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Erratum to “PECS Block Provides Effective Postoperative Pain Management for Breast Cancer Surgery—A Retrospective Study”, [International Journal of Clinical Medicine, 2017, 8, 198-203] “PECS阻滞对乳腺癌术后疼痛的有效控制——一项回顾性研究”[j] .国际临床医学杂志,2017,8,198-203]
Pub Date : 2021-01-08 DOI: 10.4236/IJCM.2021.121005
I. Yuki, H. Ueshima, H. Otake, A. Kitamura
The original online version of this article (Ichikawa Yuki, Ueshima Hironobu, Hiroshi Otake, Akira Kitamura (2017) PECS Block Provides Effective Postoperative Pain Management for Breast Cancer Surgery—A Retrospective Study. International Journal of Clinical Medicine, 8, 198-203. https://doi.org/10.4236/ijcm.2017.83019) unfortunately contains some mistakes. The author wishes to correct the errors in pain management tools, method, and figures.
本文的原始在线版本(Ichikawa Yuki, Ueshima Hironobu, Hiroshi Otake, Akira Kitamura (2017) PECS阻滞为乳腺癌手术提供有效的术后疼痛管理-一项回顾性研究)。国际临床医学杂志,8,198-203。https://doi.org/10.4236/ijcm.2017.83019)不幸地包含一些错误。作者希望纠正疼痛管理工具,方法和数字的错误。
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引用次数: 0
Raoultella planticola Bacteremia-Induced Fatal Septic Shock and Sepsis-Induced Coagulopathy in a Patient with Pancreatic Cancer: A Case Report and Literature Review 1例胰腺癌患者因planticola Raoultella菌血症致致致死性败血性休克及败血症致凝血功能障碍:1例报告及文献复习
Pub Date : 2021-01-08 DOI: 10.4236/IJCM.2021.121006
K. Hajiyeva, M. Oral
Background: Raoultella planticola is a gram-negative rod-shaped bacterium commonly found in water and soil and considered to be a rare and possibly underestimated cause of severe human infection. Its presence should be suspected in older patients with a history of cancer, immune suppression and recent exposure to traumatic injuries or invasive medical procedures. Case presentation: A 78-year-old male with a history of hypertension was diagnosed with pancreatic adenocarcinoma. Whipple procedure (pancreaticoduodenectomy) was performed afterwards. On the 8th day of surgery, the patient was admitted to our tertiary ICU with septic shock. His initial Sequential Organ Failure Assessment (SOFA) score was 12 with predicted mortality 95.7%. Empirical antibiotic therapy with colymicin, meropenem and teikoplanin was administered immediately and two sets of blood cultures were obtained. Patient developed refractory septic shock despite the addition of vasopressin and the patient’s condition continued to deteriorate. Patient died on the third day of sepsis. His blood culture was positive for R. planticola, which was identified using the VITEK-2 biochemical identification system. Conclusions: Clinicians should be aware of fatal unusual infections in immunocompromised patients.
背景:planticola Raoultella是一种革兰氏阴性杆状细菌,常见于水和土壤中,被认为是一种罕见的,可能被低估的人类严重感染的原因。在有癌症史、免疫抑制和近期暴露于创伤性损伤或侵入性医疗程序的老年患者中,应怀疑其存在。病例介绍:一位78岁男性,有高血压病史,被诊断为胰腺腺癌。术后行胰十二指肠切除术(Whipple)。手术第8天,患者因感染性休克入住我院三级ICU。他最初的序贯器官衰竭评估(SOFA)评分为12分,预测死亡率为95.7%。立即给予经验性抗生素治疗,包括colymicin、meropennan和teikoplanin,并进行两组血培养。尽管加用抗利尿激素,患者仍发生难治性脓毒性休克,病情持续恶化。病人死于败血症的第三天。经VITEK-2生化鉴定系统鉴定,血培养结果为车前菌阳性。结论:临床医生应注意免疫功能低下患者的致命异常感染。
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引用次数: 0
The Impact of Whole Body Vibration Therapy on Spasticity and Disability of the Patients with Post-Stroke Hemiplegia 全身振动疗法对脑卒中后偏瘫患者痉挛和残疾的影响
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S4.004
A. Alp
Calf muscle spasticity leading spastic movement disorders during walking is the major complex functional problem in post stroke hemiplegia. And a recent RCT suggests that Whole Body Vibration (WBV) therapy of 40 hz/4 mm amplitude for 5 minutes totally 12 sessions improves walking speed in the long term and may be a complementary therapy in gait rehabilitation. Nevertheless, a 2015 systematic review and meta-analysis concludes that WBV training had no beneficial effects in muscle strength.
