GOD, HUMANITY AND THE COSMOS : CHALLENGING A CHALLENGING TEXTBOOK

The Most Challenging Reconstructive Procedure for God: Fingertip Reconstruction

We presented 59 fingertip injury cases that we treated and followed up. Among the 59 patients, 50 were male and 9 were female. The methods we chose for reconstruction were as follows: repairing by a skin graft (n:3), a V-Y advancement flap (n:17), a cross-finger flap (n:19), a thenar flap (n:5), an abdominal interpolation flap (n:8) and infraclavicular flap (n:2). We performed 35 operations und...

Nutrition and Food Sciences: Fascinating and Challenging

Probiotics: Challenging the Traditional Modes of Action

A trial was conducted to evaluate the performance of broiler birds which supplemented with a commercial inactivated probiotic. Four hundred and fifty day old broiler chickens were allocated into 3 treatments with 6 replicates each. Each replicate was placed on clean wood shavings in floor pens receiving feed and water ad libitum. In treatment 1, feed was supplemented with 500 g/ton of a heat-in...

The wandering of families with schizophrenia patient in a challenging support system and covid 19 crisis

Introduction: schizophrenia is a chronic condition that leads to debilitating consequences, is associated numerous challenges. So families need long-term psychosocial support. Methods: the study was performed by interpretive descriptive method. Using purposive sampling, 30 participants participated in the study. Data were collected through individual interviews and coded, codes with similar the...

A challenging lead endocarditis.

Pacemaker/implantable cardioverter-defibrillator (ICD) lead endocarditis remains a challenging diagnosis in cardiology. Several parameters can be involved in the clinical path leading to the definite diagnosis. Clinical appearance and physical findings, together with transoesophageal echocardiography and serum levels of inflammatory parameters, are necessary in the workup towards the diagnosis....