scholarly journals Shoulder Involvement in Daily Practice – Ultrasonographic Approach

2021 ◽  
Vol 18 (4) ◽  
pp. 7-19
Author(s):  
Beatrice Andreea Chisălau ◽  
Andreea Lili Bărbulescu ◽  
Cristina Dorina Pârvanescu ◽  
Sineta Cristina Firulescu ◽  
Horaţiu Valeriu Popoviciu ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Clinical Symptoms ◽  
Life Quality ◽  
Daily Practice ◽  
Accurate Diagnosis ◽  
The Past ◽  
Ultrasound Evaluation ◽  
Rotator Cuff Lesions ◽  
Associated Risk Factors ◽  
Concurrent Disease

Abstract Shoulder involvement is one of the most frequent findings in rheumatology and many of the rheumatic diseases can determine inflammatory lesions, as well as degenerative ones. Due to the non-specificity of clinical symptoms, imaging methods are emerging into the daily practice in order to establish an accurate diagnosis. Objectives. The aim of the study was to determine the presence of different pathologic changes in patients with shoulder pain, depending on the concurrent disease and associated risk factors. Material and methods. We included in our retrospective study 40 consecutive patients that presented with shoulder pain, during the past 6 months, in the Department of Rheumatology. All those patients underwent ultrasound evaluation according to EULAR Guidelines for musculoskeletal Ultrasound in Rheumatology. Results. Rotator cuff lesions, which most commonly underlie non traumatic pain in adults, were detected with frequencies similar to the ones described by the literature. It seems that comorbidities, as the presence of diabetes, may influence tendon degeneration or rupture. Conclusions. Although it included a relatively low number of subjects, our paper reveals data similar to the ones previously published and underlines the necessity of applying an algorithm for managing shoulder pathology, that should mandatory include ultrasonography examination, in order to obtain an accurate diagnosis and individualize each patient's therapeutic approach and improve their life quality.

Scrub typhus (Orientia tsutsugamushi), A rapidly spreading epidemic in Chennai - A standalone lab experience

2016 ◽  
Vol 5 (09) ◽  
pp. 4896
Author(s):  
Sripriya C.S.* ◽  
Shanthi B. ◽  
Arockia Doss S. ◽  
Antonie Raj I. ◽  
Mohana Priya
Keyword(s):  
Scrub Typhus ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Febrile Illness ◽  
Orientia Tsutsugamushi ◽  
The Past ◽  
Igm Elisa ◽  
The Mean ◽  
Specific Symptoms ◽  
Symptoms And Signs

Scrub typhus (Orientia tsutsugamushi), is a strict intracellular bacterium which is reported to be a recent threat to parts of southern India. There is re-emergence of scrub typhus during the past few years in Chennai. Scrub typhus is an acute febrile illness which generally causes non-specific symptoms and signs. The clinical manifestations of this disease range from sub-clinical disease to organ failure to fatal disease. This study documents our laboratory experience in diagnosis of scrub typhus in patients with fever and suspected clinical symptoms of scrub typhus infection for a period of two years from April 2014 to April 2016 using immunochromatography and IgM ELISA methods. The study was conducted on 648 patients out of whom 188 patients were found to be positive for scrub typhus. Results also showed that pediatric (0 -12 years) and young adults (20 – 39 years) were more exposed to scrub typhus infection and female patients were more infected compared to male. The study also showed that the rate of infection was higher between September to February which also suggested that the infection rate is proportional to the climatic condition. Statistical analysis showed that the mean age of the patients in this study was 37.6, standard deviation was 18.97, CV % was 50.45. 

