In recent studies, specific neurons were discovered in the brain which is devoted to a single person or object. For example, various pictures of Jennifer Aniston elicited a response in the same specific neuron unit inside the temporal lobe. In this study, I aimed to explore the relationship between beta waves and famous face processing by electroencephalography (EEG). Two healthy volunteers participated in this study (one male). EEG recordings were taken from while they were watching pictures of famous (20) and fameless (20) people pictures with a 32 channel EEG recording system. Beta power values in the temporal lobe were analyzed from the EEG data. Beta power values were 20, 15µV2 and 12, 25 µV2 for famous people and fameless people, respectively. Face-specific neurons are located in the temporal lobe and beta wave considered related to higher cognitive functions. I concluded higher beta power value for famous people as famous‐specific neurons create more electrical activity than non‐specific visual neurons in the temporal lobe. This was a prestudy and I believe that this study paves the way to explore the role of the beta wave in processing ‘Jennifer Anderson photos’

The reference values of hematological markers currently used in Sudan have been obtained from researches on populations in developed countries and may not be applicable in Sudan. It has previously been shown that the normal hemoglobin level in Sudanese children is different from international values. The objectives of this study were to establish the reference ranges of white blood cells and differential count in healthy Sudanese adults. The present study included 1076 healthy Sudanese adults from both sexes and five states, with age range of 20 – 60 years. Clinical examination was performed, weight and height were measured, and BMI was calculated. Blood samples were obtained from brachial veins and drawn in EDTA tubes. WBCs and differential count were analyzed using Sysmex KX-21 automated hematology analyzer. SPSS version 25 statistical software was used for data analysis, P value < 0.05 was considered significant and 95% CI was accepted. The mean age of participants was 25.23±9.64 years. The median of WBCs count was 5×103/µL with reference range of (2.9-9.6× 103/µL). Neutrophils count was 2.3(1.7-3.1× 103/µL), while lymphocytes was 2.1(1.8-2.5× 103/µL). The median of WBCs was significantly higher in female [5.1 × 103/µL (range: 4.2- 6.3× 103/µL)] than male [5.0× 103 /µL (range: 4.0- 6.0× 103/µL)] (p <0.05). Our results showed that WBCs count was positively correlated with BMI. The count was found to be significantly higher in Red sea and Darfur states compared with the other states. The reference ranges of WBCs count in Sudanese are lower than the international one and should be used in Sudan

Glomerulonephritis (GN) is a common cause of end stage renal disease (ESRD). Electron microscopic studies bestowed significantly to the understanding of the pathogenesis of the disease process in GN. Its value has been strongly confirmed in diagnosis of glomerular diseases. To establish the role of electron microscopy in the diagnosis of glomerular diseases, in order to introduce services and to improve the histopathological standards of diagnosis of renal disease. Different patterns of EM in the different types of glomerular diseases in 132 renal biopsies from patients with glomerular diseases were evaluated. These specimens were stained and examined under the light microscopy (LM) then compared by transmission electron microscopy (TEM) findings. The most frequent types of glomerular disease was minimal change disease (22.7%), followed by lupus nephritis (20.5%). LM failed to diagnose the minimal change disease and Alport’s syndrome. In this study EM was found necessary in diagnosis of 37 cases (28%), supportive in diagnosis of 17 cases (12.9%) and not required in 79 (59.8%) of cases. The current study supported what had been concluded in the previous studies; EM still has an integral role and necessary for diagnosis of certain glomerularpathies e.g. minimal change disease.

Ileal perforation is a common complication of Typhoid in developing countries other causes includes tuberculosis, trauma, and enteritis. Non-traumatic perforation is a challenge for surgeons because of considerable morbidity and mortality. This study tried to evaluate the etiology and clinical outcomes of surgical management for all the cases of non-traumatic ileal perforation. This prospective cross-sectional study was conducted in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Inclusion criteria were all the patients above 15 years undergoing surgery for ileal perforation. Excluded patients were those with appendicular perforations, peritonitis, and traumatic perforations. Based on the inclusion and exclusion criteria of 21 male and 17 female patients were included in the study. A thorough clinical examination of the patient including vital signs, abdominal distension, guarding and tenderness was done and noted. The laboratory investigations included Hemoglobin, BT & CT, and serum creatinine. Chest X rays, ECG, Blood culture and WIDAL tests were done to diagnose patients with typhoid. Results: In the present study out of 22 male patients 17 were diagnosed with typhoid perforation and 5 were a non-specific perforation. In the 17 females, 15 were diagnosed with typhoid perforation and 2 were non-specific perforations. The surgical approach for the management included primary closure in the total of 25 (64.10%) male and female patients followed by Ileostomy in 8 (20.51%), Ileo Transverse Anastomosis in 4 (10.26%) and resection anastomosis in 2 (5.12%) of cases. Conclusion: Within the limitations of the present study it can be concluded that typhoid ileal perforations are common in the group of patients reaching our hospital. The operative treatment for intestinal perforations should be based on several factors including operative findings. Early surgery with skilled surgeons and good postoperative care will result in reduced morbidity and mortality.

