Programmed cell death protein 1 (PD1)/programmed death ligand 1 (PD-L1) blockades provide an effective and safe therapeutic option in the field of refractory cancer therapy. However, not more than 30% response rate of most cancers seriously impedes their therapeutic efficacy. Previous investigations..........
View PDF View FulltextCytokine storm syndrome (CSS) is a critical condition induced by a cascade of cytokine activation, characterized by overwhelming systemic inflammation, hyperferritinaemia, haemodynamic instability and multiple organ failure..........
View PDF View FulltextBrugada syndrome is a canalopathy causing rhythmic sudden death. The use of many drugs such as anesthetics but also many analgesics are contraindicated or not recommended in this pathology. The literature shows a low-level evidence while clinical experience may bring additional knowledge..........
View PDF View FulltextAnthrax is a dangerous zoonotic infection that is transmitted from farm animals to humans, when cutting, butchering infected animals, contact with meat and other animal products. Infection occurs by contact, alimentary, aerogenic pathways, while developing corresponding clinical forms - skin /ulcerative, abdominal / intestinal, pulmonary /pneumonic.........
View PDF View FulltextChinese herbal medicine is considered relatively safe, inexpensive, and easily accessible. Furthermore, it is becoming increasingly popular in the western countries..........
View PDF View FulltextBenzodiazepines use in the elderly are associated with morbidity including increased falls, fractures, and mortality. The common reason for re-prescribing benzodiazepine by physicians is dependency. Our project........
View PDF View FulltextHepatic artery aneurysm is a rare clinical entity amongst children accounting for 20 % of all the splanchnic artery aneurysms, and if neglected could lead to catastrophic events..........
View PDF View FulltextObesity is associated with aggressive pathological features and poor clinical out comes in breast and prostate cancers. However, the associations between excess weight and prognostic.........
View PDF View FulltextWe report a case of slowly progressive Becker’s musculardy strophyina 52-year-oldman who required cardiactrans plantation for intractable congestive heart failure. A referral was madeconcerning prognosis of his.........
View PDF View FulltextWe herein present a case of methotrexateasso-ciated lymphoproliferative disorder (MTX-LPD) with a diagnosisof an 8-mm thyroid tumor of class III cytology that grew three times larger during 2 years 8 months before resection..........
View PDF View FulltextAcutestroke in bacterial mening it is in children contributes to high morbidity and mortality. The in cidence of strokeinped iatricmening it is isvaried, with reports between 8-42%, and as sociated mortality as high as 25%. The majority of these are arterial ischemic strokes(80-93%). Cerebralarterial vasospasm has been proposed. We present the first case of intrathecal nitroprusside used to treat refractoryvasospasminachildwithbacterialmeningoencephalitis complicated by acute ischemic stroke. .........
View PDF View FulltextCholangiocarcinoma (CHOL) is the most common malignant tumor of hepatobiliary system. The present study investigated the clinical significance and biological functions of LOXL1-AS1 in CHOL. The poor survival in CHOL has a probable prognostic molecular marker known as the LOXL1-AS1, and LOXL1-AS1 may be an important regulator of immune cell infiltration.........
View PDF View FulltextWith the intention to quantify the importance of a medical journal, the impact factor (IF) was introduced. It has become a de facto fictive rating instrument of the importance of medical journals. Also, it is often used to asses the value of the individual publications within the specific journal. The aim of thepresent study was to analyze publication trends over 20 years in five high-ranked anesthesiology journals.........
View PDF View FulltextThalassemia is of the most frequent haemoglobinopathy that includes a heterogeneous group of inherited autosomal recessive pathologies caused by defective synthesis of globin subunit that comprise haemoglobin production.........
View PDF View FulltextThe use of medicines is one of the main parts of the treatment of diseases. However, self-medication can be fol- lowed several complications. The aim of this study was determine the prevalence and factors influencing selfmedication based on protection motivation theory (PMT). ........
View PDF View FulltextThe multiplex endpoint PCR technology offersa number of potential advantages, results are available in a matter of hours rather than days, the extreme sensibility facilitates de- tection of even minutes the amounts of pathogen DNA in clinical samples and the test is not significantly affected by prior adminis-tration of antibiotics........
