An African spurred tortoise (Centrochelys sulcata) that had been housed with a conspecific was presented for tenesmus, diarrhea, and hematochezia of 48 hr duration. Husbandry was considered substandard. Hematology and plasma biochemical analysis revealed dehydration. Urinalysis was considered normal and fecal examination was negative for parasitic ova and protozoa. Radiography demonstrated moderate constipation. Initial treatment consisted of fluid therapy, enrofloxacin, metoclopramide, and improvement of husbandry practices. Recurrence of hematochezia developed 2 wk after initial presentation. Cloacoscopy followed by manual exteriorization of the penis revealed a puncture wound on the dorsal surface of the corpus cavernosum proximal to the glans penis. The wound was sutured using an absorbable monofilament material. The tortoise recovered uneventfully and was asymptomatic for the following 6 mo.
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http://dx.doi.org/10.1638/2010-0227.1 | DOI Listing |
J Med Internet Res
November 2024
Department of Epidemiology, University of Nebraska Medical Center, Omaha, NE, United States.
Background: Nationally, COVID-19 spurred the uptake of telehealth to facilitate patients' access to medical care, especially among individuals living in geographically isolated areas. Despite the potential benefits of telehealth to address health care access barriers and enhance health outcomes, there are still disparities in the accessibility and utilization of telehealth services. Hence, identifying facilitators and barriers to telehealth should be prioritized to ensure that disparities are mitigated rather than exacerbated.
View Article and Find Full Text PDFJ Am Med Inform Assoc
January 2025
Division of Computational Health Sciences, Department of Surgery, University of Minnesota, MN 55455, United States.
Animals (Basel)
September 2024
Department of Public Health, Faculty of Veterinary Medicine, Iasi University of Life Sciences, 700489 Iasi, Romania.
The carapace morphology of tortoises is a crucial characteristic used for species identification, with features such as shell shape, roughness, and color patterns varying among species. Understanding this morphological diversity is valuable not only for taxonomic classification but also for more specialized clinical approaches. This study investigated the morphological differences in the shells of Leopard tortoises (), African spurred tortoises (), and Greek tortoises (spur-thighed tortoises; ) raised in captivity.
View Article and Find Full Text PDFSci Total Environ
November 2024
School of Management Science and Real Estate, Chongqing University, Chongqing, China; School for Environment and Sustainability, University of Michigan, Ann Arbor, MI, USA; Michigan Institute for Computational Discovery & Engineering, University of Michigan, Ann Arbor, MI, USA. Electronic address:
The extensive waste emissions and energy consumption in the construction industry has spurred calls for sustainable development reform. Identifying valuable development paradigms through evaluating the spatial-temporal environmental efficiency (EE) of the construction sector offers an effective avenue for practice guidance. However, a comprehensive and detailed global analysis of the construction sector's EE remains lacking.
View Article and Find Full Text PDFFront Psychol
June 2024
Mannheim Centre for European Social Research, University of Mannheim, Mannheim, Germany.
Introduction: Recent years have witnessed an increase in highly publicized attacks targeting members of ethnoracial and religious minority groups. To date, existing research has primarily focused on the tendency for such "trigger events" to generate violent aftershocks. We argue that beyond such ripple effects, highly salient trigger events significantly increase hate-crime related stress among racial and ethnic minorities.
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