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Atypical squamous cells of undetermined significance (ASC-US) is a term used to report a category of cervical epithelial cell abnormalities described by the Bethesda system for reporting cervical cytology. It refers to abnormal cytologic changes that are suggestive of squamous intraepithelial lesion (SIL) but are qualitatively and quantitatively less than those of a definitive SIL diagnosis. The clinical significance of ASC-US is based on the fact that this cytology finding is suggestive of a varying degree of SIL. Nearly 10 to 20% of patients with ASC-US prove to have a varying degree of cervical intraepithelial neoplasia (CIN), which are distinctive precursor lesions of cervical squamous cell carcinoma. About a decade ago, cervical cancer was the third most common cancer in women worldwide, and it was ranked as the first most common cancer in women in 42 low resourced countries. However, the explained link between persistent infection with carcinogenic human papillomavirus (HPV) and the development of cervi the rate was also remarkably low. Visual inspection of the ectocervix is the new way of screening, with immediate results and successful treatment of most of the identified precancerous lesions . Negative cervical cytology is reported as "negative for intraepithelial lesion or malignancy" (Negative/NILM). Squamous cell abnormalities that can be detected by cervical cytology include ASC-US, atypical squamous cells-high-grade cannot be excluded (ASC-H), low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial session (HSIL) and invasive squamous cancer. Glandular cell abnormalities include atypical glandular cells (AGC), including endocervical and endometrial cells (not otherwise specified or favor neoplastic), endocervical adenocarcinoma in situ (AIS), and adenocarcinoma. This activity will improve the understanding of what ASC-US is and the implications and management of ASC-US diagnosis.Amylase is a digestive enzyme predominantly secreted by the pancreas and salivary glands but also found in other tissues in very small levels. Amylase was first described in the early 1800s and is considered one of the first enzymes in history to be scientifically investigated. It was initially termed as distaste but was later renamed as amylase in the early 20th century. The main function of amylases is to hydrolyze the glycosidic bonds in starch molecules, converting complex carbohydrates to simple sugars. There are three main classes of amylase enzymes; Alpha-, beta- and gamma-amylase, and each act on different parts of the carbohydrate molecule. Alpha-amylase can be found in humans, animals, plants, and microbes. Beta-amylase is found in microbes and plants. Gamma-amylase is found in animals and plants. This article will focus on alpha-amylase and its applications. In 1908, a study by Wohlgemuth identified the presence of amylase in urine and this subsequently led to the use of amylase as a diagnostic laboratory test. Amylase is a commonly ordered test along with lipase especially in the setting of suspected acute pancreatitis.Vitamin E or tocopherol is a fat-soluble vitamin functioning as an antioxidant, protecting the cell membrane. As with all vitamins, the body does not form vitamin E. It solely forms from photosynthetic processes of plants, and therefore must be consumed from outside sources in small quantities. It is found abundantly in olive and sunflower oils, as well as nuts, soybeans, avocados, wheat, and green leafy vegetables.Carbonic anhydrase inhibitors are diuretic drugs that have a wide variety of FDA-approved applications and have more recently demonstrated to be beneficial for several other off-label clinical uses.The lateral femoral cutaneous nerve is a pure sensory nerve vulnerable to compression as it passes from the lumbosacral plexus, towards the inguinal ligament, and into the subcutaneous tissue of the anterior thigh. Meralgia paresthetica is a clinical condition that involves pain and dysesthesia in the anterolateral thigh associated with compression of the lateral femoral cutaneous nerve. Meralgia paresthetica is also known as Bernhardt Roth syndrome, lateral femoral cutaneous nerve syndrome, or lateral femoral cutaneous neuralgia.Escitalopram, the S-enantiomer of racemic citalopram, is a selective serotonin reuptake inhibitor (SSRI). SSRIs, as a class of drugs, are used for the treatment of depression, anxiety, and other disorders. In the United States, escitalopram is FDA-approved for the use of major depressive disorder and generalized anxiety disorder. Additionally, escitalopram is used off-label by some clinicians for the treatment of social anxiety disorder, obsessive-compulsive disorder, obsessive-compulsive disorder, panic disorder, posttraumatic stress disorder, premenstrual dysphoric disorder, and the vasomotor symptoms of menopause.Mediterranean diet is a generic term used to describe the dietary pattern of individuals living in the countries along the coast of the Mediterranean Sea, including Greece, Italy, southern France, Crete, Spain, and parts of the middle east. This article will utilize the Mediterranean diet in a broad sense, from the time of its initial rise pre-globalization to its use today. Before large scale trade became available in the 1950s, people would eat what was available to them based on their geography, creating a seasonal variability for most. The Mediterranian diet is primarily a plant-based diet with the contributions from animal-based products being comprised of fish and poultry with a limited quantity of dairy products. While the modern version of the diet utilizes a higher proportion of red meat and processed foods, the primary focus of the diet remains the same - plant-based with healthy fats.Syphilis is a sexually transmitted infection (STI) caused by the spirochete bacterium Treponema pallidum. There are different stages of syphilis primary, secondary, and tertiary, which are defined by clinical manifestations of the disease. Those who are infected but are asymptomatic have latent syphilis. Without adequate treatment, neurological and cardiovascular anomalies may develop, and infection in pregnancy can lead to congenital syphilis. Thus, detecting syphilis promptly is crucial in preventing the progression and fatal consequences of the disease. Traditionally, rapid plasma reagin (RPR) and venereal disease research laboratory (VDRL) tests are the non-treponemal serologic tests used to screen for active syphilis infection and monitor response to treatment. Due to their lack of specificity, positive results are confirmed by tests that are treponemal-specific, such as fluorescent treponemal antibody absorption (FTA) test, T. CM 4620 solubility dmso pallidum enzyme-immunoassay (TP-EIA) test, T. pallidum particle agglutination (TPPA) test, and the automated chemiluminescent immunoassay (CLIA) test.
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