Archives of clinical and medical case reports最新文献_第2页

Seroprevalence of Hepatitis B Virus Infection and Associated Factors among Pregnant Women Attending Antenatal Care centers in Djbouti City, Republic of Djibouti 吉布提共和国吉布提市产前保健中心孕妇乙型肝炎病毒感染的血清阳性率及相关因素

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550619

Sahal Darar Dirir,, A. Ahouidi, Mohamed Osman Miguil

引用次数: 0

Decrease Treatment Burden following the Application of ADCES7 and WHOICOPE in a Diabetic Frail Elderly Lady with Multimorbidity 应用ADCES7和WHOICOPE减轻多病糖尿病体弱老年妇女的治疗负担

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550574

T. Chiu, Hui-Chun Hsu, Yau-Jiunn Lee, Der-Wei Hwu

{"title":"Decrease Treatment Burden following the Application of ADCES7 and WHOICOPE in a Diabetic Frail Elderly Lady with Multimorbidity","authors":"T. Chiu, Hui-Chun Hsu, Yau-Jiunn Lee, Der-Wei Hwu","doi":"10.26502/acmcr.96550574","DOIUrl":"https://doi.org/10.26502/acmcr.96550574","url":null,"abstract":"We are living in a world of aging, and the elder population is increasing rapidly. According to the World Health Organization (WHO), the number of people aged 60 or older is about 1 billion in 2019. The numbers are expected to rise to 1.4 billion by 2030 and 2.1 billion by 2050 [1]. Elderlies are frail and they are prone to many diseases, including psychological disorders. Diabetes is also a global problem, and its prevalence increases after middle age [2]. To help clinical health providers to get better pictures of the frail diabetic elderly subjects holistically, many programs or models have been developed. One of the most used assessment and management tools is the integrated care for older people (ICOPE) guideline developed by the WHO [3]. ICOPE was set with person-centered goals, screening for loss in a range of domains of intrinsic capacity and assessing health and social care needs to develop a personalized care plan. The Association of Diabetes Care & Education Specialists 7 Self-Care Behaviors (ADCES7 Self-Care Behaviors®) is also a person-centered approach to diabetes by acknowledging the whole person in the context of their life and relationships which form the framework for diabetes care to deal with people with diabetes [4]. By using the ICOPE and ADCES 7 Self-Care Behaviors®, we were able to evaluate the patient rapidly and further help manages their problems. Here, we present a frail diabetic elderly subject with multimorbidity who had recent medical deterioration. This case is also a good demonstration of holistic care to minimize the disease and treatment burden in a primary care setting.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343882","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

Neonate with Severe Tricuspid Regurgitation and Flail Anterior Leaflet of the Tricuspid Valve 新生儿有严重的三尖瓣反流和连枷状三尖瓣前部小叶

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550634

Matthew F Pizzuto, Chris S Iskander, J. Ryan Shea

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Use of Next-Generation Sequencing Techniques in the Accurate Diagnosis of Neural Crest Cell-Derived Tumors 新一代测序技术在神经嵴细胞源性肿瘤准确诊断中的应用

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550633

Juan F Rodríguez Moreno, Mario Prieto, Sara Palacios Zambrano, Miriam Dorta, Elena Sevillano, Paloma Navarro, Isabel Salas Villar, Antonio Cubillo, Jesús García Donas

