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111.
Ammara Bint I Bilal Mohammadshah Isam Gul Fateen Ata Renan E. Ibrahem Muhammad I. Danjuma 《Clinical Case Reports》2022,10(4)
Cervical ribs are rare and usually asymptomatic. Occasionally, they can cause nerve impingements and compressive symptoms. In cervical ribs, osteomyelitis secondary to trauma is unheard of. We report such a case made more interesting by the familial presence of bilateral cervical ribs in two generations, indicating a familial origin. 相似文献
112.
Sevgi Ikbali Afsar Sacide Nur Saragil Cosar Oya Umit Yemii Hüma Blük 《The journal of spinal cord medicine》2022,45(2):221
Objective: To compare neurological and functional outcomes, and complications of patients with neoplastic vs traumatic spinal cord injury (SCI) after in-patient rehabilitation.Design: This study is a retrospective analysis.Setting: In-patient rehabilitation unit of a tertiary research hospital.Participants: A total of 252 patients with a SCI were included; 43 with neoplastic SCI (mean age: 60.9 ± 15.7 years, 60.5% were males) and 209 with traumatic SCI (mean age: 43.1 ± 16.8 years, 71.3% were males).Outcome measures: Comparisons were made of demographic characteristics, etiology, American Spinal Injury Association (ASIA) impairment scale, functional independence measurement (FIM) and Functional Ambulation Categories (FAC) scores, length of stay (LOS), bladder independence, medical comorbidities and complications in both groups.Results: Patients with neoplastic SCI were significantly older than those with traumatic SCI (P < 0.01). No difference was present between the groups in terms of sex and lesion level (P > 0.05). Incomplete SCI was significantly higher in the neoplastic group when compared with the traumatic group (P < 0.01). The LOS was significantly shorter in the neoplastic group than traumatic group (34.8 ± 41.03 vs. 60.02 ± 53.1, P < 0.01). There were no differences in the admission FIM scores (69.3 ± 24.7 vs. 58.7 ± 18.9, P > 0.05), discharge FIM scores (82.1 ± 25.1 vs. 74.02 ± 23.3, P > 0.05) and FIM efficiencies (0.43 ± 0.72 vs. 0.36 ± 0.51, P > 0.05) for the neoplastic and traumatic groups, respectively. However, neoplastic SCI patients demonstrated lower FIM gains compared to traumatic patients (12.9 ± 11.9 vs. 15.4 ± 15.2, P < 0.05). During rehabilitation, urinary tract infection (48.4% vs. 69.4%) and decubitus ulcer (11.6% vs. 35.9%) were significantly more common in the traumatic group than the neoplastic group (P < 0.05).Conclusion: Neoplastic SCI patients who commonly present at rehabilitation units exhibit different characteristics from traumatic SCI patients but the rehabilitation results are similar. Similar functional development can be achieved in a shorter period of time with inpatient rehabilitation in the neoplastic SCI group. 相似文献
113.
Daniel P. Potaczek Sebastian D. Unger Nan Zhang Styliani Taka Sven Michel Nesibe Akdağ Feng Lan Markus Helfer Christoph Hudemann Markus Eickmann Chrysanthi Skevaki Spyridon Megremis Anne Sadewasser Bilal Alashkar Alhamwe Fahd Alhamdan Mübeccel Akdis Michael R. Edwards Sebastian L. Johnston Harald Renz 《The Journal of allergy and clinical immunology》2019,143(4):1403-1415
114.
Riga‐Fede disease is a benign and uncommon mucosal disorder. This illness is an ulceration of the oral mucosa and arises from repetitive traumatic injuries. The disease is usually caused by the sharp edges of new erupted teeth. The aim of the present case report is to present Riga‐Fede disease and its treatment. We reported a 11‐month‐old healthy female infant diagnosed as Riga‐Fede disease based on clinical features. After the conservative treatment that focused on eliminating the source of trauma, total healing was observed. Riga‐Fede disease is rare. This illness can be confused with malignancies. Therefore, the diagnosis and treatment of this disease are very important for physicians and patients. 相似文献
115.
Alper Ucak M.D. Burak Onan M.D. Bilal Kaan Inan M.D. Veysel Temizkan M.D. Murat Ugur M.D. Ahmet Turan Yilmaz M.D. 《Journal of cardiac surgery》2010,25(3):336-339
Abstract Hybrid repair of an acute type B aortic dissection with endovascular stenting and aortic arch debranching is an acceptable treatment in complicated type B dissection. We present the case of a 71‐year‐old man presenting with acute type B aortic dissection and concomitant aneurysm of the distal aortic arch, who underwent an uneventful hybrid procedure, which involved subclavian‐to‐subclavian bypass before endovascular stent‐graft placement to the aortic arch. (J Card Surg 2010;25:336‐339) 相似文献
116.
