Medicine
-
Due to the lack of a prior comprehensive review and meta-analysis, the relationship between monocyte count and thrombus load in ST-elevation myocardial infarction (STEMI) patients undergoing percutaneous coronary intervention (PCI) has not been adequately established. ⋯ STEMI patients with a high thrombus burden show an increased monocyte count. A high monocyte count upon admission is a major indication of increased intracoronary thrombus burden in STEMI patients with PCI procedures.
-
The Epley or Semont maneuver is performed for posterior canal benign paroxysmal positional vertigo (PC-BPPV). The postural crisis indicates the phenomenon that the patient experiences severe dizziness, is unable to maintain the sitting posture, and suddenly falls backward or sideways on the examination table when returning to the sitting position, which is the final step of the canalith repositioning procedure (CRP). The postural crisis increases the risk of falls during CRP. This meta-analysis aimed to determine the incidence of postural crisis among patients who underwent CRP for PC-BPPV. ⋯ BPPV is the most common among peripheral vestibular diseases, usually occurring in the posterior semicircular canal. Therefore, 10% of cases with CRP for PC-BPPV is significant. When performing CRP for PC-BPPV, considering that the postural crisis related to increasing the risk of falls may occur, preparations for the phenomenon should be made in advance.
-
Review Case Reports
Low-dose dasatinib-induced chylothorax, pulmonary hypertension, and pericardial effusion in a patient with chronic myeloid leukemia: A case report and literature review.
Chylothorax is a rare adverse effect that is associated with dasatinib, a tyrosine kinase inhibitor administered for chronic myeloid leukemia (CML) treatment. Most reported cases have described standard dosing. In this case report, we described a 43-year-old male patient with CML who developed chylothorax after 4 years of low-dose dasatinib therapy. To the best of our understanding, this is the first case to report the simultaneous development of pulmonary hypertension, pericardial effusion, and dasatinib-induced chylothorax. ⋯ Close monitoring for these rare side effects is paramount even in patients on long-term or low-dose dasatinib.
-
Effective management of health crises requires public health preparedness and response, especially in urban settings where the complexity and scope of catastrophes provide considerable challenges. The integration of project management frameworks with public health policies is highlighted in this review, which investigates the optimization of emergency response systems using a project management methodology. The adoption of cutting-edge technologies that improve real-time monitoring, predictive analytics, and resource allocation such as artificial intelligence (AI), big data, and the Internet of Things (Io-T) is one of the main topics covered. ⋯ Technological and tool innovations in project management are emphasized as critical to enhancing response times and accommodating changing circumstances. The review also emphasizes the necessity of ongoing learning and development based on prior experiences to improve preparedness tactics and overall efficacy. Public health systems can respond to urban health emergencies in a more coordinated, equitable, and efficient manner by combining these components, which will eventually improve outcomes and resilience in impacted populations.
-
The interdental papilla is closely associated with oral health and dental aesthetics. Interproximal papilla is an essential component of pink aesthetics as well as an indispensable prerequisite for the health of oral tissues. The loss of papillary height not only considerably affects final esthetic results, but also brings a series of periodontal complications. ⋯ However, there is a lack of adequate literature that provides a comprehensive overview of PPTs in the field of dentistry. This review summarizes the latest developments in papilla preservation flap designs in the field of oral surgery, with a particular emphasis on their indications, limitations, incision characteristics, and clinical benefits. This review may provide optimal protocols for the personalized treatment.