Notes

Results of Enzymatic Liquefaction, Blow drying Techniques, and also Wall membrane Components for the Physicochemical Qualities, Bioactivities, along with Morphologies of Zinc-Amaranth (Amaranthus viridis L.) Powders.
Gillespie syndrome (GS) is a rare genetic disorder that combines ocular and cerebral defects.It was first described in 1965, by Frederick D. Gillespie. He reported a triad of congenital aniridia, cerebellar ataxia and mental retardation in a 22-year-old woman and her 19-year-old brother. Its etiology is still unknown.To date, less than 30 patients have been reported in the literature.

We report the case of a 2 years old child, born of a consanguineous marriage. At the age of 8 months, the parents consulted for a delay in psychomotor acquisition for which the MRI performed showed a vermian hypoplasia. It was only at the age of 2 years, following a contusive trauma of the left eye that a partial aniridia was objectified on both eyes associated with a lens coloboma on the left eye. In view of these clinico-radiological data, the diagnosis of Gillespie syndrome was retained.

Gillespie syndrome is a genetic disease. It combines ocular and neurological abnormalities. It was first described in 1965 by Gillespie. The ocular manifestations of Gillespie syndrome mainly concern the iris. Aniridia is always present with, in most cases, a scalloped appearance of the pupillary margin. It can be accompanied with additional ocular findings such as foveal, optic nerve hypoplasia, retinal hypopigmentation, and/or pigmentary macular changes leading to reduced visual acuity.In addition to ocular abnormalities, the Gillespie syndrome. (GS) includes neurological deficiencies, particularly axial hypotonia, lack of coordination, dysarthria and static and kinetic ataxia.

The diagnosis of Gillespie Syndrome should be evoked in any hypotonic child presenting with bilateral but partial aniridia. Prognosis depends on the proper management and anticipation of ocular and mental symptoms and disabilities.
The diagnosis of Gillespie Syndrome should be evoked in any hypotonic child presenting with bilateral but partial aniridia. Prognosis depends on the proper management and anticipation of ocular and mental symptoms and disabilities.
Extrapulmonary tuberculosis may develop in any organ system, including the spine. The affection of spinal cord is called Pott's disease and it is the most frequent set. Pott's disease can present as back pain and be related to complications such psoas muscle abscess.

We report a case of 23-year-old Brazilian woman, natural from Amazonas, presenting with psoas abscess associated to Pott's disease treated with surgical debridement and drainage and extended tuberculosis scheme.

Psoas abscess is rare and the main agents related to psoas abscess are
, followed by
and
. Retrofascial abscesses usually originate from bone lesions, including spine tuberculosis as our case, or due to contiguity of the retroperitoneal space.

Psoas abscess related to Pott's disease is a difficult diagnosis, requiring high suspicious and proper investigation through good anamnesis, CT scan and culture.
Psoas abscess related to Pott's disease is a difficult diagnosis, requiring high suspicious and proper investigation through good anamnesis, CT scan and culture.
Necrotizing sialometaplasia (NSM) is a benign, self-limiting, inflammatory disease of salivary glands, mainly involving the minor salivary glands in the palate. This lesion can mimic a malignant neoplasm, both clinically and histopathologically, manifesting as a submucosal swelling or as an ulcer of the palate. We illustrate our work with a case of necrotizing sialometaplasia misdiagnosed as carcinoma.

A 26 years old woman presented to dental treatment and consultation center of Rabat, for a rehabilitation of left palatal bone defect with an obturator prothesis. A postsurgical erythematous area was noted at the left palate during intraoral examination. After medical file study, we founded that she had a necrotizing sialometaplasia treated by maxillectomy of the left maxillary bone, and we realized that a diagnostic error was made leading to an aggressive treatment.

Necrotizing sialometaplasia can be misdiagnosed clinically and microscopically as a malignant neoplasm, resulting in inappropriate and aggressive treatment like the case presented.

The diagnosis of NSM is challenging, the role of histopathology and immunohistochemistry is of paramount importance.
The diagnosis of NSM is challenging, the role of histopathology and immunohistochemistry is of paramount importance.
Low protein intake post-bariatric surgery can result in protein malnutrition, and muscle mass loss. Authors aim to assess the effect of protein supplements on weight loss, body composition, and micronutrient status following LSG.

This is a double-blinded RCT conducted between February/2017 to January/2018. Eligible post LSG patients were randomized into the intervention group who received daily protein supplements containing 20g of protein and placebo group received zero protein supplements. Both groups received a standardized diet. Weight loss, body composition, and micronutrient status were analyzed at 1, 3, and 6 months.

48 participants were included in the final analysis (intervention 21 and placebo27). Excess weight loss percentage (EWL%) at 6 months was comparable between both groups (69.44±21.99% and 71.40±19.27% respectively). No significant difference observed in the anthropometric parameters. There was an increase in muscle mass and a decrease in muscle mass loss in the intervention group throughout the study period. However, these changes were not statistically significant. There was a significant increase in total protein (
and magnesium (
) in the intervention group at 3 months. Albumin and iron levels were significantly higher at 6 months in the intervention group (
&
respectively). Other micronutrients did not differ at any time point between both groups.

