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Ochoa syndrome: An overlooked diagnosis – A case report
No full textThe Urofacial Syndrome or Ochoa is a very rare clinical condition, and is unknown by a large part of the medical community; it is characterized by an inverted facial expression, resulting from abnormal contraction of facial and ocular muscles, especially when smiling, in addition to the presence of urinary abnormalities. Patients with this syndrome are at a higher risk of developing urinary incontinence, changes in the bladder, vesicoureteral reflux, hydroureteronephrosis, and predisposition to severe urinary infections, in addition to chronic kidney disease. This article presents a case of a 22-year-old female, resident of Piauí/Brazil, who presented at the age of 5, the first symptoms of the disease mainly related to the urinary tract (such as urinary frequency), in addition to the sign of inverted face, in which the patient presents the inverted smile characteristic of the disease when commanded to smile, associated with nocturnal lagophthalmos. The patient evolved at 12 years of age, with end-stage chronic kidney disease and a need for renal replacement therapy. This is one of the rare cases of the disease, in which the patient presents the complete characteristics of the inverted smile pathology and complications in the urinary tract. The inverted facial expression is an easily recognized sign, and it is a very characteristic finding of the disease, not finding explanations of morphological alterations or lesions. therefore, it is evident that early diagnosis with the institution of appropriate treatment, avoids possible damage to the urinary tract from childhood, allowing better management and quality of life in these patients. </p
Some aspects of physiological studies of two reef building corals in the red sea
No full textSome aspects of the physiology of the corals Seriatopora hystrix and Lobophyllia corymbosa described in this paper. At the study site, the lowest mean of seawater temperature is 27.42 °C and 27.17 °C at 5m and 10m depths respectively during winter, while the maximum mean of seawater temperature was 32.67 °C and 31.17 °C in 5 m and 10 m depths respectively during summer. L. corymbosa, had a lower number of zooxanthellae 0.05×105 , 0.43×105 , 0.06×105 and 0.46×105 mg-1 dry tissue weight than S. hystrix 0.19 ×105 , 5.1 ×105 , 0.27×105 and 9.59×105 mg-1 dry tissue weight in two season and two depths respectively. The mean respiration rate of whole colonies of S. hystrix was higher than that of L. corymbosa at the same depths both in summer and winter. The mean dark respiration rate decreases with increasing depths. The mean photosynthesis vs irradiance curves of S. hystrix and L. corymbosa were plotted to the hyperbolic tangent function (Chalker,1981) for summer and winter season. The growth rate was linear during each period of measurement during summer, the highest mean daily skeletal growth rate of S. hystrix was 2.3 ± 1.3 (20) mg.skel.d-1 in 10m depth and it was 1.6 ± 0.5 (21) mg .skel.d-1 at 5m depth. Whilst during winter, the lowest was 1.9 ± 0.96 (20) mg .skel. d-1 at 10m and also lowest (1.5 ± 0.7 (20) mg .skel. d-1) at 5m depth. The growth rate of the two species was lower in the winter than in summer. </p
Syphilis due to Treponema paraluisleporidarum ecovar Cuniculus (TPeC) in a domestic rabbit (Oryctolagus cuniculus) in Mexico
No full textRabbit syphilis is caused by Treponema paraluisleporidarum and causes several cutaneous lesions. The prevalence in Mexico is not determined and there are currently no reports in pet rabbits associated with this disease. This case report describes the first case of rabbit syphilis in Mexico, confirmed by PCR and sequencing.</p
Study of adverse events following 2018 sub-national yellow fever vaccination in Ghana
No full textBackground: According to the Centers for Disease Control and Prevention (CDC), globally there is an estimated 200,000 cases of Yellow Fever Virus yearly, causing 30,000 deaths annually, with 90% of cases occurring in Africa. Where about 20% to 50% of people who get infected and develop severe symptoms from the yellow fever virus die. WHO report showed that Ghana was among 27 African countries with a high risk of yellow fever outbreak at any time. In response, there was a need to amplify the immunization campaign against yellow fever. Ghana in collaboration with WHO, GAVI, the Vaccine Alliance, and UNICEF began a sub-national campaign to vaccinate approximately 5.3 million people against yellow fever targeting people between ages 10 and 60 years from November 28 to December 4, 2018. 