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[ "high resolution transmission electron microscopy and high angle annular dark - field scanning transmission electron microscopy were employed to investigate the microstructure and the epitaxial growth of the structures . room temperature ferroelectric and ferrimagnetic domains of the heterostructures were imaged by...	epitaxial heterostructures combining ferroelectric ( fe ) and ferromagnetic ( fim ) oxides are a possible route to explore coupling mechanisms between the two independent order parameters , polarization and magnetization of the component phases . we report on the fabrication and properties of arrays of hybrid epitaxial...
[ "malnutrition can lead to increased risk of surgery , decreased quality of life , increased incidence of postoperative complications , increased fatality rate , and decreased survival rate among elderly lung cancer inpatients.1,2 nutrition support has also been reported to improve the perioperative nutritional stat...	purposethis study assessed the nutritional status of elderly chinese lung cancer inpatients using a revised version of the mini - nutritional assessment ( mna ) tool.patients and methods : the revised version of the mna tool was used to assess the nutritional status of 180 elderly chinese lung cancer inpatients prior t...
[ "thus , the objective of this work is to verify the correlation between physical exercise , dizziness , probability of falls , and symptoms of depression in a group of middle - aged and elderly group . population aging can be considered as the most evident and dynamic aspect of modern demography , influencing the e...	introduction dizziness is a symptom that can lead to falls , which , in turn , undermine ons independence and autonomy , leading to several comorbidities . the practice of physical exercise , however , can help prevent falls . objective the objective of this study is to confirm the association between physical exerci...
[ "we did a penetrometer test to measure the initial modulus of rigidity of the spot being tested , using a texture analyzer ( ta.xt2i , stable micro systems , surrey , uk ) fitted with a 10 stainless steel cone moving at 0.5 mm / s . in each stipule we measured the differences in stiffness between extrafloral necta...	abstractextrafloral nectaries play an important role in plant defense against herbivores by providing nectar rewards that attract ants and other carnivorous insects . however , extrafloral nectaries can themselves be targets of herbivory , in addition to being exploited by nectar - robbing insects that do not provide d...
[ "the concept of the postgraduate - trained family physician qualified to deliver equitable , high - quality phc closer to the community is now accepted in many countries around the world . however , in sub - saharan africa , family medicine is still a relatively new concept . in this article , we analyse the develo...	background.health-care systems based on primary health care ( phc ) are more equitable and cost effective . family medicine trains medical doctors in comprehensive phc with knowledge and skills that are needed to increase quality of care . family medicine is a relatively new specialty in sub - saharan africa.objective....
[ "the objective of this commentary is to review current sodium consumption worldwide , discuss cost - effective strategies to reduce dietary sodium , as well as briefly review the role of behavioural and policy - based environmental interventions in reducing dietary sodium on a population - based scale . diets high ...	excess intake of dietary salt is estimated to be one of the leading risks to health worldwide . major national and international health organizations , along with many governments around the world , have called for reductions in the consumption of dietary salt . this paper discusses behavioural and population intervent...
[ "the disease may show variation in terms of its presentation and clinical course , which needs to be addressed carefully before making any airway management plan . the associated edema which may develop within an hour is the leading cause of potential life - threatening airway compromise . the purpose of reporting ...	airway management of adult patients with acute supraglottitis is challenging . the sign and symptoms of the disease may show marked variation in terms of severity and progression . thorough evaluation is required before selecting any particular approach . we report the case of an adult patient with acute supraglottitis...
[ "a 15-year - old boy had complained of motility limitation in the right eye since a young age . because open reduction surgery for an old orbital wall fracture would be very difficult , and fruitless for this patient , we decided only to perform surgery on the eye muscle . the patient 's ocular motor impairment was...	we report a case of pseudo - duane 's retraction syndrome with entrapment of the medial rectus muscle in an old medial orbital wall fracture presenting identical clinical symptoms as duane 's retraction syndrome . a 15-year - old boy presented with persistent limited right eye movement since a young age . examination s...
[ "therefore , this study aims to help adult women with lumbar disc herniation recover muscle \n strength and stability through 8-week lumber extension strength exercise programs , and to \n provide data for constructing an integrated exercise program . lumbar spine instability has been reported to be the leading cau...	[ purpose ] the purpose of this study was to provide the data for constructing an integrated exercise program to help restore muscle strength and stability through extension strength exercise in adult females with lumbar disc herniation . [ subjects and methods ] an 8-week exercise program for lumbar muscle exten...
[ "they provide the first glimpse at changes occurring within the general economy and the health care sector . the accompanying tables report selected quarterly statistics for 1990 through the first quarter of 1993 , and the calendar year aggregation of quarterly information in the past 3 years . this article present...	this regular feature of the journal includes a discussion of each of the following four topics : community hospital statistics ; employment , hours , and earnings in the private health sector ; health care prices ; and national economic indicators . these statistics are valuable in their own right for understanding the...
[ "the purpose of this study was to determine whether the completion of a vd questionnaire could have a good predictive value for uroflowmetry findings , in a population of sui women showing no obvious etiologies of obstruction . urinary retention and voiding dysfunction ( vd ) symptoms ( hesitancy , straining to voi...	objectives : to determine whether the completion of a voiding dysfunction ( vd ) questionnaire could have a good predictive value for uroflowmetry findings , in a population of stress urinary incontinence ( sui ) women.materials and methods : from a urodynamic database of 415 sui women , 93 with isolated sui who underw...
[ "scurvy is a disease that played an important role in history and used to be the number one killer of sailors . it is still diagnosed in third - world countries because of malnutrition and in epidemic form in refugee camps .", "a 35-year - old patient was seen at the emergency department of a level 1 trauma centr...	scurvy is a disease that played an important role in ancient history and used to be a notorious cause of death in sailors . nowadays , scurvy is not a common diagnosis in the civilized world , but this case report indicates that this old - fashioned disease is not extinct at all and still exists but in a different pati...
[ "therefore , we analyzed muscle \n activity under free walking , jogging ( 8.7 km / h ) , and running ( 8.8 km / h ) conditions on a \n treadmill . we \n postulated that the load imposed on the lower limbs would change at different running \n velocities . furthermore , because portion failure differs among indi...	[ purpose ] the present study aimed to determine changes in muscle activity while moving on a treadmill at various speeds . [ subjects ] the activities of the left vastus lateralis , vastus medialis , hip adductors , lateral head of gastrocnemius , medial head gastrocnemius , soleus , and tibialis anterior of 10 ...