小腿肌肉痉挛导致行走时痉挛性运动障碍是卒中后偏瘫的主要复杂功能问题。最近的一项随机对照试验表明,40赫兹/4毫米振幅的全身振动(WBV)治疗5分钟,共12次,可长期改善步行速度,可能是步态康复的补充疗法。然而,2015年的一项系统综述和荟萃分析得出结论,WBV训练对肌肉力量没有有益的影响。
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引用次数: 0
Logistic Regression Analysis on Hypertension and Lifestyle Risk Factors in Rural India 印度农村高血压与生活方式危险因素的Logistic回归分析
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.590
Ayub Khan, H. Shankar
Background: Hypertension is the most important risk factor for chronic disease burden in India. The numbers of peoples affected and the prevalence of hypertension in rural India are expected to increase over the next decade. Aim and Objectives: To determine the prevalence and associated lifestyle risk factors of hypertension in rural India. Materials & methods: A community based cross sectional study was done among age group 40 years & above in rural area of eastern UP, India. Multistage and probability proportional to size sampling procedure was used. Statistical analysis: Data of 1856 individuals for prevalence of hypertension and associated risk factors were analysed and 2 value for each of the risk factors were calculated. Logistic regression analysis was used to predict hypertensive population associated with different risk factors also Adjusted Odd Ratio and corresponding Forest plot were also discussed in detail for each lifestyle risk factors. Results: The overall prevalence of hypertension was found to be 29.1%. Obesity and diabetes were strongly associated with hypertension. Compared to age group (40-49) years, others groups (50-59), (60-69), (70& above) were 2.44, 3.67, 5.33 times (AOR=2.44, 3.67, 5.33) more likely to have hypertensive population. Hypertension occurs nearly equal in both male and female (AOR=1.007; 95%CI: 0.77-1.32). In this study smokers, obese and diabetic person are more likely to have hypertension. Smokers have 1.38 times more chance to become hypertensive (AOR=1.380; 95%CI: 1.01-1.88) than non-smokers while in alcoholic and non-alcoholic population have equal chance (AOR=1.009; 95%CI=0.74-1.37) to become hypertensive. Conclusion: There is need to implement comprehensive lifestyle modification program such as promotion of healthy dietary habits, physical activity, tobacco cessation, avoidance of excessive intake of alcohol and stress, which may play major role in prevention of new hypertensive cases.
