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Lung Ultrasound In Ventilator Associated Pneumonia: Light Or More Shadow At Diagnosis 呼吸机相关性肺炎的肺部超声诊断:亮影或多影
Pub Date : 2019-01-01 DOI: 10.21767/1989-5216.1000293
A. A., D. H, V. O, Castellanos-Gutierrez R, Suarez-Lopez J, Machado-Martinez R
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引用次数: 0
Cat-Scratch Disease in a Child with Ocular Involving: A Case Report 儿童猫抓病伴眼部累及1例报告
Pub Date : 2019-01-01 DOI: 10.21767/1989-5216.1000295
M. G, C. R, Pontari S, Borrominia A, M. n, M. F
We report a case of a 10-year-old child, who presented with headache, nausea and fever in the past 72 hours. Past medical history was insignificant; parents did not signal any helpful information. Laboratory tests and radiology imaging were normal except for high inflammatory indices and modest spleen enlargement. Rotavirus infection was isolated from the blood cultures. We want to describe this unusual case of cat-scratch disease presenting with soft mono-lateral optic nerve involvements without the typical scratch related regional lymphadenopathy in order to highlight the heterogeneous presentation of Bartonella Henselae infection, especially in children. Therefore, we should consider cat-scratch disease in any patients with FUO and unspecific systemic symptoms even if there is not a recent cat relate contact and a typical clinical presentation.
我们报告一例10岁儿童,在过去的72小时内出现头痛,恶心和发烧。既往病史无关紧要;家长们没有给出任何有用的信息。实验室检查和影像学检查正常,除了高炎症指数和适度脾肿大。从血培养中分离出轮状病毒感染。我们想描述这个不寻常的猫抓病的病例,表现为软单侧视神经受累,而没有典型的与抓相关的局部淋巴结病,以突出亨塞拉巴尔通体感染的异质性,特别是在儿童中。因此,我们应该考虑猫抓病的任何患者的FUO和非特异性全身症状,即使没有最近的猫相关接触和典型的临床表现。
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引用次数: 1
Asian Aesthetic and Dermatology Congress 亚洲美容与皮肤病学大会
Pub Date : 2019-01-01 DOI: 10.36648/1989-5216.11.3.301
A. Agarwal
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引用次数: 0
Role of Periodontal Disease on Systemic Health 牙周病对全身健康的作用
Pub Date : 2019-01-01 DOI: 10.36648/1989-5216.11.1.E103
I. Minić
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引用次数: 0
The Role of Periodontal Disease in Etiology of Myocardial Infarction 牙周病在心肌梗死病因学中的作用
Pub Date : 2019-01-01 DOI: 10.36648/1989-5216.11.1.296
B. Stankovic, I. Minić
Periodontal disease is a chronic inflammatory disease of periodontium and its advanced form is characterized by periodontal ligament loss and destruction of surrounding alveolar bone. Cardiovascular diseases are the most common cause of adult death in the world. Over 80% of cardiovascular disease deaths take place in low-and middleincome countries and occur almost equally in men and women. The main causes of cardiovascular diseases are tobacco use, unhealthy diet, physical inactivity, high blood pressure and high blood cholesterol. The association of coronary heart disease and periodontal disease may be due to an underlying response trait, which places an individual at high risk for developing both periodontal disease and atherosclerosis. It was suggested that periodontal disease, once established provides a biological burden of endotoxin and inflammatory cytokines, especially thromboxane A2, prostaglandin E2, interleukin (IL) 1L=1 α, and tumor necrosis factor-β, which serve to initiate and exacerbate atherogenesis and thromboembolic events. As we known dental infection especially periodontal disease can be tightly connected with cardiovascular disease, that’s the reason why patients who have valvular defect or some other congenital defects such as septal defects, or who have prosthetic valve, should receive antibiotic therapy as prophylaxis before any blood included procedure. It is very important to prevent periodontal disease, or if it’s already present, the treatment should commence as soon as possible to prevent the risk factors from occurring and causing cardiovascular disease.
