... re-operate in other patients (14.2%), in two because of cysts missed during the first laparotomy and in one due to persistence of a residual cyst at the site of a previous excision Inthe latter ... disease is a parasitic infection caused by the larval form of echinococcus (1,2,3) granulosus The commonest sites of infestation are the liver and lungs Hydatid disease is endemic in countries ... commonest clinical presentation in adult patients The preoperative diagnosis in this series was based on a combination of clinical, serological and radiological assessments Eosonophilia was non-specific...
... has gained a reputation in fracture treatment Minimally invasive plate osteosynthesis (MIPO) techniques minimize the extent of soft tissue trauma to the injury zone, theoretically maintaining ... Paget 's disease ofthe bone This would be especially useful inthe elderly and those considered at high risk from major corrective surgery In recent years, the concept of biological osteosynthesis ... techniques of internal fixation This unusual case of delayed union ofthe femur fracture associated with Paget 's disease ofthe bone for which functional bracing was ultimately successful illustrates...
... remained disease-free for six months after diagnosis Based on these findings, a diagnosis of Ewing s sarcoma ofthe calcaneus was made Discussion Ewing s sarcoma is a rare malignant neoplasm, ... predominantly affecting young patients ofthe ages five to 20 years It involves the diaphyses of long bones and occurs Figure CT image ofthe patient s foot, revealing a soft-tissue mass originating ... administration reveals strong contrast enhancement ofthe tumor We note the skip lesion inthe talus as a low signal mass with peripheral enhancement Cook listed 29 cases of Ewing s sarcoma of the...
... where they migrate towards the epidermis This hypothesis is supported by the association between Paget s and an underlying breast carcinoma inthe majority of patients The second hypothesis, the intraepidermal ... Paget s disease ofthe right nipple with no evidence of underlying invasive ductal carcinoma, ductal carcinoma in situ ofthe breast tissue or lymph node invasion Discussion Paget s disease is an ... nuclei [1,2] The pathogenesis of Paget s disease is still a subject of debate with two main hypotheses The epidermotropic hypothesis proposes that Paget s cells originate from ductal epithelium,...
... protruding from its base Histologically, a thick-walled arterial vessel is seen This is larger than the surrounding submucosal vessels and runs below the muscularis mucosae A similar appearance has ... patient 's data TSB performed the histological examination ofthe surgical specimen and assisted in interpreting our patient 's data ATR assisted inthe operation and in analyzing our patient 's data ... appearances were those of an AVM ofthe Dieulafoy type Ulcers were also revealed, and some of them were deep Mixed inflammatory cell infiltrate predominated the ulcers without caseous necrosis The mesenteric...
... diagnosis of a softtissue mass includes malignant lesions, desmoids and benign lesions Our case indicates the importance of considering soft-tissue swelling and growths as malignant until the reverse ... chemotherapy inthe treatment of liposarcoma remains controversial and is best addressed on a case-by-case basis [13,15] Conclusion Despite its rarity, we present this case to stress the importance of ... with neurofibromatosis were the lower limb, the omentum and the skull Our case was located inthe upper limb Most commonly, a soft-tissue sarcoma presents itself as an asymptomatic mass The differential...
... series We screened the titles ofthe case reports and found 35 studies of dislocations Excluding dislocations, we were able to identity 23 studies describing the effect of manual therapy inchildren ... Eleven of these dealt with musculoskeletal disorders and 12 with non-muscular disorders The objective ofthe rest ofthe case studies could not be determined based on the titles alone Discussion ... reviews, case reports/series, letters, editorials, guidelines and comments Type of participants Children and adolescents (2-18 years of age) with musculoskeletal disorders Studies relating to infants...
... contains some useful assessments ofthe links between effective policies and health outcomes, notably inthe area of accidents and injuries as well as other contexts By continuing the work and the ... analysis of drinking-water at taps has been increased; • introducing an early warning system on the quality of surface water sources in two areas inthe eastern part ofthe country (16% of drinking-water ... analysis, feasibility-testing and consensus-building around the essential elements ofthe system The following steps were included • Setting the scope: to define public health topic areas, particularly...
... the costs of SSN-667 to SSN-777, we compare costs ofthe Sturgeon class to those ofthe Virginia class The surface combatant pairings represent comparisons of average costs for classes; in particular, ... potential sources of cost escalation for naval ships Perhaps the most obvious is the cost for basic inputs, such as labor, material, and equipment, used in shipbuilding If the costs for these inputs increase, ... Navy and the Office ofthe Secretary of Defense, as well as congressional planners involved in ship acquisition This research was sponsored by the Assessment Division, Office ofthe Chief of Naval...
... all systems such as avionics (electronics to control the aircraft), sensors (such as radar), other mission systems (such as electronic countermeasures, communications, targeting systems, guns, ... data sources, including their limitations Second, we discuss how to measure cost escalation Third, we assess how cost escalation for aircraft compares with other measures of cost in ation such as ... programs The report also provides relationships for developing estimates of T&E costs for future programs In Software Cost Estimation and Sizing Methods, Issues and Guidelines, MG-269-AF, Shari...
