A 20 year old female was referred to us for evaluation of effort dyspnoea of NYHA class II with here feeble left common carotid, left brachial and left radial artery as compared to other sides.Detail evaluation with two dimensional (2D) transthoracic echocardiographic, 2D transesophageal echocardiography and multidetector computed tomography (MDCT)
As the top predator in African ecosystems, lions have lost more than 90% of their historical range, and few countries possess strong evidence for stable populations.Translocations (broadly defined here as the capture and movement of lions for various management purposes) have become an increasingly popular action for this species, but the wide arra
The offshoring of more advanced activities is increasing and a debate about the limits of offshoring has emerged.Companies are fine-slicing their value chains, and moving beyond the offshoring of peripheral and non-core activities to the offshoring of advanced and essential activities that are closer to their core (e.g.research, design and prod
In the era of effective systemic therapy and precise radiotherapy, neoadjuvant treatment (NAT) for breast cancer can de-escalate breast cancer treatment to conserve breast and spare axillary lymph node dissection (ALND).At present, high axillary nodal pathologic complete response (apCR) is achieved in patients with human epidermal growth factor rec