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A New Onset of Psychosis in a Patient with COVID-19 1例COVID-19患者新发精神病
Pub Date : 2022-07-04 DOI: 10.33597/2766-5844-v3-id1066
S. Yeshimbetova, D. Gazizova, A. Mazgutov, A. Abetova, N. Raspopova, Kairatbek Sarsembayev
Psychiatric sequelae of the Severe Acute Respiratory Syndrome Coronavirus (COVID-19) such as depression and anxiety spectrum disorders have attracted a lot of attention of the researchers and clinicians. However, COVID-19 could also induce psychosis. The aim of this article is to describe the clinical case a sudden onset of psychosis that might have been triggered by COVID-19.
新型冠状病毒(COVID-19)的精神后遗症,如抑郁症和焦虑谱系障碍,引起了研究人员和临床医生的广泛关注。但是,新冠病毒也可能诱发精神病。本文的目的是描述一个可能由COVID-19引发的突然发作的精神病的临床病例。
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引用次数: 0
Crohn’s Disease Concurrent with Hemoglobin E (HbE) Disease Manifested as Melaena with Severe Anaemia 克罗恩病并发血红蛋白E (HbE)病表现为黑素色伴严重贫血
Pub Date : 2022-05-12 DOI: 10.33597/2766-5844-v3-id1063
A. Z. Tanni, D. S. Ahmed, Md Ibrahim Siddique, M. Chowdhury
Hemoglobin E (HbE) disease is an inherited autosomal recessive disorder presented as mild anaemia and occasionally a slightly enlarged spleen but usually do not have disease symptoms and do not require treatment. Crohn’s disease is an uncommon inflammatory bowel disease having relapsing and remitting course usually extending over years involving any part of the gastrointestinal tract presenting as abdominal pain, diarrhea and weight loss, a rare disease in Bangladesh. Here we are presenting a case of 23-year- old female of HbE disease with melaena and severe anaemia who later diagnosed as Crohn’s disease concurrent with HbE disease.
血红蛋白E (HbE)病是一种遗传性常染色体隐性遗传病,表现为轻度贫血和偶尔轻微脾肿大,但通常没有疾病症状,不需要治疗。克罗恩病是一种罕见的炎症性肠病,其复发和缓解过程通常持续数年,涉及胃肠道的任何部分,表现为腹痛、腹泻和体重减轻,在孟加拉国是一种罕见的疾病。我们在此报告一例23岁女性HbE病合并黑素色和严重贫血,后来诊断为克罗恩病并发HbE病。
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引用次数: 0
Acute Peritonitis Complicating Sigmoid Colon Perforation by Migrating Intrauterine Device: A Case Report and Review of The Literature 迁移宫内节育器致急性腹膜炎合并乙状结肠穿孔1例并文献复习
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.41502
Rguez Arib, Barka Malek, Ernez Safia, Ksibi Sarra, Chahed Mehdi, Ben Abdesselem Mohamed Zied, Jarrar Mohamed Salah, H. Fehmi, Y. Sabri
Introduction: Intrauterine device (IUD) migration is a rare situation which can cause some serious complication such as colon perforation and high risk of infection. Its treated surgically by laparoscopy or laparotomy depending of the difficulties and complications. Presentation of Case: We show the case of a 45 year old woman, G2 P2 carrying an IUD for 15 years, who consulted for abdominal pain and fever. Abdominal imaging revealed the presence of intraperitoneal effusion of medium abundance and pneumoperitoneum. Diagnostic laparoscopy was done and the IUD was found to be embedded in the wall of the sigmoid colon which was removed after laparotomy conversion by excision of the involved segment followed by the suturing and drainage. Conclusion: In rare cases IUD can migrate, still asymptomatic for years or cause sometimes serious complications like intestinal perforation or abscess and peritonitis, this risk must be avoided by treating all migrating IUD even asymptomatic ones.
