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Retro-Molar Trigonal Reconstruction and Oncologic Outcomes after Resection of Large Malignant Ulcers in Elderly Patients

Archives of Otolaryngology and Rhinology Case Report Abstract   Background: Buccal mucosa carcinoma represents 3 to 5% of oral-cavity cancer. Retromolar buccal trigon affected in one third of patients with buccal mucosal cancers. Squamous cell carcinoma is the commonest pathological finding. Aim: The research was designed to study suitability of submental island flap and radial forearm free flap (RFFF) as one stage reconstructive procedure after resection of large retromolar-trigonal cancers. And to assess locoregional recurrence and disease free survival after adjuvant treatment. Methods and techniques: Fifty three patients with retromolar-trigonal cancer underwent resection with safety margins, cervical block neck dissection and reconstruction with submental island flap and radial forearm free flap (RFFF) in oncology center Mansoura University from August 2010 to May 2014. Results: Seven patients underwent RFFF, 46 patients reconstructed with sub-mental flap. Partial necrosis...

A Review of the Multidisciplinary Diagnosis of Interstitial Lung Diseases: A Retrospective Analysis in a Single UK Specialist Centre

Archives of Pulmonology and Respiratory Care Review Article Abstract  Abstract A multidisciplinary team approach to diagnosis and management of interstitial lung diseases (ILD) is considered gold standard and an integral part of ILD management and guidelines. The accurate diagnosis and management of individuals with ILDs poses an interesting challenge in clinical practice. This is a single center retrospective review of electronic patient letters and multidisciplinary team (MDT) records spanning a five and half year time period. In this study we assessed the accuracy of prior ILD diagnosis, the methodology used to establish a correct diagnosis and how an MDT approach to diagnosis affected subsequent management. Our results demonstrate that a multidisciplinary approach to diagnosis within a single specialist ILD center can establish a diagnosis in the majority of cases when prior diagnosis is uncertain (76%). We also show that a prior diagnosis of idiopathic pulmonary fibrosis...

Normative Values for Active Lumbar Range of Motion in Children and Confounding Factors that Affects the Active Lumbar Range of Motion

Journal of Novel Physiotherapy and Physical Rehabilitation Research Article Abstract  Purpose: The purpose of this study was to establish normative values for active lumbar movement in children five, seven, nine, and 11 years of age and to find the confounding factors that affect the lumbar range. Methods: End range active flexion, extension, and right- and left-side bending of the lumbar spine were measured for 400 normally developing children (200 girls, 200 boys) using dual inclinometric technique. Means were determined for each motion by age and sex. Group relationships were explored .   http://www.peertechz.com/Novel-Physiotherapy-Physical-Rehabilitation/pdf/JNPPR-2-127.pdf 

Patient Adherence to Follow-Up in Clinical Research: A Systematic Review of Measurements, Associated Factors and Intervention Strategies

Journal of Clinical Research and Ophthalmology Research Article Abstract Objectives: A patient's adherence to follow-up (AFU) plays a key role in the implementation of clinical research with respect to cost and validity. Most present studies focus exclusively on some specific steps during clinical research implementation, regardless of the synthetic action of patient-society-medicine system. http://www.peertechz.com/Clinical-Research-Ophthalmology/pdf/JCRO-2-123.pdf

Study on Innovative Scenario for Transportation and Lowering of 18000 Ton Caisson for Persian Gulf Bridge

The Journal of Civil Engineering and Environmental Sciences Research Article Abstract This paper aims to provide an innovative scenario for transportation and lowering installation of heavy caissons of 18000 tons for Persian Gulf Bridge. The project is supposed to be carried on in Bohal port from Hormozgan to Qeshm Island in Iran. There is a heated controversy over the suitable scenario to do the operation safely and lower the caissons correctly under sea to position them on their exact location.  http://www.peertechz.com/Civil-Engineering-Environmental-Sciences/pdf/JCEES-1-106.pdf

Herpes Zoster Masquerading as Acute Coronary Syndrome

International Journal of Vascular Surgery and Medicine Clinical Image Clinical Image A 65 year old male presented to the causality department of our hospital with one day history of burning chest pain in the right upper half of the chest radiating to the right axilla & the le precordial region associated with diaphoresis. No history of fever, cough or rash was evident. Vitals were normal. An X ray chest done was normal and ECG showed RBBB (Figure 1). A Troponin T (qualitative) test along with cardiac enzymes was done in view of possible acute coronary syndrome which were noncontributory as well. e patient was given symptomatic treatment by the resident on duty but on the second day he returned back with a vesicular eruption in the upper part of the trunk on the right side which extended to the axilla and the right mammary area (Figures 2a, b). http://www.peertechz.com/Vascular-Surgery-Medicine/pdf/IJVSM-1-105.pdf

A Literature Review of Inflammation and Its Relationship with the Oral Cavity

Global Journal of Infectious Diseases and Clinical Research Review Article Abstract Objective: This article presents a literature review which relates the processes, interactions, classification and the vascular and clinical characteristics of inflammation relating it with the oral cavity and describing the main cell types and chemical mediators used for its establishment. Materials and Methods: it was used as source of research the following databases: MEDLINE, LILACS, BBO, Cochrane Library, Scielo, PubMed and the database of CAPES. Results: much information was obtained concerning the chemical mediators as well as the main cell types responsible for the establishment of inflammation and its relationships with the oral cavity. http://www.peertechz.com/Infectious-Diseases/pdf/GJIDCR-1-106.pdf