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Topic Review
Vulvovaginal Candidosis
Vulvovaginal candidosis (VVC) is a frequently occurring infection of the lower female genital tract, mostly affecting immuno-competent women at childbearing age. Candida albicans is the most prevalent pathogenic yeast—apart from other non-albicans species—related to this fungal infection. Different virulence factors of C. albicans have been identified, which increase the risk of developing VVC. To initiate treatment and positively influence the disease course, fast and reliable diagnosis is crucial. In this narrative review, we cover the existing state of understanding of the epidemiology, pathogenesis and diagnosis of VVC. However, treatment recommendations should follow current guidelines.
  • 759
  • 20 Nov 2020
Topic Review
Vulvodynia
Vulvodynia is one the most common causes of pain during sexual intercourse in premenopausal women. The burden of vulvodynia in a woman’s life can be devastating due to its consequences in the couple’s sexuality and intimacy, in activities of daily living, and psychological well-being.
  • 613
  • 06 Jul 2021
Topic Review
Vulvar Lichen Sclerosus
Vulvar lichen sclerosus (VLS) is a frequently overlooked inflammatory disorder affecting the skin and mucous membranes of the vulva. With a propensity for atrophy, severe scarring, functional impairment, and malignant evolution, VLS is a disease that recurs frequently; early diagnosis, rapid treatment, and ongoing patient follow-up are essential. Potent topical corticosteroids (TCSs) are now widely recognized as the most effective treatment for achieving remission in VLS, but considering the potential complications of long-term treatment with potent TCSs, understanding the evolution of VLS during puberty becomes particularly crucial in determining the necessity for aggressive or more conservative therapeutic interventions.
  • 245
  • 15 Jan 2024
Topic Review
Vulvar and Vaginal Melanomas
Melanomas of the skin are poorly circumscribed lesions, very frequently asymptomatic but unfortunately with a continuous growing incidence. In this landscape, one can distinguish melanomas originating in the mucous membranes and located in areas not exposed to the sun, namely the vulvo-vaginal melanomas. By contrast with cutaneous melanomas, the incidence of these types of melanomas is constant, being diagnosed in females in their late sixties. While hairy skin and glabrous skin melanomas of the vulva account for 5% of all cancers located in the vulva, melanomas of the vagina and urethra are particularly rare conditions. The location in areas less accessible to periodic inspection determines their diagnosis in advanced stages, often metastatic. 
  • 1.7K
  • 22 Sep 2021
Biography
Vulstan James Shedura
Vulstan James Shedura is a Field Epidemiologist holding a Master’s degree in Epidemiology and Laboratory Management at the Muhimbili University of Health and Allied Sciences (MUHAS), and  a Medical Laboratory Scientist holding a Bachelor’s degree from International Medical and Technological University (IMTU). He studied a total of three online diplomas in Leadership and Management, Water Sa
  • 1.4K
  • 30 Nov 2023
Topic Review
Vulnerable Atherosclerotic Plaque
Atherosclerosis and its clinical manifestations, coronary and cerebral artery diseases, are the most common cause of death worldwide. The main pathophysiological mechanism for these complications is the rupture of vulnerable atherosclerotic plaques and subsequent thrombosis. Pathological studies of the vulnerable lesions showed that more frequently, plaques rich in lipids and with a high level of inflammation, responsible for mild or moderate stenosis, are more prone to rupture, leading to acute events. Identifying the vulnerable plaques helps to stratify patients at risk of developing acute vascular events. Traditional imaging methods based on plaque appearance and size are not reliable in prediction the risk of rupture. Intravascular imaging is a novel technique able to identify vulnerable lesions, but it is invasive and an operator-dependent technique.
  • 426
  • 25 Nov 2022
Topic Review
Vulnerability of Buildings
Vulnerability is defined for buildings as the degree of loss resulting from a hazard at a certain severity level and depends on the reduction in resistance and the level of decay in the structures as a result of constant exposure to environmental factors (such as seismic actions). 
  • 4.0K
  • 23 Nov 2021
Topic Review
Vulnerabilities That Spread Systemically to Cause Complications
COVID-19 and long COVID-19 vulnerabilities may be caused indirectly by albumin binding deficiency (ABD), which can be corrected by the correct administration of human serum albumin(HSA). The liver is the primary site of nutrient regulation and fluid volume maintenance; control of both is by changes to albumin concentration. In healthy subjects, the HSA lymphatic nutrient pump(HSALNP) ensures continual pumping of nutrients from the liver and that nutrients are appropriately distributed to organs. Nutrients are delivered to cells according to the availability of binding to HSA.The HSALNP, therefore, maintains the correct nutrient and colloidal pressure balance in all tissues independently. In unhealthy tissues, following COVID-19 infection, the passage of HSA/nutrients through the interstitial spaces and lymph will be impeded. Fluid therapy into the periphery leads to the dilution of essential nutrients attached to the protein carriers such as albumin. The levels of albumin being charged by the liver with nutrients is critical in maintaining immune stability by maintaining nutrient support and colloidal pressure of the cellular structures. The site of HSA binding by the liver is of great importance, and direct infusion of albumin into the hepatic portal vein is the most appropriate method of maintaining colloid pressure and cellular nutrient levels.
  • 443
  • 10 Nov 2022
Topic Review
Vulnerabilities and Potential Threats of Cloud computing
Cloud computing has become a prominent technology due to its important utility service; this service concentrates on outsourcing data to organizations and individual consumers. Cloud computing has considerably changed the manner in which individuals or organizations store, retrieve, and organize their personal information. Despite the manifest development in cloud computing, there are still some concerns regarding the level of security and issues related to adopting cloud computing that prevent users from fully trusting this useful technology.
  • 724
  • 28 Mar 2022
Topic Review
Vulnerabilities and Challenges in IoT-Enabled Smart Grids
Internet of Things (IoT) has appeared as one of the enabling technologies for smart energy grids by delivering abundant cutting-edge solutions in various domains, including critical infrastructures. As IoT-enabled devices continue to flourish, one of the major challenges is security issues, since IoT devices are connected through the Internet, thus making the smart grids vulnerable to a diverse range of cyberattacks. 
  • 1.6K
  • 25 Oct 2022
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