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Most physicians experience difficulty when required to deliver bad news. Therefore, recommendations for facilitating breaking bad news were reviewed and a suitable model was described in this study. We performed a search with keywords “breaking bad news”, “strategy”, “protocol”,  “guideline” and “model” as the primary…

Bone and joint pain may be a presenting symptom in 25% of patients with acute leukemia; whereas generalised osteopenia and vertebral complications are less common.  An 11 years old boy reported a persistent low back pain since 6 weeks. The physical exam showed exquisite vertebral…

There is considerable controversy about the treatment of patients with malignant advanced pancreatic neuroendocrine tumors (PNETs). Aggressive surgery remains a potentially efficacious anti-tumor therapy but is rarely performed because of its possible morbidity and mortality.The purpose of this work is to describe a case of…

Malocclusion has great impact on society and the individual in terms of social and functional limitations, psychological trauma and discomfort. The Dental Aesthetic Index (DAI) is a WHO-recommended method of screening for dentofacial anomalies and orthodontic treatment need. This survey was conducted to determine the…

Detection of sub-clinical mastitis in goats is important in the prevention of clinical mastitis, and for the development of treatment protocols. The PortaSCC goat milk test® (Porta-test) is a novel commercial test for indirect  somatic cell count (SCC), and is marketed as a rapid diagnostic…

Retained foreign bodies may cause several and even severe complications. Due to a high rate of overlooked foreign bodies in the first examination they might last for years in the soft-tissue causing late and unspecific complaints. Image findings are often not specific, especially in non-radiopaque…

Achieving organizational excellence is not possible without visible involvement of leadership. This is however, a crucial question; whether leader’s participation is essential or there are other factors that effect on the implementation of excellence at the strategic management level. The following case presents the issues…

Femoral head fracture is a relatively rare injury which often associates with a poor functional outcome. The surgical approaches for femoral head fracture are a controversial subject in many study reports. Patients and Methods: Nineteen patients suffering from femoral head fracture-dislocation of the hip were…

A case of fauntail naevus in a teenage amazagh girl without any neurological, urological or orthopaedic complications is presented, and she attended the dermatology department only with cosmetic embarrassment. The skin can provide a clue to an underlying spinal defect when the midline spine reveals…

Patients with diabetes have a high prevalence of subclinical coronary artery disease (CAD). Our purpose is to study the coronary artery characteristics in diabetic patients.  We performed coronary computed tomographic angiography in 374 patients without known CAD. We divided these patients into those with diabetes…