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A progressive breakdown of the body in space.

A 74 year-old woman (MD), free of previous neurological history, presented with difficulty in handling cutlery, clothes, writing with what w … t of a corticobasal degeneration, where the rare occurrence of a progressively emerging syndrome of self-management loss within peripersonal space is observed.

Congenital tracheal malformations.

Congenital malformations of the trachea include a variety of conditions that cause respiratory distress in neonates and infants. A number of anomalies are self-limiting while others are life-threatening and require immediate therapy. The prevalence of congenital airway malformations has been estimated to range between 0.2 and 1 in 10,000 live births. The most frequent congenital tracheal malformations are: tracheomalacia, congenital tracheal stenosis, laryngotracheal cleft and tracheal agenesis. The management of congenital tracheal malformations is complex and requires an individualized appro

Intractable Seizures and Rehabilitation in Ciguatera Poisoning.

Ciguatera fish poisoning is the most frequently reported seafood toxin illness associated with the ingestion of contaminated tropical fish. Diagnosis relies on a history of recent tropical fish ingestion and subsequent development of gastrointestinal, cardiovascular, and neurological symptoms. Ciguatera poisoning usually has a self-limited time course, and its management involves symptomatic control and supportive care. This case report presents an uncommon case of ciguatera poisoning with prolonged intractable seizures refractory to standard antiseizure medications. The patient also had signi

Calcium deposits in the hand and wrist.

Calcium, or calcific, deposition disease in the form of acute calcific periarthritis of the hand and wrist is an uncommon entity that may be confused with more common crystalline or inflammatory arthropathies as well as infection. It is important for the clinician to be aware of this disease process and to include it in the differential diagnosis of patients presenting with acutely painful, focal inflammation of the hand or wrist. Nonsurgical management is often sufficient; however, considering the self-limited nature of the disease, accurate diagnosis is essential to avoid unnecessary antibio

Surgical removal of a ruptured, detached angioplasty balloon after popliteal stenting.

Balloon catheter entrapment after stent implantation is a potential interventional complication. However, angioplasty balloon disconnection from the catheter shaft and in-stent entrapment is a very uncommon event that could have serious thrombotic or embolic consequences. The management of this event may be interventional or surgical, depending on the patient's status and the position of the balloon inside the vessel. We describe a case of acute lower limb ischemia after popliteal self-expandable stenting, due to loss of the balloon along with a portion of its shaft. Surgical retrieval was acc

Diarrhea in patients infected with HIV presenting to the emergency department.

Diarrhea is an exceedingly common complaint in patients with human immunodeficiency virus (HIV) infection, and the severity of symptoms ranges from mild, self-limiting diarrhea to debilitating disease that can result in malnutrition, volume loss, and shock. Up to 40% of patients with HIV infection report at least 1 episode of diarrhea in a given month, and approximately 1 quarter of patients experience chronic diarrhea at some point. The prevalence of diarrhea increases with decreasing CD4 counts. The clinical features, diagnosis, and management of diarrhea in patients with HIV are reviewed.

Inpatient rehabilitation of survivors of purpura fulminans with multiple limb amputations: a case series.

Purpura fulminans (PF) is a rare, rapidly progressive syndrome characterized by intravascular thrombosis and necrosis of the skin and subcutaneous tissues. Survivors are often left with considerable impairments, including organ dysfunction, adjustment disorder, extensive wounds, and amputations. This retrospective case series presents 4 adult patients who underwent multiple limb amputations secondary to acute infectious PF. All patients underwent acute inpatient rehabilitation, were fitted with prostheses during their stay, and achieved a minimal assistance level for most of their self-care an

Intermittent self-catheterisation.

Intermittent self-catheterisation (ISC) has reduced infection hazards and greatly improved the lives of many patients with micturition disorders. The technique is used by male and female patients who experience neurogenic bladder dysfunction or voiding difficulties. Some of the most beneficial results associated with ISC have been reported when the technique is used by people with spina bifida, paraplegia or multiple sclerosis. ISC is the preferred course of management for patients with a hypotonic bladder (a floppy bladder that is unable to contract partially or totally during the micturition

[Endovascular therapy of acute traumatic vascular peripheral dissections using self-expandable stents].

Percutaneous peripheral and coronary interventions as well as surgical procedures can be complicated by dissections and traumatic lesions of peripheral arteries. Posttraumatic peripheral dissections can be threatening for the extremities and often their management might be a challenge. Open surgery requires wide exposure and dissection of posttraumatic tissues. Endovascular techniques using selfexpandable stents gains popularity because of high efficiency, safety and good results. This technique is associated with decreased trauma, no requirements for anesthesia, short hospital stay. We presen

Treatment of primary limited cutaneous extramammary Paget's disease with topical imiquimod monotherapy: two case reports.

We present two cases of primary limited cutaneous perineal and genital extramammary Paget's disease (EMPD) that were successfully treated with imiquimod 5% cream. Clinical and histologic cure was confirmed after 7.5 to 12 weeks of monotherapy. Treatment-associated morbidity is minimal compared with more invasive therapies, and self-application by the patient improves convenience and appeal. Imiquimod may offer a minimally invasive and promising therapeutic option for the treatment of limited cutaneous EMPD. The diagnosis and management of EMPD and the current literature regarding imiquimod the

Psychological and Neurobehavioral Disorders in MSA Health-Oriented, Rehabilitative Perspective.

In this article, the authors discuss the classification, recognition, and rehabilitation team management of psychological and neurobehavioral disorders in multiple sclerosis (MS), emphasizing throughout their view that from the psychological standpoint, MS is preeminently a disorder of the patient's self or identity. Disorders of the process of normal adjustment, disorders of organization and control (including disorders of affect and of cognition), and disorders of personality functioning are considered in turn. Finally, the authors discuss a model for the role of comprehensive, inpatient reh

Acute pulmonary complications of molar pregnancy.

