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Duan Y, Wang Z, Li J, Zhang M, Bi Z. An adolescent female African elephant (Loxodonta africana) gave birth to an abnormal calf. Vet Med Sci 2024; 10:e1331. [PMID: 37990940 PMCID: PMC10766038 DOI: 10.1002/vms3.1331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 11/07/2023] [Indexed: 11/23/2023] Open
Abstract
Maternal nutrition and the uterine environment can influence placental development in mammals, leading to the birth of abnormal infants who often experience difficulties in independent standing. This article documents an adolescent female African elephant (Loxodonta africana) giving birth to an African elephant calf with a shoulder height below the mean, and its inability to stand for the first 10 h after birth, a time span that significantly exceeds the average duration for independent standing. Through the implementation of assisted feeding and assisted standing measures, the calf eventually achieved independent standing and nursing from its mother after 27 h and subsequent catch-up growth at 5 months of age. This study presents the first case report on the growth parameters during pregnancy of an adolescent African elephant, the birth and care (feeding, assisted standing) of a small African elephant calf with the inability to stand alone and nurse independently for several hours, highlighting pregnancy may influence the growth of cows during their ongoing growth and development phase, the calf's survival and subsequent catch-up growth at 5 months of age. These findings offer valuable insights into the care of abnormal African elephant calves.
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Menting E, Snedden TR. Overlapping Presentation of Group A Streptococcus and Upper Respiratory Infection in a Pediatric Patient: A Case Report. J Pediatr Health Care 2023; 37:566-569. [PMID: 37422744 DOI: 10.1016/j.pedhc.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 06/10/2023] [Indexed: 07/10/2023]
Abstract
Group A Streptococcus (GAS) pharyngitis has increased in case presentations, higher than prepandemic data. GAS pharyngitis requires appropriate antibiotic treatment to reduce the risk of subsequent complications if not recognized and treated promptly. However, regional observations have noted an increase in overlapping symptoms of GAS pharyngitis and viral upper respiratory infection symptoms, making the decisions to test for GAS more complex. Current guidelines do not delineate testing and treatment guidelines for this presentation scenario. This case report describes a 5-year-old female with overlapping GAS and upper respiratory infection symptoms, who tested positive via rapid GAS pharyngeal test and was treated with oral antibiotics.
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Saleh Alzahrani H, Ali Algashami S, Abdulaziz Alharkan A, Sultan Alotaibi N, Waseem Algahs N. The Effect of COVID-19 Vaccination on the menstrual cycle in female in Riyadh, Saudi Arabia. Saudi Pharm J 2023; 31:746-751. [PMID: 37128295 PMCID: PMC10063452 DOI: 10.1016/j.jsps.2023.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 03/24/2023] [Indexed: 04/03/2023] Open
Abstract
Background Recently, few studies have mentioned minor changes in women's menstrual cycle after the COVID-19 vaccination. There were many reported cases of female menstrual cycle problems in primary healthcare clinics in Riyadh, Saudi Arabia. The study aimed to explore the prevalence of menstrual irregularities after the COVID-19 vaccine among females of childbearing age in Riyadh, Saudi Arabia. Materials and Methods This observational cross-sectional study was conducted from dec 2021 to June 2022 in Saudi Arabia. The study was carried out by using a convenience sampling technique. Results Our analysis includes 1066 participants. Abnormal menstruation was significantly associated with hypertension (p-value = 0.024), polycystic ovary syndrome (p-value = 0.001), and at least one gynaecological condition (p-value < 0.001). However, the multivariate regression analysis showed that menstrual abnormality before receiving the COVID-19 vaccine (OR = 0.09, 95% CI, 0.06 to 0.14, p-value <0.001) was more likely to be associated with abnormal menstruation after receiving the vaccine. Conclusions Our study findings showed a significant association between covid-19 vaccination and menstruation irregularity before administering the covid-19 vaccine, irrespective of vaccine type or the number of doses administered. Future and ongoing clinical trials should investigate menstrual abnormalities, other abnormal vaginal bleeding and hormonal changes post-vaccination, especially the COVID-19 vaccine.
