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Exclusive Real World Evidence Journal最新文献

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Observational Analysis: A Prospective Study of the Correlation Between the State of the Maternal Spine and the Progress of Labor Under Epidural Analgesia 观察分析：产妇脊柱状态与硬膜外镇痛下分娩进展之间相关性的前瞻性研究
Exclusive Real World Evidence Journal Pub Date : 2024-02-20 DOI: 10.54136/erwej-0401-10069
Subha R, Mirudhubhashini G, Ramya J, Anuradha R, Selvanandhini G, Saranya S
{"title":"Observational Analysis: A Prospective Study of the Correlation Between the State of the Maternal Spine and the Progress of Labor Under Epidural Analgesia","authors":"Subha R, Mirudhubhashini G, Ramya J, Anuradha R, Selvanandhini G, Saranya S","doi":"10.54136/erwej-0401-10069","DOIUrl":"https://doi.org/10.54136/erwej-0401-10069","url":null,"abstract":"Background: People have always believed that going through the process of childbirth is a gift, although pain experienced during labor by a woman occupies the second level in the pain score table. But that belief that one has to undergo pain during labor is slowly fading away, as we are entering an era where women are seeking options for painless labor, and delivery. Objective: To evaluate the spine of women in labor opting for epidural analgesia. To correlate the abnormal position of the maternal spine to the progress of labor and outcomes. Methods: The current prospective observational study performed between 2021-2023 had enrolled 200 women who were given epidural analgesia irrespective of stage of labor. Women who had a history of spine surgeries or congenital spinal deformities were excluded. Results: Of the 200 women included in the study, 80 women showed a deviation of spine mostly to the right from the midline or significant lordosis, irrespective of babies’ weight and maternal height. Out of the 80 women, 70 women ended up in an emergency cesarean section. Of the 70 women who were taken up for emergency c-sections, the major indication was nonprogress of the second stage of labor. Ten patients had a vaginal delivery, of which 3 had assisted instrumental delivery due to a prolonged second stage and poor maternal efforts. Conclusion: Irrespective of maternal height, weight of the baby, and stages of labor, if the spine shows lordosis with significant deviation from the midline most commonly towards the right it can have a significant impact on the progress of labor and outcomes.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"186 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140448431","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
Idiopathic Portal Hypertension: A Case Report of an Adult Indian Rural Female of “Banti Syndrome” 特发性门脉高压症：一名患有 "班蒂综合征 "的印度农村成年女性的病例报告
Exclusive Real World Evidence Journal Pub Date : 2024-02-20 DOI: 10.54136/erwej-0401-10073
Venkatesh Yatakarla, Manisha Biswal, Swapnil Patil
{"title":"Idiopathic Portal Hypertension: A Case Report of an Adult Indian Rural Female of “Banti Syndrome”","authors":"Venkatesh Yatakarla, Manisha Biswal, Swapnil Patil","doi":"10.54136/erwej-0401-10073","DOIUrl":"https://doi.org/10.54136/erwej-0401-10073","url":null,"abstract":"Non-cirrhotic portal fibrosis (NCPF)/idiopathic portal fibrotic hypertension (IPH) is one of the major diseases that include a group of diseases caused by increased portal venous pressure which is thought to be due to intrahepatic or prehepatic lesions in the absence of liver cirrhosis. In the present case a 35-year-old female presented with abdominal fullness and pain in the upper abdomen for the past two months which was not associated with the consumption of water or food, nausea, or vomiting. When we investigated it was seen that she had severe anemia with pancytopenia with no malarial parasite on peripheral smear, liver renal and liver function tests were within the normal range. The diagnosis of Banti’s syndrome was made. However, the patient was then vitally stable and was started on propranolol and was advised for splenectomy due to refractory anemia. The present study provides easy and conventional diagnostic techniques for clinical diagnosis and proves the radiological technique.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"42 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140448980","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