Protein supplements resulted in significant improvement in total protein, albumin, magnesium, and iron levels post LSG. Although not significant, protein supplements helped in maintaining the muscle mass and preventing muscle mass loss.

This RCT is an original article and provides a level 2 evidence.
This RCT is an original article and provides a level 2 evidence.
Evaluating the degree of extracranial stenosis is important in predicting the risk of cerebrovascular events and to assess if the patient can benefit from any intervention. Non-invasive methods, like Doppler Ultrasonography (DUS) are preferred to invasive methods such as Digital Subtraction Angiography (DSA).

In this retrospective study, the level of agreement between DUS and DSA regarding the degree of stenosis of Internal Carotid Arteries (ICAs) and Vertebral Arteries (VAs) was assessed. The degree of ICA stenosis was classified into 5 groups. DSA was assumed as the gold standard. VA stenosis was classified into two groups of more or less than 50% stenosis.

A total of 428 ICAs were assessed. Based on DSA results, DUS could estimate the degree of arterial stenosis in groups of 0-15% stenosis and 100% stenosis most accurately, and the least accuracy was in groups of 50-69% and 70-99% stenosis. The overall agreement between DUS and DSA in the classified ICA stenosis was moderate (Weighted Kappa=0.565, P<0.001). Also, the agreement of DUS and DSA when classifying ICA stenosis into two groups of above and below 50%, was moderate (Kappa=0.583, P<0.001). DUS was most sensitive and specific in the group of 100% stenosis (Sensitivity 0.75 Specificity 0.99) as well as the group of 1-15% stenosis (Sensitivity 0.80 Specificity 0.76). Also, DUS was least sensitive in group of 50-69% stenosis (Sensitivity 0.11 Specificity 0.94). Regarding VAS, 108 arteries were assessed and the agreement between DUS and DSA was fair (Kappa=0.248, CI95=-0.013 - 0.509, P<0.01).

DUS can be used as the first-line screening tool for detecting extra cranial arteries stenosis. The practicality of the DUS as a screening tool for extracranial VAs stenosis appears to be limited.
DUS can be used as the first-line screening tool for detecting extra cranial arteries stenosis. The practicality of the DUS as a screening tool for extracranial VAs stenosis appears to be limited.
and importance Testicular tumors represent 1% of human malignant tumors. Spermatocytic seminoma (SS) is a rare tumor, representing less than 2% of testicular cancers. This Tumor is an uncommon neoplasm first described by Masson in 1946 and rarely occurs before the fifth decade. Around 200 cases of Spermatocytic seminoma have been reported in the literature.

We present a case of Spermatocytic seminoma in 80 years old men who presented with a right testis mass. Rhosin solubility dmso Scrotal ultrasonography revealed a well-defined 62×32×27 mm right testicular solid tumor with heterogeneous echogenicity associated with a small hydrocele. A right inguinal orchiectomy was performed with primary control of the spermatic cord. Following the operation, the patient was followed closely without any adjuvant therapy and was in good condition with no evidence of metastasis 12 months after the operation.

The spermatocyte seminoma described by Masson in 1946, represents an entity anatomy-clinical which, due to its morphological and biological properties particular, deserves to be distinguished from the classic variety of testicular seminomas. It is an uncommon tumor and, represents less than 1% of all patients and 4.4% of stage I. Homolateral orchiectomy inguinal with upper spermatic cord ligature represented the standard treatment.

Spermatocytic seminoma is a rare tumor, found mainly in elderly men. It is original by its histological characteristics and its good prognosis.
Spermatocytic seminoma is a rare tumor, found mainly in elderly men. It is original by its histological characteristics and its good prognosis.
Gastric perforation is a common general surgical emergency. Ischaemia of the stomach is uncommon due to its rich vascular supply, and is an uncommon cause of perforation. Minimal literature is available on the topic of ischaemic gastritis, with the few cases available linked to gastric dilation.

A 52 year old lady presents with a syncopal episode, nausea, vomiting, malaise, and abdominal discomfort. A chest X-ray identified free subdiaphragmatic gas, and her examination revealed a peritonitic abdomen, prompting urgent surgical intervention. She was found to have ischaemic gastritis with multiple perforations along the greater curvature, necessitating a sleeve gastrectomy. Her post-operative course was stormy, requiring significant haemodynamic and respiratory support in the intensive care unit with progressive multi-organ dysfunction. She eventually developed extensive bowel ischaemia, and further management was considered futile. She passed away 13 days post-operatively.

The vascular supply of the stomach is rich with collaterals, making ischaemia unlikely. Its occurrence requires either a proximal insult, global ischaemia from pressure, or a systemic coagulopathy. Aside from perforation, it may also present with GI bleeding. Depending on its aetiology, the disease has been managed successfully either conservatively, interventionally, or operatively.

Ischaemic gastritis is uncommon and likely underdiagnosed. Timely recognition of its aetiology early in its course is important, for choosing the appropriate management and to improve patient outcomes. Its management is dependent on the aetiology of the perforation.
Ischaemic gastritis is uncommon and likely underdiagnosed. Timely recognition of its aetiology early in its course is important, for choosing the appropriate management and to improve patient outcomes. Its management is dependent on the aetiology of the perforation.
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