scholarly journals Migratory non-itchy rash

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Sami Hoshi ◽  
Keyword(s):  
Physical Examination ◽  
Complete Resolution ◽  
Endemic Region ◽  
The West ◽  
Western Blot Test ◽  
Joint Tenderness ◽  
Mucous Membranes ◽  
The Usa ◽  
History Of

A 58-year-old man presented with 4-day history of multiple, erythematous, non-itchy, painless, patchy spots, along with fatigue and jaw pain. This rash started around the periumbilical area and then spread over his chest and right upper back (Figure 1,2). There was no involvement of face, mucous membranes, and extremities. He denied any sore throat, cough, or other symptoms. Besides the skin rash, his physical examination was unremarkable. There was no temporomandibular joint swelling, or joint tenderness. A month ago, he travelled along with the west coast of Michigan – a Lyme-endemic region of the USA and noted his exposure to mosquitoes. Shortly after his visit, he recalled having fever, chills, myalgia and a similar patchy groin rash which resolved in a few days. At that time, blood work by his family physician revealed mild transaminitis. At the current visit, repeat blood work and electrocardiogram were normal. A clinical diagnosis of early disseminated Lyme disease was made. Lyme Ab IgM and IgG were both elevated, as was his Western blot test. He was given a 10-day course of doxycycline. He reported complete resolution of his symptoms at follow up.

scholarly journals The framing of the Jewish pogroms upon the Ukrainian terrains via a prism of the Ukrainian foreign-language press in Europe (1919―1920s)

2019 ◽  
pp. 87-112 ◽  
Author(s):  
Serhiy Blavatskyy
Keyword(s):  
Foreign Language ◽  
Western Europe ◽  
Jewish Question ◽  
Attribution Of Responsibility ◽  
The West ◽  
European Languages ◽  
The Usa ◽  
First Time ◽  
West European

It has been attempted to make an empirical study of the framing of the Jewish pogroms upon the Ukrainian terrains in 1919 in the Ukrainian press in the West European languages in Europe (1919―1920s). For the first time, in the communication and media studies discourses, there have been elicited new, previously unknown, findings of specificity of the framing of the Jewish pogroms in the Ukrainian foreignlanguage periodicals. Those were: «Bulletiner fra det Ukrainske Pressburo» (Copenhagen, 1919—1920s), «La Voce dell “Ucraina”» (Roma, 1919—1920s), «The Ukraine» (London, 1919—1920s), «Bureau Ukrai nien de Presse: Bulletin d’Informations» (Paris, 1919—1920s), «France et Ukraine» (Paris, 1920), «L’Europe Orientale» (Paris, 1919—1920s), «Die Ukraine» (Berlin, 1918—1926s). First, it has been elucidated that the «attribution of responsibility» frame was dominant in the content of the Ukrainian foreign-language press in Western Europe. Second, the conclusion about dialectic of the frames of «attribution of responsibility» and «morality» in the coverage of the Jewish pogroms upon the Ukrainian terrains has been made. In this regard, we conclude that the «morality» frame was connected with the internationalization of this problematic in the geopolitical discourse of international relations of the postwar period. On the contrary, the frame of «attribution of responsibility» was linked to localization of the Jewish question in the multilateral conflict on the Ukrainian territories in 1919. The main conclusion of this paper is that the coverage of the Jewish pogroms in the Ukrainian foreign-language press in Europe was made primarily in counterpropaganda purposes. The follow-up studies are to make a comparative study of the stereotypes about Jews’ perception in the Ukrainian-language press both in Ukraine and abroad (in Europe or the USA), as well as in the West European and American press of the Ukrainian Revolution period (1917―1921s). Thus, these future studies will either refute or confirm the validity of the findings and conclusions of this research. Keywords: framing, the Jewish pogroms, the Ukrainian terrains, the foreign-language press, Europe.

