scholarly journals Case Report: Traumatic Stress and Developmental Regression: An Unintended Consequence of Complex Cardiac Care

2021 ◽  
Vol 9 ◽  
Author(s):  
Claire M. Dahl ◽  
Maria Kroupina ◽  
Sameh M. Said ◽  
Arif Somani
Keyword(s):  
Case Report ◽  
Traumatic Stress ◽  
Care Patient ◽  
Global Developmental Delay ◽  
Cardiac Care ◽  
Developmental Regression ◽  
Novel Approach ◽  
Trauma Informed

This brief case report outlines a novel approach to supporting the development of a pediatric complex cardiac care patient. Patient X is a 19-month old patient who spent 5.5 months in hospital and underwent multiple surgeries including heart transplantation. This case report explores the impacts of his condition and care on his development and family functioning within the framework of an integrated care model. This case report is uniquely complimented by outpatient neurodevelopmental follow up, dyadic trauma-informed intervention and use of telemedicine allowing for a deeper understanding of the family adaptation that provide novel insight into long-term trajectory beyond discharge. Throughout care Patient X met criteria for both a traumatic stress disorder and global developmental delay. This case study highlights the threat complex care poses to neurodevelopment, pediatric mental health and family dynamics as well as opportunities for intervention.

A novel approach to the management of acute tracheal tear

2008 ◽  
Vol 122 (12) ◽  
pp. 1392-1393 ◽  
Author(s):  
B Creagh-Brown ◽  
A Sheth ◽  
A Crerar-Gilbert ◽  
B P Madden
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Review Of The Literature ◽  
Stent Deployment ◽  
Tracheal Stent ◽  
Large Airway ◽  
Novel Approach ◽  
Tracheal Tear

AbstractObjective:We describe the emergency use of a covered, expandable, removable tracheal stent in a patient who developed a large posterior tracheal tear complicating endobronchial therapy for large airway obstruction.Method:Case report and review of the literature concerning management of acute tracheal tear.Results and conclusion:Our patient demonstrates that endotracheal stenting is an option for managing acute large airway tear. Moreover, the use of a removable stent allows not only for rapid closure of the defect but also removal once the defect has healed, thus avoiding long-term complications of stent deployment.

Electrocution injuries. A case report

1991 ◽  
Vol 81 (1) ◽  
pp. 39-41 ◽  
Author(s):  
JB Addante ◽  
M Chin ◽  
J Eto ◽  
RE Baker
Keyword(s):  
Case Report ◽  
High Voltage ◽  
Ischemic Necrosis ◽  
Exit Wound ◽  
Short Period ◽  
Electrical Source

A case study of a high-voltage injury was presented. The short period that the patient was in contact with the electrical source prevented further systemic injury and may have saved her life. The patient's present neuritis is indicative of long-term sequelae of electrocution injury, in which ischemic necrosis of the surrounding nerves can occur near or at the site of the exit wound.

scholarly journals A Systemic Approach to City Image Building. The Case of Katowice City

2019 ◽  
Vol 11 (16) ◽  
pp. 4470 ◽  
Author(s):  
Anna Adamus-Matuszyńska ◽  
Jerzy Michnik ◽  
Grzegorz Polok
Keyword(s):  
Real Life ◽  
City Image ◽  
City Development ◽  
Sustainable City ◽  
Causal Mapping ◽  
Novel Approach ◽  
Image Building ◽  
The City

Making long-term decisions and developing successful policy is always a challenge for a governing body. Within the framework of causal mapping, we evolved a model for the problem of creating and reinforcing a city’s image. Then, the model was enhanced into a quantitative form and processed with a novel approach: the extended form of the Weighted Influence Non-linear Gauge System (WINGS). A real-life case study of the city of Katowice showed that the presented approach can be helpful for city authorities. It reinforces the understanding of the problem, facilitates choosing policy options, and supports sustainable city development.

scholarly journals Management of esophagopulmonary fistula after gunshot – case report and literature review

2021 ◽  
Author(s):  
Kajetan Kiełbowski ◽  
Estera Bakinowska ◽  
Michał J. Kubisa ◽  
Janusz Wójcik ◽  
Bartosz Kubisa
Keyword(s):  
Case Report ◽  
Respiratory Tract ◽  
World Literature ◽  
Pleural Empyema ◽  
Lung Parenchyma ◽  
Radiological Images ◽  
Distal Location ◽  
The Right

