Robbporterfield0884

Detecting adenomyosis in the myometrium is a challenge since it is infiltrative with ill-defined margins and can be often confused with uterine fibroids. However, recent advances, such as ultrasound elastography, have enabled its detection in the myometrium, thereby facilitating its accurate diagnosis. We report our experience of performing complete laparoscopic resection of adenomyosis under real-time ultrasound elastography guidance in a 32-year-old woman who underwent laparoscopic adenomyomectomy following severe dysmenorrhea and heavy menstrual bleeding. Real-time ultrasound elastography was also utilized intraoperatively to detect residual adenomyosis. Complete adenomyosis resection and uterine reconstruction were achieved. Follow-up magnetic resonance imaging was conducted to confirm successful uterine reconstruction. The patient recovered rapidly with no complications. Intraoperative elastography-guided laparoscopic adenomyomectomy was feasible and effective in completely removing adenomyotic lesions.The use of natural plant extracts for treatment of water in some parts of the world has been recorded throughout human history. An example is the use of Moringa oleifera in water purification due to its coagulation properties. However, the efficiency of the treatment systems largely depends on the design of the system and its operation. The aim of this study was to investigate the efficiency of Moringa oleifera seed powder coupled with sand filtration in treating greywater from public senior high schools in the Bolgatanga Municipality and Kasena Nankana West District in the Upper East Region of Ghana. Microbial and physico-chemical properties of greywater collected monthly from the senior high schools was analyzed. Moringa oleifera seed powder was added to raw greywater and then filtered through a sand filter bed. Physico-chemical and microbial parameters of the treated greywater were then analyzed. Mean turbidity, TDS, TSS, T. phosphate and T. nitrogen of the raw greywater was 312.5 ± 76.58 NTU, 445.6 ± 86.77 mg/L, 160.0 ± 28.68 mg/L, 89.3 ± 7.76 mg/L and 30.19 ± 3.63 mg/L respectively whiles average BOD, COD, E. coli and Total coliform were 1032.5 ± 252.40 mg/L, 1736.0 ± 431.59 mg/L, 84.75 x 106 ± 94.01 x 106 N/100ml and 184.25 x 10s ± 181 x 106 N/100ml respectively. After treatment, there was percentage reduction in turbidity (98.14%), TDS (72.7%), TSS (98.9%), T. phosphate (75.64%), T. nitrogen (43.11%), Total coliform and E. coli (>99%) were recorded. Turbidity was 0.1 NTU and did not meet the WHO standard for drinking water but T. hardness, E. coli and pH was in line with the WHO limit for drinking water. However, BOD increased, and this could be attributed to the significant protein content in the seed of Moringa oleifera. Moringa oleifera seed powder coupled with sand filtration demonstrated the antimicrobial and coagulative potential as turbidity and E. coli of the raw bath greywater from the senior high schools reduced by >98% and >99.99% respectively after treatment.

Human papillomavirus (HPV) is a sexually transmitted virus that causes cancers of the cervix, anus, vagina, penis, and oropharynx. ARV-110 HPV vaccination prevents HPV types that commonly cause these cancers. HPV vaccines have been approved in Thailand since 2007. However, the vaccination rate remains low, particularly in young people.

This study aimed to investigate the information level regarding HPV infection and vaccination in the younger Thai population, the self-reported vaccination rate, the vaccine intention, and factors affecting the intention.

This cross-sectional study enrolled a total of 521 undergraduate students (77% female). We used a 34 items self-administered questionnaire (18 questions assessing knowledge level).

The mean score of knowledge was 7.53 ± 4.95 (total score 18), indicating a low-to-moderate level of knowledge. Female gender and health-related majors were significant factors associated with greater knowledge. The self-reported vaccination rate was 1.9% among only female participantually decrease HPV-related cancers.

Education programs on HPV infection and vaccination should be included in the curriculum earlier, if possible, since primary school because the vaccine works best before the onset of sexual activity. In university students, the education programs may encourage the sexually inexperienced students to receive the vaccines, as they are still the ideal group for catch-up vaccination. Moreover, parental education is essential, as national vaccination programs usually target younger people. Knowledge sharing by educated people and organizations could enhance the information level in the communities. Consequently, people become aware of primary prevention by vaccination, which may lead to an increase in vaccination rates and eventually decrease HPV-related cancers.The impact of carbon monoxide (CO) gas on the human organism is very dangerous. The affinity of CO to hemoglobin is considerably higher than that of oxygen. Thus, the interaction of CO with the blood results in a higher content of carboxyhemoglobin (HbCO) in red blood cells (RBCs) and correspondingly in tissue hypoxia. The disruption in the organism depends on the HbCO content in the blood. To assess any complications in the body at a given moment due to CO exposure and predict future consequences, it is necessary to measure the dynamics of hemoglobin derivative concentrations simultaneously. However, measuring HbCO and other derivatives in RBCs without hemolysis accurately is complicated due to the strong intercollinearity between the molar absorptivities of hemoglobin derivatives and superposition of absorption and scattering spectra. In the present study, to quantitatively assess the contents of the hemoglobin derivatives in the blood after exposure to CO, improved accuracy is achieved by optimizing the wavelength range used for the nonlinear curve fitting of optical spectra. Experimental spectra were measured in the wavelength range Δ λ = 500 - 700 nm . For each experimental curve, it was established the value of optimal interval Δ λ o p t for which the correlation coefficient between experimental data and corresponding points of the theoretical fitting curve was the maximum in the wavelength range Δ λ t y p = 535 - 580 n m , which contains the typical absorption peaks for H b O 2 , H b , and H b C O . The concentrations obtained based on such fitting curves were considered to be highly accurate. The quantitative assessment enabled the determination of the H b C O nonlinear increase with the time of CO exposure in the in vitro experiment and the study of the dynamics of hemoglobin derivative transformations during blood incubation.