Hemispheric encephalitis secondary to HAV

2021 ◽  
Vol 15 (1) ◽  
pp. 50-51
Author(s):  
Aijaz Ahmed ◽  
Muhammad Ashfaq ◽  
Bader -U- Nisa ◽  
Hira Waseem
Keyword(s):  
White Blood Cells ◽  
The Body ◽  
Lower Limbs ◽  
Herpes Encephalitis ◽  
Large Area ◽  
High Grade Fever ◽  
Neck Stiffness ◽  
Post Contrast ◽  
Normal Ranges ◽  
Intravenous Acyclovir

A 2-year male child, presented to National Institute of Child Health (NICH), with acute onset high grade fever and focal left sided seizures for 1 day, followed by left hemiparesis and encephalopathy. Developmental and family history was unremarkable. On physical examination, patient’s body temperature rose up to 38.7 °C. Though he had pallor along with hepatomegaly, there were no signs of jaundice or ascites. Central nervous system examination showed encephalopathy as well as positive neck stiffness. Motor system examination revealed generalized decrease in bulk of upper and lower limbs, but rest of the findings were localized to left side of the body, showing hypertonia, decreased power, brisk muscle stretch reflex, and positive ankle clonus and left Babinski sign.           Blood investigations showed anemia (hemoglobin 9.1g/dl), leukocytosis (white blood cells 22.1 cells/μL) and raised aspartate aminotransferase (AST) levels (826 IU/L). Total bilirubin and direct bilirubin levels were normal (0.3 mg/dL and 0.1 mg/dL, respectively). Serum ammonia (64 μg/dL) and lactic acid (1.6 μg/dL) levels were also within normal ranges. The cerebrospinal fluid (CSF) was also clear, with 0 leukocytes/μL, protein levels of 25 mg/dL, and normal glucose levels (82 mg/dL), no organism was seen on gram stain. Hepatitis A Ig M antibody came out to be reactive.           Brain computed tomography showed large hypo density along with effacement of sylvian fissure, sulci, gyri on right side involving frontal, parietal, and temporal and occipital lobe on ipsilateral side. On post contrast, there was remarkable meningeal enhancement on right side. MRI brain revealed cortical and subcortical large area of abnormal signal intensity seen in fronto-parietal and occipital cortex on the right side along with laminar necrosis.           Seizures were controlled by given intravenous injection phenytoin and leviteracetam in bolus and then maintenance doses. Intravenous acyclovir was started due to clinical suspicion of herpes encephalitis but was stopped after observing clinical improvement and identification of Ig M antibody of HAV. Patient conscious level improved after 2 weeks. AST levels also decreased to 20 IU/L and he was discharged with advice to follow up after 14 days

Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 155-160
Author(s):  
Mohsen Aghapoor ◽  
◽  
Babak Alijani Alijani ◽  
Mahsa Pakseresht-Mogharab ◽  
◽  
...  
Keyword(s):  
Antifungal Drugs ◽  
The Body ◽  
Lower Limbs ◽  
Lumbar Pain ◽  
Case Presentation ◽  
Delay In Diagnosis ◽  
Death Case ◽  
Therapeutic Results ◽  
History Of ◽  
Probable Diagnosis

Background and Importance: Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare, particularly in patients without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to complications and even death. Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved. Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.

Influence of DAFS-25+polizon composition on blood and functional state of liver of steers at fattening

2020 ◽  
pp. 15-18
Author(s):  
Inna R. Kilmetova ◽  
◽  
Igor A. Rodin ◽  
Nazira I. Khayrullina ◽  
Nikolay G. Fenchenko ◽  
...  
Keyword(s):  
Functional State ◽  
White Blood Cells ◽  
Live Weight ◽  
The Body ◽  
Farm Animals ◽  
Control Group ◽  
Standard Diet ◽  
The Impact ◽  
Experimental Group ◽  
Stimulation Of

