Pub Date : 2023-11-25DOI: 10.36347/sasjm.2023.v09i11.025
A.N.M. Mizanur Rahman, Mohammed Razzak Mia, Md. Jashim Uddin, Mohammad Bhuiyan Abdus Samad Azad, Md. Amir Ul Mulk, Nadim Ahmed
Background: Congestive heart failure (CHF) is a growing issue for healthcare systems throughout the developed world. Many factors have been linked to an increase in mortality in CHF patients. Despite heterogeneity in the research groups, several demographic and clinical variables appear to be consistently associated with a poor prognosis. Objective: To investigate the clinical and sociodemographic aspects of congestive heart failure patients. Materials and Methods: This study was a descriptive observational study conducted by the Department of Medicine at Narsingdi' 100- bed district hospital from July 2021 to June 2022. Purposive sampling was used to select 120 women and men with congestive heart failure from the cardiac center of 100-bed district hospital in Narsingdi, Bangladesh. Daily consecutive admissions were screened to identify eligible patients who arrived in the cardiac emergency room; Department of Cardiology required an admission diagnosis of congestive heart failure and was enrolled in this study on the basis of inclusion and exclusion criteria with a history of at least one well documented hospitalization for congestive heart failure. Results: Rhematic heart disease was identified in 38(31.7%), cardiomyopathy was found in 30(25.0%), hypertension was found in 21(17.5%), pericardial disease was found in 16(13.3%), and ischemaic heart disease was found in 3(2.5%). Factors related with congestive heart failure were 25 (20.8%) inadequate therapy, 25 (20.8%) arrhythmia, 23 (19.2%) respiratory, 17 (14.2%) anaemia, and 23 (19.2%) infective endocarditis. The majority of patients (75.5%) had NYHA class II, 38.7% had class III, and 5.8% had class IV. Conclusion: In conjunction with medical and demographic characteristics, major socio-environmental factors increased the likelihood of readmission due to congestive heart failure.
{"title":"Clinical and Socio Demographic Aspects of Congestive Heart Failure Patients","authors":"A.N.M. Mizanur Rahman, Mohammed Razzak Mia, Md. Jashim Uddin, Mohammad Bhuiyan Abdus Samad Azad, Md. Amir Ul Mulk, Nadim Ahmed","doi":"10.36347/sasjm.2023.v09i11.025","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.025","url":null,"abstract":"Background: Congestive heart failure (CHF) is a growing issue for healthcare systems throughout the developed world. Many factors have been linked to an increase in mortality in CHF patients. Despite heterogeneity in the research groups, several demographic and clinical variables appear to be consistently associated with a poor prognosis. Objective: To investigate the clinical and sociodemographic aspects of congestive heart failure patients. Materials and Methods: This study was a descriptive observational study conducted by the Department of Medicine at Narsingdi' 100- bed district hospital from July 2021 to June 2022. Purposive sampling was used to select 120 women and men with congestive heart failure from the cardiac center of 100-bed district hospital in Narsingdi, Bangladesh. Daily consecutive admissions were screened to identify eligible patients who arrived in the cardiac emergency room; Department of Cardiology required an admission diagnosis of congestive heart failure and was enrolled in this study on the basis of inclusion and exclusion criteria with a history of at least one well documented hospitalization for congestive heart failure. Results: Rhematic heart disease was identified in 38(31.7%), cardiomyopathy was found in 30(25.0%), hypertension was found in 21(17.5%), pericardial disease was found in 16(13.3%), and ischemaic heart disease was found in 3(2.5%). Factors related with congestive heart failure were 25 (20.8%) inadequate therapy, 25 (20.8%) arrhythmia, 23 (19.2%) respiratory, 17 (14.2%) anaemia, and 23 (19.2%) infective endocarditis. The majority of patients (75.5%) had NYHA class II, 38.7% had class III, and 5.8% had class IV. Conclusion: In conjunction with medical and demographic characteristics, major socio-environmental factors increased the likelihood of readmission due to congestive heart failure.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"364 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139237305","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}
Pub Date : 2023-11-24DOI: 10.36347/sasjm.2023.v09i11.022
El Bahri Abdessamad, Tetou Mohammed, Lamghari Aziz, Boukhlifi Youness, Louardi Nabil, Alam Mohammed, A. Ahmed
Introduction: In order to characterize the clinical behavior of CaP, pMRI could, thanks to its ability to detect, localize and estimate tumor foci, distinguish silent from invasive and aggressive tumors. Materials and methods: This is a retrospective study including 44 patients collected at the Urology Department of the Mohammed V Military Hospital in Rabat (HMMV) over a 22-month period, from January 2020 to October 2021. Mean age; PSAt; size, dimension and location of lesion on MRI; approach; histological type; positive surgical margins; extracapsular extension; perineural invasion; lymphovascular invasion; seminal vesicle invasion; lymph node involvement; PI-RADS and Gleason scores were collected. Results: According to our study, the histopronostic factors corroborating with PI-RADS are: - Gleason score - extra-capsular extension - seminal vesicle invasion - lymphovascular invasion. Conclusion: Multiparametric MRI offers convincing and promising results for the detection of suspicious lesions. Performed prior to radical prostatectomy, it provides essential information for diagnostic and therapeutic management.
