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Quality refers to the ability of a product or service to meet its purpose or consumer need. Quality management (QM) serves as the overarching system used to achieve and manage quality. Subsets of quality management include quality assurance (QA), the process that ensures quality, as well as quality control (QC), the manner of evaluating quality.Rivaroxaban is a novel oral anticoagulant (NOAC) drug. It has several FDA approved and off-label clinical uses.A Morgagni hernia is one of four types of diaphragmatic hernias; the other types include a Bochdalek hernia, where the defect is posterolateral, a hiatal hernia, where the defect is at the esophageal hiatus, and a paraesophageal hernia, where the defect is located adjacent to the esophageal hiatus. The Morgagni hernia, in which the defect is found in an anterior and retrosternal location, was first described by Morgagni in 1769. It is rarer than the other type of congenital diaphragmatic hernia (Bochdalek hernia) and comprises only 2% to 5% of all congenital diaphragmatic hernias. Morgagni hernias tend to be less symptomatic as pulmonary hypoplasia is uncommon, leading to a delayed diagnosis of these defects.Milk-alkali syndrome is characterized by a triad of elevated levels of calcium, metabolic alkalosis, and acute kidney injury that commonly occurs as a result of the combined intake of large amounts of calcium and absorbable alkali. The syndrome can have an acute onset with the rapid development of hypercalcemia and, if left untreated, may progress to the development of acute renal failure and metastatic calcification. The syndrome was first recognized in the early 20th century when a treatment regimen for peptic ulcer disease was introduced by Bertram Sippy. The ‘Sippy regimen’ consisted of multiple daily doses of milk and cream combined with an absorbable alkali such as magnesium oxide, sodium bicarbonate, or bismuth subcarbonate to protect the gastric ulcer from further erosion by gastric acid. The results were highly favorable, and it soon became a popular therapy. Soon after, various toxic effects, including hypercalcemia and metabolic alkalosis were reported. Some cases with acute kidney injury were also reported. With the advent of newer drugs for the treatment of peptic ulcer disease such as histamine type-2 receptor blockers in the 1980s, the syndrome virtually vanished from the world. Recently, however, an increased number of cases of the milk-alkali syndrome have been reported. This is likely due to the common use of over-the-counter preparations of calcium for the prevention and treatment of osteoporosis in post-menopausal women. Calcium carbonate is also frequently prescribed to patients of chronic kidney disease for the prevention of secondary hyperparathyroidism. Various scholars have also suggested changing the name of the syndrome to calcium-alkali syndrome due to the changing etiopathology. Milk-alkali syndrome now accounts for more than 10% of the cases of hypercalcemia and is the third most common cause of hypercalcemia in hospitalized patients.Radiation safety is a concern for patients, physicians, and staff in many departments, including radiology, interventional cardiology, and surgery. Radiation emitted during fluoroscopic procedures is responsible for the greatest radiation dose for medical staff. Radiation from diagnostic imaging modalities, such as computed tomography, mammography, and nuclear imaging are minor contributors to the cumulative dose exposures of healthcare personnel. However, any radiation exposure poses a potential risk to both patients and healthcare workers alike. Radiation protection aims to reduce unnecessary radiation exposure with a goal to minimize the harmful effects of ionizing radiation. In the medical field, the use of ionizing radiation has become an inescapable tool used for the diagnosis and treatment of a variety of medical conditions. As its use has evolved, so have the cumulative doses of lifetime radiation that both patients and medical providers receive. Most radiation exposure in medical settings arises fromspecific threshold to predict whether or not malignancy will develop reliably. For these reasons, the radiologic community teaches protection practices under the ALARA principle.Chiari II malformation (CM-II), commonly known as Arnold-Chiari malformation, is a relatively common congenital malformation characterized by beaked midbrain, downward displacement of the tonsils, and cerebellar vermis, and spinal myelomeningocele. This malformation is frequently misunderstood as a more severe version of Chiari I malformation (CM-I). However, these are two distinct diseases with overlapping imaging findings. Interestingly, most patients who have myelomeningocele also have CM-II and are typically associated with hydrocephalus. find more There are many additional findings associated with CM-II, including cerebellar dysplasia, elongation of the lower pons and the medulla, and the fourth ventricle displacing into the cervical canal. The diagnosis is primarily based on the patient’s neuroanatomy on MRI. The treatment is typically centered upon surgical interventions. Prognosis is dependent on the extent of the malformations and the symptoms of the patient.The fascia lata (FL) is a fascial plane that surrounds the deep tissues of the thigh. It varies in thickness throughout its course from the hip to the leg. It receives fibers from gluteus maximus and tensor fascia lata (TFL) laterally. This arrangement could explain the often interchangeability with the (TFL) and the iliotibial band (ITB) colloquially. The TFL often serves as a landmark for surgical procedures, including anterior/anterolateral hip and femur procedures. It functions as a lateral stabilizer to the knee and an abductor of the hip/thigh. The ITB is an extension of the tensor fascia, and it is redundant tissue in the lateral thigh compartment partially composed of the TFL. All of these components work synchronously to stabilize the lateral compartment of the thigh.Glomangiomas, or glomuvenous malformations (GVM), are rare cutaneous venous malformations that show glomus cells (undifferentiated smooth muscle cells, which are thermoregulatory units), along with venous system in histology. Glomus cells specialized smooth muscle cells that regulate the temperature in the body. Masson first described glomangiomas and Papoff further extensively studied. There are three types of glomus tumors, classified based on its dominant component 1. Solid mainly glomus cells. 2. Glomangioma mainly blood vessels. 3. Glomangiomyoma mainly smooth muscle cells. Glomangimyomas are further divided into (a) regional, (b) disseminated, and (c) congenital plaque-like. Glomangiomas usually present in multiples, often at birth or during childhood, and they do not involve the subungual region. A majority of glomangiomas are benign, although malignant cases have also been reported. Rarely seen, the disseminated type distributes throughout the body.