasive and most accurate method of identifying the nature of thyroid nodules ( 1 , 2 ) . during the procedure , the goal is to obtain the most cellular specimen that represents the target nodule . published literature revealed substantial...
background : the goal of ultrasound guided fine - needle aspiration ( usfna ) is to obtain most cellular specimen that represents the nodule . however , there is substantial variability in specimen cellularity depending on the obtaining techniques . while performing usfna , it is not clear whether the needle tip shou...
glucose production ( gp ) is regulated by gluconeogenesis and glycogenolysis . in type 2 diabetes , elevation of gp an elevation of plasma gluconeogenic substrate precursors such as free fatty acids ( ffa ) or lactate is also seen in type 2 diabetes [ 25 ] . these findings led to the working hypothesis that elevati...
emerging studies indicate that hypothalamic hormonal signalling pathways and nutrient metabolism regulate glucose homeostasis in rodents . although hypothalamic lactate - sensing mechanisms have been described to lower glucose production ( gp ) , it is currently unknown whether the hypothalamus senses lactate in the ...
advances in the treatment of locally advanced lung cancer had no impact on overall 5-year survival rates from this disease that remains only of 15% . although the rates of lung cancer mortality have started to decrease in countries where smoking habits have been modified , the projections are not optimistic because of ...
smoke constituents can induce dna adducts that cause mutations and lead to lung cancer . we have analyzed dna adducts and polymorphisms in two dna repair genes , for example , xrcc1 arg194trp and arg399gln genes and xrcc3 thr241met gene , in 34 lung cancer cases in respect to 30 subjects with benign lung cancer disea...
unfortunately , in many countries around the world , including ghana , water has become a scarce commodity1 as only a small proportion of the populace has access to treated water . alternative sources of water such as rainwater and ground water have become major sources of drinking water for people living in new sett...
this study focused upon the determination of physicochemical and microbial properties , including metals , selected anions and coliform bacteria in drinking water samples from hand - dug wells in the kumasi metropolis of the republic of ghana . the purpose was to assess the quality of water from these sources . ten...
achalasia is a chronic esophageal motility disorder associated with esophageal retention of foods and fluids , bacterial overgrowth , and impaired clearance of regurgitated gastric contents . these factors usually lead to chronic inflammation of the esophageal mucosa , which potentially increases the risk of hyperpla...
chromoendoscopy with lugol 's staining remains the gold standard technique for detecting superficial scc . an alternative technique , such as narrow - band imaging ( nbi ) , for optical staining would be desirable , since nbi is a simpler technique and has no known complications . in this study , we compare nbi w...
adrenocortical carcinoma ( acc ) is a very rare entity in the pediatric population , and is rarely associated with virilizing symptoms . the gland is grossly enlarged and the phenotypic features overlap with an adrenocortical adenoma , which need to be evaluated carefully , so as to distinguish it from the latter , a...
adrenocortical carcinomas are rare tumors with an incidence of one to two cases per million population and are still more rarer in the pediatric age group . adrenocortical carcinomas can be functional or may be unassociated with syndromes of hormone overproduction . it is very important to differentiate an adrenoco...
the study was conducted in a wintering population of tits in wytham woods , u.k . 1 ) . 1018 nest - boxes suitable for great tits are installed at this site , with the vast majority of great tits breeding in boxes . individuals are trapped as nestlings and breeding adults at nest - boxes and fitted with both a brit...
in human societies , cultural norms arise when behaviours are transmitted with high - fidelity social learning through social networks1 . however a paucity of experimental studies has meant that there is no comparable understanding of the process by which socially transmitted behaviours may spread and persist in anim...
oxatomide is an antihistaminic drug that has been reported to have applications in the treatment of a number of different types of allergic and other hypersensitivity reactions . these include but are not restricted to the symptomatic treatment of allergic rhinitis and chronic urticaria , the classical nasal and ocul...
the objective of this study was to evaluate the influence of oxatomide -cyclodextrin inclusion complex on the physicochemical properties and bioavailability of the drug . oxatomide -cyclodextrin solid complex was prepared with equimolar ratio of both oxatomide and -cyclodextrin in presence or absence of water soluble...
in january 2015 , two sisters aged four ( sibling 1 ) and six ( sibling 2 ) with asymptomatic , consanguineous ( first cousin ) parents were referred to our ophthalmology department for evaluation of bilateral high astigmatism . both siblings suffered since birth from poor vision in both eyes and photophobia since bi...
