Austin Journal of Pulmonary and Respiratory Medicine is a peer reviewed academic journal dedicated to publish clinical and experimental research in respiratory medicine including Thoracic Oncology, Thoracic Surgery, Epidemiology, Pathophysiology, Thoracic Imaging, Paediatric Pneumology, Intensive Care, Sleep Medicine, Bronchial Diseases, Lung Cell Biology.
The aim of the journal is to provide a forum for pulmonologists, general physicians, pharmacologists, internists, researchers, physicians and other health professionals to find most recent advances in the areas of Pulmonology and Respiratory Medicine.
This open access journal cover all the aspects of respiratory diseases including but not limited to Bronchial Diseases, Chronic Obstructive Pulmonary Disease, Respiratory tract infections, Upper respiratory tract infections, Lower respiratory tract infections, Lung Cancer, Pleural cavity diseases, Pulmonary vascular diseases, Pulmonary embolism, Pulmonary arterial hypertension, pneumothorax and more.
Austin Journal of Pulmonary and Respiratory Medicine is a peer reviewed academic journal dedicated to publish clinical and experimental research in respiratory medicine including Thoracic Oncology, Thoracic Surgery, Epidemiology, Pathophysiology, Thoracic Imaging, Paediatric Pneumonology, Intensive Care, Sleep Medicine, Bronchial Diseases, Lung Cell Biology.
the upcoming 8th edition of TNM staging in lung cancer will be published soon. what we need to know about TNM , how it was developed and why? how we can improve our practice for suspected lung cancer patients
LUNG CANCER remains the leading cause of cancer-related mortality in men and women in the United States, accounting for over 157,000 deaths annually.Despite advances in imaging, lung cancer is often detected when the disease has spread from the primary tumour to regional lymph nodes or distant sites. Appropriate therapy is dependent on accurate staging to identify those patients who are surgical candidates and those patients for whom chemotherapy and radiation therapy is indicated.
In this review, the current staging system for lung cancer is discussed, along with practical imaging approaches.
Christopher Azzoli, M.D., Assistant Member, Thoracic Oncology Service, Memorial Sloan-Kettering Cancer Center: Current Modalities in the Treatment of Lung Cancer
Presented at New Frontiers in the Management of Solid and Liquid Tumors hosted by the John Theurer Cancer Center at Hackensack University Medical Center. jtcancercenter.org/CME
the upcoming 8th edition of TNM staging in lung cancer will be published soon. what we need to know about TNM , how it was developed and why? how we can improve our practice for suspected lung cancer patients
LUNG CANCER remains the leading cause of cancer-related mortality in men and women in the United States, accounting for over 157,000 deaths annually.Despite advances in imaging, lung cancer is often detected when the disease has spread from the primary tumour to regional lymph nodes or distant sites. Appropriate therapy is dependent on accurate staging to identify those patients who are surgical candidates and those patients for whom chemotherapy and radiation therapy is indicated.
In this review, the current staging system for lung cancer is discussed, along with practical imaging approaches.
Christopher Azzoli, M.D., Assistant Member, Thoracic Oncology Service, Memorial Sloan-Kettering Cancer Center: Current Modalities in the Treatment of Lung Cancer
Presented at New Frontiers in the Management of Solid and Liquid Tumors hosted by the John Theurer Cancer Center at Hackensack University Medical Center. jtcancercenter.org/CME
Primary Epithelioid Hemangioendothelioma of the Kidney Pelvissuppubs1pubs1
Epithelioid hemangioendothelioma is a rare type of angiogenic tumor composed of Epithelioid endothelial cells, which is characterized by potentially malignancy and metastasis potential. It is mainly seen in adults, while very rare in children. Tumor can be found in soft tissue or other parts,such as liver and lung, however it is rare in the kidneys
Primary Epithelioid Hemangioendothelioma of the Kidney Pelvissemualkaira
Epithelioid hemangioendothelioma is a rare type of angiogenic tumor composed of Epithelioid endothelial cells, which is characterized by potentially malignancy and metastasis potential. It is mainly seen in adults, while very rare in children. Tumor can be found in soft tissue or other parts,such as liver and lung, however it is rare in the kidneys. The very report is the first case of that tumor is found in the renal pelvis, which contains only 4 cases of EHE in the kidney. This paper reports one case of EHE in the kidney, and reviews the relevant literatures to discuss its clinical characteristics and differential diagnosis points to better understand the disease.
