This comprehensive literature review aims to investigate the pathophysiology, clinical manifestations, diagnostic tools, and treatment options for necrotizing fasciitis secondary to mycotic femoral aneurysm, a rare and potentially lethal infectious disease, particularly focusing on any changes throughout the years for an update of the current literature. The pathophysiology of necrotizing fasciitis and mycotic femoral aneurysms is a complex and multifaceted process that typically involves bacterial infections as a common precursor to the onset of these conditions. This can potentially lead to the formation of an aneurysm. As the infection progresses, it can spread from the aneurysm to surrounding soft tissues, resulting in significant tissue damage, obstructed blood circulation, and ultimately culminating in cell death and necrosis. Clinical manifestations of these conditions are diverse and encompass a range of symptoms, such as fever, localized pain, inflammation, skin changes, and other indicators. It is worth noting that skin color can influence the presentation of these conditions, and in patients with diverse skin tones, certain symptoms may be less noticeable due to a lack of visible discoloration. Imaging, laboratory findings, and clinical presentation are important components of the diagnosis of mycotic aneurysms. CT scans are a reliable tool for identifying specific features of infected femoral aneurysms, and elevated inflammatory laboratory results can also suggest a mycotic aneurysm. In the case of necrotizing fasciitis, clinicians should maintain a high level of suspicion as this condition is rare but life-threatening. Clinicians will need to view the big picture when an infection may be caused by necrotizing fasciitis, considering CT imaging, blood work, and clinical presentation of the patient without delaying surgical intervention. By incorporating the diagnostic tools and treatment options outlined in this review, healthcare professionals can improve patient outcomes and reduce the burden of this rare and potentially lethal infectious disease.
The Kibali district in the Democratic Republic of Congo hosts the large Karagba-Chaffeur-Durba (KCD) deposit and smaller satellite deposits that together contained 20 million ounces (Moz) of gold when mining recommenced in 2013. An additional 3 Moz of gold was probably mined from the district before 2013. Gold deposits in the Kibali district are located along the KZ trend, a series of folds, contractional shear zones, and altered lithostratigraphic units that coincide with the margin of an earlier 2630 to 2625 Ma intraorogenic basin within the Neoarchean Moto belt. Fluids first responsible for barren carbonate-quartz-sericite alteration, and later for siderite and/or ankerite (±quartz, magnetite, pyrite, and/or chlorite) alteration with associated auriferous pyrite ± rare arsenopyrite veinlets, infiltrated and replaced the siliciclastic, banded iron formation (BIF), and chert host rocks via fold axes, shear zones, and reactive BIF horizons. The complex shape and gentle northeast plunge of the lodes across the Kibali district reflect the shape and plunge of coincident folds that formed during early barren alteration. Many other folded BIF horizons across the wider Moto belt remain barren or only weakly mineralized, suggesting deep extensional structures that may have developed in the vicinity of the KZ trend during basin opening and prior to gold mineralization, were important fluid pathways during later contractional deformation and mineralization.
The Red River Jig is a fiddle tune and a dance form that have particular resonance for First Nations and Métis peoples in Northern and Western Canada. Here I follow the dance form’s practice across diverse settings in time and space. This article is a part of a larger project in which I am analyzing the nexus of Métis identity, performance, and heritage; using Michael Herzfeld’s concept of “social poetics” (2005) to gauge the Red River Jig not only as a representative form of Métis heritage, but as a performative form that emerges in social interaction. Here I first chronicle its performance through time and then describe its form and manners of learning this form in contemporary contexts in Alberta and Western Canada more generally. Finally, I examine the Red River Jig, or aspects of the Red River Jig, emerging in other dance forms as well as other performative circumstances beyond the categorical boundaries of music and dance to consider the social poetics of the Red River Jig within greater spheres of practice.
Background According to the Feeding Infants and Toddlers Study (FITS), the percentage of older infants consuming infant cereal has declined from 72% of 6–11.9 month old infants in 2002 to 52% in 2016. This is especially concerning for breastfed and mixed fed infants because of their increased need for dietary sources of iron. This study explored the association between infant cereal consumption and nutrient intakes among breastfed and mixed fed infants. Methods FITS 2016 is the largest cross-sectional survey of food and nutrient intakes among caregivers of children less than 4 years old in the United States. For this analysis, we evaluated 24 h dietary recalls for infants 6–11.9 months who were either breastfed (no infant formula provided, n = 296) or mixed fed (breastmilk and infant formula provided, n = 102). Infants were further categorized as infant cereal consumers or non-consumers. Nutrient intakes were compared with Adequate Intakes or Estimated Average Requirements when available. Differences between cereal consumers and non-consumers were calculated using unpaired T-tests. Results Significantly fewer breastfed cereal consumers had intakes below the Estimated Average Requirement for iron (19% vs. 96%) and zinc (61% vs. 16%, p < 0.0001). Additionally, significantly more breastfed cereal consumers had intakes above the Adequate Intake level for 12 other nutrients compared to non-consumers. Among mixed fed infants, significantly fewer cereal consumers had intakes below the Estimated Average Requirement for iron compared to non-consumers (5% vs. 70%), but differences in other nutrients were not observed. Conclusions Almost all (96%) of the breastfed infants who did not consume infant cereal had inadequate iron intakes. Even among mixed fed infants, significantly fewer infant cereal consumers had inadequate iron intakes compared to non-cereal consumers. Infant cereal is an important source of iron and other key nutrients, especially for infants receiving breastmilk.
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