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Case Management - Europe PMC

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Last Updated: 14 September 2022

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A case of ovarian fibromatosis as an incidental finding in an acute ovarian torsion: Differential diagnosis and management.

Ovarian fibromatosis is a rare non-neoplastic disease that is more common in young females and characterized by ovarian enlargement with the proliferation of collagen-producing spindle cells in the stroma. It usually appears as an abdominal pain, menstrual disorder, or as a solid mass. We discuss the case of a 17-year-old female who complained of acute pain in the right iliac fossa and biles. An abdominal ultrasound was performed, revealing an enlarged right adnexal with a heterogenic cyst without flow to the ovary. A right ovarian torsion was evident in A Pfannenstiel's torsion. The haemorrhagic cyst was removed, and the ovary was detoured. Both ovaries were tested for bilateral ovarian biopsies, suggesting malignancy. After three months, magnetic resonance imaging revealed an enlarged right ovary with a fibrous capsule surrounding both ovaries. In conclusion, OF can also be detected in the context of an ovarian tumor.

Source link: https://europepmc.org/article/MED/36018209


The Use of a Single Dose of Phenobarbital for Inpatient Management of Benzodiazepine Withdrawal: A Case Report.

We present an example of effective benzodiazepine withdrawal in the inpatient setting by utilizing a single, loading dose of phenobarbital with adjunctive valproate therapy. By the time of release, a 61-year-old woman with benzodiazepine use disorder using 3 to 4 mg alprazolam daily was to an inpatient medically monitored withdrawal unit, requesting the removal of all benzodiazepines and other recreational products by the time of release. A single, loading dose of intravenous phenobarbital was administered to an approved program for alcohol withdrawal therapy as well as adjunctive valproate therapy. A single loading dose of phenobarbital in the inpatient setting is a safe alternative to long outpatient tapers for the treatment of benzodiazepine withdrawal. This case describes the successful treatment of benzodiazepine withdrawal syndrome using a single loading dose of intravenous phenobarbital obtained from an approved program for alcohol withdrawal syndrome.

Source link: https://europepmc.org/article/MED/36094077


Double laterally moved coronally advanced flap combined with a connective tissue graft plus enamel matrix derivatives for the management of adjacent deep gingival recessions in lower incisors: a case report.

Several surgical options have been suggested for the treatment of deep gingival recessions in the lower anterior sextant, with varying clinical findings. When brushing on two adjacent Cairo recession type 2 of 7 mm depth with a narrow band of keratinized tissue in the lower incisors, a 42-year-old systemically fit female was left with dentin hypersensitivity and pain. When keratinized tissue lateral to the gingival defects is available, the presented method is a repeatable protocol for treating adjacent and deep GRs in the anterior sextant.

Source link: https://europepmc.org/article/MED/36087935


BREMi-A New Tool for the Evaluation of UNESCO Biosphere Reserve Management Effectiveness: Case-study in the Arab Man and Biosphere (ArabMAB) Regional Network.

Scholars and practitioners have been attempting to find simple and effective ways to measure protected area management effectiveness. We develop and recommend the first quantitative tool for the analysis of BR management efficiency, which will enhance and complement the currently used qualitative PR survey, and help BR managers' rapid assessment be carried out to achieve the three responsibilities of BRs based on current PAME methodologies. This tool, named Biosphere Reserve Effectiveness of Management index, was then used to measure management performance across the Arab Man and the Biosphere Reserve network, which includes 17 BRs representing 8 Middle East and North Africa countries. Finally, we explore where the BREMi software can be most helpful for BR management authorities in the iterative process of evaluation and adaptive management.

Source link: https://europepmc.org/article/MED/36087145


Outcome of subsequent pregnancies post uterine rupture in previous delivery A case series, a review and recommendations for appropriate management.

A retrospective review of patients treated at Sheba Medical Center between 2005 and 2020 was done. A literature review was conducted using Pubmed's database and including a previous literature review that had been published. In our study, we included fifteen patients with subsequent pregnancies following UR. At 36 weeks and 5 days, one patient had a repeat uterine rupture 2 cm at 36 weeks and 5 days. Repeated uterine rupture was 8. 0%, ranging from 0 to 37. 5%. The risk of recurrence after uterine rupture is significant, but it should not discourage patients from conceiving.

