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Effectiveness of Warm Water Foot Submerged Technique on the Level of Fatigue, Quality of Sleep, and Quality of Life among Patients with Cancer in Selected Hospital at Mangaluru 温水浸足法对芒格鲁部分医院癌症患者疲劳程度、睡眠质量和生活质量的影响
IF 0.3 Pub Date : 2024-01-22 DOI: 10.1055/s-0044-1778721
Vijayalaxmi Vijayalaxmi, Anju Ullas
Introduction Cancer is the most leading cause of death globally. Fatigue and poor quality of sleep are the common side effects of cancer treatment that lead to poor quality of life. There is a need of complementary therapy, which can help to minimize the side effects of cancer treatment and boosting relaxation. Warm water foot submerged technique helps to relieve fatigue and improve the quality of sleep; hence, quality of life can be improved. This study was conducted to assess effectiveness of warm water foot submerged technique on the level of fatigue, quality of sleep, and quality of life among patients with cancer. Materials and Methods A quasi-experimental pretest and post-test control group research design was adopted to conduct the study in oncology ward of selected hospital. Sixty-eight participants were recruited using a nonprobability purposive sampling technique and allocated to intervention and control groups. Data was collected using multidimensional fatigue inventory, Groningen sleep quality scale, EORTC QLQ-C30. The control group received normal routine care and the intervention group received warm water foot submerged technique that was given for 15 minutes two times per day for 5 consecutive days. Results Warm water foot submerged technique showed a significant difference in level of fatigue (p < 0.05), quality of sleep (p < 0.001), and quality of life (p < 0.001) in the intervention group. There was no significant difference in control group. Conclusion This study showed that the warm water foot submerged technique is effective in reducing the fatigue and improving the quality of sleep and quality of life among patients with cancer. Thus, this study was found to be effective.
导言 癌症是全球最主要的死亡原因。疲劳和睡眠质量差是癌症治疗的常见副作用,导致生活质量低下。因此,有必要采用辅助疗法,以帮助减少癌症治疗的副作用,并促进放松。温水浸泡足部技术有助于缓解疲劳,改善睡眠质量,从而提高生活质量。本研究旨在评估温水浸脚法对癌症患者疲劳程度、睡眠质量和生活质量的影响。材料与方法 在选定医院的肿瘤科病房采用准实验性的前测和后测对照组研究设计进行研究。采用非概率目的性抽样技术招募了 68 名参与者,并将其分配到干预组和对照组。采用多维疲劳量表、格罗宁根睡眠质量量表和 EORTC QLQ-C30 收集数据。对照组接受常规护理,干预组接受温水浸泡足部技术,每天两次,每次 15 分钟,连续 5 天。结果 干预组在疲劳程度(P < 0.05)、睡眠质量(P < 0.001)和生活质量(P < 0.001)方面均有显著差异。对照组无明显差异。结论 本研究表明,温水浸泡足底技术能有效减轻癌症患者的疲劳,改善睡眠质量和生活质量。因此,这项研究是有效的。
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引用次数: 0
Correlation of Stature with Incisoapical Length of Anterior Teeth Using Cone-Beam Computed Tomography (CBCT) 利用锥形束计算机断层扫描 (CBCT) 将身材与前牙内侧长度相关联
IF 0.3 Pub Date : 2024-01-22 DOI: 10.1055/s-0044-1778722
Aditi Shinde, Mamatha GS Reddy, R. Gawali
Background Estimating stature is essential for the purpose of identifying human remains after death. It is common for the extremities or the head to be amputated from the trunk when the body has been severely disfigured. Odontometry's association with stature determination in forensic odontology required an estimate to be established. Objective The objective of this study was to investigate and correlate stature (height) of the individual with the incisoapical length of the tooth Material and Method The study was conducted on 106 participants, in which 53 were female and 53 male cases aged between 21 and 45 years. The study parameters included incisoapical length of maxillary and mandibular central incisor, lateral incisor and canine of both sides measured using cone-beam computed tomography, and height of an individual recorded using stadiometer. Pearson's correlation coefficient was calculated to study the correlation. Results It is observed that the cervicoapical measurement of teeth does not show statistically significant correlation with the stature of the individual with the exception for tooth 22 (r = − 31, p = 0.02), 41(r = − 0.28, p = 0.04), and 42 (r = − 0.30, p = 0.02) among females and tooth 31 (r = − 0.35, p = 0.009) among males. Conclusion A very small number of research on an individual's stature in relation to incisoapical length has been identified in the literature. The majority of an individual's anterior teeth's height was not significantly correlated with height.
