scholarly journals Unusual presentation of late-onset disseminated staphylococcal sepsis in a preterm infant

2019 ◽  
Vol 12 (3) ◽  
pp. e226325 ◽  
Author(s):  
Shahzad Gul Khattak ◽  
Ian Dady ◽  
Devdeep Mukherjee
Keyword(s):  
Late Onset ◽  
Whole Body ◽  
Whole Body Mri ◽  
Left Hand ◽  
Non Invasive ◽  
Male Baby ◽  
Left Elbow ◽  
The Right ◽  
Panton Valentine Leukocidin ◽  
Rule Out

An ex-30-week gestation, preterm male baby was admitted to a tertiary neonatal unit and noted to have increased ventilator requirements and diagnosed with sepsis. The baby also developed an abscess over the left elbow and over the xiphisternum along with a decrease in movement of the left hand and the right leg. Panton-Valentine leukocidin (PVL)-producing Staphylococcus aureus (SA) was isolated from the blood culture. A whole body MRI showed disseminated abscess with multiple foci in the lung, left elbow and over the xiphisternum. Disseminated sepsis with multiple septic foci has not been previously reported in neonates. We would like to highlight the fact that sepsis due to PVL toxin-producing SA can cause significant morbidity and mortality in neonates. Proper screening should be done to rule out septic foci in neonates. MRI is a good non-invasive investigation to document septic foci in a neonate and rule out multiorgan involvement.

scholarly journals Studi Ergonomi tentang Keluhan-keluhan Fisik yang Dialami Karyawan di Unit Perpustakaan Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta

2015 ◽  
Vol 10 (1) ◽  
pp. 22
Author(s):  
Heru Wibowo
Keyword(s):  
Quantitative Research ◽  
Mechanical Vibration ◽  
Left Knee ◽  
The Body ◽  
Upper Body ◽  
Left Shoulder ◽  
Research Approach ◽  
Left Hand ◽  
Left Elbow ◽  
The Right

In carrying out the activities at the library needed a comfort, safety and job security in order to create a condition that is in line with expectations and make history in enjoying what will be done. To create an environment and atmosphare is influenced by temperature, humidity, air circulation, lighting, mechanical vibration, color, ordor, and a number of tools used to support the activities of the library includes tables, ahairs, shelves, cabinets, atc. Furniture or equipment use in the library must also be designed so that a safe and compfortable when used. This study aims to determine the grievances suffered by employees (librarian. This study is a quantitative research approach to ergonomics so that the methods used include: (1) observation by direct observation, (2) interview were conducted using a questionnaire sheet Nordi Body Map and (3) documentation. The results obtained from this study: (1) in the upper body 70% complained of pain in the shoulders and neck, 50 % left shoulder , right shoulder 55 % , and 45 % on the left arm. (2) the body of the middle 60 % complained of back pain , 50 % in the upper right arm , 60 % pain in the waist , 20 % on the buttocks , 15 % on the buttocks , the left elbow 25 % , 20 % right elbow , 30 % below the left arm , forearm 25 % right, 35 % left wrist , right wrist 45 % , 30 % and 40 % left hand right hand. (3) in the lower body as much as 20 % complained of pain in the left thigh , right thigh 20 % , 30 % left knee , right knee 25 % , 35 % left calf , calf 35 % right, 20 % left ankle , 30 % on the right ankle , 20 % of the left leg and 25 % pain in the right foot . It can be concluded that most of the employees (librarians) complained of pain in the right side of the body member .

Do the “Spreadability” and Finger Length of Cellists and Guitarists Change Due to Practice?

