首页 > 最新文献

Clinical Medical Reviews and Reports最新文献

英文 中文
Case report of a Rare Cause of Portal Hypertension 罕见门静脉高压症1例报告
Pub Date : 2021-08-13 DOI: 10.31579/2690-8794/084
M. Aye
Williams or Williams-Beuren (WBS) is a developmental disorder with multisystemic manifestations. Chromosome 7 microdeletion underlying WBS occurs because of the unique genetic architecture in this region. Facial features change from subtle to dramatic. The extent of mental and development problems is variable. Cardiovascular, endocrine, and nervous system involvement mostly affect the morbidity and mortality. Although many systems are involved in this syndrome, portal hypertension and splenomegaly are scarcely reported. We report a case of William syndrome with moderate splenomegaly and portal hypertension.
威廉斯综合征(WBS)是一种多系统表现的发育障碍。7号染色体微缺失导致WBS的发生是因为该区域独特的遗传结构。面部特征从微妙到戏剧性的变化。精神和发展问题的程度是可变的。累及心血管、内分泌和神经系统主要影响发病率和死亡率。虽然该综合征涉及许多系统,但门静脉高压和脾肿大很少报道。我们报告一例威廉症候群合并中度脾大及门静脉高压症。
{"title":"Case report of a Rare Cause of Portal Hypertension","authors":"M. Aye","doi":"10.31579/2690-8794/084","DOIUrl":"https://doi.org/10.31579/2690-8794/084","url":null,"abstract":"Williams or Williams-Beuren (WBS) is a developmental disorder with multisystemic manifestations. Chromosome 7 microdeletion underlying WBS occurs because of the unique genetic architecture in this region. Facial features change from subtle to dramatic. The extent of mental and development problems is variable. Cardiovascular, endocrine, and nervous system involvement mostly affect the morbidity and mortality. Although many systems are involved in this syndrome, portal hypertension and splenomegaly are scarcely reported. We report a case of William syndrome with moderate splenomegaly and portal hypertension.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81085727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Burkitt’s Lymphoma of the Right Jaw in a Child: The Radiographic Features and Case Report 儿童右颌伯基特淋巴瘤:影像学表现及病例报告
Pub Date : 2021-08-13 DOI: 10.31579/2690-8794/092
Sule M.B.
Burkitt’s lymphoma is a tumor that most often affects the jaws, most commonly seen in endemic areas of Africa, although the jaws are affected in about 15-18% in non-endemic regions, with prevalence in boys aged between 4-7 years. This is a 12-year-old male child that presented with right jaw painful swelling for more than six-months duration of onset. He was referred for plain radiographs of the jaw from a peripheral healthcare center. The jaw radiograph was done in anterior-posterior and oblique views of both sides respectively. The radiographs demonstrated a soft tissue density mass on the right, with associated destructive lytic lesion involving the right maxilla severelyand the right mandibleto a lesser extent. There is associated loss of lamina dura with severe dental anarchy involving the maxilla. The mandible showed lytic and expansile areas in its body with marked periosteal reaction; the sunray appearance. The contralateral maxilla and mandible have normal appearances. Complementary abdominal ultrasonography revealed normal appearances excluding abdominal involvement. Histology revealed the classic diffuse starry-sky appearance with benign histiocytes containing abundant, clear cytoplasm dispersed among a background of homogeneous, basophilic tumor cells, in keeping with Burkitt’s lymphoma. We report this case to describe the radiographic appearance of Burkitt’s lymphoma of the jaw bones.
