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Diabetic ketoacidosis associated seizures: a case report 糖尿病酮症酸中毒相关癫痫1例报告
Pub Date : 2023-03-11 DOI: 10.37022/wjcmpr.v5i2.256
Sakeena Kaukab Khan, A. Ayesha, Nagma Shireen, Ayesha Fatima, Sana Begum
Diabetic ketoacidosis is the complicationof Diabetes mellitus, which can result due to extreme hyperglycemia and ketonaemia. This condition is prevalent among patients with untreated diabetes ordrug incompliance. Hyperglycemic hyperosmolar state can clinically be presented with episodes of seizures with high blood sugar levels and absence of ketones and has low incidence rate. A 55 year old male patient presented with episode of seizure, frothing, tongue bite, uprolling of eyes, shortness of breath, pedal edema and high blood sugar levels. Past medical history includes known hypertensive and diabetic since 10 years and is oninj regular insulin with non-adherence to medication. Lab investigations were performed and patient was diagnosed as hyperglycemic diabetic ketoacidosis secondary to drug incompliance. The patient was managed by insulin regimen- regular and basal insulin, antibiotics, antiepileptic drugs and by continuous monitoring of blood sugar levels every 3rd hourly. Diabetic ketoacidosis was recovered and later, there were no episodes of seizures. Creating awareness and proper patient education regarding the disease state, pharmacotherapy and drug compliance plays a vital role in managing the condition and as well as by preventing further complications that might be fatal in some cases.
糖尿病酮症酸中毒是糖尿病的并发症,可由极度高血糖和酮症引起。这种情况在未经治疗的糖尿病患者或药物依从性患者中普遍存在。高血糖性高渗状态在临床上可表现为癫痫发作伴高血糖、无酮,发病率较低。患者男,55岁,表现为癫痫发作、吐白沫、咬舌、眼珠突出、呼吸短促、足部水肿、高血糖。既往病史包括10年来已知的高血压和糖尿病,定期使用胰岛素,不遵医嘱。经实验室检查,患者被诊断为继发于药物不依从性的高血糖糖尿病酮症酸中毒。患者采用胰岛素治疗方案-常规和基础胰岛素,抗生素,抗癫痫药物,每3小时持续监测血糖水平。糖尿病酮症酸中毒痊愈,术后无癫痫发作。提高对疾病状况、药物治疗和药物依从性的认识并对患者进行适当的教育,在控制病情以及防止在某些情况下可能致命的进一步并发症方面发挥着至关重要的作用。
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引用次数: 0
Case report of drug induce erythroderma in diabetic patient 糖尿病患者药物致红皮病1例报告
Pub Date : 2023-03-03 DOI: 10.37022/wjcmpr.v5i2.255
Suberna Basnet, S. Sanjana, Santoshi Saladi, Vijaya Durga Yallasai, K. Amit
Erythroderma, a severe form of skin reddening, is often difficult to diagnose and is usually caused by underlying inflammatory skin conditions. In this case report, we present the management of a patient diagnosed with drug-induced erythroderma. The patient developed generalized redness and scaling 21 days after receiving an unknown injection for pain from a local pharmacy. A thorough history and clinical examination were conducted, and drug-induced erythroderma was suspected. The patient was treated with a combination of mid-potency corticosteroids, liquid paraffin, recombinant human epidermal growth factor, and oral antihistamines. The patient recovered after strict diabetic diet control and was discharged
红皮病是一种严重的皮肤变红,通常难以诊断,通常由潜在的炎症性皮肤状况引起。在这个病例报告中,我们提出了一个诊断为药物性红皮病的病人的管理。患者在当地药房接受未知止痛注射21天后出现全身发红和脱屑。经过详细的病史和临床检查,怀疑为药物性红皮病。患者采用中效皮质类固醇、液体石蜡、重组人表皮生长因子和口服抗组胺药联合治疗。患者在严格控制糖尿病饮食后痊愈出院
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引用次数: 0
EPIDEMIOLOGICAL AND CLINICAL ASPECTS OF RETINOBLASTOMA IN DEVELOPING COUNTRY 发展中国家视网膜母细胞瘤的流行病学和临床方面
Pub Date : 2023-02-27 DOI: 10.37022/wjcmpr.v5i1.250
Randrianarisoa Hoby Lalaina, Rivo Tahiry Rabetafika Rakotoarisoa, Andriambelo RH, R. S, Rakotomahefa Nml, Raobela L
