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Khalilur Rahman, Sana Aboosalih* and K Vignaradj

DOI : 10.32474/SCSOAJ.2021.06.000243

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51 years old man, non smoker, non alcoholic, presented to the General Surgery OPD at Saveetha Medical College with complaints of pain in the epigastric and right hypochondriac region, associated with yellowish discoloration of sclera for 4 days. He also complained of fever during this period which was not associated with chills or rigor. He gives past history of pain in the same region on and off in the past 2 years which aggravated on eating food. Patient gives history of passing high colored urine and pale stools. Patient has normal bowel and bladder habits. No complaints of nausea, vomiting or pruritus. Patient underwent ERCP with stent placement and cholecystectomy in 2013 for cholelithiasis with CBD stone. Patient did not have any other comorbidities or significant family history. Patient was admitted and examined and found to have i..... ReadMore

Madeleine L Cowie and Scott E Cowie*

DOI : 10.32474/SCSOAJ.2021.06.000241

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Non-Hodgkin lymphomas consist of hematologic malignancies of various origins, such as B cell progenitors, T cell progenitors, mature B cells, mature T cells, and, rarely, natural killer cells (NK) [1]. Anaplastic large cell lymphoma (ALCL) is a lymphoid neoplasm that develops from T cells or NK cells. ALCL comprises approximately two percent of all Non-Hodgkin lymphomas [2] and accounts for 16 percent of T cell lymphomas [3]. ALCL occurs as both a primary cutaneous and primary systemic variant [3]. While morphologically alike, these forms are distinct entities of ALCL. Primary cutaneous ALCL appears on the skin of patients in the form of raised lesions [3]. As the name suggests, primary systemic ALCL presents as an extracutaneous disease. Patients with systemic ALCL are categorized as either anaplastic lymphoma kinase (ALK) positive or ne..... ReadMore

T Abinaya Preethi, Rufus Ranjitsingh*, SN Saravana Sundaram, P Jayaganesh and Rekha Arcot

DOI : 10.32474/SCSOAJ.2021.06.000240

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Mucinous cystadenomas make up to 15-20% of all epithelial tumors. They are multiloculated cysts lined by epithelium resembling the endocervix. We here present a case of 48-year-old female with mass on the abdomen. Differential diagnosis for mass in the abdomen includes Ovarian tumors, ovarian cysts, abdominal masses...... ReadMore

Vijay Bhatia*, Shailendra Brighunath, Sruja Dipakbhai Narola, Kena Maheshbhai Patel, Ranjit Raghubhai Zapadiya and Rahul kaushik

DOI : 10.32474/SCSOAJ.2021.06.000239

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Lateral forehead flap a versatile flap based on the superficial temporal artery is a perfect match for restoration of the facial defect, we present here a case where in this flap was used to cover the full thickness defect of the left cheek with loss of the left alveolar sulcus associated with ectropion of the left lower lid due to burns giving an adequate tissue cover and contour of the face...... ReadMore

Mohammad Alsalaldeh*, Safak Simsek, Serkan Akcan, Mehmet Bozkurt and Halil Ibrahim Kutan

DOI : 10.32474/SCSOAJ.2021.06.000238

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Descending aortic pathologies carries a high mortality risk due to the location of the aorta and the difficulties of repair. An 83 years old male patient had been admitted via an emergency room with a chief complaint of upper abdominal pain and difficulty of breathing. Investigations showed a huge right hemi-thoracic hematoma associated with extravasation suggesting perforation of the distal descending aorta. TEVAR was planned but he was not suitable for TEVAR. Replacement of the descending aorta was performed successfully under general anesthesia and the use of a shunt from the proximal descending aorta to the abdominal aorta...... ReadMore

Amani Saleh Hadi Saeed*

DOI : 10.32474/SCSOAJ.2021.06.000237

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Cutaneous metastasis (plural ‘metastases’) refers to growth of cancer cells in the skin originating from internal cancer, develops after the initial diagnosis of primary internal malignancy (such as breast, lung, melanoma, colon, stomach cancer, uterus, kidney and late in the course of disease. Many women diagnosed with breast cancer will achieve cure with surgery followed by adjuvant chemotherapy, hormonal therapy, or radiation therapy; however, some breast cancer survivors will develop locally recurrent disease. Skin metastasis are one of the most distressing presentations of locally recurrent breast cancer. The presence of skin metastasis signifies widespread systemic disease and poor prognosis [1]. Assessment of cutaneous metastatic disease after mastectomy can be perplexing because the clinical presentation appears similar to o..... ReadMore

Ghazwan Almahrous, Sandra David Tchouda, Nathalie Rançon, Jean Luc Bosson and Thomas Fortin*

