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in 2011 in cambodia , environmental samples were collected from 4 lpms each week for 7 weeks , including during the khmer new year festival ( figure 1 ) . two of the markets were in phnom penh , the capital city : orussey market ( m1 ) and chamkar doung market ( m2 ) , which also served as an overnight resting place an... | in cambodia , influenza a(h5n1 ) virus surveillance at live poultry markets ( lpms ) relies on virus isolation from poultry specimens ; however , virus is rarely detected by this method .
we tested 502 environmental lpm samples : 90 were positive by pcr , 10 by virus isolation .
virus circulation could be better mo... |
the ability of lasers to induce hair growth was incidentally noted as early as 1967 when mester et al . used low - level laser therapy ( lllt ) to treat cancer in mice with shaved backs . since then , hypertrichosis has been recognized to be a possible side - effect of laser treatment . first described in 2002 with int... | background : androgenetic alopecia ( aga ) is the most common form of hair loss in men and in women . currently , minoxidil and finasteride are the treatments with the highest levels of medical evidence , but patients who exhibit intolerance or poor response to these treatments are in need of additional treatment modal... |
ewing 's sarcoma family of tumors are a group of small round - cell neoplasms , which include ewing 's sarcoma ( ews ) , primitive neuroectodermal tumor ( pnet ) , askins tumor , pnet of the bone , and extraosseous ewing 's sarcoma ( ess ) . ewing 's sarcoma / peripheral primitive neuroectodermal tumor , presumed to be... | ewing 's sarcoma / peripheral primitive neuroectodermal tumors occur most often in bone and soft tissues of children and young adults .
the intracranial manifestation of the disease is rare , and when present , this is often misdiagnosed with other varieties of primary brain tumors .
we report such a case of extrao... |
during 20052010 ( time span needed to cover the study area ) and during the months more favorable for infection ( october april ) , foxes were either shot at night or trapped . therefore , a grid of 5 km 5 km to 10 km 10 km , depending on the department size , was superimposed over the sampling area , and no more th... | during 20052010 , we investigated echinococcus multilocularis infection within fox populations in a large area in france .
the parasite is much more widely distributed than hitherto thought , spreading west , with a much higher prevalence than previously reported .
the parasite also is present in the large conurbat... |
prosthetic joint infections ( pji ) are a serious complication associated with total knee replacement ( tka).1 fungal pji is a rare occurrence with few cases reported.123456 phelan et al . reported the first case of candidal pji in 1979.3
candida albicans is the most commonly isolated fungus.3 to the best of our know... | fungal prosthetic joint infection after total knee arthroplasty ( tka ) is a rare complication .
lacunae exist in the management of this complication .
62 year old lady presented with pain and swelling in left knee and was diagnosed as candida tropicalis fungal infection after tka .
she underwent debridement , re... |
a 41-year - old male injection drug user was brought to the emergency department unresponsive , febrile and hypotensive . initial investigations revealed a white blood cell count of 19.310/l ; urinalysis , chest x - ray and abdominal computed tomography were all unremarkable . fluid resuscitation , vasopressor support ... | bacillus cereus is a bacteria commonly found in nature that is most frequently implicated as the cause of gastrointestinal illness caused by ingestion of contaminated food ; however , there are also reports of extraintestinal infections , although rare .
this article describes three cases in which b cereus bacteremia... |
cyanotic congenital heart disease is still a common occurrence and many patients with uncorrected cardiac lesions present for various non - cardiac surgery . this case report is aimed at presenting a case of labor epidural analgesia and subsequently epidural anaesthesia in a patient with uncorrected pentalogy of fallot... | tetraology of fallot is the most common congenital heart disease causing intracardiac right - left shunts .
it is characterized by presence of ventricular septal defect , aortic overriding , pulmonary artery outflow obstruction and right ventricular hypertrophy .
when these features are associated with atrial septa... |
dynamic factors have a significant role in causing cervical spondylotic myelopathy ( csm ) . in patients with cervical ossification of the posterior longitudinal ligament ( c - opll ) , mild symptoms of myelopathy the pathomechanism of cervical myelopathy caused by c - opll remains unknown . despite spinal stenosis ( 6... | abstractthe purpose of this study was to measure range of motion ( rom ) in patients with cervical ossification of posterior longitudinal ligament ( c - opll ) by multidetector - row computed tomography ( mdct ) , and to investigate the influence of dynamic factors .
the study included 101 patients with c - opll and ... |
mutism is defined as an inability or unwillingness to speak , resulting in the absence or marked paucity of verbal output . it is a common presenting symptom seen in various disorders , including psychiatric as well as medical disorders . though , it often is the main focus of clinical attention , both for the patients... | mutism , defined as an inability or unwillingness to speak , resulting in an absence or marked paucity of verbal output , is a common clinical symptom seen in psychiatric as well as neurology outpatient department .
it rarely presents as an isolated disability and often occurs in association with other disturbances i... |
it has speedily replaced cervical cancer as the most common cancer among indian women . according to figures from the national cancer registry , one in every 25 indian women is likely to suffer from breast cancer at some point of time . fine needle aspiration ( fna ) cytology has become widely accepted as a reliable di... | introduction . according to the national cancer institute ( nci ) guidelines in 1996 ,
breast lesions are categorized as c1 to c5 on fine needle aspiration ( fna ) cytology .
