Knowledge, Attitudes and Practices (KAP) surveys precede an awareness or intervention program, it addresses a felt need in a population in which that need exists.
Fundamental to the aether concept is seamless unity, a dynamic continuum of cause and effect, mediated by the opposing conjoined force fields that form the basis of action-at-a-distance and simultaneity.
In the first part of the article we examined the historical dimensions of the aether concept, In this article, we examine dynamics of the three primary aether modalities in the water-body: The magnetic, the radiant, and the dielectric.
A year after COVID-19 was declared a pandemic much of the Africa continent started experiencing spikes in the number of COVID-19 cases and related deaths in what was referred to as the third wave of the pandemic. These spikes came right behind the heels of a second wave of the pandemic that barely went unnoticed in Africa.
At the turn of the 20th century medicine and physics seemed to be heading in two opposing if not mutually exclusive directions: medical science had asserted the primacy of the cell and had set out to integrate known chemical principles into cellular functioning; physics, on the other hand, had broken through the barriers of classical Newtonian mechanical laws and established the energetic basis of all physical substance. Something was bound to give.
Covid-19 pandemic has hit many countries and put the majority of the public health system to test globally. Mandatory use of facemask was among policies set by the government to contain the spread of the novel disease. But citizens’ attitudes and compliance with these policies are important in controlling the pandemic. We assessed gender-based compliance to Covid-19 protocol (use of face mask) in Jos South, Plateau State, Nigeria.
We appreciate the attention and interest in our manuscript. The letter raises a handful of issues that pertain not simply to our description of the previously unrecognized phenomenon of magnetic attraction/attachment but regarding the scientific method itself and the generation of new scientific knowledge. These issues must be carefully considered one by one.
I was fascinated by the study by Thorp et al. on the magnetic effects of Covid-19 vaccination – or rather the lack of the same . The paper’s title is in no way supported by the data. A static magnetic field is a force. The investigators did not do any tests for energy, and even their tests for magnetism were seriously flawed. They did not think to try a non-ferrous or non-metallic test article, so non-magnetic adhesive factors cannot be ruled out.
In recent months unexpected reports have surfaced claiming the presence of magnetic attraction in the shoulder regions of subjects who had recently received the COVID-19 vaccination. To determine if such claims are legitimate or spurious, a prospective observational study was performed utilizing standard neodymium magnets and non-magnetized paper clips in a rigorously standardized application protocol. Magnets and paper clips were applied over various regions of both deltoid muscles. The attraction score was calculated by adding one point for each pole of the magnet that attached to each arm over the deltoid muscle for a maximum score of 4. Likewise, three sizes of paper clips were tested with a maximum score of 6. The field score was calculated by adding the magnet score to the paper clip score for a maximum score of 10 points
The aim of this study was to assess, identify and have a better understanding of the importance of patient safety culture within the healthcare organization and to create insights on the impact of cultural management systems regarding patient safety. The research method of this study is an integrated literature of the patient safety culture and perspectives of healthcare workers, assessed using the Modified Stanford Instrument (MSI) and Manchester Patient Safety Framework (MaPSaF).
The pandemic scenario created by the Severe Acute Respiratory Syndrome – Coronavirus-2 (SARS-CoV-2) brought physical and psychological distress among people who found themselves under a situation which unabled most of them to proceed with their usual routine or rites of passing to cope with losses of lifestyle, relatives, and friends. This short review explores the role of mourning rites as coping mechanisms in order to maintain mental stability during the stressing scenario proposed by the pandemic.
It is difficult to imagine an area of scientific research, over the past century, that has been more controversial than the diet-heart health question. Even more unsettling is the fact that the hypotheses presented in this scholarly review often directly conflict with or reverse prevailing opinions. For example, many brave researchers are fully aware that dietary polyunsaturated fatty acids (PUFAs) peroxidatively degrade to highly toxic lipid oxidation products (LOPs) such as chemically-reactive aldehydes when exposed to high-temperature frying, cooking or processing practices.
