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A Rare Case of Amyand’S Hernia with Acute Appendicitis

Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The reported incidence is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis.

Hookah Use and COVID-19

A hookah (shisha, waterpipe) use may increase the risk of suffering from serious symptoms due to COVID-19. Like smoking, hookahs may exacerbate the risk for severe COVID-19 through shared use and being difficult-to-clean the long pipes and having a cold water reservoir. Social gatherings also provide an opportunity for the virus to spread.

Toxin Positive Corynebacterium Diphtheriae Skin Ulcers in a Vaccinated Traveller

A 20 year old German volunteer presented in good general condition without fever to our outpatient department with cutaneous ulcers (Figure 1) on the lower limbs and swelling of the right lower leg. The patient had just returned from a one year stay in the Ivory Coast and mentioned several insect bites a week ago while still abroad.

007 (Opioid Oligopoly and the Seven Deadly Sins)

The most common market structure in today’s market place is the oligopoly. An argument can be made that the few pharmaceutical companies who market, manufacture, distribute opioids worldwide can be defined as an “opioid oligopolyâ€. The seven deadly sins are character vices and the origin of sins, dating back to early Christian times.

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