Primary Epithelioid Hemangioendothelioma of the Kidney Pelvissuppubs1pubs1
Epithelioid hemangioendothelioma is a rare type of angiogenic tumor composed of Epithelioid endothelial cells, which is characterized by potentially malignancy and metastasis potential. It is mainly seen in adults, while very rare in children. Tumor can be found in soft tissue or other parts,such as liver and lung, however it is rare in the kidneys.
Primary Epithelioid Hemangioendothelioma of the Kidney PelvisJohnJulie1
Epithelioid hemangioendothelioma is a rare type of angiogenic tumor composed of Epithelioid endothelial cells, which is characterized by potentially malignancy and metastasis potential. It is mainly seen in adults, while very rare in children. Tumor can be found in soft tissue or other parts,such as liver and lung, however it is rare in the kidneys. The very report is the first case of that tumor is found in the renal pelvis, which contains only 4 cases of EHE in the kidney. This paper reports one case of EHE in the kidney, and reviews the relevant literatures to discuss its clinical characteristics and differential diagnosis points to better understand the disease.
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Running head ESOPHAGUS ADENOCARCINOMA T2N2M01ESOPHAGUS ADENOCA.docxcharisellington63520
Running head: ESOPHAGUS ADENOCARCINOMA T2N2M0 1
ESOPHAGUS ADENOCARCINOMA T2N2M0 9
Esophagus Adenocarcinoma T2N2M0
Adenocarcinoma is a complication of the gastroesophageal reflux that affects the distal esophagus. Out of an estimated 12,500 cases diagnosed in 2000 there were 12,200 deaths. Therefore, the mortality rate is rather high for this type of cancer. According to the National Center for Biotechnology Information this type of cancer is currently ranking seventh in the list of the most common cancers in the world (Lerut, 2001). The cancer affects those who are in there mid to late adulthood and only 8% of those who are diagnosed with this disease survive. Mostly, the differences in survival are based on racial background, sex, and histological type, which means the kind of cancer that affects an individual.
Anatomy
Esophagus is a thin-walled, hollow tube, measuring at about 25 cm in length. Squamous cell carcinoma for the proximal to mid esophagus and adenocarcinoma for the distal end of the esophagus. The esophagus is roughly from C6 to T11 it is also divided into four regions. These regions are the Cervical, Upper thoracic, Mid thoracic & Lower thoracic. The Lower thoracic is where this patients Cancer is located. The lymphatics in this area are the Lower peri-esophagogastric lymph node below the level of the azygos vein, the diaphragmatic, peri-cardiac, left peri-gastric and celiac nodes.
Epidemiology
Regarding gender, the cancer of the esophageal 2.7 more commonly found in men than women and more lethal. Concerning the issue of age and the incidence of the disease, it peaks most in the 7th decade in patient’s life. With adenocarcinoma white males ranging in the age of 40 to 50 are mostly affected (Zhang, 2013). In fact, 20% of death rates in the United States among men are caused by adenocarcinoma. In 2012, the National Cancer Institute speculated that out of 17,460 persons diagnosed with cancer of the esophagus, 15,070 would die. Based on the fact that the cancer affects men more than women it was estimated that the cancer would affect 13,950 men and 3,510 women that year. However, the United States is not the only country affected by adenocarcinoma. The rates are much higher in China. Chronic alcohol uses, as well as external carcinogens, have been pinpointed as the main causes of adenocarcinoma (Zhang, 2013).
