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Highlights on Medicine and Medical Science Vol. 10最新文献

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Determining the Prevalence and Distribution of Gingival Pyogenic Granuloma in Sulaimani Population, Kurdistan Region, Iraq 确定伊拉克库尔德斯坦地区苏莱曼尼人群牙龈化脓性肉芽肿的患病率和分布
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10808D
A. H. Alwan, F. M. Zardawi, S. Gul, A. A. Hussain
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引用次数: 0
An Advanced Study on the Utility of Photodynamic Therapy in Dentistry 光动力疗法在牙科中的应用进展研究
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10382D
Anette Stájer, M. Gajdács, Z. Baráth
The 21st century has brought forth many significant advances in science and technology within the field of dentistry, in addition to a wide range of novel treatment modalities that are available for dentists to use. Photodynamic therapy (PDT) is an emerging, non-invasive treatment method, involving photosensitizers, light of a specific wavelength and the generation of singlet oxygen and reactive oxygen species (ROS) to eliminate unwanted eukaryotic cells (e.g., malignancies in the oral cavity) or pathogenic microorganisms. In the present chapter, we aimed to summarize the history and the understanding of PDT, general concepts and the wide-ranging uses of PDT in many fields of dentistry (oral and maxillofacial surgery, oral medicine, endodontics, preventive dentistry, periodontology and implantology), highlighting advantages, drawbacks and future perspectives regarding this method.
21世纪在牙科领域带来了许多重大的科学和技术进步,除了牙医可以使用的各种新颖的治疗方式之外。光动力疗法(PDT)是一种新兴的非侵入性治疗方法,涉及光敏剂,特定波长的光和单线态氧和活性氧(ROS)的产生,以消除不需要的真核细胞(例如,口腔中的恶性肿瘤)或致病微生物。在本章中,我们旨在总结PDT的历史和理解,一般概念以及PDT在牙科许多领域(口腔颌面外科,口腔医学,牙髓学,预防牙科,牙周病学和种植学)的广泛应用,突出该方法的优点,缺点和未来的展望。
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引用次数: 5
An Advanced Concept in Thyroid Cytology with Special Emphasis on Ancillary Techniques 甲状腺细胞学的先进概念,特别强调辅助技术
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10799D
N. Manoli, Bhavya Kotla
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引用次数: 0
A Rare Case Report on Epistaxis in Pregnancy 妊娠期鼻出血1例报道
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/2827F
K. Shradha, P. Aditya
Introduction: Pyogenic granuloma is a benign lesion of unknown etiology that occurs in the skin and mucous membrane. It has been reported as a common lesion in oral cavity and less commonly in nasal cavity. Although its etiology is unclear, pyogenic granuloma is commonly associated with pregnancy, oral contraceptives and trauma. Objective: To diagnose and treat appropriately the epistaxis during pregnancy considering maternal and fetal safety. Case: A 22 year old female patient with 7 months of amenorrhoea came to ENT opd with complaints of epistaxis and swelling in left nasal cavity ultimately diagnosed as pyogenic granuloma. The patient was treated with endoscopic excision of nasal mass under general anesthesia. The management of pregnant female with such lesion was challenging, so we had to operate her. Even radiation exposure was a risk while radioimaging before surgery. Conclusion: Pyogenic granuloma is rapidly growing lesion that should be considered in the differential diagnosis of gravid patient with oral and nasal mass. Early excision of mass helped in avoidance of further complications such as fetal distress, low birth weight and reduces maternal mortality and morbidity.
