Body Systems Research Articles

A case report of Penicillium chorioretinitis in a Border Collie dog

Systemic fungal pathogens typically gain entry through a single portal and disseminate to affect multiple body systems. Infections caused by fungal Penicillium species are rare in dogs, and these cases have a poor prognosis. An unknown Penicillium species was isolated from the right eye of a middle‐aged Border Collie without evidence of systemic disease. Due to financial limitations, an extensive diagnostic evaluation could not be performed. Histopathology alone failed to identify the specific causative agent; however, fungal culture on aqueous humor provided the definitive diagnosis. This case highlights the advantage of collecting ocular fluids after enucleation to diagnose atypical fungal infections.

EL HÁBITO DE FUMAR Y SU INFLUENCIA EN LA CONSOLIDACIÓN ÓSEA: UNA REVISIÓN INTEGRADORA

Smoking is considered one of the risk factors for various diseases, not only related to the respiratory system but also influencing the physiological processes of various organs and body systems. This article aims to deepen the understanding of the effects of smoking on bone healing by analyzing its molecular, cellular, and clinical bases. This process is subject to possible direct or indirect interferences from chemical substances such as nicotine. It is important to note that, besides conventional cigarettes, there is also indiscriminate use of electronic cigarettes, which, according to an analysis conducted by Pérez and Duarte (2022), have considerably higher nicotine levels than traditional cigarettes. Another study conducted by González et al. (2021) highlights the increasing popularity of these devices among young people, underscoring the importance of preventive measures. According to the National Institute of Traumatology and Orthopedics (INTO), inhaling tobacco smoke increases bone tissue healing time by 60%, thus delaying the body's ability to heal injuries and compromising bone absorption. The clinical repercussions of smoking on the quality and speed of bone recovery after fractures and orthopedic procedures are identified to improve understanding and develop specific clinical strategies and interventions for smoking patients. The specific objectives of this research were to: investigate the molecular and cellular mechanisms of the bone healing process, analyze the effects of smoking on the quality of the formed tissue, evaluate the influence of smoking on the bone healing time in patients after fracture or orthopedic surgery, and finally propose therapeutic strategies and preventive measures to improve bone healing. To this end, a bibliographic search was conducted on articles relevant to the topic using various means. The selection of articles was based on three stages, choosing those that met the inclusion criteria. During the development of this article, it is observed that smoking is an extended and ancestral practice, being a constant and emerging health problem. Additionally, it is considered a modifiable risk factor for decreasing bone density. In conclusion, the need for specific strategies to address complications in bone healing in smoking patients is highlighted.

Inducing exceptional points, enhancing plasmon quality and creating correlated plasmon states with modulated Floquet parametric driving.

The control of low frequency collective modes in solids by light presents important challenges and opportunities for condensed matter physics. We propose a method to parametricallydrive low THz range collective modes in an interacting many body system using Floquet driving at optical frequencies with a modulated amplitude. We demonstrate that it can be used to design plasmonic time-varying media with singular dispersions. Plasmons near resonance with half the modulation frequency exhibit two lines of exceptional points connected by dispersionless states. Above a critical driving strength, resonant plasmon modes become unstable and undergo a continuous transition towards a crystal-like structure stabilized by interactions and nonlinearities. This new state breaks the discrete time translational symmetry of the drive as well as the translational and rotational spatial symmetries of the system and exhibits soft, Goldstone-like phononic excitations. Below the instability threshold, our method can be used to enhance the quality of plasmon resonances.

“I spend more time on the ecosystem than on the disease”: caring for the communicative loop with everyday ADM technology through maintenance and modification work

AbstractAutomated decision-making (ADM) systems can be worn in and on the body for various purposes, such as for tracking and managing chronic conditions. One case in point is do-it-yourself open-source artificial pancreas systems, through which users engage in what is referred to as “looping”; combining continuous glucose monitors and insulin pumps placed on the body with digital communication technologies to develop an ADM system for personal diabetes management. The idea behind these personalized systems is to delegate decision-making regarding insulin to an algorithm that can make autonomous decisions. Based on interviews and photo diaries with Danish “loopers”, this paper highlights two interrelated narratives of how users have to care for the loop by maintaining a stable communication circuit between body and ADM system, and by modifying the loop through analysis and reflection. It shows how the human takes turns with the ADM system through practical doings and anticipation to safeguard continuous management of chronic disease.

