Volume 6 - Issue 4


Authors : David R. Dolbow, DPT, PhD, RKT, Vanessa C. Cornelia, OMS II, Sarah E. Clancy, OMS III, Andrew P. Sandoval, OMS IV, Jason M. Jackson PhD, OMS III, Samantha L. Payton PhD, OMS III, Ajay Sharma, DO, Director OMM Scholars Program
Muscle spasticity and neuropathic pain are common comorbidities after spinal cord injury (SCI) that can lead to further disability and the reduction in quality of life. Pharmacologic treatments are used as a standard of care for muscle spasticity and neuropathic pain. A possible adjunct therapy is osteopathic manual manipulation therapy.
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Authors : Cory M. Smith*, Cierra B. Ugale, Matt D. Segovia, Katie M. Lee, Andrew R. Gallucci, Joshua R. Thompson, Hunter D. Dobbs, Owen F. Salmon
Identifying and tracking the recovery of patients with mild traumatic brain injuries (mTBI) has remained elusive due to the lack of non-invasive, objective neuroimaging techniques. The purpose of this case study was to provide a proof of concept for performing a combined functional near-infrared spectroscopy (fNIRS) and 60-s psychomotor vigilance testing (60-s PVT) that can identify and track the recovery of a patient with a mTBI. The patient was a 19-year-old female acrobatics and tumbling athlete who was kicked in the left temple by a teammate. Video footage of the injury was utilized to determine the region of impact and weekly fNIRS and 60-s PVT assessments were performed throughout the 10 weeks of recovery.
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Authors : Dong Wei, Cao Zhenfeng, Shi Changsong*
To investigate the availability of seven serum cytokines, interleukin-4 (IL-4), interleukin-6 (IL-6), interleukin-10 (IL-10), interleukin-17 (IL-17), interleukin-12-70 (IL-12P70), tumor necrosis factor-α (TNF-α) and interferon-γ (IFN-γ) changes and significance in Common and lobular community acquired pneumonia (CAP).
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Authors : Christian Khalil*, Houda NADIR
We present a case of a 78-year-old male patient diagnosed with pachymeningitis secondary to Wegener's granulomatosis (WG), also known as granulomatosis with polyangiitis (GPA), associated with p-ANCA positivity. This case report aims to highlight the clinical presentation and diagnosis, of pachymeningitis in WG and provide a review of the literature on this manifestation.
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Authors : Harsh Rajesh Nathani*, Tejaswini Fating, Vrushali Athawale, Grisha Ratnani
A 60-year-old male patient with a history of dizziness, frontal headache, and diabetic imbalances was admitted to the Neurology Outpatient Department. He had a history of bronchial asthma, kharra, tobacco chewing, and alcohol consumption. Due to his medical history, he experienced a convulsion, tongue injury, and a convulsion in the Neurosurgery ward. He was transferred to the NeuroICU and required intubation via tracheostomy. A physiotherapy regimen was initiated to address his condition and aid in his recovery. The patient presented with tachypnea and tachycardia, elevated respiratory and heart rate, and a Glasgow Coma Scale (GCS) of E3VTM4. He had sluggish bilateral pupillary light reflex and a cough reflex.
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Authors : Aymen laaliaoui* ; Mohammed Mrida ;Houssain Boufettal ,Sakher Mah-daoui , Naima Samouh
External endometriosis is an ectopic localization oftissues whose morphological and functional characteristics are those of the endometrial mucosa. It is found in 10 to 20% of women in genital activity. It occurs in about 0.1% of scars from gynecological-obstetrical procedures.[1] On the other hand, in spontaneous skin localizations, it is 0.5%.[2] Diagnosisis relatively easy in women between 20 and 40 years of age with catamenial symptoms. [2] Abdominal parietalendometriosis has been described in various locations including the abdominal wall (rectus abdominis) and umbilicus,[3-4] caesarean section scars,[5-6] skin and adjacent tissue from abdominal or pelvic surgery scars.
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Authors : Anies Mahomed*, Ali Al Khamis, Osama Bawazeer, Nadeem Hassan, Ahmed Al Harbi
The prevalence of cholelithiasis in children is rare and a fraction of these will also have concomitant choledocholithiasis. Detection and expeditious management of common bile duct (CBD) stones is critical to avoiding complications, some of which are potentially life threatening. Of concern are, obstructive jaundice, recurrent pancreatitis and ascending cholangitis. The management options for CBD stone are multiple and extraction can be achieved via, open choledochotomy, endoscopic retrograde cholangiography (ERCP) with sphincterotomy, choledochoscopy and percutaneously via trans- hepatic cholangiography (PTC).
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Authors : Racky WADE-KANE, Boubacar BAGUE, Ibra DIAGNE, Aida SYLLA
At the Fann Psychiatry department, institutional accompanying person is often very close to patients. Sometimes, they are the only ones to witness pathological attitudes or behaviors coming from patients. Thus, we will study the contribution of an institutional accompanying person to the detection of 3 episodes of violence in a hospitalized patient and then formulate recommendations.
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Authors : Dr. Ahmed Alwan Shalal
The purpose of this study was to ascertain the safety and preferences of local anesthetic (LA) for penetrating keratoplasty. A review of all PKs completed at Ibn Al-Ahaitham Teaching Eye Hospital over the previous four years (2018– 2021) in order to determine the incidence of serious complications. To ascertain patterns in PK's anesthetic use, structured interviews with hospitalized cornea experts were conducted. Continuous data were expressed as mean (SD), whilst categorical variables were expressed as a number (%). In local anesthesia, 41% of the population was under 30, while 59% was over 30. Of these, 69.1% were female.
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Authors : Prof. dr Dragana Zivkovi´cˇ
Urinomas in pediatric patients, stemming from traumatic injuries to the genitourinary system, pose diagnostic and therapeutic challenges. We present a case of a boy with a penetrating injury of the abdomen in whom a ureteric injury was missed, highlighting the complexities in diagnosing and managing these cases and emphasizing the need for a comprehensive approach. Traumatic urinomas demand astute clinical assessment and advanced imaging for accurate diagnosis.
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