conclusion this study demonstrated that repeating the tfna procedure in pulmonary lesions improves the diagnostic yield without an increase in the rate of pneumothorax. objectives we aimed to investigate whether repeating ct-guided transthoracic fine needle aspiration (tfna) increases diagnostic yield and complication rate. patients and methods patients underwent tfna and the final diagnoses ac...

background: noninvasive techniques for the localization of the accessory pathways (aps) might help guide mapping procedures and ablation techniques. we sought to examine the diagnostic accuracy of strain imaging for the localization of the aps in wolff-parkinson-white syndrome. methods: w e prospectively studied 25 patients (mean age = 32 ± 17 years, 58.3% men) with evidence of pre-excitation o...

Postoperative alopecia is an uncommon complication and its outcome is aesthetically drastic. Although its mechanism has not been clearly elucidated, a proposed risk factor is steep Trendelenburg positioning (30-40 degrees) that is frequently used during robotic gynecologic surgeries. We report a case of postoperative alopecia in 53-year-old female patient who had undergone robotic-assisted lapa...

methylmalonic acidemia (mma) is usually caused by a deficiency of the enzyme methylmalonyl-coa mutase (mcm), a defect in the transport or synthesis of its cofactor, adenosyl-cobalamin (cbla, cblb, cblc, cblf, cbld, and cblx), or deficiency of the enzyme methylmalonyl-coa epimerase. a comprehensive diagnostic approach involves investigations of metabolites with tandem mass spectrometry, organic ...

OBJECTIVE A retrospective evaluation of waiting times for elective procedures was conducted in a sample of Mexican public hospitals from the following institutions: the Mexican Institute for Social Security (IMSS), the Institute for Social Security and Social Services for Civil Servants (ISSSTE) and the Ministry of Health (MoH). Our aim was to describe current waiting times and identify opportu...

In recent years malaria treatment policies have shifted in most African countries to artemisinin-based combination therapies (ACT), which are highly effective but also much more expensive than previous regimens [1]. In order to avoid overprescription of ACT, new guidelines from the World Health Organization recommend that a laboratory test should be performed before treating [2]. The widespread...

To reduce or omit a mediastinal lymph node dissection in the patients with clinical stage I non-small cell lung cancer (NSCLC), several authors examined the prevalence of metastatic sites of lymph nodes. Because lymphatic drainage usually heads for the upper mediastinum in upper lobe cancer and for the lower mediastinum in lower lobe cancer, upper and lower mediastinal lymph node dissection cou...