BACKGROUND Real time intraoperative transoesophageal echocardiograpgy (TOE) has an expanding role in peri-operative management and surgical decision making. OBJECTIVES Studies of the effect of transoesophageal echocardiography (TOE) on intraoperative decision making commonly emphasise major changes in operative plans. We examined more subtle effects using a novel scale, recording influences o...

BACKGROUND Identification of biomechanical risk factors associated with anterior cruciate ligament (ACL) injury can facilitate injury prevention. The purpose of this study is to investigate the effects of three foot landing positions, "toe-in", "toe-out" and "neutral", on biomechanical risk factors for ACL injury in males and females. The authors hypothesize that 1) relative to neutral, the toe...

Use of soft clay soils in construction activities has faced many problems. Some improvement, stabilization, and reinforcement methods is required to use these soils in body of roads, sub-foundations and embankments. In this research, the effect of chitin nanofiber and rice husk ash as additives on the behavioral properties and bearing resistance of soft clay soils by considering the processing ...

Apple farming cultivation is expanding in Balochistan. But there is no scientific study present on this subject which apple genus is beneficial according to nutritional point of view. This is the main object of this study to evaluate the nutritive composition of different Genus of apples. Keeping this objective in mind two different genus of apples were selected i.e. Malus Sylvestris and Malusd...

Within the last three decades, toe-to-hand transplantation has become a well-established method for function and appearance reconstruction after trauma and in congenital hand anomalies. An otherwise healthy and cooperative patient is the ideal candidate for toe transplantation after trauma. In such patient, even primary toe transplantation is possible, if the stump is clean and viable. If secon...

OBJECTIVE To evaluate the comparative diagnostic value of harmonic imaging (HI) in the assessment of patients with suspected infective endocarditis (IE). SETTING Tertiary referral centre. DESIGN 139 consecutive patients were evaluated with three imaging modalities: transthoracic echocardiography with fundamental imaging (FI); HI; and transoesophageal echocardiography (TOE). Image quality wa...

SUMMARY The initial location of necrosis may affect the limb salvage rate. This study of 130 patients with chronic toe ulcers or gangrene was performed to assess whether the location of initial necrosis in the toes affected limb salvage prognosis. The patients were divided into 2 groups according to whether the initial necrosis was in the great toe or in other toes. Limb salvage prognosis was d...