Soil salinity is one of the main factors limiting the development and global agricultural productivity. Melon (Cucumis melo L.) is mainly produced in arid and semi-arid regions around the world, favoring the accumulation of soluble salts in the soil. Therefore, this study aimed to evaluate the emergence and vegetative development of melon genotype under different levels of soil salinity. The assessments were performed based on the exchangeable sodium percentage (ESP) at 0, 20, 25, 30 and 35%. The emergence was affected around 30 percentage points, by comparing the control and the highest dose (35%). The emergence speed and the emergence speed index parameters were also affected in a similar way, as well as the length and dry matter of the shoot. The growth of the plants was also affected by the saline stress, being superior in the control (0%) in relation to the treatments with NaCl. The leaf area increased between weeks 4 and 7 after the planting and was slightly superior in the control in relation to the plants submitted to saline stress (20, 25, 30 and 35% of exchangeable sodium). The melon is more sensible to the saline stress in the seedling emergence than in the vegetative development over time. The development of melon seedlings is mainly affected in exchangeable sodium values superior to 20%. The analyzed hybrid is sensible to the saline stress even in 20% of exchangeable sodium.

There is currently no emergency congress without a table and/or ultrasonography workshop at the bedside and recently the new guidance on the management of syncope has been published (ESC Guide 2018 on the diagnosis and treatment of syncope [1]). Together with the possibility of cushioning the problem of the excess of requests for complementary tests in the emergency departments, we believe that this article combines both aspects and provides an interesting point of reflection. Keywords: Syncope, Pulmonary embolism, Ultrasound at the bedside, Supplementary tests.

Ewing’s sarcoma is a common pediatric sarcoma. There is a subset of tumors similar to Ewing’s sarcoma in several aspects, but negative for all known translocations. The BCOR sarcoma is one example. There are limited descriptions of the radiologic imaging findings. Previous reports describe the radiologic features as “aggressive” and “similar” to Ewing’s sarcoma. This implies a permeative lesion centered in the diaphysis. Our case was geographic with a well-defined border and sharp zone of transition. Keywords: Ewing’s sarcoma, BCOR sarcoma, Imaging

Background: Dance performance requires the combination of both athletic and artistic demands. The health and well-being of dancers is of paramount importance, and one intervention that has been used to manage their health and performance is screening. There is a need to determine current screening practices to aid the management of dancers. Methods: The Bristol online survey was used to determine screening practices in dance companies/schools and university dance programmes. The survey was available online between April 2018 and September 2018 and consisted of 39 questions which were divided into the following sections: (1) screening details, (2) physical fitness and joint screening, (3) injury screening, (4) dance specific movement screening, (5) health screening. Respondents included those individuals involved in dance screening. Results: A total of 32 individuals participated in the study with physiotherapists and dance teachers most prevalent. Injury prevention (62.5%) and self-management (62.5%) were the most common aims of screening. Dancer screening occurred in a non-fatigued state in 90.63% of dancers. Flexibility (95.75%) was the most commonly assessed physical fitness component and the feet the most assessed joint (87.5%). Passive turnout (62.5%) and demi-plié (62.5%) were the most commonly assessed dance specific movements. Previous injury (87.5%) had the highest prevalence of general health questioning. Cardiovascular screening was performed by 21.88% of respondents and the Star Excursion Balance Test (34.38%) was the most commonly used movement screening tool. Hypermobility was screened by 75% of respondents and 28.13% of respondents used psychometric tests. Conclusion: Physiotherapists and dance teachers were most frequently involved in screening, and the main aims were to improve the dancers health and well-being. There may be a need to consider the potential influence of acute fatigue on screening and a greater assessment of the strength, aerobic fitness and speed is required. Passive and active turnout were frequently screened and may be important in identifying potential injury risk. Cardiac and psychometric screening was limited and may require greater consideration. Keywords: Dance screening, Injury prevention, Career longevity, Flexibility, Passive turnout, Cardiovascular screening, Star Excursion Balance Test, Hypermobility

