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transcranial direct current stimulation ( tdcs ) can be utilized as a key tool because it can affect the neural plasticity of the cerebral cortex . furthermore , it can directly change the excitability of electrical potentials in a stimulated region , as well as indirectly affect the excitability of the same re...
[ purpose ] this study investigated the effects of types of electrode on n100 and p300 in transcranial direct current stimulation ( tdcs ) applications . [ subjects and methods ] thirty subjects were randomly assigned to two groups with 15 subjects in each group depending on the electrode types . a positive ele...
choroidal neovascular membranes ( cnv ) can be associated with various inflammatory chorioretinal diseases , as the cytokines together with the vascular endothelial growth factor ( vegf ) are implicated in the pathogenetic mechanisms leading to an impaired permeability and altered angiogenesis . it is assumed that cn...
intravitreal anti - vascular endothelial growth factor ( vegf ) agents seem to be effective in choroidal neovascular membranes ( cnv ) in association with various entities of posterior uveitis . we herein report a 46-year - old woman who was treated with a simultaneous single intravitreal dexamethasone implant and ra...
hookah which also is known as shisha , hubble - bubble , kalian , narghile and waterpipe is a traditional device for smoking tobacco in the middle east region ( 1 ) . the size , shape , and tobacco used in the hookah device vary in different regions ( 2 ) . hookah smoking has increased worldwide and there has been ...
backgroundhookah smoking has increased worldwide , especially among young people.objectivesthe aim of the present study was to determine the prevalence of hookah use and related factors in a sample of iranian students of medical sciences.materials and methodsa cross - sectional study was conducted on 1992 randomly sele...
the purpose of this document is to provide a basic understanding , to internal medicine physicians and hospitalists , as to how the functionality of cardiovascular implantable electronic devices ( cieds ) may be affected during noncardiovascular surgery . in the united states , every year , there are more than 100 0...
in this article , the reader will get some insights into managing patient with implantable cardiac devices while undergoing noncardiac surgery . we will review basic concepts regarding normal function of pacemakers and implantable cardioverter defibrillators , understanding how their function will be influenced during ...
seborrheic keratosis ( sk ) is an extremely common benign epidermal proliferative lesion , which is prevalent in all races . most lesions are found on the trunk , face , scalp , and the extremities , although they can occur anywhere on the body except the palms and soles . the most common appearance is that of a ve...
seborrheic keratosis ( sk ) is a very common benign epidermal proliferation that is prevalent in all races . most commonly occurring on the trunk , face , scalp , and the extremities , they can occur anywhere on the body except the palms and soles . the most common appearance is that of a very superficial verrucous...
leiomyosarcomas ( lmss ) are relatively rare mesenchymal neoplasms composed of cells that exhibit smooth muscle differentiation . they account for 510% of soft tissue sarcomas . these adult soft tissue sarcomas are far out numbered by the more commonly occurring liposarcomas . majority of these tumors are located i...
leiomyosarcoma ( lms ) is a malignant neoplasm composed of cells showing distinct smooth muscle features . majority of the tumors are located in the retroperitoneum , including the pelvis and the uterus but are rare in the oral and pharyngeal region . intraorally , they are present as painless , lobulated , fixed m...
advanced chronic periodontitis often coexists with poorly controlled diabetes , such that diabetes is considered to be a risk factor for periodontitis . many studies conducted among adults have reported a significant positive two - way association between diabetes ( both type-1 and type-2 ) and periodontal disease th...
objective : a two - way relationship between diabetes and periodontal disease has been suggested ; whereas obesity and impaired lipid profile are risk factors for type-2 diabetes mellitus . this study examined the relationship between lipid profile , oral glucose tolerance test ( ogtt ) with periodontal health / dise...
midfacial defects may result from congenital or developmental abnormalities , accidental trauma , or acquired disfigurements resulting from removal of tumors during maxillectomy surgery in the oral or nasal cavities . midfacial defects occur in the horizontal plane of the middle third of the face including 2 main cat...
large oro - facial defects result from cancer treatment consequences in serious functional as well as cosmetic deformities . acceptable cosmetic results usually can be obtained with a facial prosthesis . however , retention of a large facial prosthesis can be challenging because of its size and weight . this arti...
lung cancer is a common fatal disease , and < 40% of all patients with lung cancer are candidates for a curative resection . despite the improvement in surgical techniques and perioperative management , postoperative pulmonary complications ( ppcs ) still occur in 12%40% of patients with lung cancer who have undergone ...
purposethis study aimed to investigate whether the prevalence of postoperative pulmonary complications ( ppcs ) in patients with non - small - cell lung cancer ( nsclc ) is even higher in the early stages of copd than in such patients with normal lung function and to verify the usefulness of symptom- or quality of life...
burns are tissue lesions from thermal origin for exposure to flames , hot surfaces and liquids , extreme cold , chemicals , radiation , or friction . even with improved prognosis and progress in the use of biological skin substitutes , burns are an important cause of mortality . burns are classified depending on ...
thermal lesions were produced in 12 male wistar rats , positioning a massive aluminum bar 10 mm in diameter ( 51 g ) , preheated to 99c 2c/10 min . on the back of each animal for 15 sec . after 7 , 14 , 21 , and 28 days , animals were euthanized . the edema intensity was mild , with no bubble and formation o...
at least 442 denv-1 isolates from the 20042007 dengue outbreak were obtained from the diagnostic virology repository at the university of malaya medical centre . viral rna was extracted from infected cell culture supernatants , and a 1-step reverse transcription pcr amplification of the denv-1 envelope gene was per...
ancestral sylvatic dengue virus type 1 , which was isolated from a monkey in 1972 , was isolated from a patient with dengue fever in malaysia . the virus is neutralized by serum of patients with endemic denv-1 infection . rare isolation of this virus suggests a limited spillover infection from an otherwise restrict...
as the prevalence of obesity in children and adolescents has escalated worldwide , signs of the metabolic syndrome ( mets ) are increasingly observed in the pediatric age range . mets refers to a cluster of abnormal physical examination and laboratory findings , including high waist circumference , serum triglyceride...
background . prevalence of the metabolic syndrome is increasing in pediatric age groups worldwide . meeting the criteria for the metabolic syndrome puts children at risk for later cardiovascular and metabolic disease . methods . using linear regression , we examined the association between infant weight gain from b...
