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Key Clinical Message: If you encounter an unexplained case of bone marrow edema in a young patient, consider the possibility of osteoid osteoma (OO). Even in the presence of a nidus near vital structures, RFA can safely be used to treat OO. [ABSTRACT FROM AUTHOR]

Key Clinical Message: Adenoid cystic carcinoma (ACC) is an uncommon malignancy of head and neck. Although the cornerstone of treatment is surgery, concurrent chemoradiotherapy (CRT) might be used as an effective treatment for unresectable tumors. Herein we report a case of massive ACC of base of tongue with durable complete response to definitive CRT. Adenoid cystic carcinoma (ACC) is a rare tumor accounting for 1% of all head and neck cancers. The best treatment option is complete surgical resection with or without adjuvant radiotherapy. When surgical resection is not feasible, definitive radiotherapy with or without concurrent chemotherapy can be considered. Herein we report a non‐smoker 72‐year‐old woman presented with throat discomfort and sensation of a lump. Evaluation revealed an unresectable adenoid cystic carcinoma of the base of tongue in whom complete clinical response was achieved after definitive concurrent chemoradiation. Although the cornerstone of treatment is complete surgical resection, this case report indicates that concurrent chemoradiotherapy might result in complete clinical response and could be used as a definitive treatment in selected ACC tumors. [ABSTRACT FROM AUTHOR]

Key Clinical Message: Placenta previa, accompanied by placenta percreta, which involves invasion of the bladder, presents a significant risk of excessive bleeding during and after delivery. This case highlights that prophylactic embolization, conservative surgery, and careful monitoring offer an effective approach to avoid hysterectomy in cases of placenta percreta with adjacent organ involvement. Placenta previa complicated by placenta percreta is associated with a high risk of massive intra and post‐partum hemorrhage. We present a case of a 35‐year‐old woman (G2 P1) who was referred to the Akbar‐Abadi hospital at 13 weeks of gestation. Color Doppler ultrasound indicated complete placenta previa‐percreta with bladder invasion. After induction of fetal demise, bilateral uterine and bladder artery endovascular embolization was conducted for the patient. After 48 h, under ultrasound guidance, surgical resection of residual percreta tissue was conducted as much as possible. Eight weeks later, a follow‐up sonography showed the minimum residual placenta tissue and she regained menstrual cycles after 2 months. This case indicated that the combination of prophylactic embolization, conservative surgical management with placenta left in situ, and follow‐up with serial color Doppler monitoring, is an optimum method to avoid hysterectomy in placenta percreta patient with adjacent organ invasion. [ABSTRACT FROM AUTHOR]

This paper presents an improved switched‐inductor quasi‐Z‐source inverter with a higher boost factor than similar inverters, which integrates a switched‐capacitor and a three‐winding switched‐coupled inductor into a conventional quasi Z‐source inverter (q‐ZSI). The proposed inverter is called a switched‐capacitor trans quasi Z‐source inverter (SCT‐q‐ZSI). In this topology, the input current is continuous, and a high voltage gain is reachable with lowduty cycles (D). In this structure, capacitors are used instead of the side diodes of the switched‐inductor quasi Z‐source inverter. The proposed converter has a low inrush current at the startup which might damage the converter components. The performance of the proposed inverter is investigated at different operating modes and the voltage and current equations of all elements are calculated. The analysis, derivation of boost factor, capacitor voltages, and components, of the proposed inverter, are carried out and are compared with similar inverters. Finally, analytical, simulation, and experimental results are also presented to validate its advantages. [ABSTRACT FROM AUTHOR]

Migration of Ascaris lumbricoides through the papilla of Vater in humans, and entry into the biliary tree, is well‐recognised. Ascaris suum and Toxocara vitulorum have been recovered from the liver of swine and buffalo. We necropsied a Persian Kurdish filly at age 6 months, weighing ∼100 kg. Death evidently was caused by oleander (Nerium oleander) intoxication. An 8‐cm adult male Parascaris was found at the lobar‐left hepatic bile duct junction. We suggest that the nematode entered anteriorly into the hepatic tree, via the duodenum, major duodenal papilla, bile duct, left hepatic duct and finally the lobar duct. Considering the brief 4‐h elapsed time between death and necropsy, and the 18‐cm distance from the major duodenal papilla to the location of the parasite, we conclude that entry into the biliary tree likely occurred ante‐mortem. We advise consideration of Parascaris infection in differential diagnosis of equine hepatic and pancreatic dysfunction. [ABSTRACT FROM AUTHOR]

Pemphigus disease activity measurements: pemphigus disease area index, autoimmune bullous skin disorder intensity score, and pemphigus vulgaris activity score. Self-assessment Pemphigus Vulgaris Activity Score (SA-PVAS): A new tool for patients to self-assess their disease severity Pemphigus vulgaris (PV) is an autoimmune blistering mucocutaneous disease with an unpredictable course.1,2 For assessing the severity of PV, several scoring systems have been developed such as Pemphigus Disease Area Index (PDAI) and Pemphigus Vulgaris Activity Score (PVAS).3 We conducted this study to evaluate the translated simplified version of the PVAS called Self-Assessment PVAS (SA-PVAS) in comparison with the PDAI. [Extracted from the article]

Two structures are proposed based on the quasi Z‐source inverter (qZSI), which can significantly raise the output voltage in applications, including photovoltaic and fuel cells, in which the input voltage is low. The proposed inverters provide a continuous input current and reduce the voltage stress on capacitor. Besides, the proposed switched‐capacitor‐inductor qZSI (SCL‐qZSI) can suppress inrush current at the start up moment as this current might damage the devices. The performance of the proposed structures is investigated at different operating modes, and the voltage equations are calculated. The voltage stress on switches, the voltage stress on capacitors, the voltage stress on diodes, and the current stress on inductor, as well as the average DC‐link current, the gain voltage (G), and the boost factor (B) of the proposed inverters, are analysed and derived. They are then compared with similar converters. To confirm the performance of the proposed converters, a laboratory sample of converters is made, which with output voltages, capacitors voltages, input and output current for the proposed converters. The DC‐link (Vi) voltage is 95 with boost factor 1.6 for SCL‐qZSI, and the DC‐link voltage is 216 with boost factor 3.6 for the enhance switched‐capacitor‐inductor qZSI (ESCL‐qZSI), which confirms the relationships obtained from the proposed converters. Also, the abbreviation for this paper is shown in table 1. [ABSTRACT FROM AUTHOR]