Medicine international最新文献

Determination of a 'point of no return' in refractory chronic subdural hematomas: A case report and review of the literature. 确定难治性慢性硬膜下血肿的 "不归点"：病例报告和文献综述。

Medicine international Pub Date : 2024-10-10 eCollection Date: 2024-11-01 DOI: 10.3892/mi.2024.199

Alexandros G Brotis, George Fotakopoulos, Vasiliki Epameinondas Georgakopoulou, Adamantios Kalogeras, Theodosis Spiliotopoulos, Ioannis Ioannidis, Kostas N Fountas

{"title":"Determination of a 'point of no return' in refractory chronic subdural hematomas: A case report and review of the literature.","authors":"Alexandros G Brotis, George Fotakopoulos, Vasiliki Epameinondas Georgakopoulou, Adamantios Kalogeras, Theodosis Spiliotopoulos, Ioannis Ioannidis, Kostas N Fountas","doi":"10.3892/mi.2024.199","DOIUrl":"10.3892/mi.2024.199","url":null,"abstract":"Recurrence following the surgical evacuation of a chronic subdural hematoma (CSDH) occurs in up to 33% of cases. Several clinical and radiologic factors have been identified that are associated with the recurrence of hematoma. However, the optimal treatment for recurrent CSDH has not yet been determined. The present study, based on a case report, reviews the predictors and treatment options for refractory CSDHs. An 85-year-old male patient presented with a symptomatic bilateral CSDH. The hematoma was initially removed through a burr hole and closed drainage system, resulting in clinical improvement and in the radiographic resolution of the hematoma. At the first recurrence, steroids were administered and the hematoma was re-evacuated. After 1 month, the patient returned comatose due to a massive right subdural hematoma and was treated with an ipsilateral craniotomy and a membranectomy. After 2 days, the patient succumbed due to massive intraparenchymal bleeding. The treatment of refractory CSDHs is challenging. The failure of brain re-expansion and senile atrophy appear to be the key predictors of recurrence. Patients who are at high-risk need to be identified promptly and treated with a multidisciplinary approach that considers adjuvant medications, middle meningeal artery embolization and repeat hematoma evacuation, probably with a membranectomy and an endoscope.","PeriodicalId":74161,"journal":{"name":"Medicine international","volume":"4 6","pages":"75"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful treatment of osteosarcoma in a pregnant woman with survival of the gestational product: A case report and literature review. 成功治疗孕妇骨肉瘤并使妊娠产物存活：病例报告和文献综述。

Medicine international Pub Date : 2024-10-09 eCollection Date: 2024-11-01 DOI: 10.3892/mi.2024.197

Carlos Abraham Orpinel-González, Marcos Iglesias-González, Joel Herrera-Loya, Carlos Arturo Martínez-Méndez, Aaron Alberto Ramírez-Torres, Raúl Gerardo Ramírez-Medina

{"title":"Successful treatment of osteosarcoma in a pregnant woman with survival of the gestational product: A case report and literature review.","authors":"Carlos Abraham Orpinel-González, Marcos Iglesias-González, Joel Herrera-Loya, Carlos Arturo Martínez-Méndez, Aaron Alberto Ramírez-Torres, Raúl Gerardo Ramírez-Medina","doi":"10.3892/mi.2024.197","DOIUrl":"10.3892/mi.2024.197","url":null,"abstract":"Osteosarcoma (OS) is the most prevalent bone neoplasm of mesenchymal origin, accounting for 20% of all bone tumors worldwide. It mainly affects the marrow of long bones, and its diagnosis is more common among adolescents and the geriatric population. Histologically, it is characterized by high cellular variability, abundant osteoid and fibrotic material. In the early stages, it presents with only local symptoms such as pain, edema and limited joint mobility. This neoplasm, when detected promptly, is associated with a favorable prognosis and can be effectively treated through surgical removal and adjuvant therapy. The development of tumors in pregnant women is rare, and the occurrence of osteosarcoma is even more exceptional, with only 10 cases documented in the literature. Given its rarity, the present study describes the case of a female patient with OS diagnosed in the first trimester of pregnancy, where the patient responded well to treatment, resulting in no adverse effects on the pregnancy outcome.","PeriodicalId":74161,"journal":{"name":"Medicine international","volume":"4 6","pages":"73"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictive significance of hypertension in the incidence of complications in critically ill patients with COVID‑19: A retrospective cohort study. 高血压对 COVID-19 重症患者并发症发生率的预测意义：一项回顾性队列研究。

Medicine international Pub Date : 2024-10-09 eCollection Date: 2024-11-01 DOI: 10.3892/mi.2024.198

