A Case of Chronic Infectious Arthritis of the Temporomandibular Joint Associated with Osteomyelitis without Malocclusion

Infectious arthritis of the temporomandibular joint (TMJ) is rare, and previous reports have identified malocclusion resulting from condylar deformity and displacement of the condyle as one of the clinical characteristics of the disease. Here we report the case of a 33-year-old man with chronic infectious arthritis of the TMJ without malocclusion associated with osteomyelitis of the right mandible. Based on radiological findings of more prominent inflammation at the TMJ than in other regions and on the observed efficacy of antibiotic administration, we made a diagnosis of suppurative arthritis of the TMJ. Based on our empirical experience, including the present case, we speculate that refusal to cooperate with medical care may be a factor in the development of infectious arthritis of the TMJ

Effecten ontwerp Klimaatakkoord.

FdR – Publicaties niet-programma gebonde

Numerical indicators of nonlinear propagation in acoustic fields

Measurements of acoustic exposure made in water and then derated to account for the attenuation of tissue can be distorted by nonlinear effects. We have evaluated numerical indicators of such distortion in diagnostic ultrasound fields.We evaluate the indicators of the degree of nonlinearity in diagnostic ultrasound fields that could be used to guarantee 'quasi-linearity' or to correct measurements made under nonlinear conditions. A new indicator, σi, is introduced which can be calculated using measurements currently being made in ultrasound test labs

Analyse Leefomgevingseffecten verkiezingsprogramma’s 2021-2025, CDA, D66, GroenLinks, SP, PvdA en ChristenUnie

Contains fulltext : 232169.pdf (Publisher’s version ) (Open Access

Performance assessment for intermodal chains

Mechanical, Maritime and Materials Engineerin

Patient Indications for Mohs Micrographic Surgery: A Clinical Practice Guideline

Objective: The purpose of the present work was to develop evidence-based indications for Mohs micrographic surgery in patients with a diagnosis of skin cancer. Methods: The guideline was developed by Cancer Care Ontario’s Program in Evidence-Based Care, together with the Melanoma Disease Site Group and the Surgical Oncology Program, through a systematic review of relevant literature, patient- and caregiver-specific consultation, and internal and external reviews. Recommendation 1: Given a lack of high-quality, comparative evidence, surgery (with postoperative or intraoperative margin assessment) or radiation (for those who are ineligible for surgery) should remain the standard of care for patients with skin cancer. Recommendation 2: Mohs micrographic surgery is recommended for patients with histologically confirmed recurrent basal cell carcinoma of the face and is appropriate for primary basal cell carcinomas of the face that are larger than 1 cm, have aggressive histology, or are located on the H zone of the face. Recommendation 3: Mohs micrographic surgery should be performed by physicians who have completed a degree in medicine or equivalent, including a Royal College of Physicians and Surgeons of Canada Specialist Certificate or equivalent, and have received advanced training in Mohs micrographic surgery