scholarly journals Management of self-inflicted orchiectomy in psychiatric patient. Case report and non-systematic review of the literature

2018 ◽  
Vol 90 (3) ◽  
pp. 220-223
Author(s):  
Marco Garofalo ◽  
Alessandro Colella ◽  
Paolo Sadini ◽  
Lorenzo Bianchi ◽  
Giacomo Saraceni ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Surgery ◽  
Psychiatric Evaluation ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Patient Case ◽  
Left Testicle ◽  
Rare Phenomenon ◽  
First Choice ◽  
Choice Of Treatment

Introduction: Self-inflicted orchidectomy and auto-castration, also known as “Eshmun complex” is a rare phenomenon. The aim of our study it to present the management of a patient who performed a self orchiectomy and propose a non-systematic review of literature about self-orchiectomy. Material and method: A 27-years old male Patient with psychiatric disorder was admitted to our ward to have been cutted his scrotum with scissors and cut away his left testicle causing active bleeding from the left spermatic artery. The patient underwent emergency surgery with clamping of the spermatic cord and hemostasis of the wound. Results: After surgery the clinical condition of the patient remained good during whole hospitalization. Urgent psychiatric evaluation was performed in order to administer proper therapy for acute management. To best of our knowledge, only 11 cases of self-orchidectomy are reported in literature and all of them except 1 case, underwent surgical exploration. Conclusions: Self-orchidectomy is an extremely rare phenomenon, often associated with psychiatric disorders, compounded by the use of drugs. In our opinion, emergency surgery should be the first choice of treatment, offering diagnostic and hemostatic purpose in a single act, aimed to prevent acute and postacute complications.

scholarly journals SURG-08. GASTROINTESTINAL STROMAL TUMOR WITH INTRACRANIAL METASTASIS: CASE REPORT AND SYSTEMATIC REVIEW OF LITERATURE

2019 ◽  
Vol 1 (Supplement_1) ◽  
pp. i32-i32 ◽  
Author(s):  
Akash Patel
Keyword(s):  
Systematic Review ◽  
Gastrointestinal Stromal Tumors ◽  
Primary Site ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Patient Case ◽  
Intracranial Metastasis ◽  
Stromal Tumors ◽  
Metastatic Gist ◽  
The Brain

Abstract BACKGROUND: Intracranial metastasis of Gastrointestinal Stromal Tumors (GIST) is rare but presents unique treatment challenges. We present a case of intracranial metastasis of GIST with a systematic review of the literature regarding this rare clinical scenario. METHODS: A systematic review of the literature was performed to identify cases of intradural GIST metastases to the brain. Additionally, a patient case of GIST is discussed. RESULTS: Out of the 18 articles included for analysis in this review and our present case, fifteen of nineteen patients were male, and mean age was 58 years old (range 15–80 years, median 60 years). The primary site of the GIST along with site of intraperitoneal metastasis was variable. There was a large predilection for brain metastasis to the cerebrum with only one to infratentorial elements. The tumors in seven of the cases involved the dura, and there was one case with metastasis to the pituitary. Eight patients died following treatment of their intracranial disease. CONCLUSIONS: Surgery remains the mainstay of intracranial metastatic GIST, however there are many reports of good responses to radiation or chemotherapy alone. More investigation is required to determine the best course of treatment for patients with this unusual sequela of GIST.

scholarly journals Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review

Diagnostics ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 1058
Author(s):  
Chul-Hyun Cho ◽  
Du-Han Kim ◽  
Sang Soo Na ◽  
Byung-Chan Choi ◽  
Beom-Soo Kim
Keyword(s):  
Systematic Review ◽  
Positive Outcome ◽  
Olecranon Fracture ◽  
Dash Score ◽  
Eligibility Criteria ◽  
First Choice ◽  
Retrospective Clinical Study ◽  
Flexion Extension ◽  
Choice Of Treatment ◽  
Fracture Dislocations

