RESUMO
Ganglioneuromas are benign, fully differentiated mature tumours related to neuronal tissues and usually seen in the gastrointestinal tract, retroperitoneum and mediastinum. The few cases of appendiceal ganglioneuromas that were previously described in the literature belong to the paediatric population and were associated with genetic mutations and syndromes. We present a unique case of an Aboriginal Australian adult with acute appendicitis and concurrent ganglioneuroma diagnosed using histopathology and immunohistochemistry using Neu-N, S100 and Sox-10. The patient had no history of any of the syndromes associated with ganglioneuromatosis and had no other relevant family history.
Assuntos
Tempestades Ciclônicas , Desastres , Hospitais de Veteranos , Papel do Médico , Atenção Primária à Saúde , Humanos , TexasRESUMO
Substance use disorders involving illicit and prescription drugs are a serious public health issue. In the United States, millions of individuals need treatment for substance use disorders but few receive it. The rising number of drug overdose deaths and the changing legal status of marijuana pose new challenges. In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions.
Assuntos
Política de Saúde , Drogas Ilícitas/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Transtornos Relacionados ao Uso de Opioides/terapia , Medicamentos sob Prescrição/efeitos adversos , Doença Crônica , Crime , Monitoramento de Medicamentos , Epidemias/prevenção & controle , Humanos , Cobertura do Seguro , Seguro Saúde , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Medição de Risco , Estados Unidos/epidemiologiaRESUMO
[Supplemental materials are available for this article. Go to the publisher's online edition of Journal of Health Communication for the following free supplemental resources: a PowerPoint presentation, Communicating Through the Arts: Lessons for Medicine an Public Health, Symposium Proceedings, June 15-21, 2012, and a video, Communicating Through the Arts: Lessons for Medicine and Public Health, 2012 Symposium. The PowerPoint presentation describes the Symposium and includes a gallery of images. The video is a 6-minute documentary featuring guest faculty discussing the Symposium.].
