Starting off on the right foot: One year of behavior analysis in practice and relative cost.

A patient who suffered a transient global amnesia (TGA) attack underwent regional cerebral blood flow (rCBF) SPECT imaging and neuropsychological testing in the acute phase, after one month and after one year. Neuropsychological testing in the acute phase showed a pattern of anterograde and retrograde amnesia, whereas memory was within age normal limits at follow up. SPECT data were analysed with a within subject comparison and also compared with those of a group of healthy controls. Within subject comparison between the one month follow up and the acute phase detected increases in rCBF in the hippocampus bilaterally; further rCBF increases in the right hippocampus were detected after one year. Compared to controls, significant hypoperfusion was found in the right precentral, cingulate and medial frontal gyri in the acute phase; after one month significant hypoperfusion was detected in the right precentral and cingulate gyri and the left postcentral gyrus; after one year no significant hypoperfusion appeared. The restoration of memory was paralleled by rCBF increases in the hippocampus and fronto-limbic-parietal cortex; after one year neither significant rCBF differences nor cognitive deficits were detectable. In conclusion, these data indicate that TGA had no long lasting cognitive and neural alterations in this patient.

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Transcatheter closure of defects within the oval fossa using the Amplatzer® Septal Occluder

Cardiology in the Young ◽

10.1017/s1047951102000501 ◽

2002 ◽

Vol 12 (3) ◽

pp. 224-228 ◽

Cited By ~ 1

Author(s):

Haifa Abdul Latiff ◽

Mazeni Alwi ◽

Hasri Samion ◽

Geetha Kandhavel

Keyword(s):

Transcatheter Closure ◽

Standard Procedure ◽

Right Ventricular Outflow Tract ◽

Ventricular Outflow Tract ◽

Term Outcome ◽

Long Term Follow Up ◽

One Year ◽

The Right

This study reviewed the short-term outcome of transcatheter closure of the defects within the oval fossa using an Amplatzer® Septal Occluder. From January 1997 to December 2000, 210 patients with defects within the oval fossa underwent successful transcatheter closure. We reviewed a total of 190 patients with left-to-right shunts, assessing the patients for possible complications and the presence of residual shunts using transthoracic echocardiogram at 24 h, 1 month, 3 months and one year. Their median age was 10 years, with a range from 2 to 64 years, and their median weight was 23.9 kg, with a range from 8.9 to 79 kg. In 5 patients, a patent arterial duct was closed, and in 2 pulmonary balloon valvoplasty performed, at the same sitting. The median size of the Amplatzer® device used was 20 mm, with a range from 9 to 36 mm. The median times for the procedure and fluoroscopy were 95 min, with a range from 30 to 210 min, and 18.4 min, with a range from 5 to 144 min, respectively. Mean follow-up was 20.8 ± 12.4 months. Complete occlusion was obtained in 168 of 190 (88%) patients at 24 h, 128 of 133 (96.2%) at 3 months, and 103 of 104 (99%) at one year. Complications occurred in 4 (2.1%) patients. In one, the device became detached, in the second the device embolized into the right ventricular outflow tract, the lower end of the device straddled in the third, and the final patient had significant bleeding from the site of venupuncture. There were no major complications noted on follow-up. We conclude that transcatheter closure of defects within the oval fossa using the Amplatzer® Septal Occluder is safe and effective. Long-term follow-up is required, nonetheless, before it is recommended as a standard procedure.

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AVASCULAR NECROSIS OF THE TRIQUETRUM: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810405002504 ◽

2005 ◽

Vol 10 (01) ◽

pp. 91-94 ◽

Cited By ~ 5

Author(s):

Y. C. POR ◽

W. Y. CHEW ◽

I. Y. Y. TSOU

Keyword(s):

Case Report ◽

Avascular Necrosis ◽

Total Ischemia ◽

One Year ◽

The Right

A case of total ischemia of the triquetrum after a crushing injury to the right wrist by a dumbbell is reported. He was treated conservatively with splinting and analgesia. There was complete clinical and radiological recovery after a follow-up of one year.

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Difficulty removing dialysis cuff catheter after its adhesion to the right atrium

The Journal of Vascular Access ◽

10.1177/1129729821993981 ◽

2021 ◽

pp. 112972982199398

Author(s):

Tomonari Ogawa ◽

Megumi Inamura ◽

Yuichiro Kawai ◽

Ryo Yamamoto ◽

Kunihiko Yasuda ◽

...