Introduction: Retinoblastoma is the most common intraocular tumor in child. Treatment depend on stadification and classification of retinoblastoma. The aim of this study was to describe epidemiological and clinical aspects of retinoblastoma in Madagascar. Method: We report in this retrospective study 44 cases found during 5 years, from January 2015 to December 2019. We have collected information about epidemiological and clinical aspect, delay of diagnosis. Classification of retinoblastoma was done with Reese Ellsworth classification and International Classification of Intra-ocular Retinoblastoma (ICRB). Data was collected with excel software and analysis was done with R-studio 4.2.2 software. The quantitative variables were expressed as an average and the qualitative variables as a proportion and percentage. Result: We had collected 44 cases. The incidence was 8.8 cases per year. Sex ratio was 1.3. Mean age was 40 months. Exophthalmos was found in 35% (n=12) of cases. Leukocoria was found in 24% (n=11) children. The delay time before diagnosis was 13 months. In 97.7% of cases, the retinoblastoma was unilateral. Intraocular form was found in 23 patients (52.3%). Among intraocular form 13 patients (57%) presented with grade E, including one patient with meningeal extension 9 patients (39%) with grade D, 1 patient (4%) in grade B. Extra ocular form was found in 21 patients (47.7%) : 17 (77%) had orbital invasion (stage III), 4 (23%) were metastatic (stage IV). Conclusion: Diagnosis of retinoblastoma was made in advanced stage. Most of patients had extraocular form. Prognosis was worse in Madagascar. Making diagnosis early is necessary to prevent loss of life.
视网膜母细胞瘤是儿童最常见的眼内肿瘤。治疗取决于视网膜母细胞瘤的固化和分类。本研究的目的是描述马达加斯加视网膜母细胞瘤的流行病学和临床方面。方法:回顾性研究2015年1月至2019年12月5年间发现的44例病例。我们收集了流行病学和临床方面的信息,延误诊断。视网膜母细胞瘤的分类采用Reese Ellsworth分类法和国际眼内视网膜母细胞瘤分类法(ICRB)。数据采集采用excel软件,分析采用R-studio 4.2.2软件。定量变量用平均值表示,定性变量用比例和百分比表示。结果:共收集44例。发病率为每年8.8例。性别比为1.3。平均年龄为40个月。35% (n=12)的病例出现突出眼。24% (n=11)儿童出现白斑。诊断前延迟时间为13个月。97.7%的病例为单侧视网膜母细胞瘤。眼内形态23例(52.3%)。眼内形态为E级13例(57%),其中1例为脑膜延伸,D级9例(39%),b级1例(4%)。眼外形态21例(47.7%),眼眶侵犯17例(77%)(III期),转移4例(23%)(IV期)。结论:晚期诊断为视网膜母细胞瘤。多数患者为眼外型。马达加斯加的预后更差。早期诊断对于防止生命损失是必要的。
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引用次数: 0
A review on yunis-varon syndrome yunis-varon综合征研究进展
Pub Date : 2023-02-07 DOI: 10.37022/wjcmpr.v5i1.251
B. S. Ch, Harshavardhini R, S. V, R. K., Venkata Shiva A, Sowjanya Kadari
Yunis Varon Syndrome was first discovered by Emilio Yunis and Humberto Varon in the year 1980. It affects both genders in equal number. Most of the infants are with Cleidocranial dysplasia, ectodermal anomalities, distal aphalangia. By the characteristic features which including deformity of the pelvis, dislocation of hips , bone fracture, urinary tract abnormalities, central nervous system abnormalities by this they have reported the condition as Yunis Varon Syndrome. This is an autosomal recessive inherited multisystem disorder due to FIG4 gene mutations, consanguineous marriages, Lysosomal defects, which may leads to improper in the functioning of organs in the infants. Metabolic disorders in which abnormal growth due to some toxic substances in the body. Affected people with this syndrome may experience breathing problems, abnormalities in the skeletal system, congenital heart defects. Genetic testing for mutation can be detected through diagnosis. In some conditions they may also be detected before birth of the baby that is prenatally by ultrasonography.Many of the infants did not survive beyond on year. Genetic counselling will be of benefit for affected individuals and their families.