简介:化脓性肉芽肿是一种发生在皮肤和粘膜的良性病变,病因不明。据报道,它是一种常见的口腔病变,在鼻腔少见。虽然其病因尚不清楚,化脓性肉芽肿通常与妊娠、口服避孕药和创伤有关。目的:考虑母婴安全,对妊娠期鼻出血进行合理诊断和治疗。病例:一名22岁女性患者因闭经7个月来到耳鼻喉科,主诉为鼻出血和左鼻腔肿胀,最终诊断为化脓性肉芽肿。病人在全麻下行鼻内镜切除。有这种病变的孕妇的处理很有挑战性,所以我们不得不对她进行手术。在手术前进行放射成像时,即使是暴露在辐射下也有风险。结论:化脓性肉芽肿是一种生长迅速的病变,在妊娠合并口鼻肿块的鉴别诊断中应予以重视。早期切除肿块有助于避免进一步的并发症,如胎儿窘迫、低出生体重,并降低产妇死亡率和发病率。
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引用次数: 0
A Reports and Review on Colorectal Cancer Metastases to the Thyroid Gland 结直肠癌甲状腺转移的报道与回顾
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10087D
P. Hernández
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引用次数: 0
A Case Report and Literature Review on Adult Intussusception in a Referral Hospital in Sub-Saharan Africa 撒哈拉以南非洲一家转诊医院成人肠套叠病例报告及文献综述
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10909D
Richard Wismayer
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引用次数: 0
Blood Transfusion and Jehovah's Witnesses. The Doctor's Posture, the Courts' View and Two Case Report 输血和耶和华见证人。医生的姿态、法院的观点和两例报告
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/11015D
L. E. Imbelloni, A. C. Vilela, Nathália Maluf Ghorayeb, E. Viana, J. Sakamoto, André Augusto de Araujo
It is well known to the general population that transfusion of blood and blood products can save lives, but also that this transfusion can cause serious risks of transmitting infections. Traditionally, Jehovah's Witnesses are deeply religious people who refuse blood transfusion. The 2010 census in Brazil indicates that this year there were 1,393,208 Jehovah's Witnesses in Brazil. Most anesthesiologists consulted do not respect the wishes of Jehovah's Witness patients. Although the Brazilian Constitution guarantees religious freedom and the autonomy of life, the jurisprudence considers that people are not authorized to have their own lives for religious reasons. In the disciplinary and judicial administrative fields, there is a current scenario that makes room for the responsibility of the professional and the hospital. The two cases, a 17-year-old man and a 77-year-old woman, withstand bloodless treatment with Hb of around 4 g/dL. Multiple strategies to prevent and optimize the oxygen supply will decrease the incidence of anemia and decrease the morbidity and mortality of Jehovah's Witness patients. The medical team must respect the patients' autonomy and adhere to the principles of bioethics such as beneficence, non-maleficence and sometimes justice are also fundamental. The main objective of the chapter was to evaluate the Jurisprudence of the subject, the degree of knowledge of anesthesiologists in relation to the treatment of Jehovah's Witnesses, through a questionnaire. As a secondary objective, it was to report the experience with two patients, one young and one elderly, in surgical anesthetic management.
一般民众都知道,输血和血液制品可以挽救生命,但这种输血也可能造成传播感染的严重风险。传统上,耶和华见证人是虔诚的宗教人士,他们拒绝输血。巴西2010年的人口普查显示,今年巴西有1,393,208名耶和华见证人。大多数咨询的麻醉师都不尊重耶和华见证会病人的意愿。虽然巴西宪法保障宗教自由和生活自主权,但法理认为,人们没有权利因宗教原因而拥有自己的生活。在纪律和司法行政领域,目前的情况为专业人员和医院的责任留出了空间。这两个病例,一名17岁的男子和一名77岁的女子,经受住了约4克/分升的Hb无血治疗。预防和优化供氧的多种策略将减少贫血的发生率,降低耶和华见证会患者的发病率和死亡率。医疗团队必须尊重患者的自主权,坚持生命伦理学的原则,如仁慈、无害,有时正义也是基本原则。本章的主要目的是通过一份调查表来评价这一主题的法理学,即麻醉师在治疗耶和华见证人方面的知识程度。作为次要目的,它是报告两个病人的经验,一个年轻人和一个老年人,在手术麻醉管理。
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引用次数: 0
Determination of a Case of Chronic Subdural Haematoma: A Rare Complication of Eclampsia in Pregnancy 慢性硬膜下血肿1例:妊娠子痫的罕见并发症
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10600D
R. Khatri, Sabrina A. Mhapankar, Sushil Kumar
Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. Chronic subdural hematoma is extremely uncommon in Pregnancy. Intracranial haemorrhage (ICH) is deadly complication, if it occurs in pregnancy both mother and fetus gets compromised. Intracranial bleeding is not uncommon in pregnancy, early diagnosis can save mother from mortality. Here we present a rare case of Subdural Hematoma in a patient with eclampsia in pregnancy, in which both the mother and baby were discharged with a multidisciplinary approach and early detection of the condition.
