scholarly journals Pleomorphic Adenoma of External Auditory Canal: Case Report of First Endoscopic Resection and Literature Review

Medicina ◽  
2020 ◽  
Vol 56 (5) ◽  
pp. 248
Author(s):  
Sven Beckmann ◽  
Matthias S. Dettmer ◽  
Marco D. Caversaccio ◽  
Roland Giger ◽  
Lukas Anschuetz

Ceruminous pleomorphic adenoma is a very rare, mostly benign tumor originating from the ceruminal glands in the external auditory canal. Histologically, it is a mixed tumor with epithelial and stromal parts of different proportions, and is recognized today by the World Health Organization (WHO) as a ceruminous adenoma. Similar to the pleomorphic adenoma of salivary glands, recurrence or malignant degeneration with cellular atypia and metastasis can occur on rare occasions. Here, we describe an 87-year old female patient with a growing spherical mass in the right external auditory canal. After exclusive endoscopic tumor resection, a ceruminous pleomorphic adenoma was histologically diagnosed. Due to the absence of nuclear pleomorphism, no increased mitotic rate, no perineural invasion and no fusion transcripts of the MYB or MYBL1 gene loci, an adenoid cystic carcinoma could be excluded. The postoperative course was without any evidence of complications. A literature review identified 44 articles with 49 patients that were considered. Hearing loss and ear sensations were the most commonly reported symptoms. Most cases underwent an excision via an endaural or retroauricular approach. Recurrences were described in four patients, three of which had a malignant transformation.

Author(s):  
Mizuho Inoue ◽  
Mohamed Labib ◽  
Alexander Yang ◽  
A. Samy Youssef

AbstractA case of a recurrent sphenocavernous meningioma is presented. The patient is a 42-year-old male who presented with an episode of transient right-sided numbness. A magnetic resonance imaging (MRI) revealed a large left sphenocavernous meningioma. The patient underwent a frontotemporal craniotomy for tumor resection. Near total resection was achieved with minimal residual in the left cavernous sinus (CS) and orbital apex. The pathology was consistent with meningioma, World Health Organization (WHO) grade I. A follow-up MRI was done 9 months after surgery and showed a growth of the residual tumor, which was treated with intensity modulated radiotherapy. Tumor growth was detected on serial imaging over a 4-year period. Surgical resection was offered. A left frontotemporal craniotomy with pretemporal transcavernous approach was performed. The bone flap was reopened and the dura was opened in a Y-shaped fashion. The roof of the optic canal was drilled off, and the falciform ligament was opened to decompress the optic nerve. The tumor was disconnected from the anterior clinoid region (the anterior clinoid process was eroded by the tumor) and reflected off the wall of the lateral CS. Tumor was adherent to the V2 fascicles (the lateral CS wall was resected in the first surgery) and was sharply dissected off. Gross total resection was achieved. The pathology was consistent with meningioma, WHO grade I. The patient had an unremarkable postoperative course without any new neurological deficits.The link to the video can be found at: https://youtu.be/KVBVw_86JqM.


2021 ◽  
Vol 2 (4) ◽  
pp. 113-120
Author(s):  
Athaya Taufiqy

December 2019, COVID-19 was first reported in Wuhan, Hubei Province, China. March 11, 2020, the World Health Organization declared COVID-19 a worldwide pandemic. The COVID-19 pandemic has focused attention on the mental health of the various affected populations, medical students being one of the more vulnerable groups. Therefore, this literature review aims to find out how the mental health of Faculty of Medicine students during the COVID-19 pandemic, so that it can be used as learning material to always maintain mental health stability. The method used in this study is a literature review and literature search which was carried out by collecting several electronic journals such as PubMed, NCBI and Google Scholar. Conducted by reviewing journals related to the mental health of medical faculty students during the COVID-19 pandemic. This study involved 49 library sources from 2018-2020. From 7,143 students, 0.9% of them experienced severe anxiety, 2.7% moderate, and 21.3% experienced mild anxiety. In addition, delay in academic activities is a risk factor for experiencing symptoms of anxiety. 40% of students also experience financial difficulties, in terms of e-learning platforms, this problem is a challenge for medical students because financial and social factors can be an obstacle to the development and implementation of effective online learning programs. Future research is urgently needed to provide a better explanation of the tips needed for students in adapting to the changes that occur in order to lead a mentally healthy life in the midst of the COVID-19 pandemic.


