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Tuberculosis of the temporomandibular joint: a rare case report and review of the literature 颞下颌关节结核：罕见病例报告和文献综述

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Pneumon Pub Date : 2024-01-10 DOI: 10.18332/pne/175442

Evgenia Papathanassiou, Christos Kampolis, Efstathios Zogakis, C. Moschos, A. Papavasileiou, A. Loukeri

{"title":"Tuberculosis of the temporomandibular joint: a rare case report and review of the literature","authors":"Evgenia Papathanassiou, Christos Kampolis, Efstathios Zogakis, C. Moschos, A. Papavasileiou, A. Loukeri","doi":"10.18332/pne/175442","DOIUrl":"https://doi.org/10.18332/pne/175442","url":null,"abstract":"Head and neck tuberculosis represents a rare form of extrapulmonary tuberculosis and usually concerns the cervical lymph nodes. Involvement of the temporomandibular joint (TMJ) is extremely rare and only reported at a level of case report forms. A 20-year-old female patient of African origin presented with pain in the mandible and swelling at the left masticator since one month ago. Head and brain CT scan revealed multiple hyperdense lesions with peripheral enhancement and surrounding swelling. These findings were consistent with multiple abscesses. Moreover, severe impairment and the presence of fluid was observed at the left temporomandibular joint, the mandible and the left masseter muscle. Chest CT scan revealed centrilobular nodules in both upper lung lobes. Treatment with common antibiotics was initiated but the patient did not improve. During hospitalization, the patient experienced an episode of generalized tonic-clonic convulsion. Therefore, a surgical drainage of the mandibular abscess was performed. The AFB smear and the molecular test (XPERT MTB/RIF) were positive for Mycobacterium tuberculosis sensitive to rifampicin. The patient was treated with isoniazid, high dose rifampicin (900 mg), pyrazinamide, ethambutol and moxifloxacin. The patient received treatment for 12 months and improved significantly clinically and radiologically. Diagnosis of tuberculosis in the temporomandibular joint is challenging but should be included in the differential diagnosis when a compatible history of exposure and other organ involvement exist.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":"77 8","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440768","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

Determinants of tobacco use patterns and predictorsof quit among older women in India: Findings fromthe study on global aging and adult health 印度老年妇女烟草使用模式的决定因素和戒烟预测：全球老龄化与成人健康研究结果

IF 0.7

Pneumon Pub Date : 2024-01-05 DOI: 10.18332/pne/175144

Vansh Maheshwari, Baani Sodhi, Retisha Sharma, Saurav Basu

{"title":"Determinants of tobacco use patterns and predictors\u0000of quit among older women in India: Findings from\u0000the study on global aging and adult health","authors":"Vansh Maheshwari, Baani Sodhi, Retisha Sharma, Saurav Basu","doi":"10.18332/pne/175144","DOIUrl":"https://doi.org/10.18332/pne/175144","url":null,"abstract":"and predictors of quit among older women in India. METHODS Cross-sectional and nationally representative data from the first and second wave of WHO's Study on global Ageing and Adult Health (SAGE 2007 and 2015) were analyzed. Outcome variables included smoking and SLT use, with quit status assessed, while explanatory variables encompassed sociodemographic characteristics like age, education level, marital status, body mass index, religion, ethnicity, residence, wealth quintiles, and mother tongue. RESULTS We observed a reduction in the prevalence of tobacco use in any form among women from 34.17% (SAGE-1) to 18.17% (SAGE-2). The prevalence of current tobacco use in any form was 9.89% (n=352; 95% CI: 8.74–11.17), tobacco smoking was 9.42% (n=331; 95% CI: 8.29–10.69), while the prevalence of current SLT use was 12.3% (n=454; 95% CI: 10.99– 13.72). Muslim women had significantly higher odds of using SLT compared to Hindu women (AOR=1.86; 95% CI: 1.24–2.69). Successful quit after initiation to SLT use was reported in only 7.62% of the women. Women from scheduled caste ethnicity were less likely to achieve a successful quit (AOR=0.70; 95% CI: 0.09–5.81) compared to other caste groups. CONCLUSIONS Approximately one in five older women used tobacco, with higher prevalence than GATS data, underscoring the need for continued surveillance and focused public health efforts. Furthermore, quit rates in female SLT users continue to be very low suggesting the need for strengthening access, availability, and affordability of tobacco cessation services to promote successful quitting behavior.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":"19 9","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139383966","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

Bronchial atresia mimicking Swyer–James syndrome 支气管闭锁模仿斯威-詹姆斯综合征

IF 0.7

Pneumon Pub Date : 2023-12-05 DOI: 10.18332/pne/175441

Sophia Papathanasiou, Garyfallia Perlepe, E. Karetsi, Euaggelia Sdroulia, I. Gerogianni, Dimitrios Papadopoulos, Konstantinos I. Gourgoulianis

