... everywhere in the gastrointestinal tract, they most often occur in the stomach (50% to 60%) About 20% to 30% of GISTs develop in the small intestine GIST of the gastroesophageal junction (GEJ) ... mobilisation of the greater and lesser curvature and opening of the lesser sac, the tumor could be mobilized easily from the pancreas as well as from the splenic hilus Through mobilisation of the distal ... technique together with the gastric fundus and cardia using the retroperitoneal fat and parts of the left column of the diaphragm for covering the residual mass and as resection margin The postoperative...
Ngày tải lên: 09/08/2014, 07:21
... has the advantage of providing a full specimen for histological examination and for the diagnosis of the extent and infiltration depth of the lesion The outcome of endoscopic therapy can therefore ... inside the cap of the endoscope, and the tripwire was pulled, creating an artificial polyp that included the lesion After confirmation that the electrocautery markings were contained in the ligated ... Journal of Medical Case Reports 2010, 4:149 http://www.jmedicalcasereports.com/content/4/1/149 Figure Minute cancer of the esophagogastric junction White arrows indicate the minute cancer varices The...
Ngày tải lên: 11/08/2014, 12:20
the monetary systems of the greeks and romans apr 2008
... in the genesis and in the preoccupations of Athenian tragedy This paper connects the monetization of Athens both to the development of festivals under the tyrants and to the form and content of ... believed that the tablet recorded sums collected for the construction of the great Croesus temple, and therefore that it dated to the time of Croesus, around the middle of the sixth century.23 The tablet ... dates from the third quarter of the sixth century Although the numismatic component of the hoard is very diVerent from that of the Colophon Wnd with respect to the variety of coins and the many...
Ngày tải lên: 11/06/2014, 01:21
báo cáo hóa học:" Health status in routine clinical practice: validity of the clinical COPD questionnaire at the individual patient level" potx
... were within the limits of the MCID of the scores of the treating clinician in 62% and the mean score of the reviewing clinicians in 63% The proportion of cases within the MCID of 0.4 (CP 0.4 ) between ... with the patients on the day of the consultation Patients were asked to comment on every separate concept of the questionnaire They were asked what thoughts they had during completion of the individual ... index of 0.9 (TDI 0.9) represents the distance (percentile) that captures 90% of the differences in scores between the treating clinician and the patient A TDI 0.9 of 0.7 means that in 90% of the...
Ngày tải lên: 20/06/2014, 15:20
Báo cáo y học: "The clinical assessment study of the foot (CASF): study protocol for a prospective observational study of foot pain and foot osteoarthritis in the general population" docx
... for the integrity of longitudinal studies and the validity of their conclusions [69] This is especially true of observerdependent methods of data-gathering In the clinical assessment phase of the ... M: Development of criteria for the classification and reporting of osteoarthritis Classification of osteoarthritis of the knee Diagnostic and Therapeutic Criteria Committee of the American Rheumatism ... over the end of the couch and ankles dorsiflexed to 90 degrees Real-time sagittal (longitudinal) imaging of the plantar aponeurosis will be performed with the focus adjusted to the depth of the...
Ngày tải lên: 10/08/2014, 21:24
Báo cáo khoa học: "Clinical review: Patency of the circuit in continuous renal replacement therapy" pps
... The buffer strength of the solution is related to the conversion of trisodium citrate to citric acid (see formula above) and therefore to the proportion of sodium as cation Modalities After the ... monitoring of heparin therapy Scientific and Standardization Committee Communications: on behalf of the Control of Anticoagulation Subcommittee of the Scientific and Standardization Committee of the ... concentration of to mmol/l in the filter [71] Postfilter iCa can be used for fine tuning of the level of anticoagulation, aiming at a concentration of iCa of less than 0.35 mmol/l (Table 1) However, others...
