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Giant Uterine Lipoleiomyoma Masquerading as Endometrial Carcinoma in a Young Nulliparous Lady - Clinical and Imaging Challenges 一个年轻未生育女性的巨大子宫脂肪肌瘤伪装成子宫内膜癌-临床和影像学挑战
Archives of medicine Pub Date : 2021-01-01 DOI: 10.36648/1989-5216.13.1.1
A. OsaweAustine, K. SalehMohammed, A. Ismail
{"title":"Giant Uterine Lipoleiomyoma Masquerading as Endometrial Carcinoma in a Young Nulliparous Lady - Clinical and Imaging Challenges","authors":"A. OsaweAustine, K. SalehMohammed, A. Ismail","doi":"10.36648/1989-5216.13.1.1","DOIUrl":"https://doi.org/10.36648/1989-5216.13.1.1","url":null,"abstract":"Uterine lipoleiomyoma is a benign variant of leiomyoma. It is rare and is composed of smooth muscles and mature adipocytes. It affects perimenopausal and menopausal women. It is important to differentiate it from neoplasms that demand surgical excision. We report a case of giant lipoleiomyoma in a 30 year old nulliparous lady. The objective of presenting this case is to review current concepts and present the imaging findings of this entity.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89396689","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
Comparison of clinical practice guidelines for the management of pregnant women with COVID-19 infection: a review COVID-19感染孕妇管理临床实践指南的比较综述
Archives of medicine Pub Date : 2020-05-27 DOI: 10.22541/au.159060746.65318597
Diane Nzelu, A. Sin, A. Hameed
{"title":"Comparison of clinical practice guidelines for the management of pregnant women with COVID-19 infection: a review","authors":"Diane Nzelu, A. Sin, A. Hameed","doi":"10.22541/au.159060746.65318597","DOIUrl":"https://doi.org/10.22541/au.159060746.65318597","url":null,"abstract":"Coronavirus Disease 19 (COVID-19) is caused by severe acute respiratory coronavirus-2 and has resulted in an unprecedented global pandemic. The adaptations of pregnancy often predispose pregnant women to a more severe course of respiratory illness with the potential for maternal and perinatal morbidity. Thus, national and international guidelines are rapidly being developed to help maintain optimal care throughout pregnancy. Due to the novelty of COVID-19 and limitations of existing data, heterogeneity exists between these guidelines. We aim to review the available evidence for the management of pregnant women with COVID-19 and summarize the \u0000recommendations set out by three main institutions.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74927457","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
Tissue Contrast Differentiation between Head and Neck Squamous Cell Carcinoma Tumors and Adjacent Tissues in Early and Late Phases by Multi-Slice CT Scan 多层螺旋CT早期和晚期头颈部鳞状细胞癌及其邻近组织的组织对比鉴别
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.3.312
A. Salahshoor, Z. Hormozi-Moghaddam, Shayesteh Sp, H. Sharifian
{"title":"Tissue Contrast Differentiation between Head and Neck Squamous Cell Carcinoma Tumors and Adjacent Tissues in Early and Late Phases by Multi-Slice CT Scan","authors":"A. Salahshoor, Z. Hormozi-Moghaddam, Shayesteh Sp, H. Sharifian","doi":"10.36648/1989-5216.12.3.312","DOIUrl":"https://doi.org/10.36648/1989-5216.12.3.312","url":null,"abstract":"Background: Malignancies of head and neck are common cancers responsible for 6 percent of all malignancies. Use of multi-slice CT scan has led to shorter time of scan with optimal capacity in constant time. This study aimed to evaluate the tissue contrast differentiation between head and neck Squamous Cell Carcinoma tumors and adjacent muscle tissue in early and late phases by multi-slice CT scan. Methods and Materials: In this cross-sectional study, 76 patients with head and neck Squamous Cell Carcinoma referred to us in imaging center of Tehran Amir A'lam hospital in 2014-5015. Multi-slice CT scan were conducted at early time (20 seconds) and 180 and 300 seconds after contrast media injection. Then, Hounsfield score of affected tissue and nearest muscle was measured. Δ density was defined as the contrast between tumor density and nearest muscle density. Results: The mean of tumor density at early phase, late phase (180s) and (300s) was 75/76 ± 21/08, 75/26 ± 12/96 and 74/14 ± 12/57, respectively (P>0.05). Conversely, the muscle density significantly was lower in early phase compare to late phase (65/31 ± 11/65 vs. 69/06 ± 12/23 and 69/82 ± 10/69, P<0.001). Our results also showed that Δ density was decreased in late phases, however, this reduction was not statistically significant (P=0.08). Conclusion: Results indicated that multi-slice CT scan may have good tissue contrast differentiation ability between head and neck Squamous Cell Carcinoma tumors and adjacent muscle tissues in early phases after contrast media injection.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87680789","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 Series of COVID-19 ICU Patients who Improved without Requiring Intubation 新冠肺炎重症监护病房患者无需插管而好转的病例系列
