SN Comprehensive Clinical Medicine最新文献_第3页

A Cross-Sectional Study of the Relationship Between Serum Cortisol Levels, Stress, Anxiety, and Sleep Bruxism 血清皮质醇水平、压力、焦虑和睡眠磨牙症之间关系的横断面研究

SN Comprehensive Clinical Medicine Pub Date : 2024-07-06 DOI: 10.1007/s42399-024-01701-6

Amirtaher Mirmortazavi, Azamsadat Madani, Hossein Ayatollahi, Farzad Akbarzadeh, Fatemeh Mohammadi Yekta, Aliakbar Jafarzadeh, Narges Ghazi

{"title":"A Cross-Sectional Study of the Relationship Between Serum Cortisol Levels, Stress, Anxiety, and Sleep Bruxism","authors":"Amirtaher Mirmortazavi, Azamsadat Madani, Hossein Ayatollahi, Farzad Akbarzadeh, Fatemeh Mohammadi Yekta, Aliakbar Jafarzadeh, Narges Ghazi","doi":"10.1007/s42399-024-01701-6","DOIUrl":"https://doi.org/10.1007/s42399-024-01701-6","url":null,"abstract":"For better understanding the relationship between stress-related hormone and probable sleep bruxism (SB), we compared the serum level of cortisol in patients with SB and healthy individuals. Thirty-nine patients with self-reported probable SB were compared to 40 age and sex matched healthy volunteers. All participants were examined and assessed using a two‐part questionnaire including Hamilton’s Anxiety Scale (HAM-A) and Perceived Stress Scale (PSS). Morning serum cortisol level was evaluated by chemiluminescent immunoassay. Data were analyzed by SPSS software using Mann–Whitney, Wilcoxon, and paired-sample t test. The mean serum cortisol level in SB group (12.70 ± 4.90 µg/dl) was slightly higher than healthy individuals (11.3 ± 43.42 µg/dl), but the two groups did not show a significant difference (P = 0.184). PSS mean scores were not significantly different, but HAM-A scale was significantly higher in SB group (19.13 ± 8.70) than in healthy individuals (6.80 ± 4.87). Higher anxiety scores could be better correlated with SB than morning serum cortisol levels and stress.","PeriodicalId":21944,"journal":{"name":"SN Comprehensive Clinical Medicine","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141567513","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}

引用次数: 0

Psoas Abscess with Pott’s Spine: A Case Report 腹股沟脓肿伴有波特氏脊柱：病例报告

SN Comprehensive Clinical Medicine Pub Date : 2024-07-04 DOI: 10.1007/s42399-024-01706-1

Evangeline Gladwin, Rudra Patel, Vaishnavi Patel, Mrudangsinh Rathod

{"title":"Psoas Abscess with Pott’s Spine: A Case Report","authors":"Evangeline Gladwin, Rudra Patel, Vaishnavi Patel, Mrudangsinh Rathod","doi":"10.1007/s42399-024-01706-1","DOIUrl":"https://doi.org/10.1007/s42399-024-01706-1","url":null,"abstract":"Psoas abscess is the accumulation of fluid around the iliopsoas muscle. Pott’s spine also called spinal tuberculosis occurs due to extra pulmonary tuberculosis. Common clinical manifestations include high grade fever, back pain, weight loss and lump in groin. Condition can be treated by anti-tubercular therapy and sensitive anti-microbials with analgesics for symptomatic relief. Drainage and surgical procedures can be carried out to remove the accumulated fluid based on inter individual severity. In this case study, we report a rare case of psoas abscess with Pott’s spine. A 28-year female presented with complaints of lump pain in groin, abdominal pain, flank pain, fever and weight loss. Medical history showed untreated tuberculosis since 5–6 months. MRI pelvis showed right psoas abscess measuring approximately 7 cm × 6.5 cm × 14 cm while MRI Dorso-lumbar spine showed Pott’s spine. The drainage clearance procedure was performed, and patient was prescribed with anti-tuberculous and anti-microbial drugs during hospitalization. On discharge, patient’s condition was improved. The condition is rare. Pott’s spine, if not diagnosed early, may delay the prognosis and cause psoas abscess, so it must be treated in time to reduce morbidity and mortality. Follow-up is essential to prevent the relapse of extra-pulmonary tuberculosis.","PeriodicalId":21944,"journal":{"name":"SN Comprehensive Clinical Medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141552303","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}

