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Thrombolytic agents have been used in the emergency department for treatment of acute myocardial infarction and vasoocclusive strokes. Their use has been associated with complications. The most dreaded complication is bleeding following systemic thrombolysis. We document a case of spontaneous intra-peritoneal hematoma following thrombolysis with…

In the present work we evaluated adenosine deaminase 1 (ADA1) encoding gene (ADA1) rs73598374 single nucleotide polymorphism (SNP) and the activity of this enzyme in patients with ischemic stroke (IS) in Armenian population. A total of 98 first episode IS patients within the first 24…

From three commercial Friesian-Holstein dairy herds located in three different provinces of Egypt "El-Fayoum, EL-Ismailia and EL-Beheira"  adopted a number of different vaccination strategies, a total of 183 individual blood samples, individual pooled milk samples collected on the same occasion from the same animal and…

In most developing and emerging economies competition and not regulation is used to determine prices at the wholesale electricity markets. But prices are not as low as it was originally expected. Additionally, there are shortages of supply and a lack of investment in infrastructure. It…

E-learning is advantageous for trainees as well as for organisation. The purpose of this research is to discover determinants of effective online training. The different theoretical currents treating the behaviour of individuals towards the technological innovation utilization permit to identify variables that determine the efficiency…

Japanese B Encephalitis is a viral disease, which presents with multiple findings in brain. Uremic encephalopathy is also a known cause of multiple signal changes in brain. We present a case of a 30 yr male patient who was having Japanese encephalitis and was also…

Psoas abscess is rare as the first clinical manifestation of Crohn's disease. We report a 28 year-old man with no previous history of gastrointestinal disorder, who presented with lower right abdominal pain and psoitis. Diagnosis of psoas abscess was confirmed by computed tomography. Extended-spectrum beta-lactamase…

The presence of the male gonad in a patient who appears outwardly as a female is a hallmark of testicular feminization, where peripheral target organs are resistant to androgens. A 62-year-old woman was admitted to the hospital with a bulk in her right inguinal region…

Epilepsy is characterized by unprovoked repetitive occurrence of seizures, which are the clinical manifestation of an abnormal cerebral discharge. Seizure semiology is widely variable, in some cases being difficult to identify and diagnose. Especially in non-convulsive seizures, a high grade of suspicion is necessary and…

Endometriosis consists of extra-uterine functional endometrial tissue. It is usually located in the pelvis, but it can also be found in other sites. Cutaneous endometriosis is a rare condition and it develops in the most of cases above gynecological or obstetric scars, although it may…