Sickle cell disease is a chronic, inherited disorder. Complications from SCD place patients at risk for poor psychosocial adaptation, including symptoms of depression anxiety and stress. To measure the prevalence of depression, anxiety and stress in adults with sickle cell anemia in the Kingdom of Bahrain, and to study the factors related to the development of depression, anxiety and stress in these patients, we did a cross-sectional study that involved administering Depression Anxiety Stress Scales (DASS-21). A total number of 343 patients above 18 years, with sickle cell disease were recruited by convenient sampling from Salmaniya medical complex, health centers and sickle cell disease society. Participants also completed a survey of demographic data with specific inquiries about common sickle cell anemia risk factors and complications. From 343 participants (199 males &144 females) 53.9% were depressed, 70.8% had anxiety and 51.6% were stressed. A significant association was seen for depression and female gender(p-value 0.041), lower educational level (p-value 0.005), unemployment (p-value 0.01), number of emergency visits (p-value 0.008), hospital admissions (p-value 0.005) and medications like anti-depressants (p-value <0.001). Similarly, anxiety was significantly associated with female gender (p-value 0.031), unemployment (p-value 0.017), hospital admissions (p-value 0.047) and medications (like MST, codalgin and anxiolytics). Stress, however, was not found to be associated with any of the socio-demographic factors but was significantly associated with number of emergency visits (p-value 0.001), hospital admissions (p-value 0.008) and medications (like MST, codalgin and anxiolytics). We found the prevalence of depression to be (53.9%), anxiety (70.8%) and stress (51.6 %) among the studied population. Screening of sickle cell anemia patients for depression, anxiety and stress symptoms is recommended at regular intervals

Allopurinol is a drug indicated for the treatment of hyperuricemia. Its hepatic toxicity is rare. This is a case report about acute cytolytic hepatitis caused by allopurinol in a 62-year-old.

Implantable cardiac devices, including defibrillators and pacemakers, may be the cause of tricuspid regurgitation (TR) or may worsen existing TR. Diagnosis by clinical exam and 2-dimensional echocardiography may be augmented by 3-dimensional echocardiography and/or computed tomography or cardiac magnetic resonance. The mechanism may be mechanical perforation or laceration of leaflets, scarring and restriction of leaflets, or asynchronized activation of the right ventricle. Pacemaker-related TR might cause severe right-sided heart failure. Percutaneous removal of PM and ICD leads is often performed in large specialty centers with significant experience, but carries with it significant and sometimes fatal risk. TR is usually treated by either surgical repair (usually consisting of ring annuloplasty) or by tricuspid replacement in some patients with advanced valvular disease

The practice of defensive medicine (DM) including requesting unnecessary tests, procedures and treatments or avoiding risk taking is increasing worldwide. There is no data from the Arab world and Bahrain. It is vital to identify the drivers behind this growing practice in an attempt to combat it. In our study we aimed to estimate the practice of defensive medicine in primary care in the kingdom of Bahrain and to study the factors associated with it. We conducted a cross-sectional study between the months of March and June 2016 in all governmental health centers in the kingdom of Bahrain. Study participants were all the primary care doctors practicing clinically in those local health centers. A total of 247 physicians out of 285 (86.7%) completed the survey. Nearly all (86.6%) reported practicing defensive medicine. Taking more detailed history note taking (66.4%, 95% CI 60.5 -72.3) and ordering unnecessary tests than indicated 60.0%, 95% CI (54 -66.0) and avoiding risky procedures 59.0% (95% CI 53.0 -65.2), were there most common forms of DM practiced. Patient pressure, relief of anxiety and fear of legal claim, 86.4%, 65.0% and 62.0% respectively were the most common reasons given for the practice of DM. Significantly, physicians with more years of experience were less likely to practice DM and more likely to practice with extra hour of work per week (p< 0.05). We concluded that the practice of Defensive medicine is highly common among practicing primary care physicians in the Kingdom of Bahrain