Ngày tải lên: 13/08/2014, 03:21
systems of the human body
... direction The right side pumps blood to the lungs, where the blood gets oxygen Then the blood flows to the left side of the heart When the left side pumps, the blood is pushed into the arteries ... across the larynx The sound of your voice is the sound of the vocal cords vibrating as you breathe The trachea, or windpipe, is a blood vessels tube that moves air from the larynx inside the lungs ... and on many other parts of the respiratory system Cilia move back and forth to push dirty mucus out of the lungs The mucus then enters the throat, where it is swallowed Parts of the respiratory...
Ngày tải lên: 28/01/2015, 17:46
Classification procedure of the explosion risk areas in presence of hydrogenrich syngas: Biomass gasifier and molten carbonate fuel cell integrated plant
... requires the following assumptions During the evolution of the reaction, the thermal capacity and the molar composition of the mixture are considered constant The kinetics of the combustion of the ... ventilation represents the ratio between the amount of air which affects the emission source and the amount of flammable substances emitted in the environment The assessment of the degree of ventilation ... reference velocity of the air in the considered ambient (m/s), kdz is the safety coefficient applied to the LFL for the definition of the distance dz The risk distance, computed with the above mentioned...
Ngày tải lên: 01/08/2016, 09:32
Báo cáo khoa học: "Mucin pattern reflects the origin of the adenocarcinoma in Barrett''''s esophagus: a retrospective clinical and laboratorial study" ppsx
... pattern predominance in the adjacent epithelium compared to the mucin tumour expression Discussion The extension of the columnar epithelium in the esophagus is related to the risk of malignant transformation ... the tumors There was an association between the predominance of mucin expressed in the adjacent epithelium and the pattern of mucin expression in the tumors, may indicating the route of carcinogenesis ... biopsies, were treated at the Esophageal Surgery Service of Digestive Surgery Division of Hospital das Clínicas of the University of São Paulo School of Medicine Of those, Adenocarcinoma was diagnosed...
Ngày tải lên: 09/08/2014, 04:21
Báo cáo y học: "omparative Efficacy and Tolerability of 5-Loxin® and Aflapin® Against Osteoarthritis of the Knee: A Double Blind, Randomized, Placebo Controlled Clinical Study"
... observed in the active treatment groups when compared to the placebo (data not shown) These findings further demonstrate the safety of 5-Loxin® and Aflapin® in humans During the course of the 90-day ... [31] The pain subscale was the average of the first five questions of WOMAC and measured using the NU scale from ('no pain') to 100 ('extreme pain') for each question The stiffness subscale was the ... Briefly, 186 subjects out of 283 attending the orthopaedic outpatient department of the ASRAM hospital were selected in the first phase of the screening procedure, based on the signs, symptoms and...
Ngày tải lên: 25/10/2012, 11:40
Báo cáo y học: "Clinical Strategy for the Management of Solid Pseudopapillary Tumor of the Pancreas: Aggressive or Less"
... whom the mass was located in the portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion of the pancreas and the mass ... and the level of detections were all within normal limits The median diameter of the lesions was 8.0 cm (range 4-20) Nine patients had their tumors within the head, in the body and in the tail of ... 311 Fig The CT scan indicated the typical internal or capsular calcification in the SPT Once the diagnosis of SPT is made, surgery is the first choice of treatment, since other adjuvant therapies,...
Ngày tải lên: 25/10/2012, 11:40
Báo cáo y học: " Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial"
... other types of pain) or is unwilling to stop taking other medications for the treatment of OA Any other condition that, in the opinion of the investigator, would adversely affect the subject's ... doses of orally administered undenatured type II chicken collagen inhibit killer T-cell attack (15) The present clinical trial evaluated the safety and efficacy of UC-II in the treatment of the ... in the morning and two in the evening for a daily dose of 1500 mg glucosamine and 1200 mg chondroitin Removal of Patients from Therapy or Assessment The criteria for removal of patients from the...
Ngày tải lên: 26/10/2012, 09:48
Lesson 15-The power systems of Diesel Engine
... operation, part of which derives from the hot combustion gas in cylinders and the rest of which results from the friction of moving parts If the above heat should not be carried away in time, the temperature ... cylinder liner since the lubrication is fulfilled under the condition of the high temperature of combustion gas; turbine oil with low viscosity to be employed for the lubrication of turbocharger owing ... fact, the lube oil system for a diesel power plant can be subdivided into two components, the inner system and the exterior one The lube oil for the inner system is to be provided together with...
