Kaposi's sarcoma (KS), a low-grade malignancy that is associated with human herpesvirus-8 (HHV-8), is a multifocal tumor that most commonly affects mucocutaneous sites. It might also involve lymph nodes and visceral organs, in particular of the respiratory and gastrointestinal tract, but it can affect every organ system. Four forms of ...

Background: Belgium is a country with a high suicide rate (19.1/100,000 in 2004), and railway suicide poses a substantial safety and public health problem. This problem was addressed by the Suicide Prevention Unit of Infrabel (Manager of the Belgian Railway Infrastructure), which collects relevant data and implements a prevention program. ...

Agreement among informants' ratings of children's and adults' internalizing and externalizing problems is moderate. Each informant contributes unique information about an individual's problems. Thus, it has been advocated to obtain ratings from multiple sources in child psychiatry, whereas adult psychiatry relies mostly on self-reports. Longitudinal studies repeatedly assessing children's psychiatric ...

OBJECTIVES: To undertake a review of peer-reviewed literature to explore factors affecting pharmacists' performance. METHODS: The following databases were searched: Medline, Embase, Scopus, ISI Web of Knowledge and PsychInfo. Inclusion criteria were: English language only, published between 1990 and 2010 and published in the United Kingdom (UK), United States of ...

A national survey found that Americans' sense of urgency about HIV/AIDS as a national health problem has fallen dramatically. A review of government and foundation reports is used to emphasize the continuing extent of the epidemic in New York State and the United States. The emphasis is on the need ...

Obesity is an increasing problem both in the United States and South Dakota. Currently, 30.3 percent of South Dakota adults self-report being obese, which is higher than the national prevalence and also increasing at a faster rate than other states. The obesity rate for South Dakota 2- to 5-year-olds from ...

When mounted on the same side as the inspiratory port, the breathing circuit support arm used with the Maquet Servo-i ventilator can be positioned in such a way that it compresses the circuit's inspiratory limb, restricting gas flow to the patient. (This problem is possible only on the mobile cart ...

Abstract Montana recently joined Oregon and Washington as the only states in the nation to legalize the choice among terminally ill adults to hasten death by self-administering a lethal dose of drugs prescribed by a physician. Unlike Oregon and Washington, however, Montana's legalization of physician aid in dying (PAID) resulted ...

Three problems involving quasi-one-dimensional (1D) ideal gases are discussed. The simplest problem involves quantum particles localized within the 'groove', a quasi-1D region created by two adjacent, identical and parallel nanotubes. At low temperature (T), the transverse motion of the adsorbed gas, in the plane perpendicular to the axes of the ...

BACKGROUND: Information on postoperative fertility problems in female patients with familial adenomatous polyposis (FAP) is scarce. Previous studies in FAP or colitis patients almost uniformly describe a reduction in fertility after ileal pouch-anal anastomosis, compared with ileorectal anastomosis. OBJECTIVE: To describe fertility problems in female FAP patients after colectomy and ...

A sidestream gas analyzer samples gases from a sampling port in an adapter placed in a breathing circuit. Kinking of the sampling line of the sidestream capnogram is not an uncommon problem during head and neck surgeries. We have identified the main problem for kinking of the sampling line in ...

BACKGROUND: The majority of data published on robotic surgery in gynecologic oncology has focused on patient outcomes and surgical data. We have found that technical challenges due to the complexity of the robotic technology create a separate set of issues, adding time and difficulty to the actual surgical procedure. This ...

There has been significant progress in the understanding of the pathophysiologic basis of common haematological problems like cytopenias, coagulopathies and thrombophilic disorders in the background of liver disease. Diagnosis has improved with newer tests like detection of JAK2 mutation and better radiological imaging. Additionally, therapeutic options have expanded with availability ...

Many psychological problems affect patients who have oral and maxillofacial operations. This article reviews these problems among patients with craniofacial conditions, facial injuries, facial cancer, and those having orthognathic surgery. Facial cosmetic surgery is not addressed. Problems such as depression, anxiety, low self-esteem, poor social relationships, and changes in body ...

Public hospitals in Brazil are under capacity for adenotonsillectomies, resulting in a growing waiting line. Otolaryngologists are used to these lines, since they understand that this problem is under govern responsibility. For this reason we believe that joint aid efforts to carry out adenotonsillectomies are justified. AIM: To standardize the ...

Plastic surgery is the newest frontier of modern surgery, where the latest scientific advances, the most refined surgical technique, and an artistic approach meet. During the past century, this rather young field of surgery successfully filled an important gap in modern medicine. However, it is still unavailable to billions of ...

