Clinical decision making is an integral part of nursing science and daily clinical nursing practice............
View PDF View FulltextTo investigate the difference of clinical outcomes between patients with and without reactive cutaneous capillary endothelial proliferation (RCCEP) after camrelizumab treatment.............
View PDF View FulltextGlomus tumor is a rare neoplasm that originates from the glomus body in the dermis or subcutaneous of the extremities. In rare instances, glomus tumors have been observed in visceral organs. Here, we report an extremely rare case of primary malignant breast glomus tumor............
View PDF View FulltextTheoretically, inhaled nitric oxide can be effective on the treatment of acute cor pulmonale. However, the efficacy during acute respiratory distress syndrome has not been proved.............
View PDF View FulltextAn interesting article titled “Frequency and Characteristics of Nodal and Deltoid FDG and 11-C Choline uptake on PET imaging performed after COVID-19 vaccination” was recently published in American Journal of Roentgenology. In this Editorial, I will like to discuss important pertinent findings of this study. 67 patients were recruited (66 had undergone PET/CT and 1 had undergone PET/MRI; FDG in 54 and............
View PDF View FulltextCarcinosarcoma or metaplastic carcinoma of the breast with mesenchymal differentiation classified as subtypes of metaplastic breast carcinoma (MBC) is a rare and highly aggressive tumor. Metastasis to soft tissue and bone is a challenging issue to make a diagnosis because of similarity to the mesenchymal tumor.............
View PDF View FulltextMetastatic malignant struma ovarii (MMSO) is a very rare disease (incidence of less than one case in 10 million females annually in the United States). Its rarity results in paucity of data regarding diagnosis, treatment, and follow up. Herein, we describe a case of a 14-year old female who presented with malignant struma ovarii that............
View PDF View FulltextAssociations between psychiatric symptoms in patients with celiac disease have been described in the literature. We report the case of a schizophrenic patient initially suspected of Wilson disease that was diagnosed with celiac disease in our hepatology unit.............
View PDF View FulltextCardiac angiosarcomas are uncommon, primary malignant cardiac tumors, characterized by an aggressive local growth within the myocardial structures. The majority occur in the right atrium, and at the moment............
View PDF View FulltextRural healthcare recently came into international spotlight, with recent reported influx of the COVID-19 into rural regions. This article focuses on susceptibilities of the rural population to pandemics and mitigating measures to prevent formation of disease epicentre............
View PDF View FulltextSyringoma is a benign eccrine sweat gland tumor affecting mostly females at puberty projected with multiple soft papules usually 1-2 mm in diameter. During puberty, syringoma appears among females; it is presented as multiple soft papules, 1-2 mm in diameter, as a benign eccrine sweat gland tumor. The sites of predilection are lower eyelids, and cheeks. The regions of tendency are cheeks and lower eyelids. Syringoma of the vulvar is a rare disorder few cases of which have been reported in literature.........
View PDF View FulltextSeptic shock develops as a result of the rapid progression of sepsis due to the massive release of proinflammatory mediators, and is characterized by severe hypotension and tissue hypoxia. While early goal-directed therapy (EGDT) and polymyxin B direct hemoperfusion (PMX-DHP)..........
View PDF View FulltextIn 1900, Gino Severini he met the painter Umberto Boccioni. Together they visited the studio of Giacomo Balla, where they were introduced to the technique of Divisionism, painting with adjacent rather than mixed colors and breaking the painted surface into a field............
View PDF View FulltextIt’s important to define what Primary Care is and the priorities and context in which Primary Care works...........
View PDF View FulltextCongenital megacalycosis of Pugivert is a rare clinical entity which denotes presence of dilated calyces most often without any functional abnormality and Segmental mega-ureter implies large, focal segmental ureteral ...........
View PDF View FulltextIn general, whole-body vibration is one of the potential contributors to the development of back disorders of workers. In particular, it is thought that workers at the automobile assembly line are exposed..........
View PDF View FulltextA traumatic brain injury (TBI) can cause temporary dysfunction of brain cells. More severe craniocerebral injuries can lead to bruising, perforation and tissue rupture, bleeding, and other physical damage to the brain that can lead to long-term complications or death (Bigler, 2016)............
View PDF View FulltextNeurocysticercosis (NCC) is one of the seven neglected endemic zoonoses targeted for elimination by the World Health Organization. NCC is a common primary cause of preventable epilepsy in many developing countries caused by the platyhelminth...........
View PDF View FulltextΜemory by itself as a function, loses its capabilities with a normal deterioration. However, there are acquired conditions that negatively affect the functions of memory, resulting in dysfunction of its stages. Thus possible damage to the structures of the hemisphere that controls............
