3rd Euro-Global Experts Meeting on Medical Case Reports June 30-July 02, 2016 Valencia, Spain

Md Reyad-ul-Ferdous is currently pursuing PhD from Northwest A&F University at Department of Microbiology, College of Life Science, China. He has completed his MPharm from North South University at Department of Pharmaceutical Sciences, Bangladesh and BPharm from State University of Bangladesh at Department of Pharmacy. He was enrolled as a Lecturer at the Department of Pharmacy, Progati Medical Institute, Bangladesh. He has written a book entitled: “Basic Knowledge of Pharmacy” with own patents. He has published more than 65 papers in reputed journals and has been serving as an Editorial Board Member of repute

In recent era diabetes became most prevalent metabolic condition worldwide. Objectives of this study was determined the impact of different other risk factors on liver disease and associated diabetes with physical activities, awareness, medications, various symptoms among diabetics patients. It is a cross sectional observational study that was attempted to find out for the treatment of diabetes and to determine the impact of different other risk factors associated with diabetes. In this study, purposive sampling technique was followed and sample size was 115. Then data were entered into computer and results were calculated with the help of Microsoft Excel. In this investigation, we found that a total of 115 patients among them 71.03% were female and 60.95% were male. In the study, 78.94% university male and illiterate (82.35%) female were suffering from diabetics. Male patients (61.53%) and 52.3% female received irregular treatment. Among all diabetic patients 63.46% male and 36.53% female were stressful condition in their life time. All patients demonstrate significant several symptoms including weakness, vomiting, frequent urination, loss of appetite, weight loss, head spinning, nausea, headache, micturition, thirst, skin disease, non-respondents etc due to longer time use of medications. Significant percentage of diabetic’s patients unaware regards physical activities. Among them patient exposure to various conditions like as 11.55% blood transfusion, 8.04% injecting drug use, 46.23% dental treatment, 24.62% surgery, 2.51% jaundice, 31.15% none. Diabetic patients take different group of medicines like as oral: 44.66% male and 55.335% female; insulin: 39.13% male and 60.86% female; combination: 45.45% male and 54.54% female respectively. Patients performing some exercise to reduce glucose level in body to control diabetic. Genetically diabetes increased globally. In this investigation, demonstrate that patients have no concern regard treatment management, medication and future diseases related to diabetic. Further studies are required to improve awareness, treatment management of diabetic diseases among all population to reduce diabetic patients and other related diseases in future

Introduction: Case studies have traditionally been a useful teaching tool for discussion and reflection within academic teaching programs, held for doctors of all grades on a regular basis in AWP Trust. There is currently however no forum in place in AWP for the publication and perusal of such studies, towards a doctor’s continuing professional development (CPD).\r\n\r\nAim: By the end of 6 months, all doctors of any grade within AWP will have access to a forum for the publication of anonymized case studies for medical education purposes.\r\n\r\nMethod: PDSA cycle 1: Email distribution of locally derived case studies (authored by junior doctors under Consultant supervision) to selected AWP medic mailing lists (based on where the articles originated from). PDSA cycle 2: I collaborated with AWP’s Medical Education department to roll out my case studies bulletin Trust-wide. Qualitative measurements currently include pre and post-PDSA cycle surveys with process, outcome and balancing measures being assessed. A consent and confidentiality document has been completed following consultation with the Trust Caldicott Guardian Lead.\r\n\r\nResults & Discussion: Improvement in dissemination of topical locally derived cases as part of doctors’ continuing professional development. The Medical Education Manager and I are working on a second educational QIP; the dissemination of Serious Untoward Incidents (SUIs) through my bulletin, this is a Trust Operational Requirement but previously there has not been such a forum to reflect on these events. My findings are due to be presented at the Clinical Incident Overview Group to discuss the inclusion of SUIs.\r\n

Alister Gomes-Pinto has completed his MD at Charles University, Prague, Czech Republic and attained the Membership of the Royal College of Psychiatrists (MRCPsych). He is currently working as a Registrar in Old Age Psychiatry at Avon and Wiltshire Partnership, a NHS Mental Health Trust. He has achieved 8 poster publications at 7 prominent conferences, has co-authored a book on obtaining the MRCPsych and published 5 papers in various reputed journals

Shailja Verma has completed her Post graduation (MS) in Obstetrics and Gynecology in 2013. She has also completed DNB in OBGYN and is working as a Senior Resident in a Government Hospital in Delhi for last 3 years. She has working experience in Lok Nayak Hospital, M.A.M.C, which is one of the largest tertiary care hospitals in Delhi. She has keen interest in high risk obstetrics and gynecological endocrinology and has done research in field of infertility. She has presented both national and international papers and has publications in reputed journals. Besides being an Associate Member of RCOG, she participates in both national and international conferences and CMEs. She is updated on recent progress in her subject and is also member of local associations like FOGSI and AOGD. She has a strong desire to keep expanding her horizons in terms of knowledge, clinical skills and research in field of women health and is receptive to global ideas for the same