459 Adverse Events Following the Immunization (AEFI) in Ghana were reported from 28th November 2018 to 1st January 2019. The yellow fever vaccine is regarded as one of the safest, but with few adverse events. Therefore, there is a need to assess the severity of the reported adverse events following immunization in the 2018 sub-national yellow fever immunization program in Ghana.Objective: To study the Seriousness of adverse events following yellow fever vaccination in Ghana.Methodology: A retrospective review of AEFI data through a surveillance system during a Yellow Fever vaccination campaign in Ghana. The data comprised suspected 459 adverse events following the immunization (AEFI). The reported AEFI from 28th November 2018 to 1st January 2019 was used for this study as secondary data. A total of 5.3 million people were vaccinated. All vaccine recipients were between the ages of 10 years to 60 years. Data were analyzed using frequencies and descriptive statistics in STATA version 15.Findings and discussions: The study showed 459 (0.00086%) per 5.3 million recipients reported adverse events. The AEFI occurred mostly among females and persons aged 30-39 years. Out of the 459 recipients with adverse events, 432 (99.3%) recovered, and 3 (0.7%) died. The most common adverse event per region, sex, and age group is fever. The study also revealed AEFIs may have contributed to the death of 3 (0.000056%) per 5.3 million recipients. However, a causality assessment done by the Vaccine Safety Review Committee of independent experts showed no causality between the reported AEFI (deaths) and the YF vaccination. This indicates that the benefits of the vaccination outweigh the risk of adverse events or fatalities.Conclusion: In conclusion, it was found that the benefits of the Yellow Fever Vaccination (YFV 17D) outweigh the risk of adverse events or fatalities. Reported Adverse Events following the 2018 sub-national yellow fever vaccination per 5.3 million recipients were 459 representing 0.0086%. There was no causality between reported deaths 3 (0.000056%) and the YF immunization. The adverse events that follow yellow fever immunization are not strong and suggest that most of the respondents do not have serious repercussions after the vaccination. Therefore, YF vaccination has saved millions of people from potential vaccine-preventable deaths in Ghana and beyond its borders and did not cause more harm than health benefits.</p
Peculiarities of spinal epidural abscess in COVID-19 patients: a literature review
No full textDuring the SARS-CoV-2 pandemic, some authors described an increased incidence of primary Spinal Epidural Abscess (SEA) in COVID-19 patients with clinical and radiological peculiarities. Early recognition of this disease remains challenging, resulting in delayed diagnosis and significant morbidity and mortality. The authors performed a systematic review of the literature in PubMed, Cochrane, and Scopus about the traditional form of SEA comparing the main features related to COVID-19 SEA. The search was performed from 1990 to 2020. Magnetic Resonance Imaging with contrast is mandatory to recognize this kind of lesion in order to obtain a differential diagnosis. COVID-19 SEAs are generally active abscesses, with a large cystic component. Gadolinium-enhanced MR images can aid in the definition of the age and consistency of the abscess. A rim of tissue that enhances after the injection of gadolinium represents granulation tissue; liquid pus is associated with an area of low signal intensity on T1-weighted images.This new type of SEA in COVID-19 patients showed several differences also in clinical features. No evidence of an external infective source was found (spondylodiscitis, surgery, or percutaneous treatment). None of the patients was a drug abuser and MSSA was the only responsible pathogen. The cervicothoracic spine was the most involved site. Further studies are needed to confirm these preliminary findings.</p
Characterization of recessively inherited X-Linked ichthyosis in Bajaur Agency
No full textBackground: Recessively inherited X-linked Ichthyosis (XLI) is the second most generic form of Ichthyosis and is characterized by scaly, dry, thickened, and mild erupted skin. It is caused by a mutation in the STS gene ensuing lower production of Steroid sulfatase. A current study was performed to characterize XLI and its complications in patients of Bajaur Agency, Pakistan. We also wanted to record critical factors affecting the progression of XLI. Methods: An Ichthyosis examination questionnaire was prepared and detailed information about the symptoms and management was recorded from 51 affected male patients of 17 families. Personal data such as age and gender were also recorded. Results: Our results indicate that 53% of the patients were collodion while other symptoms appeared in the first month after birth. Almost every part of the patient has symptoms of the disease; scales were found on the extensor and flexor muscles (98%) of limbs followed by the ears (82.53%). All the patients had normal nails, palms and soles. Conclusion: The age of the patients seems to have a significant effect on the color of the scales changing from white to brown to blackish. The disease progresses with the age and worsens in cold, dry seasons. The pedigrees of all families show that disease passes from generation to generation according to the classical X-linked recessive inheritance. We recommend early diagnosis and treatment for effective management of the condition. Further work is required to elucidate the genetic, biochemical, and environmental factors involved in the disease.</p
