Gigantic Stomach: A Rare Manifestation of Duchenne Muscular Dystrophy

Duchenne muscular dystrophy (DMD) is characterized by degeneration and atrophy of skeletal, cardiac, and smooth muscles after a latent period of apparently normal development and function. The gastrointestinal manifestations start in the second decade of life and are mainly due to atrophy of smooth muscle layers. Refractory gastroparesis and chronic constipation can lead to severe gastric and small bowel dilatation, which can be life threatening. Here, we present a case of a 21-year-old male with a gigantic stomach secondary to DMD resolved with conservative management and no surgical intervention

Small ruminant production in coffee-based mixed crop-livestock system of Western Ethiopian Highlands: Status and prospectus for improvement

The study was conducted in Goma district of Jimma Zone of Ethiopia with the objectives of documenting the reasons why farmers in coffee dominant mixed-farming systems of western Ethiopia keep small ruminants, and identifying the constraints and opportunities for improvement of this sector. Results are based on diagnostic survey of 160 sample households, group discussions and personal observation. The study district was stratified into three groups based on flock distribution as: sheep dominating, goat dominating and mixed flock sites. The average land holding per household was 1.93 ha. In Goma where coffee and chat are the major cash sources for farmers, small ruminant are also primarily kept for cash generation as reported by 94% of the sampled households. The second main reason for keeping small ruminant in the study area was for saving mainly in time of coffee failure. Keeping small ruminants as a source of manure was the third important reason. From the interviewed households, 59.4, 32.1, 23.5, and 19.4% of them utilize communal grazing, aftermath grazing, roadside grazing, and riverside grazing, respectively for their animal as a sources of feed. Most small ruminants are either tethered or herded all the seasons due to the cultivation of perennial crops and predators. All small ruminants are housed for protection from adverse weather conditions and predators. The major problems for small ruminant production and marketing were: feed and grazing land shortage, lack of input, predators, diseases and parasites and marketing problems. In order to exploit the current growing demand of small ruminant meat at local and international markets, research and development interventions are required with regard to the identification of alternative feed resources and strategic feeding management, identification of causes of diseases and their control methods and improving marketing efficiency through appropriate policy

Shrinkage Estimation Using Ranked Set Samples

The purpose of this article is two-fold. First, we consider the ranked set sampling (RSS) estimation and testing hypothesis for the parameter of interest (population mean). Then, we suggest some alternative estimation strategies for the mean parameter based on shrinkage and pretest principles. Generally speaking, the shrinkage and pretest methods use the non-sample information (NSI) regarding that parameter of interest. In practice, NSI is readily available in the form of a realistic conjecture based on the experimenter\u27s knowledge and experience with the problem under consideration. It is advantageous to use NSI in the estimation process to construct improved estimation for the parameter of interest. In this contribution, the large sample properties of the suggested estimators will be assessed, both analytically and numerically. More importantly, a Monte Carlo simulation is conducted to investigate the relative performance of the estimators for moderate and large samples. For illustrative purposes, the proposed methodology is applied to a published data set. © 2011 King Fahd University of Petroleum and Minerals

Some Estimators for the Population Mean Using Auxiliary Information Under Ranked Set Sampling

Auxiliary information is used along with ranking information to derive several classes of estimators to estimate the population mean of a variable of interest based on RSS (ranked set sample). The properties of these newly suggested estimators were examined. Comparisons between special cases of these estimators and other known estimators are made using a real data set. Some of the new estimators are superior to the old ones in terms of bias and mean square error

Candidate Type II Quasars at 2 < z < 4.3 in the Sloan Digital Sky Survey III

At low redshifts, dust-obscured quasars often have strong yet narrow permitted lines in the rest-frame optical and ultraviolet, excited by the central active nucleus, earning the designation Type II quasars. We present a sample of 145 candidate Type II quasars at redshifts between 2 and 4.3, encompassing the epoch at which quasar activity peaked in the universe. These objects, selected from the quasar sample of the Baryon Oscillation Spectroscopic Survey of the Sloan Digital Sky Survey III, are characterized by weak continuum in the rest-frame ultraviolet (typical continuum magnitude of i \approx 22) and strong lines of CIV and Ly \alpha, with Full Width at Half Maximum less than 2000 kms-1. The continuum magnitudes correspond to an absolute magnitude of -23 or brighter at redshift 3, too bright to be due exclusively to the host galaxies of these objects. Roughly one third of the objects are detected in the shorter-wavelength bands of the WISE survey; the spectral energy distributions (SEDs) of these objects appear to be intermediate between classic Type I and Type II quasars seen at lower redshift. Five objects are detected at rest frame 6\mu m by Spitzer, implying bolometric luminosities of several times 10^46 erg s-1. We have obtained polarization measurements for two objects; they are roughly 3% polarized. We suggest that these objects are luminous quasars, with modest dust extinction (A_V ~ 0.5 mag), whose ultraviolet continuum also includes a substantial scattering contribution. Alternatively, the line of sight to the central engines of these objects may be partially obscured by optically thick material.Comment: 26 pages, 13 figures, 10 tables, 4 machine readable tables. Accepted for publication in MNRA

Prevalence and associated risk factors of intestinal parasitic infections among children in pastoralist and agro-pastoralist communities in the Adadle woreda of the Somali Regional State of Ethiopia

BACKGROUND: Intestinal parasitic infections (IPIs) can cause illness, morbidity, and occasional mortality in children. Agro-pastoralist and pastoralist children in the Somali Regional State of Ethiopia (ESRS) are especially at risk for IPIs, as access to safe water, sanitation, and health services is lacking. Minimal data on the prevalence of IPIs and associated risk factors exists in this region. METHODOLOGY: We assessed the prevalence of IPIs and associated risk factors during the wet season from May-June 2021 in 366 children aged 2 to 5 years in four agro-pastoralist and four pastoralist kebeles (wards) in Adadle woreda (district) of the Shebelle zone, ESRS. Household information, anthropometric measurements, and stool samples were obtained from included children. Parasites were identified microscopically using Kato-Katz and direct smear methods. Risk factors were assessed using general estimating equation models accounting for clustering. PRINCIPAL FINDINGS: Overall prevalence of IPIs was 35%: 30.6% for single infections and 4.4% for poly-parasitic infections. Intestinal protozoan prevalence was 24.9%: 21.9% Giardia intestinalis, and 3.0% Entamoeba spp.. Intestinal helminth prevalence was 14.5%: 12.8% Ascaris lumbricoides, 1.4% hookworm (Ancylostoma duodenale /Necator americanus.), and 0.3% Hymenolepis nana. G. intestinalis infection was associated with drinking water sourced from the river (aOR 15.6, 95%CI 6.84, 35.4) and from collected rainwater (aOR 9.48, 95%CI 3.39, 26.5), with toilet sharing (aOR 2.93, 95%CI 1.36, 6.31) and with household ownership of cattle (1-5 cattle: aOR 1.65, 95%CI 1.13, 2.41; 6+ cattle: aOR 2.07, 95%CI 1.33, 3.21) and chickens (aOR 3.80, 95%CI 1.77, 8.17). A. lumbricoides infection was associated with children 36 to 47 months old (aOR 1.92, 95%CI 1.03, 3.58). CONCLUSIONS/SIGNIFICANCE: Improving access to safe water, sanitation, and hygiene services in Adadle and employing a One Health approach would likely improve the health of children living in (agro-) pastoralist communities in Adadle and the ESRS; however, further studies are required