rare tumors as second malignancies

... hypoechoic mass measuring 3.5 × 2.5 × cm It was not clear whether the tumor was directly connected to the joint An impingement syndrome of the right ankle caused by a synovial hypertrophy was diagnosed ... of the cartilage below the tumor was also removed However, the complete cartilage of the joint was not damaged Case presentation Case report A 30-year-old Caucasian man suffered from a distortion ... and 24, as well as the MRI scan conducted 24 months after surgery, showed no recurrence of the TGCT (Figure 3) To this day the patient is free of any symptoms Case report A 29-year-old Caucasian...

Ngày tải lên: 11/08/2014, 14:21

... grouped as either integrative or instrumental forms of motivation For this reason he constructed a third group labelled as "personal" This category included motivational reasons such as, "pleasure ... motivation has only been acknowledged as a significant factor in some research, whereas integrative motivation is continually linked to successful second language acquisition It has been found ... the basis of an individual's attitude towards language learning The second phase of Gardner's model introduces the four individual differences which are believed to be the most influential in second...

Ngày tải lên: 06/09/2013, 10:10

... agreement, which has it that ‘Learners’ motivation makes teaching and learning immeasurably easier and more pleasant, as well as more productive’ In the book entitled ‘Expectations about classrooms’, ... discipline as a synthesis presence of a number of complementary factors She also emphasizes the equal importance among the factors as well as pictures the general look of a disciplined classroom ... Definition of Second Language Acquisition 1.6 Theories of Second Language Acquisition 1.7 Factors affecting Second Language Acquisition 1.8 Relationship between classroom discipline and second language...

Ngày tải lên: 07/09/2013, 13:06

... 40 SECONDARY • 43 Secondary Writing 44 Secondary Writing Samples 46 Secondary Reading 56 Secondary Oral Language 58 GLOSSARY • 60 ENGLISH AS A SECOND ... Languages Inc., 1997) ENGLISH AS A SECOND LANGUAGE — STANDARDS ENGLISH AS A SECOND LANGUAGE — STANDARDS Introduction Definition of an ESL Student — ENGLISH AS A SECOND LANGUAGEi students are ...  46 ENGLISH AS A SECOND LANGUAGE — STANDARDS Secondary Writing Sample: Level Task: As part of a unit dealing with the novel, Sarah Plain and Tall (Grade 10), ESL students were asked to draw...

Ngày tải lên: 24/02/2014, 18:20

... Demonstrated competency as a user of English (Clarke 1996, Hester 1989) As well as developing competence in the linguistic aspects of English, children learning English as a second language also ... children learning English as a second language proceed through identifiable phases in the acquisition of the second language When they are ready, children will move to the next phase having achieved ... and other cultural aspects that may assist in developing a profile An important consideration in undertaking ongoing observation and assessment of children learning English as a second language...

Ngày tải lên: 24/02/2014, 18:20

... are increasingly encountering language difficulties as they try to expand in those areas of the world thought to have greatest prospects of growth, such as East Asia, South America, and Eastern ... spread Indeed, such factors cannot even guarantee survival as a living language – as is clear from the case of Latin, learned today as a classical language by only a scholarly and religious few Correspondingly, ... unselfconscious ease But in communities where there are many languages in contact, as in much of Africa and South-east Asia, such a natural solution does not readily apply The problem has traditionally...

Ngày tải lên: 19/03/2014, 07:20

... linguistic, ethnocultural, and educational backgrounds to participate as quickly and as fully as possible in all program areas and to achieve the expectations of the Ontario curriculum PART ESL/ELD ... languages but require assistance to learn English, the language of instruction in Ontario schools English as a second language (ESL) instruction is designed to provide such assistance Students ... first-language assessment; an ESL/ELD assessment, guided by the descriptions of skills at the four stages of second- language acquisition provided in Part of this guide; and a mathematics assessment.The...

Ngày tải lên: 19/03/2014, 08:20

... where English is taught as a foreign language, as opposed to a second language, some classes? particularly those in the science or technical sections, are allocated as little as one hour of English ... special occasion.) Divide the class into groups of four, and ask them to take turns in explaining to the group the significance or importance of the objects each one has brought With the class as a ... sessions as a way of acclimatizing your classes to group work For a beginners' level, include exercises such as What Time Is It? For this exercise you divide the class into two large groups and ask...

Ngày tải lên: 19/03/2014, 08:20

... 6244) The predicted masses were obtained from the mass of the peptide plus the mass increase of 58 after alkylation per cysteinyl residues by iodoacetic acid was found only as the alkylated form ... after alkylation, Pep22 ⁄ 39 was found as the unmodified and, in small amounts, also as the twofold alkylated species Pep1 ⁄ 21 was present in the unmodified state, as well as modified with two alkyl ... the protein was precipitated and washed carefully with methanol–chloroform [31] The protein concentration was determined using the Bradford assay [32] and the radioactivity was measured in a scintillation...