Introduction: An esophagorespiratory fistula is a pathological communication between the esophagus and respiratory tract. The most common type is a communication with the trachea, while the least common is with lung parenchyma. These fistulas are classified as congenital or acquired while etiology is benign or malignant. Aim: We present a case report of a patient who developed esophagopulmonary fistula several years after gunshot in the right side of the chest. Additionally, we discuss the treatment methods and compare the outcomes with other case studies and analyses from world literature. Case study: A 48-year-old male patient was admitted to the Department of Thoracic Surgery and Transplantation due to bleeding from the respiratory tract. Radiological images revealed a fistula between the esophagus and right lung parenchyma. Furthermore, bronchiectasis in the right lung was found. Tissues of the fistula, right middle and lower lobes were resected. The patient required renewed hospitalization due to pleural empyema. Furthermore, recurrence of the fistula was observed. Results and discussion: Treatment of esophagorespiratory fistula depends on the etiology and location of the pathological communication. Surgery provides the best possible outcomes in patients with a benign fistula. Proximal location requires cervicotomy, while distal location a thoracotomy. In addition, a distal fistula may damage lung parenchyma. Conclusions: A long-term distal fistula may require pulmonary resection, but early diagnosis would help to avoid more invasive procedures. As symptoms are non-specific and benign etiology is not frequent, thorough examination in search of malignancy is required.

scholarly journals Case study: Use of contact lenses to manage complications following combined corneal cross-linking and topography-guided photorefractive keratectomy for pellucid marginal degeneration

2016 ◽  
Vol 78 (4) ◽  
pp. 13
Author(s):  
D Yeung ◽  
Luigina Sorbara
Keyword(s):  
Case Report ◽  
Dry Eye ◽  
Contact Lenses ◽  
Photorefractive Keratectomy ◽  
Cross Linking ◽  
Visual Rehabilitation ◽  
Collagen Cross Linking ◽  
Corneal Collagen

This case report describes two significant long-term complications experienced by a patient following treatment for pellucid marginal degeneration (PMD). Two years after undergoing a combination of topography-guided photorefractive keratectomy (T-PRK) and corneal collagen cross-linking (CXL) procedures, the patient continued to experience glare and dryness associated with persistent stromal haze and dry eye. These procedures resulted in dissatisfaction with the final outcome, which led the patient to seek contact lens correction. Management of the symptomatic ocular sequelae with specialty soft toric contact lenses designed for irregular corneas supported her visual rehabilitation.

scholarly journals Cluster headache attacks in a woman previously struck by lightning: pathophysiology of the latent period

2007 ◽  
Vol 65 (2A) ◽  
pp. 352-354 ◽  
Author(s):  
Marcelo Moraes Valença ◽  
Wilson Farias da Silva ◽  
Luciana Patrízia A. Andrade-Valença ◽  
Carlos A. Bordini ◽  
José Geraldo Speciali
Keyword(s):  
Case Report ◽  
Cluster Headache ◽  
Latent Period ◽  
Direct Relationship ◽  
Brain Lesion ◽  
Primary Headache ◽  
Neurological Sequelae

BACKGROUND: Cases of patients who developed cluster headache-like symptoms after different putative causes have been reported, indicating a direct relationship between brain lesion and this particular type of headache. Long term, delayed, neurological sequelae after lightning have also been described. CASE REPORT: We describe the case of a woman who, at the age of 10, was struck by lightning. Six years later she developed cluster headache-like attacks. CONCLUSION: We hypothesize that a relationship between the lightning and the cluster headache-like episodes observed in our patient. This case study may have helped throw some light into the still unknown pathophysiology of this particular type of primary headache.

Massive Perivillous Fibrin Deposition-A Cause of Recurrent Fetal Demise: A Case Report

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S147-S147
Author(s):  
M Pandiri ◽  
R Kashikar
Keyword(s):  
Case Report ◽  
Significant Risk ◽  
Perinatal Outcomes ◽  
Neurological Impairment ◽  
Fibrin Deposition ◽  
Fetal Demise ◽  
Uncomplicated Pregnancy ◽  
Dehydrogenase Gene

Abstract Introduction/Objective Massive perivillous fibrin deposition (MPFD) and maternal floor infarction (MFI) are rare placental lesions reported in less than 1% of all pregnancies and have a significant risk of recurrence ranging from 12% to 78%. MPFD/MFI is associated with high rates of adverse perinatal outcomes including preterm delivery, severe intrauterine growth restriction, spontaneous abortion, cystic renal cell dysplasia, fetal metabolic disease with reported mutations in the LCHAD (long-chain 3-hydroxy acyl-CoA-dehydrogenase) gene, neonatal death and long- term neurological impairment. Methods/Case Report We report a case of MFPD in a 28-year-old female gravida 3 para 1 with one uncomplicated pregnancy and one therapeutic abortion. The current pregnancy was complicated by abruption resulting in intrauterine fetal demise at 32 weeks of gestation. The placenta was examined. Grossly, the placenta weighed 260 grams (small placenta for the dates) with an eccentrically inserted three vessel umbilical cord and a diffuse, firm pale grey cut surface with focal cystic areas. The histological examination revealed MPFD characterized by extensive transmural perivillous fibrinoid material with encasement of almost entire chorionic villi (transmural type). The villi were viable but fibrotic with focal syncytiotrophoblastic necrosis and focal mild chronic inflammation. The etiology of MPFD is not well understood, but risk factors that have been reported include maternal thrombophilia, coagulopathies, and autoimmune diseases. Given the clinical associations, MFI/MPFD should be reported promptly to the obstetrician and pediatrician. As per the current literature, a combination of thrombolytic therapy (aspirin and heparin), intravenous immunoglobulin and a statin (pravastatin) helps to correct angiogenic/antiangiogenic imbalance which has been thought to be associated with recurrent MFI/MPFD. Results (if a Case Study enter NA) N/A Conclusion In summary, we present this rare recurring entity of MPFD to emphasize the awareness of this condition and the importance of placental examination in all abortions and fetal abnormalities/demise.

