Background: The referral system forms main health systems coordinating a mechanism ensuring the harmonious movement of patients between different levels care institutions for effective and efficient service delivery. study aimed at establishing determinants upward in Nairobi County. Methods: Cross-Sectional data collected from 204 respondents 2May to 30June, 2021, through structured questionnai...

Short-term immobilization leads to fatty muscular degeneration, which is associated with various negative health effects. Based on literature showing very high correlations between MRI Dixon fat fraction and Speed-of-Sound (SoS), we hypothesized that can detect short-term-immobilization-induced differences in SoS. Both calves of 10 patients a calf cast one side for mean duration 41 ± 26 days we...

The goal of this study was to define the individual model characteristics lactic acid removal after 200m breaststroke competitive load in a female swimmer relation different pool lengths (25m vs. 50m). second methodological and referred presentation newly applied metrological procedures for Individual Lactate Recovery Profile modeling. Six races from season 2021/22 were selected, which athlete ...

Background: Cortical stimulation (CS) as a part of presurgical investigations in patients undergoing implantation depth electrodes (SEEG) is growing practice some Comprehensive Epilepsy Centers. After-discharges (AD) are useful to determine epileptogenic tissue within or outside the network. Classification afterdischarges was proposed by Blume using subdural recordings(1); its utility SEEG unkn...

Abstract Background A symptomatic perineal hernia is an uncommon complication after abdominoperineal resection (APR). Repairs of such hernias can be achieved by usage autologous flaps, synthetic mesh or biologic mesh. Studies have shown that prophylactic repair the pelvic floor with mesh, reduces incidence hernia. Data methods are scarce and poor quality. Aim In this paper we aim to share our e...