Conflict is inevitable within congregations and can contribute to their growth or decline, depending on how the leadership in a congregation handles a conflict.The Dutch Reformed Church in Africa, Orange Free State (DRCA OFS) has, for over a decade, experienced growing REC ACCEL internal conflicts within its leadership in the various structures of
Transtibial Pullout for Medial Meniscus Posterior Root Reconstruction With Split-Gracilis Autograft
Meniscal root tears are recognized as an important pathology.Failure to recognize and to treat this pathology could lead to early-onset osteoarthritis, similar to a total meniscectomy.Surgical treatment is essential to restore meniscal function and 645 to normalize compartment contact pressures, whenever there is joint overload and not severe carti
Hedgehog pathway inhibitors for locally advanced and metastatic basal cell carcinoma: A real-world single-center retrospective review.
Basal cell carcinoma (BCC) is highly curable by surgical excision or radiation.In rare cases, BCC can be locally destructive or difficult to surgically remove.Hedgehog inhibition (HHI) with vismodegib or sonidegib induces a 50-60% response rate.Long-term toxicity includes muscle spasms and weight loss leading to dose decreases.This retrospective ch