Protective effects of Juglans regia oil on lead acetate-induced reprotoxicity in rats: an antioxidant, histological and computational molecular study.

Lead (Pb) is a metal that affects many body systems, primarily the male reproductive system. This study aimed to examine the phytochemical profiling and beneficial effects of Juglans regia oil (JRO) in alleviating lead-induced reprotoxicity-associated oxidative injury in rats. Adult male Wistar rats were randomly divided into four groups as follows: control group received no treatment, Pb group was exposed to 0.344 g kg-1 bw of Pb acetate, Pb + JRO group was co-treated with Pb plus walnut oil (0.9 g kg-1 bw) and JRO group received walnut oil only. Pb-treated rats showed significantly decreased gonado-somatic index, count and viability of sperm. Testosterone levels decreased in Pb-treated animals. Besides, Pb disrupted the oxidative/antioxidative status, the plasmatic lipase activity and testicular Pb content. Furthermore, Pb produced testis histopathological features, especially cell degeneration, atrophy and tubular disarrangement. Co-treatment with JRO was found to be effective for recovering the increased testicular oxidative damage-associated histological features in the Pb group. This was supported by the in silico modeling results. The in silico analyses revealed that JRO compounds bound androgen receptor and RAC-alpha serine/threonine kinase with high affinities, which together with pharmacokinetic properties and molecular interactions satisfactorily support the beneficial in vivo findings in the Pb + JRO group of rats. © 2024 Society of Chemical Industry.

BN SO31 - Pedicle First; a Paved Laparoscopic Approach for Huge Splenomegaly

Abstract Background Since its introduction for the first time by Delaitre et al1 in 1991, laparoscopic splenectomy (LS) has become the minimal invasive approach of choice for the management of the hematological splenic disorders2. Many agreed benefits have been achieved with this approach regarding the hospital stay, blood loss, duration of recovery, aesthetic results and quality of life; however, massive spleens remain a real technical challenge in front of achieving those benefits. The complex and non-typical variable configurations of the vascular system for the pancreatic body and tail which come from the splenic artery represents another faced point of anatomical complications3. Method From March 2020 to February 2024, a prospective study has included 30 patients presented with benign hematological disorders and massive splenomegaly (more than 20 cm longitudinal axis) who underwent laparoscopic splenectomy in our institution. Detailed data regarding their demographics, splenic size, operative time, blood loss, conversion rate, postoperative serum amylase and hospital stay were collected. Standardized anterior approach operative steps were adopted by the same surgeon for all patients with early control of the arterial system of the splenic circulation before mobilization (short gastric vessels and splenic artery 2 to 4 cm away from hilum). Results Thirty patients presented with huge splenomegaly have underwent laparoscopic splenectomy with a conversion rate of 6.6% (2 patients due to extensive perisplenic adhesions). The mean longitudinal splenic dimension was 24 ± 1.5 cm (range from 20 to 27 cm), mean operative time was 110 ± 16 minutes, mean operative blood loss was 160 ± 20 ml, mean hospital stay was 4 ± 1.5 days, postoperative rate of hyperamylasemia in 20% (asymptomatic 6 patients with no operative evidence of pancreatic injury), respiratory complications in 16.6 % (5 patients), and reactive thrombocytosis in 6.6% (2 patients). Conclusion Early laparoscopic control of the arterial system away from the splenic hilum can enable us to lessen the conversion rate for massive splenomegaly patients and achieve successfully the benefits of laparoscopy for those patients on the expense of the elevated postoperative hyperamylasemia rate.

Assessment of psychometric properties of the Dari version of the Pittsburgh Sleep Quality Index (PSQI) among Afghans