伯基特淋巴瘤是一种最常影响颌骨的肿瘤,最常见于非洲的流行地区,尽管在非流行地区约有15-18%的颌骨受到影响,患病率为4-7岁的男孩。这是一个12岁的男孩,表现为右颌疼痛肿胀超过6个月的发病时间。他被转介到周边医疗中心接受颌骨x线平片检查。颌骨x线片分别在两侧的前后位和斜位上拍摄。x线片显示右侧软组织密度肿块,伴伴破坏性溶解性病变,严重累及右上颌骨,右下颌骨较轻。有硬膜板的丧失与严重的牙齿混乱包括上颌骨。下颌骨呈溶解和扩张区,骨膜反应明显;阳光般的外表。对侧上颌骨和下颌骨外观正常。腹部超声检查显示正常,排除腹部受累。组织学显示典型的弥漫性星空外观,良性组织细胞含有丰富、透明的细胞质,分散在均匀的嗜碱性肿瘤细胞背景中,符合伯基特淋巴瘤。我们报告这个病例来描述颌骨伯基特淋巴瘤的影像学表现。
{"title":"Burkitt’s Lymphoma of the Right Jaw in a Child: The Radiographic Features and Case Report","authors":"Sule M.B.","doi":"10.31579/2690-8794/092","DOIUrl":"https://doi.org/10.31579/2690-8794/092","url":null,"abstract":"Burkitt’s lymphoma is a tumor that most often affects the jaws, most commonly seen in endemic areas of Africa, although the jaws are affected in about 15-18% in non-endemic regions, with prevalence in boys aged between 4-7 years. This is a 12-year-old male child that presented with right jaw painful swelling for more than six-months duration of onset. He was referred for plain radiographs of the jaw from a peripheral healthcare center. The jaw radiograph was done in anterior-posterior and oblique views of both sides respectively. The radiographs demonstrated a soft tissue density mass on the right, with associated destructive lytic lesion involving the right maxilla severelyand the right mandibleto a lesser extent. There is associated loss of lamina dura with severe dental anarchy involving the maxilla. The mandible showed lytic and expansile areas in its body with marked periosteal reaction; the sunray appearance. The contralateral maxilla and mandible have normal appearances. Complementary abdominal ultrasonography revealed normal appearances excluding abdominal involvement. Histology revealed the classic diffuse starry-sky appearance with benign histiocytes containing abundant, clear cytoplasm dispersed among a background of homogeneous, basophilic tumor cells, in keeping with Burkitt’s lymphoma. We report this case to describe the radiographic appearance of Burkitt’s lymphoma of the jaw bones.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87188630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of deactivated phospholipids on joints lubrication: Osteoarthritis and lubricating properties 失活磷脂对关节润滑的影响:骨关节炎和润滑性能
Pub Date : 2021-08-13 DOI: 10.31579/2690-8794/085
Z. Pawlak
PLs bilayers coating the major synovial joints such as knees and hips as the lubricant are responsible for the lubrication of articular cartilage. Lamellar-repulsive effect has been considered as a lubrication mechanism but it is likely that lubricin and hyaluronan with PLs participate in the lubrication process. The molecules of lubricin and hyaluronan adsorbed by PLs have a supportive role and provide the efficient lubrication of synovial joints via the hydration mechanism (~ 80% water content). Lipid profiles of injured and healthy knees’ synovial fluids show significant differences. The phospholipid content in synovial fluid (SF) during joint inflammation, osteoarthritis is significantly higher (2 to 3 times) above the normal concentration of PL, and has a poor boundary-lubricating ability because of deactivated PL molecules. Deactivated PL molecule has no ability to form bilayers, lamellar phases, and liposomes.
