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A Study on the Absence of Palmaris Longus in a Multi-Racial Population
108472 NV-OA7 pg26-28.qxd 11/05/2007 05:02 PM Page 26 (Black plate) Malaysian Orthopaedic Journal 2007 Vol 1 No 1 SA Roohi, etal A Study on the Absence of Palmaris Longus in a Multi- racial Population SA Roohi, MS (Ortho) (UKM), L Choon-Sian, MD (UKM), A Shalimar, MS (Ortho) (UKM), GH Tan, MS (Ortho) (UKM), AS Naicker, M Med Rehab (UM) Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia ABSTRACT Most standard textbooks of hand surgery quote the prevalence of absence of palmaris longus at around 15%3-5. Palmaris longus is a dispensable muscle with a long tendon However, this figure varies considerably in different ethnic which is very useful in reconstructive surgery. It is absent groups. A study by Thompson et al6 on 300 Caucasian 2.8 to 24% of the population depending on the race/ethnicity subjects found that palmaris longus was absent unilaterally in studied. Four hundred and fifty healthy subjects (equally 16%, and bilaterally in 9% of the study sample for an overall distributed among Malaysia’s 3 major ethnic groups) were prevalence of absence of 24%. Similarly, George7 noted on clinically examined for the presence or absence of palmaris 276 cadavers of European descent that its absence was 13% longus. This tendon was found to be absent unilaterally in unilaterally, 8.7% bilaterally for an overall absence of 15.2%. 6.4% of study subjects, and bilaterally in 2.9% of study Another cadaveric study by Vanderhooft8 in Seattle, USA participants. Malays have a high prevalence of palmaris reported its overall absence to be 12%. -
Communicable Disease Chart
COMMON INFECTIOUS ILLNESSES From birth to age 18 Disease, illness or organism Incubation period How is it spread? When is a child most contagious? When can a child return to the Report to county How to prevent spreading infection (management of conditions)*** (How long after childcare center or school? health department* contact does illness develop?) To prevent the spread of organisms associated with common infections, practice frequent hand hygiene, cover mouth and nose when coughing and sneezing, and stay up to date with immunizations. Bronchiolitis, bronchitis, Variable Contact with droplets from nose, eyes or Variable, often from the day before No restriction unless child has fever, NO common cold, croup, mouth of infected person; some viruses can symptoms begin to 5 days after onset or is too uncomfortable, fatigued ear infection, pneumonia, live on surfaces (toys, tissues, doorknobs) or ill to participate in activities sinus infection and most for several hours (center unable to accommodate sore throats (respiratory diseases child’s increased need for comfort caused by many different viruses and rest) and occasionally bacteria) Cold sore 2 days to 2 weeks Direct contact with infected lesions or oral While lesions are present When active lesions are no longer NO Avoid kissing and sharing drinks or utensils. (Herpes simplex virus) secretions (drooling, kissing, thumb sucking) present in children who do not have control of oral secretions (drooling); no exclusions for other children Conjunctivitis Variable, usually 24 to Highly contagious; -
The Evolutionary History of the Human Face
This is a repository copy of The evolutionary history of the human face. White Rose Research Online URL for this paper: https://eprints.whiterose.ac.uk/145560/ Version: Accepted Version Article: Lacruz, Rodrigo S, Stringer, Chris B, Kimbel, William H et al. (5 more authors) (2019) The evolutionary history of the human face. Nature Ecology and Evolution. pp. 726-736. ISSN 2397-334X https://doi.org/10.1038/s41559-019-0865-7 Reuse Items deposited in White Rose Research Online are protected by copyright, with all rights reserved unless indicated otherwise. They may be downloaded and/or printed for private study, or other acts as permitted by national copyright laws. The publisher or other rights holders may allow further reproduction and re-use of the full text version. This is indicated by the licence information on the White Rose Research Online record for the item. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request. [email protected] https://eprints.whiterose.ac.uk/ THE EVOLUTIONARY HISTORY OF THE HUMAN FACE Rodrigo S. Lacruz1*, Chris B. Stringer2, William H. Kimbel3, Bernard Wood4, Katerina Harvati5, Paul O’Higgins6, Timothy G. Bromage7, Juan-Luis Arsuaga8 1* Department of Basic Science and Craniofacial Biology, New York University College of Dentistry; and NYCEP, New York, USA. 2 Department of Earth Sciences, Natural History Museum, London, UK 3 Institute of Human Origins and School of Human Evolution and Social Change, Arizona State University, Tempe, AZ. -
