We present a case of a 59-year-old male diagnosed with polycythemia vera (PV) for many years, who presented with a relatively abrupt onset of heavy constitutional symptoms, including fatigue, night sweats, and a 10% weight loss over 6 weeks.Despite the known initial diagnosis of PV, the presence of profound B-symptoms prompted further investigation
Seed germination requirements may determine the kinds of habitat in which plants can survive.We tested the hypothesis that nitrogen (N) addition can change seed germination trait-environmental filter interactions and ultimately redistribute seed germination traits in alpine meadows.We determined the role of N addition on germination trait selection
Marine reactor systems experience platform movement, and therefore, the system thermal-hydraulic analysis code needs to reflect the motion effect on the fluid to evaluate reactor safety.A moving reactor model for MARS-KS was developed to simulate the hydrodynamic phenomena in the reactor under motion conditions; however, its applicability does not
Introduction: The Libyan National Health System (LNHS) is debated for the paradox of its performance versus impact.It has poor performance, but the national health statistics are good and competitive.There are concerted efforts to manage health care services and to regain the lost trust.A primary health care (PHC) system that focuses on preventive
The stability of the electroweak potential is a very important constraint for models of new physics.At the Washer Suspension Guide moment, it is standard for Two-Higgs doublet models (THDM), singlet or triplet extensions of the standard model to perform these checks at tree-level.However, these models are often studied in the presence of very large