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A 33-week gestation, 1.75-kg female infant with mitral stenosis/aortic atresia variant of hypoplastic left heart syndrome and severe ventriculo-coronary connections underwent surgical septectomy and bilateral pulmonary artery banding at five weeks of age (2.10 kg). After separation from bypass, she developed hemodynamic instability requiring venoarterial extracorporeal membrane oxygenation support. She was listed for heart transplantation and transplanted after three days of support with an oversized heart (4.71 donor-recipient weight ratio).The discourse of Undetectability, referring to the effect of HIV viral suppression on forward sexual transmission, is at the heart of the current paradigm of Treatment-as-Prevention and is invested with hopes of eliminating stigma. But ethnographic examination of the way HIV-positive gay and bisexual men in four major Indian cities experience Undetectability reveals a more complicated picture. Rather than resolve the problem of HIV stigma, Undetectability enables new ways of managing it, including ethical non-disclosure in the face of social danger. This reveals three paradoxes inherent in the universalism of Treatment-as-Prevention and its reliance on biomedical solutions.Background Mental health promotion and prevention with expecting and new fathers has historically been challenging. Approximately 10% of this population report experiencing depression in the post-partum period and 18% report experiencing anxiety. This population may be further at risk if their partner has a mental illness.Objective To assess if information provided by SMS may be a way to reach a vulnerable population of new fathers with partners who have a mental illness.Method Twenty-three new and expecting fathers who have partners with a mental illness were engaged in a qualitative assessment of their experience with the SMS4Dads programme.Results This analysis showed that at risk new fathers appreciated the information received during the programme and reported acting on this, making changes in the way they interact with their children. Conclusion The combination of timely, accurate and practical information delivered in a novel way, likely contributed to the reports of improved interactions within the family unit. Key Words Fathers, infant, SMS, depression, mental health.
In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years' follow-up.
To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon.
Case series; Level of evidence, 4.
The same cohort of 20 patients was recalled after 7 years, and visual analog scale (VAS) for pain and Disabilities of the Arm, Shoulder and Hand (DASH) scores, need for secondary intervention, and overall satisfaction were assessed. They were also reassessed using ultrasound imaging of the brevis and the common extensor tendon to evaluate tendon hypervascularity, tendon thickness, and the progress or the recurrence of the hypoechoic scar tissue.
We successfully scored 19 patients and pehad reduced tendon swelling and sustained resolution or reduction of the hypoechoic lesion.
At the long-term follow-up of 90 months, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrated good durability of pain relief and functional recovery that was previously achieved. This was accompanied by sustained sonographic tissue healing with no significant deterioration.
At the long-term follow-up of 90 months, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrated good durability of pain relief and functional recovery that was previously achieved. This was accompanied by sustained sonographic tissue healing with no significant deterioration.Excessive social media has emerged as a potential behavioral addiction with multiple consequences, especially in young adulthood (18-24 years). This study aimed to assess the relationship between excessive social media use, sociodemographics, and psychosocial constructs in a Hispanic college student sample. College students (n = 621; n = 456 females; n = 160 males) from a university located on the U.S./Mexico border completed a survey assessing sociodemographics, social media addiction, social media use, and psychosocial constructs (e.g., Internet motives, sensation seeking, and need for drama [NFD]). Descriptive analyses were conducted, as were two linear regressions assessing weekly social media use and social media addiction. Participants reported using social media an average of 20 hours a week (SD = 19.47). In addition, 57.9 percent of participants reported using social media once a day or more, whereas 15.1 percent met the social media addiction threshold. Weekly social media use was positively associated with NFD, socialization, and coping as motives while being negatively associated with age. Wnt activation Social media addiction was positively associated with NFD and coping while being negatively associated with age. Findings suggest that Hispanic college students evidence high social media use rates and may be using social media as an unhealthy strategy to deal with negative mood and daily problems. Furthermore, college students may be using social media as an avenue to engage in attention-seeking behaviors and manipulation of others. Prospective studies are warranted to assess these relationships temporally, as are intervention efforts aimed at reducing excessive social media use.In this study, we report a high incidence of New Delhi metallo-β-lactamase (NDM)-producing and ampicillin-catabolizing bacteria within carbapenem-resistant bacterial populations in the waters of two important rivers, Mahananda and Karala, bisecting two most populous towns, Siliguri and Jalpaiguri, respectively, in the northern West Bengal, India. Isolates producing NDM belonged to four genera, Acinetobacter, Escherichia, Proteus, and Pseudomonas; among which few were phylogenetically determined as putatively novel species. Class 1 integrons with the frequent presence of aadA and aac(6')-Ib gene cassettes in 50% of NDM-bearing isolates are indicative of possible selective pressures generated out of unregulated use of streptomycin, in agriculture practiced by the cultivators and tea planters living in locales drained by these two rivers, in their up- and downstream, and amikacin in the most crowded government-sponsored "sadar" and district hospitals of Siliguri and Jalpaiguri. NDM-delivering bacteria in rivers have genuine consequences for city inhabitants who are dependent on public water and sanitation facilities.
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