Tow Cases Research Articles

WHAT TO EXPECT FROM MICROBLADING OF THE EYEBROWS

Microblading of the eyebrows, a kind of cosmetic tattooing that has become very popular in the last decade, it can nevertheless cause adverse skin reactions at the tattoo site, including infections, allergic reactions, and even sarcoid reactions. These reactions can lead to a reduction in the quality of life. We report tow cases of adverse reactions following microblading of the eyebrows, the first patient 40-year-old women presenting with a 7 -month history of erythematous lesions on the eyebrow, A biopsy was performed, which came back a sarcoidosis granulomatous reaction, Our patient was put on intralesional corticosteroid and synthetic antimalarials with good improvement, the second patient have 38 year-old women consulting for erythematous, oozing, pruritic lesions after 3 days of application microblading of the eyebrows, . The dermatological examination revealed the presence of edematous erythematous plaques surmounted by vesicles with crumbling contours located on both eyebrows. The diagnosis of contact eczema was retained, and the patients was put on a low-class topical corticosteroid for 10 days with good improvement.

Does the coronoid fracture in terrible triad injury always need to be fixed?

BackgroundThe ideal treatment of terrble triad injuries and whether fixation of coronoid process fractures is needed or not are still debated. Therefore, we aimed to investigate if terrible triad injuries necessitate coronoid fracture fixation and evaluate if non-fixation treatments have similar efficacies and outcomes as fixation-treatments in cases of terrible triad injuries.MethodsFrom August 2011 to July 2020, 23 patients with acute terrible triad injuries without involvement of the anteromedial facet of the coronoid process were included to evaluate the postoperative clinical and radiological outcomes (minimum follow-up of 20 months). According to the preoperative height loss evaluation of the coronoid process and an intraoperative elbow stability test, seven patients underwent coronoid fracture fixation, and the other eight patients were treated conservatively. The elbow range of motion (ROM), Mayo Elbow Performance Score (MEPS), and modified Broberg-Morrey score were evaluated at the last follow-up. In addition, plain radiographs were reviewed to evaluate joint congruency, fracture union, heterotopic ossification, and the development of arthritic changes.ResultsAt the last follow-up, the mean arcs of flexion-extension and supination-pronation values were 118.2° and 146.8° in the fixation group and 122.5° and 151.3° in the non-fixation group, respectively. The mean MEPSs were 96.4 in the fixation group (excellent, nine cases; good, tow cases) and 96.7 in the non-fixation group (excellent, ten cases; good, two cases). The mean modified Broberg-Morrey scores were 94.0 in the fixation group (excellent, sevev cases; good, four cases) and 94.0 in the non-fixation group (excellent, ten cases; good, tow cases). No statistically significant differences in clinical scores and ROM were identified between the two groups. However, the non-fixation group showed a significantly lower height loss of the coronoid process than the fixation group (36.3% versus 54.5%).ConclusionsThere were no significant differences in clinical outcomes between the fixation and non-fixation groups in terrible triad injuries.

Tuberculosis of the breast neoplastic-like about two report cases: A rare often unrecognized diagnosis.

Tuberculosis of the breast is a very rare infection; it occurs chiefly in women of childbearing potential, usually as an apparently primary infection and constitutes a diagnosis and therapeutic challenge. Administration of antituberculous agents is the mainstay of therapy. Surgery is required in some cases.We report tow cases of breast tuberculosis. The diagnosis has been established on histology. Outcome was favorable under anti bacillary treatment.Through the literature data we recall the epidemiological, clinical, diagnostic and treatment of this pathology.

The Left Ventricular Aneurysm: The Cardiologist Prevent, the Surgical Team Treats

Left ventricular aneurysms, both true and pseudo aneurysm, are a consequence of coronary heart disease. Trans thoracic echography is the gold standard in the assessment of the left ventricular aneurysm; the most frequent complication is the development of blood stasis and left ventricular thrombi with the risk of systemic embolization, the use of long-term oral anticoagulant therapy is controversal , Left ventricular aneurysm surgery , often with myocardial revascularization, is indicated in well-defined cases, with several surgical technique, depending on the type of aneurysm, the anatomical caractehristics and the team skill’s, we report in this article tow cases of the left ventricular aneurysm.

