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Management of Right Sided Carcinoid Heart Failure 右侧类癌性心力衰竭的治疗
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-05-31 DOI: 10.53785/2769-2779.1065
Ganesh Arun, I. Cheema, Lorrie Pennfield, Mohammed Raza, Erik Raborn, Ami Patel, Farhan Ali
{"title":"Management of Right Sided Carcinoid Heart Failure","authors":"Ganesh Arun, I. Cheema, Lorrie Pennfield, Mohammed Raza, Erik Raborn, Ami Patel, Farhan Ali","doi":"10.53785/2769-2779.1065","DOIUrl":"https://doi.org/10.53785/2769-2779.1065","url":null,"abstract":"Abstract Carcinoid heart disease is a rare complication of an already rare disease. This issue is theorized to be secondary to released proinflammatory molecules that deposit on the surfaces of heart valves. These molecules are released from the carcinoid tumor itself and manifest symptoms based on liver, lung and brain function. The detection of 5-HIAA, a breakdown source of serotonin, is useful for diagnosis. These deposits occur most commonly on the endocardium of valvular cusps and cardiac chambers. This case presents a 48 year old woman with echo findings of right heart failure in the setting of a carcinoid tumor. It is important for early recognition and treatment of cardiac lesions to prevent worsening heart failure.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80527957","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
Risk of Venous Thromboembolism: The Prothrombin-G20210A Mutation and Combined Oral Contraceptives 静脉血栓栓塞的风险:凝血酶原g20210a突变和联合口服避孕药
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-05-31 DOI: 10.53785/2769-2779.1097
Nedal Darwish, Halima Bakillah, Ganesh Arun, Sowmya Srinivas, Mohamed Manaa, Kyle Berliner, Dayakar Reddy
{"title":"Risk of Venous Thromboembolism: The Prothrombin-G20210A Mutation and Combined Oral Contraceptives","authors":"Nedal Darwish, Halima Bakillah, Ganesh Arun, Sowmya Srinivas, Mohamed Manaa, Kyle Berliner, Dayakar Reddy","doi":"10.53785/2769-2779.1097","DOIUrl":"https://doi.org/10.53785/2769-2779.1097","url":null,"abstract":"Abstract The risk of venous thromboembolism in oral contraceptive pill users becomes dramatically increased in patients with inherited thrombophilias. The often undiscovered prothrombotic genetic conditions pose a potentially deadly threat to its generally young demographic. When thrombosis is discovered in oral contraceptive pill users with a strong family history of related events, it becomes essential to screen for prothrombotic genetic conditions and further mitigate any associated modifiable risk factors. Here we present a case of pulmonary embolism requiring cardiopulmonary resuscitation in 30-year-old female found to have a Prothrombin G20210A on oral contraceptive pills. The emergent management of the critical case, as well as the subsequent evaluation for prothrombotic conditions and the role of potential screening is discussed.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"362 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77329882","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 Nurse is to a Patient What a Mother is to a Child 护士之于病人犹如母亲之于孩子
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-05-31 DOI: 10.53785/2769-2779.1103
Farhan S Imran
{"title":"A Nurse is to a Patient What a Mother is to a Child","authors":"Farhan S Imran","doi":"10.53785/2769-2779.1103","DOIUrl":"https://doi.org/10.53785/2769-2779.1103","url":null,"abstract":"A physician's tribute the profession of nursing.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"467 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83043196","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
Multiparametric Ultrasound Examinations in the Diagnosis of Intraventricular Cerebral Hemorrhages in Children 多参数超声检查对儿童脑室内出血的诊断价值
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-03-31 DOI: 10.48112/acmr.v3i1.28
Gulnora Akmalovna Yusupalieva​, Adiba Rustamovna Manashova, Laylo Rustamjonovna Sultanova​, Umida Umarova, Shakhnoza Ortikboy Ortikboeva​
