normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 aim : this study was designed to investigate about findings of impedance ph-monitoring in patients with atypical symptoms of gerd. background : the routine treatment with proton pump inhibitors is not very effective in patients with atypical symptoms of gastro-esophageal reflux disease (gerd). it may be due to non-acid ref...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 there are a few case series of giant cell tumor (gct) in the spine and sacrum. gct in the thoracic vertebrae is even more exceptional in the medical literature. in this article we report a gct in a 25-year-old male who presented with progressive back pain and dyspnea. on contrast-enhanced multidetector computer tomography,...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 drug‑drug interactions (ddis) are one of the commonest causes of medication error in developed countries, particularly in the elderly due to poly‑therapy, with a prevalence of 20‑40%. in particular, poly‑therapy increases the complexity of therapeutic management and thereby the risk of clinically important ddis, wh...

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normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 sir, leiomyoma is the most common tumor of uterus and female pelvis. leiomyosarcoma almost always arise de novo and almost it doesn’t results from sarcomatous transformation of a leiomyoma. one of the most controversial concepts on the subject of uterine smooth muscle tumors is smooth muscle tumor of uncertain malignant po...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 β-thalassemia (cooley anemia) initially was described by dr cooley. [1] it is recognized that various types of thalassemia are inherited anemia caused by mutations at the globin gene, affecting the production of é‘ - or β-globin protein. the anemia interferes with red cell maturation. [2] β-globin gene mutations give rise ...