[ "", "the online version of this article ( doi:10.1007/s13300 - 015 - 0133-z ) contains supplementary material , which is available to authorized users .", "chronic kidney disease ( ckd ) is a common condition in patients with type 2 diabetes ( t2 dm ) . prior studies have demonstrated the preferential use of si...	introductionchronic kidney disease ( ckd ) is common in patients with type 2 diabetes ( t2 dm ) and makes them particularly susceptible to safety / tolerability issues related to many classes of oral antihyperglycemic agents ( oaha ) . dipeptidyl peptidase-4 inhibitors ( dpp-4is ) like sitagliptin are generally well to...
[ "the use of the kuntscher nail has been the most important advancement in trauma surgery .", "firstly , we performed a simple unicortical osteotomy on the lateral side from the proximal part to below the callus in order to decompress the femoral canal without success . he had an acetabulum fracture and a femoral ...	introduction : the use of the kuntscher nail has been the most important advancement in trauma surgery . one of the problems is the difficulty to remove it . a new extraction technique is described in the present case report.case report : a 46-year - old man was referred for hip osteoarthritis . he had an acetabulum fr...
[ "finally , the stability and transport characteristics of the dipeptide monoester prodrugs of floxuridine were compared with those of the corresponding amino acid monoester prodrugs . the feasibility of selective antiproliferative action of amino acid / dipeptide floxuridine prodrugs was also explored using cancer ...	dipeptide monoester prodrugs of floxuridine were synthesized , and their chemical stability in buffers , resistance to glycosidic bond metabolism , affinity for pept1 , enzymatic activation and permeability in cancer cells were determined and compared to those of mono amino acid monoester floxuridine prodrugs . prodrug...
[ "we present here a study of the primate macaca mulatta genome to identify and characterize insertion sites of the two representative retroelements present , and further , comparison with similar features of the human genome ( excluding the y chromosome ) . the structural and thermodynamic features as well as protei...	mobile genetic elements ( mges ) are fragments of dna that can move around within the genome through retrotransposition . these are responsible for various important events such as gene inactivation , transduction , regulation of gene expression and genome expansion . the present work involves the identification and st...
[ "we report herein the case of a patient with severe uc that had developed during the first trimester of pregnancy and was refractory to combination therapy with high - dose corticosteroids and intensive gma , but was successfully treated with tacrolimus following cesarean section early in the third trimester . inte...	a 36-year - old woman who had been diagnosed with ulcerative colitis at the age of 17 years was referred to our hospital because of severe abdominal pain and repeated bloody diarrhea that persisted during pregnancy despite combination therapy with high - dose corticosteroids and weekly granulocyte and monocyte adsorpti...
[ "only a few cases of pulmonary vascular tumors diagnosed using endobronchial ultrasound - guided transbronchial needle aspiration ( ebus - tbna ) have been reported in the literature . they frequently present as filling defects in the pulmonary vasculature on computed tomography ( ct ) making it challenging to dist...	leiomyosarcoma of the pulmonary vasculature is an extremely rare condition that has not been previously diagnosed by endobronchial ultrasound ( ebus ) bronchoscopy . we present the case of a 43-year - old white male with a history of leiomyosarcoma who was diagnosed with pulmonary embolism 2 years ago . as the filling ...
[ "the purpose of this study was to develop and validate prognostic nomograms for disease recurrence in patients with ta , t1 transitional cell carcinomas of the bladder . these nonograms will facilitate patient counseling , choosing the most appropriate adjuvant treatment after tur , and determining the frequency of...	we developed nomograms to predict disease recurrence in patients with ta , t1 transitional cell carcinoma of the bladder . thirty - eight training hospitals participated in this retrospective multicenter study . between 1998 and 2002 , a total of 1,587 patients with newly diagnosed non - muscle invasive bladder cancer ...
[ "we are presenting a case of ebtb that manifested with two endobronchial masses , which almost totally occluded the bronchial lumen and resulted in repeated episodes of post - obstructive pneumonia for more than a year prior to diagnosis . endobronchial stenosis is a common complication of ebtb despite the use of a...	endobroncheal tuberculosis is defined as tuberculous infection of the tracheobronchial tree with microbial and histopathological evidence . the disease is usually mistaken for other lung diseases including lung cancer . bronchial stenosis is a common complication of this type of tuberculosis despite the use of effectiv...
[ "the present study was conducted in the psychiatry outpatient department of a tertiary care hospital during one year after obtaining clearance from institutional ethical committee . their sociodemographic profile , characteristics of migraine , psychiatric history , detailed physical examination as well as mental s...	background : migraine is a common disorder which has psychiatric sequelae.objective:the objective of this study was to determine the clinical pattern and psychiatric comorbidity of migraine.materials and methods:100 cases of migraine seen over a period of one year were analysed to know the sociodemographic characterist...
[ "medullary thyroid carcinoma ( mtc ) is a rare neuroendocrine cancer that originates from thyroid parafollicular calcitonin-(ct- ) producing cells . the possibility of testing these novel drugs in vitro ( in primary thyroid cancer cells ) and in vivo may help to improve the personalization of treatments . other stu...	parafollicular c - cell - derived medullary thyroid cancer ( mtc ) comprises 3% to 4% of all thyroid cancers . while cytotoxic treatments have been shown to have limited efficacy , targeted molecular therapies that inhibit rearranged during transfection ( ret ) and other tyrosine kinase receptors that are mainly involv...
[ "bactericidal activity thus may be useful in the therapy of respiratory tract infections as a means to curtail , but not avoid , the emergence of resistance . the ability of bactericidal activity to influence therapeutic efficacy and clinical outcome has been evaluated in infections that typically are refractory to...	the global emergence of antibacterial resistance among common and atypical respiratory pathogens in the last decade necessitates the strategic application of antibacterial agents . the use of bactericidal rather than bacteriostatic agents as first - line therapy is recommended because the eradication of microorganisms ...
[ "the fa pattern of six sponge species and three types of reef food resources were analyzed , and the relative input of different sources to the diet of the sponges was determined . , bacterioplankton , coral mucus , and coralline algae as proxies for dom were analyzed . through stable isotopes and fatty acid biomar...	the diet of cavity sponges on the narrow fringing reefs of curaao , caribbean was studied . the origin and resources of the bulk food of these sponges , i.e. , dissolved organic matter ( dom ) , were identified using stable carbon and nitrogen isotopes and fatty acid biomarkers . we found that phytoplankton and its der...
[ "the data showed that both asgr1 and asgr2 are expressed in human monocytes in the circulation , that expression can not be detected in lymphocytes and granulocytes , that the transcripts of both genes differ between individuals and that , in a given individual , the transcription profile for asgr2 is restricted to...	background . the asialoglycoprotein receptor ( asgpr ) is a hepatic receptor that mediates removal of potentially hazardous glycoconjugates from blood in health and disease . the receptor comprises two proteins , asialoglycoprotein receptor 1 and 2 ( asgr1 and asgr2 ) , encoded by the genes asgr1 and asgr2 . design and...
