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Avicenna Journal of Medicine

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https://www.readbyqxmd.com/read/27843802/coronary-ectasia-in-a-man-on-breast-cancer-therapy-presenting-with-acute-coronary-syndrome
#1
Dana C Johnson, Luay Rifai, Parag V Patel
Limited data exist on the association between breast cancer treatments and coronary artery disease anatomy, particularly in males. We describe an unusual case of diffuse coronary ectasia in a man with breast cancer presenting with acute coronary syndrome (ACS). A 66-year-old man with breast cancer on paclitaxel, tamoxifen, and carboplatin chemotherapy regimen, presents with new onset chest pain. Electrocardiogram reveals anterolateral ST-segment depressions and elevated troponin I level. Emergent angiography revealed grossly ectatic coronary arteries with a total thrombotic occlusion of the mid right coronary artery...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27843801/interrupted-aortic-arch-with-isolated-persistent-left-superior-vena-cava-in-patient-with-turners-syndrome
#2
M Obadah Kattea, Osama A Smettei, Abdulrahman Kattea, Rami M Abazid
We present a case of 13-year-old female with Turner syndrome (TS), who presented with unexplained lower limbs swelling and ejection systolic murmur at the left second intercostal space. Suspicion of mild aortic coarctation was made by echocardiography. Computed tomography angiography (CTA) showed a complete interruption of the aortic arch (IAA) below the left subclavian artery with persistent left superior vena cava (PLSVC) and absent right SVC, defined as an isolated PLSVC. The patient underwent successful surgical correction after unsuccessful trial of transcatheter stent placement...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27843800/left-ventricular-noncompaction-diagnosed-following-graves-disease
#3
Habib Habib, Amer Hawatmeh, Upamanyu Rampal, Fayez Shamoon
Isolated left ventricular noncompaction (LVNC) is a rare genetic cardiomyopathy. Clinical manifestations are variable; patients may present with heart failure symptoms, arrhythmias, and systemic thromboembolism. However, it can also be asymptomatic. When asymptomatic, LVNC can manifest later in life after the onset of another unrelated condition. We report a case of LVNC which was diagnosed following a hyperthyroid state secondary to Graves' disease. The association of LVNC with other noncardiac abnormalities including neurological, hematological, and endocrine abnormalities including hypothyroidism has been described in isolated case reports before...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27843799/etiological-causes-of-pancytopenia-a-report-of-137-cases
#4
Osman YokuƟ, Habip Gedik
OBJECTIVE: The aim of this study is to evaluate the etiological causes of pancytopenia in patients who were admitted to the hematology ward due to pancytopenia. MATERIALS AND METHODS: All patients who were admitted to the hematology ward of Ministry of Health Istanbul Training and Research Hospital due to pancytopenia between 2013 and 2015 were retrospectively evaluated regarding etiological causes. RESULTS: A total of 137 patients was evaluated...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27843798/chronic-ankle-instability-current-perspectives
#5
REVIEW
Omar A Al-Mohrej, Nader S Al-Kenani
Ankle sprain is reported to be among the most common recurrent injuries. About 20% of acute ankle sprain patients develop chronic ankle instability. The failure of functional rehabilitation after acute ankle sprain leads to the development of chronic ankle instability. Differentiation between functional and anatomical ankle instability is very essential to guide the proper treatment. Stability testing by varus stress test and anterior drawer test should be carried out. Subtalar instability is an important pathology that is commonly by passed during the assessment of chronic ankle instability...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27843797/does-endothelial-dysfunction-correlate-with-endocrinal-abnormalities-in-patients-with-polycystic-ovary-syndrome
#6
REVIEW
Rajani Dube
To study and critically analyze the published evidence on correlation of hormonal abnormalities and endothelial dysfunction (ED) in polycystic ovary syndrome (PCOS) through a systematic review. The databases including MEDLINE, PubMed, Up-To-Date, and Science Direct were searched using Medical subject handling terms and free text term keywords such as endocrine abnormalities in PCOS, ED assessment in PCOS, ED in combination with insulin resistance (IR), hyperandrogenism (HA), increased free testosterone, free androgen index (FAI), gonadotrophin levels, luteinizing hormone (LH), prolactin, estrogen, adipocytokines to search trials, and observational studies published from January 1987 to September 2015...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27390672/victims-or-survivors
#7
Mustafa Alachkar
No abstract text is available yet for this article.
July 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27390671/recurrent-angina-from-chronic-coronary-obstruction-following-transcatheter-aortic-valve-implantation
#8
Mohamad Kabach, Abdulah Alrifai, Stefanie Furlan, Fares Alahdab
Severe aortic stenosis and coronary artery disease often coexist. Coronary angiography (CA) and percutaneous coronary intervention (PCI) can be challenging in patients with prior transcatheter aortic valve implantation (TAVI). Depending on the type and position of the implanted valve, the procedure can be challenging or even unfeasible due to interference of diagnostic catheters and valve parts. The correct positioning of the TAVI prosthesis during TAVI was identified as an important factor with regard to the feasibility of subsequent CA or PCI...
July 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27390670/assessment-of-the-cardiac-autonomic-neuropathy-among-the-known-diabetics-and-age-matched-controls-using-noninvasive-cardiovascular-reflex-tests-in-a-south-indian-population-a-case-control-study
#9
Pradeep Sukla, Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Nambaru Lakshmana Rao
AIM: Diabetes mellitus is a chronic condition characterized by hyperglycemia. The objective of the study was to estimate the prevalence of cardiac autonomic neuropathy in a rural area of South India, among the known diabetics after comparing them with the age-matched healthy controls, utilizing noninvasive cardiac autonomic neuropathy reflex tests. MATERIALS AND METHODS: A case-control study was conducted for 4 months (October 2014 to January 2015) at an Urban Health and Training Center (UHTC) of a Medical College located in Kancheepuram district, Tamil Nadu...
