... AC inthe other twin (twin B), when the
concerned parents took him to our department. Brain
CT and MRI of twin B who did not have any com-
plaints revealed a mirror-imaging ofthe AC inthe ... Neuroimaging ofthe twins. (a) Cerebral CT of twin A shows a vast lesion of cerebrospinal fluid intensity in
the left temporal lobe with a maximum diameter of 63ì40ì26 mm. (b) & (c) MRI of twin ...
rare by themselves. However, we have only found
one such case of MZ with mirror-imaging of AC inthe
literature. In this case, we describe the second case of
MZ with mirror-imaging of AC and...
... expectations
[53] and helps in planning the training of people in the
use ofthe finished system [60]. In this risk factor, we
also include the use of a structured method of project
development and ... 4.4.6. Inadequate training and instruction
The role of training to facilitate software implementa-
tion is well documented [101,120]. Frequently lack of
user training and understanding failure of ... engineeringfrom the University
ofRome‘‘TorVergata’’.Heis alsoworkingin
the Department of Electrical Systems and
Automation of Pisa University. His research
interests include supply chain information
management,...
... inad-
equacy of human resources (HR) in developing countries.
In the health sector in general, and in maternal health in
particular, health care professionals are at the heart of the
success of EmOC interventions ... that the failure of
the policy regarding traditional birth attendants is due
mainly to the lack of technical legitimacy in their training,
the excessive supervision required, the difficulty of ... phase of labour [28,45] and
on interpersonal communication with the patient [53].
Further studies are needed to determine the ideal number
of training years, the type of staff to train and the...
... among
the elderly [13,14]. There are many different fixation
devices developed for the management of these frac-
tures, with majority of them belonging to either the
intrameduallary or the sliding ... to the IM construct to further
prevent spinning ofthe femoral head on the shorter Lag
Screw, therefore, a second cannulated screw was placed
into the femoral neck anterior and parallel to the
shorter ... toggling of
the nail within the femoral canal leading to medial
migration similar to what is seen inthe “Z-Effect”.It’ s
also important to dem onstrate fracture healing by stres-
sing the hip intra-operatively....
... ofthe fracture and
dynamization ofthe nail inthe setting of an unstable
fracture pattern, there was togg ling ofthe nail within
the intrameduallary canal which led to the medial
migration of ... among
the elderly [13,14]. There are many different fixation
devices developed for the management of these frac-
tures, with majority of them belonging to either the
intrameduallary or the sliding ... placed
with the Lag Screw locked rotationally by the set screw.
The distal locking screw was then placed inthe dyna-
mized position ofthe Gamma nail. We theorized that
over time with the compression of...
... improving inter-episode functioning and
perceived quality of life. Our review found that there is
growing interest in characterizing QoL in bipolar disorder
populations, and determining the impact ... evaluated different
QoL instruments in BD populations and one study that
examined the effects of mode of questionnaire adminis-
tration. The first of these examined the application of the
aforementioned ... for
future research, including the need for assessments of QoL
in first episode and hypo/manic patients, more well-
designed longitudinal research and research into the
impact of psychosocial interventions...
... investigators were then
instructed on how to complete the article reviews using
thedatacollectionsheet.Thefivestudyinvestigators
who performed the article reviews completed a pilot
review using ... If the reviewing investi-
gator had any q uestions about a data element, the arti-
cle was reviewed by a panel of investigators consisting
of the lead author and two additional investigators.
The ... to the intellectual content
of the paper. SJ, KAS, STW contributed to the conception and design,
acquisition of data, analysis and interpretation of data, statistical analysis,
drafting of the...
... drafted the manuscript; FE, BS, VC helped inthe interpretation of the
photos and helped draft the final version ofthe manuscript. All authors read
and approved the final version ofthe manuscript
Competing ... signs of primary or meta-
static involvement.
The first postoperative hours, the patient complained
of sub-hyperesthesia at the inner surface ofthe thigh
that was extended to the middle ofthe ... better the correlations between
the mass a nd the soft tissues. MRI seems to be more
specific in describing the extension ofthe mass in the
pelvis. The various scans allow the surgeon to determine
possible...