EVALUATION THE RESULTS OF LAPAROSCOPIC LOW ANTERIOR RESECTION FOR TREATMENT UPPER AND MIDDLE RECTAL CANCER

Introduction: To evaluate the feasibility and benefits of laparoscopic low anterior resection for upper and middle rectal cancer treatment. Material and method: Prospective study from 8/2013 to 8/2017 at Hue Central Hospital, a laparoscopic low anterior resection was performed in 45 patients with upper and mid rectal cancer. Result: There were 29 males and 16 females with the mean age of 60.3 ± 11.5 (range 38 – 75), no conversion, have three cases anastomotic leakage, the mortaliy rate was 0%. Mean follow-up duration 36 months: have tow cases local recurrence (4.4%), the overall survival rate was 100%. Conclusion: Laparoscopic low anterior resection for treatment upper and mid rectal cancer is safe and effective, initial results is good. Key words: upper and middle rectal cancer, Laparoscopic low anterior resection

Infective endocarditis presenting as acute coronary syndrome

We report tow cases of infective endocarditis (IE) presenting as acute coronary syndrome (ACS). Case 1: A 60-year-old man with the diagnosis of mitral IE complicated by an ST segment elevation myocardial infarction. Primary percutaneous coronary intervention with aspiration of the thrombus at the distal leftanteriordescending (LAD) arterywas successfully performed. Case 2: A 72 year old man was admittedfor an aortic root abscess compressing the left coronary artery. The treatment required surgery, including coronary artery bypass procedure. The postoperative course was complicated by multiple organ failure, and the patient died after 48 h.

Is there necessary to perform ureterectomy in renal cell carcinoma treatment

Is there necessary to perform ureterectomy in renal cell carcinoma treatment

AB0650 LATENT TUBERCULOSIS SCREENING AND MANAGEMENT BEFORE BIOLOGIC AGENTS INSTAURATION AND RISK OF REACTIVATION: THE EXPERIENCE OF AN ENDEMIC TUBERCULOSIS COUNTRY

BackgroundUsing biologic agents has significantly improved the management of chronic inflammatory rheumatism. However, there is clear evidence that these treatments increase the risk of infections and tuberculosis reactivating (TB).ObjectivesTo specify...

LA TOXOPLASMOSE CONGENITALE

Four cases of congenital toxoplasmosis were observed in the child infectious department. Prenatal treatment by spiramycin was given in tow cases after seroconversion of the mother. After birth, two children were severely affected and two had benign manifestations. One of them could not be treated and died subsequently ; the others were treated by pyrimethamine and sulfonamides. Neurological sequelae have been observed in one case, one patient developped chorioretinis and the third patient had a good clinical outcome. These observations confirm the need, of serologic screening during pregnancy, of preventive educational programme, and an early recommanded treatment.

Forced vibration analysis of the milling process with structural nonlinearity, internal resonance, tool wear and process damping effects

In this paper, forced vibration analysis of an extended dynamic model of the milling process is investigated, in the presence of internal resonance. Regenerative chatter, structural nonlinearity, tool wear and process damping effects are included in the proposed model. Taking into account the average and first order expansion of Fourier series for cutting force components; their closed form expressions are derived. Moreover, in the presence of large vibration amplitudes, the loss of contact effect is included in this model. Analytical approximate response of the nonlinear system is constructed through the multiple-scales approach. Dynamics of the system is studied for two cases of primary and super-harmonic resonance, associated with the internal resonance. Under steady state motion, the effects of structural nonlinearity, cutting force coefficients, tool wear length and process damping are investigated on the frequency response functions of the system. In addition, existence of multiple solutions, jump phenomenon and energy transfer between vibration modes are presented and compared for tow cases of primary and super-harmonic resonances.

Effects of Varus/Valgus rotation deficiency on the response of total knee prostheses

This study analysed the effect of the Varus/Valgus (V/V) rotation deficiency on the mechanical response of Total Knee Replacement (TKR) prostheses under compression loading test. 3D Finite Element (FE) models using ABAQUS program and an experimental apparatus are developed. Tow cases are considered: first, femoral component is allowed to move vertically only (Constrained Femoral Rotation – CFR); second, femoral component is allowed to move vertically and is unconstrained to (V/V) rotate (UNconstrained Femoral Rotation – UNCFR). Reaction force, displacement, contact area and stress distribution in the medial and lateral compartments have been investigated. The deficiency mobility is driven an increase of the stiffness prosthesis 16% at 3000 N, disequilibrium in the reaction force distribution between the medial and lateral compartment, increase of stress concentration and an increase of the contact area. These results depend on the contact geometry and the initial contact location.