引用次数: 0

Wheezing and Choking—A Vascular Cause: A Case Report 喘息和窒息--血管原因：病例报告

SN Comprehensive Clinical Medicine Pub Date : 2024-07-02 DOI: 10.1007/s42399-024-01700-7

Keerthy Nath S, Mamatha Munaf, Jagadish A, Thomas Koshy, Saravana Babu

{"title":"Wheezing and Choking—A Vascular Cause: A Case Report","authors":"Keerthy Nath S, Mamatha Munaf, Jagadish A, Thomas Koshy, Saravana Babu","doi":"10.1007/s42399-024-01700-7","DOIUrl":"https://doi.org/10.1007/s42399-024-01700-7","url":null,"abstract":"The double aortic arch is an extremely rare vascular malformation that can be a cause of wheezing episodes and dysphagia in a young child. Depending on the extent of airway compression, anaesthesia management varies. Our patient was a 10-month-old boy with recurrent wheezing and choking episodes. The trachea and oesophagus were compressed by the double aortic arch, and the baby was posted for surgical division of the non-dominant aortic arch. The anaesthesia management is often difficult owing to the airway compression. The anaesthesia management varies from maintaining spontaneous breathing during induction and careful selection of an appropriate endotracheal tube based on the tracheal dimensions to requiring tracheal reconstruction procedures to manage the tracheal stenosis. Intraoperative surgical management depends on the identification of the dominant aortic arch from arterial pressure changes of upper and lower limbs and the repair of associated intra-cardiac defects. We report one such case with a successful outcome. Three-dimensional computed tomography images are attached for a clear understanding of the anatomy. Vascular rings are known, but rare causes of wheezing and choking episodes in a child, which requires careful planning of anaesthesia for a good outcome.","PeriodicalId":21944,"journal":{"name":"SN Comprehensive Clinical Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141515842","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}

引用次数: 0

Acute Changes in QRS Voltage in the Bipolar Leads on the Surface ECG Following Therapy in Acute Congestive Cardiac Failure Patients 急性充血性心力衰竭患者接受治疗后体表心电图双极导联 QRS 电压的急性变化

SN Comprehensive Clinical Medicine Pub Date : 2024-06-28 DOI: 10.1007/s42399-024-01703-4

Srilakshmi M. Adhyapak, Ashwin Alex, Nirmal Rozario, Tinku Thomas, Kiron Varghese

{"title":"Acute Changes in QRS Voltage in the Bipolar Leads on the Surface ECG Following Therapy in Acute Congestive Cardiac Failure Patients","authors":"Srilakshmi M. Adhyapak, Ashwin Alex, Nirmal Rozario, Tinku Thomas, Kiron Varghese","doi":"10.1007/s42399-024-01703-4","DOIUrl":"https://doi.org/10.1007/s42399-024-01703-4","url":null,"abstract":"Following decongestive therapy in patients with acute heart failure, it has been observed that there is an increase in the QRS amplitude in the bipolar limb leads on the surface electrocardiogram (ECG). We wanted to study this phenomenon to identify any markers of improvements in heart failure. Patients with atrial flutter, atrial fibrillation, implanted permanent pacemaker, acute coronary syndrome and those treated with sodium nitroprusside were excluded. Net fluid loss over the course of diuresis was calculated as fluid lost-fluid administered. All patients had two standard 12-lead ECGs recorded at admission prior to starting diuresis and after conclusion of therapy which was at discharge. There were 59 patients. All were treated with decongestive therapy and observed over a period of 8 ± 3.2 days. The urine output following therapy was similar in both groups of patients. The left ventricular internal diameter in diastole (LVIDd) and left ventricular internal diameter in systole (LVIDs) were less in the group with increase in QRS amplitude (Group 2) compared to the group who did not show change in QRS amplitude (Group 1), 4.4 (pm) 0.8 cm vs 4.9 (pm) 0.8 cm, p = 0.036, and 3.1 (pm) 0.5 cm vs 3.7 (pm) 1.0 cm, p = 0.002. The ratio between the peak velocity blood flow in early (E wave) and late diastole (A wave) in group 2 was 1.2 (pm) 0.7 compared to 1.7 (pm) 1.0 in group 1, p = 0.087. The deceleration time (DT) was higher by 45.2 (pm) 21.5 ms in group 2 compared to group 1 with no change in QRS amplitude, p = 0.04. Following decongestive therapy in a group of patients with heart failure, the QRS amplitude reflected in the limb leads improved significantly from pre-treatment values in the patients with less LV remodelling in terms of LV dilatation and LV diastolic dysfunction.","PeriodicalId":21944,"journal":{"name":"SN Comprehensive Clinical Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141504274","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}

