We report four cases of gram negative infection following plating of the tibia that resulted in expose bone and metal implant which were treated in our center from March 2003 till December 2008. The incidence of Gram negative implant related infection is increasing and probably has poorer outcome. Treatment of this condition requires both bone and

Acromioclavicular joint (AC) separations are common injuries seen in orthopedics and sports trauma practices; and accounting for 9% of all injuries to the shoulder girdle. Management of AC joint problems is dictated by the severity and chronicity of the injury as well as the patient's needs and expectations. This technique is designed io stabil

A rapid identification, classification and discrimination tool, using Fourier Transform Infrared (FTIR) spectroscopy combined with Principal Component Analysis (PCA), was developed and applied to determine the profile of the Supercritical Fluid Extraction (SFE) of Parkia speciosa seeds under various temperature and pressure conditions (313, 323, 33

The volatile oil components of ground Pithecellobium jiringan seeds were fractionated using supercritical carbon dioxide (SC-CO2) at 80C and 6,000 psi. The extract was collected every 20 min and the yield was successively extracted into five fractions; thus, the total extraction time was 100 min. The yields (volatile oils) were analyzed with fast g

This paper presents investigation on the alloying capability of Cu-TaC electrode during electrical discharge machining (EDM). The electrode produced through powder metallurgy technique was used in machining alpha-beta titanium alloy (Ti-6Al-4V) under different machining conditions. EDM experiments were conducted with distilled water as dielectric f

Tenecteplase is a recognized thrombolytic therapy for myocardial infarction. It is also increasingly used in massive and submassive pulmonary embolism. Thus far, there had been 22 patients with pulmonary embolism treated with tenecteplase. However, none of the patients was treated during peripartum period. We report its use in a 35-year-old multipa

Primary pigmented nodular adrenocortical disease (PPNAD) is a rare adrenal tumour causing corticotrophin-independent Cushing's syndrome. It occurs mainly in children and young adults. The histological examination is characterised by small pigmented micronodules on the adrenal cortex. The diagnosis is most often seen in patients with Carney Comp

Atrial myxoma is uncommon, with an overall prevalence in the developed world of 0.02%.1 It is often undiagnosed until complications such as cardiac death or stroke occur. The incidence of primitive tumours of the heart at autopsy is between 0.0017% and 0.03%, and of these 50% are myxomas. 12 We describe a case of left atrial myxoma which was only d

Coronary artery spasm can result in acute coronary syndrome. This vasospastic syndrome can cause profound morbidity and mortality as a significant proportion of patients continue to have angina despite optimal medical therapy. We illustrate the dilemma in managing a young woman who presented with non ST-segment myocardial infarction as a result of

In the studies used for the analyses, group counseling is defined as having a minimum of two group meetings, and follow-up of smoking status at least 6 months after the start of the program, with carbon monoxide (CO) validated cessation. Most programs used between six and eight sessions, with the first few sessions devoted to discussion of motivati