scholarly journals Pericardial disease as a rare complication of pediatric appendicitis: a systematic literature search

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Bibek Saha ◽  
Kazuyoshi Aoyama ◽  
Maria-Alexandra Petre ◽  
Marina Englesakis ◽  
James Robertson ◽  
...  
Keyword(s):  
Prognostic Value ◽  
Literature Search ◽  
Pediatric Patients ◽  
Case Reports ◽  
Rare Complication ◽  
Pericardial Fluid ◽  
Systematic Literature Search ◽  
Inclusion Criteria ◽  
Pericardial Disease ◽  
Abdominal Abscesses

Abstract Background Classic symptoms of acute appendicitis are well known but are uncommon and often misinterpreted in pediatric patients, potentially delaying diagnosis and resulting in rare sequelae. Methods We conducted a comprehensive systematic literature search of case reports detailing pericardial disease as a rare complication of pediatric appendicitis through MEDLINE, Embase, and Cochrane Databases. Inclusion criteria was that the patient must be < 18 years old and present with both pericardial disease and appendicitis. Results Our search yielded 7 cases with an average age of 10.3 ± 3.9 years old. The cases involved cardiac tamponade, pericarditis, and/or pericardial effusion. Five cases were diagnosed with appendicitis before complicated by pericardial disease. Most cases had an infectious component, but a majority had negative pericardial fluid cultures. Pleural effusion and abdominal abscesses were other common complications of pediatric appendicitis. Conclusion Awareness of this uncommon relationship may have prognostic value as this may facilitate appropriate management of pericardial effusions, tamponade, and/or appendicitis.

Idiopathic Musical Hallucinations in the Elderly

1997 ◽  
Vol 10 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Filoteo Pasquini ◽  
Martin G. Cole
Keyword(s):  
Hearing Impairment ◽  
Drug Toxicity ◽  
Literature Search ◽  
Case Reports ◽  
The Elderly ◽  
Systematic Literature Search ◽  
Neurologic Disease ◽  
Inclusion Criteria ◽  
Depressed Patients ◽  
Relevant Case

The purpose of this study was to determine the phenomenology and treatment of idiopathic musical hallucinations in the elderly by reviewing all relevant case reports. A systematic literature search yielded 32 case reports that met the following four inclusion criteria: (1) published in English, French, or Italian; (2) cases aged 65 years of age or older; (3) absence of major focal neurologic disease; and (4) absence of drug toxicity. Information was subsequently abstracted from each case reported and tabulated. Idiopathic musical hallucinations in the elderly occurred predominantly in females who had a hearing impairment, one third of whom were depressed. Treatment of depressed patients with antidepressants and nondepressed patients with anticonvulsants/anxiolytics seemed to result in improvement of many cases.

scholarly journals AB0730 ASSOCIATION OF SPONDYLOARTHRITIS AND FAMILIAL MEDITERRANEAN FEVER AND IMPACT ON DISEASE PHENOTYPE: A SYSTEMATIC REVIEW OF THE LITERATURE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1659.3-1659
Author(s):  
N. Ziade ◽  
A. Nassar
Keyword(s):  
Disease Management ◽  
Familial Mediterranean Fever ◽  
Literature Search ◽  
Association Studies ◽  
Case Reports ◽  
Genome Wide Association Studies ◽  
Systematic Literature Search ◽  
Disease Phenotype ◽  
Mefv Mutation ◽  
Mediterranean Fever

