OpenMed/multicare-articles huggingface dataset:
Monitoring fine root growth to identify optimal fertilization timing in a forest plantation: A case study in Northeast Vietnam
Authors: Tran Van Do, Nguyen Toan Thang, Vu Tien Lam, Dang Van Thuyet, Phung Dinh Trung, Tran Hoang Quy, Nguyen Thi Thu Phuong, Ly Thi Thanh Huyen, Nguyen Huu Thinh, Nguyen Van Tuan, Dao Trung Duc, Dang Thi Hai Ha, Duong Quang Trung, Ho Trung Luong, Nguyen Thi Hoai Anh, Patrick Nykiel
Journal: PLoS One (2019)
MeSH terms: Acacia / growth & development, Fertilizers, Research Support, Non-U.S. Gov't, Biomass, Plant Roots / growth & development, Seasons, Vietnam, Fertilizers

Fertilizer is applied widely to improve the productivity of plantations. Traditionally, fertilization is conducted in spring and/or in the early rainy season, and it is believed to support the growth of planted trees in the growing season. Little attention to date has been paid on identification of the optimal timing of fertilization and fertilizer dose. In this study, application of the fine root monitoring technique in identifying optimal fertilization timing for an Acacia plantation in Vietnam is described. The study used two fertilizer doses (100 and 200 g NPK/tree) and three fertilization timings (in spring; in the early rainy season; and based on the fine root monitoring technique to identify when the fine roots reach their growth peak). As expected fertilization timings significantly affected growth and above-ground biomass (AGB) of the plantation. Fertilization based on the fine root monitoring technique resulted in the highest growths and AGB, followed by fertilization in the early rainy season and then in spring. Applying fertilizer at 200 g NPK/tree based on the fine root monitoring technique increased diameter at breast height (DBH) by 16%, stem height by 8%, crown diameter (Dc) by 16%, and AGB by 40% as compared to early rainy season fertilization. Increases of 32% DBH, 23% stem height, 44% Dc, and 87% AGB were found in fertilization based on fine root monitoring technique compared to spring fertilization. This study concluded that forest growers should use the fine root monitoring technique to identify optimal fertilization timing for higher productivity.
Case report: Transvenous coil embolization of a high-grade Galenic dural arteriovenous fistula
Authors: Christiana M Cornea, Nathan Quig, Edward Yap, Sten Y Solander
Journal: Front Neurol (2023)
Keywords: dural arteriovenous fistula, endovascular coiling, occluded straight sinus, transvenous embolization, vein of galen
MeSH terms: Case Reports

Introduction:
Galenic dural arteriovenous fistulas (dAVFs) are a rare form of dAVF and rarely described in the literature. Their distinct location requires different surgical approaches than dAVFs occurring at the nearby sites of the straight sinus and torcular Herophili, and their high risk of hemorrhage makes these dAVFs very challenging to approach surgically. In this report, we present a unique case of Galenic dAVF.
Case description:
The patient is a 54-year-old female who presented with a 2-year history of progressive headaches, cognitive decline, and papilledema. A cerebral angiogram demonstrated a complex dAVF to the vein of Galen (VoG). She underwent transarterial embolization with Onyx-18 which resulted in minimal reduction in arterial venous shunting. She subsequently underwent a successful transvenous coil embolization resulting in complete occlusion of dAVF. The patient's postoperative course was complicated by interventricular hemorrhage; however, she had a remarkable clinical recovery with resolution of headaches and improvement in cognitive function. A follow-up angiogram completed 6 months post-embolization demonstrated very mild residual shunting.
Conclusion:
In the unique case presented here, we demonstrate the efficacy of transvenous embolization via an occluded straight sinus as an alternative therapeutic option to eliminate cortical venous reflux.
Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves' Disease
Authors: Jorge I Conte, Marilyn A Arosemena, Kunal Kapoor, Naomi G Dempsey, Megan L Zaleski, Atil Y Kargi
Journal: Case Rep Endocrinol (2018)
MeSH terms: Case Reports

Thyroid storm is the life-threatening end-organ manifestation of severe thyrotoxicosis. If left untreated, thyroid storm may cause acute heart failure, multiorgan dysfunction, and death. A high degree of suspicion is necessary to make the diagnosis and start antithyroid medications to decrease mortality. Thyroid storm is generally seen in patients with Graves' disease but should also be suspected in patients with fever, tachycardia, altered mental status, and risk factors including local trauma to the neck, such as strangulation. Based on our review, we report the first case of thyroid storm after strangulation as the presentation of previously undiagnosed Graves' disease.
Postpartum postural orthostatic tachycardia syndrome in a patient with the joint hypermobility syndrome
Authors: Khalil Kanjwal, Beverly Karabin, Yousuf Kanjwal, Blair P Grubb
Journal: Cardiol Res Pract (2009)
MeSH terms: Case Reports

