International Journal of Medical Reviews and Case Reports最新文献

{"title":"A study of sexual satisfaction in spouse of male patients diagnosed with Schizophrenia.","authors":"D. Dhakad, Dr.Prabha S. Rastogi, D. Mathur, D. Niranjan","doi":"10.5455/ijmrcr.172-1682355544","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1682355544","url":null,"abstract":"<jats:p />","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85881041","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}

{"title":"The Bat Child","authors":"M. Novo, M. Gaia, H. Santos, Mafalda Santos","doi":"10.5455/ijmrcr.172-1672847231","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1672847231","url":null,"abstract":"Case Report A short stature 10 year old boy with pes planus, mild hearing loss, failure of exfoliation of the primary dentition, anterior hyperdontia, malocclusion and open anterior fontanelle was observed in Pediatric Orthopedics consultation, and presenting the following alterations (image). Discussion This child has cleidocranial dysplasia (CCD). Is an autosomal dominant disease caused by an heterozygous loss-of-function mutation in the RUNX2 gene, encoding transcription factor CBFA1, on chromosome 6p21, which plays an important role in osteogenesis and differentiation of osteoblasts. The main clinical features include persistently open skull sutures, hypoplasia or aplasia of the clavicles permitting abnormal facility in opposing the shoulders, short middle phalanx of the fifth fingers, dental anomalies (supernumerary teeth, failure of exfoliation of the primary dentition and malocclusion), pes planus, upper respiratory complications, recurrent otitis media, hearing loss and often vertebral malformation (scoliosis). Conclusion The clinical diagnosis of CCD was made during pregnancy, through the detection of aplasia of the clavicles in fetu, in association with the mother having short stature (1.32 meters), persistence of primary teeth and open anterior fontanelle. With 10 years of age, he underwent mendilioma study which revealed the mutation in the RUNX2 gene (c. 747 del (p.(Arg251 Alafs*7))) classified as a pathogenic variant.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87154628","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}

{"title":"MYOCARDITIS AS A PREVALENT CARDIOVASCULAR COMPLICATION IN OMICRON PATIENTS","authors":"D. Júnior, C. Purnamasidhi, G. Purnama, R. Suteja, I. Adiputra, Jerry Jerry, I. Weisnawa, P. Wulandari, D. Shanti, I. Diksha","doi":"10.5455/ijmrcr.172-1672835540","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1672835540","url":null,"abstract":"Ever since the first outbreak of SARS-CoV-2 in late December 2019 in China, it has undergone a significant number of mutations and manifested itself in different variants worldwide. One of the latest variants, namely the Omicron variant has proved to possess novel characteristics including a shift in its entry pathway. Studies have shown that the Omicron variant has adapted to enter host tissue more efficiently through endosomal pathway rather than cell fusion as shown in its predecessors. As far as coronaviruses are concerned, there are several modes of entry for endosomal pathway including the caveolae formation pathway which is mediated by proteins called caveolins. One of the caveolins in particular is found abundantly in cardiomyocytes, thus posing as a higher risk for the Omicron variant to directly invade the heart tissue.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81117077","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}

{"title":"Evaluation of the Long-Term Exposure to Low Doses of Ionizing Radiation on Catheterization Process Workers","authors":"Haliz Hussein, K. Abdullah, Asaad Asady","doi":"10.5455/ijmrcr.172-1659260804","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1659260804","url":null,"abstract":"Background: Workers in cardiac catheterization centers that employ X-rays may be exposed to low quantities of ionizing radiation for long periods of time, causing damage to human cells and tissues. Blood cell composition testing is an important monitoring technique in the typical diagnostic examination. Objectives: The present study has been designed to evaluate Ionizing radiation's impact on the hematological parameters of occupational exposure in a cardiac catheterization lab at Azadi teaching hospital in Duhok city of Iraq. Methods: The study involved 40 hospital employees working in medical radiation centers who have been exposed to lower doses of ionizing radiation during Radiotherapy or diagnostic and the 32 unexposed workers as control. The correlation between the total dose and the hematological indices of exposed workers is examined using a bivariate regression analysis program. Results: The results looked to be significantly different with (p<0.05) compared to the respective controls in all blood parameters. Nevertheless, there is no significant difference (p>0.05) in Mean corpuscular volume, Mean Corpuscular Hemoglobin, Mean Corpuscular Hemoglobin Concentration, White blood cells, and Lymphocytes values obtained as compared with the control. Conclusions: The study found that almost some hematological parameters are affected by radiation. Further research should incorporate a variety of other independent factors such as (chromosomal aberrations and genetic polymorphisms) to study further low-dose radiation's long-term effects on personnel who were exposed to it.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81335012","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}

