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a review of the literature , including two dermatology studies , indicates that patients prefer their physicians to wear white coats , not only for identification purposes but to build trust and confidence . this preference holds stable whether studies have addressed general practitioners , specialists , or dermatolo...
physicians wearing white coats are perceived as having more authority , being more friendly and being more attractive than those not wearing white coats , and patients report that they prefer their dermatologist to wear a white coat . the aim of the study was to determine the prevalence of dermatologists wearing whit...
rheumatoid arthritis ( ra ) is characterised by a progressive , erosive polyarthritis , resulting in immune - mediated joint destruction and eventual disability.components of the immunoinflammatory response include acute phase proteins , auto - reactive t cells , b cells , and their respective inflammatory mediators . ...
matrix metalloproteinase-3 ( mmp-3 ) is involved in the immunopathogenesis of rheumatoid arthritis ( ra ) , but little is known about its relationship to genetic susceptibility and biomarkers of disease activity , especially acute phase reactants in early ra . mmp-3 was measured by elisa in serum samples of 128 disea...
the goal of endodontic treatment is to eliminate diseased pulpal tissue and to create an environment that allows periapical tissues to heal and to prevent the development of apical periodontitis . affected teeth are retained by removing diseased tissue , sealing the canal system , and subsequently restoring the...
objectivethe aim of this study was to investigate the coronal microleakage of endodontically treated teeth prepared to receive an intracanal post and teeth with an intracanal post but without a prosthetic crown and exposed to contamination by fresh human saliva.material and methodsa mechanical - chemical preparat...
interleukin-6 ( il-6 ) , initially designated as a b cell differentiation factor 1 , is a representative cytokine featuring redundancy and pleiotropic activity 2 - 4 . in the early phase of infectious inflammation , il-6 is produced by monocytes and macrophages immediately after the stimulation of toll - like recepto...
interleukin ( il)-6 , a cytokine featuring redundancy and pleiotropic activity , contributes to host defense against acute environmental stress , while dysregulated persistent il-6 production has been demonstrated to play a pathological role in various autoimmune and chronic inflammatory diseases . targeting il-6 is ...
while there have been many clinical limitations to the placement of implants cited in literature one of the strongest arguments against the willingness of patients towards the placement of dental implants has been the prohibitive cost of these implants . in the past few years however there have been many reports in l...
background : one of the factors that dissuade patients needing tooth replacement from choosing dental implants is the prohibitive cost . willingness to pay ( wtp ) is a useful tool to determine the ideal cost of an expensive procedure.aim:the aim of this study was to study the factors that influence the willingness to ...
chronic obstructive pulmonary disease ( copd ) is now the third leading cause of death in the united states.1 in 2007 , the economic burden of copd in the us was $ 42.6 billion in health care costs and lost productivity.2 although different pharmacological treatments have shown improvement in lung functions in general ...
backgroundover the last several years , the morbidity , mortality , and high costs associated with lung volume reduction ( lvr ) surgery has fuelled the development of different methods for bronchoscopic lvr ( blvr ) in patients with emphysema . in this meta - analysis , we sought to study and compare the efficacy of m...
the et2ds is a sample of men and women aged 6075 years with type 2 diabetes . the subjects were randomly selected by sex and 5-year age bands from the comprehensive lothian diabetes register ( ldr ) of people with type 2 diabetes living in lothian , scotland . a sample size of 1,000 was targeted to detect associati...
objectiveto determine whether circulating levels of the inflammatory markers c - reactive protein ( crp ) , interleukin ( il)-6 , and tumor necrosis factor ( tnf)- are associated with cognitive ability and estimated lifetime cognitive decline in an elderly population with type 2 diabetes.research design and methodsa cr...
species of the genus fusarium are among the most destructive fungal plant pathogens known and are responsible for major yield losses during cultivation of wheat , maize , barley , and soybeans . many species of fusarium produce mycotoxins as they grow parasitically within the plant , and ingestion of contamin...
t-2 toxin is a trichothecene mycotoxin produced when fusarium fungi infect grains , especially oats and wheat . ingestion of t-2 toxin contaminated grain can cause diarrhea , hemorrhaging , and feed refusal in livestock . cereal crops infected with mycotoxin - producing fungi form toxin glycosides , sometim...
influenza remains a serious health threat and a future pandemic risk , as evidenced by recent outbreaks of h5n1 and h1n1 . these influenza type a strains , which cause acute upper respiratory tract infections with high morbidity and mortality , possess three viral - coat proteins : hemagglutinin ( ha ) , neur...
recent outbreaks of highly pathogenic and occasional drug - resistant influenza strains have highlighted the need to develop novel anti - influenza therapeutics . here , we report computational and experimental efforts to identify influenza neuraminidase inhibitors from among the 3000 natural compounds in the...
leptospirosis is a bacterial infection transmitted from animals to humans by direct contact through skin or mucous membranes with urine and other fluids from domestic or wild infected animals . the infection is usually present all year round , but it is more frequent during the rainy season , for the bacteria may sur...
objective . to measure the prevalence of leptospirosis with two techniques in inhabitants of izamal , yucatan and to determine its relation with some exposure factors . material and methods . transversal study in populations belonging to the hr62imss - opportunities working force in izamal , yucatan . population , ...
it is well known that causes of chronic pancreatitis include alcohol , genetic or metabolic disorders , pancreato - biliary abnormalities and drugs . since sarles et al.1 reported chronic pancreatitis associated with hypergammaglobulinemia and lymphocytic infiltration with fibrosis of the pancreas in 1961 , autoimmun...
autoimmune pancreatitis ( aip ) is a benign disorder and a unique form of chronic pancreatitis with several characteristic features . a cystic formation that mimics a pseudocyst is a rare finding . there have been a few reports of aip complicated by pancreatic cysts . we present a case of aip with multiple pseudo...
a five - year - old girl suffered a traumatic injury ( left condylar dislocation ) during a regular dental appointment . she had no history of other diseases or trauma on the face that could lead to a misinterpretation of the diagnosis before and after the condyle dislocation . at 10 years of age she began to progr...
introductionmyositis ossificans ( mo ) is characterized as heterotopic bone formation within muscle . mo rarely occurs in the head and neck region . excision of the heterotopic bone is the standard treatment . this report summarizes a case of a 12-year old female with mo involving the lateral pterygoid muscle . ...
a gastrointestinal duplication is defined as a spherical structure , with a muscular coat lined by a mucous membrane . they can be found anywhere in the gastrointestinal tract , from the base of the tongue to the anus , most commonly occurring in the ileum ( 35% ) . gastric duplication cysts are a rare phenomenon a...