The purpose of this study is to provide a systematic review of the definition, ideal surgical method, complications, and prognosis of trans-olecranon fracture dislocations. An electronic search was performed in the PubMed, EMBASE, Scopus, and MEDLINE databases. The eligibility criteria included retrospective clinical study and review article in subjects older than 18 years with trans-olecranon fracture dislocations. Trans-olecranon fracture dislocations are defined as fractures in which the stability of the ulnohumeral joint is lost due to the intra-articular fracture of the olecranon without disruption of the proximal radioulnar joint. The seven papers were included that met the eligibility criteria for the quantitative synthesis. Findings indicate that a pre-contoured plate was used in 88.3% of cases (68 of 77 reports), with no reports of complications, suggesting that the pre-contoured 3.5 mm plate is the first choice of treatment. Postoperative mean elbow range of motion for the flexion–extension arc was 121.1° and 146.5° for the pronation-supination arc. Methods for postoperative clinical scores included the Broberg/Morrey rating with a result of excellent or good in 82.9% of cases, the ASES score with a mean of 88.7, and the DASH score with a mean of 11.75. Complications included heterotopic ossification in 21.9% (23/105) of cases, arthrosis in 25.7% (27/105) of cases, nerve damage in 18.1% (19/105) of cases, and osteoarthritis in 14.3% (15/105). With better understanding of the mechanism of injury and proper diagnosis and treatment, findings of the current review suggest a positive outcome. PROSPERO registration No.: CRD42019126568.

Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature

2020 ◽  
Vol 44 (12) ◽  
pp. 4012-4031
Author(s):  
Gennaro Perrone ◽  
Mario Giuffrida ◽  
Alfredo Annicchiarico ◽  
Elena Bonati ◽  
Paolo Del Rio ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diaphragmatic Hernia ◽  
Emergency Surgery ◽  
Review Of The Literature

Psychotic Symptoms in Patients with Nmda Antibodies

2017 ◽  
Vol 41 (S1) ◽  
pp. S631-S631
Author(s):  
J. Cru. Fourcade ◽  
M. Garcia Poggio ◽  
R. Martín Aragón ◽  
A. Muñoz Domenjó ◽  
R. Molina Cambra
Keyword(s):  
Systematic Review ◽  
Psychiatric Disease ◽  
Psychotic Symptoms ◽  
Psychiatric Evaluation ◽  
Visual Hallucinations ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Involuntary Movements ◽  
Competing Interest ◽  
Outside The Box

IntroductionThis paper is a review of literature about the relation in some cases between psychotic symptoms and NMDA antibodies. Most of these cases are early observed and treated by psychiatry, observing torpid evolution and symptoms that are rarely observed in Psychiatry patients, like visual hallucinations or rapid fluctuations of symptoms.ObjectivesMake a review of psychotic symptoms and NMDA antibodies, to think about other options when we are in front of some unusual cases in psychiatry, and it seems that “nothing is working”MethodsSystematic review of pub med literature, applying the keywords: “psychotic” and “NMDA antibodies” of last 5 years.ResultsWe found that in most of cases the patients presents Opisthotonus, catatonia, and rhythmic and non-rhythmic involuntary movements of the mouth and jaw, and most of them had a psychiatric evaluation for those symptoms. There was no response to antipsicotic treatment. The treatment with corticoids and rituximab was effective.ConclusionsIn psychiatry we have to think in some cases that maybe “the patient could have something else than a psychiatric disease”, most when we found that the symptoms has a rare presentation and the treatment is not effective.We encourage our colleagues to “think outside the box” when something like this occurs, and hesitate about our own valuations of the patients, when the case is atypical strange.Disclosure of interestThe authors have not supplied their declaration of competing interest.

An Evidence-Based Systematic Review of Literature for the Reduction of PICC Line Occlusions

2010 ◽  
Vol 15 (2) ◽  
pp. 58-63 ◽  
Author(s):  
Linda Bartock
Keyword(s):  
Systematic Review ◽  
Nursing Education ◽  
Central Venous Catheters ◽  
Evidence Based ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Central Venous ◽  
Picc Line ◽  
Team Implementation

Abstract Peripherally inserted central venous catheters (PICCs) are known to have difficulties with catheter occlusions. This paper evaluates the scope of PICC occlusions, their prevalence and severity, and potential interventions to decrease incidence. A systematic review of the literature is performed and demonstrates three potential interventions: utilization of a dedicated PICC insertion team, implementation of a valved PICC, and nursing education of PICC care. The evidence from the literature is evaluated, and implementation of the proposed interventions is discussed.

scholarly journals Is recurrence possible in coronavirus disease 2019 (COVID-19)? Case series and systematic review of literature

2020 ◽  
Vol 40 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Anna Gidari ◽  
Marco Nofri ◽  
Luca Saccarelli ◽  
Sabrina Bastianelli ◽  
Samuele Sabbatini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Series ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Average Standard Deviation ◽  
Umbria Region ◽  
Study Population ◽  
Culture Supernatants