导读:宫内节育器迁移是一种罕见的情况,可引起结肠穿孔和感染等严重并发症。根据困难程度和并发症的不同,可以通过腹腔镜手术或剖腹手术来治疗。病例介绍:我们报告一名45岁妇女,G2 P2携带宫内节育器15年,因腹痛和发烧就诊。腹部影像学显示存在中等丰度的腹腔积液和气腹。诊断性腹腔镜检查发现宫内节育器嵌埋于乙状结肠管壁内,经剖腹转换切除受病段,缝合引流后取出。结论:在极少数情况下,宫内节育器可以迁移,多年仍无症状或有时引起肠穿孔或脓肿和腹膜炎等严重并发症,必须通过治疗所有迁移的宫内节育器,甚至无症状的宫内节育器来避免这种风险。
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引用次数: 0
A Rare Case of Necrotic Sigmoid Volvulus Complicating the Postpartum Period 产后合并坏死性乙状结肠扭转1例
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.6301
Khalloufi C, Kawtari S, Jalal M, Lamrissi A, Bouhya S
Sigmoid volvulus is a rare complication of pregnancy and the puerperium. We report a case of sigmoid volvulus complicating the the postpartum periodin a 35-year-old patient who presented on day 5 postoperative of a cesarean section performed in the EL HAROUCHI maternity at the IBN ROCHD CHU in CASABLANCA, in a table of occlusive syndrome. The diagnosis was made on abdominopelvic CT. An exploratory laparotomy revealed a necrotic volvulus of the severely distended sigmoid colon. In our case, the sigmoid volvulus is likely to have been precipitated by the rapid change in the size of the uterus after childbirth. Prompt surgical evaluation of an acute abdomen during the postpartum period is essential; delayed diagnosis and treatment can lead to significant maternal morbidity and mortality.
乙状结肠扭转是一种罕见的妊娠和产褥期并发症。我们在卡萨布兰卡IBN ROCHD CHU的EL HAROUCHI产科中报告了一个35岁的患者在剖宫产术后第5天出现的乙状结肠扭转并发症,在闭塞综合征表中。经腹部骨盆CT诊断。剖腹探查发现严重膨胀的乙状结肠出现坏死性扭转。在我们的病例中,乙状结肠扭转很可能是由于分娩后子宫大小的快速变化而引起的。产后对急腹症的及时手术评估是必要的;延误诊断和治疗可导致严重的产妇发病率和死亡率。
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引用次数: 0
Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis Case Report and Literature Review 以慢性肠血吸虫病为首发表现的乙状结肠扭转病例报告及文献复习
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.41501
A. Althumali, R. Alosaimi, Maria Abuhadi
We report a chronic Intestinal Schistosomiasis which is presented as a Sigmoid Volvulus in a healthy 21-year -old Sudanese male who presented with abdominal pain. Sigmoid Volvulus was diagnosed, and he underwent exploratory laparotomy. Pathological study by microscope revealed a non-necrotizing granulomas with centrally located egg with a lateral spine characteristic of S. mansoni. To our knowledge, this is the fifth reported case worldwide.