Abstract Background Sleep helps in improving the functions of all systems of human body. Disturbance in sleep can cause immediate adverse effects on normal human physiologic functions. Main objective of this study was to explore the psychometric properties of the Dari version of the of Pittsburgh Sleep Quality Index (PSQI) among general adult population of Afghanistan. Methods This methodological study has been conducted during July to November 2023. Reliability and validity of PSQI were evaluated using Cronbach’s Alpha and confirmatory factor analysis, respectively. Pearson correlation analysis was conducted to assess the convergent validity of the components of PSQI, comparing results with those obtained from the DASS-21 subdomains. Results In this cross-sectional study, 965 Afghan adults were studied during five months of duration between July and November, 2023. Mean age of the study participants was 35.2 years. The prevalence of sleep disturbance was 44.6% (430/965). Among them, 59.3% (572/965) reported experiencing subjective sleep quality disturbances less than once a week, 36.2% (349/965) had sleep latency issues less than once a week, 17.6% (170/965) had sleep duration disruption once or twice a week, while 36.3% (350/965) had daytime dysfunction less than once a week. The Cronbach’s alpha coefficient for the seven-component scale was 0.677, indicating acceptable internal consistency. Substantial and statistically significant positive correlations were present among the component of PSQI subjective sleep quality and sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, daytime dysfunction, DASS-Depression, DASS-Anxiety, and DASS-Stress. The overall PSQI exhibited favorable fit indices, supporting the proposed single-factor structure among adult Afghan population. Conclusion Prevalence of sleep disturbance was very high among adult population of Afghanistan. This study provided useful information that will help policy makers (such as ministry of public health as well as international donor agencies like WHO, USAID, and UNICEF) to design a better strategy to reduce the prevalence of sleep disturbance that affects health of the Afghan community at large.

STABILOMETRY AS A METHOD FOR DIAGNOSIS AND TRAINING OF THE HUMAN POSTURAL BALANCE

Introduction. Posture is intrinsically linked to balance and the maintenance of an upright body position. Achieving stable posture and upright movement relies on the body’s complex neuromuscular regulation system. In clinical practice, stabilometry is employed to assess balance function and postural control. This study aims to synthesize data on the effectiveness of stabilometry as a diagnostic tool for evaluating postural balance and as a training method to enhance it. Materials and Methods. An analysis of 45 sources from databases including Academia.edu, PubMed, ResearchGate, and Google Scholar over the past decade was conducted using Keywords: posture, stabilometry, and postural balance. Results. Stabilometry is a contemporary technique for tracking the projection of the body’s center of mass on the support plane, as well as its fluctuations while standing or performing diagnostic tests and medical procedures. This review examines the application of stabilometry both for diagnosing balance and as a supplementary training method to improve postural balance in athletes and individuals with musculoskeletal disorders. Stabilometry results have highlighted correlations between stomatognathic system dysfunctions and musculoskeletal issues and demonstrated the positive impact of occlusal adjustments on body balance. As such, stabilometry can serve as an effective diagnostic tool for assessing posture in a dental clinic, useful for both diagnostic assessments and evaluating preventive or treatment outcomes. Conclusions. Training that combines myogymnastic exercises with stabilometric platform exercises significantly improved balance and functional efficiency in patients, as shown through stabilometric analysis. A key area of ongoing research is the interplay between posture and other bodily systems, particularly the stomatognathic system, which may be pivotal in treating temporomandibular joint dysfunction.

Acute Decompensation of Chronic Cardiac Failure in Elderly and Senile Persons: Focus on Renal Dysfunction

The heart and kidneys, as well as their synergy, are necessary conditions for maintaining hemodynamic homeostasis in the human body. Since the beginning of the 19th century, it has been recognized that cardiovascular and renal diseases often coexist and have a mutually aggravating effect on each other. During the aging process, involutive changes in organs and body systems, especially the cardiovascular and urinary systems, lead to many physiological and functional changes that can increase the risk of developing acute complications, including acute decompensation of chronic heart failure (CHF). The prevalence of CHF is increasing among the population of older age groups all over the world, which is explained not only by involutive changes in the cardiovascular system of the body, but also by the high frequency of concomitant diseases, in particular chronic kidney disease. Age-related changes in the urinary system also play an important role in maintaining homeostasis of the body, however, during the aging process, along with a decrease in the number of nephrons, a decrease in the concentration function of the kidneys is observed, as well as a change in their structural integrity. These involutive changes in renal tissue may complicate the diagnosis and treatment of conditions associated with acute decompensation of CHF. Therefore, consideration of age-related changes in the cardiovascular and urinary systems and their contribution to the development of acute decompensation of CHF represents an important area for further research and practical applications aimed at improving medical care and quality of life in older people. The review article examines scientific literature data on cardiorenal relationships in acute decompensation of chronic heart failure in elderly and senile people.