牙周病是一种慢性牙周炎症性疾病,其晚期表现为牙周韧带丧失和周围牙槽骨破坏。心血管疾病是世界上成年人死亡的最常见原因。80%以上的心血管疾病死亡发生在低收入和中等收入国家,男性和女性的死亡率几乎相等。造成心血管疾病的主要原因是吸烟、不健康的饮食、缺乏体育活动、高血压和高胆固醇。冠心病和牙周病的关联可能是由于一种潜在的反应特征,它使个体处于患牙周病和动脉粥样硬化的高风险中。研究表明,牙周病一旦形成,内毒素和炎症细胞因子的生物学负担,尤其是血栓素A2、前列腺素E2、白细胞介素1L=1 α和肿瘤坏死因子-β,它们有助于启动和加剧动脉粥样硬化和血栓栓塞事件。正如我们所知,牙齿感染,尤其是牙周病与心血管疾病密切相关,这就是为什么有瓣膜缺损或其他先天性缺陷的患者,如间隔缺损,或有人工瓣膜的患者,在进行任何含血手术之前,都应该接受抗生素治疗作为预防措施。预防牙周病是非常重要的,如果牙周病已经出现,应该尽快开始治疗,以防止危险因素的发生和引起心血管疾病。
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引用次数: 2
The Comparative Evaluation of S100B Protein, Glasgow Coma Scale and Neuro-Depiction over Head Injuries in Childhood S100B蛋白、格拉斯哥昏迷评分和神经描述对儿童头部损伤的比较评价
Pub Date : 2019-01-01 DOI: 10.36648/1989-5216.11.2.297
F. T., Patoulias I, Spyridakis I, Zafeiriou D, Adamopoulos V, A. M, S. D.
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引用次数: 0
The Role of Periodontal Disease in Etiology of Myocardial Infarction 牙周病在心肌梗死病因学中的作用
Pub Date : 2019-01-01 DOI: 10.21767/1989-5216.1000296
S. B, M. I
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引用次数: 0
Usefulness of the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Questionnaire in Dupuytren's Disease: A Prospective Cohort Study 手臂、肩膀和手的快速残疾(QuickDASH)问卷在Dupuytren病中的有效性:一项前瞻性队列研究
Pub Date : 2019-01-01 DOI: 10.36648/1989-5216.11.2.300
D. Gómez-Herrero, R. Sanjuan-Cerveró, D. Montaner-Alonso, Luis Aguilella Fern, ez, P. Vazquez-Ferreiro, Rocio Vila-Miralles, E. García-Jiménez, F. Carrera-Hueso
Background: Dupuytren's Disease (DD) is a fibroproliferative disease which affects the hands and can produce progressive and irreversible flexion contractures. Collagenase Clostridium histolyticum (CCH) is a minimallyinvasive treatment option for it. Hand function and patient´s satisfaction were commonly measured by the Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. The Spanish QuickDASH is the only validated Spanish region-specific questionnaire can be employed for the clinical assessment of patients with pathologies of the hand, such as Dupuytren's Disease. The aim of the study was to determine the usefulness of the abbreviated Spanish version of the QuickDASH, as an effective tool for evaluation of Dupuytren's disease treatment outcomes and their correlation with objective outcomes measuring improvement in residual contracture following treatment. Methods: We conducted a prospective cohort study from April 2016 to June 2017 involving the selection of patients from three different hospitals. The measurement of the clinical results was made by calculating the difference between prior and post-treatment degrees of contraction (Thomine´s coefficient) and QuickDASH questionnaire was self-administered by patients pre- and post-treatment. Results: 46 patients (66.1 ± 1.1 years) completed the study. The mean correction for the metacarpophalangeal joint was -26.67 degrees (p<0.001) and -23.39 degrees for the proximal interphalangeal joint. The mean change in QuickDASH score was 8.88 (p<0.001) at a mean 34.6-day follow-up. The study showed a low correlation between the QuickDASH scores and the improvement in mobility, showing a weak relation between the scores (r<0.2). Conclusion: In our study, QuickDASH questionnaire scores for the treatment of Dupuytren´s disease did not correlate with clinical outcomes.
