scholarly journals Outcome of infants with hydrocephalus findings on Intra-Uterine Ultrasound (USG) examination at Dr. Soetomo Hospital, Surabaya, Indonesia, in 2015-2017

2020 ◽  
Vol 27 (3) ◽  
pp. 133
Author(s):  
Lourin Nova ◽  
Mohammad Aldika Akbar ◽  
Agus Sulistyono ◽  
Wihasto Suryaningtyas ◽  
Prastiya Indra Gunawan
Keyword(s):  
Growth And Development ◽  
Ultrasound Examination ◽  
Normal Growth ◽  
Growth Conditions ◽  
Delivery Mode ◽  
Vp Shunt ◽  
Fetal Hydrocephalus ◽  
History Of ◽  
Termination Time

Objectives: to report the outcome of cases with hydrocephalus findings on intra-uterine ultrasound (USG) examinations which happened between January 2015 - December 2017 at Dr. Soetomo Hospital.Case Report: During the period of January 2015 - December 2017, 20 pregnant women were found who performed an ante natal examination and obtained the fetus with hydrocephalus on intra uterine ultrasound examination. At the time of delivery, out of a total of 20 cases, all babies were born alive, but only 12 babies performed shunting operations with VP Shunt. But at the time of follow up the condition of the baby when the search of this case, found only 7 cases with living conditions. This is probably due to non-routine post-action control to ensure shunt conditions and complications that can result from shunt or other conditions. As seen from the growth and development of 7 surviving children, all cases with normal growth conditions were established based on WHO growth curve and developmental obstacles in all cases with evaluation using DDST II.Conclusion: Ultrasound examination is useful for determining the fetal prognosis, but for fetoscopic examination and intra uterine operative action remains controversial. Similarly, to determine the exact termination time and delivery mode. Pre-natal counseling and examination is required in mothers with a history of fetal hydrocephalus in previous pregnancies. With routine control is expected better outcomes in fetal hydrocephalus.

Improved Student Learning of Infant Growth and Development

PEDIATRICS ◽  
1978 ◽  
Vol 62 (5) ◽  
pp. 775-777
Author(s):  
Paula L. Stillman ◽  
Jane S. Ruggill ◽  
Darrell Sabers
Keyword(s):  
Medical Students ◽  
Growth And Development ◽  
Traditional Instruction ◽  
Normal Growth ◽  
Normal Infant ◽  
Healthy Children ◽  
Longitudinal Development ◽  
Comparison Groups ◽  
Experimental Group

All physicians who care for children require a knowledge of normal growth and development in order to detect and interpret abnormalities. Yet traditional instruction tends to focus on the ill child and rarely provides students the opportunity to follow up the cases of healthy children over a prolonged period of time. A new course was developed that enabled students to observe the longitudinal development of a normal infant from birth to age 16 months. At the completion of the course, a multiple-choice examination covering developmental concepts from birth to age 6 years was administered to the students who participated in this course (experimental group) and to two comparison Groups. The experimental group scored substantially higher than both comparison groups on items covering birth to age 18 months. The program offers an opportunity for medical students to observe the longitudinal development of a normal infant and appears complementary to other instructional methods.

History of interceptive orthodontics

2021 ◽  
Vol 14 (3) ◽  
pp. 163-167
Author(s):  
Alan Tsipkis ◽  
Joseph Noar
Keyword(s):  
Growth And Development ◽  
Orthodontic Treatment ◽  
American Association ◽  
Normal Growth ◽  
Paediatric Population ◽  
Mixed Dentition ◽  
Psychological Wellbeing ◽  
Interceptive Orthodontics ◽  
History Of ◽  
Made In

Interceptive orthodontics refers to all interventions and treatments that can be performed during the primary or mixed dentition with the aim of eliminating or minimizing dento-alveolar and skeletal disharmonies that can interfere with the normal growth and development of occlusion, function, aesthetics and the psychological wellbeing of children. The main purpose of interceptive orthodontics is to prepare an environment that will not interfere with the occlusal development in order to reduce the future need for prolonged complex mechanical orthodontic treatment. According to the American Association of Orthodontics the most suitable age for screening the paediatric population for interceptive intervention is 7 years of age. CPD/Clinical Relevance: To review the progress made in the field of interceptive orthodontics and discuss the current principles of early orthodontic intervention.

scholarly journals Primary Extra-Osseous Ewing Sarcoma of the Thyroid: A Case Report and Review of the Literature