Postural orthostatic tachycardia syndrome (POTS) commonly affects women of childbearing age. We report on a 37-year-old woman who developed symptoms of recurrent syncope in the postpartum period. Her head up tilt test and clinical presentation was consistent with POTS.
Ellis-van Creveld Syndrome: Mutations Uncovered in Lebanese Families
Authors: Maria Valencia, Lara Tabet, Nadine Yazbeck, Alia Araj, Victor L Ruiz-Perez, Khalil Charaffedine, Farah Fares, Rebecca Badra, Chantal Farra
Journal: Case Rep Genet (2015)

Background. Ellis-van Creveld (EvC) syndrome is a rare, autosomal recessive disorder characterized by short stature, short limbs, growth retardation, polydactyly, and ectodermal defects with cardiac anomalies occurring in around 60% of cases. EVC syndrome has been linked to mutations in EVC and EVC2 genes. Case Presentation. We report EvC syndrome in two unrelated Lebanese families both having homozygous mutations in the EVC2 gene, c.2653C>T (p.(Arg885(*))) and c.2012_2015del (p.(Leu671(*))) in exons 15 and 13, respectively, with the latter being reported for the first time. Conclusion. Although EvC has been largely described in the medical literature, clinical features of this syndrome vary. While more research is required to explore other genes involved in EvC, early diagnosis and therapeutic care are important to achieve a better quality of life.
Concurrent Diagnoses of Cutaneous Sarcoidosis and Recurrent Metastatic Breast Cancer: More than a Coincidental Occurrence?
Authors: Jacqueline Deen, Nick Mellick, Laura Wheller
Journal: Case Rep Dermatol Med (2018)
MeSH terms: Case Reports

Sarcoidosis is a rare, chronic, multisystem disease of unknown aetiology, characterised by non-caseating epithelioid cell granulomas. Its association with internal malignancy, in particular haematological cancers has been strongly documented in the literature, while its link with solid organ malignancies is less extensively reported. We present an atypical case of cutaneous sarcoidosis occurring in association with breast cancer recurrence in a 49-year-old female. Physician recognition of this link between sarcoidosis and internal malignancy is vital because many cases of sarcoidosis in association with neoplasia present initially, or even exclusively, with cutaneous sarcoidal lesions that may precede the development of cancer by several years, or as in our case, present as a cutaneous marker of concomitant underlying malignancy. Our case highlights the importance of age-appropriate cancer screening in additional to a routine work-up for systemic sarcoidosis in a patient with cutaneous sarcoidosis.
Acute Rheumatic Fever in a COVID-19-Positive Pediatric Patient
Authors: Christa I DeVette, Cherise S Ali, Devon W Hahn, Stephanie D DeLeon
Journal: Case Rep Pediatr (2021)
MeSH terms: Case Reports

Bacterial coinfection and COVID-19 have been reported in pediatric populations. We describe a case of Sydenham's chorea, which is exceedingly rare in developed countries, with concurrent COVID-19. Discussed here is the clinical course of an 8-year-old COVID-positive female with pure Sydenham's chorea and subclinical carditis from acute rheumatic fever. To our knowledge, there are no documented reports of acute rheumatic fever in a pediatric patient with coexisting COVID-19 infection.
Controlling the laxative abuse of anorexia nervosa patients with the Serigaya Methamphetamine Relapse Prevention Program workbook: a case report
Authors: Kuniyoshi Toyoshima, Ichiro Kusumi
Journal: Biopsychosoc Med (2019)
Keywords: addiction, anorexia nervosa-binge eating/purging type, laxative abuse, matrix model, smarpp workbook
MeSH terms: Case Reports

