Melkersson - Rosenthal Syndrome

T he aim of this article was to review the literature on the presentation and management of Melkersson Rosenthal Syndrome following the presentation of a 28-years-old patient who had been previously managed for recurrent bell’s palsy for 5 years. A computerized literature search using Medline, Science Direct and Google Scholar was conducted for published articles on manifestations, features and management of Melkersson Rosenthal syndrome. MeSH phrases like orofacial granulomatosis, Melkersson Rosenthal syndrome, Miescher’s Cheilitis, Lingua Plicata, Cheilitis Granulomatosa, Recurrent Bell’s palsy, Granulomatous Cheilitis, and MROS. Search parameter was set to select literatures under English language only. Adjunctive manual search was also conducted simultaneously to identify other published articles, considering similar parameters as used for Medline search. The review yielded 452 articles of which 168 articles were relevant to the discussion, less than 10 of these articles were from

Single and Mixed-Strain Starter Culture in Yoghurt Processing

L actic acid bacteria (LAB) were isolated from cowmilk yoghurt by culturing the milk on specific media and pure culture was obtained by sub-culturing. Preliminary identification of lactic acid bacteria was made on the basis of Gram-staining and catalase reaction followed by microscopic examination to observe cell arrangement and morphological characteristics. After incubation, individual colonies were selected and moved into sterile brooths (MRS or M17 medium for enrichment). The enriched bacteria were purified using streak plate technique. Gram positive and catalase negative cocci and bacilli colonies were stored in glycerol solution as lactic acid bacteria. Cowmilk yoghurt contained lactic acid producing bacteria, four bacterial strains were isolated, according to biochemical identification and were characterize as: Lactobacillus rhaminosus-2, Lactobacillus fermentum, Lactobacillus paracasei-2, and Lactobacillus licheniformis-2. The isolates were characterized on the basis of t

The Challenges of Monkeypox

M onkeypox is a neglected tropical zoonotic disease endemic in the tropical rainforest regions of Central and West Africa. The virus causing it, the Monkeypoxvirus (MPXV), is so-called because it was first found in   Cynomolgus monkeys , in Denmark, back in 1958. However, primates, including humans, are now suspected to be only incidental hosts, though there is little evidence to support the hypothesis that small mammals, including rodents, are the natural hosts. Since the first human case of monkeypox in 1970, several outbreaks have been reported, mostly in the Democratic Republic of Congo and Nigeria, with over 19,000 cases documented over the two decades from 2000-2019. Since then, almost 16,000 cases have been reported from 2021-22. This indicates the rapidly increasing scale of  infection . This could be due to many different reasons: better surveillance and reporting, cutting down of forests and thus greater contact with animal reservoirs, loss of poxvirus immunity as the present

Synchronous Duodenal and Jejunal Gastrointestinal Stromal Tumors

G astrointestinal stromal tumor (GIST) constitutes up to 1% of all malignant neoplasms of the gastrointestinal tract, with the stomach and small intestine being the most frequently affected organs. The purpose of this report is to present the first published case of synchronous duodenal and jejunal GISTs. A 57-years old male patient with type II diabetes complained of asthenia and vertigo, resulting from anemia. On upper digestive endoscopy, a friable lesion was found in the second portion of the duodenum. The biopsy diagnosed GIST and its removal was indicated. During the surgical procedure, a second tumor was found in the jejunum, which was also removed. Anatomopathological examination of this second lesion also revealed GIST with the same cytological features. Digestive reconstruction was performed in Roux-en-Y of the jejunum sectioned distally to the tumor with the open part of the duodenum. The patient evolved without complications, was discharged on the third postoperative day an

Service Quality in Traditional Healthcare

M en's lives have failed to establish balance between the body, mind, and spirit as a result of changing lifestyles, job stress, and environmental degradation. In this circumstance, Ayurveda has stepped in to save those lives by providing a calm healthcare system. Ayurveda, which is over 1000 years old, has a long history of being practiced mostly in the Indian subcontinents, with Kerala, a south Indian state, offering a variety of therapies and procedures to treat various aches, pains, and chronic ailments through Ayurveda. As a result, individuals from neighboring states, as well as foreigners, are flocking to Kerala in the hopes of being healed via a holistic treatment. The objective of the research was to find out how Indian and international healthcare customers viewed performance-based service quality in Ayurveda healthcare. A standardized questionnaire was disseminated to the 20 Ayurveda hospitals using a suitable sampling approach, and 404 domestic and 82 foreigners took

Survival in Middle-Aged and Older Individuals

Researchers investigated the association between a complete 10-second one-legged stance and all-cause   mortality . Aging is correlated to the progressive decline in physical health and reduction in elements of aerobic and  non-aerobic fitness . Moreover, several studies have shown a reduction in balance after the age of 55 years, thus increasing the odds of sustaining a fatal fall and other adverse outcomes. Study Recently, Researchers assessed the correlation between a complete 10-second one-legged stance (10–second OLS) and all-cause mortality and  prognostic data . The team conducted a prospective cohort study with data collected from the CLINIMEX Exercise open cohort protocol. The study included a total of 1702 participants aged between 51 and 75 years at the time of the first evaluation, performed between 10 February 2019 and 10 December 2020. These participants had voluntarily visited the clinic to assess their aerobic and non-aerobic  physical fitness . The team collected data

The Effects of Childhood Experience on Later-Life Physical Activity

INTRODUCTION Metabolic illnesses are currently a worldwide pandemic. Physical activity is a widely accepted method to improve metabolic health. Identifying aspects of childhood experience that positively affect a person's life-long physical activity levels is vital to reducing the effects of metabolic illness. Objective: To gain perspective of child-parent relationship qualities that correlate with positive metabolic health and physical activity levels into adulthood. METHODOLOGY 233 participants participated in a survey gathering information on self-reported physical activity, sedentary behaviour, and familial background. Five subjects then participated in interviews, building in-depth insight into the information provided in the survey. RESULTS Subjects belonging to families with a lack of perceived support for sports participation were significantly more likely to be classified as sedentary adults. Discussion: Correlations between physical activity's ubiquity align with posi