Source link: https://europepmc.org/article/MED/36087068


Management of Acute Coronary Syndrome With a Bleeding Intra-Tumoral Hepatocellular Carcinoma: A Case Report

This case report details the treatment of a 69-year-old gentleman with acute coronary syndrome in the aftermath of unexpectedly found hepatocellular carcinoma with intra-tumoral bleed. The bleeding vessel was first treated with a mesenteric celiac angiogram and trans-articulate bland embolization. Coronary angioplasty was performed in the same setting as simultaneous diagnosis of the acute coronary syndrome and coronary syndrome.

Source link: https://europepmc.org/article/MED/PMC9439716


A Case of Varicella-Zoster Virus Meningomyelitis in an HIV-1-Infected Patient: Facing the Challenges Related to Its Management and Prognosis

Varicella-zoster virus myelitis, a rare complication of herpes zoster, is a rare complication of herpes zoster. We report the case of a 43-year-old woman with human immunodeficiency virus type 1 infection who had been started on antiretroviral therapy eight months before. By magnetic resonance imaging, signs of myelitis from C4 to T10 and VZV DNA was found in the cerebrospinal fluid, which was a positive. Spinal cord growth was seen in both a VZV PCR and MRI, which showed spinal cord maturation. Some aspects of the current case may be attributed to unfavorable result, such as elevated VZV viral load in the CSF and rapid progression of neurological deficits to paraplegia and sphincter dysfunction. Moreover, the restoration of CD4+ cells from 4% to 14% after starting antiretroviral therapy may have contributed to myelopathy's progression. Further studies are required to increase the awareness of the VZV myelitis course and optimize its therapy.

Source link: https://europepmc.org/article/MED/PMC9437380


Do the perceptions of community on forest management and conservation vary across wealth groups? The case of the Kilosa REDD+ initiative in Tanzania

Various community groups have a tendency to interact with their environments in a certain way. Understanding how these groups interact with their forests provides vital information for ensuring sustainable forest governance. Under the Reducing Emissions from Deforestation and forest Degradation Plus initiative in Tanzania, this research focused on understanding how consumers from various wealth groups of their views on forest management and conservation. Forest management and conservation were relatively standardized across all income groups, although community general knowledge of forest management and conservation was highly divided, among wealthy groups, their perceptions of various aspects of forest management and conservation were highly correlated, with some wealthy groups being extremely diversified. Forest management and conservation were also not significantly different across all income groups, with the exception of participation in a training/workshop for which the difference was significant across wealth groups. Future REDD+ initiatives are a result of the observed similarities and differences among wealth groups within the region.

Source link: https://europepmc.org/article/PPR/PPR542306


Flood Vulnerability Assessment and Local Management Strategy: the case of Adama City

In cities of developing countries, flood risk is getting more acute. One of the key cities in Ethiopia regularly facing flood vulnerability is Adama City, which is located in the heart of the country's heart, is one of the main cities regularly facing flood vulnerability. This research was carried out with the aim of determining Adama city's flood risk and Management system. The findings of the survey revealed that major portions of the city fell under moderate hazard zones followed by high hazard zones, as well as high hazard zones. The findings indicate that the inhabitants of Adama city are employing peculiar flood control methods, including flood septic tank in their garden, increase door size, and gravel filling, as to flood control. To this end, it is highly recommended that these locations within the city's high and thin hazard zone need immediate intervention and decision making for future flood hazard control and planning.

Source link: https://europepmc.org/article/PPR/PPR542051


A case report of second fertility-preserving surgical management for early recurrence of young woman with borderline ovarian tumors

Background: Borderline ovarian tumors have low malignant potential and promising prognoses. BOTs are women of childbearing age; therefore, fertility-sparing surgery is the first choice for young patients. Several studies have shown that conservation therapy is associated with a higher recurrence rate; however, evidence on rehabilitation and clinical management after relapse is lacking. Case report: A 19-year-old woman was admitted to our hospital for two weeks due to unexplained abdominal distension. Stage III serous BOTs were discovered by histological examination, which confirmed stage III serous BOTs. After surgery, the patient had normal menstruation. The patient's serous stage IIIC BOTs recovered after 20 months, and a second fertility-sparing surgery was performed. Conclusion In young women diagnosed with BOTs, fertility preservation surgery can be attributed to a higher risk of recurrence, particularly in younger patients.

Source link: https://europepmc.org/article/PPR/PPR541561

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions