scholarly journals Manual therapy in patients with vertebrobasilar insufficiency

2021 ◽  
Vol XXX (3-4) ◽  
pp. 57-59
Author(s):  
A. Sitel
Keyword(s):  
Manual Therapy ◽  
Adult Population ◽  
Economic Losses ◽  
Vertebrobasilar Insufficiency ◽  
Clinical Syndromes ◽  
Common Causes

According to WHO statistics, from 40 to 80% of the world's adult population suffer from clinical syndromes of osteochondrosis of the spine. As one of the most common causes of temporary disability, they lead to significant economic losses.

scholarly journals Solitary Rectal Ulcer Syndrome: Uncommon Cause of Rectal Bleeding in Children

2008 ◽  
Vol 47 (172) ◽  
Author(s):  
Sudhamshu KC ◽  
D Sharma ◽  
B Bashnet ◽  
AK Mishra
Keyword(s):  
Rectal Bleeding ◽  
Adult Population ◽  
Rectal Polyp ◽  
Rectal Ulcer ◽  
Pediatric Age ◽  
Proctoscopic Examination ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome ◽  
Common Causes ◽  
Bleeding Per Rectum

Rectal polyp and hemorrhoids are common causes of bleeding per rectum in pediatric age group.However, there are some other causes which should be considered in differential diagnosis. We haveacquainted a case of rectal bleeding due to solitary rectal ulcer in a child of 10 year. Colonoscopicexamination was required for diagnosis as proctoscopic examination and digital rectal examinationmissed the diagnosis, probably due to poor co-operation by the patient and rare nature of the disease.Although well recognized in the adult population, the pediatric experience with this condition islimited.Key word: children, rectal bleeding, solitary rectal ulcer

Diagnostic Evaluation of Patients Presenting with Rectal Bleeding by Colonoscopy

2020 ◽  
Vol 42 (1) ◽  
pp. 36-39
Author(s):  
Bala R Malla ◽  
Suyog Simkhada
Keyword(s):  
Rectal Bleeding ◽  
Diagnostic Yield ◽  
Adult Population ◽  
Common Finding ◽  
Common Causes ◽  
Optic Colonoscopy ◽  
The Common ◽  
Gastro Intestinal Tract ◽  
Histopathologic Findings ◽  
Malignant Mass

Introduction Rectal bleeding indicates the bleeding from lower gastro-intestinal tract occurring distal to ligaments of Treitz. Annual incidence of per rectal bleeding has been estimated to be 20% . Colonoscopy is the examination of choice for investigation. The objective of this study is to know the diagnostic yield of colonoscopy in cases with per rectal bleeding and to know the common causes of per rectal bleeding in adults MethodsOne hundred and twenty-nine adult patients, age more than 18years, who presented to Surgical OPD and ward of Dhulikhel Hospital during the year 2018 and 2019 were taken for the study irrespective of their sex. All the patients were subjected to fibre-optic colonoscopy after necessary preparation and the findings were recorded. Diagnosis was based on colonoscopic and histopathologic findings. ResultsA total of 129 (77 male and 52 female )patients with per rectal bleeding were evaluated with colonoscopy. The age ranged from 18 years to 79 years with the mean age 42.25 (SD+/- 15.29). Colonoscopy showed abnormalities in 102 patients (79.06%). The most common finding was hemorrhoids in 36 patients (27.90%) followed by colorectal malignant mass in 20 patients (15.50%). Polyps were diagnosed as the cause of rectal bleeding in 14 patients (10.84%). ConclusionColonoscopy has good diagnostic yield at evaluating cases with per rectal bleeding. Hemorrhoids, colorectal malignant mass and polyps are the common causes producing PR bleeding in Nepalese adult population.

