scholarly journals A Unique Case of Intraabdominal Polyorchidism: A Case Study

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Javier Otero ◽  
Natalie Ben-Yakar ◽  
Biruk Alemayehu ◽  
Steven D. Kozusko ◽  
Frank Borao ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Surgical Treatment ◽  
Conservative Approach ◽  
Undescended Testes ◽  
Unique Case ◽  
Surgical Exploration ◽  
Body Of Knowledge ◽  
The Subject ◽  
The Right

Background. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations.Questions/Purposes. To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery’s body of knowledge of the subject matter.Case Study. A nine-month-old boy was admitted for an impalpable right testis and phimosis. At the time of surgical exploration, there appeared to be polyorchid testis on the right-hand side, with three masses that potentially appeared to be undescended testes.Discussion. Proponents of a conservative approach argue that infertility is common in patients with polyorchidism and, by preserving a potentially functional SNT, there may be improved spermatogenesis. When performing definitive surgical treatment, meticulous intra-abdominal and intrainguinal exploration must be undertaken. Orchiopexy should be performed to reduce the chances of torsion, malignancy, and infertility.Conclusion. Our case is important to the literature as it is the first known case of polyorchidism with 3 SNT on the right side, located intra-abdominally, and in a patient less than 1 year of age.

Recurrent Laryngeal Nerve Dissection

1980 ◽  
Vol 45 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Frank B. Wilson ◽  
D. J. Oldring ◽  
Kathleen Mueller
Keyword(s):  
Surgical Treatment ◽  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Laryngeal Nerve ◽  
Recurrent Nerve ◽  
Successful Management ◽  
Initial Surgery ◽  
The Subject ◽  
The Right

This case study describes successful management of spastic dysphonia using a procedure whereby the right recurrent laryngeal nerve was severed. Thirteen months following the surgical treatment, the subject reported a return of the preoperative vocal characteristics of spastic dysphonia. Tests and inspection revealed that the right recurrent nerve was again intact and the right vocal fold was functional. A second surgical procedure was performed, modified to prevent neural reconnection, with a return of the improved voice observed following the initial surgery. The results are discussed in terms of etiological considerations of spastic dysphonia.

scholarly journals SURGICAL TREATMENT OF ANOMALIES OF FIXATION OF THE COLON IN CHILDREN

2020 ◽  
Vol 19 (4) ◽  
pp. 32-36
Author(s):  
O. Bodnar
Keyword(s):  
Congenital Anomaly ◽  
Surgical Treatment ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Results Of Treatment ◽  
Left Diaphragm ◽  
Comparative Group ◽  
The Right ◽  
Paroxysmal Pain ◽  
Over Time

Pyrrhic disease is a congenital anomaly that occurs during embryogenesis due to the fixation of the splenic angle of the colon by a short and highly located left transverse-diaphragmatic ligament, creating a sharp bend and forming a "wellbore". In this case the passage of feces on a cross colon becomes difficult, there is also its sagging to a small pelvis. This pathology is characterized by paroxysmal pain (aggravated by exercise and after eating) and prolonged constipation, which progresses over time. Hilaiditis syndrome is a rather rare pathology in which there is an interposition of the hepatic angle of the colon between the liver and the diaphragm. There are permanent and intermittent localizations. The work generalizes the experience of evaluation of clinical manifestations and remote results of treatment of children with chronic colostasis caused by fixation abnormalities of the colon. 58 children were detected to have Payre’s disease, with Cyilaiditi’s syndrome – 3 children. 24 patients with Payre’s disease and 2 Cyilaiditi’s syndrome were operated on. To assess the effectiveness of surgery, children were divided into two groups: I group – comparative and II group - experienced. In I group (n=12 children) – the analysis of surgical treatment was performed traditionally. In II group (n=14 children) – the analysis of surgical treatment was conducted by means of the methods proposed. Traditional surgical treatment of Payre’s disease in children was followed by relapse of chronic constipation in 45,45%, pain in 50%, flatulence in 33,33% and failure of the ileocoecal closing apparatus in 100% of children. Unsatisfactory outcomes of surgical treatment of Cyilaiditi’s syndrome was observed in a child from the comparative group. Relapse of clinical symptoms to a lesser degree than before the surgery was found in 1 child from the experienced group. To treat Payre’s disease the following operation is proposed: intersection of the left diaphragm-colon ligament, resection of transverse colon and colofixation of the left bending of the colon. To treat Cyilaiditi’s syndrome (in case of dolichoascendocolon) the following operation is suggested: hepatopexy, resection of the right bending of the colon with ascending transversal anastomosis “end to end”, fixing of right bending of the colon. Their reasonability is being proved.