[ "using these recommended estimates along with results from the fitnessgram body composition classifications , the purpose of this analysis is to estimate the lifetime economic impact of childhood obesity for this single age cohort in the two most populous states , california and texas . the prevalence of obesity in...	the prevalence of childhood obesity in the united states increased more than three - fold from 1976 1980 to 2007 2008 . the presidential youth fitness program s fitnessgram is the current method recommended by the president s council on fitness , sports & nutrition for assessing health - related fitness factors , inc...
[ "we report an interesting and rather unique case of a brown tumor of maxilla and mandible developing after acute exogenous thyroxine poisoning in a young female patient under treatment for hypothyroidism and ectopic intrathoracic parathyroid adenoma . brown tumor is a non - neoplastic giant cell lesion characterize...	brown tumor is a giant cell lesion associated with hyperparathyroidism . it is a non - neoplastic condition and represents terminal stage of the remodeling process in hyperparathyroid state . we report a case of brown tumor with multiple lesions in craniofacial region associated with ectopic parathyroid adenoma reveale...
[ "( figure ) . the phylogenetic position of candidatus rickettsia vini based on the ompa nucleotide sequences in a study of the role of birds in dispersal of etiologic agents of tick - borne zoonoses , spain , 2009 . during april october 2009 , bird bandings were conducted in the protected area of finca ribavellosa...	we amplified gene sequences from anaplasma phagocytophilum , borrelia garinii , b. valaisiana , b. turdi , rickettsia monacensis , r. helvetica , r. sibirica sibirica , and rickettsia spp . ( including candidatus rickettsia vini ) in ticks removed from birds in spain . the findings support the role of passerine birds a...
[ "central nervous system drugs ( 58.7 % ) were the most prescribed class of inappropriate medications in korean long - term care facilities.inappropriate medication use was associated with the number of co - medications and long - term care insurance grade 3 , which means less dependence and a requirement of low - ...	backgroundelderly residents of long - term care facilities are more vulnerable to being prescribed inappropriate medications because of the high incidence of co - medication in this population resulting from the presence of multiple chronic diseases and also age - related changes in pharmacokinetics and pharmacodynamic...
[ "once hcc is detected , patients experience repeated recurrence , despite the fact that a variety of hcc treatment methods have been developed , such as anti - viral agents , surgical treatment , percutaneous ethanol injection ( peit ) , radiofrequency ablation ( rfa ) , trans - catheter arterial chemoembolization ...	key clinical messageautologous formalin - fixed tumor vaccine ( aftv ) suppressed re - recurrence for more than 32 months of multiple - recurrent hepatocellular carcinoma based on hepatitis c virus - induced liver cirrhosis in a case with previous recurrence interval , 51- , 28- , 12- , and 4-months . we detected glyp...
[ "we need to identify and understand the mechanisms that predispose patients to the excessive inflammation resulting from an overactive innate immune response that characterizes sepsis and lung injury . these include stimuli , signal transduction ( receptors , enzyme cascades , transcription factors ) , gene(s ) res...	the role of oxidative stress in regulating transcription factors and specific gene responses in critical illness is a new and emerging area . a better understanding of the proinflammatory oxidant stimuli of reactive oxygen species generation and how this generates the clinical phenotype of acute lung injury by regulati...
[ "a distally - based island sural flap was used in 10 cases for hindfoot reconstruction , and the lateral supramalleolar fasciocutaneous flap was used in 3 cases for lateral arch reconstruction of the mid- and forefoot after wide excision of malignant melanomas ( table 1 ) . one patient had ipsilateral inguinal and ...	backgroundwe report on our experience with using a distally based island flap for soft tissue reconstruction of the foot in limb salvage surgery for malignant melanoma patients.methodsa distally based sural flap was used for 10 cases for the hindfoot reconstruction , and a lateral supramalleolar flap was used for 3 cas...
[ "more recently , the technique of automatic tube compensation ( atc ) has become available to specifically address this issue . in this issue of critical care , maeda and commonly , pressure support ventilation ( psv ) has been suggested as the technique of choice for eliminating imposed work due to the et tube . t...	concerns about the work of breathing imposed by the endotracheal tube have led clinicians to routinely use pressure support to overcome this resistive component . more recently , ventilator manufacturers have introduced systems to automatically overcome endotracheal tube resistance , regardless of tube diameter or pati...
[ "our previous study indicated that fowler s position with an upright upper trunk is effective for maintaining circulatory volume with lower tachycardia via vagal withdrawal compared with having the whole trunk upright in younger subjects.25 however , whether an upright upper trunk in fowler s position allows easy m...	backgrounddownward shifts in blood volume with changing position generally cause tachycardic responses . age - related decreases in vagal nerve activity could contribute to orthostatic hypotension in older individuals . fowler s position is a reclined position with the back between 30 and 60 , used to facilitate breath...
[ ", we will outline the pivotal role that lipid rafts play in linking together the generation , self - assembly and toxicity of a oligomers , which underlie the development of the neuropathology in ad . a major focus will be upon the interaction between a oligomers and their putative cellular receptors . crucially ,...	lipid rafts are membrane microdomains , enriched in cholesterol and sphingolipids , into which specific subsets of proteins and lipids partition , creating cell - signalling platforms that are vital for neuronal functions . lipid rafts play at least three crucial roles in alzheimer 's disease ( ad ) , namely , in promo...
[ "the reproduction of the optical characteristics of the teeth , such as translucency , opalescence and fluorescence , requires a considerable knowledge of restorative techniques and the materials currently available . this article presents a case report of a restorative treatment of enamel hypoplasia using hybrid c...	enamel hypoplasia is a developmental defect of the enamel that is produced by a disturbance in the formation of the organic enamel matrix , clinically visible as enamel defects . disorders that occur during the stages of enamel development and maturation reduce the amount or thickness of the enamel , resulting in white...
[ "gastrointestinal lipomas are rare , mostly small and detected incidentally during endoscopic examination ( 1 ) . these changes if extensive can mimic a liposarcoma ; however , frank liposarcoma of the colon is extremely rare and requires the presence of lipoblasts ( 2 ) . these tumours are benign proliferations of...	lipomas of the alimentary tract are rare tumours that can mimic malignant lesions . they are often small and asymptomatic although larger tumours can present with intusussception or as abdominal masses . we present a case of a transverse colon submucosal lipoma masquerading as a colonic adenocarcinoma leading to resect...
