Fractures of the proximal tibial epiphysis are rare, representing less than 3% of all epiphyseal and 1% of all physeal injuries in adolescents. Bilateral injuries are extremely rare. The specific anatomical and histological features of the proximal tibial epiphysis make it vulnerable to a specific fracture pattern that occurs when the tensile force of the quadriceps is greater than the fibrocar...

n a new era where the clinical manifestations of acute oronary syndromes are just considered to be the peak of the ceberg of an underlying systemic inflammatory process, erms such as “vulnerable plaque” have lost appeal in favor of ore comprehensive terminology such as vulnerable blood, ulnerable myocardium, and vulnerable patient (1). Ultiately, all of them emphasize the need for implementing ...

Why is it that some people who are exposed to drugs ultimately become dependent on them, while others seem to be able to withstand the experience without lasting damage? What are the personal factors that cause addiction? Are they physical or psychological? Dr. Max Glatt of St. Bernard's Hospital has made a special investigation of the causes of addiction and here outlines some significant find...

We show that fragmented IPv4 and IPv6 traffic is vulnerable to effective interception and denial-of-service (DoS) attacks by an off-path attacker. Specifically, we demonstrate a weak attacker intercepting more than 80% of the data between peers and causing over 94% loss rate. We show that our attacks are practical through experimental validation on popular industrial and opensource products, wi...

I T H A S B E E N P R O P O S E D T H A T N O N H E A L I N G E N D O T H E L I U M after percutaeous coronary intervention may allow for insudation of lipids superficial to the stent strut level, specially when the underlying plaque carried a large necrotic core. This may result in formation of a ipid-rich neointima, and the lipid core so created is referred to as nouveau atherosclerosis; the ...

It is impossible to achieve a critical infrastructure that is secured for one hundred percent. One of the main conclusions of the KWINT study on the vulnerabilities of the (Netherlands section of the) Internet is that the aim of the Dutch Government should be to prevent incidents, to reduce critical infrastructure vulnerabilities to an acceptable level for society, and to ensure that control of...

Experimental data from intergenerational field manipulations of entire food webs are scarce, yet such approaches are essential for gauging impacts of environmental change in natural systems. We imposed 2 years of intermittent drought on stream channels in a replicated field trial, to measure food web responses to simulated climate change. Drought triggered widespread losses of species and links...

Angiomyolipomas are benign mesenchymal tumours originating from the kidney and adrenals. They are rare tumours that can be sporadic and isolated or occur as a part of tuberous sclerosis. These tumours have a high content in the cells, which is pathognomonic for diagnosis using ultrasonography, computed tomography and magnetic resonance imaging. Atypical angiomyolipomas occur with excessive smo...