Chronic degenerative diseases like obesity, metabolic syndrome, diabetes, fatty liver, have gained high prevalence in the world, due to sedentarism, improper nutritional habits as well as alcohol and tobacco consumption. Studies have shown that regular consumption of breakfast leads to a wide range of benefits, especially for the liver. The liver is a key organ for metabolic homeostasis regulating and governing energy metabolism, mostly providing nutrients for reabsorption. Benefits of a nutrimental quality breakfast seem to help lower body mass index, prevent metabolic diseases, and overall improve quality of life. Unfortunately, these include either high cholesterol or high-sugar foods including cold cuts, bread, eggs, and sugary beverages. Also, much of the population’s work schedule relates to long hours and high-level of stress, therefore malnutrition, and inadequate eating schedules are common.
To diagnose diseases during gestation period including renal stones, appendicitis, and pulmonary embolism in pregnant patients, computed tomography (CT) can be a golden standard. Due to CT examination, the fetus is prone to receiving a considerable dose which is the result of direct or scattered (external and internal scattered radiation) beams. The effects of ionization radiation on fetus include mutagenesis and carcinogenesis, therefore, it is essential to reduce fetus dose for pregnant patients who undergo CT examination during gestation period. This article aims to review approaches that are effective in reducing fetal dose in pregnant patients.
Traditional medicines, derived from plants, could present alternative treatment strategy for cancer therapy. One such plant is Momordica charantia (MC) which possesses anti-carcinogenic properties. This study investigated the anticancer effect of an ethanol extract of MC fruit, Kuguacin-J (K-J), an isolated compound from the leaves of MC and cisplatin, either alone or combination on healthy MCF-10A mammary cells and compared with breast cancer MCF-7 and MDAMB-231 cell lines.
Interest in modulating the immune response beyond glucocorticoids has existed since the COVID-19 pandemic began. Recent trials have shown promising results with IL-6 inhibitors such as tocilizumab although similar data on Sarilumab is lacking. In this report, we analyze the current evidence on Sarilumab in hospitalized COVID-19 patients to evaluate its efficacy.
It is said that no discovery is complete until its implications have been fully realized. The identification of a previously unrecognized phenomenon says little of its potential effects. What appears as a stroke of good luck can culminate in disaster; misfortune may harbor unimagined potential. Discovery is a double-edged sword that manifests only over time. Nowhere is this aphorism more applicable than in contemporary medical science. The tried-and-true mode of discovery in 20th century medical therapeutics falls along this line: the beneficial effect of a substance is observed empirically during random testing or, conversely, new compounds are synthesized based on some existing pharmacologic principle; the substance undergoes testing in animals and, if no undesirable consequences ensue, clinical studies in humans are conducted.
Antibiotic drugs are the most frequently prescribed medications among hospitalized patients for life-saving purposes, mainly in immunocompromised patient, like in patient with end stage renal disease on hemodialysis (HD) or those who had documented bacterial infection. Antibiotics disposition and their pharmacokinetics and pharmacodynamics properties are affected in hemodialysis patient which increases the number of antibiotics dosing errors. Several epidemiological studies found that the majority of medication error related to antibiotics occurred during the prescribing phase (30.8%). However, there is missing data about the prevalence of errors in antibiotics dosing in HD patients.
Multi-organ procurement was performed on a 48-year-old donor after the patient was declared brain dead. A standard approach was performed for two dissections of abdominal organs. During the cold phase of dissection, an additional left sided retro-aortic vein was identified. The second vein hadseparate opening to the inferior vena cava in addition to the normal positioned pre-aortic left renal vein. Both veins were divided close to the origin from the inferior vena cava. During the back table preparation, it was noticed that same volume of preservative fluid was identified to be draining from both veins. Both veins were isolated and anastomosed separately on the 61-year-old recipient. Patient was initiated on anti-platelet therapy and made successful recovery.