type 2 diabetes mellitus ( t2 dm ) is a major risk factor for cardiovascular disease and is associated with significant cardiovascular morbidity and mortality . patients with t2 dm have increased risk of major adverse cardiac events ( mace ) . acute coronary events are often caused by the rupture of unstable corona...
objectives . to analyze the predictive value of coronary computed tomography angiography on acute coronary artery events in patients with type 2 diabetes . methods . coronary computed tomography angiography was performed in 250 type 2 diabetic patients . after a follow - up for 5 years , 145 patients were excluded ...
the real frequency of supernumerary kidney could not be computed due to its unusual appearance . there are five cases presented in the literature ( 1 - 5 ) . in embryogenesis , the atypical section of nephrogenic cord into two metanephric blastemas with bifurcation of one bud shapes supernumerary kidneys . genuin...
to our knowledge , bilateral supernumerary kidney is a very rare renal abnormality and there are five cases presented in the literature . it is difficult to diagnose supernumerary kidney and clinicians have not detected most cases preoperatively . laboratory and imaging studies were acquired and carefully examined ...
sepsis is a leading cause of hospital mortality in adult patients , and the incidence is increasing . there is considerable variation between countries , with a strong correlation between the frequency of sepsis and intensive care unit ( icu ) mortality rates . in a prospective study of 3877 patients in 454 german ic...
although several successful clinical trials in the last 2 - 3 years have been greeted with enthusiasm by intensivists , severe sepsis and septic shock still have increasing incidence and more or less unchanged mortality . within the last few years , the progress in sepsis research covering definitions , epidemiology ...
we use density functional theory ( dft ) to compute the effects of substitutional al , b , cu , mn , and si solutes , and octahedral interstitial c and n solutes on the lattice parameters and elastic stiffness coefficients cij of bcc fe . the purefe.csv file contains the computed lattice parameter , magnetic moment ,...
we present computed datasets on changes in the lattice parameter and elastic stiffness coefficients of bcc fe due to substitutional al , b , cu , mn , and si solutes , and octahedral interstitial c and n solutes . the data is calculated using the methodology based on density functional theory ( dft ) presented in ref...
to compare the effects of weight loss by an energy - restricted low - fat diet versus low - carbohydrate diet on serum peptide yy ( pyy ) levels . 8-week prospective study of 30 obese adults ( mean age : 42.8 2.0 years , mean bmi 35.5 0.6 kg / m ) . after 8 weeks , subjects on the low - carbohydrate diet lost sub...
objectiveto compare the effects of weight loss by an energy - restricted low - fat diet versus low - carbohydrate diet on serum peptide yy ( pyy ) levels.design8-week prospective study of 30 obese adults ( mean age : 42.8 2.0 years , mean bmi 35.5 0.6 kg / m2).resultsafter 8 weeks , subjects on the low - carbohydrate...
in india , the national aids control organization ( naco ) has initiated the introduction of inexpensive and generic highly active anti - retroviral therapy ( haart ) . current recommendations in western countries for initiation and monitoring of haart are based on cd4 t - cell counts and plasma human immunodeficienc...
background : the high cost of cd4 count estimation in resource - limited settings is a major obstacle in initiating patients on highly active antiretroviral therapy ( haart ) . thus , there is a need to evaluate other less expensive surrogate markers like total lymphocyte count ( tlc ) and absolute lymphocyte count ( a...
during an 18-year period ( 1995 - 2012 ) , a total of 66 patients with pleural mesothelioma were diagnosed at the samsung medical center in seoul , south korea . only patients with a definite histological diagnoses were included in the present study . thirty - nine patients were diagnosed by needle biopsy ; followed ...
backgroundmalignant mesothelioma of the pleura is an aggressive tumor known to be associated with asbestos . histological diagnosis of mesothelioma is challenging and is usually aided by immunohistochemical markers.methodsduring an 18-year period ( 1995 - 2012 ) , 66 patients with pleural mesothelioma were diagnosed ...
meningiomas are one of the most common neoplasms arising from cellular elements of the meninges , in particular , from arachnoid villi structures . commonly , meningiomas are attached to the dura and grow in the cranial cavity or intraspinal region . however , ectopic locations of meningiomas can not be excluded . in...
abstractectopic meningiomas are a very rare tumor entity . we present a case of a meningioma arising in the mandible of a young woman and initially supposed to be a radicular cyst . histopathological and immunhistochemical evaluation showed typical cell characteristics of a meningioma . only six cases of ectopic ...
the primary aim of cleft palate surgery is not only to close the cleft palate but to push back the palate by repositioning the levator muscle to ensure that normal speech is obtained . using a buccal myomucosal flap is a readily effective method for velopharyngeal closure when the cleft palate is wide . buccal musc...
background : the purpose of this review was to assess the effectiveness of the buccal myomucosal flap in secondary repairs of cleft palate in 20 patients.patients and methods : totally , 20 patients , who underwent secondary palatoplasty between 5 years and 8 years in which a buccal myomucosal flap was used , were revi...
human , rat , and guinea pig packed erythrocytes exposed to 100 , 500 , or 1000 ppm of methyl isocyanate ( mic ) vapor in vitro showed a concentration - related inhibition of cholinesterase ( che ) activity . rat and guinea pig packed erythrocytes showed an almost complete inhibition of che activity at 2000 ppm . in ...
health financing has been considered by all health system stakeholders in vietnam as an important building block of a health system and has a key role in promoting universal health coverage in the country . like other developing countries , vietnam is now using both public financial sources ( state budget , social heal...
health financing has been considered as an important building block of a health system and has a key role in promoting universal health coverage in the vietnam . this paper aims to describe the pattern of health expenditure , including total health expenditure and composition of health expenditure , over the last two...
although the indications for cholecystectomy in the presence of polypoid lesions in adults have been established , they remain to be clearly defined in children because of the limited experience . we report an unusual case of a polypoid lesion of the gallbladder in an adolescent boy , which was successfully treated b...
polypoid lesions of the gallbladder in children are rare . we report a case of a gallbladder polyp in a 14-year - old boy who presented with recurrent right upper quadrant abdominal pain . ultrasound examination of the abdomen revealed a polypoid lesion of the gallbladder . his symptoms resolved after laparoscopi...
cigarette smoking is a leading cause of preventable mortality . each day , at least 3800 adolescents in the usa try their first cigarette and 33% of teenagers that are daily smokers will die of a smoking - related condition . tobacco dependence is also the single most prevalent substance abuse disorder . in 2000 , 18...