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Affiliation(s)
- Hayat Saleh Alzahrani
- Family Medicine and Medical Education, Department of Clinical Science, College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
- Corresponding author at: Family Medicine and Medical Education, Princess Nourah Bint Abdulrahman University, P.O. box: 84428, Riyadh 11671, Saudi Arabia.
| | - Saba Ali Algashami
- College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | | | - Noura Sultan Alotaibi
- College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Naelah Waseem Algahs
- Family Medicine Resident - King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia
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Wallace K, Stewart EA, Wise LA, Nicholson WK, Parry JP, Zhang S, Laughlin-Tommaso S, Jacoby V, Anchan RM, Diamond MP, Venable S, Shiflett A, Wegienka GR, Maxwell GL, Wojdyla D, Myers ER, Marsh E. Anxiety, Depression, and Quality of Life After Procedural Intervention for Uterine Fibroids. J Womens Health (Larchmt) 2022; 31:415-424. [PMID: 34101502 PMCID: PMC8972021 DOI: 10.1089/jwh.2020.8915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Background: Quality of life (QOL) and psychological health has been reported to be decreased among women with gynecological conditions such as uterine fibroids (UFs). Materials and Methods: Women enrolled in the Comparing Options for Management: PAtient-centered REsults for Uterine Fibroids (COMPARE-UF) registry, receiving procedural therapy for symptomatic UFs, were eligible for this analysis if they completed a series of health-related QOL surveys administered at three time points (baseline, 6-12 weeks postprocedure, and 1 year postprocedure; n = 1486). Ethical approval for this study was obtained at each recruiting site and the coordinating center (NCT02260752, clinicaltrials.gov). Results: More than 26% (n = 393) of women reported moderate anxiety/depression on the baseline anxiety/depression domain of the Euro-QOL 5-dimension instrument. At both the 6-12 weeks and 1-year postprocedural follow-up, there was significant improvement in the UF QOL symptom severity score (p < 0.001, p < 0.001), the total UF symptom QOL score (p < 0.001, p < 0.001), and the Euro-QOL 5-dimension visual analog scale (p < 0.001, p = 0.004) compared with the preprocedural baseline scores. The reporting of anxiety/depression decreased by 66.4% among women who were at baseline, whereas 5.6% of women previously reporting no anxiety/depression reported anxiety/depression at the 1-year follow-up. Conclusion: UF symptoms were more severe among women reporting anxiety/depression at baseline. At the 1-year follow-up, health-related QOL scores improved among all women and the prevalence of anxiety/depression decreased in most, but not all women, whereas severity of anxiety/depression worsened in a small percentage of women (5.6%). Overall, these results suggest that UF treatment improves symptoms of anxiety/depression associated with symptomatic UFs.
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Affiliation(s)
- Kedra Wallace
- Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi, USA.,Address correspondence to: Kedra Wallace, PhD, Department of Obstetrics and Gynecology, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216, USA
| | | | - Lauren A. Wise
- Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA
| | - Wanda Kay Nicholson
- Center for Women's Health Research, Department of Obstetrics and Gynecology, UNC School of Medicine, Chapel Hill, North Carolina, USA
| | - John Preston Parry
- Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Shuaiqi Zhang
- Duke Clinical Research Institute, Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA
| | | | - Vanessa Jacoby
- Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California at San Francisco, San Francisco, California, USA
| | - Raymond M. Anchan
- Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Michael P. Diamond
- Department of Obstetrics and Gynecology, Augusta University, Augusta, Georgia, USA
| | | | - Amber Shiflett
- Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Ganesa R. Wegienka
- Department of Public Health Sciences, Henry Ford Health System, Detroit, Michigan, USA
| | - George Larry Maxwell
- Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, Virginia, USA
| | - Daniel Wojdyla
- Duke Clinical Research Institute, Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA
| | - Evan R. Myers
- Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina, USA
| | - Erica Marsh
- Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan, USA
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Chen L, Du J, Wang J, Chen S, Wang W, Yang W, Zhang Y, Zhang H, Zhang M. Study on the application value of BACs-on-Beads technology combined with chromosome karyotype analysis in prenatal diagnosis. Transl Pediatr 2022; 11:212-218. [PMID: 35282020 PMCID: PMC8905103 DOI: 10.21037/tp-22-16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 02/16/2022] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Bacterial artificial chromosome (BAC) marker-microsphere identification/separation technique [BACs-on-Beads (BoBs)] not only has a high detection rate for major chromosomal changes, but also for the other 9 microdeletion syndromes. In this study, the application value of BoBs combined with karyotype detection in prenatal diagnosis was evaluated. METHODS The amniotic fluid samples of 132 pregnant women with prenatal diagnosis indications in Harbin Red Cross Central Hospital from June 2018 to June 2019 were collected and subjected to the detection of BoBs and routine karyotyping. RESULTS Among the 132 pregnant women's amniotic fluid samples, 30 cases were abnormal in BoBs detection, with a detection rate of 22.73%, and 29 cases were abnormal in chromosome karyotype analysis, with a detection rate of 21.97%. Among them, 1 case of DiGeorge Type I microdeletion syndrome BoBs was successfully detected. The karyotype analysis failed to detect the same syndrome; the total coincidence rate of two methods was 99.24%, the positive coincidence rate was 100.00%, and the negative coincidence rate was 99.03%; the sensitivity, specificity and positive predictive value (PPV), and negative predictive value (NPV) of the chromosome karyotype analysis was 96.67%, 100%, and 99.03%, respectively; the accuracy, specificity, and PPV/NPV of BoBs detection were 100%. CONCLUSIONS When BoBs technology is combined with chromosome karyotype analysis, it can increase the detection rate of fetal chromosomal abnormalities, which could provide a basis for clinical prevention and follow-up diagnosis and treatment.