背景估算身材对辨认死后遗骸至关重要。当尸体严重毁容时,从躯干截去四肢或头部是很常见的。在法医牙科学中,牙齿测量与身材测定的关系需要一个估计值来确定。本研究的目的是调查个人的身材(身高)与牙齿的根尖内侧长度之间的相关性。研究参数包括使用锥形束计算机断层扫描测量的上颌和下颌中切牙、侧切牙和两侧犬齿的切缘长度,以及使用测力计记录的个人身高。通过计算皮尔逊相关系数来研究两者之间的相关性。结果 观察发现,除了女性的 22 号牙(r = - 31,p = 0.02)、41 号牙(r = - 0.28,p = 0.04)和 42 号牙(r = - 0.30,p = 0.02)以及男性的 31 号牙(r = - 0.35,p = 0.009)外,牙齿的颈腭测量与个人的身高在统计学上没有明显的相关性。结论 文献中关于个人身材与切端长度关系的研究很少。大多数人的前牙高度与身高没有明显的相关性。
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引用次数: 0
Therapeutic Fasting and Vitamin D Levels: A New Dimension in Type 2 Diabetes Mellitus Prevention and Management—A Brief Report 治疗性禁食与维生素 D 水平:2 型糖尿病预防和管理的一个新维度--简要报告
IF 0.3 Pub Date : 2024-01-22 DOI: 10.1055/s-0044-1778717
P. Nair, Karishma Silwal, P. Kodali, G. Tewani
Introduction Studies link hypovitaminosis D to be significantly associated with poor glycemic control, heightened inflammation, and risk of complications. Studies recommend fasting or calorie restriction as a useful measure to achieve diabetic reversal. The present study explores if therapeutic fasting is associated with improvement in the vitamin D levels and other clinical outcomes related to type 2 diabetes mellitus (T2DM). Methods This observational study included 26 T2DM patients exposed to a 10-day medically supervised fasting (≈ 500–1000 Kcal/day) in a complementary medicine facility. Levels of vitamin D, B12, fasting blood sugar (FBS), blood pressure, anthropometric measures, World Health Organization Quality of Life, disease perception (Brief Illness Perception Questionnaire), and self-reported vitality were measured at the baseline and the 10th day. Results Significant improvement in the levels of vitamin D (p = 0.000), B12 (p = 0.03), and reduction in FBS levels (p = 0.001), blood pressure, body mass index, waist and hip circumference (p ≤ 0.05), and improvement in quality of life, vitality, and disease perception (p < 0.001) were observed by the end of 10th day. FBS shared a negative correlation with vitamin D levels (males r = –0.1, females r = –0.48). Conclusion The present findings provide insights into the probable mechanisms by which therapeutic fasting modulates the progression of T2DM. Nevertheless, large-scale randomized controlled trials are warranted to validate the present findings.