gastric duplication cysts are an uncommon finding , especially in the adult population . presenting symptoms can be non - specific , but can include abdominal pain , nausea and emesis . in this report , we present a 28-year - old female diagnosed with a communicating gastric cyst with both gastric and duodenal mucosa ,...
plasma membrane - located trail - r1/r2 induce both cell death and non - apoptotic signaling pathways.tumor cells show elevated intracellular levels of trail - r1/r2.nuclear trail - r2 interacts with the microprocessor complex , inhibits let-7 maturation and enhances tumor cell proliferation . plasma membrane - locat...
localized in the plasma membrane , death domain - containing tnf - related apoptosis - inducing ligand ( trail ) receptors , trail - r1 and trail - r2 , induce apoptosis and non - apoptotic signaling when crosslinked by the ligand trail or by agonistic receptor - specific antibodies . recently , an increasing body of...
what is less appreciated is that , according to the us renal data system , 217 hospitalisations per 1,000 patient - years are attributed to congestive heart failure ( chf ) . in the general population , single measurements of brain natriuretic peptide ( bnp ) and its n - terminal fragment ( nt - probnp ) accurately dis...
backgroundcross - sectional studies have shown that b - type natriuretic peptide ( bnp ) and its n - terminal fragment ( nt - probnp ) are predictive of cardiovascular death in haemodialysis ( hd ) patients . in the present study , we tested the hypothesis that monitoring nt - probnp measurements adds further prognos...
the recognition , diagnosis and treatment of conditions affecting the neurovascular bundle at the thoracic outlet have been clarified in recent years . the whole subject has been usually grouped together under the name of thoracic outlet syndrome ( tos ) which is considered as one of the most controversial clinical e...
highlightsthoracic outlet syndrome ( tos ) is caused by compression of neurovascular structures.diagnosis of tos is a difficult challenge and its treatment is controversial.tos has been reported as caused by several diseases but never by a subpectoral mass.we report a case of tos caused by a subpectoral infraclavicular...
epidural steroid injections are commonly performed procedures in medicine by many specialties including orthopedics . normal inadvertent injection of potassium chloride ( kcl ) during anesthesia procedures is reported by many anesthesiologists ; however , to the best of our knowledge , it has not been reported by ort...
epidural injection of steroid is given for back pain resistant to other conservative management . normal saline ( ns ) is used as diluent in 80 mg methylprednisolone and a local anesthetic . due to a similar looking ampoule of ns and potassium chloride ( kcl ) , there is a probability of accidental use of kcl instead...
the oxidative phosphorylation ( oxphos ) system is unique among fundamental metabolic pathways in animals ( aside from maintenance and gene expression of mitochondria ) in that functional oxphos complexes are composed of subunits encoded by two different genomes . the different hereditary modes of the mitochondrial (...
oxidative phosphorylation ( oxphos ) , the major energy - producing pathway in aerobic organisms , includes protein subunits encoded by both mitochondrial ( mt ) and nuclear ( nu ) genomes . how these independent genomes have coevolved is a long - standing question in evolutionary biology . although mt genes evolve...
pain continues to be a clinical problem difficult to solve for a significant proportion of patients due to the incomplete knowledge we have about the adaptive changes that occur in the neural substrates of the nociceptive system and glial cells in response to episodes of persistent pain . these changes primarily are ...
the nmda receptor is central in the generation and maintenance of chronic pain . this receptor has several sites of modulation . one is the glutamate recognition site that can be blocked by ( )-3-(2-carboxypiperazin - yl)propyl-1-phosphoric acid or ( )-cpp . we investigated whether the effect of glial inhibition pr...
ventilator - associated pneumonia ( vap ) develops commonly in mechanically ventilated patients and is a major cause of morbidity and mortality in the intensive care unit . in a study published in this issue of critical care , pelekanou and colleagues investigated the differences in innate and adaptive immune respo...
current evidence regarding potentially different host response mechanisms in sepsis according to the type of initiating infection is sporadic . it is possible that alterations in cell populations , variations in effector molecules , and the degree of apoptosis differ between sepsis caused by ventilator - associated p...
hepatocellular carcinoma ( hcc ) is the one of the most common malignant cancers that occurs in worldwide . hcc is the third most common cause of cancer - related death in south korea , where the death rate from hcc is 22.5/100,000 of the population.1 although recent progress in therapeutic modalities for hcc has imp...
we report a case of hepatocellular carcinoma ( hcc ) with pulmonary metastases treated with repeated hepatic arterial infusion chemotherapy ( haic ) comprising epirubicin and cisplatin , and systemic infusion of 5-fluorouracil ( a modified ec / f protocol ) , which led to complete remission . a 49-year - old man with c...
secondary amyloidosis can occur as a complication of chronic systemic inflammatory and infectious diseases . until now there has been no report of secondary amyloidosis associated with ms . we report herein a case of renal biopsy - proven secondary amyloidosis in a patient with ms . a 41-year - old woman with ms wa...
backgroundmultiple sclerosis ( ms ) is a demyelinating disease of the central nervous system . secondary amyloidosis can occur as a complication of chronic systemic inflammatory and infectious diseases . until now there has been no report of secondary amyloidosis associated with ms . we report herein a case of rena...
various pathological conditions such as os odontoideum , rotatorysubluxation , dens fracture or trauma , rheumatoid arthritis , and congenital or acquired ligamentous instability can affect the atlantoaxial instability1 ) . gallie reported atlantoaxial arthrodesis by posterior wiring and autologous grafting9 ) , and ...
a patients with atlantoaixial instability and osodontoideum underwent atlantoaixial fusion ( harms and melcher technique ) with demineralized bone matrix . but , unfortunately , the both pedicle screws in c2 were fractured within 9 weeks follow - up periods after several suspected episode of neck hyper - flexion . ...
the first occurred in april may 2003 in 2 communities ( vila sanso , 140 inhabitants , and vila paulo fontelles , 835 inhabitants).in the municipality of parauapebas ( 64s , 4954w ) . august 2004 in 1 community ( vila tapara , 2,000 inhabitants ) in the municipality of porto de moz ( 145s , 5214w ) ( figure 1 ) . ...
oropouche fever has reemerged in parauapebas and porto de moz municipalities , par state , brazil . serologic analysis ( immunoglobulin m elisa ) and virus isolation confirmed oropouche virus ( orov ) in both municipalities . nucleotide sequencing of 2 orov isolates from each location indicated genotypes i ( para...