尤尼斯·瓦隆综合征是由埃米利奥·尤尼斯和温贝托·瓦隆于1980年首次发现的。男女患此病的人数相同。多数患儿伴有锁骨颅骨发育不良、外胚层异常、远端无语症。通过包括骨盆畸形,髋关节脱位,骨折,泌尿系统异常,中枢神经系统异常在内的特征,他们将这种情况称为尤尼斯瓦隆综合征。这是一种常染色体隐性遗传的多系统疾病,由于FIG4基因突变,近亲通婚,溶酶体缺陷,可能导致婴儿器官功能不正常。代谢紊乱是指由于体内某些有毒物质的异常生长。患有这种综合症的人可能会出现呼吸困难、骨骼系统异常、先天性心脏缺陷。基因突变检测可以通过诊断检测到。在某些情况下,它们也可以在婴儿出生前通过超声检查检测到。许多婴儿活不过一年。遗传咨询将有利于受影响的个人及其家庭。
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引用次数: 0
A case report on ischemic Mitral regurgitation 缺血性二尖瓣反流1例报告
Pub Date : 2023-02-06 DOI: 10.37022/wjcmpr.v5i1.245
Kranthi Priya P, Ramya M, Sushma Sri V, Mounica M, K. Amit
 Ischemic Mitral regurgitation is a leakage of blood backward through the mitral valve each time the left ventricle contraction. Patients are often ill with significant hemodynamic instability (Acute) needs urgent medical treatment. During normal cycle mitral valve (bicuspid valve) opens and closes normally. But in mitral regurgitation mitral valve does not opens and closes properly. The blood  from right atrium moves to right ventricle then mitral valve does not closes properly leads to blood ejected back to right atrium which results in pulmonary edema and increases pulmonary hypertension. Ischemic Mitral regurgitation leads to complication of acute myocardial infraction and coronary artery disease
缺血性二尖瓣反流是每次左心室收缩时血液通过二尖瓣向后渗漏。患者通常患有严重的血流动力学不稳定(急性),需要紧急治疗。在正常周期中,二尖瓣(二尖瓣)开启和关闭正常。但在二尖瓣返流时,二尖瓣不能正常打开和关闭。右心房的血液流入右心室,二尖瓣关闭不正常导致血液回射到右心房,造成肺水肿,肺动脉高压增高。缺血性二尖瓣反流可导致急性心肌梗死和冠状动脉疾病的并发症
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引用次数: 0
A CASE REPORT ON CERVICAL ECTOPIC PREGNANCY 宫颈异位妊娠1例报告
Pub Date : 2023-01-31 DOI: 10.37022/wjcmpr.v5i1.249
Ramya Malireddi, Mounica Matcha, Sushmasri Vedurupaka, Abhishek Murre, Amit Kumar, Y.Annapoorna
Ectopic Pregnancy also termed as extrauterine pregnancy in which the fertilised egg implantation occurs outside the uterus. Cervical ectopic pregnancy is one of the rarest form with an incidence of less than 0.1%.Cervical  ectopic pregnancy is life threatening due to the high risk of bleeding if it is not treated correctly. It can be diagnosed through symptoms, ultra sound imaging and serum Hcg levels. Symptoms include bleeding and pelvic pain. Methotrexate is the drug of choice, but still there is no consensus on the most appropriate treatment for this abnormal pregnancy. In this case we discussed about a 30years old pregnant woman presented with chief complaints of bleeding, white discharge, burning micturition and a known case of diabetes and hypertension.
异位妊娠也被称为子宫外妊娠,受精卵着床发生在子宫外。宫颈异位妊娠是最罕见的形式之一,发生率不到0.1%。宫颈异位妊娠是危及生命的,因为如果治疗不当,出血的风险很高。它可以通过症状、超声成像和血清Hcg水平来诊断。症状包括出血和盆腔疼痛。甲氨蝶呤是首选药物,但对于这种异常妊娠的最合适治疗方法仍未达成共识。在这个病例中,我们讨论了一位30岁的孕妇,她的主诉是出血,白色分泌物,排尿灼烧,并有糖尿病和高血压。
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引用次数: 0
The impacts of milk butter from iraqi-bred cows fed on a diet mixed with fenugreek seed on the lipid profile of wistar rats in al-diwaniyah city, iraq 在伊拉克al-diwaniyah市,用混合葫芦巴籽的饲料喂养伊拉克奶牛的乳脂对wistar大鼠脂质分布的影响
Pub Date : 2023-01-13 DOI: 10.37022/wjcmpr.v5i1.248
Esraa Taher Muslim
The current study was carried out to study the impacts of milk butter from Iraqi-bred cows fed on a diet mixed with fenugreek seed on the lipid profile of Wistar ratsin Al-Diwaniyah City, Iraq. The experiment contained the recruitment of 10 lactating locally-bred cows (LLBCs) fed with 12.5gm/animal/day for 24months of soaked fenugreek seeds (SFSs), SFS group. As a cow control (CC) group, 10 LLBCs were used with no treatment. After the end of this experiment, the milk was utilized to produce butter. Then, the SFS-originated butter (SFSB) was orally-administered to 10 rats at 0.08mg/kg daily for 30 days, SFSB group. For the rat control (RC) group, 10 rats were orally-administered with CC-originated butter (CCB) at 0.08mg/kg daily for 30 days, CCB group. After the end of the rat experiment, the body weight and serum profile of lipids of rats for both SFSB and CCB groups were measured. The result showed that the oral supply of the butter from SFS cows induced potentially (p˂0.05) increased in the HDL levels in the SFSB rats. In addition, the LDL and VLDL from the same rats revealed no significant (p˃0.05) changes after using the butter originated from the cows treated with SFS. Significant (p˂0.05) elevations were recorded in the levels of TC, TG, and weights in the rats treated with the butter produced from the SFS cow milk. The study concludes that feeding cows with fenugreek seeds has successful impacts in increasing the levels of HDL “good lipid” and decreasing the levels of LDL and VLDL “bad lipids” in the rats treated orally with butter produced from these cows.