although cigarette smoking is a leading cause of preventable mortality , tobacco is consumed by approximately 22% of the adult population worldwide . smoking is also a risk factor for cardiovascular disease , affects brain processing , and is a recognized risk factor for alzheimer disease ( ad ) . tobacco toxins ( ...
the american cancer society estimates that in 2010 , 207,090 women were diagnosed with invasive breast cancer , and approximately 40,000 women died from the disease in the united states alone . despite the advances in treatment , earlier detection through screening , and increased awareness , randomized trials and la...
resistance to endocrine therapy is common among breast cancer patients with estrogen receptor alpha - positive ( er+ ) tumors and limits the success of this therapeutic strategy . while the mechanisms that regulate endocrine responsiveness and cell fate are not fully understood , interferon regulatory factor-1 ( irf1...
the retroviral plasmid mscv-(sd-)-il-4-neo ( 11 ) contains the poliovirus type 2 internal ribosome entry site sequence ( 12 ) between the bacterial neomycin phosphotransferase gene ( neo ) , conferring neomycin resistance to eukaryotic cells , and the mouse il-4 gene . the internal ribosome entry site sequence ...
experimental autoimmune encephalomyelitis ( eae ) is an inflammatory autoimmune disease of the central nervous system which serves as a model for the human disease multiple sclerosis . we demonstrate here that encephalitogenic t cells , transduced with a retroviral gene , construct to express interleukin 4 , and ca...
torque control is the primary method used in implant dentistry for tightening abutment screws . tightening torque and the coefficient of friction at the abutment screw - implant thread interface are the most important factors in determining the preload developed in the implant complex . studies have demonstrated th...
background : mechanical torque limiting devices ( mtlds ) are necessary tools to control a peak torque and achieving target values of screw component of dental implants . due to probable effect of autoclaving and number of use on the accuracy of these devices , this study aimed to evaluate the effect of sterilization a...
a previously healthy 33-year - old male was referred to our retina service for sudden onset of intermittent floaters and flashing lights in his right eye which developed 3 weeks following inactivated hepatitis a , yellow fever , and typhoid vaccinations . these vaccines were given prophylactically in preparation for ...
the paper describes the first reported case of multifocal choroiditis following simultaneous hepatitis - a , typhoid , and yellow fever vaccinations . a 33-year - old male developed sudden onset of flashing lights and floaters in his right eye 3 weeks following hepatitis a , typhoid , and yellow fever vaccinations . ...
although ecologists have long regarded biological diversity as one of the main factors leading to gains in ecosystem stability and productivity , the mechanisms by which these gains arise have been the subject of a decades - long debate ( hooper et al . , we here consider ecosystem stability to be a composite of mult...
much research has been invested into engineering microorganisms to perform desired biotransformations ; nonetheless , these efforts frequently fall short of expected results due to the unforeseen effects of biofeedback regulation and functional incompatibility . in nature , metabolic function is compartmentalized int...
amyotrophic lateral sclerosis ( als ) is an intractable neurodegenerative disease , characterized by rapid and progressive degeneration of motor neurons in the cerebral cortex and the spinal cord . approximately 10% of als is of familial origin caused by genetic mutations of superoxide dismutase 1 ( sod1 ) , tar dna ...
backgroundamyotrophic lateral sclerosis ( als ) is an intractable neurodegenerative disease that primarily affects motor neurons in the cerebral cortex and the spinal cord . recent evidence indicates that dysfunction of oligodendrocytes is implicated in the pathogenesis of als . the basic helix loop helix ( bhlh )...
melanocortin 1 ( mc1 ) receptor is an attractive molecular target for melanoma imaging because of its overexpression on both murine and human melanoma cells . recently , we have identified a class of tc - labeled -melanocyte stimulating hormone ( -msh ) peptides to target mc1 receptors for melanoma imaging . ...
the purpose of this study was to examine whether the substitution of the lys linker with the -ala could reduce the renal uptake of 99mtc - labeled arg - x - asp - conjugated and x - ala - asp - conjugated -melanocyte stimulating hormone ( -msh ) peptides . rsd--ala-(arg11)ccmsh ( 1 ) { c[arg - ser - asp - dtyr ...
however , orexigenic ( acylated and desacylated ghrelin and preptin ) and anorexigenic ( nesfatin-1 and leptin ) peptide hormones of the endocrine system may play a critical role in the development of obesity by regulating the energy balance and affecting the eating center and satiety center in the paraventricular ...
this study examines the levels of acylated and desacylated ghrelin , preptin , leptin , and nesfatin-1 peptide changes related to the body mass index ( bmi ) . the subjects were allocated to 5 groups depending on their bmis as follows : group i ( bmi < 18.5 kg / m2 ) ; group ii ( bmi 18.524.9 kg / m2 ) ; group iii ...
intrauterine growth restriction ( iugr ) affects 1015% of all infants born in the usa and as many as 24% of babies born in developing countries [ 1 , 2 ] . worldwide , iugr is the second leading cause of perinatal morbidity and mortality behind premature birth and is a major predisposing factor to metabolic disorde...
fetal adaptations to placental insufficiency alter postnatal metabolic homeostasis in skeletal muscle by reducing glucose oxidation rates , impairing insulin action , and lowering the proportion of oxidative fibers . in animal models of intrauterine growth restriction ( iugr ) , skeletal muscle fibers have less myonu...
on january 24 , 2007 , s. sonnei strain ucn59 was isolated from a 4-year - old girl admitted to robert debr hospital , paris , for bloody diarrhea and fever . the strain was resistant to ampicillin , trimethoprim , sulfonamides , and cotrimoxazole but susceptible to quinolones , third - generation cephalosporins , an...
shigella sonnei ucn59 , isolated during an outbreak of s. sonnei in january 2007 , was resistant to azithromycin ( mic 64 mg / l ) . the isolate contained a plasmid - borne mph(a ) gene encoding a macrolide 2-phosphotransferase that inactivates macrolides . emergence of the mph(a ) gene in s. sonnei may limit usefu...
high affinity rna - protein interactions are critical to cellular function , but directly identifying the determinants of binding within these complexes is often difficult . here , we introduce a stable isotope mass labeling technique to assign specific interacting nucleotides in an oligonucleotide - protein ...
attenuation of pressor response is one of the most keenly researched subjects in the field of anaesthesiology , the reason being the non - availability of a ' procedure / drug of choice ' for the same . airway instrumentation , i.e. , endotracheal extubation , is invariably linked with certain cardiovascular changes ...
