Clinical Case Studies and Reports最新文献

{"title":"Spinal Infarction in a Young Adult without Predisposing Risk Factors: A Case Report","authors":"I. Grewal, Omar Elsemary, Saifullah Nasim, N. Mukhtar","doi":"10.59657/2837-2565.brs.23.041","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.041","url":null,"abstract":"Spinal cord infarctions are a form of stroke characterized by ischemia originating within the spinal cord or its supplying arteries. Presentation of spinal cord infarctions vary greatly due to its diverse pathologies, but can include bladder dysfunction, paraplegia, quadriplegia, etc. The average age of people with this disease tends to be older adults, with very few reported cases in the younger demographic. Here, we report a case of spinal infarction in a young 25-year-old adult male with no predisposing risk factors.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82662377","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}

{"title":"Loss of Vision in a Division I Basketball Player","authors":"Rock Vomer, Rayghan S Larick, Emma York, Chris Fungwe, Abigail Bent, D. Narducci, Kristin Terry","doi":"10.59657/2837-2565.brs.23.037","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.037","url":null,"abstract":"We present a case report of a 20-year-old cis female division 1 collegiate basketball athlete who presented to her team physician with concerns for bilateral temporal, throbbing headache and sudden-onset, non-traumatic, right eye irritation and blurred vision. She was found to have optic neuritis and ultimately diagnosed with multiple sclerosis (MS). Although MS is the most common progressive neurologic disease of young adults there is limited research on athletes with MS. While the pathogenesis of MS remains unknown, current science identifies MS as a multifactorial condition influenced by both environmental and genetic factors. MS has a female predominance and presents most often between the ages of 20 to 45 years old. Since musculoskeletal and/or neurological symptoms are often the first sign of MS it is necessary for healthcare professionals caring for athletes to be familiar with the diagnosis, management and prognosis of MS. This case presents several key themes that aim to assist clinicians caring for athletes with MS. MS can present similar to sports-related injuries (e.g., concussions, overtraining, psychosocial stressors, musculoskeletal injuries) therefore diagnosis in the athletic population is easily missed. Without a healthcare team familiar with the immediate and future needs of the athlete, subpar preliminary and continuous treatment may result in devastating health changes and career ending consequences in athletes. Treatment goals must also align with the patient's athletic goals. Additionally, this case highlights unforeseen ethical and clinical obstacles including the repercussions of the COVID-19 pandemic that must be considered by clinicians involved in the medical care of athletes.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77171493","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}

{"title":"Deluge, Pain, Agony, and Survival: Decoding Disaster’s Adversities","authors":"Edgar R. Eslit","doi":"10.59657/2837-2565.brs.23.040","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.040","url":null,"abstract":"This article aimed to explore the experiences of deluge victims in Iligan City following Typhoon Sending using Interpretative Phenomenological Analysis (IPA). Semi-structured interviews were conducted with 10 participants, and the data were analyzed using IPA. The study found that the flood had a significant psychological and emotional impact on the participants, with several key themes and patterns emerging from the IPA analysis. These included the impact on emotional well-being, coping strategies, and patterns of adaptation and adjustment among Iligan City’s Sending Survivors. The coping strategies employed by the participants highlighted the importance of social support and community engagement in disaster recovery. The patterns of adaptation and adjustment observed among the participants suggest the potential for personal growth and development following a traumatic event. The study has implications for practitioners and policymakers involved in disaster response and recovery, and highlights the need for continued research and support for individuals and communities affected by natural disasters.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85578357","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}

{"title":"Early Recognition of Signs of Hypercoagulability to Prevent Adverse Health Outcomes","authors":"I. Grewal, Omar Elsemary, Saifullah Nasim, Ameer Almullahassani","doi":"10.59657/2837-2565.brs.23.036","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.036","url":null,"abstract":"Factor V Leiden is a genetic disorder that results in the elimination of the cleavage site on the clotting factor V and Va. This increases the risk for clotting events, such as a stroke, in affected individuals. Factor V Leiden is often overlooked due to a lack of screening measures. Our case report outlines a patient who suffered from a stroke with no abnormalities on diagnostic testing until further genetic testing revealed Factor V Leiden.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89795644","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}

