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Case reports in medicine 307건

  1. [해외논문]   Cognitive Behavioral Treatment to Improve Adherence to Hemodialysis Fluid Restrictions: A Case Report  

    Anson, Heather M. (Psychology Department, Eastern Michigan University, Ypsilanti, MI 48197, USA ) , Byrd, Michelle R. (Psychology Department, Eastern Michigan University, Ypsilanti, MI 48197, USA ) , Koch, Ellen I. (Psychology Department, Eastern Michigan University, Ypsilanti, MI 48197, USA)
    Case reports in medicine v.2009 ,pp. 1 - 5 , 2009 , 1687-9627 ,

    초록

    This case report describes outpatient psychological treatment targeting adherence to fluid restrictions in a hemodialysis patient. The consequences of nonadherence to fluid restrictions in hemodialysis patients range from minor discomfort to increased hospitalizations and mortality rates. In addition, when patients chronically fail to adhere, they may no longer be candidates for kidney transplant. The interventions focused on polydipsia, characterized by excessive fluid intake. The methods involved 11-sessions of individual psychotherapy incorporating strategies including increasing awareness, decreasing motivation, increasing effort, engaging in competing events, conducting thought stopping, breaking repetitive routines, eliciting social support, and receiving reinforcement. Results demonstrated that the patient successfully restricted his fluid intake at or below recommended levels 83% of days after fading of treatment began. This case report demonstrates the success of cognitive behavioral treatment strategies with a nonpsychiatric hemodialysis patient.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Nodular Regenerative Hyperplasia Secondary to Neoadjuvant Chemotherapy for Colorectal Liver Metastases  

    van den Broek, Maartje A. J. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Olde Damink, Steven W. M. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Driessen, Ann (Department of Pathology, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Dejong, Cornelis H. C. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands ) , Bemelmans, Marc H. A. (Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Liver resection is the only curative treatment for patients with colorectal liver metastases (CLMs). Neoadjuvant chemotherapy can improve resectability but has a potential harmful effect on the nontumorous liver. Patients with chemotherapy-induced hepatic injury undergoing liver surgery have higher risks of post-resectional morbidity. We present two cases of patients without pre-existent liver disease treated with oxaliplatin-based chemotherapy followed by surgical resection of their CLMs. Their intra-operative liver specimen showed morphologic abnormalities characteristic of nodular regenerative hyperplasia (NRH). NRH led to portal hypertension in both patients that resulted in deleterious post-resectional complications and death of one patient. Interestingly, the other patient underwent two repeat nonanatomic liver resections because of recurrent CLMs. The intra-operative liver specimen still showed signs of NRH and sinusoidal congestion, but the post-resectional courses were uneventful. Nevertheless, caution is recommended in patients with suspected NRH. Careful volumetric analysis should guide the operative strategy. When future remnant liver volume is regarded insufficient, portal vein embolization or restrictive surgery should be considered.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   A Case of Concurrent Riedel's, Hashimoto's and Acute Suppurative Thyroiditis  

    Pirola, I. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy ) , Morassi, M. L. (Department of Pathology, University of Brescia, 25124 Brescia, Italy ) , Braga, M. (II Division of General Surgery, Spedali Civili, 25124 Brescia, Italy ) , De Martino, E. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy ) , Gandossi, E. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy ) , Cappelli, C. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Riedel's thyroiditis (RT) is a rare form of infiltrative and inflammatory disease of the thyroid, first described by Bernard Riedel in 1896. The concurrent presence of RT and other thyroid diseases has been reported, but, the association of RT with Hashimoto's thyroiditis and acute thyroiditis has not yet been reported. We present a case of concurrent Riedel's, Hashimoto's and acute thyroiditis that occurred in a 45-year-old patient.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Liver Injury with Features Mimicking Autoimmune Hepatitis following the Use of Black Cohosh  