[ "a total of 10,420 est - ssrs were identified , among which 2744 est - ssrs are detected for the first time , according to the ssr marker database for brassica ( http://oilcrops.info/ssrdb ) . could also be identified for further studies such as high - density genetic linkage map construction , gene / qtl mapping ,...	simple sequence repeats ( ssrs ) are among the most important markers for population analysis and have been widely used in plant genetic mapping and molecular breeding . expressed sequence tag - ssr ( est - ssr ) markers , located in the coding regions , are potentially more efficient for qtl mapping , gene targeting ,...
[ "much of the current success in clinical positron emission tomography ( pet ) can be attributed to the development of 2-(f ) fluoro-2-deoxy - d - glucose ( f18-fdg ) . it is the most commonly used radiopharmaceutical in the pet , with a half - life of 110 min . before the release of f18-fdg for human use , the qual...	background : the bacterial endotoxin test ( bet ) performed using gel clot method is a 60-min test and typically performed after the decay of the 2-(18f ) fluoro-2-deoxy - d - glucose ( f18-fdg ) sample to determine the endotoxin content . the objective of this study protocol was to perform bet testing of f18-fdg by ge...
[ "bt seems to be superior option for dose escalation and psa control in prostate cancer patients . results of this study suggest that bt alone , particularly seed implant , provides superior psa free survival in low risk patients . comparative analysis of psa free survival outcomes by prostate cancer results study g...	prostate cancer , due to wide availability of psa tests , is very often diagnosed in early stage , nowadays . this makes management of this disease even harder in every day oncology care . there is a wide range of treatment options including surgery , radiotherapy and active surveillance , but essential question is whi...
[ "the goal of this study was to determine whether noncompliance with antibiotic treatment affects short - term or long - term complications . in addition to the uncertainly in the scientific literature , parents seem to be uncertain regarding the benefits of antibiotic treatment for acute gabhs pharyngitis and tend ...	background . uncertainty exists concerning the necessity of 10-day antibiotic treatment of group a beta hemolytic streptococcus ( gabhs ) pharyngitis . objective . to assess the incidence of gabhs recurrence and suppurative and nonsuppurative complications in relation to compliance . methods . ( design ) . prospective ...
[ "it has several advantages , as it is \n noninvasive and convenient , and can perform measurement even during dynamic motion10 , 11 . surface emg is widely used in kinetic analysis to diagnose normal \n or abnormal function in muscles and nerves according to amplitude and frequency9 . this study aimed to compare th...	[ purpose ] this study compared the differences in electrophysiological characteristics of normal muscles versus muscles with latent or active myofascial trigger points , and identified the neuromuscular physiological characteristics of muscles with active myofascial trigger points , thereby providing a quantitat...
[ " cervical small cell carcinoma and ovarian carcinoids are the most common gynaecological ne tumours . primary or secondary neurondocrine ( ne ) tumours of the female genital tract are rare .", "neuroendocrine tumours comprise a set of neoplasms that arises from the diffuse neuroendocrine cell system . the purpo...	backgroundboth primary and secondary gynaecological neuroendocrine ( ne ) tumours are uncommon , and the literature is scarce concerning their imaging features.methodsthis article reviews the epidemiological , clinical and imaging features with pathological correlation of gynaecological ne tumours.resultsthe clinical f...
[ "adcc is a relatively rare malignant salivary gland tumor comprising less than 1% of all malignancies of head and neck . it is the 5 most common malignancy of salivary gland origin , representing 5 - 10% of all salivary gland neoplasms . the parotid and submandibular glands are the two most common sites for adcc ac...	adenoid cystic carcinoma is an uncommon , slow growing malignant salivary gland tumor that is characterized by wide local infiltration , perineural spread , propensity to local recurrence and distant metastasis . in this paper , the authors present a case of adenoid cystic carcinoma affecting the palate and involving t...
[ "the quantity of trauma victims and the management involved in attending them leads to a great workload in most hospitals and places an enormous amount of pressure on the health care system . the aim of this retrospective study was to compare the peculiarities of maxillofacial injuries caused by interpersonal viole...	abstractobjectivesthe aim of this retrospective study was to compare the peculiarities of maxillofacial injuries caused by interpersonal violence with other etiologic factors.material and methodsmedical records of 3,724 patients with maxillofacial injuries in so paulo state ( brazil ) were retrospectively analyzed . th...
[ "the influence of the sialyl protecting groups , solvent \n polarity , and hydroxylamine steric bulk on the thermal equilibration \n reactions of the sialyl hydroxylamines are presented and afford insight \n into the influence of the trans - fused oxazolidinone \n group in sialic acid chemistry . the lack of kineti...	a method for the investigation of the influence of protecting groups on the anomeric equilibrium in the sialic acid glycosides has been developed on the basis of the equilibration of o - sialyl hydroxylamines by reversible homolytic scission of the glycosidic bond following the dictates of the fischer ingold ...
[ "we present a norwegian family with a v628 m mutation in the atp1a2 gene ( fig . 1 ) . familial hemiplegic migraine ( fhm ) is an autosomal dominant rare type of migraine with aura characterized by some degree of hemiparesis . the majority of fhm families have pure fhm , but cerebellar ataxia is frequent in fhm f...	we present a norwegian family with familial hemiplegic migraine ( fhm ) with possibly four affected in three generations . the family had a point mutation in the atp1a2 gene that caused a change of the amino acid valine to methionine ( v628 m ) . the symptoms were pure fhm with intra- and interindividual variability ,...
[ "this article describes the experience of the informatics fellow and the new jersey geographic information system(gis ) coordinator during the first two weeks of the investigation in assessing information system needs and organizing on - site computer support for the new jersey arm of the investigation . a few days...	backgroundthe investigation of potential exposure to anthrax spores in a trenton , new jersey , mail - processing facility required rapid assessment of informatics needs and adaptation of existing informatics tools to new physical and information - processing environments . because the affected building and its compute...
[ "most of the literature pertaining to the situation in the developed world , showed that the disease is largely confined to the elderly patients taking ulcerogenic medications.[15 ] the situation in the developed nations is summed up by johnson : the surgeon s major role in the management of peptic ulcer disease w...	introduction : perforated duodenal ulcer ( pdu ) is still seen frequently in the study center inspite of the free use of effective medical curative therapy . we then set out to ascertain the pattern of presentation , peculiar risk factors in the study environment , re - evaluate our method of management , and to see if...