View PDF View FulltextThe onset of mestruation is a significant milestone of sexual maturation in a girl child. Although there are numerous causes of primary amenorrhoea, Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, also known........
View PDF View FulltextThe formation of cells in the body, like the irmutation, isaprocess associated with a violation of the composition and structure of a substance (cells) formed under the influence of an external field surrounding it.........
View PDF View FulltextWe present a delirium care pathway model that we have dubbed STOPDELIRIUM. Due to delirium's magnitude and effect in elderly hospitalized patients, were commend hospital smusthave a delirium care pathway for early identification, prevention, and delirium management.........
View PDF View FulltextA pair of siblings with Moyamoya disease (MMD) were admitted to our department and treated with superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis and encephalo-myo- synangiosis (EMS).........
View PDF View FulltextThe leaves of khat tree have an aromatic odor and an astringent and slightly sweet taste. It has been widely chewed for its stimulant action by the population in these regions for many years.Its young buds and tender leaves contain amphetamine-like psy- cho active substances, which produce euphoria and stimulation. Khat is an evergreen shrub,........
View PDF View FulltextParaplegia after thoracic endovascular aortic repair (TEVAR) is a common complication, but it is rare for it to occur at 1 week after TEVAR. We describe a patient with delayed-onset paraplegia that occurred 7 days after TEVAR.........
View PDF View Fulltextof this study was to evaluate the correlation between these rumlevels of lactated ehydrogenase (LDH) andma gnesium (Mg) in patients with diagnosed malignant diseases........
View PDF View FulltextPatients whore ceivedes ophageal resection and gastro-esophageal rebuild before was likely to occur stomach-ectopia to chest when years later. Patients who occurred gastric aspiration during anesthesia have very high risks proceeding to severe aspiration pneumoniaorMendelson’s.......
View PDF View FulltextAnaphylaxis from Hymenoptera despite conventional venom immunotherapy is rare. We present a case in a previously healthy male with suspected cutaneous mastocytosis, who developed a fatal anaphylaxis due to cerebral hypoperfusion after wasp sting. The report is a reminder that up to 20% of patients allergic to Hymenoptera venom are not protected by conventional venom immunotherapy........
View PDF View FulltextAn 83-year-old man complained of repeated hematochezia for 3 months.No other medical history was reported except for the percutaneous needle aspiration of left renal cyst 10 years ago. Colonoscopy revealed.......
View PDF View FulltextHepatitis C Virus (HCV) Genotype (GT) infection is still regarded as one of the more “difficult-totreat”GTs in the era of IFN-free treatments. The viral factors involved in this unfavorable outcome have yet to be clarified.......
View PDF View FulltextThe aim of this study was to report a case of Generalized Eruptive Keratoacan thomas (GEKA) involving theauricl es and external auditory canal and to review the relevant literature.,.......
View PDF View FulltextThe occurrence of rupture is the worst among the circumstances of the discovery of a Superior Mesenteric Artery (SMA) branch aneurysm. Despite it remains a rare event, many cases have been reported in the literature. The occurrence correlation of a pancreatico-duodenal aneurysm with isolated celiac artery injury has been proven. However,.......
View PDF View FulltextDespite many critical voices regarding its efficacy and safety, digoxin may still have a role in the management of heart failure. The objective of this study was to evaluate the efficacy and safety of a short course digoxin therapy started in theemergency department based on clinical outcome after 30 days post hospital discharge........
View PDF View FulltextPatients with disease progression on first-generation tyrosinekinase in hibitors (TKIs) usually have a poor prognosis.Theme chanisms of acquired resistance to epidermal growth factor receptor (EGFR) TKIs have beenw idely reported; however, reports of acquired rearrangement-during-transfection (RET) fu- sion are rare........
View PDF View FulltextMandibulofacial dysostosis with microcephaly, Guion-Almeida type (MFDGA) is a rare multiple congenital anomalies syndrome characterized by malar and mandibular hypoplasia, microcephaly, ear malformations with associated conductive hearing loss, esophageal atresia, cleft palate.......
View PDF View FulltextCOVID-19 can cause different clinical manifestation by affecting different organs in the body. Involvement of thyroid gland is very rare in COVID-19 infection than any other systems of the body. We described a 41-year-old.......