Ngày tải lên: 17/10/2013, 15:15
An overview of the clinical management of spasticity
... bedclothes A detailed appraisal of the pattern of spasticity may enable the individual to relieve many of the functional problems Both the clinician and the individual should be aware of potential ... describe the problems in different circumstances are of far more value than a single examination in the outpatient clinic Clinical consequences The above description of the different patterns of the ... spasticity The following chapters in the book outline the detail of the different approaches to the management, but this section attempts to provide an overview of the process (Fig 1.1) Aims of treatment...
Ngày tải lên: 01/11/2013, 10:20
Reliability evaluation of the auxiliary electrical systems of power stations
... evaluating the effect of failures in auxiliary electrical spstem on the reliability of a generating unit We would like t o note that the performance of auxiliary electrical system (and of other systems) ... t o the other material presentedin the paper, we offer the following comments and questions The cost of unreliability is mentioned in the paper but no cost estimateshavebeenassociatedwiththecalculatedreliabilityindices ... units in the station Some of the buses can be supplied from the station common bus or thebuses of other units For this reason, the whole auxiliary electrical system of the stationwill have to be...
Ngày tải lên: 03/01/2014, 19:39
Tài liệu COMING OUT OF THE FOODSHED: CHANGE AND INNOVATION IN RURAL ALASKAN FOOD SYSTEMS pptx
... today, integrable [sic] with the open markets of the nation In fact, the closer the economy of the rest of the nation comes to Alaska, the smaller becomes the function of Alaskan agriculture (Francis ... example; the third, from which the title of this thesis was taken, presents the process and outcomes of contemporary food system change for the Athabascan village of Minto, AK, as they “come out of their ... years where there was no production Often the lack of submission is reflected in the records by a telegram from the BIA office requesting the missing material, though the reports themselves never...
Ngày tải lên: 13/02/2014, 05:20
Tài liệu Báo cáo khoa học: A systems biology approach for the analysis of carbohydrate dynamics during acclimation to low temperature in Arabidopsis thaliana doc
... interconversion rates as a function of time of cold exposure, (b) comparison of the magnitudes of the various interconversion rates, and (c) lineup of the accessions with respect to their metabolic acclimation ... terms of the absolute values but also in the progression of the acclimation process This is an important outcome, as it allows estimation of the impact of different metabolic responses on the improvement ... The rate of net starch synthesis (rCO2 !Starch )was deter- mined by interpolation of measured starch contents (unit: C6) and calculation of the first derivative of this function The flux rate of...
Ngày tải lên: 14/02/2014, 22:20
Tài liệu The AI Systems of Left 4 Dead doc
... detected, another hull trace determines the available vertical space above the bot Goal: Deliver Robust Behavior Performances Find Ledge • The vertical space is then scanned via a series of hull ... find the first unobstructed hull trace Goal: Deliver Robust Behavior Performances Find Ledge Height • Another hull trace downward from the unobstructed trace finds the precise height of the ... series of downward hull traces that step backwards determine the forward edge of the ledge Goal: Deliver Robust Behavior Performances Perform Climb • Pick closest match animation from dozens of...
Ngày tải lên: 21/02/2014, 17:20
DERMATOLOGY: CLINICAL & BASIC SCIENCE SERIES BIOENGINEERING OF THE SKIN potx
... However, the image contains only the information from the skin surface, and strong reflections of light partly disturb the visibility of the lesion In the ELM image in Figure 3B, more details of the ... reveals the shape, the overlapping edges, and the nuclear remnants of these cells (Fig 2) Viewing the specimens by phase-contrast microscopy gives an idea of their inner contents, namely the fibrous ... mentioned above, the tertiary lines Anatomy of the Skin Surface define the boundaries of corneocytes Quaternary lines are the surface markings on individual corneocytes The geometry of the glyphics...
Ngày tải lên: 06/03/2014, 09:21