scholarly journals Case Report: A Primary Right Ventricular Vascular Malformation Presenting as a Mass

2021 ◽  
Vol 8 ◽  
Author(s):  
Hongduan Liu ◽  
Xin Li ◽  
Cuiwei Zhang ◽  
Chengming Fan ◽  
Liming Liu ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Vascular Malformation ◽  
Interventricular Septum ◽  
Median Sternotomy ◽  
Current Case ◽  
Medical Checkup ◽  
Low Incidence

Primary right ventricular vascular malformation is a rare primary benign anomaly in heart in nature. Due to the extremely low incidence and the progress on the classification of vascular malformation, a few cases were reported in the literatures. In the current case study, a 55-year-old women presented with a cardiac mass that was identified in right ventricle during a routine medical checkup. Magnetic resonance imaging demonstrated a well-circumscribed mass attached to the interventricular septum. Median sternotomy for the surgical resection of the mass and a cardiopulmonary bypass were performed. The intraoperative transesophageal echocardiogram showed that the mass had been successfully removed. The patient recovered well and was discharged from hospital 9 days after the surgery. The pathological diagnosis was primary cardiac arteriovenous malformation. No mass recurrence was shown by echocardiography during the 13 months' follow-up.

scholarly journals A Case Study of Trichotillomania With Social Phobia: Treatment and 4-Year Follow-up Using Cognitive–Behaviour Therapy

2007 ◽  
Vol 24 (4) ◽  
pp. 231-243
Author(s):  
Zhila Javidi ◽  
Malcolm Battersby ◽  
Angus Forbes
Keyword(s):  
Social Phobia ◽  
Positive Impact ◽  
Exposure And Response Prevention ◽  
Behaviour Therapy ◽  
Improved Outcomes ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

AbstractThis article describes a case study that demonstrates an innovative combination of predominantly behavioural techniques in the treatment of trichotillomania (TTM) preceded by social phobia. Outcomes are reported to 4-year follow-up. A master's qualified cognitive–behavioural nurse therapist administered the course of treatment over 1 year and followed the client for 4 years. A combination of exposure and response prevention, habit reversal and serial photography for TTM urges, exposure for social phobia, cognitive restructuring and problem solving were utilised. These treatments were provided sequentially and concurrently. Pre and posttreatment and repeated outcome measures were applied in three domains. The client received a total of 23 treatment sessions over 1 year and follow-up over 4 years. During treatment, discharge and follow-up improved outcomes in TTM and social phobia were achieved and maintained at 4 years. Benefits accrued beyond the presenting conditions to have a major positive impact on the client's life. Theoretical implications for the classification of TTM are discussed.

“Am I Becoming a Serial Killer?” A Case Study of Cognitive Behavioral Therapy for Mental Illness Anxiety

2015 ◽  
Vol 44 (3) ◽  
pp. 374-379 ◽  
Author(s):  
Bethany L. Gelinas ◽  
Heather Hadjistavropoulos
Keyword(s):  
Mental Illness ◽  
Health Anxiety ◽  
Assessment Tools ◽  
Cognitive Behavioral ◽  
Serial Killer ◽  
Current Case ◽  
Behavioral Techniques ◽  
Illness Anxiety

Background: Although mental illness anxiety is described in the literature, there is very little information on which to draw when treating individuals who present with fears and worries about mental health. In fact, we identified no previous case descriptions focused on this form of anxiety and treated from a cognitive behavioral perspective. Aims: The current case study aims to advance the understanding of the clinical picture of mental illness anxiety, and facilitate the understanding of how cognitive behavioral techniques for health anxiety can be effectively adapted and implemented for such a case. Method: A case study approach was adopted in which a baseline condition and repeated assessments were conducted during an 8-week treatment and 2-month follow-up period. In the current case study, we discuss the assessment, conceptualization, and cognitive behavioral treatment of a 24-year old woman who presented with mental illness anxiety. Several common health anxiety assessment tools and cognitive behavioural techniques were adapted for her particular clinical presentation. Results: Consistent with research evidence for health anxiety, significant improvements in health anxiety and anxiety sensitivity were seen after eight sessions of therapy and maintained at 2-month follow-up. Conclusions: The results provide preliminary evidence that cognitive behavioral techniques for health anxiety can be effectively and efficiently adapted for mental illness anxiety. However, the lack of available research pertaining to mental illness anxiety contributes to challenges in conceptualization, assessment and treatment.

