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Clinical Observations in Rare Sinonasal Schwannoma-Clinical Case with A Literary Review 罕见鼻窦神经鞘瘤的临床观察——附文献复习
Pub Date : 2022-09-15 DOI: 10.33140/mcr.07.09.11
L. Marinova, Vaska Vassileva, I. Gabrovski, B. Yordanova
Schwannoma is a benign, encapsulated, slow-growing and generally solitary tumour that arise from Schwann cells of the peripheral nerve sheath. Sinonasal schwannoma is a rare entity represent less than four percent of all tumors in the head and neck area. We present our clinical observations in a 57-year-old woman with a locally advanced sinonasal schwannoma, originating in the sphenoid sinus and infiltrating ethmoid cells, the nasal cavity and the left retrobulbar space. Histopathological and immunohistochemical examination confirmed the diagnosis. Differential diagnosis requires a broad immunohistochemical analysis that will differentiate schwannoma from other benign and malignant peripheral nerve sheath tumors. Our clinical observations show that the only effective treatment of patients with schwannoma is a radical tumor surgery, as it concerns an extremely radioresistance benign tumor.
神经鞘瘤是一种良性、包裹性、生长缓慢且通常孤立的肿瘤,起源于周围神经鞘的雪旺细胞。鼻窦神经鞘瘤是一种罕见的肿瘤,占头颈部肿瘤的比例不到4%。我们报告一位57岁女性的临床观察,她患有局部晚期鼻窦神经鞘瘤,起源于蝶窦并浸润筛细胞,鼻腔和左侧球后间隙。组织病理学和免疫组织化学检查证实了诊断。鉴别诊断需要广泛的免疫组织化学分析,以区分神经鞘瘤与其他良性和恶性周围神经鞘肿瘤。我们的临床观察表明,神经鞘瘤是一种极具放射抗性的良性肿瘤,根治性手术是治疗神经鞘瘤的唯一有效方法。
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引用次数: 0
Losartan in the treatment of solid tumours, ugandan experience 氯沙坦在治疗实体瘤方面,有乌干达的经验
Pub Date : 2022-09-15 DOI: 10.33140/mcr.07.09.09
A 28 years old female presented to the emergency room complaining of shortness of breath for a number of years with progressive swelling in the neck. She was progressively becoming short of breath on exertion but did not have fever, pain or hoarseness. She had been on Lugol’s iodine without improvement. On examination, vital signs were stable. However, she had a cervical large non tender multi-nodular goitre, with a shift of the trachea to the right side .By percussion; there was no dullness over the sternum. Her left breast had a large non painful mass.
一名28岁女性到急诊室就诊,主诉呼吸短促数年,颈部进行性肿胀。她逐渐变得呼吸急促,但没有发烧、疼痛或声音嘶哑。她一直服用卢戈尔碘酒,但没有好转。经检查,生命体征稳定。然而,她颈部有一个大的无压痛的多结节性甲状腺肿,气管向右侧移位。胸骨上方没有麻木感。她的左乳房有一个无痛的大肿块。
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引用次数: 0
Determination of Optimal Dosing Duration for Cotrimoxazole, Ciprofloxacin, Clarythromycin, And Tinidazole, Novel Oral Drugs for The Treatment of T.B.Gambiense Human African Trypanosomiasis: First-In-Human Studies 新型口服药物复方新诺明、环丙沙星、克拉霉素和替硝唑治疗冈比亚锥虫病的最佳给药时间的确定:首次人体研究
Pub Date : 2022-09-15 DOI: 10.33140/mcr.07.09.08
Dalington Akusa, C. Wamboga