{"title":"Childhood Leukemia: A Review","authors":"D. Awasthi","doi":"10.59657/2837-2565.brs.23.034","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.034","url":null,"abstract":"Leukemia is cancer of the blood. It’s the most common form of cancer in childhood. The cancer cells grow in bone marrow and go into the blood. The bone marrow is the soft, spongy centre of some bones. It makes blood cells. When a child has leukemia, the bone marrow makes abnormal blood cells that don’t mature. The abnormal cells are usually white blood cells (leukocytes). The bone marrow also makes fewer healthy cells. The abnormal cells reproduce very quickly. Children with leukaemia can need treatment for up to 3 years.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81225944","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}

{"title":"Enhancing Global Transparency Index for Accurate Calculation of Poverty Rate","authors":"Sami Almuaigel","doi":"10.59657/2837-2565.brs.23.025","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.025","url":null,"abstract":"In this research, the aim is to increase the accuracy of the Global Transparency index and to use it to calculate the poverty rate.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72708400","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}

{"title":"Ontologies for Supporting Traffic Behaviour, Critical Gap, and Conflict Models at Unsignalized Intersection Routes","authors":"F. Mustakim, Mohammad Nazir Ahmad, Azlan Abdul Aziz, S. Jamian, A. Mahmud, Rabiah Abdul Kadir, Riza Sulaiman","doi":"10.59657/2837-2565.brs.23.028","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.028","url":null,"abstract":"Background: The challenge arises from management of big data in transportation can be identified by ontological approach. Road accidents are regarded as a significant cause of both harm to humans and financial damage in many countries. In Malaysia, there were 567,516 accidents in 2020 alone. This translates into a daily average of 13 people killed due to traffic accidents in the country. Here, our work focuses on gap patterns, critical gap analysis, gap acceptance of right-turning motorists (RTMs) and serious conflict model on Malaysia Rural Roadways at three-leg unsignalized intersections. Methods: In early stage, traffic volume, motorist turning manoeuvre and speed study are implemented to identify the traffic behaviour at selected intersection. Three unsignalized intersection (UI) was involved namely (UI2), (UI 9), and (UI10). In the development of logistic regression models, five different datasets were used in this study: right-turning motorist (RTM) at unsignalized intersection UI2 (259 dataset), right-turning motorist at UI 9 (239 dataset), right turning motorist at UI 10 (314 dataset), right turning motorist combined model (812 dataset) and serious conflict lane change (351 dataset). Determination of critical gap was carried out at each unsignalized intersection 2, 9 and 10. Meanwhile gap-pattern analysis at each intersection used visualization spatial plot. In addition, this work investigated logistic regression method, artificial neuron network and structural equation modelling. Results: Gap pattern three was discovered to be a vulnerable gap pattern. Furthermore, this research reveals that the attributes of the gap three pattern, motorcycles rider, speed limit exceeding 50 kph and RTMs where motorcycles stop near passenger cars in minor roads encourage serious conflict. Moreover, this study proposes novelty tool for identifying hazardous unsignalized intersection by using visualization spatial plot between approach speed and gap.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86478905","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}

