Exclusive Real World Evidence Journal最新文献_第5页

Invasive Fungal Infection of The Eye Thought to be Tuberculosis: A Case Report 被认为是肺结核的侵袭性眼部真菌感染1例报告

Exclusive Real World Evidence Journal Pub Date : 2022-08-05 DOI: 10.54136/erwej-0203-10031

Shaik Mohammed Munthakheem, Bhuvaneshwar Us, Dathathri Ha, Parvathi Th, L. K

引用次数: 0

Large Leiomyosarcoma of The Uterus: A Challenging, Difficult-to-Treat, Case of an Indian Patient 子宫的大平滑肌肉瘤:一个具有挑战性的，难以治疗，印度患者的情况

Exclusive Real World Evidence Journal Pub Date : 2022-08-05 DOI: 10.54136/erwej-0203-10023

Ramya Vandanasetti, T. Sundari, U. G

{"title":"Large Leiomyosarcoma of The Uterus: A Challenging, Difficult-to-Treat, Case of an Indian Patient","authors":"Ramya Vandanasetti, T. Sundari, U. G","doi":"10.54136/erwej-0203-10023","DOIUrl":"https://doi.org/10.54136/erwej-0203-10023","url":null,"abstract":"Leiomyosarcoma is a rare tumor that accounts for about 2 to 5% of uterine malignancies originating from the smooth muscles of the uterus. Women can be affected at any age group; however, the majority get diagnosed at their perimenopausal age. The early-stage diseases are managed by hysterectomy and complete surgical resection. In the present case report, we discuss a 41-year-old female with a tumor mass of approximately 32-week gestation at the time of examination. The patient had a regular menstrual cycle with no abnormal uterine bleeding except for abdominal pain for three months. A large, lobulated mass (25 x 18 x14 cm) with solid, cystic, and hemorrhagic components was removed surgically (total abdominal hysterectomy) from the uterus's fundus and spalingo-oophorectomy. The patient developed severe hypotension and tachycardia post-surgery and required a longer recovery time. We referred the patient to the medical oncologist for further treatment. In our patient, the tumor rapidly increased, and metastasis was noted in the peritoneal fluid. A further follow-up will be needed to understand the course of the disease and its outcome. Keywords: Leiomyosarcoma; Smooth muscle tumors; Uterine fibroid; Uterine myoma","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123239896","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

Management of a 52-year-old Man Detected to have a Fragility Fracture of the Left Wrist 一名52岁男性左手腕脆性骨折的治疗

Exclusive Real World Evidence Journal Pub Date : 2022-08-05 DOI: 10.54136/erwej-0203-10032

Hitesh Saraogi

引用次数: 0

Pandemics and Pestilences: Emerging Viral Zoonoses 流行病与瘟疫:新出现的病毒性人畜共患病

Exclusive Real World Evidence Journal Pub Date : 2022-08-05 DOI: 10.54136/erwej-0203-10030

Gifty Immanuel

引用次数: 0

Crystals in Urine Microscopy in a COVID-19 Patient: A Case Report 1例COVID-19患者尿镜检结晶

Exclusive Real World Evidence Journal Pub Date : 2022-08-05 DOI: 10.54136/erwej-0203-10026

Munjal Shah, Nikhil Gupta

{"title":"Crystals in Urine Microscopy in a COVID-19 Patient: A Case Report","authors":"Munjal Shah, Nikhil Gupta","doi":"10.54136/erwej-0203-10026","DOIUrl":"https://doi.org/10.54136/erwej-0203-10026","url":null,"abstract":"Due to novelty of Coronavirus disease, the understanding of its pathology, clinical outcomes, prognostic factors, and treatment is still in its nascent stage. Kidney dysfunction is reported in many patients. We report a finding of an uncommon form of urine crystals in a RT-PCR confirmed case of COVID-19 patient. RT-PCR confirmed case of COVID-19 patient, no clinical history of renal calculi reported until day 7 of the treatment. Treatment mainly comprised of favipiravir, vitamin C and zinc. On seventh day of treatment the patient became asymptomatic but the crystals were observed in the urine. The loading dose of favipiravir in COVID-19 positive patient considered as the reason for the urine crystals. In view of nephrotoxic nature of the disease as well as the drugs used in its therapy, it is important to look for subtle signs as well as inexpensive tests which can give vital information, to pick these complications early. Although this observation was made on a single patient, contributions from multiple centres can help understand this further, with keen observation on urine microscopy of COVID-19 patients. Keywords: Crystals; Favipiravir; COVID-19; Urine microscopy; Urinary crystals","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115167057","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

Women Health in India: An Untold and Least Concerned Health Scenario 印度妇女健康:一个不为人知和最不受关注的健康状况

Exclusive Real World Evidence Journal Pub Date : 2022-04-25 DOI: 10.54136/erwej-0202-10027

S. Jaggi

引用次数: 0

Atypical Presentation of Systemic Lupus Erythematous with Vasculitic Polyneuropathy 系统性红斑狼疮伴血管性多神经病变的不典型表现

Exclusive Real World Evidence Journal Pub Date : 2022-01-20 DOI: 10.54136/erwej-0201-10014