背景:高血压是印度慢性疾病负担最重要的危险因素。预计在未来十年,印度农村受高血压影响的人数和高血压患病率将会增加。目的和目的:确定印度农村高血压的患病率和相关的生活方式危险因素。材料和方法:在印度北方邦东部农村地区40岁及以上的年龄组中进行了基于社区的横断面研究。采用多阶段和概率与大小成比例的抽样方法。统计分析:分析1856例高血压患病率及相关危险因素资料,计算每项危险因素的2值。采用Logistic回归分析预测高血压人群与不同危险因素的相关性,并对各生活方式危险因素进行了调整奇数比和相应的森林图的详细讨论。结果:高血压总患病率为29.1%。肥胖和糖尿病与高血压密切相关。与40 ~ 49岁年龄组相比,50 ~ 59岁、60 ~ 69岁、70岁及以上年龄组高血压患病率分别为2.44、3.67、5.33倍(AOR=2.44、3.67、5.33)。男性和女性的高血压发生率几乎相等(AOR=1.007;95%置信区间:0.77—-1.32)。在这项研究中,吸烟者、肥胖者和糖尿病患者更容易患高血压。吸烟者患高血压的几率是吸烟者的1.38倍(AOR=1.380;95%CI: 1.01-1.88)与不吸烟者相比,而在嗜酒者和非嗜酒者中有相同的机会(AOR=1.009;95%CI=0.74-1.37)发生高血压。结论:需要实施全面的生活方式改变方案,如促进健康饮食习惯,体育锻炼,戒烟,避免过量饮酒和压力,可能对预防新发高血压病例起重要作用。
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引用次数: 0
Prevalence of complications associated with Alzheimer Disease patients in Aseer Region, Saudi Arabia 沙特阿拉伯阿西尔地区阿尔茨海默病患者的并发症患病率
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.592
A. Alhazzani, M. Alqahtani, A. Awwadh, T. Alyami, M. Alshomrani, M. Alqahtani
Background: Alzheimer's disease (AD) is neurodegenerative disorder that develops over a period of years that differs from normal aging. One of the most important risk factors is increasing age, and the majority of people with Alzheimer's are 65 years and older. AD reduces life expectancy and is one of the major causes of physical disability, institutionalization, and low quality of life among the elderly. AD is highly related to functional disability and institutionalization. There are many factors associated with AD including physical and behavioural complications. Aim: To assess epidemiological pattern and complications of AD among patients in Aseer region, Saudi Arabia. Methodology: A descriptive cross-sectional study included 110 Alzheimer patients (66 males and 44 females) registered at Aseer Central Hospital, Southern of Saudi Arabia. A pre-structured questionnaire was used for data collection that included patients’ personal characteristics and frequency of exposure to complications associated with Alzheimer disease. Results: About 72% of the patients aged 70 years or older and 60% were males. Almost all of the patients were citizens 97.3% and 62.7% were married. Exact of 56.4% of the patients were illiterate and only few 4.5% were university graduated. Pneumonia was the most frequent complication followed by getting lost, fall down, and bone fracture. Getting lost was significantly more among males than females (P=0.007), while pneumonia was significantly more among patients treated in governmental hospitals (P=0.003). On the other hand, bone fractures and falling down did not differ significantly according to patients’ personal characteristics. Conclusions: The most frequent complications associated with Alzheimer Disease in our study population were pneumonia, getting lost, falling down and bone fractures. Risk factors associated with these complications include male gender for getting lost. Health care providers are advised to provide close care to Alzheimer disease patients.
背景:阿尔茨海默病(AD)是一种神经退行性疾病,其病程与正常衰老不同。最重要的风险因素之一是年龄的增长,大多数阿尔茨海默病患者年龄在65岁及以上。阿尔茨海默病降低了预期寿命,是老年人身体残疾、机构化和生活质量低下的主要原因之一。AD与功能性残疾和制度化密切相关。与阿尔茨海默病相关的因素有很多,包括身体和行为并发症。目的:了解沙特阿拉伯阿西尔地区AD患者的流行病学特征及并发症。方法:一项描述性横断面研究包括在沙特阿拉伯南部Aseer中心医院登记的110例阿尔茨海默病患者(66例男性,44例女性)。数据收集使用了一份预先结构化的问卷,其中包括患者的个人特征和阿尔茨海默病相关并发症的暴露频率。结果:70岁及以上患者占72%,男性占60%。绝大多数患者为公民(97.3%),已婚患者占62.7%。56.4%的患者是文盲,只有4.5%的患者是大学毕业生。肺炎是最常见的并发症,其次是迷路、摔倒和骨折。男性比女性更容易迷路(P=0.007),而在公立医院接受治疗的患者更容易患肺炎(P=0.003)。另一方面,骨折和摔倒在患者个人特征上没有显著差异。结论:在我们的研究人群中,与阿尔茨海默病相关的最常见并发症是肺炎、迷路、摔倒和骨折。与这些并发症相关的风险因素包括男性迷路。建议卫生保健提供者为阿尔茨海默病患者提供密切护理。
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引用次数: 0
Near Infrared Spectroscopy (NIRS) in Physical Medicine and Rehabilitation 近红外光谱(NIRS)在物理医学和康复中的应用
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.586
M. Moriya, K. Sakatani
Near-Infrared Spectroscopy (NIRS) is well-established as a safe and effective monitoring tool for stroke recovery, including upper limb, lower limb recovery, motor learning, cortical function recovery, cerebral hemodynamic changes, cerebral oxygenation, therapy, clinical researches and evaluation of the risk for stroke. NIRS principles have been used to study brain oxygenation for several decades, but have more recently been applied to various uses. We provide a brief overview of our research and clinical applications of NIRS in the Physical Medicine and Rehabilitation field.