我们报告一个慢性肠道血吸虫病,这是一个健康的21岁苏丹男性乙状结肠扭转谁提出腹痛。诊断为乙状结肠扭转,并行剖腹探查术。显微镜下病理检查显示一个非坏死性肉芽肿,位于中心位置的卵,具有曼氏梭菌的侧棘特征。据我们所知,这是全球第5例报告病例。
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引用次数: 0
Frequency of Chemotherapy Induced Febrile Neutropenia 化疗引起发热性中性粒细胞减少的频率
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4501
Hussain S, Hassan Sui, M. A., Khan F, Ahmad B
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引用次数: 0
Therapeutic Effect of Asphodelus Tenuifolius Against Streptozotocin Induced Diabetic Rats 细藤对链脲佐菌素诱导的糖尿病大鼠的治疗作用
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.6102
Khadeejah Rana, H. S
Background: Diabetes mellitus is a long-lasting metabolic disorder that hinders the capability of the body to utilize food properly and is affected day by day through our diet, exercise, infection and stress. Presently, the trend is more towards natural plant-based products containing potential bio-active components than towards conventional medicines. For the purpose, out of numerous herbs used in common medicines, the subfamily of Asphodelus tenuifolius, used for several ailments, anti-inflmmation, anti-hypertension and antidiuretics etc. Objective: The objective of the present study was to evaluate the therapeutic effect of Asphodelus tenuifolius against streptozotocin induced diabetic rats. Method: The current study was based on the in vitro and in vivo properties of Asphodelus tenuifolius. The in vivo study was conducted that includes the TPC, TFC & DPPH. The in vitro study was also administered that includes the body weight and glucose levels of the rats. The thirty rats were divided into six groups; normal control, disease control, drug control, extracts treatment at 250, 500 and 750 mg/kg respectively. Results: The results depicted that the maximum decline in blood glucose levels of the streptozotocin induced diabetic rats were observed in T5. However, the body weights of the diabetic rats were maintained. Conclusion: Conclusively, Asphodelus tenuifolius plants contain a bio-active component that help to reduce hyperglycemia, maintains body weights in streptozotocin induced diabetic rats.
背景:糖尿病是一种长期存在的代谢性疾病,它阻碍了人体合理利用食物的能力,并日复一日地受到我们的饮食、运动、感染和压力的影响。目前的趋势是更倾向于含有潜在生物活性成分的天然植物性产品,而不是传统药物。为了达到这一目的,在常用药物中使用的众多草药中,细叶黄亚科用于几种疾病,抗炎,降压和抗利尿剂等。目的:探讨细藤对链脲佐菌素诱导的糖尿病大鼠的治疗作用。方法:本研究是在对细叶仙的体内外特性进行研究的基础上进行的。进行了包括TPC、TFC和DPPH在内的体内研究。体外研究也进行了,包括大鼠的体重和血糖水平。将30只大鼠分为6组;正常对照组、疾病对照组、药物对照组、提取物治疗分别为250、500和750 mg/kg。结果:链脲佐菌素诱导的糖尿病大鼠在T5时血糖下降幅度最大。然而,糖尿病大鼠的体重保持不变。结论:在链脲佐菌素诱导的糖尿病大鼠实验中,细叶茅含有降低高血糖、维持体重的生物活性成分。
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引用次数: 0
Laser-Assisted Liposuction for Autologous Fat Grafting Following Elective Breast Explant Surgery 激光辅助吸脂在择期乳房移植术后自体脂肪移植中的应用
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.5101
Valente D, G. G., Tuon A, Bellani Dn, Sebastiany L, Ely Pb
Background: The demand for breast implant removal increased globally. This study assessed an infrared diode laser's intraoperative and immediate postoperative features for fat harvesting when autologous breast lipograft is performed following breast explantation surgery. Methods: A prospective analytical nested case-control study was conducted comparing patients submitted to laser-assisted liposuction (cases, n=5) and conventional liposuction (controls, n=10). The analytical variables collected included the duration of surgery, the total volume of aspirated fat, the total volume of fat injected into the breasts, the time elapsed between the end of the surgery and the request for the first dose of analgesia, the total number of analgesics requested in the recovery room, and visual analogue scale for pain administered 6 hours after surgery. Results: In the transoperative period, cases have significantly increased rates of surgery time, total volume of aspirated fat, and total volume of fat injected into their breasts. Regarding pain, controls showed significantly higher consumption of analgesics, requested pain medication earlier, and obtained higher rates on the visual analogue scale. Conclusion: Patients submitted to laser-assisted liposuction had lower pain scores and used fewer analgesics than patients who did not use intraoperative lasers.