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.4.317
A. Seo, P. Radhakrishnan, T. Flanigan, G. Carino
{"title":"A Case Series of COVID-19 ICU Patients who Improved without Requiring Intubation","authors":"A. Seo, P. Radhakrishnan, T. Flanigan, G. Carino","doi":"10.36648/1989-5216.12.4.317","DOIUrl":"https://doi.org/10.36648/1989-5216.12.4.317","url":null,"abstract":"The SARS-CoV-2 virus, more commonly known as coronavirus 2019 (COVID-19), is a novel respiratory virus that was first recognized in China and has now spread across the world. The outbreak of the “ Coronavirus Disease 2019” (COVID-19) started in December 2019 and quickly became a sweeping and unprecedented challenge to different stakeholders in mainland China. Although the epidemic of COVID-19 is not yet over, it has already outpaced the previous severe acute respiratory syndrome (SARS) in 2003 and Middle East respiratory syndrome (MERS) in 2012. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point in the disease course. Providing best practices regarding intubation and ventilation for an overwhelming number of patients with COVID-19 amid an enhanced risk of cross-infection is a daunting undertaking. By putting patients on ventilators comes with risks, too, including infection and unintentional damage to the lungs. Very often, patients require heavy sedatives to paralyze them so doctors can get the breathing tube into the patients' windpipe. That procedure, called intubation, also carries the risk of infection and lung complications, and can expose health care workers to virus-filled respiratory droplets. This is a case series that explains the clinical outcomes of COVID-19 patients who have required high amounts of supplemental oxygen, but were able to improve without intubation.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86283069","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
Atypical Case of Chronic Granulomatous Disease: A Case Report 非典型慢性肉芽肿病1例报告
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.3.311
Wilian Luan Pilatti Sant'Ana, Bruno Martini de Azevedo, Ney Noronha Raffin
{"title":"Atypical Case of Chronic Granulomatous Disease: A Case Report","authors":"Wilian Luan Pilatti Sant'Ana, Bruno Martini de Azevedo, Ney Noronha Raffin","doi":"10.36648/1989-5216.12.3.311","DOIUrl":"https://doi.org/10.36648/1989-5216.12.3.311","url":null,"abstract":"Background: Chronic Granulomatous Disease (CGD) is a heterogeneous clinical presentation immunodeficiency, whose origin can be autosomal recessive or X-linked. In this pathology there is a deficiency in the effector mechanisms of phagocytes. Case study: A review of the patient's medical records was performed, as well as the currently available bibliography. The case report presented is of an 8-year-old male patient, who had a history of recurrent respiratory infections and ICU admissions since 3 years old, being diagnosed with atypical presentation of CGD at 5 years old, and managed with standard prophylactic treatment based on sulfamethoxazole-trimethoprim (SMX-TMP). Conclusion: CGD has a wide range of symptoms, so treatment should be guided based on each patient. In the presented case, the patient is being treated with a prophylactic combination of Itraconazole and SMX-TMP. Besides, we are still awaiting judicial clearance by the Brazilian National Health System (SUS) for financial support for IFN-gamma (IFN-γ), which is recommended as prophylactic treatment.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78872744","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
Global Efforts towards Potential Therapeutic Options for COVID-19 全球努力寻找COVID-19的潜在治疗方案
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.3.314
Pooja Prajapati, R. Kumar, Santosh Kumar Prajapti
{"title":"Global Efforts towards Potential Therapeutic Options for COVID-19","authors":"Pooja Prajapati, R. Kumar, Santosh Kumar Prajapti","doi":"10.36648/1989-5216.12.3.314","DOIUrl":"https://doi.org/10.36648/1989-5216.12.3.314","url":null,"abstract":"An epidemic spread of novel coronavirus (COVID-19) infection has posed significant threats to global public health and the economy. Scientists around the world are endeavoring to find potential antiviral effective in combating COVID-19. Currently, there is no specific treatment for COVID-19, however several drugs are currently under clinical investigation to test their efficacy and safety during the treatment of coronavirus disease 2019 (COVID-19). Based on published evidence, we have summarized the present therapeutic agents effective against SARS-CoV-2.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"54 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77215129","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
Why the Impact of COVID-19 Infection on Babies has, to Date, been Far Milder? 为什么到目前为止,COVID-19感染对婴儿的影响要小得多?
