Classification of the concha-type microtia and their new suitable treatment strategies without autogenous costal cartilage grafting

2020 ◽  
Vol 130 ◽  
pp. 109801
Author(s):  
Fengfeng Guo ◽  
Lin Lin ◽  
Xiaobo Yu ◽  
YuPeng Song ◽  
Qinghua Yang ◽  
...  
Keyword(s):  
Costal Cartilage ◽  
Treatment Strategies ◽  
Suitable Treatment ◽  
Cartilage Grafting

Diverse Dimensions of the Cotard’s Syndrome - an Approach Towards a Clear Classification of the Phenomenon

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Nagy ◽  
V. Voros ◽  
T. Tenyi
Keyword(s):  
Clinical Practice ◽  
Diagnostic Category ◽  
Treatment Strategies ◽  
Differential Diagnostics ◽  
Dimensional System ◽  
Central Feature ◽  
Scientific Databases ◽  
Search Terms ◽  
The One

Aim:The authors present the Cotard's syndrome, a rare psychiatric condition, pointing out the latest results in terms of psychoneurology and classification of the phenomenon. The central feature of the syndrome is a nihilistic delusion, in which the patient denies his or her own existence and that of the external world.Method:We searched electronic scientific databases using the appropriate search terms; relevant articles were carefully reviewed. We also present three cases from our clinical practice.Results:After the overview of the latest biological and neuropsychological findings, the terminology, the nosology, the classification and the differential diagnostics are discussed. To sum up with useful information for the clinical practice, the possible treatment strategies, the course and the prognosis of the disease are also presented.Conclusions:The reported cases together with the reviewed literature suggest that a dimensional system of classifying Cotard's syndrome is preferable. At the one end of the spectrum is the presence of the pure nihilistic delusions, appearing as a symptom of an underlying psychiatric or neurological condition. The full-blown, classical syndrome as a diagnostic category forms the other end of the spectrum. The presented theoretical and practical aspects give a lead on deeper understanding, easier recognition and more adequate therapy of the Cotard's syndrome.

scholarly journals Acute Lymphoblastic Leukemia, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology

2021 ◽  
Vol 19 (9) ◽  
pp. 1079-1109
Author(s):  
Patrick A. Brown ◽  
Bijal Shah ◽  
Anjali Advani ◽  
Patricia Aoun ◽  
Michael W. Boyer ◽  
...  
Keyword(s):  
Acute Lymphoblastic Leukemia ◽  
Supportive Care ◽  
Lymphoblastic Leukemia ◽  
Philadelphia Chromosome ◽  
Treatment Strategies ◽  
Adolescent And Young Adult ◽  
Cancer Center ◽  
Nccn Guidelines ◽  
Treatment Regimens

The NCCN Guidelines for Acute Lymphoblastic Leukemia (ALL) focus on the classification of ALL subtypes based on immunophenotype and cytogenetic/molecular markers; risk assessment and stratification for risk-adapted therapy; treatment strategies for Philadelphia chromosome (Ph)-positive and Ph-negative ALL for both adolescent and young adult and adult patients; and supportive care considerations. Given the complexity of ALL treatment regimens and the required supportive care measures, the NCCN ALL Panel recommends that patients be treated at a specialized cancer center with expertise in the management of ALL This portion of the Guidelines focuses on the management of Ph-positive and Ph-negative ALL in adolescents and young adults, and management in relapsed settings.

Pediatric Airway Reconstruction at Great Ormond Street: A Ten-Year Review

1992 ◽  
Vol 101 (6) ◽  
pp. 465-468 ◽  
Author(s):  
James W. Ochi ◽  
John N. G. Evans ◽  
C. Martin Bailey
Keyword(s):  
Costal Cartilage ◽  
Laryngotracheal Stenosis ◽  
Pediatric Airway ◽  
Airway Reconstruction ◽  
Cartilage Grafting

One hundred eight consecutive patients with pediatric laryngotracheal stenosis requiring airway reconstruction over a 10-year period were reviewed. One hundred forty-nine operations consisting of 75 laryngotracheoplasties and 74 laryngotracheal reconstructions with costal cartilage grafting were performed. The Cotton grading scheme of preoperative stenosis was useful in predicting likelihood of decannulation. In all, 90 patients (83%) were decannulated.

