one of the signifiant risk factor of ischemic stroke is carotid artery occlusion. although surgical treatment was disappointing in these patient but there is a growing reports of sucessful endovascular treatment recently. in this technical note 56 year-old man who suffered from bilateral carotid occlusion was revascularized. the penumbra thrombosuction system was applied to reduce the risk of d...

Timing jitter induced by soliton collisions is the leading nonlinear penalty in wavelength-division-multiplexed (WDM) dispersion-managed soliton transmission. Through analysis and numerical simulations we show that consecutive complete collisions together with partial collisions at the system output cause approximately the same amount of timing shift as partial collisions at the system input. W...

although acrometastases are rare but clinically they are considered important. their etiology is quite different from the metastases to other sites; bronchogenic carcinoma is by far the most frequent case. the prognosis is always similar to metastatic bronchial cancer with an average survival of three months. treatment may involve distal digital amputation or antalgic radiotherapy. the main dif...

Objective: To study the effects of distal uniplanar locking and bi planar on union times in uncomplicated fractures shaft tibia managed with an intramedullary interlocking nail.
 Study Design: Comparative prospective study.
 Place Duration Study: Department Orthopedics Trauma Combined Military Hospital Rawalpindi from Jan to Nov 2020.
 Methodology: Fifty-three patients having nai...

Hereditary spastic paraplegias are highly heterogeneous neurodegenerative disorders with some special mutations. We report on a patient with pescavus, distal a myotrophy, hyper extended fingers, and pectus excavatum. Neurological examination showed that he had proximal lower limbs weakness with a positive Gower sign, exaggerated lower limbs deep tendon reflexes with spasticity, distal muscle wa...

We quantify the benefits of intra-channel nonlinear compensation in meshed optical networks, in view of network configuration, fibre design aspect, and dispersion management. We report that for a WDM optical transport network employing flexible 28Gbaud PM-mQAM transponders with no in-line dispersion compensation, intra-channel nonlinear compensation, for PM-16QAM through traffic, offers signifi...