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Invasive Ductal Carcinoma of the Axillary Tail: Report of three Cases and Review of the Literature 腋窝尾浸润性导管癌3例报告并文献复习
Pub Date : 2019-08-06 DOI: 10.33552/ACCS.2019.01.000519
M. Hadi, E. Shammari, Rahma Shahbahai, Sarah Al Sinan, Khadija Alkhwaja, Roa Al Gowejez, A. Nabhan
Axillary Breast cancer is a rare entity accounting for 0.12% of all breast cancer cases. It is typically composed of poorly differentiated IDC with occasionally areas of squamous or mesenchymal carcinoma [1]. Axillary malignancy is challenging as there are many differential diagnoses that may require careful evaluation process. The reported differential diagnoses are occult breast carcinoma, accessory breast cancer, axillary tail breast cancer, lymphoma or non-breast metastatic lymphadenopathy [2].
腋窝乳腺癌是一种罕见的肿瘤,仅占所有乳腺癌病例的0.12%。它通常由低分化IDC组成,偶有鳞状或间质癌[1]。腋窝恶性肿瘤是具有挑战性的,因为有许多鉴别诊断可能需要仔细的评估过程。报道的鉴别诊断为隐匿性乳腺癌、副乳腺癌、腋窝尾乳腺癌、淋巴瘤或非乳腺转移性淋巴结病[2]。
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引用次数: 0
Isoprenoid Quinone Composition of the Genus Microbacterium and Related Strains 类异戊二烯醌类微生物属及其相关菌株的组成
Pub Date : 2019-06-12 DOI: 10.33552/accs.2019.01.000518
M. N. Battikhi
Coryneform bacteria classification in Bergy’s Manual of Bacteriology [1] accommodate different genera as Cellumonas, Arthrobacter, Corynebacterium and Microbacterium described as incertea sedis. Other motile plant pathogens were added to coryneform group [2,3]. Numerical phonetic studies improved classification of coryneform [4,5]. Other markers were used to improve taxonomic position of coryneform bacteria such as DNA base composition determination [4,6-10], wall analysis [11-15] and mycolic acid analysis [2,15,16]. The use of additional marker (isoprenoid quinone) was recommended by [16,17] to improve classification of coryneform and related taxa. The analysis of the isoprenoid quinone of coryneform bacteria has been a useful aid to establish the taxonomic relatedness of bacterial strains [2, 3,17-20]. These quinines can be divided into menaquinones and ubiquinones abbreviation of their data is given in (Figure1a). Substantial investigation amongst coryneform have been carried out on the distribution of quinines bearing isoprenoid side chain. Bacterial quinones of this type can be sub-divided into menaquinones (2 methyl-3-polyisoprenyl 1-1,44 naphthoquinones and ubiquinones (co-enzyme Q; 12,3-dimethoxy-5-methyl-1-6polyprenyl-1-1,4 benzoquinone (Figure1b). The menaquinones (related to vitamin K) show structural variation at C-2 and ,more especially, at C-3.Variation at C-3 include the length and degree of un-saturation of the polyprenyl side-chain [22] and the presence of hydroxyl [21] and epoxide groups [22]. Similarly, ubiquinones show variation principally in the structure of polyprenyl sidechain [23]. Therefore, the structure of these compound might be of great value in classification of coryneform and related bacteria [23]. Other studies demonstrated that organisms can be clustered based on the isoprenoid side chain of the menaquinones [2,3,20,24,25]. From their analysis Minnikin et al [22] concluded that MK_8(H2) was the major menaquinones of the animal associate corynebacterium. Microbacterium flavum, with consistently shows affinities with the animal associated corynebacteria in numerical phonetic studies, also contains MK-8(H2). They also reported that Micro bacterium ammoniaphilum contained MK-9(H2). Isoprenoid quinines are membrane-bound compounds (lipid molecules) found in nearly all living organisms. It marked structural variation depending upon the microbial taxon [27-30]. Therefore, organisms can be clustered based on isoprenoid side chain of their menaquinones. and hence differentiation between various taxa could be improved [3,17,18,27]. *Corresponding author: Moh’d Nizar Battikhi, 1017-1645 De Maisonneuve O, Montreal H3H 2N3, QC, Canada. Received Date: June 12, 2019 Published Date: July 12, 2019 ISSN: 2687-8410 DOI: 10.33552/ACCS.2019.01.000518
