we report the case of a three-year-old girl who complained from dysphagia and post-prandial vomiting since she was 6months old. several diagnostic work-ups were performed for her problem. upper gi endoscopy was normal but barium swallow revealed an external pressure effect over upper part of the esophagus (figure 1) and the ct angiography of thoracic aorta showed that this external pressure eff...

for some 3 million years, the archaeological record is characterized by stone tools undergoing incremental changes. then around 40,000 years ago, the monotony of lithics is terminated by a profusion of visual representations, generally considered to be the world’s first objets d’art. this collection include a series of portable objects, especially figurines and, later on, the famous cave painti...

objetives: recovery of upper limb motor function in stroke is limited. different approaches are used to improve the upper limb function, but none has satisfactory results. the present study investigated the effect of task related training and role of hand dominance in upper limb motor function rehabilitation in stroke population. methods: a convenient sample of 32 subjects divided into 4 groups...

  Background: Although upper-extremity disability correlates with psychosocial aspects of illness the association with sleep disturbance in upper extremity disability is less certain. To evaluate whether sleep disturbance is associated with upper-extremity disability among patients with upper extremity illness, accounting for sociodemographic, condition-related, and psychosocial factors. Method...

  Aneurysms of gastric vessels (Dieulafoy`s disease, caliber-persistent artery) are thought to be of malformative rather than degenerative origin. They are usually single, located in the submucosa, usually on the lesser curvature, and characterized by a large tortuous vessel surmounted by a small defect...

Tennessee the No. 1 location in the Southeast for high-quality jobs. In April 2011, Governor Haslam released his Jobs4TN plan, which laid out four key strategies for achieving this ambitious goal. The four strategies are (1) prioritizing business development efforts in six key clusters in which the state has a competitive advantage; (2) reducing business regulation; (3) investing in innovation;...

1. Apply an understanding of the pathophysiology and risk factors for upper gastrointestinal (GI) bleeding to patient care. 2. Evaluate the most recent guidelines for management and prevention of upper GI bleeding. 3. Devise a plan to effectively manage acute GI bleeding and optimize treatment responses in the individual patient. 4. Design plans for the prevention of upper GI bleeding caused by...

This paper investigates cases where one graph parameter, upper fractional domination, is equal to three others: independence, upper domination and upper irredundance. We show that they are all equal for a large subclass, known as strongly perfect graphs, of the class of perfect graphs. They are also equal for odd cycles and upper bound graphs. However for simplicial graphs, upper irredundance m...