{"title":"Anatomo-Radiological Correlation Comparing Anatomopathological Data from Radical Prostatectomy and Multiparametric Prostate MRI","authors":"El Bahri Abdessamad, Tetou Mohammed, Lamghari Aziz, Boukhlifi Youness, Louardi Nabil, Alam Mohammed, A. Ahmed","doi":"10.36347/sasjm.2023.v09i11.022","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.022","url":null,"abstract":"Introduction: In order to characterize the clinical behavior of CaP, pMRI could, thanks to its ability to detect, localize and estimate tumor foci, distinguish silent from invasive and aggressive tumors. Materials and methods: This is a retrospective study including 44 patients collected at the Urology Department of the Mohammed V Military Hospital in Rabat (HMMV) over a 22-month period, from January 2020 to October 2021. Mean age; PSAt; size, dimension and location of lesion on MRI; approach; histological type; positive surgical margins; extracapsular extension; perineural invasion; lymphovascular invasion; seminal vesicle invasion; lymph node involvement; PI-RADS and Gleason scores were collected. Results: According to our study, the histopronostic factors corroborating with PI-RADS are: - Gleason score - extra-capsular extension - seminal vesicle invasion - lymphovascular invasion. Conclusion: Multiparametric MRI offers convincing and promising results for the detection of suspicious lesions. Performed prior to radical prostatectomy, it provides essential information for diagnostic and therapeutic management.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"435 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240202","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}
Adenoid cystic carcinoma is a rare tumor, accounting for approximately 5–10% of all salivary gland neoplasms. It is a tumor which develops in 50 to 60% of cases on the minor salivary glands which are disseminated on the cheek; the lips; the palace; it is characterized by slow growth with a long-term natural evolution, quite aggressive locally, which has a tendency to local recurrence and even distant metastases (the first metastatic site of which is the lung). There are three subtypes that can exist in isolation or coexist together which are: solid; cribriform and tubular. The solid type has a poor prognosis unlike the cribriform type which has an intermediate prognosis and the tubular type which has the best prognosis. The treatment of choice remains surgical, often associated with adjuvant radiotherapy depending on the stage of progression (stage III and IV). It is almost not chemosensitive. It is a tenacious tumor and the survival rate at 05 years is 70%; after 10 years 50% and after 20 years 25%. We present a case of a 53-year-old patient; without particular pathological history, which presents an adenoid cystic carcinoma in its solid form locally advanced non-metastatic revealed by a budding mass of the hard and soft palate. Given the inoperability of the tumor; the patient was referred for Radiotherapy.