scholarly journals AYURVEDIC APPROACH ON CYSTOID MACULAR OEDEMA - A CASE REPORT

2021 ◽  
Vol 9 (8) ◽  
pp. 1904-1907
Author(s):  
Sabarinath M K ◽  
Pasha S M
Keyword(s):  
Case Report ◽  
Macular Oedema ◽  
Marked Improvement ◽  
Cystoid Macular Oedema ◽  
Field Of Vision ◽  
The Subject ◽  
One Year ◽  
The Right ◽  
Photocoagulation Therapy

Cystoid Macular Oedema or CME is a painless disorder that affects the central retina or macula. It refers to the accumulation of fluid in the outer plexiform and inner nuclear layer of the retina with the formation of a fluid-filled cyst. The primary symptom of macular oedema is blurry or wavy vision near or in the centre of your field of vision. Materials and Methods: A male patient of 48 yrs. presented in Shalakya OPD of GAMC Bengaluru with symp- toms of diminished vision in his right eye for one year. The patient was diagnosed with cystoid macular oedema in the right eye for which he was given photocoagulation therapy but did not find much relief. So, he approached our OPD. After thorough examination patient was started with Ayurvedic Medicines. Result: The subject showed marked improvement both subjectively and objectively. Discussion: Oedema which is the terminus of the pathology in this condition has to be understood as Ekanga Shopha. Though Kapha is the predominant dosha involved in forming Shopha here, the lakshanas manifesting are that of Vataja Timira. So, in this case study, Kapha Vata Hara followed by Shopha Hara line of treatment is adopted. Keywords: Cystoid macular oedema, Shopha, Vataja Timira, Nasya, Punarnavadi Kashaya.

Active Tourism in the Active Economy

2021 ◽  
pp. 119-137
Author(s):  
Richard Keith Wright ◽  
Geoff Dickson ◽  
Richard Opara Ajiee
Keyword(s):  
Sport Tourism ◽  
Economic Sectors ◽  
Travel And Tourism ◽  
Body Of Knowledge ◽  
Adventure Tourism ◽  
The Subject ◽  
Tourism Economy ◽  
Critical Overview ◽  
Active Sport

According to the World Travel and Tourism Council's (WTTC) most recent reports, one in every ten jobs (an estimated 330 million) is influenced if not directly supported by travel and tourism-related activity, making it one of the world's largest economic sectors. Whilst the boundaries that separate adventure tourism from active/sport tourism are blurred, the subject is certainly not lacking in terms of evidence-based definitions, conceptual frameworks, or typologies. This chapter offers a critical overview of the existing body of knowledge that relates to the emergence of a global active and/or adventure-based tourism economy. The authors complement their review of the literature with a case study looking at the ‘home of adventure', Queenstown, New Zealand.

scholarly journals Partial anomalous pulmonary venous connection detected during right pneumonectomy

2019 ◽  
Vol 30 (3) ◽  
pp. 497-498
Author(s):  
Bülent Mustafa Yenigün ◽  
Gökhan Kocaman ◽  
Ayşegül Gürsoy Çoruh ◽  
Rıfat Murat Akal
Keyword(s):  
Lung Cancer ◽  
Congenital Anomaly ◽  
Case Report ◽  
Surgical Treatment ◽  
Septal Defect ◽  
Lung Resection ◽  
Rare Congenital Anomaly ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection ◽  
Lung Resections

Abstract Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital anomaly. Generally, it is seen on the right side and is associated with an atrial septal defect. Herein, we present a case of a 50-year-old male patient with a supracardiac type PAPVC detected during pneumonectomy for a right hilar mass. This is the second case report in the literature presenting surgical treatment of both lung cancer and PAPVC using pneumonectomy. Thoracic surgeons should be aware of this anomaly when they are planning to perform a major lung resection. If PAPVC and lung cancer are in the same lobe, anatomical lung resections including pneumonectomy can be safely performed.

Truncus arteriosus communis in combination with cor triatriatum sinsitrum

2015 ◽  
Vol 26 (1) ◽  
pp. 194-196
Author(s):  
Elmar Klusmeier ◽  
Nikolaus A. Haas ◽  
Eugen Sandica
Keyword(s):  
Surgical Treatment ◽  
Aortic Arch ◽  
Septal Defect ◽  
Coarctation Of The Aorta ◽  
Venous Drainage ◽  
Truncus Arteriosus ◽  
Unique Case ◽  
Cardiac Defects ◽  
Hypoplastic Aortic Arch

AbstractTruncus arteriosus communis is a rare CHD, accounting for only 1% of all congenital cardiac abnormalities. It has been associated with other malformations of the heart, mainly truncal valve (bicuspid/quadricuspid) and aortic arch abnormalities such as right, interrupted, and hypoplastic aortic arch. Cor tratriatrum sinistrum is another rare CHD, and it has been associated with other cardiac defects such as anomalous pulmonary venous drainage, ventricular septal defect, coarctation of the aorta, and tetralogy of Fallot. The combination of truncus arteriosus communis and cor tratriatrum sinistrum has not been reported so far. This case study describes the diagnosis of a unique case, including these two very rare cardiac defects and the successful surgical treatment thereafter.

