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https://www.readbyqxmd.com/read/30069246/anesthetic-management-of-a-down-syndrome-patient-with-subocclusive-syndrome
#1
George Gabriel Moldoveanu, Emilia Severin, Andreea Paun
The present study aims to describe the anesthetic management of a patient with Down syndrome in connection to the degree of difficulty in orotracheal intubation and the associated risks of general anesthesia. The established diagnosis was subocclusive syndrome, requiring an emergent surgical intervention. Preoperatively, the patient was stabilized, and secondly, a series of clinical and paraclinical investigations were carried out in order to assess the best management of the anesthetic procedure. Risk factors were identified, including ischemic heart disease, grade II obesity, hyperglycemia, patient's old age and marked mental retardation...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069245/a-rare-case-of-drug-reaction-with-eosinophilia-and-systemic-symptoms-dress-glimepiride-the-unlikely-culprit
#2
Nishanth Dev
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare and challenging entity which can be life threatening and is associated with many medications. Yet, Glimepiride has never been reported as offending agent. We present here the first case of Glimepiride induced DRESS syndrome. A 40-year-old male with type 2 diabetes mellitus was prescribed Glimepiride. One month later, the patient presented with diffuse rash, fever, swelling of extremities and jaundice. The leucocyte count at presentation was 22,000 cells/microL and absolute eosinophil count 5,400 cells/microL, with no atypical cells on peripheral blood smear...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069244/fast-progressing-his-purkinje-conduction-disturbances-in-a-myotonic-dystrophy-pacient
#3
Radu Nicolae Ciudin, Nic Claudiu Dragatoiu, Sergiu Sipos, Dan Nicolae Tesloianu, Andreea Maria Ursaru, Radu Brezeanu, Ioan Mircea Coman
Myotonic dystrophy leads to multiple systemic complications and the age of death is earlier in myotonic dystrophy patients than in the general population. These patients have a high frequency of sudden death related to respiratory failure, cardiac arrhythmias and in particular to cardiac conduction disturbances. Prophylactic pacemaker implantation should be considered in asymptomatic myotonic dystrophy patients, which in the early stages of disease present minor conduction disturbances in 12-leads ECG. Even if the rate of progression of conduction abnormalities is usually slow, fast progression has been often observed thus making the clinical course of individual patients rather unpredictable...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069243/advanced-atherosclerosis-with-leriche-syndrome-in-a-patient-with-carney-complex
#4
Ionela-Simona Visoiu, Cristina Constantinescu, Natalia Patrascu, Claudiu Ionut Stoicescu, Bogdan Dorobat, Radu Brezeanu, Cristina Anton, Dragos Vinereanu, Mircea Cinteza
Carney complex (CNC) is a rare autosomal dominant syndrome. Spotty skin pigmentation is the major clinical manifestation of CNC, followed by cardiac myxomas, benign tumors that usually present with features from the classical triad of obstructive cardiac, embolic and non-specific constitutional symptoms (NCS). NCS are caused by the overproduction of interleukin-6 (IL-6), a pro-inflammatory cytokine which mediates the induction of intercellular adhesion molecule 1 (ICAM-1) and promotes endothelial dysfunction and atherosclerosis...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069242/a-case-of-unilateral-hyperlucency-of-the-lung-a-rare-adult-occurrence-of-swyer-james-macleod-syndrome
#5
Diana Veronica Turcu, Stefana Cristina Dupa, Adina Turcanu, Traian Mihaescu
Swyer-James-MacLeod syndrome is a rare pulmonary disorder that exhibits unilateral hyperlucency of a part of or the entire lung and because it is usually asimptomatic the diagnostic of this illness is discovered accidentally after a chest X-ray. Although the cause of this disorder is not completely understood, most authors believe that this is due to late sequela of infectious bronchiolitis that occurs during childhood. The symptoms presented by the individuals are often scarce at the moment of diagnostic, but a history of recurrent episodes of pulmonary infection accompanied by dyspnea, hemoptysis and/or chronic productive cough should raise the suspicion for such a diagnosis...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069241/the-relationship-between-quality-of-life-and-sexual-satisfaction-in-women-with-severe-burns
#6
Soheila Rabiepoor, Jafar Kazemzadeh, Saeedeh Alizadeh
Introduction: Burn, especially in women, can affect the quality of life and it due to a change in sexual life. This study was designed to investigate the relationship between the quality of life and sexual satisfaction in women with burns. Material and methods: This was a descriptive-analytical cross-sectional study conducted on 101 women with severe burns who were referred to Imam Khomeini Hospital in Urmia, Iran, in 2016. The data gathering scales were demographic questionnaire, burn specific health scale-brief (BSHS-B) and Index of Sexual Satisfaction (ISS)...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069240/a-serological-survey-of-chlamydia-trachomatis-and-its-related-factors-in-individuals-with-high-risk-sexual-behavior