DOI : 10.32474/SCSOAJ.2021.06.000236

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Objective: To compare the time efficiency and the economics of Bone Graft Surgery (BGS) and Computer-Aided Implant Surgery (CAIS) for implant placement in patients with maxillary atrophy as well as the comparison of planned, placed, and loaded implants. Materials and Methods: Patients with extremely atrophic maxilla in need of implant placement were selected for a randomized controlled study clinical trial. The patients were divided randomly into two treatment groups: one group treated by using sinus grafting before implant placement and the group treated by using residual bone to place the implant by computer-aided implant surgery. Thirty Patients were assigned for each treatment group. The study provided a comparison of the time efficiency and economics of the two treatment groups. Results: The results revealed a significant diffe..... ReadMore

H Sahli*, S Maalik, A El bakkari, H Jerguigue, R Latib and Y Omor

DOI : 10.32474/SCSOAJ.2021.06.000235

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Patient of 65 years consultant for dry cough evolving for 1 year. The clinical examination found a dullness of the right hemi thorax. Chest x-ray objected to a right lower lobar opacity. The scanner showed a straight basal latero mass, connecting at an obtuse angle with the wall. This mass was tissue-enhancing heterogeneously after injection without net individualization of infiltration or invasion of adjacent structures. On the abdominal cuts there was a right adrenal nodule whose Wash out confirmed its adenoma some nature. There are no other remote lesions. A scan-mistbiopsy with anatomopathological and immunohistochemical study were made thus retaining the diagnosis of pleural solitary fibrous tumor. Pleural fibroid is rare. It is most often asymptomatic and accidental radiological discovery...... ReadMore

Amani Saleh Hadi Saeed

DOI : 10.32474/SCSOAJ.2021.06.000234

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Cancer -associated cognitive impairment, commonly known as Chemo brain, is an adverse effect of cancer and its treatment that survivors experience to varying degrees. Symptoms generally include attention and concentration difficulties, reduced processing speed and executive function, and compromised short- term memory. chemo brain affects more than one third of all survivors of childhood cancers. Concerns about the neurocognitive sequelae of treatment for childhood cancer have been voiced since the 1960s..... ReadMore

Mohammad Alsalaldeh, A Vefa Özcan and Şafak Şimşek

DOI : 10.32474/SCSOAJ.2021.06.000233

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Background: This study was planned to compare and evaluate the surgical technique of linear plication and external wrapping (LPEW) to graft replacement (GR) in tubular ascending aortic aneurysms. So, we sought to perform this study of those two surgical techniques to see the possibility to consider LPEW as an alternative surgical technique to graft replacement in well-selected patients with certain circumstances. Methods and Materials: This is a retrospective study. 65 patients were included in this study and divided into two groups. Group 1 contained 66.2% (n=43) of the patients and were operated on with LPEW while group 2 contained 33.8% (n=22), and were operated on with GR. None of our patients had dissection or aortic root dilatation or had any connective tissue disease. All the aneurysm’s size was less than 60 mm. The two types of..... ReadMore

Apanasenko GL

DOI : 10.32474/SCSOAJ.2021.06.000232

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Errors come into question in strategy of medicine. An aim of medical measures is an achievement of health, and she engages in illness. In addition, the modern paradigm of medicine does not take into account fundamental position of biology that a human organism is the open thermodynamics system that submits to all laws of thermodynamics. Thus, energy potential of the biosystem is essence of physical health and his foundation, and people fall ill and prematurely die from the loss of health (energy potential). The problem of forming of new paradigm of health protection becomes actual...... ReadMore

Apanasenko GL

DOI : 10.32474/SCSOAJ.2021.06.000231

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Worked out the total to long-term research of author. A human organism is examined as an open thermodynamics system. Her stability at influence of un favorable factors of environment is determined by potential of her energy. The index of this energy is maximal aerobic power (maximal consumption of oxygen). It is an index in the ml/of min/mass of body can be considered quantitative description of somatic health. Having a quantitative index, it is possible to manage a health. The phenomenon of «safe» health level is first described, endogenous risk and disease factors do not register oneself higher than that. Him quantitative description is given to. On leaving of individual from the «safe zone» of health the phenomenon of «self-development» of pathological process is formed. It is necessary in addition to «industry of illness» (est..... ReadMore

Felipe Sávio Cardoso Teles Monteiro* and Alexandre Marques Cabral

DOI : 10.32474/SCSOAJ.2021.06.000230

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From the point of view, cognitive and psychological, the concept of the word fear means a kind of specific disturbance or not, faced with an idea or not, that is exposed to some type of danger, be it real or imaginary. Fear from a psychophysiological point of view, presents a state of apprehension, of attention, hoping that something bad is going to happen in a certain time space [1]. These cognitive definitions define that, fear is a sensation, and is linked to a state in which the organism is on alert, with or without the exposure of a possible threat [1]. From the point of view of survival, or of the defense mechanisms, whether of conscience or not, fear is extremely important for the maintenance of balance and human survival...... ReadMore

Qian Zeng MD, Han Gao MD, Longan Zhang MD, Shouming Qin BD, Yongyao Gu MD and Quan Fang Chen MD*