Head Start Early Learning Outcomes Framework Ages Birth to Five
Head Start Early Learning Outcomes Framework Ages Birth to Five 2015 R U.S. Department of Health and Human Services Administration for Children and Families Office of Head Start Office of Head Start | 8th Floor Portals Building, 1250 Maryland Ave, SW, Washington DC 20024 | eclkc.ohs.acf.hhs.gov Dear Colleagues: The Office of Head Start is proud to provide you with the newly revisedHead Start Early Learning Outcomes Framework: Ages Birth to Five. Designed to represent the continuum of learning for infants, toddlers, and preschoolers, this Framework replaces the Head Start Child Development and Early Learning Framework for 3–5 Year Olds, issued in 2010. This new Framework is grounded in a comprehensive body of research regarding what young children should know and be able to do during these formative years. Our intent is to assist programs in their efforts to create and impart stimulating and foundational learning experiences for all young children and prepare them to be school ready. New research has increased our understanding of early development and school readiness. We are grateful to many of the nation’s leading early childhood researchers, content experts, and practitioners for their contributions in developing the Framework. In addition, the Secretary’s Advisory Committee on Head Start Research and Evaluation and the National Centers of the Office of Head Start, especially the National Center on Quality Teaching and Learning (NCQTL) and the Early Head Start National Resource Center (EHSNRC), offered valuable input. The revised Framework represents the best thinking in the field of early childhood. The first five years of life is a time of wondrous and rapid development and learning.The Head Start Early Learning Outcomes Framework: Ages Birth to Five outlines and describes the skills, behaviors, and concepts that programs must foster in all children, including children who are dual language learners (DLLs) and children with disabilities. -
Report of Two Cases Presenting with Acute Abdominal Symptoms
Journal of Accident and Tension pneumothorax: report of two cases presenting J Accid Emerg Med: first published as 10.1136/emj.11.1.43 on 1 March 1994. Downloaded from Emergency Medicine 1993 with acute abdominal symptoms 10, 43-44 G.W. HOLLINS,1 T. BEATTIE,1 1. HARPER2 & K. LITTLE2 Departments of Accident and Emergency 1 Aberdeen Royal Infirmary, Foresterhill, Aberdeen and 2Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh INTRODUCTION diagnoses were peptic ulcer disease or acute pancreatitis. Work-up appropriate to these diag- Tension pneumothorax constitutes a medical noses was commenced. An erect chest radiograph emergency and rapid diagnosis should be possible revealed a large pneumothorax with mediastinal on the basis of history and clinical examination. shift to the left. Following drainage using a large Following treatment with the delivery of high con- bore needle there was immediate resolution of his centration oxygen and the insertion of a large bore symptoms and all abdominal signs. An intercostal needle into the pleural space of the affected side, chest drain was formally sited and full expansion of the diagnosis can be confirmed radiologically and his right lung was achieved after 36 h. He was dis- an intercostal chest drain formally sited.1'2 We report charged home after 3 days. two cases where diagnosis was not made on the basis of history and examination alone. Both cases Case 2 presented with symptoms and signs suggestive of an acute intra-abdominal pathology and the diag- A 37-year-old male computer operator presented nosis was only made on radiological grounds. with a 1-week history of general malaise associated with mild neck and back pain. -
Effects of Glans Penis Augmentation Using Hyaluronic Acid Gel for Premature Ejaculation
