scholarly journals Case Report on Cellulitis with Diabetes

Author(s):  
Nidhi Ganeshpure ◽  
Darshana Kumari Wankhede ◽  
Shalini Lokhande

Introduction: Cellulitis is a bacterial skin condition that is very frequent. In reality, cellulitis affects about 14 million people in the United States each year. If left untreated, the infection can spread to any part of the body and cause serious problems. Obesity and an inactive lifestyle are two of the most common causes of type 2 diabetes. Clinical Findings: Pain or tenderness in the leg, Skin redness or inflammation that gets bigger as the infection spreads, Skin sore or rash that starts suddenly, and grows quickly , Warm skin. Diagnostic Evaluation: Hb%- 10.7, MCHC- 33.4, MCV- 88.8, MCH- 29.8, Total RBC count- 3.6, Total WBC count- 7200, Total platelets count - 1.63, HCT- 37, Monocytes- 01, Granulocytes- 75, Lymphocytes - 20, RDW - 17.2, Eosinophils - 01. Therapeutic Interventions: Inj. Ceftriaxone 1mg x BD (IV), Inj. Pan 40 mg x OD (IV), Tab. Limcee 500 mg x OD, Tab. Pan 40 mg x OD, Protein powder 2 tsp x TDS, Inj. Insulin. Outcomes: A Male Patient of 88 year old was admitted in AVBRH with a chief Complaint of Cellulitis after getting treatment his condition is improving. Conclusion: Diabetic foot infections that aren't treated well or aren't treated at all result in lower-extremity amputation in about 10% of patients. Amputations of the lower extremities can be debilitating and have a significant impact on the patient's quality of life.

Author(s):  
Saloni Moon ◽  
Kavita Gomase

Introduction: Sickle cell anemia is a kind of anemia caused by a virus a homozygous HbS mutation (HbSS). Sickle cell disease (SCD) is a congenital blood illness that has an impact children. It is inherited from a parent’s DNA. SCD patients produce an abnormal kind of hemoglobin. This is the oxygen-transporting protein found in red blood cells. SCD causes a lack of oxygen in organs and tissues of the body. Clinical Findings: Fever, Cough and cold, pain in lower extremities, Bodyache , Fatigue and Anemia (6.3 gm/). Diagnostic Evaluation:   Blood test: Hb -6.3gm%, Total RBC count -2.2millions/cu mm, RDW- 18.2%, HCT-20.2%, Total WBC count 3000/cu mm, Monocytes 02%, Granulocytes 20%, Lymphocytes 77%, AST(SGOT) – 110 UL. Peripheral Smear: RBC mild hypochromic with mild cytosis which show few microcytic and mildly Hypochromic. Platelets – Reduced on smear, APC -60,000 cells. Ultrasonography: Splenomegaly. Therapeutic Interventions:  Blood transfusion, Inj. Cefotaxime 750 mg IV x BD, Syr. Azee 4ml x OD, Tab. Folic Acid 5 mg x OD, Tab. Udiliv 150mg x BD, Cap. Hydra 500 mg x OD. Outcome: After treatment, the child show improvement. His fever and body ache, cough and cold fatigue and pain in hands and leg were relieved and his Hb% increased from 6.4 gm% to 11 gm% after blood transfusion. Conclusion:  My patient was admitted to Pediatric Ward No- 22 in AVBRH with a known case of SCA   kind of anemia a body in which he had complaint fever and body ache, cough and cold fatigue and pain in hands and leg. After getting appropriate treatment his condition was improved.


Author(s):  
Priya Rewatkar ◽  
Manoj Patil

Introduction: Wilms's tumour was named after Carl Max Wilhelm Wilms, a 19th century German surgeon. Wilm’s tumor is derived from primitive metanephric blastema and is a form of childhood carcinoma that begins in the kidneys (also called nephroblastoma). In infants, it is the most common form of kidney carcinoma. 9 out of 10 kidney cancers in kids is Wilms Tumor. Carcinoma can spread to other parts of the body. The incidence is around seven new cases per million children in the United States, with a peak incidence between the ages of 2 and 3 years. Main symptoms and important clinical findings: A 11 yrs. old female child was admitted in Acharya Vinoba Bhave Rural Hospital, Wardha on 08/02/2021 with chief complaint of breathing difficulty, shortness of breath, blood in the urine, nausea and vomiting. After physical examination and investigations, doctors diagnosed it as a case of Wilm’s tumor. The main diagnoses, therapeutic interventions and outcomes: After physical examination and investigations like MRI, doctor diagnosed it as a case Wilm’s tumour. Tab. Actinomycin D (Dactinomycin), tab. Vincristine (chemotherapy) were started and calcium and multivitamin supplements were given for 7 days to enhance immune function. Tab. Septran 160 mg OD and tab. Acenet 400 mg OD, tab. Bactrim 5mg OD was also prescribed. Patient took all treatment and outcome was good. Her signs and symptoms improved. Conclusion: Accurate diagnosis and timely initiation of treatment speeded up recovery.