Of 128 patients receiving primary treatment for molar pregnancy at Women's Hospital, Los Angeles County/University of Southern California Medical Center, after uterine evacuation 12 (10.7%) developed self-limited, acute pulmonary complications characterized by tachycardia, tachypnea, and hypoxemia. Multiple contributing factors have been identified which include trophoblastic deportation, hyperthyroidism, fluid overload, dilutional anemia, and pre-eclampsia. While the final outcome was uniformly benign in our group, deaths have been reported. These patients are also at an increased risk for po

Clinical Efficacy of a Home-based Peritoneal Dialysis Management Program.

INTRODUCTION: Patients undergoing peritoneal dialysis (PD) require strong self-management support to reduce the risk of PD-related complications; however, the best methods are unclear. The Korean Ministry of Health and Welfare has initiated a chronic disease management pilot program. This study aimed to determine the clinical outcomes and potential effects of a home-based PD management program. METHODS: We analyzed National Health Insurance Service claims data from December 2019 to October 2021. A total of 6086 patients on PD were divided into 2 groups based on whether they were enrolled in a…

Adherence to optimal delirium management practices in intensive care units in Brazil: a nationwide survey.

BACKGROUND: Effective delirium management is crucial, considering its association with adverse outcomes. Adherence to best practices has the potential to reduce the incidence and prevalence of delirium and improve health outcomes. OBJECTIVES: The objectives of this project were to describe self-assessed adherence to best practices in delirium management by health care professionals in intensive care units (ICUs) in Brazil, assess the health care professionals' perception of the importance of adequate delirium prevention and treatment in ICUs, and compare the compliance rates with best practic

Simultaneous Ureterovaginal and Rectovaginal Fistulas Caused by a Cube Pessary: A Case Report.

INTRODUCTION: We present a case of simultaneous ureterovaginal and rectovaginal fistulas caused by continuous placement of a cube pessary wi … fistula closure, and anterior colporrhaphy was performed. CONCLUSION: Cube pessaries require daily self-management, and continuous placement in elderly patients can lead to severe ischemic complications. Multidisciplinary surgical reconstruction is crucial to preserve renal function and restore quality of life.

Prevalence of plastic waste as a household fuel in low-income communities of the Global South.

Anecdotal evidence suggests that households burn plastics to manage waste and help satisfy their energy demand. To examine the prevalence, e … nt of waste generated (p = 0.000), expensive clean fuels (p = 0.004), and demand factors, including self-management of waste (p = 0.000). Expanding essential public waste management services and implementing programs that enhance the affordability of clean energy technologies, especially among marginalized and low-income communities, could reduce this health- and …

Regional musculoskeletal pain in workers-is the traditional medical model increasing disability?

INTRODUCTION: Musculoskeletal disorders frequently cause work disability. For low back pain, a de-medicalized approach is advocated, whereas a biomedical approach is taken for shoulder and elbow/forearm pain. SOURCES OF DATA: PubMed, Cochrane Library, Google Scholar. AREAS OF AGREEMENT: Guidelines for the management of low back pain recommend de-medicalization, rapid mobilization, avoidance of imaging, second-line use of pharmacological treatments, and an emphasis on self-management and remaining in or rapidly returning to work. AREAS OF CONTROVERSY: Despite evidence for many treatment moda…

Pregnancy Following Clam Cystoplasty and Mitrofanoff Procedure in a Patient With Fowler's Syndrome and Detrusor Overactivity.

Fowler's syndrome causes urinary retention due to failure of the urethral sphincter to relax. Management aims for complete bladder emptying, typically via intermittent self-catheterization. If conservative treatment fails, detrusor overactivity with Fowler's syndrome may be managed surgically using clam cystoplasty and the Mitrofanoff procedure to increase bladder capacity and reduce pressure. We report a rare case of pregnancy in a woman with Fowler's syndrome and detrusor overactivity, who previously underwent clam cystoplasty and Mitrofanoff procedure. She had a continent, functional abdomi

Принятие приложений по охране здоровья в системе хронической помощи: мнения медицинских работников.

Регулирование таких хронических заболеваний, как Множественный склероз (MS), может выиграть от новаторских решений, таких, как приложения для охраны здоровья, в целях повышения эффективности самостоятельного управления пациентами и принятия клинических решений. Хотя в ходе предыдущих исследований изучался вопрос о принятии пациентами приложений для охраны здоровья, мало что известно о взглядах медицинских работников на их ценность для клинической среды. В этом исследовании изучается восприятие КЦХП приложения More Stamina, предназначенного для того, чтобы помочь пациентам с синдромом MS справи

Совпадение в аннотации оригинала
Managing chronic diseases like Multiple Sclerosis (MS) can benefit from innovative solutions, such as mHealth apps, to enhance patient self-management and clinical decision-making. While prior studies have explored patient adoption of mHealth apps, little is known about healthcare professionals' (HCPS) perspectives on their value for the clinical setting. Th…

Management of a rectal entrapped foreign body: a case report.

Entrapped rectal foreign bodies are being encountered more frequently in clinical practice. They are most often related to sexual behavior or sexual assault. The presence of rectal foreign bodies poses a complex challenge for contemporary surgeons due to multiple factors such as the nature of the object, individual anatomy, duration since insertion, potential accompanying injuries, and degree of local contamination. Managing these cases proves challenging, typically because patients often delay presentation after multiple unsuccessful attempts at self-removal. This study aimed to report the ca