BACKGROUND The ala of the nose, with its particular texture and characteristics, poses both aesthetically and functionally intriguing challenges and is rather problematic regarding choices for reconstructive methods. Both flaps and grafts have been used to restore natural structure of nasal ala. The present study summarizes a ten-year experience of reconstructive surgery using small composite...

Health information systems (HIS) in their current form are rarely sustainable. In order to sustain our health information systems and with it our health systems, we need to focus on defining and maintaining sustainable Health Information System building blocks or components. These components need to be easily updatable when clinical knowledge (or anything else) changes, easily adaptable when bu...

There is an increased reliance on genetically modified organisms as a functional genomic tool to elucidate the role of genes and their protein products. Despite this, many models do not express the expected phenotype thought to be associated with the gene or protein. There is thus an increased need to further define the phenotype resultant from a genetic modification to understand how the trans...

This paper aims to examine the function of participles in Shinekhen Buryat, which is one of the Mongolic languages spoken in Manchuria, and suggests the following two points: first, we cannot define the prototypical participles in Shinekhen Buryat as inflectional verb to adjective transposition, since they contain certain features that differ from adjectives; second, we recommend a recategoriza...

The recent recognition that acute kidney injury (AKI) may lead to the development of chronic kidney disease and end-stage renal disease, with the attendant increase in mortality, has led to interest in the clinical epidemiology and the mechanistic understanding of renal recovery after an episode of AKI. At present, no uniform definition for recovery after AKI exists and various considerations s...

OBJECTIVE To evaluate whether subgroups of patients with no chance of survival can be defined among patients with out-of-hospital cardiac arrest. PATIENTS Patients in the Swedish cardiac arrest registry who fulfilled the following criteria were surveyed: cardiopulmonary resuscitation (CPR) was attempted; the arrest was not crew witnessed; and patients were found in a non-shockable rhythm. S...

the aim of this paper is to introduce $(l,m)$-fuzzy closurestructure where $l$ and $m$ are strictly two-sided, commutativequantales. firstly, we define $(l,m)$-fuzzy closure spaces and getsome relations between $(l,m)$-double fuzzy topological spaces and$(l,m)$-fuzzy closure spaces. then, we introduce initial$(l,m)$-fuzzy closure structures and we prove that the category$(l,m)$-{bf fc} of $(l,m...