[ "hemophilia b is a chronic hereditary disease characterized by a deficiency in factor ix ( fix ) activity . the benefit of such regimen in untreated patient or in primary prophylaxis or secondary prophylaxis remains to be demonstrated . effect of switching from twice - weekly to once - weekly prophylaxis is not yet...	regular prophylactic treatment in severe hemophilia should be considered an optimal treatment . there is no general agreement on the optimal prophylaxis regimen , and adherence to prophylaxis is a main challenge due to medical , psychosocial , and cost controversies . improved approaches in prophylaxis regimen of hemop...
[ "the objective of the present study was to isolate and characterize proteins with protease inhibitory activity from white cloud beans . protease inhibitors have been purified from an array of leguminous and nonleguminous species encompassing torresea cearensis , erythrina caffra , dolichos lablab , crotalaria pauli...	a purification protocol that comprised ion exchange chromatography on deae - cellulose , affinity chromatography on affi - gel blue gel , ion exchange chromatography on sp - sepharose , and gel filtration by fplc on superdex 75 was complied to isolate two trypsin inhibitors from phaseolus vulgaris cv white cloud bean ...
[ "although about two - thirds of patients with epilepsy ( pwe ) treated with antiepileptic drugs ( aeds ) reach seizure - freedom , about one - third remains drug - resistant to the current therapies.1 despite the introduction of new aeds with a better pharmacokinetic and safety profile compared to old generation ae...	brivaracetam ( brv ) , a high - affinity synaptic vesicle protein 2a ligand , reported to be 1030-fold more potent than levetiracetam ( lev ) , is highly effective in a wide range of experimental models of focal and generalized seizures . brv and lev similarly bind to synaptic vesicle protein 2a , while differentiating...
[ "\n acute intussusception is one of the most common causes of acute abdomen in infants . management includes both surgical and non - surgical methods , with gradually increasing importance recently being accorded to the latter . conservative measures , including hydrostatic reduction , are the methods of choice for...	we present a case of infantile intussusception treated successfully using hydrostatic reduction , highlighting the importance of non - surgical techniques as the first line of management for this entity . physicians should strive for mastery over such techniques by extensive training to prevent unwanted surgical proced...
[ "1structure of chitosan structure of chitosan in the present study , an attempt has been made to assess the salubrious effect of dietary chitosan intake on myocardial lipid peroxidation and glutathione - dependent antioxidant status in young and aged rats by virtue of its antioxidant and hypolipidemic properties . ...	aging has been defined as the changes that occur in living organisms with the passage of time that lead to functional impairment and ultimately to death . free radical - induced oxidative damage has long been thought to be the most important consequence of the aging process . in the present study , an attempt has been ...
[ "the aim of this retrospective pilot study was to examine and compare the cleft lip \n and palate patients ' satisfaction after treatment with either maxillary distraction \n or traditional advancement of the maxilla after a le fort i osteotomy . cleft lip and palate ( clp ) patients are going through an extensive ...	abstractobjectivesto compare cleft lip and palate patients ' satisfaction with aesthetics and functional parameters after conventional advancement of the maxilla or by the use of distraction osteogenesis.material and methodscase series observational study . group of distraction osteogenesis ( do ) consisted of 15...
[ "a rising trend in the incidence and prevalence of inflammatory bowel disease ( ibd ) in asia has been recognized for the past two decades . the thiopurine drugs azathioprine ( aza ) and mercaptopurine are widely used for the treatment of ibd and have proven to be effective in both inducing and maintaining remissio...	the immunosuppressant azathioprine ( aza ) is widely used in the treatment of inflammatory bowel disease ( ibd ) for both inducing and maintaining remission . however , the adverse effects of aza can often necessitate a dose reduction or discontinuation . bone marrow suppression is one of the most serious complications...
[ "the aim of our study was to analyse the vitreous and serum of diabetic patients with dme and severe npdr and compare them to nondiabetic controls . we compared blood and vitreous levels of vegf , ua , and protein between the two study groups and describe their correlation with the changes seen in oct . , we found ...	purpose . we investigated two factors linked to diabetic macular edema ( dme ) , vitreous and serum levels of vascular endothelial growth factor ( vegf ) and uric acid ( ua ) in patients with dme , and compared the results with changes in optical coherence tomography ( oct ) and visual acuity ( va ) . methods . a prosp...
[ "this study aimed to investigate the impact of ficolin b ( the orthologue to human m - ficolin ) on the development of diabetic nephropathy in a mouse model of type 1 diabetes . the present paper focuses on the lectin pathway , in which at least five soluble pattern - recognition molecules are characterized that ma...	background . the innate immune system may have adverse effects in diabetes and cardiovascular disease . the complement system seems to play a key role through erroneous complement activation via hyperglycaemia - induced neoepitopes . recently mannan - binding lectin ( mbl ) was shown to worsen diabetic kidney changes ....
[ "how to choose surgical approach in severe multilevel cervical cord compression case is a hot debate on spine surgery . some surgeons prefer posterior approach , owing to easy decompression , low surgical risks and complications14 ) . whereas other surgeons suggest that combined anterior and posterior approach at o...	objectiveto investigate the causes for failed anterior cervical surgery and the outcomes of secondary laminoplasty.methodsseventeen patients failed anterior multilevel cervical surgery and the following conservative treatments between feb 2003 and may 2011 underwent secondary laminoplasty . outcomes were evaluated by t...
[ "but , use of drugs by the elderly and their clinical outcomes especially adverse drug reactions ( adrs ) have not been prominent research topic and continues to be given low priority in national and international public health arena , at least in a developing country like india . however , we feel that this probab...	medications probably are the single most important health care technology in preventing illness , disability , and death in the geriatric population . age - related changes in drug disposition and pharmacodynamic responses have significant clinical implications ; increased use of a number of medications raises the risk...
[ "day care or ambulatory anaesthesia is as old as the history of anaesthesia itself . in the last few decades , it has gained significant popularity mainly because of the enormous cost savings and has therefore been accepted by the hospitals , patients and the insurance companies alike . this study aimed to examine ...	background and aims : day care surgery offers respite from hospitalisation for specific surgical procedures and has many advantages . however , occasionally patients who undergo such surgery require hospitalisation for unanticipated complications . we aimed to determine their incidence and to identify factors associate...
[ "the complexity of the multiple actions of the proteins in both inflammation and coagulation should excite the clinician with regard to potential new therapies that may be beneficial via activation of one or both of the concurrent pathways . however , before clinicians can administer new therapies that utilize new ...	the relationship between blood coagulation factors and the promotion or inhibition of the anti - inflammatory response continues to be defined through basic research . the potential key role of blood coagulation factors in the response during sepsis provides an exciting potential mechanism(s ) for modification through ...