scholarly journals 108 Uncommon cardiac fatty distribution: a case report

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
B Redondo Bermejo ◽  
M M De La Torre Carpente ◽  
J C Munoz San Jose ◽  
T Escudero Caro ◽  
M Acuna Lorenzo ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Rare Case ◽  
Interventricular Septum ◽  
Fatty Infiltration ◽  
Left Ventricular ◽  
Pericardial Fat ◽  
Cardiac Apex ◽  
The Right

Abstract Background Fatty masses of the heart are relatively uncommon. This report is about a rare case of extensive fat infiltration along the apical interventricular septum that causes separation of the right ventricular apex from left ventricular apex, simulating a bifid cardiac apex. Case summary The patient was a 58-year-old female who was admitted to the hospital because of palpitations and chest pain. A trasnsthoracic echocardiogram was performed and it showed a thickenned anterior pericardium so a cardiovascular magnetic resonance (CMR) was performed. CMR revealed a large amount of epicardial and pericardial fat without adipose tissue inside the right ventricle wall. In the cardiac apex this fat seemed a lipoma however CMR demonstrated the fat was not capsulated and besides, it extended, as if it were an infiltrative disorder, in the cardiac apex between both ventricles. Patient was discharged with an implantable loop recorder (ILR) in order to ruled out ventricular arrhythmia. During a two year follow-up, ILR has shown several symptomatic supraventricular paroxysmal tachycardia episodes and no other arrhythmic events have been reported. Also, the CMR has been repeated and it has shown similar results. Discussion Fatty masses of the heart are relatively uncommon. Among those masses are included cardiac lipomas, lipomatous infiltration of the right ventricle, arrhythmogenic right ventricular dysplasia (ARVD) and lipomatous hypertrophy of the interatrial septum. The findings in the CMR of our patient do not fulfill the criteria of the aforementioned disorders. Our patient shows a pattern of unusual fatty infiltration pattern of unclear etiology. The prognostic value of this type of heart disease is unknown. In our patient, although the follow-up has not been very long, it does not seem to have had any relevant consequences, so far. Conclusion This is a rare case of a patient with a large amount of epicardial and pericardial fat that seems to infiltrate between both ventricular apex, as a bifid cardiac apex. It is apparently asymptomatic. Abstract 108 Figure. CMR-Cardiac-fatty_EECHO-2019

Transdiagnostic Cognitive Behavioral Therapy for the Treatment of Emotional Disorders: A Group Case Study

2018 ◽  
Vol 17 (6) ◽  
pp. 387-405 ◽  
Author(s):  
Kelly R. Harris ◽  
Peter J. Norton
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Emotional Disorders ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Current Case ◽  
Face To Face ◽  
The Impact ◽  
Quantitative Case Study

A recent shift in the conceptualization of both depressive and anxiety disorders supports the notion that these disorders may best fall under a single classification of “emotional disorders.” This understanding has resulted in the development of various transdiagnostic cognitive behavioral therapy (tCBT) protocols to address underlying core pathology shared by emotional disorders. While there is evidence to suggest tCBT is effective in reducing co-occurring depression, research into the efficacy of face-to-face tCBT has generally focused on the delivery of tCBT to individuals with predominantly anxiety diagnoses. The current case study aims to expand the research by examining the impact of group tCBT for individuals with a principal depressive diagnosis. A session-by-session explanation of a 12-week group tCBT protocol designed to treat a heterogeneous group of individuals diagnosed with an emotional disorder is provided in detail and accompanied by a quantitative case study of a recently delivered treatment group. The case study demonstrates the feasibility and pragmatic application of the group tCBT treatment approach. Data presented support the continued research of transdiagnostic interventions for the treatment of emotional disorders and justify future randomized controlled trials to further evaluate the presented intervention.

