Abstract Background Female epispadias is a rare congenital anomaly, with quoted incidence of 1 in 480,000.These patients present urinary incontinence and varying degrees external genitalia abnormality. This report presents the delayed presentation management 14-year-old female due to isolated epispadias. Case case noticed since infancy. Examination revealed bifid clitoris, depressed mons pubis,...

We discuss the weak coupling expansion of massless QCD with the Dirac operator which is derived by Neuberger based on the overlap formalism and satisfies the Ginsparg-Wilson relation. The axial U(1) anomaly associated to the chiral transformation proposed by Lüscher is calculated as an application and is shown to have the correct form of the topological charge density for perturbative backgroun...

the objective of this study is to develop a novel methodology integrating remote sensing, geographic information system technology and local spatial autocorrelation geo-computation for quick drought assessment. one group of drought indices, based on the condition of the vegetation, includes the normalized difference vegetation index (ndvi), anomaly of normalized difference vegetation index (ndv...

We have studied the spatial and temporal variation of the surface longwave radiation (downwelling and net) over a 21-year period in the tropical and subtropical Pacific Ocean (40 S–40 N, 90 E-75 W). The fluxes were computed using a deterministic model for atmospheric radiation transfer, along with satellite data from the ISCCP-D2 database and reanalysis data from NCEP/NCAR (acronyms explained i...

introduction: nager syndrome is a malformation resulting from problems in the development of the first and second branchial arches and limb buds. the cause of the abnormal development of the pharyngeal arches in nager syndrome is unknown. it is also unclear why affected individuals have bone abnormalities in their arms and legs. nager syndrome is thought to have an autosomal recessive inheritan...

turner syndrome is one of the best known chromosome anomalies in human being, by an approximate incidence of 1/2500 female at birth. the cause is a chromosomal aberration, mainly with the karyotype 45, x. ninety six patients aged 6 to 26 years with short stature were studied for chromosomal anomalies. out of these 82 were phenotypically female and 14 phenotypically male. twenty seven showed abn...

Two-dimensional echocardiographic features were correlated with surgical findings in 25 patients with Ebstein's anomaly (age 7 days to 71 years). There was excellent agreement between echocardiographic and surgical findings. Echocardiographic observations of anterior leaflet tethering and restriction of motion, as well as small functional right ventricle, were the strongest noninvasively obtain...