Doenças de chinchilas (Chinchilla lanigera)

As doenças de chinchilas foram estudadas através da avaliação de laudos de necropsia entre janeiro de 1997 e dezembro de 2011. Em 202 chinchilas necropsiadas, 189 (93,5%) tiveram o diagnóstico determinado, e 13 (6,5%) tiveram diagnóstico inconclusivo, por ausência de lesões ou autólise acentuada. Dentre as 202 chinchilas computadas, 162 eram fêmeas (80%), 37 eram machos (18%), e em quatro chinchilas (2%) o sexo não foi anotado. As chinchilas tinham entre um dia a 12 anos de idade. As doenças foram agrupadas nas seguintes categorias: doenças inflamatórias, doenças causadas por intoxicações, doenças causadas por agentes físicos, doenças metabólicas, doenças parasitárias, doenças degenerativas, distúrbios circulatórios, neoplasmas, distúrbios do desenvolvimento e "outros distúrbios". As doenças inflamatórias foram as mais prevalentes (52 casos [25,7%]) e foram representadas por casos de gastrite (10 casos), listeriose (5 casos), septicemia (5 casos), broncopneumonia bacteriana (4 casos), enterite necrosante (4 casos), piometra (4 casos), diarreia com isolamento de Proteus sp. (3 casos), abscessos subcutâneos e em linfonodos (2 casos), endometrite (2 casos), otite (2 casos), pielonefrite (2 casos), abscesso do ligamento redondo do fígado (1 caso), pneumonia fibrinosa (1 caso), pneumonia intersticial (1 caso), hepatite e colecistite com isolamento de Salmonella sp. (1 caso), histiocitose pulmonar (1 caso), miosite linfo-histiocítica (1 caso) e um caso de dermatofitose (Trichopyton metagrophytes). O segundo grupo de doenças mais prevalentes foram as intoxicações (22,3%), representado por 45 casos de intoxicação por salinomicina. As doenças causadas por agentes físicos (21 casos [10,4%]) incluíam casos de traumas causados por outros animais (8 casos), automutilação após injeção intramuscular (8 casos), prolapso de reto (3 casos) e parto distócico (2 casos). A categoria de doenças metabólicas foi representada por 16 casos (7,9%) de lipidose hepática. As doenças parasitárias (8 casos [4%]) consistiram em infestação por pulga (4 casos), piolho (3 casos) e giardíase (1 caso). Doenças degenerativas (4 casos [2,5%]) incluíam insuficiência renal crônica (2 casos), necrose aleatória de hepatócitos (1 caso) e necrose muscular de origem desconhecida (1 caso). Os distúrbios circulatórios incluíram dois casos (0,99%) de insuficiência cardíaca congestiva. Neoplasmas foram representados por dois casos (0,99%) de adenocarcinoma gástrico. Um caso de atresia ani, associado a ausência do trato reprodutor, intestino grosso e rins policíticos representou a categoria de distúrbios do desenvolvimento (0,5%). Algumas doenças não se enquadraram nas categorias acima e foram enquadradas em "outros distúrbios" (38 casos [18,8%]). Nesta categoria, doenças dentárias foi o distúrbio mais comum, diagnosticado em 9% (18 de 202) de todas as chinchilas examinadas. Seguido por casos de hipertermia (14 casos), dois casos de anemia, dois casos de metaplasia de células adiposas do córtex da adrenal, e dois casos de mucometra.

Congenital diaphragmatic hernia in neonate: A retrospective study about 28 observations

Our purpose was to review our experience with congenital diaphragmatic hernia emphasizing diagnosis, management, and outcome. We conducted a retrospective review of all cases of babies with congenital diaphragmatic hernia diagnosed and treated in our centre from 1998 to 2010. There were 28 congenital diaphragmatic hernia cases, 13 girls and 15 boys with a mean weight birth of 3 kg. Three patients (10, 6% of cases) died within a few hours after admission. In the remaining cases, surgery was performed after a stabilization period of 2 days. The diaphragmatic defect was sitting in the posterolateral left in 23 cases and right in 2 cases. Its dimensions were on average 4,5 cm, tow cases of agenesis of the cupola were seen and required the placement of gortex prosthesis. The remaining cases are treated by direct closure of defect. Postoperative course was marked by an early death in context of respiratory distress in six cases and later with sepsis in tow cases. The outcome was favourable in 17 cases (60, 7%), despite the occurrence of sepsis in four cases and evisceration in two cases. Congenital diaphragmatic hernia remains a serious disease with high mortality and morbidity despite advances in prenatal diagnosis and neonatal resuscitation.

