Recent Articles

Abstract Background: Lipemia retinalis (LR) is a rare pathology characterized by creamy white retinal vessels due to chylomicrone- mia- Here, we present a case report of LR in a 44-day neonate and provide a comprehensive review of the literature on this rare condition. Materials and Methods: All articles indexed in Pubmed and Google scholar with term "Lipemia retinalis" in title were in- cluded to provide a comprehensive review about clinical aspects of LR then an analysis was conducted on all infantile and neonatal cases of LR reported in the literature. Data on clinical presentation, ophthalmic findings, laboratory investigations, and treatment strategies were extracted and analyzed. Results: Our case report details the presentation ofa 44-day-old boy with creamy white retinal vessels consistent with LR, which was identified during screening for retinopathy of prematurity (ROP). A literature review yielded a total of 44 report. ed cases of LR in infants and neonates, bringing the total number of cases to 45 including ours. In cases where gender was specified, 27 were female and 15 (333%) were male. The average age of infants diagnosed with LR was 10.11±10.68 weeks, and their average gestational age (GA) and birth weight (BW) were 37.43±4.41 weeks and 2535.48± 1086.27 grams, respectively. Type I hyperlipoproteinemia (76.4%) was identified as the most common underlying cause, with 21 cases (46.7%) attributed to lipoprotein lipase (LPL) deficiency. Vomiting or poor feeding were the most common symptoms prompting evaluation in 13 cases (36.1%). In 40% of cases, the stage of LR was specifically identified, with 4 cases classified as stage 2 and 14 cases classified as stage 3. Organomegaly was the most common associated manifestation of hypertriglyc- eridemia when combined with LR, seen in 51.1% of cases. Ihe GA was significantly correlated with the presence of xantho- ma and pancreatitis (p 0.41 and p=O.39, respectively). GA and BW were also correlated with the presence oforganomegaly (p 0.009 and p 0.45, respectively). The average total cholesterol (TC) level was 1485.52±150421 mg/dl (range: 70-7000), and the average triglyceride (TG) level was 16268±14578.09 mg/dl (range: 1000-64956). The TG level was found to be associated with the stage of LR (p=O.46), In addition to the case discussed, there were seven other premature neonates (GA

Abstract Cheiloscopy is the study of lip prints, which are the unique patterns and lines that are found on the lips. In forensic science, lip prints can be used to identify individuals and to provide evidence in criminal investigations. Lip prints can be left on various surfaces, such as cups, glasses, and cigarettes. They can be collected from these surfaces and compared to known lip prints in order to identify the individual who left them. Lip prints can be analyzed for characteristics such as shape, pattern, and ridge count, which can be used to distinguish one individual from another. While lip prints are not as commonly used as fingerprints in forensic science, they can be a valuable piece of evidence in certain cases. They can be particularly useful in cases where there are no other means of identification, such as in cases of unidentified remains. In these cases, lip prints can be used to help identify the individual and potentially provide clues about their identity and circumstances of their death. As handwriting and Fingerprints, Lip prints also support the principle of Uniqueness/lndividuality which state that two things can be similar but cannot be alike. Lip prints start to develop at 6th week Of intrauterine period Lip print is basically a pattern Of Wrinkles and Fissures on the labial mucosa and the study Of lip prints is referred to as cheiloscopy. Lip prints can help to determine the gender, race etc. Lip prints can be found in the cases ofburgarlary. Sexual assault etc. which could be found useful in determining the perpetrator. Overall, the use of lip prints in forensic science can help to identify individuals and provide evidence in criminal investigations

A 55-year-old male developed severe emphysema and complications following mechanical ventilation after a second COVID-19 infection. Persistent positive nucleic acid tests despite antiviral treatments, and the impact of prolonged immunosuppression on virus clearance and lung recovery, emphasize the need for improved antiviral strategies and careful management of ventilation-related complications.