Single and consecutive 10-day remote ischemic preconditioning modify physical performance, post-exercise exerkine levels, and inflammation

PurposeRemote ischemic preconditioning (RIPC) is a method of protection against induced ischemia reperfusion injury, and an increasing number of studies showed some of its inconclusive ergogenic effects in sports. RIPC involves short cycles of cuff inflation followed by its deflation which may affect many body systems. While most of the studies focus on single RIPC effects, there is insufficient data regarding training-like repeated RIPC interventions. Thus, in this study, we analyzed the effect of a single- and consecutive 10-day RIPC procedure on a single leg, focusing on the exerkine levels and changes in inflammation markers following the Wingate Anaerobic Test (WAnT).MethodsTwo single-blinded, sham-controlled protocols were designed to evaluate the 1) single (crossover study) and 2) consecutive 10-day (parallel study) RIPC effects on the WAnT performance and exercise-induced lactate, glucose, exerkine, and inflammation markers (BDNF; IL-6; IL-10; IL-15; LIF; oncostatin M). In each protocol, 37 physically active men (19.98 ± 1.17 years) were randomly assigned into two groups according to a particular study design.ResultsAn increase in participants’ mean (4.81%, p < 0.05) and peak power (6.25%, p < 0.05) during the WAnT was observed only after the consecutive 10-day RIPC. Similarly, a significant 15.5% (p < 0.05) decrease in the IL-6 concentration 120 min after the WAnT was observed only in the consecutive 10-day RIPC protocol, as well as a 12.2% (p < 0.01) increase in oncostatin M 60 min after the WAnT.ConclusionThe results demonstrate the efficacy of the consecutive 10-day RIPC procedure in modulating exercise performance and post-exercise inflammation markers.

Anatomically Correct! A qualitative evaluation of an integrated cadaveric clinical skills workshop series designed for future pharmacist prescribers

Abstract Introduction All newly qualified pharmacists in the UK will register as independent prescribers from 2026. Schools of Pharmacy are required to adapt current curricula to allow for greater embodiment of the skills future prescribers require. One essential element of the curriculum for prescribing pharmacists, set by the General Pharmaceutical Council, is understanding anatomy1. Clinical examination techniques can be difficult to grasp without anatomical understanding of physical landmarks. Previously, pharmacists have had little anatomy training. The need for a stronger foundation of clinical skills and knowledge of anatomical landmarks is imperative as graduates become prescribers. Aim To explore the student perceptions of integrated pharmacist anatomy education. Methods In September 2022, an interprofessional team of anatomy and pharmacy academics developed a novel, two-year workshop series using cadaveric examination to better dovetail with clinical skills practical classes, delivered in the same week and covering the same body systems. Within the dissection room, students were invited to complete self-directed exploratory tasks using cadavers followed by interprofessional direction about relevant anatomical landmarks needed for clinical examination techniques. Qualitative evaluation of student perspectives of this experience was undertaken in autumn 2023. Semi-structured interviews following a topic guide were arranged using purposive sampling by inviting students on the new programme (years one and two) and students who had received the non-integrated, anatomy-only programme (years three and four). Interviews were conducted and recorded using Microsoft Teams. Transcripts were cleaned and quality checked. Inductive, open-coding was conducted following Braun and Clarke’s reflexive thematic analysis to understand student experiences and perceptions, with coding and theme generation from one author (DD) with a second author (CEC) for sense-checking in a collaborative approach2. A combination of latent and semantic codes were used as appropriate. Epistemological considerations regarding the data were constructivist, with experiential orientation. Institutional ethical approval was granted for this study (reference: 36415/2023). Lead author (DD) noted his positionality as a fourth-year MPharm student. Results Seventeen one-to-one interviews (n=17) were conducted with post- (n=8) and pre-curriculum change participants (n=9). Five themes were derived from transcripts: navigating initial reactions to anatomy education; valuing integrated and experimental learning; transfer and consolidation of knowledge through staff and peer interaction; individualised perception comprising of student’s overall anatomy experience; prospective application of knowledge via content integration. Content integration was seen as beneficial by students, suggesting that it gave greater insight into the role and remit of a pharmacist and guided them towards the ‘more relevant’ information. Discussion and Conclusion An integrated approach of aligning clinical skills teaching with a multi-disciplinary-led, practical cadaveric anatomy series provided students with greater self-perceived confidence and understanding of clinical examination techniques. Students appreciated the importance of anatomy knowledge in prospective roles as prescribing pharmacists. Limitations of the study included the single site for recruitment at one School of Pharmacy, limiting transferability. Students highlighted benefits of being taught by practising clinical pharmacists who could illustrate the links to diagnosis and prescribing skills. Future research should focus on the longitudinal impact of an integrated anatomy education both pre- and post-registration.