Additionally, there have been instances in which nutrition has been raised as a factor leading to the problem; however, diet does not explain the origin of the cancer well. Specialists claim that if the cancer can be related to diet, then it would be much easier for the disease to be averted by changes in eating patterns. Regarding the issue of race in America, incidences of whites getting the adenocarcinoma is more common than that of blacks (Baquet CR, 2015), due to poor eating habits, diet, status and exposure to alcohol and external carcinogens. Inherently, smokers have an increased risk of getting the esophagus adenoca.
Incidentally detected peritoneal Mesothelioma in an Inguinalhernia Sacafter a...AnonIshanvi
Malignmesotelioma can be causedbyserozalleaves of pleura, pericard, peritoneum, tunicavaginalisor testis. Inthe United States, about 2500 newcases of mesothelioma are reported each year. Most frequent type is pleural mesotelioma, second frequent type is peritoneal mesotelioma
Incidentally detected peritoneal Mesothelioma in an Inguinalhernia Sacafter a...daranisaha
Malignmesotelioma can be causedbyserozalleaves of pleura, pericard, peritoneum, tunicavaginalisor testis. Inthe United States, about 2500 newcases of mesothelioma are reported each year. Most frequent type is pleural mesotelioma, second frequent type is peritoneal mesotelioma. The annual incidence of malignant peritoneal mesothelioma is one in about 1,000,000 people...
Incidentally detected peritoneal Mesothelioma in An İnguinalhernia Sacafter A...semualkaira
A55 yeras old patient with no know ncommon disease and no
family history admitted to emergency clinic with complaints of
painful swelling in ther ightinguinal region. There was a working history in the dyefactory. When the etrangule right inguinal hernia findings were detected on the physicalexamination of
the right inguinal region an emergency operation decision was
made for the patient
Incidentally detected peritoneal Mesothelioma in an Inguinalhernia Sacafter a...NainaAnon
Malignmesotelioma can be causedbyserozalleaves of pleura, pericard, peritoneum, tunicavaginalisor testis. Inthe United States, about 2500 newcases of mesothelioma are reported each year.
Incidentally detected peritoneal Mesothelioma in an Inguinalhernia Sacafter a...ClinicsofOncology
Malignmesotelioma can be causedbyserozalleaves of pleura, pericard, peritoneum, tunicavaginalisor testis. Inthe United States, about 2500 newcases of mesothelioma are reported each year. Most frequent type is pleural mesotelioma, second frequent type is peritoneal mesotelioma. The annual incidence of malignant peritoneal mesothelioma is one in about 1,000,000 people
Incidentally detected peritoneal Mesothelioma in an Inguinalhernia Sacafter a...semualkaira
Malignmesotelioma can be causedbyserozalleaves of pleura, pericard, peritoneum, tunicavaginalisor testis. Inthe United States, about 2500 newcases of mesothelioma are reported each year. Most frequent type is pleural mesotelioma, second frequent type is peritoneal mesotelioma. The annual incidence of malignant peritoneal mesothelioma is one in about 1,000,000 people...
Austin Journal of Robotics & Automation is an international scholarly, peer review, Open Access journal, initiated with an aim to promote the research in Robotics & Automation, which deals with design, construction, operation, and application of robots.
Austin Journal of Robotics & Automation is a comprehensive Open Access peer reviewed scientific journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials).
Austin Journal of Robotics & Automation supports the scientific modernization and enrichment in Robotics & Automation research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary technology.
Austin Journal of Multiple Sclerosis & Neuroimmunology is an open access, peer review Journal publishing original research & review articles on aetiology, epidemiology, and pathogenesis of inflammatory demyelinating diseases of the central nervous system. Austin Journal of Multiple Sclerosis & Neuroimmunology is aimed to provide a strong platform for challenging cases that includes but not excludes the damage of insulating covers of both central nervous system and spine. It is a grounding platform for all neurologists, neuroimmunologists, neurovirologists, researchers, medical doctors, health professionals, scientists, and scholars to publish their research work & update the latest research information.
