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An Unusual etiology 不寻常的病因
Pub Date : 2019-01-01 DOI: 10.5455/im.34294
A. Chauhan
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引用次数: 1
Natural and traditional family planning methods 自然和传统的计划生育方法
Pub Date : 2019-01-01 DOI: 10.5455/IM.44783
Süreyya Gümüşsoy
Natural family planning refers to the planning of sexual intercourse according to the desire of pregnancy by observing some symptoms occurring in women in the fertile and infertile periods of the menstrual cycle. These family planning methods have advantages, disadvantages, and applying rules. They are effective when properly applied and their rules are followed. Recently, new methods have been added to the previously known methods using electronic equipment. Health care providers should respect the choice of couples' natural family planning methodology, be aware of the options of natural family planning methods, and provide appropriate resources/advice for the correct use of the method chosen by a woman or couple.
自然计划生育是指通过观察女性在月经周期的可育期和不孕期出现的一些症状,根据怀孕的愿望进行性交计划。这些计划生育方法有优点、缺点和应用规则。如果应用得当并遵守规则,它们是有效的。最近,在以前已知的使用电子设备的方法之外,又增加了新的方法。保健提供者应尊重夫妇对自然计划生育方法的选择,了解自然计划生育方法的各种选择,并为妇女或夫妇正确使用所选择的方法提供适当的资源/建议。
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引用次数: 0
Bilateral distal femoral bone infarction revealing polymyositis 双侧股骨远端骨梗死显示多发性肌炎
Pub Date : 2019-01-01 DOI: 10.5455/im.42184
S. Bouomrani, M. Ayed
Orthopedic manifestations, particularly bone infarctions, remain exceptional and unusual during polymyositis. They are classically related to systemic corticosteroids or other associated thrombotic conditions. We report an original observation of bilateral distal femoral bone infarction revealing polymyositis in a 42-year-old woman. Our observation is, to the best of our knowledge, the first to report bilateral femoral infarction as a possible manifestation of polymyositis apart from any prolonged corticosteroid therapy and any associated anti-phospholipid antibody syndrome.
在多发性肌炎期间,骨科表现,特别是骨梗死,仍然是罕见的。它们通常与全身性皮质类固醇或其他相关的血栓性疾病有关。我们报告一个原始的观察双侧远端股骨梗死显示多发性肌炎在一个42岁的妇女。据我们所知,我们的观察是第一个报道双侧股梗死作为多发性肌炎的可能表现,而不是任何长期的皮质类固醇治疗和任何相关的抗磷脂抗体综合征。
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引用次数: 0
Invasive mold infection of the renal graft 移植肾侵袭性霉菌感染
Pub Date : 2019-01-01 DOI: 10.5455/IM.53240
Cheng-Maw Ho, H. Tai
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引用次数: 0
New dermoscopic features of Hailey-Hailey disease 黑利-黑利病的新皮肤镜特征
Pub Date : 2019-01-01 DOI: 10.5455/IM.49017
O. E. Jouari, H. Baybay, G. Argenziano, G. Senhaji, S. Elloudi, F. Mernissi
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引用次数: 0
A foreign body in an infant airway 异物:婴儿气道中的异物
Pub Date : 2019-01-01 DOI: 10.5455/im.59839
C. Abdallah
An otherwise healthy infant presented to the emergency department (ED) with a history of screaming and sudden hoarseness. Lateral neck and chest radiographs were obtained that did not demonstrate a radiopaque foreign body within the upper or lower airway. The child was otherwise stable during his stay in the ED, with persistent, but periodic stridor and cough, unresponsive to albuterol nebulizers. The child was brought to the operating room for direct laryngoscopy and bronchoscopy to rule out an airway foreign body. Upon exposing the larynx, a bluish-colored foreign body was seen in a vertical orientation obstructing nearly the entire subglottis with significant granulation in the subglottic region (Figure 1). Further examination of the object revealed it to be an artificial fingernail.