View PDF View FulltextProgressive prostate cancer is primarily treated with androgen-deprivation therapy. The antiandrogen withdrawal (AAW) response (AAWR) is defined as subjective and/or objective improvement following antiandrogen cessation in patients with elevated prostate-specific.......
View PDF View FulltextWe presented a case of preterm infant with bilateral colonic inguinal hernia, which was diagnosed radiologically by the initial plain radiograph and subsequent lower gastrointestinal (LGI) study by contrast enema........
View PDF View FulltextA 61-year-old Japanese woman was admitted to our hospital for further examination of generalized bone pain. At age 46 years, the patient was diagnosed with Fanconi syndrome associated with benign monoclonal gammopathy of undetermined significance. At age 56 years, alkaline phosphatase.......
View PDF View FulltextSolitary fibrous tumor is an extremely rare mesenchymal neoplasia divided into pleural and extrapleural form, the latter being considered uncommon........
View PDF View FulltextAir microbubbles are common in the haemodialysis venous return line, especially in the very first minutes of HD session and with high blood flows. They might be damaging for the lungs microcirculation and stimulate the inflammation system. The origin of air microbubbles is discussed here and practical solutions are proposed to minimize them........
View PDF View FulltextEctopic pregnancy is a rare female emergency that can have a serious impact on the patient and even threaten life. Retroperitoneal ectopic pregnancy as more rare ectopic pregnancy, its diagnosis and treatment are much .......
View PDF View FulltextProphylaxis is not only about wearing masks and vaccines, because no vaccine can guarantee 100% immunity to infection. The best vaccines, based on statistical data from previous years, guarantee approximately 55% certainty of not being infected with a bacterial, viral or fungal infection. Prophylaxis should include a broadly developed psychological .......
View PDF View FulltextBody packing represents the concealment of illegal substances in a person's body with the aim of smuggling. Body packers either swallow drug-filled packets or introduce drug-filled packets into their bodies through rectum or vagina. In the world, the three main smuggled drugs are cocaine.......
View PDF View FulltextA 52-year-old female presented to the emergency department (ED) with fatigue, shortness of breath and cough eight days after being diagnosed with COVID-19. She appeared ill but not toxic, and uncomfortable but not in extremis. Her chest x-ray revealed patchy opacities in bilateral lung bases.......
View PDF View FulltextFrom December 2019, starting from Whuan, COVID-19 pandemic was threatening the entire world population with a major lethal potential. This new infection, with SARS-CoV-2, induces and maintains in human body a significant disturbance in the homeostasis of immune reactions .......
View PDF View FulltextCorticosteroid are commonly used for the management of vasogenic edema and increased intracranial pressure in patients with brain tumors. The purpose of this study was to investigate postoperative and persistent hyperglycemia in patients with brain tumors treated with corticosteroid........
View PDF View FulltextAdult T Cell Leukaemia/Lymphoma (ATLL) is a rare T cell lymphoproliferative disease associated with Human T Cell Lymphotropic Virus-1 (HTLV1) endemic in some parts of the world and therefore has a distinct demographic distribution. There are no cases of ATLL.......
View PDF View FulltextCarcinosarcoma of the parotid gland is a rare and aggressive malignant mixed tumor in which carcinomatous and sarcomatous elements coexist and metastasize together. The tumor may occur in patients with previous or coexisting pleomorphic adenoma or may arise de novo of the .......
View PDF View FulltextChlorine is a yellow-green gas at room temperature. It is an extremely reactive element and a strong oxidizing agent. It has intermediate water solubility and it can cause acute damage to upper and .......
View PDF View FulltextThe identification of tumor-specific DNA methylation patterns in epithelial colorectal cells in feces has emerged as a novel and noninvasive screening method for colorectal cancer (CRC) and precancerous lesions. Our study investigates a new panel of DNA methylation biomarkers with high sensitivity and specificity for the early screening of CRC and advanced adenomas in a Chinese population .......
View PDF View FulltextSeptic arthritis of symphysis pubis is a rare disease, also known as osteomyelitis of pubic symphysis. It represents less than one percent of all the cases of osteomyelitis. The symptoms are deceiving and can mimic many conditions. This condition usually involves young athletes and women who .......