Decellularized Allografts for Right Ventricular Outflow Tract Reconstruction in Children

2017 ◽  
Vol 8 (5) ◽  
pp. 605-612 ◽  
Author(s):  
Francisco Diniz Affonso da Costa ◽  
Jonathan R. G. Etnel ◽  
Renato Torres ◽  
Eduardo M. Balbi Filho ◽  
Rafael Torres ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Ct Scans ◽  
Structural Valve Deterioration ◽  
Common Operation ◽  
Low Incidence ◽  
Severe Degree

Objective: Determine the midterm outcomes of decellularized allografts for right ventricular outflow tract (RVOT) reconstruction in children less than 12 years of age. Methods: The study included all consecutive patients submitted to RVOT reconstruction with decellularized allografts between June 2006 and June 2016. Besides clinical and echocardiographic control, 20 patients with more than five years of follow-up were evaluated with computed tomography (CT) scans to determine allograft diameters and calcium scores. Structural valve deterioration was defined as any peak gradient above 40 mm Hg and/or insufficiency of moderate or severe degree. Conduit failure was defined as the need for allograft reintervention. Results: There were 59 patients with a median age of six years (range = 0.01-12 years). The most common operation was the Ross procedure (34%). Mean clinical follow-up was 5.4 (2.8) years and was 94% complete. At eight years, only two patients needed a reintervention, with a 90.9% freedom from this event. Structural valve deterioration occurred in 13 patients, 5 due to stenosis and 8 due to insufficiency, with a freedom from structural valve deterioration due to any cause of 64.9% at eight years. Late CT scans demonstrated the absence or minimal calcification of the conduits. Conclusions: Decellularized allografts for RVOT reconstruction in children were associated with a low incidence of structural valve deterioration and conduit failure. Although these results still need to be confirmed in larger series and with longer follow-up, our data suggest favorable outcomes, at least in the first decade after the operation.

Behavior-Analytic Treatment Progression for a Child With Tube Dependence: Reaching Age-Typical Feeding

2020 ◽  
Vol 19 (6) ◽  
pp. 403-417
Author(s):  
Bethany A. Hansen ◽  
Ashley S. Andersen
Keyword(s):  
Interdisciplinary Collaboration ◽  
Day Treatment ◽  
Current Case ◽  
Analytic Treatment ◽  
Effective Interventions ◽  
Age Appropriate ◽  
Day Treatment Program ◽  
Behavior Analytic Treatment

The current case study outlines a behavior-analytic treatment progression for a child with a pediatric feeding disorder and tube dependence. The child participated in an intensive day-treatment program for 8 weeks where she transitioned from tube feedings to oral feedings. She successfully transitioned to a less intensive, telehealth outpatient model for follow-up care where she continued to progress to age-typical feeding. Following a systematic and gradual reduction in follow-up appointments, she consumed all meals of age-appropriate foods in both home and school environments. Another important contribution of the case study is that it demonstrated the importance of follow-up services that occur in the child’s natural environment while highlighting the utility of rubrics. With rubrics, caregivers effectively and efficiently progressed toward treatment goals independently. This case study also discusses the importance of ongoing interdisciplinary collaboration and the unique contributions of each team member in employing effective interventions while ensuring client safety.

scholarly journals Intensive Behavior Therapy for Tics and Co-Occurring ADHD: A Case Report

2020 ◽  
Author(s):  
Chelsea Dale ◽  
Marcela Ramos ◽  
Justin Parent
Keyword(s):  
Treatment Strategies ◽  
Health Impact ◽  
Adhd Symptoms ◽  
Current Case ◽  
End Of Treatment ◽  
Booster Sessions ◽  
Significant Public Health ◽  
Intensive Approach

TDs can substantially impact daily child functioning across social, familial, and academic domains leading to a significant public health impact of TDs. Additionally, an overwhelming majority of children with a TD have at least one co-occurring disorder. In particular, over 60% of children with a TD also meet criteria for ADHD. Comprehensive Behavioral Intervention for Tics (CBIT) is a first-line treatment for youth with TDs. It has been shown to be effective in reducing the frequency, duration, and severity of tics in children and adolescents. Nonetheless, access to trained CBIT providers remains limited, and common comorbid conditions are not addressed in the standard CBIT. Thus, there is a need for interventions that can simultaneously increase CBIT access and incorporate treatment strategies for TDs and common comorbidities. To address the critical need for increasing access to CBIT and simultaneously treating common comorbidities, the current case study presents and evaluates a two-week intensive approach to simultaneously address tic and ADHD symptoms in an 11-year-old male. The patient’s parents reported significant improvements in tic and ADHD symptoms following the end of treatment, which were maintained throughout two follow-up booster sessions Clinical implications and future directions to modify and improve the proposed treatment are discussed.

