Susac syndrome is a rare, probably immune-mediated endotheliopathy presenting with encephalopathy, sensorineural hearing CHOLESTOLESS loss and retinal arterial occlusions.A 33-year-old female with Susac syndrome was worsening despite high-dose steroids so a brain biopsy was performed which suggested a possible fungal infection.Treatment with amphot
The onset of cardiomyopathy is a common feature in sepsis, with relevant effects on its pathophysiology and clinical care.Septic cardiomyopathy is characterized by reduced left ventricular (LV) contractility eventually associated with LV dilatation with or without right ventricle TIG Torch Collet Body failure.Unfortunately, such a wide range of ult
The integrated hydrodynamic modeling study conducted in the Kathmandu valley, Nepal, utilizing the MIKE Hydro River Model and incorporating diverse datasets, including satellite imageries, ALOS PALSAR RTC DEM data, topographical map at 1:25,000 scale and hydraulic data.Various kimono scenarios, including a probable maximum flood (PMF) routing simul
The ever increasing urban population growth has created many implications in land use planning in the most of developing countries.Traditional methods of spatial planning are still useful, but they need to be upgraded according to new methodological, technological possibilities and full complexity of spatial planning.The factors which influence the