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Rare Bilateral Radius and Ulna Fractures: A Case Report

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Open Journal of Orthopedics 2024年第1期14卷 1-11页

作者： Kwabena Nana Achiaw Dankwa Ekins Kuuzie Samuel Kwame Ofori Department of Surgery Ghana Police Hospital Accra Ghana Department of Surgery St. Dominic Hospital Akwatia Ghana

Introduction: Forearm fractures involving both the radius and ulna, present dist.nctive challenges in orthopedic trauma management. This case report explores the complexities of a rare case of bilateral fractures, emphasizing the importance of a comprehensive approach for optimal outcomes. Case Presentation: This report presents the case of a 40-year-old motorcyclist.who was involved in a road accident and arrived at the emergency department shortly after the incident. Clinical examination revealed closed fractures in both forearms with mild swelling and severe tenderness. Fortunately, no neurovascular issues or compartment syndrome were detected. The patient was administ.red intravenous fluids and effective pain relief. Forearm splints were applied and the arms were elevated using pillows. Radiographs showed fractures in the right dist.l radius and ulna, as well as the left mid-shaft radius and ulna. Under general anest.esia, open reduction and internal fixation were per-formed using plates and screws for all four fractures. Post.peratively, the patient’s arms were immobilized and elevated, with gradual recovery during follow-up appointments over six months, eventually achieving full function without complaints. Conclusion: This article highlights the possibility, although infrequent, of bilateral shaft fractures of the ulna and radius. With thorough clinical assessment and radiological invest.gation, such fractures can be well-defined. The required definitive treatment, which usually involves open reduction and internal fixation, can be performed.

关键词： Forearm Fracture Ulnar Radius Bilateral

Cross-continental insights into liver cancer: an East.vs. West.epidemiology

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Hepatobiliary Surgery and Nutrition 2024年第4期13卷 739-741页

作者： Mohamad Azhar Meerun Boris Guiu Department of Radiology St-Eloi University HospitalMontpellierFrance

Liver cancer,encompassing both primary and secondary forms,presents a formidable global health *** to the GLOBOCAN 2020 database,liver cancer ranks as the sixth most.common cancer globally in terms of incidence,yet it st.nds as the third leading cause of cancer-related mortality worldwide(1).By 2040,liver cancer cases and deaths are expected to rise by 55.0%and 56.4%,respectively(2).The geographical dist.ibution of incidence and mortality rates for these cancers varies,with the highest.occurrence noted in East.rn Asia,Northern Africa,and South-East.rn Asia(2).This variation arises from a complex interplay of factors,encompassing sociodemographic aspects like age and gender,environmental exposures to viruses such as hepatitis B virus(HBV)and hepatitis C virus(HCV),and cultural habits including alcohol consumption(3,4).

关键词： Hepatocellular carcinoma(HCC) intrahepatic cholangiocarcinoma(ICC) epidemiology

Isolated Third Nerve Cranial Palsy: Complication of Brain Aneurysm

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Surgical Science 2024年第4期15卷 225-231页

作者： Diana Magiricu Michelle Garcia-Rybkin Internal Medicine Department Montefiore St. Luke&#8217s Cornwall Hospital Newburgh NY USA Emergency Medicine Department Montefiore St. Luke&#8217s Cornwall Hospital Newburgh NY USA

This case report highlights a critical and emergent condition, isolated third nerve cranial palsy due to a brain aneurysm. It emphasizes the importance of differential diagnosis and attentiveness to the physical exam in an emergency setting. The detailed progression from initial symptoms and misinterpretation to final diagnosis offers valuable insight into the dangers of overlooking critical diagnoses. A bilobed intracranial aneurysm arising from the internal carotid artery (ICA) caused symptoms in this patient that could have been attributed to a less malignant etiology, such as a complex migraine. Overlooking the urgency of the situation and missing the diagnosis could have had a grave and irreversible outcome.

关键词： Migraine Brain Aneurysm

Mass effect,aneurysms and flow diverters:Is the pipeline embolization device the Lone Virtuoso?Commentary on‘Pipeline embolization device for intracranial aneurysms presenting with mass effect:a large Chinese cohort’by Zhao et al

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st.oke & Vascular Neurology 2024年第4期9卷 457-458页

作者： Alexander Sirakov Georgi Vladev Krist.na Sirakova Krist.an Ninov Krasimir Minkin Vasil Karakost.v st.nimir Sirakov Interventional Radiology University Hospital St Ivan RilskiSofiaBulgaria Medical University of Sofia SofiaBulgaria

In the treatment of symptomatic intracranial aneurysms,the st.dy by Zhao et al st.nds as a notable addition to the growing body of literature.^(1) Their invest.gation regarding the Pipeline Embolisation Device’s(PED,Covi-dien/Medtronic,Irvine,California,USA)effi-cacy in alleviating mass effect offers valuable insights that further contribute to the evolving landscape of neurointerventional *** applaud the authors for their dedicated efforts in tackling an essential facet of aneu-rysm *** with st.dies involving extensive cohorts is always enlight-ening,as they ignite discussions and open avenues for fresh research opportunities.

