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Food security in the time of Coronavirus (COVID-19). The Argentine case

Research Article of International Journal of Food and Nutrition Research Food security in the time of Coronavirus (COVID-19). The Argentine case Leda Giannuzzi Toxicology Laboratory, Exacts Sciences College, National University of La Plata (UNLP), La Plata, Buenos Aires. Centro de Investigación y Desarrollo en Criotecnología de Alimentos (CIDCA), CCT-La Plata. Facultad Ciencias Exactas, Universidad Nacional de La Plata. Street 47 and 116 (1900) La Plata, Argentina. The context of pandemic of the human coronavirus COVID-19, preventive strategies based on mandatory social isolation (quarantine) were imposed by governments to reduce transmission in the community. However, they have had a strong impact on the economies of the countries and on the people as massive layoffs, decreased wages, uncertainty, inability to work formally, increasing precariousness and inequality and food insecurity. Without a doubt, the pandemic surprised Argentina without the necessary tools to amortize the attacks of the disease, and all the collateral consequences that emerge from it. The concept of food insecurity represents a situation or a process experienced by households in which there is a limited and uncertain availability of the quantity and quality of food that allow covering the nutritional requirements of people, thus as an also limited and uncertain availability of the ability to acquire them in an acceptable way from a social and cultural perspective. This work addresses household food insecurity at the micro-social level based on their own surveys and describes the strategies carried out by households in the metropolitan area of Buenos Aires city, Argentina to withstand the effect. FI status was assessed among 200 adult university students a mean age of 28±6 years (57% female, 43% male) during isolation period in April -May 2020 using the food insecurity experience scale (FIES). The students responded affirmatively and with a higher percentage value to the items related to ...

Successful non-operative management of extensive pneumomedia- stinum and pneumoperitoneum

Case Report of International Journal of Case Reports Successful non-operative management of extensive pneumomediastinum and pneumoperitoneum Dylan Johnson, MD1*; Stephan Jones, MD1; Subhasis Misra, MD, FACS1 1Brandon Regional Hospital, HCA Healthcare/USF Morsani College of Medicine Graduate Medical Education, Department of Surgery, Brandon, FL 33511 Background: A 70 year old male presented with acute left flank pain and was found to have extensive free air in both the mediastinal and peritoneal cavities. He was managed successfully without surgery. Case: A 70 year old male presented with left flank pain that began an hour prior to arrival. He had a history of obstructive sleep apnea that had been treated with continuous positive airway pressure therapy (CPAP) at home for many years. His vital signs, physical exam, and laboratory testing were all unremarkable. However, imaging findings were impressive for massive pneumoperitoneum and pneumomediastinum. Given his clinical stability, operative exploration was deferred, and he was admitted for observation and bowel rest. He was discharged less than 48 hours after admission without incident. His history of home CPAP therapy was the only attributable cause for the ominous findings seen on his imaging. Recognizing that this was a case of benign free air saved this patient from the morbidity and potential for death that comes with an unnecessary operative exploration. Conclusion: Continuous positive airway pressure therapy can result in benign free air within the mediastinal and peritoneal cavities. Evaluating the complete clinical scenario will allow for recognition of similar cases in which these grim findings are not indicative of surgical disease, thus avoiding the iatrogenesis of unnecessary surgery. Keywords: Benign; Pneumomediastinum; Pneumoperitoneum; Primary ...

Shewanella, not just found in the marine environment. A rare case of Shewanella algae bacteremia

Case Report of International Journal of Case Reports Shewanella, not just found in the marine environment. A rare case of Shewanella algae bacteremia Asha Ramsakal, DO1, Jacqueline Wesolow, DO, MBA1* 1Moffitt Cancer Center. A 63 year old Caucasian female with ampullary pancreatic cancer s/p pancreaticoduodenectomy in 2016 was admitted to our cancer center with complaints of fever (temperature 103° F) and abdominal pain. She was found to have multiple liver abscesses. Her blood culture grew out Shewanella algae. We herein report on this rare human bacterial infection. Keywords: Shewanella; Bacterial ...