View PDF View FulltextMural haematoma after colonoscopy and polypectomy has been reported infrequently. We report a case of rectal haematoma that required prolonged hospitalization and surgical intervention. The literature on this complication is reviewed.............
View PDF View FulltextAdoptive Cell Therapy (ACT) is a type of immunotherapy, in which immune cells are implanted in patients to help them cure diseases (such as cancer). It is a new technique that has proven its effectiveness in treating............
View PDF View FulltextThe spleen, due to its anatomical position, is the most frequently injured organ of the abdomen due to blunt trauma. Herein we describe the case of a 59-year-old female patient who fell from the same height and five days later she complained of persistent pain in the left hypochondrium.............
View PDF View FulltextPsoas abscess, a collection of pus in the iliopsoas compartment is an unusual lesion that is unfamiliar to many medicine specialists, which can make an accurate and timely diagnosis problematic. The symptoms associated with this disorder often involve hip pain instead of abdominal or............
View PDF View FulltextThe objective of this study is to compare the outcomes of Modified Desarda repair no mesh and Lichtenstein repair for inguinal hernia. ............
View PDF View FulltextEctodermal dysplasias represent a heterogeneous group of alterations, characterized by the abnormal development of embryological derivatives of the ectoderm.We present a patient who, upon examination of the osteomyoarticular system, presents intense rotation of the lower limbs with the toes backwards,........
View PDF View FulltextCentral neurocytoma (CN) is a benign brain tumor of intraventricular site; According to the World Health Organization (WHO) 2016, it is categorized as grade II. We report a series of 10 cases that were diagnosed with CN by immunhistochemistry of surgical specimens at our hospital. ............
View PDF View FulltextNeurological diseases are much often due to our stressed daily life, and epilepsy is considered as a second cause of hospitalization in neurological illness. It is about 30% of epileptic cases where medicine would not stop or control seizure; hence, a surgical intervention ............
View PDF View FulltextA man 66 years old, presented to the emergency with stupor and lethargy. His relatives recorded that patient had several episodes of diarrhea prior days, widespread muscle pain, walking difficulties with loss of balance and became progressively weaker and confused. His medical history included bipolar disorder, diabetes mellitus, obesity, smoking status,............
View PDF View FulltextThe lung is the second most commonly organ which affected after liver chyst by echinococoss, and the bilateral involvement of lung is rare and Primary spleen hydatid cysts are very rare seen even in endemic country. We report the case of a 32-year-old man who presented with left thoracic and left upper abdominal pain and dry cough evolving for four months. Thoracic CT scan after injection of the contrast media. ............
View PDF View FulltextThe aim of this study was the effect of resistance exercises with sage supplementation on the response of some bio-hormones in overweight male students. ............
View PDF View Fulltext“If you work in the dry dust of Arizona or California central valley Surely be warned about fever, or deadly head-aches from all those Cocci!!”............
View PDF View FulltextThe importance of physical exercise in preventing, treating and controlling hypertension has been the subject of enormous attention during the past several decades. Nearly one third of American adults have been diagnosed with high blood pressure and millions more have pre-hypertension. Cardiorespiratory fitness has an important non-pharmacologic role in hypertension treatment and prevention, yet one in three Americans does not engage in leisure-time physical activity. ............
View PDF View FulltextMuscular dystrophy is a group of multiple inherited diseases that damage muscles with time and causes a partial or complete loss of movement. It happens due to the lack of protein dystrophin, which is important............
View PDF View FulltextAvoiding injury of the external branch of the superior laryngeal nerve (EBSLN) is one of the major challenges during thyroid surgery, especially in transoral endoscopic thyroidectomy vestibular approach (TOETVA). This study aimed to investigate the protective strategies of the EBSLN during TOETVA.............
View PDF View FulltextThe actual role of 18F-FDG PET/CT in evaluating primary brain lymphoma is still an open issue. Brain lymphoma usually show elevated 18F-FDG uptake, often higher than other brain tumors or inflammatory processes............
View PDF View FulltextTumors of the central nervous system consist of a heterogeneous group of neoplasms of great histological diversity. Despite the increasing prevalence of these tumors in developing countries, some places like Yemen do not have representative studies showing the true impact of these tumors on our population.............
View PDF View FulltextLipoma, a common soft tissue tumor composed of mature adipose tissues, can occur in any part of the body with fat. Accounting for 8.4% of primary heart tumors [1], the lipoma in the heart is rare, and the most common sites are the right atrium, left ventricle, and pericardium [2,3]............