Idiopathic membranous nephropathy preceding membranous lupus nephritis: a case report

Lupus ◽  
2020 ◽  
Vol 29 (3) ◽  
pp. 340-343
Author(s):  
C Gökalp ◽  
G Aygun ◽  
A F Dogan ◽  
U Usta ◽  
I Kurultak ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Nephritis ◽  
Lupus Erythematosus ◽  
Membranous Nephropathy ◽  
Adult Population ◽  
Idiopathic Membranous Nephropathy ◽  
Systemic Lupus ◽  
Common Causes ◽  
Membranous Lupus Nephritis

Membranous nephropathy is one of the most common causes of nephrotic syndrome in the adult population. According to the underlying etiology, membranous nephropathy is classified as either primary or secondary. Systemic lupus erythematosus is an autoimmune disease that can affect the kidneys in 50% of patients in the course of the disease. Renal disease may be the first manifestation of systemic lupus erythematosus and the development of systemic findings may be delayed for about 1–5 years following the diagnosis of lupus nephritis. We present a 59-year-old male patient who had a diagnosis of idiopathic membranous nephropathy since 2007 and developed membranous lupus nephritis during the 12-year follow-up without any extrarenal systemic lupus erythematosus findings.

Analysis of Aircraft Hydraulic System Failures

2014 ◽  
Vol 989-994 ◽  
pp. 2947-2950 ◽  
Author(s):  
Wen Guang Zhang ◽  
Guo Min Lin
Keyword(s):  
Fault Diagnosis ◽  
Hydraulic System ◽  
Economic Losses ◽  
Aircraft Maintenance ◽  
Hydraulic Systems ◽  
System Failures ◽  
Common Causes ◽  
Maintenance Cycle ◽  
The Common ◽  
Low Efficiency

The hydraulic system of Aircraft is an important power organization and plays an important role in the process of airplane operation. The failures of the airplane have the character of concealment, complexity and uncertainty. So if the hydraulic system ran out of order it not only cause huge casualties and economic losses, but also has a long and low efficiency maintenance cycle. This text analyzes the common causes of the failures and the failures that newly appeared of the aircraft hydraulic systems in detailed. Some of effective solutions have been proposed which quicken accelerate the speed of fault diagnosis and improve the efficiency of aircraft maintenance.

scholarly journals Discogenic low back pain: interventional treatment

Pain medicine ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 16-26
Author(s):  
V I Smolanka ◽  
V M Fedurtsya ◽  
B B Pavlov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Adult Population ◽  
Intervertebral Discs ◽  
Interventional Treatment ◽  
Therapeutic Effects ◽  
Low Back ◽  
Discogenic Pain ◽  
Discogenic Low Back Pain ◽  
Common Causes

Low back pain (LBP) is one of the most common causes of disability in the adult population. A significant place in its genesis is occupied by a degenerative-dystrophic diseases of intervertebral discs. The article highlights the classification and mechanism of discogenic pain origin. Various types of interventions aredescribed for this pathology: indications, specificities of carrying out manipulations and therapeutic effects, efficiency and possible complications of procedures.

scholarly journals Case Report: Chronic Cavitatory Pulmonary Aspergillosis after COVID-19

2021 ◽  
Author(s):  
Sheetal Chaurasia ◽  
Manjunath Thimmappa ◽  
Saurav Chowdhury
Keyword(s):  
Fungal Infections ◽  
Initial Response ◽  
Lung Damage ◽  
Response To Treatment ◽  
Pulmonary Aspergillosis ◽  
Clinical Syndromes ◽  
Common Causes ◽  
Chronic Pulmonary Aspergillosis ◽  
The Common ◽  
Immunocompetent Patients

Chronic pulmonary aspergillosis can present in four distinct clinical syndromes, one of which is chronic cavitary pulmonary aspergillosis (CCPA). CCPA is generally associated with a mildly immunosuppressed state or, in immunocompetent patients, with structural lung damage. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been associated with reactivation of previous quiescent infections such as tuberculosis and invasive fungal infections, but CCPA in a patient with COVID-19 is rarely reported. Here we present the case of a 57-year-old man with CCPA associated with COVID-19 infection in whom latent aspergilloma was most likely activated after SARS-CoV-2 infection. The patient presented with severe COVID and, after initial response to treatment, started to deteriorate due to reactivation of latent aspergilloma to a more aggressive CCPA form. After confirmation of the diagnosis, the patient was initiated on treatment with voriconazole. He showed a good response to treatment with clinicoradiological response. This case also depicts one of the common causes of clinical deterioration in otherwise recovering COVID-19 patients.