‘Old Mobilities’? Transatlantic Women from the West of Ireland 1880s–1920s

2015 ◽  
Vol 23 (2) ◽  
pp. 49-68 ◽  
Author(s):  
Bronwen Walter
Keyword(s):  
East Coast ◽  
First Century ◽  
Social Scientists ◽  
The West ◽  
Chain Migration ◽  
Material Goods ◽  
The Usa ◽  
History Of ◽  
Late Nineteenth ◽  
West Of Ireland

The ‘new mobilities paradigm’ set out by Sheller and Urry (2006) and others urges social scientists to centre many interlocking mobilities in their analyses of contemporary social change, challenging taken-for-granted sedentarism. Drawing on the example of Irish women's chain migration from small farms in the West of Ireland to the East coast of the USA in the late nineteenth and early twentieth centuries, this paper explores a longer history of high levels of mobility. Whilst migration lay at the heart of the movement, it encompassed a much wider range of movements of people, information and material goods. The ‘moorings’ of women in the their workplace-homes on rural farms and in urban domestic service constituted a gendered immobility, but migration also opened up new opportunities for intra-urban moves, circulatory Transatlantic journeys and upward social mobility. The materiality of such ‘old’ mobility provides an early baseline against which to assess the huge scale of rapidly-changing hyper-mobility and instantaneous communication in the twenty-first century.

Small Bowel Obstruction by Wireless Enteroscopic Capsule and Unrecognized Intestinal Stricture

2006 ◽  
Vol 72 (12) ◽  
pp. 1216-1217
Author(s):  
Hadi Najafian ◽  
Camille Eyvazzadeh
Keyword(s):  
Small Bowel ◽  
Physical Examination ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Bowel Resection ◽  
Anastomotic Stricture ◽  
History Of ◽  
Resection And Anastomosis

The wireless enteroscopy capsule (WEC) was approved for noninvasive visualization of small bowel. We report an unusual case of a previously healthy man with history of bowel resection and anastomosis who developed small bowel obstruction after ingestion of a WCE. At operation, an anastomotic stricture site was noted and the WEC was proximal to this stricture, causing obstruction. This case emphasizes the importance of a good history and physical examination, as well as vigilant follow-up and retrieval of WEC.

scholarly journals A Phalangeal Osteoid Osteoma: A Case Report

Pulse ◽  
2016 ◽  
Vol 8 (1) ◽  
pp. 69-72
Author(s):  
Syed Khalequezzaman ◽  
Biva Shrestha Khan ◽  
Bidyut K Saha ◽  
Pankaj Kumar
Keyword(s):  
Osteoid Osteoma ◽  
Complete Resolution ◽  
Surgical Excision ◽  
Middle Finger ◽  
Definitive Diagnosis ◽  
Important Differential Diagnosis ◽  
Local Doctor ◽  
History Of ◽  
Uncommon Condition

Osteoid osteoma is a benign bone forming tumor of the growing skeleton that is most often seen in young men. It represents by pain and radiologic appearance of a nidus surrounded by osteosclerosis that occurs mostly in long bones of the lower extremity. Occurrence of this tumor in the hand is an uncommon condition. A 35 year old right-hand-dominant man presented to our orthopedic and trauma OPD with an approximately 2 year history of right middle finger pain without any history of trauma. He consulted previously with a local doctor and had undergone xray of the hand with no definitive diagnosis. Computed tomography at our institution was consistent with the diagnosis of osteoid osteoma. The patient was treated with surgical excision of the lesion without bone grafting. The diagnosis of osteoid osteoma was confirmed by histopathology. Follow up visit showed complete resolution of pain. In this case demonstrating that osteoid osteoma is an important differential diagnosis in patients with finger pain.Pulse Vol.8 January-December 2015 p.69-72

Successful therapeutic management of pigeon (Columba livia domestica)malaria with Chloroquine

2016 ◽  
Author(s):  
N. Chand ◽  
Harkirat Singh ◽  
Ashwani Kumar
Keyword(s):  
Physical Examination ◽  
Feed Intake ◽  
Blood Smear ◽  
Columba Livia ◽  
Poor Growth ◽  
Blood Smear Examination ◽  
History Of ◽  
Veterinary Hospital ◽  
Treatment Mortality

Pigeons from two different flocks were presented to Teaching Veterinary Hospital of Institute, Ludhiana with the history of dullness, depression, decreased feed intake, twisting of neck, incordination, difficulty in maintaining balance and death. Physical examination of the affected birds revealed weakness, ruffled feather, lameness, dyspnea, lethargy and poor growth. Blood smear examination revealed presence of pigmented intraerythrocytic halter shaped gametocytes of Hemoproteus columbae. The birds were treated with Chloroquine and multivitamin. After 5 days of treatment mortality was stopped in the birds and remaining birds regain their appetite and became alert and active. During a follow up period of one month no recurrence of disease and any further mortality were observed in the pigeon flocks.