International Journal of Impotence Research (2004) 16, 547–551 & 2004 Nature Publishing Group All rights reserved 0955-9930/04 $30.00 www.nature.com/ijir Effects of glans penis augmentation using hyaluronic acid gel for premature ejaculation JJ Kim1, TI Kwak1, BG Jeon1, J Cheon1 and DG Moon1* 1Department of Urology, Korea University College of Medicine, Sungbuk-ku, Seoul, Korea The main limitation of medical treatment for premature ejaculation is recurrence after withdrawal of medication. We evaluated the effect of glans penis augmentation using injectable hyaluronic acid (HA) gel for the treatment of premature ejaculation via blocking accessibility of tactile stimuli to nerve receptors. In 139 patients of premature ejaculation, dorsal neurectomy (Group I, n ¼ 25), dorsal neurectomy with glandular augmentation (Group II, n ¼ 49) and glandular augmentation (Group III, n ¼ 65) were carried out, respectively. Two branches of dorsal nerve preserving that of midline were cut at 2 cm proximal to coronal sulcus. For glandular augmentation, 2 cc of HA was injected into the glans penis, subcutaneously. At 6 months after each procedure, changes of glandular circumference were measured by tapeline in Groups II and III. In each groups, ejaculation time, patient’s satisfaction and partner’s satisfaction were also assessed. There was no significant difference in preoperative ejaculation time among three groups. Preoperative ejaculation times were 89.2740.29, 101.54759.42 and 96.5752.32 s in Groups I, II and III, respectively. Postoperative ejaculation times were significantly increased to 235.6758.6, 324.247107.58 and 281.9793.2 s in Groups I, II and III, respectively (Po0.01). -
Acute Gastroenteritis
Article gastrointestinal disorders Acute Gastroenteritis Deise Granado-Villar, MD, Educational Gap MPH,* Beatriz Cunill-De Sautu, MD,† Andrea In managing acute diarrhea in children, clinicians need to be aware that management Granados, MDx based on “bowel rest” is outdated, and instead reinstitution of an appropriate diet has been associated with decreased stool volume and duration of diarrhea. In general, drug therapy is not indicated in managing diarrhea in children, although zinc supplementation Author Disclosure and probiotic use show promise. Drs Granado-Villar, Cunill-De Sautu, and Objectives After reading this article, readers should be able to: Granados have disclosed no financial 1. Recognize the electrolyte changes associated with isotonic dehydration. relationships relevant 2. Effectively manage a child who has isotonic dehydration. to this article. This 3. Understand the importance of early feedings on the nutritional status of a child who commentary does has gastroenteritis. contain a discussion of 4. Fully understand that antidiarrheal agents are not indicated nor recommended in the an unapproved/ treatment of acute gastroenteritis in children. investigative use of 5. Recognize the role of vomiting in the clinical presentation of acute gastroenteritis. a commercial product/ device. Introduction Acute gastroenteritis is an extremely common illness among infants and children world- wide. According to the Centers for Disease Control and Prevention (CDC), acute diarrhea among children in the United States accounts for more than 1.5 million outpatient visits, 200,000 hospitalizations, and approximately 300 deaths per year. In developing countries, diarrhea is a common cause of mortality among children younger than age 5 years, with an estimated 2 million deaths each year. -
1. Launch the View! • Launch Human Anatomy Atlas. • Navigate to Quizzes/Lab Activities, Find the Respiratory Lab Section
Name: __________________________________________________________ Date: ______________________________ Activity 1: Respiratory System Lab 1. Launch the view! • Launch Human Anatomy Atlas. • Navigate to Quizzes/Lab Activities, find the Respiratory Lab section. • Launch Augmented Reality mode and scan the image below. • Don’t have AR? Select view 1. Respiratory System. 2. Fill in the blanks. • Find the structures listed in the word bank. • Read the definitions, then fill in the blank with the correct respiratory system structure from the word bank. © Argosy Publishing, Inc., 2007-2018. All Rights Reserved. 1/2 Name: __________________________________________________________ Date: ______________________________ Word bank: • Alveoli • Nasopharynx • Bronchi • Oropharynx • Laryngopharynx • Primary bronchi • Lungs • Trachea • Nasal cavity The ______________________________ is composed of the chambers of the internal nose that function as a part of the upper respiratory system. The ______________________________ is the most posterior part of the pharynx. It is shared by the respiratory system and the digestive system. The upper respiratory and upper digestive tracts diverge right after this structure. The front of this structure merges with the triangular entrance of the larynx. The ______________________________ conveys air between the upper and lower respiratory structures. The ______________________________ is a portion of the pharynx that begins at the rear of the nasal cavity and functions as an airway in the upper respiratory system. Its cavity always stays open, unlike the other parts of the pharynx. The ______________________________ are two organs that are responsible for gas exchange. The ______________________________ are the major airways of the lower respiratory system. The ______________________________ are the main sites of gas exchange, where oxygen is brought into the bloodstream and carbon dioxide is removed. -
