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Soil Transmitted Helmenthiasis (STH) is a major public health problem in the developing countries. Trichuriasis is one of the common prevalent parasitic infestations in the tropical and sub-tropical countries across the globe incuding India. However, there has been a steady decline of STH in the last five years where there has been success of albendazole with Mass Drug Administration (MDA) in National Filariasis Control Program and Kerala state has been one of them. We report a case of whipworm infection that was incidentally diagnosed by colonoscopy where repeated stool microscopy was uncontributory. The worm can be overlooked, particularly if colon preparation is not good.

Whilst we suspect that there is no clear association between the two major diagnoses we made in this patient during this hospitalisation (i.e. coronary artery disease and CMT neuropathy), the literature from a series of published case reports does perhaps show an association between CMT and abnormalities of cardiac conduction. Brief Summary: This case reports follows the occurrence of an antero-lateral ST segment elevation myocardial infarction in a 34-year-old male newly diagnosed with an inherited neuropathy in the form of Charcot-Marie-Tooth type 1A.

The authors discuss a case of sodium-glucose co-transporter 2 inhibitor associated with Fournier-gangrene in a patient with type-2 diabetes millets. The patient had extensive surgical intervention and skin graft but succumbed to her disease.

This paper calculates the existing system reliability index and typical daily optimal load distribution, studies the optimization problem of the generator unit’s investment plan in the next ten years, and uses the minimum cost of the investment plan to establish a multi-objective planning model. Combined with the artificial bee colony algorithm. It also discusses the impact of a large number of renewable energy power generation access power systems on traditional power system planning, and proposes an experimental model to solve this problem. Based on the system enumeration method of fault enumeration, enumerate all possible states of the system at each moment, consider the total cost of the system, increase the load demand constraint on the basis, and obtain the probability of occurrence of low-order faults. LOLP, EENS and power outage fees. After the above analysis, after the fault order reaches 5th order, the LOLP of the system is negligible, so the power loss cost is considered to be 4th order. Using the minimum total cost as the objective function, the artificial bee colony algorithm is used to find the optimal solution. The uncertainty of the output of renewable energy in the power system greatly increases the risk of operation scheduling, does not guarantee the quality of power, and is currently economically poor. In view of the difficulties caused by the system components in solving nonlinear constrained power supply planning, an experimental model is also established.

This program solves the problems of manpower demand and low efficiency in the manufacturing process of ready-to-eat fan blocks by designing the three processes of ready-to-eat fan blocks, namely, grasping, weighing and forming problems. First of all, for the fans’ crawling problem, this product will be designed and solved from two aspects: 1. Visual recognition: In this design scheme, the visual recognition uses OpenMV3 system, and the OV7725 model camera is used first. The free integrated development environment (IDE) is used to debug the program. The SIFT algorithm is used to achieve visual target positioning and accurately identify the position of the fans to facilitate the grasping of the robot arm. 2. Path control of the manipulator: Through the RBF neural network algorithm, a large amount of training is performed on the manipulator, and the robot arm path is automatically controlled to realize the process of grabbing the fan and putting it into the fixed container. Secondly, in response to the weighing problem of fans, this product will incorporate a gravity sensor to realize the gravity sensing of the robot arm to capture fans, and convert the quality of the fans into digital signals for system processing and analysis. The use of constant temperature town empty warehouse not only ensures the quality and safety of fans, but also maintains the precision of each weighing quality. Finally, the robotic claws of the robot arm are used to control the rotation of the robot by multiple bionic control.

This narrative review is based on a literature search on PsycINFO and PubMed that involved entering the terms adolescent sexting for papers published during the last five years. Following exclusion criteria, 52 papers could be classified as sexting studies including research on the prevalence, effects/comorbidities, risk factors and interventions for those problems. Most of the studies have been conducted in the U.S. where the prevalence of sexting has ranged from 5% to 29%. Sexting has typically been consensual, or at least the recipient has been known, although some forwarding of sext messages has occurred. The effects of sexting have included sexual activity, problematic relationships, mental health problems, other addictions and legal problems. The predictor or risk variables have included male gender, extraverted personality, low self-esteem, depression, impulsivity, peer pressure and the lack of parental monitoring. Like other literature on adolescent problems, this research is limited by primarily deriving from self–report and parent report and by the absence of longitudinal data that might inform whether the data being reported are effects of or risk factors for adolescent sexting and the need for prevention/intervention research.