Case Summary: A primigravida with 6 months of amenorrhea presented to emergency in the middle of night with decreased fetal movements and tightening of abdomen for one day but no history of bleeding per vaginum. Her period of gestation was 25 weeks. On detailed physical examination, her vitals were stable but she had severe pallor. Uterine height was 34 weeks size and uterus was tense. Emergency USG revealed retroplacental hematoma. However at that time patient was managed conservatively. Next day USG by senior radiologist (after 12 hours) revealed hyperechogenic placenta with placentomegaly. The baby was pushed extremely towards one side and almost whole of the uterus was occupied with the hyperechoic placenta. So patient was investigated for causes of placentomegaly; TORCH negative. Daily monitoring showed no signs and symptoms of deterioration of mother’s vitals or lab investigations. However on 8th day she aborted spontaneously an abortus of 485 gm with no placentomegaly but 1 liter of retroplacental clot suggesting severe abruption.rnrnConclusion: A case of placental abruption may mimic placentomegaly after few hours of abruption (in this case 12 hours after abruption). So patients who has presented with signs and symptoms of placental abruption but USG shows placentomegaly, clinical judgment should be taken in to consideration.rn

Aleksandra Czerw is an expert in the field of health economics, organization and management in the protection of health, medical services marketing. He is an Assistant Professor at the Public Health Faculty of the Medical University of Warsaw, Poland. He is the author of numerous developments in the field of the strategic management including strategic analysis in the health protection sector, Member of the regional and local analyses centres. He is also a medicinal product marketing strategies Consultant, author of more than 100 national and international publications, active Member of numerous associations including: Polish Public Health Society, Polish Health Science Society, Polish Pharmaceutical Society, Polish Pharmacoeconomic Society and Polish Economic Society.

Background: Congenital anomalies of the genitourinary system (GUS) are very common and predispose patients to many complications, including infection, obstruction, stasis, calculus formation and impaired renal function. Congenital GUS anomalies may be also accompanied by specific types of cancer and therefore their presence could help in the diagnosis of the primary site of a metastatic tumor.rnrnCase presentation: In this article, the authors present a 58-year old male patient with metastatic adenocarcinoma in whom congenital anomalies of the GUS proved helpful for the diagnosis of the primary site of cancer originating in seminal vesicles. rnrnConclusion: We are reporting an extremely rare case of primary adenocarcinoma arising probably from the left seminal vesicle associated with ipsilateral renal agenesis. The lesion was detected on ultrasound and contrast enhanced CT and confirmed histologically with ultrasound guided biopsy. Serum markers i.e., CA19-9 and CA125 were elevated, while PSA and CEA were within normal limits. Such a constellation of markers strengthened the diagnosis. Our patient unfortunately presented very late in the course of the disease, we decided to initiate anti-androgen therapy and best supportive care in a hospice setting. Only early detection seems to be the key factor which may result in improved cure rates for cancer of the seminal vesicles. We also perform a literature search for current concepts related to the diagnosis and clinical management of primary adenocarcinoma of seminal vesicles.rn

Magda Zelazowska is currently a PhD Student in Applied Linguistic at University of Warsaw, Poland. Her scientific interests include medical language and medical translation, translation studies, doctor-patient communication and scientific writing. She is an active member of national and international conferences, author and co-author of papers devoted to the medical language, English for Medical Purposes and case reports’ discourse.rnrn

In this poster, the issue of patient presentation in professional medical texts has been addressed from a linguistic perspective. To this aim a corpus of medical case reports has been compiled in order to examine both direct and indirect references to the patients described there. The studied tokens are investigated from two perspectives. First, the focus falls on patient textual presence/absence as conditioned by the type of information appearing in respective text-parts. Second, the analysis of patient reference in the sections of the case reports is discussed with respect to some of the facts from the history of the development of medicine, as, according to Bazerman (1988), scientific discourses are shaped by given disciplines (1988: 47). In the case of the texts in question, their form and content may also be influenced by the currently practiced model of medicine, i.e., the biomedical model. Furthermore, the analysis draws on the hierarchical levels of medical description as well as on the two models of disease presentation. The study reveals that as the texts progress, they become more patient-evacuated and focuses on his/her progressively smaller body-parts. In other words, patient reference changes from direct indexicality to indirect references to his/her body parts or the textual absence of the treated. This effect is achieved not only by the type of information imparted but also by the lexical and grammatical resources used to describe it. Consequently, the mode of writing as testified in the case reports at hand contributes to the presentation of mental/bodily experience, disease and treatment in abstraction from a patient.