Volume 8 Articles
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Volume 8 Articles
The Role of Bone Mineral Density Assessment in Health-Related Quality of Life in Postmenopausal Han Chinese Women Prior to Clinic Diagnosis of Osteoporosis
Osteoporosis is a systemic skeletal disease and strongly associated with reduced quality of life (QoL). The aimof the study was to explore BMD that......
View PDF View FulltextUnerupted Teeth, A New Symptom of Amyloidosis?
Amyloidosis are rare diseases related to the pathological aggregation and accumulation of misfolded proteins in the extracellular space generating insoluble deposits. This may occur in almost any tissue and organ, leading to severe structural damages and functional impairments.......
View PDF View FulltextCommentary: Defecation Delay in Patients After Lung Tumor Surgery: AProspective Nested Case-Control Study
This is a brief commentary to our article “Defecation delay in patients after lung tumor surgery: a prospective nested case-control study” [1]. The author Chen used to be a resident and rotate in different departments......
View PDF View FulltextAfter Sequential Therapy with First and Third Generation EGFR-Tkis, A Patient Acquired EGFR G719A Mutation and Responded to Afatinib, and Then, Acquired EGFR T790M Mutation When Developed Resistance to Afatinib: A Case Report
NSCLC patients who had sensitive EGFR mutation had great possibility to get benefit from EGFR-TKIs. But this efficacy was relied on related EGFR mutation, if related EGFR mutation changed, resistance would happened.......
View PDF View FulltextSARS-Cov2 and limb Ischemia
Patients with severe acute respiratory syndrome coronavirus 2 (SARS-Cov2) infection mainly present severe pneumonia associated with complication srelated tocytokinestormsyndrome. So, it was associated with thromboti cincidents like a cutelimbischemia and pulmonary embolism.......
View PDF View FulltextA Road from Coronary to Pulmonary: A Rare Imaging Presentation
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. Its association with Pulmonary Atresia is considered to be the most severe form, the diagnosis of which plays an important role in determination of the......
View PDF View FulltextPrevalence and Determinants of Distress Among Residents During COVID Crisis
Residents are predisposed to develop distress, burnout, and depression. With COVID-19, new stressful working conditions were imposed. This study aims to assess the impact of COVID-19 on residents’ wellbeing in France.......
View PDF View FulltextUlcerative Colitis with Aseptic Abscesses Controlled by Vedolizumab: A Case Report
Aseptic abscesses (AAs) are neutrophilic infiltrative lesions that often coincide with systemic inflammatory disorders such as inflammatory bowel diseases (IBD). According to recent literature, medical therapies in IBD with AAs include co......
View PDF View FulltextA Metastatic Melanoma Patient with Spontaneous Melanoma Associated Vitiligo Survived for up to 7 Years and 5 Months: A Case Report
Malignant melanomaisa highly malignant tumor caused by abnormal proliferation of melanoma cells in the skin and mucous membranes, with apoorprognos is after metastasis.......
View PDF View FulltextGiant Gallstone, Rare Cause for Conversion to open Cholecystectomy from Laparoscopic
Gallb ladder stones is one of the most common disease of the digestive system. Giantgallb ladder stoneisrare and subject to technical difficulties in laparoscopic cholecystectomy with high rate of conversion to open cholecystectomy.......
View PDF View FulltextQuality of Life, After Bariatric Surgery
Obesity is a disease characterized by the abnormal accumulation of body fat. It is estimated that there are 650 000 000 obese adults. Its incidence has increased in recent years, contributing to the decrease in the average life expectancy......
View PDF View FulltextConservative Treatment of Retained Placentas: A Report of Two Cases
To demonstrate conservative treatments for retained placenta accreta in puerperants who underwent induced labour of dead foetuses in the second trimester......
View PDF View FulltextRadiation Therapy of Thyroid-related Eye Diseases
Thyroid-associated ophthalmopathy (TAO) is an autoimmune disease associated with thyroid-related posterior ocular and perimeter orbital tissue invasive lesions......
