A young woman with a clinical history characterized by recurrent respiratory infections, occurring since early infancy, was referred to our hospital. When the patient was a young girl, she underwent sweat chloride test, serum analysis of immunoglobulins, and evaluation of blood lymphocyte subsets; all these diagnostic tests were normal, as well as chest X ray aside from pneumonia episodes. Skin...

Gingival hyperpigmentation is a major esthetic concern for many people, although it not medical problem, people complain of dark gums as unesthetic. depigmentation periodontal plastic surgical procedure that removes or reduces hyperpigmented gingiva. Various methods like scalpel, free gingival autografts, electrosurgery, cryosurgery, and abrasion with diamond bur scalpels, bur, various types la...

The purpose of this study was to find out the problems learning carried remotely or online for elementary school students in Adiwarno Village, Batanghari District, East Lampung Regency. Methods This research used a qualitative approach and informants were students, parents teachers. Data collected through interviews. concludes that: that is commonly referred as has negative impact well positive...

parasitic colitis, especially entamoeba histolytica, is a well-known disorder in the middle east particularly in iran. the carrier state of the disease or the chronic type frequently remains undiagnosed or mistaken as irritable bowel syndrome which results in further discomfort and increases the incidence of associated complain. we devised a technique by inserting bisacodyl suppository and then...

appendicitis is the most common abdominal disease that requires surgery in the emergency ward. it usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (luq) pain due to congenital anatomical abnormalities of the intestine. we report a patient who complained of persistent luq abdominal pain and was finally diagnosed by computed tomography (ct) as congenita...

echinococcus infection typically affects liver and lungs while rarely occur through heart. cardiac hydatidosis can be fatal or lead to major complications if it is not treated. the majority of patients with cardiac hydatid cysts complain from cardiac problems as their first presentation. however, this article reports an unusual case suffers from an interventricular hydatid cyst presented by abd...

hypothalamic hamartoma (hh) is a rare intracranial lesion that usually presents with classic triad of central precocious puberty, gelastic epilepsy, and developmental delay. herein, a 14-year old boy is presented in whom the diagnosis of hh was made by magnetic resonance imaging. while he did not have any complain of precocious puberty, he surprisingly suffered from delay in puberty. the defini...

The clinical and psychosocial states of 46 patients (26 men and 20 women) who had undergone cardiac catheterisation were examined prospectively. All of the patients had insignificant (less than 50%) coronary lesions and had been told that no limitation of activity was necessary. Twelve months after angiography 19 of the patients continued to complain of chest pain. Twenty one reported phobic sy...

OBJECTIVE To examine the prevalence of informal complaints on health services among clients of Health Maintenance Organizations, and explore demographic correlates. Such complaints are a potentially important source of information regarding quality of healthcare. METHOD Primary data were collected by a phone survey from a nationwide random sample of 1500 persons aged 21+ in Israel. RESULTS ...

This Article draws attention to a conceptual point that has been overlooked in recent discussions about the theoretical foundations of contract law. I argue that, rather than enforcing the obligations of promises, contract law concerns complaints against promissory wrongs. This conceptual distinction is easy to miss. If one assumes that complaints arise whenever an obligation has been violated,...