导言:研究表明,维生素 D 不足与血糖控制不佳、炎症加剧和并发症风险密切相关。研究建议禁食或限制热量是实现糖尿病逆转的有效措施。本研究探讨了治疗性禁食是否与维生素 D 水平的改善以及与 2 型糖尿病(T2DM)相关的其他临床结果有关。方法 这项观察性研究包括 26 名 T2DM 患者,他们在一家辅助医疗机构接受了为期 10 天的医学指导性禁食(≈ 500-1000 千卡/天)。在基线和第 10 天测量了维生素 D、B12、空腹血糖 (FBS)、血压、人体测量指标、世界卫生组织生活质量标准、疾病感知(简短疾病感知问卷)和自我报告的活力水平。结果 在第 10 天结束时,观察到维生素 D 水平(p = 0.000)、B12 水平(p = 0.03)显著改善,FBS 水平(p = 0.001)、血压、体重指数、腰围和臀围(p ≤ 0.05)降低,生活质量、活力和疾病感知改善(p < 0.001)。FBS 与维生素 D 水平呈负相关(男性 r = -0.1,女性 r = -0.48)。结论 本研究结果为了解治疗性禁食调节 T2DM 进展的可能机制提供了见解。然而,还需要进行大规模的随机对照试验来验证本研究结果。
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引用次数: 0
A Retrospective Analysis of Incidence and Risk Factors for the Development of Secondary Infections Following COVID-19 对 COVID-19 后继发感染的发生率和风险因素的回顾性分析
IF 0.3 Pub Date : 2024-01-16 DOI: 10.1055/s-0043-1778667
Rama Parthasarathy, Jayakumar Rajagopal, Sandeep Konaka Gautamdas, Tanushree Sarvepalli, Ramanaprasanth Govindaraj
Abstract Introduction  The SARS-CoV-2 virus primarily affects the lungs causing a heightened immune response due to viral and host cell interaction, which prompts the release of proinflammatory cytokines and reduces the defense mechanisms of the immune system, making the patient vulnerable to secondary infections. The study aims to identify the incidence and risk factors for secondary infections developing after COVID-19. Methods and Materials  A retrospective study was conducted on 669 patients who were readmitted after COVID-19 to a tertiary care hospital. The development of secondary infections in these populations was identified. The data were collected from the medical records department. Statistical Analysis  Incidence was calculated by the ratio of the total number of patients who developed secondary infections among readmitted patients divided by the total number of readmitted patients during the study period. Univariate analysis was performed to identify the statistically significant variables that were used in logistic regression for identifying the risk factors for secondary infection. Statistical analysis was performed in SPSS version 28.0. Results and Discussion  In this study, 85 patients were found to have developed secondary infections with an incidence of 12.7%. Among the reported six infections, mucormycosis showed the highest incidence (34.1%), followed by sepsis and urinary tract infection. Nine patients developed tuberculosis as a post-COVID-19 secondary infection. General risk factors for secondary infections include male gender, presence of comorbidities such as diabetes mellitus and chronic kidney disease (CKD), intensive care unit (ICU) admission, elevated levels of interleukin-6 (IL-6) and D-dimer, and administration of steroids particularly medium-dose steroids. Conclusion  Secondary infections can occur within 43 days of COVID-19 infection for every 12.7 per 100 patients in whom there is bacterial or fungal infections. Of these secondary infections, incidence of mucormycosis and sepsis was found to be higher in our study. COVID-19-infected patients who have either of these factors such as elevated inflammatory markers (Il-6 and D-dimer), the presence of comorbidities such as diabetes mellitus and CKD, ICU admission, and the use of steroids are at risk of developing secondary infections. Through proper screening, we can prevent patients who are at risk of developing secondary infections.