妊娠期高血压疾病是全世界孕产妇和围产期死亡的主要原因之一。慢性硬膜下血肿在妊娠期极为罕见。颅内出血(ICH)是一种致命的并发症,如果发生在怀孕期间,母亲和胎儿都会受到损害。颅内出血在妊娠期并不少见,早期诊断可使母亲免于死亡。在这里,我们提出了一个罕见的病例硬膜下血肿患者与子痫在妊娠,其中母亲和婴儿出院与多学科的方法和早期发现的条件。
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引用次数: 0
An Advanced Review of Next Generation Sequencing in Oral Disease Diagnostics 下一代测序在口腔疾病诊断中的进展
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10369D
S. Gokul
DNA sequencing is the method of identifying the precise order of DNA nucleotides within a molecule. The information of DNA sequencing is of prime requisite for basic biological research as well as in various clinical specialties. They can be used to determine the individual genetic sequence, larger genetic regions, chromosomes as well as to sequence RNA and proteins. Since the first DNA sequencing in 1970s, there has been tremendous advancements in the technologies aimed to determine the entire human genome. The need for rapid and accurate sequencing of human genome has resulted in the introduction of next generation sequencing technology. Next generation sequencing refers to the second-generation DNA sequencing technologies where millions of DNA can be sequenced simultaneously. Some of the next gen sequencing methods employed are Roche/454 life science, Illumina/ Solexa, SOLiD system and HeliScope. Application of next generation sequencing in decoding the genomic database of various oral diseases may possess therapeutic and prognostic value. The objective of this review is to provide an advanced insight into the applications of  next generation sequencing in oral disease diagnostics.
DNA测序是一种确定分子内DNA核苷酸精确顺序的方法。DNA测序的信息是基础生物学研究和各种临床专业所必需的。它们可用于确定个体基因序列、较大的遗传区域、染色体以及RNA和蛋白质的序列。自20世纪70年代第一次DNA测序以来,旨在确定整个人类基因组的技术取得了巨大进步。对人类基因组快速准确测序的需求导致了下一代测序技术的引入。下一代测序是指可以同时对数百万个DNA进行测序的第二代DNA测序技术。采用的新一代测序方法有Roche/454 life science、Illumina/ Solexa、SOLiD system和HeliScope。下一代测序技术在各种口腔疾病基因组数据库解码中的应用可能具有治疗和预后价值。这篇综述的目的是为下一代测序在口腔疾病诊断中的应用提供一个先进的见解。
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引用次数: 0
Overview of the Current Therapeutic Options in the Management of Pancreatic Pseudocysts 当前胰腺假性囊肿治疗方案综述
Pub Date : 2021-07-09 DOI: 10.9734/BPI/HMMS/V10/10506D
P. V. Botianu, A. Botianu
Pancreatic pseudocysts are frequently encountered in various clinical settings. Surgical treatment is indicated in cases with severe and persistant symptoms, complications or a high suspicion of malignancy. There are many therapeutical options available with no prospective and randomised comparative studies to demonstrate clear advantages of a certain method while many of the classic procedures are nowadays frequently performed using a minimally invasive approach (endoscopic, laparoscopic or percutaneous). This paper presents an overview of the current available methods for the treatment of the pancreatic pseudocysts emphasizing the advantages, disadvantages and the limitations of each method – including the need for specific equipment and availability of highly trained medical specialists. The ideal management of the pancreatic pseudocysts involves a multidisciplinary team with all the possible methods available but this is rarely possible in the current medical practice.
胰腺假性囊肿经常在各种临床环境中遇到。手术治疗指的是严重和持续的症状,并发症或高度怀疑恶性肿瘤。有许多治疗选择,没有前瞻性和随机比较研究来证明某种方法的明确优势,而许多经典程序现在经常使用微创方法(内窥镜,腹腔镜或经皮)。本文概述了目前可用的治疗胰腺假性囊肿的方法,强调了每种方法的优点、缺点和局限性,包括对特定设备的需求和训练有素的医学专家的可用性。胰腺假性囊肿的理想治疗需要一个多学科的团队,使用所有可能的方法,但在目前的医疗实践中,这是不可能的。
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Highlights on Medicine and Medical Science Vol. 10
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