Background:
There is no consensus on effective treatment for laxative abuse in patients with eating disorders. Here, we report the case of a patient with laxative abuse who showed some improvement through an intervention based on the Matrix model.
Case presentation:
A woman diagnosed with anorexia nervosa-binge eating/purging type (AN-BP) steadfastly denied laxative abuse and would not admit to suffering from an eating disorder. This led to low motivation for undergoing conventional psychotherapy, psychoeducation, and cognitive behavioral therapy. These were ineffective and followed by repeated cycles of hospitalization and discharge. The patient's general condition, as depicted by her laboratory and clinical parameters, deteriorated due to the medical complications resulting from laxative abuse.Focusing on laxative abuse, we considered an intervention for drug addiction. Because the patient could maintain a diet diary and acknowledged laxative abuse as a drug addiction, we introduced the Serigaya Methamphetamine Relapse Prevention Program (SMARPP) workbook as a self-administered treatment. The patient meticulously completed the treatment and experienced a gradual improvement in laxative abuse. She has not been re-hospitalized in 4 years, currently performs household chores, and demonstrates improved social function.
Conclusions:
In patients with AN-BP, the SMARPP workbook may be effective in treating laxative abuse.
Orbital Emphysema as a Consequence of Forceful Nose-Blowing: Report of a Case
Authors: Yukino Ariyoshi, Hiromichi Naito, Tetsuya Yumoto, Atsuyoshi Iida, Hirotsugu Yamamoto, Noritomo Fujisaki, Toshiyuki Aokage, Kohei Tsukahara, Taihei Yamada, Yasuhiro Mandai, Takaaki Osako, Atsunori Nakao
Journal: Case Rep Emerg Med (2019)
MeSH terms: Case Reports

Orbital emphysema occurs when air enters the soft tissue surrounding the orbit. Although orbital blowout fractures are often caused by face trauma, nontraumatic orbital fractures can also occur but have been rarely described. Here, a case of orbital and palpebral emphysema caused by forceful nose-blowing is presented. Examination uncovered gross swelling of the right eye and discernable subcutaneous emphysema. The patient had normal eye movement and visual acuity. Orbital computed tomography (CT) revealed orbital emphysema secondary to an orbit floor fracture into the maxillary sinus, resulting from high intranasal pressure upon blowing her nose. The patient received conservative management with antibiotics and was given instructions not to sneeze or blow her nose. She fully recovered and all her symptoms completely resolved.
Overt Lower Gastrointestinal Bleeding and Pseudotumor: A Rare Presentation of Cytomegalovirus Infection
Authors: Akanksha Agrawal, Deepanshu Jain, Sameer Siddique
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

Cytomegalovirus (CMV) is a ubiquitous organism which can infect multiple organs of the body. In an immunocompromised patient, it can have a myriad of gastrointestinal manifestations. We report a case of recurrent hematochezia and concomitant pseudotumor in an AIDS (acquired immunodeficiency syndrome) patient attributable to CMV infection. A 62-year-old man with a history of AIDS, noncompliant with highly active antiretroviral therapy (HAART), presented with bright red blood per rectum. Index colonoscopy showed presence of multiple ulcers, colonic stenosis, and mass-like appearing lesion. Biopsy confirmed CMV infection and ruled out malignancy. Cessation of dual antiplatelet therapy and compliance with HAART lead to clinical cessation of bleeding and endoscopic healing of ulcers with complete resolution of colon mass on follow-up colonoscopy.
Cardiac Myxoma: Typical Presentation but Unusual Histology
Authors: Hassan H AlAhmadi, Noor Said Alsafwani, Mohamed A Shawarby, Fayez Ahmed
Journal: Case Rep Med (2021)
MeSH terms: Case Reports

Cardiac myxoma, a benign heart tumor, is the most common primary tumor of the heart. Glandular differentiation within these tumors is rare, occurring in approximately 3% of all cardiac myxomas. Its presence can complicate the diagnostic process. A 43-year-old Saudi male was referred with a two-month history of progressively increasing shortness of breath. Cardiovascular examination demonstrated a soft first heart sound with a plopping sound in the mitral area and a mid-diastolic murmur. A transthoracic echocardiogram revealed a large mass attached to the interatrial septum. A diagnosis of cardiac myxoma was made, and the patient underwent en bloc resection of the mass. Microscopic evaluation of the resected mass showed a neoplastic lesion with two components: first, a typical myxoma consisting of stellate and spindle cells in a myxomatous/hemorrhagic background; second, a glandular component consisting of separate, fused, and cribriform acini embedded within the myxomatous component. The acini were lined by a single row of columnar epithelial cells with basal nuclei and apical mucin. Occasional goblet cells were also identified. The postoperative period was uneventful, and on his recent follow-up in the clinic (nine months after the surgery), the patient is doing well with no complications. Herein, we emphasize the importance of accurately diagnosing such an entity, as it can be easily confused for a metastatic adenocarcinoma, especially in patients with a history of malignancy.
A Patient with Graves' Disease Scheduled for Thyroidectomy with High Risk for Thyroid Storm Caused by Severe Medication Nonadherence: Anaesthetic and Surgical Considerations
Authors: Adrian Reber, Laura Valenti, Stephan Müller
Journal: Case Rep Anesthesiol (2019)
MeSH terms: Case Reports

