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The Danger of Diagnostic Overshadowing in Primary Care: A Case Report of Delayed Diagnosis of Inflammatory Bowel Disease 初级医疗中诊断被忽视的危险:延误诊断炎症性肠病的病例报告
Pub Date : 2024-07-26 DOI: 10.29011/2574-7754.101904
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引用次数: 0
Retrospective Review of Patients Presenting for Daytime, Evening, Weekday, and Weekend Breast Cancer Screening and Diagnostic Imaging Appointments 对白天、晚上、工作日和周末乳腺癌筛查和诊断成像预约患者的回顾性审查
Pub Date : 2024-07-24 DOI: 10.29011/2574-7754.101900
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引用次数: 0
Outcome of Patients with Delayed Brain Metastases Following Initial Ipilimumab plus Nivolumab Treatment of Disseminated Melanoma 伊匹单抗联合尼妥珠单抗治疗播散性黑色素瘤的初始疗程后出现迟发性脑转移患者的疗效
Pub Date : 2024-07-15 DOI: 10.29011/2574-7754.101891
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引用次数: 0
Intubation of a Patient in Prone Position with the Videolaryngoscope in a Street Trauma 在街头创伤中使用视频喉镜为俯卧位患者插管
Pub Date : 2024-07-15 DOI: 10.29011/2574-7754.101893
Daniele Speciale, Alberto Pagnamenta, Filippo Tami, Paolo Maino, Sabrina Bettoni
Major road trauma in the prone position, when the victim cannot be released or retrieved due to intense pain, is a rare event. We present a case of a young patient who was incarcerated with his right lower limb in the prone position in a bulldozer. The impossibility of being able to extract him in a short time and the very intense pain, not responsive to high doses of analgesics, led us to perform an induction and intubation in the prone position with video laryngoscope. The success of the maneuver allowed us to release the patient in a short time with excellent outcome in terms of recovery of the lower limb
由于剧烈疼痛而无法将受害者释放或救出的俯卧位重大道路创伤十分罕见。我们介绍了一例年轻患者的病例,他的右下肢以俯卧姿势被固定在一辆推土机上。由于无法在短时间内将其救出,加上剧烈的疼痛对大剂量镇痛剂毫无反应,我们只能在俯卧位使用视频喉镜进行诱导和插管。这一操作的成功使我们能够在短时间内将病人救出,并在下肢恢复方面取得了极佳的效果。
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引用次数: 0
Case Report: Pulmonary Aplasia in Pregnant Women 病例报告:孕妇肺部再生障碍
Pub Date : 2024-07-11 DOI: 10.29011/2574-7754.101882
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引用次数: 0
Acute War Stress in Ukrainian Refugees: Neurobiological and Psychological Impact 乌克兰难民的急性战争应激反应:神经生物学和心理学影响
Pub Date : 2024-07-11 DOI: 10.29011/2574-7754.101881
Ivan Rektor, M. Fňašková, Sofia Berezka, M. Gajdoš, Pavel Říha, Tetyana Evmenova, Marek Preiss
Purpose: We raised the question whether the neurobiological and psychological impact of war stress could be observed in Ukrainian refugees during an ongoing war. Ukrainian refugee women (UG, n=43) from the war-torn regions were investigated and were compared to Czech women control group without stress (CG, n=21). Men were not allowed to leave Ukraine due to the war conditions. Method: Psychological testing was performed using tests available in Ukrainian language: Posttraumatic stress disorder Check List; Zung Self-Rating Depression Scale; The State-Trait Anxiety Inventory; Test of Intellectual Potential and Digit Span - WAIS III. Magnetic Resonance Imaging included voxel-based morphometry, functional MR, seed-based connectivity. Finding: UG scored significantly higher than CG in stress (p<0.001), depression (p=0.019) and anxiety (p=0.001) and lower than CG in an abstract reasoning task (p<0.030). The groups did not differ significantly in memory and intellectual tasks. MRI showed an enlargement of the posterior and central parts of the thalamus that were related to the frontal orbital gyrus and insula indicating a connectivity with limbic system regions. Conclusion: The data show the impact of acute and ongoing war-related stress on psychological features as well as on the thalamus and connectivity of stress-related cortical areas. Acute and ongoing war stress had a significant neurobiological impact on refugees from war-torn Ukraine.
