scholarly journals The Spiraling Case of a Yellow Chef: Isolated Hyperbilirubinemia

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Karen Jiang ◽  
Ahmad Najdat Bazarbashi ◽  
Sami Dahdal ◽  
Adina Voiculescu ◽  
Natalia Khalaf

Leptospirosis is a common bacterial disease in tropical regions of the world due to greater exposure to rodents and domestic animals; however, this condition can also occur in US urban areas, though it often goes unrecognized. Gastrointestinal symptoms are very commonly seen, and icteric leptospirosis is often confused for other conditions resulting in delayed diagnosis and worse outcomes. As mortality increases with more extensive hepatic involvement, gastroenterologists should be aware of the constellation of gastrointestinal symptoms related to leptospirosis, as it can occur in the absence of classic exposure history.

Diversity ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 358
Author(s):  
François Brassard ◽  
Chi-Man Leong ◽  
Hoi-Hou Chan ◽  
Benoit Guénard

The continuous increase in urbanization has been perceived as a major threat for biodiversity, particularly within tropical regions. Urban areas, however, may still provide opportunities for conservation. In this study focused on Macao (China), one of the most densely populated regions on Earth, we used a comprehensive approach, targeting all the vertical strata inhabited by ants, to document the diversity of both native and exotic species, and to produce an updated checklist. We then compared these results with 112 studies on urban ants to illustrate the dual roles of cities in sustaining ant diversity and supporting the spread of exotic species. Our study provides the first assessment on the vertical distribution of urban ant communities, allowing the detection of 55 new records in Macao, for a total of 155 ant species (11.5% being exotic); one of the highest species counts reported for a city globally. Overall, our results contrast with the dominant paradigm that urban landscapes have limited conservation value but supports the hypothesis that cities act as gateways for exotic species. Ultimately, we argue for a more comprehensive understanding of ants within cities around the world to understand native and exotic patterns of diversity.


Author(s):  
José van

Platformization affects the entire urban transport sector, effectively blurring the division between private and public transport modalities; existing public–private arrangements have started to shift as a result. This chapter analyzes and discusses the emergence of a platform ecology for urban transport, focusing on two central public values: the quality of urban transport and the organization of labor and workers’ rights. Using the prism of platform mechanisms, it analyzes how the sector of urban transport is changing societal organization in various urban areas across the world. Datafication has allowed numerous new actors to offer their bike-, car-, or ride-sharing services online; selection mechanisms help match old and new complementors with passengers. Similarly, new connective platforms are emerging, most prominently transport network companies such as Uber and Lyft that offer public and private transport options, as well as new platforms offering integrated transport services, often referred to as “mobility as a service.”


Insects ◽  
2021 ◽  
Vol 12 (6) ◽  
pp. 514
Author(s):  
Zonglei Liang ◽  
Christopher H. Dietrich ◽  
Wu Dai

Xestocephalus Van Duzee is among the most common and widespread genera of Cicadellidae in the temperate and tropical regions of the world. In the present study, 205 specimens of the genus Xestocephalus were collected in Thailand, whereas only a single species of the genus was recorded previously using Malaise trap field sampling, studied by comparative morphology. Seventeen species were recognized, including twelve new species: X. binarius sp. nov., X. chrysanthemum sp. nov., X. cowboyocreus sp. nov., X. densprint sp. nov., X. dimiprocessus sp. nov., X. exproiecturus sp. nov., X. gracilus sp. nov., X. limpidissimus sp. nov., X. malleus sp. nov., X. nonattribus sp. nov., X. recipinams sp. nov., and X. tenusis Liang sp. nov. Four species were recorded in Thailand for the first time: Xestocephalus abyssinicus Heller and Linnavuori, Xestocephalus asper Linnavuori, Xestocephalus ishidae Matsumura, and Xestocephalus toroensis Matsumura. Detailed morphological descriptions of all 17 species are given; photographs of external habitus and male genitalia of the species from Thailand are provided. A checklist of species of the genus is also given, and a key to all Thailand Xestocephalus species is also provided.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Friederike Wilbert ◽  
Sarah C. Grünert ◽  
Andrea Heinzmann ◽  
Sebastian F. N. Bode

Abstract Background Childhood hypoglycemia in combination with hepatomegaly is suspicious for inborn errors of metabolism. Cystic fibrosis typically presents with failure to thrive, pulmonary and gastrointestinal symptoms. Hepatic involvement and hypoglycemia can occur in a significant number of patients, although hepatomegaly is uncommon. Case presentation A 28 months old boy was presented with recurrent upper airways infections, progressive lethargy and weight loss. Clinically hepatomegaly was the main presenting feature and hypoglycemia (minimum 1.4 mmol/l) was noted as were elevated transaminases. The patient did not produce enough sweat to analyze it. Infectious causes for hepatitis were excluded and a broad metabolic work-up initiated. A therapy with starch was initiated to control hypoglycemia. In further course loose stools were reported and pancreatic elastase was found to be reduced. A further sweat test yielded pathological chloride concentration and genetic testing confirmed the diagnosis of cystic fibrosis. Conclusions Cystic fibrosis is a systemic disease and less common presentations need to be considered. Even in the age of CF-newborn screening in many countries CF needs to be ruled out in typical and atypical clinical presentations and diagnostics need to be repeated if inconclusive.