摘要 引言 SARS-CoV-2 病毒主要影响肺部,由于病毒与宿主细胞相互作用,引起免疫反应增强,促使促炎细胞因子释放,降低免疫系统的防御机制,使患者容易发生二次感染。本研究旨在确定 COVID-19 后继发感染的发生率和风险因素。方法和材料 对一家三级医院的 669 名 COVID-19 后再次入院的患者进行了回顾性研究。研究确定了这些患者发生二次感染的情况。数据来自病历部门。统计分析 以研究期间再次入院患者中发生二次感染的患者总数除以再次入院患者总数的比值计算发病率。进行单变量分析以确定具有统计学意义的变量,并将其用于逻辑回归以确定继发感染的风险因素。统计分析在 SPSS 28.0 版中进行。结果与讨论 在这项研究中,发现 85 名患者发生了二次感染,发生率为 12.7%。在报告的六种感染中,粘液瘤病的发病率最高(34.1%),其次是败血症和尿路感染。有九名患者在 COVID-19 后继发了肺结核。继发感染的一般风险因素包括:男性、合并症(如糖尿病和慢性肾病)、入住重症监护室(ICU)、白细胞介素-6(IL-6)和 D-二聚体水平升高、使用类固醇(尤其是中等剂量类固醇)。结论 COVID-19 感染后 43 天内,每 100 例患者中就有 12.7 例发生细菌或真菌感染,从而导致二次感染。在这些继发感染中,我们的研究发现粘孢子菌病和败血症的发病率较高。COVID-19 感染者如果存在上述任一因素,如炎症标志物(Il-6 和 D-二聚体)升高、糖尿病和慢性肾脏病等合并症、入住重症监护室和使用类固醇等,就有可能发生继发感染。通过适当的筛查,我们可以预防有继发感染风险的患者。
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引用次数: 0
Prevalence of Postnatal Depression in Fathers: A Systematic Review and Meta-Analysis 父亲产后抑郁症的患病率:系统回顾和元分析
IF 0.3 Pub Date : 2023-12-19 DOI: 10.1055/s-0043-1777701
H. N. Dhanpal, Rahul Shil, MScN N Dhanpal
Abstract Background and Aim  Postnatal depression (PND) can affect both genders, but the common misconception is that it only affects mothers. Increasing literature reports that 10% of the fathers experience PND after childbirth. This systematic review and meta-analysis aim to determine the pooled estimated prevalence of PND among fathers in the postnatal period and identify its risk factors. Materials and Methods  The electronic databases PubMed, ProQuest, BASE, DOAJ, ResearchGate, Semantic Scholar, and BioMed Central were searched for related open-access articles published between January 2010 and March 2021. Finally, 15 articles met inclusion criteria. A random-effects model was used to calculate pooled estimates and 95% confidence intervals. Results  The pooled prevalence of PND in fathers was 24.06%. Partner's depression, lack of social support, poor marital relationship, low income, and low education were all shown to raise the risk of PND in fathers. Conclusion  PND in fathers is a serious concern. Early identification and treatment decrease the detrimental impact on mother and child while further improving quality of life.
摘要 背景和目的 产后抑郁症(PND)可影响男女双方,但常见的误解是它只影响母亲。越来越多的文献报告称,10% 的父亲在产后会出现 PND。本系统综述和荟萃分析旨在确定产后父亲中 PND 的总体估计患病率,并确定其风险因素。材料与方法 在电子数据库 PubMed、ProQuest、BASE、DOAJ、ResearchGate、Semantic Scholar 和 BioMed Central 中检索 2010 年 1 月至 2021 年 3 月间发表的相关开放获取文章。最后,有 15 篇文章符合纳入标准。采用随机效应模型计算了汇总的估计值和 95% 的置信区间。结果 PND在父亲中的合计患病率为24.06%。研究表明,伴侣抑郁、缺乏社会支持、婚姻关系不和睦、低收入和低教育程度都会增加父亲患 PND 的风险。结论 父亲勃起功能障碍是一个严重问题。早期识别和治疗可减少对母亲和孩子的不利影响,同时进一步提高生活质量。
{"title":"Prevalence of Postnatal Depression in Fathers: A Systematic Review and Meta-Analysis","authors":"H. N. Dhanpal, Rahul Shil, MScN N Dhanpal","doi":"10.1055/s-0043-1777701","DOIUrl":"https://doi.org/10.1055/s-0043-1777701","url":null,"abstract":"Abstract Background and Aim  Postnatal depression (PND) can affect both genders, but the common misconception is that it only affects mothers. Increasing literature reports that 10% of the fathers experience PND after childbirth. This systematic review and meta-analysis aim to