View PDF View FulltextManagement of Prolapsed End Transverse Colostomy: A Simple Local Revision
Prolapsed colostomy is a well-known complication, occurring with transverse colostomies more frequently than other types of colostomies. It is usually managed conservatively when it is uncomplicated; however......
View PDF View FulltextHerniation of the Ovary into the Canal of Nuck in a 3 Month Old Female Infant: A Rare Entity Needing Urgent Ultrasonography Evaluation
Indirecting uinalhernia of the canal of Nuck containing the pelvic organs such as ovary is a rare entity among females of pediatric age group which presentsass welling of labiamajora. It iscaused by congenitally failedclo sure of the process usvaginalis in female......
View PDF View FulltextEndovascular Treatment of Common Iliac Artery Aneurysm after open Repair for RupturedAAAwith Commercially Available Devices in Bulgaria - Case Report
True iliac aneurysms development is a major sign of an eurysmdisease progression after open repair for Abdominal Aortic Aneurysm (AAA). We present our experience in en- dovascular repair of true iliac aneurysm after open reconstruction ......
View PDF View FulltextSpontaneous Pneumomedia stinum with Subcutaneous Emphysemaina COVID-19 Patient
A 39-year-old man presented to the emergency room with complaints of fever, shortness of breath and pronounced dry coughfor 1 week. On physical examination, his respiratory rate was 28 breaths/min and his oxygen......
View PDF View FulltextSub-Dural Hematoma and COVID-19 Infection: Re-Bleeding Following Anti-Coagulation
Chronic subdural hematoma generally occurs in elderly patients. Anti-coagulation is also a frequent risk factor for this disease. The objective of thisreport was to present the rare case of a right hemispheric subdural hematoma associated with......
View PDF View FulltextEditorial
Let me starts with short explanation which led me to write these words to encourage all of you who had experienced or are still experiencing the problem and situation I had gone through. One eveningjust talking with ......
View PDF View FulltextBio-Statistics Newer Advances, Scope & Challengesin Bio-Medical Research
Biostatistics also known as biometry which means ‘measurement oflife’ is abranch of applied statistics which deals with collection, compilation, analysis and interpretation of data related to biomedical sciences.......
View PDF View FulltextCross-Sectional Study on Prevalence of Psychological Comorbidity in Patients with Psoriasis
This study investigates the prevalence of psychological comorbidity in patients with moderate to severe psoriasis vulgaris. Furthermore, the relation between the type of disorder and the degree of psoriasis severity has been analysed.......
View PDF View FulltextA Giant Multifocal Squamous Cell Carcinoma Arising in a Patient with Hidradenitis Suppurativa
Few reports describe squamous cell carcinoma arising in hidradenitis suppurativa. Although rare, the combination of SCC and HS is often associated with early metastasis and high mortality rates.......
View PDF View FulltextTreatment of Deep Burn Wounds of the Buttocks and perineum using Vacuum Sealing Drainage Combined with a Homemade Anal Canal
The aim of this study was to investigate the therapeutic effects of vacuum sealing drainage technology combined with homemade anal canal treating the deep burn wounds of the buttocks and perineum. From March ......
View PDF View FulltextPrevelance of Ovarian Cancer and Its Corelation with Age in Pakistan
Group of diseases that is originated from the different parts of ovaries and cause production of abnormal cells that divide uncontrolled themselves in the ovaries is known as ovarian cancer.......
View PDF View FulltextTuberculosis: A Rare Cause of Linear Labial Ulceration
Oral location of tuberculosis is rare. It admits a clinical polymorphism and poses above all a problem of diagnosis. We report a caseoflabialtuberculosisina16-year-old patient with underlying lymph node localization......
View PDF View FulltextManagement of Acid Base Disorders in Pregnant Woman
The interpretation of the acid-base statusis key in medical practice, being its most frequent use in critically ill pregnant patients with any type of hemodynamic alteration such as hemorrhagic shock or septic shock, which happens......
View PDF View FulltextComputerized Misinterpretation of QT Interval in 12-Lead Electrocardiogram and Its Clinical Consequences:ACase of Recurrent Syncope
The diagnosis of long QT syndrome may be delayed due to absenceofelectrocardiogram(ECG)examinationand/orQTinterval misdiagnosis. We present......
