Medicine
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Ocular adnexal lymphoma and vitreoretinal lymphoma are rare forms of non-Hodgkin lymphoma. They are regarded as distinct disease entities due to the differences in molecular mechanism, management, and outcome. We present a rare case of conjunctival diffuse large B cell lymphoma (DLBCL) that developed to vitreoretinal lymphoma after systemic chemotherapy. ⋯ Conjunctival DLBCL and vitreoretinal lymphoma are both DLBCL. After systemic chemotherapy for conjunctival DLBCL, the lymphoma may relapse in intraocular sites as secondary vitreoretinal lymphoma.
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Comparative Study
Abdominal changes in patients with degenerative spinal deformity: A comparative study.
The incidence of degenerative spinal deformity (DSD) is increasing with the age while the effect of DSD on the abdominal cavity parameters is unclear. To identify the characteristics of abdominal change in DSD and to explore the correlation between the abdominal cavity volume (ACV) and various types of DSD. The retrospective study included 95 patients with DSD and 100 subjects without deformity as control group. ⋯ DLS can cause the decrease of ACV. DK will not cause changes of ACV but is related to the degree of kyphosis. DKS will impact both ACV and DR.
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COVID-19 has revealed the lack of capacity to respond to a pandemic. This article aims to 1. Describe the training of healthcare workers from “Hospital Nacional El Salvador” using intensive training based on competencies and 2. ⋯ The effectiveness of the educational intervention was evaluated by a pre–post-survey of knowledge perception on 4 domains with 10 areas of skills in intensive care. 100% (n: 981) of the participants were trained in hands-on care of COVID-19 patients; 66.3% female–33.7% male, with an average age of 29.92 ± 5.82 years. The course achieved an increased perception of knowledge in the 10 areas evaluated with a mean of 5.72 ± 0.59 to 8.60 ± 0.19 (P < .0001). The short intensive training in competencies carried out at Hospital Nacional El Salvador proved to be effective in improving the knowledge of healthcare workers engaged in patient care.
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A community-based cross-sectional study was undertaken by the Cardiology Society of India (Kerala Chapter) to determine the prevalence of coronary artery disease (CAD) and its risk factors. The periodontal health status of the rural and urban participants in the Thiruvananthapuram district of Kerala was evaluated to document any association between periodontal disease (PD) and CAD and to describe any shared risk factors. The participants were selected using a multistage cluster random sampling method. ⋯ In urban areas, age, male sex, and dyslipidemia demonstrated an independent association with CAD. This study could not establish an independent association between PD and CAD in either community. Future epidemiological studies should identify and recruit novel environmental factors to understand the interrelationships between PD and CAD and focus on the role of effect modifiers that may have a protective role against PD colluding with CAD.
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This study aimed to evaluate the correlation between fractional exhaled nitric oxide (FeNO) and nasal nitric oxide (nNO) in allergic rhinitis (AR) and patients with or without bronchial asthma (BA). A total of 90 patients who were diagnosed with persistent AR (AR group, n = 30), BA (BA group, n = 30), or allergic rhinitis with bronchial asthma (AR-BA) (AR-BA group, n = 30), were enrolled in this study, along with 30 healthy adult volunteers (control group, n = 30). The participants were further divided into 2 groups based on the results of a skin-prick test (SPT): a highly atopic group (SPT = 3+ and above) and a moderately atopic group (SPT = 2+ and below). ⋯ The levels of nNO in the BA group were also significantly different from those in the control group (P < .01). FeNO and nNO are positively correlated with the degree of AR in patients with BA; therefore, nNO levels can be used as an inflammatory marker of AR in patients with BA. FeNO can also be used as an inflammatory marker of AR in patients complicated with BA as a warning indicator of asthma.