scholarly journals Drug therapy of patients with myocardial infarction as the most important component of a polyclinic stage of cardiorehabilitation

2015 ◽  
Vol 6 (3) ◽  
pp. 22-26
Author(s):  
A. A Garganeeva ◽  
E. A Kuzheleva ◽  
E. V Efimova ◽  
O. V Tukish
Keyword(s):  
Myocardial Infarction ◽  
Drug Therapy ◽  
Clinical Course ◽  
Adult Population ◽  
Developed Countries ◽  
Common Causes ◽  
Acute Mi ◽  
Long Term Prognosis

Myocardial infarction (MI) is one of the most common causes of temporary incapacity, disability and mortality in the adult population of developed countries. Despite a trend in recent years to reduce mortality from cardiovascular disease, the indicator remains high in Russia. One of the main conditions to improve immediate and long-term prognosis of patients after MI, is to conduct a comprehensive cardio-rehabilitation, which is an important component of drug therapy. The article presents the characteristics of drug therapy and its influence on the course of post-MI at 5-year follow-up on the basis of "Register of acute MI". As a result of the frequency, VEN-analysis revealed no significant differences in the main groups of drugs prescribed in different periods after acute MI. At the same time it found that patients with unfavorable course of postinfarction period, significantly more often treated with inadequate doses of b-blockers, who were appointed at hospital discharge and then titrated with the annual and 5-year follow-up. The lower frequency of the appointment of vital medicines (based on VEN-analysis) was detected in patients with unfavorable course of postinfarction period as the baseline, and after a year, and 5 years after MI. Installed features of drug use have an impact on the clinical course of postinfarction period and the development of negative cardiovascular events.

scholarly journals Morbidity of the working-age population of the Russian Federation for 2015–2019

2021 ◽  
Vol 100 (12) ◽  
pp. 1487-1494
Author(s):  
Aleksandr S. Shastin ◽  
Olga L. Malykh ◽  
Venera G. Gazimova ◽  
Tatyana M. Tsepilova ◽  
Tatyana S. Ustyugova
Keyword(s):  
Health Status ◽  
Russian Federation ◽  
Disease Incidence ◽  
Adult Population ◽  
National Level ◽  
Economic Losses ◽  
Prevalence Rates ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population

Introduction. The quality of labour potential is one of the most important factors of economic growth, which largely depends on the health status of the working-age population. Today, incidence and prevalence rates in the Russian working-age population are not monitored at the national level. Materials and methods. We conducted a descriptive epidemiological study based on retrospective data on disease incidence in the adult population of the Russian Federation. We also assessed disease incidence and prevalence in the Russian working-age population (men aged 18-59 and women aged 18-54) in 2015-2019 using the method of continuous observation. We estimated and ranked incidence and prevalence rates per 100,000 working-age population of some constituent entities and federal districts of the Russian Federation to establish the territories with the highest and lowest rates. Results. We applied and tested methodological approaches to assessing the morbidity of the working-age population living in different regions of the Russian Federation. Our findings demonstrate a high degree of variability in both incidence and prevalence rates in the working-age population in general and by ICD-10 disease categories. Conclusion. Results of our assessments and ranking of the constituent entities of the Russian Federation by disease-specific incidence and prevalence rates in the working-age population provide an opportunity to areas at risk with specific health status enabling the most efficient management of risks of labour and economic losses. The proven method approaches may be used to address the challenges of public health monitoring.