Psychiatry Board Review

2017 ◽  
Keyword(s):  
Clinical Practice ◽  
Treatment Strategies ◽  
The United States ◽  
Certification Examination ◽  
Board Examination ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Psychotherapeutic Techniques ◽  
Board Review

The field of psychiatry is rapidly evolving, specifically in the areas of psychopharmacology, psychotherapeutic strategies, and the classification of many major psychiatric disorders with the implementation of the Diagnostic and Statistical Manual of Mental Disorders: DSM-5 in 2013. A new board review textbook is imperative to address these changes in order to prepare board-eligible psychiatrists for the certification examination as well as for clinical practice in general. Additionally, the American Board of Psychiatry and Neurology is in the process of phasing in the DSM-5 criteria to the board examination, such that by 2017 the examination material will exclusively reflect the new manual. The book is aimed primarily at board-eligible psychiatrists preparing for their Initial certification in psychiatry. It will be a useful study tool for psychiatrists renewing certification as well, which in the United States is required every ten years. Furthermore the text will also be a useful reference for all psychiatrists in clinical practice to familiarize themselves with the new diagnostic classifications of DSM-5, the latest psychopharmacologic treatment strategies, and psychotherapeutic techniques.

scholarly journals Management of delayed-onset skin flap complications after pediatric cochlear implantation

2020 ◽  
Author(s):  
Qingling Bi ◽  
Zhongyan Chen ◽  
Yong Lv ◽  
Jie Luo ◽  
Naya Wang ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Cochlear Implantation ◽  
Wound Closure ◽  
Wound Care ◽  
Skin Flap ◽  
Treatment Strategies ◽  
Clinical Situation ◽  
Delayed Onset ◽  
Reconstructive Option

Abstract Purpose To review delayed-onset skin flap complications associated with pediatric cochlear implantation (CI) in our institute, analyze the etiology, and explore effective treatment strategies. Methods Retrospective analyses of 811 children who had undergone cochlear implantation between January 2003 and March 2019 were performed. Twelve (1.48%) patients developed skin flap complications after CI. We present a classification of flap issues and wound histopathology following cochlear implantation. The interventions for flap problems included drug treatment, aspiration, local wound care, revision surgery, and explantation depending on the clinical situation. The temporalis myofascial reconstructive option is discussed. Results Seven subjects were cured with conservative treatment. Five cases with flap infection or necrosis underwent revision surgery, with wound closure in three cases (60%) and revision surgery with explantation in the remaining two cases (40%). Explantation ultimately led to wound healing in all cases. They all achieved excellent performance through re-implantation. Conclusion Flap complications after CI are rare but treatable. Comprehensive treatments should be developed to achieve a stable and healed wound for CI.

scholarly journals Multiple Feature Integration for Classification of Thoracic Disease in Chest Radiography

2019 ◽  
Vol 9 (19) ◽  
pp. 4130 ◽  
Author(s):  
Thi Kieu Ho ◽  
Jeonghwan Gwak
Keyword(s):  
Treatment Strategies ◽  
Classification Model ◽  
Thoracic Diseases ◽  
Accurate Localization ◽  
Multiple Feature ◽  
Lung Abnormalities ◽  
Radiological Images ◽  
Weakly Supervised ◽  
Localization Approach

The accurate localization and classification of lung abnormalities from radiological images are important for clinical diagnosis and treatment strategies. However, multilabel classification, wherein medical images are interpreted to point out multiple existing or suspected pathologies, presents practical constraints. Building a highly precise classification model typically requires a huge number of images manually annotated with labels and finding masks that are expensive to acquire in practice. To address this intrinsically weakly supervised learning problem, we present the integration of different features extracted from shallow handcrafted techniques and a pretrained deep CNN model. The model consists of two main approaches: a localization approach that concentrates adaptively on the pathologically abnormal regions utilizing pretrained DenseNet-121 and a classification approach that integrates four types of local and deep features extracted respectively from SIFT, GIST, LBP, and HOG, and convolutional CNN features. We demonstrate that our approaches efficiently leverage interdependencies among target annotations and establish the state of the art classification results of 14 thoracic diseases in comparison with current reference baselines on the publicly available ChestX-ray14 dataset.

Arthroplasty of the Interphalangeal Joint of the Great Toe Using Costal Osteochondral Grafting

2006 ◽  
Vol 96 (6) ◽  
pp. 508-512 ◽  
Author(s):  
Hisashi Motomura ◽  
Kensuke Nose ◽  
Masao Fujiwara ◽  
Toshiyuki Ozawa ◽  
Teruichi Harada ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Costal Cartilage ◽  
Effective Means ◽  
Interphalangeal Joint ◽  
Great Toe ◽  
Osteochondral Grafts ◽  
Vehicle Accident ◽  
Latissimus Dorsi Myocutaneous Flap ◽  
Cartilage Grafting

Although many reports have been published on the usefulness of costal cartilage grafting in the reconstruction of interphalangeal joints of fingers, there are only a few published reports on the reconstruction of interphalangeal joints of toes. We describe a 21-year-old woman with a tissue defect of the dorsum pedis and a partial defect of the interphalangeal joint of the great toe caused by a motor-vehicle accident. We attempted arthroplasty using a free latissimus dorsi myocutaneous flap and a costal osteochondral graft. The grafted rib and cartilage survived, allowing the patient to resume functional ambulation for day-to-day activities. Arthroplasty using costal osteochondral grafts seems to be an effective means of reconstructing the interphalangeal joints of toes. (J Am Podiatr Med Assoc 96(6): 508–512, 2006)

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