Background:Spondyloarthritis (SpA) and Familial Meditaerranean fever (FMF) may co-exist in certain populations, and have some overlapping manifestations (oligo-arthritis, hip involvement). Their association may impact disease phenotype and may affect disease management.Objectives:To evaluate the association of SpA and FMF and its impact on disease phenotype and management.Methods:A systematic literature search was conducted with the keywords spondyloarthritis and familial mediterranean fever from Janurary 1990 to January 2020 in PubMed and using manual cross-reference methods.Results:The search retrieved 74 articles, out of which 37 articles were relevant to the study question; most of the articles were case reports, with some large cohort studies of FMF and SpA (Flowchart in Figure 1).In large FMF cohorts, the prevalence of SpA was higher compared to the general population (7.5-13%, OR around 10). M694V was a risk factor for SpA. These FMF-SpA patients were older at diagnosis, had lower fever attacks, and higher disease duration, inflammatory back pain, chronic arthritis, enthesopathy, persistent inflammation and higher resistance to Colchicine. In case series, they were responsive to anti-TNF therapy.In large SpA cohorts, MEFV mutation, particularly M694V, was found in 15-35% (even without associated FMF). In most cohorts, MEFV mutation carriers didn’t have any distinct disease phenotype, except for some reports of higher ESR, more hip involvement, higher BASFI and higher BASDAI. Genome-wide association studies and case reports suggest an implication for IL-1 and thus a role for Anakinra therapy in these patients.Conclusion:In FMF or SpA patients with resistance to conventional therapy, the evaluation of disease association should be performed as it may have significant impact on disease management.References:[1]Li et al, Plos Genetics 2019. Watad et al, Frontiers Immunol 2019. Atas et al, Rheumatol Int 2019. Cherqaoui et al, JBS 2017. Zhong et al. Plos One 2017. Ornek et al, Arch Rheumatol 2016. Cinar et al, Rheumatol Int 2008. Durmur et al, JBS 2007.Figure 1.Flowchart of the systematic literature search (Spondyloarthritis, Familial Mediterranean Fever; January 1990-2020).Disclosure of Interests:Nelly Ziade Speakers bureau: Abbvie, Janssen, Lilly, Novartis, Pfizer, Roche, Sanofi, Aref Nassar: None declared

scholarly journals Sinus Floor Augmentation—Associated Surgical Ciliated Cysts: Case Series and a Systematic Review of the Literature

2021 ◽  
Vol 11 (4) ◽  
pp. 1903
Author(s):  
Adrian Kahn ◽  
Shlomo Matalon ◽  
Rahaf Bassam Salem ◽  
Lazar Kats ◽  
Liat Chaushu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Microscopic Examination ◽  
Literature Search ◽  
Case Series ◽  
Systematic Literature Search ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Sinus Floor Augmentation ◽  
Sinus Floor

This study aimed to characterize the demographic and clinical features of underreported surgical ciliated cysts developing after sinus floor augmentation, based on a series of cases from our files and a systematic review of the literature. A series of five cases (four patients) of microscopically confirmed surgical ciliated cysts following sinus floor augmentation procedures from our files are described. A systematic literature search (1991–2020) with strict clinical-, radiological- and microscopic-based exclusion and inclusion criteria was performed to detect additional similar cases. The systematic review revealed only five cases that fulfilled the inclusion criteria. Altogether, surgical ciliated cysts associated with sinus floor augmentation have been rarely reported in the literature, and have not been characterized either demographically or clinically. Graft materials were diverse, implants were placed simultaneously, or up to two years post-augmentation. The associated surgical ciliated cysts developed between 0.5 and 10 years post-augmentation. Although limited in its extent, this study is the first series to characterize possible underreported sequelae of surgical ciliated cysts associated with sinus floor augmentation. It emphasizes the need for long post-operative follow-up and confirmation of lesion by microscopic examination.