本研究旨在研究饲喂混合胡芦巴籽的伊拉克奶牛的乳脂对伊拉克Al-Diwaniyah市Wistar大鼠脂质分布的影响。试验招募10头哺乳期本地奶牛(llbc),每头奶牛每天饲喂12.5gm葫芦巴籽(SFS), SFS组24个月。作为母牛对照(CC)组,10只llbc不做任何处理。实验结束后,这些牛奶被用来生产黄油。然后,SFSB组以0.08mg/kg / d的剂量口服10只大鼠,连续30 d。大鼠对照(RC)组,10只大鼠按0.08mg/kg每日口服cc源黄油(CCB),连续30 d。实验结束后,测定SFSB组和CCB组大鼠的体重和血清脂质谱。结果表明,口服牛油可诱导SFSB大鼠体内高密度脂蛋白水平升高(p小于0.05)。此外,同一大鼠的LDL和VLDL在使用SFS处理奶牛的黄油后没有显著变化(p > 0.05)。用SFS牛奶生产的黄油喂养的大鼠的TC、TG和体重水平显著升高(p小于0.05)。该研究得出结论,用胡芦巴籽喂养奶牛,在口服胡芦巴牛油的大鼠中,成功地提高了高密度脂蛋白(“好脂质”)的水平,降低了低密度脂蛋白和低密度脂蛋白(“坏脂质”)的水平。
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引用次数: 0
Review article on endocrine diseases during pregnancy 妊娠期内分泌疾病综述
Pub Date : 2022-12-23 DOI: 10.37022/wjcmpr.v4i6.246
R. R. C. Vaddadi, Tushara Bammidi, Simhavalli. Godavarthi, Swathi Priya Vana, Jagadish Chandra Prasad Teddu
Pregnancy is the period where a woman undergoes several physical and hormonal changes in accordance to the growth of the fetus. Wide alteration in the levels of hormones from the normal values affect the state of gestation and the growth of the baby. Especially the most commonly encountered disorders like pregnancy induced thyroid disorder effects the neuro development of the baby whereas gestational diabetes makes mode of delivery complex. Hormonal imbalance can be investigated by haematological findings like thyroid stimulating hormone (TSH), T3 and T4 tests to identify thyroid disorders whereas HbA1C, Random blood sugar(RBS), fasting random blood sugar(FRBS) , post prandial blood sugar (PPBS) and oral glucose tolerance test (OGTT) to screen gestational diabetes. Apart form these there are some uncommon hormonal pregnancy disorders like cushing syndrome, conns syndrome, congenital adrenal hyperplasia, adrenal insufficiency. These complexes can be rectified up to certain extent by diagnosing them before hand thereby implementing life style changes, dietary changes and taking medications. Therefore, prior screening of the diseases is important in supress further complications in pregnancy and to have healthy progeny.
