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Sclerosing angiomatoid nodular transformation of the spleen: an unusual cause of abdominal pain

Case Report of International Journal of Case Reports Sclerosing angiomatoid nodular transformation of the spleen: an unusual cause of abdominal pain Hussien Aly Touny, Einas Al Kuwari, Ahmed Al Moudaris, Salahddin Gehani Hamad Medical Corporation, Doha, Qatar Vascular neoplasms are the most common primary nonhematopoietic tumors of the spleen. They include hemangiomas, littoral cell angiomas, splenic hamartomas, lymphangiomas, hemangioendotheliomas, angiosarcomas, and Sclerosing Angiomatoid Nodular Transformation (SANT)1. SANT is a rare and benign lesion arising from the red pulp of the spleen 2.Martel et al first described the disease entity in 2004 in middle aged- adults with slight female preponderance , the etiology and pathogenesis are still not clear3, SANT poses diagnostic clinical and radiological challenges4, we present this case report with review of the literature. Keywords: Sclerosing angiomatoid nodular transformation,  spleen, cause of abdominal pain ...

Curriculum Content, Ownership Of Universities, Work Experience And Acquisition Of Employability Skills Among Business Education Graduates Of Universities In Cross River State, Nigeria

Research article of American Journal of Educational Research and Reviews Curriculum Content, Ownership Of Universities, Work Experience And Acquisition Of Employability Skills Among Business Education Graduates Of Universities In Cross River State, Nigeria David Asuquo Edet Department of Vocational Education, University of Calabar, Nigeria This paper x-rayed curriculum content, ownership of universities, work experience and acquisition of employability skills among business education graduates of universities in Cross River State, Nigeria. Two formulated research hypotheses guided this study. Literature was reviewed in line with the variables under study. The research design adopted was survey. The population for the study was 987 business education graduates between 2007/2008 and 2014/2015 academic sessions from the University of Calabar (UNICAL) and Cross River University of Technology (CRUTECH). The sample of the study was 200 business education graduates drawn purposively using accidental and snowballing sampling techniques. A validated researcher- made four point scale questionnaire titled ‘Curriculum Content, ownership of universities, work experience and Acquisition of Employability Skills Questionnaire (CCOUWEESQ) was used for data collection. The instrument was validated by four research experts. A reliability estimate of .70 to .82 was achieved for the instrument using Cronbach Alpha reliability coefficient after a pilot test. The data obtained from the field was converted into values and analyzed using independent t-test statistical technique. All hypotheses were tested at .05 level of significance. Findings revealed among others that graduates of federal university exposed to business education curriculum content are significantly different from their state university counterparts in their acquisition of employability skills. Based on this, it was recommended that government should accord equal recognition, support and provision (in terms of funding, capacity building and infrastructural spread) to both federal and state universities in a way that obvious preference for one category over the other is not perceived. Doing so may ...

Colo-renal fistula following percutaneous radiofrequency ablation of a renal tumor. A case report and review of treatment options

Case Report of International Journal of Case Reports Colo-renal fistula following percutaneous radiofrequency ablation of a renal tumor. A case report and review of treatment options Allan Stolarski, MD1,2, Joanna Wang, MD1,2, Katherine He, MD1,3, Lori Lerner, MD1,2, Gentian Kristo, MD1,3 1Department of Surgery, Veterans Affairs Boston Healthcare System, Boston, MA, USA; 2Department of Surgery, Boston Medical Center, Boston University Medical School, Boston, MA, USA; 3Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA. Background:  Colo-renal fistula formation is a very rare complication following percutaneous radiofrequency ablation (RFA) in the management of renal cell carcinoma. In this paper we describe the management of a patient with a left colo-renal fistula occurring after renal tumor RFA. Additionally, we present a thorough literature review of reported cases of colo-renal fistulae after percutaneous RFA to further highlight their treatment challenges. Summary:  Two weeks after undergoing percutaneous RFA of an incidental 3cm left renal mass, a 67-year-old male was re-admitted to the hospital with a symptomatic colo-renal fistula.  Patient ultimately failed conservative management with broad spectrum antibiotics and ureteral stent placements, and subsequently underwent segmental colonic resection and renorrhaphy, with complete renal preservation. Conclusion: Although complications after RFA of renal tumors are rare, iatrogenic colo-renal fistula formation is a significant complication requiring a multi-disciplinary approach with a trial of non-operative management prior to surgical intervention. Keywords: renal cancer; radiofrequency ablation, colorenal fistula ...