背景:全球范围内对乳房植入物移除的需求增加。本研究评估了在乳房外植术后自体乳房脂肪移植手术中,红外二极管激光术中和术后立即脂肪收集的特点。方法:采用前瞻性分析嵌套病例-对照研究,比较激光辅助吸脂术患者(5例)和常规吸脂术患者(10例)。收集的分析变量包括手术持续时间、抽吸脂肪总量、乳房内注射脂肪总量、手术结束至要求第一次镇痛的时间、恢复室要求的镇痛药物总数、术后6小时疼痛视觉模拟量表。结果:经手术期患者手术时间、抽吸脂肪总量、乳房注射脂肪总量均明显增加。在疼痛方面,对照组的镇痛药用量明显增加,要求更早服用止痛药,并且在视觉模拟量表上获得更高的比例。结论:与术中未使用激光的患者相比,接受激光辅助吸脂术的患者疼痛评分较低,使用的镇痛药较少。
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引用次数: 0
Bilateral Elastofibroma Dorsi
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4402
Aldaqaf M, Shukri K, Hobishi Za
1.1. Introduction: Elastofibroma dorsi (ED) is a benign, uncommon tumor, which appears in the subscapular and infrascapular region. Etiology is still under discussion. Total surgical excision is the optional treatment for symptomatic EFD. 1.2. Presentation of Case: A 48-year-old male patient presented with 2 years’ complaint of shoulder pain and paresthesia, mostly aggravated with shoulder movements and infrascapular swelling bilaterally. Both masses were totally excised with bilateral posterolateral subscapular incision. Symptoms and significant discomfort from the surgical procedure was completely resolved within a few weeks’ interval from the operation. 1.3. Discussion: it is a rare tumor, and its etiology suspected to be due to repetitive trauma and still under question, image is the best method to diagnose it. 1.4. Conclusion: EFD is a benign soft tissue tumor, placed at infrascapular region, treated with total simple excision, biopsy is not needed
1.1. 背弹性纤维瘤(ED)是一种少见的良性肿瘤,多发生于肩胛下和肩胛下。病因仍在讨论中。对于有症状的EFD,完全手术切除是可选的治疗方法。1.2. 病例介绍:一名48岁男性患者,自诉2年肩关节疼痛和感觉异常,主要因肩关节活动和双侧肩胛下肿胀加重。用双侧肩胛下后外侧切口完全切除两个肿块。手术过程的症状和明显不适在手术后几周内完全消除。1.3. 讨论:本病为罕见肿瘤,病因疑为重复性创伤,仍有疑点,影像学诊断为最佳方法。1.4. 结论:EFD是一种良性软组织肿瘤,位于肩胛下区,治疗方法为单纯全切除,无需活检
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引用次数: 0
Injury Patterns among Adult Football Players in Sudan Premier League 苏丹足球超级联赛成年球员的受伤模式
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4305
Awadelseid Mh, Morkaz Tb, M. M
1.1. Background: Football is the most famous and most watched sport in the world. Most of the football players are in high risk of getting injured during their professional careers. To play football demands one to be fit. Football players are constantly training to perform at the highest levels and to have enough strength to overcome the demands from the various coaches, staff and fans. During this process, players are exposed to all sorts of trauma and various types of injuries. During the previous few years, the incidence for football related injuries has increased. 1.2. Purpose: Due to lack of previous studies in Sudan, this study is aimed to determine the injury patterns among adult football players in the Premier League in Sudan. 1.3. Objective: To study the injury pattern(s) among adult football players in Khartoum. Injuries resulting from this sport in the Sudan Premier League in Khartoum is the 4th aim of this study. 1.4. Study design: A cross-sectional study design was conducted. 