Genital prolapse is a common gynecological condition, but it is exceptional during pregnancy. It can be pre-existent or else manifest in the course of pregnancy. Complications resulting from prolapse of the uterus in pregnancy vary from minor cervical infection to spontaneous abortion, and include preterm labor and maternal and fetal mortality as well as acute urinary retention and urinary tract infection. Moreover, affected women may be at particular risk of dystocia during labor that could necessitate emergency intervention for delivery. We report the case of a third third-generation 32-year-old third gesture second pare with no particular health history. The last two pregnancies proceeded normally with stage 2 genital prolapse occurring in the second trimester of pregnancy that was aggravated by abdominal expression during childbirth.
Identical Twins with Endogenous Tinea Versicolor This case report was inspired by recent medical data consistent with the obser-vation that Tinea Versicolor caused by Malassezia Furfur species may be en-dogenous produced by human body. This case report involves a pair of identical twins –ages 71- who have had recur-rent Tinea Versicolor infections for over six decades. The author of this article twin A, a physician and his brother twin B have in summer months had skin lesions – on chest and upper extremities of round ap-proximately 1 inch wide – diagnosed as tinea versicolor by many doctors in di-verse medical settings in different countries since their adolescence. The infec-tions have been successfully treated by antifungal medications. Both twins were born in Istanbul Turkey. Twin A who lives in Houston Texas had lived in Los Angeles California and Dahran Saudi Arabia. Twin B who lives in Athens and spent the majority of his adult life in Washington DC. Neither twin reported any association between location and tinea versicolor infections yet they both observed that almost always infections emerged in warmer climates. Both twin A and twin B have been diagnosed with hypertension and hypercho-lesterolemia well controlled by amlodipine 10 mg and atorvastatin 20 mg respec-tively.
Acute soft head syndrome and a mini review of bone and neurologic complications in patients with sickle cell disease
Introduction: Acute soft head syndrome is a rare complication in patients with sickle cell disease (SCD) that is characterized by progressive skull pain and swelling, it is usually related to skull bone infarction and full recovery is achieved with conservative management. This case represents a very rare association of sickle cell disease and acute soft head syndrome that necessitates to be differentiated from other bone and neurologic presentations occurring in this entity of patients. Case: We report a rare case of an 11 years old Saudi male patient with sickle cell disease who developed acute soft head syndrome that presented with severe headache. An underlying osteomyelitis of skull and lower limb bones couldn’t be excluded and the patient had full recovery after conservative treatment. Conclusion: Acute soft bone syndrome seldomly occurs in SCD, however, its presentations mimics those of bone and neurologic complications so differentiation is essential in order to set up a clear plan of management.
Sadipathy is a unique and relevant construct that merits full scholarly consideration and scientific investigation. Sadipathy has herein been conceptualized as a psychological and behavioral pathology directly cognate with extremely violent and sadistic actions. The sadipath is an individual that takes pleasure in victimizing others, inflicting serious pain and injury on others, and often even committing murder. Sadipathic individuals derive emotional, psychological, and/or sexual delectation in repeatedly inflicting suffering on others. Sadipathy is particularly associated with certain types of the most extreme offenders, such as serial killers and violent sexual offenders. Sadipathy is an apropos phenomenon to various academic and applied fields, such as psychology, psychiatry, criminology, sociology, criminal justice, law, and corrections. In the field of psychology, sadipathy would be particularly germane to the concentrations of criminal psychology, clinical psychology, and forensic psychology.
Incidence of Cognitive Decline and Association with Changes in Sociodemographic, Lifestyle, and Health Indicators in Individuals aged 50 years and older: Prospective Cohort
Objectives: To identify the incidence of cognitive decline (CD) in an urban community-dwelling population aged 50 years and older in a 4-year follow-up period and its prospective association with sociodemographic factors, lifestyle and health conditions as well as with changes in these factors. Methods: This is a prospective cohort with a representative sample of people aged 50 years and older (n = 206) from Cambé, PR, where baseline data collection occurred in the year 2011 and the follow-up occurred in 2015. The incidence of CD was the outcome of this study, and its evaluation occurred through the Mini-Mental State Examination. Results: The incidence of CD was 13.1% over the 4 years of follow-up, and adjusted Poisson regression models (sex, age and age range) showed that this condition was prospectively associated with depression (adjusted relative risk (RR) = 3, 50, 95% CI = 1.65-7.43). When analyzing the effect of sociodemographic factor changes on CD, it was verified that the risk of CD was 2.86 times higher among the group that stopped having a companion in the 4 years of follow-up when compared to the group that maintained a companion in that same period, independent of confounding factors. Conclusion: The data suggest that the CD process begins before the age of 60 y and that aggravation is associated with potentially modifiable factors that can be approached by health services from the perspective of promotion, prevention and care.