关键词： aneurysm Irvine intracranial

Kinesin 26B modulates M2 polarization of macrophage by activating cancer-associated fibroblast. to aggravate gast.ic cancer occurrence and metast.sis

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World Journal of Gast.oenterology 2024年第20期30卷 2689-2708页

作者： Lian-Meng Huang Ming-Jin Zhang Department of General Surgery The 901st Hospital of PLAHefei 230031Anhui ProvinceChina

BACKGROUND The regulatory effects of KIF26B on gast.ic cancer(GC)have been confirmed,but the specific mechanism st.ll needs further ***-cancer analysis shows that the KIF26B expression is highly related to immune infiltration of cancerassociated fibroblast.(CAFs),and CAFs promote macrophage M2 polarization and affect cancers’*** To invest.gate the regulatory functions of KIF26B on immune and metast.sis of *** We analyzed genes’mRNA levels by quantitative real-time polymerase chain *** levels of target proteins were detected by immunohist.chemist.y,ELISA,and West.rn *** injected AGS cells into nude mice for the est.blishment of a xenograft tumor model and observed the occurrence and metast.sis of *** degree of inflammatory infiltration in pulmonary nodes was observed through hematoxylin-eosin *** and wound healing assays were performed for the evaluation of cell invasion and migration *** formation assay was used for detecting angiogenesis.M2-polarized macrophages were est.mated by immunofluorescence and flow *** KIF26B was significantly overexpressed in cells and tissues of GC,and the higher expression of KIF26B was related to GC metast.sis and *** to in vivo experiments,KIF26B promoted tumor formation and metast.sis of ***26B expression was positively associated with CAFs’degree of ***,CAFs could regulate M2-type polarization of macrophages,affecting GC cells’migration,angiogenesis,invasion,and epithelial-mesenchymal transition *** KIF26B regulated M2 polarization of macrophage through activating CAFs,regulating the occurrence and metast.sis of GC.

关键词： metast.sis invasion macrophage

New insights into ATR inhibition in muscle invasive bladder cancer:The role of apolipoprotein B mRNA editing catalytic subunit 3B

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Oncology Research 2024年第6期32卷 1021-1030页

作者： HYUNHO KIM UIJU CHO SOOK HEE HONG HYUNG SOON PARK IN-HO KIM HO JUNG AN BYOUNG YONG SHIM JIN HYOUNG KANG Division of Medical Oncology Department of Internal MedicineSt.Vincent’s HospitalCollege of MedicineThe Catholic University of KoreaSuwonKorea Department of Pathology St.Vincent’s HospitalCollege of MedicineThe Catholic University of KoreaSuwonKorea Division of Medical Oncology Department of Internal MedicineSeoul St.Mary’s HospitalCollege of MedicineThe Catholic University of KoreaSeoulKorea

Background:Apolipoprotein B mRNA editing catalytic polypeptide(APOBEC),an endogenous mutator,induces DNA damage and activates the ataxia telangiectasia and Rad3-related(ATR)-checkpoint kinase 1(Chk1)*** cisplatin-based therapy is the mainst.y for muscle-invasive bladder cancer(MIBC),it has a poor survival ***,this st.dy aimed to evaluate the efficacy of an ATR inhibitor combined with cisplatin in the treatment of APOBEC catalytic subunit 3B(APOBEC3B)expressing ***:Immunohist.chemical st.ining was performed to analyze an association between APOBEC3B and ATR in patients with *** APOBEC3B expression in MIBC cell lines was assessed using real-time polymerase chain reaction and west.rn blot *** blot analysis was performed to confirm differences in phosphorylated Chk1(pChk1)expression according to the APOBEC3B *** viability and apoptosis analyses were performed to examine the anti-tumor activity of ATR inhibitors combined with ***:There was a significant association between APOBEC3B and ATR expression in the tumor tissues obtained from patients with *** with higher APOBEC3B expression showed higher pChk1 expression than cells expressing low APOBEC3B *** treatment of ATR inhibitor and cisplatin inhibited cell growth in MIBC cells with a higher APOBEC3B *** to cisplatin single treatment,combination treatment induced more apoptotic cell death in the cells with higher APOBEC3B ***:Our st.dy shows that APOBEC3B’s higher expression st.tus can enhance the sensitivity of MIBC to cisplatin upon ATR *** result provides new insight into appropriate patient selection for the effective application of ATR inhibitors in MIBC.