AbstractCan a patient diagnosed with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) be infected again? This question is still unsolved. We tried to analyze local and literature cases with a positive respiratory swab after recovery. We collected data from symptomatic patients diagnosed with SARS-CoV-2 infection in the Italian Umbria Region that, after recovery, were again positive for SARS-CoV-2 in respiratory tract specimens. Samples were also assessed for infectivity in vitro. A systematic review of similar cases reported in the literature was performed. The study population was composed of 9 patients during a 4-month study period. Among the new positive samples, six were inoculated in Vero-E6 cells and showed no growth and negative molecular test in culture supernatants. All patients were positive for IgG against SARS-CoV-2 nucleoprotein and/or S protein. Conducting a review of the literature, 1350 similar cases have been found. The presumptive reactivation occurred in 34.5 days on average (standard deviation, SD, 18.7 days) after COVID-19 onset, when the 5.6% of patients presented fever and the 27.6% symptoms. The outcome was favorable in 96.7% of patients, while the 1.1% of them were still hospitalized at the time of data collection and the 2.1% died. Several hypotheses have been formulated to explain new positive respiratory samples after confirmed negativity. According to this study, the phenomenon seems to be due to the prolonged detection of SARS-CoV-2 RNA traces in respiratory samples of recovered patients. The failure of the virus to replicate in vitro suggests its inability to replicate in vivo.

A Review of Literature About Models and Factors of Productivity in the Software Factory

2021 ◽  
pp. 1911-1939
Author(s):  
Pedro S. Castañeda Vargas ◽  
David Mauricio
Keyword(s):  
Systematic Review ◽  
Production Process ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Industrial Products ◽  
Factors Affecting ◽  
Analysis And Design ◽  
Software Factory ◽  
Design And Testing

Software factories seek to develop quality software in a manner comparable to the production of other industrial products, establishing improvements in their production process so as to be more competitive. Productivity, one of the competitiveness pillars, is related to the effort required to fulfill assigned tasks. However, there is no standard way of measuring productivity, making it difficult to establish policies and strategies to improve the factory. In this article, the authors perform a systematic review of the literature on factors affecting productivity of software factories, and models for measuring it. For the period 2005-2017, 74 factors and 10 models are identified. Most of the factors are related to Programming, and a few to Analysis and Design and Testing. Also, most models for measuring productivity only consider activities concerning programming.

scholarly journals Guidance for nuclear medicine staff on radiopharmaceuticals drug interaction

2009 ◽  
Vol 45 (4) ◽  
pp. 619-624
Author(s):  
Ralph Santos-Oliveira
Keyword(s):  
Systematic Review ◽  
Nuclear Medicine ◽  
Drug Interaction ◽  
Drug Interactions ◽  
Adverse Reactions ◽  
Logical Framework ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
The World ◽  
Almost All

Numerous drug interactions related to radiopharmaceuticals take place every day in hospitals many of which are not reported or detected. Information concerning this kind of reaction is not abundant, and nuclear medicine staff are usually overwhelmed by this information. To better understand this type of reaction, and to help nuclear medicine staff deal with it, a review of the literature was conducted. The results show that almost all of radiopharmaceuticals marketed around the world present drug interactions with a large variety of compounds. This suggests that a logical framework to make decisions based on reviews incorporating adverse reactions must be created. The review also showed that researchers undertaking a review of literature, or even a systematic review that incorporates drug interactions, must understand the rationale for the suggested methods and be able to implement them in their review. Additionally, a global effort should be made to report as many cases of drug interaction with radiopharmaceuticals as possible. With this, a complete picture of drug interactions with radiopharmaceuticals can be drawn.

A Review of Literature About Models and Factors of Productivity in the Software Factory

2018 ◽  
Vol 11 (1) ◽  
pp. 48-71 ◽  
Author(s):  
Pedro S. Castañeda Vargas ◽  
David Mauricio
Keyword(s):  
Systematic Review ◽  
Production Process ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Industrial Products ◽  
Factors Affecting ◽  
Analysis And Design ◽  
Software Factory ◽  
Design And Testing

Software factories seek to develop quality software in a manner comparable to the production of other industrial products, establishing improvements in their production process so as to be more competitive. Productivity, one of the competitiveness pillars, is related to the effort required to fulfill assigned tasks. However, there is no standard way of measuring productivity, making it difficult to establish policies and strategies to improve the factory. In this article, the authors perform a systematic review of the literature on factors affecting productivity of software factories, and models for measuring it. For the period 2005-2017, 74 factors and 10 models are identified. Most of the factors are related to Programming, and a few to Analysis and Design and Testing. Also, most models for measuring productivity only consider activities concerning programming.

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