G. Kadam, Janakraj Deshmukh, D. Ruikar, Amar Limbapure, D. Patil

{"title":"Atypical Presentation of Systemic Lupus Erythematous with Vasculitic Polyneuropathy","authors":"G. Kadam, Janakraj Deshmukh, D. Ruikar, Amar Limbapure, D. Patil","doi":"10.54136/erwej-0201-10014","DOIUrl":"https://doi.org/10.54136/erwej-0201-10014","url":null,"abstract":"A 22-year-old female patient with Systemic Lupus Erythematous (SLE) without any significant history with no comorbidities presented with complaints of acute onset pain and burning sensation in bilateral lower limbs predominantly involving soles and feet with additional history of hair loss and Malar rash. On evaluation her vitals were stable, pedal edema was present, cardiovascular, respiratory, abdominal system revealed no significant abnormality. Neurological examination revealed absent ankle reflexes bilaterally. Plantars were flexor bilaterally, altered sensation and decreased proprioception and joint sensation bilateral lower limbs. She was evaluated for above mentioned complaints and examination findings. Nerve conduction study revealed severe sensory motor polyneuropathy predominantly involving bilateral lower limbs. MRI Brain and whole spine screening were within normal limits. Autoimmune workup was positive for antinuclear antibodies, anti-dsDNA, anti-SmD1, anti-histone, anti RibPO,c-ANCA. Bilateral lower limb arteriovenous color doppler was suggestive of subcutaneous edema over ankle and foot with no DVT. According to SLICC (systemic lupus international collaborating clinic criteria) was diagnosed with SLE. Hence, this is a case of SLE with primary presentation of vasculitic polyneuropathy.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133316434","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

Efficacy of Combination of Iron Pyrophosphate and Folic Acid in Management of Iron Deficiency- A Retrospective Study 焦磷酸铁联合叶酸治疗缺铁的疗效回顾研究

Exclusive Real World Evidence Journal Pub Date : 2022-01-20 DOI: 10.54136/erwej-0201-10019

S. Modi

{"title":"Efficacy of Combination of Iron Pyrophosphate and Folic Acid in Management of Iron Deficiency- A Retrospective Study","authors":"S. Modi","doi":"10.54136/erwej-0201-10019","DOIUrl":"https://doi.org/10.54136/erwej-0201-10019","url":null,"abstract":"Background: Iron deficiency is the most common cause of anemia, especially in reproductive-aged women. If not treated, it leads to weakness, fatigue, menorrhagia, amenorrhea in females and can cause serious consequences such as heart problems and complications in pregnant ladies such as premature births and low birth weight babies. Thus, it is necessary to prescribe iron supplementation in iron-deficient women to avoid complications in the later stage. Objective: The objective of this study was to evaluate the efficacy of the combination of ferric pyrophosphate and folic acid in reproductive-aged women who suffered from iron deficiency. Methods: Electronic medical records of 100 reproductive-aged women deficient in iron were analyzed. The baseline hemoglobin and iron parameters were noted. They were prescribed a 30 mg tablet combination of ferric pyrophosphate and folic acid, and the parameters were noted at 4 weeks, 8 weeks, and 12 weeks. The data was statistically analyzed by SPSS version 26.0. Results: The hemoglobin (hemoglobin, total erythrocytes, mean corpuscular volume, red cell distribution width, haematocrit) and iron parameters (serum iron, ferritin, transferrin saturation, serum transferrin) showed significant improvement in week 4, which continued till week 12. The RDW levels showed much improvement after week 4 till week 12. Conclusion: Our study concluded that the combination of ferric pyrophosphate and folic acid in tablet form significantly improves the hemoglobin and iron parameters within 4 weeks and showed further improvement until 12 weeks without any complaint of side effects.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126126615","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

Cardiac Manifestations of Acute Febrile Illness Amongst Intensive Care Unit Patients 重症监护室病人急性发热性疾病的心脏表现

Exclusive Real World Evidence Journal Pub Date : 2022-01-20 DOI: 10.54136/erwej-0201-10012

H. More, G. Gondhali, Arun Daithankar, Amar Limbapure

{"title":"Cardiac Manifestations of Acute Febrile Illness Amongst Intensive Care Unit Patients","authors":"H. More, G. Gondhali, Arun Daithankar, Amar Limbapure","doi":"10.54136/erwej-0201-10012","DOIUrl":"https://doi.org/10.54136/erwej-0201-10012","url":null,"abstract":"Background: There are various incidences of cardiac involvement in acute febrile illness (AFI). As the acute febrile illnesses are spreading, there is an increase in atypical cardiac manifestations ranging from asymptomatic bradycardia to life threatening manifestations like myocarditis and pericardial effusion. Objective: To determine cardiac manifestations of AFI amongst intensive care unit patients in rural populations. Methods: Twenty patients of AFI were studied between January 2021 to June 2021. Echocardiography (ECG), and cardiac enzymes were evaluated. Patients were from either gender from 15 to 60 years and were willing to sign consent. patients admitted with fever and on examination were found abnormal cardiac functions like hypotension, arrhythmia, hypertension, cardiac enzyme changes and reduced ejection fraction on 2D Echo. Patients with preexisting heart disease, cardioactive drugs affecting the heart rate were not involved in this study. Results: In total, 20 patients having cardiac manifestations with AFI were studied, out of which 9 cases presented with bradycardia, 3 cases presented with asymptomatic pericardial effusion, and 8 cases presented with ECG abnormalities such as narrow QRS complex, ST, and T changes. Conclusion: Cardiac Manifestations in adults with AFI were common, ranging from elevated cardiac biomarkers to myocarditis. Persistent shock despite adequate fluid resuscitation can be a crucial cardiac manifestation and should guide the treating physician towards underlying cardiac involvement such as systolic or diastolic dysfunction.","PeriodicalId":312076,"journal":{"name":"Exclusive Real World Evidence Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125023258","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

Telemedicine in Covid-19 Pandemic Covid-19大流行中的远程医疗

Exclusive Real World Evidence Journal Pub Date : 2022-01-20 DOI: 10.54136/erwej-0201-10020

R. Chawla

引用次数: 0