Friday 30 December 2016

Tuberculous Tenosynovitis Of The Wrist Joint: Imaging Findings On MRI



Tuberculosis of the musculoskeletal system is uncommon and presents in 10% of extrapulmonary tuberculosis. Although atypical presentation of TB includes spine (51%) pelvis (12%), hip and femur (10%), knee and tibia(10%), and ribs (7%), tuberculous infection of the wrist is rare. 

Tuberculous Tenosynovitis Of The Wrist Joint
Tuberculosis still remains the primary cause of tendon sheath infection even though it is an uncommon site of extra-articular TB. Due to its delayed initial diagnosis and because it mimics many other disease processes, many complications arise secondary to tuberculous tenosynovitis. Median nerve compression leading to carpal tunnel syndrome may also occur in these patients. This report discusses the imaging findings on MRI of a patient who presented with wrist swelling and was confirmed to have tuberculosis of the wrist on histopathological examination. Read more>>>>>>>>>>>>>>>

Thursday 29 December 2016

Lower Plasma Zinc Levels in Hyperglycemic People Living with HIV in the MASH cohort



Zinc deficiency is prevalent among people living with the human immunodeficiency virus (PLWH). This may be due to the preferential use of zinc by humanimmunodeficiency virus (HIV) for viral replication, altered zinc metabolism and/or inadequate dietary zinc intake.

Hyperglycemic People Living with HIV
Low plasma zinc levels directly affect the immune system because zinc is an important co-factor in the maturation of CD4 cells, which are part of the T-cell system of the immune system. In addition, zinc is important for many catalytic enzymatic activity and protein/DNA synthesis. Due to its importance and pervasiveness in all tissues, zinc deficiency has many adverse effects such as impairing the reconstitution of the immune function in PLWH. In 1996, antiretroviral therapy (ART) was first used to successfully control the HIV viral load and become the standard of treatment for HIV. The treatment, however, has been associated with hyperglycemia and type 2 diabetes. As a result, PLWH are at a higher risk of developing type 2 diabetes and subsequently cardiovascular disease after initiation of ART. Read more>>>>>>>>>>>>>>>

Wednesday 28 December 2016

Complementary and Alternative Medicine in Lung Cancer



Throughout the history of medicine, complementary and alternative medicine (CAM) has played a significant role in the treatment of cancer patients. In 1999, the National Institutes of Health (NIH) created the National Center for Complementary and Alternative Medicine (NCCAM) in recognition of this growing field. Research funding to the NCCAM has risen from $ 2 million in 1992 to $50 million by 2000 and is expected to be more than $110 million by the mid-2000’. 

Lung Cancer

A survey conducted in 2005 indicated that approximately 35.9% of cancer patients attempted use of CAM during their treatment course. In fact, that percentage may be even higher as studies have shown that many patients do not disclose the use of CAM therapy unless asked specifically. Physicians poorly communicate with their patients regarding the potential benefits or harms of CAM because they have minimal understanding of CAM therapy and its physiological role in managing diseases. Patients are often dissatisfied with their physicians’ lack of knowledge regarding CAM therapy. Patients who have a history of incorporating CAM into their management plan are generally driven by personal beliefs and principles regarding life and health.  Read more>>>>>>>>>>>>>

Tuesday 27 December 2016

Incidence of Oligohydramnios in Konaseema Area, EG-District



Amniotic fluid plays a major role in fetal growth and development. Abnormalities of fluid volume can interfere directly with fetal development causing structural anomalies such as pulmonary hypoplasia, fetal hypoxia, neural tube defect andgastrointestinal obstruction. Amniotic fluid surrounds and protects the fetus in the amniotic cavity. 
Oligohydramnios


It provides a cushion against the constricting gravid uterus allowing the fetus room for movement, growth and protecting it from external trauma. The space around the fetus is necessary for the normal development, maturation of fetal lungs, and development of limbs. Amniotic fluid plays a major role in the homeostasis of fluid and electrolytes and fetal body temperature. Early period of fetal development a clear fluid collects in the amniotic cavity surrounding the embryo. The amount increases rapidly with the growth of the fetal products, averaging 50 ml at 12 weeks of pregnancy, 400 ml at 20 weeks of pregnancy. During the last few week of pregnancy the volume of amniotic fluid usually decreases. Read more>>>>>>>>>>>>

Monday 26 December 2016

Quercetin: A Promising Treatment for the Common Cold



The common cold has afflicted humanity since antiquity. Hippocrates described the common cold as “a running at the nose and . . . a discharge from the nostrils . . . it makes the nose swell and renders it hot and inflamed.”. The ancient Egyptians were also familiar with the common cold, having a hieroglyph for the disease, and prescribed “the administration of milk of one who has borne a male child and fragrant gum”. 
Quercetin


Other ancient remedies included bleeding patients, and kissing the muzzle of a mouse. Despite our growth in medical knowledge and understanding, modern treatments for the common cold have advanced little. No known cure for the common cold exists, yet the disease imposes costs of around $40 billion per year in the United States, and is the leading cause for doctor visits and missed school days. Respiratory infections are the leading causes of death for children under age 5, and recurring viral infections during infancy may lead to the development of asthma later in life. Read more>>>>>>>>>>>>>>