Waldenström Macroglobulinemia – Series of 3 Unusual Cases and Review of Literature!

The relevance of the research is to identify ineffective methods of administration of justice in the world judicial practice to ensure the effectiveness of the judicial system in Ukraine. The purpose of the research is to identify and analyse the most unusual court cases in different countries from the Middle Ages to the present day to determine the level of public access to justice as a guarantee of the protection of human rights and ensure the rule of law and equality of all before the law and the court. The methods used to explore the subject include: the dialectical method, formalisation method, cognitive method, Aristotelian method, hermeneutical method, logical and legal method, systemic method, structural and functional method, axiomatic method, methods of induction and deduction, methods of analysis and synthesis. The research establishes how accessible justice and law were to people in different eras. The specific features of court proceedings in the Middle Ages are determined. The most unusual cases that have become known in many countries of the world, including the “Stella Case” and the “Cuckoo Case”, are examined; the essence of the “Stella Award” phenomenon is covered; some curious cases in Ukraine and other countries of the world are explored. The author analyses several court cases of ancient times and cases that have been considered in modern court practice. The most unusual curious court cases where the accused were not at all human, and animals and objects are explored and described. The author examines unusual court cases in Ukraine. The provisions enshrined in this work are of practical value primarily for judicial officers and persons seeking judicial protection.

The morbidity and mortality of unusual clinical cases ranges from five to sixfold times those of usual clinical cases. Noneless, there is an acute lack of structured information sources on the best managing practices for those cases. The general objective of ELCANO is to build and exploit a multilingual Virtual Library of outstanding clinical guidelines to manage unusual cases. This Virtual Library will be distributed across The Internet from the partners servers and accessed by specialists and specialists in training. Gastroenterology will be the initial area of the clinical practice to be addressed. The unique and innovative aspects of ELCANO are its orientation toward unusual cases, the framework embracing countries from Europe and Latin-America, the structured pre-validation of the cases and its multilingual contents as well as their indexing and codification using internationally accepted standards. An immediate benefit from ELCANO will be the availability of critical clinical information in places where there is a lack of experience coming from places where this experience is commonplace. ELCANO is to be regarded as a exploratory measure, to test the implementation of North-South and South-North collaboration in telecommunication of clinical information. When successful, a broader range of medical specialities and more countries in both regions as well as new regions are foreseen to be involved.

Cancer patients can present with impossible behavior, which can jeopardize their treatment and challenge healthcare professionals' teamwork. Report of two unusual psychiatric cases, including Munchausen and Peter Pan syndromes, which occurred in a comprehensive cancer center.ResultGuidelines in medical and surgical wards are suggested to address such situations regarding oncologic compliance.Significance of resultsMultidisciplinary collaboration between medical and surgical teams and the psycho-oncologic department is highly recommended.

BackgroundThe diagnosis of pneumothorax with a bedside lung ultrasound is a powerful methodology. The conventional lung ultrasound examination consists of a step-by-step procedure targeted towards the detection of four classic ultrasound signs, the lung sliding, the B lines, the lung point and the lung pulse. In most cases, a combination of these signs allows a safe diagnosis of pneumothorax. However, the widespread application of sonographic methodology in clinical practice has brought out unusual cases which raise new sonographic signs. The purpose of this article was to introduce some of these new signs that are described after the analysis of unusual and complex cases encountered during the clinical daily practice in an emergency department.FindingsThe double lung point consists of the alternating patterns of sliding and non-sliding lung intermittently appearing at the two opposite sides of the scan. The septate pneumothorax allows B lines and lung pulse to be still visible in a condition of pneumothorax with absent sliding. In hydropneumothorax, the air/fluid border is imaged by lung ultrasound as the interposition between an anechoic space and a non-sliding A-pattern, a sign that may be named hydro-point.ConclusionsIn bedside lung ultrasound, the operator should be aware and interpret double lung point, septate pneumothorax and hydro-point. The conventional diagnostic protocol of bedside lung ultrasound for pneumothorax should be occasionally adapted to such complex cases.

ABSTRACTSupernumerary teeth refer to teeth in excess of the usual number. Most common supernumerary teeth are mesiodense, followed by supernumerary teeth in molar and premolar region. There is a male predilection, and maxilla is involved more frequently. Multiple supernumerary teeth are often found in relation to syndromes. Only a few case reports have reported nonsyndromic multiple supernumerary teeth. Here, we report two unusual nonsyndromic cases with impact supernumerary teeth, the first case has five supernumerary premolars and the second has two unilateral fourth molars.How to cite this articleBagheri F, Taheri JB, Azimi S, Babaei S. Nonsyndromic Multiple Supernumerary Impacted Teeth: Report of Two Unusual Cases. J Contemp Dent 2014;4(2):127-128.