Keyword(s):

Blood Flow ◽

Right Atrium ◽

Interventional Therapy ◽

Dialysis Treatment ◽

Japanese Female ◽

Difficulty Breathing ◽

Elderly Japanese ◽

One Year ◽

The Right ◽

Clinic Hospital

We describe the case of an elderly Japanese female who had experienced diabetic nephropathy since the year 20xx and had been undergoing dialysis treatment while receiving vascular access interventional therapy (VAIVT) for arteriovenous fistula (AVF) occlusion. The patient visited the clinic/hospital in 20xx+10 with the AVF occlusion; emergency VAIVT was performed but blood flow could not be resumed. The patient was not admitted and was treated as an outpatient, and thus a cuff catheter (Split stream catheter: SST28 cm, Medcomp) was inserted. An infection developed and was successfully treated with antibiotics. The dialysis treatment continued without issue. One year after the cuff catheter’s insertion, the patient was admitted due difficulty breathing. Despite continued dialysis treatment with the catheter, the patient died 15 days post-admission. The removal of the catheter proved to be difficult. An autopsy was approved, and the area around the catheter was examined. The adhesion of the catheter to the right atrium was observed, but no infection was detected in the bloodstream. This case illustrates that dialysis with the use of a cuff catheter can be effective.

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Clinical and morphological study of calf enlargement following S-1 radiculopathy

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x1992000300021 ◽

1992 ◽

Vol 50 (3) ◽

pp. 383-386 ◽

Cited By ~ 1

Author(s):

Osvaldo J. M. Nascimento ◽

Marcos R. G. de Freitas ◽

Myrian D. Hahn ◽

Abelardo Q. C. Araújo

Keyword(s):

Gastrocnemius Muscle ◽

Rare Condition ◽

Satisfactory Explanation ◽

Lower Back ◽

Left Buttock ◽

Left Calf ◽

One Year ◽

The Right ◽

Gastrocnemius Muscles

Calf enlargement following sciatica is a rare condition. It is reported the case of a 28-year-old woman who complained of repeated episodes of lower back pain radiating into the left buttock and foot. One year after the beginning of her symptoms, she noticed enlargement of her left calf. X-ray studies disclosed L5-S1 disk degeneration. EMG showed muscle denervation with normal motor conduction velocity. Open biopsies of the gastrocnemius muscles were performed. The left gastrocnemius muscle showed hypertrophic type 2 fibers in comparison with the right gastrocnemius. Electron microscopy showed mildly increased number of mitochondria in these fibers. A satisfactory explanation for denervation hypertrophy has yet to be provided.

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Post-CCT National Surgical Fellowship in Bariatric and Upper GI Surgery

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363510x535511 ◽

2010 ◽

Vol 92 (10) ◽

pp. 354-357 ◽

Cited By ~ 2

Author(s):

S Agrawal

Keyword(s):

Royal College ◽

Family Life ◽

Essential Requirement ◽

Upper Gi ◽

One Year ◽

Fierce Competition ◽

The Right ◽

Upper Gastrointestinal ◽

Park Hospital

With fierce competition for the best consultant posts in surgery, a fellowship is almost becoming an essential requirement. There are numerous fellowships available but finding the right one and organising family life around it is extremely difficult. After a lot of scepticism from some trainees about the post-Certificate of Completion of Training (CCT) national surgical fellowships scheme, it was advertised in July 2008 through The Royal College of Surgeons of England in partnership with the surgical specialist associations. I was extremely fortunate to be successful in the interview in November 2008 as the first Fellow in Bariatric and Upper Gastrointestinal (GI) Surgery under the scheme and opted for the fellowship at Musgrove Park Hospital, Taunton, for one year.

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Use of an optical surface scanner in assessment of outcome following rhinoplasty surgery

The Journal of Laryngology & Otology ◽

10.1017/s0022215108002302 ◽

2008 ◽

Vol 122 (9) ◽

pp. 972-977 ◽

Cited By ~ 2

Author(s):

H Chau ◽

R Dasgupta ◽

V Sauret ◽

G Kenyon

Keyword(s):

Surgical Intervention ◽

University Hospital ◽

Facial Features ◽

Optical Surface ◽

Case Study Analysis ◽

The Future ◽

University College London ◽

One Year ◽

The Right

AbstractObjective:To demonstrate the use of an optical surface scanner, with associated software, in the assessment of rhinoplasty patients, and to discuss the possible clinical applications of this technology in the future.Design:Case study analysis of pre- and post-operative scans of a patient undergoing septorhinoplasty at Whipps Cross University Hospital, London, UK.Subject:A 21-year-old man undergoing septorhinoplasty underwent pre-operative optical surface scanning of his face. The scans were repeated at one week and one year post-operatively. Software developed at University College London was then used to analyse the scans.Results:The scans clearly showed that the man's dorsal hump had been well reduced and the nose straightened, with a resulting 1600 mm3 gain on the right side and a 1000 mm3 loss on the left side of the nose. Tip projection had also been achieved.Conclusion:This technique allowed objective quantification of facial features and analysis of change. It may well prove useful in the future in predicting change following surgical intervention.

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A Cross Sectional Descriptive Study of Etiology and Clinical Pattern of Liver Abscess : 50 Cases

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v12i3.16713 ◽

2013 ◽

Vol 12 (3) ◽

pp. 44-48

Author(s):

Joyabrata Das ◽

Subash Majumdar ◽

Subrata Das ◽

Saiem Nurul Anwar ◽

Hossain Ahmed ◽

...

