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Case Report on Rauwolfia Induced Parkinsonismma 劳沃尔菲亚诱发帕金森病1例报告
Pub Date : 2022-11-26 DOI: 10.31579/2690-8808/137
V. V, Khadeeja Nzamudeen, B. Babu
Rauwolfia serpentina is a safe and effective treatment for hypertension. The objective of this case report is to enhance awareness for medical practitioners concerning Rauwolfia induced Parkinsonism, because recognition and appropriate management can enable proper treatment and prevent serious adverse outcomes. We report a patient, who is a known case of Systemic hypertension10 years ago and was taking 5 drops of Rauwolfia syrup, this caused the patient to suffer with rigidity and after discontinuation of Rauwolfia syrup, and full recovery was observed. The appraisal of the ADR reported, in this case, was done by applying the Naranjo probability scale of adverse drug reaction (ADR). For this patient, the Naranjo probability score of 6 was reported.
蛇纹草是一种安全有效的高血压治疗药物。本病例报告的目的是提高医生对劳沃尔菲亚诱发的帕金森病的认识,因为认识和适当的管理可以使适当的治疗和防止严重的不良后果。我们报告了一例10年前已知的全身性高血压患者,服用了5滴罗沃菲亚糖浆,导致患者出现僵硬,停用罗沃菲亚糖浆后,患者完全恢复。本例报告的ADR采用Naranjo药物不良反应概率量表(ADR)进行评价。该患者的Naranjo概率评分为6分。
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引用次数: 0
Safety and Efficacy of Retinsphere® Technology and Biopep-15 in the Treatment of Acne in Asian Population 视网膜球®技术和Biopep-15治疗亚洲人群痤疮的安全性和有效性
Pub Date : 2022-11-26 DOI: 10.31579/2690-8808/136
Ma Teresita G Gabriel, Kristen Therese A. Whaley
Many cosmeceuticals have emerged through the years in the management of Acne. Its availability to consumers has led patients to try various over-the-counter acne products before they are seen by dermatologists. Although topical retinoids are still the first line in the management of mild to moderate acne, many acne sufferers would not tolerate its local side effects such as irritation, erythema, dryness, and desquamation.
许多药妆品已经出现,通过多年的管理痤疮。消费者可以买到它,这导致患者在皮肤科医生看到它们之前尝试了各种非处方痤疮产品。尽管局部类维生素a仍是治疗轻度至中度痤疮的一线方法,但许多痤疮患者无法忍受其局部副作用,如刺激、红斑、干燥和脱屑。
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引用次数: 0
Corruption in Olympic Sports: Prevalence Estimations of Match Fixing Among German Squad Athletes 奥林匹克运动中的腐败:德国代表队运动员操纵比赛的普遍性估计
Pub Date : 2022-11-26 DOI: 10.31579/2690-8808/143
Zenikael Getu
The purpose of this paper is to critically analyze the article named Corruption in Olympic Sports: Prevalence Estimations of Match Fixing among German Squad Athletes. A step-by-step careful examination will be used to identify the strengths and weaknesses of this study by relating it to standard research reports. The importance of understanding, critically analyzing, and applying research becomes vital when so much rests on professional ability and accountability.
本文的目的是批判性地分析题为《奥林匹克运动中的腐败:德国代表队运动员操纵比赛的普遍性估计》的文章。一步一步的仔细检查将通过将其与标准研究报告联系起来,以确定本研究的优势和劣势。理解、批判性分析和应用研究的重要性变得至关重要,因为如此多的依赖于专业能力和责任。
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引用次数: 0
Idiopathic thrombocytopenic purpura in tuberculosis (Case Report) 肺结核并发特发性血小板减少性紫癜(1例报告)
Pub Date : 2022-10-04 DOI: 10.31579/2690-8808/121
Marsela Shani, Drita Jaka GP
Tuberculosis (TB) is a contagious disease in both developing and developed countries. The incidence is increasing due to bacilli resistant to many drugs and the human immunodeficiency virus (HIV). Since 2012, India has the highest incidence of the disease at around 2.2 million cases, accounting for 26% of the global incidence according to World Health Organization statistics. A wide range of hematological manifestations is observed in TB, where thrombocytopenia is common in miliary TB and thrombocytosis in pulmonary TB. Immune thrombocytopenic purpura (ITP) is characterized by a low platelet count accompanied by the presence of autoantibodies. The association of immune thrombocytopenic purpura and tuberculosis is a rare condition. In the case presented, anti-tuberculosis therapy was effective for both tuberculosis and thrombocytopenia, suggesting a causal link between tuberculosis and immune thrombocytopenic purpura. Purpose: Reporting a case of association of PTI and TBC Method: Clinical case study and correlation with literature Discussion: The pathophysiology of thrombocytopenia in tuberculosis remains unanswered. This is a rare condition, estimated to occur in less than 1% of tuberculosis cases. Mycobacterium tuberculosis can break down the antigen with platelets leading to the formation of antiplatelet antibodies. HLA-specific presentation of tuberculosis may also lead to an antiplatelet immune response in some patients.
