Articles Related to SEN

Androgen Insensitivity Syndrome (AIS), also known as testicular feminization, is a rare medical condition that has garnered increased attention in recent years due to evolving research and therapeutic approaches [1,2], as well as the psychological repercussions it has on patients and the risk of being associated not only with sex cord–stromal tumors but also with rare mesenchymal tumors [3]. AIS results from anomalies in the X chromosome and leads individuals with an XY genotype to exhibit various degrees of female physical traits or complete feminine characteristics

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Moringa leaf (Moringa oleifera) is referred to as the “natural nutrition of the tropics”, and in the Philippines, as “mothers’ best friend”. It possesses many health benefits and is also used in disease prevention and therapy. The enhancement of moringa’s natural potency is a scientific challenge that has yet to be thought of. We found enhanced inherent characteristics in the moringa leaf by irradiating using our recently invented 2-6µm mid-infrared ray generating atomizer (MIRGA). The achieved benefits were a more desirable taste and aroma, and an enhanced shelf life, thus increasing the potential transportation distance, quality, and palatability. This scientific achievement was supported by suitable instrumentations and sensory evaluation

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Candida albicans is an opportunistic agent that can produce systemic infections in immunosuppressed patients. By varying its cell wall antigens this fungus can evade the immunological response by varying its cell wall antigens. On the other hand, Larrea divaricata Cav. (Jarilla) is a widely spread plant in America and it is used in folk medicine to treat several pathologies. It has been shown that antibodies against Jarilla proteins of crude extract (JPCE) cross-react with proteins of other microorganisms such as Gram-negative bacteria.

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Temporomandibular Disorders (TMD) is a generic term encompassing a group of musculoskeletal and neuromuscular disorders. The aim of our study was to assess the evolution of knowledge and current practices of Senegalese dentists regarding temporomandibular disorders, and to measure any disparities in diagnostic and treatment methods.

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Pyoderma gangrenosum is a rare ulcerating skin disease often presenting as an extra intestinal manifestation of IBD and is difficult to manage. Treatment options for pyoderma gangrenosum include steroids, calcineurin inhibitors and anti TNF agents. Here in, we report a case of recurrent Pyoderma gangrenosum with Ulcerative Colitis that was successfully managed with Tofacintib, a JAK inhibitor

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Background: Despite their good efficacy, antiretroviral drugs often induce adverse effects, in particular hypersensitivity reactions (HSR) which cause significant discomfort leading to the abandonment of treatment and then to therapeutic failure in some HIV-positive patients. Therefore, in this study, we aimed to assess the association between immune responses and hypersensitivity reactions (HSR) induced by antiretroviral treatment in people who living with HIV-1 (PLHIV-1), through the distribution of immune cells and cytokine profiles.

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There is presented intrasphincetric injection management of achalasia, an esophageal dysmotility disorder involving an abnormal relaxation of the lower esophageal sphincter. Botulinum toxin A is a well-described treatment for achalasia, in patients who is contraindicated others modality due to comorbidity, especially in older age. We describe a case of a successful treatment of achalasia in the 83-old man with botulinum toxin A, as efficacy and very safe method for symptomatic relieve of these patients.

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The Rapid generation rate of solid waste due to increasing population and industrialization leads to open dumping of solid waste. This causes serious environmental risk of groundwater contamination due to landfill leachate, that consists of heavy metals and impurities.

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Introduction: Mechanical disorganization of the bacterial biofilm is the cornerstone of the prevention of gingivitis and periodontitis periodontal diseases. The objective of this study was to evaluate the periodontal health of schoolchildren in Widou, Ferlo. Methodology: This was a descriptive, cross-sectional study of schoolchildren living in Widou in the centre of Ferlo. The survey was exhaustive and concerned the only school in the locality. The epidemiological data collected concerned oral hygiene practice, periodontal health and socio-demographic characteristics such as sex, age and educational level. The degree of hygiene was assessed by the Silness and Loe plaque index (Plaque Index); inflammation and bleeding on probing were assessed by the Loe and Silness gingival index (Gingival Index). Results: In a total of 126 schoolchildren, boys and girls were equally represented and the average age was 10 years +/- 2.16.Sixty-nine percent (69%) of the children examined did not use a toothbrush. Of these, more than 47% reported brushing 3 times a day. The plaque index mean value was 1.23 and 99.2% of the population had a moderate plaque control. The average gingival index was 0.96 and 80.2% of the sample had moderate gingival inflammation. Conclusion: The study showed a relatively low rate of toothbrush use in contrast to the tooth stick and a relatively high rate of periodontal index. Communication-based approaches to behaviour change in children are needed to improve periodontal health.