Topics include but not limited to Clinical Neurology, Biomarkers, Glial, Myelin Chemistry, Neuroimaging, Neuropathology, Neuroepidemiology, Therapeutics, Genetics/Transcriptomics, Experimental Models, Pathobiology, Neuroimmunology, Neuropsychology, Neurorehabilitation, Pathobiology of the Brain, Psychology, Measurement Scales, Teaching, and Neuroethics.
Austin Journal of Multiple Sclerosis & Neuroimmunology supports the scientific transformation and fortification in Medical and Clinical research community by magnifying access to peer reviewed scientific literary works. Austin also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Austin Leukemia is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Leukemia.
The journal aims to promote research communications and provide a forum for doctors, researchers, physicians and healthcare professionals to find most recent advances in all areas of Leukemia. Austin Leukemia accepts original research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Leukemia.
Austin Leukemia strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
Autism & Related Disabilities is a developmental disorder that affects the brain's normal development of social and communication skills. It is also known as a complex developmental disability. Austin Journal of Autism & Related Disabilities is an open access, peer reviewed scholarly journal committed to publication of unique contributions concerned with Autism & Related Disabilities.
Austin Journal of Autism & Related Disabilities accepts original research articles, review articles, case reports, clinical images and rapid communication on all the aspects of Autism & Related Disabilities.
Austin Journal of Asthma: Open Access is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Asthma.
The journal aims to promote latest information and provide a forum for doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of Asthma. Austin Journal of Asthma: Open Access accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Asthma.
Austin Journal of Asthma: Open Access strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing.
Austin Journal of Anesthesia and Analgesia is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of anesthesiology and pain management.
The aim of the journal is to provide a forum for anesthesiologists, researchers, physicians, and other health professionals to find most recent advances in the areas of anesthesiology. Austin Journal of Anesthesia and Analgesia accepts original research articles, review articles, case reports and rapid communication on all the aspects of anesthesiology and pain management.
Austin Journal of Anesthesia and Analgesia strongly supports the scientific upgradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
Austin Journal of Accounting, Audit and Finance Management is a peer reviewed open access journal in publishes manuscripts from all the areas of accounting, accountancy, finance, auditing.
Austin Journal of Accounting, Audit and Finance Management Original Articles, Review, Discussion, Editorials, Letter, type of manuscripts from all the areas of the accounting, accountancy, finance, auditing.
Austin Virology and Retrovirology is an international scholarly peer reviewed Open Access journal, aims to promote the research in the field of Virology.
Austin Virology and Retrovirology is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Case Reports, Short Communications, Perspectives (Editorials), Clinical Images
Austin Virology and Retrovirology supports the scientific modernization and enrichment in virology research community by magnifying access to peer reviewed scientific literary works. Austin also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Austin Journal of Urology is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of Urology.
The aim of the journal is to provide a forum for urologists, nephrologists, research scholars, physicians, and other healthcare professionals to find most recent advances in the field of Urology.
Austin Journal of Urology accepts original research articles, review articles, case reports and short communication on all the aspects of Urology and relevant basic science issues.
Annals of Thyroid Research is a peer-reviewed, open access journal published by Austin Publishers. It provides easy access to high quality Manuscripts in all related aspects of thyroid hormones and thyroid diseases and their interaction with the cardiovascular system, pulmonary system, gastroenteron system, metabolic and nervous systems. The journal also focuses upon all the thyroid disease symptoms and treatments, including hyperthyroid and hypothyroid, plus a range of other thyroid problems including thyroid cancer.
Austin Publishing Group is a successful host of more than hundred peer reviewed, open access journals in various fields of science and medicine with intent to bridge the gap between academia and research access.
Annals of Thyroid Research accepts original research articles, review articles, case reports, mini reviews, rapid communication, opinions and editorials on all related aspects of all related aspects of thyroid hormones and thyroid diseases.
Austin Journal of Robotics & Automation is an international scholarly, peer review, Open Access journal, initiated with an aim to promote the research in Robotics & Automation, which deals with design, construction, operation, and application of robots.
Austin Journal of Robotics & Automation is a comprehensive Open Access peer reviewed scientific journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials).
