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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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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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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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It is widely held that older adults are unlikely to self-report their abusive situation to officials such as adult protective services (APS). The purpose of this study was to determine the extent to which older adults self-report or alternatively, disclose to informal sources of support who in turn place official reports. Interviews were conducted with 71 APS caseworkers, 55 of their older clients, and 32 non-abusive persons familiar with the situation. The same person who detected also reported the abuse in only 69% of the cases. While 39.5% of the older victims detected their abuse, only 18.3% also reported the abuse. The remaining older victims disclosed to someone who in turn placed a report. By listening to victim’s voices, it was revealed that at least some older adults exercise considerably more self-efficacy in their abusive situation than official reporting statistics indicate. Implications for research and policy are discussed.

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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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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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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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Concurrent scalp, skull, lung and bone metastasis from follicular thyroid carcinoma is a very rare event. We herein present the case of a 37- year’s old lady, who presented to us with huge scalp swelling that proved to be metastasis from a follicular thyroid carcinoma. The metastatic workup disclosed bilateral lung metastasis and additional metastasis in right iliac crest and 6th rib. The course of her disease was relentless. Although follicular thyroid carcinoma has an excellent prognosis, the presence of metastatic disease leads to a very dismal prognosis.

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Generalized pustular psoriasis (GPP) is an acute and uncommon form of psoriasis, representing about 3% of all psoriasis cases. Triggers may include streptococcical infections, emotional stress, vaccinations and exposure to medications such as penicillin. Systemic therapy is often necessary for GPP, since it may rapidly evolve, leading to significant and potentially fatal complications. Here, we describe the case of a 5-year-old male presenting with diffuse erythema, confluent scaly plaques and painful pustules localized on the trunk and limbs. Systemic manifestations such as fever, general lymphadenopathy and arthritis were also observed. To date, no standardized treatment guideline exists for infantile acute generalized pustular psoriasis. Our patient responded successfully to cyclosporine treatment within 4 weeks without any side effects. Thus, cyclosporine could be considered a useful agent in cases of pediatric GPP, keeping in mind its side effect profile in child population.

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implantitisIntroductionThe acute apical peri-implantitis (AAPI) is defined as a clinically symptomatic periapical lesion that develops shortly after implant insertion while the coronal portion of the implant substains a normal bone-to-implant interface. The etiology of AAPI is unclear. Regardless of etiology, the management of AAPI has been attempted by either respective or regenerative techniques.

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The Appendiceal mucocele (AM) was considered as a rare dilation of the appendiceal lumen. Four different types of AMs are defined according to the cause of obstruction, for both benign and malignant, including retention cysts, epithelial hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma.

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This study has a focus on patterns of work-related interactions, experiences, and attitudes expressed by leaders in the Swedish Police force.A cross-sectional design was used to compare police leaders (n=106) with reference groups recruited for public and private enterprises (n=1650). Work-related ratings were provided by use of a recruitment inventory JobMatch Talent (JMT). In this study, three main JMT scales (including subscales) concerned with relationships were used: Tolerance (h1: Assent image, h2: Tolerant attitude, h3: Trust in others); Social Interest (i1: Showing consideration, i2: Diplomacy, i3: Contact creating); Communication (j1: Impact, j2: Communicative, j3: Openness).

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This study has a focus on patterns of work-related interactions, experiences, and attitudes expressed by leaders in the Swedish Police force.A cross-sectional design was used to compare police leaders (n=106) with reference groups recruited for public and private enterprises (n=1650). Work-related ratings were provided by use of a recruitment inventory JobMatch Talent (JMT).

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