Bergy细菌学手册中的棒状细菌分类[1]容纳了不同的属,如Cellumonas, Arthrobacter,棒状细菌和Microbacterium,称为intertea sedis。棒状组加入其他可移动植物病原体[2,3]。数值语音研究改进了棒状植物的分类[4,5]。其他标记也被用于提高棒状细菌的分类位置,如DNA碱基组成测定[4,6-10]、壁分析[11-15]和霉菌酸分析[2,15,16]。[16,17]建议使用额外的标记物(类异戊二烯醌)来改进杆状及相关分类群的分类。棒状细菌类异戊二烯醌的分析有助于建立菌株的分类亲缘关系[2,3,17 -20]。这些奎宁可分为甲萘醌类和泛醌类,其数据简写见(图1a)。对类异戊二烯侧链奎宁在棒状动物中的分布进行了大量调查。这种类型的细菌醌类可细分为甲萘醌类(2甲基-3-聚异戊二烯- 1-1)、44萘醌类和泛醌类(辅酶Q;12,3-二甲氧基-5-甲基-1-6聚戊烯基-1-1,4苯醌(图1b)。甲基萘醌(与维生素K有关)在C-2,尤其是C-3处显示出结构变化。C-3位点的变化包括聚戊烯基侧链的长度和不饱和程度[22],以及羟基[21]和环氧化物基团[22]的存在。同样,泛醌的变化主要表现在聚戊烯基侧链的结构上[23]。因此,这些化合物的结构可能对棒状细菌及其相关细菌的分类具有重要价值[23]。其他研究表明,生物可以基于甲基萘醌的类异戊二烯侧链聚类[2,3,20,24,25]。Minnikin等[22]通过分析得出MK_8(H2)是动物伴生棒状杆菌的主要甲基萘醌类。在数字语音研究中始终显示与动物相关的杆状菌有亲缘关系的黄微杆菌也含有MK-8(H2)。他们还报道了嗜氨微菌含有MK-9(H2)。类异戊二烯奎宁是几乎在所有生物体中发现的膜结合化合物(脂质分子)。它标志着不同微生物分类群的结构差异[27-30]。因此,生物可以基于其甲基萘醌的类异戊二烯侧链聚类。因此,可以提高不同分类群之间的分化[3,17,18,27]。*通讯作者:Moh 'd Nizar Battikhi, 1017-1645 De Maisonneuve O, Montreal H3H 2N3, QC, Canada。收稿日期:2019年6月12日发表日期:2019年7月12日ISSN: 2687-8410 DOI: 10.33552/ACCS.2019.01.000518
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引用次数: 0
Algorithm Clinical Reasoning for Management of Invasive Carcinoma of Breast 乳腺浸润性癌治疗的算法及临床推理
Pub Date : 2019-05-28 DOI: 10.33552/ACCS.2019.01.000516
F. Farrar
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引用次数: 0
Tumor Lysis Syndrome Associated with Urothelial Cancer: A Case Series 与尿路上皮癌相关的肿瘤溶解综合征:一个病例系列
Pub Date : 2019-04-29 DOI: 10.33552/ACCS.2019.01.000515
Jue Wang
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引用次数: 2
Incidentaloma: Pagetic Scapula 偶发瘤:片状肩胛骨
Pub Date : 2019-04-26 DOI: 10.33552/ACCS.2019.01.000514
Fahad Al Lhedan, Anas O. Hamdoun
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引用次数: 0
Chemotherapeutic Prevention of Choriocarcinoma Developed in Persistent Trophoblastic Disease after Hydatidiform Mole 化疗预防包虫痣后持续性滋养细胞病发生的绒毛膜癌
Pub Date : 2019-04-18 DOI: 10.33552/ACCS.2019.01.000513
K. Maeda
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引用次数: 0
Culturally Congruent Care: An Omani Reflection 文化一致性护理:阿曼的反思
Pub Date : 2019-03-29 DOI: 10.33552/ACCS.2019.01.000511
Suad Al Junaibi
Culturally congruent care is possible if cultural values, expressions, or patterns are recognized and appropriately utilized while providing care [1]. Therefore, a culturally competent nursing education should include culturally diverse nursing educators that reflect the communities served, encourage students and educators to speak the service users’ language(s), and contend on the cultural values and traditions of the served communities (Anderson et al., 2003). Numerous authors [1-4] Purnell & Paulanka, 2003) argue that concepts such as cultural awareness, cultural sensitivity, and cultural competence are essential in nursing education. They perceive these concepts as related to important nursing concepts such as health, illness, and care, which signify different things to diverse cultures or people. Thus, familiarity of cultural traditions would allow the healthcare providers to deliver better care and avoid misunderstandings between themselves and other healthcare providers, patients, and their families.
