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CASE A 19-year-old man presented to the emergency department complaining of two days of right arm pain and swelling. The pain started while lifting weights. He did not experience a pop or pulling sensation. He stated his arm felt a little cold but otherwise denied numbness or tingling. He denied chest pain, neck pain or shortness of breath. Examination demonstrated a diffusely edematous right u...
At the time of her first medical consultation (September 25, 2015), she reported dyspnea on minimal exertion, orthopnea and anasarca, which had started 2 months earlier. She denied angina pectoris, previous myocardial infarction and syncope. She knew she had systemic arterial hypertension and diabetes mellitus, and was being treated at a basic health unit. She used to smoke (20 packs/year), but...
infections Widad Al-Nakib, FRCPath, FIDSA; Sahar Essa, BSc, MSc, PhD; Haya Altawalah, BSc, MBBS, FRCPath; Abdullah Owayed; Mousa Khadadah; Nasser Behbehani; Microbiology Department Kuwait University, Faculty of Medicine, Kuwait; Virology Unit, Ministry of Health, Mubarak Hospital, Kuwait; Paediatrics, Kuwait University, Faculty of Medicine, Kuwait; Medicine, Kuwait University, Faculty of Medici...
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The Internet is becoming a vital communication tool for individuals, businesses, and governments. Thus, the Internet access reliability is crucial especially against malicious behaviors. When a malicious higher-tier Internet service provider filters transit traffic for the purpose of dropping a specific network’s packets, then an Internet access denial occurs. This paper presents a solution for...
Improving judicial performance in order to enhance the business environment has been a policy goal for many governments last decades. Following suggestions of several international organizations, most countries have tried speed up their case resolution systems by streamlining procedure. However, not as much attention devoted test potential drawbacks similar reforms terms supplying quicker but y...
Calcific aortic stenosis (AS) is the most common form of degenerative heart valve disease in developed countries. AS predominantly affects the elderly with a prevalence of 4% in people over the age of 80 years. With increasing longevity and an ageing population the absolute number of people afflicted with AS is set to rise. The clinical course of the disease is insidious at first (Ross & Braunw...
We wish to comment on the December 2015 article of Ramalho et al entitled “Gadolinium-Based Contrast Agent Accumulation and Toxicity: An Update” in the American Journal of Neuroradiology. First, the authors introduced the study of Stojanov et al, in which gadobutrol (Gadavist; Bayer Schering Pharma, Berlin, Germany) was purported to cause hyperintensity in the dentate nucleus. However, this rep...
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