包裹在主要滑膜关节(如膝盖和臀部)上的PLs双分子层作为润滑剂负责关节软骨的润滑。层状排斥效应被认为是一种润滑机制,但润滑素和透明质酸可能参与了润滑过程。PLs吸附的润滑素和透明质酸分子具有支持作用,通过水化机制(~ 80%含水量)为滑膜关节提供有效的润滑。损伤和健康膝关节滑液的脂质谱有显著差异。关节炎症、骨关节炎时滑膜液(SF)磷脂含量明显高于正常PL浓度(2 ~ 3倍),且由于PL分子失活,其边界润滑能力较差。失活的PL分子不能形成双分子层、层状相和脂质体。
{"title":"The effect of deactivated phospholipids on joints lubrication: Osteoarthritis and lubricating properties","authors":"Z. Pawlak","doi":"10.31579/2690-8794/085","DOIUrl":"https://doi.org/10.31579/2690-8794/085","url":null,"abstract":"PLs bilayers coating the major synovial joints such as knees and hips as the lubricant are responsible for the lubrication of articular cartilage. Lamellar-repulsive effect has been considered as a lubrication mechanism but it is likely that lubricin and hyaluronan with PLs participate in the lubrication process. The molecules of lubricin and hyaluronan adsorbed by PLs have a supportive role and provide the efficient lubrication of synovial joints via the hydration mechanism (~ 80% water content). Lipid profiles of injured and healthy knees’ synovial fluids show significant differences. The phospholipid content in synovial fluid (SF) during joint inflammation, osteoarthritis is significantly higher (2 to 3 times) above the normal concentration of PL, and has a poor boundary-lubricating ability because of deactivated PL molecules. Deactivated PL molecule has no ability to form bilayers, lamellar phases, and liposomes.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76289893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical pharmacology of teicoplanin in infants and children 替柯planin在婴幼儿中的临床药理学研究
Pub Date : 2021-08-13 DOI: 10.31579/2690-8794/089
Gian Pacific
Teicoplanin is a glycopeptide and is a mixture of related glycopeptides. Teicoplanin inhibits the synthesis of the cell wall in sensitive bacteria by binding with high affinity to the D-alanyl-D-alanine terminus of cell wall precursor units. Because of its large molecular size, teicoplanin is unable to penetrate the outer membrane of gram-negative bacteria. The intravenous dosage of teicoplanin consists in a loading dose of 16 mg/kg followed by a maintenance dose of 8 mg/kg once-daily to infants aged < one month and in older infants the dosage of teicoplanin consists in a loading dose of 12 mg/kg twice-daily followed by a maintenance dose of 10 mg/kg once daily. In children, the oral dose is 100 to 200 mg twice-daily and the intravenous dosage consists in 12 mg/kg twice-daily followed by 12 mg/kg once-daily. Teicoplanin has been found efficacy and safe in infants and children. The elimination half-life of teicoplanin is 73.9 hours in infants and children and teicoplanin is cleared from the body by renal and extra-renal routes. The total body clearance of teicoplanin is 0.09 L/h in children aged < 12 months and 0.29 L/h in older children. The treatment and the prophylaxis with teicoplanin have been described in infants and children. Teicoplanin administered intravenously and/or intraventricularly treats the cerebral infections caused by staphylococci and enterococci. The aim of this study is to review the published data on teicoplanin dosing, efficacy and safety, pharmacokinetics, drug-interactions, treatment, prophylaxis, and penetrates into the cerebrospinal fluid in infants and children.
Teicoplanin是一种糖肽,是相关糖肽的混合物。Teicoplanin通过高亲和力结合细胞壁前体单位的d -丙烯酰- d -丙氨酸末端,抑制敏感细菌细胞壁的合成。由于其大分子大小,teicoplanin不能穿透革兰氏阴性菌的外膜。对于小于一个月的婴儿,替科普兰宁的静脉注射剂量为负载剂量16mg /kg,然后维持剂量8mg /kg,每天一次;对于较大的婴儿,替科普兰宁的静脉注射剂量为负载剂量12mg /kg,每天两次,然后维持剂量10mg /kg,每天一次。儿童口服剂量为100 - 200mg,每日两次,静脉注射剂量为12mg /kg,每日两次,然后是12mg /kg,每日一次。替可普兰已被证实对婴儿和儿童有效且安全。替可planin在婴儿和儿童中的消除半衰期为73.9小时,可通过肾脏和肾外途径从体内清除。< 12月龄儿童对替可planin的总清除率为0.09 L/h,较大儿童为0.29 L/h。对婴儿和儿童使用替柯planin进行治疗和预防已有报道。替柯普兰静脉注射和/或脑室注射治疗由葡萄球菌和肠球菌引起的脑感染。本研究的目的是回顾已发表的关于替柯planin剂量、有效性和安全性、药代动力学、药物相互作用、治疗、预防以及对婴儿和儿童脑脊液渗透的数据。
