scholarly journals Isolated muscle tuberculosis: exceptional location

Author(s):  
Ayoub Bouya ◽  
Mounir Rhounimi ◽  
Moncef Boufettal ◽  
Mohamed Salah Berrada

<p class="abstract">The authors report the exceptional case of isolated muscular tuberculosis affecting the anterior compartment of the right thigh in a 38-year-old man. The diagnosis was based on histology and GeneXpert. The subject received a surgical treatment followed by medical treatment for 6 months. The GeneXpert test has proved to be useful in the diagnosis of muscular tuberculosis. We have not found in the literature the use of GeneXpert in this type of localization of tuberculosis whose diagnostic is not always easy. Through the study of this case and a review of the literature, the authors review the pathogenesis of this particular affection as well as the diagnostic and therapeutic modalities.</p><p class="abstract"> </p>

2021 ◽  
Vol 93 (2) ◽  
pp. 45-56
Author(s):  
Elżbieta Zagórska ◽  
Łukasz Makowski

The aim of this article is to present spectacular examples of reclamation and development of post-industrial sites, carried out in Poland in the 1920s and 1950s, with emphasis on their recreational function. Examples include a park built between 1889 and 1920 by Wojciech Bednarski in the valley of the former quarry in Podgórze, now the right-bank district of Krakow, and “General Jerzy Ziętek Provincial Park of Culture and Recreation”, now called “the Silesia Park”, created in the 1950s on degraded post-industrial land located within the borders of three cities: Chorzów, Katowice and Siemianowice Śląskie. Both parks are examples of reclaiming brownfield sites for recreational use in order to create attractive leisure spaces. They have become a model and point of reference for other park planning projects in Poland. Their spatial and functional design is exceptionally timeless. The study is mainly based on a review of the literature of the subject.


polemica ◽  
2018 ◽  
Vol 18 (2) ◽  
pp. 054-071
Author(s):  
Thamiris Marques ◽  
Álvaro Rafael Santana Peixoto ◽  
Rafael Pecly Wolter

Resumo: Este artigo propõe uma discussão acerca dos posicionamentos relativos às cotas. Foi realizada uma revisão de literatura com a finalidade de levantar argumentos favoráveis e contrários às cotas, oriundos de estudos de quatro áreas das Ciências Humanas (psicologia social, antropologia, sociologia e educação) realizados no Brasil a partir dos anos 2000 com enfoque no posicionamento de estudantes universitários. Constatou-se que os argumentos desfavoráveis ao sistema de reserva de vagas estão calcados, principalmente, em problemas decorrentes da vigência da medida, enquanto nos argumentos favoráveis encontram-se a eficácia das cotas e sua finalidade de reparo histórico-social. Foram levantadas possíveis causas que levam grupos de pessoas a se posicionar em relação às cotas: a primeira causa está relacionada com as experiências individuais prévias, que ocorrem quando o fato de conviver ou presenciar discriminação em relação a minorias marca os indivíduos e faz com que possuam posicionamento favorável ou contrário acerca do tema; a segunda causa corresponde ao direito ao benefício, já que o fato do sujeito poder ou não se beneficiar das cotas traria uma influência no posicionamento que tem da medida. A terceira causa seria a proximidade com os cotistas, que corresponde à aproximação do sujeito com pessoas do círculo pessoal que são cotistas; a quarta causa seria a homologia estrutural, de modo que a posição que se ocupa na estrutura da sociedade influencia diretamente no julgamento de objetos e suas relações com indivíduos de outra posição na estrutura. A quinta causa é a Ideologia, onde representações ideologicamente marcadas (acerca da justiça, igualdade, mérito) influenciariam no posicionamento acerca das cotas. Portanto, os posicionamentos não ocorrem apenas de forma individual e se sustentariam também a partir de causas psicossociais.Palavras-chave: Cotas. Atitude. Pensamento social. Universitários.Abstract: This article proposes a discussion about the positions about quotas. A review of the literature was realized with the purpose of raising arguments favorable and against quotas, from studies in four areas of the Human Sciences (social psychology, anthropology, sociology and education) published in Brazil from the 2000s with a focus on the positioning of college students. are mainly based on problems arising from the difficulty of allocating quotas, while the favorable arguments are the effectiveness of quotas and their purpose of historical and social repair. Possible causes that lead groups of people to position themselves in relation to quotas have been verified: the first cause is related to the previous individual experiences, which occur when the fact of living or witnessing discrimination in relation to minorities marks the individuals and makes them be favorable or against the subject; the second cause corresponds to the right to the benefit, since the fact that the subject may or may not benefit from quotas would have an influence on the position of the measure. The third cause would be proximity to the quota students, which corresponds to the approximation of the subject with people in the personal circle who are quota students; the fourth cause would be structural homology, so that the position that a group occupies in the structure of society directly influences the judgment of objects and their relations with individuals of another position in the structure. The fifth cause is Ideology, where ideologically marked representations (about justice, equality, merit) would influence the positioning of dimensions. Therefore, the positioning does not only occur individually and would also be sustained from psychosocial causes.Keywords: Quotas. Attitude. Social thought. College students


