检索结果-南通市图书馆

Cannabinoid hyperemesis syndrome:Clinical diagnosis of an underrecognised manifestation of chronic cannabis abuse

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2009年第10期15卷 1264-1266页

作者： Siva P Sontineni sanjay chaudhary Vijaya Sontineni Stephen J Lanspa Department of Medicine Creighton UniversitySuite 5850601 N 30th StreetOmahaNE 68131 United States

Cannabis is a common drug of abuse that is associated with various long-term and short-term adverse effects. The nature of its association with vomiting after chronic abuse is obscure and is underrecognised by *** some patients this vomiting can take on a pattern similar to cyclic vomiting syndrome with a peculiar compulsive hot bathing pattern,which relieves intense feelings of nausea and accompanying *** this case report,we describe a twenty-two year-old-male with a history of chronic cannabis abuse presenting with recurrent vomiting,intense nausea and abdominal *** addition,the patient reported that the hot baths improved his symptoms during these *** from cannabis led to resolution of the vomiting symptoms and abdominal *** conclude that in the setting of chronic cannabis abuse,patients presenting with chronic severe nausea and vomiting that can sometimes be accompanied by abdominal pain and compulsive hot bathing behaviour,in the absence of other obvious causes,a diagnosis of cannabinoid hyperemesis syndrome should be considered.

关键词： Cannabinoid Cannabis Cyclic vomiting Hyperemesis Marijuana Vomiting

Staphylococcal bullous impetigo in a neonate

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2016年第7期4卷 191-194页

作者： Shalini Dewan Duggal Tanisha Bharara Pragnya Paramita Jena Avinash Kumar Abha Sharma Renu Gur sanjay chaudhary Department of Microbiology Dr Baba Saheb Ambedkar Hospital Department of Pediatrics Dr Baba Saheb Ambedkar Hospital

An otherwise healthy, full-term neonate presented at day 15 of life to the pediatric emergency with generalized papulo-pustular rash for 2 d. This was finally diagnosed as bullous impetigo caused by Staphylococcus aureus(S. aureus). The skin lesions decreased significantly after starting antibiotic therapy and drainage of blister fluid. There was no recurrence of the lesions on followup. This case of generalized pustular eruption due to S. aureus in a neonate is reported, as it poses a diagnostic dilemma and can have serious consequences if left untreated.

关键词： Pustular lesions Staphylococcus aureus Bullous impetigo

Transition from open to robotic assisted liver resection:A retrospective comparative *** experience of laparoscopic liver resections needed?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Laparoscopic, Endoscopic and Robotic Surgery 2019年第4期2卷 94-98页

作者： sanjay Goja sanjay Kumar Yadav Rohan Jagat chaudhary Manoj Kumar Singh Arvinder Singh Soin Institute of Liver Transplantation and Regenerative Medicine Medanta-The MedicityGurugram122001India Liver Transplant Narayan Health City BengaluruIndia

Objective:The authors present outcomes of robotic liver resections in comparison with open technique questioning the need to have experience of laparoscopy for such procedures before transition to robotic *** and methods:Retrospective review of liver resections done robotically from February 2015 to June 2017 compared to matched control cohort of open cases from January 2012 to December ***:Twenty-one patients in the study groupwere comparedwithmatched control of 42 open cases(1:2 ratio).The types of procedure were similar in both the *** were 4 left lateral hepatectomy,3 left hepatectomy,and 1 left hepatectomy with hepatico-jejunostomy,3 right hepatectomy,3 right posterior sectorectomy,4 bisegmentectomy and 4 *** were 9 patients with primary liver cancer,2 each with livermetastasis and carcinoma gall bladder and 8 patients had benign liver *** blood losswas 370±311ml in the robotic group compared to 451±330ml in control group(p=0.06).Minor complications developed in 19.0%of robotic cases compared to 40.5%in open surgery,while major complications occurred in 4.7%of robotic cases compared to 7.1%of open *** hospital staywas 5.3±0.8 days for the robotic group and 7.7±4.2 days for open group(p=0.02).Local tumor recurrence occurred in 1 out of 13 resections done for malignancy in the robotic group and 7 out of 26 in the open ***:This study highlights the utility of surgical robots for segmental and complex liver resections with equivalent outcomes and decreased length of hospital stay compared to open surgery without having experience of same with the laparoscopy.