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Among patients with tuberculosis (TB), approximately 1 to 5 percent develop central nervous system (CNS) complications. A tuberculoma is a conglomerate granulomatous focus that develops from coalescing tubercles acquired during disseminated bacillaemia. Radiographically, tuberculomas are discrete, ring- enhancing lesions of the brain surrounded by perilesional edema and may present as single or multiple lesions. The diagnosis of tuberculoma should be suspected in patients with mass lesion of the brain and relevant epidemiologic factors. A definitive diagnosis of tuberculoma is established via needle biopsy of the CNS lesion for histopathology and acid-fast bacilli (AFB) staining and culture. In this case report, we present a 43-year-old woman with a past medical history of rheumatoid arthritis (RA) managed with steroids and hydroxychloroquine, who attended to us with a two- month history of numbness and paresthesia of her left extremities and recurrent episodic jerks involving the same side. Brain magnetic resonance imaging (MRI) revealed a large hemorrhagic mass (55 * 40 mm) in right temporo-parietal lobe surrounded by edema and mass effect with small nodule in left peri Rolandic cortex. Following clinical and laboratory clues, MR spectroscopy and brain biopsy, we started with corticosteroids and the following 4 anti-TB drugs: Isoniazid, Rifampin, Pyrazinamide, Ethambutol (HRZE). After 2 months, her symptoms completely resolved and a subsequent MRI scan revealed considerable shrinkage of the right-sided mass and left-sided lesion.

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Backgrounds: Neurolathyrism is a disease, which is linked with the consumption of Lathyrus sativus ( L. sativusi) pulse that contain the neurotoxin-beta-N-oxalyl-L-alpha-beta-diamino propionic acid (beta-ODAP). Patients with Lathyrisum suffer with gradual enhancement in spasticity and bony changes, which are responsible for appearing the crippling condition throughout life. Objective: The present study has been done as to establish the present situation of L. sativusi consumption and Lathyrisum. Materials and Methods:We performed the survey in the village of Mohammadabad Block of Gazipur district in Eastern Uttar Pradesh (a state with maximum population in India) which have population of million, and L. sativusi is the main pulse of the year, which sustains the economy of these populations. Results:Out of 21,234 subjects L. sativusi eating population for more than 10 years, none had Lathyrisum. On contrary, to popular belief, this population enjoys various dishes made by L. sativusi pulse which in popular are local delicacy. Conclusions:There is no evidence of L. sativusi causing Lathyrisum in 2021. On contrary, L. sativusi pulses have become an inheriting part of the food habits in these populations.

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Objective: To determine the prevalence of minority drug resistance variants in the protease and Gag regions among patients failing a protease inhibitor (PI) based regimen with or without a susceptible genotype based on Sanger sequencing technology. Methods: Samples were obtained from patients who were failing on a protease inhibitor-based regimen (n = 500). Sanger based sequencing was performed as part of the standard of care. Mutation analysis was performed using the Stanford HIV drug Resistance database. A subset of these patient samples was grouped into two categories: those failing a PI based with mutations in the protease region (n = 100) and those failing on a PI based regimen without mutations in the protease region (n = 128). These samples were then analyzed in the protease and Gag regions using Next Generation Sequencing (NGS) technology and analysis of the drug resistance mutations was performed at the 20% and 1% cutoffs. Results: An initial analysis of the protease region for patients failing with drug resistance mutations revealed that most patients harbored mutations that confer resistance to Lopinavir and Atazanavir, but these mutations had little effect on Darunavir. Furthermore, NGS revealed that in patients failing with and without drug resistance mutations, minority drug resistance mutations were present at each of the drug resistance codons and at codons that confer multi-drug resistance to protease inhibitors. Further analysis of the Gag gene revealed more genetic diversity among patients failing with no mutations in the protease as evidenced by the proportion of polymorphisms at each codon. Conclusion: Based on Sanger sequencing, a proportion of patients fail a PI based regimen with a susceptible genotype. However, these patients harbor minority variants in the protease and numerous polymorphisms in the Gag region which when combined these could explain their poor response to therapy. Therefore, in order to improve patient care in low resource settings, there is need to adapt NGS as the standard genotyping technique so that minority variants are captured much earlier. In addition, since mutations in the Gag region also play a role in response to PIs, this region should be included in the routine monitoring for response to therapy in patients on a PI based regimen.

