... vasculitis, osteoarthritis, osteoporosis, radiation therapy, chemotherapy and organ transplantation, particularly renal transplant [1] A rare causal association with infections such as HIV and ... aspiration cytology and wrote thecase outline RG was a major contributor in writing the manuscript and revising it SS assisted in reviewing the slides, provded images and helped in final drafting ... degenFine needle aspiration smear showing many viable and degenerating neutrophils ina thin necrotic background Inset shows an acid-fast bacillus (Giemsa Stain ×200, Inset: Ziehl Neelsen Stain...
... referral center as clinically anxious witha group mean score of 7.7 inthe Hamilton AnxietyandDepression scale In contrast, Jacoby et al [2] reported that 25% of patients ina large communitybased ... diagnosed and chronic epilepsy and provide further insight to the association of depressionandanxietywith certain demographic and seizure-related variables Competing interests The author(s) declare ... studies have attributed interictal anxiety to a combination of biological factors (i.e seizure-induced alterations of neuronal circuits inthe amygdala region via a kindling-like mechanism) [27] and...
... contributions SS was the main author who wrote the manuscript SR helped with taking the photographs AR was the senior author and managed thepatient s surgery Senevirathna et al Journal of Medical Case Reports ... suprapatellar in twothirds of patients and infrapatellar in one-third of patients [3] Arumilli et al [15] reported acase of bilateral simultaneous complete quadriceps tendon rupture inapatient ... standardized After surgery, the knees are immobilized in extension for six weeks, followed by gradual weight bearing and gait training withthepatientin knee braces Thepatient is then weaned off the...
... spasticity, ataxia, heat intolerance, fatigue, pain, and bowel and genitourinary dysfunction As thepatientwith MS ages, morbidities and p hysiological changes associated withthe normal aging ... sedation is essential The benzodiazepines are traditionally poorly tolerated intheolder population and are associated with an increased half-life anda higher association of paradoxical reactions, ... centers inthe US and Canada aged 18–70 years with clinically defined MS They found that patients on the dalfampridine showed a 25% improvement in walking speed based on the 25 foot walk test and the...
... presentation at the 2009 World Congress of the International Diabetes Federation Authors’ contributions FAR diagnosed and treated thepatient CLG and MBS reviewed thecase All authors have read and ... sedimentation rate, and alanine and aspartate aminotransferase levels during treatment showed no abnormalities Bosentan was discontinued upon ulcer healing with no relapse observed to date Discussion ... for all potential confounders in this caseIn addition, there are limited data describing neurological and cardiovascular status (for example, extent of neuropathy, ankle-brachial index) available...
... comparable with autografting inthe treatment of nonunions without the morbidity associated with autograft harvesting andwitha lower risk of infection than in those patients treated with autograft ... examined the data, did the analysis and prepared the manuscript EKR did the surgical intervention, conducted the post-operation follow-up, examined the data, did the analysis and prepared the ... bearing At that time, he continued to complain of some pain when walking, and discomfort while internally and externally rotating his hip Radiographs demonstrated the hardware to be intact with...
... Manifest Anxiety Scale (RCMAS) [13] Based on existing literature and exploratory factor analyses of our data, we compared a) a one factor general distress model, assuming that depressionandanxiety ... analysis of the baseline phase of an ongoing longitudinal study Longitudinal data are essential to further examine stability inthe general andthe specific factors over time External correlates ... andanxiety Methods An exploratory factor analysis (EFA) anda bifactor modelling approach were used to separate a general distress continuum from more specific sub-domains of depressionand anxiety...
... operation JFH and AK revised the article for intellectual content while IR and AK carried out the literature review andthe review of thepatient' s medical records All authors read and approved the ... were then over-drilled witha standard drill bit to the required 3.2 mm to accept a 4.5 mm screw A standard 4.5 mm cortical tap was used, frequently reversed and withdrawn for cleaning A standard ... resulting in fractures of the left femur, left radius and ulna, the latter managed operatively Open reduction and internal fixation was decided for the fracture of the humerus under general anaesthesia...
... and hundreds of manuscripts At times, I have felt that our marriage was a kinky ménage trois; Evelynne, Harry andthe computer To my children, Jonathan, Dean and Natalie, their spouses Tamara ... Cataloging -in- Publication Data Mond, Harry G Pacing options inthe adult patientwith congenital heart disease / Harry G Mond, Peter P Karpawich p ; cm Includes bibliographical references and index ... implant, problems that may be encountered on the way and tricks that are available for the seemingly impossible implant Part II classifies adult congenital heart disease patients into those patients...
... leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein is then invaginated into the subclavian vein ... On occasion, the cephalic vein may break during lead insertion If the two leads cause a very tight fit inthe vein, it may, as a consequence, invaginate the vein into the subclavian vein The torn ... contact in instances of epicardial fat or fibrosis An alterative implant approachin patients with excessive epicardial fibrosis or fat is placement of a transvenous lead into the intramyocardial...