View PDF View FulltextExtraperitoneal end Tunnel Colostomy Before the Posterior Sheath of the Abdominal Poster Rectus Muscles: A Novel Surgical Technique to Reduce the Incidence Of Hernia
Parastomal hernia is one of the most common complications after colostomy. Preventive strategies are considerable. For less defect and better mechanical work......
View PDF View FulltextClay-Shoveler’s Fracture Caused by Long-Term Bad Posture and Bad Habits: A Case Report
To discuss the fracture of the spinous process of the lower cervical vertebra and upper thoracic vertebra due to long-term bad posture and bad habits, called Clan-Shoveler's fracture. Methods: To analyze the ......
View PDF View FulltextSevere Respiratory Failure from SARS COV 2, Complicated with Pneumothorax in a Pregnant Woman: A Case Report
The first data for COVID-19 in pregnancy showed mild to moderate forms of the disease while current data speaks of severe forms in these subjects. Here we present a case of a severe form of COVID-19 in a gemelar pregnant woman complicated with pneumomediastin and pneumothorax, during her hospital stay, in a late stage of disease.......
View PDF View FulltextThe Role of Cellular Immunity in the Protective Efficacy of the SARS-Cov-2 Vaccine
Several severe acute respiratory Syndrome Coronavirus 2 (SARSCoV-2) vaccines have been approved for clinical use. However, most studies use the SARS-CoV-2-neutralizing antibody titers induced after immunization......
View PDF View FulltextCardiac Myxoma: A Rare Case Series of 4 Patients and a Literature Review
Cardiac myxomas are the most common primary cardiac tumor. Clinical findings are numerous and range from general manifestations to symptoms related to......
View PDF View FulltextEvaluation of a Simulation Program for Management of Cardiovascular Emergencies in Pregnant Women
Medical education worldwide is undergoing a pedagogical renovation movement; medical simulation is one of the revolutionary educational tools whose aim is to improve the medical knowledge,.....
View PDF View FulltextStructure and development of a clinical decision support system: application in high Digestive Gastroenterology
Clinical decision requires to infer great, diverse and not suitably organized quantity of information and having low time to decide. The therapeutic choice is fundamental to formulate a strategy to avoid complications and to......
View PDF View FulltextRectal Cancer Watch and Wait Approach: A Promising Rectal Salvaging Strategy
Colorectal cancer is the third most common cancer worldwide, with rectal cancer being the 10th fatal cancer. The current recommended treatment for locally-advanced rectal cancer is neoadjuvant chemoradiotherapy......
View PDF View FulltextCOVID-19 Associated Loss of Smell and Taste Treated with Gabapentin
Throughout the COVID-19 Pandemic, the symptoms of loss of smell and taste have been commonly encountered by healthcare professionals, and in fact, have become an important screening tool. By some estimates,......
View PDF View FulltextGiant Cell Tumor of the Middle Phalanx of Ring Finger Treated with Wide Excision and Reconstruction using Non-vascularized Fibular Graft: A Rare Case Report and Review of Literature
Giant cell tumor (GCT) involving the hand, specifically the phalangeal bones, is very rare, accounting for only 2% of cases of the bone. This type......
View PDF View FulltextMetastatic Adrenocortical Carcinoma Presenting as Intracavitary Mass in Right Atrium: A Case Report
Adrenocortical carcinomas grow rapidly and tend to metastasize to liver and lungs and invade kidney, renal vein and Inferior vena cava (IVC). Cardiac metastases of the tumor is rare, less than 20 cases have......
View PDF View FulltextMultistrand Titanium Cable Combined with AO Metacarpal Plate in Treating Acromioclavicular Dislocation
As far as we know, no literature is available regarding multistrand titanium cable (MSTC) combined with AO metacarpal plate in treating acromioclavicular (AC) dislocation. Therefore, the current study aimed to evaluate the clinical results of applying such technology in treating AC dislocation. ......
View PDF View FulltextCongenital Panfollicular Nevus
A 1-month-old girl presented to our dermatology clinic with a few irregular asymptomatic nodules on her scalp which were present at birth and had recently increased in size. An incisional biopsy was taken, and the results were compatible with a newly proposed entity called congenital panfollicular nevus.......
