An unusual Cause of upper airway obstruction in newborn: Congenital nasal pyriform aperture stenosis
Congenital nasal pyriform aperture stenosis (CNAPS) is a rare cause of pediatric nasal airway obstruction that clinically mimics choanal atresia in a neonate. CNPAS is suspected clinically and confirmed with CT scanning. Early diagnosis and management is essential for this potentially life-threatening condition. Because of the association this anomaly has with other midline defects, such as holoprosencephaly, it is important to recognize it and pursue a thorough workup. Patients can be managed conservatively or surgically. Surgical treatment is usually reserved for those patients that fail conservative treatment. We present a case of CNPAS, to highlight the importance of recognizing the classic signs of CNPAS on cross-sectional imaging to prevent fatal outcome.
Paget’s bone disease (PBD) is a benign tumor of osteoclasts. We report a case of an isolated temporal bone’s Paget disease with unusual evolution to a rapidly functional degradation of vestibulocochlear system. A 60 years old female was admitted for an isolated, left sided mastoid tumefaction without any inflammatory signs. Initial temporal bone computed tomography (CT) showed a left cotton wool appearance without any ossicles lesion or vestibulocochlear extension. Anatomo pathological tests confirmed the diagnosis. The outcome was marked by the occurrence of vestibulocochlear symptoms. Treatment had consisted on subtotal surgery in combination with oral bisphosphonate with improvement of her clinical conditions. The post operative’s follow-up was simple without any abnormalities PBD of temporal bone is a benign disorder. Imaging is considered the most useful diagnosis modality for revealing the disorder that will be confirmed by histological tests. The treatment is based on medical approaches and surgery has few indications.
Using 2007-2017, securities regulatory commission announced on the administrative penalty, penalty and certified public accountant firm in the audit failure penalty as the research sample, respectively, from the audit failure of violating the frequency of the auditing standards, registered public accounting firm scale and the relationship between the financial fraud and audit failure three aspects to discusses the reasons of audit failure. It is found that “audit evidence” and “verification” account for a large proportion of audit failures. There is a positive correlation between the size of firms and audit quality, and the proportion of audit failures in “big firms” is low. There is no correlation between financial fraud and audit failure. , In view of the reasons for the audit failure, this paper puts forward some preventive strategies. ,
During buffaloe OSD spread in a village affiliating to Assiut Governorate-Egypt, 44 buffaloe cows hosted and owned sporadically were subjected to the study. From 43 buffaloe cows (had closed lesions either edematous or nodular) and a buffaloe cow (had open ulcerative lesion), Corynebacterium pseudotuberculosis equi (C. ps. equi) as 72% and Corynebacterium pseudotuberculosis ovis (C. ps. ovis) as 28% were isolated and identified. Blood sucking insects hosted on the infected buffaloe cows (22) louse fly (Hippobosca equine) and 20 Haematopinus eurysternus lice were included during the study where both C. ps. equi and C. ps. ovis were isolated from Hippobosca equina ( H equina) but failed to isolate any biovar of C. ps. from Haematopinus eurysternus lice (H. eur.). Moreover, C. ps. equi was isolated from two H equina pupae – lab deposited – as well as a H equina second generation fly concluding that there is endosymbiosis nature of C. ps. limited only to H. equina fly which can transmit C.ps. vertically.
Nearly 80% of people with diabetes live in low- and middle-income countries. It increases healthcare expenditure and imposes a huge economic burden on the healthcare systems. The International Diabetes Federation estimated more than 7 million people with diabetes in Bangladesh and almost an equal number with unexplored diabetes. This number is estimated to double by 2025. It is a costly condition and may cause stroke, heart attack, chronic kidney diseases, neuropathy, visual impairment and amputations. Bangladesh is a developing country where 75% of total population lives in rural area. Subsequently they have poor healthcare access as 26% of rural professionals remain vacant and nearly 40%, absent. Nearly 45% rural people take medical assessment from unqualified health workers including medical assistants, mid-wives, village doctors, community health workers in comparison to that by qualified medical graduates (only 10%-20%). More than 75% women having complications taken treatment from an unqualified provider. These are mostly because concern over medical costs, and pronounced socioeconomic disparities found for care-seeking behavior in both urban and rural Bangladesh.
