difficulties in laparoscopic management of vesicovaginal fistula

... establish the diagnosis of MD Occasionally, it can be useful when a MD is bleeding [3] Dense capillary staining of the vitelline artery permits the imaging of MD in the absence of Page of (page number ... treatment of gastrointestinal bleeding of obscure origin in children J Pediatr Surg 2000, 35:1291-1293 Shalaby RY, Soliman SM, Fawy M, Samaha A: Laparoscopic management of Meckel’s diverticulum in children ... endoscopic findings with Tc-99m scan Tc-99m scan is a widely accepted imaging modality for the discovery of a MD, especially in children with lower gastrointestinal (GI) bleeding [7] The affinity of Tc-99m...

Ngày tải lên: 11/08/2014, 17:21

... pathogenesis of insulin resistance in humans using magnetic resonance spectroscopy Obesity (Silver Spring) 2006;14 (Suppl 1): 34S–40S 31 Boden G Role of fatty acids in the pathogenesis of insulin resistance ... tendons, skin and the capsular linings of joints from his right foot The patient was discharged after ten weeks in hospital with a large, infected, open wound requiring community nurses to wound management ... development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept of management of chronic...

Ngày tải lên: 26/10/2012, 09:39

... with the results of the students in reading skill during the process of learning English The teachers often find their students reading performance disappointing And in fact, most of the students ... - Deducing the meaning and use of unfamiliar lexical items - Understanding the meaning of explicitly stated information - Recognizing indicators in discourse - Interpreting texts by going outside ... Previewing Previewing can be previewing title of the reading text, previewing the picture provided in the course book, previewing the question and information provided in the prereading phase in...

Ngày tải lên: 10/04/2013, 10:36

... providing to shipping lines at terminals are services related to ships and crew, shipping boarding agency, packages tallying, containers tallying, cargoes tallying for loading into containers, ... the management of the flow of goods, information and other resources, including energy and people, between the point of origin and the point of consumption in order to meet the requirements of ... Logistics management Like management of any other businesses, logistics management includes tasks of planning, implementing, and controlling logistics operation One of the most detailed definitions of...

Ngày tải lên: 20/04/2013, 11:13

... 30% of the injected phenol binds to the neural structures within seconds of coming into contact with them Almost all of the remaining phenol binds to the nerve tissue during the following few minutes; ... by 15 minutes from the start of the phenol administration, only 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 1975) The magnitude of the clinical effect of the intrathecal ... injections The effect of motor point injections is usually incomplete and is of shorter duration in most cases Nevertheless, because the technique of motor point injections is simple, inexpensive, and...

Ngày tải lên: 01/11/2013, 10:20

... was like: no!‟ Instead of „…if you understand what I‟m saying‟, yoof will say „kindathing‟ or „sortathing‟ Instead of „think‟, „the‟, „that‟, „what‟ and „because‟, yoof will say „fink‟, „da‟, „dat‟, ... personal point of view Beside that, there are also many other definitions of Lyric Expressing deep emotion; "the dancer's lyrical performance" Used of a singer or singing voice that is light in volume ... activity, in the past few decades, has developed because of rising international trade, increasing migration, globalization, the recognition of linguistics minorities, and the expansion of the mass...

Ngày tải lên: 11/12/2013, 23:48

... informed policy-making  Monitor IPv6 readiness, including by monitoring information on national peering points offering IPv6 connectivity, Internet Service Providers offering commercial IPv6 ... MAIN POINTS .4 INTRODUCTION I AN OVERVIEW OF INTERNET ADDRESSING 12 Overview of major initiatives in Internet addressing and routing to-date ... Network management software (upgrade) Network testing Installation effort Maintaining network performance Training (sales, marketing, and technical staff) Distribution of Total Transition Costs Internal...

Ngày tải lên: 06/03/2014, 21:20

... strategy They require varying degrees of assistance with activities of daily living, such as eating, dressing, bathing, grooming and toileting Some are incontinent of bowel and/or bladder or ... munities to deterinstrumental activities of daily living devices, including walkers, eye glasses, mine the efficacy of hearing aids, list of medicines, names this rapid screening of doctor(s), family ... gerontological disciplinary training programs are sorely needed Two of the top ten resolutions from the 2005 White House Conference on Aging called for increased numbers of professionals trained in gerontology...

Ngày tải lên: 28/03/2014, 16:20

... removal of the device and was re-operated because of unawareness of the mechanism of injury and underestimating the ligamentous instability of the ankle joint (Figure 6) In patients of group ... use of half-pins into the tibial shaft and the distal part with half-pins into the calcaneus and talus respectively, enabling at the same time motion of the ankle joint through a hinge which initially ... presence of osteoarthritic lesions of the ankle joint, the residual ankle instability, range of motion, infection, time of union and time of removal of the device as well as the number of revision...

Ngày tải lên: 20/06/2014, 04:20

... edges of the container proper arrangement of Chinese kale leaves inside the container to minimize leaf tearing and crushing individual wrapping of cabbage heads with old newsprint use of plastic ... containers that could result in high compression damage and increase the tendency of handlers to drop the container due to its heavy weight overpacking of containers mixing of many types of containers ... University of Agriculture who handled data input was trained by the AVRDC-HQ survey expert in survey data encoding The following are some initial findings of the survey: Harvesting and field handling...