{"title":"Use of Next-Generation Sequencing Techniques in the Accurate Diagnosis of Neural Crest Cell-Derived Tumors","authors":"Juan F Rodríguez Moreno, Mario Prieto, Sara Palacios Zambrano, Miriam Dorta, Elena Sevillano, Paloma Navarro, Isabel Salas Villar, Antonio Cubillo, Jesús García Donas","doi":"10.26502/acmcr.96550633","DOIUrl":"https://doi.org/10.26502/acmcr.96550633","url":null,"abstract":"The increasing adoption of next-generation sequencing (NGS) techniques in daily practice has led to the incorporation of molecular information in the diagnosis and management of cancer patients. Taking advantage of these new tools could clearly impact the outcome of cases we present the case of a 39-year-old woman who attended the emergency department for fever and dysphagia. Computed axial tomography revealed a solid lesion in the subcarinal region. Histologically, the mass showed a tumor with proliferation of spindle cells containing elongated, hyperchromatic nuclei and brownish pigment in the cytoplasm. On immunohistochemical staining, the cells were positive for S-100, SOX10, P16 and HMB 45 and negative for CKAE1/AE3 and actin. Consequently, given the location and clinical findings, the mass was tentatively diagnosed as locally advanced esophageal mucosal melanoma. Further genetic testing with an NGS panel identified EWSR1-ATF1 fusion, resulting from translocation t(12;22)(q13-14;Q12). These new data were combined with all the available information, and the patient was diagnosed with clear cell sarcoma, which was treated with radical-intent radiotherapy. The use of NGS platforms to determine the genetic profile of the tumor facilitated the correct diagnosis of this rare neoplasm with melanocytic differentiation, an entity that presents a broad differential diagnosis with other neural crest cell-derived tumors. As a result, the patient received proper treatment based in precision medicine in line with the new molecular findings described.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959785","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

Early Femoral Failure in Two Patients Undergoing Downsizing of the Femoral Component During High-Flexion Total Knee Arthroplasty 2例高屈曲全膝关节置换术中股骨假体缩小的早期股骨功能衰竭

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550593

J. Baek, S. Lee, Seung Hyun Hwang, Taehyeon Kim, H. Ahn, Chang Hyun Nam

引用次数: 0

Telehealth Advance Care Planning Cost Effectiveness 远程医疗推进护理计划成本效益

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550595

Marvin J. Gordon, Tao Le, Ferdous Kabir

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Colorectal Cancer Screening History, Methods and Future Perspectives 结直肠癌筛查史、方法及未来展望

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550604

M. Anipindi, Shriya Doreswamy, R. Ali, Aysha Jilani, Daniel Bitetto

引用次数: 0

Perceptions and Experiences of Rare Diseases among General Practitioners: An Exploratory Study in NI 全科医生对罕见病的认知和经验:NI的一项探索性研究

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550607

J. Mcmullan, Ashleen L Crowe, Taylor McClenaghan, H. McAneney, Amy Jayne McKnight

{"title":"Perceptions and Experiences of Rare Diseases among General Practitioners: An Exploratory Study in NI","authors":"J. Mcmullan, Ashleen L Crowe, Taylor McClenaghan, H. McAneney, Amy Jayne McKnight","doi":"10.26502/acmcr.96550607","DOIUrl":"https://doi.org/10.26502/acmcr.96550607","url":null,"abstract":"Objective: To gain an understanding of GP’s perception and experience of rare diseases. Design: This is an exploratory study with GPs from Northern Ireland. Setting: An online survey was hosted within Smart Survey, available for 6 weeks in early 2019, which queried: GPs career to date, interaction with rare disease patients, challenges faced, the exchange of information with patients, priorities for the future, support for such patients and finally training. The survey contained open-ended and closed-ended questions and both qualitative (narrative) and quantitative analyses were carried out. Participants: Sixty-six GPs engaged with the survey with 15 completing the survey. Results: Many frustrations were mentioned by GPs when caring for such patients including finding a diagnosis, lack of specialist services and lack of awareness of rare diseases. Seventy-nine percent of GPs responding did not feel adequately trained to care for patients with a rare disease, while 93% were interested in undertaking training to enable them to improve their care for rare disease patients. Conclusions: More effective and convenient ‘rare disease’ focused training programs would help GPs manage patients with rare diseases. Enabling efficient, effective communication between GPs and individual medical specialists is of paramount importance to give GPs access to information on how to effectively manage patients living with a rare disease. Awareness should be raised for effective support mechanisms such as charities and support groups for rare disease patients.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344213","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

Teaching NeuroImages: Gerstmann Syndrome in a Pediatric Patient with a Dominant Parietal Pleomorphic Xanthroastrocytoma 教学神经影像:小儿显性顶叶多形性人类星形细胞瘤患者的Gerstmann综合征

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550610

Chattip Prueksapraopong, Angeline Zhou, B. Yu, Carrie Ip, Audrey Nath

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Evidence Based Physical Medicine in Internal Medicine 内科循证物理医学

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550612

Zouna Frank, Ngomba Maryl

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