#7
Soheila Rabiepoor, Maryam Abedi, Shohreh Afshar Yavari
Background: Chlamydia trachomatis is the most common bacterial sexually transmitted infection (STI) throughout the world and its annual incidence is reported to be around 50 million cases. High-risk sexual behaviors are among the predisposing factors for STIs. Objective: The present study aimed to determine the seroprevalence of Chlamydia trachomatis and the factors affecting it in patients with high-risk sexual behaviors who had attended clinic of high risk sexual behavior of Urmia between October 2015 and June 2016...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069239/pain-in-patients-with-multiple-sclerosis
#8
Mahsa Ghajarzadeh, Rozita Jalilian, Mohammad Ali Sahraian, Abdorreza Naser Moghadasi, Amirreza Azimi, Mehdi Mohammadifar, Sepehr Azizi
Background: Multiple sclerosis is a chronic inflammatory disease which affects the central nervous system. Many patients with multiple sclerosis suffer from persistent pain during the disease course. In Iranian cases, pain has not been regarded as it should be. Objective: The goal of this study was to determine the prevalence and types of pain in Iranian multiple sclerosis patients. Material and methods: This cross sectional study was conducted in the multiple sclerosis clinic of Sina Hospital between October 2014 and August 2015...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069238/role-of-dual-energy-x-ray-absorptiometry-dexa-scan-in-the-diagnosis-of-chronic-low-back-pain-a-prospective-randomized-controlled-study-in-osteoporotic-patients-hospitalized-in-a-tertiary-care-institute
#9
Muzzafar Zaman, Aliya Shah, Rikki Singal, Altaf Kirmani, Abdul Rashid Bhat, Rajinder Pal Singal
Objectives: Osteoporosis is a skeletal disorder characterized by a decrease in bone mass, with accompanying microarchitectural damage that increases the risk of bone fracture. The aim of this study is to evaluate various risk factors for osteoporosis and the role of DEXA scan in diagnosing the problem in an earlier stage. Materials and methods: About 100 patients who presented with complaint of low back pain in our outpatient department were studied and subjected to a DEXA scan...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069237/target-organ-damage-and-cardiovascular-risk-in-a-hypertensive-roma-sample-population-in-romania
#10
Emma Weiss, Elisabeta Badila, Cristina Japie, Ana Maria Balahura, Daniela Bartos
Background: The largest European Roma community resides in Romania, but there is still little published data on cardiovascular (CV) risk factors and disease in this group. This study addresses the prevalence of arterial hypertension, associated CV disease risk, and target organ damage (TOD) in a Roma community from Bucharest, Romania. Methods: This is a cross-sectional community-based participatory research to assess for CV risk factors, TOD and CV disease, including 806 Roma ethnics (18-83 years) integrated in the local community, 36...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069236/radiographic-evaluation-of-alignment-following-total-knee-arthroplasty-a-systematic-review-part-ii
#11
Bogdan Stefan Cretu, Calin Dragosloveanu, Serban Dragosloveanu, Stefan Cristea
The aim of this second part is to review the existing described methods for measuring postoperative total knee arthroplasty (TKA) alignment in sagital and axial plane as well as the existing literature regarding the axial plane evaluation with the use of computer tomography. Given that the most frequent mistakes when positioning the total knee arthroplasty components are made in the axial plane, it is necessary to know what are the limits of radiographic evaluation, for which CT scan is the most valuable tool in assessing the rotation of the components...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069235/early-diagnosis-and-treatment-of-dental-caries-in-pregnancy
#12
Diana Popovici, Eduard Crauciuc, Razvan Socolov, Raluca Balan, Loredana Hurjui, Ioana Scripcariu, Ioana Pavaleanu
The early diagnosis of dental caries has an important role in pregnancy, as it allows establishing preventive measures. Besides the clinical examination, there are modern preclinical ways of detecting odontal lesions such as electrical conductivity (EC) and quantitative Light-Induced Fluorescence (QLF). Dental radiography and three-dimensional (3D) orthopantomography, although useful, are forbidden during pregnancy (6). Bacteriological evaluation and early detection of demineralized areas allow preventive measures aimed at stopping the destructive process and permit measures for the restoration of the damaged dental structures...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069234/through-the-lens-of-syncopated-knowledge-when-physicians-and-poets-scrutinise-cardiac-disorder
#13
Ioana Balgradean
In this paper I briefly visit three cardiac pathologies: syncope, as defined by Aretaeus of Cappadoccia, cardiaca passio (heart disease), as discussed by Caelius Aurelianus, and mal d'amor (lovesickness), as presented in the medieval "Roman d'Eneas". Using the theoretical perspective drawn by recent studies in situated cognition, I argue that these context-specific interpretations attest different modes of tackling a resilient, unruly, problematic, and the difficulty of pinning down the pathological manifestations in a definitive formula, or concept...