1980 ◽  
Vol 45 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Frank B. Wilson ◽  
D. J. Oldring ◽  
Kathleen Mueller

This case study describes successful management of spastic dysphonia using a procedure whereby the right recurrent laryngeal nerve was severed. Thirteen months following the surgical treatment, the subject reported a return of the preoperative vocal characteristics of spastic dysphonia. Tests and inspection revealed that the right recurrent nerve was again intact and the right vocal fold was functional. A second surgical procedure was performed, modified to prevent neural reconnection, with a return of the improved voice observed following the initial surgery. The results are discussed in terms of etiological considerations of spastic dysphonia.


2020 ◽  
pp. 1-13
Author(s):  
Józef Myrczek ◽  
Janusz Juraszek ◽  
Piotr Tworek

This paper aims to outline the selected issues of risk management in construction enterprises operating in the Silesian and Małopolskie voivodships (Poland). In this context, it seems vitally important to have risk accurately identified, quantified and, consequently, responded to in the right way. Although the paper is mainly empirical in its character, it is based on a theoretical background, particularly when it comes to risk management in the construction industry, which is referred to in the literature on the subject as CRM (Construction Risk Management). The paper contains a review of the literature in this field and uses the method of synthesis. It emphasises the applicability and methodology of the issues discussed here, i.e. those which were verified in the empirical research conducted among construction contractors as participants of investment and construction processes.


2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Giuseppe Rovere ◽  
Leonardo Stramazzo ◽  
Alessio Cioffi ◽  
Nicolò Galvano ◽  
Davide Pavan ◽  
...  

Vohwinkel Syndrome, also known as Keratoderma Hereditarium Mutilans, is an extremely rare dominant autosomal keratosis. It typically presents with “starfish” keratoses on the knuckles, palmoplantar keratoderma (PPK), hearing impairment and mutilating digital constriction bands (pseudoainhum) that cause strangulation, often leading to autoamputation of the affected digit. Both medical and surgical treatment haven’t shown to date consistent results, in the treatment of pseudoainhum. In this study we present the case of a woman with Vohwinkel syndrome who showed constriction bands causing ischemic changes of the 5th digit of the right hand for which she was treated with surgery. We also present a review of the literature for the management of this disease.


2021 ◽  
Vol 5 (2) ◽  
pp. 15
Author(s):  
Nicolas M. Nagysomkuti Mertse ◽  
Lisa Zenorini ◽  
René Müri

Previous publications have discussed the occurrence of intracerebral hemorrhages, hallucinations and psychosis in COVID-19 patients. In this article, we have reviewed the literature on the subject while depicting the case of a 63-year-old female patient who suffered from an intracerebral hemorrhage in the right basal ganglia and thalamus two weeks after a COVID-19 diagnosis and who developed a visual hallucinosis shortly after. We concluded that, while there may be a correlation between COVID-19 and hallucinations according to current literature, more research is yet needed to clarify. In our case, we rather interpreted the hallucinations in the context of a peduncular hallucinosis related to the intracerebral hemorrhage. We compared our patient’s lesion localization to other 15 reported cases of peduncular hallucinations following intracerebral hemorrhages reported on Pubmed. In summary, the lesions were localized in the pons in 52.9% of the cases, 17.7% were in the thalamus and/or the basal ganglia, 17.7% in the mesencephalon and respectively 5.8% in the temporal and occipital lobe. The distribution pattern we found is consistent with the previously proposed mechanism behind peduncular hallucinations.


2016 ◽  
Vol 28 (6) ◽  
pp. 346-351 ◽  
Author(s):  
Pedro Banho Rosa ◽  
Bruna Orquiza ◽  
Filipe Benetti Rocha ◽  
Rafael Werlanger Donadel ◽  
Rodrigo Pizzolante Diniz ◽  
...  

ObjectiveTo assess the relationship between states of anger and stroke.MethodsSystematic review of the literature.ResultsIn total, 21 papers were selected for the systematic review of data published on the subject of anger and stroke. A state of anger may be a risk factor for stroke, as well as a consequence of brain lesions affecting specific areas that are caused by a stroke. Scales to assess anger varied among authors. There was no consensus regarding the area of brain lesions that might lead to a state of anger. Although some authors agreed that lesions on the right side led to angrier behaviour, others found that lesions on the left side were more relevant to anger. Likewise, there was no consensus regarding the prevalence of anger pre or post-stroke. Some authors did not even find that these two conditions were related.ConclusionAlthough most authors have accepted that there is a relationship between anger and stroke, studies with uniform methodology need to be conducted if this association is to be properly evaluated and understood.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Javier Otero ◽  
Natalie Ben-Yakar ◽  
Biruk Alemayehu ◽  
Steven D. Kozusko ◽  
Frank Borao ◽  
...  