2021 ◽  
Vol 16 (1) ◽  
pp. 59-66
Author(s):  
Deganit Kobliner-Friedman, RN, MPH ◽  
Ofer Merin, MD ◽  
Eran Mashiach, MD ◽  
Reuven Kedar, MD ◽  
Shai Schul, MHA ◽  
...  

Emergency medical teams (EMTs) encounter chaos upon arriving at the scene of a disaster. Rescue efforts are utilitarian and focus on providing the technical aspects of medical care in order to save the most lives at the expense of the individual. This often neglects the basic healthcare rights of the patient. The Sphere Project was initiated to develop universal humanitarian standards for disaster response.The increase in the number of EMTs led the World Health Organization (WHO) to organize standards for disaster response. In 2016, the WHO certified the Israel Defense Forces Field Hospital (IDF-FH) as the first to be awarded the highest level of accreditation (EMT-3). This paper presents the IDF-FH’s efforts to protect the patient’s healthcare rights in a disaster zone based on the Sphere Principles.These core Sphere Principles include the right to professional medical treatment; the right to dignity, privacy, and confidentiality; the right for information in an understandable language; the right to informed consent; the obligation to maintain private medical records; the obligation to adhere to universal ethical standards, to respect culture and custom and to care for vulnerable populations; the right to protection from sexual exploitation and violence; and the right to continued treatment.


2018 ◽  
Vol 3 (1) ◽  
pp. 119-152 ◽  
Author(s):  
Maryam Nazzal ◽  
Samer Chinder

In Lebanon, the social connections are undeniable and crucial. However, meeting places remain private such as houses, restaurants, malls, and beach resorts. This is mainly due to the shortage of public spaces in Lebanon resulting from lack of planning, regulations and awareness around the right to the city and the importance of public spaces. In main cities where land prices are so expensive, common practice has prioritized the use of land in real estate development, thus trumping other uses such as public and communal spaces.In the late 1990s, Lebanon saw the emergence of malls, which have arguably acted as alternatives to public spaces. Malls, with their wealth of food courts, restaurants, cinemas, and play areas, have become the new downtown for a portion of the Lebanese population. They are also considered safe, which is another important factor.In 2015, the percentage of green spaces in Lebanon has decreased to less than 13%. While the World Health Organization (WHO) recommends a minimum of 9m2 of green space per capita (UN-HABITAT, 2016), Beirut has only 0.8m2.


2016 ◽  
Vol 14 (1) ◽  
pp. 16
Author(s):  
Winny Zilkhalida Hadi ◽  
Rika Ampuh Hadiguna

