Prague medical report最新文献

Use of Marsupialization as a Definitive Treatment for Large-sized Dentigerous Cysts in a Patient with Mucopolysaccharidosis Type I. 使用髓核摘除术彻底治疗一名 I 型黏多醣症患者的大型齿槽囊肿

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.22

Pedro Henrique Moraes de Menezes, Maria Clara Corrêa de Almeida Teixeira, Cleone de Fátima Oliveira Neder Fernandes, Marden Oliveira Bastos, Marina Reis Oliveira, Ronaldo Celio Mariano

{"title":"Use of Marsupialization as a Definitive Treatment for Large-sized Dentigerous Cysts in a Patient with Mucopolysaccharidosis Type I.","authors":"Pedro Henrique Moraes de Menezes, Maria Clara Corrêa de Almeida Teixeira, Cleone de Fátima Oliveira Neder Fernandes, Marden Oliveira Bastos, Marina Reis Oliveira, Ronaldo Celio Mariano","doi":"10.14712/23362936.2024.22","DOIUrl":"https://doi.org/10.14712/23362936.2024.22","url":null,"abstract":"The correct diagnosis is fundamental for the appropriate treatment to be employed in a particular pathology. The best treatment is not the one that solves only local problems, fragmenting the patient, and therefore, it is necessary to integrate the entire systemic condition of the individual before initiating any local treatment. This context inevitably requires dentistry to participate in a multidisciplinary approach, where the role of the dentist is expanded in concepts that encompass ethics, human dignity, and professional valorization. This article describes a clinical case of a patient with mucopolysaccharidosis type I, whose treatment of cystic lesions present in the mandible was exclusively performed through marsupialisation. The objective of this study is to demonstrate, within the complexity of this rare syndrome, the difficulties of diagnosis and the need for evaluation of the patient beyond the limits of the oral cavity, as well as to report two cases of large dentigerous cysts, surgically treated conservatively through marsupialisation, without the need for re-approach for enucleation and without recurrences over a 20-year period.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018960","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

Unveiling a Silent Obstructor: Phytobezoar in the Third Duodenal Segment. 揭开无声障碍者的面纱：第三段十二指肠中的植物虫。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.13

Ana Fernanda Muñoz Durán, Juan Alberto Llanos Visbal, Leidy Vanessa Aguirre Carvajal, Juan Daniel Ayala Torres, Nicolás Álvarez Gärtner, Julián Andrés Muñoz Durán

引用次数: 0

Evidence for Therapeutic Drug Monitoring of Atypical Antipsychotics. 非典型抗精神病药物治疗药物监测的证据。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.10

Veronika Krejčí, Irena Murínová, Ondřej Slanař, Martin Šíma

{"title":"Evidence for Therapeutic Drug Monitoring of Atypical Antipsychotics.","authors":"Veronika Krejčí, Irena Murínová, Ondřej Slanař, Martin Šíma","doi":"10.14712/23362936.2024.10","DOIUrl":"https://doi.org/10.14712/23362936.2024.10","url":null,"abstract":"Second-generation antipsychotics (SGAs), also known as atypical antipsychotics, are a newer class of antipsychotic drugs used to treat schizophrenia, bipolar disorder, and related psychiatric conditions. The plasma concentration of antipsychotic drugs is a valid measure of the drug at its primary target structure in the brain, and therefore determines the efficacy and safety of these drugs. However, despite the well-known high variability in pharmacokinetics of these substances, psychiatric medication is usually administered in uniform dosage schedules. Therapeutic drug monitoring (TDM), as the specific method that can help personalised medicine in dose adjustment according to the characteristics of the individual patient, minimizing the risk of toxicity, monitoring adherence, and increasing cost-effectiveness in the treatment, thus seems to be an elegant tool to solve this problem. Non-response to therapeutic doses, uncertain adherence to medication, suboptimal tolerability, or pharmacokinetic drug-drug interactions are typical indications for TDM of SGAs. This review aims to summarize an overview of the current knowledge and evidence of the possibilities to tailor the dosage of selected SGAs using TDM, including the necessary pharmacokinetic parameters for personalised pharmacotherapy.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959553","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

Recurrent Stroke as a Presenting Feature of Takayasu Arteritis in an Adolescent: A Case Report and Literature Review. 作为青少年高安动脉炎表现特征的复发性中风：病例报告与文献综述