2000 ◽  
Vol 15 (1) ◽  
pp. 23-30
Author(s):  
Renate Kloeppel
Keyword(s):  
Teaching Methods ◽  
Large Scale ◽  
Control Group ◽  
Left Hand ◽  
Finger Length ◽  
Left Elbow ◽  
Comparison Groups ◽  
The Right ◽  
And Control

It is a widely held opinion among musicians that extreme joint positions increase the flexibility in the corresponding joints. There are also occasional views that extensive use of the fingers starting in childhood may lead to increased finger length. These opinions have implications for teaching methods; however, in spite of extensive examinations of the shapes of musicians’ hands, to date there have been almost no objective findings. There have been large-scale examinations of the angle of supination of the left elbow of violinists, with the finding that primarily genetic factors are responsible. In order to answer the question whether external factors can influence joint configurations of the hand as well as finger length, the active finger spreads and finger lengths of 210 subjects (cellists, guitarists, and control subjects) were measured. The working hypothesis was that there would be an increase in finger spread in the left hand fingers compared with the right if the frequent extreme positions taken on the fingerboard did in fact influence finger spread. The nonmusician control group, however, would not be expected to show this difference, or at least not to the same extent as in the musicians. Similar differences should apply to finger length, if this is influenced by long-term practicing on these instruments. A majority of the measurements of all three groups demonstrated a greater spreadability of the fingers of the left hand than of the right. In contrast to the comparison groups, there was a significantly greater span between the left hand index and small fingers of cellists. This span was not measured in the guitarists because it does not apply in their playing as it does for cellists. In addition, the measurements of the right-left differences in the finger lengths of the cellists when compared with the nonmusician group showed significantly longer fingers on the left than the right. This difference is probably caused by better-developed fingertips of the cellists. Further research is needed to discern whether the spreadability could be improved through specific training programs.

Whole-body MRI in late-onset Pompe disease: Clinical utility and correlation with functional measures

2020 ◽  
Vol 129 (2) ◽  
pp. S88
Author(s):  
Aleena A. Khan ◽  
Tracy Boggs ◽  
Michael Bowling ◽  
Stephanie Austin ◽  
Mihaela Stefanescu ◽  
...  
Keyword(s):  
Pompe Disease ◽  
Clinical Utility ◽  
Late Onset ◽  
Whole Body ◽  
Whole Body Mri ◽  
Functional Measures

MATHEMATICAL MODEL OF THE ARMS DURING KAYAKING USING GORDON'S METHOD

2012 ◽  
Vol 09 ◽  
pp. 174-177
Author(s):  
NURHIDAYAH OMAR
Keyword(s):  
Mathematical Model ◽  
Shoulder Joint ◽  
Elbow Joint ◽  
Wrist Joint ◽  
Left Shoulder ◽  
Left Wrist ◽  
Kinematic Chains ◽  
Left Hand ◽  
Left Elbow ◽  
The Right

The aim of this study was to develop a mathematical model of the arms during kayaking. Gordon's method has been used to develop the model. This model comprises of six kinematic chains of the arms that represent the right shoulder joint, right elbow joint, right wrist joint, left wrist joint, left elbow joint and left shoulder joint. The joints comprise of right upper arm, right lower arm, right hand-paddle, left hand-paddle, left lower arm and left upper arms.

scholarly journals Fibular dimelia and mirror polydactyly of the foot in a girl presenting additional features of the VACTERL association

2010 ◽  
Vol 128 (2) ◽  
pp. 99-101 ◽  
Author(s):  
Pricila Bernardi ◽  
Carla Graziadio ◽  
Rafael Fabiano Machado Rosa ◽  
Juliana Nunes Pfeil ◽  
Paulo Ricardo Gazzola Zen ◽  
...  
Keyword(s):  
Lower Limb ◽  
Abdominal Ultrasound ◽  
Radiographic Evaluation ◽  
Disruptive Effect ◽  
Left Hand ◽  
Fourth Finger ◽  
The Right ◽  
Femoral Hypoplasia ◽  
Induce Abortion ◽  
Rule Out

