This paper studies nominal expressions in Japanese that are formed by conjoining two or more nominal expressions with conjunctions, and presents a theory of nominal expressions that captures their behaviors. In what follows, such nominal expressions are referred to as conjoined nominal expressions. In terms of their behaviors, the conjoined nominal expressions in Japanese form three categories....

Background NO-sensitive guanylyl cyclases (NO-GC’s) that catalyze the reaction of GTP to the second messenger molecule cGMP are heterodimeric enzymes consisting of an a and a b1 subunit. The two prevalent isoforms in humans (a1/b1, a2/b1) are time-tested targets for drugs that release nitric oxide (NO) and new compounds that either sensitize the enzyme for activation by NO or activate the enzym...

The twins were referred to us for further management after regional pediatric surgical department showed its inability to deal with the case. The family was not counseled and thee transfer was unsupervised. The referring department also made no contact with our team. Babies were brought in, by maternal uncle. Mother did not accompany the newborns, as she was unwell. At arrival babies were not i...

A pair of thoracopagus conjoined twins were separated at the age of 3 months at Khon Kaen Regional Hospital, Thailand on November 19, 2004. Pre-operative investigations showed separate hearts, joined duodenum, and fusion of the livers. Separation of the extra-hepatic biliary systems was suspected. Operative findings revealed fusion of the intestines from the second part of the duodenum to the t...

A two-year-old Chihuahua was presented on day 58 of pregnancy due to very marked abdominal distension. A cesarean section was performed and five normal and one clearly abnormal puppy were delivered. Examination of the abnormal puppy revealed a combination of congenital anomalies including epigastric heteropagus twinning. The autosite showed focal cranial aplasia cutis, anasarca, lissencephaly, ...

A 64-year-old male with acute-onset dyspnea and diastolic murmur was referred to our hospital. Eight months earlier, he had developed atrial fibrillation. At that time, echocardiography showed a reduced ejection fraction of 41% and a bicuspid aortic valve (BAV) with mild aortic stenosis (Fig. 1a, b, Video 1). On admission, echocardiography showed prolapse of the conjoined cusp and severe aortic...

INTRODUCTION Shoulder dislocations can cause acute and chronic instabilities that need to be addressed in order to restore joint functioning. The transfer of the coracoid process has become a feasible surgical procedure in patients with shoulder instability. Several concomitant injuries after recurrent dislocations have been described. CASE PRESENTATION A 32-year-old German man presented to o...