Acutely Inflamed Mamilla - Mastitis and Abscess | Author : Anubha Bajaj* | Abstract | Full Text | Abstract :Mastitis is an inflammation of breast parenchyma, predominantly occurring in the breastfeeding period, with or without accompanying infection and appears as lactational or puerperal and non-lactational as is associated with duct ectasia. Breast abscess is a focal accumulation of purulent substances within the breast parenchyma emerging as a complication of mastitis and is common in lactating women. Comprehensive incidence of mastitis is around 33% whereas breast abscess arises in approximately 3% to 11% of subjects with mastitis.
An estimated two fifths (40%) of breast abscess or certain breast infections are poly-microbial and specific aerobes such as Staphylococcus, Streptococcus, Enterobacteriaceae, Corynebacterium, Escherichia coli and Pseudomonas along with anaerobes as with Pepto-streptococcus, Propionibacterium, Bacteroides, Lactobacillus, Eubacterium, Clostridium, Fusobacterium and Veillonella can engender the disease. Subjects with mastitis enunciate flu-like symptoms with malaise, myalgia, fever, mammary pain, decline in milk egress, local warmth, tenderness, firmness and swelling of breast region and localized erythema. Breast abscess usually delineates mammary pain and/or a breast lump. Lactational breast abscess morphologically recapitulates an acute inflammation whereas non-lactational breast abscess is commonly sub-areolar and appears as a fistula of lacteriferous ducts, eventually emerging as chronically draining sinuses and breast abscess adjacent to the areola. Squamous metaplasia of lacteriferous duct epithelium, duct obstruction, and sub-areolar ductal dilatation or duct ectasia can ensue. |
| COVID Diaries: An Indian Perspective | Author : Gurmeet Singh Sarla* | Abstract | Full Text | Abstract :
COVID-19 has shaken up the world and these COVID times have allowed us to slow down, log out, switch off for a while and think about our real needs against greed. The ‘lockdown’ has provided us with an opportunity to pursue our hobbies and passion, to learn a new skill, to read your favorite books, watch movies which you have missed, to work-out which you missed doing due to paucity of time and to sit back and think about how to improve and make ourselves a better person. Most of us can work from home and if we are determined, we can cut down on our travel thus reducing air and water pollution in addition to a significant reduction in the number of road traffic accidents. The health crisis brought every one of us together and Corporate India shouldered its corporate social responsibility, reel heroes and cricket legends played their part well and Corona warriors led the war against the virus with grit and determination under the able leadership of a dynamic Prime Minister |
| Laparoscopic Treatment of a Patient with Perforated Jejunal Diverticulitis | Author : Francisco J. Buils Vilalta*, Juan José Sánchez Cano, Joan Domènech, Rosa Prieto Butillé, Elisabet Homs Ferré, Elia Bartra Balcells, Pilar Martínez López, Carla Morales Tugues, Mariale García Durán, Daniel del Castillo Déjardin | Abstract | Full Text | Abstract :Jejunal diverticular disease is a rare but important clinical entity. Jejunal diverticula usually remain asymptomatic in 60-70% of cases and cause symptoms or surgical complications in 10-19%. Perforation of a jejunal diverticulum is infrequent and treatment has traditionally been exploratory laparotomy, with resection of the affected intestinal segment. However, the laparoscopic approach can be a good alternative in these cases, providing the known advantages of this type of surgery. We present the case of a 75-year-old man who manifested himself as an acute abdomen and who was diagnosed and treated for a jejunal diverticulum perforation by laparoscopic surgery, with good results |
| A Case Study of the Relationship Between Weight and Glucose Using Math-Physical Medicine | Author : Gerald C. Hsu* | Abstract | Full Text | Abstract :The article is a case study of the Relationship between Weight and Glucose Using Math-Physical Medicine. For 2,245 days, the author, who has Type 2 Diabetes (T2D) for approximately twenty years, collected and processed about 1.5 million biomedical data regarding his health and lifestyle conditions, including 13,470 data for weight and glucose. There are approximately 20 influential factors (5 for FPG and 15 for PPG) for determining glucose levels. Also, the author has collected a complete set of PPG data for 1,075 days with 3,225 meals. In this article, the author will discuss the specific relationship between weight and glucose along with FPG and PPG. In conclusion, Based on the case study of this overweight but not obese (BMI<30) patient’s data analyses, the results show that most of his FPG data (~93%) are almost directly proportional to his weight change according to a “fixed” slope. |
| Neuroinvasive Coronaviruses | Author : Hassan Baallal*, Hatim Belfquih, Amine Adraoui and Ali Akhaddar | Abstract | Full Text | Abstract :Following the severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), another highly pathogenic coronavirus named SARS-CoV-2 (previously known as 2019-nCoV) emerged in December 2019 in Wuhan, China, and rapidly spreads around the world.
Several recognized respiratory viral agents have a neuroinvasive capacity since they can spread from the respiratory tract to the Central Nervous System (CNS). Once there, infection of CNS cells (neurotropism) could lead to human health problems, because they are naturally neuroinvasive and neurotropic, human coronaviruses are suspected to participate in the development of neurological diseases.
Therefore, collecting new data will be instrumental to our understanding of how the ubiquitous human coronaviruses, given the proper susceptibility conditions and proper virus evolution and infection conditions, could participate in the induction or exacerbation of human neuropathologies. In the present study, we deduct the Severe Acute Respiratory Syndrome Coronavirus in the Brain. |
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