Background: As of 1942, there were neither indigenous radiographers nor radiography training institutions in Nigeria. Presently, progress made is breathtaking. Despite the strides, there were no readily accessible records to give researchers insight on the trajectory of the profession since the beginning of the 20th century. Objective: To trace the origin, investigate the quests, ascertain the conquests of the radiography profession in Nigeria and then document them for easy accessibility. Methods: A prospective, longitudinal historical research spanning 6 years (2013 – 2019). Data emanated from records of the professional association (ARN), publications in the radiography profession, and interview of older radiographers, especially those who were witnesses to professional milestones. Internet search complemented retrieved information. The draft of the work was uploaded continually on radiographers’ Facebook and WhatsApp platforms for inputs. The author resolved discrepancies in the account through the weight of evidence for or against. Results: Approximately 5,000 persons have passed through basic radiography training in Nigeria, with ≤ 5% having postgraduate qualifications. Training institutions have evolved from two monotechnics to ≥ 10 universities, with three of those are involved in postgraduate education. Radiography has witnessed considerable role extensions from traditional x-ray to more advanced practices and complex modalities. Conquests were, however, sometimes reversed, or jeopardized by internal upheavals and meddlesome interlopers. Conclusion: Radiography in Nigeria has witnessed breathtaking evolution in training and practice from the time of World War II (WWII) until date. Radiographers themselves, with significant assistance from non-radiographers, engineered those milestones. A consolidation of intra-professional cohesion and inter-professional synergy is needful, for more focused and dedicated services to humanity.

Introduction: Kikuchi-Fujimoto’s disease (KFD) or histiocytic necrotizing lymphadenitis is a benign and self-limited disease of unknown etiology mainly affecting young women. Although the association with systemic lupus erythematosus (SLE) is well described, no case of drug-induced lupus erythematosus (DILE) associated KFD has not been reported so far. Case report: We herein report a 25-year old Caucasian woman, with no medical history and no medication except for oral estrogen-progestin contraception (levonorgestrel-ethinylestradiol), who presented with cervical lymphadenopathy, fever and arthralgia without weight loss, night sweats or skin involvement. An exhaustive infectious disease screening was negative and lymph node biopsy revealed histiocytic necrotizing lymphadenitis suggesting KFD. Autoimmune screening tests evidenced high titers of anti-histone antibodies suggesting DILE induced by estrogen-progestin medication. The patient received a short course of non-steroidal anti-inflammatory treatment for painful lymphadenitis and arthralgia. Oral levonorgestrel-ethinylestradiol contraceptive medication was stopped and KFD and DILE completely recovered with a long-term disappearance of anti-histone antibodies. Conclusion: We report the first case of KFD associated-DILE following oral levonorgestrel-ethinylestradiol medication. Even though levonorgestrel-ethinylestradiol induced lupus is well known, the association with KFD has never been reported and the physiopathology remained unknown. Keywords: Kikuchi-Fujimoto disease, Lupus, Levonorgestrel-ethinylestradiol

Crizotinib is an orally available tyrosine kinase inhibitor, approved for treatment of anaplastic lymphoma kinase (ALK) and c-ros oncogene 1 (ROS1) rearrangement-positive non-small cell lung cancer (NSCLC). According to the product leaflet, crizotinib capsules should be swallowed whole, and should not be crushed, dissolved or opened. However, this manner of administration is not always possible. At present, literature is lacking regarding the absorption of crizotinib via percutaneous endoscopic jejunostomy (PEJ) tube. We report a case of a patient with ALK+ NSCLC who was administered crizotinib via PEJ tube. An adequate steady state crizotinib trough concentration was reached, resulting in a metabolic response. Safety for the caregiver was ensured since the administration of crizotinib was made without crushing or opening the capsule. This case supports the option for providing crizotinib via PEJ tube in patients who have ALK+ NSCLC and are unable to swallow whole capsules. This option might also apply to the administration of other ALK inhibitors. Keywords Crizotinib, ALK inhibitor, percutaneous endoscopic jejunostomy tube, pharmacokinetics, non-small cell lung cancer.

