Emphysematous cystitis and emphysematous pyelitis: A clinically misleading association

We present a rare case of emphysematous cystitis associated with an emphysematous pyelonephritis in a diabetic Arab man who was admitted ina confusional state. A 60-year-old man was admitted to the emergency department with confusion and hypogastric mass. The Clinical examinationfound comatose patient with a mass in the tympanic hypogastric percussion. The pelvic computed tomography (CT) demonstrated intramural gas in the urinarytract, which suggested a diagnosis of emphysematous cystitis and emphysematous pyelitis. The treatment was based on an antibiotics  associated with a bladder drainage and diabetes stabilization. The evolution was uneventful. Every diabetic patient with a urinary tract infection who seems to be severely ill should have an abdominal X-ray as a minimal screening tool to detect emphysematous complications. The rarity and the association with an emphysematous pyelitis, which is rarely reported in the literature, are two remarkable characteristics described in this case report

Protocol study: Sexual and reproductive health knowledge, information-seeking behaviour and attitudes among Saudi women: A questionnaire survey of university students

Copyright © 2014 Farih et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background - Sexual and reproductive health (SRH), a basic right for women worldwide, is infrequently researched in countries in the Middle East and North Africa (MENA). No empirical studies of SRH among Saudi women exist. This protocol describes a study to explore the SRH knowledge, information-seeking behaviour and attitudes of Saudi female university students. Methods/Design - This study will administer a questionnaire survey to female students at 13 universities in Riyadh, Saudi Arabia. The questionnaire was developed following a literature search to identify relevant content, with psychometrically tested tools used when available. The content layout and the wording and order of the questions were designed to minimize the risk of bias. The questionnaire has been translated into Arabic and piloted in preparation for administration to the study sample. Ethical approval for the study has been granted (reference no. QMREC2012/54). After questionnaire administration, the data will be collated, analysed and reported anonymously. The findings will be published in compliance with reporting guidelines for survey research. Discussion - This study will be the first to provide fundamental information concerning Saudi females university students SRH knowledge and information needs.King Abdullah Scholarship Program, Saudi Arabi

Bilateral testicular self-castration due to cannabis abuse: a case report

<p>Abstract</p> <p>Introduction</p> <p>The self-mutilating patient is an unusual psychiatric presentation in the emergency room. Nonetheless, serious underlying psychiatric pathology and drug abuse are important background risk factors. A careful stepwise approach in the emergency room is essential, although the prognosis, follow-up, and eventual rehabilitation can be problematic.</p> <p>We present a unique and original case of bilateral self-castration caused by cannabis abuse.</p> <p>Case Presentation</p> <p>We report a case of a 40-year-old Berber man, who was presented to our emergency room with externalization of both testes using his long fingernails, associated with hemodynamic shock. After stabilization of his state, our patient was admitted to the operating room where hemostasis was achieved.</p> <p>Conclusion</p> <p>The clinical characteristics of self-mutilation are manifold and there is a lack of agreement about its etiology. The complex behavior associated with drug abuse may be one cause of self-mutilation. Dysfunction of the inhibitory brain circuitry caused by substance abuse could explain why this cannabis-addicted patient lost control and self-mutilated. To the best of our knowledge, this is the first case report which presents an association between self-castration and cannabis abuse.</p

Giant primary adrenal hydatid cyst presenting with arterial hypertension: a case report and review of the literature

<p>Abstract</p> <p>Introduction</p> <p>A primary hydatid cyst of the adrenal gland is still an exceptional localization. The adrenal gland is an uncommon site even in Morocco, where echinococcal disease is endemic.</p> <p>Case presentation</p> <p>We report the case of a 64-year-old Moroccan man who presented with the unusual symptom of arterial hypertension associated with left flank pain. Computed tomography showed a cystic mass of his left adrenal gland with daughter cysts filing the lesion (Type III). Despite his negative serology tests, the diagnosis of a hydatid cyst was confirmed on surgical examination. Our patient underwent surgical excision of his left adrenal gland with normalization of blood pressure. No recurrence has occurred after 36 months of follow-up.</p> <p>Conclusion</p> <p>There are two remarkable characteristics of this case report; the first is the unusual location of the cyst, the second is the association of an adrenal hydatid cyst with arterial hypertension, which has rarely been reported in the literature.</p

Analisis Valuasi Ekonomi Wisata Alam Melalui Travel Cost Method (Studi Kasus: Wisata Alam Teluk Ijo, Kecamatan Pesanggaran, Kabupaten Banyuwangi)

Sektor pariwisata berperan penting dalam menghasilkan devisa, memunculkan lapangan pekerjaan, dan menghidupkan peluang ekonomi daerah tujuan wisata. Sektor pariwisata di Indonesia menunjukkan perkembangan yang baik jika dilihat dari tingkat kunjungan wisatawan yang terus meningkat. Banyuwangi menjadi salah satu daerah yang diandalkan pada sektor pariwisata terutama wisata alam. Dalam pengembangannya, wisata alam memerlukan sistem pengembangan yang berkelanjutan. Salah satu wisata alam favorit di Banyuwangi adalah Wisata Alam Teluk Ijo. Namun, pengembangan Wisata Alam Teluk Ijo yang belum maksimal diperlukan analisis secara kuantitatif untuk mengetahui besarnya manfaat yang telah dihasilkan oleh Wisata Alam Teluk Ijo. Analisis tersebut dinamakan analisis valuasi ekonomi yang bertujuan untuk mengetahui pengaruh beberapa faktor sosial ekonomi terhadap frekuensi kunjungan wisatawan serta untuk mengetahui nilai ekonomi dari Wisata Alam Teluk Ijo sendiri. Hasil penelitian ini menunjukkan bahwa variabel biaya perjalanan, pendapatan, waktu tempuh, dan jumlah rombongan berpengaruh signifikan terhadap variabel frekuensi kunjungan wisatawan. Sementara variabel durasi berkunjung memiliki pengaruh yang tidak signifikan terhadap variabel frekuensi kunjungan wisatawan. Adapun nilai ekonomi yang diketahui dari analisis valuasi ekonomi melalui metode biaya perjalanan (travel cost method) sebesar Rp 15.486.416.873,- dengan pemanfaatan potensi ekonomi sebesar Rp 588.710.000,- atau 3,8%