View PDF View FulltextBone Metastasis as Initial Presentation of an Aggressive Adenoid Cystic Carcinoma of Mandible: Case Report
Adenoid cystic carcinoma (ACC) is a slowly growing malignant neoplasm with possible widespread distant metastasis. The diagnosis requires thorough ......
View PDF View FulltextIntra-Abdominal Lymphangioma
Lymphangiomas are rare slowly growing benign tumors derived from lymphatic vessels. They occur in various anatomical locations of body like head,......
View PDF View FulltextCOVID-19 Pneumonia in a Congenital Adrenal Hyperplasia; A Case Report
Congenital Adrenal Hyperplasia (CAH) is managed with longterm corticosteroid and is suggested to higher dose, based on the general sick day principles.......
View PDF View FulltextManagement of Shunt complication in a Paediatric COVID 19 Case in Bangladesh Medical College Hospital
V-P shunt is the most common surgery done in paediatric hydrocephalus. Though the surgery remains as ‘minor’ in the arena of Neurosurgery, its complication......
View PDF View FulltextEmergencies in Parkinsonism
Patients with Parkinsonism may present acutely to the ED with serious and even life-threatening conditions. Although falls are a common presentation in advanced Parkinsonism, early presentations with......
View PDF View FulltextRare Bullous Pemphigoid During PD-1 Inhibitor Therapy: A Case Report
Immunotherapy is an important treatment modality in cancer, but it can also cause adverse reactions, with skin toxicity being the most common. The increasing number of immune checkpoint inhibitors being used in the clinic will inevitably cause an increase in the rate of adverse skin......
View PDF View FulltextUncommon Site for Deep Vein Thrombosis in a Kidney Transplant Recipient After Switching Tacrolimus to Sirolimus: A Case Report
We report a 67-year-old male patient who underwent a living related kidney transplantation from his daughter. He developed New-onset Diabetes after Transplantation (NODAT). Sirolimus was introduced and Tacrolimus was stopped to avoid recurrence of......
View PDF View FulltextNF1 Mutated Metastatic Melanoma and Response to Immune Checkpoint Inhibitor Therapy: A Retrospective Analysis
Based on molecular profiling, malignant melanoma is classified in four different groups. NF1-mutated tumors are a small subgroup occurring with a frequency of 13% of all malignant melanomasd recurrent irritation of the bladder. Because of its. ......
View PDF View FulltextYoung Women with Relapse of Acute Lymphoblastic Leukemia Mimicking the Myomatous Uterus
Case presenation of a rare clinical manifestation of a relapse of acute lymphoblastic leukemia in a young woman manifested by growing uterus mimicking a myomatous uterus.......
View PDF View FulltextFour Unique Laboratory Characteristics Applied to Assess the Severity of COVID-19
The sudden outbreaking of COVID-19 worldwide has brought into sharp increased burden of economic and treatment. How to simply, quickly and accurately assess the severity of patients with COVID-19 in the early stage after hospital admission is essential for healthcare systems. ......
View PDF View FulltextCystitis Glandularis: A Case Report of a Rare Benign Bladder Tumor
Pseudotumor or florid cystitis glandularis is the bladder urothelial of the which mainly affects humans [1,2,3]. It is facilitated by chronic and recurrent irritation of the bladder. Because of its. ......
View PDF View FulltextOral Minocycline Challenge as a Potential First-Line Therapy for Myalgic Encephalomyelitis and Long Covid-19 Syndrome
Chronic fatigue syndrome characterized by severe disabling fatigue, prolonged post-exertional malaise, and unrefreshing sleep markedly reduces the activities of daily living and impairs the quality of life. ......
View PDF View FulltextPersonnel Policy and Practice: Sustainable Management of Pharmacy, Pharmacists and Pharmaceuticals and How to Bridge the Gap in Human Resources for Health
Worldwide there are different systems for providing pharmacy services. Most countries have some element of state assistance, either for all patients or selected groups such as children, and some private provisions.......