Experimental Setup and Case Study Example

2020 ◽  
pp. 168-180
Keyword(s):  
Real Time ◽  
Learning Process ◽  
Process Mining ◽  
Process Models ◽  
Experimental Setup ◽  
Main Components ◽  
The Individual

This chapter represents as a practical follow-up or implementation of the main components of the SPMaAF described in Chapter 5. In the experimental setup, the chapter demonstrates by using the case study of the learning process: the development and application of the semantic-based process mining. Essentially, the chapter looks at how the proposed semantic-based process mining and analysis framework (SPMaAF) is applied to answer real-time questions about any given process domain, as well as the classification of the individual process instances or elements that constitutes process models. This includes the semantic representations and modelling of the learning process in order to allow for an abstraction analysis of the resultant models. The chapter finalizes with a conceptual description of the resultant semantic fuzzy mining approach which is discussed in detail in the next chapter.

Combined Medical and Psychological Treatment of Postchemotherapy Nausea and Vomiting: A Case Study

1989 ◽  
Vol 65 (1) ◽  
pp. 187-193 ◽  
Author(s):  
Curtis D. Booraem ◽  
John V. Flowers ◽  
Jann Gumbiner
Keyword(s):  
Relaxation Training ◽  
Psychological Treatment ◽  
Treatment Protocol ◽  
Experimental Designs ◽  
Nausea And Vomiting ◽  
Treatment Control ◽  
Current Case ◽  
Innovative Potential

The current case study illustrates the innovative potential of combined medical and psychological treatment of postchemotherapy nausea and vomiting for cancer patients. A 58-yr.-old male patient diagnosed with leukemia and on a weekly cytosine arabinoside (Ara-C) treatment protocol, experienced violent vomiting episodes approximately 3 hr. after each injection. Emesis was so severe that the patient considered terminating treatment. Control was attempted with antiemetics (Compazine, Reglan), an antianxiety agent (Valium), an hypnotic (Dalmane), canabinol, hypnosis, and relaxation training without success. A re-examination of these strategies employing experimental rigor and data-responsive experimental designs indicated how success can be achieved without the necessity of new interventions. The patient experienced complete emetic relief and at 3-yr. follow-up remained symptom-free.

scholarly journals Cognitive-Behavioral Therapy for a 9-Year-Old Girl With Disruptive Mood Dysregulation Disorder

2016 ◽  
Vol 15 (6) ◽  
pp. 459-475 ◽  
Author(s):  
Megan E. Tudor ◽  
Karim Ibrahim ◽  
Emilie Bertschinger ◽  
Justyna Piasecka ◽  
Denis G. Sukhodolsky
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Clinical Presentation ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Current Case ◽  
Disruptive Mood Dysregulation Disorder ◽  
New Diagnosis ◽  
Mood Dysregulation

Disruptive mood dysregulation disorder (DMDD) is a relatively new diagnosis in the field of childhood onset disorders. Characterized by both behavior and mood disruption, DMDD is a purportedly unique clinical presentation with few relevant treatment studies to date. The current case study presents the application of cognitive-behavioral therapy (CBT) for anger and aggression in a 9-year-old girl with DMDD, co-occurring attention deficit hyperactivity disorder (ADHD), and a history of unspecified anxiety disorder. At the time of intake evaluation, she demonstrated three to four temper outbursts and two to three episodes of aggressive behavior per week, in addition to prolonged displays of non-episodic irritability lasting hours or days at a time. A total of 12 CBT sessions were conducted over 12 weeks and 5 follow-up booster sessions were completed over a subsequent 3-month period. Irritability-related material was specially designed to target the DMDD clinical presentation. Post-treatment and 3-month follow-up assessments, including independent evaluation, demonstrated significant decreases in the target symptoms of anger, aggression, and irritability. Although the complexities of diagnosing and treating DMDD warrant extensive research inquiry, the current case study suggests CBT for anger and aggression as a viable treatment for affected youth.

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