引用次数: 0

Advanced Magnetic Resonance Imaging Techniques for Epilepsy: A Narrative Review 先进的癫痫磁共振成像技术：叙述性综述

SN Comprehensive Clinical Medicine Pub Date : 2024-06-27 DOI: 10.1007/s42399-024-01705-2

Teresa Perillo, Sandra Perillo

引用次数: 0

Non-HHT Arteriovenous Malformation Epistaxis: Successful Embolization in Young Patient—Case Report 非 HHT 动静脉畸形鼻衄：年轻患者的成功栓塞--病例报告

SN Comprehensive Clinical Medicine Pub Date : 2024-06-25 DOI: 10.1007/s42399-024-01699-x

Aviad Sapir, Sofia Kordeluk, Anat Horev, Oren Ziv

引用次数: 0

CT Arthrography for Demonstration of Radiographically Occult Intraarticular Pathologies in Chronic Post-traumatic Unexplained Painful Elbow CT 关节造影用于显示慢性创伤后不明原因疼痛性肘关节的影像学隐匿性关节内病变

SN Comprehensive Clinical Medicine Pub Date : 2024-06-14 DOI: 10.1007/s42399-024-01697-z

Mohammad Fouad Abdel-Baki Allam, Ahmed Saeid Ahmed El-Gebaly, Mahmoud Sayed Abdel-Naeem Abdul-Aziz, Ahmed Hamed Ismail, A. F. Allam, Alaa Wagih Fathy

引用次数: 0

Isolated Ptosis in Acute Sinusitis: Case Report and Literature Review 急性鼻窦炎中的孤立性眼睑下垂：病例报告和文献综述

SN Comprehensive Clinical Medicine Pub Date : 2024-06-14 DOI: 10.1007/s42399-024-01698-y

Alex Michael Summerbell, Tammy Nicholson-Stubbs

引用次数: 0

Impact of Preoperative Weight Loss On Surgical Outcomes in Patients Undergoing Glossectomies 术前体重减轻对谷横膈肌切除术患者手术效果的影响

SN Comprehensive Clinical Medicine Pub Date : 2024-06-13 DOI: 10.1007/s42399-024-01691-5

S. Vedula, Keshav D. Kumar, Rushi Patel, Aman M. Patel, Raj Malhotra, Joseph Celidonio, Owais M. Aftab, Richard Chan Woo Park

引用次数: 0

Infective Endocarditis in Pregnancy: Unveiling the Challenges, Outcomes, and Strategies for Management 妊娠期感染性心内膜炎：揭示挑战、结果和管理策略

SN Comprehensive Clinical Medicine Pub Date : 2024-06-08 DOI: 10.1007/s42399-024-01694-2

Gennifer Wahbah Makhoul, Chloe Lahoud, Nnedindu Asogwa, Joanne Ling, Madonna Matar

引用次数: 0