Endocrine mucin–producing sweat gland carcinoma (EMPSGC) is a rare low-grade sweat gland carcinoma. It is clinically often mistaken for basal cell carcinoma and presents a low rate of local recurrence. In this article, we present 2 new cases of EMPSGC arising in a similar location (left lower eyelid) and review the literature on this topic. One patient is a 72-year-old male with complete excision and no evidence of recurrence after 17 months of surveillance. The second patient is a 77-year-old female with incomplete initial excision and local recurrence after 38 months. p63 immunostain was negative in both cases. EMPSGC should be suspected in elderly patients with lesions of eyelids. Histologically, it should be considered and worked up if the lesion is separated from the overlying epidermis and presents a mucinous component. Complete excision is advised to avoid local recurrences.
This cross-sectional study investigates the compliance rate of hospitals with National Cancer Institute–designated cancer center status with the Centers for Medicare & Medicaid Services January 2021 price transparency requirements.
Partial Paralysis often occurs due to spinal cord injuries, which generally means some functionality loss in the hands of the affected. This paper covers a novel model design of an exoskeleton which will restore hand use for basic daily activities such as gripping and pinching. This also has applications for individuals who may be physically weaker such as the elderly or those with neuromuscular diseases. The design is economical to manufacture and hence affordable to the commoner. The structure is made of lightweight materials and the design is based closely on tendon actuation, which is how the human hand functions. Four servo motors are used to close and open the grip, with the thumb fixed in a specific position, which can be adjusted manually. Threads are used to actuate the exoskeleton structure by the servo motors.
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