背景:Dupuytren's Disease (DD)是一种影响手部的纤维增生性疾病,可导致进行性和不可逆的屈曲挛缩。胶原酶溶组织梭菌(CCH)是一种微创治疗选择。手功能和患者满意度通常采用“手臂、肩膀和手的残疾”(QuickDASH)问卷进行测量。西班牙QuickDASH是唯一经过验证的西班牙地区特定问卷,可用于手部病变(如Dupuytren病)患者的临床评估。该研究的目的是确定简略西班牙语版QuickDASH的有效性,作为评估Dupuytren病治疗结果的有效工具,以及它们与测量治疗后残余挛缩改善的客观结果的相关性。方法:我们于2016年4月至2017年6月进行了一项前瞻性队列研究,选取了来自三家不同医院的患者。通过计算治疗前后收缩度(托明系数)之差来衡量临床结果,并由患者在治疗前后自行填写QuickDASH问卷。结果:46例患者(66.1±1.1岁)完成研究。掌指关节的平均矫正度为-26.67度(p<0.001),近端指间关节的平均矫正度为-23.39度。在平均34.6天的随访中,QuickDASH评分的平均变化为8.88 (p<0.001)。研究表明,QuickDASH得分与活动能力改善之间的相关性较低,表现为弱相关性(r<0.2)。结论:在我们的研究中,治疗Dupuytren病的QuickDASH问卷得分与临床结果无关。
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引用次数: 1
Role of Periodontal Disease on Systemic Health 牙周病对全身健康的作用
Pub Date : 2019-01-01 DOI: 10.21767/1989-5216.1000-e103
M. I
Periodontal medicine is a term used for different purposes in different parts of the world. In certain countries, it relates to the study of the dynamic relationship between periodontal diseases and systemic conditions [1]. During the past 15 years, a large body of literature has identified oral/periodontal infection and inflammation as a risk factor for the development and/or severity of certain systemic diseases and disorders. Many studies have been focused on the influence of periodontal disease on diabetes mellitus, cardiovascular disease, adverse birth outcomes and respiratory diseases. Other associations have been reported (e.g. dementia, chronic kidney disease and certain forms of cancer), but the literature on these topics is not robust [2-4].
牙周医学是一个在世界不同地区用于不同目的的术语。在某些国家,它涉及牙周病与全身状况之间动态关系的研究[1]。在过去的15年里,大量的文献已经确定口腔/牙周感染和炎症是某些全身性疾病和失调发展和/或严重程度的危险因素。许多研究集中在牙周病对糖尿病、心血管疾病、不良出生结局和呼吸系统疾病的影响上。其他关联也有报道(如痴呆、慢性肾脏疾病和某些形式的癌症),但关于这些主题的文献并不健全[2-4]。
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引用次数: 0
Streptococcus Pneumoniae as an Unusual Aetiology of Meningitis Sepsis in a 72 Hours Newborn: A Case Report 肺炎链球菌作为一个不寻常的病因在72小时新生儿脑膜炎败血症:一个病例报告
Pub Date : 2019-01-01 DOI: 10.36648/1989-5216.11.1.294
G. Mirri, A. Borrominia, N. Martinelli, F. Maggiore, D. Casero, E. Veronelli, M. Agosti
We report a case of pneumococcal neonatal meningitis in an Italian girl, occurred 3 days after birth. CSF microscopic examination revealed the presence of Gram Positive diplococci, identified as S. pneumoniae after detection of pneumococcal capsular antigen. Tests for Group B Streptococcus on mother and child were both negative. The case was peculiar because in industrialized countries the most common agents responsible of neonatal meningitis are GBS, E. coli and Listeria monocytogenes, where pneumococcal meningitis in the neonatal period is quite uncommon: It is then necessary to consider that, in any case of early onset neonatal meningitis, S. pneumoniae is a possible yet uncommon causative agent, and that the microbiological profile of early onset neonatal meningitis in industrialized countries might change substantially because of migratory streams and the subsequent diffusion of emerging microorganisms, which are unusual at the present time.
我们报告一例肺炎球菌新生儿脑膜炎在一个意大利女孩,发生在出生后3天。脑脊液镜检显示存在革兰氏阳性双球菌,经肺炎球菌荚膜抗原检测鉴定为肺炎链球菌。母亲和孩子的B群链球菌测试均为阴性。这一病例很特殊,因为在工业化国家,导致新生儿脑膜炎的最常见病原体是GBS、大肠杆菌和单核细胞增生李斯特菌,在这些国家,新生儿时期的肺炎球菌脑膜炎相当罕见。因此,有必要考虑到,在任何早发性新生儿脑膜炎病例中,肺炎链球菌是一种可能但不常见的病原体,并且工业化国家早发性新生儿脑膜炎的微生物谱可能会发生重大变化,因为迁移流和随后出现的微生物扩散,这在目前是不寻常的。
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