View PDF View FulltextThe COVID-19 epidemic has adversely affected health systems globally, with some on the verge of collapse, as countries experienced the second wave of the pandemic. Millions of people have died from the pandemic, particularly the elderly .......
View PDF View FulltextForeign body ingestion is common amongst young children, and they tend to pass spontaneously in most. Multiple magnet ingestion, though not very common, requires early intervention to avoid serious complications........
View PDF View FulltextCongenital true leukonychia is an infrequent disorder characterized by a white coloration of the nail since birth without organ or syndromic abnormalities. We present the case of a 16 years old boy with isolated white nail coloration with psychological impact, no syndromic or organ alterations were found........
View PDF View FulltextA 23 years old girl, without history, consulted for a neck tumefaction appeared 20 days ago, which spread then to the abdomen and lower limbs with Asthenia, dysphagia, abdominal pain, effort dyspnea. Clinical examination revealed an altered general state, obesity with centripetal fat deposition face, supraclavicular and dorsal and cervical fat pads, facial plethora, rounded face, buffalo-hump, face acne, melanodermia, capillary fragility, face, arms and legs hirsutism........
View PDF View FulltextRectal foreign bodies are a common and challenging finding. Here, we present the case of a man who presented to A&E with a courgette. A comprehensive radiological workup and a pre-liminary simulation of the endoscopic technique led to a successful treatment of the case........
View PDF View FulltextEwing’s Sarcoma (ES) is a solid tumor of bone and soft tissue, affecting mainly adolescent and young adults. It is the second most common primary bone tumor in childhood and the most lethal bone tumor. ES is more common in the axial skeleton, head and neck localization is extremely rare (2 to 4%). The purpose of this article is to discuss the case of a young patient diagnosed with mandibular Ewing’s sarcoma and highlight the importance of early diagnosis........
View PDF View FulltextThe coronavirus pandemic hit the world unexpectedly, and to respond swiftly to it, lockdown and social distancing measures had to be implemented to combat its spread. As a result, this forced changes to the working environment since many could not commute to work and have since been working remotely. Due to so many COVID-19 waves that affected different countries at various times, it proved impossible to return to the office and to work from home became entirely possible, and it also reduced the incidence of workers’ unsettlement.e.......
View PDF View FulltextSignet-ring cell carcinoma (SRCC) is defined as a poor prognosis carcinoma and it is not common. Despite the advancement of the technology, origins of about 3%–5% of metastatic tumors remain unknown. Furthermore, metastatic SRCC of unknown primary origin is very rare........
View PDF View FulltextMulti-system inflammatory syndrome in adults (MIS-A) is gaining recognition among adult physicians. MIS-A is a rare but important syndrome that can be difficult to distinguish from severe COVID-19. MIS- A can occur following vaccination for SARS-CoV-2 is not reported till date........
View PDF View FulltextMajor vessel invasion in patients with hepatocellular carcinoma (HCC) receiving living donor liver transplantation (LDLT) is one of the major factors for HCC recurrence. Malignant portal vein thrombosis (MPVT) is an absolute contraindication for liver transplantation (LT). However, .......
View PDF View FulltextJuvenile Polyposis Syndrome (JPS) is a rare genetic disorder characterized by juvenile polyps of the gastrointestinal tract, which may also occur in people with no family history of the disorder. It usually involves the colorectum and more rarely the stomach. Juvenile polyps can vary in size from a few millimeters to over 5cm, and, although they have.......
View PDF View FulltextA 29-year-old woman underwent electrophysiological study for paroxysmal wide-QRS tachycardia with a left bundle branch block (LBBB) aspect (Image A)........
View PDF View FulltextCoronavirus disease 2019 (Covid-19) is a recent worldwide pandemic caused by a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In critical cases it causes acute lung injury (ALI) due to severe acute respiratory distress syndrome (ARDS). It has been proposed that initial immunological activation in SARSCoV-2 infection is necessary.......
View PDF View FulltextWe report a rare case of severe falciparum malaria in a healthy 28-year-old gentleman in the UK. Malaria is one of the common fatal diseases in tropical countries where doctors are remarkably familiar with handling different types of malaria. In contrast, in the UK, malaria cases are not commonly seen, and all are imported cases so far. As such, clinicians in the UK may not be confident enough to tackle such kind of cases when they encounter them. In this case report, clinical presentation, how to make diagnosis and management of severe falciparum malaria based on our local hospital protocol are emphasized.......