Austin Journal of Robotics & Automation supports the scientific modernization and enrichment in Robotics & Automation research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary technology.
Austin Journal of Orthopedics & Rheumatology is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of Orthopedics.
The aim of the journal is to provide a forum for orthopedicians, researchers, physicians, and other health professionals to find most recent advances in the areas of Orthopedics.
Austin Journal of Orthopedics & Rheumatology accepts original research articles, review articles, case reports and rapid communication on all the aspects of Orthopedics and its related areas.
Austin Pediatrics is an open access, peer reviewed, scholarly journal committed to publish articles in all areas of science and practice of Pediatrics.
The aspire of the journal is to present a platform for scientists and academicians all over the world to encourage, distribute, and discuss various new issues and developments in different areas of Pediatrics and to promote responsible and balanced debate on controversial issues that influence child health, including non-clinical areas such as ethics, law, surroundings and economics.
Austin Pediatrics accepts innovative research articles, review articles, case reports and rapid communication on all the aspects of Pediatrics.
Austin Pediatrics is an open access, peer reviewed, scholarly journal committed to publish articles in all areas of science and practice of Pediatrics.
Austin Otolaryngology is an open access, peer review journal publishing original research & review articles in all the fields of Otolaryngology. Otolaryngology deals with the study of ear, nose and throat. Austin Otolaryngology provides a new platform for students to publish their research work & update the latest research information in Otolaryngology.
Austin Otolaryngology is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Otolaryngology supports the scientific modernization and enrichment in Otolaryngology research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Clinics in Oncology Research is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of oncology.
The journal aims to promote latest information and provide a forum for oncologists, doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of oncology. Clinics in Oncology Research accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of oncology.
Clinics in Oncology Research strongly support the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing.
Austin Journal of Obesity & Metabolic Syndrome is an international scholarly peer reviewed Open Access journal, aims to promote the research in all the related fields of Metabolic Syndrome.
Austin Journal of Obesity & Metabolic Syndrome is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Journal of Obesity & Metabolic Syndrome supports the scientific modernization and enrichment in Metabolic Syndromes research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Austin Journal of Nutrition and Food sciences is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of nutrition and food sciences
The aim of the journal is to provide a forum for dietitians, researchers, physicians, and other health professionals to find most recent advances in the areas of clinical nutrition and nutritional disorders.
Austin Journal of Nutrition and Food sciences accepts original research articles, review articles, case reports and rapid communication on all the aspects of internal medicine.
Austin Journal of Clinical Neurology is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of neurology, neurophysiology and stroke.
The aim of the journal is to provide a forum for neurologists, researchers, physicians, and other health professionals to find most recent advances in the areas of clinical and experimental neurology. Austin Journal of Clinical Neurology accepts original research articles, review articles, case reports, clinical images and rapid communication on all the aspects of clinical neurology and nervous system diseases.
Austin Journal of Clinical Neurology strongly supports the scientific upgradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
Austin Journal of Clinical Neurology is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of neurology, neurophysiology and stroke.
Austin Journal of Musculoskeletal Disorders is a peer-reviewed, open access journal published by Austin Publishers. It provides easy access to high quality Manuscripts in all related aspects of diseases and disorders that may adversely affect the function and overall effectiveness of the musculoskeletal system. The Journal focuses upon all the related aspects of musculoskeletal system disorders and the new advancements in the related treatments including Complex issues and injuries involving the musculoskeletal system and surgeries.
Austin Publishing Group is a successful host of more than hundred peer reviewed, open access journals in various fields of science and technology with intent to bridge the gap between academia and research access.
Austin Journal of Musculoskeletal Disorders accepts original research articles, review articles, case reports, mini reviews, rapid communication, opinions and editorials on all related aspects of diseases and disorders that may adversely affect the function and overall effectiveness of the musculoskeletal system.
Austin Hypertension is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Hypertension.
The journal aims to promote research communications and provide a forum for doctors, researchers, physicians and healthcare professionals to find most recent advances in all areas of Hypertension. Austin Hypertension accepts original research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of hypertension.