... cystadenocarcinoma in 1981 [2], there have
been 11 additional cases reported inthe English lan-
guage literatureof UC with OGCs ofthe pancreas ori-
ginating in MCN and indeterminate mucin-producing
cystic ... lacking features of atypia. In Figure 2-B we pre-
sent views ofthe cut surface ofthe cystic tumor deli-
neating the pathological mapping of carcinoma in situ,
stromal invasion and gastric invasion. ... number of
stromal invasive features inthe bottom ofthe solid part
of this cystic tumor (Figure 3-B). Close to the carcinoma
in situ, the OGCs were distributed diffusely in the
stroma ofthe cyst...
... but if they do, the staining is usually
focal, with fewer than 5% of cells been positive [9,20,12].
The final diagnosis of our patient was established based
on the intestinal origin ofthe neoplasm ... cavity.
Figure 4 Demonstration ofthe resection of segmental bowel;
the tumor was removed with a part of 3-cm ofthe small
intestine.
Figure 5 The surgical specimen ofthe small intestine was
a well-circumscribed ... optimal
care ofthe patients.
Introduction
Gastrointestinal stromal tumors (GISTs) are uncommon
tumors that develop inthe wall ofthe gastrointestinal
tract and usually present inthe fifth to...
... abnormal immunoglobu-
lin levels and the development of gastric cancer in those
patients in whom levels were checked, suggesting that
injury to the gastrointestinal mucosa inthe form of
chronic gastritis ... accompa-
nying images. A copy ofthe written consent is available
for review by the Editor -in- Chief of this journal.
Competing interests
The authors declare that they have no competing interests.
Authors' ... variable
Hematoxylin and eosin stained sections ofthe gastric adenocarcinoma resected from our patientFigure 3
Hematoxylin and eosin stained sections ofthe gastric adenocarcinoma resected from...
... diameter of larger than 10 cm, and the commonest
site is the head of pancreas. Generally, they are large
masses with thin wall having multiple thin septa with var-
ying size cystic cavities containing ... Ultrasonogra-
phy, there was no complaints or recurrence.
Discussion
Intra-abdominal hemolymphangioma is very rare; rarer
still is the involvement of pancreas. On a reviewof pub-
lished work (online PubMed ... were
revealed in laboratory data including tumor markers such
as CEA and CA19-9. At laparotomy there was a black poly-
cystic, retroperitoneal tumor extending from coeliac axis
to the origin ofthe head of...
... available for
review by the Editor -in- Chief of this journal.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
HK and BP reviewed theliterature ... dramatic increase inthe volume of tumour encountered inthe 2
nd
operation, merely 2 weeks after the 1
st
operation of tumour resectionFigure 4
4a shows a dramatic increase inthe volume of
tumour ... adenocarcinoma in a Meckel's
diverticulum to be reported inthe literature. The diagnosis of Meckel's should be considered in
patients with acute gastrointestinal complaints; when found incidentally...
... joints, nine of whom were described as having MRI
erosions. Some of these were ‘nonenhancing’ following
contrast injection, suggesting that they may have contained
fibrous tissue rather than inflammatory ... SpA, most often involving the dorsocaudal part of
the joint in early disease in which subchondral bone oedema
was a frequent finding. Figure 5 shows an example of MRI
sacroiliitis in a patient ... post-gadolinium FS T1 weighted and STIR
sequences for detecting MRI enthesitis. Interestingly, one
patient presenting with pelvic pain and MRI changes of
enthesitis at the anteroinferior iliac spine...
... ofthe sentinel nodes, 40% were in the
internal iliac and 25% were inthe external iliac area [37].
Barranger obtained 67% ofthe sentinel lymph nodes in
the external iliac area, 28% inthe internal ... sentinel nods 18 were inthe external
iliac, 12 inthe obturatory, 8 inthe internal iliac, 8 in the
parametrial, 2 inthe common iliac and one in the
inguinal lymph nodes [34]. In a study by O'Boyle ... routes of spreading in
many tumors and, because it shows the level of spreading.
The condition ofthe lymph notes has vital importance in
the planning and management ofthe treatments of many
cancers.
Lymphatic...