... educating health-care providers about the importance of pain assessment is necessary Pain assessment is a mandatory part of pain management similar to the assessment of vital signs in managing disorders ... assessment of episodic pain inchildren with sickle cell disease Pain control for children with SCD vaso-occlusive episodes requires frequent systematic pain assessments and continuous adjustments ... these aspects of pain need to be assessed inchildren with SCD (25) Sickle cell disease pain is complex and a numerical rating of pain intensity cannot adequately assess its characteristics The...
... with the same low levels Conclusions The new guidelines will offer the option of omitting biopsies in selected cases with symptoms suggestive of CD without increasing the risk of misclassification ... issues Sensitivity/specificity of serological tests Prevalence / incidence of CD CD associated lymphoma Consequences of testing for CD Interventions for adherence to a glutenfree diet Conclusions ... Age:
... remain the subject of ongoing research Canada refers to fugitive emissions associated with smoking as “secondhand smoke” (SHS) Mexico refers to fugitive emissions associated with smoking as “passive ... select sources of indoor air pollutants and the associated respiratory illness and disease As illustrated inthe MEME diagrams, some ofthe measures presented here address environmental sources of ... diseases, while action indicators have been presented for industrial releases of pollutants In several cases, indicators present information on various sub-populations ofchildren at increased...
... business structure and the niche marketing characteristics of products from poultry businesses ofthe Middle The study seeks to better understand these aspects of this sector ofthe industry in order ... law in Europe and used in slaughterhouses for other livestock inthe U .S stunning is not a requirement in poultry processing inthe U .S Stunning renders the birds insensible to pain It is also ... Middle’ The purpose of this study is to offer a first attempt at a description and analysis ofthe businesses of ‘Poultry ofthe Middle’ inthe U .S We believe that the group of businesses that...
... progress across the Bank s regions, but (for the first time) progress in all regions Dramatic progress in East Asia Looking back to the early 198 0s, East Asia was the region with the highest incidence ... certainly by the standards of what poverty means in rich countries There has been less long-run progress in getting over the $2 per day hurdle Indeed, we see only a small drop inthe number of ... For the first time since this monitoring task began, the data indicate a decline in both the poverty rate and the number of poor in all six regions ofthe developing world Between...
... places their child had access to the Internet In this section, we focused solely on thechildren who – inthe opinion of one of their parents – used the Internet The largest proportion of online children ... obtain such software (18% vs 13%-14% ofthe Internet users) Table 8: Use of filtering and monitoring software Using filtering and/or monitoring software Filtering software Parents’ Internet use ... parents were frequent Internet users, were themselves also the most likely to use the Internet Half ofthe parents who did not use the Internet themselves said that their child had online access...
... versions ofthe latter) is to follow these symptoms, to cross the barriers of non-sense and access ‘asignifying nuclei of subjectivation’ (68) We might say that, in Guattari s system, the symptom ... Inthe interview from which the above is extracted Guattari is interested especially inthe repression of this desire – or what he calls micro-fascisms Inthe terms of Chaosmosis micro-fascisms ... consists inthe ability to discern those components lacking in consistency or existence’ (71), and consequently in reintroducing them (or others) so as to allow individuals to resingularise themselves...
... Participation in Life Activities Scale is completed by computing the mean scores for each ofthe three indicators before summing the indicator scores Testing ofthe PLA Design A cross-sectional design was ... was computed by averaging three composite scores Independent samples t-tests and analysis of variance were used for cross-group comparisons Power analysis This study was part of a series of studies ... studies designed to evaluate psychometric properties of newly developed instruments In determining sample size, the number of items contained inthe target instruments, sensitivity of other instruments...
... techniques for the combined sample as well as sub samples represented by sex/gender, race, age, socioeconomic status, and severity of illness Preliminary cross-group comparisons in PLA mean scores indicated ... Families interested in learning about the study contacted the PI After being informed ofthe purpose and nature ofthe study, requirements and responsibilities of subjects, and risks and benefits, ... computing the mean scores for each ofthe three indicators Scoring Scoring ofthe Participation in Life Activities Scale is completed by computing the mean scores for each ofthe three indicators...
... wrong fingers during other tests) Arithmetics Attention and Movement Behavior: Scoring 0–3 is best score Scoring 0–3 is best score Scoring 0–3 is best score PANESS* Precision Rhythm sequence of movements ... changes as simply the result of anthropometric factors Aim ofthe present study is to investigate mechanisms involved inthe development of postural stability by attempting to answer these questions ... movements is correct from index to little with no repetitions or misses independently of rhythm Scoring 0–3 the self chosen rhythm is kept during task independently of misses of repetitions Scoring...