Polar Record ◽  
2015 ◽  
Vol 52 (3) ◽  
pp. 276-293
Author(s):  
Douglas W. Wamsley

ABSTRACTThe great wave of immigrants to the United States during the late 1800s brought many talented individuals who enriched American culture and society. Notable among them stands the Italian-born artist, Albert L. Operti (1852–1927), a versatile painter, illustrator and sculptor. For much of his professional career, Operti served as a scenic artist for the Metropolitan Opera House and later as an exhibit artist for the American Museum of Natural History. However, he maintained an avid personal interest in polar explorers and the history of polar exploration, ultimately turning his artistic skills to the subject. Operti served as official artist for Robert E. Peary during his Arctic expeditions of 1896 and 1897, producing paintings, drawings and even plaster casts of the Inuit from the expedition. Over the course of his lifetime he painted a number of ‘great’ pictures depicting, in a factually accurate manner, important incidents in Arctic history along with numerous smaller paintings, sketches, illustrations and studies. The quality of his work never rivaled his more talented contemporaries in the field of ‘great’ paintings, such as the prominent artists William Bradford and Frederic Church. Nonetheless, Operti achieved some recognition in his time as a painter of historical Arctic scenes, but the full extent of his contributions are little known and have been largely unexamined. Unlike the explorers themselves whose legacy rests upon geographic or scientific accomplishments and written narratives, Operti's legacy stands upon the body of distinctive artwork that served to convey, in realistic and graphic terms, the hardships and accomplishments of those explorers. This article recounts the life of Operti and his role as an historian in disseminating knowledge of the polar regions and its explorers to the public.


2021 ◽  
Vol 14 (3) ◽  
Author(s):  
Alexandre Carli Pinto ◽  
Danilo Everton Cunha Cavalcante ◽  
Etianne Andrade Araújo ◽  
Francione Moreira Cabral ◽  
Jhonatas Mota Santos ◽  
...  

Melatonin is an endogenous substance easily found in the body. It is conceptualized as a hormone, derived from serotonin, synthesized by the pineal gland during the night period. As a hormone, melatonin has several functions, such as immunomodulation, antioxidant, anti-inflammatory, and antitumor, however its most compliant function is the control of the circadian rhythm, in addition to regularizing seasonality. Sleep is one of the primordial needs of the human being, after a period of physical and mental activities, it has a fundamental role to relax and re-establish the organism for a new cycle of activities. Thus, melatonin acts as a metabolism regulator influencing the quality of life, and its effectiveness in inducing sleep has led pharmaceutical companies to launch its synthetic version, widely sold as a supplement in some countries such as the United States and Europe. To analyze the importance of melatonin in the regulation of sleep, as well as to characterize its functions in the body that contribute to weight control. The work methodology consisted of a literature review, carried out through previously published research studies. Based on the literary subsidies that supported this research, it is concluded that the benefits achieved with the use of melatonin encompass the alignment of the sleep cycle and contribute to weight control, which may influence weight loss, as well as in other areas of the body.


Author(s):  
Aseem Setia ◽  
Jasween Bhatia ◽  
Sankha Bhattacharya

: Acute Flaccid Myelitis is defined by the presence of Acute Flaccid Paralysis (AFP) and a spinal cord lesion on magnetic resonance imaging that is primarily limited to the grey matter. AFM is a difficult situation to deal with when you have a neurologic illness. According to the Centers for Disease Control and Prevention (CDC), a large number of cases were discovered in the United States in 2014, with 90% of cases occurring in children. Although the exact cause of AFM is unknown, mounting evidence suggests a link between AFM and enterovirus D68 (EV-D68). In 2014, an outbreak of AFM was discovered in the United States. The condition was initially linked to polioviruses; however, it was later found that the viruses were caused by non-polioviruses Enteroviruses D-68 (EV-D68). The number of cases has increased since 2014, and the disease has been declared pandemic in the United States. The sudden onset of muscle weakness, usually in an arm or leg, as well as pain throughout the body, the patient's facial expression changing to one of weakness, and shortness of breath, ingesting, and speaking are all common symptoms in patients suffering from neurologic disease. This article includes graphic and histograms representations of reported AFM incidents and criteria for causality, epidemiology, various diagnostic approaches, signs and symptoms, and various investigational guidelines. It also includes key statements about recent AFM disease clinical findings.


1981 ◽  
Vol 44 (7) ◽  
pp. 556-559 ◽  
Author(s):  
NANCY BRAITHW AITE TOPP

The world's population has two major food problems. One relates to the lack of quantity of the world's food supply and the other relates to the quality of the diet selection. Guidelines are given for wise food selections. There has been a major debate since the Senate's Committee on Nutrition and Human Needs announced the dietary goals for the United States. It supports a low cholesterol, low saturated-high polyunsaturated and high fiber diet for all healthy Americans. This discussion shares the recent stance of the Food and Nutrition Board of the National Academy of Sciences. It encourages further research before hardline decision are made. It reserves major diet modifications for individuals with adnormal clinical findings.


