E. Roçi, E. Basha, Stela Dodaj, Gentian Vyshka, E. Ranxha
{"title":"Cervical Disc Hernia Following a Jet-Ski Accident","authors":"E. Roçi, E. Basha, Stela Dodaj, Gentian Vyshka, E. Ranxha","doi":"10.56397/crms.2024.03.08","DOIUrl":"https://doi.org/10.56397/crms.2024.03.08","url":null,"abstract":"Authors report the case of an adult man showing cervical spine involvement with radicular pain of acute onset. The happening followed a Jet Ski use for recreational purposes, and the patient did not had any training before the event. MRI of the cervical spine showed a massive disc involvement at the C6-7 level, and a conservative treatment with supportive collar was warranted. Particular attention should be made with the advent of personal watercraft (PWC) engines and devices in our area, unknown before both to users or clients as well as to medical staff. PWC might show a wide range of bodily injuries, some of them even lethal, therefore guidelines and precautions might be needed extensively in the next future.","PeriodicalId":504174,"journal":{"name":"Current Research in Medical Sciences","volume":"6 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279656","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}
{"title":"Neurological Expertise and Courts of Law: It Is All About Trauma, Maybe Not?","authors":"Gentian Vyshka, E. Basha, E. Ranxha","doi":"10.56397/crms.2024.03.06","DOIUrl":"https://doi.org/10.56397/crms.2024.03.06","url":null,"abstract":"Neurological expertise is requested from courts of law in some particular cases, both in criminal and civil proceedings. With the judiciary field falling mostly within the scope of legal medicine professionals, and forensic psychiatrists, the role of an expert from other medical specialties seems unfamiliar. While considering the neurological deficits and diagnoses, experts rely on classificatory systems that highly fragmentize isolated somatic injuries. Such a stand might not reflect the impact of the injury or deficit for the patient as a whole. Neurotraumatology has been the main field where expertise is necessary, following civil suits, litigation, malpractice, and remuneration requests. Other neurological disorders are not immune from being at the center of a legal issue, such as dementia, epilepsy and so on. Well known in the still debatable issue on epilepsy being a disease of mind or not. Thus, neurologists at court should carefully avoid psychiatric overlapping of opinions and remain within the limits of their specialty, while considering a multifaceted issue.","PeriodicalId":504174,"journal":{"name":"Current Research in Medical Sciences","volume":"491 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273772","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}
{"title":"Herbst Appliance for Adolescent Angle Class II Division 1 Malocclusion Long-Term Stability: A Systematic Reviews and Meta-Analysis","authors":"Fei Lei, Jing Guan, Mingrui Zhang, Qing Dong","doi":"10.56397/crms.2024.03.07","DOIUrl":"https://doi.org/10.56397/crms.2024.03.07","url":null,"abstract":"Objective: To conduct a systematic and comprehensive literature search to systematically evaluate and meta-analysis the long-term stability of treatment results obtained after treatment with Herbst functional appliance, and to provide scientific evidence. Methods: CNKI, WANFANG, CBM, VIP, PubMed, Embase, The Cochrane Library and other literature databases were searched as comprehensively as possible. The two groups of researchers formulated inclusion criteria and exclusion criteria according to PICOS principles, screened literature, extracted data, and evaluated the quality of the selected literature according to the MINORS evaluation table. Meta-analysis was performed using data extracted from Review Manager 5.3 software. Results: A total of 12 literatures were included, with a total sample size of 490 cases. The long-term stability of Herbst appliance was analyzed by 11 indexes of SNA, SNB, ANB, ANS-PNS/SN, MP/SN, ANS-PNS/MP, OB, OJ, U1/ANS-PNS, L1/MP, U1/L1. The results showed that SNA, SNB, ANB, ANS-PNS/SN, U1/ANS-PNS, L1/MP, molar relationships were stable in the long run from the end of treatment to follow-up (P>0.05). The MP/SN, ANS-PNS/MP angles decrease, and the OB, OJ, and U1/L1 values increase (P<0.05). Conclusion: The long-term stability of the treatment effect of Herbst orthoses in the adolescent patients classified as Class II division 1 shows that the relative position of the upper and lower jaws is relatively stable, while the Angle of the mandibular plane relative to the anterior skull base plane remains relatively unstable.","PeriodicalId":504174,"journal":{"name":"Current Research in Medical Sciences","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270407","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}