Caplan’s syndrome, known as rheumatoid pneumoconiosis, was first described by Anthony Caplan in 1953, who identified a rare lung disorder found in coal mine workers with rheumatoid arthritis. Although Caplan’s syndrome was found in patients with a variety of pneumoconioses, it mostly affects individuals with long exposure to crystalline silica. We present a case of Caplan’s syndrome in a patient with advanced stage of rheumatoid arthritis and silicosis.
Entrapment syndromes of the upper limb are common neuro-muscular-skeletal pathology in musician instrumentists. From this group of morbid entities, the most prevalent worldwide is carpal tunnel syndrome closely followed by the cubital tunnel syndrome and de Quervain stenosing tenosynovitis. Due to their distinctive etiopathogenic correlation with exposure to specific occupational factors linked to instrument interpretation and professional environment, these diseases raise a medical challenge and constitute a socioeconomic and professional burden with legal branchings and implications for individuals and society. These syndromes develop isolated or more often in various associations with each other in a clinical pattern that has been described under the model of “double crush” syndrome by Upton and McComas. From its inception in 1973 until the present time, this clinical model has been a point of interesting debate between various specialists worldwide. This model underlines an already lesioned neuron’s susceptibility and vulnerability for further neural damage at a different level from the initial lesion. The sophisticated clinical presentation of this “double or multiple crush” syndrome is due not only to overlapping symptomatology from each contributing neuro-muscular-skeletal pathology or lesional site but also to other local or systemic conditions such as trauma, diabetes, osteoarthritis, thyroid disease, obesity, etc. The occupational factors such as repetitive movements, strain and overload, vibrations, ergonomics, and others all contribute to the creation and progression of the morbid process. We cannot overstate the implications of understanding these complex relations and interdependencies between the factors mentioned above as they are essential not only for the diagnosis of these neuropathies but also for the treatment, rehabilitation, and occupational reinsertion of the patients. The studies support the fact that both lesional sites need to be medically addressed for an optimal outcome and resolution. We present the case of a female violinist with bilateral multiple neuro-muscular-skeletal pathologies of the upper limb treated previously invasively and conservatively over several years by various specialists without a satisfactory clinical resolution of the symptomatology or any professional and legal measures taken.
The definition of COVID-19 as occupational disease follows the investigation of any other occupational disease caused by an infectious agent. The risk is not equal for all occupations and the occupational physician has to assess the working conditions to conclude a diagnosis of occupational COVID-19. In the pandemic context, employees face also other occupational hazards. The high level of work load and the scarce resources lead to stress, physical and mental exhaustion and irregular sleep. The protection measures, of undisputable benefit, increase the risk for contact dermatitis. There is a high probability for medium and possible long term effects of COVID-19, such as the post-traumatic stress disorder or the respiratory sequelae. These consequences need to be acknowledged and properly manged by the medical team taking care of the patient. This review presents the main characteristics of the occupational related disorders during and after the current pandemia.
Occupational asthma, the most common occupational respiratory disease in industrialized societies, accounts for 5-10% of all cases of asthma diagnosed in the world. The number of cases is increasing given the development of the “consumer society”. We aim to discuss a case of occupational asthma that we have confirmed using internationally validated methods.
Boesenbergia rotunda or Temu kunci is a herb belonging to the Zingiberaceae family and wildly cultivated in Malaysia by rhizome. Temu kunci rhizome is commonly used in traditional medicines to cure stomach aches, promote appetite and gout. Due to its potential to be developed as one of Malaysia’s herbal products, information on their agronomic requirements is needed. This study was conducted to investigate the effects of the different combination of the growing medium on B. rotunda growth and yield. Topsoil, peat moss, sand and chicken manure with four different ratios have been used as a planting medium. The potted plant was arranged in a randomised, complete block design with five replicates. The growth parameter was measured during harvesting time. The results showed that there was no significant difference in plant height, number of leaves, tiller number, fresh and dry shoot weight and fresh and dry root and rhizome weight in all treatments. It can be argued that this is because B. rotunda can be grown in different kinds of planting medium. Based on this study, it was suggested that topsoil be used for Temu Kunci planting, since it is easily obtained and requires less money.
A field experiment was carried out to investigate the effect of different manures and fertilizers on the growth and yield of knol-khol (Brassica oleracea var. gongylodes) at Dr. Purnendu Gain Field Laboratory of Agrotechnology Discipline, Khulna University, Khulna from November 2014 to February 2015. The single factor experiment comprised of different types of fertilizers and manures viz., T0 (Control), T1 (Recommended doses of NPK), T2 (Cow dung), T3 (Vermicompost), T4 (Poultry manure), T5 (50 % Cow dung + 50 % NPK), T6 (50% Vermicompost + 50% Cow dung), T7 (50% Vermicompost + 50 % Poultry manure) and T8 (25% Cow dung+ 25% Vermicompost+ 25% Poultry manure + 25% NPK). The Experiment was laid out in Randomized Complete Block Design (RCBD) with four replications. The maximum plant height was obtained from the treatment T1 at 25, 35 and 45 Days after transplanting (DAT). The maximum spread of canopy was 36.75 cm, 52.50 cm and 66.05 cm from the treatment T3, T7 and T2, respectively. The maximum economic yield (21.92 t/ha) and biological yield (40.083 t/ha) were found in the treatment T1 and T7, respectively. Highest benefit cost ratio (3.07) was obtained from the treatment T1whilethe minimum (0.57) was obtained from T3 which indicates that high cost of vermicompost affect net return severely. Although, T1 produced maximum benefit cost ratio, the treatment T4 and T2 are very close to T1 and also statistically similar. So, we can consider poultry manure and cow dung for our soil health, environmental benefits and ecological safety.
