disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

The craniofacial anatomy of an infant with facial duplication is described. There were four eyes, two noses, two maxillae, and one mandible. Anterior to the single pituitary the brain was duplicated and there was bilateral arhinencephaly. Portions of the brain were extruded into a large frontal encephalocele. Cases of symmetrical facial duplication reported in the literature range from two comp...

Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

Urethral duplication is a very rare congenital anomaly. Urethral duplication is seen most commonly in the sagittal plane. We report a rare case of complete urethral duplication in the coronal plane with no other associated anomalies. Surgical correction of this coronal urethral duplication resulted in a normal-appearing penis and good functional outcome with a single midline urethral meatus and...

introduction sub axial cervical spine dislocations are common and managing these cases by closed reduction is successful in the majority of cases. however, treatment of old and neglected cases is difficult and the results may vary in terms of neurological and functional outcomes. case presentation we present two cases of traumatic bilateral cervical facet dislocation with no neurological defici...

objective(s):eukaryotic translation initiation factor 4e (eif4e) is overexpressed in cervical cancer (cc). however, the molecular mechanisms are unclear. this study aimed to investigate the molecular mechanism of eif4e gene overexpression in cc. materials andmethods:the human papillomavirus (hpv) type 18 e7 and eif4e mrnas were measured following knock down or overexpression of e7 gene by rt-pc...

conclusions adc valuecould be a prognostic factor to monitor the response to therapy for patients with cervical cancer. the addition of dw-mri to the conventional mri protocolsconsiderably improved the diagnostic ability of mr imaging method for tumor evaluations. results studies had shown thatthe mean adc value of cervical carcinoma (1.110 ± 0.175 × 10-3 mm2/s)is significantly lower than that ...

The 22q11.2 duplication syndrome is an extremely variable disorder with a phenotype ranging from normal to learning disability and congenital defects. Both patients with a de novo 22q11.2 duplication and patients in whom the duplication has been inherited from a phenotypically normal parent have been reported. In this study we present two familial cases with a 3Mb 22q11.2 duplication detected b...