determine the pooled estimated prevalence of PND among fathers in the postnatal period and identify its risk factors. Materials and Methods  The electronic databases PubMed, ProQuest, BASE, DOAJ, ResearchGate, Semantic Scholar, and BioMed Central were searched for related open-access articles published between January 2010 and March 2021. Finally, 15 articles met inclusion criteria. A random-effects model was used to calculate pooled estimates and 95% confidence intervals. Results  The pooled prevalence of PND in fathers was 24.06%. Partner's depression, lack of social support, poor marital relationship, low income, and low education were all shown to raise the risk of PND in fathers. Conclusion  PND in fathers is a serious concern. Early identification and treatment decrease the detrimental impact on mother and child while further improving quality of life.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962614","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}
引用次数: 0
Cross-cultural Adaptation and Psychometric Evaluation of the Kurdish Version of the Disabilities of Arm, Shoulder, and Hand (DASH-KU) Scale 库尔德语版手臂、肩部和手部残疾量表(DASH-KU)的跨文化适应性和心理测量学评估
IF 0.3 Pub Date : 2023-12-08 DOI: 10.1055/s-0043-1777283
Rebwar A. Hasan, Omer A. Barawi, Jalal A. Hasan
Abstract Background  The disabilities of arm, shoulder, and hand (DASH) questionnaire addresses the patient's disabilities and symptoms to evaluate the extent and the impact of injuries in the patient's daily-life activities. This study aims to develop a valid and reliable adaptation of DASH into the Kurdish language and culture (DASH-KU). Methods  American Association of Orthopedic Surgeons Outcomes Committee guideline was used for the cross-cultural adaptation of DASH to the Kurdish version. This study was conducted at the Shahid Saifaddin consultation clinic in Sulaymaniyah, Iraq between April and October 2022. A total of 300 participants, who were included in the study using an available sampling method, completed the self-report DASH-KU questionnaire during two consecutive assessments with a 24-hour interval. Results  The DASH-KU questionnaire demonstrated excellent internal consistency (Cronbach's α = 0.99) and test–retest reliability (intraclass correlation = 0.99). A strong correlation between DASH-KU scores and the patient-rated wrist/hand evaluation tool ( r  = 0.792) supported its construct validity. Bland–Altman plots showed good agreement between assessments with no floor (3%) or ceiling (0%) effects. Factor analysis found the scale had high adequacy (0.700) and significant sphericity ( p  < 0.001). The major factor explained 40% of variance with an eigenvalue of 13.14. Additionally, a five-item model explained 81.23% of DASH-KU variance, though responsiveness was suboptimal, possibly due to the short 24-hour interval between measurements. Conclusion  Our results demonstrate that DASH-KU has excellent reliability and validity in identifying upper limb injuries, and the psychometric properties of DASH-KU were similar to its original version.
