UV can achieve the sterilization of clean and nontoxic by-products, and the article makes clear the way in which data such as irradiance and dose are taken. The article data indicates that higher bactericidal efficacy can be achieved for most bacteria at doses of 4 mJ/cm2 for irradiance 1.0 mW/cm2 and 0.06-0.30 mW/cm2 for irradiance 11 mJ/cm2. The value of irradiance ignored the attenuation of LED during long-term use. By comparing the bactericidal effect of single layered and multi-layered bacteria, the degree of cleanliness achievable by UV bactericidal is illustrated, and it is reminded that safety protection should be taken care of during use.
{"title":"A Review: Discussion of Factors Affecting the Efficacy of UV Inactivation","authors":"Mengmeng Li","doi":"10.31579/2690-4861/258","DOIUrl":"https://doi.org/10.31579/2690-4861/258","url":null,"abstract":"UV can achieve the sterilization of clean and nontoxic by-products, and the article makes clear the way in which data such as irradiance and dose are taken. The article data indicates that higher bactericidal efficacy can be achieved for most bacteria at doses of 4 mJ/cm2 for irradiance 1.0 mW/cm2 and 0.06-0.30 mW/cm2 for irradiance 11 mJ/cm2. The value of irradiance ignored the attenuation of LED during long-term use. By comparing the bactericidal effect of single layered and multi-layered bacteria, the degree of cleanliness achievable by UV bactericidal is illustrated, and it is reminded that safety protection should be taken care of during use.","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46800695","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}
In FSGS with Nephrotic Syndrome (NS) 23 patients (61%) of 38 with functional outcome are in remission with very long follow up (from 60 to 331 months) after treatment with Steroids alone or in combination with Cyclophosphamide. It would be interesting to assess whether in 11 patients with follow up from 5 to 27.6 years some parameters are associated with less severe disease favouring very long term remission. Three parameters were considered [age
{"title":"Factors affecting long-term remission in patients with FSGS and NS.","authors":"NS. Claudio Bazzi","doi":"10.31579/2690-4861/247","DOIUrl":"https://doi.org/10.31579/2690-4861/247","url":null,"abstract":"In FSGS with Nephrotic Syndrome (NS) 23 patients (61%) of 38 with functional outcome are in remission with very long follow up (from 60 to 331 months) after treatment with Steroids alone or in combination with Cyclophosphamide. It would be interesting to assess whether in 11 patients with follow up from 5 to 27.6 years some parameters are associated with less severe disease favouring very long term remission. Three parameters were considered [age<vs≥35 yrs, normal or high blood pressure (BP0 and BP1 ) baseline 24hP <vs≥ 6.5] to verify whether they assess lower disease severity favouring remission. Age≥ vs <35 yrs and BP1 va BP0 are characterized by very significant differences of age, baseline and last eGFR, TID score and AH score. The patients with baseline 24hP < vs ≥6.5) were significantly different only for proteinuric parameters (TUP/C, IgG/C, Alb/C, α1m/C). In all remission patients the last value of 24hP is not significantly different according to the considered parameters and is independent from the baseline values eGFR and TUP/C and duration of follow up","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43032005","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}
Cerebral small vessel disease (cSVD) is a main cause of stroke, cognitive impairment, and vascular dementia. COL4A1 mutations have been identified as a cause of hereditary cerebral small vessel disease. COL4A1 mutation is associated with nephropathy, aneurysms, and muscle cramps, which we call the HANAC syndrome. Mutations in COL4A1 have recently been identified in both a mouse model and families, characterized by cystic brain cavities and cerebral white-matter lesions. But it has not been reported with vascular malformations. We here first report a case of COL4A1 with cerebral small vessel disease and multiple anomalous cerebral vascular origins.
{"title":"COL4A1 with Cerebral Small Vessel Disease and Multiple Anomalous cerebral vascular origins: A case report","authors":"Shusheng Zhu","doi":"10.31579/2690-4861/252","DOIUrl":"https://doi.org/10.31579/2690-4861/252","url":null,"abstract":"Cerebral small vessel disease (cSVD) is a main cause of stroke, cognitive impairment, and vascular dementia. COL4A1 mutations have been identified as a cause of hereditary cerebral small vessel disease. COL4A1 mutation is associated with nephropathy, aneurysms, and muscle cramps, which we call the HANAC syndrome. Mutations in COL4A1 have recently been identified in both a mouse model and families, characterized by cystic brain cavities and cerebral white-matter lesions. But it has not been reported with vascular malformations. We here first report a case of COL4A1 with cerebral small vessel disease and multiple anomalous cerebral vascular origins.","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70018285","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}
Pheochromocytoma is a rare, neuroendocrine tumor secreting catecholamine, arising from chromaffin cells of the adrenal medulla. Also, very rare cause of secondary hypertension in pediatric age, and however, it is important to suspect. Presentation of this tumor is highly variable but the most common pediatric cases being persistent hypertension, tachycardia, sweating, and headache. In addition, anxiety, weight loss and recurrent hypertension may also appear among the clinical manifestations of the disease. The diagnosis requires measurement of plasma metanephrines, with imaging studies performed for localization and identification of metastatic lesions. The definitive management of hypertension is surgical. We present a case with pheochromocytoma that was previously diagnosed as anxiety due to tachycardia associated with hypertension.