DOI : 10.32474/SCSOAJ.2021.06.000229

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Anaplastic lymphoma kinase (ALK)-positive disease is characterized by the presence of ALK gene rearrangements that encode driver fusion oncoproteins. Echinoderm microtubule-associated protein-like 4 gene (EML4)-ALK fusion is regarded as the most common type and is reported in 2 to 7% of patients with advanced non–small cell lung cancers (NSCLCs). Striatin (STRN)-ALK is a novel ALK fusion partner in NSCLC and is considered sensitive to targeted therapy. However, there was no study regarding effective therapy for EML4-ALK and STRN-ALK double fusion variants in epidermal growth factor receptor (EGFR)-resistant mutant lung cancer. TP53, RB1, and EGFR exon 21 L858R were found in tumor tissues and plasma from patients with capture-based nextgeneration sequencing (NGS). After three months of gefitinib treatment, an NGS of plasma circulating tu..... ReadMore

Radu D, Bistrian E, Precup M, Ghirlea O and Olariu S

DOI : 10.32474/SCSOAJ.2021.06.000228

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The presentation of this case is necessary to understand the importance of therapeutic intervention at the best time for the disease, when it is not complicated when it is not complicated, because unjustified delay in treatment or surgery has serious, sometimes fatal consequences, at best the costs of treatment increase, sequelae generally occur, but often the evolution of a relatively benign condition can lead to the death of the patient. Patient with old, neglected left inguinal hernia, insidiously migrated to the scrotum and where there have recently been decubitus skin lesions, suddenly suffers from aggravation following a coughing access with evisceration of the intestinal contents through the scrotum. He is brought urgently to the emergency room of SCJUPBT where he is taken over and examined quickly, the distance in time between the..... ReadMore

Masoud Mirzaie*, Zaur Guliyev and Sheila Fatehpur

DOI : 10.32474/SCSOAJ.2020.06.000227

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Objective: Isolated aneurysms of the iliac artery are relatively rare (7% of all intra-abdominal aneurysms), but also pose a great therapeutic challenge in combination with aortic aneurysms. As a rule, iliac aneurysms with a size of > 3 cm are treated independently of the abdominal aortic aneurysm, in the interventional setting. In case of contraindications due to anatomical findings and patient-specific contraindications, such patients have to undergo a complex revascularization operation.Patientsand Methodology: For this study, between 2007 and 2017, 28 patients with complicated BAA with irrigation of the iliac arteries or with isolated iliac aneurysms in contraindications to interventional therapy underwent surgery. All patients underwent multi-d..... ReadMore

Almeida M*, Capitão M, Tawadros T and Pellet L

DOI : 10.32474/SCSOAJ.2020.06.000226

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Fournier’s gangrene refers to a rare perineal infection with fulminant evolution towards multiorgan failure if no surgical treatment is quickly instaured. It mainly affects immunocompromised patients. Very few cases of Fournier’s gangrene circumscribed to the penis in young healthy patients were published to date. We treated a rare case of a penile Fournier’s gangrene in a young healthy man...... ReadMore

Evangelia Michail Michailidou* and Antigoni Hampla

DOI : 10.32474/SCSOAJ.2020.05.000225

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The aim of this study was to determine to what extent, healthcare practitioners in ICU worry about Workplace bullying (WPB) and whether it affects the quality of care and patient safety from their perception. The behaviors of individuals as well as some elements of their personality emerge the phenomenon and contribute to it becoming more intense. Interventions, therefore, aim to change perceptions, attitudes, and behaviors, i.e. the way in which individuals perceive and approach their work. They should also aim to educate individuals so that they respect the personality and accept the diversity of their colleagues, resist manipulation, respect themselves and dare to do self-criticism. For this reason, it should investigate the reasons that cause it in a workplace and review those characteris..... ReadMore

Echchikhi Meryem*, Bellamlih Habib, Moslih Hasnae, El Haddad Siham, Nazik Allali and Chat Latifa

DOI : 10.32474/SCSOAJ.2020.05.000224

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A 9-year-old girl presented with a 6-month history of dyspnea. He had daily contact with dogs in a rural area. The physical examination revealed a decrease in vesicular murmurs in the right hemithorax...... ReadMore

Byeong Gwan Noh, Byoung Chul Lee, Young Mok Park, Jung Bum Choi, Sang Su Lee and Hyuk Jae Jung*

DOI : 10.32474/SCSOAJ.2020.05.000223

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Introduction: Total occlusion with limited vascular reconstruction options in critical limb ischemia (CLI) can be a challenge for vascular surgeon. To secure in-flow and out-flow is most important to maintain patency in CLI. We defined the end stage vascular disease (ESVD) as conditions including occlusion of more than three lower extremity vessels (common femoral artery, superficial femoral artery, and tibioperoneal artery) with CLI, failures of previous multilevel intervention or long bypass, and no available autogenous vein for long bypass. Our purpose is to evaluate the efficacy and feasibility of hybrid operation, which is open popliteal approach of tibioperoneal angioplasty and femoro-popliteal bypass. Materials and methods: Between November 2013 and August 2014, 8 cases of ESVD were treated with open popliteal tr..... ReadMore