Mixed Infection of Tick-borne Haemo-parasites in Water Buffalo and Associated Pathological Responses and Treatment

2021 ◽  
Author(s):  
Pankaj Kumar ◽  
Prabhas Kumar ◽  
Rama Krishna Roy ◽  
Rashmi Rekha Kumari ◽  
Abhay Kumar ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Clinical Symptoms ◽  
Water Buffaloes ◽  
High Prevalence ◽  
Tick Borne Disease ◽  
Associated Risk Factors ◽  
Good Productivity ◽  
And Oxidative Stress ◽  
Production Losses

Background: Water buffaloes are important milch species of tropical and subtropical countries. In general, they are considered to more resistant to diseases compared to crossbred cattle. However, a recent problem of tick-borne diseases in the water buffaloes by the field veterinarians and farmers causing production losses was observed. The study was conducted to explore the spectrum of tick-borne diseases (TBDs) infections in buffaloes and analyze the associated risk factors. Methods: Acute-phase response, cytokine and oxidative stress in infected buffaloes with TBDs were evaluated and compared with the negative buffaloes (control) to elucidate their role in pathogenesis and outcome of infection. The study was undertaken in 107 tick-infested water buffaloes. The conventional Giemsa stained blood smear (GSBS) based confirmation and classification of infection of haemo-parasites were made. The statistical model was used to understand their relevance with TBDs. Conclusion: Tick-borne disease in water buffaloes must be looked upon seriously to maintain good productivity. The buffaloes are often accompanied by low and un-yielding clinical symptoms due to associated co-infections of haemo-parasites. Our study showed that the buffaloes had a high prevalence (47.66%) of haemo-parasites transmitted by the ticks associated with co-infections and a low level of parasitemia. Most buffaloes responded symptomatically with the different modalities administered. Production parameter was not restored post 15 days of treatment. Oxidative stress is one of the important mechanisms of production losses in infected buffaloes.

scholarly journals Dorsal Root Ganglion Morphometric Changes Under Oxaliplatin Treatment

2021 ◽  
Author(s):  
Leonidas Apostolidis ◽  
Lars Kowalscheck ◽  
Tim Frederik Weber ◽  
Tim Godel ◽  
Martin Bendszus ◽  
...  
Keyword(s):  
Strong Correlation ◽  
Dorsal Root ◽  
Clinical Symptoms ◽  
Daily Practice ◽  
Ct Scans ◽  
Longitudinal Assessment ◽  
Nonsignificant Trend ◽  
Volume Changes ◽  
Magnetic Resonance Neurography ◽  
Oxaliplatin Treatment

Abstract Purpose Magnetic resonance neurography (MRN) can detect dorsal root ganglia (DRG) hypertrophy in patients with oxaliplatin-induced peripheral neuropathy (OXIPN) but is difficult to apply in clinical daily practice. Aims of this study were (i) to assess whether DRG volume is reliably measurable by routine computed tomography (CT) scans, (ii) to measure longitudinal changes in DRG during and after oxaliplatin administration and (iii) to assess correlation between DRG morphometry and individual oxaliplatin dose. Methods For comparison of MRN and CT measurements, CT scans of 18 patients from a previous MRN study were analyzed. For longitudinal assessment of DRG size under treatment, 96 patients treated with oxaliplatin between January and December 2014 were enrolled retrospectively. DRG volumetry was performed by analyzing routine CT scans, starting with the last scan before oxaliplatin exposure (t0) and up to four consecutive timepoints after initiation of oxaliplatin therapy (t1–t4) with the following median and ranges in months: 3.1 (0.4–4.9), 6.2 (5.3–7.8), 10.4 (8.2–11.9), and 18.4 (12.8–49.8). Results DRG volume measured in CT showed a moderately strong correlation with MRN (r = 0.51, p < 0.001) and a strong correlation between two consecutive CTs (r = 0.77, p < 0.001). DRG volume increased after oxaliplatin administration with a maximum at timepoint t2. Higher cumulative oxaliplatin exposure was associated with significantly higher absolute DRG volumes (p = 0.005). Treatment discontinuation was associated with a nonsignificant trend towards lower relative DRG volume changes (p = 0.08). Conclusion CT is a reliable method for continuous DRG morphometry; however, since no standardized assessment of OXIPN was performed in this retrospective study, correlations between DRG size, cumulative oxaliplatin dose and clinical symptoms in future prospective studies are needed to establish DRG size as a potential OXIPN biomarker.