CONTEXT: The association between fibular dimelia and mirror polydactyly of the foot is considered to be a very rare lower-limb abnormality. On the other hand, VACTERL is an acronym for a nonrandom association of congenital anomalies for which the etiology is still poorly understood. CASE REPORT: The patient was a seven-month-old white girl whose mother had used misoprostol in the second month of pregnancy to induce abortion. On clinical evaluation, she was small for her age and presented hypotonia, anteverted nares, long philtrum and carp-like mouth. Her left hand had a reduction defect, with absence of the extremities of the second, third and fifth fingers and camptodactyly of the fourth finger. The ipsilateral lower limb presented significant shortening, especially rhizomelic shortening. Her left foot had a mirror configuration with seven toes and no identifiable hallux. The pelvis was hypoplastic. Esophageal atresia with tracheoesophageal fistula and imperforate anus were detected during the neonatal period. Abdominal ultrasound identified agenesis of the right kidney and left pyelocaliceal duplication. Radiographic evaluation on the left side showed iliac and femoral hypoplasia, absence of the tibia with a duplicated fibula and seven metatarsals and toes with no identifiable hallux on the foot. Echocardiography demonstrated an atrial septal defect. Based on the literature, we believe that the spectrum of malformations presented by our patient may be related to the vascular disruptive effect of the misoprostol. However, we cannot rule out the possibility that this association might simply be a coincidence.

scholarly journals Shock and dyselectrolytemia in a neonate with late-onset COVID-19 infection

2021 ◽  
Vol 14 (9) ◽  
pp. e246100
Author(s):  
Aditya Kallimath ◽  
Reema Garegrat ◽  
Suprabha Patnaik ◽  
Pradeep Suryawanshi
Keyword(s):  
Late Onset ◽  
Nasopharyngeal Swab ◽  
Antigen Test ◽  
Radiographic Findings ◽  
Non Invasive ◽  
Male Baby ◽  
Late Onset Sepsis ◽  
Late Onset Infection ◽  
Circulating Inflammatory Markers

Most reports of COVID-19 in neonates suggest that they are infected postnatally and present with gastrointestinal or respiratory symptoms. We describe a neonate who had community-acquired COVID-19, and presented with late-onset sepsis and developed dyselectrolytemia. The 26-day-old male baby had fever, feed refusal and shock. Rapid antigen test for SARS-CoV-2 by nasopharyngeal swab was positive and levels of circulating inflammatory markers were high. The baby was supported with antibiotics, and inotropic and vasopressor drugs. He had seizures and bradycardia due to dyselectrolytemia on day 2 of admission. On day 3, he had respiratory distress, with non-specific chest radiographic findings, and was managed with non-invasive support for 24 hours. The baby was discharged after 8 days. On serial follow-up, he was breastfeeding well and gaining weight appropriately with no morbidity. Our report highlights a unique presentation of COVID-19, with late-onset infection and shock-like features along with dyselectrolytemia and seizures.

scholarly journals Case Report: Gollop-Wolfgang Complex in a 5 month old baby

F1000Research ◽  
2015 ◽  
Vol 3 ◽  
pp. 315
Author(s):  
Ihtesham A. Qureshi ◽  
Rohit Kumar Gudepu ◽  
Ravikanth Chava ◽  
Sravya Emmani ◽  
Syed Husain Asghar ◽  
...  
Keyword(s):  
Case Report ◽  
Gene Mutation ◽  
Interesting Case ◽  
Unusual Presentation ◽  
Radiographic Findings ◽  
Left Hand ◽  
Skeletal Dysplasias ◽  
Male Baby ◽  
The Right ◽  
Limb Deficiency

Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC) is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular agenesis and caudal (Sacrococcygeal) agenesis. The etiology of GWC in this 5 month old male baby could possibly be attributed to spontaneous gene mutation. The clinical, radiographic findings and the unusual presentation are presented in detail.

scholarly journals Case Report: Gollop-Wolfgang Complex in a 5 month old baby

F1000Research ◽  
2015 ◽  
Vol 3 ◽  
pp. 315
Author(s):  
Ihtesham A. Qureshi ◽  
Rohit Kumar Gudepu ◽  
Ravikanth Chava ◽  
Sravya Emmani ◽  
Syed Husain Asghar ◽  
...  
Keyword(s):  
Case Report ◽  
Gene Mutation ◽  
Interesting Case ◽  
Unusual Presentation ◽  
Radiographic Findings ◽  
Left Hand ◽  
Skeletal Dysplasias ◽  
Male Baby ◽  
The Right ◽  
Limb Deficiency

Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC) is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular agenesis and caudal (Sacrococcygeal) agenesis. The etiology of GWC in this 5 month old male baby could possibly be attributed to spontaneous gene mutation. The clinical, radiographic findings and the unusual presentation are presented in detail

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