结核病在发展中国家和发达国家都是一种传染性疾病。由于杆菌对许多药物和人类免疫缺陷病毒(HIV)具有耐药性,发病率正在增加。根据世界卫生组织的统计数据,自2012年以来,印度的发病率最高,约为220万例,占全球发病率的26%。在结核病中观察到广泛的血液学表现,其中血小板减少常见于军旅性结核病,血小板增多常见于肺结核。免疫性血小板减少性紫癜(ITP)的特点是血小板计数低并伴有自身抗体的存在。免疫性血小板减少性紫癜与结核的关联是一种罕见的情况。在这个病例中,抗结核治疗对肺结核和血小板减少症都有效,这表明肺结核和免疫性血小板减少性紫癜之间存在因果关系。目的:报告1例PTI与TBC相关病例方法:临床病例研究及文献相关性讨论:肺结核患者血小板减少的病理生理机制尚不明确。这是一种罕见的情况,估计发生在不到1%的结核病病例中。结核分枝杆菌可以用血小板分解抗原,从而形成抗血小板抗体。在一些患者中,hla特异性结核也可能导致抗血小板免疫反应。
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引用次数: 0
3D nanoscope analyses on the retinas of mouse (Mus musculus) 小鼠视网膜的三维纳米显微镜分析
Pub Date : 2022-10-04 DOI: 10.31579/2690-8808/144
I. Orujalipoor, A. Yoldaş, S. İde, C. Chiao, Yen-Chih Huang, U. Jeng
The retina segments obtained from Mice-664 C57BL/6J eyeballs were investigated at 23A1 IASW- Beamline, NSRRC. Transmission small and wide-angle scattering (SAXS and WAXS) measurements and the related data were used to reach nanoscale natural morphology and internal structural information of ROS. Rhodopsin macromolecules in their natural medium (inside of the rods and retina) were successfully detected. The X-ray scattering effects of rhodopsin macromolecules in mice eyeball and surgically separated retina samples were carried out to reach the most natural situation of the molecules in the same animal species and to determine detection limits of rhodopsin macromolecules. The quantitative results about the structures of ROS membranes, rhodopsins and α-helices trans membranes were also carried out in nanoscopic scale.
小鼠-664 C57BL/6J眼球的视网膜片段在NSRRC 23A1 IASW- Beamline上进行了研究。利用透射小广角散射(SAXS和WAXS)测量及相关数据,获得纳米尺度下活性氧的自然形态和内部结构信息。在其自然介质(视杆细胞和视网膜内)中成功检测到视紫红质大分子。研究视紫红质大分子在小鼠眼球和手术分离视网膜样品中的x射线散射效应,以达到分子在同一动物物种中的最自然状态,确定视紫红质大分子的检出限。在纳米尺度上对活性氧膜、视紫红质和α-螺旋反式膜的结构进行了定量分析。
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引用次数: 0
Multiple brain abscesses in a newborn with Down syndrome: heart disease or meningeal infection? 唐氏综合征新生儿多发脑脓肿:心脏病还是脑膜感染?