Background. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations.Questions/Purposes. To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery’s body of knowledge of the subject matter.Case Study. A nine-month-old boy was admitted for an impalpable right testis and phimosis. At the time of surgical exploration, there appeared to be polyorchid testis on the right-hand side, with three masses that potentially appeared to be undescended testes.Discussion. Proponents of a conservative approach argue that infertility is common in patients with polyorchidism and, by preserving a potentially functional SNT, there may be improved spermatogenesis. When performing definitive surgical treatment, meticulous intra-abdominal and intrainguinal exploration must be undertaken. Orchiopexy should be performed to reduce the chances of torsion, malignancy, and infertility.Conclusion. Our case is important to the literature as it is the first known case of polyorchidism with 3 SNT on the right side, located intra-abdominally, and in a patient less than 1 year of age.


2019 ◽  
Vol 8 (1) ◽  
pp. 221-235 ◽  
Author(s):  
Daniella De Paula Chiesa ◽  
Mário Antônio Sanches ◽  
Daiane Priscila Simão-Silva

O estudo do Planejamento familiar, no contexto da bioética, abre-se para diversas perspectivas, entre elas a valorização dos seus diferentes atores. Situado neste contexto o artigo tem como objetivo identificar o perfil de gênero na produção científica sobre Planejamento Familiar no Brasil, entre 2000 e 2014, assim como a área de formação e especialização dos autores. Foram utilizadas metodologias que permitiram mapear o estado da arte do tema estudado, a partir de uma revisão da literatura. O resultado da pesquisa identifica que a produção científica sobre Planejamento Familiar no Brasil se compõe de perfil destacadamente feminino (71,76%). Dos 73 artigos analisados, 42 (57,53%) o foco do tema está direcionado à mulher assim como evidencia-se a área de ciências da saúde com maior concentração das publicações do tema.  Este aspecto da pesquisa abre para uma realidade complexa onde se buscam criticamente as razões para a pesquisa em Planejamento Familiar ter ênfase na mulher e ser um tema de relevância nas ciências da saúde.Palavras-chave: Produção científica, Planejamento Familiar, Gênero.  ABSTRACT: The study of Family Planning, in the context of bioethics, opens to diverse perspectives, among them the appreciation of their different agents. Situated in this context the article aims to identify the profile of gender in scientific literature on Family Planning in Brazil, between 2000 and 2014, as well as the area of training and specialization of the authors. Methodologies were used which allowed to map the State of the art of the subject studied, from a review of the literature. The results found identify that the scientific production on Family Planning in Brazil is formed with a outstandingly female profile (71,76%). Of the 73 articles examined, 42 (57.53%) the focus of the topic is directed to women as well as showing the health sciences area with highest concentration of publications. This aspect of the research opens to a complex reality where we seek critically the reasons for Research in Family Planning have emphasis on woman and be a topic of relevance in health sciences.Keywords: Scientific Production, Family Planning, Gender.


Author(s):  
Ali Hussein Hameed ◽  
Saif Hayder AL.Husainy

In the anarchism that governs the nature and patterns of international relations characterized by instability and uncertainty in light of several changes, as well as the information revolution and the resulting developments and qualitative breakthroughs in the field of scientific and advanced technological knowledge and modern technologies.  All of these variables pushed toward the information flow and flow tremendously, so rationality became an indispensable matter for the decision maker as he faces these developments and changes. There must be awareness and rationality in any activity or behavior because it includes choosing the best alternative and making the right decision and selecting the information accurately and mental processing Through a mental system based on objectivity, methodology, and accumulated experience away from idealism and imagination, where irrationality and anarchy are a reflection of the fragility of the decision-maker, his lack of awareness of the subject matter, his irresponsibility, and recklessness that inevitably leads to failure by wasting time and Effort and potential. The topic acquires its importance from a search in the strategies of the frivolous state and its characteristics with the ability to influence the regional, and what it revealed is a turning point in how to adapt from the variables and employ them to their advantage and try to prove their existence. Thus, the problem comes in the form of a question about the possibility of the frivolous state in light of the context of various regional and international events and trends. The answer to this question stems from the main hypothesis that (the aim which the frustrating state seeks to prove is that it finds itself compelled to choose several strategies that start from the nature of its characteristics and the goals that aim at it, which are centered in the circle of its interests in the field of its struggle for the sake of its survival and area of influence).


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