Impact of Municipal Solid Waste Leachate on Surface Water Quality: A Case Study on Kabuturumba Stream. by Rubarema, Paul

“…Different parameters such as COD and BOD levels were found to be extremely high than the environmental standards but later on the hypofiltration or the cleansing capacity of the wetland around the stream helped on reducing them down the stream and almost reached the environmental standards, nutrient levels such as phosphates and Nitrates were also above the recommended values, bacteriological status was extremely higher and later on reduced downstream. …”
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Participation in gardening activity and its association with improved mental health among family caregivers of people with dementia in rural Uganda by Herbert, E. Ainamani...[et al]

“…Out of 242 participants, 131 (54%) caregivers were involved in gardening. Severe to extremely severe symptoms of depression were less prevalent among those who were involved in gardening compared with those who were not (0 [0%] vs. 105 [95%], P < 0.001), as were severe to extremely severe symptoms of anxiety (36 [27%] vs. 110 [99%], P < 0.001) and stress (2 [2%] vs. 94 [85%], P < 0.001). …”
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Simultaneous Papillary Carcinoma in Thyroglossal Duct Cyst and Thyroid by Gustavo Cancela e Penna, Henrique Gomes Mendes, Adele O. Kraft, Cynthia Koeppel Berenstein, Bernardo Fonseca, Wagner José Martorina, Andreise Laurian N. R. de Souza, Gustavo Meyer de Moraes, Kamilla Maria Araújo Brandão Rajão, Bárbara Érika Caldeira Araújo Sousa

“…Carcinomas in the TDC are extremely rare and are usually an incidental finding after the Sistrunk procedure. …”
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Asimetrías e intensidad de la integración caribeña by González, G.H., Álvarez, S.S.

“…These latter issues are extremely important in The Caribbean. The main results are that deeper integration integration is verified de facto accompanying institutional efforts, and that this enhancement was sponsored by the formation of two groups converging internally. …”
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Plurihormonal Cosecretion by a Case of Adrenocortical Oncocytic Neoplasm by J. J. Corrales, C. Robles-Lázaro, A. I. Sánchez-Marcos, M. C. González-Sánchez, P. Antúnez-Plaza, J. M. Miralles

“…Adrenocortical oncocytic neoplasms (oncocytomas) are extremely rare; only approximately 159 cases have been described so far. …”
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Synovial sarcoma: A radiologic case report by Neenu Kuruvilla, MD, Brandon Thinh Duc Dang, MD, Joseph Dobtsis, MD

“…Synovial sarcoma is a common but aggressive subset of sarcomatous tumors that often arises adjacent to the large joints of extremities. We present a case of a 33-year-old male with no medical history and an initial complaint of right leg pain. …”
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A Case of Amyopathic Dermatomyositis with Pneumomediastinum and Subcutaneous Emphysema by Aslıhan Gürün Kaya, Aydın Çiledağ, Orhan Küçükşahin, Özlem Özdemir Kumbasar, Çetin Atasoy

“…The patient presented with extremely rare occurrence of pneumomediastinum and subcutaneous emphysema in amyopathic dermatomyositis with a poor prognosis.…”
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TOPICAL ISSUES OF ESTIMATION OF COST OF THE CAPITAL OF THE ENTERPRISE AND ITS BASIC ELEMENTS by A. Sazonov, L. Mikhailova, O. Tregubova

“…Following the results of the conducted research the conclusion is drawn that when forming competitive strategy of innovatively active enterprise it is extremely important to provide an optimum ratio of dynamics of development of separate components of the capital.…”
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Isolated Tuberculosis of the Rib in a 12-year-old Adolescent Boy: A Case Report from Iraq by Wasnaa Hadi Abdullah, Rihab Faisal Alabedi

“…One of the major global health issues that still exist is tuberculosis (TB); primary tubercular osteomyelitis of the rib is an extremely rare entity. We present a case of isolated TB of the anterior fourth rib as the initial presentation, without any lung lesions. …”
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ALK-Positive Anaplastic Large Cell Lymphoma: A Diagnostic Dilemma for the Otolaryngologist in a Resource Poor Setting by Nicholas Figaro, Rickhi Ramoutar, Rodolfo Arozarena, Dawn Meyers, Solaiman Juman

