conclusions behaviors are actually adopted and sustained by patients are so far from that recommended by health professionals. this gap could be reduced by identifying behavioral change challenges, rooted in the beliefs of the individual and the family. therefore, culturally-based interventions to enhance disease self-management should be considered. results three sources of behavioral change c...

AIM We hypothesize that chronic cholecystitis accounts for the majority of inflammatory diseases in the pediatric population and it is difficult to predict with preoperative ultrasound. BACKGROUND Despite the increase in gallbladder disease, there is a paucity of data on pediatric cholecystitis. Most pediatric studies focus on cholelithiasis and biliary dyskinesia rather than inflammatory gal...

We describe a 32-year-old pregnant female with a very distinctive glomerular morphology. She presented with increasing proteinuria in her third trimester and carried a pre-existing diagnosis of systemic lupus erythematosus (SLE). Renal biopsy showed diffusely thickened capillary loops suggestive of class V membranous lupus nephritis. However the immunofluorescence was negative and on electron m...

Background: Diabetic foot (DF) disease causes severe suffering around the world, and appropriate self-care activities are needed to prevent and treat this condition. However, all too often, self-care activities are less than optimal and clinicians find themselves unable to influence them in a positive direction. Clinicians' and researchers' mental models of the DF tend to be dichotomous: either...

The unprecedented resolution of high-throughput genomics has enabled the recent discovery of a phenomenon by which specific regions of the genome are shattered and then stitched together via a single devastating event, referred to as chromothripsis. Potential mechanisms governing this process are now emerging, with implications for our understanding of the role of genomic rearrangements in deve...

The objective of the study was to evaluate the perception of lime factory workers regarding work-related health-disease process. Data were collected from ten workers through non-structured observation and semi-structured interviews conducted in lime factories in the state of Ceará, Northeastern Brazil, in December 2005. Lime workers did not perceive themselves as being at risk for serious healt...

neuromuscular diseases are abnormal processes involving cns (central nervous system), pns (peripheral nervous system), nmj (neuromuscular junction), muscle or any combination of these. our goals in neuromuscular disease are maintenance of function, quality of life, educate patient and family, anticipate needs, expect change and prevent or delay complications. limb contractures and scoliosis, we...