Oryx ◽  
1967 ◽  
Vol 9 (3) ◽  
pp. 196-210 ◽  
Author(s):  
R. A. Hibbert

Although the Mongolian People's Republic, last refuge of the Przewalski wild horse, is one of the most thinly populated countries in the world, the wildlife decreased considerably in the 30's and 40's. There has been some improvement in recent years, and the Game Law now gives protection to nearly all mammals—the few exceptions include the wolf, understandably in a country with vast herds of domestic animals. Mr. Hibbert, who was British Chargé d'Affaires at Ulan Bator from 1964 to 1966, and has since spent a year at Leeds University working on Mongolian materials, assesses the status of the major species of mammals, birds and fish, and describes the game laws.


2017 ◽  
Vol 49 (6) ◽  
pp. 1341-1360 ◽  
Author(s):  
Nathan S Foote

With the rise of the cognitive-cultural (or knowledge) economy, urban areas around the world have experienced significant changes in their social geographies. Studentification is one such change that has occurred in cities hosting major universities around the world. This study extends the analysis of social change to vital knowledge nodes in the networked global economy: United States college towns. K-means cluster analysis is used to identify neighborhood types in ten cities with major research universities across four Census years: 1980, 1990, 2000, and 2010. Temporal and spatial analyses are then conducted to determine how these knowledge nodes have changed with the decline of the industrial economy and the rise of the knowledge economy. The analysis indicates the presence of six neighborhood types in these college towns: Middle Class, Minority-Concentrated, Stability, Elite, Mix/Renter, and Student. Over the course of the study period, the number of Elite neighborhoods increased considerably, while the number of Middle Class neighborhoods plummeted. The number of Mix/Renter neighborhoods also increased. Spatially, Student and Minority-Concentrated neighborhoods generally remained fairly clustered in the same areas across the study period. Elite neighborhoods spread across wider geographical areas over the course of the study period. These results are compared to previous studies on neighborhood change. The comparisons reveal that the knowledge nodes show some similar patterns to studentifying cities and to rapidly growing nodes in areas with ties to the global knowledge economy.


Author(s):  
Minh-Tung Tran ◽  
◽  
Tien-Hau Phan ◽  
Ngoc-Huyen Chu ◽  
◽  
...  

Public spaces are designed and managed in many different ways. In Hanoi, after the Doi moi policy in 1986, the transfer of the public spaces creation at the neighborhood-level to the private sector has prospered na-ture of public and added a large amount of public space for the city, directly impacting on citizen's daily life, creating a new trend, new concept of public spaces. This article looks forward to understanding the public spaces-making and operating in KDTMs (Khu Do Thi Moi - new urban areas) in Hanoi to answer the question of whether ‘socialization’/privatization of these public spaces will put an end to the urban public or the new means of public-making trend. Based on the comparison and literature review of studies in the world on public spaces privatization with domestic studies to see the differences in the Vietnamese context leading to differences in definitions and roles and the concept of public spaces in KDTMs of Hanoi. Through adducing and analyzing practical cases, the article also mentions the trends, the issues, the ways and the technologies of public-making and public-spaces-making in KDTMs of Hanoi. Win/loss and the relationship of the three most important influential actors in this process (municipality, KDTM owners, inhabitants/citizens) is also considered to reconceptualize the public spaces of KDTMs in Hanoi.