{"title":"Psychotherapy-Resistant Posttraumatic Stress Disorder \u0000Could Methylphenidate be a Solution?\u0000Case Report 1","authors":"K. Farha","doi":"10.5455/ijmrcr.172-1686509625","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1686509625","url":null,"abstract":"Introduction Chronic hypoarousal and hyperarousal states are 2 key features for the diagnosis of post-traumatic stress disorder (PTSD). They represent an out of tolerance window zones and can negatively affect receiving, processing, and integration of stimuli. They are debilitating clusters of symptoms that reduce quality of life and significantly interfere with the individual’s daily functioning. Moreover, chronic significant hyperarousal- hypoarousal shifts can interfere with patient’s engagement in psychotherapy. Addressing these out of tolerance window states may reduce patient’s distress and improve his/ her quality of life and psychotherapy outcome. Case presentation This report describes a clinical case of psychotherapy- resistant PTSD key symptoms in a 32-year-old female patient. Stand-alone psychotherapy in the form of Eye Movement Desensitization and Reprocessing (EMDR) failed to lessen the PTSD symptoms. Persistence of PTSD hypo- and hyper-arousal symptoms significantly interfered with the patient’s daily functions and limited the progress and effectiveness psychotherapy. Given the nature and severity of her illness, the patient had been reassessed. Re-assessment included a clinical interview, blood tests, vital signs, ECG, anthropometric characteristics, assessment for attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD). Diagnosis of comorbid ADHD has been confirmed and the patient has been commenced on methylphenidate (MPH) with adjunct propranolol for associated paroxysmal sinus tachycardia. The effect and side effects of the treatment were monitored during a follow-up period of 7 weeks. Main parameters assessed were flashbacks, nightmares, dissociation and fainting, and hypervigilance with paranoid symptoms. Within one week of commencing the treatment the patient reported improvement in all psychotherapy- resistant PTSD symptoms. Remission of symptoms remained until the last follow up review (7 weeks post-treatment). Conclusion PTSD- related hypoarousal and hyperarousal symptoms reduce patient’s quality of life, impair his/her daily functioning, and could hinder the effective progress of psychotherapy, a corner stone in the treatment of PTSD. Pre-psychotherapy diagnosis and treatment of PTSD comorbidities such as ADHD may decrease PTSD symptoms severity. MPH seems to play a clinically meaningful role in the treatment of PTSD-related hyperarousal- hypoarousal symptoms and thereby reduces patient distress and improves patient’s quality of life and may facilitate successful psychotherapy outcome.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82618051","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}

{"title":"The effect of Covid-19 and related lockdown phases on lifestyle of various age and sex groups in urban area","authors":"Raj Kumar, Mayank D. Javia, Chintan J. Lakhani, Y. Umraniya","doi":"10.5455/ijmrcr.172-1678442463","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1678442463","url":null,"abstract":"Background:- Covid-19 has affected the normal lifestyle and emotional aspects of general population of whole world a lot. Due to longer period of lockdown, unhealthy behavior and life style measures has increased like less physical activity, loss of appetite, more fast food and junk food eating habits, sleep disturbances etc. The present cross-sectional study was conducted among 1000 (500 male and 500 female) randomly selected participants of specific age group from the various areas of Amreli city of Gujarat after taking consent for voluntary participation in the study during March- April 2022. The aim of study was to evaluate the effects of lockdowns on lifestyle and behaviour changes of people in the urban areas in Indian populations. Out of total 1000 participants, 55% were having decreased physical activity, 46.4% were having increase in gain in weight, 44.2% were having increased overall food intake, 40.2% were having increased frequency of ordering food at home, 49.6% were having increased frequency of cooking new or traditional recipes at home, 52.8% were having increased use of social media, 55.2% were having increased screen time (TV/mobile/laptop/tablet), 46.4% were having decreased sleep, 49.6% were having increased anger and 53.6% were having more stress. Unhealthy lifestyle behavior among the participants are gain in weight, increased food intake, increased frequency of ordering food at home, increased use of social media, increased screen time (TV/mobile/laptop/tablet), decreased sleep, more stress and anger. Data derived from this study can be helpful to formulate appropriate interventional measures to the key health care personnel.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78961598","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}