View PDF View FulltextGenetic Polymorphic Impact of Metabolizing Enzyme (CYP3A4 and UGT1A4 genes) on Anastrazole Response in Iraqi Breast Cancer Women
Anastrazole is an aromatase inhibitor used widely in therapy of breast cancer and has been metabolized by CYP3A4 and UGT1A4 in liver. Breast cancer is the most common cancer type in worldwide and the second causes of death after lung cancer and the......
View PDF View FulltextConcomitant Diseases in a Complex Case of Peritonitis after Stapled Trans Anal Rectal Resection (Starr) in Obstructed Defecation Syndrome (Ods). Role of a Diagnostic and Therapeutic Multidisciplinary Approach
Approximately 0.06-2.3% of the population presents a Jejunal and Ileal Diverticular (JID) disease, of whom approximately 10% develop life-threatening complications such as inflammation, perforation, bleeding......
View PDF View FulltextMucoepidermoid Carcinoma of Parotid Gland: 2 Cases and Literature Review
Mucoepidermoid Carcinoma (MEC) of the salivary gland accounted for 5% of all salivary gland tumors and 20% of all malignant salivary gland tumors [1]. About 50% of salivary gland Mucoepidermoid carcinoma......
View PDF View FulltextA Case of Giant Intrapericardial Teratoma of the Heart in an Infant with a Favorable Outcome
Primary cardiac tumors in newborns and young children are rare, but they affect significantly their health and can be the cause of sudden death. These tumors compromise the integrity and function of adjacent c......
View PDF View FulltextSchwannoma With Extensive Vascular Hyperplasia in the Breast Mimicking Angiosarcoma
Schwannoma with extensive vascular hyperplasia in the breast is extremely rare. It is typically benign and slow growing. Here, we describe a case of 54-year-old woman underwent complete resection of a tumor measuring 2.5×2.0 cm in the breast. The tumor was composed with......
View PDF View FulltextDiffuse Cystic Airspaces in Bilateral Lungs Caused by Anlotinib
A 31-year-old woman, who was diagnosed of stage IVB pulmonary adenocarcinoma in July, 2018, accepted first-line treatment of afatinib and second-line treatment of platinum-based doublet chemotherapy.......
View PDF View FulltextSolitary Gastric Metastasis of Breast Invasive Lobular Carcinoma
A 52-year-old female patient with solitary gastric metastasis from breast invasive lobular cancer without any other organ involvement is presented in this study......
View PDF View FulltextMandibular AV Malformation: Life-Threatening Bleeding from the Mouth Managed by Endovascular Intervention Complicated by Acute Ischemic Stroke on Table. Case Report
Arteriovenous malformations (AVM) of mandibula are rare abnormal congenital vascular condition that can result in serious complications. Although, various treatment options have been advocated in the literature,......
View PDF View FulltextLaparoscopic Resection of Large Endo-Cervical Polyp Through Posterior Colpotomy as an Alternative Access to Vagina in Virgin Patients
Endometrial polyps have been involved in about 50% of patients with abnormal uterine bleeding and 35% of infertile patients. Management of pedunculated end ocervical myoma or polyp normally requires intervention ......
View PDF View FulltextA Typical Lateral Medullary Syndrome
Lateral medullary syndrome (LMS) is a type of ischemic stroke which occurs due to disruption of the blood flow in vertebral artery, or posterior inferior......
View PDF View FulltextRepeated Hemoptysis With Progressive Bronchiectasis: A Case Report of Lady Windermere Syndrome
Bronchiectasis is a type of incurable structural lung disease with clinical manifestations of chronic cough, expectoration or recurrent hemoptysis, which is often given anti-infection and symptomatic treatment. In this study, a patient suffering from bronchiectasis with repeated hemoptysis caused......
View PDF View FulltextPapillomavirus Vaccines Among University Students In Angola
Cervical cancer is the first most common cancer among women in Angola and accounts for 37.6% of cancers among women in Angola. The human papillomavirus (HPV) is a causative agent of the disease.,......
View PDF View FulltextFloating Thrombi in The Right Ventricular Outflow Tract
A 51-year-old woman was admitted to the hospital for an intermittent syncope. No abnormal findings on physical examination. Laboratory results showed B-type brain natriuretic peptide......