scholarly journals Ureter Quadruplication with Huge Ureteral Cyst

2015 ◽  
Vol 35 (1) ◽  
pp. 79-81 ◽  
Author(s):  
R Joshi ◽  
DR Singh
Keyword(s):  
Congenital Anomaly ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Ct Scan ◽  
Congenital Anomalies ◽  
Provisional Diagnosis ◽  
Diagnostic Dilemma ◽  
Surgical Exploration ◽  
Rare Congenital Anomaly ◽  
Routine Investigations

Ureteral quadruplication is an extremely rare congenital anomaly. It was first reported in 1975. The patients may present with different features and complications in respect to this congenital anomaly. They may also present with other congenital anomalies. Diagnosis sometimes is difficult and may need to be investigated with Magnetic Resonance Urogram, CT scan apart from routine investigations like ultrasonography and intravenous urogram. Surgical treatment should be based on the operative and investigational finding. We present the twelfth reported case but the first from Nepal. It was associated with a large ureteral cyst with diagnostic dilemma. Surgical exploration was done with a provisional diagnosis of large retroperitoneal cyst.J Nepal Paediatr Soc 2015;35(1):79-81

CHILDREN LANGUAGE ACQUISITION PROCESS

2020 ◽  
Vol 10 (2) ◽  
pp. 157
Author(s):  
Loli Safitri
Keyword(s):  
Qualitative Research ◽  
Language Acquisition ◽  
Language Development ◽  
First Language ◽  
Video Recording ◽  
Real Life ◽  
The Subject ◽  
The One ◽  
The Right

This research discusses a case study of children in acquiring their first language at age 18 months old in Bukittinggi. The process deals with some stages namely cooing, babbling, holophrastic, the two-word stage, telegraphic stage, and multiword stage. The purpose of this study is focused on how the children learn the language in the real life. To find out the answer of the problem in this research, the researcher uses the related theories, they are Lyons (1981), Varshney (2003), Chomsky (2009), Bolinger (2002), Gleason (1998), Steinberg (2003), Fromkin (1983), Bolinger (2002) and Steinberg (2003). This research is conducted with descriptive qualitative research where the subject and object is taken from the children at age 18 months old in Bukittinggi. The researcher takes the observed baby named Azka as the subject and gets the data by observation and video recording. After the data had been collected, the researcher finds out that Azka was 18 months old baby who was in holophrastic functions: the one-word utterances stage of language development. Finally, parents’ role is important to develop the children language. The parents should build interaction with their child to know their child’s language development. Besides that, the researcher suggests the parents to say the right pronunciation to the children.

scholarly journals Isolated muscle tuberculosis: exceptional location

2018 ◽  
Vol 4 (6) ◽  
pp. 964
Author(s):  
Ayoub Bouya ◽  
Mounir Rhounimi ◽  
Moncef Boufettal ◽  
Mohamed Salah Berrada
Keyword(s):  
Surgical Treatment ◽  
Medical Treatment ◽  
Exceptional Case ◽  
Review Of The Literature ◽  
Anterior Compartment ◽  
Therapeutic Modalities ◽  
The Subject ◽  
The Right

<p class="abstract">The authors report the exceptional case of isolated muscular tuberculosis affecting the anterior compartment of the right thigh in a 38-year-old man. The diagnosis was based on histology and GeneXpert. The subject received a surgical treatment followed by medical treatment for 6 months. The GeneXpert test has proved to be useful in the diagnosis of muscular tuberculosis. We have not found in the literature the use of GeneXpert in this type of localization of tuberculosis whose diagnostic is not always easy. Through the study of this case and a review of the literature, the authors review the pathogenesis of this particular affection as well as the diagnostic and therapeutic modalities.</p><p class="abstract"> </p>

scholarly journals Ethical Education for Grades 1 and 2 in Finland from the Values Perspective

2021 ◽  
Vol 10 (2 (20)) ◽  
pp. 153-170
Author(s):  
Arleta Suwalska
Keyword(s):  
Core Curriculum ◽  
Ministry Of Education ◽  
Curriculum Policy ◽  
Ethical Education ◽  
Secular Ethics ◽  
Recent Developments ◽  
The Subject ◽  
The Right ◽  
Different Cultures

The article addresses a key issue in curriculum policy, ethical education in Grades 1 and 2. The article uses the Finnish 2014 basic curriculum as the basis for a case study rooted in the humanities, philosophy, and the cultural sciences. The article explores what is embodied in this policy, especially the objectives of the subject of ethics in the curriculum. The article draws attention to the development of values through the curriculum in primary education in Finland and presents an overview of recent developments in values education in schools, taking curriculum research into account. The key part of the study is an analysis of the Finnish National Core Curriculum, principally those parts which involve secular ethics, as formulated by the Ministry of Education, and which emphasize the right of children to a good education and “to understand themselves, other people, the society, the environment, and different cultures” (National Core Curriculum, 2016, p. 15).

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