View PDF View FulltextThe aim of this study was the effect of resistance exercises with sage supplementation on the response of some bio-hormones in overweight male students. ...........
View PDF View FulltextEccrine porocarcinoma is an extremely rare malignant skin tumor. Furthermore, because it has clinicopathologic characteristics similar to other skin adnexal tumors, it is often difficult for clinicians and pathologists to diagnose.............
View PDF View FulltextAdult Onset Still’s Disease (AOSD) is a rare rheumatological condition that is characterized by a clinical triad of (daily spiking Fever, arthritis and rash) and a biochemical triad (hyperleukocytosis with neutrophilia, hyperferritinemia and abnormal liver function test). ............
View PDF View FulltextLiposclerosing Myxofibrous Tumor (LSMFT) is a benign fibro-osseous lesion with distinct clinical and radiological features, characterized by a complex mixture of histologic elements, including its fibrous dysplasia-like features, lipoma, myxofibrous tissue, ischemic ossification, xantoma features and pseudo- Paget’s bone patterns. Most lesions are discovered incidentally, but patients can present with bone pain or fracture.............
View PDF View FulltextThis article aims to provide a comprehensive review of the clinical features and genetics basis of multi-system pseudohypoaldosteronism type 1 caused by SCNN1B gene mutations............
View PDF View FulltextHyperuricemia is a disease that arises as a result of a defect in the metabolism process, leading to an increase in its production and accumulation in the blood, with the inability to excrete it in the urine through the kidneys. It has been found that people who suffer from a problem in metabolism, such as patients with diabetes or high blood fats, or patients with high blood pressure suffer from high uric acid. In this article, we find that a woman suffering from diabetes and high blood pressure, by measuring blood lipids and uric acid, their rates were high.............
View PDF View FulltextFibroadenomas (FA), are common benign tumor of the breast, can be treated with simple excision. Breast cancer arising within FA is a rare phenomenon. ............
View PDF View FulltextPersistent thorasic airleak is a rare complication after totally implantable port-chamber catheter(PCC) implantation. Prolonged airleaks are undesirable because they prolong the duration of chest tube drainage with associated pain and risk of infection and they also prolong hospitalization. In cancer patients, it is important to prevent this rare complication and to recognize it early if it does occur.............
View PDF View FulltextTo describe the clinical evolution of a case of Epstein-Barr virus infection simulating polymyositis from initial visit to final death............
View PDF View FulltextCardiac amyloidosis is a progressive cardiomyopathy that results from the accumulation of disrupted endogenous proteins in the heart in the form of amyloid fibrils. Diagnosing cardiac amyloidosis is a difficult process............
View PDF View FulltextObjective to explore the efficacy and safety of IMRT combined with ............
View PDF View FulltextAcute macular pucker is an uncommon entity of epiretinal membrane due to proliferative vitreoretinopathy, and typically presents with rapid progression of vision loss and metamorphopsia over 2 weeks to 3 months after retinal tears or detachment. We report an atypical case of acute macular............
View PDF View FulltextJuvenile idiopathic arthritis (JIA) is the most common chronic inflammatory arthritis under 16 years of age but unlike rheumatoid arthritis, the risk of cardiovascular diseases including Myocardial Infarction (MI) in............
View PDF View FulltextOver the last decade, molecular methods, such as chromosomal microarray and Bacs-On-Beads assay, have been shown to improve the detection rate of chromosomal abnormalities. Nonetheless, conventional cytogenetics methods, such as FISH and karyotyping, are still useful tools and should not be dismissed.............
View PDF View FulltextSevere hyperbilirubinemia can cause neurotoxicity called kernicterus which is a neurological syndrome resulting from the deposition of unconjugated bilirubin in the basal ganglia and brainstem nuclei due to which patients suffer from long term morbidities consisting...........
View PDF View FulltextChronic Migraine (CM) is characterized by recurrent head pain often associated with electroencephalogram (EEG) abnormalities and asymmetry of intracranial venous circulation. Migraine is a symptom of the Chronic Cerebrospinal Venous Insufficiency (CCSVI).............
View PDF View FulltextThe Ellis-van Creveld Syndrome, also known as Chondroectodermal dysplasia, is a skeletal and ectodermal dysplasia which is characterized by the narrow chest, short ribs with congenital heart defects like ASD and polydactyly. It is an extremely rare condition. An unusual case of Ellis............
View PDF View FulltextThe overall bleeding complication rate in patients receiving anticoagulation, whether in COVID-19 or non-COVID-19 patients is low, only slightly higher in critically ill patients and those receiving a therapeutic dose of anticoagulants. Among bleeding complications, spontaneous muscle hematomas (SMH) are particularly uncommon, often overlooked or misdiagnosed.............