近红外光谱(NIRS)是一种安全有效的脑卒中康复监测工具,可用于上肢、下肢康复、运动学习、皮质功能恢复、脑血流动力学变化、脑氧合、治疗、临床研究和卒中风险评估。近红外光谱原理已经用于研究脑氧合作用几十年了,但最近才被应用于各种用途。我们简要介绍了近红外光谱在物理医学和康复领域的研究和临床应用。
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引用次数: 0
Cigarette Smoking: A Cardiovascular risk; Assessment and Intervention: Literature Review 吸烟:心血管疾病风险;评估与干预:文献综述
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S5.005
Naglaa A. Hussein, M. Bartels
Even though we don’t know exactly which smokers will develop CVD from smoking, the best thing all smokers can do for their hearts is to quit. Smokers who quit start to improve their heart health and reduce their risk for CVD immediately. Within a year, the risk of heart attack drops dramatically, and even people who have already had a heart attack can cut their risk of having another if they quit smoking. Within five years of quitting, smokers lower their risk of stroke to about that of a person who has never smoked. However, studies have reported that smoking increases the risk of CVD beyond the effects of smoking on other risk factors. In other words, the risk attributable to smoking persisted even when adjustments were made for differences between persons who smoke and nonsmokers in levels of these other risk factors.
尽管我们不知道哪些吸烟者会因吸烟而患上心血管疾病,但所有吸烟者能为他们的心脏做的最好的事情就是戒烟。戒烟者开始改善他们的心脏健康,并立即降低患心血管疾病的风险。在一年内,心脏病发作的风险急剧下降,即使是已经有心脏病发作的人,如果戒烟,也可以降低再次发作的风险。戒烟五年内,吸烟者患中风的风险降低到与从不吸烟的人相当。然而,研究报告表明,吸烟增加心血管疾病的风险超出了吸烟对其他危险因素的影响。换句话说,即使对吸烟者和非吸烟者在这些其他风险因素水平上的差异进行了调整,吸烟造成的风险仍然存在。
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引用次数: 0
Physiological Significance of TRPV4 Channels in Non-Myelinating Schwann cells TRPV4通道在非髓鞘雪旺细胞中的生理意义
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.588
Xiaona Feng, Xuejun Song, M. Tominaga
Schwann cells (SCs) are specialized glial cells that wrap and protect axons in the peripheral nervous system (PNS). There are a variety of SCs including non-myelinating SCs such as Remak SCs, perisynaptic/ terminal SCs, repair/ Bunger SCs and nociceptive SCs that surround axons or axon terminals without forming myelin sheath. Non-myelinating SCs play important roles in proper myelin development and maintenance, repair and regeneration after injury, and nociception. A recently published work showed that transient receptor potential vanilloid 4 (TRPV4), a Ca2+-permeable permeable cation channel, is exclusively expressed in non-myelinating SCs rather than myelinating SCs and plays an important role in nerve demyelination in response to injury. In this short communication, we are going to review the recent studies and discuss the possible significance of TRPV4 channels in the non-myelinating SCs.