摘要背景臂肩手功能障碍(DASH)调查问卷通过调查患者的功能障碍和症状来评估损伤对患者日常生活活动的影响程度和影响。本研究旨在开发一种有效和可靠的DASH适应库尔德语言和文化(DASH- ku)。方法采用美国骨科医师协会预后委员会指南对库尔德语版本的DASH进行跨文化改编。这项研究于2022年4月至10月在伊拉克苏莱曼尼亚的Shahid Saifaddin咨询诊所进行。采用现有抽样方法纳入研究的300名参与者在连续两次评估中完成了自我报告DASH-KU问卷,间隔时间为24小时。结果DASH-KU问卷具有良好的内部一致性(Cronbach’s α = 0.99)和重测信度(类内相关= 0.99)。DASH-KU评分与患者评定的腕/手评估工具之间的强相关性(r = 0.792)支持其结构效度。Bland-Altman图显示,在没有下限(3%)或上限(0%)效应的情况下,评估之间的一致性很好。因子分析发现量表具有较高的充分性(0.700)和显著的球形性(p < 0.001)。主因子解释了40%的方差,特征值为13.14。此外,一个五项模型解释了81.23%的DASH-KU方差,尽管响应性不是最佳的,可能是由于测量之间的24小时间隔较短。结论DASH-KU在识别上肢损伤方面具有良好的信度和效度,其心理测量特性与原始版本相似。
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引用次数: 0
Effect of Arm Ability Training on Functional Mobility and Dexterity in Hemiparetic Subjects 手臂能力训练对偏瘫受试者功能移动性和灵活性的影响
IF 0.3 Pub Date : 2023-12-01 DOI: 10.1055/s-0043-1777132
Ansana Elizabath, Kalidasan Varathan
Abstract Objective  Hemiparesis occurs when a stroke causes paresis on the body, contralateral to the lesioned brain. In poststroke patients, upper limb impairments induce functional restrictions. Arm ability training is a unilateral treatment for mild arm paresis. We evaluated the effectiveness of arm ability training on functional mobility and dexterity in hemiparetic subjects Materials and Methods  Forty-two hemiparetic subjects were selected by convenient sampling technique. The subjects were given 40 minutes of arm ability training and 20 minutes of conventional physiotherapy daily, five sessions a week extending for 4 weeks. Functional mobility was assessed through wolf motor function test (WMFT) and dexterity by box and block test (BBT). Results  The pre- and post-test scores were evaluated by paired t -test using SPSS software after 4 weeks of training period subjects showed much improvement for the BBT (mean ± standard deviation [SD]: 20.31 ± 4.075 vs. 23.79 ± 4.291), functional ability of WMFT (mean ± SD: 45.38 ± 3.615 vs. 54.07 ± 3.790), time of WMFT (mean ± SD: 479.29 ± 117.79 vs. 434.4 ± 116.455), the strength of WMFT was (mean ± SD: 2.95 ± 0.731 vs. 3.9 ± 0.759), and grip strength of WMFT (mean ± SD: 2.9 ± 1.559 vs. 4.21 ± 1.539), all variables indicating statistical significance ( p  < 0.05). Conclusion  Arm ability training proved effective in improving functional mobility and dexterity in hemiparetic subjects.
【摘要】目的脑卒中引起的对侧身体麻痹可导致偏瘫。在中风后患者中,上肢损伤会引起功能限制。臂力训练是单侧治疗轻度臂力麻痹的一种方法。材料与方法采用方便抽样的方法,选择偏瘫患者42例,观察手臂能力训练对偏瘫患者功能灵活性和灵活性的影响。受试者每天进行40分钟的手臂能力训练和20分钟的常规物理治疗,每周5次,持续4周。采用狼式运动功能测验(WMFT)评估功能能动性,采用盒块测验(BBT)评估灵巧性。结果预处理和检测后由配对t分数评估以及使用SPSS软件经过4周的培训期间受试者显示多少改善,该剧(平均值±标准偏差(SD): 20.31±4.075和23.79±4.291),功能性的能力WMFT(意味着±SD: 45.38±3.615和54.07±3.790),时间WMFT(意味着±SD: 479.29±117.79和434.4±116.455),WMFT的强度(意味着±SD: 2.95±0.731和3.9±0.759),和握力WMFT(平均数±标准差:(2.9±1.559比4.21±1.539),差异均有统计学意义(p < 0.05)。结论臂力训练能有效改善偏瘫患者的功能活动能力和灵活性。
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引用次数: 0
Gardner's Syndrome—A Case Report and Brief Literature 加德纳综合征--病例报告和文献简介
IF 0.3 Pub Date : 2023-12-01 DOI: 10.1055/s-0043-1777282
Mukul Shetty, Shrivya Saloni Mahaveeran, Arathi K., Akhil Shetty
