scholarly journals Recurrent Massive Epistaxis from an Anomalous Posterior Ethmoid Artery

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Marco Giuseppe Greco ◽  
Francesco Mattioli ◽  
Maria Paola Alberici ◽  
Livio Presutti
Keyword(s):  
Surgical Treatment ◽  
Nasal Cavity ◽  
Previous History ◽  
Bleeding Management ◽  
Left Posterior ◽  
History Of ◽  
Ethmoidal Artery ◽  
To Come ◽  
And Control

A 50-year-old man, with no previous history of epistaxis, was hospitalized at our facility for left recurrent posterior epistaxis. The patient underwent surgical treatment three times and only the operator’s experience and radiological support (cranial angiography) allowed us to control the epistaxis and stop the bleeding. The difficult bleeding management and control was attributed to an abnormal course of the left posterior ethmoidal artery. When bleeding seems to come from the roof of the nasal cavity, it is important to identify the ethmoid arteries always bearing in mind the possible existence of anomalous courses.

scholarly journals Obstructive urolithiasis in buffalo calves (Bubalus bubalis): Serum changes of Vitamins A and D and efficacy of surgical management using tube cystostomy

2021 ◽  
Vol 14 (1) ◽  
pp. 129-136
Author(s):  
Abdelmonem Abdallah ◽  
Shimaa Ezzeldein ◽  
Eslam Eisa ◽  
Mustafa Abd El Raouf ◽  
Yasmin Bayoumi
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Serum Levels ◽  
Bubalus Bubalis ◽  
Bladder Rupture ◽  
Control Group ◽  
Buffalo Calves ◽  
Major Health ◽  
History Of ◽  
And Control

Background and Aim: Obstructive urolithiasis is one of the major health problems in livestock animals, mainly in young calves. The present study was designed first to investigate the changes in the serum levels of Vitamins A and D in buffalo calves (Bubalus bubalis) with obstructive urolithiasis and second to investigate the efficacy of tube cystostomy technique in management of such condition. Materials and Methods: One hundred and forty-nine buffalo calves of variable ages ranged from 3 to 7 months with a history of retained urine were examined clinically and ultrasonographically. Then, they were subjected to surgical treatment using the tube cystostomy technique. The serum levels of Vitamins A and D were investigated in retained urine calves in addition to 10 clinically healthy calves of the same age used as a control group. Results: Based on clinical and ultrasonographic findings, the calves were diagnosed as obstructive urolithiasis with intact bladder (n=64 calves) or with bladder rupture (n=85 calves) with the peak incidence in winter months. Tube cystostomy was an efficient and quick surgical technique for the management of such condition and 95.3% of calves returned their normal urination within 7–14 days after surgery. Significant hypovitaminoses A and D were found between retained urine calves and control ones (p= 0.01 and 0.002, respectively). Conclusion: Hypovitaminoses A and D suggested predisposing obstructive urolithiasis in buffalo calves, but further clinical studies are recommended for more confirmation. Surgical treatment using tube cystostomy technique is recommended for the management of obstructive urolithiasis in buffalo calves.

scholarly journals Surgical excision of a residual cyst in a patient with previous history of jaw osteonecrosis associated with oral bisphosphonate: A case report

2015 ◽  
Vol 21 (3) ◽  
pp. 191
Author(s):  
Ana Carolina Uchoa Vasconcelos ◽  
Wâneza Dias Borges ◽  
Cláiton Heitz ◽  
Fernanda Gonçalves Salum ◽  
Maria Antonio Zancanaro de Figueiredo ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Previous History ◽  
Surgical Excision ◽  
Osteonecrosis Of The Jaws ◽  
Oral Bisphosphonate ◽  
Prevention And Treatment ◽  
History Of ◽  
Preoperative Procedures ◽  
Jaw Osteonecrosis