233 POSTOPERATIVE DELIRIUM AFTER OESOPHAGECTOMY FOR CANCER: HOW CAN WE PREVENT AND MANAGE IT?

2020 ◽  
Vol 33 (Supplement_1) ◽  
Author(s):  
A Rita ◽  
E Pinto ◽  
L Pomba ◽  
F Tolin ◽  
G Mattara ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Literature Search ◽  
Healing Process ◽  
Cochrane Library ◽  
Psychiatric Disease ◽  
High Morbidity ◽  
Systematic Literature Search ◽  
Inclusion Criteria ◽  
Duration Of Surgery

Abstract   Oesophagectomy is associated with high morbidity. One of the postoperative complication observed after esophageal resection is Post Operative Delirium (POD), a psychiatric disease caused by major surgical stress and pharmacological treatments. POD can jeopardize patient healing-process since patients are not collaborative to perioperative care but also because they can harm themselves. Thus the aim of this systematic review was to identify POD factors and its effective management in patients undergone oesophagectomy for oesophageal/oesophagogastric-junction cancer. Methods A comprehensive systematic literature search was conducted using PubMed, Cochrane Library, Scopus, psycINFO and psycARTICLES in order to identify all articles published until January 2020. The following combinations of terms were used for the search strategy: neoplasm; esophagus; gastro-esophageal junction; oesophagectomy; delirium. The following inclusion criteria were set: full article published in English; patients with esophageal cancer undergone oesophagectomy; POD observed. Two researchers independently selected studies matching the inclusion criteria. Duplicate studies, non-relevant topic, data from abstracts or unpublished were excluded. Any disagreements between the researchers’ evaluation concerning inclusion of studies were resolved by consensus. Results Of 235 studies yielded by systematic literature search, 21 met inclusion criteria. POD incidence was observed between 3 and 38% of patients and was precursor of other complications in 1/3 of POD patients. Preoperative risk factors were older age, cerebrovascular disease and pulmonary disfunction. Anxiety and depression resulted predisposing factors. Perioperative risk factors were duration of surgery, ICU length of stay, colloids infusion and blood transfusion. Open-surgery seemed to influence POD more than minimally-invasive and robotic surgery. Interventions identified to treat POD were pharmacological (prophylactic haloperidol, insomnia treatment) and behavioral (patient reorientation by family involvement, bright-light therapy, early mobilization). Conclusion This systematic review identified preoperative, intraoperative and postoperative risk factors of POD after oesophagectomy. No standardized prevention nor treatment of POD was identified. POD impacts patients’ ability in perceiving postoperative symptoms. The difficulty in communicating with health professionals may lead to delay the diagnosis of others complications and prolong hospital stay. Therefore further trials are required to assess efficacy of different POD treatments aimed to enhance postoperative management.

scholarly journals Syndrome of Inappropriate Secretion of Antidiuretic Hormone Cholestasis and Pericardial Effusion Due to Brucellosis Infection: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmet Cumhur Dülger ◽  
Özgür Kemik ◽  
Aziz Sümer ◽  
Hüseyin Akdeniz ◽  
Mehmet Emin Küçükoğlu ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Antidiuretic Hormone ◽  
Rare Complication ◽  
Plasma Osmolality ◽  
Final Diagnosis ◽  
Pericardial Fluid ◽  
Pericardial Disease ◽  
Inappropriate Secretion ◽  
Elevated Liver Enzymes ◽  
Diuretic Agents

Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is an extremely rare complication of infectious diseases. A rare case of brucellosis complicated by syndrome of inappropriate secretion of antidiuretic hormone (SIADH) cholestasis and pericardial involvement is reported. A 27-year-old woman was admitted for fever, abdominal pain, and scleral icterus. Her medical history revealed no recent use of diuretic agents. In addition to cholestasis and elevated liver enzymes, euvolemic hyponatremia, hypouricemia, low plasma osmolality, and high urinary osmolality were also detected. Surrenal and thyroid tests were also within normal range. Echocardiography revealed minimal pericardial effusion with normal cardiac functions. The final diagnosis was SIADH due to Brucellosis. Hyponatremia, cholestasis, and pericardial disease were resolved with effective antibrucellar treatment with streptomycine and doxycycline. After completing treatment of brucellosis, there was not any more evidence of cholestasis and pericardial fluid.

scholarly journals A Comprehensive Evaluation of the Association between Polymorphisms in XRCC1, ERCC2, and XRCC3 and Prognosis in Hepatocellular Carcinoma: A Meta-Analysis

