Rejected

Sphenoid sinus mucocele is a rare cystic lesion. It grows gradually and causes visual disturbances, ocular motility abnormalities and headache due to cavernous sinus compression. Sudden change in sinus cavity volume by a barotrauma may compress a mucocele and precipitate symptoms that may easily be confused with decompression sickness. A diver suffering from vertigo, nausea, blurry vision and hearing loss following uneventful dives is presented in this report. He underwent hyperbaric oxygen treatment for inner ear decompression sickness but later was diagnosed as sphenoid sinus mucocele. A high index of suspicion is necessary to capture rare conditions like mucocele in the differential diagnosis for divers with symptoms suggesting vestibulocochlear origin. To our knowledge, only one sphenoid sinus mucocele case presenting as a diving injury has been previously reported.

A recent case of a bite by a psammophiid snake, Psammophis schokari, is described and analyzed. This is the first report of local envenoming by this species. The 1 m long P. schokari inflicted a protracted bite on the third digit, right hand of the male 59 year-old victim who developed mild, but locally progressive edema and persistent pain; full resolution required almost three months. All documented cases of bites by snakes of the genus Psammophis are briefly reviewed and discussed. Finally, we encourage the use of a standardized method to describe the observed symptoms of bites by non-front-fanged colubroid snakes (NFFCs). Such bites are rare compared to those described for front-fanged snakes (e.g. Viperidae, Elapidae). Published data are still often comprised of anecdote or second-hand information. Whenever possible, formal medical evaluation of victims bitten by NFFCs should be performed in order to establish a medical risk and management profile for each species.

In 2018, the Ethiopian Ministry of Health embarked on a Mass Drug Administration (MDA) campaign that involved over 9 million people in Ethiopia – the largest scabies MDA campaign ever conducted on a global level. We describe its implementation and report on a) numbers screened and identified with scabies, b) treatment category and drug type and c) human resources used, duration, and cost of the campaign.

Endometriosis is a chronic, inflammatory disease affecting more than 170 million women worldwide and up to 10% of women of reproductive age. As a consequence of inflammatory reaction and infiltration of anatomic structures, endometriosis can cause "pain symptoms" including dysmenorrhea, dyspareunia, dyschezia, dysuria, and chronic pelvic pain. In this review, we summarized the impact of endometriosis on quality of life in all its aspects including sexual life, work, and social relationships. The data research was conducted using web-based search engines and/or various electronic research databases querying for all articles related to endometriosis and quality of life from the inception of the database up to February 2020. Endometriosis has not only physical but also psychological effects, causing depression, anxiety, and compromising social relationships. Furthermore, endometriosis negatively impacts sexual life and social relationships. At last, the economic burden of endometriosis should not be underestimated, both individually and for the community, as this pathology leads to a loss of productivity at work and large use of health resources. Thus, endometriosis-related symptoms control women's lives compromising the quality of life in all aspects. In this review, we summarized the impact of endometriosis on various aspects of women's lives.

This study aimed to describe management practices that may compromise the welfare of unweaned dairy calves on 29 dairy farms in Chile, and identify factors associated with diarrhea and respiratory disease (n = 700 calves). Evaluations were divided into protocol-, facility-, and animal-based measurements. Calf diarrhea and respiratory disease data were analyzed using logistic regression models. Management practices identified as risk factors for poor calf welfare were: relying on the mother to provide colostrum (48.0% of the farms); using restrictive milk feeding (65.5%), and unpasteurized waste milk (51.7%); giving water after 30 days of age (17.2%); disbudding without analgesia (89.6%) or anesthesia (79.3%); lacking euthanasia protocols (61.5%). Factors significantly ( < 0.05) associated with increased odds of diarrhea were: cleaning the calves´ bed once a week and 2-3 times a week compared with every day, using milk replacer and untreated waste milk compared with treated waste milk (pasteurized or acidified), animals scored dirty in the calf cleanliness score compared with clean animals, and greater herd size. Factors significantly associated with increased odds of respiratory disease were: less pen space allowance (<1.8 m), farms that did not check colostrum quality, and animals that scored dirty and moderately dirty compared with clean calves. These results suggest the need to improve specific management practices associated with reduced welfare and health in dairy calves in Chile.