{"title":"Multiparametric Ultrasound Examinations in the Diagnosis of Intraventricular Cerebral Hemorrhages in Children","authors":"Gulnora Akmalovna Yusupalieva​, Adiba Rustamovna Manashova, Laylo Rustamjonovna Sultanova​, Umida Umarova, Shakhnoza Ortikboy Ortikboeva​","doi":"10.48112/acmr.v3i1.28","DOIUrl":"https://doi.org/10.48112/acmr.v3i1.28","url":null,"abstract":"Intraventricular cerebral hemorrhages in children in the structure of pediatric morbidity in Uzbekistan account for about 8-15% of newborns (Statistical materials on the activities of healthcare institutions of the Republic of Uzbekistan in 2017). For the further development of perinatal neurology, it is necessary to search for new objective methods for assessing the functional and structural state of the brain. Topical diagnostics is possible with the help of radiation research methods. The present work was based on the results of a neurosonographic examination of 90 sick children with VVC. All patients underwent brain ultrasound using standard and polypositional neurosonography (stNSG and pNSG) techniques. All children in the hospital population had an increased risk of developing VVC. The ratio of newborns and children aged 1-12 months of life was approximately the same (52.5 and 47.5%), boys significantly prevailed (71.2%). More than half of the children (61.8%) were born from natural childbirth in the head presentation. In 15 children with grade II VVC, the CNS depression syndrome is more pronounced. There may be a disorder of consciousness, sopor, and in more severe cases – coma, 4 children have anomalies of pupillary reactions, 7 children oculomotor disorders were often combined with bulbar disorders (violation of sucking, swallowing, pathology of breathing and cardiac activity.) Differences with the comparison group were significant only in relation to the frequency of convulsive syndrome in 5 children.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87903564","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
Effect of Antibiotic Therapy in Children with Pyelouretheral Segment Obstruction 抗生素治疗儿童肾盂输尿管梗阻的效果
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-03-31 DOI: 10.48112/acmr.v3i1.30
Abdusattor Akhatovich Nasirov, F. F. Bayakhmedov, Sayyora Markhamatovna Sobitova, Shakhnozakhon Ikboljon qizi Fozilova, Gulnoza Umidullo qizi Gaybullaeva
{"title":"Effect of Antibiotic Therapy in Children with Pyelouretheral Segment Obstruction","authors":"Abdusattor Akhatovich Nasirov, F. F. Bayakhmedov, Sayyora Markhamatovna Sobitova, Shakhnozakhon Ikboljon qizi Fozilova, Gulnoza Umidullo qizi Gaybullaeva","doi":"10.48112/acmr.v3i1.30","DOIUrl":"https://doi.org/10.48112/acmr.v3i1.30","url":null,"abstract":"The present retrospective study, which was conducted from 2013 to 2018 years, includes data of 131 children with antenatally diagnosed grade III and IV hydronephrosis (SFU). All patients underwent surgical treatment at the age from 3 months to 3 years and did not receive antibiotic prophylaxis. Urinary tract infection was diagnosed in the presence of WBC in urine sample (> 10 WBC/field of view), positive bacterial growth (≥105 CFU/ml) and fever (≥38.5 ° C). Children with duplex system, obstructive megaureter, vesicoureteral reflux, posterior urethral valve, and neurogenic bladder were excluded from this study. Grade III hydronephrosis was detected in 113 children and grade IV in 18 patients. The total incidence of urinary tract infection was 9.2% (12 patients), while in the group of children with grade IV hydronephrosis it was higher (in 3 of 18 - 16.7%) than in children with grade III (in 9 out of 113 - 7.9%) (P <0.05). The incidence of urinary tract infections did not differ significantly depending on the sex or age of the patients. In 7 (58.3%) patients, urinary tract infection was noted before the age of 6 months, with an average age of 2.7 months. A bacteriological study revealed that in eight (66.7%) patients, E. Coli was the causative agent of urinary tract infection. Children with antenatal diagnosed and postnatal confirmed ureteropelvic junction obstruction do not need antibiotic prophylaxis because of the low incidence of urinary tract infection. However, patients with grade IV hydronephrosis under the age of 6 months should be closely follow-up by physicians for the early diagnosis and treatment of urinary tract infection.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83177292","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