The west coast of Sumatera island is one of potential areas of the earthquake and tsunami that requires high vigilance and preparedness seriously. One is the well-prepared-disaster logistics system. World Health Organization (WHO) has been divided into 10 categories of logistics, including the temporary shelter. The purpose of this study is to study attributes that should be required for the mosque as a shelter for victims of the earthquake and tsunami in Padang and provide recommendations to the government of Padang to prepare the mosque as a shelter. Formulation of mosque attributes as a shelter eligibility has been obtained through literature review and interviews. Attributes have been formulated in the form of questionnaires that filled out by prospective refugees of the earthquake and tsunami in Padang . Result of questionnaire has been used to build the House of Quality (HOQ). Furthermore, a SWOT analysis has been conducted to formulate a strategy for local government in an effort to empower mosques as shelters in Padang. This research has resulted 14 attributes of feasibility mosque as a shelter. Attributes divided into seven categories. Strategies that result based SWOT analysis have nine formulations that consists of two SO strategies, four WO strategies, two ST strategies, and one WT strategies. Implementation of this strategies required responsibility and cooperation between government, community, NGO, and leaders. Keywords: strategy, logistics, mosque, QFD, SWOT analysis AbstrakPantai barat pulau Sumatera merupakan salah satu potensi daerah gempa dan tsunami yang membutuhkan kewaspadaan tinggi dan kesiapan serius. Salah satunya adalah sistem logistik disiapkan bencana. Organisasi Kesehatan Dunia (WHO) telah membagi menjadi 10 kategori logistik termasuk tempat penampungan sementara. Tujuan dari penelitian ini adalah untuk mempelajari atribut yang harus diperlukan untuk masjid sebagai tempat penampungan bagi korban gempa dan tsunami di Padang dan memberikan rekomendasi kepada Pemerintah Kota Padang untuk menyiapkan masjid sebagai tempat berlindung. Perumusan masjid atribut sebagai kelayakan penampungan telah diperoleh melalui kajian pustaka dan wawancara. Atribut telah dirumuskan dalam bentuk kuesioner yang diisi oleh calon pengungsi dari gempa dan tsunami di Padang. Hasil kuesioner telah digunakan untuk membangun Rumah Kualitas (HOQ). Selain itu, analisis SWOT telah dilakukan untuk merumuskan strategi bagi pemerintah daerah dalam upaya memberdayakan masjid sebagai tempat penampungan di Padang. Penelitian ini telah menghasilkan 14 atribut kelayakan masjid sebagai tempat berlindung. Atribut dibagi menjadi tujuh kategori. Strategi yang hasil yang didasarkan analisis SWOT memiliki sembilan formulasi yang terdiri dari dua SO strategi, empat WO strategi, dua strategi ST, dan satu strategi WT. Pelaksanaan strategi ini diperlukan tanggung jawab dan kerjasama antara pemerintah, masyarakat, LSM, dan pemimpin.Kata Kunci : strategi, logistik, masjid, QFD, analisis SWOT


Author(s):  
Ayu Kurniati ◽  
Enny Fitriahadi

IN 2013, the World Health Organization, released data in the form of Maternal Mortality Rate (MMR) worldwide, and the number reached 289,000 per 100, 000 live births, which 99% of cases occurred in developing countries. Research aims to discover the relationship of antenatal class towards mothers’ knowledge of the dangerous sign during pregnancy. The result showed that there is a relationship of antenatal class towards mothers’ knowledge of dangerous sign during pregnancy, From this result, the researcher concludes that antenatal class could increase mothers’ knowledge of dangerous sign during pregnancy and may decrease the complication risk during the childbirth.


2018 ◽  
Vol 16 (1) ◽  
pp. 95-109 ◽  
Author(s):  
María Alejandra Rodríguez-Echeverría ◽  
Angélica María Páez-Castro

A number of factors and conditions hinder and restrict access to the health care system and its different services; these barriers to access put at risk the health of people by affecting adequate processes. Objective: To carry out a literature review on barriers to access to the health care system and visual health services in Colombia and around the world. Methodology: A literature review was carried out based on a search of the Medline, ScienceDirect, and Pubmed databases, as well as indexed public health journals and the websites of the Local Health Authority, the World Health Organization, the Pan American Health Organization, the UNESCO, and the Brien Holden Vision Institute. Results: The main barriers related to demand, both in general services and in visual health, are the lack of perception on the need for service and lack of economic resources; at the offer level, the existing policies constitute a real obstacle. Conclusions: Awareness-raising in the population, together with the implementation of health policies that grant equal access to health care services, are fundamental to prevent people from being affected, to a large extent, by barriers related to demand or offer, regardless of their location or level of income.