andropause is a condition of decreasing testosterone in men that usually begins to occur at about 40 years of age . many men also find it difficult to acknowledge there may be a problem by refusing to even talk about the symptoms . ignorance and fear of the andropause condition abounds in the general public and eve...
background : andropause is a condition of decreasing testosterone in men that usually begins to occur at about 40 years of age . many men find it difficult to acknowledge there may be a problem by refusing to even talk about the symptoms.aims:the study was conducted to the standards of massq ( 2012 ) within male olde...
though metastases are generally widely disseminated , a minimal metastatic state has been recently recognized , with a distinct natural history and an intermediate prognosis between that of localized and metastatic disease . in 1995 , s. hellman and r. weichselbaum first coined the term oligometastases : the definiti...
oligometastases from solid tumors are currently recognized as a distinct clinical entity , corresponding to an intermediate state between local and widespread disease . it has been suggested that local ablative therapies ( including surgery , radiofrequency ablation and radiation therapy ) play an important role in t...
the sacroiliac joint is a frequent source of pain in patients presenting with low back or buttock pain.113 in a recent study by sembrano and polly , 200 consecutive new patients were examined in a spine clinic with a chief complaint of low back pain and no prior history of spine , sacroiliac joint , or hip surgery.12 s...
backgroundthe mainstay of sacroiliac joint disruption / degenerative sacroiliitis therapy has been nonoperative management . this nonoperative management often includes a regimen of physical therapy , chiropractic treatment , therapeutic injections , and possibly radiofrequency ablation at the discretion of the treatin...
cystic fibrosis ( cf ) is a multifaceted autosomal recessive disease caused by mutations in the cf transmembrane conductance regulator ( cftr ) gene . although its pulmonary manifestations are responsible for the major morbidity and mortality associated with the disease , cf is also characterised by a multitude of cl...
the cystic fibrosis lung is a complex milieu comprising multiple factors that coordinate its physiology . micrornas are regulatory factors involved in most biological processes and it is becoming increasingly clear that they play a key role in the development and manifestations of cf lung disease . these small noncod...
, females can gain direct benefits ( arnqvist and nilsson 2000 ) , such as replenishment of depleted sperm stores , access to male - held resources , food and chemical gifts ( vahed 1998 ) . females that have already mated may trade - up by mating with or selectively using sperm from successively more genetically b...
female crickets can potentially gain both direct and indirect benefits from mating multiple times with different males . most studies have only examined the effects of small numbers of matings , although female crickets are capable of mating many times . the goal of this paper is to examine the direct and indirect ...
the wide varieties of rare intraocular and orbital neoplasms differ in presentation in the pediatric population when compared to these same lesions in adults . while most pediatric ophthalmic tumors are benign , they may have a significant impact on vision and may result in significant morbidity and mortality . som...
while pediatric orbital tumors are most often managed in tertiary care centers , clinicians should be aware of the signs of intraocular and orbital neoplasms . in the pediatric population , a delay in diagnosis of orbital and intraocular lesions , even if benign , can lead to vision loss and deformity . intraocular l...
a descriptive research design was employed in the present study to assess the problems faced by wives of alcoholics and coping strategies employed by them . a total of thirty alcoholic clients ' wives who accompanied their husbands ' who were seeking treatment in de - addiction and treatment center opd , pgimer , a t...
background : alcoholism is considered as a major health as well as a social problem . often the family members of alcoholics suffer intense psychological , physical and social trauma due to the core drinking problem of the family member . most deeply affected are the wives of alcoholics.aim:the present descriptive ...
( see related article by vanholder and glorieux . the intestine and the kidneys : a bad marriage can be hazardous .
inflammation is a multifactorial phenotype that in chronic kidney disease is associated with adverse patient outcomes . recently , alterations in gut microbiota composition and intestinal barrier have been associated with inflammation and oxidative stress in ckd patients . vanholder and glorieux recently critically...
esophageal cancer accounts for 1% of all cancers and it is the seventh - most frequent cause of cancer - related deaths . the prognosis in this cancer is poor because in 50% of affected patients the diagnosis is made at an inoperable stage of the disease . local symptoms of esophageal cancer include dysphagia , odyno...
summarybackgroundesophageal cancer is the seventh - most frequent cause of cancer - related deaths and it is usually diagnosed at an inoperable stage . in palliative treatment , endoscopic and non - endoscopic methods are applied to reduce dysphagia in patients with neoplastic esophageal obstruction . because of severe...
swallowing is a series of coordinated processes in which food boluses move from the mouth to the stomach . the normal process of swallowing includes the oral preparatory phase in which food is chewed ; the oral phase in which food is moved to the rear of the oral cavity and swallowing starts ; the pharyngeal ...
[ purpose ] the effectiveness of neuromuscular electrical stimulation in the rehabilitation of swallowing remains controversial . this study compared the effectiveness of neuromuscular electrical stimulation and thermal tactile oral stimulation , a traditional swallowing recovery treatment , in patients with sub ...
native woody species often demonstrate inherited latitudinal variation in the timing of growth cessation and cold hardiness in response to the latitudinal gradient in temperature ( pauley and perry 1954 ; howe et al . can an introduced species develop such a pattern in a century or two ( weber and schmid 1998 ) ? d...
to investigate the evolution of clinal variation in an invasive plant , we compared cold hardiness in the introduced saltcedar ( tamarix ramosissima , tamarix chinensis , and hybrids ) and the native plains cottonwood ( populus deltoides subsp . monilifera ) . in a shadehouse in colorado ( 41n ) , we grew plants co...
in 1962 , luft , et al . made a suggestion of mitochondria as an intracellular organelle related to human diseases . they supported the idea with evidence of mitochondrial function abnormality observed in a hypermetabolic patient . later reports also showed respiratory chain dysfunctions in patients with encephalom...
mitochondria contain the respiratory chain enzyme complexes that carry out oxidative phosphorylation and produce the main part of cellular energy in the form of atp . although several proteins related with signalling , assembling , transporting , and enzymatic function can be impaired in mitochondrial diseases , most...
electroporation , a nonthermal phenomenon , is used to enhance the permeability of biological cells and tissues [ 14 ] . here , an attempt has been made to study the electric field 's effect on tumor tissues thereby leading to the efficacy of electroporation . electroporation involves the rapid structural rearrangeme...
an attractive alternative treatment for malignant tumors that are refractive to conventional therapies , such as surgery , radiation , and chemotherapy , is electrical - pulse - mediated drug delivery . electric field distribution of tissue / tumor is important for effective treatment of tissues . this paper deals ...