we aimed to describe congenital keratoglobus with blue sclera in two siblings with overlapping marshall / stickler phenotype . two sisters ( ages four and six ) with bilateral high astigmatism were evaluated by slit - lamp microscopy . corneal topography and pachymetry maps were also obtained . slit - lamp examin...
andropause , or more accurately , testosterone deficiency syndrome ( tds ) is one of the new issues which can affect the quality of life in older men . it is a natural phenomenon that occurs with age in men and is diagnosed by clinical manifestation and a decrease in serum testosterone levels ; it affects the perform...
background : andropause in men refers to the clinical and biochemical syndrome associated with advanced age and characterized by a deficiency in serum testosterone levels . with the increase in aging male population and life span in iran and focus on quality of life , andropause will become a major health issue that ne...
the latest advances in ultrasonic measurement techniques have helped indentify that 20~30% women have polycystic ovaries ( pco ) . the incidence of pco is up to 34% for those women diagnosed by reproductive specialists . a subpopulation of these pco cases is ovulatory pco , in which women do not display any typical...
aim . to compare the basic endocrine profile and outcomes of in vitro fertilization ( ivf ) in women with polycystic ovary syndrome ( pcos ) , ovulatory polycystic ovaries ( pco ) , or normal ovaries ( no ) . methods . the basic clinical features and in vitro fertilization and embryo transfer outcome in patients rece...
development leading to the spread of malaria has been located in terms of disease and political economy . sheldon watts and ira klein have linked the increase and spread of malaria in colonial india to the rapid commercialisation of agriculture , deforestation , expansion of the railways , construction of embankments...
this article explores the scientific and entrepreneurial incentives for malaria research in the tea plantations of north bengal in colonial india . in the process it highlights how the logic of location emerged as the central trope through which medical experts , as well as colonial administrators and planters , de...
the relative incidence of primary cutaneous lymphoma variants has been widely described in european and north american anglo - saxon countries while little is known regarding the rate of secondary cutaneous and primary oral lymphomas . by contrast , no such studies have been conducted thus far in mexico . the relati...
background : nonmycosis fungoides / szary syndrome ( non - mf / ss ) primary cutaneous lymphomas ( pcl ) are currently categorized under the 2005-world health organization / european organization for research and treatment of cancer ( who - eortc ) classification for pcl . these differ in behavior from secondary cuta...
aesthetics of the orofacial region are very important aspects of human life . they might affect the quality of a patient 's life . among the most important goals of dental care is helping patients in their attempts to reach an acceptable level of satisfaction with their oral cavity and dentition . dentofacial condi...
objective . to identify participants ' satisfaction with appearance and the desired treatment to improve aesthetics . materials and methods . 220 participants ( 127 males and 93 females , mean age = 21.4 1.5 years ) were recruited into the study . a structured questionnaire was used to assess patients ' sa...
health is a common theme in most cultures and is a fundamental human right without distinction of race , religion , and political belief , economic and social condition . oral health is a standard of health of the oral and related tissues that enables an individual to eat , speak and socialize without active disease ...
background : health education for the school age child is a specialized field within the broad discipline of education . oral health education program are educational aspects of any curative , preventive and promotional health activity.aim:the study has been undertaken to evaluate the impact of oral health education on...
however , all these therapies are associated with a potential risk of damaging the overlying retina . we report a case of circumscribed choroidal hemangioma ( cch ) in a 59-year - old man refractory to laser treatment . visual acuity was 20/200 and a serous macular detachment was present . the cch was treated with ...
introductionseveral therapeutic approaches have been developed to treat choroidal hemangioma . however , all these therapies are associated with a potential risk of damaging the overlying retina.case reportwe report a case of circumscribed choroidal hemangioma ( cch ) in a 59-year - old man refractory to laser treatm...
the effects of the phosphorylation of serine 273 on the protein structure of ppar were studied by comparing the structures of phosphorylated serine 273 and the wild type , with a particular focus on the dbd of the receptor complex , using md simulations . although a detailed study on dbd dynamical properties under pe...
peroxisome proliferator - activated receptor gamma ( ppar ) is a key regulator of adipocyte differentiation and has an important role in metabolic syndrome . phosphorylation of the receptor 's ligand - binding domain at serine 273 has been shown to change the expression of a large number of genes implicated in obesit...
adolescence is a period of profound changes in the brain structure with a complex interplay between biological , psychological , and social factors . mental health problems commonly emerge in adolescence and many adolescents have enduring disorders rather than simply a transient teenage emotional turmoil . individu...