{"title":"Adenoid Cystic Carcinoma of the Palate: Report Case","authors":"Berkaoui Mohamed, S. Mohamed, Barkiche Samir, Darfaoui Mouna, Elomrani Abdelhamid, Khouchani Mouna","doi":"10.36347/sasjm.2023.v09i11.023","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.023","url":null,"abstract":"Adenoid cystic carcinoma is a rare tumor, accounting for approximately 5–10% of all salivary gland neoplasms. It is a tumor which develops in 50 to 60% of cases on the minor salivary glands which are disseminated on the cheek; the lips; the palace; it is characterized by slow growth with a long-term natural evolution, quite aggressive locally, which has a tendency to local recurrence and even distant metastases (the first metastatic site of which is the lung). There are three subtypes that can exist in isolation or coexist together which are: solid; cribriform and tubular. The solid type has a poor prognosis unlike the cribriform type which has an intermediate prognosis and the tubular type which has the best prognosis. The treatment of choice remains surgical, often associated with adjuvant radiotherapy depending on the stage of progression (stage III and IV). It is almost not chemosensitive. It is a tenacious tumor and the survival rate at 05 years is 70%; after 10 years 50% and after 20 years 25%. We present a case of a 53-year-old patient; without particular pathological history, which presents an adenoid cystic carcinoma in its solid form locally advanced non-metastatic revealed by a budding mass of the hard and soft palate. Given the inoperability of the tumor; the patient was referred for Radiotherapy.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241809","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}
Pub Date : 2023-11-23DOI: 10.36347/sasjm.2023.v09i11.019
R. Essofi, Y. Bouktib, A. E. Hajjami, B. Boutakiout, M. Ouali, N. I. Ganouni
Spontaneous splenic rupture is a rare yet life-threatening condition often overlooked during the diagnosis of abdominal pain. This case report presents a 61-year-old male who reported to the emergency department with sudden abdominal pain and vomiting, resembling a previous episode experienced a month prior. Despite a lack of significant medical or trauma history, the patient's clinical examination revealed signs of internal bleeding. Imaging studies, including ultrasound and contrast-enhanced CT scan, confirmed an enlarged and disrupted spleen. Hemoglobin levels further supported the diagnosis, along with the retrieval of bloody ascitic fluid during paracentesis. The patient remained clinically stable throughout observation and vigilant monitoring. This case underscores the importance of considering spontaneous splenic rupture in patients presenting with acute abdominal pain, especially when no other plausible cause can be identified and aims to enhance the understanding and management of this rare condition, ultimately aiding in the improved prognosis of future patient.
{"title":"Spontaneous Rupture of the Spleen: A Case Report","authors":"R. Essofi, Y. Bouktib, A. E. Hajjami, B. Boutakiout, M. Ouali, N. I. Ganouni","doi":"10.36347/sasjm.2023.v09i11.019","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.019","url":null,"abstract":"Spontaneous splenic rupture is a rare yet life-threatening condition often overlooked during the diagnosis of abdominal pain. This case report presents a 61-year-old male who reported to the emergency department with sudden abdominal pain and vomiting, resembling a previous episode experienced a month prior. Despite a lack of significant medical or trauma history, the patient's clinical examination revealed signs of internal bleeding. Imaging studies, including ultrasound and contrast-enhanced CT scan, confirmed an enlarged and disrupted spleen. Hemoglobin levels further supported the diagnosis, along with the retrieval of bloody ascitic fluid during paracentesis. The patient remained clinically stable throughout observation and vigilant monitoring. This case underscores the importance of considering spontaneous splenic rupture in patients presenting with acute abdominal pain, especially when no other plausible cause can be identified and aims to enhance the understanding and management of this rare condition, ultimately aiding in the improved prognosis of future patient.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139242727","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}
Pub Date : 2023-11-23DOI: 10.36347/sasjm.2023.v09i11.021
R. Essofi, I. Azzahiri, M. Benzalim, S. Alj
Duodenal diverticulosis is second only to the colon as the most common location for diverticula. Despite typically being asymptomatic, it can lead to severe complications such as perforation, hemorrhage, and acute diverticulitis. Diagnosing duodenal diverticulitis is challenging due to its non-distinctive presentation and similarity to other intraabdominal conditions in radiographic images. This paper examines a challenging case of duodenal diverticulitis with post-traumatic perforation in a 63-year-old patient, admitted post-traffic accident with an acute abdominal pain revealing duodenal diverticulum rupture as per abdominal CT scan. Despite the complications and a Grade II compression fracture of the L3 vertebra, the patient showed improvement under observation without necessitating surgery. The study highlights the diagnostic complexities of duodenal diverticulitis and the importance of abdominal CT scans in identifying this rare and often misdiagnosed condition.