1.5. Methods: This is a cross-sectional study and was conducted in Khartoum State in 2017 involving Premier League football clubs. The target teams included five clubs: Al-Hilal, Meriakh, Al-Ahli, Triat Elbiga and Khartoum Watani. The total number of study participants (i.e. sample size) included 100 adult male football players, with the exception of one team and their players (due to their refusal to participation in this study). The response rate was 80% in the resulting four teams. Data was collected using a questionnaire. 1.6. Results: The prevalence of previous injuries among the players was 23 (23%) and recent injuries rose to 31 players (31%). 1.7. Conclusion: The most common sites for injuries included: the knee, shoulder, hamstring, foot, leg, and back injuries. Among the recent injuries (n=31), the most common type was ruptured muscles reported in 14 (45.5%); ankle injuries 7 (22.6%) and thigh injuries 6 (19.4%) were among the most sites affected. The IV majority of the injuries 23 (74.2%) were on the right side of the body; most of the injuries 23 (82.1%) were caused by trauma and 8 (25.3%) by overuse. Positions played by the injured players includes: midfielder 10 (32.3%); defender 9 (29%); striker 7 (22.6%) and goalkeeper 5 (16.1%). Regarding mechanism of injury: 24 (77.4%) of injuries occurred during matches, 7 (22.6%) during trainings; 17 (54.8%) in pitches with grass; 14 (45.2%) in artificial turf pitches; most of the players 16 (51.6%) changed their footwear every 6 months; 15 (48.4%) of the injuries occurred during sunny weather; 21 (70%) of the injuries happened after player-to-player collisions; collisions while on the pitch accounted for 9 (29%) of injuries. The overall injury prevalence was found to be high, but with lower severities. The most common type of injury found was ruptured muscles.
1.1. 背景:足球是世界上最著名、最受关注的运动。大多数足球运动员在职业生涯中都有受伤的高风险。踢足球需要身体健康。足球运动员不断训练,以达到最高水平,并有足够的力量来克服各种教练,工作人员和球迷的要求。在这个过程中,球员会受到各种各样的创伤和各种类型的伤害。在过去的几年里,足球相关伤害的发生率有所增加。1.2. 目的:由于缺乏对苏丹的研究,本研究旨在确定苏丹成年足球超级联赛球员的受伤模式。目的:了解喀土穆地区成年足球运动员的损伤类型。在喀土穆的苏丹超级联赛中,这项运动造成的伤害是本研究的第四个目标。1.4. 研究设计:采用横断面研究设计。1.5. 方法:这是一项横断面研究,于2017年在喀土穆州进行,涉及英超足球俱乐部。目标球队包括五个俱乐部:Al-Hilal、Meriakh、Al-Ahli、Triat Elbiga和Khartoum Watani。研究参与者的总人数(即样本量)包括100名成年男性足球运动员,除了一支球队和他们的球员(因为他们拒绝参加这项研究)。在最终的四个团队中,回复率为80%。通过问卷调查收集数据。1.6. 结果:运动员中既往损伤发生率为23人(23%),近期损伤发生率上升至31人(31%)。1.7. 结论:最常见的损伤部位包括:膝关节、肩部、腘绳肌、足部、腿部和背部损伤。在最近的损伤(n=31)中,最常见的类型是肌肉破裂,14例(45.5%);踝关节损伤7例(22.6%),大腿损伤6例(19.4%)。静脉损伤最多的23例(74.2%)位于身体右侧;外伤为主23例(82.1%),过度使用为主8例(25.3%)。受伤球员的位置包括:中场10人(32.3%);后卫9 (29%);前锋7(22.6%)和门将5(16.1%)。损伤机制:24例(77.4%)发生在比赛中,7例(22.6%)发生在训练中;有草球场17个(54.8%);人造草皮球场14个(45.2%);大部分球员(51.6%)每6个月更换一次球鞋;15例(48.4%)发生在晴天;21(70%)的受伤发生在球员之间的碰撞后;在所有的伤病中,有9起(29%)是在球场上发生的碰撞。总体损伤发生率较高,但严重程度较低。最常见的损伤类型是肌肉断裂。
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引用次数: 0
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American Journal of Surgery and Clinical Case Reports
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