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Blind Spots of the Successful Aging 成功衰老的盲点
Pub Date : 2019-12-20 DOI: 10.33552/accs.2019.02.000529
Fahri Ozsungur
Successful aging is an increasingly up-to-date issue with today’s medical advances. As people get older, they experience significant social, physical and psychological declines [1-2]. These declines affect the social life of the individual negatively and decrease life satisfaction and quality [3-5]. Increased technological advances and medical innovations help individuals’ lives. These positive developments may develop except for the individual’s awareness. Individuals may experience problems with neglect, overlook, ignoring, disregard, postpone, forgetting [6-12].
随着当今医学的进步,成功衰老已成为一个日益与时俱进的问题。随着人们年龄的增长,他们经历了显著的社会、生理和心理衰退[1-2]。这些下降对个体的社会生活产生负面影响,降低了生活满意度和生活质量[3-5]。技术进步和医疗创新有助于改善个人生活。这些积极的发展可能会发展,除非个人的意识。个体可能会遇到忽视、忽视、忽视、漠视、推迟、遗忘等问题[6-12]。
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引用次数: 0
Boris Induced Ventricular Tachycardia 鲍里斯诱发室性心动过速
Pub Date : 2019-11-26 DOI: 10.33552/accs.2019.02.000528
Boos Cj
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引用次数: 0
One If by Vaginal, Two If by C (Section): An Argument for Vaginal Delivery for Hemophilia A Carriers with Male Fetuses 一如果阴道,二如果C(部分):血友病A携带者男性胎儿阴道分娩的论证
Pub Date : 2019-11-13 DOI: 10.33552/accs.2019.02.000527
K. Herrera
Disorders of coagulation such as hemophilia can have profound effects on health and development beginning in the early stages of life, including pregnancy. With regard to mode of delivery planning for hemophilia A carriers bearing affected fetuses, there is little literature to guide practice and there remains little consensus regarding optimal mode of delivery. Importantly, most of the existing literature focuses solely on risk to the fetus without consideration of risk to the mother. We discuss the complex management decisions and present an argument for vaginal delivery as the “default” option, in the absence of strong maternal or fetal indications for cesarean delivery.
凝血障碍,如血友病,可对生命早期(包括怀孕)的健康和发育产生深远影响。关于A型血友病携带者携带影响胎儿的分娩方式规划,很少有文献指导实践,关于最佳分娩方式仍未达成共识。重要的是,大多数现有文献只关注对胎儿的风险,而没有考虑对母亲的风险。我们讨论了复杂的管理决策,并提出了阴道分娩作为“默认”选择,在没有强烈的产妇或胎儿指征剖宫产的论点。
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引用次数: 0
Euthanasia and Nurses Role in It 安乐死和护士在其中的角色
Pub Date : 2019-10-31 DOI: 10.33552/accs.2019.02.000526
B. Gill
The discussion of euthanasia has been aroused in Hong Kong after a teacher’s accident which caused him quadriplegia for 25 years. The teacher requested euthanasia, which was unlawful in Hong Kong. After 14 years, the development of euthanasia remains static. Without strong demand and voices in society to change the position of the existing law on euthanasia, public consultation on a proposal of allowing euthanasia has been delayed and not yet accomplished. In this article, it will discuss the situation and progress of euthanasia in Hong Kong. Ethical principles namely autonomy and beneficence and ethical theory (utilitarianism), Code of Ethics and Religion plays a contributing impact on euthanasia. The role of nurses in euthanasia is also important as nurses spent most of the time with the patient. At present, there is no clear guidance for nurses on euthanasia. Their role can be categorized into three phases namely, pre-euthanasia, intra-euthanasia and post-euthanasia stage. The discussion in this paper provide a more concrete and clear description of nurses’ role and responsibilities of nurses not only limited to Hong Kong, it can also be used in other countries.