Anger, Anxiety and Health Determinants in the Process of Community Recovery

Review Article of International Journal of Addiction Research and Therapy Anger, Anxiety and Health Determinants in the Process of Community Recovery Pascal Scoles, DSW, LCSW Professor, Behavioral Health and Human Services and Director, Office of Collegiate Recovery, Student Life, Community College of Philadelphia, PA The article discusses anger and anxiety in the context of recovery. It relates social determinants of health to individual pathology and how an individuals stress level is related to one’s community. How stressors such as, drug infected areas, lack of access to parks and playgrounds, quality education, etc impact significantly on a person’s anxiety is discussed. To help facilitate healthy change the use of peer specialists and partnering with the faith-based community can create a more comprehensive network of supportive allies. Keywords: Anger, Anxiety, Health Determinants, Community Recovery ...

IMPACT OF CULTURAL EVENTS ON THE CITY AND CULTURAL TOURISM DEVELOPMENT IN IT

Research Article of International Journal of Social Research IMPACT OF CULTURAL EVENTS ON THE CITY AND CULTURAL TOURISM DEVELOPMENT IN IT Prof. Dr. Virginija Jurėnienė, MA Aurelija Kuizinaitė Institute of Social Sciences and Applied Informatics, Vilnius University Kaunas Faculty A feature of the modern society is the city which tries to express itself by means of social and physical environment. One of the means of expression are events whose activities engage local residents, visitors, guests, tourists, and, of course, distant spectators by means of smart global technologies. Cultural activities manifest by implementing cultural projects of various areas, starting from one-time local events, and ending with large-scale international projects. Cultural tourism is a great opportunity of urban and regional tourism development. Implementation of cultural events in cities can have impact on cultural tourism development and its planning, and can be one of the very important economic as well as sociocultural impact of tourism that manifests by created infrastructure, increasing supply of services and entertainment, and lively cultural life in cities. The work is relevant because it reveals for the first time how mega cultural events in cities are or can be an effect for cultural tourism development in cities. Keywords: cultural events, city, types of impact, cultural tourism ...

Clinical and Histopathological Findings in Patients with Follicular Dermatoses: All Skin Diseases Starts in the Hair Follicles as New Hypothesis

Research Article of American Journal of Clinical Research and Reviews Clinical and Histopathological Findings in Patients with Follicular Dermatoses: All Skin Diseases Starts in the Hair Follicles as New Hypothesis *Professor Khalifa E. Sharquie MD,PhD,FRCP Edin, *Professor Adil A. Noaimi MD, DDV, FICMS, **Dr. Rusul A. Flayih MD. *Department of Dermatology, College of Medicine, University of Baghdad. Iraqi and Arab Board for Dermatology and Venereology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq. ** Center of Dermatology; Baghdad Teaching Hospital; Medical City, Baghdad, Iraq. Background: Follicular dermatoses are group of skin diseases characterised by follicular lesions during the course of the disease. Objective: To gather all skin diseases where there is follicular lesions to be evaluated in order to reach the hypothesis that hair follicles are the most principal target area in the etiopathogenesis of these skin disorders. Patients and Methods: This is a descriptive, clinical and histopathological study that was carried out at the Department of Dermatology, Baghdad Teaching Hospital, Medical City, and Baghdad, Iraq during the period from November 2018 to August 2019. Sixty patients with different follicular dermatoses were enrolled and all socio- demographic data related to the disease was obtained from each patient, in addition to physical examination was performed for each patient. Biopsies were taken from 40 patients, for histopathological evaluation. Results: Sixty patient, were included in this study, 35 patients males and 25 patients females with male to female ratio 1.4:1. Their ages ranged from 1-80(30.2 ± 16.96) years. All patients had follicular lesions. The histopathological results showed: perifollicular lymphocytes, follicular invasion and degeneration, follicular plugging, fibrous tract remnant, perifollicular melanophages and absent melanin pigment in the epidermis of patients with vitiligo. Conclusion: The result of the present study showed that all skin diseases start in the hair follicles and might spread to involve the ...