AMJ

In a hospital ward setting, unused non-sterile disposable gloves (NSDG) may become contaminated with skin commensals and pathogens during the act of glove retrieval. Contaminated NSDG therefore have the potential to act as transmission vehicles for bacteria as demonstrated by these results.Glove box design and glove withdrawal technique could be further examined to decrease the potential for pathogen transfer to un-used gloves.

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Non-alcoholic fatty liver disease (NAFLD) represents a spectrum starting from fatty liver, fatty liver and inflammation to evidence of damage to hepatocytes and can progress to cirrhosis or in the most extreme form of NAFLD can progress to hepatocellular carcinoma or liver failure.The aim of the present study was to investigate the prevalence of NAFLD in grade III high and very high cardiovascular additional risk hypertensive patients according to circadian BP rhythm and to investigate the relationship between insulin sensitivity and NAFLD in essential hypertensive patients according to the circadian BP rhythm.

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Individuals may suggest that most texts are ‘good enough’ for medical practice. Good enough for what? Most procedures, most people, or most of the time? One could ask the question ‘is near enough good enough’ to address this issue and challenge such concerns as pithy or ‘nit-picking’. Knowing, with as much precision as is possible, the surface markings for the location of major blood vessels before attempting to introduce a needle is important; it is hardly good enough to ‘roughly’ know where to place an entry point in such an instance.

Picture by Jim Linwood.

One-half of the world’s population live in cities and towns; this is expected to increase to 70% by 2050. One in three urban dwellers lives in slums. As the urban population grows, so does the number of urban poor. Children are the most vulnerable portion of urban poor population. Out of a billion children living in urban areas, approximately 300 million are suffering from exclusion or are at risk of exclusion.

Picture by Sustainable sanitation.

In this case, the location and appearance of the swelling was similar to the normal presentation of a cystic hygroma, but the extension of swelling beyond the midline was against this diagnosis. MRI is the preferred imaging modality for the assessment of such cases, however due to availability CT scan was performed to differentiate the two conditions. It proved useful in identifying and determining the extent of neck abscess.

Picture by Freedigitalphotos.

Hepatocellular carcinoma (HCC) is the fifth most common cancer in the world and an extension of tumour thrombus in the right atrium of the heart has been reported in 0.5-4 % of HCC cases. Asymptomatic presentation of extensive tumour thrombus extending from left portal vein, inferior vena cava to right atrium valve of heart at the time of diagnosis of HCC, an extremely rare situation which has very poor prognosis. Early diagnosis of this fatal complication can prevent inappropriate use of resources.

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Authors report a case of malignant melanoma of the conjunctiva which showed a local recurrence one year after the primary surgery. However, there was no evidence of distant metastasis on either occasion. This case highlights the need for care in making a diagnosis, meticulous attention to the surgical technique, and careful follow-up to detect further disease activity.

Picture by Neil Kremer.

Improving Child Nutrition

Picture by Freedigitalphotos.