View PDF View FulltextHepatic portal venous gas(HPVG) are rarely seen. Case: A 91-year-old male patient was referred to our hospital with chief complaints of severe sudden abdominal pain. Hepatic portal venous gas (HPVG) was............
View PDF View FulltextSleep is defined as the natural, periodic, and reversible decrease in perception of the external environment, with the preservation of a certain degree of reactivity to the environment and autonomous functions. Sleep consists of 2 phases, REM phase and NREM phase, these phases alternate at night in the form of five to six cycles; of which the NREM phase is 75% present and the REM by 25%. ............
View PDF View FulltextFasciola hepatica is an endemic parasitic disease in Iran and some countries in the world. The humans are accidentally infected by Fasciola in the life cycle. The definitive host is sheep. When human infected, the presentations are in two shape: acute or hepatic and chronic or biliary shape. When the flukes or eggs enter the bile ducts,............
View PDF View FulltextEpidermal inclusion cysts or epidermoid cysts are benign cystic lesions rarely occurring in the oral cavity. These cysts represent less than 0.01% of all oral cavity cysts. Most commonly involved location in the............
View PDF View FulltextAcute mesenteric ischemia refers to a sudden onset of intestinal hypoperfusion, which can be due to a reduction or cessation of arterial inflow leading to cellular damage, intestinal necrosis and eventually death if untreated [1].............
View PDF View FulltextAchalasia is a rare motility disorder of the esophagus and present by failure of lower esophageal sphincter (LES) relaxation during swallow. This rare disease of esophagus with it symptoms can mimic a variety of common illnesses of esophagouse,but not the mediastinum............
View PDF View FulltextGastric necrosis post splenectomy carries a high risk of mortality and should be identified and diagnosed early. It is a rare event, only reported in less than............
View PDF View FulltextSyringomyelia is a pathological affectation of the spinal cord, which consists of a central cavitation, which mainly affects the cervical area............
View PDF View FulltextYolk Sac Tumor (YST), which most frequently arises in the gonads as a type of germ cell tumor, is rare in children but is highly malignant. There are a number of diagnostic tools applied for YST, such as US, CT, Magnetic Resonance Imaging (MRI) and histopathological analysis.............
View PDF View FulltextThe adjustment of the agricultural industrial structure is a process of adapting to the laws of market development and reflecting a country's resource endowments and comparative advantages. After the outbreak of the COVID-19............
View PDF View FulltextThis work allows us to observe the quality of sleep and respect for circadian cycles as very important factors in the development of multiple diseases and in various specialties, which affects in the rapeutic methods, both in external and hospitalized patients and the variety of symptoms that can be observed, through a practical survey method, with the main objective of contributing to the awareness of the importance of sleep hygiene measures and their improvement in the quality of life of patients.............
View PDF View FulltextDue to evolution of technology smart phone has become our necessity. Where on one hand it has made our lifestyle more comfortable in............
View PDF View FulltextDermoid cyst of the spermatic cord is a very rare clinical entity with only 6 cases reported in the literature so far. We describe an extremely rare case of a large dermoid cyst of the right spermatic cord measuring............
View PDF View FulltextIn December of 2019, a severe acute respiratory syndrome emerged in Wuhan and rapidly spread through China subsequently was declared a pandemic in March 2020............
View PDF View FulltextThere has been growing evidence of COVID-19 potentially causing a wide range of neurological abnormalities from as mild as anosmia............
View PDF View FulltextDentoalveolar fractures is common fracture in accident, could be results from motor vehicle accidents, interpersonal violence, falls, sports, bicycle accidents, and other unusual causes. While motor............
View PDF View FulltextThe trephined, craniotomized, or sunken flap syndrome encompasses neurological manifestations associated with skin flap depression and is............
View PDF View FulltextBreast DCE-MRI segmentation and lesion detection is a crucial image analysis task for cancer detection and tissue characterization. In this paper, ............
View PDF View FulltextBack pain is one of the most common forms of body pain. Back pain can be felt in many ways. It can range from mild to severe pain that can affect the ability to move. Back pain can be felt as muscle pain, stabbing pain............
View PDF View FulltextDetect sleep disorder Excessive Daytime Sleepiness and bad sleepers in doctors and nurses of the Guadalajara Regional Military Specialty Hospital. ............
View PDF View FulltextCongenital diverticular are rare and caused from weakening of the bladder mucosa with the entire wall of the diverticulum. Giant vesical diverticulum............