关键词： Apolipoprotein B mRNA editing catalytic polypeptide(APOBEC) Ataxia telangiectasia and Rad3-related(ATR) Bladder cancer DNA damage response DNA replication st.ess

Congest.ve Heart Failure: Treatment of Symptoms or Causes

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World Journal of Cardiovascular Diseases 2024年第8期14卷 480-489页

作者： Daiyuan Wang Jing Wang Russellville Cardiology Consultant Russellville AR USA Department of Cardiology St. Peters Hospital Albany NY USA

This paper is based on the author’s 20+ years of experience treating patients with congest.ve heart failure (CHF) as a cardiologist. In the 20+ years, 64 patients were treated, including both with reduced and preserved left ventricular function. Most.patients had a 4 - 5 days hospitalization in their first.admission with one readmission (1.6%) over seven years. This paper will help us underst.nd the physiology and pathophysiology of congest.ve heart failure, especially how to use beta blockers and diuretics. It will shorten the length of hospitalization and lower the readmission rate and cost.of CHF treatment. This paper will help us to open another research direction for CHF.

关键词： Congest.ve Heart Failure Beta-Blocker Diuretics

Use of Beta-Blocker in Acute st.Elevation Myocardial Infarction

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World Journal of Cardiovascular Diseases 2024年第8期14卷 459-464页

作者： Daiyuan Wang Jing Wang Russellville Cardiology Consultant Russellville AR USA Department of Cardiology St. Peters Hospital Albany NY USA

This paper reported beta-blocker use in 21 st.MI patients over four years. The patients were between 50 - 65 years of age presenting with anterior, lateral, and inferior st.MI (st.Elevation Myocardial Infarction). Seven of the patients were female, and 14 were male. They presented to an emergency room of a rural hospital that did not provide emergency percutaneous coronary angioplast./st.nting (PTCA/st.nting). The hospital is about 70 minutes from a facility that provided PTCA/ st.nting—all the patients presented with typical angina chest.pain with st.elevation. They are hemodynamic st.ble. Most.patients received Lopressor 35 mg IVP, with one receiving 115 mg in a 5 mg increment. They were chest.pain-free and hemodynamically before leaving the ER for the transfer for PTCA/st.nt. The results demonst.ated that beta-blockers are effective in relieving pain in st.MI patients. Further st.dy is needed to determine its efficacy, safety, and how to use it.

关键词： Beta-Blocker Acute Myocardial Infarction

Accuracy and Utility of Vessel Analysis Using Non-Contrast.CT for Planning Endovascular Aortic Repair

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Open Journal of Medical Imaging 2024年第3期14卷 96-105页

作者： Midori Komita-Moriya Yukihisa Ogawa Akiyuki Kotoku Shintaro Nawata Kenji Kuramochi Yasuyoshi Ogawa Kiyoshi Chiba Hiroshi Nishimaki Hidefumi Mimura Department of Radiology St. Marianna University School of Medicine Kanagawa Japan Department of Radiology Tokai University School of Medicine Hachioji Hospital Tokyo Japan Radiological Technology St. Marianna University School of Medicine Kanagawa Japan Department of Cardiovascular Surgery St. Marianna University School of Medicine Kanagawa Japan

Objectives: This st.dy aimed to determine whether errors in vascular measurements would affect device selection in endovascular aortic repair (EVAR) by comparing measurements obtained using non-contrast.computed tomography (NCT) with those obtained using contrast.enhanced CT (CECT). Materials and Methods: This single-center, retrospective st.dy included 25 patients who underwent EVAR for abdominal aortic aneurysm at our inst.tution. A 1-mm horizontal cross-sectional slice of NCT and CECT from each patient was retrospectively reviewed. The area from the abdominal aorta to the common iliac artery was divided into four zones. A centerline was created using the NCT by manually plotting the center points. Subsequently, the centerlines were automatically extracted and manually corrected during the arterial phase of CECT. The diameter and length of each zone were measured for each modality. The mean diameters and lengths of the target vessels were compared between NCT and CECT. Results: The measurements obtained using both methods were reproducible and demonst.ated good agreement. The mean differences in vessel length and diameter measurements for each segment between NCT and CECT were not st.tist.cally significant, indicating good consist.ncy. Conclusion: NCT may be useful for preoperative EVAR evaluation in patients with renal dysfunction or allergies to contrast.agents.

关键词： Non-Contrast.CT Vessel Analysis EVAR Contrast.Enhanced CT Abdominal Aortic Aneurysm