early onset schizophrenia ( onset before adulthood ) is a rare , severe , and chronic form of schizophrenia . the clinical presentation of schizophrenia at this unusually early age of onset has been associated with premorbid developmental abnormalities , poor response to neuroleptic treatment , greater admission rate...
a seventeen - year - old pregnant woman with a mesencephalic tumor and vp drainage was admitted to the obstetric department to be prepared for elective c - section . anamnestically , and from the available medical data , we discovered that the patient had the mesencephalon tumor since her 9th year . during her childh...
a seventeen - year - old pregnant woman with a mesencephalic tumor and ventriculoperitoneal ( vp ) drainage was admitted to the hospital at full term pregnancy to give birth . elective cesarean section was performed because of her prime disease ( mesencephalic tumor ) , breech position of the baby , gestational diabe...
pain affects all aspects of a person 's life including sleep , work , leisure and relationships . it impacts on the lives of sufferers by causing limitations in daily life and this in turn imposes a huge burden on society , due to the high direct costs of treatment and indirect costs from lost productivity [ 1 ...
abstractobjectivesthe purpose of the present study was to translate and perform a cross - cultural adaptation of manchester orofacial pain disability scale to the portuguese language.material and methodsa synthesis of two independent translations done by bilingual translators whose mother tongue was the portugues...
immune checkpoint inhibition with anti - ctla-4 blockade ( e.g. , ipilimumab ) and anti - pd-1 antibodies ( e.g. , nivolumab ) has improved the poor prognosis of unresectable malignant melanoma [ 1 , 2 ] . these newly approved medications induce many types of immune - related adverse events ( iraes ) , including pneu...
immune checkpoint inhibitors have drastically changed in the treatment of many kinds of malignancies , especially malignant melanoma . the focus of the recent experiments has not only been on their efficacy but also immune - related adverse events ( iraes ) . we report a case of fulminant hepatitis due to nivolumab...
families play an essential role in maintaining children s mental , social , and physical health . the family provides the first and the most important social context for human development . during the normal development of every child almost all children will have problems during their development and this , in com...
background : families play an essential role in maintaining children s mental , social , and physical health . the family provides the first and the most important social context for human development.objectives:the present study aimed to predict early maladaptive schemas using baumrind s parenting styles ( root deve...
a 17-year - old female patient , resident of south india , presented with the complaints of sudden onset of the decrease in vision with gradual worsening in the left eye for the last 3 months duration . the patient was diagnosed with p. falciparum malaria about a week prior to the onset of the ophthalmic symptoms wit...
the retinopathy in association with malaria fever described so far includes retinal hemorrhages , vessel changes , retinal discoloration / whitening and papilledema . malaria retinopathy has been mostly described in severe cases , associated with plasmodium falciparum , correlating the patho - physiology of retinal a...
the management of critically ill patients with a suspected invasive fungal infection based on predefined clinical and microbiological criteria or the punctuation of a score may be a valid approach when the definitive diagnosis is feasible only in a small proportion of patients . this is what vandewoude and colleagues...
the clinical relevance of recovering aspergillus species in intensive care unit patients is unknown . diagnosis of invasive pulmonary aspergillosis is extremely difficult because there are no specific tests sensitive enough to detect it . the rapidly fatal prognosis of this infection without treatment justifies ear...
by using a previously described dna restriction analysis procedure ( 7 ) , we studied 76 archived adenovirus isolates collected among influenzalike - illness surveillance sites across iowa from 1992 to 2002 . among the 76 isolates , 40 ( 53% ) were ad7d2 , and 6 ( 8% ) were ad7h ( figure ) . the first ad7d2 specimen ...
we evaluated 76 adenovirus type 7 ( ad7 ) isolates collected in iowa from 1992 to 2002 and found that genome type ad7d2 became increasingly prevalent . by 2002 , it had supplanted all other ad7 genome types . the association of ad7d2 with severe illness and death calls for heightened public health concern .
on the basis of mechanism - driven reaction design , a pd - catalyzed nucleophilic fluorination of aryl bromides and iodides has been developed . the method exhibits a broad substrate scope , especially with respect to nitrogen - containing heteroaryl bromides , and proceeds with minimal formation of the corr...
details of the alphatocopherol , betacarotene cancer prevention ( atbc ) study have been described.8 male caucasian 5069 year old smokers from southwestern finland ( n = 29,133 ) were recruited from 1985 to 1988 . they were assigned to one of the following intervention groups based on a 2 2 factorial trial design ...