Introduction: We describe a case of 22 year old female with her first pregnancy triggered Hashimoto’s thyroiditis (HT), Antiphospholipid Syndrome (APS) and Systemic Lupus Erythematosus (SLE). Case Report: A 22 year old female was diagnosed with HT on levothyroxine during the early first trimester. During 21 weeks of gestation patient has intrauterine fetal demise and underwent medical abortion. SLE work up including antinuclear antibody and anti-double stranded DNA were positive. She underwent kidney biopsy, which revealed membranous and mesangial proliferative lupus nephritis. Diagnosis of SLE and APS was made. Treatment with anticoagulation therapy was started. SLE therapy was initiated with prednisone, mycophenolate mofetil and hydroxychloroquine with complete resolution of symptoms.We report a 23-year-old gravida in her first pregnancy, suffering from MGN and severe nephrotic syndrome, complicated by APLA syndrome. The patient was treated with enoxaparin, aspirin azathioprine, and Prednisone for a short time, in addition to furosemide and albumin intravenously. She was delivered at 30 weeks due to deteriorating maternal and foetal conditions. Discussion: APS is a prothrombotic disorder with various manifestations, most commonly venous and arterial thromboembolism and recurrent pregnancy loss. Pregnancy may trigger an underlying APS, which may well be the causative for the miscarriage. New onset SLE during pregnancy is rare. However, in our case, the anemia, thrombocytopenia, and proteinuria led us to the correct diagnosis of SLE. HT is associated with higher rates of infertility and early miscarriages, due to the associated hormonal changes and instability. However, the association of APS and HT is not well recognized in pregnant women. Conclusion: We present here a challenging case of new-onset triple autoimmune disorders trigged by pregnancy. Clinicians should be aware of this association and initiate early autoimmune work up for SLE and APS in patients with new onset of HT during pregnancy. A successful neonatal and maternal outcome was achieved in this case. The patient's history revealed thrombocytopenia and APLA syndrome and continues to be treated chronically with enoxaparin. Kidney biopsy performed after delivery showed membranous MGN stage II-III. Herein, we present a case of successful pregnancy and foetal outcome in a young woman with APLA syndrome and MN. Keywords: Pregnancy triggered Hashimoto’s thyroiditis, Antiphospholipid Syndrome and Systemic Lupus Erythematosus

Osteomyelitis in the neonatal period can be a diagnostic challenge, especially if it is mimicking brachial plexus palsy. We present a unique case of 6-day-old term infant with lethargy and fever diagnosed with Group B Streptococci (GBS) sepsis and meningitis. Few days later, infant developed right arm immobility leading to hematogenous spread of GBS to right humerus, leading to osteomyelitis and septic arthritis. Infant was treated with intravenous Ampicillin for 4 weeks with full arm mobility and full recovery from sepsis and meningitis. This case provides several clinical vignettes that may be crucial in timely diagnosis and treatment of osteomyelitis and septic arthritis that may be useful in avoiding long-term complications. Keywords: Neonatal osteomyelitis, Neonatal sepsis, Brachial plexus palsy, Neonatal fever.

There is little information about pregnancy outcomes in patients with active membranous nephropathy (MN), especially those with circulating autoantibodies to M-type phospholipase A2 receptor (PLA2R), the major autoantigen in primary MN. Membranous glomerulonephritis (MGN) represents an immunologically mediated disease characterized by deposition of immune complexes in the glomerular subepithelial space, frequently associated with circulating M-type phospholipase A2 receptor. Nephrotic syndrome (massive proteinuria and hypoalbuminemia) at diagnosis predicts poor prognosis. Pregnancy with active MGN is high risk for foetal loss, intrauterine growth restriction, and pre-eclampsia, and may worsen maternal renal function, especially with the presence of antiphospholipid antibody syndrome (APLA). We report a 23-year-old gravida in her first pregnancy, suffering from MGN and severe nephrotic syndrome, complicated by APLA syndrome. The patient was treated with enoxaparin, aspirin azathioprine, and Prednisone for a short time, in addition to furosemide and albumin intravenously. She was delivered at 30 weeks due to deteriorating maternal and foetal conditions. A successful neonatal and maternal outcome was achieved in this case. The patient's history revealed thrombocytopenia and APLA syndrome and continues to be treated chronically with enoxaparin. Kidney biopsy performed after delivery showed membranous MGN stage II-III. Herein, we present a case of successful pregnancy and foetal outcome in a young woman with APLA syndrome and MN. Keywords: Membranous GN, Nephrotic Syndrome, Anti-Phospholipid Antibodies.