deterioration of renal function with tacrolimus ( fk506 ) therapy has been widely reported in adult patients with normal renal function who underwent liver transplantation [ 1 , 2 ] . a striped pattern of medullary ray fibrosis ( also called linear fibrosis ) has been described in the kidneys of patients undergoing l...
tacrolimus ( fk506 ) is one of the principal immunosuppressive agents used after solid organ transplantations to prevent allograft rejection . chronic renal injury induced by tacrolimus is characterized by linear fibrosis in the medullary rays ; however , the early morphologic findings of acute tacrolimus nephrotoxic...
previous articles ( mcbride et al . , 1992 , 1996 ; millar et al . , 1996 ; goping et al . , 1998 ) these include isolation of rat heart mitochondria , transcription - translation of plasmids encoding vdac and preornithine carbamyl transferase ( poct ) , and import of s - labeled translation products into mitocho...
insertion of newly synthesized proteins into or across the mitochondrial outer membrane is initiated by import receptors at the surface of the organelle . typically , this interaction directs the precursor protein into a preprotein translocation pore , comprised of tom40 . here , we show that a prominent -b...
heart rate , perhaps the most commonly measured vital sign in clinical practice , is a key determinant of myocardial metabolism and cardiac output . tachycardia , conventionally defined as an atrial and/or ventricular rate of > 100 beats per minute ( bpm ) has an arbitrary and debated definition . nevertheless , ta...
tachycardia , conventionally , but arbitrarily , defined as an atrial and/or ventricular rate of > 100 beats per minute , is encountered commonly and can be physiological or pathological in origin . various adverse consequences from tachycardia have been recognized , and an important one is the association between pe...
current evidence suggests that although fetal exposure to smoking might increase the risk of type 2 diabetes in later life , lifestyle factors either during pregnancy or in adulthood may play a more important role . a familybased association study design might be helpful to detangle the relation among intrauterine ...
the analysis of micronuclei ( mn ) in cultured human lymphocytes is , in principle , able to detect exposure to clastogens and aneuploidogens alike . there is , however , no clear evidence from human biomonitoring studies or animal experiments showing that in vivo exposure of resting lymphocytes to an aneuploidogen c...
between october 1996 and february 1998 , a prospective patient cohort of 32 consecutive patients underwent single - level alif . surgical intervention was planned only after the persistence of pain for more than 6 months despite conservative treatment . were body mass index between 20 and 35 and age between 18 and ...
we reviewed the records of a prospective consecutive cohort to evaluate the clinical performance of anterior lumbar interbody fusion with a titanium box cage and posterior fixation , with emphasis on long - term functional outcome . thirty - two patients with chronic low back pain underwent anterior lumbar interbody ...
painful legs and moving toes ( plmt ) is a rare syndrome characterized by spontaneous movements of a single or all digits and pain in one or both lower extremities123 ) . the largest case series identified 76 patients during an 18-year period2 ) , and only one pediatric case has been reported4 ) . we report the fir...
painful legs and moving toes ( plmt ) syndrome is characterized by spontaneous movements of the digits and pain in one or both lower extremities . of the reported cases , a majority of the patients was female , and the mean age of onset was 58 years . only one pediatric case has been reported so far . herein , we r...
a 21-year - old man was referred to us with a 1-year history of low back pain . the pain evolved insidiously and progressed over time and was incompatible with comfortable everyday life . the pain was worse in the standing position and with flexion and extension and less in sitting and supine status . he remarked...
we report a case of bilateral three - level lumbar spondylolysis that was directly repaired by use of hook - screw technique . the patient complained of low back pain for 2 years that progressively worsened and was exacerbated with standing and walking . he also mentioned bilateral sciatalgia . the neurological e...
ims - microscopy fusion is demonstrated through three different applications : ( i ) predicting ion distributions to a spatial resolution that exceeds that of the measured ion images ( sharpening ) ; ( ii ) predicting ion distributions in tissue areas that were not measured by ims ( out - of - sample prediction ) ; and...
a new predictive imaging modality is created through the fusion of two distinct technologies : imaging mass spectrometry ( ims ) and microscopy . ims - generated molecular maps , rich in chemical information but having coarse spatial resolution , are combined with optical microscopy maps , which have relatively low ...
heart rate recovery ( hrr ) is the rate at which heart rate declines from the end of exercise to a predetermined time point during recovery , typically one minute after exercise [ 1 , 2 ] . after submaximal exercise , the withdrawal from sympathetic activity typically takes place 30 seconds into recovery [ 2 , 4 ] . ...
heart rate recovery ( hrr ) is an indicator of all - cause mortality in children and adults . we aimed to determine the effect of adiposity and prader - willi syndrome ( pws ) , a congenital form of obesity , on hrr . sixteen children of normal weight ( nw = body fat % 85th percentile , 9.4 1.1 y ) , 18 children ...
adenovirus ( ad ) belongs to a family of nonenveloped icosahedral viruses containing a double - stranded dna genome , adenoviridae , and genus mastadenovirus . there are 53 human ad serotypes divided into seven subgroups ( a to g ) based on immunologic , biologic , and biochemical characteristics . among these , vi...
adenovirus infection can cause various illnesses depending on the infecting serotype , such as gastroenteritis , conjunctivitis , cystitis , and rash illness , but the infection mechanism is still unknown . micrornas ( mirna ) have been reported to play essential roles in cell proliferation , cell differentiation , a...
chinese food and soups contain monosodium glutamate ( msg ) as the main addictive ingredient . a sensitive individual may suffer from headache , giddiness , sweating , abdominal pain , and urticaria within a few hours of consumption of msg . angioedema may be delayed up to 816 h after the consumption of msg and it ...
in india , eating chinese food has become very popular . we hereby report a case who presented with angioneurotic edema of the uvula and the surrounding structures , after eating chinese food , which resulted in severe difficulty in swallowing saliva and inability to speak .
children <3 years of age attending two health centers , one public reference hospital ( joao alves ) , and a private hospital in aracaju were invited to participate in our study during april and may 2002 . these months correspond to the beginning of the rainy season , when most cases of bronchiolitis occur . the he...
we describe the epidemiologic and clinical characteristics of 111 children attending clinics and hospitals in aracaju , northeast brazil , with acute respiratory infections attributable to human metapneumovirus ( hmpv ) , respiratory syncytial virus ( rsv ) , or both in may and june 2002 . fifty - three ( 48% ) child...
placement of fixed orthodontic appliances usually colonizes streptococcus mutans , and enhances the risk of dental caries.[13 ] fluoride - releasing bonding materials for bonding the brackets showed almost no demineralization inhibiting effect . buyukilmaz and ogaard in an earlier study suggested the combined use of ...