The Possibilities of Complex Echography in the Diagnosis of Acute Appendicitis in Children 复合超声在儿童急性阑尾炎诊断中的可能性
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-03-31 DOI: 10.48112/acmr.v3i1.26
G. Yusupalieva, Munisa Yakupdjanovna Abzalova, Elyor Allayarovich Akhmedov, Qudrat Nazarovich Bekimbetov, Feruz Ergashovich Turdiev​
{"title":"The Possibilities of Complex Echography in the Diagnosis of Acute Appendicitis in Children","authors":"G. Yusupalieva, Munisa Yakupdjanovna Abzalova, Elyor Allayarovich Akhmedov, Qudrat Nazarovich Bekimbetov, Feruz Ergashovich Turdiev​","doi":"10.48112/acmr.v3i1.26","DOIUrl":"https://doi.org/10.48112/acmr.v3i1.26","url":null,"abstract":"Acute appendicitis (OA) is currently the most common urgent disease of the abdominal cavity and occurs in 2-5 people per 1,000 populations. In the Republic of Uzbekistan, this indicator is 3.05 people per 1,000 populations according to the statistical materials on the activities of healthcare institutions of the Republic of Uzbekistan. Children with acute appendicitis were admitted to the hospital with complaints lasting up to 12 hours - 110 (46.6%), from 12 to 24 hours - 49 (20.8%), from 24 to 48 hours - 43 (18.2%) and from 48 hours or more - 34 (14.4%) children. In children with a disease duration of more than a day, only destructive forms of inflammation of the vermiform process were recorded. After 24 hours from the onset of clinical manifestations, children with phlegmonous and gangrenous appendicitis were admitted. Various variants of the location of the cecum and the vermiform process made it necessary to thoroughly examine the entire abdominal cavity. In 15 children, the diagnosis of OA was excluded due to the presence of other acute abdominal diseases. Thus, ovarian apoplexy was observed in 3 girls, pelvic pain syndrome caused by various gynecological diseases in 5 girls, acute pancreatitis with diffuse pains in 2, an attack of renal colic on the right in 5 children. Thus, the study of the features of the course of various clinical forms of acute appendicitis in children allowed to increase the effectiveness of diagnosis and improve the results of treatment. Ultrasound examination is a promising and safe method of diagnosing acute appendicitis, which allows to bring the effectiveness of complex diagnostics to 100% and is of important importance when choosing treatment tactics.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82746744","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
Indicators of Biochemical Studies in Children with Bronchial Asthma and Obesity 支气管哮喘合并肥胖儿童的生化指标研究
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-03-31 DOI: 10.48112/acmr.v3i1.29
Guldonakhon Kabilzhanovna Makhpieva​, Furkat Mukhitdinovich Shamsiev, Nigora Davletovna Azizova​
{"title":"Indicators of Biochemical Studies in Children with Bronchial Asthma and Obesity","authors":"Guldonakhon Kabilzhanovna Makhpieva​, Furkat Mukhitdinovich Shamsiev, Nigora Davletovna Azizova​","doi":"10.48112/acmr.v3i1.29","DOIUrl":"https://doi.org/10.48112/acmr.v3i1.29","url":null,"abstract":"The aim of the study was to identify the biochemical features of obesity in children with bronchial asthma. The results of the study showed that obesity occurs in 16.2% of the total number of children with bronchial asthma and develops against the background of unfavorable perinatal factors, concomitant and transferred diseases affecting the development, course and outcome of the disease. Diagnostic criteria were determined, including a combination of indicators of low-density lipoproteins, fasting glucose, serum insulin level, HOMA-R index. The main diagnostic criteria are: decreased concentration of high-density lipoproteins and triglycerides and impaired carbohydrate metabolism.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76077166","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