{"title":"A Case of Adrenal Pheochromocytoma Presenting with Anxiety","authors":"D. Karakaya","doi":"10.31579/2690-4861/225","DOIUrl":"https://doi.org/10.31579/2690-4861/225","url":null,"abstract":"Pheochromocytoma is a rare, neuroendocrine tumor secreting catecholamine, arising from chromaffin cells of the adrenal medulla. Also, very rare cause of secondary hypertension in pediatric age, and however, it is important to suspect. Presentation of this tumor is highly variable but the most common pediatric cases being persistent hypertension, tachycardia, sweating, and headache. In addition, anxiety, weight loss and recurrent hypertension may also appear among the clinical manifestations of the disease. The diagnosis requires measurement of plasma metanephrines, with imaging studies performed for localization and identification of metastatic lesions. The definitive management of hypertension is surgical. We present a case with pheochromocytoma that was previously diagnosed as anxiety due to tachycardia associated with hypertension.","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44558379","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}
Anatomical knowledge regarding the variant branching patterns of the radial artery is considerably crucial for interventionalists, vascular, and plastic surgeons. We report a case of a rare variant branching pattern where the superficial palmar branch of the radial artery originated from the radial artery in the forearm instead of the wrist with a subcutaneous course in a 52-year-old patient with diabetic end-stage kidney disease who required haemodialysis initiation. This variant branch was used as inflow for the creation of the arteriovenous fistula for haemodialysis access.
{"title":"A Rare Anatomic Variant of the Superficial Palmar Branch of the Radial Artery Used for Arteriovenous Fistula Creation","authors":"Tauhidul Alam Choudhury","doi":"10.31579/2690-4861/235","DOIUrl":"https://doi.org/10.31579/2690-4861/235","url":null,"abstract":"Anatomical knowledge regarding the variant branching patterns of the radial artery is considerably crucial for interventionalists, vascular, and plastic surgeons. We report a case of a rare variant branching pattern where the superficial palmar branch of the radial artery originated from the radial artery in the forearm instead of the wrist with a subcutaneous course in a 52-year-old patient with diabetic end-stage kidney disease who required haemodialysis initiation. This variant branch was used as inflow for the creation of the arteriovenous fistula for haemodialysis access.","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46118016","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}
Introduction: Chronic renal insufficiency is a common pathology both nationally and worldwide, infections with hepatitis B and C viruses are the most common infectious complication in chronic hemodialysis patients. Objective: The objective of this study was to determine the prevalence of hepatitis B and C in chronic hemodialysis patients at the National Hospital Center of Nouakchott and to identify the risk factors for these infections as well as their clinical and biological complications in this population Material and Methods: This is a prospective study carried out at the nephrology-hemodialysis department of the National Hospital of Nouakchott over a period of one year from 1st, 2016 to December 31st, 2016 Demographic, clinical, epidemiological, and biological data were collected using a pre-established survey form The search for HBsAg was done by the ELISA technique and the detection of anti-HCV antibodies was done by the CMIA technique (Abbott®), the HCV RNA was searched for by real-time PCR (Abbott) Results The average age of our patients was 52 years old with a female predominance The prevalence of hepatitis B was 24.27% and that of hepatitis C was 5.82%, 1.92% of patients were coinfected with HBV and HCV The duration of dialysis and the number of transfusions were the main risk factors for catching these infections. Conclusion the risk factors found in our study were comparable to the literature; the high prevalence of hepatitis B in our series could be linked to its high prevalence in the general population but also to a nosocomial infection.