МЕДИКО-БІОЛОГІЧНІ ОСНОВИ ВПЛИВУ ФІЗИЧНИХ ВПРАВ НА ЗБЕРЕЖЕННЯ ЗДОРОВ’Я СТУДЕНТСЬКОЇ МОЛОДІ

The article examines the medical and biological basis of the influence of physical exercises on the health of student youth. Literary sources related to the topic of the study were analyzed. The problem is described in its general form, which concerns the way of life of modern student youth. It is noted that only in-depth knowledge of the medical and biological influence will help to form students' desire and motivation to engage in physical exercises, as well as to observe the basics of a healthy lifestyle. The morpho-functional changes occurring in the human body during physical exercises are revealed. The division of the organism's reserves into biological and social is presented. The functional effects of exercises on life expectancy is described. A comparative analysis of the influence of motor activity and hypokinesia on the human body was carried out. The basics of adaptation of individual body systems to physical exertion are revealed, namely: changes in the composition and physicochemical properties of blood and the circulatory system, functional effects of adaptation of the respiratory system, features of adaptation of the digestive and metabolic systems, as well as functional effects of adaptation of neurohumoral regulation systems. In the process of research, it was concluded that it is difficult to overestimate the medical and biological impact of physical exercises on the process of preserving the health of student youth, since physical activity affects the human body in a complex way, on all its systems, processes of exchange and accumulation of functional reserves. It was concluded that with the help of physical exercises you can achieve many positive effects and affect the overall life expectancy of a person. Prospects for further research in this direction are seen in determining the level of awareness of student youth in the issues of medical and biological bases of the influence of physical exercises on preserving their own health, as well as finding new approaches for working with students in this direction in order to achieve the formation of sustainable motivation for physical activities exercises and adherence to the basics of a healthy lifestyle.

Using medications to prevent or reduce the impact of poor air quality on health: a systematic review

Abstract Introduction Particulate matter (PM) is a mixture of tiny solid materials and liquid particles in the air that can trigger inflammatory reactions in multiple body systems, including the respiratory, cardiovascular and endocrine systems. Currently, there are no licensed pharmacological interventions to prevent or modify the effects of PM on different organs. However, several existing medications have shown promising results towards modifying or preventing the negative impact of PM. Aim To conduct a systematic review to explore pharmacological interventions that could potentially prevent, delay or treat the effects of PM on human health. Methods This systematic review complied with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework and was registered with PROSPERO database (CRD42023476448). Four databases were searched including; MEDLINE, Embase, PsycINFO and Scopus. Keywords were arranged into different relevant sets such as ‘air pollution’, ‘medication’ and ‘prevention’/’treatment’. All the resulting titles, abstracts and full-texts were screened independently by two researchers. Only peer reviewed articles published in English were included. A tailored data extraction sheet was used to collate all relevant data, including the study description (i.e. country, year), study design (i.e. prospective), medication information (i.e. type of medication, dose, indication), population (i.e. demographics and disease), effect on air pollution (i.e. treatment or prevention). Quality assessment was conducted using Newcastle Ottawa tool. Ethical approval was not required to undertake this systematic review. Results The search produced 689 articles, 676 of which were removed at the title (n=463), and abstract (n=184) and full-text (n=29) stages. Thirteen articles were included, 10 of which were rated ‘good’ quality, two ‘fair’ quality, and one ‘poor’ quality. There was a range of pharmacological interventions evaluated, including beta blockers, oral anti-diabetic agents, statins, non-steroidal anti-inflammatory drugs (NSAIDs), systematic glucocorticoids, inhalers (adrenergic, glucocorticoid and anticholinergic inhalers) and theophylline. All studies focused only on PM, with six providing information on the particle diameter (e.g., PM10, PM2.5 and PM0.1). Statins, NSAIDs and bronchodilators demonstrated the most significant impact on reducing the damage caused by PM on both the cardiovascular and respiratory systems through anti-inflammatory, vascular re-modelling, and broncho-dilating effect. These medications had already been prescribed in these study patients for other indications (e.g., diabetes or asthma). None of the included studies used a medication for the prevention or treatment of air pollution effects as an indication. Conclusion Some medications significantly prevented/treated the effects of poor air quality; however, this was inconsistent across studies. However, all studies were conducted in high to middle-high income countries; findings may have been different in low-income countries. More research is required on the effective medication dose, duration of administration, if being prescribed solely for air pollution protection, and benefits and risks for more vulnerable populations (i.e. multimorbid).