    Guzman, Grace (Department of Pathology, University of Illinois, Chicago, IL 60612, USA ) , Kallwitz, Eric R. (Department of Medicine, University of Illinois, Chicago, IL 60612, USA ) , Wojewoda, Christina (Department of Pathology, Case Western Reserve University, Cleveland, OH 44106, USA ) , Chennuri, Rohini (Department of Pathology, University of Illinois, Chicago, IL 60612, USA ) , Berkes, Jamie (Department of Medicine, University of Illinois, Chicago, IL 60612, USA ) , Layden, Thomas J. (Department of Medicine, University of Illinois, Chicago, IL 60612, USA ) , Cotler, Scott J. (Department of Medicine, University of Illinois, Chicago, IL 60612, USA)
    Case reports in medicine v.2009 ,pp. 1 - 8 , 2009 , 1687-9627 ,

    초록

    There are a growing number of cases detailing acute hepatic necrosis in patients taking black cohosh ( Cimicifuga racemosa ), an over-the-counter herbal supplement for management of menopausal symptoms. Our aim is to illustrate two cases of liver injury following the use of black cohosh characterized by histopathological features mimicking autoimmune hepatitis. Both patients reported black cohosh use for at least six months and had no evidence of another cause of liver disease. Their liver biopsies showed a component of centrilobular necrosis consistent with severe drug-induced liver injury. In addition, the biopsies showed characteristics of autoimmune-like liver injury with an interface hepatitis dominated by plasma cells. Although serum markers for autoimmune hepatitis were not particularly elevated, both patients responded to corticosteroids, supporting an immune-mediated component to the liver injury. Liver injury following the use of black cohosh should be included in the list of differential diagnoses for chronic hepatitis with features mimicking autoimmune hepatitis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Myopathy with Concurrent Tadalafil and Simvastatin  

    Gargante, Maria Pia (Department of Senescence, Urological and Neurological Sciences Ospedale Cannizzaro, Viale Messina, 95125 Catania, Italy ) , Vacante, Marco (Department of Senescence, Urological and Neurological Sciences Ospedale Cannizzaro, Viale Messina, 95125 Catania, Italy ) , Russo, Cristina (Department of Senescence, Urological and Neurological Sciences Ospedale Cannizzaro, Viale Messina, 95125 Catania, Italy ) , Malaguarnera, Mariano (Department of Senescence, Urological and Neurological Sciences Ospedale Cannizzaro, Viale Messina, 95125 Catania, Italy)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    A 48-year-old man, using statin, was admitted to hospital with progressive myalgia after consumption of tadalafil and simvastatin. Muscle pain and penile erection disappeared seven days after interruption of therapy. This case demonstrates the interaction of tadalafil with simvastatin resulting in myopathy. Muscle damage could be attributed to the common metabolic way of these two drugs which is cytochrome P450 isoenzyme system.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  6. [해외논문]   Proximal Sciatic Nerve Intraneural Ganglion Cyst  

    Swartz, Karin R. (Department of Neurosurgery, University of Kentucky, Chandler Medical Center, Lexington, KY 40536-0298, USA ) , Wilson, Dianne (Department of Pathology, University of Kentucky, Chandler Medical Center, Lexington, KY 40536-0298, USA ) , Boland, Michael (Department of Orthopedic Surgery, University of Kentucky, Chandler Medical Center, Lexington, USA ) , Fee, Dominic B. (Department of Neurology, University of Kentucky, Chandler Medical Center, Lexington, KY 40536-0298, USA)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Intraneural ganglion cysts are nonneoplastic, mucinous cysts within the epineurium of peripheral nerves which usually involve the peroneal nerve at the knee. A 37-year-old female presented with progressive left buttock and posterior thigh pain. Magnetic resonance imaging revealed a sciatic nerve mass at the sacral notch which was subsequently revealed to be an intraneural ganglion cyst. An intraneural ganglion cyst confined to the proximal sciatic nerve has only been reported once prior to 2009.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Myositis, Vasculitis, Hepatic Dysfunction in Adult-Onset Still's Disease  