Background: Various cast materials have been used to manage idiopathic club foot by Ponseti method of serial casting and bracing each material have it`s advantage and disadvantage. Objectives: To compare between two cast materials used to treat idiopathic clubfoot in response to the number of casts required in achieving correction, the need for tenotomy, and skin problems that can result from using these materials. Methods: Patients were randomized to fiberglass cast group and plaster cast group. The outcome measures were: the number of casts required to obtain clubfoot correction, need for Achilles tenotomy, and skin problems that are associated with the use of different cast materials Results: We enrolled 33 children in the study with 40 clubfeet. 22 (55%) clubfeet were randomized to fiberglass and 18 (45%) to plaster casts. taking in consideration that bilateral feet have the same cast material for correction. There was a significant difference in the number of casts required for clubfoot correction between the two groups (p=0.005). Tenotomy was performed in 19 (47.5%) clubfeet with no significant association between tenotomy and cast material groups. Skin problem occurred in 8 (20%) clubfeet during the process of their correction. Conclusion: The historical plaster of Paris remain to be the material of choice which can be used for correction of clubfeet by Ponseti method.
The Neuro Engraftment and Neuroregenerative effects of Hydrogen Sulphide Donor, Intracerebral MSCs, Ginko Biloba and Kefir in Attenuating Neuropathological hallmarks of Lipopolysaccharide induced Alzheimer’s disease Rat models
Background: Memory disorders have been characterized by being a devastating long term incurable diseases with a huge social impact in addition to a diminished efficient available medical treatments. Deep Brain stimulation via using neuroprotective inducers for treatment of brain structure degenerative diseases such as Alzheimer’s disease (AD) can be considered as being a promising successful therapy due to its various targets and underlying mechanisms for improving brain dysfunction. Objectives: The main aim of this study is to suggest therapeutic protocol having the potentials for restoring normal neurons diverse population and modifying neuropathological deposited hallmarks including both positive and negative lesions. Materials and Methods: Rats were divided into nine groups: (G1) control ;(G2) rats received LPS as a method of inducing nongenetically manipulated AD;(G3)AD rats received NaHS;(G4) AD rats received MSCs intracerebrally;(G5) AD rats received MSCs+NaHS;(G6)AD rats received kefir+GB;(G7)AD rats received MSCs+kefir+GB;(G8)AD rats received NaHS+kefir+GB; (G9) AD rats received MSCs+NaHS+kefir+GB. Results: AD induction resulted in down-regulation of CBS expression and GSH brain tissue level accompanied with overexpression in amyloid-β protein, MAPK, tau protein, ACAT expression and MDA brain tissue level in addition to elevated caspase-3 serum level. Conclusion: The implantation of amyloid reliving therapy that do have a wide clinical impact if initiated at benign plaques stage before irreversible brain damage occurs. The following effects have been observed following the administration of suggested medical protocol where a decrease in AD pathological deposited hallmarks has been observed with maintaining inflammatory brain factors by functioning as a potent neuroregenerative.
Comparative Myoarchitectural Orientation of the Extrinsic Lingual Muscles of the Egyptian Cattle (Bos Taurus), Buffalo (Bubalus Bubalis) and Camel (Camelus Dromedarius)
Comparative myoarchitectural anatomical studies were adopted on twelve tongues of apparently health of both adult sexes of cattle, buffalo and camel. The study was aimed to describe the architectural orientation of the extrinsic lingual muscles for each species. As well as statistical data between the tongue and extrinsic lingual muscles. The work declared the properties of potent tongue which allowed the cattle and buffalo to perform their behavioral prehension of food. The study described the extrinsic lingual muscles and spotted a light on the role of the geniohyoid muscle on the tongue. The work concluded that the tongue of cattle was the stronger than the buffalo while both able to depend up on their tongue for food prehension. On the other hand the tongue of camel adapted for introral function.
Independent operation Advantage integration Complementary development—An analysis of the relationship between newspapers and websites
The rise of online media has left paper media, especially newspapers, in a very awkward position and there is still a debate on the relationship between newspapers and websites, many people in the industry called the two a relationship of “newspapers and the Internet is father and son”, which is a false understanding. This paper holds that in the case of newspapers and networks belonging to the same newspaper office, the two should operate independently, integrate their respective advantages, complement each other, inter-develope, so as to implement a win-win situation for newspapers and websites.
In recent years, electric vehicles have developed rapidly around the world. A series of research and services for electric vehicles are also rapidly developing. Faced with the broad market demand, Yichang Ju Calling Company launched the intelligent charging and switching service cloud platform “Gathering”. Based on technologies such as Internet of Things, Internet, and big data analysis, the solution builds an intelligent vehicle cloud platform for electric vehicles. The intelligent cloud platform has an electric vehicle charging and reloading reservation, a next destination navigation charging and switching plan, and a private charging pile sharing. Charging pile inquiry and reservation, fee settlement, user community communication and other functions make the electric vehicle charging service platform more intelligent and convenient. At the same time, as a bridge between electric vehicles and charging stations, “Gathering” can combine the real-time electricity price, the degree of traffic congestion, the use of charging piles and the load of the power grid to plan more efficient and convenient charging suggestions for users. Make full use of power resources to reduce the load and cost of the grid.