Distribution of Thermal Radiation Resulting From the Laser Diode into Biological Tissue

Tissue surface temperature distribution on the treatment site can serve as an indicator for the effectiveness of a photothermal therapy. In this paper, thermal effects of laser irradiance on biological tissue is investigated using finite difference (Euler forward method) to solve bioheat transfer equation, to find the temperature spread in the each layer of tissue in terms of depth and also to know the temperature distributed within a specified time. Numerical solution gives 2D and 3D simulation for temperature distribution during diode laser irradiation of tissue. By consider A cylindrical sample of biological tissue (tumor) irradiated by diode laser of wavelength 808 nm and power 1 w. optimal absorption coefficient was also identified to increase the effectiveness of heat treatment, this is done by inject the biological tissue with absorbent material to light or Photo sensitizer(as cardiogreen), temperatures were compared in terms of depth of tissue in tow cases : natural tissue and tissue injected by Photo sensitizer. These results can be used to control the laser treatment parameters and to optimize the treatment outcome.

Tow Cases of Non-traumatic Sural Mononeuropathy Injury - 2 Case Report -

Tow Cases of Non-traumatic Sural Mononeuropathy Injury - 2 Case Report -

Tumeur fibreuse solitaire de l’orbite : à propos de deux cas avec revue de la littérature

Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm that most frequently arises in the pleura and uncommonly involves the orbit. There are 54 cases of SFT of the orbit available in the literature. The authors report tow cases of an orbital SFT and discuss the clinical, radiological, pathological features and differential diagnosis. Long-term follow-up of patients is necessary because SFT may recur many years after operation. Complete surgical resection is the most important prognosis factor of this tumor.

PP-199. The Jacobsen syndrome: Tow cases report

PP-199. The Jacobsen syndrome: Tow cases report

Treating sudden deafness by intravenous injecting Alprostadil leads to acute ache of lower limbs: tow cases report

例1男，51岁，因突发左耳听力下降、耳鸣及耳内堵塞感1d于2010年1月20日入院。例2男，47岁，因突发右耳听力下降、耳鸣及耳内堵塞感3d于2010年2月10日入院。2例患者均自诉发病原因不明，发病前均无明显的全身不适感，无受凉或上呼吸道感染史。均能回忆发病的准确时间、地点。2例患者症状类似，均不伴有眩晕。

Drug-eluting stent for the treatment of symptomatic vertebral origin stenosis

Objective To evaluate mid - long outcomes of drug - eluting stent (DES) for vertebral artery origin stenosis. Methods The demographics, indications for treatment, procedural technique, and clinical and radiographic follow - up were analyzed retrospectively in 47 consecutive patients treated with drug -eluting stents. Results 47 patients with 49 lesions were successfully treated with stent. No peri -procedural complications occurred. The mean degree of stenosis reduced from 72% to 9%. Symptoms were resolved in 11 cases, improved in 30 cases, unchanged in 6 cases. During follow - up for 2 - 48 months (mean 28. 3 months), tow cases had posterior circulation transient ischemic attack (TIA). Angiographic fowllow -up of 3 -34 months was obtained in 28 patients (59%) with a mean of 12. 2 months. Restenosis inside the stent (IRS) was observed in 2 patients and one present with drop attack. Stent fracture occurred in 4 patients, in which 2 cases with IRS. Conclusions VA origin stenosis can be treated safely and effectively with DES. Compared with the bare stent, DES can significantly reduces the rates of restenosis. Key words: Vertebral artery stenosis; Vertebrobasilar insufficiency; Posterior circulation ischemia; Angioplasty ; Stents

Wind-induced response analysis of a wind turbine tower including the blade-tower coupling effect

To analyze wind-induced response characteristics of a wind turbine tower more accurately, the blade-tower coupling effect was investigated. The mean wind velocity of the rotating blades and tower was simulated according to wind shear effects, and the fluctuating wind velocity time series of the wind turbine were simulated by a harmony superposition method. A dynamic finite element method (FEM) was used to calculate the wind-induced response of the blades and tower. Wind-induced responses of the tower were calculated in two cases (one included the blade-tower coupling effect, and the other only added the mass of blades and the hub at the top of the tower), and then the maximal displacements at the top of the tower of the tow cases were compared with each other. As a result of the influence of the blade-tower coupling effect and the total base shear of the blades, the maximal displacement of the first case increased nearly by 300% compared to the second case. To obtain more precise analysis, the blade-tower coupling effect and the total base shear of the blades should be considered simultaneously in the design of wind turbine towers.