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  • Al spaces were reviewed (double lesion in 6 cases). The second intermetatarsal space was affected in 10 patients and the third intermetatarsal space was involved in the remaining 33 patients. In 41 cases, an mri was previously performed and us was only done in 23 cases. Can you get viagra walmart In 21 patients, both an mri and a us were performed. Considering histopathological diagnosis as a gold standard using mri, 34 lesions were detected and 7 were missed. Sensitivity stood at 82. viagra for sale from canada 9% (95% ci: 0. 68-0. cheap viagra online 93) (false negative, n=7). With regard to the us, 13 lesions were detected and 10 were missed. Viagra and alcohol forum Here, the sensitivity was 56. 5% (95% ci: 0. 34-0. buy generic viagra 77) (false negative, n=10) [table 1]. buy cheap viagra Table 1: differences in sensitivity between us and mri click here to view in the 21 lesions in which both radiological techniques were performed, the sensitivity of the mri was higher than that of the us (85. viagra online australian pharmacy 7%, 95% ci: 0. generic viagra online 64-0. generic viagra release date 98 vs. cheap generic viagra 52. buy viagra usa online 4%, 95% ci: 0. 30-0. 7) [table 2]. The level of agreement between both techniques was poor (kappa 0. 31, 95% ci: 0. 002-0. Viagra discount coupons online 61). female viagra experiences [table 3] shows the comparative data for mri and us imaging findings. Table 2: imaging findings (us+mri) of morton's neuroma click here to view table 3: mri and us imaging findings click here to view    discussion   different studies have been conducted to assess the usefulness of the mri and us in diagnosing morton's neuroma. The results were controversial. Resch et al. viagra canada safp [21] compared us with mri in patients in whom morton's neuroma was suspected and found poor sensitivity for both techniques. Although only nine patients were included in this study, these authors concluded that these techniques "were of little or no value. viagra canada safp " sharp et al. non-prescription viagra generic [15] reported on the results of a prospective study of 29 cases comparing us, mri, and clinical findings in the same cohort of patients in order to determine their value in the diagnosis of morton's neuroma. buy viagra without prescriptions They concluded that due to the higher sensitivity of the clinical findings, there is no requirement for mri or us studies in patients in whom a suspicion of morton's neuroma was established on clinical grounds. buy viagra on line cheap In all our cases, the diagnosis was confirmed histopathologically. Mri studies missed 7 out of 41 cases and us missed 10 out of 23. viagra without a doctor prescription On the other hand, both the us and mri techniques were negative in three cases [table 2]. viagra canada safp However, surgical treatment was performed due to a high clinical suspicion and the pathologist confirmed the diagnosis. generic viagra online india For all these reasons, although we agree with sharp and coworkers [15] in the opinion that ancillary studies are not mandatory in the workup of patients with morton's neuroma, bearing legal aspects in mind, confirmation of the clinical diagnosis by a noninvasive technique before surgery might still be convenient. On the other hand, in spite of considering clinical finding. Case licitatii

 

Cum altfel aş putea numi în sensul cel mai larg al cunoaşterii, opera de artă dacă nu ca reprezentând transfigurarea unui crâmpei de realitate cu mijloacele şi instrumentele specifice unui limbaj de comunicare interumană. Nu ştiu când am devenit conştient de profunzimea mesajului acestui fapt, dar ştiu că viaţa mea a gravitat în esenţa ei, în jurul acestui adevăr. Pentru mine realitatea nu semnifică doar cadrul material la care îmi raportez existenţa fizică ci ea reprezintă camera tezaurului ce adăposteşte idei, vise, aspiraţii şi infinite sugestii pentru transfigurarea lor în opere de artă.
Realitatea în miezul căreia trăim este o nelimitată şi permanentă sursă provocatoare pentru inovarea şi îmbogăţirea limbajului specific artei. Scopul principal al demersului meu creator este cel al concretizării posibelelor reprezentări ale surprinzătoarelor ipostaze descoperite în această realitate.
Adresez decente gânduri de preţuire şi recunoştinţă privitorului care a zăbovit o clipă în faţa picturilor mele, fie că le-a întâlnit într-o expoziţie oarecare, pe simezele unui muzeu, ale unei galerii de artă sau colecţie privată, dar şi reproduse în paginile acestui album. Nu pot decât să-l asigur că ceea ce va descoperi privindu-le, reprezintă crâmpeie de realitate transfigurate cu emoţie şi sensibilitate după reguli şi înţelesuri personale.


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