{"title":"Clinical pharmacology of teicoplanin in infants and children","authors":"Gian Pacific","doi":"10.31579/2690-8794/089","DOIUrl":"https://doi.org/10.31579/2690-8794/089","url":null,"abstract":"Teicoplanin is a glycopeptide and is a mixture of related glycopeptides. Teicoplanin inhibits the synthesis of the cell wall in sensitive bacteria by binding with high affinity to the D-alanyl-D-alanine terminus of cell wall precursor units. Because of its large molecular size, teicoplanin is unable to penetrate the outer membrane of gram-negative bacteria. The intravenous dosage of teicoplanin consists in a loading dose of 16 mg/kg followed by a maintenance dose of 8 mg/kg once-daily to infants aged < one month and in older infants the dosage of teicoplanin consists in a loading dose of 12 mg/kg twice-daily followed by a maintenance dose of 10 mg/kg once daily. In children, the oral dose is 100 to 200 mg twice-daily and the intravenous dosage consists in 12 mg/kg twice-daily followed by 12 mg/kg once-daily. Teicoplanin has been found efficacy and safe in infants and children. The elimination half-life of teicoplanin is 73.9 hours in infants and children and teicoplanin is cleared from the body by renal and extra-renal routes. The total body clearance of teicoplanin is 0.09 L/h in children aged < 12 months and 0.29 L/h in older children. The treatment and the prophylaxis with teicoplanin have been described in infants and children. Teicoplanin administered intravenously and/or intraventricularly treats the cerebral infections caused by staphylococci and enterococci. The aim of this study is to review the published data on teicoplanin dosing, efficacy and safety, pharmacokinetics, drug-interactions, treatment, prophylaxis, and penetrates into the cerebrospinal fluid in infants and children.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87037680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Immunoprotein Diagnostic Testing Has Become Beneficial to Human Body 免疫蛋白诊断检测如何对人体有益
Pub Date : 2021-05-05 DOI: 10.31579/2690-8794/080
Ashish M. Gujrathi
Immunoproteins can be defined as proteins used as a bag for immunological probes or therapies. Immunoprotein diagnostic testing is regarded as the process of analyzing and identifying the level of immunoproteins in the body for the examination of diseases in regards to specific proteins, for example pre-albumin, immunoglobulin, and others.
免疫蛋白可以定义为用作免疫探针或免疫治疗袋的蛋白质。免疫蛋白诊断测试被认为是分析和确定体内免疫蛋白水平的过程,以检查疾病中特定的蛋白质,如前白蛋白、免疫球蛋白等。
{"title":"How Immunoprotein Diagnostic Testing Has Become Beneficial to Human Body","authors":"Ashish M. Gujrathi","doi":"10.31579/2690-8794/080","DOIUrl":"https://doi.org/10.31579/2690-8794/080","url":null,"abstract":"Immunoproteins can be defined as proteins used as a bag for immunological probes or therapies. Immunoprotein diagnostic testing is regarded as the process of analyzing and identifying the level of immunoproteins in the body for the examination of diseases in regards to specific proteins, for example pre-albumin, immunoglobulin, and others.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80580321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Early Loss of first Permanent Molar in Adolescent 青少年第一恒磨牙早期脱落的处理
Pub Date : 2021-05-05 DOI: 10.31579/2690-8794/077
Chaza Kouchaji
The first molar is the largest tooth in the oral cavity and bears the maximum occlusal load, and they influence the vertical distance of the maxilla and mandible, the occlusal height, and aesthetic proportions. Since they have the maximum root surface area, they are also considered the best source of anchorage for moving the teeth (Mostafa Rezaie el al 2018). The timing of first molar eruption makes these teeth vulnerable to dental caries. The loss of a permanent first molar in adolescent patient creates a need for early space maintenance and restorative of function. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of permanent first molar in an early adolescent dentition (Rajashekhara el al 2012).
