This document discusses two bone conditions: Ewing's sarcoma and simple bone cyst. Ewing's sarcoma is a cancerous tumor most common in children and adolescents that typically presents with pain and swelling in the long bones or axial skeleton. It is diagnosed through imaging like MRI, CT, bone scan and PET scan. Treatment involves chemotherapy, radiation therapy and surgical resection. Simple bone cyst is a benign bone lesion most common in teenagers that appears as a lytic lesion on x-ray, usually in the long bones. It is typically asymptomatic but can cause pain or fracture. Treatment options include curettage, bone grafting, or injections to promote healing.
Madelung deformity is an abnormality of the palmar ulnar part of the distal radial physis in which progressive ulnar and volar tilt develops at the distal radial articular surface, with dorsal subluxation of the distal ulna.
Madelung deformity is an abnormality of the palmar ulnar part of the distal radial physis in which progressive ulnar and volar tilt develops at the distal radial articular surface, with dorsal subluxation of the distal ulna.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
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- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
3. Ageof Incidence
Age of incidence 5 to 30 years
Peak incidence b/w 5 to 17 years
Rarely occurs after 30 years
4. Presenting complaints
Localized pain and swelling
Fever anemia and weight loss
Sign and symptoms stimulate Hodgkin's
lymphoma and osteomylitis
6. Conventional Radiography
Poorly marginated lytic lesion
Permeative or mottled type
Soft Tissue mass or infiltration with
or without cortical break
Soft tissue mass ( saucerization)
Periosteal Reaction
7. Periosteal reaction
Lamellar type( onion skinning)
Sun burst or spiculated
Codman triangle
Less common findings
Thickened cortex
Bone expansion
Pathologic fracture
8. Mottled, osteolytic lesion (blue circle) with poorly marginated edges in the diaphysis
of the bone.
Sunburst periosteal reaction (red circle) and lamellated periosteal reaction (white
arrows).
9. Mixed lytic sclerotic lesion in diaphysis with permeative
destructive pattern spiculated periosteal reaction soft
tissue extension
10. X ray femur lateral view showingWell defined expansile lesion with
mottled appearance is visualized in diaphysis of femur. No calcification
seen. cortical break is seen anteriorly. no soft tissue extension seen
11. MRI
Method of choice for stagging
Assess intra and extra osseous
involvement
Helps in evaluation of chemotherapy
response
12. MRI
T1
Low intensity with heterogeneous
contrast enhancement
T2
High signal intensity
13.
14. MR coronal image both thighT1 Post contrast showing heterogeneously
enhancing mass in diaphyseas in medulary cavity of RT femur with
cortical break fracture. edema is also seen
15. X ray femur showing subtle cortical thickening in diaphyseas butT1
post contrast image shows homogenously enhancing soft tissue mass
in medial aspect of femur in proximal diaphyseas
26. Common in 10 to 20 years age
Solitary benign bone lesion
Male to female ratio 3. 1
27. Location
Intra medullary
Involves Metaphysis
Abut growth plate
Proximal ends of tibia fibula and
humerus
May involve iliac and calcaneus over
2o yrs
35. MRI FINDINGS
Un complicated SBC
T1 Low signal intensity
T2 High signal intensity
Complicated SBC
Heterogeneous signal
intensity on T1 T2
Gadolilnium- Peripheral enhancement
36. CT SCAN
Air fluid or Fluid fluid Levels
Bone scan
Photopenic / cold spot
Ill defined sclerotic lesion is visualised in diaphyseas of femur
Subtle diaphyseal interrupted periosteal reaction on x ray left humerus. but T1 wd Gd shows lobulated homogenously enhancing mass in posterior aspect of humerus. marrow and bone signals are normal
X ray showing mixed density Expansile lytic lesion with mottled appearance in metaphyseas .soft tissue deposits calcification also seen
Mixed density lesion is visualised in metaphyseas of femur with cortical break in lateral aspect and soft tissue calcifications
Ill defined sclerotic lesion with permaetive type of distruction is visualized in diaphyseas of femur with sunburst periosteal reaction and soft tissue extension