Background and Objectives: Fexinidazole is a 5-nitroim-idazole recently included in a clinical efficacy trial as an oral drug for the treatment of human African trypanoso-miasis (HAT). Preclinical studies showed it acts as a pharmacologically active prodrug with two key active metabolites: sulfoxide and sulfone (the most active metab- olite). The present studies aimed to determine other oral antibiotic regimen for the treatment of stage 2 sleeping sickness which could eventually also treat stage 1 patients, like Fexinidazole. Cotrimoxazole 960 mgs twice daily for two weeks, or one month if unsuccessful at two weeks of treatment; clarithromycin 250 mgs twice daily and tinidazole 500 mgs twice daily for one week or two weeks; and ciprofloxacin 500mgs twice daily for two weeks were administered. Methods: Cotrimozaxole, ciprofloxacin, clarithromycin, and tinidazole were assessed in 99 HAT positive children and adult male and female subjects of sub-Saharan African origin. Three initial first-in-human studies and two additional studies assessed a weekly, two weekly and monthly doses of the above drugs. Cotrimoxazole 960 mgs twice daily for two weeks, or one month if unsuccessful at two weeks of treatment; clarithromycin 250 mgs twice daily and tinidazole 500 mgs twice daily for one week or two weeks; and ciprofloxacin 500mgs twice daily for two weeks were administered. Results: The drugs were well-tolerated in the various doses. Conclusion: These studies show that cotrimoxazole, ciprofloxacin, clarithromycin and tinidazole can be safely assessed in patients as potential oral cure for both stages of Human African Trypanasomiasis.
背景和目的:非昔硝唑是一种5-硝基咪唑,最近作为治疗非洲人类锥虫病(HAT)的口服药物被纳入临床疗效试验。临床前研究表明,它是一种具有药理活性的前药,有两个关键的活性代谢物:亚砜和砜(最活跃的代谢物)。目前的研究旨在确定治疗2期昏睡病的其他口服抗生素方案,这些方案最终也可以治疗1期患者,如非昔硝唑。复方新诺明960毫克,每日两次,连续服用两周,如果两周治疗无效,则服用一个月;克拉霉素250毫克,每日2次,替硝唑500毫克,每日2次,持续1周或2周;服用环丙沙星500毫克,每天两次,持续两周。方法:对99例撒哈拉以南非洲地区HAT阳性的儿童和成人进行复方曲霉唑、环丙沙星、克拉霉素和替硝唑的评价。三个最初的首次人体研究和两个额外的研究评估了上述药物的每周、每周和每月剂量。复方新诺明960毫克,每日两次,连续服用两周,如果两周治疗无效,则服用一个月;克拉霉素250毫克,每日2次,替硝唑500毫克,每日2次,持续1周或2周;服用环丙沙星500毫克,每天两次,持续两周。结果:药物在不同剂量下均具有良好的耐受性。结论:这些研究表明复方新诺明、环丙沙星、克拉霉素和替硝唑作为两期非洲人类锥虫病的潜在口服治疗药物,在患者中是安全的。
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引用次数: 0
Cholera is curable with TRAMAOL 霍乱可以用TRAMAOL治愈
Pub Date : 2022-09-15 DOI: 10.33140/mcr.07.09.10
Cholera is an acute diarrheal disease due to a highly motile, curved gram negative rod, vibrio cholerae, and it can result in severe and rapidly progressive dehydration and death in a matter of hours unless quickly treated. As a result, “cholera gravis” is a much feared disease, especially when it occurs in epidemics or in worldwide pandemics associated with high mortality rates.
霍乱是一种由高度活跃的弯曲革兰氏阴性杆状菌霍乱弧菌引起的急性腹泻疾病,除非迅速治疗,否则可导致严重和迅速进行性脱水并在数小时内死亡。因此,"严重霍乱"是一种非常可怕的疾病,特别是当它在流行病中或在与高死亡率相关的世界范围大流行中发生时。
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引用次数: 0
Statins for Cardiovascular Disease, are they Toxic? 他汀类药物治疗心血管疾病是否有毒?