background : the aim of this study was to evaluate the shear bond strength of an antimicrobial and fluoride - releasing self - etch primer ( clearfil protect bond ) and compare it with transbond plus self - etch primer and conventional acid etching and priming system.materials and methods : forty - eight extracted huma...
flagellate literally means to whip ( someone ) , either as a religious discipline or for sexual gratification according to oxford dictionary . flagellate dermatitis or toxicoderma presents with very characteristic linear wheal like skin manifestations and is often associated with shiitake mushroom ( lentinus edodes )...
japanese dermatologists were the first to describe the very characteristic flagellate dermatitis following consumption of undercooked or raw shiitake mushroom ( lentinus edodes ) . these similar eruptions were also reported in patients treated with bleomycin , in dermatomyositis and adult onset still 's disease . w...
following institutional review board approval , we retrospectively reviewed the medical records of all patients who underwent endovascular treatment for symptomatic atherosclerotic intracranial stenosis between january 2003 and december 2014 performed at king faisal specialist hospital and research center , jeddah , ki...
objectives : to present our local experience with intracranial angioplasty and stenting used for the treatment of symptomatic intracranial stenosis to assess its safety , efficacy , and outcome.methods:this is a retrospective review of all the patients with symptomatic intracranial atherosclerotic disease who underwent...
mineral trioxide aggregate ( mta ) is a biocompatible material with high sealing ability which has been used for various purposes in endodontics , including root end filling , sealing of perforations , treatment of teeth with open apices , and as a pulp capping agent [ 13 ] . the color of original mta ( grey mta or g...
objective . determination of the effect of dentin bonding agent ( dba ) on the prevention of tooth discoloration produced by mineral trioxide aggregate ( mta ) . methods . 50 teeth were endodontically treated and after removal of 3 mm of obturating materials were divided into five groups . in white mta ( wmta ) and ...
protein kinase ck2 is a pleiotropic , ubiquitous and intrinsically active eukaryotic ser / thr protein kinase that is overexpressed in various cancer types . in humans , ck2 forms a heterotetrameric complex ( 2/2 ) consisting of two catalytic subunits ( ck2 or ) attached to a dimer of regulatory subunits ( c...
identifying small molecules that induce the disruption of constitutive protein protein interfaces is a challenging objective . here , a targeted biophysical screening cascade was employed to specifically identify small molecules that could disrupt the constitutive , homodimeric protein protein interface wit...
difficulty in speech discrimination , particularly in challenging auditory situations such as noisy places and/or when attempting to trace fast speech , is the most common complaint among the elderly . this difficulty is often attributed to reduced peripheral hearing sensitivity in the elderly ( 1,2 ) . there is ev...
background : speech perception ability depends on auditory and extra - auditory elements . the signal- to - noise ratio ( snr ) is an extra - auditory element that has an effect on the ability to normally follow speech and maintain a conversation . speech in noise perception difficulty is a common complaint o...
stent thrombosis is one of the most fatal complications of percutaneous coronary intervention ( pci ) . even with optimal medical treatment after drug eluting stent or bare metal stent ( bms ) insertion , about 0.5 - 1% of patients experience acute , subacute , late , or very late stent thrombosis with a mortality ra...
there have been a growing numbers of patients diagnosed with malignancy and coronary artery disease simultaneously or serially . in the era of percutaneous coronary intervention ( pci ) , stent thrombosis has been a rare but challenging problem . recently , we experienced two unique cases of acute stent thrombosis ...
the ability to differentiate force plays an important role not only in daily life activity ( e.g. , grasping a fragile object ) , but also in sports , where the appropriate sense of force often determines the accuracy task . when developing strategies to prepare athletes for effort , measures to improve movement cont...
background : swedish massage is one of the common treatments to provide optimal start and readiness of athletes . the ability of kinesthetic differentiation ( kd ) is crucial in sport performance . this skill allows to adapt demanded muscle forces to optimize the motor tasks , and it is responsible for the precision ...
peripheral arterial disease and venous disease often coexist and they have common risk factors . if virchow s triad is accepted as a basis for the development of venous thrombosis , peripheral vascular disease has a number of characteristics which are likely to promote venous thrombosis . first , compared to normal s...
aimthis prospective study was undertaken to determine how peripheral atherosclerotic disease influences the flow in the deep veins of the leg.material and methodthirty one subjects with peripheral atherosclerotic disease and 23 age matched control subjects were studied . the popliteal vein flow velocity was measured ...
it is also called otospongiosis as it is characterised by replacement of the normal ivory - like enchondral bone by spongy vascular bone . patients typically present in the 2nd- 4th decades of life with conductive hearing loss ( chl ) , sensorineural hearing loss ( snhl ) or mixed hearing loss ( mhl ) and/or tinnitu...
otosclerosis is an otodystrophy of the otic capsule and is a cause of conductive , mixed or sensorineural hearing loss in the 2nd to 4th decades of life . otosclerosis is categorised into two types , fenestral and retrofenestral . imaging plays an important role in the diagnosis and management of otosclerosis . h...
the pathogenic events taking place on the surface of medical devices are primarily associated with the presence of microorganisms and their biofilms [ 1 , 2 ] . a biofilm is an intricate community of microorganisms embedded in a polysaccharide matrix , capable of attaching onto different kinds of surfaces developing ...
the present work is aimed at getting a new insight into biomorphic silicon carbides ( biosics ) as bone replacement materials . biosics from a variety of precursors were produced , characterized , and loaded with a broad - spectrum antibiotic . the capacity of loaded biosics for preventing and/or treating preformed...
a life in science is not a journey you take alone . at all stages , mentors are key . no one in my family had ever been to university , let alone undertaken a ph.d . it was a female high school teacher who encouraged me to set my sights high and apply to oxford university for undergraduate studies , and it was the si...
a career in science is a journey of wonder and discovery . to succeed in science requires curiosity , perseverance , a good dose of luck , and wise guidance from those who have taken the journey ahead of you . we also need to use our science skills to contribute to public debate on complex issues of the day .
the transcriptome of medullary stromal cells of patients suffering from primary myelofibrosis was studied by agilent oligo microarray technology . the primary myelofibrosis is a chronic myeloproliferative syndrome . to invest the role of bone marrow stroma in the pathophysiology of this disease , we isolated prima...
primary myelofibrosis ( pmf ) is a clonal myeloproliferative neoplasm whose severity and treatment complexity are attributed to the presence of bone marrow ( bm ) fibrosis and alterations of stroma impairing the production of normal blood cells . despite the recently discovered mutations including the jak2v617f mutatio...