{"title":"Anosmia in an adolescent: what to suspect?","authors":"Adriana Ferreira, Sofia Pimenta, E. Sousa, ngela Machado","doi":"10.5455/ijmrcr.172-1665326071","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1665326071","url":null,"abstract":"Anosmia is an uncommon complaint in children and adolescents and it is usually acquired. Congenital anosmia is usually associated with Kallmann’s Syndrome, but, rarely, can present with olfactory bulb agenesis as an isolated finding. We present a case of a 15-year-old boy with olfactory bulb agenesis without other structural abnormalities and hormonal deficiencies in whom the diagnosis of isolated congenital anosmia was made. We also briefly review the possible causes of anosmia, the recommended diagnostic workup, and management.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79882989","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}

{"title":"May-Thurner Syndrome: a case of unilateral left lower limb deep vein thrombosis","authors":"C. Cruz, R. Mendes, Margarida Pereira, Vikesch Samji, S. Pereira, I. Cruz, Francisco Silva","doi":"10.5455/ijmrcr.172-1671030506","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1671030506","url":null,"abstract":"The May–Thurner Syndrome (MTS) is a rare anatomical condition in which the compression of the left common iliac vein by the right common iliac artery causes an outflow obstruction, presenting frequently as chronic venous insufficiency or deep venous thrombosis (DVT). This variant is rarely considered when investigating DVT, especially in patients with other risk factors. MTS requires careful workup and management to avoid complications such as chronic venous insufficiency, post-thrombotic syndrome, and primary lymphedema. The authors present a 63-year-old woman admitted to the emergency department with a 24-hour history of left lower limb pain and edema. Initial assessment, with computed tomography of the lower left limb and pelvis, showed compression of the left common iliac vein with an extensive thrombus of the left common iliac and external iliac veins, as well as femoral and popliteal left veins, consistent with MTS. Therapeutic enoxaparin initially implemented, was then switched to oral anticoagulation. At 6 months reevaluation, venous duplex ultrasound showed only partial recanalization of the femoral vein. Investigation for May-Thurner Syndrome in patients with left lower limb venous thrombotic events, regardless of risk factors, should always be present since the establishment of an effective therapeutic plan and eventually, endovascular treatment can minimize the long-term sequelae of deep vein thrombosis.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72634039","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}

{"title":"A Misdiagnosed Solitary Nodule with Rapid Progression to Invasive Ductal Carcinoma","authors":"Kevan English","doi":"10.5455/ijmrcr.172-1687449007","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1687449007","url":null,"abstract":"<jats:p>None.</jats:p>","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73253445","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}

{"title":"Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term","authors":"Arshad Jamal, R. Singh","doi":"10.5455/ijmrcr.172-1683360291","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1683360291","url":null,"abstract":"Objective: The most typical type of obstruction in the upper urinary tract is ureteropelvic junction obstruction or UPJO. The objective of this study was to assess the effectiveness and long-term results of pyeloplasty in children with poorly functioning kidneys. Method: Patients who underwent pyeloplasty at Department of Urology, Rajendra Institute of Medical Science, Ranchi for last twelve years were the subject of a retrospective data study. Postoperative outcome was the parameter under study. Success was measured by either symptom improvement or better drainage on postoperative Tc-99m DTPA renography, which was performed after two months and then yearly after that. Results: 60 individuals were enrolled in the study, with a mean age of 8.5 years (3 months to 12 years), a male-to-female ratio of 2:1, and poor function on the isotope renogram (31%). The ratio of left to right sides was 1.2:1. All patients had dismembered pyeloplasty procedures. 37 patients (66.8%) underwent laparoscopic pyeloplasty, whereas 23 (33.2%) underwent open surgery. 35 patients had follow-up renograms available; of these, 30 showed improved drainage and no further decline in renal function, while 5 displayed an obstructed pattern; of these, 3 patients had noticeably worsened split function, and the other two underwent a second open pyeloplasty. A mean follow-up of 21.5 months revealed a 91% overall success rate. Conclusion: In the pediatric age group, pyeloplasty provides satisfactory intermediate results in kidneys with inadequate function.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75958522","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}