Ngày tải lên: 23/03/2014, 15:20

... 1999 i In some literature, this is referred to as English as an Additional language (EAL) ii In some literature, this is referred to as English as a Second Dialect (ESD) T here are no typical ESL ... Recent trends in language assessment are toward assessment instruments which integrate these various channels and skill areas, and which include at least some pragmatic assessment (how well the ... paid to teaching basic for more information) concepts as well as language to build a solid base for future learning Though sometimes an age-appropriate placement occurs before assessment, the type...

Ngày tải lên: 02/04/2014, 05:20

... basic data were described in our previous report [15] Metastasis suspicions were solved by thoracic radiographs and ultrasonographs of liver, kidney and spleen before surgery Each case was classified ... progression of disease or the last clinical assessment Recurrence was defined as the occurrence of mammary tumor again after surgery at any stage or grade Progression of the disease was considered ... radiotherapy Mean follow-up period was 16 months (range, 2-38 months) and the last clinical assessment was used to determine final status Survival time was defined as the time from tumor biopsy or...

Ngày tải lên: 07/08/2014, 17:22

... previous cases of preoperatively diagnosed xanthogranuloma as was found in the current case In our case, the gastric xanthogranuloma was preoperatively misdiagnosed as an advanced gastric cancer ... al.: A rare case of xanthogranuloma of the stomach masquerading as an advanced stage tumor World Journal of Surgical Oncology 2011 9:67 Conclusion We report an extremely rare case of gastric ... invaded the abdominal wall, and a defined abdominal mass was palpable on physical examination Therefore, the tumor was recognized as an advanced gastric cancer Biopsy of the elevated lesion should...

Ngày tải lên: 09/08/2014, 02:20

... gynecological tumors are rare, it is even rarer to find the rarest of gynecological tumors that of the fallopian tube, together with a histological sub-type as rare as verrucous cervix We present a case ... probably the most important is the nature of the cervical neoplasm which was preinvasive carcinoma in Ayas' case while in ours was an invasive rare variant of squamous carcinoma, and the other is adjuvant ... origin while in our case cervical cancer was squamous in origin, the patient was staged properly and adjuvant treatment with chemotherapy was prescribed but she had pulmonary metastasis 15 months after...

Ngày tải lên: 09/08/2014, 04:21

... (air and contrast material filling the pericardial sac) and bilateral pleural effusions reported cases [1-14] In some of these cases the esophageal cancer was associated with achalasia [12,13] ... contrast medium (Gastrographin®) Filling of2 pericardial sac after orally administered waterFigure the Filling of the pericardial sac after orally administered water-soluble contrast medium (Gastrographin®) ... our case, no fistulous tract was demonstrated, but hydropneumopericardium and filling of the pericardial sac with contrast material were obvious Endoscopic studies may reveal such fistulae, as...

Ngày tải lên: 09/08/2014, 04:21

... disease" were taken as events while for calculating the OS, "cause specific death", "lost to follow up with disease" and "alive with disease" were considered as events Results The median age was ... (1 Cycle) and was subsequently lost to follow up with disease The average number of IMRT fields was (range 5–8) For PTV, V100 was 76.4% (65%–100%), V93 was 2.9% (0%–10%) and V110 was 9.9% (0%–46%) ... volume (CTV) was defined at 10 mm from the GTV In post operative cases, the CTV for every case was individualized according to the drainage areas, information regarding the tumor bed as per surgical...

Ngày tải lên: 09/08/2014, 10:21

... palpable/visible mass, nerve palsy, or pain can occur in either benign or malignant tumors, all three are more common and more notable in malignant tumors For example, rapid enlargement of a nerve mass was ... schwannomas or neurofibromas [1] In contrast, 94/99 of patients with benign tumors had a positive Tinel's test [1] Thus, further clarification of the character and timing of the pain increases the ... the present review Pain as a presenting symptom of peripheral nerve tumors Of clear importance is the ability to differentiate between benign and malignant lesions as early as possible in the clinical...

Ngày tải lên: 10/08/2014, 10:20

... typical hallmarks of an early ONJ lesion, including areas of necrotic bone coinciding with signs of infections as well as areas with increased bone turnover (Figure 2h) Conclusion Osteoporosis, ... this article as: Otto et al.: Osteonecrosis of the jaw as a possible rare side effect of annual bisphosphonate administration for osteoporosis: A case report Journal of Medical Case Reports 2011 ... in her left mandibular angle was performed as previously described [7] and her left third molar was removed (Figure 1c-f) In addition, the upper jaw necrotic bone was resected under fluorescence-guidance...

Ngày tải lên: 10/08/2014, 23:20

... anastomosis using a 4-0 synthetic absorbable suture, was performed to restore the continuity of the small bowel Thorough washout of the peritoneal cavity was performed, and a pelvic drain was ... within MD, such as lipomas, have also been recognized as a potential cause of torsion [12] Complications associated with this presentation include intussusception, with the tumor as the lead point, ... arising within MD is rare, representing less than 1% of cases [11], they may be a potential risk factor A large review of 1605 cases of complications of MD identified only 24 cases [9] A variety...

Ngày tải lên: 11/08/2014, 00:23