一个健康的婴儿被送到急诊科(ED),有尖叫和突然嘶哑的历史。侧位颈部和胸部x线片未显示上或下气道内有不透射线的异物。患儿在急诊科期间其他情况稳定,有持续但周期性的喘鸣和咳嗽,对沙丁胺醇喷雾器无反应。孩子被带到手术室进行直接喉镜检查和支气管镜检查,以排除气道异物。暴露喉部后,可见一个垂直方向的蓝色异物,几乎阻塞了整个声门下,声门下区域有明显的肉芽(图1)。进一步检查发现该异物为人造指甲。
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引用次数: 0
A new health integrated municipality system 一种新的卫生综合市政体制
Pub Date : 2019-01-01 DOI: 10.5455/im.302645024
Oguz Guvenmez, Serkan Güneş
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引用次数: 0
Frequency of non-invasive fungal sinusitis in patients undergoing surgery for chronic rhinosinusitis 慢性鼻窦炎手术患者非侵袭性真菌性鼻窦炎的发生率
Pub Date : 2019-01-01 DOI: 10.5455/im.47173
M. Gumussoy
Background: In this study, we investigated the presence of non-invasive fungal sinusitis in patients who underwent endoscopic sinus surgery with the diagnosis of chronic rhinosinusitis in our clinic. Methods: A total of 283 patients who underwent functional endoscopic sinus surgery for chronic rhinosinusitis in our clinic between 2008-2018, who were at the ages of 18 or above, and who did not have invasive fungal sinusitis and tumor were included in the study. Sinus pathology was examined by routine examination using nasal endoscopy and computed tomography. Eosinophil count, total, and specific IgE levels were measured in the peripheral blood samples of the patients. Sinus surgery was performed under general and local anesthesia with the Messerklinger technique. Aspirated secretions from the sinuses and removed surgical tissues were examined microbiologically and histopathologically. Results: 68 females, 215 males, totally 283 patients with a mean age of 41 had sinus surgery; 11 (40.74%) females and 16 (59.26%) males, totally 27 (9.54%) patients had non-invasive fungal sinusitis. 18 (6.36%) of the cases were microbiologically reported as allergic fungal sinusitis while 9 (3.18%) of them reported as mycetoma. Nasal obstruction (19, 70.37%) and headache (13, 48.14%) were the most common clinical findings. Eosinophilic mucus was detected in the sinus material of the patients with allergic fungal sinusitis. According to their prevalence, Aspergillus, Penicillium, and Candida were the most prevalent in the patients with allergic fungal sinusitis, respectively; Aspergillus fumigatus and Aspergillus flavus were the most prevalent in the patients with allergic fungal sinusitis, respectively. Radiologically, fungal balls localized at the maxillary sinuses in six patients, the sphenoid sinuses in two patients, and the ethmoid sinus in one patient. As a treatment, sinus surgery was performed as a complete evacuation of the mucus and removal of pathological and polypoid tissues. The follow-up periods of the patients ranged between 7-31 months; the mean duration of follow-ups was 17 months. Non-invasive fungal infections were not treated with antifungal therapy, no recurrence was observed. Conclusions: In this study, non-invasive fungal sinus infection was detected 9.54% of patients. Nasal examination, radiological, and immunological examination should be applied to patients as additional examinations on the suspicion of pre-operative fungal rhinosinusitis; samples should be taken from the sinuses during surgery and should be examined for fungus microbiologically and histopathologically. Antifungal therapy was not administered to patients with non-invasive fungal infection. Endoscopic sinus surgery is a successful method in the treatment of non-invasive fungal rhinosinusitis.
