Compared with CT, magnetic tomography (MRI) was more helpful in identifying the extent of disease spread in two patients with acute bacterial sphenoiditis and in three patients with suspected tumors. All improved with surgical drainage or biopsy of the suspected tumor. In two cases, children were

treated conservatively with antibiotics and the primary symptoms resolved.

Conclusions: Isolated sphenoid sinus disease is rare in children. Those with clinically significant disease presented with progressive, severe headaches and minimal sinus symptoms. MRI studies were important to identify the source of headache selleck and evolving complications in several of these patients. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“Pruning has been implicated as a promoter of bud outgrowth or shoot branching and flower yield in Rosa damascena Mill., but the extent and time of pruning are tightly regulated by the climatic conditions of the growing region. In western Himalaya region in India, the effect of extent and time of pruning on flower yield and secondary metabolites of R. damascena is still unsolved. Thus, a field experiment comprising three levels of pruning and four different time of pruning was conducted to confirm that the higher yield and quality can be achieved through the standardization

of pruning practices. Principal component analysis showed that pruning at 90 cm height from ground level (FGL) on 15th December is preferable BLZ945 concentration for higher flower yield and essential oil. The yield data suggest that moderate pruning (90 cm FGL) leads to an increased rate of flower production NVP-LDE225 manufacturer (11.33 and 13.22 g new shoot(-1)). Pruning on 15th December produced 10.6-42.77% higher flower yield compared

with pruning on 31st October. The quality of oil is considerably affected by level and time of pruning. The results have suggested that the higher yield and quality of R. damascena can be achieved through the standardization of pruning practices. (C) 2013 Elsevier B.V. All rights reserved.”
“Serious health problems, risky behavior, and poor health habits persist among adolescents despite access to medical care. Most adolescents do not seek advice about preventing leading causes of morbidity and mortality in their age group, and physicians often do not find ways to provide it. Although helping adolescents prevent unintended pregnancy, sexually transmitted infections, unintentional injuries, depression, suicide, and other problems is a community-wide effort, primary care physicians are well situated to discuss risks and offer interventions. Evidence supports routinely screening for obesity and depression, offering testing for human immunodeficiency virus infection, and screening for other sexually transmitted infections in some adolescents. Evidence validating the effectiveness of physician counseling about unintended pregnancy, gang violence, and substance abuse is scant.