scholarly journals Case Reports: Contribution to Clinical Practice, Scholarly Education, and Scientific Knowledge

2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Mahgoub N
Keyword(s):  
Clinical Practice ◽  
Scientific Knowledge ◽  
Case Reports

scholarly journals Cardiac Outpouchings: Definitions, Differential Diagnosis, and Therapeutic Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Riccardo Scagliola ◽  
Gian Marco Rosa ◽  
Sara Seitun
Keyword(s):  
Differential Diagnosis ◽  
Clinical Practice ◽  
Therapeutic Approach ◽  
Tissue Characterization ◽  
Case Reports ◽  
Case Series ◽  
Diagnostic Challenge ◽  
Comprehensive Overview ◽  
Search Data ◽  
Data Location

Background and Aims. Cardiac outpouchings encounter a series of distinct congenital or acquired entities (i.e. aneurysms, pseudoaneurysms, diverticula, and herniations), whose knowledge is still poorly widespread in clinical practice. This review aims to provide a comprehensive overview focusing on definition, differential diagnosis, and prognostic outcomes of cardiac outpouchings, as well as further insights on therapeutic options, in order to assist physicians in the most appropriate decision-making. Methods. The material reviewed was obtained by the following search engines: MEDLINE (PubMed), EMBASE, Google Scholar, and Clinical Trials databases, from January 1966 until March 2021. We searched for the following keywords (in title and/or abstract): (“cardiac” OR “heart”) AND (“outpouching” OR “outpouch” OR “aneurysm” OR “pseudoaneurysm” OR “false aneurysm” OR “diverticulum” OR “herniation”). Review articles, original articles, case series, and case reports with literature review were included in our search. Data from patients with congenital or acquired cardiac outpouchings, from prenatal to geriatric age range, were investigated. Results. Out of the 378 papers initially retrieved, 165 duplicates and 84 records in languages other than English were removed. Among the 129 remaining articles, 76 were included in our research material, on the basis of the following inclusion criteria: (a) papers pertaining to the research topic; (b) peer-reviewed articles; (c) using standardized diagnostic criteria; and (d) reporting raw prevalence data. Location, morphologic features, wall motion abnormalities, and tissue characterization were found to have a significant impact in recognition and differential diagnosis of cardiac outpouchings as well as to play a significant role in defining their natural history and prognostic outcomes. Conclusions. Careful recognition of cardiac outpouchings remains a diagnostic challenge in clinical practice. Due to a broad cluster of distinctive and heterogeneous entities, their knowledge and timely recognition play a pivotal role in order to provide the most appropriate clinical management and therapeutic approach.

scholarly journals Clinical practice, governance, and case reports: hypovitaminosis D as a cause of severe hypocalcaemia in a Nigerian female

2015 ◽  
Author(s):  
Oluwarotimi Olopade ◽  
Oluwakemi Yusuf ◽  
Abiona Odeyemi ◽  
Olawumi Kolawole ◽  
Olayinka Owolabi
Keyword(s):  
Clinical Practice ◽  
Case Reports ◽  
Hypovitaminosis D ◽  
Severe Hypocalcaemia

Neurologist, 30 years’ experience, Italy

2020 ◽  
pp. 257-259
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
At Risk ◽  
Clinical Practice ◽  
Case Reports ◽  
Epileptic Seizures ◽  
Correct Treatment ◽  
Risk Of Death ◽  
Convulsive Seizures ◽  
Clinical Conditions

This chapter assesses how, in clinical practice, the diagnostic and therapeutic borders between epileptic and Psychogenic Non-Epileptic Seizures (PNES) are ill-defined and sometimes contrast with the schematic views offered by scientific reports. It specifically considers two case reports that illustrate how it is difficult to distinguish the two clinical conditions at the time of the diagnosis and, when the diagnosis is apparently clear, to start the correct treatment. The first patient was referred with seizures characterized by “convulsions” accompanied by loss of awareness. His seizures started when he was caught in an emergency and was at risk of death. The second patient, a 24-year-old girl, was hospitalized because she had experienced “convulsive” seizures. She received contrasting opinions regarding her diagnosis.

