Recent Articles

Blastomycosis is known for its propensity to mimic other illnesses, which often leads to incorrect or delayed treatment. Here we present a case report of a patient working in Wisconsin who was misdiagnosed as Tuberculosis since he was an Indian. The patient was not evaluated on endemic grounds for Blastomyces where he was working for couple of years. After he developed skin lesions along with increased shortness of breath, lesions were evaluated which showed large yeast cells resembling Blastomyces. The treating pulmonologist evaluated his occupational history and was revealed with endemicity for Blastomyces.

WHO reports a high global prevalence of overweight and, which is prevalent among nurses and results in poorer health, work productivity and patient care. Existing studies have established the relationships between multiple demographic and work-related factors and overweight and obesity, but no review investigated which factors are associated with overweight and obesity in nurses.

Tooth Size Discrepancy (TSD) forms part of the initial diagnosis and is considered when formulating a treatment plan for the individual patient. The present research aimed at determining the extent and prevalence in a representative orthodontic population in Libya, to determine the prevalence of tooth size discrepancies (TSDs) in orthodontic population among different malocclusion groups.

CLCN2 related leukoencephalopathy (CC2L OMIM#: 615651) is a recently identified rare disorder, caused by autosomal recessive mutations in CLCN2 gene, leading to the dysfunction of its encoded CLC-2 chloride channel protein with characteristic brain MRI features of leukoencephalopathy

Therapeutic Hypothermia has been evolving as a science in itself since a very long time. There have been many accidents chronicled wherein people were buried alive in snow or under ice in frigid waters, left scientifically dead without any signs of heartbeat and breathing, only to be revived many hours later. The most notable case being that of Anna Bagenholm from Sweden.

The aim of this research was to assess the biochar ability to protect the photosynthesis process face to Cd contamination, especially, when nitrogen fertilizer was added at adequate amount. Culture of tomato seedlings was conducted on pots containing soil added with different portion of biochar (0, 3.5 and 7%) and nitrogen (3 or 6g NH4NO3). Irrigation was done by water (control condition) or Cd solution (150µM). Data showed that regardless presence of Cd, synchronously addition of high nitrogen fertilizer (6g) and biochar (7%) in the culture medium resulted in fresh matter production, photosynthetic pigment (Chlorophyll a) and mineral elements content enhancement. Similar observation was shown concerning the mineral nutrition (nitrogen, phosphorus and potassium contents).

In spite of recommendation for antiplatelet therapy following drug eluting stent (DES) implantation, the prescription for antiplatelet therapy in real world clinical practice varies from centre to centre as per physician discretion. The study was intended to assess the cardiovascular outcomes and bleeding complications of dual antiplatelet therapy (DAPT) beyond 12 months following DES implantation.

Desirable treatment options for inoperable esophageal cancer considering not only overall survival (OS) but also quality of life (QOL) during the entire clinical course remain unclear. We evaluated OS and QOL during the clinical course of patients with inoperable esophageal cancer undergoing chemoradiation or radiation. Forty-four patients with inoperable esophageal cancer between 2015 and 2020 were included in this retrospective study.

A lot of evidence has been left by the criminals while commencing offenses. Fraud in the banks is easier due to less knowledge of banking documents. Cheques serve to be the most valuable evidence that can provide a lot of crucial information and therefore acts as a forensic tool. Cheques from different banks can be distinguished with the help of certain features present in them such as bank logo, watermarks, design and pattern of cheque, etc. Every cheque was different from each other with respect to the features like position and number of watermarks, fluorescence, voids pattern, micro lettering, size and dimensions of the cheques. Security features are the vital line of defence against cheque fraud.

Cryptococcosis caused by Cryptococcus gattii differs from that due to C. neoformans by an increased incidence of cryptococcomas in lung and brain, higher neurological morbidity and slower response to antifungal therapy. A case report of a renal transplant recipient with disseminated and fatal cryptoccocosis is presented. For this patient and for 12 controls, bronchoalveolar lavage fluid levels of IL-10, TNF-α, IL-12p40, CXCL-8 and CXCL-10 were measured. Broth microdilution assay, in accordance with CLSI-M27-A3 document was performed to determine antifungal susceptibility. BAL yielded yeasts when cultured that were identified as C. deuterogattii through biochemical reactions and URA5-RFLP genotype. The strain presented susceptibility to amphotericin B, itraconazole, voriconazole, fluconazole, and ketoconazole. The patient presented significant higher levels of IL-10 (73.22 pg/mL), IFN-γ (257.08 pg/mL), CXCL-8 (161.93 pg/ml) and CXCL-10 (1000.76 pg/mL) than controls. Different from C neoformans, scarce data are available about the immune response in patients with C. deuterogattii infection, especially cytokine profile on BAL.