Complex Regional Pain Syndrome Type I (Shoulder-Hand Syndrome) in an Elderly Patient After Open Cardiac Surgical Intervention; a Case Report
Eastern Journal of Medicine 16 (2011) 56-58 L. Ediz et al / CRPS type I after open cardiac Surgery Case Report Complex regional pain syndrome type I (shoulder-hand syndrome) in an elderly patient after open cardiac surgical intervention; a case report Levent Ediza*, Mehmet Fethi Ceylanb , Özcan Hıza, İbrahim Tekeoğlu c a Department of Physical Medicine and Rehabilitation, Yüzüncü Yıl University Medical Faculty, Van, Turkey b Department of Orthopaedics and Traumatology,Yüzüncü Yıl University Medical Faculty, Van, Turkey c Department of Rheumatology, Yüzüncü Yıl University Medical Faculty, Van, Turkey Abstract. We described the first case report in the literature who developed Complex Regional Pain Syndrome (CRPS type I) symptoms in his right shoulder and right hand within 15 days after open cardiac surgery and discussed shoulder-hand syndrome (CRPS type I) and frozen shoulder diagnosis along with the reasons of no report of CRPS type I in these patients. We also speculated whether frozen shoulder seen in postthoracotomy and postcardiac surgery patients might be CRPS type I in fact. Key words: Complex regional pain syndrome, cardiac surgery, frozen shoulder 1. Introduction Improper patient positioning, muscle division, perioperative nerve injury, rib spreading, and Complex Regional Pain Syndrome (CRPS) is consequent postoperative pain influence the complication of injuries which is seen at the patient's postoperative shoulder function and distal end of the affected area characterized by quality of life (5). In a study Tuten HR et al pain, allodyni, hyperalgesia, edema, abnormal retrospectively evaluated for the incidence of vasomotor and sudomotor activity, movement adhesive capsulitis of the shoulder of two disorders, joint stiffness, regional osteopenia, and hundred fourteen consecutive male cardiac dystrophic changes in soft tissue (1,2). -
797 Circulating Tumor DNA and Circulating Tumor Cells for Cancer
Medical Policy Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy) Table of Contents • Policy: Commercial • Coding Information • Information Pertaining to All Policies • Policy: Medicare • Description • References • Authorization Information • Policy History • Endnotes Policy Number: 797 BCBSA Reference Number: 2.04.141 Related Policies Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer, #336 Policy1 Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity Plasma-based comprehensive somatic genomic profiling testing (CGP) using Guardant360® for patients with Stage IIIB/IV non-small cell lung cancer (NSCLC) is considered MEDICALLY NECESSARY when the following criteria have been met: Diagnosis: • When tissue-based CGP is infeasible (i.e., quantity not sufficient for tissue-based CGP or invasive biopsy is medically contraindicated), AND • When prior results for ALL of the following tests are not available: o EGFR single nucleotide variants (SNVs) and insertions and deletions (indels) o ALK and ROS1 rearrangements o PDL1 expression. Progression: • Patients progressing on or after chemotherapy or immunotherapy who have never been tested for EGFR SNVs and indels, and ALK and ROS1 rearrangements, and for whom tissue-based CGP is infeasible (i.e., quantity not sufficient for tissue-based CGP), OR • For patients progressing on EGFR tyrosine kinase inhibitors (TKIs). If no genetic alteration is detected by Guardant360®, or if circulating tumor DNA (ctDNA) is insufficient/not detected, tissue-based genotyping should be considered. Other plasma-based CGP tests are considered INVESTIGATIONAL. CGP and the use of circulating tumor DNA is considered INVESTIGATIONAL for all other indications. 1 The use of circulating tumor cells is considered INVESTIGATIONAL for all indications. -
Introduction to Arthropod Groups What Is Entomology?
