Monday, 6 March 2017

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%), kneeand 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 extraarticular 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>>>>>>>>>>>>>>>
https://www.esciencecentral.org/journals/tuberculous-tenosynovitis-of-the-wrist-joint-imaging-findings-on-mri-2332-0877-1000307.php?aid=82111

Wednesday, 1 March 2017

Unique Epidemiological Patterns and Origin of the Outbreak of Human Infection with H7N9 AIV in China from 2013 to 2015



An epidemic of human infection (h-H7N9 AI) with a novel Avian Influenza A (H7N9) virus (h-H7N9 AIV)broke out in China in 2013. The first case occurred in Shanghai on February 19, 2013, neighbouring provinces were involved in the next months. Until May 10, 2013, 131 confirmed cases had been reported to the World Health Organization (WHO), of which 32cases died (24.4%). 
H7N9 AIV


It was considered that the incidence and mortality were both high. Six hundred and twenty eight cases were confirmed up to April, 2015. Until June 2016, 767 cases had occurred only in the mainland with inputting cases in other regions and countries. It was suggested that the human infection with H7N9 AIV is “Natural Focus Disease” and the “Natural Focus” is in mainland China, therefore, it cannot be spread outward. “Natural Focus Disease” often is referred to as “Zoonosis” by most scholars in scientific papers.  Read more>>>>>>>>>>>>>>

Friday, 20 January 2017

ATP Measurement in the Last Rinse Water of Automated Washer-Disinfectors



Cleaning and disinfection are essential steps in the reprocessing of medical devices. AutomatedWasher-Disinfectors (AWDs) are widely used in healthcare settings to obtain both clean and disinfected medical devices. 

ATP Measurement

The use of AWD is advocated in literature and in standards for minimizing processing variability and infective risk for the staff of the central sterile supply department (CSSD). According to the European Medical Devices Directive 93/42/EEC and subsequent amendments by 2007/47/EC a claim made on a product or procedure has to be proven.  Read more>>>>>>>>>>>>>>

Thursday, 19 January 2017

Disseminated BCG Disease in an Infant with Severe Combined Immunodeficiency

BCG (Bacillus Calmette Guerin) being a live attenuated vaccine may cause disseminated disease (BCGiosis) in patients with impaired immunity. Patients with severe combined immunodeficiency (SCID) having defection both cellular and humoral immunity are predisposed to a host of live vaccine related complications, especially BCG.

journal of infectious diseases in developing countries
We report a 6 month-old baby boy with fever for 5 months, generalized rash for 3 months, cough and cold for 1 month, poor feeding and weight loss over last 1 month. He had an uneventful perinatal period and received BCG at birth. Examination revealed mild pallor, generalized erythematous papular rash with central crusting and splenohepatomegaly. Skin biopsy and culture confirmed BCG infection while computed tomography of abdomen and skeletal survey showed disseminated involvement. Immunological investigations were suggestive of an underlying SCID. The infant showed improvement with antitubercular therapy combined with intravenous immunoglobulin and other supportive measures.

Wednesday, 18 January 2017

Candida Albicans Involvement in Denture-Related Stomatitis: A Serious and Real Clinical Concern



Colonization of oral surfaces by Candida spp. is considered a risk factor for invasive fungal infections. Oropharyngeal candidiasis manifests clinically as acute pseudomembranous, acute atrophic, chronic atrophic, chronic hypertrophic/hyperplastic and angular cheilitis.

Denture-Related Stomatitis


Denture-related stomatitis (or chronic atrophic candidiasis) is characterized by an inflammation of the mucous membrane located beneath the prosthesis, particularly under the upper denture, sometimes accompanied by hemorrhagic petechiae. Denture stomatitis is the commonest form of oral candidiasis and its reported prevalence varies widely reaching up to 65% of denture wearers. Patients may complain of a burning sensation, irritation, discomfort, bad taste and disturbance of salivation, but in the majority of cases they are unaware of the problem.  Read more>>>>>>>>>>>>>>>

Tuesday, 17 January 2017

Is Work Disability More Common among Same-sex than Different-sex Married People?



Research has repeatedly shown that lesbian, gay, and bisexual (LGB) individuals experience higher risk for both somatic and psychiatric diseases, as compared to heterosexual individuals. 

Same-sex

In addition, it has been demonstrated that LGB individuals constitute a higher-risk group for health risk behaviors such as smoking, elevated levels of alcohol consumption and substance abuse, as well as higher body-mass index among women . Also, there are some results of higher disability rates among sexual minority individuals, which is consistent with pernicious effects of minority stress. However, the prior studies are based on self reported data and their findings should hence be interpreted in the context of possible misclassifications and recall biases.  Read more>>>>>>>>>>>>>