View PDF View FulltextObserve and Identify patients that presented depression and anxiety using the Hospital Anxiety Diagnosis Scale (HADS), Zung & Conde scale and ............
View PDF View FulltextThe aim of this study was to determine the Effects of regular physical activity in water with and without Ginger supplementation on adiponectin and related biochemical markers in obese female with breast cancer............
View PDF View FulltextHeadache is one of the most common reasons for consultation where people go to emergency services. It is estimated that at least one-third of the population between the age of 18 and 65 has ever suffered from a headache...........
View PDF View FulltextXanthomas are benign tumor-like lesions, composed of accumulation of foamy lipid- laden histiocytic cells. Usually, xanthomas appear in the skin and tendons, while visceral location is uncommon. These lesions can be found anywhere along the gastrointestinal tract, commonly in the stomach and colon............
View PDF View FulltextIchthyosis prematurity syndrome [IPS, OMIM608649] is a rare autosomal recessive disorder characterized by the clinical triad of premature birth, ichthyosis, and neonatal asphyxia [1]. It is caused by a mutation in SLC27A4 (solute carrier family 27 member 4, which encodes fatty acid transport protein 4 [FATP4]) [2]. ...........
View PDF View FulltextSalivary gland cancer is a rare malignant tumor of the head and neck. We provide a rare case, a malignant and poorly differentiated adenocarcinoma with no clear primary lesion and multiple regional lymph node metastasis. In terms of treatment, chemotherapy, targeted therapy and immunotherapy were explored and positive effects were achieved............
View PDF View FulltextJuvenile polyps make up 70 to 80% of pediatric colon polyps, of which 60 to 70% are solitary. The average age of diagnosis of polyps is from 2 to 5 years............
View PDF View FulltextWT1 is an important gene in gonadal differentiation process, especially in the male differenciation. It is known in some syndromic and non-syndromic pathology. This gene is associated with under-virilization in 46,XY patient............
View PDF View FulltextChronic Maxillary Atelectasis (CMA) and Silent Sinus Syndrome (SSS) are conditions that may lie on the same clinical spectrum, since both have similarities in pathophysiology, clinical findings and treatment, although the...........
View PDF View FulltextMesenchymal Hamartoma is a rare, benign osseous tumor that typically involves the rib cage and presents during the first year of life. There is a case of this tumor originating in the cervical spine, described in literature. I document a brief literature review. In this review, there are not figures and outcomes...........
View PDF View FulltextThe Spanish Constitution in article 43 establishes the Right to Health and its development, through the General Law on Health, urges the National Health System (SNS) and the Health Services of the Autonomous Communities (CCAA), to develop Comprehensive Plans or Regional Health Plans...........
View PDF View FulltextPalatal actinomycosis is an infection rarely described in literature, especially in the form of co-infection with pulmonary infection. We report a case of 55 year old male who reported in our O.P.D. with palatal fistula communicating oral cavity to nasal cavity. Patient had nasal regurgitation...........
View PDF View Fulltext“Cardiovascular diseases (CVDs) are the number one cause of death globally, taking an estimated 17.9 million lives each year. CVDs are a group of disorders of the heart and blood vessels and include coronary heart disease,...........
View PDF View FulltextDermatitis herpetiformis or also known as duhring disease is a rare autoimmune vesicobulosa disease, specific and recurrent chronic in nature and has a relationship with celiac disease and gluten-sensitive enteropathy. The diagnosis of dermatitis herpetiformis is based on a combination of physical examination, routine histopathological examination, immunofluorescence ...........
View PDF View FulltextAcute pulmonary embolism is a form of venous thromboembolism that is common and sometimes fatal. Submassive PE compromises of at least 20% of all acute cases of pulmonary embolisms. It has been shown to have an up to 5% in hospital mortality rate [1]............
View PDF View FulltextThe recent approval of various covid vaccines will result in massive immunization of the public with these vaccines. Cases of allergic reactions such as rashes, urticaria, anaphylaxis have been reported worldwide. The following is a summary, from an allergist’s perspective, of the components found to be present in situations where the patient has experienced an allergic reaction to the Covid 19 vaccine............
View PDF View FulltextFrom our experience and description of colleagues, SARS-CoV2-patients who are ventilated on intensive care unit (ICU) require complex sedation............
View PDF View FulltextVancomycin has been an indispensable alternative for the treatment of severe and complicated infections, especially in orthopedics department. However, as a severe adverse drug effect, vancomycin-induced thrombocytopenia (VIT) has not attracted enough attention. The objective of the research was to analyze the incidence rate of VIT in orthopedic patients...........
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