Chronic shoulder impingement is one of the most common causes of shoulder pain. Intrinsic, extrinsic and secondary factors play a role in this syndrome; however the etiology of the pathology is still under debate. In rare cases, it can be caused by tumors, such as an osteochondroma. In the present study, a 49-year-old patient presented with shoulder pain for 6 months. Initially he underwent conservative treatment, without relief of symptoms. Xrays and MRI were then performed and showed the presence of an exostotic formation on the undersurface of the lateral third of the clavicle. The formation was arthroscopically removed. Histologic examination confirmed the diagnosis of osteochondroma. After surgery, the patient resumed fully activities with no symptoms within 3 months. At 1 year follow up, there are still no clinical or radiological signs of recurrence. This is, to our knowledge, the first case where an arthroscopic approach was used to remove an ostochondroma of the distal third of the clavicle.

Up to a decade ago, to treat patients with chronic wrist pain due to advanced stages of arthritis, surgeons had four main solutions: partial or total wrist arthrodesis, total wrist prosthesis and proximal row carpectomy (PRC). Since 2010, a new technique has been described in literature using the Resurfacing Capitate Pyrocarbon Implant (RCPI), combined to PRC. The aim of this article is to review the literature and determine the indications, outcomes and complications associated with RCPI. An electronic literature research was carried out and pertinent articles were selected. Surgical technique, results and complications described in those articles are presented. From this review of the literature, authors conclude that Resurfacing Capitate Pyrocarbon Implant can be considered as a good alternative to arthrodesis and total wrist arthroplasty, at any ages, when proximal row carpectomy alone would not be indicated.

To describe sex, age and body mass index (BMI) differences in comorbidities and polysomnography (PSG) measures, categorized using three different apnea-hypopnea index (AHI) criterion, in sleep clinic patients with mild obstructive sleep-disordered breathing (SDB).

Intracranial hemorrhage (ICH) is a rare complication of central nervous system (CNS) tuberculosis, and intra-tuberculoma hemorrhage is even rarer. Periventricular hemorrhage caused by CNS tuberculosis has not been reported so far. In this paper, we exhibited the peculiar neuroradiological manifestations of periventricular hemorrhage secondary to CNS tuberculosis and discussed possible mechanisms of intra-tuberculoma hemorrhage supported by neuroradiological findings.

In order to explore the possible risk factors of infection in patients with breast cancer after surgery under the guidance of anesthesia and use intelligent software to analyze the risk factors of infection after radical mastectomy after AUTO-plan is optimized, 50 patients with breast cancer who underwent a radical mastectomy in our hospital from July 2017 to August 2019 were selected as the research subject. The clinical data of these patients were analyzed and postoperative follow-up was performed. For these patients, statistics were made on their age, past medical history, pre- and post-operative chemotherapy, intraoperative blood loss, and operation time. A Chi-square test was performed with statistical software to analyze the risk factors associated with stoma prolapse infection, as well as postoperative analgesia effect and complications in patients with regional nerve block. The computerized intelligent analysis was used to analyze the independent factors of infection in patients after radical mastectomy based on optimized AUTO-plan. Results: Ten patients developed a postoperative infection. Chi-square test analysis showed that the age, operation time, and intraoperative blood loss of patients were related to the infection after radical mastectomy for breast cancer (P < 0.05). The chance of postoperative infection caused by past medical history as well as pre- and post-operative chemotherapy was small (P > 0.05). The computerized intelligent analysis results showed that the three factors of age, operation time and intraoperative blood loss were independent risk factors that increased the infection rate after radical mastectomy (P < 0.05). In conclusion, patients undergoing using the AUTO-plan intelligent analysis under regional nerve block have fewer postoperative complications and good analgesic effects. Analysis of infection after radical mastectomy for patients can improve the quality of life of the patients, and the optimized AUTO-plan provides more efficient medical care assistance for the medical field.