第一磨牙是口腔中最大的牙齿,承担最大的咬合负荷,影响上颌和下颌骨的垂直距离、咬合高度和美观比例。由于它们的牙根表面积最大,因此也被认为是移动牙齿的最佳固支来源(Mostafa Rezaie等,2018)。第一颗臼齿萌出的时间使这些牙齿容易患龋齿。青少年患者永久第一磨牙的丢失需要早期空间维护和功能恢复。本文描述了一种保守的、功能性的、经济有效的桥作为青少年早期恒牙第一磨牙丢失后的临时修复(Rajashekhara等,2012)。
{"title":"Management of Early Loss of first Permanent Molar in Adolescent","authors":"Chaza Kouchaji","doi":"10.31579/2690-8794/077","DOIUrl":"https://doi.org/10.31579/2690-8794/077","url":null,"abstract":"The first molar is the largest tooth in the oral cavity and bears the maximum occlusal load, and they influence the vertical distance of the maxilla and mandible, the occlusal height, and aesthetic proportions. Since they have the maximum root surface area, they are also considered the best source of anchorage for moving the teeth (Mostafa Rezaie el al 2018). The timing of first molar eruption makes these teeth vulnerable to dental caries. The loss of a permanent first molar in adolescent patient creates a need for early space maintenance and restorative of function. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of permanent first molar in an early adolescent dentition (Rajashekhara el al 2012).","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86514446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electrophysiological Effect of Acupuncture in the Carpal Tunnel Syndrome Case 针刺治疗腕管综合征的电生理效应
Pub Date : 2021-05-05 DOI: 10.31579/2690-8794/083
H. Alp
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and occurs as a result of compression of the median nerve in the carpal tunnel at the wrist. The classic symptom in patients with CTS is paresthesia (numbness, burning, tingling) and pain in the median nerve distribution area of the hand, especially at night. A 24-year-old female patient presented to GETAT polk with the diagnosis of mild carpal tunnel syndrome after examination and EMG after the complaint of numb tingling in the hand in the neurology outpatient clinic. The patient was using Parkyn (pramipexole dihydrochloride monohydrate) 25mg. Acupuncture was applied to the patient for 10 sessions. Disposable sterile acupuncture needles were applied to the PC-6, H-7, LU-9, H-7, SI-3 points (0.22x13mm, 0.22x1.5mm Hua Long). The sessions lasted 20 minutes. The sessions were done first twice a week, then once a week. The patient was prescribed Vitamin B1 + B6 supplements. After 10 sessions of acupuncture, the EMG was repeated. The EMG result of the patient was normal. Parkyn was cut by neurology, Lyrica (pregabalin) was switched to 150mg. The patient's need for medication was also reduced.
腕管症候群(Carpal tunnel syndrome, CTS)是最常见的压迫性神经病变,发生于腕管的正中神经受压。CTS患者的典型症状是感觉异常(麻木、灼烧、刺痛)和手部正中神经分布区疼痛,尤其是在夜间。一名24岁女性患者在神经内科门诊主诉手部麻木刺痛后,经检查和肌电图诊断为轻度腕管综合征。患者使用Parkyn(盐酸二水普拉克索)25mg。针灸对患者进行了10次治疗。使用一次性无菌针刺针穿刺PC-6、H-7、LU-9、H-7、SI-3穴(0.22x13mm, 0.22x1.5mm华龙穴)。每堂课持续20分钟。这些课程一开始是每周两次,后来是每周一次。患者服用维生素B1 + B6补充剂。针刺10次后,重复肌电图。病人的肌电图显示正常。神经内科切断Parkyn,将Lyrica(普瑞巴林)改为150mg。病人对药物的需求也减少了。
{"title":"Electrophysiological Effect of Acupuncture in the Carpal Tunnel Syndrome Case","authors":"H. Alp","doi":"10.31579/2690-8794/083","DOIUrl":"https://doi.org/10.31579/2690-8794/083","url":null,"abstract":"Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and occurs as a result of compression of the median nerve in the carpal tunnel at the wrist. The classic symptom in patients with CTS is paresthesia (numbness, burning, tingling) and pain in the median nerve distribution area of the hand, especially at night. A 24-year-old female patient presented to GETAT polk with the diagnosis of mild carpal tunnel syndrome after examination and EMG after the complaint of numb tingling in the hand in the neurology outpatient clinic. The patient was using Parkyn (pramipexole dihydrochloride monohydrate) 25mg. Acupuncture was applied to the patient for 10 sessions. Disposable sterile acupuncture needles were applied to the PC-6, H-7, LU-9, H-7, SI-3 points (0.22x13mm, 0.22x1.5mm Hua Long). The sessions lasted 20 minutes. The sessions were done first twice a week, then once a week. The patient was prescribed Vitamin B1 + B6 supplements. After 10 sessions of acupuncture, the EMG was repeated. The EMG result of the patient was normal. Parkyn was cut by neurology, Lyrica (pregabalin) was switched to 150mg. The patient's need for medication was also reduced.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75906309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is it possible to eliminate the number of inappropriate thyroid surgeries combining scintigraphy and cytology? 结合显像和细胞学检查是否有可能消除不适当甲状腺手术的数量?