关键词： Robotic Liver resection Open surgery

Post-surgical evaluation of dry socket formation after surgical removal of impacted mandibular third molar—A prospective study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Stomatology 2012年第4期2卷 292-298页

作者： Vijay Kumar Manoj chaudhary sanjay Singh Gokkulakrishnan Department of Oral & Maxillofacial Surgery Faculty of Dentistry Jamia Milia Islamia University New Delhi India Department of Oral & Maxillofacial Surgery Kothiwal Dental College & Research Centre Moradabad India R. D. Dental Hospital & Research Centre Patna India

Aims & Objectives: This study was performed to evaluate the incidence, risk factors (age, sex, infection, radiographic difficulty of the extraction, tobacco use) contributing to the development of dry socket and clinical features following surgical removal of impacted mandibular third molar. Materials and Methods: The study included 63 patients during period of September 2009 to September 2011 in the age group of 18 to 53 years with impacted mandibular third molars all of which were surgically removed under local anesthesia by the same operator. Following surgery all patients received a single dose of 4 mg corticosteroid intravenously and similar prescriptions for analgesics, antibiotics and postoperative instructions. All patients were reviewed at 3rd and 7th day postoperatively. Results: In this study incidence of dry socket was 6.3%. We also noticed onset of symptom mostly appeared within 48 hours. Postoperatively pain, bare bone and halitosis were the most significant clinical feature at 3rd postoperative day and pain, empty socket and bare bone were most significant clinical feature at 7th postoperative day. Variables like right 3rd molar impaction, patients mean age between 19 - 32 years, female, preoperative infection, radiographically difficult impaction and habitual tobacco users showed a higher incidence of dry socket formation. Conclusion: Incidence of dry socket formation is multifactorial and therefore, there is need to evaluate all factors, with special attentions in handling these patients to reduce the incidence of dry socket formation.

关键词： Dry Socket Third Molar Impactions Third Molar Surgery

Role of Chemohormonal Therapy in Management of Patients with Metastatic Hormone Sensitive Prostate Cancer

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Cancer Therapy 2017年第13期8卷 1149-1159页

作者： sanjay Hinduja Adnan Khan Uzair B. chaudhary Department of Internal Medicine University of California San Francisco-Fresno Fresno CA USA Wayne State University School of Medicine Detroit MI USA Division of Hematology/Oncology University of California San Francisco-Fresno Fresno CA USA

Androgen deprivation therapy has been the mainstay of treatment for management of metastatic hormone sensitive prostate cancer. Recently conducted randomized controlled trials with docetaxel based chemotherapy have shed light on benefit of early use chemotherapy for hormone sensitive prostate cancer. In this review, we aim to comprehensively describe recent trials which are changing the paradigm in support of up front use of docetaxel based chemotherapy for metastatic hormone sensitive prostate cancer.

关键词： Metastatic Prostate Cancer Hormone Sensitive Disease

Radical cystoprostatectomy with orthotopic neobladder for a case of treatment emergent neuroendocrine prostate cancer presenting as bladder mass with hematuriaea rare instance of tumor remission after local control

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Urology 2021年第4期8卷 444-447页

作者： Rahul Jena Hira Lal Nandita chaudhary Uday Pratap Singh Department of Urology and Renal Transplant Sanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia Department of Radiodiagnosis Sanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia Department of Pathology Sanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia

Dear editor Treatment emergent neuroendocrine prostate cancer(tNEPC)is most commonly observed after development of resistance to androgen deprivation therapy(ADT)and is associated with rapid progression and widespread metastases with survival less than 1 year from diagnosis[1].Management of this disease is mainly through cytotoxic chemotherapy and there is no published evidence of treating the primary prostatic lesion in this stage of the disease,unlike that of localized prostate cancer or castrate sensitive metastatic prostate cancer[2].In this letter,we report the only known case of t-NEPC who presented with an initial diagnosis of bladder urothelial carcinoma and was treated by early radical surgery and chemotherapy,which led to longterm disease control and preservation of quality of life.

关键词： bladder diagnosis chemotherapy