the fact that the majority of pre - mrnas are spliced while they are still being transcribed has led to the proposal that local chromatin structure and histone modifications may play direct roles in regulating splicing . indeed , several studies have shown that specific histone modifications can affect the associat...
recent genome - wide studies have revealed a remarkable correspondence between nucleosome positions and exon - intron boundaries , and several studies have implicated specific histone modifications in regulating alternative splicing . in addition , recent progress in cracking the splicing code shows that sequence moti...
apoptosis , a distinct form of cell death , is at the heart of both mechanical and molecular mechanisms of cardiomyocyte loss during ischemia . after mi , there is heightened apoptosis in the peri - infarct and noninfarcted myocardium , and this coincides with increased left ventricular diameter and decreased cardiac...
aims . mir-208a is associated with adverse outcomes in several cardiac pathologies known to have increased apoptosis , including myocardial infarction ( mi ) . we investigated if mir-208a has proapoptotic effects on ischemic cardiomyocytes and if its silencing has therapeutic benefits in mi . methods and results . ...
brachytherapy has been a time tested and indispensable modality of treatment for a variety of cancers for more than a century . time and again it has been proven that brachytherapy independently improves survival [ 1 , 2 ] and exclusion of brachytherapy from the management of some cancers can be detrimental [ 2 , 3 ]...
purposewe performed a survey amongst attendees of the 4th annual meeting of indian brachytherapy society to study the patterns of brachytherapy practice and attitude towards brachytherapy use.material and methodsa 19-point questionnaire was designed and e - mailed to the attendees immediately after the conference . d...
the hiv / aids epidemic has become the world 's most destructive epidemics recorded in history . the number of people living with hiv worldwide was estimated to be 33.4 million . sub - sahara africa accounts for 22.4 million and remains the region most heavily affected by hiv with an adult prevalence rate of over 1...
the model of care of people living with hiv / aids ( plwha ) has shifted from hospital care to community home - based care ( chbc ) because of shortage of space in hospitals and lack of resources . we evaluate the costs and benefits of home - based care and other hiv / aids intervention strategies in zimbabwe , using...
transesophageal echocardiography ( 0 ) , illustrating multiple round , oval , irregular , and well - demarcated masses on the anterior leaflet of the tricuspid valve http://jthc.tums.ac.ir/index.php/jthc/article/view/698/417 transesophageal echocardiography ( 139 ) , demonstrating multiple round , oval masses with a sm...
abstracta 56-year - old man was admitted to our hospital for coronary artery bypass graft surgery . preoperative transthoracic echocardiography revealed thickening of the anterior leaflet of the tricuspid valve , and transesophageal echocardiography showed oval and irregular - shaped masses , featuring well - demarca...
periacetabular osteolysis is a major complication following total hip arthroplasty and can be a cause of component loosening and periprosthetic fractures 123 ) . although osteolysis through polyethylene wear particles can increase the morbidity and compromise revision surgery , patients often remain clinically asympt...
purposethis study was performed to determine the usefulness of three - dimensional computed tomography ( 3d - ct ) in measuring periacetabular osteolysis by comparing the real volume of osteolysis in revision surgery.materials and methodstwnety - three patients who had undergone revision surgery due to periacetabular o...
cereal seeds must meet several quality criteria , in particular good germinative potency ( 85% after 8 days ) and sanitary state ( absence of claviceps purpurea ) . more generally , low contamination from fungi such as fusarium , septoria , or alternaria is advisable to obtain good performance after seeding . moreo...
we submitted to ozone treatment triticum aestivum ( common wheat ) seeds severely contaminated by fungi . fungi colonies developed when seeds were placed over malt agar medium in petri dishes ; fusarium sp . and alternaria sp . were identified . however , conventional colonies counting did not allow a clear assessm...
obesity is a growing problem in the united states over the past 20 years with the prevalence remaining high despite new regulations and interventions implemented by the u.s . department of health and human services , the centers for disease control and prevention ( cdc ) , the institute of medicine , and the u.s . ...
objectivesthe aim of this study is to evaluate knowledge of obesity - related peri - operative risks in women newly diagnosed with complex atypical hyperplasia and endometrial cancer.methodswe conducted a cross sectional study of patients newly diagnosed with complex a typical hyperplasia or endometrial cancer who unde...
due to the shortage of deceased donor organs , living donor liver transplantation ( ldlt ) has become an established treatment modality for patients with acute and chronic liver disease . the first successful pediatric ldlt , using a left lateral section graft from a mother to her son , was performed in brisbane , au...
shortage of deceased donor organs led to establishment of living donor liver transplantation . recent reports have strongly suggested that laparoscopic approach should be the gold standard for lesions in the left lateral section . laparoscopic living donor left lateral sectionectomy was first described in 2002 . ...
c57bl/6 ( b6 ) mice and their ly-5.2 congenic variant ( b6.ly-5.2 ) were purchased from the national cancer institute animal facility ( frederick , md ) . i / ii deficient mice on a b6 background ( 12th backcross , ci / ii ) were purchased from taconic farms . the b6 thy-1 congenic variant strain , b6.plthy-1 cy ,...
the majority ( 70% ) of postselection cd4 + single - positive ( sp ) thymocytes are cd8locd4hi . these cells express very low levels of cd8 , undetectable by flow cytofluorimetric ( fcm ) analysis , but sufficiently high to allow purification by panning . unlike the fully mature cd8cd4hi thymocytes , which account fo...
benign prostatic hyperplasia ( bph ) is a prevalent disorder among older men and has received more attention as the average human lifespan has increased . in korea , the prevalence of clinical prostatic hyperplasia was reported to range from 10.6% to 31% in men over 50 years of age , with an age - related increase . ...
purposethis study was designed to evaluate the association of metabolic syndrome and benign prostate enlargement in young korean males . we analyzed the clinical data associated with metabolic syndrome and prostate volume in the study population.materials and methodswe retrospectively analyzed the clinical data obtai...
a.t . , a 43-year - old nigerian lady , presented to the eye clinic of the university college hospital , ibadan with gradual blurring of vision in both eyes for 4 years . ocular examination showed unaided visual acuity of 6/12 ou corrected to 6/9 in both eyes . dilated fundoscopy showed a well circumscribed cystic ...
best macular dystrophy is reported to be rare in africans . it is a hereditary disease that starts in childhood and progresses through some stages before visual symptoms occur . this case report presents a 43-year - old nigerian with the disease and stresses the importance of regular eye exams of patients and relat...