Pub Date : 2021-05-05 DOI: 10.31579/2690-8794/076
S. Divani
Objective: Although fine needle aspiration cytology (FNAC) is the most reliable, safe and accurate method for the clinical management of abnormal thyroid nodules, 5%-15% of cases lead to indeterminate diagnoses and surgery is the recommended practice for them as they may be malignant. Nevertheless, the majority of cases with indeterminate cytology are benign, so the risk of unnecessary surgery is significant. In our study we combined FNAC and scintigraphy in order to reduce the number of inappropriate surgeries. Subjects and Methods: From 219 patients with thyroid fine needle aspiration cytology 33(9 males and 24 females) aged 18-73 years, had indeterminate FNAC diagnoses and were referred for scintigraphy. Surgery was performed in all cases. The results of FNAC, scintigraphy and histology were collected and compared. Results: From 33 cases with indeterminate cytology 32 had a benign histological diagnosis and only one was malignant (follicular Ca). That case had a positive scan. All cases with negative thyroid scans (29/33) were benign. False positive scans were 3, whereas one scan was true positive with final diagnosis follicular carcinoma. Conclusion: This study showed that combining the FNAC with the thyroid scintigraphy in cases of thyroid nodules with indeterminate cytology it is possible to reduce the number of inappropriate surgeries from 32 to 3.
目的:虽然细针穿刺细胞学检查(FNAC)是临床上治疗异常甲状腺结节最可靠、安全、准确的方法,但仍有5%-15%的病例诊断不明确,因其可能是恶性的,建议手术治疗。然而,大多数细胞学不确定的病例是良性的,因此不必要的手术风险很大。在我们的研究中,我们将FNAC和闪烁成像相结合,以减少不适当手术的数量。对象和方法:219例甲状腺细针穿刺细胞学检查患者33例(男9例,女24例),年龄18-73岁,FNAC诊断不明确,转行显像检查。所有病例均行手术治疗。收集FNAC、荧光成像和组织学结果进行比较。结果:在33例细胞学不确定的病例中,32例组织学诊断为良性,只有1例为恶性(滤泡性Ca)。那个病例的扫描结果呈阳性。所有甲状腺扫描阴性的病例(29/33)均为良性。假阳性3例,真阳性1例,最终诊断为滤泡性癌。结论:本研究表明,在细胞学不确定的甲状腺结节中,FNAC与甲状腺显像相结合,可以将不适当的手术数量从32例减少到3例。
{"title":"Is it possible to eliminate the number of inappropriate thyroid surgeries combining scintigraphy and cytology?","authors":"S. Divani","doi":"10.31579/2690-8794/076","DOIUrl":"https://doi.org/10.31579/2690-8794/076","url":null,"abstract":"Objective: Although fine needle aspiration cytology (FNAC) is the most reliable, safe and accurate method for the clinical management of abnormal thyroid nodules, 5%-15% of cases lead to indeterminate diagnoses and surgery is the recommended practice for them as they may be malignant. Nevertheless, the majority of cases with indeterminate cytology are benign, so the risk of unnecessary surgery is significant. In our study we combined FNAC and scintigraphy in order to reduce the number of inappropriate surgeries. Subjects and Methods: From 219 patients with thyroid fine needle aspiration cytology 33(9 males and 24 females) aged 18-73 years, had indeterminate FNAC diagnoses and were referred for scintigraphy. Surgery was performed in all cases. The results of FNAC, scintigraphy and histology were collected and compared. Results: From 33 cases with indeterminate cytology 32 had a benign histological diagnosis and only one was malignant (follicular Ca). That case had a positive scan. All cases with negative thyroid scans (29/33) were benign. False positive scans were 3, whereas one scan was true positive with final diagnosis follicular carcinoma. Conclusion: This study showed that combining the FNAC with the thyroid scintigraphy in cases of thyroid nodules with indeterminate cytology it is possible to reduce the number of inappropriate surgeries from 32 to 3.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76426845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Worldwide Implications of Multiple Acceptance and Rejection on the Psychological Adjustment and Maladjustment of Children and Adults: A Global Multi-Cultural Study 多元接受和拒绝对儿童和成人心理适应和适应不良的世界影响:一项全球多元文化研究