Abstract Gardner's syndrome has been recognized as a hereditary affliction that is autosomal in nature. This disorder is known to exhibit characteristics of familial adenomatous polyposis, of which it is also considered a variation. The features of this syndrome include the gradual development of osteomas and epidermoid cysts, including a characteristic feature that is the noted presence of intestinal polyps, which are generally multiple in number. Additionally, dental anomalies have been observed and recorded in a sizeable ratio of cases encompassing an increased frequency of multiple odontomas that are benign tumors linked to the development of a tooth and tooth agenesis/hypodontia that refers to developmental absence of one or more teeth. The other dental ascertainment includes abnormal morphology of the tooth/teeth as well as the presence of supernumerary teeth and impacted or unerupted teeth. This case report outlines the case of a 59-year-old male patient who had reported to the clinic, and was then diagnosed with Gardner's syndrome post a thorough examination. On radiographic examination, the manifestation of multiple osteomas in the frontal bone was revealed. The presence of a motley of diffused benign lesions of the bone in both the upper and lower jaw as well as the presence of an epidermoid cyst on the scalp was suggestive of an exemplar presentation of Gardner's syndrome.
加德纳氏综合征被认为是一种常染色体遗传病。这种疾病已知表现出家族性腺瘤性息肉病的特征,它也被认为是一种变异。该综合征的特征包括骨瘤和表皮样囊肿的逐渐发展,其中一个特征是肠息肉的存在,通常是多个。此外,在相当大比例的病例中,已经观察到并记录了牙齿异常,其中包括与牙齿发育有关的多发性牙瘤和牙齿发育不全/牙齿缺损(指一颗或多颗牙齿发育缺失)的频率增加。其他牙齿鉴定包括牙齿形态异常、是否有多余牙齿、是否有阻生或未长出牙齿。本病例报告概述了一名59岁男性患者的病例,他曾到诊所报告,然后在彻底检查后被诊断为加德纳综合征。在x线检查中,显示了额骨多发骨瘤的表现。上颚和下颚骨的弥漫性良性病变以及头皮表皮样囊肿的出现提示加德纳综合征的典型表现。
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引用次数: 0
Hepatocellular Carcinoma Presenting as Extension of Tumor Thrombus into the Right Atrium from the Portal Vein through Inferior Vena Cava Treated with Chemoembolization: A Rare Case Report 肝细胞癌表现为肿瘤血栓从门静脉经下腔静脉延伸至右心房,化疗栓塞治疗:罕见病例报告
IF 0.3 Pub Date : 2023-11-22 DOI: 10.1055/s-0043-1777020
Kashish Khurana, Saket Toshniwal, Nikhil Pantbalekundri, Sunil Kumar, S. Acharya
Abstract Patients with tumor thrombosis in the portal vein due to hepatocellular carcinoma (HCC) are uncommon, and the majority of these cases is thought to be in an advanced stage with a bad prognosis. The right atrium and the inferior vena cava may be impacted by the intravascular tumor thrombus, with the latter having a bad prognosis. Portal vein involvement is one of the most serious consequences of HCC. For both systemic and locoregional therapy, targeting many pathways in the HCC cascade using a mix of medications and additional modalities like transarterial chemoembolization, transarterial radioembolization, radiation, and hepatic arterial infusion chemotherapy appears to be helpful. Portal vein tumor thrombosis, which affects 35 to 50% of patients, is a strong predictor of poor prognosis due to the higher likelihood of tumor migration into the bloodstream and the subsequent increased risk of recurrence. This case report highlights about a 60-year-old female who presented with HCC with portal vein tumor thrombosis not willing for chemo- and radiotherapy successfully treated with transarterial chemoembolization as a palliative management.