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Affiliation(s)
- Lin Chen
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Jianming Du
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Junlong Wang
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Shuangling Chen
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Wei Wang
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Wei Yang
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Yanying Zhang
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Hui Zhang
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
| | - Miao Zhang
- Department of Laboratory Medicine, Harbin Red Cross Central Hospital, Harbin, China
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Berceanu C, Cernea N, Căpitănescu RG, Comănescu AC, Paitici Ş, Rotar IC, Bohîlţea RE, Olinca MV, Olinca MV. Endometrial polyps. Rom J Morphol Embryol 2022; 63:323-334. [PMID: 36374138 PMCID: PMC9804076 DOI: 10.47162/rjme.63.2.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Endometrial polyps (EPs) are a frequent gynecological condition. EPs often arise in the common womanly patients and are appraised to be about 25%. Advancing age, hyperestrogenism, hypertension, and Tamoxifen use are acknowledged as ordinary risk elements for the development of EP. The etiopathogenesis of EP is not accurately elucidated, but certain considerations such as diabetes mellitus, hormonal factors or arterial hypertension are considered to perform a significant contribution. The diagnosis of EPs is essentially by imaging. Transvaginal ultrasound is the primary investigation in EPs. Hysteroscopic resection is now the "gold standard" to treat to treat this disease. Hysterectomy is the definitive treatment for EPs, but it requires a judicious indication and an adequate counseling of the patient. Currently, a certain histological pattern is found in different sequences in EPs. Even if the vast majority EPs are benign, they may reach hyperplastic, with malignant alteration. The purpose of this pictorial review is the integrated approach to this type of abnormal endometrial proliferation from the perspective of natural history, diagnosis, management, morphological aspects, risk of malignancy, recurrence and last but not least, clinical outcome.
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Affiliation(s)
- Costin Berceanu
- Department of Obstetrics and Gynecology, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania; ;
| | - Nicolae Cernea
- Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania
| | | | | | - Ştefan Paitici
- Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania,3rd General Surgery Clinic, Emergency County Hospital, Craiova, Romania
| | - Ioana Cristina Rotar
- 1st Department of Obstetrics and Gynecology, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania,1st Clinic of Obstetrics and Gynecology, Emergency County Hospital, Cluj-Napoca, Romania
| | - Roxana Elena Bohîlţea
- Discipline of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, Bucharest, Romania
| | - Maria Victoria Olinca
- Department of Pathology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,Department of Pathology, Prof. Dr. Panait Sîrbu Clinical Hospital of Obstetrics and Gynecology, Bucharest, Romania
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Frick PJ. Is a Rose Really Just as Sweet? Editorial: On Becoming "Research on Child and Adolescent Psychopathology". Res Child Adolesc Psychopathol 2021; 49:1-3. [PMID: 33368024 DOI: 10.1007/s10802-020-00718-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/04/2020] [Indexed: 10/22/2022]
Abstract
The current editorial outlines the reasoning that went into changing the name of the Journal of Abnormal Child Psychology to Research on Child and Adolescent Psychopathology. Connotations of the term "abnormal" have changed, since it was first used for the journal title in 1973. It is now frequently interpreted as describing the person, and not the condition that he or she has. It also does not currently promote the view that the person needs professional intervention but is often interpreted as indicating that the person is defective in some way. The new name of the journal was not intended to promote any single way of conceptualizing mental health problems but to provide a name that captures the significant distress and impairment experienced by persons with serious psychological difficulties, recognizes the need for professional intervention for these individuals, and attempts to minimize potential harmful effects of labelling. This name change is embedded in a broader appeal for mental health professionals to be sensitive to how labels can reinforce the stigma associated with mental health problems and to work to change the stigma that is associated with such problems in most modern societies.