Austin Hypertension strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
2. Austin J Pulm Respir Med 5(1): id1058 (2018) - Page - 02
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performed well and was declared cured and is in our regular follow-
up.
Discussion
The primary pleural schwannomas are usually benign [2], yet
malignancy has been reported in some cases [3]. They account for
1-2% of all thoracic tumors [3].
They can occur at all ages, though they are uncommon in
children. Both genders are equally affected, predominantly in the
third or fourth decades of life [4,5].
Shin-ichi Takeda et al., analyzed the records of 146 patients
with intrathoracic neurogenic tumors who were treated over the
past 50 years. 20.5% of the neoplasms were malignant, occurring
predominantly in the first 5 years of life. This study concluded that
the age of patient seemed to be the most important clinical parameter
for distinguishing between histological type and rate of malignancy
for neurogenic tumors [6].
Intrathoracic neurogenic tumors occurs predominantly (90%) in
the mediastinum and about 10% originate peripherally nerve fibers
from the intercostal nerves or pleural nerves [7,8]. Schwannomas
(also known as neurilemmomas or neurinomas) are highly vascular
nerve sheath benign tumors that arise from the neural crest-derived
schwann cells [9].
The risk of malignancy in a nerve sheath tumor is very small (2-
5%) frequently associated with von Recklinghausen syndrome (4% of
cases), other neurofibromatoses or radiation exposure when the risk
increases to 10-20% [7,10,11].
Association of schwannoma with concomitant tuberculosis is
a very rare entity. A literature review was performed via PubMed,
using the MeSH terms ‘Benign schwannoma’ and ‘tuberculosis’ and
identify two similar case reports reporting cases of intrathoracic
schwannoma associated with tuberculosis [7,12]. However, we found
only one case of similar size to our observation reported by David D.
Odell et al., [10].
Up to 80% of cases are asymptomatic, and diagnosis in young and
middle-aged adults is generally fortuitous frequently appearing as
incidental radiological findings [9,12,13]. In our case, the presentation
with superior vena cava syndrome is rare, making our patient atypical
reflecting clinical mutility and insidious evolution which can spread
over several years and explains the occurrence of the giant forms
of this type of tumor. These symptoms are due to compression of
neighboring structures [14].
A variety of diagnostic imaging modalities can be utilized to
delineatepleuralschwannomas.Generally,chestwallneurilemmomas
Figure 2: A) Axial Contrast-enhanced computed tomography image of the chest demonstrating well-defined large soft tissue density mass showing peripheral
enhancement, B) Coronal Contrast-enhanced computed tomography demonstrating he mediastinal structures, particularly the superior vena cava, trachea and
right bronchus, were noted to be compressed and displaced to the left side by this lesion.
Figure 3: A) A mass around 20cm across was completely excised from the right pleural space, B) Histopathologic examination: Microscopic picture (hematoxylin
and eosin staining, x400) showing Verocay body, formed by alternating rows of palisading nuclei and intervening nuclei-free stroma. Degenerative changes
including hemorrhage, and hyalinization of blood vessels.
3. Austin J Pulm Respir Med 5(1): id1058 (2018) - Page - 03
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are evaluated by radiologic examination for planning the surgical
approach, including CT and Magnetic Resonance Imaging (MRI).
CT scan remains the diagnostic imaging modality of choice for
these neoplasms. CT scan can outline the size, number, and exact
location of the lesions. CT scan can also demonstrate cystic and/or
solid components of the tumor. Unenhanced CT demonstrates well-
marginated soft-tissue mass with possible surrounding fat attenuation
(“split fat” sign), may contain areas of low attenuation corresponding
to fat or cystic degeneration, calcifiation may be seen in 10% of
tumors. Contrast-Enhanced Computed Tomography (CECT) shows
a homogeneous enhancement in small tumors and heterogeneous
enhancement in larger tumors [15].
Malignant pleural schwannomas have similar features on CT
scan; however, they are usually associated with the presence of pleural
nodules, pleural effusions, and metastatic pulmonary nodules [15].