Pub Date : 2021-05-05 DOI: 10.31579/2690-8794/079
A. Khaleque
The objectives of this study were to explore the combine effects on children’s psychological adjustment and maladjustment of perceived acceptance or rejection by mothers, fathers, and teachers; and also to examine the combine effects on adults’ current psychological adjustment and maladjustment of perceived acceptance or rejection by mothers and fathers in childhood and by intimate partners in adulthood. The samples consisted of 586 children (47% boys and 53% girls) and 1,709 adults (35% males and 65% females). Among the children 573 were in the multiple acceptance group and 13 were in the multiple rejection group, and among the adults 1,645 were in the multiple acceptance group and 64 were in the multiple rejection group. The samples were selected from 11 countries in four continents. Results showed that significantly more girls than boys, and more women than men experienced multiple acceptance. Regardless of age, gender, and culture, the majority of sample in the multiple acceptance group reported healthy psychological adjustment, and the majority of respondents in the multiple rejection group reported moderate to severe psychological maladjustment. Results also showed a significant tendency for adults to experience more rejection by all attachment figures than did children regardless of culture and gender.
本研究的目的是探讨母亲、父亲和教师的接受或拒绝感知对儿童心理适应和不适应的综合影响;同时也研究了对成年人当前心理调整的综合影响以及童年时期父母和成年后亲密伴侣对接受或拒绝的感知失调。样本包括586名儿童(47%的男孩和53%的女孩)和1709名成年人(35%的男性和65%的女性)。儿童多次接受组573人,多次拒绝组13人;成人多次接受组1645人,多次拒绝组64人。这些样本来自四大洲的11个国家。结果显示,经历多重接纳的女孩明显多于男孩,女性明显多于男性。无论年龄、性别和文化,多重接受组的大多数样本报告健康的心理适应,而多重拒绝组的大多数受访者报告中度至重度的心理适应不良。结果还显示,无论文化和性别如何,成年人比儿童更容易受到所有依恋对象的拒绝。
{"title":"Worldwide Implications of Multiple Acceptance and Rejection on the Psychological Adjustment and Maladjustment of Children and Adults: A Global Multi-Cultural Study","authors":"A. Khaleque","doi":"10.31579/2690-8794/079","DOIUrl":"https://doi.org/10.31579/2690-8794/079","url":null,"abstract":"The objectives of this study were to explore the combine effects on children’s psychological adjustment and maladjustment of perceived acceptance or rejection by mothers, fathers, and teachers; and also to examine the combine effects on adults’ current psychological adjustment and maladjustment of perceived acceptance or rejection by mothers and fathers in childhood and by intimate partners in adulthood. The samples consisted of 586 children (47% boys and 53% girls) and 1,709 adults (35% males and 65% females). Among the children 573 were in the multiple acceptance group and 13 were in the multiple rejection group, and among the adults 1,645 were in the multiple acceptance group and 64 were in the multiple rejection group. The samples were selected from 11 countries in four continents. Results showed that significantly more girls than boys, and more women than men experienced multiple acceptance. Regardless of age, gender, and culture, the majority of sample in the multiple acceptance group reported healthy psychological adjustment, and the majority of respondents in the multiple rejection group reported moderate to severe psychological maladjustment. Results also showed a significant tendency for adults to experience more rejection by all attachment figures than did children regardless of culture and gender.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82205973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Cancer Cell Growth: - A Mini-Review Part-4: First threat (atherosclerotic lesions) 癌细胞生长:小回顾-第4部分:第一次威胁(动脉粥样硬化病变)
