Total well being assessment within domestic canines A good evidencebased rapid evaluation

5), respectively.
proper preparation is required for vaginal deliveries in women with a history of ≥7 births and cesarean sections in women with a history of ≥3 births.
proper preparation is required for vaginal deliveries in women with a history of ≥7 births and cesarean sections in women with a history of ≥3 births.
Hepatitis C Virus (HCV) is highly infectious with no currently available vaccine. Prior to treatment, it is recommended to confirm HCV infection with either quantitative or qualitative nucleic acid test. Access to these assays in Nigeria is limited but for effective management of patients, HCV viral load (VL) prior to therapy is required and genotype may be needed in some instances. This study aimed at reviewing the pattern of HCV viral load and genotype in the country, and its implication in patient management.
this was a retrospective study that involved data abstraction from an electronic database of an accredited laboratory between June 2013 and May 2017. De-linked data were abstracted from records of adult subjects with HCV VL and genotype results, these were analysed using Microsoft Excel 2010 and SPSS v20.
within the study period, 346 subjects had baseline VL and 134 (38.7%) had genotype results available. Of these, 202/346 (58.4%) had detectable VL results with higher prevalence in males (64.7%) and ≥51years (42.5%) age group. The median VL among 202 subjects was 407,430 (IQR 96,388 - 1,357,012) IU/mL. Distribution of genotypes showed that genotypes 1 and 4 had prevalence of 63.2% and 16.8% respectively.
genotypes 1 and 4 have the highest prevalence. A greater proportion of subjects had VL values ≤800,000 IU/mL, an indication that they are more likely to respond well to available antiviral therapy hence, access to these antivirals will greatly improve management of HCV infection in Nigeria.
genotypes 1 and 4 have the highest prevalence. A greater proportion of subjects had VL values ≤800,000 IU/mL, an indication that they are more likely to respond well to available antiviral therapy hence, access to these antivirals will greatly improve management of HCV infection in Nigeria.Parotid branchial cysts are rare and poorly known congenital malformations of the first branchial cleft. They are characterized by three types of manifestations which may be associated to it or isolated, including inflammatory swelling of the subauricular and inferior portion of the parotid with or without cervico-cutaneous fistula projecting into the cervico-mandibular area and a fistula in the floor of the external auditory canal with or without otorrhea, with or without pretimpanic bridle on otoscopy. They often go unnoticed, except for superinfections. Diagnosis is based on interview, the occurrence of recurrent abscesses or superinfections. check details No complementary imaging examination should be systematically performed. In atypical forms, ultrasound as well as magnetic resonance imaging (MRI) could be necessary, particularly in patients with parotid swellings, in order to confirm cystic structure. Abscesses and recurrent superinfections are the most common complications. Treatment is based on surgical resection. We report the case of a patient with voluminous parotid cyst of the pharyngeal arch.
occupational risk of HIV and low utilization of post-exposure prophylaxis (PEP) among nurses has become a global public health concern. According to the International Labor Organization estimates, 2.02 million people die each year from work-related accidents or diseases. More than 317 million people suffer, and there are an estimated 337 million fatal and non-fatal work-related accidents per year. WHO report indicates, more than 59 million health care workers around the world are exposed to biological hazards and about 10% of HIV among health workers is the result of needle stick injury. This study focused on assessing the prevalence of occupational exposure to HIV post-exposure prophylaxis among nurses at Bule Hora Hospital.
institutional based cross-sectional study design was conducted from March 2019 to April 2019. In this study, 306 study participants were involved in the study data was collected using a structured and semi-structured questionnaire. The cleaned data (edited) was entered into Epi-Data es in Bule Hora Hospital. Blood splash exposure and exposure to needle stick injury are believed to be the commonest types of workplace risks. Nearly 29.7% of nurses have no training on infection prevention and management while at work. Nearly 50% of the exposed nurses didn't report the incident to the concerned authorities. One fourth of the sources of exposure were unscreened and among the screened sources of exposure 42.9% were found to be HIV positive.
the outbreak of coronavirus disease 2019 (COVID-19) started in China in December 2019 and spread causing more than 14 million cases all over the world on July 19
, 2020. Although, real-time reverse transcription polymerase chain reaction (rRT-PCR) test is the gold standard test, it needs a long time and requires specialized laboratories and highly trained personnel. All these difficulties forced many countries with reduced health resources to limit rRT-PCR tests to individuals with severe symptoms. Thus, routine blood marker that may help physicians to suspect COVID-19 and hence, prioritize patients for molecular diagnosis is badly needed.
fifty-six Sudanese COVID-19 patients admitted to Jabra hospital were included in this study. For all the patients we analyzed complete blood count (CBC), CBC, plasma levels of C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), liver function tests (LFT) and renal function tests (RFT). Statistical analysis was done using SPSS program with a significance levphils, CRP and ESR may be used as markers for COVID-19 helping prioritizing individuals for rRT-PCR test.
the results also showed that, lymphocyte percentages, neutrophils, CRP and ESR may be used as markers for COVID-19 helping prioritizing individuals for rRT-PCR test.[This corrects the article DOI 10.14740/cr1185.].
CHA
DS
-VASc score (congestive heart failure; hypertension; ages ≥ 74 years (2 points); diabetes; stroke, transient ischemic attack, or systemic embolism (2 points); vascular disease; ages 65 - 74 years; sex (female)) is a widely used clinical scale to estimate the risk of stroke in patients with non-valvular atrial fibrillation (AF). However, the relationship between the increase in CHA
DS
-VASc score and atrial remodeling remains unsettled.
Twenty-five consecutive patients undergoing cardiac computed tomography (CT) were recruited. The systolic and diastolic volumes of left atrium and left atrial appendage (LAA) were measured. Risk of stroke was estimated using the CHA
DS
-VASc score. The relationship of the CHA
DS
-VASc score with morphological and functional variables was analyzed by Pearson's correlation.
A positive correlation was documented between the CHA
DS
-VASc score and systolic (r = 0.419, P = 0.037) and diastolic (r = 0.415, P = 0.039) LAA volumes. Atrial volumes and left atrial ejection fraction showed no significant correlations with CHA
DS
-VASc.