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Bastian SA, Rahmi H, Crues J, Bhanu S, Blout C, Rangarajan R, Lee B, Itamura J. Variations of magnetic resonance imaging findings in asymptomatic elbows. J Shoulder Elbow Surg 2019; 28:S154-S160. [PMID: 31196510 DOI: 10.1016/j.jse.2019.05.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 05/07/2019] [Accepted: 05/07/2019] [Indexed: 02/01/2023]
Abstract
BACKGROUND Magnetic resonance imaging (MRI) findings in asymptomatic patients have been described for hips, knees, ankles, shoulders, and intervertebral disks. No such description exists for the elbow. METHODS MRI scans of 189 asymptomatic elbows divided into 3 groups by age (group 1, 20-39 years; group 2, 40-59 years; and group 3, ≥60 years) were evaluated for abnormalities within 13 anatomic structures using a novel classification system. RESULTS At least 1 variation was found in all elbows. Of the 13 structures, 8 showed an increase in the prevalence and intensity of signal changes with aging, 2 remained the same, and 2 showed a decrease. One anatomic structure showed no variations in any elbow. CONCLUSIONS Elbow MRI variations may be seen regardless of symptoms. These changes appear to increase in prevalence and intensity with age. Results from this study can be used to help guide the clinician in interpreting MRI findings of the elbow. We hope this study helps provide a contextual background for discussing MRI findings with patients and differentiating age-related variations from true pathology.
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Affiliation(s)
- Sevag A Bastian
- Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Glendale, CA, USA.
| | - Hithem Rahmi
- Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Glendale, CA, USA
| | - John Crues
- Department of Musculoskeletal Radiology, Cedars-Sinai Kerlan-Jobe Institute, Glendale, CA, USA
| | - Shiv Bhanu
- Department of Musculoskeletal Radiology, Cedars-Sinai Kerlan-Jobe Institute, Glendale, CA, USA
| | - Collin Blout
- Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Glendale, CA, USA
| | - Rajesh Rangarajan
- Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Glendale, CA, USA
| | - Brian Lee
- Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Glendale, CA, USA
| | - John Itamura
- Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at White Memorial Medical Center, Glendale, CA, USA
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Gómez-Soriano J, Serrano-Muñoz D, Bravo-Esteban E, Avendaño-Coy J, Ávila-Martin G, Galán-Arriero I, Taylor J. Afferent stimulation inhibits abnormal cutaneous reflex activity in patients with spinal cord injury spasticity syndrome. NeuroRehabilitation 2018; 43:135-146. [PMID: 30040758 DOI: 10.3233/nre-172404] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND Tibialis Anterior (TA) cutaneous reflex (CR) activity evoked following cutaneous stimulation of the plantar (Pl) surface (Pl-TA CR) has demonstrated hyperreflexia and damage of inhibitory mechanisms in subjects with spinal cord injury (SCI) and spasticity. OBJECTIVES To modulate Pl-TA CR and Soleus H-reflex activity with transcutaneous electrical nerve stimulation (TENS) and vibratory stimulation of the plantar pad during rest and controlled isometric plantarflexion. METHODS Non-injured subjects (n = 11) and individuals with incomplete SCI with (n = 14) and without spasticity (n = 14) were recruited. The effect of TENS and vibratory stimuli on Pl-TA CR and soleus H-reflex activity were assessed during rest and controlled ramp-and-hold plantarflexion. RESULTS Vibration failed to inhibit H-reflex activity during rest or plantarflexoin following SCI compared to healthy subjects. In contrast, vibration-induced inhibition of Pl-TA CR was specifically detected in SCI spastic subjects during both rest and the hold phase of plantarflexion. TENS inhibited Pl-TA CR activity in the SCI spasticity group only during hold plantarflexion. CONCLUSIONS Plantar vibratory stimuli inhibited the pl-TA CR, but not the H reflex, during rest and controlled movement in SCI spastic subjects. Assessment of Pl-TA CR modulation should contribute to the development of modality-specific sensory stimuli programmes for the neurorehabilitation of SCI spasticity.
