diagnosis

As a practicing neurologist for many decades, I closely observed each patient, searching for signs of improvement or recovery. Each step in the healing process required time and effort, which could become exhausting, and I have always balanced hope and anxiety anticipating recovery for my patients. But successful outcomes were deeply rewarding. Now that I am 98, the tables are turned, and my daily challenge is to diagnose and treat myself, closely monitoring my own state of mind and the condition of my aging body. As I advised so many patients to do over my career, I adjust my diet, exercise habits, and outlook to sustain my health and my mood.

The aim our study is to study the occurrence of toxoplasmosis among pregnant and non-pregnant in Gaza strip. In cross-sectional study 164 sample was collected from pregnant and non pregnant woman attending Al-shifa hospital. Quantitative investigation of each blood sample for the levels of the specific IgG and IgM of T.gondii was done for collected sample. The overall prevalence of Toxoplasma IgG was found 33.2% and Toxoplasma. IgM was found to be 21%. The highest rate of IgG (47.4%) was in age group from 35-45 years old and IgM was (40%) in age group 25 to 35 years old. The women residing in the East Gaza city had IgG (42.2%) but in IgM was(32.1%) in the women residing in the North and Midzone. The highest rate of IgG (57.1%) and IgM (42.9%) were noticed among the employed women. In conclusion the result of this study shows a significant high seroprevalence of toxoplasmosis infection in pregnant women, and an important association with different socioeconomic factors. It is recommended that Toxoplasma gondii should applied as a routine test in Gaza and further studies to determine the reality of the definitive host infection (cats) in Gaza.

The use of cone-beam computed tomography (CBCT) can be decisive for diagnosis and treatment in certain cases. The presented clinical case illustrates the importance of CBCT imaging in identifying accessory canals of the lower incisors. A male patient showed on periapical radiography an extensive lesion involving the four lower incisor apices, on which partial endodontic treatment was performed. CBCT was performed and showed the presence of untreated accessory canals in the four teeth. After six months of endodontic retreatment and obturation of the accessory canals, new periapical radiography was performed. CBCT showed the presence of accessory canals in the four lower incisors, which was very important in the planning and subsequent endodontic retreatment.