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.4.318
Meliani Amina, Khelil Fatima Zohra Amel
{"title":"Why the Impact of COVID-19 Infection on Babies has, to Date, been Far Milder?","authors":"Meliani Amina, Khelil Fatima Zohra Amel","doi":"10.36648/1989-5216.12.4.318","DOIUrl":"https://doi.org/10.36648/1989-5216.12.4.318","url":null,"abstract":"The current level of knowledge about the COVID-19 infection on babies and children is still uncertain. Regardless of the world health situation reports especially in developing countries, it remains crucial to maintain a future progress in understanding why babies are less infected than adults. This question is complex and quite speculative. Researchers should include the level of exposure to a confirmed case at which transmission is more likely to occur, taking into consideration the age factor and the immune system, since babies are not very affected by the virus. Sometimes, COVID-19 infection in babies is less commonly reported or absent. This review provides a proposed hypothesis focused on understanding COVID-19 infection on babies. General concepts of vaccination and CoV19 recombination are also outlined.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89940650","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
Urethrovesical Foreign Body in Adolescents: Two Case Reports 青少年尿道异物2例报告
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.1.302
Sławomir Kiepura, Malgorzata Tomiczek, A. Kos
{"title":"Urethrovesical Foreign Body in Adolescents: Two Case Reports","authors":"Sławomir Kiepura, Malgorzata Tomiczek, A. Kos","doi":"10.36648/1989-5216.12.1.302","DOIUrl":"https://doi.org/10.36648/1989-5216.12.1.302","url":null,"abstract":"Urethrovesical foreign body, though uncommon, can be seen in children and adolescents. The self-insertion of different objects via urethral meatus is usually for sexual stimulation. Treatment of foreign bodies in the urinary tract can be a challenging problem for pediatric surgeons and urologists and it is usually a urologic emergency. The pediatric patient usually adolescents may complain of lower urinary tract symptoms and recurrent urinary tract infection. Late presentation and hesitancy to report to a doctor are possible due to a feeling of embarrassment. Urethrocystocopy is considered ideal for the removal of foreign objects but in some cases and open surgery is required. The authors present two cases. One is a 15-yearold male who inserted a flex electrical wire into his own urethra and subsequently into the bladder for self-erotic stimulation. The second case is a 16-year-old male with an over 6-month history of recurrent urinary infection post insertion into the bladder the coated electrical wire.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"200 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76965857","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 Narrative Literature Review of Global Pandemic Novel Coronavirus Disease 2019 (COVID-19): Epidemiology, Virology, Potential Drug Treatments Available 全球大流行新型冠状病毒病2019 (COVID-19)的叙事文献综述:流行病学、病毒学、潜在药物治疗
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.3.310
V. Hange
{"title":"A Narrative Literature Review of Global Pandemic Novel Coronavirus Disease 2019 (COVID-19): Epidemiology, Virology, Potential Drug Treatments Available","authors":"V. Hange","doi":"10.36648/1989-5216.12.3.310","DOIUrl":"https://doi.org/10.36648/1989-5216.12.3.310","url":null,"abstract":"Coronaviruses (CoVs) are the largest group of viruses belonging to the Nidovirales order, which includes Coronaviridae, Arteriviridae, Mesoniviridae and Roniviridae families. Coronavirus virion are circular with a diameter of nearly 125 nm. Its most conspicuous characteristic of coronaviruses is the club-shaped spiked projections originating from the surface of the virion. Such spikes are a definite characteristic of the virion and give them a solar corona appearance leading the term coronaviruses [1]. Coronaviridae covers a broad range of host & carriers, infecting many mammalian & avian species/subspecies, this