Pub Date : 2022-10-04 DOI: 10.31579/2690-8808/122
F. Bennaoui, K. Saadi, N. Slitine, F. Maoulainaine
Introduction: Cerebral abscess is a rare pathology in the newborn, most often secondary to meningeal involvement, but congenital heart disease is to be feared. Objectives: To review a case of multiple cerebral abscesses in the newborn with a doubtful diagnosis through a clinical case. Observation: Newborn at D6 of life, from a fullterm pregnancy, with a negative infectious anamnesis, admitted for fever at 38. The first one appeared at D4 of life, in whom the clinical examination found an icteric newborn, with a trisomic face, tachycardia at 180bpm, axial hypotonia, FANT and RS+, systolic cardiac murmur and light sub-costal draught. In front of this picture, a lumbar puncture was carried out objectifying a lymphocytic meningitis, At J8 of life, the newborn presented a convulsion, An ETF was carried out objectifying a hypoechogenic image with hyperchogenic border in cocarde evoking an abces confirmed by CT. The echocardium performed as part of the etiological workup, objective a single ventricle, CIA ostium primum large, IVC admission, single atrio ventricular valve, complete atrio ventricular canal, persistence of the ductus arteriosus and Coarctation of the aorta. The newborn was put on parenteral antibiotic therapy based on C3G meningeal dose + vancomycin + metronidazole by intravenous route then oral relay, with a scannographic control and neurological clinical evaluation. In front of this case, the question that arises: are his abscesses secondary to meningitis or to congenital heart disease? Conclusion: Brain abscess is a rare pathology, with heavy after-effects, and the prognosis of patients has improved thanks to the progress of imaging techniques, the use of ATB treatments, and minimally invasive neurosurgery. It is to be feared in front of congenital cardiopathies with right-left shunt.
简介:新生儿脑脓肿是一种罕见的病理,最常继发于脑膜受累,但先天性心脏病是令人担忧的。目的:通过临床病例回顾一例新生儿多发脑脓肿的诊断疑点。观察:6岁新生儿,足月妊娠,感染性记忆阴性,38岁因发热入院。第一次出现在4岁时,临床检查发现新生儿黄疸,面部三体,心动过速180bpm,轴向低张力,FANT和RS+,收缩期心脏杂音,轻度肋下风。在这张图片前,行腰椎穿刺证实为淋巴细胞性脑膜炎,在J8岁时,新生儿出现惊厥,行ETF证实为低回声图像,腹部高回声边界引起CT证实的abces。超声心动图作为病因检查的一部分,目的是单个心室,CIA大开口,下腔静脉入路,单个房室瓣膜,完整的房室管,动脉导管的存在和主动脉缩窄。新生儿采用C3G脑膜剂量+万古霉素+甲硝唑经静脉途径再经口服途径给予静脉外抗生素治疗,并进行扫描控制和神经学临床评价。在这个病例面前,问题出现了:他的脓肿是继发于脑膜炎还是先天性心脏病?结论:脑脓肿是一种罕见的病理,后遗症重,随着影像学技术的进步、ATB治疗的应用和微创神经外科手术的发展,患者的预后得到了改善。在先天性心脏病伴左右分流的情况下,应慎用。
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引用次数: 0
Near fatal complication during laparoscopic donor nephrectomy early diagnosis and management 腹腔镜供肾切除术中近致命并发症的早期诊断与处理
Pub Date : 2022-10-04 DOI: 10.31579/2690-8808/130
Sukhvir Singh
Laparoscopic donor nephrectomy is widely used surgical procedure in retrieving kidney in transplantation. Living donor is usually healthy with unremarkable medical history and preoperative examination. Usually, these patients do not present as a high risk for anaesthesiologist but surgical complications can occur which can be fatal. We present a case of severe haemorrhage a result of slippage of clip from renal artery stump which was almost a fatal complication. In this case report we focus on vigilant monitoring and early intervention that saves life of a patient.
腹腔镜供肾切除术是广泛应用于移植肾取出的手术方法。活体供体通常健康,病史和术前检查一般。通常,这些患者对麻醉师来说风险并不高,但可能发生致命的手术并发症。我们报告一例严重出血的结果从肾动脉残端夹滑脱,这几乎是一个致命的并发症。在本病例报告中,我们重点关注警惕监测和早期干预,以挽救患者的生命。
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引用次数: 0
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Journal of Clinical Case Reports & Studies
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