Department of geography, Pennsylvania State University. University Park, Pennsylvania 16802. USA Abstract. Appropriate technology(AT) has become an integral part if the programmes for decentralized regional development in the third world appropriate techniques are usually low in capital coststhey can be maintained without a high level of expertise, and they do not involve patents, expensive cop...

Introduction In this issue of the journal, Yates et al. [1] describe the interesting case of a 54-year-old renal transplant recipient with enigmatic pruritus. Many diagnostic considerations were entertained and drugs stopped, switched and changed again to the point where even stopping the immunosuppression altogether and sacrificing the graft were considered by the desperate patient. Eventually...

Alzheimer's dementia (AD) is the most common neurodegenerative disorder, which affects 30 million people worldwide. With aging of the population, it is becoming an increasing problem in Croatia. Alzheimer's dementia represents not only problem for the patient but affects the patients' caregivers as well. Caring for a patient with AD carries a significant physical, socioeconomic and psychologica...

BACKGROUND: Various options are available for the local control of cancer in the breast -- mastectomy, conservation therapy, and mastectomy with reconstruction. METHODS: To evaluate the benefits and drawbacks of the available management options, the authors combine their extensive experience with a review of the literature on outcomes from these approaches. RESULTS: Conservation therapy provide...

BACKGROUND Patients with prostate cancer (PC) may be ready to make trade-offs between their quantity and their quality of life. For instance, elderly patients may prefer the absence of treatment if it is associated with a low-risk of disease progression, compared to treatments aiming at preventing disease progression but with a substantial deterioration of their Health-Related Quality of Life (...

Anterior cervical hyperostosis may be a cause of dysphagia. For anterior cervical hyperostosis, medical or surgical treatments can be adhibited in view of the causative mechanisms and intensities of dysphagia. We report 3 cases of cervical hyperostosis-derived progressive dysphagia that underwent operation. Radiologic diagnosis and Video Fluoroscopic Swallowing Study were performed on the three...

BACKGROUND Accurate diagnosis and initial management of skin and soft tissue infections (SSTIs) are essential to providing adequate care to patients. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the leading causes of SSTIs, and surgeons and other healthcare providers should assess these infections carefully to improve patient outcomes. METHODS Review of the pertinent literatur...

Coronary pseudoaneurysm after bare-metal stent implantation is a rare event. Observation, surgical resection, or implantation of another stent, bare or covered, are alternative and equivalent management options. Since no option prevails over the other, the most appropriate treatment should be evaluated in every single patient. We report the case of a pseudoaneurysm within a stent with diffuse r...

OBJECTIVE To provide an overview of the various treatment options available in the rational management of ITP in children. DATA SOURCE Published original research findings and reviews. DATA SELECTION On-line searches for published data on immune thrombocytopaenia, idiopathic thrombocytopaenia, thrombocytopaenic purpura. DATA EXTRACTION Abstracts of selected articles were read and analysed...

A clinical nutrition support pharmacist training program, in collaboration with the Spanish Foundation of Hospital Pharmacy, Spanish Society of Clinical Nutrition, Abbott Nutrition International, University of Tennessee, College of Pharmacy and Regional One Health, is described. Nutrition support pharmacists from Spain were selected to participate in a one-month training program with an experie...