2018 ◽  
pp. 24-42
Author(s):  
MARÍA DALLI

In 1948, the General Assembly of the United Nations adopted the first international text recognising universal human rights for all; the Universal Declaration of Human Rights. Article 25 recognises the right to an adequate standard of living, which includes the right to health and medical care. On the occasion of the 70th anniversary of the Declaration, this article presents an overview of the main developments that have been made towards understanding the content and implications of the right to health, as well as an analysis of some specific advancements that aim to facilitate the enforcement thereof. These include: a) the implication of private entities as responsible for right to health obligations; b) the Universal Health Coverage goal, proposed by the World Health Organization and included as one of the Sustainable Development Goals; and c) the individual complaints mechanism introduced by the Optional Protocol to the International Covenant on Economic, Social and Cultural Rights (adopted on the 10th December 2008, 60 years after the UDHR).


e-GIGI ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zefanya G. Pontoluli ◽  
Johanna A. Khoman ◽  
Vonny N. S. Wowor

Abstract: Poor oral hygiene could cause a variety of diseases in the oral cavity. Oral diseases can occur in various age groups, including children. World Health Organization survey showed that 90% of the world population suffer from gingivitis; 80% of them are children under 12 years of age. Gingivitis is an early stage of periodontal disease in the form of gingival inflammation due to poor oral dental hygiene. Therefore, biofilms are accumulated on the plaques along the gingival margins. This study was aimed to determine the oral dental hygiene and the incidence of gingivitis in elementary school children. This was a literature review study using three databases, namely: Google Scholar, PubMed, and Digital Reference Garba. The results obtained nine journals that were relevant to the topic of discussion. Moreover, oral dental hygiene was influenced by knowledge of oral dental health and oral dental hygiene maintenance behavior such as tooth brushing and diet. The incidence of gingivitis among elementary school children ranged from 74.4% to 91.94%. In conclusion, oral hygiene status of elementary school children was in the medium category and the incidence of gingivitis among them was high.Keywords: oral hygiene, incidence of gingivitis, elementary school children Abstrak: Kebersihan gigi mulut yang kurang dapat menyebabkan berbagai masalah dalam rongga mulut. Penyakit gigi mulut dapat dialami oleh semua kelompok usia, tidak terkecuali pada anak. Hasil survei World Health Organization menumjukkan 90% penduduk di dunia menderita penyakit gingivitis dan 80% di antaranya merupakan anak usia di bawah 12 tahun. Gingivitis merupakan tahap awal penyakit periodontal berupa peradangan pada gingiva yang disebabkan oleh kebersihan gigi mulut yang buruk sehingga terjadi akumulasi biofilm pada plak di sepanjang margin gingiva. Penelitian ini bertujuan untuk mengetahui gambaran kebersihan gigi mulut dan kejadian gingivitis pada anak sekolah dasar. Jenis penelitian ialah literature review dengan menggunakan database Google Scholar, PubMed, dan Garba Rujukan Digital. Hasil penelitian mendapatkan sembilan jurnal yang relevan dengan topik bahasan. Kkebersihan gigi mulut dipengaruhi oleh pengetahuan kesehatan gigi mulut dan perilaku pemeliharaan kebersihan gigi mulut seperti menyikat gigi dan pola makan. Distribusi kejadian gingivitis pada anak sekolah dasar antara 74,4%-91,94%. Simpulan penelitian ini ialah status kebersihan gigi mulut anak sekolah dasar termasuk dalam kategori sedang dan angka kejadian gingivitis pada anak sekolah dasar tergolong tinggi.Kata kunci: kebersihan gigi mulut, kejadian gingivitis, anak sekolah dasar


Author(s):  
Srijan Goswami ◽  
Sagarika Mitra ◽  
Piyasee Paul ◽  
Dipjyoti Dey ◽  
Sankalan Das

The biochemic system of medicine, also known as the inorganic cell salt therapy, pioneered by Dr. Wilhelm Heinrich Schuessler, following the footsteps of Dr. Samuel Hahnemann, is the oldest form of nutraceutical therapy approved and recognized by the World Health Organization as one of the complementary therapies. The chapter presents the fundamental ideology and concepts that underlies the promising system of biochemic medicine as concisely, simply, and to-the-point as possible. The chapter begins with a brief introduction to biochemic system, nutrition science, and concepts of nutraceuticals, followed by a brief history and literature review. It covers biochemic system of medicine and its relevant concepts before closing the chapter with a conclusion.


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