In patients with failed hormone regulation who are scheduled for indispensable total thyroidectomy, the risk of thyroid storm with severe end-organ complications has to be anticipated. This case report presents the successful surgical and anaesthesiological management of a patient with Graves' disease, without any signs of perioperative thyroid storm. Possible recommendations for treatment are presented.
Three different situations and approaches in the management for anomalous origin of the right coronary artery from the left coronary sinus: case report
Authors: Woon Heo, Ho-Ki Min, Do Kyun Kang, Hee Jae Jun, Youn-Ho Hwang, Hyung Chae Lee
Journal: J Cardiothorac Surg (2014)
MeSH terms: Coronary Artery Bypass, Off-Pump / methods, Coronary Sinus / abnormalities, Coronary Vessel Anomalies / surgery, Case Reports, Adult, Coronary Angiography, Coronary Sinus / diagnostic imaging, Coronary Sinus / surgery, Coronary Vessel Anomalies / diagnostic imaging, Female, Humans, Male, Middle Aged

Anomalous origin of the right coronary artery from the left coronary sinus is rare but potentially dangerous if any ischemic signs are present. Multiple therapeutic options were advocated so far. We experienced three different situations and surgical approaches to these anomalies, and reviewed retrospectively. For the first case, we made a neo-ostium on the right sinus of Valsalva and anastomosed with the right coronary artery after arteriotomy. For the second and third cases, we applied coronary artery bypasses emergently: patient 2 the gastroepiploic artery during off-pump coronary artery bypass and patient 3 the left internal thoracic artery during surgery for acute aortic dissection. For the better outcomes, it is important to understand anatomic and hemodynamic characteristics of each patient and select the surgical options considering each characteristic.
Simultaneous Dual Distal Radial Balloon Aortic Valvuloplasty for Larger Aortic Annuli
Authors: Alexandru Achim, Viktor Sasi, Tamás Szűcsborus, Kornél Kákonyi, Zoltan Ruzsa
Journal: Methodist Debakey Cardiovasc J (2022)
Keywords: aortic stenosis, balloon aortic valvuloplasty, bilateral transradial, distal radial access, simultaneous balloons, snuffbox approach, vascular complication
MeSH terms: Aortic Valve Stenosis / diagnostic imaging, Aortic Valve Stenosis / surgery, Balloon Valvuloplasty / adverse effects, Balloon Valvuloplasty / methods, Cardiac Surgical Procedures, Case Reports, Aged, 80 and over, Aortic Valve / diagnostic imaging, Aortic Valve / surgery, Humans, Radial Artery / diagnostic imaging

Dual distal mini-balloon aortic valvuloplasty stabilized an 85-year-old patient with severe aortic stenosis. Puncturing both radial arteries solves the issue of large diameters at the aortic ring, introducing a feasible strategy in selected cases of fragile octogenarian patients with a high hemorrhagic risk. Moving at the anatomical snuffbox offers better postprocedural occlusion rates and better workspace ergonomics during the procedure.
Airway Management During Anesthetic Induction of Secondary Laryngectomy for Recurrent Laryngeal Cancer: Three Cases of Report and Analysis
Authors: Xuezheng Zhang, Omer Cavus, Ying Zhou, Sasima Dusitkasem
Journal: Front Med (Lausanne) (2018)
Keywords: anesthesia, difficult airway, laryngeal cancer, recurrent, surgery
MeSH terms: Case Reports

Surgery for laryngeal cancer and the following recurrent tumor growth may further change the anatomy of the airway. Airway management during anesthesia induction is challenging for the patients undergoing secondary surgery due to recurrence of laryngeal cancer or its postoperative complication, but it has never been reported. In this report, we described three cases of anesthetic induction which had different process of airway events. The first case was given intravenous general anesthetic for induction and experienced failed intubation, difficult mask ventilation and emergent tracheostomy, eventually were rescued successfully. The second case presented a fixed metastatic mass about 6 cm diameter upon the primary surgical scar of incision and preoperative apnea, underwent fibroscopy-guided conscious intubation and the process was uneventful. The third case had erythema and swelling under the mandible with erupted ulcer as well as neck immobility due to recurrent tumor. The anesthesiologist attempted fibroscopy-guided intubation via nasal passage with a tracheal tube in 2.8 mm diameter but it was failed. Subsequently, tracheostomy was performed under bilateral superficial cervical plexus block and the dissected larynx by operation verified distorted structure of glottis with S-shaped stenosis. This report concludes that, during the anesthetic induction for this special type of surgery, a detailed and comprehensive evaluation of the airway, and a routine fibroscopic examination are especially important.
Late-onset meningeal metastases in liposarcoma: a case report and review of the literature
Authors: Michelle Ferguson, William Stewart, Fiona Cowie, Jeff White
Journal: Sarcoma (2006)
MeSH terms: Case Reports

