A 71-year-old woman was admitted with angina pectoris.During hospitalization she developed a myocardial infarction (NSTEMI).Laboratory results revealed a mild elevated troponin and an elevated Hand Sinks calcium level (3.35 mmol/l).Subsequently, there was a decreased phosphate (0.36 mmol/l [normal 0.81-1.62 mmol/l]) as well as 16-fold elevated seru
Abstract The advent of whole genome sequencing has revealed that common laboratory strains of human cytomegalovirus (HCMV) have major genetic deficiencies resulting from serial passage in fibroblasts.In particular, tropism for epithelial and endothelial cells is lost due to mutations disrupting genes UL128, UL130, or UL131A, which encode subunits o
Abstract Background Jejunogastric intussusception (JGI) is a rare but potentially very serious complication of gastrectomy Hand Sinks or gastrojejunostomy.To avoid mortality early diagnosis and prompt surgical intervention is mandatory.Case presentation A young man presented with epigastric pain and bilous vomiting followed by hematemesis,10 years
Abstract Objectives Leflunomide (LEF) is a conventional synthetic disease-modifying antirheumatic drug and suppresses T-cell proliferation and activity by inhibiting pyrimidine synthesis using dihydroorotase dehydrogenase (DHODH); however, several studies have demonstrated that LEF possesses anticancer and antiangiogenic effects in some malignant t
Abstract Introduction The objective structured clinical examination (OSCE) with standardized patients is commonly accepted as a reliable assessment of clinical skills.Simulation allows learners the opportunity to experience conditions and perform procedures in a safe, standardized environment.This OSCE case incorporates both the standardized patien