Alexandersenking2541

Conclusions To the best of our knowledge, this is the first case of intramuscular myxoma of the medial pterygoid muscle reported in the literature. Although rarely encountered, intramuscular myxomas should be considered when performing differential diagnoses of soft tissue masses at the level of the masticatory muscles.Objective The aim of this study was to highlight the current underestimation of the role of alcohol in facial fracture etiology and patients' daily life. Study design A prospective cross-sectional study was conducted. Alcohol consumption habits were evaluated, and data were collected through a constructed questionnaire and interview. Case-related data collection was performed, with the primary predictor variables being mechanism of injury; fracture type; and associated injury (any). Outcome variables were alcohol involved in injury (yes/no) and heavy alcohol use (yes/no). The explanatory variables were gender and age. Descriptive and bivariate statistics were computed, and the P value was set at .05. Results In total, 166 patients were included in the study. Of these, 55% of patients reported being under the influence of alcohol when they sustained the injury. Alcohol was involved most often among male patients (P = .0006) and in the younger age groups (P less then .0001). Of the study patients, 17% reported heavy alcohol use. The majority of the interpersonal violence events had taken place under the influence of alcohol (84%; P less then .0001). Conclusions The role of alcohol in facial fracture etiology is significant. A brief intervention for alcohol abuse should be included routinely in patient care to identify and, if necessary, address this problem.Cochlear implant has progressively become an essential treatment for profound hearing loss. The aim of this historical note is to briefly review the very beginnings of this technique, in 1973, with the production of a painting entitled "Mechanical ear" and the first international congress on cochlear implants. In a way, these two events marked the beginning of an antagonism that played a very important role in the development and especially the acceptance of cochlear implants in the multicultural society of the late twentieth century.Anaplasma ovis, the causative agent of ovine anaplasmosis in tropical and subtropical countries, is a tick-borne obligatory intraerythrocytic bacterium of sheep, goats and wild ruminants. In Tunisia, data about the molecular phylogeny and the genetic diversity of A. ovis isolates are limited to the analysis of msp4 and groEL genes. The aim of this study was to genetic characterize 40 A. ovis isolates infecting 28 goats, 10 sheep, one camel and one Rhipicephalus turanicus tick located in different geographic regions of Tunisia on the basis of 3 partial genes (gltA, groEL and msp1a). NSC 613327 Sequence analysis revealed 6 and 17 different genotypes in the partial gltA and groEL genes, respectively. Phylogenetic analysis revealed, as expected for the groEL gene, that sequences from small ruminants and their infesting ticks clustered separately from those isolated from camels. The analysis of amino-acid Msp1a sequences identified 18 novel genotypes of Msp1a repeats from 20 A. ovis isolates. These Msp1a repeats were highly variable with 33-47 amino-acids, and the number of repeats is one for 19 isolates infecting 18 goats and one R. turanicus tick, and 4 for a single isolate found in one sheep. Phylogenetic trees based on Msp1a partial sequences revealed that the N-terminal region of Msp1a protein appear to be relatively more informative phylogeographically compared to other markers especially according to countries. The presented data give a more detailed knowledge regarding the molecular phylogeny and the genetic diversity of A. ovis isolates occurring in different animal species and their associated ticks in Tunisia.Objective To explore the perspectives of the decision makers and community members in primary health care (PHC) around the conceptualization of social participation (PS). Design An exploratory cross-sectional study with qualitative methodology. Location Health Centers of the Metropolitan Region (RM), Santiago, Chile. Participants Eight informants from the management level (group 1), 13 from execution level in PHC (group 2), 28 community members and four community agents of health (group 3). Method Interviews and discussion groups were conducted, which were recorded and transcribed. The organization and analysis of the data was done with Atlas.ti 8.1. The narratives were systematized using a thematic analysis. All the documents were codified, and we hold periodic meetings to review the existing codes, as well as discussing the inclusion of new codes. Results Group 1 refers to a more theoretical conception of PS. Group 2 expresses more concrete and operative dimensions. Group 3 indicates that PS is embodied in particular personal experiences. Groups 1 and 3 have more than one notion of social participation in health. Conclusions An institutional conception of participation prevails transversally, rooted since the 1990s. At the community level, the narratives take the form of collective practices lived around the improvement of the quality of community life mediated by the level of execution.Background The present study aimed to report a full overview of the incidence and epidemiology of foot fractures. Method Population-based epidemiological cohort study including all foot fractures over 5 years. All patient charts and radiology were manually assessed. Results A total of 4938 patients sustained 5912 foot fractures during the study period. Patients' mean age at the time of fracture was 36.1 (21.7 SD) years. The overall incidence of foot fractures was 142.3/100,000/year. The hind foot incidence was 13.7/100,000/year, the mid foot incidence 6.5/100,000/year, and the fore foot incidence 123.9/100,000/year. The most common mode of injury was due to low energy trauma (98.7%). Conclusion This study shows an overall incidence of foot fractures to be 142.3/100,000/year. The hind foot incidence is 13.7/100,000/year, the mid foot incidence 6.5/100,000/year, and the fore foot incidence 123.9/100,000/year.