background and aims : swapping of the endotracheal tube with laryngeal mask airway ( lma ) before emergence from anaesthesia is one of the methods employed for attenuation of pressor response at extubation . we decided to compare the placement of proseal lma ( plma ) before endotracheal extubation versus conventional...
detection of malformation is tremendously improved with improvement in imaging technology . in majority of countries worldwide , second trimester scan between 18 and 22 weeks remains the standard of care for fetal anatomical assessment ; however , most recent literature shows a significant improvement in detection of f...
background . early detection of malformation is tremendously improved with improvement in imaging technology . yet in a developing country like india majority of pregnant women are not privileged to get timely diagnosis . aims and objectives . to assess the present status and potential of first trimester ultrasonograph...
reduced ocular perfusion pressure is a risk factor for the prevalence , incidence and progression of glaucoma . the death of retinal ganglion cells appears to involve primary and secondary insults . glaucoma is a family of multifactorial optical neuropathies characterized by loss of retinal ganglion cells ( rgcs ...
graphical abstracthighlights reduced ocular perfusion pressure is a risk factor for the prevalence , incidence and progression of glaucoma . the death of retinal ganglion cells appears to involve primary and secondary insults . reduced opp may enhance both primary and secondary insults . abnormal autoregulation a...
from the early expansion of human populations , and particularly with the agricultural revolution ( about 10,000 years ago ) , human activity has resulted in increased diversity and severity of disease . this phenomenon is generally known as the first epidemiological transition ( armelagos et al . the number of p...
an increasing number of scientists have recently raised concerns about the threat posed by human intervention on the evolution of parasites and disease agents . new parasites ( including pathogens ) keep emerging and parasites which previously were considered to be under control are re - emerging , sometimes in high...
aesthetics and color of the teeth are reflection of systemic health . several intrinsic and the extrinsic factors can influence tooth color . while intrinsic discoloration of the tooth may be caused following trauma , loss of vitality , endodontic treatment , and restorative procedures apart from known local and system...
intrinsic discoloration of a non - vital permanent incisor tooth due to trauma may have a significant esthetic and social impact on children and adolescents . treatment options for discolored non - vital teeth are bleaching , crowns or veneers . however , this restorative crown or veneer approach has a significant dr...
squamous cell carcinoma of the head and neck ( scchn ) is the 6 most common malignancy worldwide and has a poor prognosis which has not improved over the last 25 - 30 years . like many other human tumor types , approximately 50% of the scchn tumors show mutations in the well - known tumor suppressor gene tp53 . so ...
background : micrornas ( mirnas ) are small noncoding rna molecules with an essential role in regulation of gene expression . mirna expression profiles differ between tumor and normal control tissue in many types of cancers and mirna profiling is seen as a promising field for finding new diagnostic and prognostic too...
external dacryocystorhinostomy ( dcr ) was initially described by toti in 1904 and further modified by dupuy - dutemps and bourguet in 1921 . since its introduction , external dcr has been successfully performed with some modifications all over the world and remains the gold standard for lacrimal surgery . external...
summarybackgroundexternal dacryocystorhinostomy ( dcr ) is often performed under local anesthesia ( la ) without adequate knowledge of the pain experienced by the patient.material/methodswe subdivided our surgical technique into stages easily understood by the patients ( introducing cotton tipped applicators , performi...
until recently , the cerebrovascular stenosis has been treated mainly medically , and the endovascular treatment such as stent - angioplasty has been controversial and criticized primarily due to limited evidence and lack of prospective and controlled trials , especially for intracranial stenosis6 ) . clearly , the p...
objectiveperfusion computed tomography ( pct ) has the ability to measure quantitative value and produce maps of mean transit time ( mtt ) , cerebral blood flow ( cbf ) , and cerebral blood volume ( cbv ) . we assessed cerebral hemodynamics by using these parameters and acetazolamide ( acz ) challenge for pre- and po...
a 52-year - old male , 30-pack - year current smoker , visited the emergency room complaining of severe chest pain and dyspnea . a chest x - ray showed a large amount of pneumothorax in the right pleural cavity ( fig . initial computed tomography showed diffuse lung emphysema , sequelae of tuberculosis in the right...
a 52-year - old male patient who underwent multiple wedge resections experienced postoperative acute respiratory distress syndrome in both lungs after viscum album pleurodesis . despite initial rapid deterioration in clinical condition and rapid progression of bilateral lung infiltration , he exhibited a relatively s...
provision of adequate safe blood is challenging in developing countries due to the paucity of voluntary blood donors , poor facilities for storage and blood component preparation as well as inappropriate blood ordering and utilization . in addition , excessive ordering of blood can lead to an unintentional misuse of ...
background : blood transfusion plays vital roles in the medical and surgical practice . to achieve optimum use of blood , transfusion has to be appropriate and judicious consuming minimal resources and manpower.objective:to evaluate the pattern of blood transfusion requests and utilization with the aim of determining...
the load theory of attention ( lavie 1995 , 2005 ) provides a compelling resolution to the fundamental controversy in psychology research over whether or not perception depends on the allocation of attention . this issue has long been debated between views of perception as a limited capacity process that requires foc...
much recent research has shown that the level of perceptual load in a task determines the perception of task - irrelevant stimuli and associated neural activity , but the mediating neural mechanisms remain unclear . here we show that increasing the level of perceptual load in a static letter search task results in an...
the internship training period is an important period needed to consolidate the practical experience and theoretical knowledge of new graduates . whether it is in medicine , medical laboratory technology ( mlt ) or nursing , it is an essential part of training and qualification.13 students who would like to pursue a ...
objectives : the objective of this present survey was to look into the attitudes of medical laboratory technology ( mlt ) graduates towards the internship training period of the mlt department , college of applied medical sciences , king faisal university.material and methods : a self - administered questionnaire was d...
unilateral s - shaped anomaly with a contra lateral normal kidney has been reported sparsely in the literature . herein we present perhaps the first case of bilateral presentation with associated pelviureteric junction obstruction on the left and renal stones on the right side . sixteen - year - old male patient pr...
a bilateral s - shaped kidney is a rare anomaly in which both the kidneys are in their normal position , in contrast to the commonly reported s - shaped fusion anomaly , in which the contralateral kidney crosses the midline to fuse with opposite kidney leaving the ipsilateral renal fossa empty . here we present the d...
more than 10.2 million people worldwide are held in prisons . as per the world prison population list-2013 , there is a general trend of growth in prison population in majority of nations , including in india . as of 2013 , the latest figures available for india , there are 4,11,992 prisoners ( including pre - trial de...