June 2018: Mædica
https://www.readbyqxmd.com/read/30069233/butterfly-effect-the-concept-and-the-implications-in-dermatology-acne-and-rosacea
#14
Victor Gabriel Clatici, Francesca Satolli, Alin Laurentiu Tatu, Cristiana Voicu, Ana Maria Veronica Draganita, Torello Lotti
Acne and Rosacea are chronic inflammatory skin diseases with an increasing frequency and an important negative impact on the quality of life, which are associated with a large number of false myths regarding causes and treatment. The butterfly effect is associated with chaos theory, and it is a concept originated in meteorology, which represents the dependence on initial conditions.
June 2018: Mædica
https://www.readbyqxmd.com/read/30069232/two-living-good-monsters
#15
Mircea Cinteza
No abstract text is available yet for this article.
June 2018: Mædica
https://www.readbyqxmd.com/read/29868144/serendipitous-discovery-of-factor-vii-deficiency-and-the-ensuing-dilemma
#16
Jayadev M Umakanthan, Prajwal Dhakal, Krishna Gundabolu, Scott A Koepsell, Muhamed Baljevic
Congenital factor VII deficiency is a challenging disorder to manage, as it is associated with varied genotypes that do not clinically correlate with a bleeding phenotype. Individuals with severe factor VII deficiency (FVII: c <1%) might be asymptomatic, while patients with moderate deficiency (FVII: c level >5%) may experience severe hemorrhages. In modern medicine, due to extensive routine pre-operative laboratory testing, clinically asymptomatic patients without any bleeding history might be incidentally discovered, raising clinical dilemmas...
March 2018: Mædica
https://www.readbyqxmd.com/read/29868143/central-sleep-apnea-a-rare-cause-for-acute-respiratory-insufficiency-in-children-case-report
#17
Nicoleta Aurelia Popescu, Marcela Daniela Ionescu, Georgiana Balan, Simina Visan, Eliza Cinteza, Diana Stanescu, Ionut Gobej, Mihaela Balgradean
Central sleep apnea is characterized by frequent cessation of breathing during sleep, resulting in repetitive episodes of insufficient ventilation and abnormalities of acid-base balance. It may be primary or secondary, and it is uncommon in children, with limited data for this population. We present here the case of a five-year-old girl, known to have thoracolumbar myelomeningocele (for which she underwent a surgical procedure in infancy), secondary hydrocephalus (with a ventriculoperitoneal shunt) and flaccid paralysis, who was admitted in our hospital with prolonged fever syndrome, productive cough, severe dyspnea and perioral cyanosis...
March 2018: Mædica
https://www.readbyqxmd.com/read/29868142/evolutionary-particularities-in-a-case-of-severe-pneumonia-in-children-case-report
#18
Marcela Daniela Ionescu, Nicoleta Aurelia Popescu, Georgiana Balan, Veronica Marcu, Augustina Enculescu, Lorena Vatra, Marcel Oancea, Mihaela Balgradean
Necrotizing pneumonia remains an uncommon complication of pneumonia in children, but its incidence is increasing. Pneumococcal infection is the predominant cause of severe necrotizing pneumonia in children, but methicillin resistant Staphylococcus aureus (MRSA) and Panton-Valentine leukocidin (PVL) staphylococcal infections are also important. We present the case of a four-year-old girl,with an unremarkable medical history, who was admitted in our hospital with a history of high fever, productive cough and tachypnea lasting for 10 days, progressive worsening despite empirical oral antibiotic...
March 2018: Mædica
https://www.readbyqxmd.com/read/29868141/role-of-multidetector-computed-tomography-mdct-in-evaluation-of-gallbladder-malignancy-and-its-pathological-correlation-in-an-indian-rural-center
#19
Gunjan Jindal, Samita Singal, Birinder Nagi, Amit Mittal, Shallini Mittal, Rikki Singal
Objectives: Clinically or sonographically suspected gallbladder carcinoma was evaluated on multidetector computed tomography. Based on the spectrum of multidetector computed tomography findings, staging of gallbladder carcinoma was done. Multidetector computed tomography diagnosis was compared with pathological diagnosis. Material and methods: This is a prospective study carried out in 100 patients at a rural Indian center between May 2012 and June 2015. Multidetector computed tomography was performed in all the cases and the findings were observed...
March 2018: Mædica
https://www.readbyqxmd.com/read/29868140/amoebic-colonic-perforation-presenting-as-peritonitis-in-emergency-incidence-and-outcome-our-experience
#20
Muzzafar Zaman, Kunal Chowdhary, Gurinder Kaur, Aliya Shah
Objectives: Amoebiasisis a common parasitic infection and fulminant amoebic colitis remains a very rare complication of this disease. The objective of the present study was to find the incidence and outcome of perforation peritonitis due to amoebic colitis in MMIMSR, Mullana, Ambala, India. Material and methods: 200 patients with perforation peritonitis were studied retrospectively, out of which 22 cases had colonic perforation, were selected over a period of five years, between 2012 to 2017, at MMIMSR Mullana...
March 2018: Mædica
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