Managing anxiety disorders in bipolar patients
No full textAnxiety disorders are among the main comorbidities encountered in patients with bipolar disease. Numerous clinical and epidemiological studies show an increased prevalence of anxiety pathologies (generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder) in bipolar subjects compared to the frequencies in the general population. Anxiety disorders are not without consequences on the evolutionary course of the mood disorder, including a significant reduction in euthymia time and less sensitivity to conventional medicinal therapies. </p
A brief overview to give a new perspective on mole drainage
No full textDraining excess water from the soil is the general purpose of drainage. Thus, soil protection is provided and product losses are prevented. Mole drainage consists of underground galleries that act as piped drainage. This type of drainage is mostly used successfully in clay, organic, and highly cohesive soils. It is used successfully in areas with high groundwater, during the improvement of salty and sodium soils. The biggest benefit of mole drainage is cheap and economical. In the mole drainage method, tunnels are opened under the tillage depth with a torpedo-shaped piece at the end of a foot extending under the soil. These tunnels are called mole drains. In the mole drainage method, the channels are built with mole drain plows and subsoilers. In order to benefit more effectively from mole drainages, parameters such as suitable working width, working depth and slope must be finely adjusted. For this, modern alternatives such as GPS and laser positioning systems can be used.</p
A model rural rehabilitation service station in China– Evaluation after 5 years
No full textA simple setup for rehabilitation training was established in 2007 in a rural area of Shanxi Province, China. It made use of an underused facility created for elderly people’s leisure time. Simple equipment for rehabilitation training was provided free for the users, and instructions were given by rehab experts, Traditional medical doctors, and social workers.This rural Service Station must be the first of its kind in rural China and deserves scrutinizes for its unique nature. After 5 years of service, a service evaluation of its service nature, service providers, users, and special orientations was completed. It is hoped that this Service Station could be taken as a model of similar rural development in China.</p
Performance characteristics and digestion of growing rabbits fed Corn Gluten Residue Meal (CGRM), Soybean Gluten Residue Meal (SGRM), and Sorghum Brewer Dry Grain (SBDG)
No full textContext: Grain by-products are nonconventional feed resources that can be used as supplemental diets for rabbits, especially during the dry season when native forages are scarce and limiting in essential nutrients. Hence, this present study is to determine the inclusion of residue, Corn Gluten Residue Meal (CGRM), Soybean Gluten Residue Meal (SGRM), and Sorghum Brewer Dry Grain (SBDG) as a replacement for maize on the performance and digestion coefficient of growing rabbits.Methods: Forty mixed breeds of rabbits (4 - 6 weeks old) were allotted into four experimental treatments in a completely randomized design. Four experimental diets were then compounded by replacing maize (40% inclusion level) with CGRM, SGRM, and SBDG then fed to the growing rabbits at 3% of their body weight. Results: The crude protein contents of diets containing grain by-products (19.06% – 20.87%) were better than maize (12.96%). Evidently, the maize diet (55.56%) was higher in carbohydrate fraction than these grain by-product-containing diets (42.20 – 49.98). Rabbits fed diets containing grain by-products had significantly higher (p < 0.05) feed intake and final weight compared to rabbits fed maize. Rabbits-fed diets containing CGRM (87.41%) and SGRM (92.09%) were significantly higher (p < 0.05) in digestible crude protein than maize (76.79%) and SBDG (74.29%) diets. Also, diets containing maize and SGRM were significantly higher (p < 0.05) in the digestible carbohydrate fraction than diets. Whereas, rabbits fed diets CGRM and SBDG had significantly better (p < 0.05) nitrogen balance and retention compared to rabbits fed diet SGRM and maize. Conclusion: It could be concluded that the inclusion of CGRM, SGRM, and SBDG led to better performances and digestion but with inferior carbohydrate fractions and digestion percentages compared to the maize diet.</p