as of 2013 , the latest statistics available , more than 400,000 individuals are lodged in indian prisons . prisoners represent a heterogeneous population , belonging to socially diverse and economically disadvantaged sections of society with limited knowledge about health and healthy lifestyles . there is consider...
the complexity of choosing a particular treatment for an individual patient while keeping her informed about the relevant options and considerations keeps increasing as personal genetic information becomes more commonly available . this is leading clinicians and patients to question their role in the decision - makin...
informing patients about risks and benefits of alternative treatment options and choosing between them is becoming a bigger challenge as knowledge about the relationship between the individual 's genetic profile and the efficacy and safety of available medications accumulates . putting personalized medicine into prac...
a 55-year - old male underwent implantation of a secondary prevention dual chamber boston scientific incepta implantable cardioverter - defibrillator ( icd ) . a dual coil df-4 lead ( endotak reliance llhh 64 cm ) was positioned at the right ventricular apex ( rva ) with normal intracardiac electrograms ( egm ) . ...
the df-4 is a new defibrillator lead technology . we present two cases of non - physiological transient ventricular over - sensing in patients who underwent implantation of an icd for secondary prevention . case 1 had ventricular over - sensing during pacing threshold evaluation post defibrillation testing while ca...
inflammatory responses in the brain parenchyma have been associated with the etiopathogenesis of different neurological disorders , including central nervous system ( cns ) infection , brain ischemia , multiple sclerosis , alzheimer 's disease , and parkinson 's disease [ 17 ] . then , it is presently clear that neur...
increasing data demonstrates that inflammation participates in the pathophysiology of neurodegenerative diseases . among the different inflammatory mediators involved , prostaglandins play an important role . the effects induced by prostaglandins might be mediated by activation of their known receptors or by noncla...
for a wide range of directly transmitted infectious diseases , the household plays a pivotal role in transmission due to the greater strength of contacts between individuals sharing living arrangements [ 1 , 2 ] . we can conceptualize many infections as transmitting readily to household ...
summaryone of the central tenets of modern infectious disease epidemiology is that an understanding of heterogeneities , both in host demography and transmission , allows control to be efficiently optimized . due to the strong interactions present , households are one of the most imp...
artificial vaginas are designed to imitate the female sex organ and to achieve this , they are made out of a soft material , lubricated , and sometimes heated . further , the artificial vaginas are made for medical research purposes , animal breeding , or as a sex toy for erotic stimulation . the internal artificia...
artificial vaginas are designed to imitate the female sex organ . this is the first reported case in the forensic literature of a man being pronounced dead with an artificial vagina in situ . a middle - aged man was found unconscious in a bathroom when the door was forced open and was pronounced dead on admission ....
internal resorption ( ir ) is a pathologic intra - radicular process that rarely involves permanent teeth during which transforming pulp cells resorb dentinal walls . the exact cause of ir is unknown ; however , chronic inflammation of coronal pulp tissues and loss of predentin following traumatic injuries have been ...
internal resorption is a rare lesion in permanent teeth . managing perforating internal resorption is a great challenge for dentists . this report presents a successful surgical treatment of a maxillary central incisor that had extensive root perforation due to internal resorption . after unsuccessful nonsurgical...
chronic pain syndromes associated with degenerative diseases of the lumbar spine remain a problem because of the high prevalence of these morbid conditions ; pain syndromes without nerve root compression form the majority of cases.13 it has been reported that target - specific minimally invasive interventions can cause...
purposeto study the possible effects of various diagnostic strategies and the relative contribution of various structures in order to determine the optimal diagnostic strategy in treating patients with noncompressive pain syndromes.study designprospective , nonrandomized cohort study of 83 consecutive patients with non...
clostridium difficile is a gram - positive spore - forming anaerobic bacillus that is the major cause of antibiotic - associated diarrhea , accounting for 1525% cases of nosocomial antibiotic - associated diarrhea.1 given the presentation of c. difficile infection ( cdi ) , loose stools are usually sought for diagnosis...
decision to test for clostridium difficile infection ( cdi ) is usually made when patients have loose stools with bristol stool score of 5 . we aimed to assess the relationship between bacterial load of c. difficile and bristol stool scale , as well as stool frequency in stool samples collected from patients infected...
aloe vera is one of the endemic plants in southern iran , which has been mentioned in the textbooks of persian medicine since 2500 years ago . the aim of this study was to compare the effectiveness and cost of aloe vera gel with conventional treatments in patients with chronic ulcers . this comparative study was co...
background : aloe vera is one of the endemic plants in southern iran , which has been mentioned in the textbooks of persian medicine since 2500 years ago . the aim of this study was to compare the effectiveness and cost of aloe vera gel with conventional treatments in patients with chronic ulcers.methods:this comparati...
orofacial pain ( ofp ) includes pains whose origin is below the orbitomeatal line , above the neck and anterior to the ears and pain within the mouth . it can be a symptom of various disorders , however the majority of ofp is due to dental causes ( for example , toothache ) and facial trauma , and in most cases i...
abstractobjectivesthe aim of the current study was to investigate whether there was a relationship between a history of third molar removal and the prevalence of orofacial pain in a sample of the general population.material and methodsa survey was conducted in south east cheshire , united kingdom ( 81% participat...
one of the most important aims of operative dentistry is increasing the long - term prognosis of restorations . indirect techniques and polymerization of composite in a laboratory can decrease gap formation between the restoration and tooth structure . although fabricating indirect restorations without any gap betw...
aim : to determine the effect of surface treatment on micro shear bond strength of two indirect composites.materials and methods : blocks of 2 7 20 mm dimensions were made from two kinds of resin composites , gradia and signum plus . samples were subjected to secondary curing to complete polymerization . they wer...
osteochondroma is a bone tumor appearing in a bone that is formed as a result of endochondral ossification . it generally occurs mainly in the metaphysis of a long bone , such as femur or tibia . it is a benign tumor that occurs , though rarely , also in the facial skeleton . the areas of its predominant occurren...
osteochondroma is a common benign tumor of the axial skeleton , especially in the distal metaphysis of the femur and the proximal metaphysis of the tibia , that can occur on the facial skeleton ( albeit rarely ) . osteochondroma is differentiated from chondroma , osteochondromatosis and osteoma . osteochondroma sho...