Complex Radiation Diagnostics of Non-Healed Fractures and Post-Traumatic False Joints of Long Tubular Bones 长管骨未愈合骨折和创伤后假关节的复杂放射诊断
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-03-31 DOI: 10.48112/acmr.v3i1.27
Gulnora Akmalovna Yusupalieva​, Temur Abdurashidovich Yuldashev, Sherzod Farkhadovich Akhralov, Adiba Rustamovna Manashova, Umida Asqarovna Umarova​
{"title":"Complex Radiation Diagnostics of Non-Healed Fractures and Post-Traumatic False Joints of Long Tubular Bones","authors":"Gulnora Akmalovna Yusupalieva​, Temur Abdurashidovich Yuldashev, Sherzod Farkhadovich Akhralov, Adiba Rustamovna Manashova, Umida Asqarovna Umarova​","doi":"10.48112/acmr.v3i1.27","DOIUrl":"https://doi.org/10.48112/acmr.v3i1.27","url":null,"abstract":"The dependence of severity, and accordingly, the number of complications and consequences, including false joints, on the mechanism of injury is known. Recently, there has been an increase in the number of injuries resulting from exposure to high kinetic energy (road traffic, firearms), leading to an increase in disability. In this regard, in order to reduce the severity of the social consequences of injuries, specialized assistance to victims, the introduction of new diagnostic and treatment technologies, both at the stage of primary care and at the stage of treatment of consequences, is becoming important. The purpose of the study. To improve the diagnosis of ungrown fractures and post-traumatic false joints of long tubular bones by using complex ultrasound diagnostics. The study of patients was carried out in a supine position or sitting at rest and was carried out both under conditions of plaster immobilization and without it. During plaster immobilization, the sensor was positioned through a \"window\" in the plaster splint, while control from the healthy limb was carried out in the same position of the sensor as on the affected side.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87898010","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
Managing Concurrent Discitis and Epidural Abscess Following TFESI Arising from Unlikely Bacterial Species: The Importance of Post-Procedure Education 处理由不可能的细菌种类引起的TFESI并发椎间盘炎和硬膜外脓肿:术后教育的重要性
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-02-14 DOI: 10.53785/2769-2779.1071
Adlai Pappy, Robert Louis, Vinita Singh
{"title":"Managing Concurrent Discitis and Epidural Abscess Following TFESI Arising from Unlikely Bacterial Species: The Importance of Post-Procedure Education","authors":"Adlai Pappy, Robert Louis, Vinita Singh","doi":"10.53785/2769-2779.1071","DOIUrl":"https://doi.org/10.53785/2769-2779.1071","url":null,"abstract":"Introduction: Transforaminal epidural steroid injection (TFESI) can provide pain relief when patients’ radicular pain is refractory to medication and physical therapy. However, it is important that clinicians understand potential signs and symptoms of TFESI complications to prevent long-term sequelae. Literature has not documented both discitis and an epidural abscess concurrently following a lumbar TFESI.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77722739","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 Case Of Diphenhydramine With Alcohol Induced Rhabdomyolysis 苯海拉明合并酒精致横纹肌溶解1例
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2022-02-14 DOI: 10.53785/2769-2779.1091
Adham Abdulamir, Kayla Szolek, Wahab A Gbadamosi, M. Awais
{"title":"A Case Of Diphenhydramine With Alcohol Induced Rhabdomyolysis","authors":"Adham Abdulamir, Kayla Szolek, Wahab A Gbadamosi, M. Awais","doi":"10.53785/2769-2779.1091","DOIUrl":"https://doi.org/10.53785/2769-2779.1091","url":null,"abstract":"","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80458092","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
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