Ostatnio nadesłane materiały
- PozycjaCoronavirus disease 2019: ethical and epidemiological issues with clinical trials(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Tagaev, Tugolbai; Yethindra, Vityala; Zhumabekova, Altynai; Parihar, Yogesh; Narasimharaj, Alenur
- PozycjaEthical issues surrounding false information about coronavirus disease 2019(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Yethindra, Vityala
- PozycjaA rare and overlooked cause of massive gastrointestinal bleeding: Distal duodenal GIST(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Düzenli, Tolga; Köseoğlu, Hüseyin; Erenler, Behice HandeIntroduction. Gastrointestinal stromal tumors (GIST) are tumors of mesenchymal origin which originate from the walls of gastrointestinal system (GIS) organs. Aim. In this case report we aim to discuss the clinical, labaratory and radiological presentation of distal duodenal GIST as a rare and overlooked cause of life-threatining GIS bleeding. Description of the case. A 76-year-old male patient was presented to the emergency department with massive gastrointestinal bleeding. Computerized tomography revealed a mass soft tissue density of 4x4cm at the level of the 3-4th segment of the duodenum. At the endoscopy, there was a deep ulcer in the proximal part of the 3rd segment of the duodenum with a diameter of 2 cm with a bleeding vessel protruding into the lumen. After endoscopic treatments, biopsies were taken from the edges of the ulcer. Histopathological examination revealed a sheet-like infiltration composed of mildly pleomorphic cells with oval-spindle nuclei and abundant eosinophilic cytoplasm in the duodenal lamina propria, as the patient was diagnosed of GIST. Conclusion. GIST and its clinical, labaratory and radiological presentation should be kept in mind in the approach to massive duodenal GIS bleeding.
- PozycjaPersistent hyperthyroidism in a patient after total thyroidectomy: the thyroid anatomy has implications for treatment(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Młodożeniec, Aleksandra; Gala-Błądzińska, AgnieszkaIntroduction. Grave’s disease (GD) can be treated using three modalities: anti-thyroid medications, radioactive iodine therapy (RAI), or surgery. If surgery is selected, total thyroidectomy is the procedure of choice. Patients with hyperthyroidism frequently have an enlarged thyroid gland, occasionally with a pyramidal lobe. Aim. We point the usefulness of thyroid scintigraphy, which provides valuable information regarding the thyroid anatomy. Description of the case. The manuscript presents a case report of 43-year-old woman with unstable Grave’s disease, who underwent thyroidectomy and developed persistent hyperthyroidism postoperatively. She was referred by an endocrinologist to a nuclear medicine outpatient clinic for RAI therapy. I-iodide scintigraphy revealed two foci with excessive tracer accumulation. One of the foci in the middle of the neck corresponded to the pyramidal lobe. Conclusion. The thyroid anatomy anomalies can lead to unnecessary implications for treatment. Identifying the pyramidal lobe preoperatively and removing it from patients requiring total thyroidectomy may decrease the recurrence rate of hyperthyroidism. Thyroid scintigraphy is a useful diagnostic tool to visualize the pyramidal lobe.
- PozycjaLian Gong for treatment of fibromyalgia – a case study(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Ileck, Nathália Aparecida; de Azevedo, Marcus Vinícius Gonçalves Torres; Artioli, Dérrick Patrick; Bertolini, Gladson Ricardo FlorIntroduction. As a Complementary Integrative Practices (CIPs), Lian Gong has been increasingly used in the practice of Physiotherapy. Aim. This study aims to verify the effects of Lian Gong in a patient with fibromyalgia. Description of the case. In this case study the patient (one patient is evaluated) was diagnosed with fibromyalgia 29 years ago and sought care following discontent with previous treatments. Pain intensity was assessed with a visual analog scale (VAS), quality of life with SF-36, and the pressure pain threshold algometer (PPT). There were 16 visits with two weekly 60-minute sessions. When the patient was reevaluated, a Global Perception of Change (GPC) scale was added to assess general health. A folder was submitted to the patient for follow-up of exercises at home and asked to return after 4 weeks (follow-up period). Conclusion. The results indicate improvement in pain, functional capacity and general health. As a first therapy treatment, Lian Gong proved promising results in one case of fibromyalgia. The possible benefits when combined with other forms of care should be explored by clinical trials to expand knowledge of health benefit potential.