Summary. The disbalanced feeding and the uneven distribution of micro- and macroelements in the environment leads to a trace element, in particular hypomelanosis. To accelerate the growth and preservation of young farm animals include in the diet of various biological additives and drugs, which include selenium. For stimulation of weight gain in the livestock industry, as well as for the prevention and treatment of pathological processes in addition to micro - and macrouse amino acids, primarily methionine. The aim of this work was to study the influence of composition of DAFS-25+Polizon on morpho-biochemical parameters of blood and functional state of the liver in fattening bulls of black-motley breed in the conditions of the Republic of Bashkortostan. Experiments using were conducted on bull-calves of black-motley breed of the properties in the properties age from 6 to 15 months. The first experimental group during the experiment was additionally given the composition of DAFS-25+Polizon at a dose of 2 mg/kg, the animals of the control group received a standard diet. To assess the impact of the composition DAFS-25+Polizon on metabolism cattle studied morphological and biochemical indicators of blood and conducted histological examination of the liver. It is established that the use of the composition of DAFS-25+Polizon at a dose of 2 mg/kg increases the number of erythrocytes and hemoglobin in the experimental group and reduces the amount of white blood cells. The serum content of total protein, phosphorus and calcium increases in the group of experimental animals. Microscopic examination of the liver revealed no changes in the structure of the organ and hepatocytes in the experimental group, whereas in the control group hemodynamic disorders and dystrophic changes in liver cells were observed. Thus, the use of the composition DAFS-25+Polizon at a dose of 2 mg/kg of live weight in fattening bulls black-and-white breed contributes to the increase of redox processes in the body, stimulation of metabolism, prevent the development of liver disorders of cellular mechanisms of metabolism, optimizes the structure of the liver, which generally provides higher productivity.

Correction of Posture Deviations in the Sagittal Plane Using the Pilates Method

2019 ◽  
pp. 3-13
Author(s):  
Alexandru Cîtea ◽  
George-Sebastian Iacob
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Postural Control ◽  
Human Body ◽  
Sagittal Plane ◽  
The Body ◽  
Lower Limbs ◽  
Low Back ◽  
Pilates Method ◽  
The Relationship

Posture is commonly perceived as the relationship between the segments of the human body upright. Certain parts of the body such as the cephalic extremity, neck, torso, upper and lower limbs are involved in the final posture of the body. Musculoskeletal instabilities and reduced postural control lead to the installation of nonstructural posture deviations in all 3 anatomical planes. When we talk about the sagittal plane, it was concluded that there are 4 main types of posture deviation: hyperlordotic posture, kyphotic posture, rectitude and "sway-back" posture.Pilates method has become in the last decade a much more popular formof exercise used in rehabilitation. The Pilates method is frequently prescribed to people with low back pain due to their orientation on the stabilizing muscles of the pelvis. Pilates exercise is thus theorized to help reactivate the muscles and, by doingso, increases lumbar support, reduces pain, and improves body alignment.

scholarly journals A Feasibility Study of Kinematic Characteristics on the Upper Body According to the Shooting of Elite Disabled Archery Athletes

2021 ◽  
Vol 18 (6) ◽  
pp. 2962
Author(s):  
Tae-Whan Kim ◽  
Jae-Won Lee ◽  
Seoung-Ki Kang ◽  
Kyu-Yeon Chae ◽  
Sang-Hyup Choi ◽  
...  
Keyword(s):  
The Body ◽  
Lower Limbs ◽  
Upper Body ◽  
Movement Trajectory ◽  
Phase 2 ◽  
Kinematic Characteristics ◽  
Significant Difference ◽  
Athletes With Disabilities ◽  
Body Center ◽  
Time Required

The purpose of this study is to compare and analyze the kinematic characteristics of the upper limb segments during the archery shooting of Paralympic Wheelchair Class archers (ARW2—second wheelchair class—paraplegia or comparable disability) and Paralympic Standing Class archers (ARST—standing archery class—loss of 25 points in the upper limbs or lower limbs), where archers are classified according to their disability grade among elite disabled archers. The participants of this study were selected as seven elite athletes with disabilities by the ARW2 (n = 4) and ARST (n = 3). The analysis variables were (1) the time required for each phase, (2) the angle of inclination of the body center, (3) the change of trajectory of body center, and (4) the change of the movement trajectory of the bow center by phase when performing six shots in total. The ARW2 group (drawing phase; M = 2.228 s, p < 0.05, holding phase; M = 4.414 s, p < 0.05) showed a longer time than the ARST group (drawing phase; M = 0.985 s, holding phase; M = 3.042 s), and the angle of the body did not show a significant difference between the two groups. Additionally, in the direction of the anteroposterior axis in the drawing phase, the change in the movement trajectory of the body center showed a more significant amount of change in the ARW2 group than in the ARST group, and the change in the movement trajectory of the bow center did not show a significant difference between the two groups.