Abstract While non-observance of safety instructions in working with tractors is one of the causes of financial and human losses in the world's agricultural sector, this study was conducted to explore factors influencing safety behavior of farmers in working with tractors through the lens of the health belief model. A cross-sectional survey was applied for studying 250 Iranian tractor owner farmers who were selected using stratified random sampling technique. Data were collected using a questionnaire. Results indicated that the most of farmers do not pursue proper safety instructions while working with tractors. Based on the findings, the health belief model was able to explain a significant part of the variance of farmers' safety behavior in working with tractors. Perceived susceptibility, perceived benefits, self-efficacy, perceived severity and perceived barriers were the significant variables influencing safety behavior. Farmers perceived some barriers on their way to consider the safety instructions in working with tractor and believed that they do not have high self-efficacy, particularly enough financial ability to observe these instructions in practice. These findings provide some recommendations for policymakers, as well as agricultural extension organization to raise their safety behavior about working with tractors.

High-energy trauma can mask severe internal injuries beneath subtle external signs, emphasizing the need for detailed imag ing and timely multidisciplinary management. We present the case of a 37- year-old male involved in a motor vehicle colli sion without seatbelt use, who sustained a right occipital condyle fracture identified on CT scan, and left-sided femoral shaft and non-displaced acetabular fractures detected by plain radiographs

Abstract Background: Timely pediatric emergency care is essential in reducing child morbidity and mortality. However. underserved areas, multiple barriers hinder caregivers from seeking formal medical Care, leading to delays in treatment. Socioeconomic factors, logistical challenges, and cultural beliefs, including the use Of traditional remedies, Significantly impact emergency care accessibility. This study was conducted in Ibb. Yemen. to examine these challenges and explore potential solutions. Objectives: Study aimed to identify key barriers preventing timely pediatric emergency Care in Yemen. Additionally, it examined the role of traditional remedies in delaying formal medical treatment and assessed how healthcare systems can address these challenges. Methods: A mixed-methods approach Was used to gather both quantitative and qualitative data- Surveys Were conducted with 600 caregivers and 200 healthcare providers to assess their experiences with emergency care access. Additionally, interviews, social media posts, and university lectures provided further insights into caregivers' decision-making processes. Data analysis focused on identifying patterns related to financial constraints, transportation challenges, healthcare facility avail and the influence Of Cultural beliefs on treatment-seeking behaviors. Results: Findings revealed that financial difficulties, limited healthcare infrastructure. and transportation barriers were the primary factors delaying emergency care for children in Ibbi Yemen- A significant proportion Of caregivers reported using traditional remedies before seeking formal medical attention. Often due to Cultural beliefs, lack Of trust in healthcare providers, or financial limitations. Healthcare providers acknowledged these challenges and emphasized the need for improved education and community engagement to encourage timely medical intervention. Conclusion: Addressing barriers to pediatric emergency care in Ibb, Yemen, requires a multifaceted approach, including expanding healthcare access, improving transportation services, and integrating culturally sensitive health education programs. Healthcare systems should collaborate with community leaders and traditional healers to foster trust and encourage timely medical care. By addressing these barriers, healthcare accessibility can be improved, ultimately reducing preventable delays and enhancing child health outcomes in Ibb, Yemen.

A study entitled "Drug Utilization Evaluation and Drug Interaction of antibiotics in orthopedic patients” was conducted in the department of orthopedics of a 1000 bedded multispecialty private hospital. The prospective observational study was conducted for a period of six months.

Simply by recycling the gold from in the ever-increasing mountains of used electronics, it is now possible to easily retrieve huge quantities of gold without having to do any digging into the earth at all. The majority of the currently available strategies for recycling gold from used electronics are mostly based on hydrometallurgy

Reconstituted soil is mainly used to address the lack of soil in open-pit mines. To understand how soil amendments affect reconstituted soil nutrients and enzyme activities in open-pit coal mine, the investigation is carried on overburden material from an open-pit coal mine in Eastern Inner Mongolia, China.

