Background: The prevalence of animal bites is high, of which the vast majority are from cats’ and dogs’. There is a wide variation in severity of such bites from mild to lethal. The evidence in the literature with respect to management does not provide a solid ground on which such cases could be managed. Dog and Cat bites are more common and can have dramatic consequences especially for children.
Objective: This project is to identify current evidence in the literature on epidemiology, management and prevention of dog and cat bites. This review is aimed at clinicians who deal with dog and cat bites. The basic principles of wound management and indications for use of antimicrobials, tetanus and rabies prophylaxis as well as preventive education are the primary focus of this article to help the clinicians. This aims at updating the management of patients who sustain a dog or a cat bite.
Materials and Methods: A literature review on the management of animal bites was performed. UK NICE guidelines, University of Texas bites management guidelines, WHO rabies prophylaxis protocol, UK Green Book and infectious diseases text books also reviewed.
Results: The available data in the literature suggest that appropriate wound management is the most important factor for prevention of infection in dog and cat bites. Antibiotic prophylaxis should only be given in high-risk wounds and primary closure should be performed in low-risk wounds.
Conclusions: Proper assessment and wound care are the prime consideration for dog and cat bites management.
Background: Metastases to the pituitary gland are extremely rare with an incidence rate reported from an autopsy series of 1.8%–12%, and only 20% was diagnosed clinically. Tumors that commonly metastasize are breast and lung tumors.
Case series: We present a series of five cases, including four female patients and one male patient with metastatic cancer. Two women had metastatic small lung cancer and presented with diabetes insipidus (DI). Two women had metastatic breast cancer, of which one presented with DI and the other with panhypopituitarism. The male patient had bronchogenic adenocarcinoma and presented with DI.
Conclusion: Our case series confirmed earlier reports that DI is the most common presentation of metastases to the pituitary gland.
Johor as one of the states of Malaysia is a good geographic location for meliponiculture activity. In this study, ten samples of stingless bee honey from each regions of Johor and one sample obtained from Institute Bioproduct Development, Universiti Teknologi Malaysia, Skudai were analyzed for the physicochemical properties of stingless bee honey. The physicochemical analyses were including moisture, total soluble solids, ash, pH, free acidity, conductivity, hydroxymethylfurfural (HMF) content, protein, carbohydrate, fat, dietary fibre, total phenolic content (TPC), total flavonoid content (TFC), and DPPH radical scavenging activity. Trigona sp. sample from Kluang have the highest value of phenolic content (778.23 ± 2.011 mg GAE/100 g) while Trigona sp. sample from Mersing have the highest value of flavonoid content (194.98 ± 0.350 mg RE/100 g). Among eleven samples tested for radical scavenging activity, Trigona sp. sample from Kota Tinggi have the highest scavenging activity (23.37 ± 0.36 mg/ml), but the value of HMF content exceeded the limit of Malaysian standard for stingless bee honey. All parameters were significantly different (p < 0.01) except for ash. This study showed a strong correlation between moisture and acidity (r = 0.601). However, low correlation was obtained between TPC and TFC with DPPH radical scavenging activity (r = -0.235, 0.011). The data obtained from this study could help for a better subsequent of Malaysian stingless bee honey industry.
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