Tomb Stoning of ST Segment in Acute Myocardial Infarction 急性心肌梗死 ST 段的 "石墓 "现象
Exclusive Real World Evidence Journal Pub Date : 2024-02-20 DOI: 10.54136/erwej-0401-10072
Dhinakaran Krishnamurthy
{"title":"Tomb Stoning of ST Segment in Acute Myocardial Infarction","authors":"Dhinakaran Krishnamurthy","doi":"10.54136/erwej-0401-10072","DOIUrl":"https://doi.org/10.54136/erwej-0401-10072","url":null,"abstract":"Cardiovascular disease is a leading cause of death in India. ST Elevation myocardial infarction (STEMI) is associated with high risk of morbidity and mortality. In recent times due to early diagnosis and timely reperfusion, survival after STEMI has considerably increased. We present a case of high-risk STEMI which was managed by timely reperfusion by thrombolysis and subsequent coronary angiogram.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"581 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140446370","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
The Game Unfolding: Artificial Intelligence in Healthcare - Hype or Gamechanger? 游戏正在展开：医疗保健领域的人工智能--炒作还是改变游戏规则？
Exclusive Real World Evidence Journal Pub Date : 2024-02-20 DOI: 10.54136/erwej-0401-10068
Prantar Chakrabarti
{"title":"The Game Unfolding: Artificial Intelligence in Healthcare - Hype or Gamechanger?","authors":"Prantar Chakrabarti","doi":"10.54136/erwej-0401-10068","DOIUrl":"https://doi.org/10.54136/erwej-0401-10068","url":null,"abstract":"","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"1018 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445762","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
Long and Meaningful Survival of a Case with Disseminated Hemangiopericytoma - Treated with Radiation Alone 一例仅接受放射治疗的播散性血管上皮细胞瘤患者获得长期而有意义的存活
Exclusive Real World Evidence Journal Pub Date : 2024-02-20 DOI: 10.54136/erwej-0401-10070
Bhargavi Ilangovan, Janos Stumpf, Rathna Devi, Subathira Balasundaramanjay
{"title":"Long and Meaningful Survival of a Case with Disseminated Hemangiopericytoma - Treated with Radiation Alone","authors":"Bhargavi Ilangovan, Janos Stumpf, Rathna Devi, Subathira Balasundaramanjay","doi":"10.54136/erwej-0401-10070","DOIUrl":"https://doi.org/10.54136/erwej-0401-10070","url":null,"abstract":"Hemangiopericytomas are tumours arising from the pericytes of Zimmerman. They arise in the central nervous system and have a locally recurrent behaviour with occasional distant metastases too. This case highlights the careful and judicious use of different radiotherapy techniques used in tandem to ensure a long survival for a patient. Emphasis is made on the quality of life as he was able to function to his maximum till the end.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"84 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140448012","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
Isolated Tubercular Splenic Abscess: A Case Report 孤立性结核性脾脓肿：病例报告
Exclusive Real World Evidence Journal Pub Date : 2024-02-20 DOI: 10.54136/erwej-0401-10071
Gajanan Ekbote, Anant Beedkar, Siddharth Lonare, K. Shivasandeep
{"title":"Isolated Tubercular Splenic Abscess: A Case Report","authors":"Gajanan Ekbote, Anant Beedkar, Siddharth Lonare, K. Shivasandeep","doi":"10.54136/erwej-0401-10071","DOIUrl":"https://doi.org/10.54136/erwej-0401-10071","url":null,"abstract":"Tuberculosis is one of the deadliest infectious illnesses in the world. Splenic tuberculosis is typically a component of miliary TB, ranks third after lung and liver, and is more prevalent in people with weakened immune systems. An extremely uncommon variant of abdominal tuberculosis is splenic TB in immune-competent people with no extra splenic involvement. In individuals without pulmonary disease and without symptoms, splenic TB diagnosis is challenging. There are frequently no diagnostic standards for isolated TB. A definitive diagnosis is rarely reached by preoperative testing. When other potential causes of fever and splenomegaly have been ruled out in endemic areas, splenic TB should be suspected. The typical treatment for splenic TB without abscess is medical management (ATT). For splenectomy, a single TB splenic abscess in a healthy patient is recommended. Here we report the case of a 33-year-old patient, who complained of left-sided stomach pain that had been bothering him for four years but was unrelated to radiation or food consumption. It has been linked to several high-grade fever bouts and frequent hospitalizations for the same during the past three years. With standard preoperative pneumococcal immunization, the patient is scheduled for a routine open splenectomy.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"15 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958001","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