[ "however , the discovery of jak2 mutations , which has established that dysregulation of the jak - stat signalling pathway is a major contributor to the pathogenesis of mpns , has also led to the development of small - molecule jak1/2 inhibitors , the first of which ( ruxolitinib ) has been approved for the treatme...	myelofibrosis ( mf ) is a bcr - abl1negative myeloproliferative neoplasm that is mainly characterised by reactive bone marrow fibrosis , extramedullary haematopoiesis , anaemia , hepatosplenomegaly , constitutional symptoms , leukaemic progression , and shortened survival . as such , this malignancy is still orphan of ...
[ "based on the patient clinical and radiographic findings , a diagnosis of multifocal periapical cemento - osseous dysplasia was made . periodontal ligament space widening was found , especially around the root of the left lateral incisor . the lesion associated with the left mandibular lateral incisor was radioluce...	periapical cemento - osseous dysplasia ( pcod ) is a subtype of cemento - osseous dysplasia that usually occurs in middle - aged black women . this report described a case of a 45-year - old iranian woman who was diagnosed with pcod on the basis of cone beam computed tomographic ( cbct ) findings . cbct enabled detaile...
[ "the aim of this study was to evaluate the fracture resistance and failure pattern of \n endodontically treated mandibular premolars restored with different ferrule heights in \n combination with fiber posts and all - ceramic crowns . the null hypothesis was that \n different ferrule heights do not improve the frac...	objectivethis study investigated the effect of different ferrule heights on endodontically treated premolars.materials and methodsfifty sound mandibular first premolars were endodontically treated and then restored with 7-mm fiber post ( frc postec plus # 1 ivoclar - vivadent ) luted with self - polymerized resin...
[ "dichlorvos ( dimethyl-2 , 2-dichloro vinyl phosphate ) is an organophosphorous ( op ) insecticide with moderate human toxicity , used for insect control in food storage areas , greenhouses , barns and control of insects on livestock . parenteral dichlorvos administration with suicidal intention is rarely reported ...	current case report describes a 37-year - old female patient who was admitted to the hospital following subcutaneous injection of dichlorvos with an insulin syringe . the only peripheral cholinergic sign observed on admission was excessive salivation with bilateral pyramidal tract signs . locally she had necrosis of sk...
[ "we describe the clinical presentations and secondary complications associated with oropharyngeal injury with the case of a 74-year - old man who suffered a hypopharyngeal laceration after tee . transesophageal echocardiography ( tee ) is considered to be safe and relatively noninvasive diagnostic tool,1 ) however ...	transesophageal echocardiography ( tee ) is considered relatively safe but semi - invasive . the hypopharyngeal and esophageal injury is infrequent complication of tee but could be serious , even life - threatening . we present a case of a 74-year - old man who experienced a deep neck infection secondary to hypopharyng...
[ "our aims in the current study are to : ( 1 ) summarize epidemiological studies of dementia in japan including relevant details of study protocols and diagnostic criteria , ( 2 ) compare age - specific prevalence of all - cause dementia among studies , and ( 3 ) assess the trends in ad versus vad over time . there ...	there is a paucity of data regarding trends in dementia and its subtype prevalence in japan . our aims in the current paper are to : ( 1 ) summarize epidemiological studies of dementia in japan including relevant details of study protocol and diagnostic criteria , ( 2 ) compare the age - specific prevalence of all - ca...
[ "therefore , the \n purpose of this study was to identify the effects of joint mobilization using keomt and pnf \n on a patient with clbp and a lumbar transitional vertebra . this case study was a single patient with clbp and a lumbar transitional vertebra who has \n six lumbar vertebrae ( not five ) . in addition ...	[ purpose ] the purpose of this case study was to identify the effects of joint mobilization using kaltenborn - evjenth orthopedic manual therapy ( keomt ) and proprioceptive neuromuscular facilitation ( pnf ) techniques on a patient with chronic low back pain ( clbp ) and a lumbar transitional vertebra . [ metho...
[ " to learn about the normal anatomy of the neural tube on mri to recognise the mr appearance of neural tube defects to understand the value of mri in assessing ntds", "the additional information provided by mri may lead to changes in the management of the pregnancy and/or of the delivery [ 25 ] . in this articl...	objectiveto assess the role of magnetic resonance imaging ( mri ) in the prenatal diagnosis of neural tube defects ( ntds).backgroundntds comprise a heterogeneous group of congenital anomalies that derive from the failure of the neural tube to close . advances in ultrasonography and mri have considerably improved the d...
[ ". the standards of postoperative care issued by the american society of anesthesiology does not state how handover should be performed nor what information it should include , leaving the handover process decision up to the individual clinician . in these studies , critical details such as the preoperative state o...	abstractcurrently , no reported studies have evaluated intraoperative handover among anesthesia providers . studies on anesthetic handover in the us recovery room setting observed that handover processes are insufficient and , in many instances , significant intraoperative events are disregarded . an online survey tool...
[ "we show that the cytokines ifn , ip-10/cxcl10 and mig / cxcl9 serve as effector molecules in slc / ccl21-mediated anti - tumor responses . the capacity to facilitate the co - localization of both dc and t cells forms a strong rationale for the use of slc / ccl21 in cancer therapy . in previous studies based on the...	backgroundslc / ccl21 , normally expressed in high endothelial venules and in t cell zones of spleen and lymph nodes , strongly attracts t cells and dendritic cells ( dc ) . we have previously shown that slc / ccl21-mediated anti - tumor responses are accompanied by significant induction of ifn and the cxc chemokines ,...
[ "our \n previous studies showed that e. coli k1 invasion of human bmec was \n significantly greater with stationary - phase ( sp ) cultures than with \n exponential - phase cultures , suggesting that expression of e. coli k1 invasion - associated virulence \n genes is strongly regulated in a growth - phase - depend...	iber is a regulator present in meningitic escherichia coli strain e44 that carries a loss - of - function mutation in the stationary - phase ( sp ) regulatory gene rpos . in order to determine whether iber is an sp regulator in e44 , two - dimensional gel electrophoresis and lc - ms were used to compare the proteomes o...
[ "therefore , it is mandatory to understand that how coping ways adopted by college students differ from other students who experience the significant stress ; their perception of handling the psycho - social problems effectively , might help in the planning of intervention services . thus , the present study was ma...	the objective of this study was to examine the coping patterns followed by the junior college students . further , an extensive effort was done to study the gender differences in coping patterns used by the students . this study was conducted in christ college , bangalore and on the first and second - year students of ...
