A Rare case of HUS and ADEM

A 3-year-old girl was admitted with typical hemolytic uremic syndrome (HUS) and conservative treatments were initiated. During hospitalization, she had seizures, right hemiparesis, and loss of consciousness. Initial MR of the brain showed changes of acute disseminated encephalomyelitis (ADEM). She was treated with intravenous methylprednisolone and immunoglobulin. Upon improvement of her clinical condition, she was discharged with oral prednisolone which was tapered after two months. After one year fallow-up, the child now has a normal renal function and normal neurodevelopment

A quick algorithmic review on management of viral infectious diseases in pediatric solid organ transplant recipients

Pediatric solid organ transplant is a life-saving procedure for children with end-stage organ failure. Viral infections are a common complication following pediatric solid organ transplantation (SOT), which can lead to increased morbidity and mortality. Pediatric solid organ transplant recipients are at an increased risk of viral infections due to their immunosuppressed state. The most commonly encountered viruses include cytomegalovirus (CMV), Epstein-Barr virus (EBV), herpes simplex virus (HSV), varicella-zoster virus (VZV), adenoviruses, and BK polyomavirus. Prevention strategies include vaccination prior to transplantation, post-transplant prophylaxis with antiviral agents, and preemptive therapy. Treatment options vary depending on the virus and may include antiviral therapy and sometimes immunosuppression modification. This review provides a Quick Algorithmic overview of prevention and treatment strategies for viral infectious diseases in pediatric solid organ transplant recipient

Investigation on lateral resistance of joints made with drywall and sheet metal screws in bagasse particleboard and comparison with that of commercial MDF

In this research, effects of screw diameter, screw type, panel type, and end distance on lateral resistance of the joints made with drywall and sheet metal screws were studied in bagasse particleboard and the results were compared to those obtained from commercial medium density fiberboard (MDF). The accuracy of EYM in prediction of lateral resistance was then investigated. The drywall screws comprised of size 8 with coarse thread and size 10 with fine thread; the sheet metal screws comprised of size 8 and 10 with normal thread. Results indicated that lateral resistance increased with the increase in the diameter of both screw types, although not statistically significant. The lateral resistance obtained from MDF specimens was 20% more than that of bagasse specimens. Increase in the end distance also resulted in an increase in the lateral resistance. In all cases, sheet metal screws showed higher lateral resistance in comparison to those obtained from drywall screws. It can be concluded that Mode IIIs is more accurate than Mode Is in the prediction of lateral resistance in two-member screwed joints (single shear plane) for both MDF and bagasse boards

Investigation on lateral resistance of joints made with drywall and sheet metal screws in bagasse particleboard and comparison with that of commercial mdf

In this research, effects of screw diameter, screw type, panel type, and end distance on lateral resistance of the joints made with drywall and sheet metal screws were studied in bagasse particleboard and the results were compared to those obtained from commercial medium density fiberboard (MDF). The accuracy of EYM in prediction of lateral resistance was then investigated. The drywall screws comprised of size 8 with coarse thread and size 10 with fine thread; the sheet metal screws comprised of size 8 and 10 with normal thread. Results indicated that lateral resistance increased with the increase in the diameter of both screw types, although not statistically significant. The lateral resistance obtained from MDF specimens was 20% more than that of bagasse specimens. Increase in the end distance also resulted in an increase in the lateral resistance. In all cases, sheet metal screws showed higher lateral resistance in comparison to those obtained from drywall screws. It can be concluded that Mode IIIs is more accurate than Mode Is in the prediction of lateral resistance in two-member screwed joints (single shear plane) for both MDF and bagasse boards