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An internist with an eagle’s eye can diagnose many hidden diseases through careful examination. One such hereditary metabolic disorder is Albright’s Hereditary Osteodystrophy (AHO). Characteristic presentations in an individual affected by AHO were short stature, obesity, mild mental retardation and brachydactyly especially of 4th and 5th digits, which are the phenotypic features of genetic mutation. Pseudohypoparathyroidism (PHP) is characterized by inability of the body to respond appropriately to parathormone, mainly characterized by hypocalcaemia, increased serum parathormone concentration, insensitivity to the biological activity of parathormone and hyperphosphatemia. AHO when seen in association with resistance to parathormone (PTH), it is called PHP. Here is a case report of 22-year-old female patient with AHO with distinctive physical characteristics who presented to us with recurrent hypocalcaemic tetan

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Purpose:This study aimed to assess contrast sensitivity and acquired color vision deficiency in patients with primary open-angle glaucoma and to evaluate their correlations with visual field parameters. Methods: The current study included 100 patients with primary open-angle glaucoma and 40 healthy control subjects. The 100 glaucoma patients were divided into 3 groups (mild, moderate and sever). Ophthalmic examination included best corrected visual acuity (BCVA), gonioscopy, slit lamp biomicroscopy, visual field assessment by perimetry and intraocular pressure was measured using Goldmann applanation tonometry. Contrast Sensitivity evaluated by the Pelli-Robson chart and the Mesotest II b. Color vision was evaluated by the Farnsworth- panel D15. Results: The mean age of the studied cases was 52.61±14.86 years with male to female ratio 50.2/49.8. Cup-To-Disc (C/D) ratio was statistically significant increase in severe cases followed by moderate and lastly mild glaucoma subgroups. There was highly statistically significant increase in the mean C/D ratio among cases with glaucomatous eyes compared to normal .There was a significant correlation between worsening visual field indeces and decreased contrast sensitivity. Color vision was demonstrated to be significantly correlated according to severity, duration of affection, age and uncontrolled IOP. Conclusion: Mesotest II b is a better alternative to conventional reliable and reproducible Pelli Robson chart test for assessment of contrast sensitivity in patients with glaucoma.

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Introduction: The prosthetic act must obey the rules of asepsis with a certain rigour for the decontamination of impressions to reduce the risk of cross-contamination. The objective of this study was to evaluate the knowledge and attitudes of practitioners in the Dakar region (Senegal) regarding the decontamination of impressions. Materials and Methods: This was a cross-sectional descriptive epidemiological survey of 150 dentists in the Dakar region. Results: The sample consisted of 59,3% men and 40,7% women. Practitioners practising in private practice were 61,0% against 39% in public practice. The majority (83.3%) of dentists in the study had not received any continuing education on aseptic procedures in prosthetics and had a vague idea of the term "decontamination of impressions". Nevertheless, almost all practitioners (94,0%) systematically rinsed the impressions with water after disinsertion, 48.7% of practitioners decontaminated their impressions with a disinfectant. The most used decontamination methods were immersion at 70.3% followed by spraying at 17.1%. Sodium hypochlorite (63.9%) was the most used solution due to its effectiveness, simplicity of use and cost. Conclusion: There is diversity in the attitude and knowledge of dentists. Disinfection protocols that are simple to implement and adapted to the impression materials should be put in place. Moreover, a rinsing as soon as the mouth is removed must be carried out, then a post-disinfection rinsing for a better dimensional stability of our impressions.

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The results are presented of obtaining anodic aluminum oxide with an ordered pore arrangement by employing two anodizing modes - galvanostatic mode and combined (galvanostatic + potentiostatic) mode, at high values of the current density and voltage. Use has been made of an oxalate electrolyte and a complex electrolyte comprising oxalic acid and phosphoric acid. Scanning electron microscopy has been used to investigate the surface morphology of the barrier and porous layers and to determine pore sizes and inter-pore distance.

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Human odor detection technologies have drawn attention due to the wide possibility of potential applications they open up in areas such as biometrics, criminal investigation and forensics, search for survivors under rubble, and security checkpoint screening. Gas chromatography/mass spectrometry (GC/MS) has been the most successful and powerful analytical approach developed to date for human odor analysis, and hundreds of human odorants have been identified using this tool.

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The application of electronic-nose (E-nose) technologies in forensic science is a recent new development following a long history of progress in the development of diverse applications in the related biomedical and pharmaceutical fields. Data from forensic analyses must satisfy the needs and requirements of both the scientific and legal communities. The type of data collected from electronic-nose devices provides a means of identifying specific types of information about the chemical nature of evidentiary objects and samples under investigation using aroma signature profiles of complex gaseous mixtures containing volatile organic compounds (VOCs) released from manufactured products and parts of the human body. E-nose analyses also provide useful qualitative information about the physicochemical characteristics and metabolic conditions of human subjects without the need for time-consuming analyses to identify all chemical components in human-derived volatile mixtures.

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Carbon nanotube (NT) based electronic vapor sensors were tested against synthetic sweat solutions, consisting of 13 volatile organic compounds (VOCs) in saline, in order to probe the device ability to analyze and differentiate vapors derived from complex biological samples.

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