nasal swab specimens from outpatients with influenza - like illness ( ili ) , ari , or both were collected by sentinel physicians participating in sentinel surveillance in germany during weeks 3244 in 2014 and sent to the robert koch institute ( berlin , germany ) . all specimens were tested in parallel for respirato...
we used physician sentinel surveillance to identify 25 ( 7.7% ) mild to severe infections with enterovirus d68 ( ev - d68 ) in children and adults among 325 outpatients with acute respiratory infections in germany during august october 2014 . results suggested low - level circulation of enterovirus d68 in germany . ...
recently , more and more genomes have been sequenced and annotated , and the data of proteins and gene interactions are accumulating . biological data are mostly digital and stored in a wide variety of formats in heterogeneous systems . biological data exist all over the world as various web services , which provid...
it is widely recognized that exchange , distribution , and integration of biological data are the keys to improve bioinformatics and genome biology in post - genomic era . however , the problem of exchanging and integrating biological data is not solved satisfactorily . the extensible markup language ( xml ) is rapid...
mammalian nitric oxide synthase ( nos ) is a homodimeric flavo - hemoprotein that catalyzes the oxidation of l - arginine to no , with nadph and o2 acting as cosubstrates . there are three nos isoforms : endothelial , neuronal , and inducible ( enos , nnos , and inos , respectively ) . each nos subunit cont...
the binding of calmodulin ( cam ) to neuronal nitric oxide synthase ( nnos ) enables formation of the output state of nnos for nitric oxide production . essential to nos function is the geometry and dynamics of cam docking to the nos oxygenase domain , but little is known about these details . in the presen...
with an ever increasing global population , demands for food and energy become difficult to ignore and the major portion of available food and energy is produced by agriculture and livestock activities . furthermore , more healthy food is needed . to attain a sustainable development in the agricultural sector , farme...
background : with the growing global population , it is becoming increasingly difficult to ignore the demands for food and energy . a major portion of the food and energy is produced via agriculture and livestock activities . the objectives of this research are to gather information regarding the demographic featur...
a finalidade do trabalho foi avaliar as alteraes da microdureza e o desgaste provocado pelo jato de bicarbonato de sdio em esmalte bovino e o posterior efeito remineralizador da saliva artificial . utilizaram - se 15 espcimes de esmalte ( 4,0 mm 4,0 mm ) que constituram os grupos : sem tratamento ( mi ) ; tratamento...
purpose : the aim of the present study was to evaluate the alterations of surface microhardness and wear caused by the sodium bicarbonate jet on bovine enamel and the further remineralizing effect of artificial saliva.methods:fifteen enamel samples ( 4,0 mm 4,0 mm ) were used , which constituted the groups : no treatm...
in august 2000 , a 38-year - old thai man came to an outpatient department of king chulalongkorn memorial hospital , bangkok , with daily fever , headache , intermittent chill , sweating , and malaise for 4 days . his home was in a suburb of bangkok , where no malaria transmission has been reported . during the past ...
we describe a case of naturally acquired infection with plasmodium knowlesi in thailand . diagnosis was confirmed by the small subunit ribosomal rna and the mitochondrial cytochrome b sequences . the occurrence of simian malaria in human has signified the roles of wild primate populations in disease transmission in...
despite continuous progress in cancer treatment , lung cancer remains the most common cause of cancer - related deaths in korea as well as worldwide . although the overall survival ( os ) rate has gradually improved , lung cancer still has a high mortality rate because local and distant failures are common . non ...
purposeto evaluate treatment outcomes and prognostic factors in non - small cell lung cancer ( nsclc ) patients treated with concurrent chemoradiation.materials and methodsfrom january 2005 to june 2009 , 51 patients were treated with concurrent chemoradiation for 3 different aims : locally advanced stage iii , locally...
hip arthroscopy has increased in popularity tremendously in the last five to ten years . in a recent cross - sectional study , an increase of 250% was observed with this surgical technique in the united states between 2007 and 2011 . the annual frequency of hip arthroscopy was four cases per 10 000 orthopaedic pat...
hip arthroscopy is an evolving surgical technique that has recently increased in popularity.although femoroacetabular impingement was an important launch pad for this technique , extra - articular pathology has been described through hip endoscopy.good clinical results in the medium term will allow improvements in this...
the numerous anecdotal reports of catastrophic medical equipment failure in close proximity to electromagnetic field emitters ( such as mobile phones or other wireless devices ) have recently been supported by formal studies . add to this growing literature database by reporting the effects of electromagnetic interfe...
wireless communication and data transmission are playing an increasing role in the critical care environment . early anecdotal reports of electromagnetic interference ( emi ) with intensive care unit ( icu ) equipment resulted in many institutions banning these devices . an increasing literature database has more c...
falls among the elderly constitute a significant health problem , as approximately every third person over 65 and every second individual over 85 falls at least once a year1 , 2 . the multi - disease phenomenon may significantly negatively affect functional dexterity in the elderly and result in gait and balance ...
[ purpose ] the risk of falls in the elderly is an important public health problem . suitable tests may help detect those at risk of falling . this study determined which balance test for older adults generates the most reliable results in terms of fall risk assessment , based on the number of falls over the ...
interventional radiology ( ir ) is an invasive speciality with the potential for complications as with other invasive specialities . the world health organization ( who ) produced a surgical safety checklist to decrease the morbidity and mortality associated with surgery . the cardiovascular and interventional soci...
the first one is the capability of self - movement ; namely , a living organism is able to pursue autonomously the direction of its own motion , whereas a nonliving object can be only pushed or pulled by an externally applied force . the second difference is that the dynamics of each component depends on the simultan...
intermolecular interactions within living organisms have been found to occur not as individual independent events but as a part of a collective array of interconnected events . the problem of the emergence of this collective dynamics and of the correlated biocommunication therefore arises . in the present paper we ...
non - alcoholic fatty liver disease ( nafld ) is characterized by pathological fat accumulation in hepatocytes in the absence of excessive alcohol consumption , which comprises a wide spectrum of liver disease ranging from steatosis to steatohepatitis , cirrhosis and even hepatocellular carcinoma . it is clear that n...
non - alcoholic fatty liver disease ( nafld ) is one of the most common causes of chronic liver disease that affects one - third of adults in westernized countries . nafld represents a wide spectrum of hepatic alterations , ranging from simple triglyceride accumulation in the liver to steatohepatitis . several phar...
erectile dysfunction ( ed ) is the inability of a man to achieve or sustain erection for satisfactory sexual intercourse . some men who have this problem are often shy to complain because of loss of self - esteem associated with this condition thus resulting in late presentation that delays early treatment . some m...