2021 ◽  
Author(s):  
Amanda H. Seipel ◽  
Hiba Mechahougui ◽  
Nicolas Mach ◽  
Frédéric Triponez ◽  
William C. Faquin ◽  
...  
Keyword(s):  
Ewing Sarcoma ◽  
Ultrasound Examination ◽  
Fusion Transcript ◽  
Differentiated Thyroid Carcinoma ◽  
Surgical Specimen ◽  
Pet Ct ◽  
History Of ◽  
Poorly Differentiated ◽  
Pet Ct Scan

AbstractExtra-osseous Ewing sarcoma (ES) is a rare and aggressive malignant tumor found in a variety of organs. Primary ES of the thyroid is exceedingly rare and few cases have been documented to date. We describe the case of a 54-year old woman with a history of breast carcinoma in whom a unique hypermetabolic left thyroid nodule was identified during a follow-up PET-CT scan. An ultrasound examination showed a hypoechogenic nodule of 3.7 cm. A cytological diagnosis of poorly differentiated thyroid carcinoma was made, and a total thyroidectomy was performed. The surgical specimen revealed a poorly differentiated neoplasm composed of medium-sized cells with scant cytoplasm, expressing pancytokeratin, CD99 and NKX2.2 but lacking p63 and p40 expression. Molecular analysis revealed a EWSR1-FLI1 fusion transcript supporting the diagnosis of a primary extra-osseous ES of the thyroid. The patient received adjuvant chemotherapy and has no evidence of recurrent disease.

scholarly journals Does Solfinacin solve the urgency symptoms in postpartum women ?

2021 ◽  
Vol 23 (06) ◽  
pp. 375-394
Author(s):  
Dr. Anwar Khazal Jafar ◽  
◽  
Elaf Mahmood Shihab ◽  
Dr. Lewaa Arkan Jabar ◽  
Dr. Inas Taha Ahmed ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Significant Decline ◽  
Postpartum Women ◽  
Delivery Mode ◽  
Childbearing Age ◽  
Before And After ◽  
Urgency Symptoms ◽  
History Of ◽  
The Mean

Background: It is widely accepted that antimuscarinics are considered first-line treatment for patients with overactive bladder (OAB). However, the mechanism by which antimuscarinics improve the symptoms of OAB remains to be fully elucidated. Patients and methods: This study is a clinical prospective follow-up study carried out in the Consultancy Clinic of Al-Elwiya Maternity Teaching Hospital in Baghdad-Iraq. duration(November, 2019-April, 2020). inclusion criteria were adult postpartum women at childbearing age with symptoms of the overactive bladder treated by a Gynecologist with Solifenacin tablets. Results: a current study showed 34% of them were in the age group 20-29 years. The mean parity history of women with OAB was (3); 32% of them had a parity history of 1-3 para and 68% of them had a parity history of 4-6 para. delivery mode for 84% of women with OAB was a vaginal delivery, as well as 36% of women with OAB, had ≤7 times urinations a day, as well as a significant decline in score 2 observed after treatment with Solifenacin (p=0.01). No significant differences were observed in score 3 before and after Solifenacin treatment (p=0.06). A significant decline in score 4 was observed after treatment with Solifenacin (p=0.001). No significant differences were observed in women with OAB before and after Solifenacin treatment, soa highly significant increase in control of urination after treatment (p<0.001). Conclusion: solifenacin drug is effective in the reduction of overactive bladder syndrome score three months after treatment.

Natural history of helicobacter pylori infection from infancy to adulthood: A 21-year follow-up cohort study

2001 ◽  
Vol 120 (5) ◽  
pp. A128-A128 ◽  
Author(s):  
H MALATY ◽  
D GRAHAM ◽  
A ELKASABANY ◽  
S REDDY ◽  
S SRINIVASAN ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Cohort Study ◽  
Natural History ◽  
Helicobacter Pylori Infection ◽  
History Of

Treatment of varicose tributaries with sclerotherapy with polidocanol 0.5 % foam

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Reich-Schupke ◽  
Weyer ◽  
Altmeyer ◽  
Stücker
Keyword(s):  
Scientific Evidence ◽  
Daily Practice ◽  
Severe Adverse Effect ◽  
Safe Procedure ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
History Of ◽  
One Year ◽  
Additional Therapy

