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generate fine particles that become fine debris. Fatigue failure can be traumatic, secondary to oxidation or from a combination of these factors. It can result in catastrophic delamination and loss of material, potentially altering the kinematic function of the device or causing mechanical failure4

central nervous system.8 Hypothyroidism has been frequently recognized as a comorbidity particularly linked to knee OA, and replacement therapy with thyroxine in patients with hypothyroid has been linked to improved joint pain.9 Parathyroid hormone Parathyroid hormone (PTH) is the most important regulator of calcium and bone homeostasis.10

central patella to the tibial tubercle.8 • Fig. 14.8Q-angle. Angle is between lines drawn from ASIS to center of patella and line drawn from center of patella to tibial tubercle. Source: (From Gross J, Fetto J, Rosen E. Musculoskeletal Examination. 2nd ed. Blackwell Publishing

central aspects of intersectionality and the varied factors that may be operating in the lives of clients who are both sexual minorities and racial/ethnic minorities. John and David are in a long-term relationship. African American professional men ages 36 and 38, respectively, they were “legally married

generation, and disease type. They theorized that both nongenetic and gene-environment factors play a role in the development of inflammatory diseases.26 Presentation of autoimmune arthritis in females Although some ADs share common presentations, each disease has a different and unique constellation of symptoms and progression. Patients

generation Asian American, Catholic, cisgender male. His ethnic identities stem from Filipino, Chinese, and Malaysian heritages. Growing up as the child of two immigrants in Southern California, his upbringing took place in a middle-class family. He also identifies as able-bodied. Though we are members

pattern. Part D contains a spectroscopy graph that shows labeled peaks for Cho, Lac, and N A A with a plotted waveform.Fig. 44.1 Diffuse intrinsic pontine glioma. Brain MRI, (A) axial FLAIR shows a hyperintense expansile pontine mass with effacement of the floor of fourth ventricle dorsally

pattern. Part D contains a spectroscopy graph that shows labeled peaks for Cho, Lac, and N A A with a plotted waveform.Fig. 44.1 Diffuse intrinsic pontine glioma. Brain MRI, (A) axial FLAIR shows a hyperintense expansile pontine mass with effacement of the floor of fourth ventricle dorsally

pattern. Part D contains a spectroscopy graph that shows labeled peaks for Cho, Lac, and N A A with a plotted waveform.Fig. 44.1 Diffuse intrinsic pontine glioma. Brain MRI, (A) axial FLAIR shows a hyperintense expansile pontine mass with effacement of the floor of fourth ventricle dorsally

generation sequencing of CSF and brain tissue was unrevealing. She stabilized on natalizumab for 3 years but subsequently progressed both clinically and radiologically. CSF phenotyping and soluble biomarker analysis revealed activation of her innate immune system. PRF1 gene sequencing identified a pathogenic mutation compatible with hemophagocytic lymphohistiocytosis