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Yan Zhao ◽  
Erjiang Zhao ◽  
Junhui Zhang ◽  
Yuanyuan Chen ◽  
Junli Ma ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Gene Polymorphism ◽  
Prognostic Value ◽  
Literature Search ◽  
Comprehensive Evaluation ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Systematic Literature Search ◽  
The Cochrane Library ◽  
Larger Sample

Purpose. Associations between XRCC1, XRCC3, and ERCC2 gene polymorphism and prognosis have been investigated in several cancers. The aim of this meta-analysis was to assess the prognostic value of XRCC1, XRCC3, and ERCC2 gene polymorphism in hepatocellular carcinoma (HCC). Methods. A systematic literature search was performed to identify relevant studies in PubMed, Embase, and the Cochrane library up to December 2018. The prognostic values of XRCC1, XRCC3, and ERCC2 polymorphisms in HCC were estimated using crude HRs with 95% CIs. Results. Ten studies involving 2687 patients were included in the quantitative analysis. There were no statistically significant associations between XRCC1 rs1799782 C>T, XRCC1 rs25487 G>A, and ERCC2 rs1799793 G>A polymorphisms and overall survival (OS). OS was significantly longer for the ERCC2 rs13181 CC genotype than for AA (CC vs. AA: HR = 0.33, 95% CI = 0.15–0.72). A significantly lower OS was observed for patients with the CT genotype compared with the CC genotype at XRCC3 rs861539 (CT vs. CC: HR = 1.64, 95% CI = 1.11–2.42). Conclusion. The ERCC2 rs13181 A>C polymorphism and XRCC3 rs861539 C>T polymorphism may be predictive markers for prognosis in patients with HCC. Well-designed studies with larger sample sizes are needed to verify our findings.

scholarly journals Etiology, Diagnosis, and Management of Seminal Vesicle Stones

2018 ◽  
Vol 12 (3) ◽  
pp. 113-120 ◽  
Author(s):  
Saher Zaidi ◽  
Jason Gandhi ◽  
Omar Seyam ◽  
Gunjan Joshi ◽  
Wayne C. Waltzer ◽  
...  
Keyword(s):  
Seminal Vesicle ◽  
Literature Search ◽  
Imaging Techniques ◽  
Case Reports ◽  
Transrectal Ultrasound ◽  
Optimal Management ◽  
Inclusion Criteria ◽  
Diagnosis And Management ◽  
Number Of Factors ◽  
The Many

Background/Aims: Seminal vesicle (SV) stones are a rare, and thus readily misdiagnosed condition in practice. Understanding the etiology, diagnosis, and management are crucial to guide a urologist's care, and are provided in this literature review. Methods: The inclusion criteria for the literature search, using the search engines MEDLINE® and PubMed was conducted using a combined query of “seminal vesicle stone” and the following keywords: calculi, hematospermia, calcification, and transrectal ultrasound (TRUS). Results: The etiology of SV stones is currently unknown where majority of the patients present with having painful ejaculation and hematospermia. However, clinicians have reported potential etiologies by categorization as an inflammatory or non-in-flammatory. A majority of the previous cases had shown multiple stones being present in the SV duct system that are typically diagnosed through radiological examination such as TRUS, MRI, or plain radiographs. Amongst the many imaging approaches, TRUS remains the primary imaging diagnoses of SV calculi. Transurethral seminal vesiculoscopy has shown to be used in an abundant of the case reports to be an ideal surgical approach for managing small SV stones. In regard to larger stones, a transperitoneal laparoscopic protocol is proper. Conclusion: The current imaging techniques have increased the case reports and diagnosis of SV calculi; however, more research is warranted for understanding the pathogenesis of the formation of SV stones. An optimal management of the extraction of SV stones depends on a number of factors such as size and location.

Intergenerational friendships of older adults: why do we know so little about them?