background : erectile dysfunction is becoming a public health issue with high incidences reported in community studies.objective:to evaluate the characteristics and outcome of treatment in men with erectile dysfunction in a tertiary center in ibadan southwestern nigeria.methods:data of men with erectile dysfunction was...
martins et al . , first reported on the antimicrobial effect of riboflavin and uva in vitro . an inhibition of growth was seen in both drug sensitive as well as drug resistant bacteria , but no effect was observed on the growth of candida albicans . subsequently , schrier et al . , reported the effectiveness of a c...
the success of collagen cross - linking as a clinical modality to modify the clinical course in keratoconus seems to have fueled the search for alternative applications for this treatment . current clinical data on its efficacy is limited and laboratory data seems to indicate that it performs poorly against resistant...
sinus of valsalva aneurysm ( sva ) is a rare cardiac anomaly and is involved in less than 1% of cardiac operations.1 ) most patients with unruptured svas are asymptomatic ; however , a ruptured sva results in a devastating course and causes various clinical manifestations such as aortic regurgitations or arrhythmic dis...
we present a rare case involving a ruptured sinus of valsalva aneurysm ( sva ) and acute myocardial infarction in a 39-year - old male patient . coronary angiography showed normal findings ; however , the patient showed remarkably elevated levels of cardiac enzymes and decreased left ventricular function with apical ...
the receptor for advanced glycation end products ( rage ) , which belongs to the immunoglobulin superfamily , was first identified and described in terms of its ability to bind advanced glycation end products ( ages ) [ 1 , 2 ] . due to the ability of rage to recognize three - dimensional structures rather than speci...
the receptor for advanced glycation end products ( rage ) is a transmembrane receptor of the immunoglobulin superfamily , capable of binding a broad repertoire of ligands . rage - ligands interaction induces a series of signal transduction cascades and lead to the activation of transcription factor nf-b as well as in...
atherosclerosis is a dynamic inflammatory disease [ 1 , 2 ] in which autoantigenes , such as oxidized low - density protein ( oxldl ) , play an essential role . dendritic cells ( dcs ) are key regulatory antigen - presenting cells ( apcs ) that induce inflammatory processes . dcs can be detected in the vascular inf...
introduction . dendritic cells ( dcs ) and oxldl play an important role in the atherosclerotic process with dcs accumulating in the plaques during plaque progression . our aim was to investigate the role of oxldl in the modulation of the dc homing - receptor ccr7 and endothelial - ligand ccl21 . methods and resul...
with the introduction of fast - track surgery protocols and the ongoing shift toward day - case surgery , transversus abdominis plane , ilioinguinal - iliohypogastric , and rectus sheath block ( rsb ) have all regained popularity for abdominal surgery . first described by schleich in 1899 , the aim of the technique i...
background and aims : we conducted a prospective study to examine the local anesthetic ( la ) spread and the effectiveness for surgical anesthesia of ultrasound ( us)-guided rectus sheath block ( rsb ) in adult patients undergoing umbilical hernia repair.material and methods : thirty patients received at t-10 level a b...
the great smoky mountains study ( gsms ) is a longitudinal study of the development of psychiatric disorders in rural and urban youth . a representative sample of 3 cohorts of children , aged 9 , 11 , and 13 years at intake , was recruited from 11 counties in western north carolina using a household equal probabilit...
objectivedsm - iv grants episodic irritability an equal status to low mood as a cardinal criterion for the diagnosis of depression in youth , yet not in adults ; however , evidence for irritability as a major criterion of depression in youth is lacking . this article examines the prevalence , developmental characteri...
in an ageing society there are substantial regional variations in terms of the number of elderly people in relation to people of working age . this has led to a concern about potential future support rates on local and regional level . alongside the uneven geographical distribution of the elderly versus younger ind...
regional variations in access to local family networks has implications for future care burdens in different regions as well as the living conditions for both older and younger generations . the geographical distance between family members is a long - term consequence of accumulated migration and non - migration unde...
acute appendicitis is the most common cause of surgical abdominal disease globally , with a lifetime risk of 6% . the technique of open appendectomy ( oa ) , which was initially described by mcburney in 1894 and which had subsequently been the treatment of choice for acute appendicitis for more than a century , has r...
background : single - incision laparoscopic surgery is considered as a more technically demanding procedure than the standard laparoscopic surgery . based on an initial and early experience , single - incision laparoscopic appendectomy ( la ) was found to be technically advantageous for dealing with appendicitis in unu...
hypertension and cardiovascular disease ( cvd ) are global health problems [ 1 , 2 ] . high blood pressure ( bp ) has a direct relationship with increased body weight and risk of cardiac incidents and is also prevalent in professional and collegiate football players [ 35 ] . it is assumed that the increased physica...
studies report that football players have high blood pressure ( bp ) and increased cardiovascular risk . there are over 70,000 ncaa football players and 450 division iii schools sponsor football programs , yet limited research exists on vascular health of athletes . this study aimed to compare vascular and cardiova...
arterial hypertension is the primary and most common risk factor for cardiovascular disease , stroke , end - stage renal disease , and peripheral vascular disease . it has been identified as the leading cause of mortality and the third most common cause of disability - adjusted life - years worldwide . it has been ...
abstractideal cardiovascular health ( cvh ) has been defined by the american heart association as the absence of disease and presence of 7 key health factors . since it is unknown whether cumulative exposure to cvh reduces the risk of developing arterial hypertension , we prospectively examined the potential associat...
the rapid rise in the global prevalence of diabetes lends urgency to the need for investigations beyond the walls of traditional factors such as poor nutrition , obesity , and sedentary behaviour . in 2013 , diabetes was reported in 382 million people worldwide , a figure projected to increase by 55% to 592 million in ...
despite an increasing focus on health literacy in the clinical setting and in the literature , there is still ongoing debate about its influence on diabetes self - management . the aim of the study was to examine the relationships of sociodemographic , clinical , and psychological factors on health literacy and diabe...
deficits of motor and sensory functions after stroke on the side contralateral to the damaged hemisphere are often evident1 , whereas the ipsilateral side may be primarily regarded as normal or unaffected . however , there is increasing evidence of the presence of subtle motor deficits in motor performance on t...