摘要 因肝细胞癌(HCC)导致门静脉肿瘤血栓形成的患者并不多见,其中大多数被认为是预后不良的晚期患者。血管内肿瘤血栓可能会影响右心房和下腔静脉,后者的预后较差。门静脉受累是 HCC 最严重的后果之一。无论是全身治疗还是局部治疗,针对 HCC 级联反应的多种途径,混合使用药物和其他方式,如经动脉化疗栓塞、经动脉放射栓塞、放射治疗和肝动脉灌注化疗,似乎都有帮助。门静脉肿瘤血栓形成影响 35% 到 50% 的患者,是预后不良的有力预测因素,因为肿瘤更有可能迁移到血液中,从而增加复发风险。本病例报告重点介绍了一位60岁女性患者,她患有门静脉肿瘤血栓,不愿意接受化疗和放疗,作为一种姑息治疗方法,她成功地接受了经动脉化疗栓塞治疗。
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引用次数: 0
Quality of Life in Children with Skeletal Malocclusion after Myofunctional Therapy—A Questionnaire Study 肌功能治疗后骨骼错合畸形儿童的生活质量--问卷调查研究
IF 0.3 Pub Date : 2023-11-22 DOI: 10.1055/s-0043-1777326
Athul Ramesh, A. Hegde, Rajmohan Shetty, Shrema Shetty
Abstract Objectives  Growing children with jaw discrepancies, particularly in the anterior region, may require orthodontic management to improve aesthetics, oral health, and dental function. Growing children with skeletal malocclusions self-perception of his or her current oral health status and its impact on his or her quality of life are of prime importance that is often neglected. Hence, this study aims to compare emotional and social wellness in children with skeletal malocclusion before and after myofunctional therapy through a prevalidated child perception questionnaire (CPQ). Materials and Methods  Fifty young growing patients with skeletal or dental malocclusion between the age group of 8 and 13 years were included in this study. A preoperative close-ended CPQ 8 to 10 and CPQ 11 to 14 questionnaires were given to the selected children to assess their social and emotional status due to malocclusion. A postoperative close-ended CPQ 8 to 10 and CPQ 11 to 14 questionnaire were given to assess any psychosocial improvement in children after myofunctional therapy. Results  An overall improvement was shown in social and emotional well-being of the children using the CPQ, which clearly indicates that growing children with skeletal malocclusion needs to get themselves corrected at the earliest so that their quality of life improves and they become more confident in the society. Conclusions  Myofunctional therapy has a positive impact in quality of life of children with skeletal malocclusion by enhancing their social and emotional wellness
摘要 目的 成长中的颌骨不齐儿童,尤其是前牙区的颌骨不齐儿童,可能需要进行正畸治疗,以改善美观、口腔健康和牙齿功能。患有骨骼畸形的成长中儿童对其当前口腔健康状况的自我认知及其对生活质量的影响至关重要,但却常常被忽视。因此,本研究旨在通过普遍使用的儿童感知问卷(CPQ),比较骨骼错合畸形儿童在肌功能治疗前后的情绪和社交健康状况。材料与方法 本研究纳入了 50 名年龄介于 8 岁至 13 岁之间的骨骼或牙齿错合畸形年轻成长期患者。对所选儿童进行术前封闭式 CPQ 8-10 和 CPQ 11-14 问卷调查,以评估他们因错牙合畸形而导致的社交和情感状况。术后发放CPQ 8-10和CPQ 11-14封闭式问卷,以评估儿童在接受肌功能治疗后的社会心理改善情况。结果 通过使用 CPQ,儿童的社会和情感状况得到了全面改善,这清楚地表明,生长发育中的骨骼错合畸形儿童需要尽早进行矫正,以提高他们的生活质量,让他们在社会中变得更加自信。结论 肌功能疗法对骨骼错合畸形儿童的生活质量有积极影响,能提高他们的社交和情感健康水平。
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Journal of Health and Allied Sciences NU
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