Residual cyst is an inflammatory odontogenic cyst resultant from pulp necrosis, where the tooth has already been removed. Bisphosphonates are drugs used in the prevention and treatment of bone metabolism diseases with intense resorption activity, and they have been associated with osteonecrosis of the jaws, an important side effect. The aim of this study was to report a successful surgical treatment of a residual cyst in a patient who had previously developed jaw osteonecrosis associated with sodium alendronate use. We emphasize here the importance of safe preoperative procedures when approaching these patients. 

scholarly journals Nasal Cavity Metastasis From Colorectal Cancer Represents End-Stage Disease and Should Be Palliated

2020 ◽  
Vol 36 (2) ◽  
pp. 119-121
Author(s):  
Stephen Hwang ◽  
Dedrick Kok Hong Chan ◽  
Fredrik Petersson ◽  
Ker-Kan Tan
Keyword(s):  
Colorectal Cancer ◽  
Colorectal Carcinoma ◽  
Nasal Cavity ◽  
Metastatic Disease ◽  
Previous History ◽  
Nasal Sinus ◽  
Stage Disease ◽  
History Of ◽  
End Stage ◽  
High Index Of Suspicion

Nasal metastases from colorectal cancer is rare. The presentation of nasal metastases is often very similar to primary nasal sinus adenocarcinoma. A high index of suspicion is required, especially in patients who have had a previous history of colorectal carcinoma. Histology is ultimately required for diagnosis. We describe 2 cases of nasal metastases from colorectal carcinoma, and discuss the presentation, diagnosis and management of the case. Such metastatic disease ultimately represents end-stage malignancy, and patients should be palliated.

S138 – Treatment Controversy Incidental Micro-Medullary Carcinoma

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P123-P123
Author(s):  
Jamie M. Swartz ◽  
Thomas Peyton Nowlin
Keyword(s):  
Surgical Treatment ◽  
Thyroid Carcinoma ◽  
Medullary Thyroid Carcinoma ◽  
Previous History ◽  
Treatment Strategies ◽  
Medullary Carcinoma ◽  
Medullary Thyroid ◽  
Appropriate Treatment ◽  
Microscopic Evaluation ◽  
History Of

Objectives 1) Investigate the controversial management dilemma of microscopic foci of medullary thyroid carcinoma found incidentally. 2) Describe appropriate treatment strategies for this rare scenario after critically reviewing the literature. Methods This case is a 33-year-old Caucasian female with a history of a multinodular goiter seen as a referral from an endocrinologist. She had no previous history of parathyroid disease, pheochromocytoma or MEN syndrome. She also had no family history of medullary thyroid carcinoma. The patient underwent total thyroidectomy for multiple nodules with an uneventful operative course and recovery. Results The thyroid was sent for permanent section and evaluated microscopically with an H&E stain. Final microscopic evaluation revealed multiple adenomatous nodules, a 2mm focus of papillary thyroid carcinoma, and a 2 mm focus of medullary thyroid carcinoma. The patient underwent no further surgical treatment. She has undergone chromosomal analysis, evaluation for possible multiple endocrine neoplasia, and serial calcitonin measurements. She is currently disease-free. Conclusions Medullary thyroid carcinoma is a well-described form of thyroid malignancy that typically mandates aggressive surgical treatment; however, there is a paucity of information in the literature concerning sporadic, microscopic foci of medullary thyroid carcinoma. We review the literature and describe appropriate treatment strategies for this rare scenario.

scholarly journals Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Vered H. Eisenberg ◽  
Nissim Arbib ◽  
Eyal Schiff ◽  
Motti Goldenberg ◽  
Daniel S. Seidman ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Previous History ◽  
Control Group ◽  
Intractable Pain ◽  
Study Group ◽  
Retrospective Case ◽  
Healthy Women ◽  
Increased Risk ◽  
History Of ◽  
And Control