{"title":"Bronchial atresia mimicking Swyer–James syndrome","authors":"Sophia Papathanasiou, Garyfallia Perlepe, E. Karetsi, Euaggelia Sdroulia, I. Gerogianni, Dimitrios Papadopoulos, Konstantinos I. Gourgoulianis","doi":"10.18332/pne/175441","DOIUrl":"https://doi.org/10.18332/pne/175441","url":null,"abstract":"). The correlation of CT and bronchoscopic findings established the diagnosis of congenital bronchial atresia. Bronchial atresia is a rare congenital abnormality in which the bronchus lacks central airway communication 1 . It is hypothesized to occur as focal bronchial interruption due to intrauterine ischemia after the 16th week of gestation 2 . Chest x-ray findings typically show hyperlucency, hilar mass, or both. CT is the gold standard for its diagnosis and the main findings are bronchocele, hyperinflation of the distal lung, and hypovascularity 3,4 . The main characteristic of bronchoceles is the mucoid impaction of atretic segment. Hyperinflation can be explained by collateral ventilation through the pores of Kohn, bronchoalveolar channels of Lambert, or via air-trapping due to check valve mechanism 5 . Despite these almost pathognomonic findings, it is necessary to differentiate unilateral hyperlucency from Swyer-James syndrome. It describes an acquired condition that usually develops during childhood as a sequel of post-infectious bronchitis obliterans, leading to the dilation and destruction of lung parenchyma with air trapping 1 and underdevelopment of the peripheral pulmonary vessels. The CT finding of a normal distal bronchial branch pattern without a connection between the distal and central airways is essential to differentiate bronchial atresia from Swyer-James syndrome 1 . Other congenital situations that should be included in differential diagnosis are congenital lobar emphysema, pulmonary sequestration and congenital cystic adenomatoid malformation, as there are possible common pathogenic pathways. During adulthood, the surgical treatment is meant for patients who present repeated infections 6 .","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":"33 12","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600503","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

Right atrial strain during prone ventilation in acuterespiratory distress syndrome 急性呼吸窘迫综合征患者俯卧通气时的右心房应变

IF 0.7

Pneumon Pub Date : 2023-12-05 DOI: 10.18332/pne/174365

Aimilianos N. Kalogeris*, T. Ntaidou, A. Koroneos, Anastasia Kotanidou, I. Siempos

{"title":"Right atrial strain during prone ventilation in acute\u0000respiratory distress syndrome","authors":"Aimilianos N. Kalogeris*, T. Ntaidou, A. Koroneos, Anastasia Kotanidou, I. Siempos","doi":"10.18332/pne/174365","DOIUrl":"https://doi.org/10.18332/pne/174365","url":null,"abstract":", the blood pressure 150/70 mm Hg, the heart rate 80 beats per minute, his breathing labored and the oxygen saturation was 89% at rest while breathing ambient air. There was no peripheral edema. Chest radiography revealed bilateral ground glass opacities. His laboratory findings were unremarkable. The patient was admitted to the hospital and received prophylactic enoxaparin, remdesivir, dexamethasone, ceftriaxone and moxifloxacin on top of his regular medications. During his hospitalization in the ward, his hypoxemia worsened and after a failed trial of high flow ABSTRACT Although prone ventilation is widely used in acute respiratory distress syndrome (ARDS), its effects on right heart function, assessed by state-of-the-art echocardiography, are not well studied. We report the effect of prone ventilation on right atrial strain in severe ARDS after optimization of lung recruitment and hemodynamics using esophageal pressure and pulmonary artery catheter measurements, respectively. A 66-year-old obese man with ischemic heart failure was intubated due to ARDS. Before, during and after his first prone session, pulmonary, hemodynamic and echocardiographic (using two-dimensional transthoracic speckle tracking echocardiography) parameters were measured. Prone ventilation sustainably improved lung recruitment and right atrial strain. Combining detailed physiological and advanced echocardiographic assessment provides insights into the effect of prone ventilation in ARDS.","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":"31 10","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600831","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-term efficacy of different doses of steroidin hospitalized COVID-19 patients: A prospectivecohort study 不同剂量类固醇对 COVID-19 住院患者的长期疗效：前瞻性队列研究

IF 0.7

Pneumon Pub Date : 2023-12-05 DOI: 10.18332/pne/174604

Gokhan Karakurt, H. Ucgun, Engin Aynaci, Mustafa Duger, Sukru E. Demir

引用次数: 0

Change in smoking behavior and burnout syndrome among healthcare workers during the COVID-19 pandemic COVID-19 大流行期间医护人员吸烟行为的变化和职业倦怠综合征

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Pneumon Pub Date : 2023-12-01 DOI: 10.18332/pne/174167

Eleni Papakala, S. Zarogiannis, C. Hatzoglou

引用次数: 0

Achievement of high-quality home spirometry in patients with asthma: The NuvoAir platform 为哮喘患者提供高质量的家庭肺活量测量：NuvoAir 平台