Journal of Medicine and Health Science (JMHS)—Open Access Journal

Abstract : Giant cell fibroblastoma (GCF) is an uncommon, mesenchymal neoplasm of the soft tissues. It is an unusual childhood tumour of intermediate malignancy. We are reporting a case of giant cell fibroblastoma in a 3 and a half-year-old boy who presented with painless oval swelling at the left shoulder that appeared from birth. MRI of the shoulder revealed a subcutaneous mass. The patient underwent a total excision of the mass. Histological, immunohistochemical and genetic examinations have shown giant cell fibroblastoma. This tumour poses diagnostic challenges to the pathologist because it may be confused with malignant mesenchymal tumours with different prognosis.
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Abstract : Intrauterine intussusception is an extremely rare cause of intestinal atresia. It may occur at late stage of pregnancy and cause impairment of blood supply to a segment of intestine leading to its resorption and atresia. Of same, the aganglionosis caused by an intrauterine vascular accident has been shown. . The coexistence of Hirschsprung's disease, intrauterine intussusception and ileal atresia has yet to be described in the literature. We reported a rare case of 2-day old newborn presented with acute bowel obstruction. An abdominal radiograph identified distended loops of bowel with no air in the rectum. An emergency surgery was performed. At laparotomy, an ileal atresia associated to ileocecal intussusception were found. Distally, there was an unused colon. A terminally anastomosing resection were performed. The child had developed a postoperative functional obstruction requiring a surgical revision. A corrective anastomsis was found with a dilated proximal small bowel and an unused colon. An ileostomy and multi-level biopsy were performed. Histology confirmed the diagnosis of total colonic Hirschsprung disease. The last surgery was performed at the age of two months. It consists of a total colonic resection and Sovae ileorectal pull-through
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Abstract : Meckel’s Diverticulum (MD) is a rare condition defined as a heterotopic gastric or pancreatic tissue in the small intestine, secondary to persistence of the congenital vitello-intestinal duct. It is the remnant of the yolk channel located about 60-80 cm from the ileocecal junction. Simultaneous existence of a Meckel’s Diverticulum and a patent urachus is an uncommon situation .It may be asymptomatic for long time .MD is a common anomaly of the small intestine that occurs in approximately 2% of the population, often found incidentally at the time of abdominal exploration. Complications arising from a Meckel’s diverticulum or urachal remnant may clinically mimic acute appendicitis and other surgical pathologies. We report on a patient who referred to pediatric surgery with abdominal pain and deterioration of general status. On physical examination his abdomen was distended with guarding. A diagnosis of acute peritonitis by intestine perforation was made. The patient underwent a surgery and in the course of the surgery, a urachal remnant was found to coexist with a Meckel’s diverticulum.
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Abstract : HPV inoculation is suggested for all young people matured 11 and 12; notwithstanding, parental aversion about HPV immunization adds to lower than foreseen rates of take-up. Proposals from social insurance suppliers are related with expanded parental antibody aims and take-up, however numerous suppliers neglect to convey solid suggestions. We looked to portray supplier parent correspondences about HPV inoculation in an example of immunization reluctant guardians. Twenty-eight immunization reluctant guardians finished subjective meetings with respect to HPV inoculation arranging and finish. Guardians who eventually immunized their tyke noticed their suppliers rushed to give a firm suggestion while at the same time tending to their worries. In those guardians that had not immunized, most reviewed never examining inoculation with their supplier. A few noticed that they relied upon their supplier to advise them regarding every fundamental immunization, recommending that no notice of the antibody suggested. The individuals who decided not to immunize communicated gratefulness for suppliers who regarded their self-rule and choice not to inoculate. This information offer help for the impact of supplier proposal on guardian’s HPV immunization choices, while featuring the significance of the supplier's way to deal with suggestions. A fair methodology that couples a firm suggestion with deference for parental self-rule may prompt expanded immunization take-up.
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Abstract : Chernobyl exhibited that iodine-131 (131I) discharged in an atomic mishap can make threatening thyroid knobs create in youngsters inside a 300-mile sweep of the occurrence. Auspicious potassium iodide (KI) organization can avoid the advancement of thyroid malignant growth and the American Thyroid Affiliation (ATA) and various US administrative offices suggest KI prophylaxis. Current pre-circulation of KI by the US government and different governments with atomic reactors is presumably insufficient. Roughly two billion individuals are in danger for iodine lack issue (IDD), the world's driving reason for preventable mind harm. Iodide lacking people are at more serious danger of creating thyroid malignant growth after 131I introduction. There are for all intents and purposes no investigations of KI prophylaxis in newborn children, youngsters and youths, our objective populace. We support worldwide wellbeing offices (private and dministrative) to think about these basic suggestions
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