HPV comprises a family of over 200 genotypes, which can be loosely categorized based on oncogenicity into low risk (LR) and high-risk (HR) genotypes. LR genotypes, such as 6 and 11, preferentially infect cutaneous sites to cause skin warts and condyloma acuminata. HR genotypes, such as 16, 18, 31, 33, 45, 52 and 58, among others, preferentially infect mucosal sites and are associated with the development of certain vaginal, vulvar, cervical, penile, anal and oropharyngeal cancers.
A 78-year-old man presented to our hospital with a 1-year history of abdominal distension and constipation. Except for hypertension, he had no documented medical history. Physical examination was unremarkable. Laboratory examination confirmed no abnormality. Although no clues for abdominal distension were found, esophagogastroduodenoscopy demonstrated a large pedunculated duodenal mass with surface erosions. It was removed successfully with nylon loop
followed by snare resection. Pathological examination revealed massive Brunner gland proliferation and an abnormal architecture, which was consistent with the Brunner gland adenoma. Helicobacter pylori testing was negative.
COVID-19 is a worldwide public health problem that has attracted much attention due to its clinical and para-clinical findings. In the western Asia, Qom was the first city to report COVID-19 cases on a large scale. We report gastrointestinal (GI) manifestations, as the only primary signs of COVID-19 infection have been reported. Data were obtained from patients, referred to GI clinics in Qom city, from February 25th to March 15th, 2020 who had refractory GI symptoms but there was no detection of digestive diseases after typical medical examinations. They were requested to do follow up tests, eventually the patients were tested for COVID-19. The presence of COVID-19 was confirmed based on the WHO guidelines.
We report the case of 69 years old female with a history of uncontrolled type 2 diabetes, who presented refractory and chronic right-sided purulent otorrhea with temporal headaches for 6 months, treated with no improvement by multiple attempts of ambulatory empiric therapy. After the appearance of grade III facial palsy and painful swelling in the right periorbital and zygomatic areas, the patient consulted in our department where a CT scan showed massive cortical and trabecular destruction of the right petrous bone and the mastoid extended to the lateral orbital wall, the zygomatic arch and the greater sphenoid wing realising extensive osteomyelitis of the skull base and the lateral face. The treatment was started immediately based on intravenous broad-spectrum antibiotics. Despite aggressive long-term treatment, the patient passed away, underlying the increased SBO morbidity and mortality secondary to delayed diagnosis.
Everybody is born with the mammary gland. Mammary gland development occurs through various stages throughout embryonic, and stays dormant for males. Although it is uncommon, male also gets breast cancer, occasionally. Male breast cancer accounts for approximately 1% of all breast cancer cases, and it is increasing. When compared with other rare diseases, male breast cancer is understudied. Typically, male breast cancer is treated in the same way as female breast cancer. In this article, the various aspects and attributes of male breast cancer and its treatment methods are reviewed.
Outcome of most of the biliary and pancreatic malignancy is not good. Demography and involvement of different sites of these malignancies by endoscopic retrograde cholagiopancreatography (ERCP) are not widely studied in Bangladesh. We have studied ERCP based different biliary and pancreatic malignancy and their demographic characteristics.
Primary adenocarcinoma of the duodenum is a rare clinical condition, accounting for only 5% of all gastrointestinal neoplasms and 0.5% of all intestinal neoplasms. Nonspecific clinical presentation contributes to the majority of cases being diagnosed in advanced stages. The prognosis is poor, with a median survival of five years, varying from 23% to 57% in patients undergoing curative surgery (cephalic duodenopancreatectomy).
The appendix testis may be involved in the normal testicular descent and there are reports of decreased incidence of appendix testis in children with undescended testis. The aim of this study was to evaluate the incidence of appendix testis in children with undescended testis in comparison to the incidence in children with normally descended testis.
We experienced a rare case of 9-months-old girl with an abdominal neuroblastoma that exhibited radiographic evidence of tumor extension into the mesenteric artery. Imaging studies were suggestive of neuroblastoma which also confirmed by the histologic analysis that show a diagnosis of neuroblastoma too. The patient never underwent initial chemotherapy for the treatment of neuroblastoma but experienced operation for tumor and resection was successfully achieved. This case and the treatment strategy are discussed in this paper.