Keyword(s):

Clinical Features ◽

Liver Abscess ◽

Rural Areas ◽

Descriptive Study ◽

Age Group ◽

Cross Sectional ◽

Medical College ◽

Abdominal Abscesses ◽

One Year ◽

The Right

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48

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Management of Phantom Limb Pain through Thalamotomy of the Centro-Median Nucleus

Neurology International ◽

10.3390/neurolint13040058 ◽

2021 ◽

Vol 13 (4) ◽

pp. 587-593

Author(s):

Ramiro A. Pérez de la Torre ◽

Job J. Rodríguez Hernández ◽

Ali Al-Ramadan ◽

Abeer Gharaibeh

Keyword(s):

Phantom Limb Pain ◽

Phantom Limb ◽

Limb Pain ◽

Surgical Interventions ◽

Burning Pain ◽

A Value ◽

Thoracic Limb ◽

History Of ◽

One Year ◽

The Right

Background: Phantom limb syndrome is defined as the perception of intense pain or other sensations that are secondary to a neural lesion in a limb that does not exist. It can be treated using pharmacological and surgical interventions. Most medications are prescribed to improve patients’ lives; however, the response rate is low. In this case report, we present a case of phantom limb syndrome in a 42-year-old female with a history of transradial amputation of the left thoracic limb due to an accidental compression one year before. The patient underwent placement of a deep brain stimulator at the ventral posteromedial nucleus (VPM) on the right side and removal secondary to loss of battery. The patient continued to have a burning pain throughout the limb with a sensation of still having the limb, which was subsequently diagnosed as phantom limb syndrome. After a thorough discussion with the patient, a right stereotactic centro-median thalamotomy was offered. An immediate response was reported with a reduction in pain severity on the visual analogue scale (VAS) from a value of 9–10 preoperative to a value of 2 postoperative, with no postoperative complications. Although phantom limb pain is one of the most difficult to treat conditions, centro-median thalamotomy may provide an effective stereotactic treatment procedure with adequate outcomes.

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PETER’S ANOMALY

JURNAL BIOMEDIK (JBM) ◽

10.35790/jbm.3.1.2011.860 ◽

2013 ◽

Vol 3 (1) ◽

Author(s):

Laya Rares

Keyword(s):

Penetrating Keratoplasty ◽

Corneal Opacity ◽

Health Condition ◽

Pressure Management ◽

Filtration Surgery ◽

Intra Ocular Pressure ◽

Ocular Pressure ◽

One Year ◽

The Right ◽

Peter’S Anomaly

Abstract: Peter’s anomaly is a congenital corneal anomaly characterized by central or paracentral opacity. Around 60-80% of this anomaly is bilateral. We reported a girl of one year and six months as having bilateral corneal opacity since she was born. Diagnosis was based on ophthalmological examinations: the vision of the right and left eyes was ‘fix and follow the light’; sensoric nystagmus of both eyes; intra-ocular pressure of the right eye 37 mm Hg and of the left eye 40 mm Hg; corneal diameters of both eyes were 11 mm; 5-mm-central opacity of both cornea; both eye movements to all directions were normal; anterior chambers were shallow; iris was attached to the corneal endothelium; both lenses were difficult to be evaluated due to corneal opacity; fundal reflexes in both eyes were negative. The early medication given was thymolol 0.5% to decrease the intra-ocular pressure. If her health condition improved, a penetrating keratoplasty and a filtration surgery were recommended under general anaesthesia. Key words: Peter’s anomaly, corneal opacity, intraocular pressure, management. Abstrak: Peter’s anomaly merupakan kelainan kongenital kornea yang ditandai dengan kekeruhan pada kornea bagian sentral ataupun parasentral. Sekitar 60-80% kasus Peter’s anomaly terjadi bilateral. Kami melaporkan kasus Peter’s Anomaly pada seorang anak berusia satu tahun enam bulan dengan kekeruhan pada kedua mata sejak lahir. Diagnosis ditegakkan berdasarkan pemeriksaan oftalmologis dimana didapatkan visus okuli dekstra dan sinistra fix and follow the light, nistagmus sensoris pada kedua mata, tekanan intra okuler pada mata kanan 37 mm Hg dan pada mata kiri 40 mmHg. Diameter kornea kedua mata 11 mm, adanya kekeruhan pada sentral kornea (stroma) dengan diameter 5 mm pada kedua mata. Pergerakan kedua mata ke semua arah normal. Bilik mata anterior dangkal, iris melekat pada endotel kornea, lensa kedua mata sukar dievaluasi oleh karena kekeruhan pada kornea. Refleks fundus negatif pada kedua mata. Penanganan awal yang diberikan berupa medikamentosa (timolol 0,5%) untuk menurunkan tekanan intra okuler sambil menunggu keadaan umum membaik untuk dilakukan penetrating keratoplasty and filtration surgery dibawah anastesi umum. Kata Kunci: Peter’s anomaly, kekeruhan kornea, tekanan intra okuler, penanganan.

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