Urothelial carcinoma recurrence of an orthotopic neobladder created from bowel segment is a rare occurrence. The growing usage of bowel segments to create neobladder following cystectomy for urinary diversion is growing yet there still remains a large gap in the literature about recurrence in neobladder. We carry out the first systematic review to outline current details of urothelial cancer recurrences in a neobladder, diagnostic approach, management and long term prognosis.

Historical approaches to managing urachal anomalies in adult patients have shown a lack of denitive consensus between conservative and surgical management strategies. Our objective was to assess and consolidate existing literature regarding the diagnosis and treatment of asymptomatic urachal anomalies in adult patients.

Pulmonary nocardiosis is a rare chronic suppurative granulomatous disease, which is easily misdiagnosed as lung cancer and other diseases. Early diagnosis is beneficial to the patients rehabilitation. We herein report a case of myasthenia gravis in a 64 year old female patient with a space occupying lesion in the right lower lung

National Lung Cancer Screening programs have evolved in their implementation worldwide. This manuscript is delivered by a multidisciplinary panel in lung cancer screening. It aims to identify and present existing evidence regarding similarities and differences as well as teachable moments that have arisen through national implementation of lung cancer screening programs.

Levonorgestrel, an emergency oral drug, prevents unwanted pregnancies after unprotected sexual intercourse. It functions similarly to progesterone, allowing for the prevention of pregnancy if administered within a stipulated period. Glutathione is an antioxidant that protects against free radicals and xenobiotic substances

We present a 2-year-old boy known case of Spinal muscular atrophy type 2 presented with acute onset quadriparesis following a trivial trauma. On admission child had flaccid quadriparesis without bladder-bowel or respiratory involvement. His blood investigations, MRI Spine and Brain were unremarkable.

The detection of pathogenic bacteria is vital to food safety. Pathogenic bacteria are monitored by traditional culture-based methods (Ministry of Food and Drug Safety, 2019). However, several molecular methods are also used to detect food-borne pathogenic bacteria. These include conventional PCR (polymerase chain reaction), real-time PCR, and loop-mediated isothermal DNA amplification (LAMP) [1]

End stage renal disease in patients with junctional epidermolysis bullosa (JEB) pose distinctive clinical and management challenges. Their fragile skin, frequent infections, nutritional deficiencies, and ongoing inflammation can fasten kidney deterioration. Creating and maintaining dialysis access is especially dicult in these individuals, as their delicate skin and poor wound healing often result in repeated access issues or serious complications. Here we report a case of 23 year old female who after initiation of hemodialysis started to develop blistering disease with occurrence of multiple bulla over skin and mucous membrane and faced multiple issues in creating vascular access.

Although the discovery of the V617F mutation in the JAK2 gene has modified the understanding and treatment of polycythemia vera (PV), some patients display complex characteristics not recognized in the recent 2022 WHO classification. In the case reported here, no JAK2V617F nor JAK2 exon 12 mutations were identified

The steady population growth in Rajshahi City has led to an increase in construction activities to fulfill its growing infrastructural demand. The aim of this study is to assess the impacts of these urban construction activities on urban communities' physical and mental health in Rajshahi City. We applied a mixed-method approach to carry out this study. Data were collected through a semi-structured questionnaire from 150 respondents who are residing near ongoing major construction sites.

Penicillin and streptomycin are the most commonly used to prevent bacterial infection or contamination in cell culture. However, the role of Penicillin-streptomycin in inducing mouse embryonic stem cells (mESCs) to differentiate into cardiomyocytes is unclear. To illustrate the mechanism of penicillin-streptomycin on inducing mESCs differentiation into cardiomyocytes, we firstly investigated mESCs differentiation into cardiomyocytes by the traditional method. e timespace expressions of cardiac-specific genes were detected by real-time PCR and western blotting at 8 different time-points over a period of 36 days.