Diagnosis of inflammatory myopathy are usually based on clinical examination and histopathology of the muscles and muscle biopsy, usually guided by PET-CT. This is not uncommonly presented by extramacular signs like interstitial lung disease, dysphagia, few skin signs, loss of weight, arteritis, cardiomyopathy, Pulmonary hypertension, respiratory failure, and cancer.
Extramedullary plasmacytoma is a rare disease, characterized histopathologically by infiltration of plasma cells of different maturities and producing monoclonal immunoglobulin outside the bone marrow. J.R.G., 52 years old, male, sought medical assistance due to amaurosis and blocked eye movements. We performed Magnetic Nuclear Resonance of the skull that showed discrete intermediate signal tissue, next to the optic nerve canal and homolateral superior orbital fissure, with slight extension to the lower orbital fissure, associated with thickening of the corresponding meninges, involving the proximal portion of the optic nerve, measuring 1.3 x 1.1 x 2.5 cm. Non-specific aspect, but suggestive of lymphoproliferative lesion. Right and extraorbital tumor excision was performed, in which it was not possible to completely resect the tumor.
We report the laboratory results of conjunctival RT-PCR tests and some clinical features of these patients infected with COVID 19 in Shenyang, China. We collected conjunctival samples of the patients to do the laboratory tests by RT-PCR Medical observed patients were enrolled if they had clinical symptoms. Then we analyzed the RT-PCR results and clinical features in order to find some relationships. The study includes 14 confirm diagnosed cases 16 suspected cases and some medical observed patients. One of these patients who was suspected as COVID-19 case at initiate visit diagnosed positive finally, and 22 medical observed cases were excepted with negative clinical and RT-PCT results. All the conjunctival results of RT-PCR test were negative.
Early treatment of pain is of a great importance as unrelieved pain can have profound psychological effects on the patient, and acute pain that is poorly managed initially can degenerate into chronic pain.
A cross-sectional study was conducted from November 2018 to May 2019 in and around Jinka town, to assess the community’s knowledge, attitude, and practice on common zoonotic disease.
The novel corona virus (2019-nCoV, or COVID-19) epidemic started in Bethlehem/Palestine and spread to many Palestinian cities and villages.
COVID-19 is one of the greatest global health pandemic crises of the 21th century, affecting millions of people worldwide.
The first and only Corona Israeli hospital opened on March 2020 designated to treat positive COVID-19 in-patients solely.
Now-a-days chronic liver disease is one of the major health problems in the world.
Pseudomeningoceles are rare complications of laminectomy surgery. Such clinical condition results from an inadvertent surgical dural rupture.
Alzheimer’s disease (AD) is the most common degenerative brain disease in the aged population. By 2050, AD prevalence is expected to increase from 4.7 million (based on 2010 census) to 13.8 million people.
This simple method specifically stained ramified microglia in rat cerebral cortex, and the quality was quite comparable to that obtained by an indirect fluorescent antibody technique (IFAT) and an avidin biotin-peroxidase complex method (ABCM).
Tuberous Sclerosis Complex or Bourneville’s disease is an autosomal dominant disease with high penetrance and variability characterized by multisystem involvement by benign lesions, originally defined by the classic triad of Vogt: sebaceous adenoma, epilepsy and mental retardation.
This is a report to create awareness among clinicians on a very rare condition of thunderclap headache. A 51-year-old lady presented with recurrent thunderclap headaches over the preceding 3 days.
Priapism as such is rare in spinal cord injury. It can be ischemic or non ischemic Priapism. The ischemic variety is painful and spontaneous while non ischemic is painless making diagnosis delayed.
The ongoing COVID-19 pandemic has now thrown us into turmoil by adversely affecting the entire socio-economic structure of the world.
This article reports a case series of children diagnosed of Acute Idiopathic Scrotal Edema in a secondary referred hospital over a 10-year period, including the description of its clinical manifestations, management and evolution of this condition.
