بعدها بسنة، طبيب ألماني هو Gustav Michaelis (اللي بالصورة) تبنّى أفكار سيملفايز بأنّ «الأيدي القذرة» للأطباء هي اللي تُصيب النساء بحمى الولادة وشاف نتائج جيدة بمستشفاه. بس بمرة من المرات بعدما ولّد بنت أخوه الحامل، أُصيبت الشابة بحمى الولادة وماتت فَبقى يلوم نفسه و«يده القذرة» لإصابتها بالعدوى، فانتحر بالقفز أمام قطار متحرك.

غوستاف ميخائيليس جانت إلة أفكار مهمة بمجال النسائية والتوليد، من ضمنها هو إكتشافه لمنطقة بأسفل الظهر سُميت باسمه هي «مُعَيَّن ميخائيليس Michaelis rhombus» نستخدمها حتى نحدد إذا حوض المرأة واسع بما فيه الكفاية لتوليد الطفل طبيعيًا أو بعملية قيصرية.

If you ever noticed two dimples on the lower back, these are the posterior superior iliac spines (PSIS), also known as dimples of Venus in females, and dimples of Apollo in males.

On transmissible cancers & not-really transmissible cancers

On immunity, organ & cancer transplant

Tapeworm cancer, and tumors inside tumors

Truly transmissible cancers

Ulcers

It's a compressive neuropathy of the radial nerve (C5-T1) that leads to motor and sensory deficits in the radial nerve distribution.

It usually results from continuous pressure on the medial aspect of the arm; like when a lover sleeps on your arm all night, hence the name (honeymoon palsy). It can also result from pressure on the axilla, which classically occurs when an intoxicated person sleeps with their arm dangling over a chair or some other hard surface, hence the name (saturday night palsy). Other causes include the use of crutches.

Symptoms may take several days following the provoking event, resulting in a delayed presentation.

TZDs (Thiazolidinediones), which are oral anti-diabetic drugs, have a positive effect on glucose and lipid metabolism. These agents (especially pioglitazone) activate the PPAR-gamma receptors leading to lower levels of HbA1c, and more insulin-sensitivity. They also activate the PPAR-alpha receptor (the same target for fibrate drugs) which then lowers triglycerides, and LDL. Thus they can be helpful in cases of concomitant DM-2 and non-alcoholic fatty liver disease.

But they can also cause water and sodium retention, therefore they might have an adverse effects on congestive heart disease.

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Fibrates, which are lipid-lowering agents that lower triglycerides, work on a similar receptor, PPAR-alpha.