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Dietary management of obesity largely focuses on the quality and quantity of carbohydrate (CHO) intake to maintain blood sugar levels close to normal. The index that measures the effect of type and amount of food on metabolic response is postprandial glycemia. Glycemic response to specific…

Stent-graft placement for endovascular aortic repair requires an adequate proximal and distal landing zone in the aorta of at least 2cm for save and sufficient anchoring and to avoid early or late endoleaks. Ligation and rerouting of one or more supraaortal vessels can be necessary…

The association between glycaemic control of type 1 diabetes and mental health issues within the family is well recognised, but the degree of difficulty that is associated with modest sub-optimal control is not. 66 families agreed to take part in the study, and they were…

Accessing problems from the perceived causes usually leads to a relief or solution. This paper examines corporate governance and the Nigerian financial crisis which was majorly characterised by poor credit risk management, with the aim to determine the relationship that exists between corporate governance and…

The salivary gland produces a number of inflammation-related cytokines and at least some of them including S100A8 and S100A9 (calprotectin subunits) in the gland are induced by endotoxins. The signaling pathway to induce these cytokines is complex and has not been thoroughly elucidated. Thus, we…

The objective of this article is to assess the impact of the smoke-free legislation implemented from 2007 on emergency hospital admissions among patients with chronic obstructive pulmonary disease (COPD) in England. A time series design involving routinely collected hospital episode statistics data was employed. Ecological…

We report on a 11 year old boy who was treated for bilateral vesicoureteral reflux grade II at our department by the age of 12 months by bilateral endoscopic injection with dextranomer / hyaluronic acid (Deflux). Because of reflux persistence on the right side an…

Introduction: Pulmonary embolism is one of the major life-threatening emergencies that can occur before, during, or after parturition or caesarean section. It is characterised by dyspnoea, tachycardia, sudden chest pain and shock. Pulmonary embolism is often misdiagnosed, thus leading to higher mortality rate. Here is…

We present a rare case of an epiphrenic esophageal diverticulum, complicated by perforation and leakage below the diaphragm in a 57-year-old male patient. The patient was referred to the emergency department with suspected aspiration pneumonia. A thoracoabdominal computed tomography with oral contrast revealed contrast leakage…

A comparison of several individual studies was made in order to determine the statistical significance for the prevalence of Dirofilaria immitis in dogs (n=1245) in Grenada, using necropsy and different ELISA test kits.  The overall prevalence was estimated to be 17% in a study of…