scholarly journals Fatherhood in Men Who Underwent Bariatric Surgery in Campina Grande Paraíba, Brazil

2021 ◽  
Vol 2 (4) ◽  
pp. 01-02
Author(s):  
Carlos Teixeira Brandt ◽  
Camilla Ribeiro Lima de Farias ◽  
Kalyanne Mayara Luna Alves
Keyword(s):  
Bariatric Surgery ◽  
Surgical Procedures ◽  
Sexual Functioning ◽  
Scientific Literature ◽  
Sperm Quality ◽  
Life Quality ◽  
Total Sample ◽  
The Past ◽  
Normal Offspring ◽  
Post Bariatric Surgery

Sexual functioning is an important, yet often overlooked, aspect of life quality for many individuals with obesity, especially regarding to man. Fertility and sperm quality are even less explored in the scientific literature. To the best of our knowledge, there is no report of man being a father after bariatric surgery. Here, we report a four men recruited from a prospective cohort of individuals, from both gender, who underwent bariatric surgery in the past three years. The total sample was 192 (146 women – 76.0% and 46 men – 24.0%). From the 46 men, 4 (8.7%) became father of six normal offspring. The ages of the men were respectively: 34; 38; 41; and 43 years of age. These patients were married. The post bariatric surgery pregnancies, from the samespouses before surgical procedures, were without any abnormalities and the newborns presented no congenital anomalies. These individuals referred increased sexual desire after surgery and improvement of erectile function. This case seriesreported highlights the contribution of bariatric surgery in the sexuality, fertility and fatherhood of obese man.

Diagnosis of pulmonary hypertension associated whith systemic sclerosis

2020 ◽  
Vol 5-6 (215-216) ◽  
pp. 15-23
Author(s):  
Nazym Junusbayeva ◽  
◽  
Bakytsholpan Issayeva ◽  
Keyword(s):  
Pulmonary Hypertension ◽  
Systemic Sclerosis ◽  
Clinical Symptoms ◽  
Survival Rates ◽  
Early Death ◽  
Daily Practice ◽  
Right Heart Catheterization ◽  
Heart Catheterization ◽  
Right Heart ◽  
The Right

Systemic sclerosis is the most common autoimmune disease associated with pulmonary hypertension. Pulmonary hypertension is a potential predictor of early death, and therefore, recently, interest in a comprehensive study of the diagnosis of pulmonary hypertension associated with systemic sclerosis has been increasing among researchers. Aim. Consideration of current diagnostic issues, as well as the principles of using diagnostic algorithms to verify pulmonary hypertension associated with systemic sclerosis, applied in daily clinical practice. Material and methods. In order to study the literature data, a search was carried out for information on this problem up to 10 years in depth in the Web of Science, PubMed/MEDLINE. During the search, the following terms were used individually and in combination: "systemic sclerosis", "pulmonary hypertension", "DETECT algorithm", "catheterization of the right heart chambers". The main search criteria were studies based on the study of patients with pulmonary hypertension associated with systemic sclerosis: meta-analyzes, original studies, retrospective and cohort studies. Results and discussion. The clinical symptoms of pulmonary hypertension can be nonspecific, which greatly complicates the diagnosis of the disease in the early stages. The absence of a specific clinical picture before the development of an advanced stage of pulmonary hypertension leads to late verification of the diagnosis. Key algorithms used in the daily practice of a doctor make it possible to minimize the number of undiagnosed cases of pulmonary hypertension. Conclusions. Diagnosis of PH associated with systemic sclerosis is often challenging for clinicians to practice. Early diagnosis and therefore treatment of PH are of paramount importance as they improve survival rates in patients with systemic sclerosis. Keywords: systemic sclerosis, pulmonary hypertension, screening, DETECT algorithm, right heart catheterization.

