3 research outputs found
Survival in nature
No full textI saw this cluster of mushrooms growing on a fallen tree branch outside of my house. I find fungi to be one of the most magnificent examples of survival in nature. They function as the trash collectors of the forest by breaking down decaying materials like rotting wood as we see in the picture. They absorb the nutrients of the decaying wood and find life out of something that is no longer fulfilling its original purpose. We can learn a lot from mushrooms from the perspective of reusing and recycling for survival purposes. As humans, we produce an immense amount of waste and tend to normalize buying new things over reusable ones. Nature demonstrates that there are sustainable ways to live and gain from what has already been utilized.
Theme: Nature and Survival: How is the natural environment a place of survival? How do you see resilience and survival in the outdoors?
Medium: Digital Photographyhttps://pilotscholars.up.edu/sustainability_photovoice_exhibit/1012/thumbnail.jp
Along the River
No full textWhile sitting next to the Columbia River and below the St. Johns bridge, I couldn\u27t help but notice how crowded the riverfront was across from me. I was looking at the railroad, a few buildings, cranes, and other work equipment right in front of Forest Park and the busy highway. Portland\u27s riverfront has always been an area for industry and a lucrative location for company growth and convenience. I often wonder what the riverfront would look like if there was no or limited development around it. The river would surely be less polluted and there would be more space for wildlife and human recreation. Our economy has a way of pushing convenience over beauty, the quick way of doing things over a slower more natural process. Where developing on the shore of the Columbia River may be financially opportunistic and timeefficient to build upon, the long-term consequences of this development has been devastating for the surrounding environment. While these long-term consequences is something that affects us all, BIPOC communities are disproportionately affected.
Theme: The Economic Environment: Where do you see economics (disparities and access to resources) in your natural and/or built environment?
Medium: Digital Photographyhttps://pilotscholars.up.edu/sustainability_photovoice_exhibit/1013/thumbnail.jp
Pulmonary tuberculosis and COVID-19 coinfection : Hickam’s Dictum revisited
No full textCOVID-19 and pulmonary tuberculosis (PTB) coinfection is associated with increased mortality and presents a unique diagnostic challenge to the clinician. We describe three cases of newly
diagnosed PTB in COVID-19 patients treated at our centre and their clinical and radiological
features. The challenges associated with diagnosis and management are also explored. Patient 1
was a case of smear positive, endobronchial tuberculosis incidentally diagnosed due to CT
changes, and eventually made good recovery. Patient 2 was a case of COVID-19 who succumbed
but was diagnosed posthumously due to a positive sputum culture for tuberculosis. Patient 3
showed radiographic features of PTB and was treated empirically for TB. In conclusion, COVID-19
and PTB coinfection should be suspected in the presence of constitutional symptoms, prior
immunocompromised states, prolonged respiratory symptoms or fever, or unresolved radiological
abnormalities, more so in regions where TB is endemic.
List of abbreviations
TB tuberculosis
PTB pulmonary tuberculosis
CT computed tomography
WHO World Health Organization
NPOP nasopharyngeal and oropharyngeal
CTPA computed tomography pulmonary angiogram
HRCT high resolution computed tomography
GGO ground glass opacities
ATT anti-tuberculous therapy
IGRA interferon-gamma release assay
* Corresponding author. Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
E-mail addresses: [email protected] (L.E. Nyanti), [email protected] (Z.H. Wong), [email protected] (B. Sachdev Manjit Singh),
[email protected] (A.K.W. Chang), [email protected] (A.T. Jobli), [email protected] (H.H. Chua).
Contents lists available at ScienceDirect
Respiratory Medicine Case Reports
journal homepage: www.elsevier.com/locate/rmcr
https://doi.org/10.1016/j.rmcr.2022.101653
Received 5 February 2022; Received in revised form 12 March 2022; Accepted 13 April 202