scholarly journals Vascular Vertigo

2017 ◽  
pp. 21
Author(s):  
Mazyar Hashemilar ◽  
Masoud Nikanfar ◽  
Dariush Savadi Oskoui
Keyword(s):  
Hemorrhagic Stroke ◽  
Cerebrovascular Disorders ◽  
Age Groups ◽  
Neurovascular Compression ◽  
Vestibular Paroxysmia ◽  
Positional Vertigo ◽  
Clinical Syndromes ◽  
Common Causes ◽  
Vascular Origin ◽  
Paroxysmal Positional Vertigo

Vertigo is a common complaint in neurology and medicine. The most common causes of vertigo are benign paroxysmal positional vertigo, vestibular neuritis, Meniere’s disease, and vascular disorders. Vertigo of vascular origin is usually limited to migraine, transient ischemic attacks, and ischemic or hemorrhagic stroke. Vascular causes lead to various central or peripheral vestibular syndromes with vertigo. This review provides an overview of epidemiology and clinical syndromes of vascular vertigo.Vertigo is an illusion of movement caused by asymmetrical involvement of the vestibular system by various causes. Migraine is the most frequent vascular disorder that causes vertigo in all age groups. Vertigo may occur in up to 25% of patients with migraine. The lifetime prevalence of migrainous vertigo is almost 1%. Cerebrovascular disorders are estimated to account for 3% to 7% of patients with vertigo. Vestibular paroxysmia has been diagnosed in 1.8% to 4% of cases in various dizziness units. Vasculitic disorders are rare in the general population, but vertigo may be seen in almost up to 50% of patients with different vasculitic syndromes.Conclusions: Migraine, cerebrovascular disorders especially involving the vertebrobasilar territory, cardiocirculatory diseases, neurovascular compression of the eighth nerve, and vasculitis are vascular causes of vertigo syndromes.     

scholarly journals Normocalcemic primary hyperparathyroidism: a survey in a small village of Southern Italy

2015 ◽  
Vol 4 (3) ◽  
pp. 172-178 ◽  
Author(s):  
E Vignali ◽  
F Cetani ◽  
S Chiavistelli ◽  
A Meola ◽  
F Saponaro ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Southern Italy ◽  
Adult Population ◽  
Bone Diseases ◽  
Inclusion Criteria ◽  
Metabolic Bone Diseases ◽  
Metabolic Bone ◽  
Common Causes ◽  
The Mean ◽  
Normal Albumin

We investigated the prevalence of normocalcemic primary hyperparathyroidism (NPHPT) in the adult population living in a village in Southern Italy. All residents in 2010 (n=2045) were invited by calls and 1046 individuals accepted to participate. Medical history, calcium intake, calcium, albumin, creatinine, parathyroid hormone (PTH) and 25OHD were evaluated. NPHPT was defined by normal albumin-adjusted serum calcium, elevated plasma PTH, and exclusion of common causes of secondary hyperparathyroidism (SHPT) (serum 25OHD <30 ng/ml, estimated glomerular filtration rate (eGFR) <60 ml/min per 1.73 m2 and thiazide diuretics use), overt gastrointestinal and metabolic bone diseases. Complete data were available for 685 of 1046 subjects. Twenty subjects did not meet the inclusion criteria and 341 could not be evaluated because of thawing of plasma samples. Classical PHPT was diagnosed in four women (0.58%). For diagnosing NPHPT the upper normal limit of PTH was established in the sample of the population (n=100) who had 25OHD ≥30 ng/ml and eGFR ≥60 ml/min per 1.73 m2 and was set at the mean+3s.d. Three males (0.44%) met the diagnostic criteria of NPHPT. These subjects were younger and with lower BMI than those with classical PHPT. Our data suggest, in line with previous studies, that NPHPT might be a distinct clinical entity, being either an early phenotype of asymptomatic PHPT or a distinct variant of it. However, we cannot exclude that NPHPT might also represent an early phase of non-classical SHPT, since other variables, in addition to those currently taken into account for the diagnosis of NPHPT, might cumulate in a normocalcemic subject to increase PTH secretion.

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