the vulnerability of elderly hospital patients is characterised by simultaneously occurring somatic , psychological , and social problems , which may result in problems in cognitive functioning , mood , behaviour , activities of daily life , and , consequently , in declining quality of life . first , the choices of n...
background . to assess a patient 's cognitive functioning is an important issue because nurses tailor their nursing interventions to the patient 's cognitive abilities . although some observation scales exist concerning one or more cognitive domains , so far , no scale has been available which assesses cognitive func...
storage and biochemical analyses of post - mortem human brain samples and transmission studies to mice were performed with written informed consent from patients with capacity to give consent . where patients were unable to give informed consent , assent was obtained from their relatives in accordance with uk legisla...
mammalian prions , transmissible agents causing lethal neurodegenerative diseases , are composed of assemblies of misfolded cellular prion protein ( prp ) 1 . a novel prp variant , g127v , was under positive evolutionary selection during the epidemic of kuru , an acquired prion disease epidemic of the fore population i...
thermoplastic obturation techniques have the potential to produce a complete filling of root canal space , including irregularities and lateral canals . several techniques have been proposed to obtain optimal adherence of gutta - percha ( gp ) to root canal walls to minimize microbial leakage and to ensure treatment ...
objective : the aim of this study was determine the chemical composition and thermal behavior of thermafil ( th ) , microseal cone ( mc ) , microseal microflow ( mf ) , obtura ( ob ) and obtura flow ( of ) . in addition , their thermal behavior in response to temperature variations was studied by differential scanning ...
noonan syndrome is an autosomal dominant , multisystem disorder with heart defects , cerebrovascular abnormalities , short stature with delayed puberty , cryptorchidism , and delayed language1 ) . autoimmune thyroiditis has been reported in some literatures however thyroiditis with hypothyroidism is even less frequen...
noonan syndrome is an autosomal dominant , multisystem disorder . autoimmune thyroiditis with hypothyroidism is an infrequent feature in patients with noonan syndrome . a 16-year - old boy was admitted because of chest discomfort and dyspnea ; an echocardiogram revealed pericardial effusion . additional investiga...
the fontan procedure , which functionally separates pulmonary and systemic circulation , is the most common approach to singleventricle palliation . as a result of this procedure , cyanosis and ventricular volume overload are alleviated at the expense of elevated systemic venous pressure and limited stroke volume aug...
backgroundgalectin3 may play a role in cardiac and noncardiac fibrosis , and elevated circulating levels of this protein predict adverse outcomes in patients with heart failure who do not have congenital heart disease . we investigated galectin3 in adults with singleventricle fontan circulation , patients who are pro...
the insulin - like growth factor 2 gene ( igf2 ) is an imprinted gene , paternally expressed and encodes for the insulin - like growth factor ii peptide [ 1 , 2 ] . in mice the igf2 gene has five promoters , from which three main transcripts , a placenta specific transcript and a newly described mesoderm - specific tra...
insulin - like growth factor antisense gene ( igf2as ) expression was investigated in different mouse tissues during development , in differentiating c2c12 cells and in a dmr1-u2 knockout mouse model . the expression levels of igf2as were high in fetal and newborn liver and muscle tissues compared to adults . the i...
dual malignancy in young adults is a rare entity . of all well - differentiated thyroid carcinoma patients , 5% are familial . majority familial thyroid cancer are nonmedullary familial thyroid cancer , and have been shown to be present in familial cancer syndromes such as familial adenomatous polyposis , cowden synd...
dual malignancy is rare in adolescents . dual malignancy with the second malignancy of thyroid is rare . no association has been reported between dysgerminoma of ovary and carcinoma thyroid in medical literature . despite a thorough pubmed search ( key words papillary carcinoma of thyroid , metachronous , dysgermi...
chronic viral hepatitis c is one of the most serious chronic infections affecting 170 million people worldwide . in europe the prevalence of hepatitis c virus ( hcv ) infection is also relatively high in latvia . antibodies are found in 2.4% of the population , with hcv - rna prevalence of 1.7% of general populatio...
introduction . with the standard treatment of chronic hepatitis c , sustained virological response ( svr ) can be achieved only in half of all patients . interleukin-28b appears to be involved in the control of hcv infection , and the genetic polymorphism of the encoding il-28b gene may determine the efficacy of clea...
peri - implant bone resorption has been implicated in the success / failure of osseointegrated implants . research on the maintenance of osseointegration under forces transmitted by occlusal load is as important as the study of the initial process of bone formation in different implant surfaces . 2002 ) , in ...
objectivesthe complexity and heterogeneity of human bone , as well as ethical issues , frequently hinder the development of clinical trials . the purpose of this in vitro study was to determine the modulus of elasticity of a polyurethane isotropic experimental model via tension tests , comparing the results t...
during childhood , anemia is one of the most frequently seen intractable health concern that has both social and economic implications all around the world . who estimates that almost one - third of the world s population is anemic , most of which are due to iron deficiency ( 1 ) . iron deficiency anemia ( ida ) comp...
background : iron deficiency anemia ( ida ) is an important health problem all around the world especially in developing countries . in the mediterranean countries another prevelant reason of anemia is thalassemia . certain strategies had been established as a government policy to reduce prevalence in north cyprus , ...
the necessity of oxygen comes from its role in aerobic respiration , a process of extracting energy from food that is approximately 19 times more efficient than its anaerobic counterpart . in eukaryotes , aerobic respiration is carried out in the mitochondria ( descendant of an aerobically respiring bacterium ) by a ...
oxidative stress is a toxic state caused by an imbalance between the production and elimination of reactive oxygen species ( ros ) . ros cause oxidative damage to cellular components such as proteins , lipids , and nucleic acids . while the role of ros in cellular damage is frequently all that is noted , ros are also...
the chemical industry is nowadays dependent on fossil resources such as oil , coal , and gas.1 however , a longterm outlook predicts biomass to become a main carbon source for chemical manufacture . therefore , numerous investigations are now focused on the efficient valorization of biomass . given that carbohydrates...
abstractselected aldohexoses ( dglucose , dmannose , and dgalactose ) and aldopentoses ( dxylose , larabinose , and dribose ) are readily available components of biopolymers . isomerization reactions of these substances are very attractive as carbonefficient processes to broaden the portfolio of abundant monosaccharide...
under the new naming system the salmonella enterica serovar gallinarum is divided into biovar gallinarum ( s. gallinarum ) and pullorum ( s. pullorum ) , which are identified to cause fowl typhoid and pullorum disease in poultry , respectively . while fowl typhoid is a disease of mature birds , pullorum causes mortal...