scholarly journals Evaluation of the Impact of Strategic Offers on the Financial and Strategic Health of the Company—A Soft System Dynamics Approach

Mathematics ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 208 ◽  
Author(s):  
Dariusz Banaś ◽  
Jerzy Michnik
Keyword(s):  
Decision Making ◽  
Decision Problems ◽  
Decision Making Process ◽  
Novel Approach ◽  
Essential Properties ◽  
Similarities And Differences ◽  
Nonlinear Gauge ◽  
The Impact

When analyzing the possibility of supporting the decision-making process, one should take into account the essential properties of economic entities (the system and its objects). As a result, the development of an effective business model ought to be based on rationality and the characteristics of the system being modeled. Such an approach implies the use of an appropriate analysis and modeling method. Since the majority of relationships in the model are described using the experts’ tacit knowledge, methods known as “soft” are more suitable than “hard” in those situations. Fuzzy cognitive mappings (FCM) are therefore commonly used as a technique for participatory modeling of the system, where stakeholders can convey their knowledge to the model of the system in question. In this study, we introduce a novel approach: the extended weighted influence nonlinear gauge system (WINGS), which may equally well be applied to the decision problems of this type. Appraisal of high-value and long-term offers in the sector of the telecommunication supplier industry serves as a real-world case study for testing the new method. A comparison with FCM provides a deeper understanding of the similarities and differences of the two approaches.

Doing It with Mirrors: A Case Study of a Novel Approach to Neurorehabilitation

2000 ◽  
Vol 14 (1) ◽  
pp. 73-76 ◽  
Author(s):  
K. Sathian ◽  
Arlene I. Greenspan ◽  
Steven L. Wolf
Keyword(s):  
Case Report ◽  
Visual Feedback ◽  
Stroke Rehabilitation ◽  
Phantom Limb ◽  
Mirror Reflection ◽  
Mirror Therapy ◽  
Bimanual Movements ◽  
Novel Approach ◽  
Copy Strategy

Arm amputees can experience the perception of movement of a phantom limb while looking at a mirror reflection of the moving, intact arm superimposed on the perceived phantom. Such use of a mirror to provide illusory visual feedback of move ment can be useful in rehabilitation of hemiparetic patients. In this case report, we de scribe the successful application of "mirror therapy" to the post-stroke rehabilitation of a patient with poor functional use of an upper extremity, due mainly to so matosensory deficits. Mirror therapy facilitated employment of a motor copy strategy (bimanual movements) and later progression to "forced use" of the affected arm. The end result was increased functional use of the affected upper limb.

scholarly journals A Novel Approach to the Symptomatic Management of Chronic Megacolon

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Michelle J. Ward
Keyword(s):  
Rare Condition ◽  
Abdominal Distension ◽  
Rectal Tube ◽  
Oral Nutrition ◽  
Electrolyte Disturbances ◽  
Novel Approach ◽  
Symptomatic Management

Background. Chronic megacolon is a rare condition which primarily occurs in patients with autonomic dysfunction of a variety of causes. Its management is often challenging and people with chronic megacolon often suffer from abdominal distension, pain, and malabsorption. Given the struggles clinicians experience in managing these patients long term, this case study provides an example of an alternate strategy for the symptomatic management of chronic megacolon. Case Description. An 80-year-old male with early Parkinson’s disease developed megacolon following a basal ganglia stroke. He had a protracted hospital stay over 6 months due to malabsorption requiring total parenteral nutrition and electrolyte disturbances. A trial of subcutaneous neostigmine was unsuccessful, so patient underwent a trial of intermittent rectal tube decompression which improved his symptoms and malabsorption. This technique was then taught to the patient’s wife until she was confident performing this herself. With continuation of decompression approximately every three days, the patient was able to return to oral nutrition and no longer required ongoing electrolyte replacement. He was able to be discharged into the community with significant improvement in his quality of life. Conclusion. This is the first report to suggest the benefit of intermittent rectal tube decompression in the community for the long-term management of chronic megacolon. Further prospective studies should evaluate the potential for this strategy to be implemented in a wider cohort of patients who are not responsive to existing treatments for chronic megacolon.

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