Journey with a 21 weeks primi with acute massive pulmonary thromboembolism secondary to possible “Latent Lupus”: an audacious ride
Published on: 9th March, 2022
OCLC Number/Unique Identifier: 9445952693
In pregnancy, the incidence of pulmonary embolism (PE) is increased fivefold when compared to nonpregnant women of the same age, and PE is one of the leading causes of death during pregnancy.However, the diagnosis of PE among pregnant women is complicated by concerns regarding radiation exposure. Systemic lupus erythematosus (SLE) is an autoimmune disorder with a wide array of presentations and a predilection to affect women of certain ethnic backgrounds. The hallmark of the disease is multisystem involvement, dispersed in time and severity. Usual pulmonary involvement includes pleuritis, pleural effusions, pneumonitis, shrinking lung syndrome, pulmonary hypertension, and alveolar hemorrhage. Pulmonary embolism (PE) is a relatively unusual presentation of SLE. We report the case of a 20-year-old primi at 21 weeks gestation with an acute PE with central chest pain and shortness of breath. The absence of overt signs and symptoms and traditional risk factors prompted a fragmentary workup. This led to the detection of antibodies sensitive for SLE, in the absence of overt signs and symptoms. We revive the concept of latent lupus, a condition construed as early lupus. We firmly suspect direct causation between SLE and PE. Further studies are needed to establish pathogenesis to facilitate early diagnosis and prevent morbidity and mortality from PE. Due to persistent hypotension, thrombolytic therapy with streptokinase was administered and the clinical and hemodynamic response was excellent, with no maternal or fetal hemorrhagic complications. The clinical presentation of pulmonary embolism is sometimes camouflaged by the physiological changes that occur in pregnancy and diagnosis is often delayed by a reluctance to expose the fetus to ionizing radiation.
Laparoscopic duodenal switch
Published on: 9th March, 2022
Laparoscopic biliopancreatic diversion with duodenal switch (BPD-DS) is a technically challenging operation that requires extensive surgical dissection, transection and restoration of intestinal continuity, and advanced laparoscopic suturing skills.
Overlap of two unusual condition in childhood: hibernoma and central diabetes insipidus
Published on: 7th March, 2022
Central Diabetes Insipidus (CDI) results from the inability to secrete ADH secreted by the neurohypophysis system to control water-electrolyte metabolism. In the etiology of CDI in childhood, many congenital and acquired central nervous system (CNS) tumors (germinoma, pinealoma, craniopharyngioma, optic glioma, acute myeloid leukemia), infiltrative diseases (Langerhans cell histiocytosis, sarcoidosis), infections (meningitis, tuberculosis, encephalitis), autoimmune events, head trauma, idiopathic) can be responsible [1]. Hibernomas, which are very rare in childhood, may also rarely involve the central nervous system.
Generating eco-friendly electricity from rain water
Published on: 4th March, 2022
A new design system is introduced to generate clean eco-friendly electricity from rain fall water. The majority of traffic roads in the world has constructed water ditches for one aim. This is for the accumulation of rain fall water from the roads.
Quantification of minor, trace and toxic elements in stems of Santalum album (L.), Mangiferra indica (L.) and Tinospora cordifolia by instrumental neutron activation analysis
Published on: 4th March, 2022
OCLC Number/Unique Identifier: 9437625422
Stems of Santalum album (Sandalwood), Mangiferra indica (Mango wood), and Tinospora cordifolia (Giloy) are widely used in the preparation of herbal medicines and formulations in the traditional Indian health care system called Ayurveda. These were analyzed for 4 minor (K, Ca, Cl, Mg) and 13 traces (As, Ce, Co, Cr, Cu, Fe, Hg, La, Mn, Na, Se, V, and Zn) including toxic elements by instrumental neutron activation analysis (INAA). Samples in powder form along with reference materials (NIST SRM 1547 and INCT MPH-2) as comparators were irradiated for 1 min/6 h in Dhruva/CIRUS reactors at BARC, Mumbai. Gamma activity was measured by high-resolution gamma-ray spectrometry. In general, K, Ca, Fe, Mn, and Zn contents are very high in all the samples but Santalum album, widely used as a perfume, is more enriched in K, Ca, Cr, Zn, and Se. The concentration of Ca is always high as a major constituent (> 10 mg/g) in all the stem/bark of plant species. A strong inverse correlation (R2 = 0.9999) was observed between Fe and Zn in all three samples and that may be useful in drug manufacturing.