怀孕期间,妇女的身体和荷尔蒙会随着胎儿的生长而发生变化。激素水平从正常值的广泛改变影响妊娠状态和婴儿的生长。特别是最常见的妊娠性甲状腺疾病影响了婴儿的神经发育,而妊娠糖尿病使分娩方式复杂化。激素失衡可通过血液学检查进行调查,如促甲状腺激素(TSH)、T3和T4测试,以确定甲状腺疾病,而HbA1C、随机血糖(RBS)、空腹随机血糖(FRBS)、餐后血糖(PPBS)和口服葡萄糖耐量试验(OGTT)可筛查妊娠糖尿病。除此之外,还有一些罕见的激素妊娠障碍,如库欣综合征,康斯综合征,先天性肾上腺增生,肾上腺功能不全。通过提前诊断,从而改变生活方式,改变饮食习惯和服用药物,可以在一定程度上纠正这些并发症。因此,事先筛查这些疾病对于抑制妊娠期进一步的并发症和拥有健康的后代是重要的。
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引用次数: 0
Cassia alata: phytopharmacological, traditional, and medicinal considerations 决明子:植物药理学、传统和医学方面的考虑
Pub Date : 2022-12-05 DOI: 10.37022/wjcmpr.v4i6.244
Bharathi D R, Rupesh kumar Mani, Ajay B V, P. C, J. Shankar, K. M, M. C
The traditional medicine, Cassia alata, also known as Ketepeng Cina in Indonesia and Gelenggang in Malaysia, has been used to cure a variety of illnesses particularly skin conditions. Additionally, it has been suggested that C. alata may have antifungal, anticancer, anti-inflammatory, and antioxidant properties. Alatinon, alanonal, flavones, flavonols, and flavonoid glycosides, as well as -sitosterol-D-glucoside, are among the isolated metabolite substances from C. alata. Mostly from the leaves, chemicals have been isolated. The secondary metabolites from other plant components such as the seed, flower, and bark, which are also said to have strong antibacterial and antifungal activity, need to be further identified. Due to its biological activity and secondary metabolites, this plant has been demonstrated to have pharmacological activities against selected diseases.
传统药物决明子(Cassia alata),在印度尼西亚也被称为克特蓬(kettepeng),在马来西亚被称为格伦冈(Gelenggang),已被用于治疗各种疾病,尤其是皮肤病。此外,有研究表明,木兰花可能具有抗真菌、抗癌、抗炎和抗氧化的特性。丙烯酸、丙烯酸、黄酮、黄酮醇、类黄酮苷以及-谷甾醇- d -葡萄糖苷是从芦笋中分离得到的代谢物。化学物质主要是从叶子中分离出来的。来自种子、花和树皮等其他植物成分的次生代谢物也被认为具有很强的抗菌和抗真菌活性,需要进一步鉴定。由于其生物活性和次生代谢产物,该植物已被证明对某些疾病具有药理活性。
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引用次数: 0
Grade III bilateral trigger thumbs treated by prolotherapy: a case report 前驱疗法治疗III级双侧触发拇指1例
Pub Date : 2022-11-29 DOI: 10.37022/wjcmpr.v4i6.243
A. N. Rahman, Herry Herman, Ketut Gede, Arta Bujangga, Jordan Sugiarto
Introduction: Trigger Thumb is a condition that is caused by a thickened A-1 pulley, often secondary to a stenosed tendon sheath. There are several treatment options for trigger thumb, yet the use of prolotherapy to treat Trigger Thumb has not been widely discussed in the literature. Therefore, this study aims to present the case of Bilateral Trigger Thumbs which were treated using Prolotherapy. Case: A 49-year-old female patient was admitted to the hospital with a complaint of inability to flex his both left & right thumbs two months ago. On physical examination, there was pain and swelling at the base, palmar side of his both thumbs, tender in consistency, and warm. There was a pain in daily activities using his both hands. There wasn’t a history of trauma. The range of motion of both thumbs was decreased. The prolotherapy was given to the right thumb, yet the left thumb was treated by lidocaine injection only. After several treatments using prolotherapy, the right thumb showed better results compared to the left by increasing ROM, decreasing pain level and swelling, and the improving function of the right thumb. Conclusion: In this case, the right thumb, which was treated with prolotherapy, has shown better results compared to the left thumb which was treated with medication only. We suggest prolotherapy to treat trigger fingers for the other patients in our hospital.
简介:触发拇指是由a -1滑轮增厚引起的一种疾病,通常继发于肌腱鞘狭窄。有几种治疗选择触发拇指,但使用前驱疗法治疗触发拇指尚未在文献中广泛讨论。因此,本研究旨在介绍双侧触发拇指使用Prolotherapy治疗的病例。病例:一名49岁女性患者两个月前因左右拇指不能弯曲而入院。查体时,双拇指掌侧基部疼痛肿胀,质地柔软,温热。他的双手在日常活动中都感到疼痛。没有外伤史。双拇指活动范围减小。前驱治疗在右拇指,而左拇指只注射利多卡因。经过多次前驱治疗,右拇指的ROM增加,疼痛程度和肿胀减轻,右拇指功能改善,效果优于左拇指。结论:本病例中,采用前驱疗法治疗的右拇指比仅用药物治疗的左拇指效果更好。本院其他患者建议采用前驱疗法治疗扳机指。
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引用次数: 0
期刊
World Journal of Current Medical and Pharmaceutical Research
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