The Diagnosis and Prognosis of Upper Gastrointestinal Haemorrhage

1980 ◽  
Vol 66 (1) ◽  
pp. 11-14
Author(s):  
R.H. Hunt
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Accurate Diagnosis ◽  
Upper Gastrointestinal Endoscopy ◽  
The Past ◽  
Diagnosis And Prognosis ◽  
Upper Gastrointestinal ◽  
Overall Mortality

AbstractThere have been major advances in the diagnosis and management of upper gastrointestinal bleeding over the past two decades but the overall mortality figure remains about 10 per cent. This paper reviews the place of upper gastrointestinal endoscopy in diagnosis and discusses the argument that this form of earlier, more accurate diagnosis has had no influence on the outcome of the condition.

scholarly journals Maxillary Sinus Pneumocele Presenting as Aesthetic Deformity: A Case Report With Literature Review

2019 ◽  
Vol 99 (6) ◽  
pp. 397-401
Author(s):  
Hyun Sang Cho ◽  
Seok Jung Hong ◽  
Hyun Kyu Chae ◽  
Kyung Soo Kim
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Surgical Approach ◽  
Clinical Symptoms ◽  
Interesting Case ◽  
Operation Technique ◽  
Comprehensive Review ◽  
The Past ◽  
Standard Operation ◽  
Eye Symptoms

We report an interesting case of maxillary sinus pneumocele that presented with aesthetic deformity and completely treated with Caldwell-Luc approach and thoroughly review all of the past literature focusing on clinical symptoms and surgical approach. Based on our comprehensive review of maxillary sinus pneumocele, we found 2 important characteristics. First, maxillary sinus pneumocele may be asymptomatic but cause various symptoms owing to the displacement of neighboring structures, such as facial symptoms, eye symptoms, and nasal obstruction. Second, there is no standard operation technique for maxillary sinus pneumocele, but surgical approach should be individualized depending on patient’s symptoms and needs. Therefore, more case studies are needed to confirm this.

The Use of the Millon Clinical Multiaxial Inventory in the Evaluation of Seminary Students

1987 ◽  
Vol 15 (3) ◽  
pp. 227-233 ◽  
Author(s):  
Harry L. Piersma
Keyword(s):  
Psychological Functioning ◽  
Clinical Symptoms ◽  
Personality Characteristics ◽  
First Year ◽  
Theological Seminary ◽  
Seminary Students ◽  
The Past ◽  
Millon Clinical Multiaxial Inventory ◽  
Grand Rapids

During the past several decades, many studies have examined the emotional and psychological functioning of clergy and seminarians. In most instances, researchers employed separate measures to study general personality characteristics as contrasted with psychopathologic factors. In this study, the Millon Clinical Multiaxial Inventory (MCMI) was administered to 52 first-year male seminarians at Calvin Theological Seminary in Grand Rapids, Michigan. The MCMI is designed to measure relatively fixed personality characteristics in addition to more psychopathologic factors. As expected, seminarians evidenced little psychopathology on scales designed to assess clinical symptoms. On the basic personality scales, results indicated that the typical seminarian profile would be most consistent with the “conforming” personality described by Millon (1981). Suggestions for further research are discussed.

Personality Disorder in Perspective

1991 ◽  
Vol 159 (4) ◽  
pp. 463-471 ◽  
Author(s):  
Peter Tyrer ◽  
Patricia Casey ◽  
Brian Ferguson
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Mental State ◽  
Clinical Symptoms ◽  
Psychiatric Practice ◽  
The Past

Personality disorders have for many years been on the fringe of psychiatry, with considerable doubts expressed about the usefulness, implications and validity of the concept. It is argued here that developments in the past few years have brought personality disorders into the mainstream of psychiatric practice. In particular, the recognition that personality function can be separated usefully from clinical symptoms, and that both mental state and personality can be disordered simultaneously, has led to better assessment and understanding. Advances in the classification, epidemiology, treatment and prognosis of personality disorders show that these conditions are common, extensive in their pathology, and cause much suffering. They cannot be ignored or dismissed as peripheral to psychiatry for they are an essential part of good psychiatric practice.

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