A suspected insulinoma with the unexpected histopathological finding of a nesidioblastosis – A case report and literature review

Case Report of International Journal of Case Reports A suspected insulinoma with the unexpected histopathological finding of a nesidioblastosis - A case report and literature review Carlos Hernández Brito1*, Mauricio Luis Barrón Soto2, David Ramírez Sosa3, Dante Díaz Martínez4, María Alicia Díaz Orea5, Arsenio Torres Delgado2, Eibar Guzmán Vera2, Héctor David Pérez Domínguez2, Pedro Arredondo Ruiz1 1Department of Surgical Oncology and Oncology, Millenium Medical Center, Veracruz, México. 2Department of Gastrointestinal and Laparoscopic Surgery, Hospital Puebla, Puebla, México.  3Department of Endocrinology, Hospital Puebla, Puebla, México. 4Department of Pathology, Hospital Puebla, Puebla, México. 5Departament of Experimental Immunology, Benemérita Universidad Autónoma de Puebla, Puebla, México. Introduction: Nesidioblastosis is a hyperplasia of the beta cells that causes persistent hyperinsulinemic hypoglycemia, unfortunately, it is difficult to diagnose through imaging studies. Case presentation: A 68-year-old woman with palpitations, diaphoresis, dizziness and alterations in the level of consciousness that improve with food intake. Laboratories: glucose 35.0 mg/dl, insulin 12.5 mUI/ml, proinsulin 14.1 pmol/L and peptide C 2.55 ng/ml. Octreoscan reveals an abnormal epigastric uptake area and the tomography shows a focal hypervascular lesion in pancreatic body of 12x11 mm. A distal pancreatectomy was performed without palpating the tumor in transoperative period, and a diffuse nesiodioblastosis was reported in the histopathological study. The patient persists with hypoglycemia and an additional pancreatic resection was performed, resecting 90% of the organ. Although an insulinoma was not located in the piece, an area surrounded by connective tissue was observed where islet hyperplasia was more accentuated. Discussion: The pathophysiology of nesidioblastosis is unknown, its main differential diagnosis is insulinoma and this should be suspected when the tumor can not be identified. Most agree that a pancreatectomy that involves 60-80% of the total organ can control glucose levels with low risk of diabetes and pancreatic insufficiency. Conclusion: The nesidioblastosis should be suspected when a ...

Rare case of ectopic pleomorphic adenoma on the plane of the cheek

Case Report of International Journal of Case Reports Rare case of ectopic pleomorphic adenoma on the plane of the cheek Adnan Mohammed Brayyich Al-Obaidi1, Karen Shabano Stalin2, Humam Adnan Mohammed Al-Obaidi3, Mohammed Jasim Mohammed4 1 Head of general surgery department in Altarmya general hospital -Baghdad 2 David Tvildiani Medical University 3 Ivane Javakhishvili Tbilisi State University 4 Consultant pathologist Al-kindy teaching hospital Pleomorphic adenoma is a benign tumor of the salivary gland with the highest incidence rate among all salivary gland tumors in the general population. Even though it’s common, ectopic presentation of the same is rare. When it happens, it presents in the head and neck region. We discuss in this paper a rare case of ectopic pleomorphic adenoma on the plane of the cheek. Keywords: Case report, Ectopic pleomorphic adenoma, pleomorphic adenoma, salivary gland tumors ...

Phosphate Enema Causing Life-Threatening Rectal Perforation

Case Report of International Journal of Case Reports Phosphate Enema Causing Life-Threatening Rectal Perforation N. Bobb, V. Naraynsingh, S. Islam, Y. Singh, D. Harnanan, S. Cawich Department of Clinical Surgical Sciences The University of the West Indies, Eric Williams Medical Sciences Complex, Mount Hope, Trinidad, West Indies. We report a near fatal rectal perforation due to a phosphate enema in an elderly male. The presentation in septic shock within 4 hours of the enema is quite rare. Early recognition and prompt management are essential for a good outcome. A defunctioning colostomy is standard for these cases but we recommend a distal rectal washout since intraluminal faeces in a loaded rectum could be a cause of ongoing sepsis. Although enemas are commonly used for constipation in the elderly, suppositories and oral preparations should be used preferentially where appropriate. Keywords: Enema, Rectal Perforation, Septic Shock ...