... 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, wealso include the use of a structured method of projectdevelopment 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 UniversityofRome‘‘TorVergata’’.Heis alsoworkingin the Department of Electrical Systems andAutomation of Pisa University. His research interests include supply chain informationmanagement,...
... 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 duemainly to the lack of technical legitimacy in their training, the excessive supervision required, the difficulty of ... phase of labour [28,45] andon 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 fixationdevices 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 furtherprevent spinning ofthe femoral head on the shorter LagScrew, therefore, a second cannulated screw was placedinto the femoral neck anterior and parallel to the shorter ... toggling of the nail within the femoral canal leading to medialmigration similar to what is seen inthe “Z-Effect”.It’ salso important to dem onstrate fracture healing by stres-sing the hip intra-operatively....
... ofthe fracture anddynamization ofthe nail inthe setting of an unstablefracture pattern, there was togg ling ofthe nail within the intrameduallary canal which led to the medialmigration of ... among the elderly [13,14]. There are many different fixationdevices developed for the management of these frac-tures, with majority of them belonging to either the intrameduallary or the sliding ... placedwith 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 thatover time with the compression of...
... improving inter-episode functioning andperceived quality of life. Our review found that there isgrowing interest in characterizing QoL in bipolar disorderpopulations, and determining the impact ... evaluated differentQoL instruments in BD populations and one study thatexamined the effects of mode of questionnaire adminis-tration. The first of these examined the application of the aforementioned ... forfuture 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 theninstructed on how to complete the article reviews usingthedatacollectionsheet.Thefivestudyinvestigatorswho 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 readand approved the final version ofthe manuscriptCompeting ... signs of primary or meta-static involvement. The first postoperative hours, the patient complained of sub-hyperesthesia at the inner surface ofthe thighthat was extended to the middle ofthe ... better the correlations between the mass a nd the soft tissues. MRI seems to be morespecific in describing the extension ofthe mass in the pelvis. The various scans allow the surgeon to determinepossible...
... cystadenocarcinoma in 1981 [2], there havebeen 11 additional cases reported inthe English lan-guage literatureof UC with OGCs ofthe pancreas ori-ginating in MCN and indeterminate mucin-producingcystic ... 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 usuallyfocal, with fewer than 5% of cells been positive [9,20,12]. The final diagnosis of our patient was established basedon 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 smallintestine.Figure 5 The surgical specimen ofthe small intestine wasa well-circumscribed ... optimalcare ofthe patients.IntroductionGastrointestinal stromal tumors (GISTs) are uncommontumors that develop inthe wall ofthe gastrointestinaltract and usually present inthe fifth to...
... abnormal immunoglobu-lin levels and the development of gastric cancer in thosepatients in whom levels were checked, suggesting thatinjury to the gastrointestinal mucosa inthe form of chronic gastritis ... accompa-nying images. A copy ofthe written consent is availablefor review by the Editor -in- Chief of this journal.Competing interests The authors declare that they have no competing interests.Authors' ... variableHematoxylin and eosin stained sections ofthe gastric adenocarcinoma resected from our patientFigure 3Hematoxylin and eosin stained sections ofthe gastric adenocarcinoma resected from...
... diameter of larger than 10 cm, and the commonestsite is the head of pancreas. Generally, they are largemasses with thin wall having multiple thin septa with var-ying size cystic cavities containing ... Ultrasonogra-phy, there was no complaints or recurrence.DiscussionIntra-abdominal hemolymphangioma is very rare; rarerstill is the involvement of pancreas. On a reviewof pub-lished work (online PubMed ... wererevealed in laboratory data including tumor markers suchas CEA and CA19-9. At laparotomy there was a black poly-cystic, retroperitoneal tumor extending from coeliac axisto 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' contributionsHK and BP reviewed theliterature ... dramatic increase inthe volume of tumour encountered inthe 2nd operation, merely 2 weeks after the 1st operation of tumour resectionFigure 44a shows a dramatic increase inthe volume of tumour ... adenocarcinoma in a Meckel'sdiverticulum 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 MRIerosions. Some of these were ‘nonenhancing’ followingcontrast injection, suggesting that they may have containedfibrous tissue rather than inflammatory ... SpA, most often involving the dorsocaudal part of the joint in early disease in which subchondral bone oedemawas a frequent finding. Figure 5 shows an example of MRIsacroiliitis in a patient ... post-gadolinium FS T1 weighted and STIRsequences for detecting MRI enthesitis. Interestingly, onepatient 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 externaliliac, 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 manycancers.Lymphatic...