This 68-year-old patient with Stage 4 chronic kidney disease was reviewed in our low clearance clinic 2 months after formation of a left arteriovenous fistula. The prominent ‘half-and-half’ appearance of his nails was noted. Nail disorders are common in chronic renal failure, affecting up to 70% of haemodialysis patients [1]. Half-and-half or Lindsay nails [2], where the proximal half of the na...

Let M be a complete locally compact CAT(0)-space, and X an ultralimit of M . For γ ⊂M a k-dimensional flat, let γω be the k-dimensional flat in X obtained as an ultralimit of γ. In this paper, we identify various conditions on γω that are sufficient to ensure that γ bounds a (k + 1)-dimensional half-flat. As applications we obtain (1) constraints on the behavior of quasi-isometries between loca...

Software often goes through a variety of extensions during its lifetime: adding new fields or new variants to a data structure, retroactively creating new type abstractions, and adding new operations on a data structure. As characterized by the extensibility problem, it should be possible to apply any combination of these types of extensions in any order. Mainstream object-oriented languages, h...

A 14-month-old child was diagnosed with a Veau Class II cleft palate. Von Langenbeck palatoplasty was performed for the right palate, and V-Y pushback palatoplasty was performed for the left palate. The child did not have a special problem during the surgery, and the authors were able to elongate the cleft by 10 mm. Contrary to preoperative concerns regarding the hybrid use of palatoplasties, t...

Example An operating system is a widely-used example of a complex concurrent system that manages many different types of applications and hardware. For instance, it coordinates and demultiplexes the communication between standard Internet networking applications, such as telnet, ftp, smtp, dns, and inetd, and hardware I/O devices, such as network interfaces, disk controllers, end-user terminals...

i ntroduction: vertical root fracture (vrf) is the longitudinal fracture of the root in endodontically treated teeth. considering the limitations of two-dimensional radiographic images in detection of vrf and introduction of cone-beam computed tomography (cbct), this study was designed to find the sensitivity, specificity and accuracy of cbct and periapical (pa) radiography in detection of vrfs...