Infratentorial glioneuronal neoplasms are overall quite rare and are more commonly low-grade with surgical excision usually being curative. Multiple distinct histologic entities have been described including rosette-forming glioneuronal tumor, papillary glioneuronal tumor, neurocytoma, dysplastic gangliocytoma of the cerebellum (Lhermitte-Duclos disease), cerebellar liponeurocytoma, and ganglioglioma. While each of these entities has distinct findings, in some instances a tumor may demonstrate overlapping histologic features with mixed components. Herein, we report 2 unusual adult cases of a fourth ventricular glioneuronal tumor with features of ganglioglioma and neurocytoma, with one coming from a surgical resection and one found incidentally at autopsy. To the best of our knowledge, this specific histologic combination has not previously been described. As such, the clinical significance is unknown although in both cases the neoplasms were circumscribed and appeared to be low grade. The presence of the gangliogliomatous component was of particular interest since these are extremely rare occurrences in the fourth ventricle and we provide a comprehensive review of infratentorial gangliogliomas.

To review unusual actinomycosis cases that appeared as a diagnostic and therapeutic challenge at our institution and to present a literature review on the usual clinical presentations. This retrospective review included all patients hospitalized for actinomycosis in a 10-year period at the University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Zagreb, Croatia. A total of 15 patients were hospitalized during the observed period, 9 (60%) females and 6 (40%) males. The localizations of actinomycosis were: pelvis (5), lungs (3), blood stream (2), colon (1), penis (1), stomach (1), skin (1), cervicofacial region (1). We present four unusual cases: subcutaneous actinomycotic abscess, actinomycosis of the stomach with underlying non-Hodgkin lymphoma, sepsis due to Actinomyces neslundii originated from chronic asymptomatic periapical tooth abscesses and actinomycosis of the distal part of the penile shaft. Actinomycosis was a very rare clinical problem in our clinical practice (0.032% of all hospitalizations and 0.0034% of all outpatients) but among those cases classical clinical presentations were also very rare.

Essays in Narrative and Fictionality: Reassessing Nine Central Concepts

Ominous Findings in Toddlers With Increasing Abdominal Girth: Two Unusual Cases and a Review of the Clinical Evaluation

It is time to bring back and integrate two notions we discussed earlier: the “joint construction of narrative” as a collaborative task for the health-care professional and the patient, and Margaret Urban Walker’s concept of the “narrative of relationship.” These notions will find a comfortable home in some health-care settings, but not in others. After modern medical ethics had been in full swing for ten or fifteen years, some critics began to take it to task for focusing on unusual and dramatic cases from hospital practice and neglecting the more commonplace situations that arise in primary care settings. If we focus on unusual cases in hospitals and in highly specialized practices, we are most likely to find ourselves in a bureaucratic world in which a principlist ethics seems most appropriate and a highly personalized ethics seems most out of place (Evans 2000)— a place where the patient necessarily seeks “the care of strangers” (Burt 1979).

Unusual presentations of primary head and neck tuberculosis and review of literature

Ureteral pathology associated with aortic surgery: a report of three unusual cases.

Increasing survival of preterm newborns and current care deficits result in high rates of retinopathy of prematurity (ROP), affecting patients with higher birth weight (BW) and gestational age (GA) than those at developed countries; unusual cases (UC) and missed opportunities (MO) are reported. To describe epidemiology of ROP during 2008 compared with the previous year. POPULATION, MATERIAL AND METHOD: Observational, descriptive and retrospective study. Preterm babies with BW < 1,500 g and/or < or = 32 w GA and > or = 1,500 g and/or 33-36 w who received oxygen therapy. 31 public services from 20/24 Provinces. BW, GA, ophthalmologic screening, age at 1st control, ROP Grade, treatment requirement, place of treatment and time of complete ROP screening. Responses were obtained from 24/31 services from 16 Provinces (84,200 newborns) identifying 3,371 newborns at risk, 956 < 1,500 g BW. Screening was done in 90%; it was late in 6%. Neonatal discharge before complete ROP screening occurred in 93%. ROP rate was 11.93%; 26.25% in < 1,500 g BW. Treatment was required at 2.60%; of them, 7% were < 1,500 g BW; 20.3% were UC, one infant was a MO. Treatment need increased 20% at 2008 vs. 2007, without significant difference. Changes were not observed at median BW and GA and UC. Treatment in situ was 75% in 2008, similar to 2007. Incidence of ROP in public hospitals of Argentina is worrisome. Rates in 2008 have not improved compared with 2007, expressing that criteria for prevention are not yet consolidated. Screening and access to treatment must improve.

Biomicroscopic Evidence of Keratoconus With an Apex Power of 45.5 Diopters by Videokeratoscopy

Peripheral eosinophilia is a rare but recognized accompaniment of malignant disease. Two unusual cases, one with a histiocytic lymphoma and the other with cervical carcinoma, are described. In the first patient, pulmonary infiltrates developed at the height of the eosinophilia and in the second, the peripheral eosinophilia heralded the onset of disseminated disease. Tumor-associated peripheral eosinophilia is reviewed, and it is concluded that peripheral eosinophilia associated with a malignant setting is a marker of extensive disease and is thus associated with a poor prognosis.