Influence of sleep on physiological systems in atherosclerosis.

Sleep is a fundamental requirement of life and is integral to health. Deviation from optimal sleep associates with numerous diseases including those of the cardiovascular system. Studies, spanning animal models to humans, show that insufficient, disrupted or inconsistent sleep contribute to poor cardiovascular health by disrupting body systems. Fundamental experiments have begun to uncover the molecular and cellular links between sleep and heart health while large-scale human studies have associated sleep with cardiovascular outcomes in diverse populations. Here, we review preclinical and clinical findings that demonstrate how sleep influences the autonomic nervous, metabolic and immune systems to affect atherosclerotic cardiovascular disease.

Adverse Drug Reactions and Safety Profiles in Cardiovascular Drug Therapy: A Pharmacovigilance Analysis

Aims: The purpose of the study is to identify adverse drug reactions (ADRs) and evaluate patient knowledge of the disease using the Knowledge Assessment Questionnaire (KAQ). This study was designed to compare adverse effects on Cardiovascular Drug Therapy. Adverse drug reaction (ADRs) is a major cause of mortality worldwide. The objective of the present study were a) to find out the prevalence of adverse drug reaction (ADRs) in the hospitalized patient by active surveillance, b) to study the profile of ADRs detected. (3) This study was done in superspecialty hospital Netaji Subhash Chandra Bose medical college & Hospital, Jabalpur, for three month study. Methodology: This study was Pharmacovigilance group, belonging to department of cardiology at Netajisubhash Chandra bose medical college, Jabalpur M.P. (5) Total number of patients taken for study was 90 in number. Results and Conclusion: Total 90 subjects were recruited in the study. Drug used for their co morbidities to find out ADRs in which maximum ADRs found in chronic rheumatoid heart diseases, for this diseases patient took in two combination mainly Digoxin with Clopidogrel (47.36%) and another were with atorvastatin, spironolactone and warfarin (47.30% ADRs Adverse drug reactions on particular body system were mostly observed on CNS (32.14% ADRs). According to Naranjonaranjo causality assessment scale applied to this study illustrates that the maximum possible and probable adverse drug reaction were shown on Furosemide as well as for Digoxin and Spironolactone.

A review on the novel biomarkers of systemic lupus erythematosus discovered via metabolomic profiling

Systemic lupus erythematosus (SLE) is a multifaceted autoimmune disease affecting various body organs and systems. The diagnosis of SLE and its complications is based on evident clinical symptoms, serological marker levels, and pathological findings. Some serological markers have a low sensitivity and specificity, and biopsy procedures are invasive in nature. Hence, metabolomics has emerged as a valuable tool for SLE screening and categorization. Its application has contributed significantly to identifying SLE pathogenesis, improving clinical diagnosis, and developing treatment approaches. This review provides an overview of the utilization of metabolomics in the study of SLE, focusing on advancements in understanding the disease’s pathogenesis, aiding in diagnosis, and monitoring treatment efficacy.

Characteristics and outcomes of pediatric brucellosis cases collected from a tertiary academic hospital in Saudi Arabia

Brucellosis is a zoonotic disease caused by Brucella spp., affecting different body systems and leading to multiple complications. Although brucellosis is prevalent in several regions, including Saudi Arabia, limited research has focused on childhood brucellosis. This study aimed to characterize the features and outcomes of brucellosis in pediatric patients. We conducted a retrospective descriptive study involving children (<18 years) with confirmed brucellosis (diagnosed through culture, serology, or both) who received antibiotic therapy. Subjects were stratified into two groups based on age: younger (≤8 years) and older (>8 years). We assessed treatment outcomes, including clinical cure, mortality, and hospital length of stay. A total of 20 patients were included, with 52.3% in the younger group and 47.7% in the older group. The majority were male (65%), with a mean age of 8.9 years, and 45% required hospitalization. Out of all the patients, only 6 (30%) reported consuming dairy products. Serologically, the baseline median antibody titers for Brucella melitensis and Brucella abortus were 1:1280 and 1:640, respectively. In the younger group, half reported arthralgia and presented with fever. While white blood cell elevation was not significant, C-reactive protein, erythrocyte sedimentation rate, and liver enzymes were elevated at baseline. The administered regimen varied, but about half of the patients received at least three antibiotics. All patients experienced clinical cures, and there were no deaths. This study highlights the characteristics of pediatric brucellosis in a country where the disease is endemic and provides evidence of positive prognosis associated with appropriate antibiotic therapy.