Otolaryngology and ophthalmology have a long and congenial professional relationship in the development of their mutual specialties over many years. In the early years they were one professional society, but later split into their separate specialties. Some problems involve both specialties because of the shared common anatomic areas. These problems ...

Ablative resurfacing is a powerful tool for rejuvenation of the aging face and for the treatment of a wide array of skin lesions. In the proper hands, it is a safe and effective way to treat many of the problems of photodamaged skin that surgery or nonablative methods cannot address. ...

Technical aids in the treatment of foot problems have been known for hundreds of years. In the German-speaking countries, especially, shoemakers, prosthetists, and orthotists are well respected. They have great skills and provide the orthopedic surgeon with alternatives to surgery. Also, the combination of surgery and technical aids is important ...

The tritium concentrations in 13 groundwater samples from boreholes throughout the Upper Devonian sandstone aquifer of Fife have been measured. Due to atmospheric variations in tritium concentrations over the last century, this radioactive tracer can be used as a groundwater age indicator. In this study, the groundwater tritium concentrations have ...

There are many potential problems associated with ACL surgery; however, careful attention to detail can prevent problems from occurring or provide corrective options in the event they do occur. Multiple backup options are not only desirable but also essential to a successful outcome. By following these guidelines, ACL surgery can ...

The author discusses the four age cohorts currently in the workplace and the fifth that will arrive by the year 2005: the Pre-Boomers, Boomers, Cuspers, Busters, and Netsters. She describes their workplace and lifestyle characteristics, their social values, and their communication styles. Strategies for motivating and communicating when managing a ...

The participants (107 preadolescents, 124 college students, 118 middle-aged adults, and 131 older adults) described 2 everyday problems (1 unconstrained, the other constrained to 1 of 6 domains) that they experienced and their goals and strategies. Problem definitions reflected interpersonal or competence components or both; strategies reflected altering cognitions, actions, ...

Two cases of carinal and tracheal reconstruction with the aid of cardiopulmonary bypass (CPB) are presented. The technical problems of surgery and anaesthesia which necessitated CPB in these two patients are discussed. CPB provides both adequate oxygenation and an unobstructed surgical field with optimal access to the trachea and carina. ...

Facelift surgery is a highly satisfactory solution to many problems that are manifested in the aging face. With one operation, relatively inconspicuous incisions, and brief convalescence, correction of the mid-face and neck can be achieved, providing a uniform degree of facial rejuvenation. As long as our perception of youth and ...

The increased prevalence of dizziness with advancing age is the result of specific disease processes superimposed on normal aging physiology. The first step in evaluating dizziness in older persons is a careful clinical history, focusing on the type, temporal pattern, onset, associated symptoms, and the patient's overall physical health. Common ...

Young (ages 25-40 yrs) and older (ages 60-75 yrs) adults viewed a series of slides depicting a route through a neighborhood and were tested on their ability to remember the route. Subjects either received no learning aid, a sketch of the route labeled as a "map," or the same aid ...

Problems in daily life activities caused by bad vision were studied in 150 patients with cataract before and 6 months after a cataract extraction. A relation was found between binocular visual acuity before surgery and the number of problems experienced (p < 0.001). After cataract extraction a reduction in problems ...

Mediastinitis is a clinical problem seen in patients after a mediasternotomy usually following cardiac surgery. Although relatively rare, this complication slows recovery, lengthens hospital stay and increases health care costs. An overview of the problem of sternal wound infection after cardiac surgery is provided. Predisposing, intraoperative and post-operative factors related ...

I hope that I have neither bored you nor spoken of things that anyone could question or take as offensive. My simple intent was to relate what I truly believe. The discipline of surgery is indeed a noble profession. The portion of this profession that we identify as academic surgery ...

Few things in life are as disconcerting to a woman as losing her hair. Yet thinning hair, usually from age or a genetic predisposition to male-pattern balding, is a common problem. In this article, Dr Parkinson discusses causes of thinning hair, how to differentiate them, and how to treat them.

Prof. F. Burian, the founder of Czechoslovak Plastic Surgery, belonged to the world-wide scale among the most prominent pioneers of this field. His main interest and professional concern was devoted to the problems of facial clefts. The present communication reviews the gradual development of surgical repair of cleft lip and ...

Limb-sparing surgery has a definite role in the treatment of osteosarcoma in children. Increased survival, however, raises problems of limb-length discrepancy and prosthetic longevity. The concept of an expandable adjustable prosthesis addresses the problem of leg-length discrepancy. The problem of prosthesis longevity will require further long-term evaluation of current designs ...