background : salmonella spp . is the major bacterial pathogen in poultry and is responsible for significant economic losses of the poultry industry in many parts of the world . among salmonella spp . , salmonella gallinarum and salmonella . pullorum are the most common causative agents of chicken salmonellosis re...
the growing number of aged people in western countries carries with it an increase in age - related disorders . among these , alzheimer s disease ( ad ) is the most serious because of its epidemiologic , economic , and social impact . for instance , in italy , families are the main source of care , providing daily ...
backgroundalzheimer s disease ( ad ) causes considerable distress in caregivers who are continuously required to deal with requests from patients . coping strategies play a fundamental role in modulating the psychologic impact of the disease , although their role is still debated . the present study aims to evaluat...
peritoneal dissemination of hepatocellular carcinoma ( hcc ) occurs rarely and is usually considered a terminal stage . dissemination of hcc was shown along the needle biopsy tract to the abdominal wall and by rupture of hcc and as the consequence of cancer peritonitis by tumor recurrence . it should be considered ...
treatment for the peritoneal dissemination of hepatocellular carcinoma ( hcc ) has not yet been established . we report a patient with hcc associated with disseminated intra - abdominal tumor . a 74-year - old man was admitted to our hospital . computed tomography showed a 3 3 cm mass in the left hepatic lobe an...
this is an retrospective analysis of 53 consecutive tscc patients who underwent surgical treatment of their primary tonsil lesions with simultaneous neck dissection between january 2000 and august 2008 at the ilsong memorial institute of head and neck cancer , hallym university medical center , seoul , korea . inclus...
backgroundrisk factors for lymph node metastasis in tonsillar squamous cell carcinoma ( tscc ) need to be established to determine the degree of surgery required to achieve high curative rates . however , little is known currently about the histopathological features predicting prognosis , specifically in tscc.method...
for decades , joint replacement has been a procedure with major impact on the quality of life in elderly patients with joint degenerative diseases or traumatic injuries . unfortunately , some patients develop symptoms after surgical intervention . in the majority of patients , aseptic loosening due to biochemical rea...
background : joint replacement is a procedure with a major impact on the quality of life of patients with joint degenerative disease or traumatic injuries . however , some patients develop symptoms after the intervention caused by mechanical loosening or infection . metabolic imaging by 18f - fdg - pet investigated...
the menopausal stage of a woman 's life may bring a number of changes , especially with regard to her family life , relationships , and work and financial status . during the menopausal transition , vasomotor symptoms such as hot flushes occur due to hormonal fluctuations . decreased estrogen levels in tissues of the...
objectivethe impact of postmenopausal vaginal atrophy and women 's coping strategies were evaluated through international focus groups.methodsthree-hour focus groups of three to five postmenopausal women who had symptoms of vaginal atrophy but had not sought treatment were conducted in canada , sweden , the united stat...
in india , the prevalence of inborn errors of metabolism is one in 2497 newborns and alkaptonuria have incidence of about 1/250 , 000 . a delay in diagnosis and treatment of this disease can result in arthritis and ochronosis ( darkening of the tissues ) due to the slow accumulation of the dark polymer of homogentisi...
since the aggregate incidence of inborn errors of metabolism is relatively high , a high degree of suspicion is essential to correctly diagnose an inborn error of amino acid metabolism . we report a case of alkaptonuria an autosomal recessive disorder that occurs due to deficiency of homogentisic acid oxidasein a -th...
aspirin and other agents characterized as nonsteroidal anti - inflammatory drugs ( nsaids ) are designed primarily to decrease pain and inflammation . the molecular basis for actions of nsaids is believed to be their ability to inhibit cyclooxygenase ( cox ) activity and block the production of prostaglandins...
aspirin and other nonsteroidal anti - inflammatory drugs show efficacy in the prevention of cancers . it is known that they can inhibit cyclooxygenases , and some studies have shown that they can induce apoptosis . our objective in this study was to investigate the mechanism by which aspirin exerts its apoptosis ef...
many studies have shed insight on particular trends in the number and morphology of roots of mandibular premolar and molars amongst different races,1 and information regarding the number of roots and shape is important for dental procedures such as surgical extractions , periodontal treatments , orthodontic movements ,...
objective : the purpose of this study was to investigate the root / number of roots and morphology of mandibular premolars and molars in a korean population , and to evaluate the prevalence of three - rooted mandibular first molars having distolingual ( dl ) roots , three - rooted mandibular second molars , and c - sha...
pyogenic granuloma is an excessive proliferation of granulation tissue that usually develops after minor trauma or surgery . the objective of our report is to describe the clinicopathological feature of this rare disease and give insight on clinical features that help in the diagnosis . this report presents a case ...
backgroundpyogenic granuloma is an excessive proliferation of granulation tissue that usually develops after minor trauma or surgery . ocular involvement usually happens on the external surface and cornea is rarely involved . the objective of our report is to describe the clinicopathological feature of this rare di...
mullerian duct anomalies ( mda ) , though rare , can be a treatable cause of pelvic pain and infertility . the spectrum of mullerian duct anomalies is a continuum rather than distinct entities , and some complex anomalies have features of more than one class . since there are no precise clinical or imaging criteria...
mullerian duct anomalies , though rare , can be a treatable cause of pelvic pain and infertility . various complex mullerian duct anomalies may exist with combination of features of more than one class . since there are no precise clinical or imaging criteria to enable specific categorisation , there is ambiguous c...
both the palmar grasp reflex and the plantar grasp reflex are very primitive in the sense that they can be elicited in all normal preterm infants at as early as 25 weeks of postconceptional age ( pca ) . during routine ultrasound examination , fetal palmar reflex grasping of the umbilical cord has been repeatedly obs...
the plantar grasp reflex is of great clinical significance , especially in terms of the detection of spasticity . the palmar grasp reflex also has diagnostic significance . this grasp reflex of the hands and feet is mediated by a spinal reflex mechanism , which appears to be under the regulatory control of nonprima...
a healthy 60-year - old male with a 30 pack - year smoking history presented with 2 months of right eye pain , headache , and photophobia . his ocular history was significant for pterygium excision with mitomycin c in the right eye 5 years ago as well infiltrative infectious scleritis secondary to enterobacter cloaca...
we report an interesting case of infectious scleritis from coinfection of pseudomonas aeruginosa and bipolaris with no corneal infiltrate . a healthy 60-year - old man with a history of infectious scleritis following pterygium excision presented with purulent material growing p. aeruginosa and 1 + colonies of bipolaris...