[ purpose ] previous studies have reported on motor deficits in the ipsilateral upper limbs ( ul ) of a damaged brain hemisphere in motor tasks . however , little is known about sensory deficits on the ipsilateral side . therefore , we investigated whether both motor and sensory function of the ipsilateral ul a...
fusion genes play important roles in tumorigenesis and cancer progression ( 1 ) . perhaps , the best - characterized case , bcr - abl1 fusion is the cause of the chronic myelogenous leukemia and the target of the anticancer drug , gleevec ( imatinib ) ( 2 ) . identification of fusion genes thus can lead to the discov...
chromosome translocations and gene fusions are frequent events in the human genome and have been found to cause diverse types of tumor . chimerdb is a knowledgebase of fusion genes identified from bioinformatics analysis of transcript sequences in the genbank and various other public resources such as the sanger canc...
human papillomaviruses ( hpvs ) are small epitheliotropic viruses belonging to the papillomaviridae family and consist of 8 kb double stranded circular dna surrounded by a nonenveloped capsid . the involvement of hpv infection in a malignant transformation was first discovered by zur hausen , who identified a subgroup...
the role of human papillomavirus ( hpv ) in prostate carcinogenesis is highly controversial : some studies suggest a positive association between hpv infection and an increased risk of prostate cancer ( pca ) , whereas others do not reveal any correlation . in this study , we investigated the prognostic impact of hpv...
sentinel lymph node ( sln ) biopsy is the current standard of care for t1 t2 breast cancers with no clinically palpable axillary lymph nodes . based on the principle of sequential directional lymphatic drainage from the breast , the sln is hypothetically the first axillary node to receive lymphatic drainage from the ...
background . up to 60% of patients with a positive sentinel lymph node ( sln ) have no additional nodal involvement and do not benefit from completion axillary lymph node dissection ( alnd ) . we aim to identify factors predicting for non - sln involvement and to validate the mskcc nomogram and tenon score in our p...
myocardial infarction ( mi ) in young adults is rare and only accounts for 3% of coronary heart disease cases ; classification falls under atheromatous , nonatheromatous , substance abuse , and hypercoagulable states.1 there are documented cases of early mi from atherosclerosis secondary to dyslipidemia , obesity , dia...
myocardial infarction ( mi ) due to coronary atherosclerosis in young adults is uncommon ; rare causes such as cocaine abuse , arterial dissection , and thromboembolism should be considered . a 21-year - old football player , and otherwise healthy african american man , developed chest pain during exercise while bench ...
primary peritoneal cancer ( ppc ) arises in the tissue that lines the abdominal cavity and pelvic cavity . it is an uncommon disease that shares many histopathologic and clinical characteristics with epithelial ovarian cancer ( eoc ) , but ppc is distinguished by the absence of a malignant / invasive ovarian mass . ...
we performed case control analyses using data from the north carolina ovarian cancer study to determine risk factors that distinguish primary peritoneal cancer ( ppc ) from epithelial ovarian cancer ( eoc ) . our risk factor analyses were restricted to invasive serous cancers including 495 eoc cases , 62 ppc cases a...
in september 2011 , a 65-year - old caucasian man was admitted to our hospital after a 1-month history of epigastric pain , dyspepsia , and anorexia . he had a history of type 2 diabetes mellitus , arterial hypertension , and dyslipidemia . at physical examination , intense abdominal pain in the upper abdominal quadr...
a 65-year - old man presented to our hospital with abdominal pain , dyspepsia and anorexia . laboratory tests showed an altered liver function and abdomen ultrasonography revealed multiple liver nodules , suspected to be metastatic lesions . serous tumor markers were elevated and a very high level of alpha - fetopr...
elbow fractures are among the most common traumatic injuries in the paediatric population , consisting of 15% of all paediatric fractures [ 1 , 2 ] . humeral medial epicondyle fractures , in the paediatric population , account for up to 20% of elbow fractures , 60% of which are associated with an elbow dislocation . ...
elbow fractures are not uncommon in children , and some are associated with neurovascular injuries . having a nerve injury in an elbow fracture without dislocation is rare and was not described in the literature . here , we have reported probably the first case of an ulnar nerve injury in an elbow fracture without disl...
asthma is an allergic disease characterized by airway inflammation , mucin hypersecretion , and airway hyperresponsiveness ( ahr ) . infiltration of cd4 t cells , eosinophils , mast cells , and b cells and their interaction with airway resident cells contribute to airway inflammation . il-17-producing ( th17 ) nume...
t helper 17 ( th17 ) cells play an important role in the pathogenesis of allergic asthma . th17 cell differentiation requires notch signaling . -secretase inhibitor ( gsi ) blocks notch signaling ; thus , it may be considered as a potential treatment for allergic asthma . the aim of this study was to evaluate the...
in cases where the court finds in favor of patients in medical malpractice lawsuits , the amount of monetary damage initially claimed by patients often significantly differs from that finally awarded by the courts . the application of the " fair share of damage , " which is commonly accepted as the basic principle of...
this study intended to review the precedents on plastic surgery medical malpractice lawsuits in lower - court trials , classify the reasons of ' limitation of liability ' by type , and suggest a standard in the acknowledgement of limitation of liability ratio . the 30 lower - court 's rulings on the cases bearing the...
the production of reactive oxygen species on addition of hexavalent chromium ( potassium dichromate , k2cr2o7 ) to lung cells in culture was studied using flow cytometer analysis . a coulter epics profile ii flow cytometer was used to detect the formation of reactive oxygen species after k2cr2o7 was added to a549 cel...
intracranial pial arteriovenous fistula ( avfs ) are rare cerebrovascular lesions of the brain that have recently been recognized as a distinct pathological entity , differing from the cerebral arteriovenous malformations ( avms ) in that they lack a true nidus . according to a series reported by halbach et al . ( 1 ...
this report concerns a 4-month - old infant with progressive prominent and redness of his left eye since birth . this report concerns a 4-month - old infant with progressive prominent redness of his left eye since birth . angiography revealed a congenital pial arteriovenous fistula between the temporal branch of th...
eosinophilic esophagitis ( eoe ) is a commonly recognized pediatric condition that has emerged as a disorder increasingly affecting adults . although eoe has been documented in all ages , races and genders , the typical eoe patient is an adult male with prior history of atopy . eoe is characterized by chronic , imm...
eosinophilic esophagitis ( eoe ) is a chronic esophageal disease increasingly recognized in adults for its gastrointestinal manifestations . this paper discusses a young woman with eoe who presented with persistent hiccups and intermittent dyspepsia . the patient was initially treated with trials of both h2 blocker...