Pub Date : 2021-04-06 DOI: 10.31579/2690-8794/075
C. Koyunoğlu
The first 3 issues about cancer cells have been tried to explain -in the author papers- how the cells grow by using more energy in the tissue or organ compared to other cells, with the justification of scientific sources. The 4th series of articles will include detailed determinations about the initial threat of a cell growing in an organ or tissue to the organ or tissue by multiplying more than other cells. When a cell proliferates to a sufficient number of cells as mentioned in previous chapters, it begins to make its first threat. It fulfills this cell threat by expressing more than 100 disease forms within the organ. This is a phenomenon that occurs in all living cells. This was even seen in the most primitive invertebrates such as Mollusca and Arthropoda. Examinations of dinosaurs living 100 million years ago revealed the presence of neoplasms. Traces of the above constriction have been found in the cell work done on a 100,000-year-old human fossil. The most important sign of the first threat is phenotypic and genetic change. It creates the impression that it is threatened by a bacterial colony relative to other cells. These cells MIMIC the survival behavior and resistance of unicellular organisms that lived in the same ancient times.
在作者的论文中,关于癌细胞的前三个问题试图解释细胞是如何利用组织或器官中比其他细胞更多的能量来生长的,并有科学依据。第四个系列的文章将包括关于在器官或组织中生长的细胞通过比其他细胞繁殖更多而对器官或组织产生初始威胁的详细测定。如前几章所述,当一个细胞增殖到足够数量的细胞时,它就开始产生第一个威胁。它通过在器官内表达100多种疾病形式来实现这种细胞威胁。这是一种发生在所有活细胞中的现象。这甚至在最原始的无脊椎动物,如软体动物和节肢动物身上也能看到。对生活在1亿年前的恐龙的检查发现了肿瘤的存在。在对一个10万年前的人类化石的细胞工作中发现了上述收缩的痕迹。第一个威胁最重要的迹象是表型和基因的变化。它给人的印象是,相对于其他细胞,它受到了细菌群的威胁。这些细胞模仿了生活在同一远古时代的单细胞生物的生存行为和抵抗力。
{"title":"Cancer Cell Growth: - A Mini-Review Part-4: First threat (atherosclerotic lesions)","authors":"C. Koyunoğlu","doi":"10.31579/2690-8794/075","DOIUrl":"https://doi.org/10.31579/2690-8794/075","url":null,"abstract":"The first 3 issues about cancer cells have been tried to explain -in the author papers- how the cells grow by using more energy in the tissue or organ compared to other cells, with the justification of scientific sources. The 4th series of articles will include detailed determinations about the initial threat of a cell growing in an organ or tissue to the organ or tissue by multiplying more than other cells. When a cell proliferates to a sufficient number of cells as mentioned in previous chapters, it begins to make its first threat. It fulfills this cell threat by expressing more than 100 disease forms within the organ. This is a phenomenon that occurs in all living cells. This was even seen in the most primitive invertebrates such as Mollusca and Arthropoda. Examinations of dinosaurs living 100 million years ago revealed the presence of neoplasms. Traces of the above constriction have been found in the cell work done on a 100,000-year-old human fossil. The most important sign of the first threat is phenotypic and genetic change. It creates the impression that it is threatened by a bacterial colony relative to other cells. These cells MIMIC the survival behavior and resistance of unicellular organisms that lived in the same ancient times.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88202078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Clinical Medical Reviews and Reports
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1