Volume 2

Issue 5

Incidental Finding of Lumbar Rib

An incidental finding of “thirteenth” or “lumbar” rib was discovered upon radiological imaging. An oblique radiograph shows the costo- vertebral articulation (Figure 1., white arrow) between the first lumbar vertebra and the rib. Axial CT also demonstrates the articulation as well (Figure 2., white arrow). Three-dimensional volume rendered CT provides a clear view of the bony architecture of the spine (Figures 3 and 4).
DOI: 10.55920/IJCIMR.2022.02.001100

Pyrimidine Metabolism-related gene RRM2 as a novel biomarker for Prognosis and immu- notherapy in LUAD

Lung adenocarcinoma (LUAD), which accounts for 40% of lung can- cers, is usually diagnosed at an advanced stage and has a low aver- age 5-year survival rate (about 20%) [1] [2] [3]. To promote tumor growth, tumor cells initiate a unique metabolic program [4] [5]. This is not only conducive to the unlimited proliferation of tumor cells, but also shapes a unique immune microenvironment, affecting the com- position and biological functions of immune cells in the microenvi- ronment [6] [7].
DOI: 10.55920/IJCIMR.2022.02.001097

Total Knee Arthroplasty: Socioeconomic Disparities of Post-Operative Complications

A 2018 American Academy of Orthopedic Surgeons report predicts that TKA rates will increase by 189% in 2030 and by 382% in 2060.2 Current projections are that by 2030, there will be 935,000 primary TKAs annually.1 Healthcare disparities continue to be a concern for total knee arthroplasties (TKAs), and given the anticipated increase of TKAs, these disparities need to be addressed. Elderly patients un- dergoing TKA, such as the Medicare beneficiaries analyzed in this study, have an increased perioperative risk and require close interdis- ciplinary cooperation for success. For these patients, post-operative function depends significantly upon psychosocial factors in addition to a patient’s preoperative health status.
DOI: 10.55920/IJCIMR.2022.02.001096


In individuals with low back pain, sacroiliac joint (SIJ) is the most common pain causing joint (1). SIJ is developed by the junction be- tween iliac bone and sacral bone. Association between two bones, muscles and ligaments provide the stability to the joint. This joint is the largest joint of body with a diameter of 17.5 cm2 (2). Low back pain approximately affects 80% of the population. It is extremely com- mon and thus continues to affect millions of people every year. It is a difficult condition to treat effectively and so it causes a huge financial burden on the patients as well as the hospitals.
DOI: 10.55920/IJCIMR.2022.02.001095

Evaluation of the Relationship between the Adherence to the Treatments of Individuals with Chronic Obstructive Pulmonary Disease and their Attitudes Towards Complementary and Alternative Medicine in the COVID-19 Pandemic

Chronic Obstructive Pulmonary Disease (COPD) is one of the im- portant causes of morbidity and mortality among chronic diseases. Periods of exacerbation seen during the disease process can cause progression of the disease, increase in health expenditures and mor- tality (1). The leading cause of COPD exacerbations is the occurrence of tracheobronchial infections. Viral agents are shown as the source of tracheobronchial infections (2). All these data; It predicts that in- dividuals with COPD may be adversely affected by the new type of coronavirus (COVID-19).
DOI: 10.55920/IJCIMR.2022.02.001094

Monogenic systemic lupus erythematosus associated with DNASE1 gene mutation: a case report and literature review

Systemic lupus erythematosus (SLE) in children is an autoimmune disease that can involve multiple systems, and its pathogenesis is genetically related, with single mutations causing the disease being extremely rare [1]. No cases of SLE associated with mutations in the deoxyribonuclease 1 (DNASE1) gene have been reported in China, and only four cases have been reported abroad [2-3]. One case of monogenic SLE in a young child associated with DNASE1 mutation was diagnosed in our hospital through clinical features, autoantibody examination and genetic testing, and the diagnosis and treatment of this case are reported below.
DOI: 10.55920/IJCIMR.2022.02.001093

A New Strategy to Build Culture of Compassion in Nursing Practice

Values are generally defined as beliefs or principles that influence behaviour. Following several reports that revealed poor care quality with an apparent lack of compassion, England's Department of Health (DH) introduced the ‘6Cs’ as values for practice within a new nursing strategy. In 2016, the 6Cs were included in the new framework for nursing (1).
DOI: 10.55920/IJCIMR.2022.02.001092

Two case reports of successful Endovascular treatment of Vertebrobasilar insufficiency: A Case of an incomplete Balint syndrome and recurrent Vertebrobasilar stroke

High-grade vertebrobasilar insufficiency is an important cause of posterior circulation stroke. It is characterized by symptoms such as ataxia, diplopia, hemianopia, cranial nerve palsies and decreased level of consciousness. Among rare clinical presentations, Balint syndrome consists of the triad of simultanagnosia, oculomotor apraxia and optic ataxia. It is frequently associated with bilateral ischemic parieto-occip- ital lesions or some neurodegenerative diseases.
DOI: 10.55920/IJCIMR.2022.02.001091