despite decades of concerted epidemiological research , relatively little is known about the etiology of prostate cancer . as genomewide association studies have identified numerous genetic variants , so metabolomic profiling of blood and other tissues represents an agnostic , broadspectrum approach for examining...
a stepwise model of development , from well - differentiated precursors to poorly differentiated progressed hepatocellular carcinomas ( hccs ) , is well established by evidences accumulated in the past three decades . in 1995 and 2009 , international reproducible criteria for the diagnosis of nodular lesions of hepatoc...
tumor hemodynamics of carcinogenic hepatocytes nodules , that is , low grade dysplastic nodules , high grade dysplastic nodules , early hepatocellular carcinomas ( hccs ) , and progressed hccs , change during multistep dedifferentiation of the nodules . morphometric analyses of inflow vessels of these nodules indicat...
the cornea is part of the optical system of the eye , and its condition is directly related to the quality of eyesight . measurement of central corneal thickness ( cct ) and endothelial cell parameters is important when undertaking a functional and morphologic evaluation of the cornea for diagnostic purposes or befor...
backgroundthe purpose of this study was to estimate mean central corneal thickness ( cct ) and determine whether there are any correlations between cct , age , and sex in the adult lithuanian population.methodsa total of 1,650 caucasians of lithuanian origin ( aged 1889 years ) comprising 688 ( 41.7% ) men and 962 ( 58...
chronic pelvic pain ( cpp ) is estimated to affect more than 9 million women in the united states . up to 40% of laparoscopies and 10% to 12% of all hysterectomies in addition to lost productivity and decreased quality of life , the diagnosis and treatment of cpp consumes nearly $ 3 billion of health care expenditure...
objective : to determine the prevalence of interstitial cystitis and endometriosis in patients with chronic pelvic pain.methods:a prospective analysis was conducted in 178 women with cpp who presented with bladder base / anterior vaginal wall and/or uterine tenderness , with or without irritative voiding symptoms . t...
acute right ventricular ( rv ) failure is associated with significant morbidity and mortality , which may develop as a consequence of acute myocardial infarction , pulmonary embolism , myocarditis , ventricular septal defect or post - cardiotomy [ 2 , 3 ] . despite optimal medical management the rv may exhibit a grea...
abstracta 58-year - old woman underwent aortic valve replacement . on the second postoperative day the patient referred a sharply chest pain , and an emergent coronary angiography revealed total occlusion of the right coronary artery . an intra - aortic ballon pump was placed and the patient underwent emergent off - ...
gain- and loss - of - function experiments have shown laminar - specific effects on local cortical processing ( beltramo et al . , 2013 , olsen et al . , 2012 ) , but how the layers work together remains unclear . the synchrony of action potential ( ap ) firing across cortical layers is thought to be a fundamental ...
summarythe synchronized activity of six layers of cortical neurons is critical for sensory perception and the control of voluntary behavior , but little is known about the synaptic mechanisms of cortical synchrony across layers in behaving animals . we made single and dual whole - cell recordings from the primary som...
with the advancement of dentistry and the growing interest in the developments of ideal materials to replace lost dental tissue , resin - based composites have been widely used to restore posterior teeth . concerns about aesthetics , the content of mercury in amalgam restorations and the possibility of more conservat...
background : clinical evaluations as fundamental method to prove the efficiency of restorative materials.aim:this study evaluated the clinical performance of restorative systems during 2 years of clinical service.materials and methods : this study assessed the clinical performance of restorative systems ( filtek z250 a...
although ligands having oxygen and nitrogen as donor atoms are by far the most extensively studied , interest in sulfur donor chelating agents has grown over the years and the number of chemical studies in this area has increased considerably . interest in complexes of these ligand systems now covers several ...
the synthesis , structure , electrochemistry , and biological studies of co(ii ) , ni(ii ) , cu(ii ) , and zn(ii ) complexes of thiocarbohydrazone ligand are described . the ligand is synthesized starting from thiocarbohydrazide and isatin . it is evident from the ir data that in all the complexes , only one part o...
allergen - specific immunotherapy in the treatment of ige - mediated allergy has been used for longer than a century ; yet , its major form , subcutaneous immunotherapy ( scit ) has not become a widely accepted routine treatment for allergy . patients will often suffer from severe symptoms and allergic comorbidities ...
due to its excellent safety profile , ease of administration , and economic considerations , sublingual immunotherapy ( slit ) is becoming a preferred form of allergen specific immunotherapy . the efficacy of slit is still debated . the purpose of this act of practice trial is to evaluate quality of life outcomes i...