Geopolitical issues in health and biosecurity concerning gain-of-function research, emergence and re-emergence of infectious diseases
Published on: 4th March, 2022
There are global concerns in the dissemination and transmission dynamics of emerging and reemerging infectious diseases and the underlying features of gain-of-function research and geopolitics within and across borders. These concerns have become pertinent in the management of local and global health because the disease is perspicuously a geopolitical issue ostensibly linked to gain-of-function research where health diplomacy focuses on the present and future global emergence and re-emergence of infectious diseases, pandemics, and microbiome variants. These have generated vehement reactions with a propensity for extreme geopolitics and gain-of-function natural and anthropogenic activities. Geopolitical parameters and gain-of-function issues impact the social determinants of health and vice versa. The convening and convergence of countries for unprecedented epidemic or pandemic treaty settings or other formulations to confront emerging and reemerging infectious diseases will afford considerable opportunities concerning challenges in action, preparedness, and response. Provisions are pertinent for legal instruments, effective and efficient systems to curb future threats and outbreaks of infectious diseases.
Snow white: an allergic girl?
Published on: 4th March, 2022
OCLC Number/Unique Identifier: 9437635225
As I considered the exciting life of Little Snow-White, I started to think that the Grimm Brothers placed in that novel many hints that grouped the current knowledge of some features related to symptoms shown by allergic people.
A Study of excitation functions in the interaction of α + 59Co system at 4~9MeV/Nucleon
Published on: 1st March, 2022
In this work, α-induced 59Co reactions in the energy range from 11- 41MeV were used in order to study the role of pre-equilibrium emission. The experimentally measured excitation functions for residues populated via (α, n),(α, 2n),(α,3n),(α,2p),(α, 3n 2p) and (α, 4n 2p) channels in the interaction of + 59Co system available in the literature [13] were compared with theoretical predictions obtained using the statistical model code COMPLET. It was observed that at higher energy points the pure compound nucleus predictions, in general, failed to reproduce the measured data at projectile energies ~11-41MeV, this shows significant contributions from pre-equilibrium emission. The study signified both equilibrium and pre-equilibrium emissions were required to reproduce the presently measured excitation functions. An attempt was made to deduce the contribution coming from pre-equilibrium emission. It was found that the pre-equilibrium contribution increases with increasing projectile energy. Furthermore, the present result revealed a strong correlation between pre-equilibrium contribution and particle multiplicity.
Forensic science deals with safety armour during warfare explosives
Published on: 28th February, 2022
OCLC Number/Unique Identifier: 9435274079
ems. Preliminary field tests may be used for screening the debris on the explosion site. They include commercially available explosive vapor detectors and chemical color tests. Like post-explosion residues, personal items suspected to contain traces of explosives and hand-swabs, are often heavily contaminated. It is therefore of major importance that the analytical procedures have to include good screening, clean-up, and extraction methods. The main explosives dealt with in this chapter include nitroaromatic explosives, such as 2,4,6-trinitrotoluene (TNT) and 2,4,6, N-tetranitro-N-methyl aniline (tetryl), nitrate esters, such as ethylene glycol dinitrate (EGDN), glycerol trinitrate (nitroglycerin, NG), and pentaerythritol tetranitrate (PETN), and nitramine explosives, such as 1,3,5- trinitro-1,3,5-triazacyclohexane, (RDX) and 1,3,5,7-tetranitro-1,3,5,7-tetrazacyclooctane (HMX), as well as mixtures containing one or more of these explosives. Additional explosives include triacetone triperoxide (TATP) and ammonium nitrate (AN), NH4NO3.
Growth performance of selected Moringa oleifera seed origins in North Florida
Published on: 25th February, 2022
OCLC Number/Unique Identifier: 9435282664
Moringa oleifera which is also known as horseradish or drumstick tree is a rapidly growing, drought-tolerant tree that can tolerate poor soil conditions. It is presently broadly cultivated and has turned out to be naturalized in numerous geographical areas of the tropics. The objective of this study was to evaluate the growth performance and survivability of Moringa seed origins in the North Florida region of the United States of America. Seedlings were prepared in the George Conoly Greenhouse at the Florida A&M University, Tallahassee, FL. The seed origins were Ghana, Texas PKM1, Haiti PKM1, Colombia, Nigeria, Jamaica, Nigeria Local, Impex PKM1, Peela Medu, India EOA PKM1, and Belton. A randomized completely block design (RCBD) was used in this study to compare the performance of eleven seed origins of M. oleifera Height and Stem diameter. Nigeria Local had the best performance in terms of height for 2018 and 2019 growing seasons, 191.98 ± 7.42 cm and 123.19 ± 26.67 cm, respectively. Colombia had the best performance in terms of stem diameter for the 2018 and 2019 growing seasons, 2.6 ± 0 cm and 2.08 ± 0 cm, respectively. However, DMRT revealed that the height and stem diameter of the seed origins were not significantly different (p ≤ 0.05). Therefore, the results revealed that the alternative hypotheses (Ha) that the Moringa oleifera seed origins were significantly different in heights and stem diameter were rejected.
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