Ngày tải lên: 09/07/2014, 03:20

... generalizability of the study’s findings as the population included in this study may not be fully representative of all patient types encountered in real-world settings Furthermore, the findings reported ... (occurring in ≥10% of subjects) during the entire study were headache, auditory hallucinations and insomnia Most AEs were mild to moderate in severity Discontinuations due to AEs occurred in 13 ... assessed using the preference of medication scale scores during the switching treatment phase This finding, coupled with the improvement in QOL ratings, is important as it provides an estimation of the...

Ngày tải lên: 09/08/2014, 01:21

... grams of protein per kilogram of weight per day, by using an infusion bomb during 20 hours, (with a resting time of hours) Results The complete closing of the fistula was evident in day 8, 14 ... performed at our hospital In one of our cases, when putting the tube in place, this initially exited through a dehiscent area and crossed the route of the intraabdominal fistula (Figure 3), but ... the adequate place, in the intestinal lumen, distal to the zone of escape (Figure 4) This emphasizes the importance of experience in the handling of this alternative therapy In this case, a radiographic...

Ngày tải lên: 09/08/2014, 03:22

... combine vasodilator and antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting ... commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin system may prove effective in RP A pilot study of the ... development of PAH by a combination of mechanisms including vasodilation, reduction of vascular smooth muscle proliferation, reduced collagen deposition and inhibition of NF-ΚB activation [5,12,13] Since...

Ngày tải lên: 09/08/2014, 06:23

... 17:1511-1546 Silverstein MJ, Lagios MD, Groshen S, Waisman JR, Lewinsky BS, Martino S, Gamagami P, Colburn WJ: The influence of margin width on local control of ductal carcinoma in situ of the breast ... J, Bishop H: Radiotherapy following breast-conserving surgery for screen-detected ductal carcinoma in situ: indications and utilisation in the UK Interim findings from the Sloane Project Br J ... therapy for ductal carcinoma in situ: is it really worth it? J Clin Oncol 2007, 25:461-462 Silverstein MJ: An argument against routine use of radiotherapy for ductal carcinoma in situ Oncology 2003,...

Ngày tải lên: 09/08/2014, 07:21

... comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: A daily diary analysis of short- and long-term treatment effects J Pain 2006, ... [22] The role of leisure in maintaining or restoring psychological wellbeing in the presence of arthritis pain warrants further study Psychosocial approaches to managing arthritis pain Search strategy ... restricts participation in other roles, including those integral to family life, such as being a parent, managing a household or maintaining intimate relationships [15] Available online http://arthritis-research.com/content/8/6/221...

Ngày tải lên: 09/08/2014, 08:23

... modifier of hemoglobin that works by decreasing the binding affinity of hemoglobin to oxygen thus permitting greater oxygenation of hypoxic tumor cells and enhancing the effect of radiation In addition ... or urine levels in patients with brain metastases MMPs are not only involved in tumor invasion but can also be a sign of CNS vascular injury as indicated by an increase in plasma levels of MMP9 ... a role in predicting a decline in neurocognitive function Ultimately, combining the outcomes of neuropsychological testing, biomarkers and imaging will help us improve the management of these...

Ngày tải lên: 09/08/2014, 09:22

... scope of this review ABT-263, a small molecule inhibitor of Bcl-2, has shown clinical activity as a single agent in CLL, and studies of this drug in combination with other agents are ongoing Based ... the 2009 ASCO meeting Similarly, preclinical results of an ongoing phase I study of CAL-101, an orally available inhibitor of the phosphatidylinositol-3-kinase (PI-3-K) delta isoform, will be presented ... Indications for therapy The 1996 NCI Working Group established guidelines for initiating treatment for CLL, which were affirmed in 2008 by the International Workshop on CLL[1,2] Indications include...

Ngày tải lên: 10/08/2014, 22:20

... burn injury is still controversial Most surgeons suggest grafting as early as possible Early skin grafting increases the risks of infection and complications However, delayed skin grafting also increases ... injury Surgery after three days of burn injury can avoid a large amount of plasma exudation that can influence skin graft success Local anesthesia was induced with 1% lidocaine A horizontal incision ... Editor -in- Chief of this journal Acknowledgements We sincerely appreciate the superb assistance of Cheltus Cheyuo MD of the Feinstein Institute for Medical Research, New York for help writing the...

Ngày tải lên: 10/08/2014, 23:22

... procedure On the day of the procedure, which was carried out in an operating room, a slow intravenous infusion of g of cefazolin was started, and the patient was placed in a prone position with ... peripheral nervous system [8] According to the National Institutes of Health, a definitive diagnosis of NF-1 is made when two of seven cardinal clinical features of the disease are present [29]: ... >5 mm in the greatest diameter in prepubertal individuals and >15 mm in the greatest diameter in postpubertal individuals; (2) two or more neurofibromas of any type or one plexiform neurofibroma;...

Ngày tải lên: 11/08/2014, 00:23

... swing and midline tongue split followed by reassembly and filling of the defect utilizing rectus abdominus muscle First a left maxillary swing approach via a WeberFergusson-Longmire incision was ... Burlington, Massachusetts) so that precise removal could be performed without injury of the structures within the dural space i.e brainstem, basilar Figure Sagittal and axial views of brain MRI ... and axial views of brain MRI scan Image shows tumour in the nasopharynx extending from nasal cavity to brainstem posteriorly Page of (page number not for citation purposes) Journal of Medical Case...

Ngày tải lên: 11/08/2014, 10:23