Entomology 340 Introduction to Arthropod Groups What is Entomology? The study of insects (and their near relatives). Species Diversity PLANTS INSECTS OTHER ANIMALS OTHER ARTHROPODS How many kinds of insects are there in the world? • 1,000,0001,000,000 speciesspecies knownknown Possibly 3,000,000 unidentified species Insects & Relatives 100,000 species in N America 1,000 in a typical backyard Mostly beneficial or harmless Pollination Food for birds and fish Produce honey, wax, shellac, silk Less than 3% are pests Destroy food crops, ornamentals Attack humans and pets Transmit disease Classification of Japanese Beetle Kingdom Animalia Phylum Arthropoda Class Insecta Order Coleoptera Family Scarabaeidae Genus Popillia Species japonica Arthropoda (jointed foot) Arachnida -Spiders, Ticks, Mites, Scorpions Xiphosura -Horseshoe crabs Crustacea -Sowbugs, Pillbugs, Crabs, Shrimp Diplopoda - Millipedes Chilopoda - Centipedes Symphyla - Symphylans Insecta - Insects Shared Characteristics of Phylum Arthropoda - Segmented bodies are arranged into regions, called tagmata (in insects = head, thorax, abdomen). - Paired appendages (e.g., legs, antennae) are jointed. - Posess chitinous exoskeletion that must be shed during growth. - Have bilateral symmetry. - Nervous system is ventral (belly) and the circulatory system is open and dorsal (back). Arthropod Groups Mouthpart characteristics are divided arthropods into two large groups •Chelicerates (Scissors-like) •Mandibulates (Pliers-like) Arthropod Groups Chelicerate Arachnida -Spiders, -
Extending the Cure: Policy Responses to the Growing Threat Of
RAMANAN LAXMINARAYAN and ANUP MALANI with David Howard and David L. Smith EXTENDING THE CURE Policy responses to the growing threat of antibiotic resistance EXTENDING THE CURE RAMANAN LAXMINARAYAN and ANUP MALANI with David Howard and David L. Smith EXTENDING THE CURE Policy responses to the growing threat of antibiotic resistance © Resources for the Future 2007. All rights reserved. LIBRARY OF CONGRESS CATALOGING-IN-PUBLICATION DATA Laxminarayan, Ramanan. Extending the cure : policy responses to the growing threat of antibiotic resistance / by Ramanan Laxminarayan and Anup Malani ; with David Howard and David L. Smith. p. ; cm. Includes bibliographical references. ISBN 978-1-933115-57-3 (pbk. : alk. Paper) 1. Drug resistance in microorganisms—United States. 2. Drug resistance in microorganisms—Government policy—United States. I. Malani, Anup. II. Title. III. Title: Policy responses to the growing threat of antibiotic resistance. [DNLM: 1. Drug Resistance, Bacterial—United States. 2. Anti-Bacterial Agents—United States. 3. Drug Utilization—United States. 4. Health Policy—United States. QW 52 L425e 2007] QR177.L39 2007 616.9`041—dc22 2007008949 RESOURCES FOR THE FUTURE 1616 P Street, NW Washington, DC 20036-1400 USA www.rff.org ABOUT RESOURCES FOR THE FUTURE RFF is a nonprofit and nonpartisan organization that conducts independent research—rooted primarily in economics and other social sciences—on environmental, energy, natural resources, and public health issues. RFF is headquartered in Washington, D.C., but its research scope comprises programs in nations around the world. Founded in 1952, RFF pioneered the application of economics as a tool to develop more effective policy for the use and conservation of natural resources.