Author(s):  
Agnaldo Plácido da Silva ◽  
Eloá Jessica Mendes dos Santos Plácido ◽  
Gustavo Henrique Ramos da Silva

The mandibular fracture has as its most common causes car accidents, physical aggressions, falls and accidents in the removal of teeth, among others. However, facial injuries caused by firearms are still a cause of great health concern, which can cause great aesthetic and functional damage to the patient, in addition to the loss of quality of life. The therapeutic choice for treatment will depend on the severity of the case and mastery of the technique chosen by the professional. The aim of this article is to report the treatment of a patient with bilateral fracture of the body and mandible branch, resulting from aggression by firearm projectile. Having as treatment established the extraoral access with installation of plates and screws 2.0 mm on the right and left side, because it is a good treatment option for comminuted fractures caused by firearm projectile, returning to the patient aesthetic, functional and psychological aspect.


2021 ◽  
Vol 4 (10) ◽  
pp. 226
Author(s):  
Danik Martirosyan ◽  
Jack Hutcheson ◽  
Deena Sajitharan ◽  
Samantha Williams ◽  
Chandra Mohan

Background: Autoimmune diseases, such as systemic lupus erythematosus, can have severe impacts on quality of life. They are one of the leading causes of death for women in the United States. Distinguished by the body damaging its own tissues and organs, they are often classified and diagnosed based on autoantibody levels. Treatments often include immunosuppressant drugs, which can have adverse effects. Aim of Study: Amaranth is a good functional food candidate, possessing antioxidants, bioactive compounds, and a variety of health benefits, such as lowering cholesterol, and aiding diabetes and hypertension. Previous studies have largely focused on the grain or seed, but amaranth oil is less explored. This study examines whether orally administered amaranth oil had any effects on autoantibodies and splenic immune cell populations in murine subjects.Methods: Mice in the experimental group (n = 3) were given 4μl of amaranth oil per gram of mouse weight for 5 days a week over 84 days. Control mice (n = 2) were sham treated on the same schedule with no oil. To determine autoantibody levels, enzyme-linked immunosorbent assays (ELISAs) were first conducted on wells pre-coated with double stranded DNA, single stranded DNA, histones, or double stranded DNA and then histones (nucleosomes). Autoantibody presence was quantified by measuring absorbance at 405nm. Splenic cell populations were examined with flow cytometry and compared using a student’s t-test. Results: Compared to the control group, the mice receiving amaranth oil showed decreased IgG and IgM histone autoantibody absorbance levels throughout the whole study. IgG dsDNA, ssDNA, and nucleosome autoantibody absorbances were lower than that of the control group for the first 42 days. IgM dsDNA, ssDNA, and nucleosome autoantibody absorbances were lower only for the first 14 days. There were no significant differences found amongst splenic immune cell populations between the control and experimental groups.Conclusion: These preliminary data show that amaranth oil may help decrease autoantibody levels in lupus prone murine subjects. However, given the small number of subjects in this study, further research is needed to confirm observed effects and determine the most effective dose and administration schedule. Keywords: autoantibody, IgG, IgM, histone, dsDNA, ssDNA, nucleosome, amaranth oil, immunoglobulin, lupus 


1995 ◽  
Vol 77 (3) ◽  
pp. 811-816 ◽  
Author(s):  
D. L. Stronks ◽  
J. Passchier ◽  
F. Heule

In a 3-mo. randomized double-blind placebo-controlled study, the psychosocial effects of the food supplement IMEDEEN® on health-specific quality of life were examined. Participants were 45 Caucasian women with a normal skin condition in relation to their age. The variables measured were social anxiety and social skills, self-esteem, satisfaction with several parts of the body, state and trait anxiety, and psychological and social problems related to the skin. No significant effect of IMEDEEN® was found on any of these psychosocial variables. Suggestions for further research are given.


2021 ◽  
Vol 42 (3) ◽  
pp. S17-S25 ◽  
Author(s):  
Marc A. Riedl ◽  
Timothy J. Craig ◽  
Aleena Banerji ◽  
Kavita Aggarwal ◽  
Jessica M. Best ◽  
...  

Hereditary angioedema (HAE) is a rare disorder caused by genetic mutations that lead to recurrent episodes of swelling in various parts of the body. Prophylactic treatment is common for patients with HAE, and the therapeutic options have expanded in recent years. The current standard of care for prophylactic HAE therapies is subcutaneous treatment, which can be self-administered at home, greatly improving patient quality of life. As new therapies emerge, it is important for patients and physicians to discuss the risks and benefits associated with each treatment to develop an individualized approach to HAE management. We conducted surveys of patients with HAE and physicians who treat patients with HAE to identify prescribing trends for prophylactic HAE treatments and the impact that such treatments has on patients. Our results confirmed that newer, subcutaneous therapies are prescribed for HAE prophylaxis more frequently than other therapies in the United States and that treatment burdens still exist for patients with HAE. We found that physicians and patients were not always aligned on how treatment choices affect patients’ lives, which may mean that there are opportunities for enhanced patient‐physician dialog and shared decision-making in HAE management in the United States.


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