In China, the development and the wide usage of mobile Internet and intelligent terminal devices have exerted a huge impact on people’s reading patterns. Reading has entered the “Fragmentation Era”, and “Fragmented Reading” has become the major pattern of reading.This paper expounds the advantages and disadvantages of fragmented reading and the influence of the major trend of fragmented reading on college students’ reading and what role should university library play and what reading service should it provide in the age of fragmented reading.
Breakfast, the first meal of the day, is considered the most important meal throughout the day. As nutritionist Adelle Davis famously put it back in the 1960s: “Eat breakfast like a king, lunch like a prince and dinner like a pauper”. Breakfast is most commonly skipped meal more than lunch and dinner specifically in the young adult in the university study period and those who wake up late. Lack of time is the main reason behind skipping meals, in general, lack of appetite, inability to cook, fasting/religion, and not being hungry. Many people are used to be in a hurry for job, business, children’s’ school in the morning where a filled stomach may prevent them to walk a long way. It is obvious that the irregular omission of breakfast may be effective in energy intake reduction over the next 24 hours and in this day, exercise performance may be compromised. There is no evidence that breakfast skipping reduces overeating or prevent weight gain. Some people argue that breakfast and good health is a marketing strategy by breakfast companies.
Bangladesh is a developing country where 75% of total population lives in rural area. Subsequently they have poor healthcare access as 26% of rural professionals remain vacant and nearly 40%, absent. Although official documents indicate that 80% of the population has access to affordable essential drugs, there is plenty of evidence of a scarcity of essential drugs in government healthcare facilities. Nearly 45% rural people take medical assessment from unqualified health workers including medical assistants, mid-wives, village doctors, community health workers in comparison to that by qualified medical graduates (only 10%-20%). More than 75% women having complications sought treatment from an unqualified provider. These are mostly because concern over medical costs, and pronounced socioeconomic disparities found for care-seeking behavior in both urban and rural Bangladesh. However, the government’s expenditure on health is the third largest in the country, after education and defense. Diabetes is a complicated chronic disease; non-compliant patients are in a risk of moderate to severe complications, to much extent unexplored to maximum people of Bangladesh. Annually diabetes is responsible for 5% of all deaths globally, and its prevalence is increasing steadily. As reported by International Diabetes Federation (IDF), approximately 75–80% of people with diabetes die due to cardiovascular complications.
Gonadal, extra gonadal sperm reserve and daily sperm production of breeder cocks fed graded levels of dietary fumonisin B1
Fumonisin B1 (FB1), a secondary metabolite of the fungus fusarium verticillioides is known to be consumed by farm animals and has been reported to be associated with various farm animal diseases. To account for potential reproductive effects \of fumonisin in cocks meant for breeding purpose, sixty pre-pubertal breeder cocks of about 16 weeks of age were randomly assigned to four diets containing 0.2, 5.2, 10.2 and 15.2mg FB1/kg constituting diets 1, 2, 3 and 4 respectively. After 16 weeks of feeding trial all the pubertal cocks were sacrificed. Their testes and epididimydes were carefully dissected, removed, weighed and recorded. The left and right organs were homogenized separately. Dietary FB1 did not significantly (p> 0.05) influence both the gonadal and extra gonadal weights of the cock. The gonadal sperm reserves (GSR) of cocks fed the control diet (5.54x 107/testis) was significantly superior (p
Due to the natural factors such as location, the farmer in exurban area can’t get the added value of land, so they attach less and less importance to land.Land transfer is one of the effective methods to realize the increasing value of farmers their own land. According to the survey data of 268 households from Jinhu sub-district office, Daye city for two exurban villages ,this article used the Binary logistic model and make regression analysis from 5 aspects such as individual characteristics of rural households,family characteristic, characteristics of land transfer, cognition of land and social factors, to explore the main factors for affecting the willingness of rural households in exurban area to transfer land, and put forward the the corresponding policy recommendations.