Almost two decades have passed since Chile began its pioneering effort to restructure its electricity sector, followed by Argentina and England and Wales about a decade later. In almost all of the countries that have undertaken restructuring, the results have been at least a qualified success – and often a resounding success. California’s results, however, have been an unmitigated disaster. Thi...

Nonsecretory multiple myeloma (NSMM) is the absence of a detectable monoclonal protein in serum and urine of a multiple myeloma (MM) patient and immunoglobulin light chain (AL) amyloidosis is a significantly rare complication. A case of NSMM with AL amyloidosis and nephrotic range proteinuria is presented. Sharing clinical, therapeutic, and prognostic characteristics with MM, real challenge may...

BACKGROUND Chronic diarrhea in adults is a common symptom with a wide range of underlying etiologies. Although various strategies have been proposed for evaluation, there are still cases with undetermined origins even after extensive workup. Amyloidosis with gastrointestinal (GI) involvement is one of the causes that should be considered in adult patients with chronic diarrhea. We report a case...

This research identifies returns to scale (RTS) of efficient decision making units (DMUs) with desirable (good) and undesirable (bad) inputs and outputs by presenting a new DEA (data envelopment analysis) approach. In this study, we first introduce a new input-output oriented model to determine efficient DMUs in the presence of undesirable factors and then, returns to scale of these DMUs are es...

Monash Haematology, Monash Health, Clayton, Victoria, Australia Monash University School of Clinical Sciences at Monash Health, Clayton, Victoria, Australia Centre for Cancer Research, Hudson Institute of Medical Research Clayton, Victoria, Australia Immunology/Molecular Immunology Division, Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia Department of Medica...

BACKGROUND Spontaneous hepatic bleeding is a rare but potentially life-threatening complication of primary systemic amyloidosis. Although the liver is a common site of amyloid deposition, clinical presentation is usually mild or absent. CASE We report a case of a female patient, who had been repeatedly surgically revised because of liver rupture and hemoperitoneum. Initially, the computed tom...

2. Do I hold in my hand the truly appropriate remedy for that lack ? 3. Is the preparation stable, active, pure, and uniform ? 4. Can I accurately determine the dosage ? 5. Is the preparation smoothly active when administered by the route I propose ? 6. Are ill-effects impossible ? Even if these questions cannot be answered in the affirmative, he gives the prescriber one more chance, provided t...