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  • Tuberculosis Mimicking a Testicular Tumor

    Genitourinary tuberculosis is a challenging clinical entity which can affect the entire male genital tract. Seventy-five- year old male presented with a testicular lump masquerading a testicular malignancy. Histological and microbiological examination of testicular biopsy specimens established the diagnosis of tuberculosis. Isolated testicular tuberculosis is rarely reported. High degree of clinical suspicion and histological sampling are paramount important in the process of diagnostic evaluation.

  • Conditional Dysosmia: a Very Unpleasant Symptom Causing Severe Anorexia and Breathing Problems in Covid-19: a Case Report

    The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a new coronavirus that is highly contagious and responsible for the ongoing pandemic disease; coronavirus disease (COVID-19). The disease was first identified in December 2019, and the World Health Organization declared the pandemic on the 11th of March 2020. Although individuals infected with SARS-CoV-2 may be asymptomatic, the disease can present as an upper respiratory tract illness. In the majority of the cases, it is of a mild type, however, some patients experience severe viral pneumonia that leads to respiratory failure, and, in some cases to death. A COVID-19 diagnosis is confirmed by viral RNA detection in nasopharyngeal swab specimens; nonetheless, in some countries, COVID-19 tests are not available for screening and are only used to diagnose severe cases. Since 31 December 2019 and as of 17 October 2020 and in accordance with the applied case definitions and testing strategies in the affected countries 39 400 032 cases of COVID-19 have been reported, including 1 105 353 deaths [1]. The main way to control the spread of COVID-19 is to prevent human-to-human transmission, which can be achieved through a combination of public health measures, including the rapid identification and isolation of infected people [1]. Diagnostic suspicion is based on nonspecific symptoms, such as fever, odynophagia, head- ache, and dry cough which are present in almost all acute respiratory virus cases [2]. Anosmia, which may be associated with the loss of taste, has been initially observed in European cases and seems to be a more specific symptom of COVID-19. Thus, during the pandemic, individuals with these symptoms should be tested for COVID-19; when tests are not available, isolation of the patient is indicated [3]. It should also be noted that olfactory dysfunction significantly influences the physical well-being, quality of life, safety, and…


    Purpose: starting from an injury background, we assumed that the biceps brachii’s activations could have an important role in upper limbs injury. In this work we analyzed whether different activations of the biceps brachii impact on the power transfer of the punch and how boxers of different skill levels activate the biceps brachii when deliver a punch according to their skill level and efficacy. Methods: we enrolled, basing on official rankings, 23 skilled (n=6) and unskilled boxers. Subjects were instructed to perform three cross punches directed to a fixed elastic target triggered by the coach whistling, and were monitored through a surface electromyography sensor (EMG) on the biceps brachii to estimate the muscular activation during the performance, and through an accelerometer placed inside the elastic impact target to estimate the impact energy. We analyzed the oscillatory content of the EMG signal in order to assess the muscular activation between skilled and unskilled boxers, and between weak and strong punches. Results: both skilled and unskilled boxers threw strong, medium and weak strikes. Skilled boxers performed better than unskilled boxers (47% vs 25% in the “strong punch” category).The EMG analysis revealed a significant increase of lower and higher frequencies (2-4 Hz and 15-17 Hz) and a decrease on the medium frequencies (7-9 Hz) in the skilled boxers compared to the unskilled boxers in strong punches. Weak punches had a similar activation patterns in the two groups. Conclusions: our results support the hypothesis that skilled boxers adapt their activation pattern of the biceps to better stabilize the punch delivery (and thus increasing the transfer of force).

  • Salvador Dali Meets Sigmund Freud: Paranoia, Narcissism, Snails

    This paper examines the meeting between the artist Salvador Dalí and Sigmund Freud that took place in London in July of 1938. Freud had just escaped from the Nazi regime in Austria and was about a year away from death. Dalí had been influenced by Freud’s work for many years and had sought to meet his idol on several previous occasions. The meeting, arranged by Freud’s friend, Stefan Zweig, and attended by the poet, Edward James, is noteworthy in that Dalí brought his painting, “Metamorphosis of Narcissus,” a treatise on the subject of paranoia, and sketched Freud’s head conceived as a snail. The paper offers perspectives on each of these events. The meeting is seen in the context of Freud’s artistic sensibility and his relationship to Surrealism. For Dalí the meeting served as a way to break with Surrealism and led to a revised philosophy of art. The paper concludes with the speculation that the meeting was experienced by the artist as an idealizing/envious narcissistic transference with Freud, thus replicating the theme of the painting that the artist had brought with him.

  • Antimicrobial Properties of Prosopis cineraria stem bark

    Infectious diseases are the most common causes of morbidity and mortality in developing countries. Nowadays, medicinal plants play a major role in treatment of infectious diseases and they are easily available and more affordable as compared to synthetic compounds. The emerging trends of multidrug resistance among several groups of microorganisms against different classes of antibiotics led different researchers to develop efficient drugs from plant sources to counter multidrug resistant strains. This study investigated two different concentration of methanol extracts of stem bark of Prosopis cineraria to determine their efficacy against multidrug resistant microbes. Powdered barks of the tree were treated with methanol using hot extraction method. Crude methanol extracts of the bark of P. cineraria was investigated for their antibacterial activity against a wide range of bacteria (both gram-positive and gram-negative) by disc diffusion method. Ciprofloxacin was used as standard. Multidrug resistant (MDR) strains of Bacillus subtilis (ATCC 6633), E. coli (ATCC 8739), Salmonella enterica (ATCC 14028), Staphylococcus aureus (ATCC 6538), Pseudomonas aeruginosa (ATCC 27853) were used in the study. The methanolic bark extracts of P. cineraria showed a remarkable inhibition of the microorganisms. The potency shown by these extracts recommends their use against multidrug resistant microorganisms. The present study suggests that the methanol extract of the stem bark of P. cineraria exhibited a potential antibacterial activity against the tested microorganisms and could be a potential source of new antimicrobial agents.