Anita Katić, Nermina Rizvanović

{"title":"Predictive significance of hypertension in the incidence of complications in critically ill patients with COVID‑19: A retrospective cohort study.","authors":"Anita Katić, Nermina Rizvanović","doi":"10.3892/mi.2024.198","DOIUrl":"10.3892/mi.2024.198","url":null,"abstract":"The association between hypertension as a pre-existing comorbidity and the severe form of coronavirus disease 2019 (COVID-19) remains unclear due to the contradictory results of previously published studies. The present study evaluated the predictive significance of hypertension in the incidence of complications among critically ill patients with COVID-19. The present study included 372 critically ill adults with COVID-19 pneumonia, hospitalized between January 1 and December 31, 2021. The study cohort was divided into the hypertension group (HTA group), which included 245 patients with a history of hypertension, or a non-HTA group (control group), which included 127 patients without hypertension. The incidence of complications was retrospectively extracted from medical records and compared between groups. Multivariate regression analysis (adjusted for potential confounders) and receiver operating characteristic (ROC) curve analysis determined the predictive significance of hypertension on the incidence of complications. The patients in the HTA group were more likely to receive invasive mechanical ventilation [odds ratio (OR), 1.696; P<0.02], develop sepsis (OR, 1.807; P<0.01) and develop complications (OR, 3.101; P<0.001). Hypertension was an independent positive predictor for invasive mechanical ventilation [area under the curve (AUC), 0.67; positive predictive value (PPV), 71.7%; P<0.05], sepsis (AUC, 0.69; PPV, 77.5%; P<0.026) and total complications per patient (AUC, 0.71; PPV, 81.4%; P<0.001). On the whole, the data of the present study indicate that a history of hypertension should be considered as an independent clinical predictor of a higher incidence of complications in critically ill patients with COVID-19. Patients with pre-existing hypertension and a diagnosis of COVID-19 require timely identification, additional attention and treatment to avoid a critical course and help improve outcomes.","PeriodicalId":74161,"journal":{"name":"Medicine international","volume":"4 6","pages":"74"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between polymorphisms of DNA repair genes and intracranial aneurysms: A systematic review and meta‑analysis DNA 修复基因的多态性与颅内动脉瘤之间的关系：系统回顾和荟萃分析

Medicine international Pub Date : 2024-07-24 DOI: 10.3892/mi.2024.183

Mohamed Montasr, George Fotakopoulos, V. Georgakopoulou, Ourania Fotakopoulou, N. Trakas, P. Sklapani, Kostas N. Fountas

引用次数: 0

Pediatric TBI: Direct admissions vs. secondary referrals to a hospital: A single‑center, retrospective study 小儿创伤性脑损伤：直接入院与二次转院：单中心回顾性研究

Medicine international Pub Date : 2024-07-23 DOI: 10.3892/mi.2024.182

Moosa Allawati, Yahya Al-Kindi, Said Al Jaadi, Tariq Al-Saadi

引用次数: 0

Clinical and genetic analysis of children with glucose transporter type 1 deficiency syndrome 葡萄糖转运体 1 型缺乏综合征患儿的临床和遗传分析

Medicine international Pub Date : 2024-07-19 DOI: 10.3892/mi.2024.181

Hao Qian, Guohuan Ying, Haifeng Xu, Shangyu Wang, Bing Wu, Xin Wang, Hongdan Qi, Mingying He, M. J. Ud Din, Tingting Huang, Yimei Wu, Gang Zhang

引用次数: 0

Effects of wearing myopia glasses on eye movement and scleral blood supply 佩戴近视眼镜对眼球运动和巩膜供血的影响

Medicine international Pub Date : 2024-07-18 DOI: 10.3892/mi.2024.179

Lyuqi Tan, Jilin Tan, Heping Yang, Jieyan Wang, Chunmei Chen, Yanli Peng, Ling Ai, Yurong Tang

引用次数: 0

Early detection of resistance to dual antiplatelet therapy in patients who have undergone percutaneous coronary intervention using the VerifyNow test and associated factors 使用 VerifyNow 检验及相关因素及早发现接受经皮冠状动脉介入治疗的患者对双联抗血小板疗法的耐药性

Medicine international Pub Date : 2024-07-18 DOI: 10.3892/mi.2024.180

Song Giang Tran, Thi Kieu My Tran, Tan Sang Nguyen, Minh Phuong Vu

引用次数: 0

Prevalence of ACA variations: A systematic review and meta‑analysis ACA 变异的普遍性：系统回顾和荟萃分析

Medicine international Pub Date : 2024-07-15 DOI: 10.3892/mi.2024.178

George Fotakopoulos, Alexandros G. Brotis, Ourania Fotakopoulou, C. Gatos, Konstantinos Mantzarlis, V. Georgakopoulou, P. Sklapani, N. Trakas, Kostas N. Fountas

引用次数: 0

Intratesticular prepubertal‑type mature teratoma in an infant: A case report and mini‑review of the literature 一名婴儿的睾丸内青春期前型成熟畸胎瘤：病例报告和文献综述

Medicine international Pub Date : 2024-07-15 DOI: 10.3892/mi.2024.177

Saman Fakhralddin, Rawa Ali, Sami Omar, Rebaz Ali, Bryar Mohammed, Rawa Karim, Hiwa Abdullah, Karukh Mohammed, Shvan H. Mohammed, Sasan Ahmed, Fahmi H. Kakamad

引用次数: 0