624 Physical examination is a valuable tool in the follow up of young women with a history of early breast cancer

2010 ◽  
Vol 8 (3) ◽  
pp. 240 ◽  
Author(s):  
G. de Bock ◽  
W.L. Lu ◽  
M. Schaapveld ◽  
P.C. Baas ◽  
L.M. Hansen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Examination ◽  
Early Breast Cancer ◽  
Young Women ◽  
History Of

scholarly journals The American Waste: A New Take on the Conquest of the West in Paul Auster’s novel Travels in the Scriptorium // El desecho americano: Una nueva versión de la conquista del Oeste en la novela Travels in the Scriptorium de Paul Auster

2018 ◽  
Vol 9 (2) ◽  
pp. 89-105
Author(s):  
Sławomir Studniarz
Keyword(s):  
Mexican War ◽  
Paul Auster ◽  
The West ◽  
Westward Expansion ◽  
Political Consequences ◽  
Imperial Power ◽  
The Usa ◽  
History Of ◽  
The Subject ◽  
Precise Moment

      The subject of the article is the 2006 novel Travels in the Scriptorium by Paul Auster, which contains an embedded, alternative history of the USA. The article aims to demonstrate that Auster’s novel offers a revision of two essential myths of the American nation. The precise moment in the history of the USA that Auster’s novel reinvents is the time before the Mexican War and before taking over the Southwest and California. The Mexican War and its political consequences marked the transition of the USA from a republic upholding its libertarian and progressive ideals to an invading imperial power. The shift in the American policy toward its neighboring nations and peoples is reflected in Auster’s novel in the presentation of the westward expansion as a brutal invasion. Auster’s novel heavily revises the two formative myths of the American state, the myth of the West and the “errand in the wilderness,” with Manifest Destiny as its later incarnation justifying the imperialist mission. The wilderness itself is divested of spiritual significance, desacralized, as the Alien Territories are converted into the arena of carnage and indiscriminate slaughter. It is unreservedly sacrificed to the interests of the emerging imperialist enterprise, which is nothing less than the ultimate consequence of the original Puritan venture—the taming of the wilderness and the creation of a model Christian state for the rest of the world to admire. Resumen      El presente artículo gira en torno a la novela Travels in the Scriptorium (2006) de Paul Auster, en la que se narra una historia alternativa de los Estados Unidos. El artículo pretende demostrar que la novela de Auster ofrece una revisión de dos mitos esenciales de la nación norteamericana. El momento preciso de la historia de los Estados Unidos que reinventa la novela de Auster es la época anterior a la Guerra de Estados Unidos-México y antes de que se produjera la anexión del suroeste y de California. La Guerra de Estados Unidos-México y sus consecuencias políticas marcaron la transición de los EE.UU. desde una república que defendía sus ideales libertarios y progresistas a una potencia imperial invasora. El cambio de la política estadounidense con respecto a las naciones y pueblos vecinos se refleja en la novela de Auster al presentar la expansión hacia el oeste como una invasión brutal. La novela de Auster revisa en gran medida los dos mitos formativos del estado estadounidense: el mito del Oeste y la “misión en el desierto”, con el Destino Manifiesto como su encarnación posterior que justifica la misión imperialista. La propia naturaleza salvaje es despojada de su significado espiritual, desacralizada, a medida que los Territorios Foráneos se convierten en una arena para la carnicería y la matanza indiscriminadas. Esta naturaleza salvaje se sacrifica sin reservas en aras de los intereses de la empresa imperialista emergente, la cual es nada más y nada menos que la consecuencia última de la empresa puritana original: la domesticación de la naturaleza y la creación de un estado cristiano modelo para que el resto del mundo lo admire.