[ "however , 1530% of cases of dm are manifestations of paraneoplastic syndromes of an underlying malignancy . here , we present a case of concurrent dm and breast cancer to highlight a rare presentation , progression and regression of symptoms , as well as key components of diagnosis and treatment . dermatomyositis ...	breast cancer is the most common cancer in women in the usa , with the lifetime incidence of 1 in 8 women . dermatomyositis ( dm ) is an uncommon idiopathic inflammatory myopathy that can manifest as a paraneoplastic syndrome of an underlying malignancy . here , we report a case of a patient who presented with breast c...
[ "target \n repurposing , wherein inhibitors of human homologues of essential \n parasite proteins are assessed for efficacy against parasite cells . we have recently initiated the repurposing of \n a variety of kinase inhibitors for parasitic diseases and have also described the use of established human phosphodie...	tropical protozoal infections are a significant cause of morbidity and mortality worldwide ; four in particular ( human african trypanosomiasis ( hat ) , chagas disease , cutaneous leishmaniasis , and malaria ) have an estimated combined burden of over 87 million disability - adjusted life years . new drugs a...
[ "we report an atypical case of appendiceal abscess , which was diagnosed during colonoscopy . \n additionally , up to 10% of patients especially older ones , immunocompromised patients , and pregnant women are diagnosed with atypical presentations such as appendiceal mass which requires long hospital admissions , i...	although complicated acute appendicitis is occasionally observed in general practice , the diagnosis of appendiceal abscess by colonoscopy is unusual . we report a case of appendiceal abscess with spontaneous drainage into the lumen of colon diagnosed during colonoscopy and resolved by the time of surgery .
[ ". preparations containing isoforms ( cramoll 1,4 ) and isolectins ( cramoll 1,2,3 ) , as well as cramoll 1 , have been studied in structural analyses and for the most several biotechnological applications ( de souza et al . , 2003 ) [ 612 ] . the use of nuclear technique for the evaluation of biomolecules and me...	the cramoll 1,4 is a well - studied lectin . however , few studies about its biodistribution have been done before . in this study , we radiolabeled the cramol 1,4 with tc-99 m and analyzed the biodistribution . the results showed that the cramol has an abnormal uptake by the bowel with reflections on its clearance m...
[ ", we investigate fair specific risk factors contributing to the emergence of influenza a virus in exhibition swine that could be altered to mitigate the risk of iav transmission in these settings . the comingling of swine from numerous premises with varied management practices and their interaction with large numb...	influenza a virus infections occurring in exhibition swine populations at agricultural fairs during 2012 served as a source of h3n2 variant influenza a viruses transmitted to humans resulting in more than 300 documented cases . prior to the outbreak , this investigation was initiated to identify fair - level risk facto...
[ "", ", we conducted reference based transcriptome assembly of suvarna , a well - known turmeric cultivar which could latter on used to get potential snps by comparing with other varieties towards proper identification . single nucleotide polymorphism ( snp ) study could be useful to solve these problems by compar...	turmeric is an economically valued crop , because of its utility in the food , pharmaceutical industries and ayurvedic medicine , attracts the attention in many areas of research work . in the present study , we executed resequencing through transcriptome assembly of the turmeric cultivar suvarna ( cl_suv_10 ) . resequ...
[ ", only four studies have investigated the relationship between the soc and depressive symptoms , one used the brief job stress questionnaire and the other three used general health questionnaire . the aim of this study was to investigate the relationship between depressive state , job stress , and soc among nurses...	background : people with a strong sense of coherence ( soc ) have a high ability to cope with stress and maintain good physical and mental health.aims:the aim of this study was to investigate the relationship between depressive state , job stress , and soc among nurses in a japanese general hospital.materials and metho...
[ "huntington 's disease ( hd ) is an autosomal dominant , progressive neurodegenerative disorder characterized by chorea , subcortical dementia and psychiatric symptoms . we report three patients with huntington 's disease , who showed good response to treatment with low dose lithium . one of the treatment options i...	huntington 's disease is characterized by choreic movements , psychiatric disorders , striatal atrophy with selective small neuronal loss , and autosomal dominant inheritance . the genetic abnormality is cag expansion in huntingtin gene . newer therapeutic strategies are evolving to treat this progressive disorder . th...
[ "the purpose of this study was to determine if there were differences in calf muscle sto2 parameters before and after 12 weeks of a traditional walking program versus a walking - with - poles exercise program . we hypothesized that the calf muscle tissue deoxygenation would be less in both groups after 12 weeks of ...	this randomized trial proposed to determine if there were differences in calf muscle sto2 parameters in patients before and after 12 weeks of a traditional walking or walking - with - poles exercise program . data were collected on 85 patients who were randomized to a traditional walking program ( n = 40 ) or walking -...
[ "we examine sequences from pathogenic interactions between species from the genus phytophthora and the plant hosts g. max and medicago truncatula , then apply the word - counting approach to sequences from two microbial mutualists in association with m. truncatula , the arbuscular mycorrhizal zygomycete glomus vers...	backgroundmost organisms have developed ways to recognize and interact with other species . symbiotic interactions range from pathogenic to mutualistic . some molecular mechanisms of interspecific interaction are well understood , but many remain to be discovered . expressed sequence tags ( ests ) from cultures of inte...
[ "the transition - metal - catalyzed \n amination of aryl halides has become \n one of the most powerful methods to construct arylamines . these \n studies rule out a catalytic cycle occurring through a ni(i ) halide \n intermediate and are consistent with a ni(0)/ni(ii ) catalytic cycle \n for the amination of aryl...	first - row metal complexes often undergo undesirable one - electron redox processes during two - electron steps of catalytic cycles . we report the amination of aryl chlorides and bromides with primary aliphatic amines catalyzed by a well - defined , single - component nickel precursor ( binap)ni(2-nc - ph )...
[ "children 10 years old or younger presenting to our clinic with intraocular inflammation were referred for pediatric consult to verify a possible jia association . included in this study the intraocular pressure ( iop ) using the goldman applanation tonometer was obtained in cooperative children . in a few of the v...	objective : assess the incidence of intraocular inflammation ( uveitis ) and ocular complications in children with various types of jia in a single cohort of patients.patients:included are 172 children ( 35 boys and 137 girls ) diagnosed with jia . all underwent thorough initial ophthalmologic examination and were foll...
[ "the herb cinnamomi ramulus ( cr ) has traditionally been used in asia and europe to treat maladies involving blood circulation and inflammation . in one study , the present study explored the suggestion that the vasodilatory effect of cre is related to ca - dependent mechanisms in rat aorta . increasing cytosolic ...	contraction of vascular smooth muscle cells depends on the induction of cytosolic calcium ion ( ca2 + ) due to either ca2 + influx through voltage - gated ca2 + channels or to receptor - mediated ca2 + release from the sarcoplasmic reticulum . the present study investigated the vasorelaxation effect of cinnamomi ramulu...