{"title":"A Case Report: Anaesthesia for Awake Craniotomy","authors":"A. Alanzi, Samah Hakemi, S. Adeel, Fakher Hayat","doi":"10.59657/2837-2565.brs.23.032","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.032","url":null,"abstract":"Background: Awake craniotomy is a neurosurgical technique that enables the precise localization of functional neural networks through intraoperative brain mapping and real-time monitoring. This operative method has been popularized in recent years due to decreased postoperative morbidities. We present a case of 31 years old female who was presented with episodes of generalized tonic colonic seizures. She had a history of recurring seizures occurring 2 to 3 times a week. Upon further investigations, she was diagnosed with brain space-occupying lesions initially suspected as low-grade glioma. Considering lesion site, the patient was deemed a suitable candidate for an awake craniotomy. To achieve conscious sedation, the patient received infusions of Remifentanil and Propofol at varying rates. During the procedure, the patient was under sedation and regularly tested for response to predetermined commands. The tumour was successfully excised by using a combination of local anaesthesia on the scalp and the administration of propofol and boluses through a systemic infusion. This case report highlights the importance of the team work among anaesthesia and surgeons where local /regional anaesthesia can be combined with sedation to perform a surgical procedure in certain conditions.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77560707","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}

{"title":"Colour images and dark images","authors":"Prasenjit Jana","doi":"10.59657/2837-2565.brs.23.030","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.030","url":null,"abstract":"Light can create two types of images one is dark image and another is colour image or light image. The light helps us to see and it is by its light image but we can think in the absence of light in our mind or brain by dark image. More properly in our brain or mind we create another dark image with the help of a light image which we see with our eyes.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87808573","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}

{"title":"Profiles of Bacteria Isolates and their Antimicrobial Resistance Pattern among Housemaids Working in Communal Living Residences in Jimma City, Ethiopia","authors":"Tadele Shiwito Ango, Tizita Teshome, Tesfalem Getahun, Girma Mamo, Negalgn Byadgie","doi":"10.59657/2837-2565.brs.23.027","DOIUrl":"https://doi.org/10.59657/2837-2565.brs.23.027","url":null,"abstract":"Background: Bacterial pathogens continued to be the major causes of foodborne gastroenteritis in humans and remained public health important pathogens across the globe. As regards, housemaids operating inside a kitchen could be the source of infection and may transmit disease-inflicting pathogens through infected hands. Profiles of bacteria isolates and their antimicrobial resistance patterns among housemaids employed in dwellings in Ethiopia; particularly in the study area haven’t been underexplored yet. Objective: A study aimed to assess the profiles of bacteria isolates and antimicrobial resistance patterns among housemaids working in communal living residences in Jimma City, Ethiopia. Methods: Laboratory-based cross-sectional study design was employed among 230 housemaids from April-June 2022. Hand swabs samples from the dominant hand of the study participants were collected under sterile conditions for the segregation of commensal microbes following standard operating procedures. Then in the laboratory, the swabs were inoculated aseptically using streak-plating methods on mannitol salt agar, MacConkey agar, Salmonella-shigella agar, and Eosin Methylene Blue Agar. Then inoculated samples were incubated at 37°C for 24 hours for bacterial isolation. In addition, a set of biochemical tests was applied to examine bacterial species. Data was entered into Epidata version 3.1. All statistics were performed using SPSS® statistics version 26. Descriptive analyses were summarized using frequency and percentage. Results: The response rate of respondents was 97.8%. The prevalence of bacterial contaminants in the hands of housemaids who tested positive was 72% (95%CI: 66.2-77.8%). The isolated bacterial were Staphylococcus aureus (31.8%), Coagulase-Negative Staphylococci (0.9%), Escherichia coli (21.5%), Salmonella (1.3%), Shigella (6.7%), Klebsiella species (23.3%) and Proteus species (14.8%). The isolation rate of bacteria was significantly associated with the removal watch, ring, and bracelet during hand washing. Most isolated bacteria were sensitive to Chloramphenicol while the majority of them were resistant to Tetracycline, Gentamycin, Vancomycin, and Ceftazidime. Conclusion: Hands of housemaids are important potential sources of disease-causing bacterial pathogens that would result in the potential risk of foodborne diseases. Most isolated bacteria were resistant to tested antimicrobial drugs. Everybody responsible should work practice of good hand hygiene.","PeriodicalId":10345,"journal":{"name":"Clinical Case Studies and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136329813","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}