{"title":"Post Traumatic Perforated Duodenal Diverticulum: A Case Report","authors":"R. Essofi, I. Azzahiri, M. Benzalim, S. Alj","doi":"10.36347/sasjm.2023.v09i11.021","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.021","url":null,"abstract":"Duodenal diverticulosis is second only to the colon as the most common location for diverticula. Despite typically being asymptomatic, it can lead to severe complications such as perforation, hemorrhage, and acute diverticulitis. Diagnosing duodenal diverticulitis is challenging due to its non-distinctive presentation and similarity to other intraabdominal conditions in radiographic images. This paper examines a challenging case of duodenal diverticulitis with post-traumatic perforation in a 63-year-old patient, admitted post-traffic accident with an acute abdominal pain revealing duodenal diverticulum rupture as per abdominal CT scan. Despite the complications and a Grade II compression fracture of the L3 vertebra, the patient showed improvement under observation without necessitating surgery. The study highlights the diagnostic complexities of duodenal diverticulitis and the importance of abdominal CT scans in identifying this rare and often misdiagnosed condition.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139244705","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}
Pub Date : 2023-11-23DOI: 10.36347/sasjm.2023.v09i11.020
R. Essofi, K. Lemtouni, A. Elhajjami, B. Boutakiout, M. Ouali, N. I. Ganouni
Polysplenia syndrome is a rare congenital disorder typically diagnosed incidentally during imaging procedures. This syndrome is characterized by multiple spleens along with various vascular and visceral abnormalities. Our case study centers around a 48-year-old woman presenting with a squamous cell carcinoma of the cervical esophagus who underwent a computed tomography for her staging workup revealing fortuitously a polysplenia syndrome. The patient showed good progress post-surgery and chemotherapy, with no signs of recurrence. Her polysplenia syndrome, revealed incidentally in adulthood, remained asymptomatic and required no direct therapeutic intervention. Our objective is to highlight the potential of computed tomography in diagnosing and evaluating polysplenia syndrome, and to underline the incidental detection of this rare condition in the adult population. Additionally, we aim to explore its coexistence with other complex abnormalities and the implications for treatment and prognosis.
{"title":"Squamous Cell Carcinoma of the Esophagus Revealing a Polysplenia Syndrome: A Case Report","authors":"R. Essofi, K. Lemtouni, A. Elhajjami, B. Boutakiout, M. Ouali, N. I. Ganouni","doi":"10.36347/sasjm.2023.v09i11.020","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.020","url":null,"abstract":"Polysplenia syndrome is a rare congenital disorder typically diagnosed incidentally during imaging procedures. This syndrome is characterized by multiple spleens along with various vascular and visceral abnormalities. Our case study centers around a 48-year-old woman presenting with a squamous cell carcinoma of the cervical esophagus who underwent a computed tomography for her staging workup revealing fortuitously a polysplenia syndrome. The patient showed good progress post-surgery and chemotherapy, with no signs of recurrence. Her polysplenia syndrome, revealed incidentally in adulthood, remained asymptomatic and required no direct therapeutic intervention. Our objective is to highlight the potential of computed tomography in diagnosing and evaluating polysplenia syndrome, and to underline the incidental detection of this rare condition in the adult population. Additionally, we aim to explore its coexistence with other complex abnormalities and the implications for treatment and prognosis.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"112 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243857","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}
Pub Date : 2023-11-22DOI: 10.36347/sasjm.2023.v09i11.017
Mohammad Omar Farook, Mohammad Jamal Hussain, Kazi Shah Alam
Background: Mobile phone use is prevalent, and there have been concerns raised about its long-term safety. Electromagnetic fields from mobile devices can enter the brain and deposit energy as deep as 4-6 cm into the brain, heating the tissue. Methods: A prospective cross-sectional study carried out at General Hospital, Rangamati during the period from January 2022 to January 2023. The study population includes patients who visit the ENT department at General Hospital, Rangamati and have used mobile phones for three years or more. Participants who were uninterested in the study, respondents with a history of ear disease, respondents with a history of loud noise exposure, or students who used headphones for entertainment reasons for more than 1 hour per day were also excluded. Results: The majority of participants (42.47%) had been exposed to mobile phone use for 4-5 years, whereas 26 (42.47%) had been exposed for 3 years and 16 (21.92%) for >5 years. Nearly three-fourths (31.51%) of the subjects had exposure to mobile phones for two to three hours each day, whereas 12 (16.44%) of the patients had more than three hours. For the right and left ears, respectively, pure tone averages of 13.695.64 dB and 14.375.49 dB were discovered. 5 dB loss was observed in 25.0%, 10 dB loss in 12.5%, and 15 dB loss in 12.5% of participants who used mobile phones for more than three hours each day. Conclusion: The OAE results of all respondents were normal. We also discovered that none of the participants in our study experienced significant hearing loss (greater than 25 dB). As the young population gets increasingly attached to this expensive multipurpose device, mobile phones may become a risk issue in the near future.