Pub Date : 2022-09-09 DOI: 10.33140/mcr.07.09.07
Statins are widely used and are considered safe for almost everyone above the age of 40 or so. Statins are implicated in muscle damage, induction of diabetes, depression and Parkinson’s disease. Some of these problems are reversible with statin withdrawal, some are not. The inhibition of protein isoprenylation by statins is important in many of these toxic reactions. The benefits of diet and exercise in these patients cannot be overestimated. Patients should be encouraged to exercise and diet until statins can be withdrawn
他汀类药物被广泛使用,被认为对几乎所有40岁以上的人都是安全的。他汀类药物与肌肉损伤、糖尿病、抑郁症和帕金森病的诱发有关。其中一些问题在他汀类药物戒断后是可逆的,有些则不然。他汀类药物抑制蛋白质异戊二烯化在许多这些毒性反应中是重要的。饮食和运动对这些病人的好处怎么估计都不过分。应鼓励患者运动和饮食,直到他汀类药物可以停用
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引用次数: 0
Persistent Symmetrical Bilateral Hypertension on Dwi In A Patient with Hashimoto’s Thyroiditis: A Case Report 桥本甲状腺炎患者持续性对称双侧高血压Dwi 1例报告
Pub Date : 2022-09-09 DOI: 10.33140/mcr.07.09.06
Shu-laiZhu, Xingchen Pan, Yueqiang Peng
We report a case diagnosed Hashimoto’s encephalopathy following Hashimoto’s thyroiditis whose MRI shown persistent symmetrical bilateral hypertension on DWI in the past two years. To our knowledge this is the first report of persistent symmetrical bilateral hypertension on DWI in a patient with Hashimoto’s thyroiditis.
我们报告一病例诊断为桥本脑病后桥本甲状腺炎,MRI显示持续对称性双侧高血压在过去的两年。据我们所知,这是首个在DWI上发现桥本甲状腺炎患者持续对称性双侧高血压的报告。
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引用次数: 0
People’s social participation in the prevention of COVID-19 disease: an example of selfsacrifice 人民社会参与COVID-19疾病预防:自我牺牲的一个例子
Pub Date : 2022-09-09 DOI: 10.33140/mcr.07.09.05
M. Jadgal, M. Zareipour, S. O. Shekaftik
Social participation refers to those voluntary activities through which the members of a society directly or indirectly participate in shaping social life in neighborhood, village or city affairs. While the spread of the COVID-19 disease, people in the community can be responsible for their individual and collective health with conscious and voluntary participation and participate in the prevention of the COVID-19 disease in order to change the fate of themselves and their neighbors. Now, considering COVID-19 virus pandemic, as in war, we can defeat the hidden evil enemy. But achieving victory requires selfsacrifice and collective participation. The Iranian people are like warriors on the battlefield strengthened the line of struggle by observing health instructions and social participation in the distribution of masks, disinfection of roads and houses, and the purchase of food packages. At the same time, the performance of medical staff and health defenders was improved with the participation of the people. Thus, the cooperation, empathy and participation of the people behind and alongside the officials and medical staff can be an example of self-sacrifice.
社会参与是指社会成员直接或间接参与社区、乡村或城市事务中塑造社会生活的自愿活动。在新冠肺炎疫情蔓延的同时,社区民众可以自觉自愿地对个人和集体健康负责,参与到新冠肺炎疫情防控中来,从而改变自己和邻居的命运。现在,考虑到COVID-19病毒大流行,就像在战争中一样,我们可以击败隐藏的邪恶敌人。但取得胜利需要自我牺牲和集体参与。伊朗人民就像战场上的战士一样,在分发口罩、对道路和房屋进行消毒、购买食品包装等方面遵守卫生指示和社会参与,加强了斗争路线。同时,在人民群众的参与下,提高了医务人员和卫生维护者的工作水平。因此,官员和医务人员身后和旁边的人的合作、同情和参与可以是自我牺牲的一个例子。
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引用次数: 0
Tumors of lung and pleura 肺和胸膜肿瘤
Pub Date : 2022-09-01 DOI: 10.33140/mcr.07.09.04
D. Benharroch
Daniel Benharroch (2022) Tumors of lung and pleura. Medical & Clinical Research 7(9):01.
