Flap failure from microvascular thrombotic occlusion is a rare but significant cause for unsuccessful reconstructive surgery. We encountered thrombosis of arteriovenous loop in a patient undergoing phallus reconstruction. Further investigations revealed underlying previously asymptomatic hypercoagulable state due to protein-S deficiency in addition to long-term exogenous testosterone administra...

signifier of difference whose function—and this is crucial—is to give a per-

the present study aimed at investigating the possible impact ofzone of proximal development (zpd) on the learners’ performance. forty-sixiranian university students participated in this study by taking two types of readingcomprehension tests (i.e., the main idea and wh-question type). the researchersused the winstep program to analyze the data and estimate the learners’ raschmeasure in pre, pos...

A new species of the genus Ripipteryx (Orthoptera: Tridactyloidea: Ripipterygidae) from the Toledo District of southern Belize is described and illustrated. Ripipteryx mopanasp. n. is placed in the Scrofulosa Group based on its elaborately ornamented frons and is readily distinguished from its congeners by the fusion of the superior and inferior frontal folds to form a nasiform median process, ...

Clautriavia is a genus of uncertain taxonomic affinity that was initially described as gliding cells with one prominent trailing flagellum and a mid-ventral groove. The genus has been classified either with euglenids on the basis of similar paramylon-like granules or with cercozoans, specifically Protaspis spp., on the basis of general similarities in cell morphology and behavior. We isolated a...

A 50-year-old male with past medical history of diabetes mellitus presented with extensive Fournier's Gangrene. He had a wide-spread area of involvement and the wound vacuum placement involved the entirety of the phallus. We describe a surgical technique where the penis can be diverted from the site of the wound to allow for more secure wound vacuum placement and future reconstructive options.