{"title":"Prevalence and Clinico-Biological Characteristics of Viral Hepatitis B and C in Chronic Hemodialysis Patients at the National Hospital Center of Nouakchott-Mauritania","authors":"M. O. Ould Salem","doi":"10.31579/2690-4861/228","DOIUrl":"https://doi.org/10.31579/2690-4861/228","url":null,"abstract":"Introduction: Chronic renal insufficiency is a common pathology both nationally and worldwide, infections with hepatitis B and C viruses are the most common infectious complication in chronic hemodialysis patients. Objective: The objective of this study was to determine the prevalence of hepatitis B and C in chronic hemodialysis patients at the National Hospital Center of Nouakchott and to identify the risk factors for these infections as well as their clinical and biological complications in this population Material and Methods: This is a prospective study carried out at the nephrology-hemodialysis department of the National Hospital of Nouakchott over a period of one year from 1st, 2016 to December 31st, 2016 Demographic, clinical, epidemiological, and biological data were collected using a pre-established survey form The search for HBsAg was done by the ELISA technique and the detection of anti-HCV antibodies was done by the CMIA technique (Abbott®), the HCV RNA was searched for by real-time PCR (Abbott) Results The average age of our patients was 52 years old with a female predominance The prevalence of hepatitis B was 24.27% and that of hepatitis C was 5.82%, 1.92% of patients were coinfected with HBV and HCV The duration of dialysis and the number of transfusions were the main risk factors for catching these infections. Conclusion the risk factors found in our study were comparable to the literature; the high prevalence of hepatitis B in our series could be linked to its high prevalence in the general population but also to a nosocomial infection.","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46480196","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}
Evans syndrome is a rare autoimmune disease in which an individual's antibodies attacks the body's own red Autoimmune blood cells and platelets. There is a coexistence of Immune thrombocytopenia (ITP) with haemolytic anaemia (AIHA) with immune neutropenia sometimes in the absence of known underlying etiology.1Association of Evans syndrome with pregnancy is very rare, and only a few cases have been published in medical literature. No definite treatment protocols are defined. Treatment options during pregnancy are further limited due to concerns of teratogenic effect of pharmacological agents. Evans syndrome can be diagnosed with a full blood count film and a direct Coombs test. We describe here a rare case that was diagnosed as secondary Evans syndrome with SLE complicating pregnancy that resulted in two live births in a woman. We have also briefly discussed the pathophysiology, clinical features, diagnosis and the possible treatment options and outcome of Evans syndrome in pregnancy
{"title":"Evans Syndrome in pregnancy – Case report of two successful pregnancies in a woman ; Review of Literature.","authors":"N. Navakumar","doi":"10.31579/2690-4861/229","DOIUrl":"https://doi.org/10.31579/2690-4861/229","url":null,"abstract":"Evans syndrome is a rare autoimmune disease in which an individual's antibodies attacks the body's own red Autoimmune blood cells and platelets. There is a coexistence of Immune thrombocytopenia (ITP) with haemolytic anaemia (AIHA) with immune neutropenia sometimes in the absence of known underlying etiology.1Association of Evans syndrome with pregnancy is very rare, and only a few cases have been published in medical literature. No definite treatment protocols are defined. Treatment options during pregnancy are further limited due to concerns of teratogenic effect of pharmacological agents. Evans syndrome can be diagnosed with a full blood count film and a direct Coombs test. We describe here a rare case that was diagnosed as secondary Evans syndrome with SLE complicating pregnancy that resulted in two live births in a woman. We have also briefly discussed the pathophysiology, clinical features, diagnosis and the possible treatment options and outcome of Evans syndrome in pregnancy","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49627400","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}
Intravesical BacillusChalmette- Guerin (BCG) still a popular medication for non-invasive bladdercancer in the low-income country, one of the uncommon side effects is disseminated Mycobacterium Bovis. We present a patient who presented with haematuria, diagnosed as urothelial superficial bladder cancer, treated with incomplete resectionand intravesical BCG, 6 months after treatment, he presented with increasing shortness of breath, headache and abdominal pain, diagnosed as tuberculous, meningitis, massive pleural effusion, granulomatous hepatitis he responded very well to anti tuberculous treatment.
{"title":"Disseminated Mycobacterium Bovis","authors":"A. Ekladious","doi":"10.31579/2690-4861/232","DOIUrl":"https://doi.org/10.31579/2690-4861/232","url":null,"abstract":"Intravesical BacillusChalmette- Guerin (BCG) still a popular medication for non-invasive bladdercancer in the low-income country, one of the uncommon side effects is disseminated Mycobacterium Bovis. We present a patient who presented with haematuria, diagnosed as urothelial superficial bladder cancer, treated with incomplete resectionand intravesical BCG, 6 months after treatment, he presented with increasing shortness of breath, headache and abdominal pain, diagnosed as tuberculous, meningitis, massive pleural effusion, granulomatous hepatitis he responded very well to anti tuberculous treatment.","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46590026","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}
Saeed Abedelkarim, V. Nguyen, Enas Abdelraheem, Fatima Elnadi, A. Gaboura
{"title":"A Case Report: Gangrenous Sub-hepatic Appendicitis in Pregnancy","authors":"Saeed Abedelkarim, V. Nguyen, Enas Abdelraheem, Fatima Elnadi, A. Gaboura","doi":"10.46527/2582-5038.220","DOIUrl":"https://doi.org/10.46527/2582-5038.220","url":null,"abstract":"","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90339660","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}
R. Jhaveri, Vishakha Kalikar, R. Sheth, R. Patankar
{"title":"Hemoperitoneum Following Liver Rupture in a Post ERCP Patient: A Case Report","authors":"R. Jhaveri, Vishakha Kalikar, R. Sheth, R. Patankar","doi":"10.46527/2582-5038.219","DOIUrl":"https://doi.org/10.46527/2582-5038.219","url":null,"abstract":"","PeriodicalId":93010,"journal":{"name":"International journal of clinical case reports and reviews : open access","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85945765","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}
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