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Ominous lung cavity “Tambourine sign”

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World Journal of Clinical Cases 2017年第4期5卷 153-158页

作者： ritu verma Ashu Seith Bhalla Ankur Goyal Deepali Jain N Loganathan Randeep Guleria Department of Radiodiagnosis AIIMS Department of Pathlology AIIMS Department of Pulmonary Medicine and Sleep Disorders AIIMS

Mucinous adenocarcinoma represents a rare subtype of adenocarcinoma of the lung, which is frequently invasive and has a poorer prognosis. Of its wide range of imaging appearances, air-space consolidation is the most frequent pattern while cavitary form has only rarely been reported. Despite imaging advancements, the differentiation of benign and malignant cavitary lung lesions sometimes remains imperfect. We propose "Tambourine" sign on computed tomography to raise the suspicion of mucinous adenocarcinoma in a lung cavity, under appropriate clinical settings. The sign indicates an irregular cavity with undistorted prominent thick walled bronchioles within the wall and draping along thereby resembling the musical instrument "tambourine". Adjacent ground glass and internal septations may also be seen.

关键词： Lung cavity Tambourine Adenocarcinoma mucinous Tomography X-ray

Bilateral facial weakness following dengue fever

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Neuroimmunology and Neuroinflammation 2016年第1期3卷 63-64页

作者： Samir Patel Rajeev Ranjan ritu verma C.S.Agrawal Pooja Gupta Department of Neurology Sir Ganga Ram HospitalNew Delhi 110060India Department of Nuclear Medicine Sir Ganga Ram HospitalNew Delhi 110060India

Dengue,an acute viral disease transmitted by Aedes mosquitoes,is highly endemic in many tropical and subtropical areas of the *** has a wide clinical spectrum,ranging from mild clinical febrile illness to severe life-threatening conditions like dengue hemorrhagic fever and dengue shock *** complications of dengue infection have been observed more frequently in the recent *** are widespread and may involve almost all parts of nervous system through various pathogenic *** report a case of a 30-year old male who developed bilateral facial weakness after dengue fever.

关键词： Bilateral facial weakness dengue fever

Diagnosis of osteopetrosis in bilateral congenital aural atresia: Turning point in treatment strategy

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World Journal of Clinical Pediatrics 2016年第2期5卷 228-233页

作者： ritu verma Manisha Jana Ashu Seith Bhalla Arvind Kumar Rakesh Kumar Department of Radiodiagnosis All India Institute of Medical Sciences Department of Otorhino--laryngology All India Institute of Medical Sciences

Aural atresia is a rare congenital malformation of the external and middle ear. There are several syndromic associations of this anomaly with those involving the first and second branchial arches. Occurrence of aural atresia with sclerosing skeletal dysplasia is unknown and has never been reported. The coexistence of a sclerosing dysplasia can make the surgical treatment in aural atresia difficult and risky; and the auditory improvement may not be as expected. Moreover, internal auditory canal narrowing and hence sensorineural hearing loss in sclerosing dysplasia might add to the already existing conductive hearing loss in such patients. In this case report we have described an unknown association of bilateral microtia with sclerosing skeletal dysplasia(autosomal dominant osteopetrosis) and clinical implications of these two conditions occurring together leading to a change in the management plan.

关键词： Aural atresia Osteopetrosis Congenital hearing loss Microtia

The mediating role of sleep qualityon the relationship between internet gaming disorder and perceived stress and suicidal behaviour among Indian medical students

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General Psychiatry 2023年第3期36卷 175-188页

作者： Sunny Garg Aakanksha Kharb Deepika verma ritu Antil Binika Khanna Ritika Sihag Divya Lamba Psychiatry Bhagat Phool Singh Government Medical College for WomenKhanpur KalanSonipatHaryanaIndia MBBS Internship Bhagat Phool Singh Government Medical College for WomenKhanpur KalanSonipatHaryanaIndia MBBS Student Final Prof Bhagat Phool Singh Government Medical CollegeforWomenKhanpur KalanSonipatHaryanaIndia

Background In the recent digital era,individuals with internet gaming disorder(IGD)have reported a much higher prevalence of poor sleep quality,perceived stress and suicidal ***,the underlying mechanisms for these psychological problems remain *** The primary aims of this study were to explore the mediating role of sleep quality on the relationship between IGD and the health outcomes of perceived stress and suicidal behaviour and to assess the prevalence and risk factors for IGD among medical *** A cross-sectional study enrolling 795 medical students from two medical colleges in a rural area of North India was conducted from April to May *** study participants were chosen using a stratified random sampling approach.A self-administered questionnaire was used to collect data,including sociodemographic and personal information and gaming *** study also included the Gaming Disorder and Hazardous Gaming Scale,the Pittsburgh Sleep Quality Index,the Perceived Stress Scale-10 and the Suicide Behaviors Questionnaire-Revised to measure IGD,sleep quality,perceived stress and suicidal behaviour,*** logistic regression for the risk factors and Pearson's correlation test for the relationship between variables were ***'PROCESS macro for SPSS was employed to carry out mediation *** Among the 348 gamers with a mean age of 21.03(SD 3.27)years,the prevalence of IGD was 15.23%(95%confidence interval:11.6%to 19.4%).In the correlational analysis,small to large(r:0.32-0.72)significant relationships between scores of IGD and other health outcomes were *** indirect effect(B=0.300)via sleep quality accounted for 30.55%of the total effect(B=0.982)of IGD on perceived stress(partially mediated),while sleep quality(B=0.174)accounted for 27.93%of the total effect(B=0.623)of IGD on suicidal behaviour(partially mediated).The factors of being male,living in a single-parent family,using the inte

关键词： behaviour internet media