Background The management of symptomatic or incidentally discovered common bile duct (CBD) stones is still controversial. Of patients
undergoing elective cholecystectomy for symptomatic cholelithiasis, 5–15% will also harbor CBD stones, and those with symptoms
suggestive of choledocholithiasis will have an even higher incidence. Options for treatment include preoperative endoscopic
retrograde cholangiopancreatography (ERCP) with sphincterotomy (ERCP/ES) followed by laparoscopic cholecystectomy, laparoscopic
cholecystectomy with intraoperative cholangiogram (LC/IOC), followed by either laparoscopic common bile duct exploration (LCBDE)
or placement of a common bile duct double-lumen catheter with postoperative management. The purpose of this analysis was to
determine the optimal management of such patients.
Methods A decision analysis was performed to analyze the management of patients with suspected common bile duct stones. The basic
choice was between preoperative ERCP/ES followed by LC, LC/IOC followed by LCBDE, or common duct double-lumen catheter (Fitzgibbons
tube) placement with either expectant management or postoperative ERCP/ES. Data on morbidity and mortality was obtained from
the literature. Sensitivity analysis was done varying the incidence of positive CBD stones on IOC with associated morbidity
and mortality.
Results One-stage management of symptomatic CBD stones with LC/LCBDE is associated with less morbidity and mortality (7% and 0.19%)
than two-stage management utilizing preoperative ERCP/ES (13.5% and 0.5%). Sensitivity analysis shows that there is an increase
in morbidity and mortality for LC/LCBDE as the incidence of positive IOC increases but are still less than two-stage management
even with a 100% positive IOC (9.4%, 0.5%). If a double-lumen catheter is to be used for positive IOC, the morbidity would
be higher than two-stage management only if the positive IOC incidence is more than 65% but still with no mortality.
Conclusion LCBDE has lower morbidity and mortality rates compared to preoperative ERCP/ES in the management of patients with suspected
CBD stones even if the chance of CBD stones reaches 100%. Using a common duct double-lumen catheter may be considered if LCBDE
is not feasible and the chance of CBD stone is less than 65%.
Presented in part at the 49th Annual Meeting of the Society for Surgery of the Alimentary Tract [Poster Session], San Diego,
CA, May 17–21, 2008 相似文献
117.
Peer W. Kämmerer Takeshi Toyoshima Sami Eletr Philipp Kämmerer Kathrin Kuhr Bilal Al‐Nawas Jürgen Brieger 《Journal of oral pathology & medicine》2010,39(10):786-792
J Oral Pathol Med (2010) 39 : 786–792 Background: Vascular endothelial growth factor (VEGF) plays an important role in promoting angiogenesis and is overexpressed in several malignancies. Polymorphisms of the VEGF gene can alter VEGF protein expression, which may be biologically significant and account for heterogeneity in disease risk and outcome. The aim of this case–control study was to evaluate potential associations between single nucleotide polymorphisms (SNP) of the VEGF gene with susceptibility of oral squamous cell carcinoma (OSCC). Patients and methods: Five VEGF SNP (?1154 G/A, +405 G/C, +936 C/T, ?2578 C/A and ?460 C/T) were determined in peripheral blood isolated from 80 patients with OSCC and from 40 age‐ and gender‐matched healthy volunteers (RT‐PCR). Results: The +936 T allele and the ?2578 C/A SNP were expressed significantly more often in the OSCC‐group (P = 0.002; P < 0.0001) where three associations between two SNPs (+936 and +405, ?2578 and ?1154, ?460 and ?2578) were found. Conclusion: Our findings provide support that +936 T allele and ?2578 C/A SNP of the VEGF gene alone or in combination with other SNP are associated with OSCC. The SNPs may be used as biomarker for the development of specialized anti‐VEGF drugs. Further studies must confirm the value of preoperative genetic analysis for prognosis. 相似文献
118.
119.
High-risk human papillomavirus (HPV) E6 and E7 oncoproteins are essential factors for HPV-induced carcinogenesis, and for the maintenance of the consequent neoplastic growth. Cellular transformation is achieved by complex interaction of these oncogenes with several cellular factors of cell cycle regulation including p53, Rb, cyclin-CDK complexes, p21 and p27. Both persistent infection with high-risk HPV genotypes and immune dysregulation are associated with increased risk of HPV-induced squamous cell carcinoma. 相似文献
120.