OBJECTIVE The diagnosis and management of phyllodes tumors is challenging due to its low incidence. The treatment of these tumors is surgery, however the extent of surgery, the application of adjuvant chemotherapy and radiotherapy are still controversial. Therefore, we aimed to evaluate patients who were treated with a diagnosis of phyllodes tumor of the breast in our clinic. MATERIAL AND MET...

Successful management of patient behaviors that interfere with the process of psychotherapy is essential to treating patients with borderline personality disorder. Provocative patient behaviors that induce a strong negative reaction from the therapist must be attenuated. Strategies for doing so used in four different treatment paradigms--Kernberg's expressive psychotherapy, Linehan's dialectica...

Treatment of a mangled lower extremity represents a major challenge. The decision whether to amputate or attempt reconstruction is currently based upon surgical evaluation. The aim of this paper is to propose a new approach to surgical evaluation based on scoring systems, local clinical status of the patient as well as comorbidities, mechanism of trauma and hospital resources. Available literat...

Borderline personality disorder (BPD) is a severe mental disorder characterized by a dysfunctional pattern of affective instability, impulsivity, and disturbed interpersonal relationships. Dialectical Behavior Therapy (DBT®) is the most effective treatment for Borderline Personality Disorder, but demand for DBT® far exceeds existing clinical resources. Most patients with BPD never receive DBT®....

in guilan province, near the end of spring and summer each year at the time of rice gathering, some of the farmers run high fevers. this disease is named as “shaltook fever” (paddy or husked rice fever) in the region. review of literature showed outbreak of leptospirosis between rice farmers in italy and spain. we decided to measure antibody levels (igm and igg) against leptospirosis in patient...