In the case of our patient, the presence of dense adhesions and
increased vascularity were in favor of malignant tumor component.
This could have been secondary to the extension of inflammation
response and fibrous reaction from the pleura tuberculous on to the
capsule of the tumor and mimicked the features of malignancy.
MRI is the preferred method for the assessment of peripheral
nerve sheath tumors [5]. Vessels in neurinomas are usually
prominent and their rich vascular supply is reflected in the often
intense enhancement of these tumors on imaging studies [5]. Pleural
schwannomas are typically hyper/isointense on T1-attenuated images
and heterogeneously hyperintense on T2-attenuated images [3,15].
Particularly, MRI should be performed in patients with suspicious
posterior mediastinal neurogenic tumors to exclude intra-spinal
tumor extension [16].
Thus, preoperative radiologic evaluation alone is enough without
needle aspiration biopsy [16].
For giant shapes like our case, intra-thoracic schwannomas
should be included in the differential diagnosis of posterior
mediastinal masses. They include sympathetic ganglion tumours
(neuroblastomas, ganglioneuroblastomas, ganglioneuromas) and
paragangliomas (chemodectomas and pheochromocytomas),
lymphadenopathy, enteric cysts, bronchogenic cysts, oesophageal
tumours, aneurysms and paraspinous abscess [12].
In the absence of MRI, as in our observation, a preoperative
percutanous biopsy of the tumor, when feasible, is necessary in
order to lead to the definitive diagnosis of benign tumor and to avoid
overtreatment [5].
Microscopically, Antoni A and Antoni B areas are revealed
in the majority of pleural schwannoma cases. Antoni A represents
areas of hypercellularity with verocay bodies. Antoni B areas of
myxoidhypocellularity exhibit degenerating changes (i.e. cyst
formation,haemorrhage,calcification,xanthomatousinfliltrationand
hyalinisation) [3]. Immunohistochemically, pleural schwannomas
typically stain diffusely and strongly positive for S100 protein. On the
other hand, they stain negatively for CD-15, CD-30, CD-34, and pan-
cytokeratin [3,15].
The standard care of management of pleural schwannomas is
primarily surgical resection [14,17].
In the literature, the authors are unanimous that compared to
thoracotomy, VATS has better outcomes in terms of duration of
surgical procedure, amount of blood loss and length of drainage time.
Complete resection can be achieved with low morbidity (smaller
incisions, thereby resulting in less pain, fewer lung complications,
shorter hospital stays, more rapid recovery (return to normal
activities) and less aesthetic damage [5,10,18,19].
A case series literature of 60 consecutive patients with a
neurogenic tumor of the chest during 30-year experience concluded
that VATS seems feasible as the approach for the thoracic neurogenic
tumor since it is less invasive and provides an appropriate view for
the operation [20].
A combined Chinese experience reports a thoracoscopic removal
successfully of intrathoracic neurogenic tumors on average 3.5cm in
greatest diameter [21].
However the video-assisted thoracoscopy may be contraindicated
in tumors larger than 6cm [14,22].
David D. Odell et al., report a case of intrathoracic schwannoma
measuring 27cm in diameter and conclude that the clamshell incision,
compared with the median sternotomy offers excellent exposure of
the pulmonary hilum, which is especially helpful in the setting of
centrally located tumors [10].
In our case, we decided to perform an approach through a
right posterior thoracotomy in the 6th
intercostal space due to the
size of the lesion and a possibility of an intraspinal component of
tumor necessitates a combined or staged approach, involving both
neurosurgical and thoracic procedures.
Conclusion
This case report highlights the need to be aware of the potential
coexistence of tuberculosis and intra-thoracic schwannoma hence the
necessity of a systematic identification of an AFB on a sputum smear
samples before any thoracic surgery in our country. Conversely,
any positivity of AFB test should not conclude for any intrathoracic
mass to a tuberculoma to be a tuberculoma without confirmation by
examination of tissue through a biopsy or surgical excision.
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