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Acta Bio-medica : Atenei Parmensis Jan 2022Nepal is one of the first South Asian countries to include anti discrimination laws against LGBTQ community, yet they face disparity in all sectors, including health....
Nepal is one of the first South Asian countries to include anti discrimination laws against LGBTQ community, yet they face disparity in all sectors, including health. This group has special reproductive and sexual health needs, which has to be assessed and treated on an individual level. Most gynecologist in Nepal have not been trained to care for this vulnerable group and thus are not comfortable having them in clinical settings. History taking is essential to reach to an accurate diagnosis however, since the first year of medical school, history taking has been based on heteronormativity. To end disparities in reproductive health, learning modules for history taking for LGBTQ community is necessary for medical students, residents and for gynecologists. This would help display confidence and openness towards them and focus on individualized care.
Topics: Gynecology; Humans; Medical History Taking; Schools, Medical; Students, Medical
PubMed: 35075073
DOI: 10.23750/abm.v92i6.11940 -
Maedica Sep 2023Pyoderma gangrenosum (PG) is an infrequent, aseptic neutrophilic dermatosis that can be observed in patients with systemic diseases such as inflammatory bowel disease or...
Pyoderma gangrenosum (PG) is an infrequent, aseptic neutrophilic dermatosis that can be observed in patients with systemic diseases such as inflammatory bowel disease or rheumatic disorders. Due to its rare entity, PG often constitutes a diagnostic enigma, as it simulates other skin disorders. Typically, it is displayed as painful, ulcerative lesions localized to the lower extremities. In our study, we present a case of a 67-year-old woman with recently diagnosed ulcerative colitis who presented with two painful ulcers, one on the left anterior tibia and the other one on the left subclavian area. Initially, their clinical image overlapped with skin abscess. However, taking into account patient's medical history, skin examination, sterile wound cultures and skin biopsy, the diagnosis of PG was established. The patient was completely recovered with high doses of corticosteroids, daily wound changes and surgical intervention involving loose wound edge approximation. In this study, we highlight that clinicians should always be aware of patient's medical history in such cases, in order to early diagnose PG and avoid inaccurate medical approaches which might have an impact on patients' quality of life.
PubMed: 38023744
DOI: 10.26574/maedica.2023.18.3.528 -
Zeitschrift Fur Kinder- Und... Mar 2021
Topics: Diagnosis; Humans; Medical History Taking; Therapeutics
PubMed: 33666496
DOI: 10.1024/1422-4917/a000776 -
Seizure Nov 2021Clinical seizure signs continue to be of central importance to guide diagnosis, classification, treatment and prognosis. Some basic principles guide history-taking and... (Review)
Review
Clinical seizure signs continue to be of central importance to guide diagnosis, classification, treatment and prognosis. Some basic principles guide history-taking and observation in clinical epileptology. The information contained within subjective seizure descriptions can be framed within standardized vocabulary and a classification of ictal signs, seizure types, and the integrated framework of epilepsy syndromes. As illustrative examples, we discuss the historical origins and current research context of Dravet syndrome and Janz syndrome, two genetic epilepsy syndromes. In candidates for epilepsy surgery, ictal signs aid us in identifying the symptomatogenic zone and hence delineating the ictal onset zone. Here, historical reports from Victor Horsley and Hughlings Jackson provide valuable perspective on clinical reasoning. Lastly, the information contained within clinical signs and syndromes presents an indispensable data source in future efforts of large-scale genotype-phenotype correlations and machine learning methods.
Topics: Electroencephalography; Humans; Myoclonic Epilepsy, Juvenile; Prognosis; Seizures; Syndrome
PubMed: 34607271
DOI: 10.1016/j.seizure.2021.09.019 -
The FEBS Journal Aug 2021In this special interview series, we profile members of The FEBS Journal editorial board to highlight their research focus, perspectives on the journal and future...