Background: Although foam sclerotherapy of varicose tributaries is common in daily practice, scientific evidence for the optimal sclerosant-concentration and session-frequency is still low. This study aimed to increase the knowledge on foam sclerotherapy of varicose tributaries and to evaluate the efficacy and safety of foam sclerotherapy with 0.5 % polidocanol in tributaries with 3-6 mm in diameter. Patients and methods: Analysis of 110 legs in 76 patients. Injections were given every second or third day. A maximum of 1 injection / leg and a volume of 2ml / injection were administered per session. Controls were performed approximately 6 months and 12 months after the start of therapy. Results: 110 legs (CEAP C2-C4) were followed up for a period of 14.2 ± 4.2 months. Reflux was eliminated after 3.4 ± 2.7 injections per leg. Insufficient tributaries were detected in 23.2 % after 6.2 ± 0.9 months and in 48.2 % after 14.2 ± 4.2 months, respectively. Only 30.9 % (34 / 110) of the legs required additional therapy. In 6.4 % vein surgery was performed, in 24.5 % similar sclerotherapy was repeated. Significantly fewer sclerotherapy-sessions were required compared to the initial treatment (mean: 2.3 ± 1.4, p = 0.0054). During the whole study period thrombophlebitis (8.2 %), hyperpigmentation (14.5 %), induration in the treated region (9.1 %), pain in the treated leg (7.3 %) and migraine (0.9 %) occurred. One patient with a history of thrombosis developed thrombosis of a muscle vein (0.9 %). After one year there were just hyperpigmentation (8.2 %) and induration (1.8 %) left. No severe adverse effect occurred. Conclusions: Foam sclerotherapy with injections of 0.5 % polidocanol every 2nd or 3rd day, is a safe procedure for varicose tributaries. The evaluation of efficacy is difficult, as it can hardly be said whether the detected tributaries in the controls are recurrent veins or have recently developed in the follow-up period. The low number of retreated legs indicates a high efficacy and satisfaction of the patients.

Modulation of carotid strain by statin therapy in atherosclerosis patients

VASA ◽  
2017 ◽  
Vol 46 (2) ◽  
pp. 108-115 ◽  
Author(s):  
Christian Alexander Schaefer ◽  
Anna Katharina Blatzheim ◽  
Sebastian Gorgonius Passon ◽  
Kristin Solveig Pausewang ◽  
Nadjib Schahab ◽  
...  
Keyword(s):  
Statin Therapy ◽  
Pulse Wave ◽  
Ultrasound Examination ◽  
Ankle Brachial Index ◽  
Radial Strain ◽  
Strain Analysis ◽  
Duplex Ultrasound ◽  
Strain Imaging ◽  
The Common

Abstract. Background: The beneficial effect of statin therapy on the progress of atherosclerotic disease has been demonstrated by numerous studies. Vascular strain imaging is an arising method to evaluate arterial stiffness. Our study examined whether an influence of statin therapy on the vessel wall could be detected by vascular strain imaging. Patients and methods: 88 patients with recently detected atherosclerosis underwent an angiological examination including ankle-brachial index (ABI), pulse wave index (PWI), central puls ewave velocity and duplex ultrasound. Captures for vascular strain analysis were taken in B-mode during ultrasound examination of the common carotid artery and evaluated using a workstation equipped with a speckle tracking based software. A statin therapy was recommended and after six months a follow-up examination took place. Meanwhile, the non-adherence of a group of patients (N = 18) lead to a possibility to observe statin effects on the vascular strain. Results: In the statin non-adherent group the ABI decreased significantly to a still non-pathological level (1.2 ± 0.2 vs. 1.0 ± 0.2; p = 0.016) whereas it stagnated in the adherent group (1.0 ± 0.2 vs. 1.0 ± 0.2; p = 0.383). The PWI did not differ in the non-adherent group (180.5 ± 71.9 vs. 164.4 ± 75.8; p = 0.436) but under statin therapy it decreased significantly (261.8 ± 238.6 vs. 196.4 ± 137.4; p = 0.016). In comparison to the adherent group (4.2 ± 2.0 vs. 4.0 ± 1.8; p = 0.548) under statin therapy the radial strain decreased significantly in the non-adherent group (4.7 ± 2.0 vs. 3.3 ± 1.1; p = 0.014). Conclusions: Our findings reveal a beneficial influence of statin therapy on the arterial wall detected by vascular strain analysis.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

The role of ultrasound examination in early detection and follow-up of arterio-portal shunts

2008 ◽  
Vol 29 (S 1) ◽  
Author(s):  
S Ioanitescu ◽  
L Micu ◽  
A Rampoldi ◽  
N Masala ◽  
V Marcu ◽  
...  
Keyword(s):  
Early Detection ◽  
Ultrasound Examination

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

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