{"title":"Frequent Cell Phone Users have Sensorineural Hearing Loss: An Observational Study","authors":"Mohammad Omar Farook, Mohammad Jamal Hussain, Kazi Shah Alam","doi":"10.36347/sasjm.2023.v09i11.017","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.017","url":null,"abstract":"Background: Mobile phone use is prevalent, and there have been concerns raised about its long-term safety. Electromagnetic fields from mobile devices can enter the brain and deposit energy as deep as 4-6 cm into the brain, heating the tissue. Methods: A prospective cross-sectional study carried out at General Hospital, Rangamati during the period from January 2022 to January 2023. The study population includes patients who visit the ENT department at General Hospital, Rangamati and have used mobile phones for three years or more. Participants who were uninterested in the study, respondents with a history of ear disease, respondents with a history of loud noise exposure, or students who used headphones for entertainment reasons for more than 1 hour per day were also excluded. Results: The majority of participants (42.47%) had been exposed to mobile phone use for 4-5 years, whereas 26 (42.47%) had been exposed for 3 years and 16 (21.92%) for >5 years. Nearly three-fourths (31.51%) of the subjects had exposure to mobile phones for two to three hours each day, whereas 12 (16.44%) of the patients had more than three hours. For the right and left ears, respectively, pure tone averages of 13.695.64 dB and 14.375.49 dB were discovered. 5 dB loss was observed in 25.0%, 10 dB loss in 12.5%, and 15 dB loss in 12.5% of participants who used mobile phones for more than three hours each day. Conclusion: The OAE results of all respondents were normal. We also discovered that none of the participants in our study experienced significant hearing loss (greater than 25 dB). As the young population gets increasingly attached to this expensive multipurpose device, mobile phones may become a risk issue in the near future.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"289 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139249646","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}
Pub Date : 2023-11-20DOI: 10.36347/sasjm.2023.v09i11.016
O. Belakbir, A. K. Rhaouti, H. Kisra
Individuals with Intellectual Developmental Disorder (IDD) face elevated rates of anxiety, challenging previous assumptions of immunity to mental health issues. Prevalence rates of anxiety disorders in this population can be as high as 84%, surpassing typical populations. Specific syndromes, genetic factors, and challenges in diagnosis are highlighted, emphasizing the need for tailored assessment tools. The SCARED questionnaire is identified as a valid tool. Psychological treatments, especially Cognitive Behavioral Therapy (CBT), show promise, but evidence is limited. Pharmacological treatments, including SSRIs, are used, but studies are scarce. This overview contributes to a more comprehensive understanding of anxiety in individuals with IDD and underscores the importance of targeted interventions.