... curves in identical pacing leads The Locator® has a very narrow curve excellent for atrial appendage andthe aforementioned left atrium The J stylet is the typical atrial appendage shape andthe ... are negotiating enlarged chambers and positioning leads in alternate pacing sites inthe right atrium and ventricle An added advantage is the thinner lead diameter which potentially may also prevent ... (MVP) innominate vein toward the heart, but rather proceed retrograde towards the arm inthe axillary vein or up into the neck inthe internal jugular vein (Figure 7.4) Although this can usually...
... superior vena cava (LSVC), commmunicating directly withthe left atrium (LA) ina pateint with an atrial septal defect The coronary sinus is absent The aorta (AO) and pulmonary (PA) arteries at the level ... predisposing to bradyarrhythmias and heart block unfold, it is imperative that the implanting physician be aware of their existence and thus plan therapy andin particular the need for an ICD rather ... suture material The lead can then be drawn into the intravascular path as the teenager grows, especially inthe 13–17 age group where more vertical growth can be anticipated PA RT Patients, principles...
... modern atrial leads being so reliable, it is just as easy to implant a two lead system as it is to implant a single pass VDD lead Another advantage of the two lead system is the ability to place the ... demonstrating dual chamber pacing with an inferior axis andthe characteristic tall R waves from V2 to V6 side of each other whereas inthe normal, the right lies anterior to the left ventricle The ... implantation of a permanent pacemaker even inthe “asymptomatic” patient For instance, there may be sporting or occupational reasons for this recommendation Another situation of particular importance...
... chosen Unlike the normal atrial lead that hangs inthe atrium, the lead may push against the atrial wall andin time may lead to signs of clinical perforation and pericardial effusion An elective ... venous branch of the coronary sinus [185] Acasein which both venae cavae drained into a large coronary sinus and did not allow a pacing lead to enter the right atrium required epicardial pacing ... traversing a patent foramen ovale and attached to the apex of the left ventricle The black arrow points to where the lead crosses the atrial septum The appearance is characteristic of a lead in the...
... pacing inapatientwith Ebstein’s anomaly (same patient as in Figure 19.6) There is a passive-fixation lead inthe right atrial appendage The ventricular passive-fixation lead bypasses the malpositioned ... radiographs, postero-anterior (PA) and left lateral (L Lat), showing dual chamber pacing inapatientwith Ebstein’s anomaly There is a passive-fixation lead inthe right atrial appendage The ventricular ... Ebstein’s anomaly (cardiac vein) Resting 12-lead ECG demonstrating dual chamber pacing The ventricular lead lies inthe middle or a low lateral cardiac vein There is atrial sensing and ventricular...
... postero-anterior (PA) and left lateral (L Lat), showing dual chamber pacing inapatientwiththe Mustard procedure Inthe PA view, active-fixation leads are attached to the roof of the left atrium and ... recorded In this situation the lead is actually in contact withthe baffle material and must be repositioned For ventricular pacing, the lead must be passed to the left atrium and then via the anatomical ... may not have progressive fascicular conduction disease and may not truly be candidates for permanent pacing based on those criteria alone As in any evaluation, clinical presentation is mandatory...
... Ellenbogen KA et al Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration ina clinical trial of pacemaker therapy for sinus node ... pacing lead implantation inapatient of Ebstein’s anomaly after one and half repair Indian Heart J 2004; 56: 670–672 40 Byrd CL, Schwartz SJ Transatrial implantation of transvenous pacing leads ... demarcates the extent of the atrial dimensions pacing as a teenager or adult with atrial bradyarrhythmias and intact atrioventricular conduction [238] The conventional method of atrial pacing...
... THE STANDARD MODEL WITH V = µ0 φT σφ + µ1 φT s1 φ 259 (29) III CONCLUSION We have shown the neutrinos gain naturely small masses in agreement with experiment The neutrino mixing matrix in terms ... −1/√ (19) −1/ 1/ 1/ This is a main result of the paper 258 NGO THI THU DINH, PHUNG VAN DONG II.4 Scalar Potential We can separate the general scalar potential into V = V φ + V σs , (20) where ... ω2 ω (9) NEUTRINO MASSES AND MIXING INTHE STANDARD MODEL WITH 257 II.3 Neutrino sector To obtain arbitrary Majorana neutrino masses, four Higgs doublets are used: σ= + σ11 σ12 + ++ σ12 σ22...
... AG coordinated the study and participated in its design and analysis Acknowledgements The authors thank sample donors for their collaboration They thank also Yolanda Lopez-Golan and Fina Meijide ... All authors contributed to the final manuscript In addition, JRL genotyped the samples and participated inthe design and analysis of the study, MP-S, ML and JJG-R evaluated the patients, and AG ... Research of Galicia and all cases and controls gave their written informed consent to participate All participants were of Spanish ancestry and resided inthe reference area of the hospital Genotyping...