The levee system in California’s Sacramento–San Joaquin Delta helps protect freshwater quality in a critical estuarine ecosystem that hosts substantial agricultural infrastructure and a large human population. We use space-based synthetic aperture radar interferometry (InSAR) to provide synoptic vertical land motion measurements of the Delta and levee system from 1995 to 2000. We find that Delt...

BACKGROUND Brugada syndrome (BrS) is a genetic arrhythmogenic disease characterized by ST-segment elevations in the right precordial leads of the electrocardiogram (ECG). These ECG changes may be concealed and BrS may present with electrical storm characterized by recurrent ventricular tachycardia and fibrillation. CASE REPORT A 49-year-old previously healthy man was admitted with electrical ...

A 62-year-old man visited our emergency department with sudden onset of paraparesis 24 hours before the visit. His medical history revealed prolonged suffering from back pain in addition to diabetes mellitus for 27 years. T2weighted-magnetic resonance imaging of the spine revealed epidural space lesions that extended from C5 to L5 and occupied posterior spaces (Picture 1, 2). The patient was di...

We report here a case of adult-onset Still's disease (AOSD), who finally responded to a combination of cyclophosphamide (CPA) and gold sodium thiomalate (GST) after two years of active disease. A 23-year-old man having continuous high fever with skin rash, polyarthralgia and increased serum ferritin, was diagnosed as AOSD, and oral corticosteroid was initially effective. His symptoms recurred o...

A case of recent myocardial infarction in a 24-year-old man with no known history of Wolff—Parkinson— White syndrome is reported. The patient developed during sport training an exercise tachycardia associated with palpitation and syncope. The electrocardiogram, performed by rescue team, was suggestive of Wolff-Parkinson-White syndrome. He was admitted to Cardiovascular Diseases Institute for th...

Spontaneous rupture of a normal renal collecting system during pregnancy is uncommon and all reported cases have occurred in right kidneys. We report a case of spontaneous rupture of the left renal collecting system during pregnancy. A 33-year-old pregnant woman presented with left loin and lower abdominal pain, and signs of preterm labour, at 32 weeks' gestation. An emergency caesarean section...

PURPOSE This article reviews the most important muscle toxins, many of which are widely prescribed medications. Particular emphasis is placed on statins, which cause muscle symptoms in a relatively large proportion of the patients who take them. RECENT FINDINGS As with other toxic myopathies, most cases of statin-associated myotoxicity are self-limited and subside with discontinuation of the ...

The clinical differentiation of obstructive jaundice from that due to derangements of the liver is frequently impossible despite careful history taking and physical examination and the employment of many types of diagnostic procedures. Patients with grave hepatitis are often subjected to the added hazard of an anesthetic and laparotomy to rule out possible biliary tract obstruction, while conve...

In addition to anti-tumor effects, ionizing radiation causes damage in normal tissues located in the radiation portals. Oral complications of radiotherapy in the head and neck region are the result of the deleterious effects of radiation on, e.g., salivary glands, oral mucosa, bone, dentition, masticatory musculature, and temporomandibular joints. The clinical consequences of radiotherapy inclu...

Obesity is a significant concern in the United States, affecting approximately 35% of the population. Comorbidities, such as diabetes, hypertension, and hyperlipidemia, significantly increase one’s risk of heart attack, stroke, and even death. Liraglutide, a medication originally used to treat diabetes, has been approved for the treatment of obesity. Clinical trials have shown significant impro...