Objectives. To determine the prevalence of ultrasound features suggestive of adenomyosis in women undergoing surgery for endometriosis compared with a control group of healthy women without endometriosis. Methods. Retrospective case-control study comparing women with intractable pain or infertility, who underwent transvaginal ultrasound and subsequent laparoscopic surgery, with a control group of healthy women without a previous history of endometriosis. A diagnosis of adenomyosis on TVUS was made based on asymmetrical myometrial thickening, linear striations, myometrial cysts, hyperechoic islands, irregular endometrial-myometrial junction, parallel shadowing, and localized adenomyomas and analyzed for one sign and for three or more signs. Results. The study and control groups included 94 and 60 women, respectively. In the study group, women were younger and had more dysmenorrhea and infertility symptoms. The presence of any sonographic feature of adenomyosis, as well as three or more signs, was found to be more prevalent in the study group, which persisted after controlling for age, for all features but linear striations. Women in the study group who had five or more sonographic features of adenomyosis had more than a threefold risk of suffering from infertility (OR = 3.19, p=0.015, 95% CI; 1.25–8.17). There was no association with disease severity at surgery. Conclusions. Sonographic features of adenomyosis are more prevalent in women undergoing surgery for endometriosis compared to healthy controls. Women with more than five features had an increased risk of infertility.

scholarly journals Constrictive Pericarditis: A Challenging Diagnosis in Paediatrics

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Mariana Faustino ◽  
Inês Carmo Mendes ◽  
Rui Anjos
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Constrictive Pericarditis ◽  
Correct Diagnosis ◽  
Previous History ◽  
Right Heart Failure ◽  
Right Heart ◽  
Noninvasive Cardiac Imaging ◽  
Uncommon Disease ◽  
History Of

Constrictive pericarditis is an uncommon disease in children, usually difficult to diagnose. We present the case of a 14-year-old boy with a previous history of tuberculosis and right heart failure, in whom constrictive pericarditis was diagnosed. The case highlights the need to integrate all information, including clinical data, noninvasive cardiac imaging, and even invasive hemodynamic evaluation when required, in order to establish the correct diagnosis and proceed to surgical treatment.

scholarly journals Assessment of Post SARS CoV 2 Fatigue among Physicians Working in COVID Designated Hospitals in Dhaka, Bangladesh

2021 ◽  
Author(s):  
A T M Hasibul Hasan ◽  
Muhammad Sougatul Islam ◽  
Nushrat Khan ◽  
Nazmul Hoque Munna ◽  
Wahidur Rahman Choton ◽  
...  
Keyword(s):  
Previous History ◽  
Disease Outbreaks ◽  
Control Group ◽  
Public And Private ◽  
Infectious Disease Outbreaks ◽  
Significant Difference ◽  
History Of ◽  
The Difference ◽  
Public And Private Hospitals ◽  
And Control

AbstractBackgroundFatigue has been observed after a number of infectious disease outbreaks around the world. After the outbreak of SARS CoV-2 in Wuhan, China in 2019, the disease turned into a pandemic very rapidly. Mental health is a key issue associated with such outbreaks. To explore the fatigue level among physicians working in designated public and private hospitals in Bangladesh, we conducted a matched case-control study of post-SARS-CoV-2 fatigue.MethodIn this study 105 physicians who were diagnosed as COVID-19 infected, got treatment, and declared cured at least 6 weeks before the interview date, were recruited as cases and the same number of age and designation matched healthy physicians as control who are working in the same hospital. Case and control were selected in 1:1 ratio from each of the hospitals. The study population was selected by inclusion and exclusion criteria after taking informed written consent. Data collection was done by a semi-structured questionnaire. Diagnosis of COVID--19 infection was done by detection of SARS CoV-2 antigen by RT-PCR from reference laboratories in Bangladesh or by HRCT Chest.ResultAround two-thirds of the physicians were male (67.6% versus 32.4%). Most of them aged less than forty years (80.5%). The cases had a greater number of comorbid conditions than those who were negative. The FSS score (mean) was much higher for cases (36.7 ± 5.3 versus 19.3 ± 3.8) than the control group with a statistically significant difference with no significant gender differentiation. Similarly, around 67.7% of the previously COVID positive physicians represented in the highest FSS score tertile compared to the respondents in the control group had a mean score of less than 3. The difference was also highly significant.ConclusionPhysicians, who had a previous history of COVID-19 infection had a higher total and mean FSS score, signifying a more severe level of fatigue than the physicians who had never been COVID-19 positive while working in the same hospital irrespective of their age and sex.