A field experiment was carried out to study the effect of spacing and nitrogen level on growth and yield of maize in Parbat from February to July, 2019. The experiment was laid out in two Factorial Randomized complete Block Design (RCBD) comprising of spacing: 60×15 cm and 60×25 cm and nitrogen: 30, 60, 90 and 120 kg/ha level as treatment with three replications. “Arun-2” variety of maize was planted on clay loam and acidic soil (pH 5.3) having medium in total nitrogen (0.15%), medium in soil available phosphorus (48.1 kg/ha), medium in soil available potassium (218.8 kg/ha) and medium in organic matter content (2.92%). Result shows that yield was significantly increased with increment in N-level up to 90 kg N/ha. The grain yield (5.18 mt/ha) was significantly higher at 90 kg N/ha than at 30 and 60 kg N/ha but at par with 120 kg N/ha. Significant effect on grain yield due to spacing was observed. The grain yield (4.11 mt/ha) obtained at spacing 60×15 cm. Moreover, the highest grain yield showed that highest grain yield (4.33 mt/ha) was obtained under 90 kg N/ha plus 60×15 cm spacing. The result revealed that different spacing and nitrogen level significantly affect the plant height and leaf area index. The plant height and leaf area index were significantly high at close spacing (60×15 cm) and at 120 kg N/ha. Likewise, yield attributing characteristics like cob length, cob diameter, number of kernel/rows, number of kernel row, thousand gran weight were the highest at 90 kg/ha but as par with 120 kg/ha at close spacing (60×15 cm). This study suggested that maize production can be maximized by cultivating “Arun-2” maize fertilizing with 90 kg N/ha and maintaining 60×15 cm spacing.
Carbohydrate & Protein Malnutrition is broadly perceived as, significant medical issue in the world due to cereal-based dietary examples. The protein nature of the cereal-based diet can be improved by fortification. Edible mushrooms are rich in protein, carbohydrate, minerals, other nutritive compounds. Fortification of mushroom in cookies helps improve cookies quality alongside fulfill nutrition demand. Powdered Mushrooms are one of these sources that have incredible potential. This paper surveys the impact of Button and Oyster mushroom powder on the rheological, physicochemical, textural and quality attributes of the cookies item. Mushrooms were cleaned in normal water and whitened with steam for 7 min, then sliced it for uniform size, dried the sliced mushrooms in a microwave oven at 55 °C, 120 min. Then transfer it powder form. Fortified 15% of mushroom powder improves baking period quality, cookies shape, protein, carbohydrate & nutrition value. Fortification range of up to 20% was tolerating in bakery products. Contingent upon the wholesome and tactile outcomes, it very well may be rea stoned that 15% mushroom strengthened with flour is worthy quality and it healthful better over locally accessible flours. The discoveries of the current investigation will be useful individuals experiencing a lack of healthy sustenance and other degenerative illnesses. Further, an expansion was noticed sure repulsive consequences for practically all quality parameters of the cookies which could decreased by the expansion of different modifiers and added substances so as get fantastic quality treats. That impact makes protein and Carbohydrate rich cookies later on.
Currently, the question is no longer if the climate is changing because the magnitude and speed of climate change, but it is a fact confirmed by many teams of specialists. It has become a hotly debated topic for politicians, businessmen, environmentalists, society and media. We designed a pilot study using a questionnaire in order to identify the level of knowledge, skills and practices of family physicians regarding the impact of their work on the environment and climate change. The questionnaire included 42 items regarding socio-demographic data, doctors’ knowledge regarding climate change, global warming, heatwave, thermal stress, the activity performed by doctors during the heat wave and the information received by doctors about heatwave periods. The research results confirm the hypothesis that doctors have some knowledge about the phenomenon of climate change, but there are some gaps and misunderstandings of the cause and effect of the phenomenon, as well as the methods to combat them. There is a need for additional training and guidance of physicians on the relationship between climate change, global warming and population health.
Impulse oscillometry (IOS) is a variant of forced oscillation technique described by Dubois 50 years ago, which allows us to measure the reactance of the airways and the resistance of the small and large airways during tidal breathing. It requires minimal patient cooperation from subjects who are unable to perform spirometry, like elders, children and patients with neurologic disorders. IOS can outline the diagnosis of obstructive airway disease, differentiate small airway obstruction from large airway obstruction. It is more sensitive than spirometry for peripheral airway disease in determining the severity of the disease, the exacerbations and evaluate the therapeutic response. Other applications include early evaluation of transplant rejection, cystic fibrosis, vocal cord disorder, bronchiectasis, hypersensitivity pneumonitis, obstructive sleep apnea.