Factors associated with hematuric struvite crystalluria in cats

2018 ◽  
Vol 21 (10) ◽  
pp. 922-930
Author(s):  
Chika C Okafor ◽  
David L Pearl ◽  
Shauna L Blois ◽  
Sandra L Lefebvre ◽  
Mingyin Yang ◽  
...  
Keyword(s):  
Clinical Importance ◽  
Urine Ph ◽  
Factors Associated ◽  
The Usa ◽  
History Of ◽  
Dry Diet ◽  
First Time ◽  
Time Diagnosis ◽  
General Care

Objectives The aim of the study was to identify any dietary, signalment, geographic and clinical factors associated with hematuric struvite crystalluria (HSC) in a population of cats that visit general care veterinary hospitals in the USA. Methods In total, 4032 cats that had a first-time diagnosis of HSC and 8064 control cats with no history of hematuria or crystalluria were identified from medical records of all cats examined between 2007 and 2011 at 790 US veterinary hospitals. Extracted variables included age, sex, neuter status, breed, diet, urinalysis results and history of cystitis. Potential associations between these variables and HSC were estimated. Results Controlling for other factors, young cats fed a dry diet had an increased likelihood of HSC relative to young cats fed a non-dry diet. However, as age increased, the likelihood of HSC declined for cats fed a dry diet and increased for cats fed a non-dry diet. Moreover, the odds of HSC were significantly greater when cats were unneutered (vs neutered; odds ratio [OR] 45.52) or had a thin (vs heavy) body condition (OR 23.81), diagnosis of cystitis (OR 2.84), urine protein concentration >30 mg/dl (OR 4.72), alkaline (vs neutral) urine pH (OR 3.34), pyuria (OR 23.67) or bacteriuria (OR 2.24). Conclusions and relevance The present study provides estimates of the strengths of association between HSC and certain signalment and clinical characteristics of cats. This information could help clinicians to perform a more directed screening for struvite crystalluria in certain cat populations. Follow-up studies that build on the findings of this study could explore the clinical importance of HSC in cats.

Severe persistent canine oral papillomatosis a multimodal approach including interferon alpha-2B, CPV-1 autologous vaccine, CO2 laser ablation and aggressive cryotherapy

2019 ◽  
Vol 7 (3) ◽  
pp. e000774
Author(s):  
Matthew Levinson ◽  
Allison Kirby ◽  
Austin Richman ◽  
Melissa Hall
Keyword(s):  
Laser Ablation ◽  
Interferon Alpha ◽  
Complete Resolution ◽  
Carbon Dioxide Laser ◽  
Surgical Excision ◽  
Multimodal Approach ◽  
Interferon Alpha 2B ◽  
Mucous Membranes ◽  
History Of ◽  
Co2 Laser Ablation

A 3-year-old, 29.5 kg female, spayed, labrador retriever cross with a 5-month history of severe, persistent papillomas affecting the oral mucous membranes was successfully treated using a multimodal approach that included staged aggressive cryotherapy. On presentation, verrucous growths varying in sizes of 2 mm–3 cm were appreciated affecting all tissues of the oral cavity. There were two alopecic, pedunculated growths with frond-like projections approximately 4 mm by 4 mm and 1 cm by 4 mm on the left pelvic paw. While the growths on the paws resolved with minimal intervention, the oral verrucous growths remained. A combination of interferon alpha-2B, canine papillomavirus-1 autologous vaccine, surgical excision, carbon dioxide laser ablation and aggressive cryotherapy led to complete resolution and continued remission of the canine oral viral papillomas.

scholarly journals Lymphangiomatous Polyp Presenting as Tonsillar Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-2
Author(s):  
Ashish Dhakal ◽  
Sameer Karmacharya ◽  
Sandhya Shrestha
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
General Anaesthesia ◽  
Postoperative Period ◽  
University Hospital ◽  
Tonsillar Fossa ◽  
Body Sensation ◽  
History Of ◽  
Left Tonsil

A 19-year-old female presented to ENT OPD of Dhulikhel Hospital, Kathmandu University Hospital, with history of foreign body sensation in throat for 2 weeks and mass in left tonsil for 1 week. There is no history of difficulty swallowing or recurrent throat infection. Physical examination revealed a pedunculated mass arising from upper pole of left tonsil. Bilateral tonsillectomy was done under general anaesthesia. Grossly, 2.5 × 1.5 × 1 cm polypoidal mass, soft in consistency, was found to be attached to left tonsil. Histopathology report was consistent with lymphangiomatous polyp of tonsil. Postoperative period was uneventful and she was normal during her follow-up at 1 month with bilateral healthy tonsillar fossa.

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