Coronary Artery Calcium Score - A Risk Predictor 冠状动脉钙化评分--一种风险预测指标
Exclusive Real World Evidence Journal Pub Date : 2023-11-20 DOI: 10.54136/erwej-0304-10062
Arun Kochar
{"title":"Coronary Artery Calcium Score - A Risk Predictor","authors":"Arun Kochar","doi":"10.54136/erwej-0304-10062","DOIUrl":"https://doi.org/10.54136/erwej-0304-10062","url":null,"abstract":"burden in asymptomatic primary prevention population","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"32 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139259323","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
Sacrococcygeal Teratomas: An Oncological, Functional and Aesthetic Problem 骶尾部畸胎瘤：肿瘤、功能和美学问题
Exclusive Real World Evidence Journal Pub Date : 2023-11-20 DOI: 10.54136/erwej-0304-10065
Antonio Martins
{"title":"Sacrococcygeal Teratomas: An Oncological, Functional and Aesthetic Problem","authors":"Antonio Martins","doi":"10.54136/erwej-0304-10065","DOIUrl":"https://doi.org/10.54136/erwej-0304-10065","url":null,"abstract":"These case presentations can be considered good practice in dealing with sacrococcygeal teratomas as early as possible. This can be attained using four flaps previously drawn in the skin covering the tumor, in viable and healthy tissues. After tumor excision, it is essential to carefully reconstruct the muscular perirectal complex. The drawing of the skin flaps should adhere to the orientation of the normal skin creases and maintain buttocks symmetry. Keywords: Teratomas; Tumor; Sacrococcygeal; Pathology","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255010","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
An Unusual Differential Diagnosis of Sarcoma 肉瘤的异常鉴别诊断
Exclusive Real World Evidence Journal Pub Date : 2023-11-20 DOI: 10.54136/erwej-0304-10067
Venkatesh Yatakarla, Manisha Biswal, Swapnil Patil
{"title":"An Unusual Differential Diagnosis of Sarcoma","authors":"Venkatesh Yatakarla, Manisha Biswal, Swapnil Patil","doi":"10.54136/erwej-0304-10067","DOIUrl":"https://doi.org/10.54136/erwej-0304-10067","url":null,"abstract":"Osteomyelitis is an uncommon cause of a soft tissue mass and is diagnosed clinically by a blend of radiology, histology, and microbiology. This case report outlines a case of melioidotic osteomyelitis presenting as a suspected sarcoma. The diagnosis of melioidotic osteomyelitis was done against the diagnosis of sarcoma only after radiological evaluation, microbiological evidence of Burkholeria pseudomallei and osteomyelitis confirmed on histology. It is an extremely rare mimic of primary sarcoma of bone and the presentation described in the present case report appears to be unique. Keywords: Osteomyelitis; Sarcoma; Burkholeria pseudomallei","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"15 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258163","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
An Undeclared Medications: The Hidden Enemies 未申报的药物：隐藏的敌人
Exclusive Real World Evidence Journal Pub Date : 2023-11-20 DOI: 10.54136/erwej-0304-10064
Sanjay Khare, Akashdeep Waghmare, Falguni Mishra, Nazia Khan
{"title":"An Undeclared Medications: The Hidden Enemies","authors":"Sanjay Khare, Akashdeep Waghmare, Falguni Mishra, Nazia Khan","doi":"10.54136/erwej-0304-10064","DOIUrl":"https://doi.org/10.54136/erwej-0304-10064","url":null,"abstract":"Every case is unique and needs to be dealt with as such. Internal Medicine specialists must cultivate the habit of being extremely inquisitive and inherently suspicious to be able to arrive at the correct diagnosis. Here we present a case that suggested a particular disorder but went to be something totally different altogether. This also underlies just how important eliciting history is. Keywords: Abdominal Pain; Anemia; Constipation; Erosive Pangastritis; Polyarthralgias","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"195 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256125","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
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