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Journal of clinical cases & reports最新文献

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Late Onset Systemic Lupus Erythematosus in an Afro-Caribbean Patient: A Diagnostic Challenge 非洲加勒比患者的晚发系统性红斑狼疮:诊断挑战
Pub Date : 2018-07-30 DOI: 10.46619/joccr.2018.1-1017
Barrett-Campbell Odeth, James-Goulbourne Tracian, Shapira Iuliana
Systemic Lupus Erythematosus may be missed in the elderly population as the clinical features may resemble more common conditions. Treatment remains a challenge in this group given the co-existing chronic illnesses and drug-related toxicities. Herein, we report a case of a 72-year-old Afro-Caribbean woman diagnosed with systemic lupus erythematosus after having pulmonary and renal manifestations.
系统性红斑狼疮在老年人群中可能会被遗漏,因为其临床特征可能与更常见的情况相似。考虑到共存的慢性疾病和药物相关毒性,治疗仍然是这一群体的一个挑战。在此,我们报告一个72岁的非洲加勒比妇女诊断为系统性红斑狼疮后,肺部和肾脏的表现。
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引用次数: 0
A Congenital Cause of Recurrent Pneumonia in an Adult 成人复发性肺炎的先天性病因
Pub Date : 2018-07-21 DOI: 10.46619/JOCCR.2018.1-1020
Wahid Lana, I. Bradley, Pelleg Tomer, Ie Susanti, L. Anthony
Pulmonary sequestration is a rare congenital abnormality especially in the adult population. It can commonly present as a cause for recurrent pneumonia or be found incidentally as an adult on imaging. We present a case of left lower lobe celiac trunk pulmonary sequestration in the setting of recurrent pneumonia to include histoplasmosis.
肺隔离是一种罕见的先天性异常,尤其是在成年人中。它通常可以作为复发性肺炎的原因出现,也可以在成人成像时偶然发现。我们报告一例复发性肺炎的左下叶腹腔干肺隔离,包括组织浆菌病。
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引用次数: 0
Test-Retest Reliability of Ukrainian Version of the Haemo-Qol Questionnaire 乌克兰版Haemo-Qol问卷的重测信度
Pub Date : 2018-05-31 DOI: 10.21303/2504-5679.2018.00645
A. Markin, L. Dubey
Background: Today psychometric characteristics of Ukrainian version of the questionnaire Haemo-QoL remain insufficiently researched. This publication describes the procedure and results of the test-retest reliability of this questionnaire in children with hemophilia A. Objectives: Study the test-retest reliability of the Ukrainian version of the Haemo-QoL questionnaire for assessing the health-related quality of life (HRQoL) in children with hemophilia A, and determine the possibility of its use in practical and theoretical medicine in terms of time reliability. Methods: The quality of life assessment (QoLA) was performed using the correspondence method, by interviewing 32 children with hemophilia A (self-report) and 32 parents of the children (proxy-report). The questioning was conducted twice at intervals of 4-6 weeks (primary test and re-test). The Haemo-QoL questionnaire version of age group I (4-7 years old), II (8-12 years old) or age group III (13-16 years) was used to measure the quality of life in children with hemophilia; and three versions were used for parents of children of corresponding age groups. These interviews were analyzed, the correlation between the data of primary test and re-test was determined using Spearman's rho, Pearson correlation coefficients, Wilcoxon’s W criterion, Cohen's d effect size was determined for separate comparisons. Results: HRQoL indices are not statistically different between tests on all scales (p>0.05), except for the “Family” and “Others” scales (p<0.05). Total HRQoL is statistically different (p=0.0013), however, with a median difference of 0.25 only and an average absolute difference variability of 1.67 ± 1.51 (5.42 ± 2.83%). Total HRQoL in parent versions did not change statistically, unlike the children’s versions, but the difference between the tests was only 1.32 and Cohen’s d ES - 0.08. For versions Ip, IIp, IIIc/p there was no statistical difference, the versions Ic and II statistically differed (p=0.038; t=-2.39 and p=0.0022; t=-3.98, respectively) with a mean difference of 2.0 and 1.6, respectively. Conclusion: The Ukrainian version of the Haemo-QoL questionnaire has sufficient test-retest reliability for quantitative dynamic reflection HRQoL in patients with haemophilia A.
背景:目前乌克兰版Haemo-QoL问卷的心理测量特征研究还不够充分。目的:研究乌克兰版血友病A患儿健康相关生活质量(HRQoL)评估血友病A患儿健康相关生活质量(HRQoL)问卷的重测信度,并从时间信度方面确定其在实际和理论医学中应用的可能性。方法:采用通信法对32例A型血友病患儿(自我报告)和32例患儿家长(代理报告)进行生活质量评价(QoLA)。每隔4-6周进行2次问询(初测和复测)。采用I组(4-7岁)、II组(8-12岁)、III组(13-16岁)的血友病患儿血友病生活质量问卷(Haemo-QoL);三个版本分别用于相应年龄段儿童的父母。对这些访谈进行分析,采用Spearman’s rho、Pearson相关系数、Wilcoxon’s W标准、Cohen’s d效应量来确定一次检验和二次检验数据之间的相关性,进行单独比较。结果:各量表间HRQoL指标差异无统计学意义(p>0.05),但“Family”和“Others”量表间差异无统计学意义(p<0.05)。总HRQoL差异有统计学意义(p=0.0013),中位差异仅为0.25,平均绝对差异变异性为1.67±1.51(5.42±2.83%)。与儿童版本不同,父母版本的总HRQoL没有统计学变化,但测试之间的差异仅为1.32,Cohen 's d ES - 0.08。版本Ip、版本IIp、版本IIIc/p无统计学差异,版本Ic、版本II有统计学差异(p=0.038;T =-2.39, p=0.0022;T =-3.98),平均差值分别为2.0和1.6。结论乌克兰版血友病患者HRQoL问卷具有足够的重测信度,可定量动态反映血友病A患者的HRQoL。
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引用次数: 0
How to Distinguish Non-Metastatic Rhabdoid Tumor from Wilms Tumor in Young Infants Preoperatively: A Case Report and Literature Review 婴幼儿非转移性横纹肌样瘤与肾母细胞瘤术前如何鉴别:1例报告并文献复习
Pub Date : 2016-12-04 DOI: 10.46619/JOCCR.2019.2-1041
S. Sellami, S. Ammar, H. Fourati, M. Zouari, Manel Weli, H. Zitouni, M. B. Dhaou, R. Mhiri
Background: Rhabdoid tumor of the kidney is an uncommon and aggressive tumor characterized by poor outcomes. Given the rarity of this tumor, the diagnosis is still a challenge and the treatment are not well codified. Case report: A 4-month-old girl presented with abdominal mass. Clinical and radiologic explorations suggested nephroblastoma. The diagnosis of rhabdoid tumor was made post operatively based on anatomopathological findings.
背景:肾横纹肌样瘤是一种罕见的侵袭性肿瘤,预后差。鉴于这种肿瘤的罕见性,诊断仍然是一个挑战,治疗也没有很好的规范。病例报告:一个4个月大的女婴表现为腹部肿块。临床及影像学检查提示肾母细胞瘤。横纹肌样瘤的诊断是基于术后解剖病理结果。
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引用次数: 0
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Journal of clinical cases & reports
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