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.6

Vasiliki Sgouropoulou, Efthymia Vargiami, Maria Kyriazi, Sofia Kafterani, Stella Stabouli, Georgios Tsigaras, Athanasia Anastasiou, Maria Trachana, Dimitrios Zafeiriou

引用次数: 0

An Unusual Etiology of Fluorodeoxyglucose Avid Intrathoracic Lymph Nodes. 胸腔内淋巴结荧光脱氧葡萄糖阳性的不寻常病因。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.8

Alyssa Bonnier, Santu Saha, Adam Austin, Biplab K Saha

引用次数: 0

Cerebral Arterial and Venous Air Embolism Following Removal of Percutaneous Sheath Introducer. 移除经皮鞘导入器后的脑动脉和静脉空气栓塞。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.24

Sana Ghalib, Biplab K Saha, Hau Chieng, Scott H Beegle

引用次数: 0

Rheumatoid Arthritis and Osteoarthritis in Adult Women: A Functional Approach to the Stomatognathic System. 成年女性的类风湿关节炎和骨关节炎：从功能角度看口颌系统。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.20

Danilo Stefani Esposto, Marcelo Palinkas, Mariah Acioli Righetti, Oswaldo Luiz Stamato Taube, Anna Luísa Alves Fernandes, Jéssica Chiaratto, Vitória Ricardo, Fernanda Cristina Toloi Fiori Rufato, Simone Cecilio Hallak Regalo, Selma Siéssere

{"title":"Rheumatoid Arthritis and Osteoarthritis in Adult Women: A Functional Approach to the Stomatognathic System.","authors":"Danilo Stefani Esposto, Marcelo Palinkas, Mariah Acioli Righetti, Oswaldo Luiz Stamato Taube, Anna Luísa Alves Fernandes, Jéssica Chiaratto, Vitória Ricardo, Fernanda Cristina Toloi Fiori Rufato, Simone Cecilio Hallak Regalo, Selma Siéssere","doi":"10.14712/23362936.2024.20","DOIUrl":"https://doi.org/10.14712/23362936.2024.20","url":null,"abstract":"Rheumatoid arthritis and osteoarthritis both affect the articular cartilage, and are characterized by signs and symptoms that can affect the functions of the human body. This cross-sectional observational study evaluated electromyographic activity in the masseter and temporalis muscles, molar bite force, and mandibular mobility in adult women with rheumatoid arthritis or osteoarthritis. A total of 42 women were distributed into 3 groups: rheumatoid arthritis group (ARG, n=14); osteoarthritis group (OAG, n=14); and a healthy control group (CG, n=14). Electromyography was used to evaluate mandibular tasks at rest, right and left laterality, protrusion, and dental clenching during maximum voluntary contraction, with and without parafilm, and a dynamometer was used to analyse the right and left molar bite forces. A digital caliper was used to measure the range of mandibular movement for maximum mouth opening, right and left laterality, and protrusion. Statistical analyses were performed, including analysis of variance and Tukey's test (P<0.05). Electromyography showed no significant differences between the groups when evaluating the masticatory muscles during the mandibular tasks. Significant difference was observed between the ARG and CG, however, in the maximum right (P=0.007) and left (P=0.02) molar bite forces. Significant difference was observed in the maximum mouth opening of the ARG and OAG groups compared with that of the CG (P=0.009), suggesting that adult women with rheumatoid arthritis or osteoarthritis experience functional alterations in the stomatognathic system, particularly in molar bite force and maximum mouth opening.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018958","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

Laryngotracheoesophageal Cleft Type IV in a Preterm Neonate. A Case Report and Literature Review. 早产新生儿喉气管食管裂孔 IV 型。病例报告与文献综述。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.4

Rozeta Sokou, Anastasia Batsiou, Aikaterini Konstantinidi, Paschalia Kopanou-Taliaka, Marina Tsaousi, Maria Lampridou, Evangelia-Filothei Tavoulari, Konstantinos Mitropoulos, Paraskevi Liakou, Stamatina Willadara-Gamage, Petros V Vlastarakos, Zoi Iliodromiti, Theodora Boutsikou, Nicoletta Iacovidou