雪旺细胞(SCs)是外周神经系统中包裹和保护轴突的特化胶质细胞。有各种各样的SCs,包括非髓鞘SCs,如Remak sc,周围突触/末端sc,修复/饥饿sc和伤害性sc,它们环绕轴突或轴突末端而不形成髓鞘。非髓鞘SCs在髓鞘发育和维持、损伤后修复和再生以及伤害感受中发挥重要作用。最近发表的一项研究表明,瞬时受体电位香草样蛋白4 (TRPV4)是一种Ca2+渗透性阳离子通道,仅在非髓鞘性SCs中表达,而不是在髓鞘性SCs中表达,并在神经损伤脱髓鞘反应中起重要作用。在这篇简短的文章中,我们将回顾最近的研究,并讨论TRPV4通道在非髓鞘SCs中的可能意义。
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引用次数: 0
A Confusing General Term andldquo;Frailtyandrdquo; Should be Organized in Relation with Friedandrsquo;s Criteria for Frailty, Locomotive Syndrome, Musculoskeletal Ambulation Disability Symptom Complex, and Sarcopenia, as Avoiding Fall into andldquo;Word Playandrdquo; 令人困惑的通称与脆弱;应结合Friedandrsquo对虚弱、运动综合征、肌肉骨骼活动障碍症状复合体、肌肉减少症的诊断标准进行组织,避免陷入文字游戏;
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.601
Keiichi Kumai, K. Meguro
In this review, we organize confusing concepts of frailty, locomotive syndrome, Musculoskeletal Ambulation Disability Symptom (MADS) Complex, and sarcopenia, as avoiding fall into “word play.” The concept of Clinical Dementia Rating may be useful for understanding mixed situations. Clinical conditions differ during the process of lesion development in the brain among patients with Alzheimer disease, and that the idea of biaxial thinking for “disease” and “condition” is required. Regarding frailty, a mix of “disease” and “condition” in criteria may be a cause of confusion, and this may be an important idea in daily clinical practice. Since frailty has been identified as a reason for fall in many academic studies, of which 70% used Fried’s criteria, it is clear that frailty reflects decreased motor function. This suggests a relationship between frailty and fall.
在这篇综述中,我们整理了一些混淆的概念,如虚弱、运动综合征、肌肉骨骼行走障碍症状(MADS)复合体和肌肉减少症,以避免陷入“文字游戏”。临床痴呆评分的概念可能有助于理解复杂的情况。阿尔茨海默病患者在脑部病变发展过程中的临床条件不同,需要对“疾病”和“状况”进行双轴思维。关于虚弱,标准中“疾病”和“状况”的混合可能是造成混乱的原因,这可能是日常临床实践中的一个重要思想。由于在许多学术研究中,虚弱已被确定为跌倒的一个原因,其中70%使用了弗里德的标准,很明显,虚弱反映了运动功能的下降。这表明了虚弱和跌倒之间的关系。
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引用次数: 0
A Novel Concept to Promote the Health of Dental Implants: Host-Modulation Therapy 促进种植体健康的新概念:宿主调节疗法
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S5.002
L. Golub, Hsi-Ming Lee, S. Walker
Of particular interest to the readers of this journal, “Physical Medicine and Rehabilitation”, recent studies (and experience) in the field of “Oral and Dental Rehabilitation”, indicate that Host-Modulation Therapy (HMT), originally developed as adjunctive treatment for the management of microbial-induced inflammatory periodontal disease (periodontitis) around natural teeth, is also likely applicable to promote the health of soft tissues, and jaw bone (mandible/maxilla) supporting dental implants
本杂志“物理医学与康复”的读者特别感兴趣的是,最近在“口腔和牙科康复”领域的研究(和经验)表明,宿主调节疗法(HMT)最初是作为治疗天然牙齿周围微生物引起的炎症性牙周病(牙周炎)的辅助治疗而发展起来的,也可能适用于促进软组织的健康。和颌骨(下颌骨/上颌骨)支持种植牙
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引用次数: 0
期刊
International Journal of Physical Medicine and Rehabilitation
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