{"title":"Specificities of Anxiety in Children and Adolescents with Intellectual Developmental Disorder: Prevalence and Treatment","authors":"O. Belakbir, A. K. Rhaouti, H. Kisra","doi":"10.36347/sasjm.2023.v09i11.016","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.016","url":null,"abstract":"Individuals with Intellectual Developmental Disorder (IDD) face elevated rates of anxiety, challenging previous assumptions of immunity to mental health issues. Prevalence rates of anxiety disorders in this population can be as high as 84%, surpassing typical populations. Specific syndromes, genetic factors, and challenges in diagnosis are highlighted, emphasizing the need for tailored assessment tools. The SCARED questionnaire is identified as a valid tool. Psychological treatments, especially Cognitive Behavioral Therapy (CBT), show promise, but evidence is limited. Pharmacological treatments, including SSRIs, are used, but studies are scarce. This overview contributes to a more comprehensive understanding of anxiety in individuals with IDD and underscores the importance of targeted interventions.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"17 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139257492","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}
Pub Date : 2023-11-18DOI: 10.36347/sasjm.2023.v09i11.018
R. Essofi, Y. Bouktib, R. Roukhssi, A. Mouhsine
Von Hippel–Lindau (VHL) disease is a rare, genetically transmitted multisystemic disorder. It is characterized by benign and malignant tumors appearing in the central nervous system, and a variety of intra abdominal organs. It is generally revealed during adulthood; however, if the disease is suspected, the surveillance should start in a young age. Imaging has a major role in the diagnosis and surveillance of the various abnormalities that can be found in this disease. In this article we present some imaging aspects on the CT scans of a patient with von hippel-lindau disease.
{"title":"Imaging Features of von Hippel–Lindau Disease: A Case Report","authors":"R. Essofi, Y. Bouktib, R. Roukhssi, A. Mouhsine","doi":"10.36347/sasjm.2023.v09i11.018","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.018","url":null,"abstract":"Von Hippel–Lindau (VHL) disease is a rare, genetically transmitted multisystemic disorder. It is characterized by benign and malignant tumors appearing in the central nervous system, and a variety of intra abdominal organs. It is generally revealed during adulthood; however, if the disease is suspected, the surveillance should start in a young age. Imaging has a major role in the diagnosis and surveillance of the various abnormalities that can be found in this disease. In this article we present some imaging aspects on the CT scans of a patient with von hippel-lindau disease.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139261964","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}
Pub Date : 2023-11-17DOI: 10.36347/sasjm.2023.v09i11.015
Abdellah Taous, Taoufik Boubga, Tarik Boulahri, Soufiane Belabbes, Taoufik Africha, Omar Boulahroud, Maha Ait Berri
Fibrocartilaginous embolism (FCE) is one of the rare causes of acute spinal cord infarction. We report the case of a previously healthy 16-year-old adolescent with a presentation suggestive of this condition. A few hours after lifting heavy objects, he developed sudden paraplegia. On examination, he had flaccid areflexic paraplegia, and thermoalgic anesthesia below the level of the D4 dermatome. Magnetic resonance imaging (MRI) of the spine confirmed the diagnosis of spinal infarction, FCE was retained as a likely cause after eliminating other differential diagnoses. Although FCE is rare, it should be kept as one of the differential diagnoses of an acute neurological deficit of the spinal cord.
{"title":"Spinal Cord Infarction Owing to Likely Fibrocartilaginous Embolism","authors":"Abdellah Taous, Taoufik Boubga, Tarik Boulahri, Soufiane Belabbes, Taoufik Africha, Omar Boulahroud, Maha Ait Berri","doi":"10.36347/sasjm.2023.v09i11.015","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i11.015","url":null,"abstract":"Fibrocartilaginous embolism (FCE) is one of the rare causes of acute spinal cord infarction. We report the case of a previously healthy 16-year-old adolescent with a presentation suggestive of this condition. A few hours after lifting heavy objects, he developed sudden paraplegia. On examination, he had flaccid areflexic paraplegia, and thermoalgic anesthesia below the level of the D4 dermatome. Magnetic resonance imaging (MRI) of the spine confirmed the diagnosis of spinal infarction, FCE was retained as a likely cause after eliminating other differential diagnoses. Although FCE is rare, it should be kept as one of the differential diagnoses of an acute neurological deficit of the spinal cord.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139262918","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}
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