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Affiliation(s)
- Julio Gómez-Soriano
- Toledo Physiotherapy Research Group (GIFTO), Nursing and Physiotherapy School, Castilla La Mancha University, Toledo, Spain.,Sensorimotor Function Group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain
| | - Diego Serrano-Muñoz
- Sensorimotor Function Group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain
| | - Elisabeth Bravo-Esteban
- Toledo Physiotherapy Research Group (GIFTO), Nursing and Physiotherapy School, Castilla La Mancha University, Toledo, Spain
| | - Juan Avendaño-Coy
- Toledo Physiotherapy Research Group (GIFTO), Nursing and Physiotherapy School, Castilla La Mancha University, Toledo, Spain
| | - Gerardo Ávila-Martin
- Sensorimotor Function Group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain
| | - Iriana Galán-Arriero
- Sensorimotor Function Group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain
| | - Julian Taylor
- Sensorimotor Function Group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.,Stoke Mandeville Spinal Research, National Spinal Injuries Centre, Buckinghamshire Healthcare Trust, NHS, Aylesbury, UK.,Harris Manchester College, Oxford University, UK
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Maraqa B, Lataifeh I, Otay L, Badran O, Qutaiba Nouri Y, Issam I, Al Hussaini M. Prevalence of Abnormal Pap Smears: A Descriptive Study from a Cancer Center in a Low-Prevalence Community. Asian Pac J Cancer Prev 2017; 18:3117-3121. [PMID: 29172288 PMCID: PMC5773800 DOI: 10.22034/apjcp.2017.18.11.3117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background and aims: Cervical cancer is the fourth most common cancer in women worldwide and the 13th in Jordan. The cervical smear (Pap smear) is a simple approach to detect pre-cancerous cervical lesions. The aim of this study was to evaluate the prevalence of abnormal cervical smears in women seen at the Early Detection/Community Outreach clinic of King Hussein Cancer Center (KHCC). Materials and Methods: In this retrospective study, reports of routine cervical Pap smears performed in the pathology department at KHCC from January 2007 to December 2016, were reviewed. During this period, a total of 5,529 routine smears were assessed for epithelial abnormalities and histopathological grading. Results: A total of 210 (3.8%) abnormal Pap smears were found, with atypical squamous cell of undetermined significance (ASC-US) reported in 110 (52.4%) cases, atypical glandular cells of undermined significance (AGUS) in 58 (27.6%), low grade squamous intra-epithelial lesion (LSIL) in 27 (12.9%) and high grade intra-epithelial lesion (HSIL) in 13 (6.2%). Only single cases of ASC-H and squamous cell carcinoma were reported. The available biopsies showed benign findings in 70.1% of cases, low grade squamous intraepithelial lesions in 11.5% and high grade squamous intraepithelial lesions in 18.4%. Conclusions: The low epithelial cell abnormality (EPCA) prevalence illustrated in this study argues against introduction of population-based HPV testing and vaccination. It calls for a more cost-effective measures in a country with limited resources, where a more widely available Pap-smear testing might suffice.
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Affiliation(s)
- Bayan Maraqa
- Department of Pathology King Hussein Cancer Center, (KHCC) Amman, Jordan.
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Moubayed SP, Barker DA, Rawnsley J, Blackwell KE, Keller GS. Recognizing an abnormal course of the temporal division of the facial nerve. Eplasty 2014; 14:ic21. [PMID: 25165500 PMCID: PMC4111920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Sami P. Moubayed
- aDivision of Otolaryngology—Head and Neck Surgery, Université de Montréal, Montreal, Canada,Correspondence:
| | - Daniel A. Barker
- bDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif
| | - Jeffrey Rawnsley
- bDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif
| | - Keith E. Blackwell
- bDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif
| | - Gregory S. Keller
- bDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif
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Abstract
BACKGROUND The purpose of this study was to test whether long-term pair housing of male rhesus macaques ameliorated negative responses to stressful events that can occur in the course of routine husbandry or research procedures. METHODS Twelve singly housed individuals were videotaped during two potentially stressful events before and after social introduction into pairs. During each stressor, abnormal behavior and anxiety-related behavior were quantified from videotape. RESULTS When visually exposed to the restraint and anesthesia of other monkeys, subjects showed significantly reduced frequencies of abnormal behavior when pair-housed in comparison to their reactions when housed singly. Noisy and disruptive conversation between technicians standing immediately in front of the subjects' cage did not elicit the same reduction in abnormal behavior. Neither test showed a significant difference across housing settings for anxiety-related behaviors. CONCLUSIONS These findings suggest that pair housing buffers adult male rhesus macaques against common stressors in the laboratory setting.
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Affiliation(s)
- Margaret H Gilbert
- Division of Veterinary Medicine, Tulane National Primate Research Center, Covington, LA, USA
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