View PDF View FulltextTo contribute to the increased understanding of the clinical features of neuroendocrine carcinoma of the gallbladder revealed by a dermatomyositis........
View PDF View FulltextExtraskeletal mesenchymal chondrosarcoma (EMCS) is an extremely rare malignant tumor arising from soft tissues. It commonly occurs in the lower limbs, orbital cavity, and the central nervous system. Moreover, it is extremely rare for it to develop from a retroperitoneal location. In fact, there is no case about primary retroperitoneal ESMC involving the colon having been reported before.......
View PDF View FulltextToddler’s fracture is an undisplaced or minimally displaced fracture, typically seen in toddlers, usually in the tibia. It is known as a difficult diagnosis to establish, considering both the clinical symptoms......
View PDF View FulltextThe rapid development of technology in recent decades has led to the production of a huge amount of data. One of the challenges of these analyses is the lack of specialized expertise and knowledge in this area. The purpose of this study was to compare the familiarity of IT staff and students with big data analyzes at various universities and organizations........
View PDF View FulltextEncysted adiponecrosis is a benign subcutaneous lesion characterized histologically by encapsulated fat necrosis. Our purpose was to present and discuss an atypical case of adiponecrosis revealed by a chronic hard mass of soft tissue becoming painful, asso.......
View PDF View FulltextA 57-year-old male was admitted to our Hospital on March 2020 for SARS-Cov2 related interstitial pneumonia. Chest x-ray showed a bilateral interstitial-alveolar pneumonia and Blood gas analysis (BGA) in room air highlighted a severe respiratory failure (pO2 46 mmHg, pH 7.41). D.......
View PDF View FulltextThe complement system is a complex part of the innate immune system and consists of more than thirty different proteins present in the plasma and on cell membranes. Complement can be activated via three different pathways and may play a role in triggering the NLRP3 inflammasome [1].......
View PDF View FulltextCongenital hepatic fibrosis (CHF) and Caroli disease are two rare genetic diseases. When both conditions are present simultaneously, is known as Caroli syndrome. The main complications are cholangitis and those related to portal hypertension. An uncommon complication but......
View PDF View FulltextPigmentation disorders leading to discoloration or hyperpigmentary of underlying tissue occur widely and gain interest. This study is within the framework of strategies under-developing safe compounds to modulate melanognonesis pathway. Phenolic acids and flavones were tested for......
View PDF View FulltextSinus of Valsalva injury, either due to congenital defect or major traumatic events, was known to be rare. ......
View PDF View FulltextAlagille syndrome (ALGS) is a multisystem autosomal dominant disorder attributed to defects in the Notch signaling pathway. The mutation of Jagged 1 (JAG1) gene on chromosome 20 has been identified as the underlying cause of this syndrome. In addition, the mutation of Ryanodine receptor......
View PDF View FulltextKawasaki disease (KD) is one of the most common etiologies of acquired heart disease among children worldwide with unknown pathogen. Early recognition and establishing the diagnosis help the clinical pediatrics practitioner delivering intravenous immunoglobulin treatment......
View PDF View FulltextPreeclampsia is a condition that affects nearly 8% of pregnant women, usually during the second half of pregnancy (from around 20 weeks) or soon after their baby is delivered. A spontaneous subdural hematoma......
View PDF View FulltextOne of the most important Saints of the Eastern Orthodox Church is Saint Spyridon, Bishop of Tremithus of Cyprus, patron saint of Corfu.......
View PDF View FulltextA new principle of origin and the nature of the action of gravity forces are proposed. Forces of universal attraction have plane-symmetrical directions.......
View PDF View FulltextIn this Brazilian breast cancer (BC) case report, we described a pregnant woman diagnosed with BC during the beginning of COVID-19 pandemic. The uniqueness of the case reported is related not only to the......
View PDF View FulltextCleidocranial Dysostosis is an autosomal dominant scale dysplasia. We present a case of Cleidocranial Dysostosis of a female patient with deformities in the development of the osteomyoarticular system due to clavicular agenesis......
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