如果在提供护理时认识并适当利用文化价值、表达或模式,那么文化一致性护理是可能的[1]。因此,具有文化竞争力的护理教育应该包括文化多样化的护理教育工作者,以反映所服务的社区,鼓励学生和教育工作者说服务使用者的语言,并主张所服务社区的文化价值观和传统(Anderson et al., 2003)。许多作者[1-4]Purnell & Paulanka, 2003)认为文化意识、文化敏感性和文化能力等概念在护理教育中是必不可少的。他们认为这些概念与重要的护理概念有关,如健康、疾病和护理,这些概念对不同的文化或人意味着不同的东西。因此,熟悉文化传统将使医疗保健提供者能够提供更好的护理,并避免他们自己与其他医疗保健提供者、患者及其家属之间的误解。
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引用次数: 0
Necrotizing Pancreatitis, an unusual presentation of longstanding Primary Hyperparathyroidism 坏死性胰腺炎,长期原发性甲状旁腺功能亢进的一种不寻常的表现
Pub Date : 2019-03-29 DOI: 10.33552/ACCS.2019.01.000512
F. Sumrein, M. Raghuwanshi
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引用次数: 0
The Human Heart Electrophysiological Data Visualization: A Review 人类心脏电生理数据可视化:综述
Pub Date : 2019-03-01 DOI: 10.33552/accs.2019.01.000510
Lei Zhang
Fei Yang1, Kechao Wang2,3, Tiantian Wang2 and Lei Zhang*4 1School of Mechanical, Electrical and Information Engineering, Shandong University, Weihai, 264209, China 2School of Computer Science and Technology, Harbin Institute of Technology, Harbin, 150001, China 3School of Information Engineering, Harbin University, Harbin, 150086, China 4School of Medicine, University of Pittsburgh, Pittsburgh, PA, 15212, USA
1山东大学机电与信息工程学院,威海264209;2哈尔滨工业大学计算机科学与技术学院,哈尔滨150001;3哈尔滨大学信息工程学院,哈尔滨150086;4匹兹堡大学医学院,宾夕法尼亚州匹兹堡15212
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引用次数: 0
Epidermal Cyst of the Plantar Foot: A Case Study 足底足表皮囊肿:个案研究
Pub Date : 2019-02-11 DOI: 10.33552/ACCS.2019.01.000509
Charles Parks, Sandy Nguyen, Anmy Vu, Yen Tran
Epidermal inclusion cysts (also commonly referred to as epidermal cysts, epidermoid cysts and infundibular cysts) are benign cysts in the epidermal region of the skin. Comprising about 85-90% of all excised subcutaneous cysts, they are relatively common. [2-4]. The cyst is most often found in the hair bearing surfaces of the body due to a displacement and proliferation of the epidermal cells within the dermis, or from inflammation of the pilosebaceous glands. The most common locations include the head, neck, trunk, extremities, with less than 10% presenting in the lower extremity [2,5]. However, epidermoid cysts may occasionally appear on non-hair-bearing Surfaces of the body. These cysts are thought to develop due to a history of trauma or surgery that implanted the epidermal cells in the area. Specifically, the cysts develop from epidermal fragments into a heterotropic location. The cyst enlarges through keratinous debris and epithelial accumulation, resulting in a subcutaneous mass [5]. In the foot, epidermoid cysts occurred most commonly in the 1st toe, followed by the ankle, 2nd toe, 3rd toe, 4th toe, 5th toe, and heel. The average size of the cyst in the foot is 1.6 x 1.5 x 0.8cm. Treatment of epidermoid cysts includes excision but recurrence rates appear to be high at 18.9 %. [3,4]. Epidermal inclusion cysts present clinically as well-encapsulated, freely movable, elevated subcutaneous masses. The masses contain a yellow and white substance in the center [5]. Since 2000, there have only been 2 reported cases of epidermoid cysts on the plantar foot [6,7]. We will be reporting a 3rd case within a period of 17 years.
表皮包涵性囊肿(通常也被称为表皮囊肿、表皮样囊肿和基底囊肿)是皮肤表皮区域的良性囊肿。它们相对常见,约占所有切除皮下囊肿的85-90%。[2 - 4]。由于真皮内表皮细胞的移位和增殖,或由于毛囊皮脂腺的炎症,囊肿最常见于身体的毛发表面。最常见的部位包括头部、颈部、躯干和四肢,只有不到10%的患者出现在下肢[2,5]。然而,表皮样囊肿可能偶尔出现在身体的非毛发表面。这些囊肿被认为是由于创伤史或在该区域植入表皮细胞的手术而形成的。具体来说,囊肿从表皮碎片发展到异位。囊肿通过角质碎片和上皮堆积而增大,形成皮下肿块[5]。在足部,表皮样囊肿最常见于第1趾,其次是脚踝、第2趾、第3趾、第4趾、第5趾和脚跟。足部囊肿的平均大小为1.6 x 1.5 x 0.8cm。表皮样囊肿的治疗包括切除,但复发率高达18.9%。(3、4)。表皮包体囊肿临床表现为包被良好、可自由移动、皮下隆起肿块。肿块中心含有一种黄色和白色的物质[5]。自2000年以来,仅报道了2例足底足表皮样囊肿[6,7]。我们将在17年内报告第三例病例。
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引用次数: 2
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Archives of Clinical Case Studies
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