Environmental impacts of floating solar panels on freshwater systems and their techno-ecological synergies

Abstract Renewable energy sources, such as floating photovoltaic systems (FPVs), are crucial to mitigating the climate crisis. FPV deployments on freshwater bodies are rapidly growing, as they avert land-use change, operate with increased efficiency, and potentially improve water availability by reducing evaporation and the frequency of algal blooms. However, understanding of the ecological consequences for water bodies is very limited despite the variable and far-reaching range of potential impacts. Here, we bring novel insight by combining an established theoretical approach – techno-ecological synergies (TES) - with robust understanding of water body functioning, to direct sustainable FPV deployments. Specifically, we show the potential to integrate consideration of both energy and ecological systems for FPV deployment decisions based on current evidence and fundamental understanding of freshwater body states and processes. Based on 422 pieces of evidence from a systematic review of known physical (n=283), chemical (n=96) and biological (n=43) effects of FPV on freshwater systems, we outline eight potential TES that could be realised through FPV location, design, and operation decisions. There was most evidence (n=114) for the Water Use Efficiency TES, which all reported decreased evaporation rates, or increased water savings, due to panel shading. We highlight a lack of understanding of chemical and biological effects of FPV on hosting water bodies, as well as a need for comprehensive studies in which physical, chemical, and biological aspects of water body dynamics are integrated. Finally, we detail research priorities to ensure future FPV deployments bring benefit for both energy and water bodies. Ultimately, integrated energy and water body system knowledge, FPV deployments could mitigate both the climate and ecological emergencies, with notable benefits for society.

COVID-19-induced paraneoplastic polydermatomyositis seropositive for Brucella spp antibodies

Paraneoplastic syndromes, including paraneoplastic dermatoses, represent a pressing problem for dermatovenereologists, infectious disease specialists and therapists due to the necessity of having broad knowledge in related disciplines. Our article examines a clinical case of the onset of paraneorplastic polydermatomyositis against the background of a new coronavirus infection in a patient with exacerbation of paranoid schizophrenia. When paraneoplastic syndrome manifested itself in this clinical situation, a differential diagnostic search was carried out at the junction of several nosological units, such as the locomotor primary latent form of brucellosis, trichinosis, polydermatomyositis, and steroid myopathy. Taking into account the epidemiological history and the fact of the patient’s residing in a rural area, it was first necessary to exclude the infectious nature of these manifestations, as well as autoimmune pathology involving muscles and skin. A wide range of laboratory and instrumental examination methods were carried out, including false-positive IgM results for the causative agent of brucellosis, which can be explained within the framework of paraneoplastic syndrome and the tumor’s synthesis of biologically active substances. The results formed the basis for the entire clinical picture of the disease. Identification of the oncological process, which became possible with the appearance of pathognomonic clinical symptoms, made it possible to establish the histological picture of the disease and to launch treatment for this patient. In addition, the final clinical diagnosis was complicated by the presence of an underlying disease that required constant use of antipsychotics and the lack of control of the ongoing basic pharmacotherapy in the form of monitoring prolactin levels and assessing the general condition of the body systems.

A duty to enhance? Genetic engineering for the human Mars settlement.

Humans living off-world will face numerous physical, psychological and social challenges and are likely to suffer negative health effects due to their lack of evolutionary adaptation to space environments. While some of the necessary adaptations may develop naturally over many generations, genetic technologies could be used to speed this process along, potentially improving the wellbeing of early space settlers and their offspring. With broad support, such a program could lead to significant genetic modification of off-world communities, for example, to limit radiation damage on body systems or prevent bone and muscle loss in reduced gravity conditions. Given the extreme stressors of living off-world, and the need to have a healthy workforce to support a fledgling human settlement, those in favour of using genetic technologies to enhance settlers might even claim there is a moral imperative to protect their health in the face of the unique threats of space travel, especially for children born in settlements who did not take on these risks voluntarily. For some, this might simply be an extension of procreative beneficence. However, ethical concerns arise regarding the risks of embracing a eugenicist agenda and the potential impacts on the rights of future settlers to refuse such genetic enhancements for themselves or their children.