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Ectopia Cordis, Cleft Lip and Palate in a Patient with Gastroschisis - A Clinical Case

Gastroschisis (GQS) and omphalocele are congenital defects of the abdominal wall; The GQS is a defect usually on the right side of the umbilical cord, where there is exposure of the intestinal loops and there is no membrane that covers them; The omphalocele is a defect through the umbilical cord, in which there is a herniation of the intra-abdominal organs, which are covered by a membrane. GQS is generally associated with minor abnormalities of the digestive tract and generally does not have an association with severe congenital abnormalities. The diagnosis can be made prenatally by Ultrasound (USG). The objective is to present a clinical case of gastroschisis associated with severe midline congenital anomalies, such as ectopia cordis, which is not frequent in these patients [1-4].
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Pediatric Patient with a Celiac Crisis (Rare Presentation of a Common Disease) Case Report and Literature Review

Celiac disease (CD) is a systemic chronic immune-mediated disorder that is associated with weight loss, diarrhea, and laboratory abnormalities. Celiac disease (CD) is a disease in which the mucosal lining of the small intestine is damaged in response to the ingestion of gluten and similar proteins, which are found in wheat, oats, rye, barley and other grains. Children with CD are very common [1].
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Use of Cranial Computed Tomography in Minor Head Trauma Cases Under Two Years of Age

Patients under two years of age who were admitted Emergency Department (ED) within three months due to MHT and who underwent cranial CT scan were included in the study. Trauma mechanisms, Glasgow Coma Scale (GCS) scores, symptoms (crying/unrest, vomiting, to refuse eating, drowsiness, loss of consciousness) and clinical signs (hyperemia/ecchymosis, abrasion, skin laceration, cephalohematoma, fontanel bulging) were retrospectively screened.
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Inherited Thrombophilia Could be a Possible Rare Etiology to Result in Cirrhosis: A Case Report and Literature Review

We reported on a cirrhosis patient who was demonstrated on gene sequencing to have inherited thrombophilia. A 33-year-old male patient with 8-year recurrent abdominal distention, symptom aggravated with 4-month pitting edema of lower extremities bilaterally, was identified decompensated cirrhosis in local hospital.
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Use of Electroconvulsive Therapy (ECT) in Hysterical Catatonia: Case Reports of Two Women, One Young and One Elderly

A 62-years-old female patient with a diagnosis of conversion disorder and somatization disorder and a 20-years-old female patient with a diagnosis of conversion disorder were treated on electroconvulsive therapy. Electroconvulsive therapy was performed in 8 sessions with anaesthesia. 62-years-old patient began to recover after the sixth session of electroconvulsive therapy once every two days. Complete remission in catatonic symptoms also sustained during follow-up. The catatonic symptoms of the 20-years-old patient were completely terminated after the second session of the ECT once every two days. The treatments were completed in 8 sessions.
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Quality of Life after Accidental Major Vascular Injury and Prolonged ICU Stay - A Case Report

Survival or mortality rate is a reasonable choice of an outcome measure for critically ill patients in intensive care unit (ICU). But it is also important to assess the impact of critical illness and peri-operative complications on health status and quality of life (QoL) after hospital discharge. The QLQ-C30 is a 30-item cancer-specific questionnaire that incorporates five functioning scales (physical, role, cognitive, emotional, and social), eight symptoms scales, perceived financial impact of the disease and a global scale [1-5].
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Non Ige Mediated Cows Milk Protein Allergy Presenting with Generalized Edema: Case Report and Review of the Literature

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A Rare Recurrence of an Immature Teratoma: A Case Report

A 26-year-old woman who was previously diagnosed as immature, right ovarian teratoma, was presented to Hangzhou obstetrics and gynecology hospital. The patient had previously undergone a laparotomy and right salpingo-oophorectomy with partial omentectomy 14-year before. Initial laboratory tests showed the serum markers: cancer antigen (CA)-125 was 44.5IU/ml (increased) and CA199, AFP levels were normal. Sonographic examination revealed a complex mass, measuring 12.6cmx10.5cm x8.5 cm, behind the uterus. Magnetic resonance imaging (MRI) findings were in favour of teratoma, originated from the right adnexa, occupying pouch of Douglas. The patient underwent exploratory laparotomy with a right intraligamentary teratoma cystectomy along with residual omentectomy,andrandom peritoneal biopsies. The pathology revealed mature teratoma, glioma, with no malignant components.
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Successful Treatment of Acquired Amegakaryocytic Thrombocytopenia (AAT) with Cyclosporine and Eltrombopag: A Case Report

Acquired amegakaryocytic thrombocytopenia is an unusual hematological disorder characterized by severe thrombocytopenia in association with a marked decrease, or the absence, of megakaryocytes in bone marrow. Its pathogenesis is not well understood and its clinical course is variable. Several treatments have been used, producing different responses. We present a case that was successfully treated with a calcineurin inhibitor combined with a thrombopoiesis-stimulating agent.
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Constipated Patients Fed Goat Milk Protein Formula: A Case Series Study