{"title":"Laryngotracheoesophageal Cleft Type IV in a Preterm Neonate. A Case Report and Literature Review.","authors":"Rozeta Sokou, Anastasia Batsiou, Aikaterini Konstantinidi, Paschalia Kopanou-Taliaka, Marina Tsaousi, Maria Lampridou, Evangelia-Filothei Tavoulari, Konstantinos Mitropoulos, Paraskevi Liakou, Stamatina Willadara-Gamage, Petros V Vlastarakos, Zoi Iliodromiti, Theodora Boutsikou, Nicoletta Iacovidou","doi":"10.14712/23362936.2024.4","DOIUrl":"10.14712/23362936.2024.4","url":null,"abstract":"We present a case of a preterm neonate with a type IV laryngo-tracheo-oesophageal cleft, an uncommon congenital malformation, resulting from the failure of separation of the trachea and the oesophagus during fetal development, often associated with other deformities as well. Data in the literature shows that the long-term morbidity from the entity has declined over the last decades, even though prognosis remains unfavourable for types III and IV. This report emphasizes the complex issues neonatologists are faced with, when treating neonates with this rare disorder in the first days of life, what will raise suspicion of this rare medical entity, and that direct laryngoscopy/bronchoscopy finally depicts the exact extension of the medical condition. At the same time extensive evaluation for coexisting congenital anomalies should be performed. For all the above reasons, these neonates should be treated in specialized tertiary pediatric centers for multidisciplinary prompt management, which may improve, the outcome.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913658","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

A Rare Case of Primary Vulval Amelanotic Melanoma Involving the Urethra. 原发性外阴黑素瘤累及尿道的罕见病例。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.23

Manuela Montatore, Laura Eusebi, Federica Masino, Alessia Mariagrazia Costa, Willy Giannubilo, Ferioli Elena, Lucilla Diamanti, Giuseppe Guglielmi

引用次数: 0

Outcome after Neuro-interventional Treatment of Intracranial Aneurysm (as a First Treatment Modality). 颅内动脉瘤神经介入治疗（作为第一种治疗方式）后的效果。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.2

Hossein Ghanaati, Aryoobarzan Rahmatian, Mohammad Reza Amiri-Nikpour, Davar Altafi, Morteza Taheri, Seyed Bahaadin Siroos, Madjid Shakiba, Reza Elahi, Mahsa Alborzi Avanaki

{"title":"Outcome after Neuro-interventional Treatment of Intracranial Aneurysm (as a First Treatment Modality).","authors":"Hossein Ghanaati, Aryoobarzan Rahmatian, Mohammad Reza Amiri-Nikpour, Davar Altafi, Morteza Taheri, Seyed Bahaadin Siroos, Madjid Shakiba, Reza Elahi, Mahsa Alborzi Avanaki","doi":"10.14712/23362936.2024.2","DOIUrl":"10.14712/23362936.2024.2","url":null,"abstract":"Endovascular treatment is widely applied as the first-line treatment for intracranial aneurysms and includes simple coiling (SC), stent-assisted coiling (SAC), flow diversion stent, and flow disruption stent. The present study is a retrospective cohort study performed in Imam Khomeini Hospital, Department of Neurovascular Intervention, between March 2016 and March 2021. A total number of 229 patients with intracranial aneurysms who underwent therapeutic intravascular interventions were enrolled, of which 89 were treated with SC, 111 with SAC, 25 with flow diversion stent, and 4 with flow disruption stent. The mean age of the subjects was 51.8±12.6 years, and 51.1% were male. Modified Raymond-Roy classification (MRRC) was used to define the occlusion outcome. The success rate, considered as Class I and Class II of MRRC at treatment time was 89% (94.4% in SC, and 84.7% in SAC), which was increased to 90.9% (94% in SC, 93% in SAC, 69.6% in flow diversion stenting, 100% in flow disruption) at 6-month follow-up, and 84.6% (80.8% in SC, 87.8% in SAC, 78.3% in flow diversion stenting, and 100% in flow disruption) at 12-month follow-up. The mean modified Rankin Scale (mRS) before the procedure was 0.05±0.26 which was increased to 0.22±0.76 after the procedure, 0.22±0.76 at 6 months, and 0.30±0.95 at 12 months (P<0.001). Similar to previous studies, the present study demonstrates that neurovascular intervention can treat ruptured aneurysms as the first therapeutic modality with favourable outcomes. A double-blind, randomized clinical trial is needed to eliminate the confounding factors and better demonstrate the outcome.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913659","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