The yield and physicochemical properties of single grain and multigrain akamu powders were evaluated. Akamu, ogi or pap, powders were produced by soaking (fermenting) cereal grains (48-72 h), wet-milling, sieving, dewatering, drying (50oC) and pulverizing maize (MBA), pearl millet (PMBA) and sorghum (SBA). Multigrain akamu was produced by co-fermenting equal proportions of maize, pearl millet and sorghum (Blend1); and singly fermenting these cereals and blending the end products (Blend2). Yield, proximate and mineral compositions, functional and sensory properties of akamu were analyzed following established methods. The yield of MBA, PMBA, SBA, Blend1 and Blend2 were respectively 60%, 70%, 80%, 53.33% and 68.67%. Chemically, SBA had significantly (p

Objectives: -to determine the maternal mortality ratio at the Kolda Regional Hospital; -to describe the socio-demographic characteristics of the deceased patients; -to clarify the causes of maternal mortality and to identify the associated risk factors. Materials and method: This was a prospective, descriptive and analytical study conducted between January 1st, 2012 and December 31st, 2016 at the Kolda Regional Hospital Center. We collected data from maternity records, resuscitation records, anesthesia records and the operating protocol register. Results: During this study period, we recorded 120 maternal deaths out of 4116 living births, a maternal mortality ratio of 2915.4 per 100,000 living births. The average age of our patients was 27 years old. The average parity was 4 deliveries and multiparas accounted for half of the patients. In our series, 84% of patients were evacuated; high blood pressure (35.8%) and obstructed labor (18.8%) were the most common reasons for evacuation. More than half of the deaths (52.5%) occurred in the postpartum and 32.5% in the 3rd quarter. More than half of the deaths occurred within the first 24 hours after of admission (52%). Just over a third of patients (39%) had delivered by caesarean section and we had 58.8% of perinatal deaths. The conclusions of the audit were a delay in consultation (57%) followed by a delay in evacuation (28%) and a delay in the management of patients (25%). Conclusion: The multiple factors influencing the high maternal mortality rate in this region of Senegal can be attributed to the community, the medical team, and / or the health system. Strategic interventions to reduce this mortality rate should be based on community education on safe motherhood, on the improvement of the level of education, on communication systems and better transportation, on access to quality reproductive health services and availability of emergency obstetric care.

Genital prolapse is a common gynecological condition, but it is exceptional during pregnancy. It can be pre-existent or else manifest in the course of pregnancy. Complications resulting from prolapse of the uterus in pregnancy vary from minor cervical infection to spontaneous abortion, and include preterm labor and maternal and fetal mortality as well as acute urinary retention and urinary tract infection. Moreover, affected women may be at particular risk of dystocia during labor that could necessitate emergency intervention for delivery. We report the case of a third third-generation 32-year-old third gesture second pare with no particular health history. The last two pregnancies proceeded normally with stage 2 genital prolapse occurring in the second trimester of pregnancy that was aggravated by abdominal expression during childbirth.

Identical Twins with Endogenous Tinea Versicolor This case report was inspired by recent medical data consistent with the obser-vation that Tinea Versicolor caused by Malassezia Furfur species may be en-dogenous produced by human body. This case report involves a pair of identical twins –ages 71- who have had recur-rent Tinea Versicolor infections for over six decades. The author of this article twin A, a physician and his brother twin B have in summer months had skin lesions – on chest and upper extremities of round ap-proximately 1 inch wide – diagnosed as tinea versicolor by many doctors in di-verse medical settings in different countries since their adolescence. The infec-tions have been successfully treated by antifungal medications. Both twins were born in Istanbul Turkey. Twin A who lives in Houston Texas had lived in Los Angeles California and Dahran Saudi Arabia. Twin B who lives in Athens and spent the majority of his adult life in Washington DC. Neither twin reported any association between location and tinea versicolor infections yet they both observed that almost always infections emerged in warmer climates. Both twin A and twin B have been diagnosed with hypertension and hypercho-lesterolemia well controlled by amlodipine 10 mg and atorvastatin 20 mg respec-tively.