Multilayered Stigma and Vulnerabilities for HIV Infection and Transmission: A Qualitative Study on Male Sex Workers in Zimbabwe.

Male sex workers are marginalized in most societies due to intersectional stigma between prostitution and homosexuality. In Zimbabwe, a proliferation of male sex workers in major cities such as Harare and Bulawayo has been reported. However, there is a shortage of studies that explore their lives.

"In Zimbabwe there is nothing for us": sex work and vulnerability of HIV infection among male sex workers in Zimbabwe.

Male sex workers (MSWs) in Zimbabwe are a vulnerable sub-group at risk of violence, abuse, and HIV infection. This qualitative study examines the practices of male sex workers and vulnerabilities to HIV infection based on interviews among 15 MSWs in Bulawayo. All the interviews were recorded, transcribed, and analyzed with the guidance of grounded theory.

Death of a 29-Year-Old Male from Undifferentiated Sepsis.

Tumour necrosis factor alpha inhibitors, such as infliximab, and other biologic agents are associated with increased risk of opportunistic infection, including tuberculosis. Tuberculosis infections associated with infliximab tend to present atypically and can be difficult to diagnose, as they are more likely to manifest as extrapulmonary or disseminated disease. The authors report a case involving a 29-year-old male patient who died following 16 days of treatment for undifferentiated sepsis and who was found on autopsy to have widespread disseminated tuberculosis.

Limitations of Condensed Teaching Strategies to Develop Hand-Held Cardiac Ultrasonography Skills in Internal Medicine Residents.

Advances in ultrasonographic technology have allowed for hand-held cardiac ultrasonography (HHCU) units that fit into a physician's laboratory coat. Recently, studies to educate internal medicine residents have shown promise. The optimal duration and methodology for teaching HHCU skills has not been established.

Reversal of cardiogenic shock after bilateral renal artery stenting.

Renal artery stenosis, which can occur with atherosclerotic disease or fibromuscular dysplasia, is estimated to be present in 25%-34% of patients undergoing cardiac catheterization. Evidence is still developing to better understand the clinical significance of renal artery stenosis and its pathophysiologic interplay with cardiovascular disease. We present a case of cardiogenic shock with dramatic improvement after bilateral renal artery stenting.

Use of cardiac computed tomography in the management of symptomatic coronary aneurysm: A case study and literature review.

Coronary artery aneurysms are rare malformations caused by atherosclerosis, connective tissue disease or vasculitides, and are usually discovered incidentally with invasive coronary angiography. A case involving a 58-year-old male presenting with an acute coronary syndrome who was found on invasive angiogram to have a giant aneurysm of the left anterior descending coronary artery is described. The incidence, pathophysiology and management of giant aneurysms in the context of an acute coronary syndrome are reviewed.

Failure of percutaneous remodeling of the ligamentum flavum and lamina for neurogenic claudication.

Background: Percutaneous remodeling of the ligamentum flavum and lamina (PRLL), commercially known as minimally invasive lumbar decompression (mild technique), relies on fluoroscopy and epidural contrast to direct surgical instruments via a 6-mm cannula.

Objective: To evaluate the safety and efficacy of PRLL and present, to our knowledge, the first reported imaging findings after PRLL.

Methods: We performed a prospective study of PRLL for neurogenic claudication.

Traumatic lateral expulsion of the L-4 vertebral body from the spinal column.

Traumatic lateral spondyloptosis is mostly a lateral shearing injury that must be tremendous enough to completely disrupt the strong musculoligamentous and bony structures. This injury has only been described at single levels in the lumbar spine. Lateral expulsion of a vertebral body from the spinal column due to 2-level adjacent spondyloptosis has not been previously reported.

Comparison of post-operative lordosis with the PEEK cage and the cervical plate.

Objective: The maintenance of post-operative lordosis has been shown to be a key factor in decreasing adjacent level disc stress. Previous studies of the PEEK (polyether ketone) cage have used intervertebral bony fusion as the primary measure of surgical success; however, little is known about its effects on spinal curvature. Our objective was to compare the PEEK cage to the cervical plate with respect to the maintenance of cervical lordosis at one year.

Comparison of computed tomography 3-dimensional volumetric analysis of ventricular size to visual radiological assessment.

Objectives: Interpretation of ventricular volume on computed tomography scans of hydrocephalus patients is usually subjective. The objective of this study was to determine whether radiological assessment of interval change correlates better with an objective calculated volume change or with other objective 2-dimensional estimates of ventricle volume change.

Methods/sample: Ventricular volume, Evans ratio, and frontal and occipital Horn ratio were retrospectively assessed on 95 pairs of scans from patients with a ventriculoperitoneal shunt.