Daniel Benharroch(2022)肺和胸膜肿瘤。医学与临床研究7(9):01。
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引用次数: 3
Confirmation regarding regression polynomial evaluation of age at menarche against age at MPV of weight 关于初潮年龄与体重MPV年龄的回归多项式评价的确认
Pub Date : 2022-08-27 DOI: 10.33140/mcr.07.08.05
K. Fujii
Based on the regression evaluation of menarcheal age relative to the age at MPV of height, a delayed menarche evaluation chart was established. In fact, it is thought that the close relationship between menarche and body weight may lie behind the critical weight hypothesis and body fat hypothesis proposed in relation to the onset of menarche. In other words, the age at maximum peak velocity (MPV) in weight and age at menarche are thought to be highly correlated, so a regression evaluation chart for age at menarche against age at MPV of height can be constructed. Then, in the present study, a delayed menarche evaluation chart based on age at MPV of weight is constructed, and compared it with evaluations of delayed menarche determined by age at MPV of height. The results showed that the age at MPV of weight is later than the age of MPV in height. The level of agreement between girls judged using delayed menarche evaluation charts based on ages at MPV of height and weight was analyzed, and the results showed agreement in 131 of 204 girls (64.2%). The fact that there was disagreement in 74 girls (35.8%) indicates that the validity of delayed menarche evaluation based on age at MPV of weight is probably low.
基于月经初潮年龄相对于身高MPV年龄的回归评价,建立了月经初潮延迟评价图。事实上,人们认为初潮和体重之间的密切关系可能隐藏在与初潮发生有关的临界体重假说和体脂假说的背后。也就是说,体重最大峰值速度年龄与月经初潮年龄高度相关,因此可以构建月经初潮年龄与身高最大峰值速度年龄的回归评价图。然后,本研究构建了基于体重MPV年龄的月经初潮延迟评价图,并将其与身高MPV年龄的月经初潮延迟评价图进行了比较。结果表明:体重MPV年龄晚于身高MPV年龄;分析基于年龄的身高、体重MPV延迟初潮评价图判断女生的一致程度,结果显示,204名女生中有131人(64.2%)一致。74例(35.8%)女生存在差异,说明以体重MPV年龄评价月经初潮延迟的有效性可能较低。
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引用次数: 0
Preferential eradication of gram-negative bacteria using peptide surrogates: cisions & reflections 利用肽替代物优先根除革兰氏阴性菌:决策与反思
Pub Date : 2022-08-27 DOI: 10.33140/mcr.07.08.04
Short surrogates of the pentapeptide K-A-A-A-K, centered on Freidinger’s lactam, were applied to eradicate E.coli (Gram-negative bacteria) and S. Aureus (Gram-positive microbe). It was found that it was easier to eliminate the gram-positive bacteria, which was influenced by the N-methylation of the amide nitrogen of 30 →31 (Table). However, The N-methylated surrogates were more efficient in eradicating the E. coli than the S. Aureus samples. We were able (Figure 14) to show that one structural change could make a remarkable difference in the eradication (MIC) of the different bacteria
以Freidinger’s内酰胺为中心的短代肽K-A-A-A-K被用于根除大肠杆菌(革兰氏阴性菌)和金黄色葡萄球菌(革兰氏阳性菌)。结果发现,受30→31酰胺氮n -甲基化的影响,革兰氏阳性菌更容易被消灭(表)。然而,n -甲基化替代物在根除大肠杆菌方面比金黄色葡萄球菌更有效。我们能够(图14)表明,一个结构变化可以在不同细菌的根除(MIC)方面产生显着差异
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引用次数: 0
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Medical & Clinical Research
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