2017 ◽  
Vol 39 (1) ◽  
pp. 1-16 ◽  
Author(s):  
CATHERINE ELLIOTT O'DARE ◽  
VIRPI TIMONEN ◽  
CATHERINE CONLON
Keyword(s):  
Older Adults ◽  
Social Construction ◽  
Old Age ◽  
Literature Search ◽  
Intergenerational Relationships ◽  
Systematic Literature Search ◽  
Inclusion Criteria ◽  
Younger Adults ◽  
Naturally Occurring

ABSTRACTIntergenerational projects bringing together older adults and younger adults are increasingly common, but there is little research on unstructured, naturally occurring interaction, and in particular friendship between different generations. The aim of this article is to interrogate why we know so little about adult intergenerational friendship. A systematic literature search on this topic, covering a 30-year period, yielded only six articles which satisfied the inclusion criteria. This prompted us to examine how the topics of intergenerational friendship and friendship in old age have been approached in the literature to date. We argue that the paucity of research on intergenerational friendship reflects the focus of existing research on homophily, and consequently friendships among older or younger adults; and that this in turn reflects a social construction of older adults as unsuited to friendship with younger adults. Investigations of intergenerational friendship can help challenge the images and models of ageing and older adults that both research and societies currently operate with, and are constrained by. We conclude by calling for research that explores the views and experiences of older adults as parties to intergenerational relationships that are non-kin, chosen and based on mutual enjoyment.

scholarly journals Management of Peritoneal Dialysis Catheters that Erode into Bowel: Two Pediatric Case Reports and a Review of the Literature

2016 ◽  
Vol 36 (6) ◽  
pp. 680-684 ◽  
Author(s):  
Troy A. Markel ◽  
Karen W. West
Keyword(s):  
Peritoneal Dialysis ◽  
Pediatric Patients ◽  
Case Reports ◽  
Rare Complication ◽  
Intestinal Injury ◽  
Catheter Removal ◽  
Review Of The Literature ◽  
Pediatric Case ◽  
Definitive Repair

Erosion of peritoneal dialysis (PD) catheters into the intestine is a rare complication of PD. Herein, we convey the first reports of 2 pediatric patients undergoing PD who were found to have the catheter eroding into their intestines. They were treated minimally with catheter removal and antibiotics. Definitive repair of the intestinal injury was not performed. These are the first pediatric patients reported with PD catheter erosion. Perforating injuries may be self-limiting, and therefore a more minimal approach may be considered in certain patient populations who do not express overt signs of peritonitis or illness.

scholarly journals A Systematic review on aligning efficiency of superelastic NITI: in comparison with conventional NITI and multistranded stainless steel archwires

2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Deepa Kumaran ◽  
Shantha Sundari ◽  
Shyamala Chandrasekhar
Keyword(s):  
Systematic Review ◽  
Stainless Steel ◽  
Orthodontic Treatment ◽  
Literature Search ◽  
Nickel Titanium ◽  
Systematic Literature Search ◽  
Inclusion Criteria ◽  
Initial Alignment ◽  
Steel Wires ◽  
In The Beginning

Background: The initial leveling and aligning phase of orthodontic treatment involve the use of nickel titanium wires. The nickel titanium wires exhibit unique properties like shape memory and superelasticity. In the beginning, conventional nitinol wires were used, which lacked the superelastic property. Nowadays, superelastic nickel titanium wires are being used commonly. This systematic review aims to evaluate the efficiency of Superelastic NITi in the initial alignment of orthodontic treatment in comparison with conventional NiTi and multistranded stainless steel archwires by measuring the amount of decrowding and the time taken for decrowding.Method: A systematic literature search was performed on Pubmed, Cochrane, Google scholar & Lilacs.Result: Thirty four studies were identified by the search and ten studies satisfied the inclusion criteria and one study was excluded after abstract reading. Finally nine articles were included for quality assessment.Conclusion: This systematic review concluded that there was no significant differences in the aligning efficiency of superelastic NiTi in comparison with conventional NiTi and multistranded stainless steel wires. 

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