View PDF View FulltextImplementing SPADE Protocol (Save Patient from Pain, Agitation and Delirium, Execution Protocol) to Decrease the Incidence of ICU Delirium
This is a proposal for a multidimensional, multidisciplinary protocol pathway model that was dubbed SPADE. Due to pain, agitation, delirium magnitude (PAD) and its effect in intensive care on mechanically ventilated patients,......
View PDF View FulltextStatin as A Cause Immune-Mediated Necrotizing Myopathy: Case Report and Narrative
Statin-induced immune-mediated necrotizing myopathy (IMNM) is an exceedingly rare complication of statin use, which should be suspected in the patient with elevated CPK levels, symmetric proximal muscle weakness and persistence of symptoms despite discontinuation of statin therapy.......
View PDF View FulltextEuglycemic Ketoacidosis and an Absence Seizure in A Type 2 Diabetic On SGLT2 Inhibitors: Case Report and Review of the Literature
In recent years, many new antidiabetic drugs have been developed. One class of these new antidiabetic drugs are sodium-glucose cotransporter 2 inhibitors (SGLT2i). SGLT2i are associated with an increased ......
View PDF View FulltextAnkle Malignant Peripheral Nerve Sheath Tumor in A Neurofibromatosis I Patient: A Case Report and Review the Literature
Malignant Peripheral Nerve Sheath Tumors (MPNST) are rare and aggressive sarcomata’s tumors with an overall incidence of 0.001% [1] derived from Schwann cells or pluripotent cells of the neural crest [2-8]. MPNSTs are typically seen in patients aged 20-50 years,......
View PDF View FulltextA Case of Mycobacterium Abscessus in an Immunocompetent Patient
A 71-year-old lady from the USA, presented with a four-week history of cough and dyspnoea with a cavitatory lesion on her chest x-ray.......
View PDF View FulltextBody Mass Index and Postoperative Outcomes of Patients with Laparoscopic Adrenalectomy. A Single Center Experience
Laparoscopic adrenalectomy has become the standard of care for resection of adrenal masses with extremely low morbidity and mortality. This study investigates the difference in outcomes in patients who underwent laparoscopic adrenalectomy, comparing obese with non-obese patients.......
View PDF View FulltextTherapeutic Challenges in Post-Transplant Lymphopro lif erative Disorder of the Esophagus with Central Nerve System Involvement Complicated by an Esophagotracheal Fistula: A Case Report
Post-transplant lymphoproliferative disorder (PTLD) is a known complication following solid organ or hematopoietic stem cell transplantation. It’s a heterogeneous group of lymphoid and/or plasmocytic proliferations as a result of immunosuppression and is frequently......
View PDF View FulltextClinical Symptoms are Better Than CT Images for Treatment Evaluation and Hospital Discharge in Patients with Coronavirus Disease 2019 (COVID-19)
To determine whether changes in CT are better than clinical symptoms for treatment evaluation, and whether CT is necessary to determine the discharge of patient undergoing COVID-19 treatment.......
View PDF View FulltextJaneway Lesions as The Primary Sign of an Infected Radial Artery Aneurysm After Cannulation
A 52-year-old man with subarachnoid hemorrhage (Fisher 2, World Federation of Neurosurgical Societies Grading Scale 1) underwent endovascular coiling and was admitted to the intensive care unit for standard......
View PDF View FulltextEffect of Preoperative Chemotherapy and Postoperative Adjuvant Chemotherapy for Gastric Cancer with Positive Peritoneal Lavage Cytology (CY1): A Retrospective Study
Peritoneal metastasis is one of the most common forms of metastases for gastric cancer [1]. The 15th edition of the Japanese Classification of Gastric cancer defines patients with positive peritoneal lavage cytology ......
View PDF View FulltextPrevalence and Predictors of Self-Medication in the Younger Elderly of Ahvaz Based on Protection Motivation Theory
The use of medicines is one of the main parts of the treatment of diseases. However, self-medication can be followed several complications. The aim of this study was determine the prevalence and factors influencing self-medication based on protection motivation theory (PMT)......
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