Cesarean Scar Ectopic Pregnancy: Diagnosis With Ultrasound

We present a rare case of cesarean scar ectopic pregnancy as diagnosed by transvaginal ultrasonography. Cases such as this are rare, but they are becoming more commonly detected with the growing frequency of cesarean sections, improving technology, and provider proficiency with point-of-care ultrasound. Quick identification of this dangerous diagnosis can be life saving for the patient, as the outcomes of ruptured cesarean ectopic pregnancy may include significant hemorrhage, uterine rupture, and possibly maternal death

Comparative analysis of marketing software programs: A Case study

This study is a comparative analysis of 2 different marketing and sales software programs. An economy hotel located in Albany, New York is used for the case study. The purpose of this study is to determine whether or not either of the software programs can properly market the hotel taking into consideration the components the managers at the hotel want to see in a marketing program. Each of the programs is tested one by one using the data from the hotel and surrounding area. Once the programs are completely analyzed, a recommendation is made on which program is used for future marketing of the hotel. If neither of the programs is chosen, than a model program is created for the hotel\u27s use

United States v. National Treasury Employees Union and the Constitutionality of the Honoraria Ban: Protecting the First Amendment Rights of Public Employees

During the 1980s, government ethics were brought into the spotlight as the public\u27s confidence in the integrity of government officials eroded. In an attempt to curb actual and perceived improprieties by government employees, and to reinforce the standards of integrity within the federal government, President Bush signed into law the Ethics Reform Act of 1989

Serratus Anterior Plane Block in the Emergency Department: A Case Series

This is a case series of six emergency department (ED) patients who received an ultrasound-guided serratus anterior plane block (SAPB) for a variety of painful conditions. Our cases illustrate the feasibility and analgesic efficacy of the SAPB in providing pain management in ED patients with a variety of painful syndromes, including those with severe pain from multiple rib fractures, herpes zoster, and tube thoracostomy placement. In addition, we found no adverse events in our case series

Comparing the Behavioral Models in Cyber-World Using Social Roles

Cyber-world is a typical form of social syndication. Although the future of cyber-world seems bright, not all efforts have succeeded. Therefore, knowing how to motivate users and keep them continually visiting is an important challenge for creating successful cyber-world Web sites. Since that human behaviour varies according to people’s different social roles, this study investigated four social roles (habitual, active, personal, and lurker) in the cyber-worlds. 729 users of i-Partment were used to test the research model. This study empirically confirms the existence of different behavioural models, and revealed the implications for theory and practice

Exploring users’ behavioral model in Web 2.0 applications - The moderating effects of hedonic versus utilitarian motivations

The Web 2.0 trend has enhanced the overwhelming demand for more pervasive human space in online social interaction. Therefore, it is imperative for the practitioners of Web 2.0 websites to understand users’ motivations to participate and develop specific services to stimulate a long-term usage. This study has proposed a research model that explores the factors affecting users’ intentions to use Web 2.0 applications. In addition, user’s usage motivations (i.e. hedonic versus utilitarian) are also compared. The results revealed that users’ intentions to use Web 2.0 applications is influenced by usefulness, ease of use, enjoyment, and social presence. In addition, users’ hedonic versus utilitarian motivations has the moderating influences on the research model

ACUTE EFFECT OF VIBRATORY STIMULATION ON ELBOW JOINT FLEXOR PERFORMANCE

A novel design of vibratory stimulation training system was developed in this study. Each participant took a pre-test, before receiving treatment with 20 seconds of vibratory stimulation (VS) at a specific frequency and amplitude. The participants then took a post-test. Percentage improvement was then calculated by comparing the pre- and post-test values for each index. The experimental data were analyzed through a two-way repeated-measures ANOVA analysis, with the independent variables being vibratory frequency and amplitude and the dependent variables being EMG root mean square, maximal force, rate of force development, and average force. The optimal vibratory stimulation pattern was found from this study that being a 60% maximal force loading combined with VS at 2.5 Hz and 1 N amplitude sustained over 20 s

Identification of presumed pathogenic KRT3 and KRT12 gene mutations associated with Meesmann corneal dystrophy.

PurposeTo report potentially pathogenic mutations in the keratin 3 (KRT3) and keratin 12 (KRT12) genes in two individuals with clinically diagnosed Meesmann corneal dystrophy (MECD).MethodsSlit-lamp examination was performed on the probands and available family members to identify characteristic features of MECD. After informed consent was obtained, saliva samples were obtained as a source of genomic DNA, and screening of KRT3 and KRT12 was performed. Potentially pathogenic variants were screened for in 200 control chromosomes. PolyPhen-2, SIFT, and PANTHER were used to predict the functional impact of identified variants. Short tandem repeat genotyping was performed to confirm paternity.ResultsSlit-lamp examination of the first proband demonstrated bilateral, diffusely distributed, clear epithelial microcysts, consistent with MECD. Screening of KRT3 revealed a heterozygous missense variant in exon 1, c.250C>T (p.(Arg84Trp)), which has a minor allele frequency of 0.0076 and was not identified in 200 control chromosomes. In silico analysis with PolyPhen-2 and PANTHER predicted the variant to be damaging to protein function; however, SIFT analysis predicted tolerance of the variant. The second proband demonstrated bilateral, diffusely distributed epithelial opacities that appeared gray-white on direct illumination and translucent on retroillumination. Neither parent demonstrated corneal opacities. Screening of KRT12 revealed a novel heterozygous insertion/deletion variant in exon 6, c.1288_1293delinsAGCCCT (p.(Arg430_Arg431delinsSerPro)). This variant was not present in either of the proband's parents or in 200 control chromosomes and was predicted to be damaging by PolyPhen-2, PANTHER, and SIFT. Haplotype analysis confirmed paternity of the second proband, indicating that the variant arose de novo.ConclusionsWe present a novel KRT12 mutation, representing the first de novo mutation and the first indel in KRT12 associated with MECD. In addition, we report a variant of uncertain significance in KRT3 in an individual with MECD. Although the potential pathogenicity of this variant is unknown, it is the first variant affecting the head domain of K3 to be reported in an individual with MECD and suggests that disease-causing variants associated with MECD may not be restricted to primary sequence alterations of either the helix-initiation or helix-termination motifs of K3 and K12