The ultrastructure of the epidermis of the redia and cercaria of Parorchis acanthus, Nicoll. A study by scanning and transmission electron-microscopy

Parasitology ◽  
1971 ◽  
Vol 62 (3) ◽  
pp. 479-488 ◽  
Author(s):  
Gwendolen Rees
Keyword(s):  
Electron Micrographs ◽  
Technical Assistance ◽  
Ventral Surface ◽  
The Body ◽  
Muscle Fibres ◽  
Scanning Electron Micrographs ◽  
Large Area ◽  
Transmission Electron ◽  
Parorchis Acanthus ◽  
Scanning Electron

Scanning electron-micrographs have shown the covering of microvilli on the surface of the redia of Parorchis acanthus. In the contracted state the elongated microvilli with bulbous extremities seen in the surface grooves may be the result of compression. The surface of the epidermis of the cercaria is smooth on a large area of the ventral surface and lattice-like with microvilli, laterally, anteriorly, dorsally and on the tail. The spines on the body can be withdrawn into sheaths by the contraction of muscle fibres inserted into the basement lamina below each spine.I would like to express my sincere gratitude to Dr I. ap Gwynn of this department for preparing the scanning electron-micrographs and the School of Engineering Science, University of North Wales, Bangor for the use of their stereoscan. I should also like to thank Mr M. C. Bibby for technical assistance and Professor E. G. Gray and Dr W. Sinclair for assistance with the transmission electron-micrographs.

Loading comparison of two structures in the moving tube of a non-invasive prosthesis

2021 ◽  
pp. 1-9
Author(s):  
Jie Zhang ◽  
Ping Ye ◽  
Lizheng Zhang ◽  
Hongliu Wu ◽  
Tianxi Chi ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Normal Growth ◽  
Limb Length Discrepancy ◽  
The Body ◽  
Lower Limbs ◽  
Lower Body ◽  
Element Analysis ◽  
Non Invasive ◽  
Testing Method ◽  
Finite Element Analysis Simulation

BACKGROUND: The treatment of adolescent patients with distal femoral cancer has always been a concern. The limb-salvage, regarded as a mainstream treatment, had been developed in recent years, but its application in children still remains challenging. This is because it can lead to potential limb-length discrepancy from the continued normal growth of the contralateral lower body. The extendable prosthesis could solve this problem. The principle is that it can artificially control the length of the prosthesis, making it consistent with the length of the side of the lower limbs. However, this prosthesis has some complications. The extendable prosthesis is classified into invasive and minimally invasive, which extends the prosthesis with each operation. OBJECTIVE: We designed a new non-invasive prosthesis that can be extended in the body. Based on the non-invasive and extendable characteristics, we need to verify the supporting performance of this prosthesis. METHODS: We carried out a mechanical testing method and finite element analysis simulation. CONCLUSION: The support performance and non-invasively extension of this prosthesis were verified.

scholarly journals Sweet’s syndrome: a very rare association with pulmonary tuberculosis

2013 ◽  
Vol 7 (05) ◽  
pp. 417-420 ◽  
Author(s):  
Partha Sarathi Karmakar ◽  
Pasang Lahmu Sherpa ◽  
Achintya Narayan Ray ◽  
Bikram Kr. Saha ◽  
Tuhin Santra ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Interesting Case ◽  
The Body ◽  
Neutrophilic Dermatosis ◽  
Sweet’S Syndrome ◽  
Mycobacterium Tuberculosis Infection ◽  
High Grade Fever ◽  
Antitubercular Drugs ◽  
Sweet's Syndrome ◽  
Acute Febrile Neutrophilic Dermatosis

Mycobacterium tuberculosis infection is a common infection in developing countries, including India. It can induce several cutaneous reactions such as erythema nodosum, and erythema induratum; however, association of tuberculosis with Sweet’s syndrome (also known as acute febrile neutrophilic dermatosis) is extremely rare. Here we present an interesting case of sputum-positive pulmonary tuberculosis with Sweet’s syndrome. A 55-year-old female who was receiving a regimen of four antitubercular drugs (isoniazid, rifampicin, pyrazinamide, ethambutol- HRZE) for six weeks for sputum-positive pulmonary tuberculosis developed new onset high-grade fever for 15 days along with multiple reddish brown plaques and nodules involving the face as well as all four limbs of the body. Histopathology of the skin lesion was suggestive of Sweet’s syndrome. The patient responded well to immunosuppressive steroid therapy.

Investigating Benzene and Metabolite Mediated Alterations in Nrf2 Signaling in Murine Fetal Liver Cells

2018 ◽  
Author(s):  
Enoch Lam
Keyword(s):  
Free Radicals ◽  
Cell Cultures ◽  
Childhood Leukemia ◽  
Fetal Liver ◽  
White Blood Cells ◽  
Chemical Exposure ◽  
The Body ◽  
Chain Reactions ◽  
Additional Cell ◽  
Other Substances

