Primary squamous cell carcinoma (SCC) of the liver is a rare cancer type. The overall survival of this cancer is short despite treatment and prognosis are poor. To our knowledge, there are around 30 cases of primary SCC of the liver described in the literature. Primary SCC of the liver is thought to be associated with a wide variety of hepatic conditions such as hepatic cyst, hepatolithiasis, or hepatic teratoma. We present the case of a 33-year-old male patient diagnosed with primary keratinizing SCC of liver associated with a hepatic cyst.
Conventional transportation systems are facing many challenges related to reducing fuel consumption, noise, and pollutants to satisfy rising environmental and economic criteria. These requirements have prompted many researchers and manufacturers in the transportation sector to look for cleaner, more efficient, and more sustainable alternatives. Powertrains based on fuel cell systems could partially or completely replace their conventional counterparts used in all modes of transport, starting from small ones, such as scooters, to large mechanisms such as commercial airplanes. Since hydrogen fuel cells (HFCs) emit only water and heat as byproducts and have higher energy conversion efficiency in comparison with other conventional systems, it has become tempting for many scholars to explore their potential for resolving the environmental and economic concerns associated with the transportation sector. This paper thoroughly reviews the principles and applications of fuel cell systems for the main transportation schemes, including scooters, bicycles, motorcycles, cars, buses, trains, and aerial vehicles. The review showed that fuel cells would soon become the powertrain of choice for most modes of transportation. For commercial long-rage airplanes, however, employing fuel cells will be limited due to the replacement of the axillary power unit (APU) in the foreseeable future. Using fuel cells to propel such large airplanes would necessitate redesigning the airplane structure to accommodate the required hydrogen tanks, which could take a bit more time.
Breast cancer is the most commonly diagnosed cancer in women and the second leading cause of cancer-related death worldwide. Positive family history increases the likelihood of developing this disease. As late-stage presentation and poor survival rates are associated with a lack of knowledge about breast cancer and its screening methods, this study aimed to evaluate the knowledge of Lebanese women with first-degree relatives who were diagnosed with breast cancer. In this cross-sectional study, 200 women with a positive family history accompanying their relatives to oncology clinics or the infusion center at the American University of Beirut Medical Center, completed an online survey after institutional review board approval was granted. Demographic information and answers to questions related to breast cancer risk factors, warning signs, and screening techniques were collected and analyzed using descriptive statistics and chi-square tests. Eighty-one percent of the study participants agreed that a history of breast cancer is associated with a higher disease risk. The smaller portions were aware of other potential risk factors, such as hormone replacement therapy, alcohol consumption, late menopause, early menarche, and overweight and sedentary lifestyles. Also, 93% to 96.5% of the participants recognized breast self-examination and mammography as useful tools for early detection. Furthermore, younger participants who reached university level and were employed had more insights into breast cancer. Breast cancer knowledge and early diagnosis are key elements in preventing late presentations and reducing the associated morbidity and mortality. Further educational and awareness campaigns should be conducted in Lebanon to improve women knowledge of breast cancer.
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