Uterine fibroids, also known as uterine leiomyomas or fibroids, are benign smooth muscle tumors of the uterus. Most women have no symptoms while others may have painful or heavy periods. If large enough, they may push on the bladder causing a frequent need to urinate. Dermatoglyphics is referred to as study of the friction ridge formation that appears on the palms of the hands and soles of the feet. There have been works done by different researchers on dermatoglyphics in the field of medicine which has helped in the detection of diseases like breast cancer, anemia etc. But not much has been done at level 2 dermatoglyphics which has created a gap in literatures on those areas especially uterine leiomyoma. This study was aimed at determining the level 2 dermatoglyphic digital patterns in Uterine Leiomyoma. The study was non-experimental and analytical. One hundred subjects selected by simple random sampling. Chi-square test was done using SPSS twenty version. The result of the study has shown clearly that the most distributed level-2 pattern in both categories is the bifurcation and ridge crossing the least distributed pattern in both categories. In uterine leiomyoma the distribution of bifurcation was higher than in the control group. The higher distribution of bifurcations in the uterine leiomyoma could be attributed to the genetic difference in both categories. The difference between the uterine leiomyoma subjects and the control subjects (normal) was not significant statistically (p>0.05) in there pattern distribution, but there was a marked difference that can be used as a guide in the diagnosis of uterine leiomyoma condition

Wheezing happens when the airways are tightened, blocked or inflamed making a person's breathing sounds like whistling or squeaking. A study was conducted to identify the most probable risk factors for pediatrics bronchospasm. Hence, a total of 205 patients, aged below 6 years, from inpatient admissions at Al-Zahraa Teaching Hospital, were enrolled. All children who presented with attacks of bronchospasm were clinically evaluated. It was found that 34.14% of the study group had a history of wheeze. Male patients and those of urban origin were more affected, (67.14%) and (74.29%), respectively. Wheeze was associated with prematurity, low birth weight and family history of asthma. There was an association of wheeze in first degree relatives (87.1% versus 32.2%) including children of those with asthma (64.3% versus 30.6%). Environmental factors and parental smoking showed clear difference from 50% to 12.8% respectively. Furthermore, overcrowding, atopy, persistent nasal snuffle, were all associated with wheeze. History of recurrent chest infection was found to be higher in those who had parental history of asthma (85.7% versus 39.8%). In conclusin, Family history and sblings asthma, parental smoking, atopy, overcrowding was risk factors of wheeze further studies are highly suggeste for further assessment

The definition of health expanded to include mental wellbeing, and during the current difficult times in the Middle-East in regards to economics, politics and all the health issues it results in, the need for a better mental healthcare is of grave importance. However, the field of psychiatry is culturally-dependent on factors that might interfere with its goals. The main need is to eliminate stigma towards mental health services facing the progression of mental healthcare services. To minimize public stigma towards mental health treatment and to improve the acceptance of people with mental health problems in order to attain the highest quality of life. This is a cross-sectional study which involved the collection of socio-demographic and a stigma scale towards mental health treatment. The subjects were selected from four health centers in the Kingdom of Bahrain. This study established the mean level of perceived stigma towards mental health treatment in the study population was 6.99±2.89, considerably as moderate levels of stigma towards mental health treatment. Some of the demographic factors identified to effect the stigma towards receiving mental health treatment were occupation and gender. This study showed moderate amount of stigma towards mental health treatment and increasing mental health awareness among the population is necessary. Further studies should be encouraged to tackle other factors affecting stigma towards mental health treatment

Chlamydia trachomatis is a bacterium that can only replicate in human cells and is recognized as an infectious agent of sexual and perinatal transmission. The objective of this research is to Investigate antibodies of the IgM and IgG classes against C. trachomatis in the serum of patients of both genders with clinical suspicion of Chlamydia infection in the population of the city of Queimados, Baixada Fluminense region, Province of Rio de Janeiro, Brazil. Antibody detection was performed in the serum of 55 patients of both genders. The kits used for diagnostics were: Chlamydia trachomatis IgG ELISA antigen purified reactive MOMP antigen, serotype K for IgG and C. trachomatis kit (IgM) ELISA method for IgM. Total incidence rate was determined in 51%, being more frequent among women. There was no significant association between C. trachomatis infection and the age of the patients. It is recommended to perform routine tests for the laboratory diagnosis of this pathogen in order to avoid the evolution to more worrying health conditions