背景:在本研究中,我们调查了在我们诊所诊断为慢性鼻窦炎的患者中接受内窥镜鼻窦手术的非侵袭性真菌性鼻窦炎的存在。方法:选取2008-2018年在我院行功能性鼻内窥镜手术治疗慢性鼻窦炎的患者283例,年龄在18岁及以上,无侵袭性真菌性鼻窦炎及肿瘤。采用鼻内窥镜和计算机断层扫描检查鼻窦病理。测定患者外周血中嗜酸性粒细胞计数、总IgE和特异性IgE水平。采用Messerklinger技术在全身和局部麻醉下进行鼻窦手术。从鼻窦吸出的分泌物和切除的手术组织进行微生物学和组织病理学检查。结果:女性68例,男性215例,共283例,平均年龄41岁;女性11例(40.74%),男性16例(59.26%),非侵袭性真菌性鼻窦炎27例(9.54%)。微生物学报告过敏性真菌性鼻窦炎18例(6.36%),足菌肿9例(3.18%)。鼻塞19例(70.37%)、头痛13例(48.14%)是最常见的临床表现。在变应性真菌性鼻窦炎患者的鼻窦材料中检出嗜酸性粘液。在变应性真菌鼻窦炎患者中,曲霉、青霉菌和念珠菌的患病率分别最高;变应性真菌性鼻窦炎患者中以烟曲霉和黄曲霉最常见。放射学上,真菌球位于上颌窦6例,蝶窦2例,筛窦1例。作为一种治疗方法,进行鼻窦手术以完全清除粘液并去除病理和息肉样组织。随访时间7 ~ 31个月;平均随访时间为17个月。非侵袭性真菌感染未接受抗真菌治疗,无复发。结论:本组非侵袭性真菌性鼻窦感染检出率为9.54%。术前疑似真菌性鼻窦炎的患者应进行鼻检查、影像学检查和免疫学检查;手术过程中应从鼻窦采集样本,并进行真菌微生物学和组织病理学检查。非侵袭性真菌感染患者不接受抗真菌治疗。鼻内窥镜手术是治疗非侵袭性真菌性鼻窦炎的一种成功方法。
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引用次数: 1
Tuberculosis: a short glimpse 肺结核:短暂的一瞥
Pub Date : 2019-01-01 DOI: 10.5455/IM.40521
A. A. Shad, Wajahat Ahmed Shad
Mycobacterium tuberculosis is an acid-fast bacterium, that cause the disease of significant burden worldwide i.e. tuberculosis (TB). Because of its airborne transmission, it remains a milestone and a very strong hurdle to limit its spread. More significantly, its targeting area mostly is alveolar macrophages present in the lungs, in which it can reside as a silent killer. This mini review aims to highlight the fundamentals of Mycobacterium tuberculosis, its disease-causing pattern, and treatment options that have been developed to tackle the disease. TB has been categorized into re-emerging disease in many parts of the world, so there is a need to look on it. Further prevention and controlling strategies also discussed in last to highlight the importance in which sense the TB prevalence could potentially be reduced.
结核分枝杆菌是一种抗酸细菌,在世界范围内引起严重负担的疾病,即结核病。由于其通过空气传播,它仍然是一个里程碑,也是限制其传播的一个非常强大的障碍。更重要的是,它的靶向区域主要是存在于肺部的肺泡巨噬细胞,它可以作为一个沉默的杀手存在于其中。这篇小型综述旨在强调结核分枝杆菌的基本原理、其致病模式以及为解决该疾病而开发的治疗方案。在世界许多地方,结核病已被归类为重新出现的疾病,因此有必要关注这一问题。最后还讨论了进一步的预防和控制战略,以强调在某种意义上可能降低结核病患病率的重要性。
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引用次数: 0
Primary sclerosing cholangitis associated with inflammatory bowel disease 原发性硬化性胆管炎与炎症性肠病相关
Pub Date : 2019-01-01 DOI: 10.5455/IM.48059
Isaura de Oliveira Carrijo, L. A. Ugrinovich, P. Simioni
Primary sclerosing cholangitis (PSC) is a rare chronic cholestatic liver disease characterized by inflammation of the intra and extrahepatic bile ducts with progression to cirrhosis. To the present, the etiology of PSC is not known. Although it is possible to establish a correlation with a genetic predisposition, it is an autoimmune disease, associated with ulcerative colitis and Crohn's disease. There is no proven medical treatment that prolongs survival in PSC, being liver transplantation the only curative treatment, with recurrence of 20% of cases within the first five years after transplantation.
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引用次数: 1
期刊
International medicine (Antioch, Turkey)
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