Author(s):  
Sara Hayee ◽  
Amna Rehman

Caner a dreadful disease is actually one large group of diseases which dates back to times of “Hippocrates”, The Father of Medicine, (460-370BC) who used this name for the first time to talk about non-ulcer and ulcer forming tumors. Theevidence of its presence from the very past history comes from fossilized “Egyptian Mummies” having tumors on bones. Then Galen (130-200 AD) used the term “Oncos” to explain tumors. So it's a disease involving growth of abnormal cells, their proliferation and metastasizing the other tissues and organs. Now we know that biology has a branch namedOncology to deal with the scientific study of cancer and oncogenes. It took centuries to get knowledge and use modern technologies against this malady. Now we know cancer is a group disease which has hundreds of types. 19th Century saw much advancement towards its cure. Along with surgery, radiotherapy and chemotherapy were the main methods to cure cancer patients. Day by day, scientists are looking for new methods to control and cure of this curse. Hundreds of natural medicinal compounds are being tested to use clinically for its cure in order to replace the radiotherapy andchemotherapy and lower their side effects. But humanity is still fighting against this disease as the numbers of cases throughout the world are increasing day by day. If we look on the reports p r e s e n t e d b y W H O ( W o r l d H e a l t hOrganization), Cancer is the second leading cause of deaths globally which means one person in every six deaths, dies due to cancer. In 2018, the most common types of cancers reported in men were of liver, prostate, stomach, lung andcolorectal. Whereas in females the most common forms were breast, thyroid, cervical and colorectal. Cancer has become a global disasterfamily of the patient. It imparts physical, emotional and financial crisis. Unfortunately, the condition is bitterer in under developing countries. Cancer has become a lifestyle disease these days. We are living in the world withsuperficial comfort but we are breathing with urbanizations, ozone depletion, exposure to microwave and ultraviolet radiations, hazardous chemicals etc. Moreover, It is becoming a lifestyle disease due to lack of exercise, Obesity, consumptions of drugs, tobacco and alcohols. The cases of cancers are reported more in urban areas than in rural areasmore likely due to above mentioned factors. The ratio of cancer patients is expected to raise up-to 27.5 million by 2040 globally. So the battle is never ending, Humans need to figure out the factors and cutting these from their lives in orderto live a healthy life which is a blessing indeed. which is not only crunching the cancer patient but it also has damaging effects on the whole


2021 ◽  
Author(s):  
Madhura Yeligeti ◽  
Wenxuan Hu ◽  
Yvonne Scholz ◽  
Kai von Krbek

<p>Solar photovoltaic (PV) systems will foreseeably be an integral part of future energy systems. Land cover area analysis has a large influence on estimatiin of long-term solar photovoltaic potential of the world in high spatial detail. In this regard, it is often seen in contemporary works, that the suitability of various land cover categories for PV installation is considered in a yes/no binary response. While some areas like natural parks, sanctuaries, forests are usually completely exempted from PV potential calculations, other land over categories like urban settlements, bare, sparsely vegetated areas, and even cropland can principally support PV installations to varying degrees. This depends on the specific land use competition, social, economic and climatic conditions, etc. In this study, we attempt to evaluate these ‘factors of suitability’ of different land cover types for PV installations.</p><p>As a basis, the openly available global land cover datasets from the Copernicus Land Monitoring Service were used to identify major land cover types like cropland, shrubland, bare, wetlands, urban settlements, forests, moss and snow etc. For open area PV installations, with a focus on cropland, we incorporated the promising technology of ‘Agri-voltaics’ in our investigation. Different crops have shown to respond positively or negatively, so far, to growing under PV panels according to various experimental and commercial sources. Hence, we considered 18 major crops of the world (covering 85% of world cropland) individually and consequently, evaluated a weighted overall suitability factor of cropland cover for PV, for three acceptance scenarios of future.</p><p>For rooftop PV installations in urban areas, various socio-economic and geographical influences come in play. The rooftop area available and further usable for PV depends on housing patterns (roof type, housing density) which vary with climate, population density and socio-economic lifestyle. We classified global urban areas into several clusters based on combinations of these factors. For each cluster, rooftop area suitability is evaluated at a representative location using the land cover maps, the Open Street Map and specific characteristics of the cluster.</p><p>Overall, we present an interdisciplinary approach to integrate technological, social and economic aspects in land cover analysis to estimate PV potentials. While the intricacies may still be insufficient for planning small localized energy systems, this can reasonably benefit energy system modelling from a regional to international scale.</p>


2021 ◽  
Vol 11 (5) ◽  
pp. 539-547
Author(s):  
Meryem Allioua ◽  
Waffa Bouali ◽  
Ilham Mkedder

Food poisoning is a serious public health problem in the world that needs to be addressed as early as possible. However, mitigation efforts can be possi-ble only when data and information resulting from the implementation of monitoring or continuous surveillance are available. Here we report a study that was conducted taking into account all the data of poisoning report sheets, filled in by the doctor in charge of the case or, failing that, by the nurse, coming from health facilities (in sixteen regions in Tlemcen) were in-cluded in the analysis. For data processing, we have used some descriptive tools such as the frequencies and the lethality rates. The description of the sample concerned the characteristics of the poisoned population (year, gen-der, age, origin, hospitalisation, etc.) and the characteristics related to the suspected food. The survey showed a concentration of family focus, espe-cially in urban areas. Meats, Chickens and cream filled bakery food were the three most important incriminated foods and most of the infections in the outbreaks were related to fecal coliform, Clostridium and Staphylococcus. Some of the factors identified to contribute to food poisoning were lack of self-hygiene by food handlers and poor water and environmental supplies, poor preservation of food, the consumption of inadequately cooked or thawed meat or chicken, cross-contamination of food from infected food handlers, as well as the lack of awareness and information transmission and the lack of health infrastructures and means of communications. The present study highlights the needs for creating adequate infrastructure related to hygiene, regular epidemiological monitoring and increasing the awareness level of the residents.


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