  • Education of Healthcare Professionals on an Integrated Care Pathway in order to Standardize Practice and Improve Outcomes for Individuals with Intellectual and Developmental Disability (IDD) who engage in Self-Injurious Behavior (SIB)

    This paper addresses the lack of knowledge and lack of standardization for treating individuals who engage in self-injurious behavior (SIB) to the head. An evidence-based integrated clinical care pathway is described that was created for health care professionals treating individuals with intellectual and developmental disability (IDD) who engage in frequent and/or significant SIB. It is anticipated that this pathway will increase treatment team knowledge of best practices, decrease clinical variation, standardize care, and improve clinical outcomes with this vulnerable population.

  • Second Language Acquisition and Learning: Rethinking the Pedagogical Applicability of Stephen Krashen’s Monitor Model

    The monitor model, being one of its kind postulating the rigorous process taken by learners of second language, has since its inception in 1977, stirred sterile debates the globe over. Since then, Krashen has been rethinking and expanding his hypothetical acquisition notions, improve the applicability of his theory. The model has not been becoming, and it therefore faces disapproval on the basis of its failure to be tested empirically and, at some points, its contrast to Krashen’s earlier perceptions on both first and second language acquisition. In this paper, the writers deliberate upon Krashen’s monitor model, its tenets as well as the various ways in which it impacts, either negatively or positively upon educational teaching and learning.

  • Touching and Touch Deprivation During a COVID-19 Lockdown

    Touching your kids and your partner, self-touching, and touch deprivation have had different effects on individuals during a COVID-19 lockdown. In this Survey Monkey study conducted during a COVID-19 lockdown (N= 260 respondents), 26% said they were touch deprived a lot, 21% said they were touching their kids a lot, 33 % touching their partner a lot, and 32% self-touching a lot (e.g. yoga and stretching). Correlation analyses suggested that touch deprivation was related to scores on the Stress, Anxiety, Depression, Fatigue, Sleep Disturbances and PTSD scales. The three types of touching were positively related to scores on the Health Scale, at home projects, and outdoor exercising with others. Touching partner was also related to lower scores on the Stress, Depression, and PTSD Scales and Self-touching was related to lower scores on the Fatigue and Sleep Disturbance Subscales. The results of these data analyses are limited by the self-reported data from a non-representative, cross-sectional sample. Nonetheless, they highlight the negative effects of touch deprivation and the positive effects of touching your kids and partners and self-touch during a COVID-19 lockdown.

  • Coexistence of five types of intracranial hemorrhagic lesions after brain injury in a young adult

    Posttraumatic intracranial hemorrhage is an entity frequently encountered in neurosurgical daily practice. These haemorrhagic lesions are classified according to their location as: extradural haematoma, acute subdural haematoma, intraparenchymal haemorrhage, subarachnoid haemorrhage and contusion. A brain scan is the key examination for the diagnosis. The simultaneous presence of these hemorrhagic lesions in a single traumatic brain injury is rare. We are reporting an unusual case of a 24-year-old who suffered from a brain injury due to road traffic accident, and whose brain CT scan showed five types of post-traumatic intracranial lesions. He benefitted from medical treatment and neurological surveillance. The evolution was favorable with a setback of the signs of intracranial hypertension. The follow-up brain CT scan performed one month after the trauma showed a complete resorption of the lesions.

  • Knowledge, Attitude, and Practice of Polycystic Ovary Syndrome Among Female Qassim Region, Saudi Arabia

    Introduction: Polycystic Ovarian Syndrome (PCOS) is one of the most endocrine disorders in young women during their reproductive years. PCOS is associated with the incidence of type 2 DM and infertility, which in turn increases the financial burden to healthcare system. The aim of this study is to determine the knowledge, attitude, and practice of polycystic ovary syndrome among female Qassim region. Methods: An observational, cross-section study recruited young women age between 18 and 50 years from September 2019 to November 2019 in Al Qassim region. The data is obtained through an online survey that is posted in commonly used social media applications: namely, Instagram, Snapchat, Telegram, WhatsApp, and twitter. EPI INFO 7 is used to determine the association among demographical factors and knowledge, attitude, and practice of polycystic ovary syndrome. Results: Over 400 participated women there is 84% have knowledge about PCOS, 73% know the correlation between PCOS and obesity, 46% know that PCOS is heredity. At the same time, 63% did not realize that PCOS can cause type 2 DM. Moreover, knowledge has a significant association with age, social status, and education level with P-value 0.003, 0.02, 0.018, respectively. In terms of prevalence, 22% of participants have PCOS, while 17% of their mother or sister has PCOS. Conclusion: Knowledge of PCOS is a significant association with age, social status, and education level. To increase awareness of women related PCOS, these factors should keep in mind to produce an effective education program/campaign.