Injury Research: Where Should We Go From Here?

PEDIATRICS ◽  
1989 ◽  
Vol 84 (1) ◽  
pp. 180-181
Author(s):  
FREDERICK P. RIVARA ◽  
MARSHA E. WOLF
Keyword(s):  
Research Field ◽  
Descriptive Epidemiology ◽  
Formal Organization ◽  
Blue Ribbon ◽  
The Status ◽  
History Of ◽  
To Come ◽  
Blue Ribbon Panel ◽  
Injury Research ◽  
And Control

The injury research field is beginning to come of age. There now exists a formal organization within the federal government for injury research (the Division of Injury Epidemiology and Control of the Centers for Disease Control), growing funding by federal and private foundations, and an increasing body of literature (199 articles since 1986). A blue ribbon panel has issued a report on the status of the injury problem and outlined areas for research. Little attention, however, has been paid to the type of research studies that are needed. The history of the injury field has been marked by studies that are nearly all of the same type-descriptive epidemiology.

Past, Present, and Future

2017 ◽  
Author(s):  
Emile G. McAnany
Keyword(s):  
Development Aid ◽  
Funding Sources ◽  
Major Development ◽  
Policy Suggestions ◽  
History Of ◽  
Communication For Development ◽  
To Come ◽  
And Control ◽  
Development Practice ◽  
Do So

This chapter discusses the lessons that can be drawn from the history of communication for development (c4d) and makes a number of policy suggestions of how the c4d field might meet the challenges of 2015 and beyond. It first considers two approaches to development and change that major development aid institutions take into account: policy and funding. It argues that the major funders are the ones that have defined the field from the beginning and will most likely continue to do so for some time to come. It then expounds on five lessons that may be taken from the book's historical chapters, presented as challenges that will persist in the next decade of both general development practice and especially that of c4d and social change: who will be in charge of funding sources and control; who defines success and how it is measured; what role innovation plays in c4d projects; how people and technology relate to each other; and whether good ideas can solve problems in different contexts.

scholarly journals Functional state of the nasal cavity after endoscopic septoplasty

2020 ◽  
Vol 19 (3) ◽  
pp. 16-21
Author(s):  
S. A. Karpishchenko ◽  
◽  
A. N. Aleksandrov ◽  
A. E. Shakhnazarov ◽  
A. F. Fatalieva ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Nasal Cavity ◽  
Nasal Septum ◽  
Control Group ◽  
Endoscopic Techniques ◽  
Endoscopic Septoplasty ◽  
Diagnostic Measures ◽  
Significant Difference ◽  
History Of ◽  
Age Range

Septoplasty is one of the three most frequently performed operations in otorhinolaryngology. The history of the development has more than 200 years. The research and analysis of the features of different methods of this surgical treatment does not lose interest to this day. The article presents an analysis of the restoration of the functions of the nasal cavity after septoplasty. The research included 96 patients with various types of nasal septum deformities. The age range of patients ranged from 19 to 54 years. All patients had nasal septum correction under general anesthesia. Patients were divided into 2 groups. The 1st group included 64 patients who had endoscopic septoplasty. The 2nd control group consisted of 43 patients with the same pathology who underwent classical septoplasty without optical control. Dynamic observation was carried out before surgical treatment, on the 7th day, 1, 3, 6, 12 months after surgery. The aim of the research was to estimate the functional status of the mucous membrane of the nasal cavity after surgery, the time of the operation, as well as long-term postoperative complications if any. The following diagnostic measures there were: complaints, otorhinolaryngological examination by using endoscopic techniques, anterior active rhinomanometry on the Rinolan device (manufactured by Lana-Medica), measurement of mucociliary transport time using the saccharin test. Comparative analysis of groups of patients showed no significant difference in the restoration of nasal cavity functions. However, performing septoplasty using endoscopic technique reduces the time of surgery and the percentage of complications in contrast to the classical septum surgery

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