Case report
Namkabir Singh; Chew Kee Seang
Abstract
Vacuum assisted delivery might not be the first-choice route for delivery but remains a viable option when shortening of the second stage of labour is needed. Incorrect placement of the vacuum device, incorrect technique, prolonged use, and multiple attempts often lead to subgaleal haemorrhage, which ...
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Vacuum assisted delivery might not be the first-choice route for delivery but remains a viable option when shortening of the second stage of labour is needed. Incorrect placement of the vacuum device, incorrect technique, prolonged use, and multiple attempts often lead to subgaleal haemorrhage, which is a collection of blood in the space underneath the galea aponeurotica. Here we would like to report a case of an infant that was delivered via vacuum assisted delivery after multiple attempts. The unfortunate infant suffered from subgaleal haemorrhage and was promptly assessed and treated. After spending 1 week in our center, he was allowed to be discharged home, with subsequent follow-up showing remarkable improvement. We would like to emphasize on the importance of this case because even though it does not occur very frequently, the consequences can be fatal if the condition is not identified and treated early.
Original article
Zahra khorasanchi; Mohammad Vahedifard; Kimia Mohammadhasani; Yasamin Sharifan; Zahra Dehnavi; Ramtin Naderian; Ali Jafarzadeh Esfehani; Payam Sharifan; Reza Zare-Feyzabadi; Gordon A. Ferns; Majid Ghayour
Abstract
Introduction: The pandemic of COVID-19 created a psychological response. So, the psychological function of COVID-19 patients is an important subject that forces us to follow up with them.Aim: Assess the correlation between vitamin D serum concentrations and psychological functions such as insomnia, stress, ...
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Introduction: The pandemic of COVID-19 created a psychological response. So, the psychological function of COVID-19 patients is an important subject that forces us to follow up with them.Aim: Assess the correlation between vitamin D serum concentrations and psychological functions such as insomnia, stress, and depression through the COVID-19 pandemicMethods: In this cross-sectional study, blood samples from 120 COVID-19 patients (61 males and 59 females) who had more than 30 years, were taken. Also, 25(OH)D Serum level of COVID-19 patients was analyzed. The Insomnia Severity Index (ISI), Depression anxiety stress scales (DASS), and the Short Form Health Survey (SF-36) were used to analyze insomnia, anxiety, stress, quality of life, and depression.Results: The relationship between temperature (p=0.039), PCO2 (p=0.022), and serum vitamin D level was significant. Additionally, there was a significant correlation between stress (p=-0.023, OR=0.389, 95% CI for OR=0.047, 0.843), depression (p=0.012, OR=0.659, 95% CI for OR=0.476, 0.913), and the concentration of serum vitamin D.Conclusion:This study recommends that vitamin D supplementation improve psychological state in COVID-19 patients.
Case report
Shahabaddin Sorouri; Maryam Naseri
Abstract
Pulmonary veno-occlusive disease (PVOD) is a rare and fatal disease with non-specific clinical presentation often misdiagnosed as group 1 pulmonary arterial hypertension (PAH). The rate of occurrence per one million people is reported to be one-tenth to two-tenths of cases, annually. Our case was a 25-year-old ...
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Pulmonary veno-occlusive disease (PVOD) is a rare and fatal disease with non-specific clinical presentation often misdiagnosed as group 1 pulmonary arterial hypertension (PAH). The rate of occurrence per one million people is reported to be one-tenth to two-tenths of cases, annually. Our case was a 25-year-old young woman who complained of aggravation of dyspnea during exertion and slight chest pain for two months. Her work-up included pulmonary function test (PFT), an echocardiogram, body box plethysmograph test, diffusing capacity of the lungs for carbon monoxide (DLCO) test, positive ventilation/perfusion (V/Q) scan, computed tomography (CT) scan of chest, cardiac catheterization, and video-assisted thorascopic surgery (VATS). Echocardiography showed high pulmonary artery systolic pressure (PASP). The particular aspect of the present case was that due to the V/Q scan, the patient was diagnosed with chronic thromboembolic PH (CTEPH) and treated with anticoagulant, which did not have a good response. The crucial point is that in PVOD patients, V/Q scan can report segmental and subsegmental defects similar to CTEPH patients that creates a diagnostic challenge in patients. Definitive diagnosis of PVOD was based on VATS. Hypoxia, decreased DLCO, normal V/Q scan, and chest CT findings were used to diagnose PVOD. The patient’s treatment with diuretics, bosentan, and tadalafil led to the recovery of the patient’s hypoxia, saving her life for further treatment. With respect to the heterogeneous nature of the clinical presentation in PVOD patients, high clinical suspicion and appropriate diagnostic measures are required for diagnosis. The present study showed that PAH specific drugs in addition to diuretics can be used cautiously to control disease progression and save patients for lung transplantation.