目的:我们提出了这样一个问题:在持续不断的战争中,能否在乌克兰难民身上观察到战争压力对神经生物学和心理学的影响。我们对来自战乱地区的乌克兰女性难民(UG,人数=43)进行了调查,并与无压力的捷克女性对照组(CG,人数=21)进行了比较。由于战争条件,男性不允许离开乌克兰。调查方法使用可用的乌克兰语测试进行心理测试:创伤后应激障碍核对表;Zung 抑郁自评量表;状态-特质焦虑量表;智力潜能和数字跨度测试 - WAIS III。磁共振成像包括体素形态测量、功能磁共振成像和种子连接。研究结果UG 在压力(p<0.001)、抑郁(p=0.019)和焦虑(p=0.001)方面的得分明显高于 CG,而在抽象推理任务方面则低于 CG(p<0.030)。两组在记忆和智力任务方面没有明显差异。核磁共振成像显示丘脑后部和中部增大,与额眶回和脑岛有关,表明丘脑与边缘系统区域有联系。结论数据显示,急性和持续的战争相关压力对心理特征以及丘脑和压力相关皮质区域的连接性都有影响。急性和持续性战争压力对来自饱受战争蹂躏的乌克兰的难民产生了重大的神经生物学影响。
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引用次数: 0
An Emerging Problem: Multidisciplinary Treatment of Liver Transplant-Associated Biliary Complica- tions in Patients with Roux-En-Y Gastric Bypass 新出现的问题:Roux-En-Y 胃旁路术患者肝移植相关胆道并发症的多学科治疗
Pub Date : 2024-07-08 DOI: 10.29011/2574-7754.101875
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引用次数: 0
Effectiveness of Monthly Low Dose Emicizumab, and Sequential Monthly Low Dose Emicizumab and Factor VIII Concentrate Prophylaxis among Patients with Hemophilia A: A Case Series Report of 3-Year Follow-Up 每月一次小剂量埃米珠单抗以及每月一次小剂量埃米珠单抗和因子 VIII 浓缩物预防性治疗对 A 型血友病患者的疗效:3 年随访病例系列报告
Pub Date : 2024-07-08 DOI: 10.29011/2574-7754.101872
A. Chuansumrit, S. Jaovisidha, N. Sirachainan, Tachit Jiravichitchai, P. Kadegasem, Ketsuda Kempka, Monratta Pitakcharoen, Wannaphorn Rotchanpanya
Dose Emicizumab, and Sequential Monthly Low Dose Emicizumab and Factor VIII Concentrate Prophylaxis among Patients with Hemophilia A: A Case Series Report of 3-Year Follow-Up.
血友病 A 患者中的小剂量埃米珠单抗和每月序贯小剂量埃米珠单抗及因子 VIII 浓缩物预防治疗:3 年随访病例系列报告。
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引用次数: 0
Challenging Dilemma: Is it Rainstorm, Hailstorm, Snowstorm, or Snowball? 挑战性难题:是暴雨、冰雹、暴风雪,还是雪球?
Pub Date : 2024-07-08 DOI: 10.29011/2574-7754.101876
Emira Hysa, Eugerta Dilka, Laert Gjati, D. Xhemalaj, Olvis Petre, E. Tashi, Franc Rrumbullaku, Marsel Broqi, Valentina Hima, Alma Tefereci, Esmeralda Nushi, Ada Shehaj, Justi Shestani, Klara Ziu, F. Gradica, P. Kapisyzi
The increasing use of lung ultrasound has consistently shown its high sensitivity compared to stethoscopes and radiographs for acute inflammatory and cardiovascular pathologies. It saves time, is relatively cost-effective, bedside, and provides information on adjacent systems to the respiratory system while avoiding radiation exposure [1-6]. Lung ultrasound holds particular value not only in detecting abnormal lung conditions but often plays a decisive role in diagnosis or further diagnostic steps. Lesions near the thoracic wall can be identified using lung ultrasound, which provides good imaging for diagnosing lung diseases. Ultrasound examination of the liver may reveal concurrent liver involvement in up to 15% of individuals with lung echinococcus cyst [7,8]. In rare cases, the presence of fluid in the thoracic cavity is mistakenly identified through lung ultrasound as simple parapneumonic pleural effusion [9]. In this study, we aim to demonstrate the importance of lung ultrasound in resolving diagnostic dilemmas: plankton sign, hailstorm, snowstorm, or snowball [10-13] in a case of lung echinococcus cyst. The video image of the presentation of lung echinococcus cyst is nearly unique in our knowledge.
在急性炎症和心血管病变方面,与听诊器和射线照片相比,肺部超声的灵敏度一直很高。它节省时间,成本效益高,可在床边进行,并可提供呼吸系统邻近系统的信息,同时避免辐射[1-6]。肺部超声不仅在检测肺部异常状况方面具有特殊价值,而且往往在诊断或进一步诊断步骤中起着决定性作用。通过肺部超声波检查可以发现胸壁附近的病变,为诊断肺部疾病提供良好的成像。肝脏超声检查可发现多达 15%的肺棘球蚴囊肿患者并发肝脏受累[7,8]。在极少数情况下,胸腔积液会被肺部超声误诊为单纯性肺旁胸腔积液[9]。在本研究中,我们旨在展示肺部超声在解决肺棘球蚴囊肿病例诊断困境中的重要性:浮游生物征、冰雹、暴风雪或雪球[10-13]。据我们所知,肺棘球蚴囊肿的视频图像几乎是独一无二的。
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引用次数: 0
Malignant Hypertension in Congenital Adrenal Hyperplasia with 21- Hydroxylase Deficiency: A Case Report 先天性肾上腺皮质增生症伴 21- 羟化酶缺乏症的恶性高血压:病例报告
Pub Date : 2024-07-04 DOI: 10.29011/2574-7754.101866
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引用次数: 0
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Annals of case reports
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