Statut des principales maladies cryptogamiques foliaires du blé au Maroc en 2013

Objective: This study describes the status of the principal cryptogamic foliar diseases of wheat in three cereal regions in the northwest of Morocco during the 2012-2013 season cereal. An inventory of these diseases has been established. Methods and results: Fifty (50) fields of wheat and forty two (42) durum wheat fields were surveyed between April and May 2013. The diseases were identified based on their typical symptoms and the microscopic examination of the spores of their different fructification after the samples incubation. The prevalence, impact and severity of attacks was determined for each foliar fungal disease. Septoria leaf blotch, brown rust and net blotch were by far the most important foliar diseases in wheat fields, with prevalence of 85.4, 76.6 and 63.0 % respectively. At fields of durum wheat, the situation was characterized by the predominance of brown rust (79.0 %), leaf blight (70,1 %), and Septoria (45.8 %). Powdery mildew was less prevalent (14,2 %) on bread wheat and 11,4 % for durum wheat and less severe (8,0 %) saw its late appearance in the cycle of wheat. No symptoms of yellow or black rust was found in this study. Conclusion and application: Despite of the record cereal production of the 2012-2013 season (over 97 million cwt) due to exceptional rainfall, these climatic conditions have boosted the development and spread of fungal diseases. Following this alarming situation, and to mitigate their impact on the performance, a fungicides program was widespread. Septoria diseases caused by Septoria tritici was the dominant among the identified diseases.Keywords: Morocco; wheat; status; inventory; fungal diseases; prevalence; impact; severity

Konsep Ilmu Hakikat Ilmu

Paradigma dikotomi keilmuan adalah paradigma yang memberi ruang pemisahan, perbedaan dan pertentangan antara “ilmu-ilmu agama” dan “ilmu-ilmu non agama (ilmu umum)”. Istilah-istilah dikursus ini beberapa diantaranya adalah “sekolah umum/ilmu umum” dan “sekolah agama/ilmu agama/pesantren”, penelitian ini akan membahas tentang hakikat ilmu, hikmah, dan ayat dalam perspektif Al-qur'an, penelitian ini menggunakan jenis penelitian kualitatif dengan teknik analisis deskriptif melalui kajian kepustakaan (library research), hasil penelitian menunjukkan bahwa hakikat ilmu sangatlah utuh dan terintegrasi yakni&nbsp; jalan untuk mencapai tujuan hidup yaitu kebahagiaan di dunia dan ahirat yang diperoleh melalui proses iktisabi (usaha dengan sungguh-sungguh) dengan cara berfikir yang mendalam tentang ayat ayat Allah SWT (Qauliyah dan kauniyyah) sehingga menimbulkan keimanan dan kesaksian terhadap keesaan Allah SWT. Hakikat hikmah adalah dorongan hati yang kuat untuk melakukan implementasi ilmu dalam kehidupan sehari-hari yakni dengan amal shaleh. Sedangkan hakikat ayat adalah sumber pelajaran/ ibrah bagi manusia yang terdiri dari ayat ayat tertulis(qauliyyah) maupun tentang alam (kauniyyah)

Caractérisation morpho-culturale et sporulation chez une population marocaine de Septoria tritici, agent de la septoriose du blé

Objectif : Cette étude a été menée pour déterminer les phénotypes culturaux de Septoria tritici, agent causal de la septoriose du blé, à travers un échantillon de 60 isolats représentant les principales régions productrices du blé au Maroc, et étudier leur importance. En effet, un inventaire a été établi.Méthodes et résultats : Quatre milieux de cultures favorables à la sporulation de Septoria tritici, ont été testés (PDA, CPDA, YMA et SYA) pour étudier in vitro la caractérisation morpho-culturale des isolats de ce pathogène. Cette étude a permis de différencier 10 phénotypes culturaux sur YMA et 8 sur YM. Quatre catégories ont été distinguées selon le degré de clarté des cultures. Les phénotypes I et II et les cultures sporifères sont les plus dominants alors que la formation mycélienne est sporadique.Le pourcentage de la variabilité intra-feuille est faible, de l’ordre de 3%. Le stade parfait du champignon n’a pas été observé.Conclusion et application : L’étude a révélé le polymorphisme morpho-cultural de S. tritici, qui s’est manifesté par une dizaine de phénotypes culturaux. Ainsi, chaque isolat a été caractérisé sur la base des paramètres morpho-culturaux.Une telle caractérisation peut être menée chez les isolats de Stagonospora nodorum, le deuxième agent causal de la septoriose du blé.Mots clés : Maroc, blé, Septoria tritici, milieu de culture, sporulation, caractérisation, polymorphisme