The recent report on Neonatal Cullen's Sign is very interesting [1]. Pederiva mentioned Neonatal Cullen's Sign as a distinguishing feature of intrauterine volvulus with hemorrhagic ascites.[1] Indeed, Cullen's Sign is a basic sign in medicine. It might imply the hemorrhage but it is not specific. Some nonhemorrhagic problems might also present Cullen's Sign. The good examples are the amebic inf...

Objective: This study examined the relationship between driving performance measures generated by a clinical virtual reality driving simulator (VRDS) and driving performance determined by a) a behind-the-wheel driving (BTW) evaluation and b) cognitive tasks relevant to driving. Methods: This study was conducted at an outpatient research setting and included twenty eight individuals: 18 with acq...

A Summary. The cardiac sign in carcinoma is a remarkable diminution of the area of cardiac dulness in the recumbent posture as determined by digital percussion. In that posture the dulness, in the normal adult, begins above about the third costal cartilage, reaches rightwards as nearly as possible to the mid-sternal line, and measures across about 3 to 3|inches at the level of the fifth costal ...

The generation of pathogen-specific immune responses is dependent on the signaling capabilities of pathogen-recognition receptors. DC-SIGN is a C-type lectin that mediates capture and internalization of viral, bacterial, and fungal pathogens by myeloid dendritic cells. DC-SIGN-interacting pathogens are thought to modulate dendritic cell maturation by interfering with intracellular signaling fro...

statement of the problem: hearing impaired children have a problem in understanding and comprehending with dental treatments. visual language is the sensible answer of how to improve communication with them. purpose: to evaluate the applicability of dental sign language in hearing impaired children in relieving anxiety during stressful dental treatment by improving their means of communication....

OBJECTIVES Although JCAHO requires a standardised approach to handoffs, and while many standardised protocols have been tested, sign-out practices continue to vary. We believe this is due to the variability in workflow during inpatient duty cycle. We investigate the impact of such workflows on intern sign-out practices. DESIGN We employed a prospective, grounded theory mixed-method design. ...

IMPORTANCE OF THE STUDY. Currently, there is a paucity of evidence in the literature to show that handoff strategies improve the quality of handoff outcomes. Studies that show the usefulness and outcomes obtained from sign-outs may motivate junior clinicians, who have limited time to perform their clinical responsibilities, to support sign-out improvement efforts. OBJECTIVE. To test a research ...

21 Signage plays an important role in work zones to provide guidance to drivers under changed 22 conditions. This study investigated the safety effect of an alternative merge sign configuration in 23 a freeway work zone. In this alternative configuration, the graphical-only lane closed sign from 24 the Manual on Uniform Traffic Control Devices (MUTCD) was compared against a 25 MERGE/arrow sign ...

We characterize the approximate monomial complexity, sign monomial complexity, and the approximate L1 norm of symmetric functions in terms of simple combinatorial measures of the functions. Our characterization of the approximate L1 norm solves the main conjecture in [AFH12]. As an application of the characterization of the sign monomial complexity, we prove a conjecture in [ZS09] and provide a...