Uremic pruritus, or chronic kidney disease-associated pruritus, is common, bothersome, and sometimes debilitating in patients with chronic kidney disease or end-stage renal disease. Due to its variable clinical manifestations, the diagnosis of uremic pruritus requires exquisite evaluation. Excluding itch resulting from other dermatological causes as well as other systemic conditions is essential for a proper diagnosis. The pathophysiology of uremic pruritus remains uncertain. Hypotheses including toxin deposition, immune system dysregulation, peripheral neuropathy, and opioid imbalance are supposed. This review summarizes the way to accurately diagnose uremic pruritus and describes the latest treatment options.
In this study, the impact resistance of aramid fabric reinforced with shear thickening fluids (STFs), epoxy or polyurea elastomers is examined through ballistic tests. According to the ballistic test results, the aramid composite structure treated with polyurea elastomers absorbs the most impact energy per unit area density and has the best impact resistance. However, the occurrence of stress concentration during ballistic impact reduces the impact resistance of the aramid composite structure treated with epoxy. On the other hand, aramid fabric impregnated with STF improves structural protection, but it also increases the weight of the composite structure and reduces the specific energy absorption (SEA). The results of this study analyze the energy absorption properties, deformation characteristics, and damage modes of different aramid composites, which will be of interest to future researchers developing next-generation protective equipment.
Background
Mycobacterium farcinogenes–senegalense group mostly cause bovine farcy, which rarely infect human beings. We reported one case of cutaneous Mycobacterium farcinogenes–senegalense group infection in an immunocompetent victim.
Case presentation
A 66-year-old Taiwanese woman with hypertension developed tender nodules on her left dorsal foot for 2 months. Tissue culture identified Mycobacterium farcinogenes–senegalense group. The lesion was treated successfully with clarithromycin and sulfamethoxazole/trimethoprim, followed by surgical excision.
Conclusions
Mycobacterium farcinogenes–senegalense group infection should be considered as a potential pathogen of skin infection in immunocompetent patients.
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