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We report a one-and-half year old child with Kabuki syndrome and had multiple congenital heart defects — ventricular septal defect, patent ductus arteriosus, bicuspid aortic valve, coarctation of aorta with reversal of shunt from right ventricle to left ventricle suggesting eisenmenger’s physiology. 

This is a feasibility study to determine if a standardized transfer of care (TOC) sign-out guide for Pediatric Emergency Department (PED) patients improves resident satisfaction. Residents from various training programs (Emergency Medicine, Pediatrics, and Family Medicine) voluntarily reported their TOC sign-out satisfaction [100mm Visual Analog…

The advent of new technologies, accompanied by the obsolete situation which the old economy is confronted with, have paved the way for the appearance of numerous legal and financial instruments constituting a particularly challenging stimulus for reflection for specialists in financial and legal fields. A…

The problems involved in producing disruption information for rail networks are considered in depth. The role that Social Media can play in contributing to this is explored, touching on the suitability of Cloud deployment as a means of communicating such information. We conclude that Social…

Triglyceride (TG) is an important source of fuel during endurance exercise. Lipolysis of adipose tissue and intramuscular triacylglycerol oxidation increases during exercise. In compare with moderate-intensity exercise, high-intensity exercise decreases fat oxidation. For many years it has been debated whether triacylglycerols located in the muscle…

Warm type autoiune haemolytic anaemia is mediated by IgG and complements; although rare, it may be mediated by IgA immunoglobulin as well.  It causes extravascular haemolysis (EVH) in contrast to intravascular haemolysis (IVH) in cold AIHA. Intravascular haemolysis is extremely rare in warm type. We…

Previous studies have indicated that application software behaves in a manner that is almost similar to the process of human ageing. Similar to human beings getting old, it is believed that software too, can age in terms of its quality, usage and relevancy to the…

This is a case of A 54 year old Hispanic male with recurrent episodes of partial bowel obstruction. In upper endoscopy, a hemorrhagic duodenitis was found with active bleeding by a visible vessel that was stopped after combined endoscopic therapy. An endoscopic control showed severe…

We report the case of a patient who presented with tremor and was diagnosed with both Wilson’s disease and sarcoidosis. To our knowledge, this is the third reported case of coexistence of Wilson’s disease and sarcoidosis. However, this coexistence appears to be incidental since these…

Different cells of the ovary may be involved in the development of the cancer. But epithelial cells are the main types of cells which are involved in the cancer of ovary. There are different types of the ovarian cancer depending upon the histology of the…