Lead Poisoning in Pediatric Groups: A Global Burden of Disease
Article Type: Review Article | First Published: December 17, 2021
Lead poisoning is a major public health issues that affect pediatric age group with different multi-organ damage. In children for instance, it has been discovered that there is no small level or appreciable quantity of lead exposure that is safe for children because of developmental growth and cognitive development at this very crucial stage of life. Children are at very high risk because of their handto- mouth explorative behaviors at this developmental age thereby leading to unintentional inge...
Effectiveness of Different Interventions to Reduce Anxiety in Oncological Patients during PET/CT Studies: A Randomized Controlled Pilot Study
Alberto Martínez-Lorca, MD, PhD, Manuela Martínez-Lorca, PhD, and Maria Dolores Cabañas Armesilla
Article Type: Original Article | First Published: December 23, 2021
The purpose of this investigation was to find the anxiety levels, physical data and subjetive perception and explore the relationship between demographic, clinical and cancer patients’ variables, pre and post-procedure during a PET/CT scan. The sample was distributed in five groups: 54 in one of the four experimental groups and 54 inthe control group (oral information, witten information, music, meditation induction). The study was conducted using an ad hoc questionnaire and the standardized S...
The Function of Transference Interpretations in Klenian Therapy
Article Type: Review Article | First Published: December 18, 2021
In this paper, the function of transference interpretation in Kleinian therapy is evaluated. In the beginning, definition of transference and transference interpretation is given in general terms. The term of transference refers to attributed emotions, attitudes, and phantasies from past towards a person in the present that are inappropriate for that person. Transference interpretations aim to reveal inappropriate attributions towards the therapist made by the patient. The term of transference o...
Ultrasound-Guided Intervention in a Sacroiliitis after Cancer Consequence or Coincidence? A Case Report and Review
Inês Ferro, Pedro Carvalho Sá, César Pires, Filipe Carvalho and João Constantino
Article Type: Case Report | First Published: December 24, 2020
The cancer population is exposed to exceptional factors that might favor sacroiliac joint (SIJ) pain, including the cancer itself and therapy-related side effects. Yet, they are also subject to aging and structural changes. The diagnosis and treatment can be a challenge. We report a male with SIJ pain and functional repercussion after anal cancer treatment, without signs of recurrence or metastasis. The provocation tests were compatible with sacroiliitis. An ultrasound-guided injection was perfo...
Mucosal Reconstruction with Nasal Lateral Wall Flap after Rhinectomy: Two Case Reports
Claudia Esper Zamar, Elián García Pita, Ana Laura Cajelli and Carlos Santiago Ruggeri
Article Type: Case Report | First Published: December 17, 2021
Two patients who had squamous cell carcinomas of the nasal cavity with extension to the nasal septum and previous treatments with surgery and in another with surgery and radiotherapy were treated by rhinectomy. The reconstruction of the internal mucosal lining was done with mucoperiosteal flaps from the lateral nasal wall with anterior pedicle with the assistance of endoscopes. There are few descriptions in the literature of the use of this flap to reconstruct the inner lining after rhinectomy. ...
Lung Recruitment Guided by Ultrasonography in Unilateral Lung Injury
Roosevelt Santos Nunes, Larissa Christina Pires Barrientto, Viviane Barbosa Silva, Kamila da Grazia Iazzetta, Taiana Bertacini Almas de Jesus and Gil Cezar Teixeira Alkmin
Article Type: Case Report | First Published: December 18, 2021
Atelectasis is a common problem in the critical care setting and when it causes acute life-threatening hypoxemia it is necessary its re-expansion. Ultrasonography is capable to diagnose atelectasis at the bedside and accurately assesses lung aeration changes after reexpansion maneuver. We describe a case in which a male patient receiving mechanical ventilation developed acute hypoxemia due atelectasis, being applied recruitment maneuver guided by ultrasonography combined with lateral decubitus p...
Acute Kidney Injury in the Perioperative Period: Beyond the Obvious
Diego Escarramán Martínez, Manuel Alberto Guerrero Gutiérrez, José Antonio Meade Aguilar, Miguel Ángel Martínez Rojas, Orlando Rubén Pérez Nieto, Bertha M Córdova Sánchez, Eder Ivan Zamarrón Lopez and Jesús Salvador Sánchez Diaz
Article Type: Perioperative Care | First Published: December 18, 2021
Acute kidney injury (AKI) represents a great challenge for the anesthesiologist during the perioperative period, since its presence directly impacts in patients mortality and morbidity, even after its resolution as a result of multiples factors. Furthermore, it is characterized by coexisting with a great variety of systemic alterations, which add special difficulty to its study and understanding. During perioperative period there may be ischemic insult and non-ischemic insult, on the other hand,...
Bilateral Lung Transplantation Due to Sjögren’s Syndrome in a Patient with Klinefelter Syndrome
Beauperthuy Levy Thais, MD, Anguera de Francisco Gabriel, MD, Fonfría Esparcia Carles, MD and Mancheño Franch N, MD
Article Type: Case Report | First Published: December 24, 2021
Klinefelter syndrome is one of the most frequent congenital chromosome disorders. Autoimmune diseases are not uncommon in patients with Klinefelter syndrome and associations between them have long been described. However, there is a paucity of literature regarding the effect of hypogonadism on respiratory system in these patients. Herein, we described a 28-year-old patient who presented with a constellation of unexplained respiratory signs and symptoms, such as tachypnea, hypoxemia, crackles rec...
An Unusual Complication of Mesenteric-Portal Axis Thrombosis and Septic Shock in a Patient with Mesangial Proliferative Glomerulonephritis
Sicharam Vijaya Luxmi, Sun Yue, Chen Xing Qing, Cao Fang Fang, Swalay Fedally and Du Xiao Gang
Article Type: Case Report | First Published: December 18, 2021
Thromboembolic events contribute to the most serious outcomes in patients with nephrotic syndrome. We report a case of a young male patient with mesangial proliferative glomerulonephritis presenting with nephrotic syndrome, which rapidly progressed to mesenteric and portal veins thrombosis and septic shock, ultimately leading to death. A 19-years-old, male patient was admitted due to bilateral lower extremity edema and abdominal distension. The abdominal distension appeared 2 months ago with acc...
Primary Cutibacterium Acnes Leptomeningeal Abscess Causing Focal Seizures
Waller S, Browning S, Pepper EM and Loewenthal MR
Article Type: Case Report | First Published: December 13, 2021
A previously well 71-year-old male presented with recurrent stereotyped episodes of right hemisensory disturbance, weakness, and expressive dysphasia lasting 10-20 minutes. Cognitive decline had been noted over the preceding 6-months. He was otherwise in good health with no history of infective symptoms or prior neurosurgical procedures. Interictal neurological examination was unremarkable. EEG was abnormal with asymmetrical slowing over the left hemisphere and he was commenced on sodium valproa...