July 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27390669/detection-of-inducible-and-constitutive-clindamycin-resistance-among-staphylococcus-aureus-isolates-in-a-tertiary-care-hospital-eastern-india
#10
Subasini Majhi, Muktikesh Dash, Dharitri Mohapatra, Ashoka Mohapatra, Nirupama Chayani
INTRODUCTION: Clindamycin is an excellent drug for skin and soft tissue Staphylococcus aureus infections, but resistance mediated by inducible macrolide-lincosamide-streptogramin B (iMLSB) phenotype leads to in vivo therapeutic failure even though they may be in vitro susceptible in Kirby-Bauer disk diffusion method. OBJECTIVE: The study was aimed to detect the prevalence of iMLSB phenotype among S. aureus isolates by double disk approximation test (D-test) in a tertiary care hospital, Eastern India...
July 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27390668/cd10-and-cd138-can-be-expressed-in-giant-cell-tumor-of-bone-an-immunohistochemical-study
#11
Mousa A Al-Abbadi, Mohammed J Al-Yousef, Mohammad M Yousef, Salwa S Sheikh, Nidal M Almasri, Samir S Amr
Giant cell tumor of bone (GCTB) is a primary bone neoplasm which is characterized by the presence of mononuclear cells (MCs) and osteoclast-like multinucleated giant cells (MNGCs). Up to our knowledge, CD10 immunoreactivity in GCTB has not yet been studied, and only one study touched on CD138 immunoreactivity in GCTB. The objective of this study is to investigate the immunoreactivity of CD10 and CD138 in GCTB. We offer a discussion of our findings in the context of the differential diagnosis, particularly in small biopsy material...
July 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27390667/critical-congenital-heart-disease-screening
#12
REVIEW
Mohammed A Chamsi-Pasha, Hassan Chamsi-Pasha
Critical congenital heart disease (CCHD) is a heart lesion for which neonates require early surgical intervention to survive. Without intervention, the rates of mortality and survival with significant disability are extremely high. Early diagnosis can potentially improve health outcomes in newborns with CCHD. Until recent years, no routine screening protocol existed. In the last few years, pulse oximetry screening for CCHD in newborns has been added to the list of recommended uniform screening panels and advocated by several health-care authorities...
July 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144147/analysis-of-diabetic-ketoacidosis
#13
Manas Pratim Roy
No abstract text is available yet for this article.
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144146/comments-on-case-reports-and-research-productivity-among-syrian-medical-students-review-reality-and-suggested-solutions
#14
Bassel Atassi
No abstract text is available yet for this article.
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144145/author-s-reply
#15
Manikandan Patchayappan, Sangara Narayanan Narayanasamy, Nagarajan Duraisamy
No abstract text is available yet for this article.
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144144/comments-on-three-stitch-hernioplasty
#16
Mahir Gachabayov
No abstract text is available yet for this article.
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144143/the-role-of-war-trauma-survivors-in-managing-their-own-mental-conditions-syria-civil-war-as-an-example
#17
Nadim Almoshmosh
War trauma leads to a wide range of psychological consequences and disorders that can be quite disabling to individuals and their families. At times of war, existing resources become strained to cope with all demands of trauma sufferers. The survivors' role of managing their own mental conditions becomes highly important and relevant as a way of reducing the resulted suffering. Unfortunately, this role is often ignored or trivialized by all concerned. The self-efficacy and resilience of people are the factors not to be underestimated and should be built upon...
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144142/esophageal-stent-placement-as-a-therapeutic-option-for-iatrogenic-esophageal-perforation-in-children
#18
Alsafadi Ahmad, Louis M Wong Kee Song, Imad Absah
Iatrogenic esophageal perforation (IEP) is a potentially serious adverse event of interventional endoscopy. The approach to IEP varies from surgical repair for large perforations to conservative treatment for small contained perforations. We report a case of an 18-month-old girl with congenital esophageal stenosis suffering a large esophageal perforation after a trial of stricture dilatation, which was successfully managed by the placement of fully covered stent. Hence, in selected cases, esophageal stent placement is a feasible alternative to invasive surgery in managing IEP...
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144141/troubleshooting-during-pacemaker-implant-in-persistent-left-superior-vena-cava-with-absence-of-right-superior-vena-cava-isolated-persistent-left-superior-vena-cava
#19
Mahmadulla Razi, Amit Madaan, Amit Goel, Santosh Kumar Sinha
Persistent left superior vena cava (PLSVC) with absence of right SVC (isolated PLSVC) is a rare congenital anomaly that occurs as a result of a degenerative condition in the left anterior cardinal vein. It is generally an incidental finding while performing invasive procedures such as antiarrhythmic device implantation. We report on a rare case of permanent pacemaker implantation in a patient with this anomaly from right subclavian route, albeit most of the earlier reported cases are from left subclavian approach...
April 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27144140/self-reported-study-habits-for-enhancing-medical-students-performance-in-the-national-medical-unified-examination
#20
Amr Idris, Tareq Al Saadi, Basel Edris, Bisher Sawaf, Mhd Ismael Zakaria, Mahmoud Alkhatib, Tarek Turk
BACKGROUND: The National Medical Unified Examination (NMUE) is currently required for graduation, joining postgraduate medical training, and practicing medicine in Syria. OBJECTIVE: To investigate self-reported study habits that correlate with high performance on the NMUE. METHODS: First through 3(rd) year residents at the three main hospitals in Damascus, Syria, were asked to complete a retrospective cross-sectional survey investigating their study habits and previous scores...
April 2016: Avicenna Journal of Medicine
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