Leukemia is a cancer of the blood, where the body produces an overabundance of immature white blood cells. It is the most common childhood cancer and possibly originates from chemical exposure during fetal development. Understanding the molecular mechanism and causes of childhood leukemia will help the development of therapeutic and preventative strategies to reduce and treat occurrences of this cancer. Benzene is a non-polar aromatic ring that has been confirmed to cause leukemia in adults. Benzene metabolites can generate free radicals that could potentially be involved in the development of childhood leukemia through in utero exposures. It is found in tobacco smoke, gasoline, industrial solvents and many other substances. Pregnant mothers can be chronically exposed to these substances through daily activities. In order to help determine the mechanism of benzene toxicity, a study was performed to determine the presence of free radicals in the livers of fetal mice at gestation day 14. Fetal liver cell cultures were exposed to varying concentrations of benzene and additional cell cultures were exposed to various concentrations of a benzene metabolite mixture, composed of hydroquinone and benzoquinone. RNA was extracted from these cells and converted into complementary DNA. cDNA was then used in quantitative polymerase chain reactions to analyze a set of genes that are regulated by an antioxidant pathway. This pathway can be activated in response to oxidative stress, and a change in gene expression would indicate the presence of benzene or benzene metabolite toxicity in the liver at gestation day 14.

scholarly journals Relationship between the diameter of great saphenous vein and body mass index

2005 ◽  
Vol 4 (3) ◽  
pp. 265-269 ◽  
Author(s):  
Amélia C. Seidel ◽  
Fausto Miranda Jr. ◽  
Yara Juliano ◽  
Neil F. Novo
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Saphenous Vein ◽  
The Body ◽  
Lower Limbs ◽  
Venous Disease ◽  
Paired Data ◽  
Color Flow ◽  
Spearman Test ◽  
Different Levels

OBJECTIVE: This study has been designed to correlate the diameter of the greater saphenous vein in different levels of the lower limbs with the body mass index of each individual to determine a possible relation between them. METHODS: Fifty-two lower limbs in 26 volunteers (six males and 20 females) without a chronic venous disease record, aged 21-68 were evaluated. Prior to color-flow duplex scanning the body mass index was defined. The deep and superficial venous systems and perforator veins were assessed as described in the literature. The diameter of the greater saphenous vein was measured with ultrasound longitudinal imaging in seven different levels. For the statistical analysis, Student t test for paired data and Spearman test were used. RESULTS: The difference observed in saphenous venous in the second and third levels when compared to the lower right and left limbs was not considered significant and a single group was formed to correlate with body mass index. The correlation was considered statistically irrelevant. CONCLUSION: By correlating the diameters of the greater saphenous vein with the body mass index of each individual it was noted that the relation between them is not significant, therefore it can be assumed that tall thin individuals can have greater saphenous vein with similar diameter as short fat individuals.

scholarly journals SPRAY APPLICATIONS TO TOMATO PLANTS IN GREENHOUSES. PART 2: EFFECT OF SPRAY LANCE TYPE

2009 ◽  
Vol 40 (3) ◽  
pp. 49 ◽  
Author(s):  
Emanuele Cerruto ◽  
Giuseppe Emma ◽  
Giuseppe Manetto
Keyword(s):  
Block Design ◽  
The Body ◽  
Lower Limbs ◽  
Internal Layer ◽  
Protective Equipment ◽  
Body Parts ◽  
Tomato Plants ◽  
Application Rates ◽  
Two Factors ◽  
The Mean

The present paper reports the results of some spray application trials carried out in a greenhouse with full developed tomato plants to assess foliar deposition, ground losses, and dermal operator exposure when using handheld high pressure spray lances and when walking backwards during treatments. Two spray lance types (conventional with one nozzle and Yamaho C-6 with two steel nozzles, each with two orifices) and two working pressures (10 and 20 bar) were taken into consideration. An experimental design with two factors (spray lance and pressure) was adopted, arranged according to a randomised block design with three replicates. Volume application rates ranged from 775 up to 1252 L/ha, but all data were normalised to 1000 L/ha. The results showed no statistically significant differences in the mean foliar deposition between the two spray lances and the two working pressures. However, the higher pressure improved significantly the deposit into the internal layer of the canopy (+57%), whereas the Yamaho C-6 spray lance produced a higher deposit on the external layer at any pressure. The greatest differences between external and internal layer were mainly concentrated in the middle and high parts of the canopy, where there were 55 007_Cerruto(557)_49 18-11-2009 11:59 Pagina 55 the highest values of LAI and number of foliar layers. The fraction of the applied volume rate on the ground was on average 25 percent and it was affected only by the pressure value: it increased from 21.7 to 28.7 percent when the pressure increased from 10 to 20 bar, due mainly to the contribution of the conventional spray lance under the sprayed twin-rows. Finally, neither pressure nor spray lance type affected significantly the dermal operator exposure. Upper limbs accounted for 51 percent of the total exposure, while trunk and lower limbs accounted for 24 percent each. The body parts more exposed were the left arm and the hands, but also relatively high was the deposit on the respirator, so operators should ever wear appropriate personal protective equipment.

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