BACKGROUND Abdominal wall free flaps are used most frequently in autologous breast reconstruction, and these flaps require intact and robust deep inferior epigastric perforator (DIEP) vessels. Pfannenstiel incisions are often present during preoperative visits for breast reconstruction and could potentially signal compromised blood supply to the lower abdominal wall. In this study, we compared ...

Calving records from April 1998 to September 2006 comprising 104,572 calving events from 16 dairy herds of Iran were used to analyze the potential effect of dystocia on calf stillbirth and productive traits in Iranian Holsteins. Statistical analyses of production traits were performed using a linear mixed model procedure. Also, a logistic regression model was constructed to analyze the effect o...

The rapid evolution of Grid Computing and the development of new middleware services make Grid platforms increasingly used not only for best effort scientific jobs but also in industrial and business applications. This has taken to the growing demand of Quality of Service (QoS) support. However, the QoS issue on Grid is quite difficult, as Grid has been originally designed without any QoS suppo...

recent years have witnessed a parallel and seemingly contradictory trend towards both the standardization and the customization of healthcare and medical treatment. here, we explore what is meant by ‘standardization’ and ‘customization’ in healthcare settings and explore the implications of these changes for healthcare delivery. we frame the paradox of these divergent and opposing factors in te...

BACKGROUND Overcrowding in emergency departments is a global issue, which places pressure on the shrinking workforce and threatens the future of high quality, safe and effective care. Healthcare reforms aimed at tackling this crisis have focused primarily on structural changes, which alone do not deliver anticipated improvements in quality and performance. The purpose of this study was to ident...

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and declared as a global pandemic in March 2020. There special immune tolerance pregnant woman, predisposes to viral infection, then increased risk complication. Meta analysis was performed using preferred reporting items for systematic reviews meta-analyses (PRISMA) guidlines with comp...

Fibromyalgia syndrome (FS) is a common chronic disease characterized by widespread musculoskeletal pain in certain anatomic locations. Even though Fibromyalgia’s prevalence and symptoms pregnant women are known, many issues related to the consequences of mother’s fibromyalgia on pregnancy outcome have not been enough explored. The aim this study highlight relationship between who gave birth par...

This prospective cohort study aimed to investigate the relationship between developmental dysplasia of the hip and mode of delivery in 571 consecutive breech infants using a modified Graf's static morphological method to grade the severity of dysplasia. In this group, 262 infants were born by planned Caesarian section, 223 by emergency section and 86 vaginally. Taking all grades of hip dysplasi...

OBJECTIVE To look for risk factors leading to birth asphyxia in new borns admitted in a tertiary care unit STUDY DESIGN Retrospective analysis. SETTING Neonatal Unit of National Institute of Child Health, Karachi from 1st January, 2001 to 31st August, 2001. PATIENTS AND METHODS Records of 235 new borns admitted with birth asphyxia during this period were analyzed. Variables studied includ...

The Japan Obstetric Compensation System for Cerebral Palsy was established in January 2009 with collaboration of the government and obstetricians. It aims to help children having delivery-related disabilities and their parents to promote urgent settlements of disputes in relation to delivery, and to improve the quality of maternity care. The system is essentially based on a private insurance sc...