BACKGROUND There has been little research into poetry-based medical education. Few studies consider learners' perceptions in depth. OBJECTIVE To explore general practice registrars' (GPRs) perceptions of two poetry-based sessions. METHODS GPRs in one general practice vocational training scheme experienced two poetry sessions. In one, the facilitator selected poems; in the other, poems were ...

POEMS syndrome is an important paraneoplastic syndrome associated with multisystem involvement. Extravascular volume overload like pericardial effusion and ascites has a broad differential diagnosis. In addition, it may be initial presentation of disease. For that reason, this case report is highlight to warn of different forms of presentation of poems syndrome.

POEMS syndrome is a rare, chronic and disabling condition. The causes of this condition remain unknown; however, chronic overproduction of proinflammatory cytokines appears to be a major contributor. Early diagnosis is essential to start treatment before the clinical state of the patient becomes compromised. A complete evaluation of the disease at its onset is critical to the treatment decision...

A 55-year-old woman was admitted for evaluation of progressive generalized oedema and mild kidney dysfunction (serum creatinine 1.12mg/dL; blood urea nitrogen 45mg/dL). On admission, generalized oedema, transudative pleural effusion, collapsed inferior vena cava and low fractional excretion of sodium (0.14%) suggested severe volume depletion due to plasma extravasation; however, its aetiology c...

OBJECTIVE To compare symptomatic and objective outcomes between HM and POEM. BACKGROUND The surgical gold standard for achalasia is laparoscopic Heller myotomy (HM) and partial fundoplication. Per-oral endoscopic myotomy (POEM) is a less invasive flexible endoscopic alternative. We compare their safety and efficacy. METHODS Data on consecutive HMs and POEMs for achalasia from 2007 to 2012 w...

Background and purpose: POEMS syndrome (poly­ neuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes) is a rare multisystemic disease, which belongs to plasma cell dyscrasia (monoclonal plasma cell proliferative disorder, almost always λ). Bone fractures in patients with POEMS syndrome are rarely described in literature. They are caused by bone lesions, which can be os...

The Quran and Hadiths including Infallibles (AS) Hadiths such as Imam Sadegh (AS) were one of compilation references, and also, one of the fields of research for Arabs morphologists from long time ago. Imam Sadegh’s (AS) Hadiths based on Sunni’s lexicon, and then, based on another Islamic science books will be illustrated in this research in order to identify where these Hadiths hav...

POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) is characterised by a rare multisystem disorder of unknown pathogenesis. Although its pathophysiology is not well understood, overexpression of proinflammatory cytokines has been implicated. Gastrointestinal system disorders have not been reported among the components of the syndrome. A case i...

In most cases, there is only one cause for a patient’s peripheral neuropathy (e.g. diabetes mellitus, uremia, inflammatory demyelination, vasculitic, inherited or other). However, occasionally more than one cause may be present and clinically important. The case illustrated here shows that inherited (CMT1A) and acquired (POEMS) demyelinating neuropathies can coexist and both contribute to the c...