In this article, the author comments on the following topics: whether peptic ulcer is a disease or just the sign of another process; whether the crater has a multifactorial origin; the ubiquity of Helicobacter pylori and the conclusion that a specific strain will doubtless prove to be the cause of ...

Since man started keeping records, his problem has always been that the numbers grow, seemingly unchecked. In some industrial and commercial situations it is reasonable to throw out old records once they have reached a certain age-even income tax and VAT records do not have to be retained for more ...

Unusual problems in oesophageal surgery in childhood include problems seen both frequently and infrequently. The former includes oesophageal atresia, peptic oesophagitis and corrosive oesophagitis; the latter includes such conditions as neonatal rupture of the oesophagus, explosive rupture of the oesophagus, achalasia of the cardia, pharyngo-oesophageal fibromatosis, nasogastric intubation stricture and ...

The CO2 laser is the most commonly used laser in arthroscopic surgery. This device offers enhanced precision in both cutting and ablation, as well as improved accessibility of difficult to reach structures. However, the use of energy rather than mechanical devices, the lack of tactile feedback, and the necessary use ...

Loss of erection was reported in 53% of 55 male Alzheimer's disease patients with a mean age of 70.25. Loss of erection is not related to degree of cognitive impairment, age, or depression. Modal time of onset of erectile problems is concurrent with onset of Alzheimer's symptoms. Patients with erectile ...

This article discusses some of the pitfalls and disadvantages of Mohs micrographic surgery for the excision of skin cancer. These include (1) frozen section quality; (2) interpretation of frozen sections; (3) holes in fragmented tissue margins; (4) tissue orientation problems; (5) excessively narrow or wide margins; (6) transection of the ...

The blunt dissection offered by liposuction cannulas has greatly aided surgical undermining such as in face-lift surgery. Herein, we propose a new line of instruments that combines bulbous or blunt dissection with intervening lysing segments. The subgaleal version enables the surgeon to quickly undermine the scalp from ear to ear ...

Aging of the skin is still an inevitable and unavoidable process. The cutaneous problems associated with aging can be annoying, cosmetically unacceptable, or, in some cases, life-threatening. Fortunately, with the increased interest in geriatric medicine, a much broader range of therapeutic modalities is now available to treat these disorders.

TE is an important problem in modern surgery and medicine. Its domination manifestation, and the one which we can influence by the use of prophylaxis is FPE. High age is the most important risk factor. In spite of the increasing age of the population and the increased use of extensive ...

Ambulatory surgery is a field that should be growing; however, its pace has been diminished by some of the problems discussed here. These are only a few of the common problems that ambulatory surgery centers share. Others need to be addressed, not only from the administrator's point of view, but ...

Indwelling double-curved ureteral stents were placed in 19 patients for 28 months. We used these stents to bypass ureteral obstruction and as adjunct surgery of upper urinary tract troubles. There were 5 cases with stent problems such as stone formation and spontaneous breakage. The duration of stenting with problems was ...

This article describes an incision which incorporates principles of both the Bunnell midlateral incision and the Bruner zig-zag. It allows rapid access to the volar aspect of the digit without sacrificing exposure or risking flexion contractures while maintaining an unviolated volar skin flap. In this study of 125 patients, 189 ...

Among people over age 70, 17% reported instances of not seeing a physician during the previous year when they thought they should for any one of four reasons, and 12% specifically because they thought the problem was due to their age. Elders with lower income, lower morale, and diminished health ...

More than 100 cases have been treated with an office-situated Neodymium: Yag laser. Bladder tumors, genital condylomata, and urethral strictures have been photoradiated under local anesthesia, without hemorrhage, perforation, or the need for catheterization. The Neodymium: Yag laser appears to be an effective office modality for many common urologic problems.

Adjustable suture strabismus surgery has proved to be a significant aid in handling difficult strabismus cases, and various methods of conjunctival closure have been discussed. A new method of conjunctival closure, enabling direct visualization and manipulation of the muscle with minimal tissue drag during adjustment, is described. The conjunctiva can ...

The reliability of a disease register as a record of the number and type of social problems was investigated in one practice of approximately 12,000 patients. A comparison with a randomly selected sample of the practice population, matched for age and sex, indicated that some social problems were not included. ...

Data of 22,691 observations on parturition related problems (dystocia, calf mortality, milk fever, retained placenta, and mastitis) were collected from 27 cooperating California dairy herds. Age at first calving did not affect calving difficulty; thus, an optimal age for first calving was not identified. Decisions on breeding virgin heifers should ...