“…The morphological diversity with which its anaplastic cells confer make the diagnosis of this hematological entity extremely challenging to the pathologist in a resource poor setting. …”
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Overwintering Honey Bee Colonies in Northern Climates by James D. Ellis, Katherine Hammons

“…This can be especially challenging to beekeepers in extreme northerly climates. Special preparations must be made during the fall to ensure that colonies survive the winter months with minimal loss. …”
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Upfront Radiotherapy with Concurrent and Adjuvant Vismodegib Is Effective and Well-Tolerated in a Patient with Advanced, Multifocal Basal Cell Carcinoma by Abigail I. Franco, Gary Eastwick, Ramsay Farah, Marvin Heyboer, Mijung Lee, Paul Aridgides

“…We present a case report of a male with multifocal and extensive basal cell carcinoma. Due to extremely large size and deep tumor infiltration, he was not a surgical candidate. …”
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Réflexions générales sur la politique de partenariat à l’école by Jean-Jacques Sarfati

“…The purpose of this article is to think about the partnership policy at school (in France for the juridical approach and al around for the others ways of thinking) by trying a transversal view on this problem. We want to show the extreme diversity of this policy and the great difference between theory and practice. …”
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A Rare Culprit of Simultaneous Arteriovenous Thromboembolism: Acute Viral Perimyocarditis by Christoph Sossou, Tobi Ogundare, Ogechukwu Chika-Nwosuh, Amee Sodha, Christopher Nnaoma, Cynthia McKinney, Jose Bustillo

“…Simultaneous arteriovenous embolism is extremely rare. Herein, we present a rare case of systemic arteriovenous emboli in a healthy 33-year-old male after an episode of acute viral perimyocarditis. …”
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Massive Facial Presentation of Dermatofibrosarcoma Protuberans by Sebastiaan Hermans, Karlijn Clarysse, David Emmanuel Las, Johan de Mey, Maurice Yves Mommaerts, Yannick De Brucker

“…Dermatofibrosarcoma protuberans is a low-grade cutaneous sarcoma typically located on the trunk or proximal extremities. Less common locations include the head, face, and neck area. …”
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Splenic Sclerosing Angiomatoid Nodular Transformation in an 8-Year-Old Child by Ji Yeong Kim, Hee Jung Lee, Eun Young Jung, Hye Won Lee, Ye Jee Shim

“…Sclerosing angiomatoid nodular transformation (SANT) of the spleen is extremely rare in pediatric patients. Here, we report the case of an 8-year-old boy with iron-deficiency anemia and a solitary splenic mass detected using US, CT, and MRI. …”
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Gulf Fritillary Butterfly, Agraulis vanillae (Linnaeus) (Insecta: Lepidoptera: Nymphalidae) by Jaret C. Daniels

“…It describes this brightly colored butterfly common across the extreme southern United States — its distribution, description, life cycle and hosts. …”
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Gulf Fritillary Butterfly, Agraulis vanillae (Linnaeus) (Insecta: Lepidoptera: Nymphalidae) by Jaret C. Daniels

“…It describes this brightly colored butterfly common across the extreme southern United States — its distribution, description, life cycle and hosts. …”
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Importance of Video-EEG Monitoring in the Diagnosis of Refractory Panic Attacks by Batool F. Kirmani, Diana Mungall

“…There is considerable overlap of symptoms between temporal lobe seizures and panic attacks making the diagnosis extremely challenging. Temporal lobe seizures can present with intense fear and autonomic symptoms which are also seen in panic disorders. …”
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Rosai-Dorfman Disease Involving Multiple Organs: An Unusual Case with Poor Prognosis by Fandresena Arilala Sendrasoa, Irina Mamisoa Ranaivo, Onivola Raharolahy, Malalaniaina Andrianarison, Naina Harinjara Razanakoto, Lala Soavina Ramarozatovo, Fahafahantsoa Rapelanoro Rabenja

“…Although extranodal involvement has been reported in diverse sites, manifestation in the cardiovascular system is extremely rare. Specifically, cardiac involvement in Rosai-Dorfman disease is an extraordinarily infrequent event. …”
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