cases

案例
  • 文章类型: Journal Article
    目的:本报告的目的是审查口腔FLH,重点是腭部病变。
    方法:在PubMed上进行了全面搜索,以获取在英语文献中发表的病例报告和病例系列FLH。从整理的文章中寻找相关数据,包括病人的人口统计,临床表现,成像方式和发现,合并症,病因,遗产管理,和病变的结果。还提供了一个新的pa病例来说明该病变的几个特征。
    结果:总计,收集32例病例以建立临床病理相关性,代表已发布案例的最大集合。大多数受影响的患者至少60岁,并且具有决定性的女性偏爱。大部分病灶≤3cm,表现为正常颜色,紫红色或红色,从软到硬。值得注意的是,32%的腭部FLH与义齿磨损相关,16%的病例记录病灶复发。迄今为止,报告的腭部FLH病例均未发生恶变。
    结论:腭部FLH常作为反应性过程出现。关键的组织病理学和组织化学评估对于建立良性是必要的。术后,临床医生应跟踪患者至少5年的复发,并对肿瘤改变保持警惕,因为一些已发表的非口腔FLHs已发生恶性转化,通常是淋巴瘤。
    The aim of this report was to review oral follicular lymphoid hyperplasia, with emphasis on palatal lesions.
    A comprehensive search was performed on PubMed for case reports and case series of palatal follicular lymphoid hyperplasia published in the English language literature. Relevant data from collated articles was sought, including patient demographics, clinical manifestations, imaging modalities and findings, comorbidities, etiopathogenesis, lesional management, and lesional outcome. A new palatal case has also been provided to illustrate several features of this lesion.
    In total, 32 cases were assembled to establish clinicopathologic correlations, representing the largest aggregation of published cases. Most of the affected patients were at least 60 years old and with a decisive female predilection. The majority of lesions were ≤ 3 cm, appearing as normal color, purple-red or red, and varied from soft to firm. Notably, 32% of palatal follicular lymphoid hyperplasias were associated with denture wear, and lesional recurrence was recorded in 16% of cases. To date, none of the reported cases of palatal follicular lymphoid hyperplasia has undergone malignant transformation.
    Palatal follicular lymphoid hyperplasias often arise as a reactive process. Critical histopathologic and histochemical assessments are necessary to establish benignity. Postoperatively, clinicians should follow patients for at least 5 years for recurrence and remain vigilant for neoplastic change as several published accounts of non-oral follicular lymphoid hyperplasias have undergone malignant transformation, usually to lymphoma.
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  • 文章类型: Journal Article
    本研究旨在回顾妊娠期猴痘感染的流行病学和病因学,传输,临床表现和并发症,诊断,管理,产前检测和分娩,预防,意识,和建议。猴痘可以通过垂直传播传播。通常的临床症状包括发烧,皮疹(囊泡,地壳),新的生殖器病变,或喉咙痛。仅建议在怀孕患者严重感染猴痘时使用西多福韦。所有有天花暴露风险的妇女都需要接种天花疫苗,无论其怀孕状况如何。除了在怀孕的各个阶段进行超声检查外,监测还包括定期的非压力测试监测。高度怀疑,知情医生,报告案件,和研究的支持都需要在怀孕期间管理猴痘感染。
    The present study aimed to review monkeypox infection during pregnancy: its epidemiology and etiology, transmission, clinical manifestations and complications, diagnosis, management, antenatal testing and delivery, prevention, awareness, and recommendations. Monkeypox can spread via vertical transmission. The usual clinical symptoms include fever, rash (vesicles, crust), new genital lesions, or sore throat. It is only recommended to use cidofovir in pregnant patients when they are severely infected with monkeypox. All woman who are at high risk of exposure for monkeypox need to be vaccinated with the smallpox vaccine regardless of their pregnancy status. Monitoring includes regular non-stress test monitoring in addition to ultrasound performed at various stages of pregnancy. High index of suspicion, informed physicians, reporting of cases, and support of research are all needed for the management of monkeypox infection during pregnancy.
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  • 文章类型: Journal Article
    The areas of Research Ethics (RE) and Research Integrity (RI) are rapidly evolving. Cases of research misconduct, other transgressions related to RE and RI, and forms of ethically questionable behaviors have been frequently published. The objective of this scoping review was to collect RE and RI cases, analyze their main characteristics, and discuss how these cases are represented in the scientific literature.
    The search included cases involving a violation of, or misbehavior, poor judgment, or detrimental research practice in relation to a normative framework. A search was conducted in PubMed, Web of Science, SCOPUS, JSTOR, Ovid, and Science Direct in March 2018, without language or date restriction. Data relating to the articles and the cases were extracted from case descriptions.
    A total of 14,719 records were identified, and 388 items were included in the qualitative synthesis. The papers contained 500 case descriptions. After applying the eligibility criteria, 238 cases were included in the analysis. In the case analysis, fabrication and falsification were the most frequently tagged violations (44.9%). The non-adherence to pertinent laws and regulations, such as lack of informed consent and REC approval, was the second most frequently tagged violation (15.7%), followed by patient safety issues (11.1%) and plagiarism (6.9%). 80.8% of cases were from the Medical and Health Sciences, 11.5% from the Natural Sciences, 4.3% from Social Sciences, 2.1% from Engineering and Technology, and 1.3% from Humanities. Paper retraction was the most prevalent sanction (45.4%), followed by exclusion from funding applications (35.5%).