This study employed a case-series design with infants aged between 1 and 4 months. Infants with symptoms of constipation were recruited at two paediatric clinics in Barcelona, Spain. At the time of recruitment, all infants were fed a standard formula made with cow milk protein. Infants were provided with a formula based on goat milk protein and 55% of total fat from goat milk. After 3 weeks, stool consistency, stool frequency, crying and infant behaviour were measured. Fat, nitrogen, water and carbohydrates in the stools were also determined by NIRA (near-infrared reflectance analysis).
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Osteoid Osteoma of the Ribs - Is Image Intensifier or Bone Scintigraphy a Mandatory Diagnostic Tool - A Case report with Review of Literature

Osteoid osteoma (OO) is a benign bone tumour. In 1935, the jaffe reported it first. The fifty percent of OOs occur in long bones of the lower extremities but it may affect any bone. Only 1 % OOs affects the ribs and surgical excision was reported only in 14 cases in the literature. Complete surgical excision is the standard treatment method for osteoid osteoma is complete surgical excision which is reserved for the patients not responding to conservative treatment. In this report, we present a case of osteoid osteoma of the posterior part of the shaft of the sixth rib affecting a 30-year-old male, who had presented with symptoms of severe pain over the affected area and underwent surgical resection. Excised rib segment showed no osteosclerotic lesion on X-ray so immediately extended resection of the sixth rib was done. Here we have tried to evaluate the importance of the presence of the skeletal scintigraphy or C Arm image intensifier intraoperatively by comparing our experience with the available literature.
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S. Pneumoniae Infection Associated with a Hemolytic Uremic Syndrome in an Adult Patient: A Case Report

Hemolytic uremic syndrome (HUS) is a rare but severe entity characterized by the triad of acute kidney injury, microangiopathic hemolytic anemia, and thrombocytopenia. This disease is frequently observed in children after a diarrhea process secondary to Escherichia coli O157: H7. However, other disturbs may generate this disease, including pneumonia secondary to S. pneumoniae, which represents around 5% of all HUS cases. This type of HUS has demonstrated an increase in incidence in the population recently.
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Cognitive-Behavioral Psychotherapy, a Group Psycho-Educational Workshop and a Workshop for Caregivers of Sexually-Abused Children: a Case Study of Two Mexican Male Children

It has been reported that a large percentage of men and women had experiences of sexual abuse during childhood the effects of which are determined by factors such as age, gender, characteristics of the experience, and cultural aspects, among others. In Mexico, only a limited number of sexual abuse cases are reported to the relevant authorities and even fewer receive adequate care and treatment. This article presents an evaluation of the effectiveness of an individualized cognitive-behavioral treatment involving a group psychoeducational workshop and a workshop for caregivers of two Mexican male children who had experienced sexual abuse. Clinical and cognitive evaluations, pre- and post-test treatment, and follow-up one-and-a-half years later were made. Differences between the two participants were found in all three evaluation periods. Various factors associated with these results are discussed.
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Leriche Syndrome: Percutaneous Treatment with Mechanical Thrombectomy: A Case Report

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The Case of Fetal Maceration in Two Different Bitches

Prenatal development consists of three stages in dogs. These stages are called preimplantation, embryonic and fetal period respectively. Embryonic or fetal losses may occur as a result of any causes that damage embryo or fetus during prenatal development period. These losses are called resorption, abortion, mummification and maceration according to the stage of pregnancy. Fetal maceration is often observed in cattle, but also can occur in other domestic animals. The incidence is quite low in bitches. The materials of this case were two bitches in different breeds that are Pointer and Golden retriever. They were brought to Clinics of Obstetrics and Gynecology by their owners with the complaints of growth in their abdomen, increase in weight and decrease in movements at different times. Firstly, detailed anamnesis was taken from their owners. As the mating status of both bitches is unknown, the probabilities of pregnancy and pregnancy pathologies have been neglected in the clinics previously referred to with the same complaints and both bitches were diagnosed with obesity by considering breed predisposition. In this context, it was learned that there was no treatment except for the suggestion of on low energy content foods and exercises however no healthy improvements were observed in both bitches. Gynecological, ultrasonography and radiographic examinations, whole blood and serum biochemistry analysis were performed on both bitches after anamnesis was taken. When the findings of the analysis and examination were evaluated, it was concluded that the fetuses were autolyzed in the uterus without being aborted. It was concluded to perform ovariohysterectomy operation on both dogs for treatment. When the removed uterus tissues were examined, it was seen that both bitches had fetal maceration.
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Editorial Board Members Related to case

Maria Ioannou

Senior Lecturer
University of Huddersfield
United Kingdom

Mo SONG

Professor
Department of Materials
Loughborough University
United Kingdom

Hongxia Hao

Lecturer
Department of Chemistry
University of Toronto
Canada

Wen-Quan Zou

Associate Professor
Departments of Pathology and Neurology
Case Western Reserve University School of Medicine
United States

Peter L. Bordi

Associate Professor
School of Hospitality Management
Pennsylvania State University
United States

Paraj V. Mandrekar

Research Scientist
Genetic Identity team
Promega Corporation
United States

Shigemi Matsuyama

Associate Professor
Division of Hematology/Oncology
School of Medicine
Case Western Reserve University‚Ä®
United States

Parameswaran Ramakrishnan

Assistant Professor
Experimental Pathology
Case Western Reserve University
United States

Charles J. Malemud

Professor
Department of Medicine and Anatomy
Case Western Reserve University
United States

Michael Gibson

Associate Professor
Department of Medicine
Case Western Reserve University
United States
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