A 10-year-old girl is evaluated in the Emergency Department (ED) for acute pain, blurred vision and swelling of her left eye, which worsened when blowing her nose, after a contusion.
Leukodystrophy is a typical example of progressive cerebral periventricular white matter brain disorders.
This retrospective study analysed patients diagnosed as penetrating ocular traumatic endophthalmitis between January 2016 to January 2019 at a hospital, Liaoning province, China.
This report describes a complication of symptoms consistent with transiency visual acuity damage and hearing injury following sclerotherapy with a polidocanol injection to a facial vascular malformation.
The present study included 210 inpatients, out of them 180 were diagnosed as suspected cases of sepsis in the period over 12 months from December 2018 to December 2019, at a private hospital in Cairo, Egypt.
Streptococcus pyogenes is the most common bacterial agent of sore throat.
To present a newsworthy hypothesis that illustrates how pollution predisposed long-term living and elderly population to an exacerbation of any preexisting inflammatory conditions, linked to NLRP3 inflammasome overregulation, in individuals with Alzheimer’s Disease (AD) and SARS-CoV-2 infections.
Many herbs and natural food materials have been historically recognized as an effective panacea that can establish a balanced inflammatory response and promote healthy immune response as well as have antibacterial and viral effects.
This prospective cohort study analyzed the role and use of tranexamic acid (ATX) in control of bleeding in patients undergoing primary total hip arthroplasty.
The aim of the present study was to evaluate the efficiency of knee physical examination routinely used in orthopedic clinical practice for the diagnose of meniscal injuries.
A Lumbar spinal stenosis is characterized by a central or transforaminal ways of compression which results in pain and compressive functional progressive loss.
Twenty patients with lombar disc hernia and indication of surgical treatment were randomly allocated into two groups.
Postoperative nerve root injury with dysesthesia is the most frequent sequela following lumbar endoscopic transforaminal discectomy.
Surgical site infection (SSI) is a devastating complication of any surgery with negative impact on health care system worldwide.
Epidermolysis Bullosa (EB) is a rare, heritable skin disease that encompasses several subtypes, which vary widely in presentation and prognosis.
Proportion of elderly individuals in the population has increased, consequently, practitioners are often confronted to wound healing in elderly patients.
Tourette’s syndrome is a complex genetic disorder characterized by repetitive, sudden, or tic-like movements.
The immune infiltration and molecular mechanisms underlying septic cardiomyopathy (SC) have not been completely elucidated.
Lupus Nephritis (LN) is one of the most common and serious manifestations in SLE patients that causes significant morbidity and mortality.
This is an entrancing case report of extremely severe metabolic acidosis occurred to a 46-year-old female who was admitted to intensive care medicine, Ninewells hospital.
The present paper proposes an interpretation of quantum mechanics whereby the matter wave and its eigenstates are formed through an underlying, bifurcative self-interaction of the quantum field.
The application of local anesthetics is frequently involved in anesthesia in the surgical treatment of various cancers.
Cyclophosphamide (CP) is used for the treatment of ovarian cancer, breast cancer, chronic lymphocytic leukemia, non-Hodgkin’s lymphoma, neuroblastoma, soft tissue sarcoma, rhabdomyosarcoma, and Wilms’ tumor.
Giant hiatal hernias, generally seen at advanced ages, can rarely cause cardiorespiratory symptoms such as dyspnea and chest pain.
The recommended treatment for ventricular thrombosis is based on vitamin K antagonists use for at least 3 months.
Ovarian torsion refers to the complete or partial rotation of the ovary on its ligamentous supports, often resulting in impedance of its blood supply.
Endometrial cancer (EC) is the sixth most common cancer in women and accounts for about 8.2 % of the worldwide incidence of cancer in women.
The objective of the study is to investigate the inhibitory activity of selected flavonoids from the plant Carica Papaya Linn. using molecular docking against SARS-CoV-2 or Covid-19.