Diffuse midline gliomas with the histone 3-lysine-27-methionine (H3K27M) mutation should be considered in the differential diagnosis of recurrent hemiparesis and headache in patients with midline brainstem lesions, even with the absence of contrast-enhancement. Early diagnosis is essential for prognostication and engagement in trials evaluating novel therapeutics such as ONC-201.

SARS-CoV-2 can reach the central nervous system through the vagal nerve. Microbiota may favour or prevent viral spread. Assess whether auricular transcutaneous vagus nerve stimulation (ATVNS) may favour the occurrence of mild-COVID-19 or the recurrence of herpes simplex type 1. 749 patients were included. 195 patients were recommended and comply with ATVNS. 67 patients of the ATVNS group experienced mild-COVID-19 (34.3%) versus only 28 in the not-recommended ATVNS group (525 patients; 5.3%). A similar percentage was observed in the non-compliant ATVNS group (one case for 29 patients; 3.4%) [p

To evaluate the prevalence of dental anomalies in the individuals with cleft lip and palate as well as to assess the incidence of differences among unilateral cleft lip and palate and bilateral cleft lip and palate subjects in terms of dental anomalies and sexual dimorphism.

Benign gastrobronchial fistula (GBF) is extremely rare but highly fatal complication of esophagectomy for upper gastrointestinal system cancers. We present a benign GBF after three years esophagectomy for esophageal cancer with presenting recurrent pneumonia. We choose wedge bronchoplasty without lobectomy and primary repair of gastric conduit as an approach.

There is a proliferation of particulate matter in the atmosphere within and around the cities because of increased industrial activities. It is thus hypothesized that increase in human activities lead to increase in pollutants concentration inside (n=80 houses sampled) and outside residential areas. Thus, to investigate the air quality at different residential areas within indoor and outdoor environment air samples were collected using Particle Counter (Model: HHPC MET), and Gas Monitor (Aeroqual series 500) to determine particulate matters (i.e., PM10, and PM2,5), volatile organic carbon (VOC) and total solid particle (TSP).

A 56-year-old woman with type 2 diabetes mellitus and multiple sclerosis presented to our emergency department with right flank pain, fever (38.6°) and dysuria. A computed tomography (CT) scan showed the right kidney hydronephrosis secondary to ureteral stone, therefore a percutaneous nephrostomy was placed. The next day the patient’s condition deteriorated rapidly; a new CT showed the presence of gas in the right kidney suspicious for emphysematous pyelonephritis (EPB) that needed an emergency nephrectomy. Thirtyfive days later the patient was discharged in good general condition.

Artificial light at night has been reported to have significant effects on the physiology and behaviour of animals by its impact on their circadian rhythm. This study investigated the effect of artificial light spectra at night on neurotransmitter activities and neurobehavioural changes in the albino rat. Blue (470 nm) and red (665 nm) lights were used; with ambient light and darkness serving as positive and negative controls, respectively. The rats were exposed to daylight from 6 am to 6 pm and 12 hours of artificial light (6 pm - 6 am) daily (light sources were 13 Watt compact florescent electric bulbs). Neurobehavioural outcomes were measured using the Open Field Test (OFT) and Morris Water Maze (MWM).

Garbage classification has always been an important issue in environmental protection, resource recycling and social life. In order to improve the management level and recycling efficiency of hazardous household waste reducing its environmental and social risks, this paper designed targeted questionnaires and a total of 954 valid questionnaires were collected. Through the analysis of 954 effective online questionnaires, the results indicate that there are obvious deficiencies in the cognition of hazardous domestic waste, Classification and collection techniques, and identification of hazardous domestic waste. Some measures were put forward, such as establishing scientific channels for the collection, recycling and disposal of hazardous domestic waste, perfecting the management system and catalogue of hazardous domestic waste. The results provide a reference for scientific and standardized management of hazardous domestic waste.

Based on the linear three-dimensional elastic theory, shear horizontal (SH) wave propagation along the normal direction to the piezoelectric semiconductor plate (PSC) was obtained in the presence of initial horizontal and vertical stresses. The purpose behind obtaining the numerical solutions was to evaluate the effect of stress on dimensionless frequency and phase velocity.