In this special interview series, we profile members of The FEBS Journal editorial board to highlight their research focus, perspectives on the journal and future directions in their field. Hyunsook Lee is Professor at the Laboratory of Cancer Cell Biology at Seoul National University in Korea. She has served as an editorial board member of The FEBS Journal since 2018.
Topics: BRCA1 Protein; Cell Biology; Genetics, Medical; History, 20th Century; History, 21st Century; Republic of Korea
PubMed: 34342144
DOI: 10.1111/febs.15890 -
Journal of Clinical Imaging Science 2020Craniotomy, or a surgical opening into the skull, has been observed as early as Paleolithic and Neolithic periods. Early craniotomies carried great morbidity and... (Review)
Review
Craniotomy, or a surgical opening into the skull, has been observed as early as Paleolithic and Neolithic periods. Early craniotomies carried great morbidity and mortality and standardized during the 20 century, improving surgical outcomes. The simultaneous evolution of medical imaging and stereotactic navigation systems has allowed imaging to correlate findings with surgical approaches, further optimizing patient safety. We review the history of craniotomy and provide an imaging review of the most common craniotomy approaches.
PubMed: 33408956
DOI: 10.25259/JCIS_176_2020 -
Medecine Sciences : M/S Dec 2020
Topics: Faculty, Medical; France; History, 20th Century; History, 21st Century; Humans; Neurology; Neuromuscular Diseases; Neuropsychiatry; Physicians; Professional Competence
PubMed: 33427628
DOI: 10.1051/medsci/2020267 -
Cureus Jun 2020The preauricular sinus (PAuS) is a congenital foramen, opening or invagination, usually located on the crus of the auricular helix and is considered a congenital... (Review)
Review
The preauricular sinus (PAuS) is a congenital foramen, opening or invagination, usually located on the crus of the auricular helix and is considered a congenital malformation and component of multiple syndromes. The structure can be present unilaterally or bilaterally, with the possibility of more than one fistula present on one ear, predominantly on the auricular tags. As a well-defined and established clinical entry, PAuS has a very strictly laid-out history. However, different works of art give us a glimpse into the structure before its first true clinical description, showing that the PAuS was known to man long before it was first clinically described, such as those of Hieronymous Bosch, with the first medical descriptions being attributed to Heusinger and Virchow. In modern times, the condition is considered both an individual malformation and a component of several genetic syndromes.
PubMed: 32742852
DOI: 10.7759/cureus.8885 -
Ui Sahak Aug 2023This paper is the first attempt to get a broad view of the history of modern medical history education in Japan, from the origin of medical history education in the...
This paper is the first attempt to get a broad view of the history of modern medical history education in Japan, from the origin of medical history education in the Meiji era to its current state in medical schools. By correcting errors related to the first university lectures on medical history in Japan and historically contextualizing the challenges of medical history education and the academic community's responses, this paper aims to examine both the historical significance and practical implications. The history of medical history education in Japan is relatively long. Medical history lectures in a medical school were first planned in 1876, and contrary to popular belief, the actual lecture started in December 1882 under Imamura Ryō's charge and continues to this day. However, despite its relatively long history, the substance of medical history education in Japan is lacking in both quality and quantity. The absence of full-time professors of medical history education and related departments has led to a vicious cycle of failure in producing experts and a decline in medical education. Medical history education in Japan failed to take advantage of the fact that it began early despite the absence of tradition. The status of medical history education greatly increased in the 1930s, but the opportunity to expand its base was not utilized during the postwar reorganization of medical education and the student movement in the late 1960s. Falling into amateurism, evasion of real issues, and a lack of collective academic responses have hindered the understanding of these phenomena and problem-solving. The history of medical history education in Japan provides significant implications for the current reality of medical history education in Korea. The Korean medical history community must also confront and adapt proactively and organizationally within the evolving landscape of medical education. If the community settles for the present, Japan's past will become Korea's future.
Topics: Humans; Japan; Educational Status; Students; Educational Personnel; Education, Medical
PubMed: 37718565
DOI: 10.13081/kjmh.2023.32.661