    Case descriptions found in academic journals are dominated by discussions regarding prominent cases and are mainly published in the news section of journals. Our results show that there is an overrepresentation of biomedical research cases over other scientific fields compared to its proportion in scientific publications. The cases mostly involve fabrication, falsification, and patient safety issues. This finding could have a significant impact on the academic representation of misbehaviors. The predominance of fabrication and falsification cases might diverge the attention of the academic community from relevant but less visible violations, and from recently emerging forms of misbehaviors.
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  • 文章类型: Journal Article
    向研究人员通报伊朗COVID-19流行病的流行病估计研究的方法和结果,我们的目标是进行快速审查。
    我们搜索并收录了已发表的文章,预印手稿和报告,估计伊朗累计或每日死亡人数或COVID-19病例。我们发现了131项研究,其中包括29项。
    纳入的研究提供了总共84个研究模型/情景组合的输出。16项研究使用3-4个室性疾病模型。疫情二月末(2020-04-19),预测的最低(和最高)值是1,777(388,951)的累计死亡,累计病例为20,588(2,310,161),在第四月末(2020-06-20),累计死亡人数为3,590(1,819,392),累计病例为144,305(4,266,964)。2020年最新日期的累计死亡人数(和病例)的最高估计为2020-12-19年的418,834人(2020-12-31年的41,475,792人)。模型估计预测了伊朗流行病的不祥进程。到2020年底,使用口罩的人口百分比从目前的情况增加到95%,可能会防止26,790例额外死亡(95%置信区间19,925-35,208)。
    纳入研究中使用的疾病建模和统计方法报告的细节和程度差异很大。在预测结果的结果方面观察到更大的异质性。在流行病估计研究中考虑最低限度和首选报告项目可能会更好地为未来对可用模型和将要开发的新模型的修订提供信息。不考虑漏报会导致模型结果误导。
    To inform researchers about the methodology and results of epidemic estimation studies performed for COVID-19 epidemic in Iran, we aimed to perform a rapid review.
    We searched for and included published articles, preprint manuscripts and reports that estimated numbers of cumulative or daily deaths or cases of COVID-19 in Iran. We found 131 studies and included 29 of them.
    The included studies provided outputs for a total of 84 study-model/scenario combinations. Sixteen studies used 3-4 compartmental disease models. At the end of month two of the epidemic (2020-04-19), the lowest (and highest) values of predictions were 1,777 (388,951) for cumulative deaths, 20,588 (2,310,161) for cumulative cases, and at the end of month four (2020-06-20), were 3,590 (1,819,392) for cumulative deaths, and 144,305 (4,266,964) for cumulative cases. Highest estimates of cumulative deaths (and cases) for latest date available in 2020 were 418,834 on 2020-12-19 (and 41,475,792 on 2020-12-31). Model estimates predict an ominous course of epidemic progress in Iran. Increase in percent population using masks from the current situation to 95% might prevent 26,790 additional deaths (95% confidence interval 19,925-35,208) by the end of year 2020.
    Meticulousness and degree of details reported for disease modeling and statistical methods used in the included studies varied widely. Greater heterogeneity was observed regarding the results of predicted outcomes. Consideration of minimum and preferred reporting items in epidemic estimation studies might better inform future revisions of the available models and new models to be developed. Not accounting for under-reporting drives the models\' results misleading.
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  • 文章类型: Journal Article
    UNASSIGNED: This review aimed to explore and summarise available cases of delirium suspected to be associated with the use of macrolide antibiotics reported in the literature and the United States Food and Drug Administration\'s Adverse Event Reporting System (FAERS) database.
    UNASSIGNED: Electronic searches of the literature were conducted in four online databases: PubMed/MEDLINE, Scopus, Web of Science and Serbian Citation Index (SCIndeks). A search of FAERS database was also conducted to supplement the findings of the literature search. Descriptive statistics, narrative summation and tabulation of the extracted data were made.
    UNASSIGNED: Cases of delirium which satisfied inclusion criteria were found for clarithromycin, azithromycin, erythromycin and telithromycin. Delirium was described in patients of various age groups, including children. Drug-drug interactions may have contributed to its occurrence in some of the cases. Average time to onset of delirium was 2.5 days for azithromycin and 3.3 days for clarithromycin.
    UNASSIGNED: Considering that these drugs may be a possible cause of delirium, clinicians should be aware that timely recognition of this possible side effect can lead to earlier discontinuation of the culprit drug, reduce time spent in a delirious state and improve patients\' outcomes.KEY POINTSCases of delirium which satisfied inclusion criteria were found for clarithromycin, azithromycin, erythromycin and telithromycin.Cases of delirium were described in patients of various age groups, including children.Drug-drug interactions may have contributed to the occurrence of delirium in some of the cases.Time to onset of delirium ranged from 2 to 3.5 days (mean: 2.5 days) for azithromycin and from 1 to 7 days (mean: 3.3 days) for clarithromycin.Cessation of the macrolide antibiotic seems to be the best management strategy, although some of the patients may, in addition, require antipsychotics.
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