Intracranial metastases from liposarcoma are rare and almost always preceded by the development of systemic tumour spread. We report here a case of liposarcoma with spread to the cranial nervous system 23 years after treatment of the primary tumour. The literature on brain metastases from soft tissue sarcoma is also reviewed.
Literature review and case report of post-circumcision keloid management
Authors: Tim A Buick, Wisam Abbas, Fraser D Munro
Journal: Arab J Urol (2019)
Keywords: keloid, circumcision, hypertrophic scar, penile keloid

Keloid following circumcision has been described in the literature despite the rarity of its occurrence in penile skin. In this paper, we review the literature and report the successful management of post-circumcision keloid scarring in a 2-year-old boy. After circumcision a 2-year-old boy of African origin developed keloid scarring at the circumcision site. This was treated with three intralesional injections of triamcinolone acetate over 3 months, followed by surgical excision. There was no recurrence at 6 months after excision. To our knowledge this is the 12th case of keloid following paediatric circumcision described in the literature. There is a wide range of techniques described but all are recurrence free at 6 months following repeated intralesional triamcinolone acetate injection and surgical excision. While there is no current consensus in treating post-circumcision keloid, we find that intralesional injection followed by surgical excision provides an acceptable aesthetic result, which is recurrence free.
Calcified Aneurysm of the Splenic Vein
Authors: Olivier Leroij, Philippe Bernard, Filip Vanhoenacker
Journal: J Belg Soc Radiol (2022)
Keywords: ct, mri, aneurysm, radiography, splenic vein
MeSH terms: Case Reports

Teaching Point: A thrombosed calcified aneurysm of the splenic vein is a rare complication of pancreatitis.
A Case of Ataxia with Isolated Vitamin E Deficiency Initially Diagnosed as Friedreich's Ataxia
Authors: Michael Bonello, Partha Ray
Journal: Case Rep Neurol Med (2016)

Ataxia with isolated vitamin E deficiency (AVED) is a rare autosomal recessive condition that is caused by a mutation in the alpha tocopherol transfer protein gene. It is almost indistinguishable clinically from Friedreich's ataxia but with appropriate treatment its devastating neurological features can be prevented. Patients can present with a progressive cerebellar ataxia, pyramidal spasticity, and evidence of a neuropathy with absent deep tendon reflexes. It is important to screen for this condition on initial evaluation of a young patient presenting with progressive ataxia and it should be considered in patients with a long standing ataxia without any diagnosis in view of the potential therapeutics and genetic counselling. In this case report we present a patient who was initially diagnosed with Friedreich's ataxia but was later found to have AVED.
Intracranial tumors mimicking benign paroxysmal positional vertigo: A case series
Authors: Yuan Xing Chen, Han Jun Sun, Xue Tao Mu, Chao Jiang, Hui Bing Wang, Qing Hua Zhang, Yuan Yi Qu, Jian Li, Ling Ling Zhou, Long Zhu Zhao, Ning Yu, Qing Sun
Journal: Front Neurol (2022)
Keywords: benign, intracranial tumor, mimicking, nystagmus, positional vertigo

Background:
A few intracranial lesions may present only with positional vertigo which are very easy to misdiagnose as benign paroxysmal positional vertigo (BPPV); the clinicians should pay more attention to this disease.
Objectives:
To analyze the clinical characteristics of 6 patients with intracranial tumors who only presented with positional vertigo to avoid misdiagnosing the disease.
Material and methods:
Six patients with intracranial tumors who only presented with positional vertigo treated in our clinic between May 2015 to May 2019 were reviewed, and the clinical symptoms, features of nystagmus, imaging presentation, and final diagnosis of the patients were evaluated.
Results:
All patients presented with positional vertigo and positional nystagmus induced by the changes in head position or posture, including one case with downbeating nystagmus in a positional test, two cases with left-beating nystagmus, one case with apogeotropic nystagmus in a roll test, one case with right-beating nystagmus, and one case with left-beating and upbeating nystagmus. Brain MRI showed the regions of the tumors were in the vermis of the cerebellum, the fourth ventricle, the lateral ventricle, and the cerebellar hemisphere.