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Author(s):  
Kenshi Sano ◽  
Atsushi Kuge ◽  
Rei Kondo ◽  
Tetsu Yamaki ◽  
Hiroshi Homma ◽  
...  

Our case was rare in that multiple phenomena of postpartum stroke occurred at the same time. What is remarkable about this case was the confirmation of the reversibility of these pathological conditions through multifaceted evaluations, including the MRI MSDE method.


2021 ◽  
Vol 6 (2) ◽  
pp. 17-25
Author(s):  
Oluwarotimi Akintokunbo ◽  
Biebele Arimie

    Introduction: The global economy has been greatly affected by the outbreak of the COVID-19 pandemic and its impact on the oil and gas industry is also being felt immensely as the industry relies heavily on the importation of the goods and services that they require to run their operations effectively and efficiently and the only way to get to the final destination of these company is through a well-managed supply network. Purpose: The purpose of this study was to examine international procurement and supply network management in the post COVID 19 Era in Nigeria. Being a literature review, the paper adopted a desk research methodology. Findings: The findings of the review of literature reveal that international procurement significantly influence and predicts supply network management performance. It also shows that COVID-19 has negatively affected both international procurement and supply network management, and that the phrase supply network management, instead of supply chain management, is most appropriate to describe the activities and relationships between and amongst individuals, enterprises, facilities and information, materials and services systems that connects supplier’s suppliers to customer’s customers capturing the multiple and complex relationships that exists amongst them.


2022 ◽  
Vol 175 ◽  
pp. 121378
Author(s):  
Umair Saeed Bhutta ◽  
Adeel Tariq ◽  
Muhammad Farrukh ◽  
Ali Raza ◽  
Muhammad Khalid Iqbal

2021 ◽  
Vol 14 (12) ◽  
pp. e246005
Author(s):  
Louise Gurowich ◽  
Gabriel Yiin ◽  
Adam Maxwell ◽  
Alexandra Rice

Myasthenia gravis (MG) is an autoimmune condition affecting the neuromuscular junction characterised by weakness and fatiguability, carrying a high morbidity if treatment is delayed. A clear association with thymoma has led to management with thymectomy as a common practice, but MG presenting post-thymectomy has rarely been reported. We present a case of an 82- year-old woman developing fatigue, ptosis and dysarthria 3 months after thymectomy. After a clinical diagnosis of MG was made, she responded well to prompt treatment with prednisolone and pyridostigmine. Her anti-acetylcholine receptor antibody (anti-AChR) subsequently came back positive. Our systematic review reveals that post-thymectomy MG can be categorised as early-onset or late-onset form with differing aetiology, and demonstrated correlation between preoperative anti-AChR titres and post-thymectomy MG. The postulated mechanisms for post-thymectomy MG centre around long-lasting peripheral autoantibodies. Clinicians should actively look for MG symptoms in thymoma patients and measure anti-AChR preoperatively to aid prognostication.


2021 ◽  
Vol Volume 16 ◽  
pp. 7891-7941
Author(s):  
Kah Min Yap ◽  
Mahendran Sekar ◽  
Shivkanya Fuloria ◽  
Yuan Seng Wu ◽  
Siew Hua Gan ◽  
...  

Author(s):  
Sunil Basukala ◽  
Bishnu Pathak ◽  
Sabina Rijal ◽  
Bibek Karki ◽  
Narayan Thapa

Subclavian Steal Syndrome (SSS) is a rare vascular syndrome caused due to proximal occlusion or stenosis of subclavian or innominate artery. It is usually asymptomatic but occasionally may present with vertebrobasilar insufficiency and/or upper limb ischemia. Atherosclerosis is the most common cause.


Author(s):  
Alvin Oliver Payus ◽  
Mohammad Saffree Jeffree ◽  
May Honey Ohn ◽  
Hui Jan Tan ◽  
Azliza Ibrahim ◽  
...  

2021 ◽  
Vol 1 (4) ◽  
pp. 175-189
Author(s):  
Ramakanth Yakkanti ◽  
Daniel Quintero ◽  
Cole Southworth ◽  
Lee Kaplan ◽  
Jean Jose

We herein report two unusual cases of osteochondritis dissecans (OCD) of the trochlea. The injury consisted of a focal alteration of subchondral bone secondary to repetitive micro trauma from overhead maneuvers (pitching) in two male adolescents. Only 23 other cases of OCD affecting the trochlea have been reported. We comment on this discrepancy, explore the radiographic features, and detail the non-operative management that was undertaken. We substantiate our report with a systematic review of all OCD cases of the trochlea and provide information on patient demographics, sport type, management, recuperation and finally significance of radiographic grading.


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