    Yanai, Hidekatsu (Division of General Medicine, Department of Internal Medicine, The Jikei University School of Medicine, 163-1, Kashiwashita, Kashiwa, Chiba 277-8567, Japan ) , Furutani, Nobuyuki (Division of General Medicine, Department of Internal Medicine, The Jikei University School of Medicine, 163-1, Kashiwashita, Kashiwa, Chiba 277-8567, Japan ) , Yoshida, Hiroshi (Department of Laboratory Medicine, The Jikei University School of Medicine, 163-1, Kashiwashita, Kashiwa, Chiba 277-8567, Japan ) , Tada, Norio (Division of General Medicine, Department of Internal Medicine, The Jikei University School of Medicine, 163-1, Kashiwashita, Kashiwa, Chiba 277-8567, Japan)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Although hepatic dysfunction is common in adult-onset Still's disease (AOSD), sometimes it is difficult to differentiate hepatic dysfunction due to AOSD itself from drug-induced hepatic dysfunction. Further, myalgia often occurs in patients with AOSD; however, AOSD patients complicated with myositis are rare. We report a 43-year-old Japanese man with AOSD who developed myositis and hepatic dysfunction which were deteriorated by multiple nonsteroidal antiinflammatory drugs (NSAIDs) and were dramatically ameliorated by a low-dose steroid therapy. A skin biopsy of salmon pink rash which is characteristic for AOSD showed leukocytoclastic vasculitis, and the markers for vasculitis, plasma von Willebrand factor, and vascular endothelial growth factor levels were elevated in this patient, suggesting an association between AOSD and systemic vasculitis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Factitious Disorders and Cardiothoracic Surgery: The Ongoing Multidisciplinary Challenges of a Complex Case  

    Firstenberg, Michael S. (Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA ) , Sirak, John H. (Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA ) , Sun, Benjamin (Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA ) , Kasick, David P. (Department of Psychiatry, The Ohio State University Medical Center, Columbus, OH 43210, USA)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Chronic factitious disorder, Munchausen's syndrome, can be challenging to manage—particularly when complaints and symptoms suggest medical or surgical emergencies. We present a patient whose problems have spanned many years and a great distance. Hopefully, with a greater awareness of this disease, as this patient continues to seek health care in many different hospitals, the implications of timely access to information, good histories and physical exams, and an index of suspicion can assist in potentially avoiding unnecessary, expensive, and invasive evaluations.

    원문보기

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Unexpected Coexisting Myocardial Infarction Detected by Delayed Enhancement MRI  

    Gerbaud, Edouard , De Clermont-Galleran, Henri , Erickson, Matthew , Coste, Pierre , Montaudon, Michel
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Chronic factitious disorder, Munchausen's syndrome, can be challenging to manage—particularly when complaints and symptoms suggest medical or surgical emergencies. We present a patient whose problems have spanned many years and a great distance. Hopefully, with a greater awareness of this disease, as this patient continues to seek health care in many different hospitals, the implications of timely access to information, good histories and physical exams, and an index of suspicion can assist in potentially avoiding unnecessary, expensive, and invasive evaluations.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Anterior Hip Dislocation in a Football Player: A Case Report  

    Schuh, Alexander (Research Unit Orthopedics and General Surgery, Neumarkt Clinic, 92318 Neumarkt, Germany ) , Doleschal, Sylvia (Institution Department of Trauma Surgery, Neumarkt Clinic, 92318 Neumarkt, Germany ) , Schmickal, Thomas (Institution Department of Trauma Surgery, Neumarkt Clinic, 92318 Neumarkt, Germany)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Hip dislocations during sporting activities represent only 2%–5% of all hip dislocations. Most hip dislocations in sports can be categorised as “less complicated traumatic hip dislocations” by the Stewart-Milford classification due to the fact that minimal force is involved. The incidence of avascular necrosis of the femoral head greatly increases if the time to reduction is more than six hours. We report the case of a 38-year-old football player who suffered hip dislocation while kicking the ball with the medial aspect of the right foot in an external rotated manner of the right hip. Closed reduction was performed within 2 hours; postoperative follow-up was uneventful. Six months later the patient is out of any complaints; there is no sign of AVN of the femoral head.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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