Characteristics of the new multiple rogue wave solutions to the fractional generalized CBS-BK equation.

Introduction: The multiple Exp-function scheme is employed for searching the multiple soliton solutions for the fractional generalized Calogero-Bogoyavlenskii-Schiff-Bogoyavlensky- Konopelchenko equation. Objectives: Moreover, the Hirota bilinear technique is utilized to detecting the lump and interaction with two stripe soliton solutions. Methods: The multiple Exp-function scheme and also, the semi-inverse variational principle will be used for the considered equation. Results: We have obtained more than twelve sets of solutions including a combination of two positive functions as polynomial and two exponential functions. The graphs for various fractional-order α are designed to contain three dimensional, density, and y-curves plots. Then, the classes of rogue waves-type solutions to the fractional generalized Calogero-Bogoyavlenskii-Schiff-Bogoyavlensky- Konopelchenko equation within the frame of the bilinear equation, is found. Conclusion: Finally, a direct method which is called the semi-inverse variational principle method was used to obtain solitary waves of this considered model. These results can help us better understand interesting physical phenomena and mechanism. The dynamical structures of these gained lump and its interaction soliton solutions are analyzed and indicated in graphs by choosing suitable amounts. The existence conditions are employed to discuss the available got solutions.

Perforated duodenal diverticulum: A case report.

Duodenum is the second most frequent location for diverticulum in the digestive tract, surpassed only by the colon. Perforation is rare, but it is the most serious complication of duodenum diverticula. Presently described is case of 22-year-old male patient who presented at emergency department with abdominal pain and vomiting. Surgery was performed with prediagnosis of perforated duodenum diverticula based on results of computed tomography.

Skin-Areola, Nipple Sparing, and Subcutaneous Mastectomy and Immediate Implant-Based Breast Reconstruction Using a Titanium-Coated Polypropylene Mesh.

Skin sparing and nipple areola complex sparing subcutaneous mastectomies are both oncologically safe surgical procedures. Although autologuous breast reconstruction has been considered as a standard means of surgical approach, excellent cosmetic results have been obtained by implant based breast reconstruction. In this report, we present the result of titanium coated polypropylene mesh (Tiloop Bra; Pfm Medical, Cologne, Germany), an ultimate support material utilized in the reconstruction of a patient with breast cancer.