may affect the upper respiratory, gastrointestinal, hepatic and central nervous system via a number of diseases [2]. SARS-CoV, group 2b-β coronavirus, was detected as the potential cause of the 2002-2003 outbreak of Severe Acute Respiratory Syndrome (SARS) in the Guangdong Province of China. In a cluster of highly pathogenic respiratory tract infections in Saudi Arabia and other Countries in the middle east throughout 2012, Middle East Respiratory Syndrome-CoV (MERS-CoV), was found to be the potential cause is an example of another novel human CoV [3]. On 31 December 2019, the Wuhan Health Commission in the Republic of China's Hubei Province notified the National Health Commission, China CDC and the WHO of a series of 27 cases of unexplained etiological pneumonia. Leaks have been predominantly tracked to the Huanan Seafood Wholesale Market in Wuhan, that trades fish and a myriad of livestock species comprising chickens, bats, marmots and snakes [4]. By January 7th, 2020 Chinese Center for Disease Control and Prevention officials had isolated severe acute respiratory syndrome coronavirus 2 (SARSCoV- 2). On 11 February, WHO officially named the disease as the coronavirus disease 2019 (COVID-19) [5]. The World Health Organization (WHO) also announced a global emergency on January 31st due to increasing concern about its rapid expansion and the disease became listed as a pandemic by March 11th.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89024338","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: 6
Frequency of Gastro-Esophageal Reflux symptoms in Healthy Children Determined by MM GERD Questionnaire in Mexico: An Exploratory Study 墨西哥MM GERD问卷测定健康儿童胃食管反流症状的频率:一项探索性研究
Archives of medicine Pub Date : 2020-01-01 DOI: 10.36648/1989-5216.12.2.305
Rogelio Ramses Hern, ez-Pliego, Jose Ivan Rodriguez de Molina-Serrano
{"title":"Frequency of Gastro-Esophageal Reflux symptoms in Healthy Children Determined by MM GERD Questionnaire in Mexico: An Exploratory Study","authors":"Rogelio Ramses Hern, ez-Pliego, Jose Ivan Rodriguez de Molina-Serrano","doi":"10.36648/1989-5216.12.2.305","DOIUrl":"https://doi.org/10.36648/1989-5216.12.2.305","url":null,"abstract":"Background: GERD is a common disorder in children representing an important cause of consultation. Questionnaires have been proposed as a useful tool for primary care medicine but also as a cost effective option. However, it ’ s use still controversial in pediatric population. In this exploratory study, we have used the MM GERD Questionnaire in 2 elementary schools. Objective: An exploratory study to evaluate the MM GERD questionnaire in children of 5-17 years old of 2 elementary schools in Mexico City. Methods: A prospective, descriptive exploratory study including male and female children 5-17 years in which parents or tutors accept and sign ICF and willing to answer the 4 scale multi-dimensional GERD scale symptom (10 items), pain intensity scale (3 items); disability scale (3 items) and satisfaction scale (2 items). Results: A total of 223 children were included with 123 male and 99 female with mean age of 8.64 ± 2.7, weight 32.94 ± 14.17 kg, height 1.30 ± 0.17 mt and BMI of 18.67 ± 4.9. There was good construct validity among 4 scales measured with Pearson coefficient. The inter-item consistency (Cronbach’s co-efficient alpha) for the symptoms items, pain intensity items, disability items and satisfaction items were 0.41, 0.78, 0.87 and 0.4, respectively, demonstrating adequate reliability of the measure. Conclusion: MM GERD is a not a reliable questionnaire to explore the presence of upper gastrointestinal symptoms in healthy children from 5-17 years old. Thus several limitations, it is necessary to assess language, methodological and clinical validation of MM GERD to extrapolate these results into clinical practice.","PeriodicalId":92003,"journal":{"name":"Archives of medicine","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79985570","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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