very few studies are available in the english literature analyzing histopathology outcome of c3 ( atypical , probably benign ) and c4 ( suspi... |
panthothenate kinase - associated neurodegeneration ( pkan ) , formerly termed as hallervorden - spatz disease is a rare chromosomal disorder first described by hallervorden and spatz in 1922 . the characteristic features in patients with pkan include dystonia , muscle spasm , cognitive dysfunction , and seizure disord... | panthothenate kinase - associated neurodegeneration ( pkan ) ( hallervorden - spatz disease ) is a rare autosomal recessive chromosomal disorder characterised by progressive neuroaxonal dystrophy .
the characteristic features include involuntary movements , rigidity , mental retardation , seizures , emaciation .
th... |
both age and diabetes mellitus ( dm ) are independent prognostic predictors of hospital mortality in acute coronary syndrome ( acs ) . an analysis on the in - hospital events and 6 months outcomes in elderly patients with acs who were included in the grace registry showed that the more elderly , the higher risk are the... | background and purpose : elderly diabetics ( dm ) who present with acute coronary syndrome ( acs ) constitute a very high risk group .
we present the pattern of management of elderly patients ( > 65 years ) in the kingdom of saudi arabia ( ksa ) in comparison to the international data extrapolated from a multicenter ... |
one of the most common challenges faced by the dentist is the restoration of endodontically treated teeth , more so because of its brittleness as compared to vital teeth . the success of endodontically treated teeth is related to the position of the tooth in the dental arch , occlusal contact , proximal contact , struc... | objective : a three - dimensional ( 3d ) finite element analysis ( fea ) on the stress distribution of endodontically treated teeth with titanium alloy post and carbon fiber post with different alveolar bone height.materials and methods : the 3d model was fabricated using software to represent an endodontically treated... |
are commonly used on the other hand an opioid consumption is traditionally common in iran . the effects of different addictives on body systems have been reported ; however , there is not enough information about different blood parameters ( 2 ) . the effect of some psychoactive substances on commonly observed diseases... | background : psychoactive substances affect mainly central nervous system and brain function causing changes in behavior.objectives:the purpose of this study was to determine the effects of different psychoactive substances on serum biochemical parameters.patients and methods : the study included 324 drug dependents , ... |
clinical presentations vary from nonspecific systemic symptoms ( e.g. , fever , myalgia , palpitation , chest pain , dyspnea ) to fulminant hemodynamic collapse and sudden death . infections ( viral , bacterial , fungal , protozoal , parasitic ) , toxins , immunological syndromes , and hypersensitivity can cause myocar... | myocarditis often occurs due to viral infections and postviral immune - mediated responses .
hypersensitivity myocarditis is a rare form of myocarditis .
numerous drugs can induce myocarditis , which is typically reversible after withdrawal of the causative agent . here , we report a case of hypersensitivity myocar... |
birt - hogg - dub syndrome ( bhds ) is an inherited autosominal dominant genodermatosis that predisposes individuals to the development of fibrofolliculomas ( ff ) , trichodiscomas ( td ) , and acrochordons of the face , neck , and upper trunk ( 1 ) . there is also an increased risk for lung cysts , spontaneous pneumot... | birt - hogg - dub syndrome ( bhds ) is an autosomal dominant genodermatosis characterized by cutaneous hair follicle tumors ( fibrofolliculoma or trichodiscoma ) , pulmonary cysts , and increased risk of renal neoplasia .
the genetic alteration for bhds has been mapped to chromosome 17p12q11 , and the gene in this re... |
gastrocnemius muscle is commonly used as a local flap for coverage of soft tissue defect in the upper third of the leg . the arc of muscle flap extends from the lower thigh , entire knee joint , popliteal fossa and upper third tibia . gastrocnemius muscle is a workhorse flap to cover upper third tibial defects because ... | introduction : gastrocnemius muscle is a workhorse flap to cover upper third tibial defects but has a limitation in covering middle one - third tibial defects
. the inferiorly based hemi gastrocnemius muscle flap can be useful for reconstruction of the middle third of the leg .
the arterial communication between th... |
disability evaluation typically requires an assessment of the activities of daily life ( adl ) and instrumental adl ( i - adl ) . in japan , a physical disability certificate is based on the patient 's adl and i - adl grades . the independent adl scale , which is widely considered within the field of rehabilitation med... | to examine the current state and social ramifications of disability evaluation in japan , public data from annual reports on health and welfare 1998 - 1999 were investigated .
all data were analyzed based on the classification of disabilities and the effects of age - appropriate welfare services , which have been dev... |
a 39-year - old caucasian male with no significant past medical history presented to the emergency room reporting a two - week history of a worsening cough associated with the production of rusty sputum , pleuritic chest pain , and intermittent fevers , as well as an unintentional 30-pound weight loss over the precedin... | a 39-year - old male with newly diagnosed hiv had cavitary pneumonia initially attributed to pneumocystis jirovecii but actually caused by rhodococcus equi .
after neurological deterioration , he was found to have intracerebral lesions caused by toxoplasma gondii .
this case underscores the inability to rely on the... |
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