Enhanced MR conspicuity of Type IIb focal cortical dysplasia by T1WI with CHESS: Two case reports

2020 ◽  
pp. 10.1212/CPJ.0000000000000987
Author(s):  
Midori Kusama ◽  
Noriko Sato ◽  
Zen-ichi Tanei ◽  
Yukio Kimura ◽  
Masaki Iwasaki ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Chemical Shift ◽  
Refractory Epilepsy ◽  
Focal Cortical Dysplasia ◽  
Case Reports ◽  
Cortical Dysplasia ◽  
Fat Suppression ◽  
Developmental Anomaly ◽  
Mri Findings ◽  
Mr Sequences

Focal cortical dysplasia (FCD) is a congenital developmental anomaly that is one of the leading causes of refractory epilepsy. MRI is an essential examination and T1WI, T2WI, and FLAIR images are commonly used MR sequences for delineating FCD.1 However, these MRI findings are often insufficiently clear. We experienced two FCD cases that were much better visualized by using T1WI with chemical shift selective (CHESS) than with T2WI and FLAIR images. CHESS is the most frequently used fat suppression pulse in clinical practice. We report two cases in which CHESS clearly demonstrated FCD, and compare the cases' pathology and MRI findings.

scholarly journals Excess of non-verbal cases of autism spectrum disorders (ASDs) presenting to orthodox clinical practice in Africa - a trend possibly resulting from late diagnosis and intervention

2011 ◽  
Vol 17 (4) ◽  
pp. 3 ◽  
Author(s):  
Muideen O Bakare ◽  
Kerim M Munir
Keyword(s):  
Autism Spectrum Disorders ◽  
Clinical Practice ◽  
Large Scale ◽  
Expressive Language ◽  
Case Reports ◽  
Case Series ◽  
Autism Spectrum ◽  
Language Ability ◽  
Common Denominator ◽  
Spectrum Disorders

<p><strong>Objectives.</strong> Characteristics of children with autism spectrum disorders (ASDs) in Africa are not known because of unavailability of large-scale epidemiological studies in this region. This review explored the age at first presentation to orthodox clinical practice of African children with ASDs and their expressive language ability at presentation.</p><p><strong>Methods.</strong> A literature search of case series and case reports of ASDs from Africa was done through PubMed/MEDLINE, Google Scholar, African Journals Online (AJOL), and archives of the Nigerian Journal of Psychiatry. Six articles included content relating to age of the child at first presentation to orthodox clinical practice and symptoms at presentation related to expressive language ability and therefore fulfilled the inclusion criteria. Suggestions are made to explain the observations emanating from the review.<strong> </strong></p><p><strong>Results.</strong> An excess of non-verbal over verbal cases of ASDs have been presenting to orthodox clinical practice and there is a common denominator of late presentation/diagnosis and in turn late intervention, with most cases presenting for the first time well above 8 years of age. Attempts to explain these observations included low levels of knowledge and awareness about ASDs in Africa; problems with help-seeking behaviour; and lack of mental healthcare facilities and trained personnel.</p><p><strong>Conclusions.</strong> Enhancement of processes directed at ensuring early diagnosis and interventions, especially interventions aimed at improving speech and language development well and sufficiently early, may bring about a shift in the trend of excess non-verbal cases of ASDs over verbal cases presenting to orthodox clinical practice.</p>

Routine Preoperative Investigation: Results of a Multicenter Survey in Italy

1998 ◽  
Vol 14 (3) ◽  
pp. 526-534 ◽  
Author(s):  
Gualtiero Ricciardi ◽  
Italo F. Angelillo ◽  
Umberto Del Prete ◽  
Marcello M. D'Errico ◽  
Guido M. Grasso ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Scientific Knowledge ◽  
Personal Experience ◽  
Southern Italy ◽  
Preoperative Investigation ◽  
Multicenter Survey ◽  
Current Behavior

AbstractWe conducted a study to acquire information on the current behavior of a sample of Italian surgeons and anesthesiologists about prescribing, interpreting, and using routine preoperative investigations. Consultants in surgery and anesthesiology in 60 hospitals in northern, central, and southern Italy were interviewed. Prescription of these procedures by doctors were driven more by personal experience than by updated scientific knowledge. This practice often led to ineffective and inefficient clinical practice, with healthy patients undergoing useless, time-consuming, costly, and sometimes harmful procedures.

Autonomy in Maternal Accounts of Birth after Cesarean

2012 ◽  
Vol 16 (1) ◽  
pp. 62-70 ◽  
Author(s):  
Elizabeth Soliday ◽  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Scientific Knowledge ◽  
Practice Patterns ◽  
Obstetric Care ◽  
Ethical Guidelines ◽  
Current State ◽  
Short And Long Term ◽  
Maternal Autonomy

Following decades of maltreatment of women in obstetric care, professional respect for maternal autonomy in obstetric decision making and care have become codified in global and national professional ethical guidelines. Yet, using the example of birth after cesarean, identifiable threats to maternal autonomy in obstetrics continue. This paper focuses on how current scientific knowledge and obstetric practice patterns factor into restricted maternal autonomy as evidenced in three representative maternal accounts obtained prior and subsequent to birth after cesarean. Short- and long-term remedies to improve the current state of restricted maternal autonomy in clinical practice surrounding decision making on birth after cesarean are provided.

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