A 60 year old woman with chronic duodenal ulcer not responding to Cimetidine, was changed to Ranitidine. She had symptomatic improvement, but had bilateral breast engorgement and tenderness for which treatment was discontinued. A therapeutic trial on a second occasion had the same side effect which came on more rapidly and quickly. This complication in such severe form and recurrence on rechall...

he patient was a 17-year-old unmarried, primi-gravida who delivered via vacuum-assisted vaginal extraction two days previously. In the course of the delivery, a significant midline and extensive right lateral wall vaginal tear occurred. The patient was discharged on the first postpartum day; however, she represented herself to the clinic 24 h later with shaking chills, a temperature of 103.3F, ...

The demography of Sandwich in this period has attracted attention from previous historians but has not been systematically studied. This article goes some way towards rectifying this situation by tracing the town’s growth from c. 1,500–1,700 in the mid-sixteenth century to c. 5,500 by 1610, population growth ending during the 1630s after which decline set in, the 1671 Hearth Tax suggesting a po...

Menopausal symptoms (eg, hot flushes and vaginal symptoms) are common, often bothersome, and can adversely impact women's sexual functioning, relationships, and quality of life. Estrogen-progestin therapy was previously considered the standard care for hormone therapy (HT) for managing these symptoms in nonhysterectomized women, but has a number of safety and tolerability concerns (eg, breast c...

Phase-feeding (PF) has been effective in maintaining broiler growth while reducing production cost, but the effect on different broiler strains grown in a small-bird production scenario has not been assessed. The objective of this study was to evaluate 3 commercial broiler strains typically used in a small-bird production scenario to assess the effect of various debone times and PF on yield and...

Due to long term patency, the internal mammary artery is considered as a conduit of choice for revascularization of the left anterior descending coronary artery. The internal mammary artery and its accessory branches in addition to perfusing the chest wall structures also contributes to supplying, part of the female breast arteries. In addition, due to the accompaniment of thoracic duct branche...