[ "the samples were grouped by whether they came from pastures grazed by healthy horses or horses with am ( nonam versus am pastures ) . mean concentrations of hypoglycin a were compared for the type of sample ( seed versus sprout versus leaf ) , season ( spring versus autumn ) and disease status for the pasture ( no...	backgroundatypical myopathy ( am ) in horses is caused by the plant toxin hypoglycin a , which in europe typically is found in the sycamore maple tree ( acer pseudoplatanus ) . owners are concerned about whether their horses are in danger if they graze near maple trees.hypothesis/objectivesto measure hypoglycin a in th...
[ "taken together , our results suggest that wasp and wip work as a functional unit in a cellular context as has been previously proposed [ 8 , 9 ] to regulate podosome formation and dynamics during the establishment of cell polarity as seen in the chemotactic response to extracellular stimuli . in summary , we have ...	summarythe wiskott - aldrich syndrome protein ( wasp ) is an adaptor protein that is essential for podosome formation in hematopoietic cells [ 1 ] . given that 80% of identified wiskott - aldrich syndrome patients result from mutations in the binding site for wasp - interacting - protein ( wip ) [ 2 ] , we examined the...
[ "multiple techniques for initial placement of the catheters have been described , including conventional minilaparotomy , peel - away introducer sheaths , as well as full laparoscopic approaches . ventriculoperitoneal ( vp ) shunting is commonly utilized as a diversion procedure for patients with hydrocephalus . in...	a 31-year - old female with a history of pseudotumor cerebri presented with headache and abdominal discomfort after placement of a ventriculoperitoneal ( vp ) shunt . the vp shunt was placed after prior failure and revision of a lumbar peritoneal shunt . computed tomography demonstrated shunt migration into the subcuta...
[ "hence , the present study is undertaken to isolate , identify and quantitate bacteria and to perform the antibiotic susceptibility testing from the endotracheal aspirates of the clinically suspected patients of vap . ventilator - associated pneumonia ( vap ) is defined as pneumonia occurring more than 48 hours aft...	background : ventilator - associated pneumonia ( vap ) is a common complication of ventilatory support for patients with acute respiratory failure and is associated with increased morbidity and mortality.aim of the study : the present study was undertaken to do quantitative cultures of aerobic bacteria , perform the an...
[ "furthermore , we investigated whether activation of peroxisome proliferator - activated receptor- ( ppar ) or ppar , known renoprotective intervention in animal models of type 2 diabetes , would affect renal expression of 1-ar subtypes . however , the expression and distribution patterns of 1d - ar in normal and d...	alpha1d - adrenergic receptor ( 1d - ar ) plays important roles in regulating physiological and pathological responses mediated by catecholamines , particularly in the cardiovascular and urinary systems . the present study was designed to investigate the expression profile of 1d - ar in the diabetic kidneys and its mod...
[ "this study hypothesized that the formulation of an experimental solution containing both naf and tif4 would increase the ph , allowing its use in the clinical situation without losing its protective effect against dentin erosion compared to tif4 alone and the commercial solution erosion protection . the null hypot...	objective this in vitro study assessed the anti - erosive effect of experimental mouthrinses containing tif4 and naf on dentin erosive loss.material and methods bovine dentin specimens were randomly allocated into the groups ( n=15 ) : 1 ) sncl2/naf / amf ( erosion protection/gaba , ph 4.5 , positive control ) ; 2 ) ex...
[ "the present study was carried out in order to evaluate the diagnostic performance of phadiatop infant , an in vitro test designed to detect allergen - specific ige antibodies known to be relevant in the development of ige - sensitisation in early childhood . although there is a general consensus on the importance ...	background and objective . allergy - like symptoms such as wheezing and eczema are common in young children and an early diagnosis is important to initiate correct management . the objective of this study was to evaluate the diagnostic performance of phadiatop infant , an in vitro test for determination of early sensit...
[ "the goal of this study was to test the efficacy of the varia ( video , accelerometry , and radar - induced activity recording ) system and algorithms for tonic clonic and clonic seizures compared with that of semicontinuous monitoring by professional caregivers ( keeping an eye on multiple patients ) , as well as...	purposethe aim of our study was to test the efficacy of the varia system ( video , accelerometry , and radar - induced activity recording ) and validation of accelerometry - based detection algorithms for nocturnal tonic clonic and clonic seizures developed by our team.methodswe present the results of two patients wit...
[ "it is relatively rare benign tumour appearing in about 0.3% of general population and accounts for 3% of solid renal masses . extra renal amls ( eramls ) are rare tumours that present as incidentalomas upon imaging for other conditions . case reports of extra renal aml are rare with < 60 reported cases since they ...	angiomyolipoma ( aml ) is a rare mesenchymal tumour arising from perivascular epithelioid cells . it is most commonly seen in kidney , but rarely aml can arise in extra renal sites . adrenal aml is a very rare clinical entity , and very few cases have been reported so far . we present our experience with a 43-year - ol...
[ "vitrectomy , removal of silicone oil , epiretinal membrane peel , subretinal pvr removal and retinectomy were performed with laser retinopexy and intraocular gas tamponade . further retinal biopsy taken during vitrectomy for retinal detachment revealed no fungal elements on microscopy and intravitreal amphotericin...	a 67-year - old former gold miner with rheumatoid arthritis , treated with steroids and methotrexate , presented to eye casualty with a painful right eye . examination revealed an anterior uveitis and despite an initial response to topical steroids , the intraocular inflammation worsened with anterior and posterior uve...
[ "in 1978 , primary health care was seen as the solution to the inadequate illness management systems that had developed throughout the world . , phc used family physician as the most important ways to increase equitable access and utilization of public health services . in any case , family physician , with the key...	background : most countries use educated nurses called nurse practitioners ( nps ) besides the family physicians for diagnosis , treatment , and specifically health education of the family . the main goal of this study was to redefine the role of nps for better use of their capabilities in the so - called family phy...
[ "the purpose of this paper is to review emerging concepts of organ crosstalk and recent experimental data regarding the activation and systemic expression of proinflammatory pathways during ischemic aki . for a complete list of abbreviations used in this paper , please see table 1 recent data highlights the importa...	acute kidney injury ( aki ) is a common complication during inpatient hospitalization , and clinical outcomes remain poor despite advancements in renal replacement therapy . aki in the setting of multiple organ failure ( mof ) remains a formidable challenge to clinicians and incurs an unacceptably high mortality rate ....

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