在香港,一名教师因车祸导致四肢瘫痪25年后,有关安乐死的讨论在香港引起了广泛关注。这名教师要求安乐死,这在香港是非法的。14年过去了,安乐死的发展仍然停滞不前。由于没有强烈的社会要求和声音来改变现行安乐死法律的立场,允许安乐死的公众咨询一直被推迟,而且尚未完成。在这篇文章中,我们将讨论安乐死在香港的情况和进展。伦理原则,即自治和慈善和伦理理论(功利主义),道德和宗教法典对安乐死起到了有益的影响。护士在安乐死中的作用也很重要,因为护士大部分时间都和病人在一起。目前,没有明确的指导护士安乐死。他们的作用可以分为三个阶段,即安乐死前、安乐死中和安乐死后阶段。本文的讨论为护士的角色和责任提供了更具体和清晰的描述,不仅局限于香港,也可以在其他国家使用。
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引用次数: 0
The Death Sentence of Doctor Apathy and Mental Illness 医生冷漠与精神疾病的死刑判决
Pub Date : 2019-10-18 DOI: 10.33552/accs.2019.01.000525
A. Brooks
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引用次数: 0
Lipoma Arborescens: A Rare Extra-Articular Manifestation of Extensor Tendons of the Wrist 树状脂肪瘤:罕见的腕部伸肌腱关节外表现
Pub Date : 2019-10-18 DOI: 10.33552/accs.2019.01.000524
K. G
Lipoma arborescens is a benign tumor of the synovial, which appears, in majority of cases, unilaterally around the knee joint but in rare cases it can also be seen around other large joints (hip, ankle) or tendon sheaths. Extremely rarely, revelation has been reported on wrist or hand. The etiology is unclear and is characterized by the replacement of sub synovial tissue with mature fat cells giving rise to a villous proliferation. We report a 58 years old female with a dorsal palpable soft growing mass on dorsal surface of the wrist in which initially ultrasound diagnosis revealed gaglion cyst, while biopsy after surgical excision determined lipoma arborescens. The aim of this study is to identify that lipoma arborences should be considered in differential diagnosis of soft tumors of the wrist.
树状脂肪瘤是滑膜的一种良性肿瘤,大多数情况下,它出现在膝关节周围,但在极少数情况下,它也可以出现在其他大关节(髋关节、踝关节)或肌腱鞘周围。极少的情况下,手腕或手上有启示。病因尚不清楚,其特点是滑膜下组织被成熟的脂肪细胞取代,导致绒毛增生。我们报告一例58岁女性患者,其手腕背表面可触及软生长肿块,最初超声诊断为肠梗阻囊肿,而手术切除后活检确定为树状脂肪瘤。本研究的目的是确定脂肪瘤肉瘤在鉴别诊断腕部软瘤时应予以考虑。
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引用次数: 0
Inflammatory Biomarkers Status and Liver Enzymes Among Hyperuricemia Patients in Gaza Strip 加沙地带高尿酸血症患者的炎症生物标志物状况和肝酶
Pub Date : 2019-10-14 DOI: 10.33552/accs.2019.01.000523
A. Mustafa
Background: The significance of hyperuricemia as a risk factor of incidence of myocardial infarction has been a debate for recent decades. However, Hyperuricemia has been shown to predict the development of heart failure, elevated in weight, hyper-insulinemia of secondary hypertension. Several studies have demonstrated that hyperuricemia is also associated with elevated inflammatory biomarkers levels and development of nonalcoholic fatty liver disease (NAFLD). The aims of the present study were to assess inflammatory biomarkers status and liver enzymes among hyperuricemia patients in Gaza Strip
背景:近几十年来,高尿酸血症作为心肌梗死发病危险因素的重要性一直存在争议。然而,高尿酸血症已被证明可以预测继发性高血压的心力衰竭、体重升高、高胰岛素血症的发展。一些研究表明,高尿酸血症也与炎症生物标志物水平升高和非酒精性脂肪性肝病(NAFLD)的发展有关。本研究的目的是评估加沙地带高尿酸血症患者的炎症生物标志物状态和肝酶
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引用次数: 0
Fournier’s Gangrene without Organ Perforation Following Docetaxel: A Rare Urological Emergency Occurrence in a Patient with Metastatic Prostate Cancer 多西他赛后无器官穿孔的富尼耶坏疽:转移性前列腺癌患者罕见的泌尿外科急诊
Pub Date : 2019-09-27 DOI: 10.33552/accs.2019.01.000522
I. Selvi
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引用次数: 0
The Constitution of Consciousness and Mind in the Multiverse 多元宇宙中意识和心灵的构成
Pub Date : 2019-09-06 DOI: 10.33552/accs.2019.01.000520
Paul C. Mocombe
This work explores the constitution of human consciousness and mind in Paul C Mocombe’s theory of phenomenological structuralism. The work concludes that consciousness is an emergent fifth force of the multiverse that is embodied to constitute the I, transcendental ego, of the human mind through practical activity and conflict.
本文探讨了莫康比现象学结构主义理论中人类意识和心灵的构成。该研究的结论是,意识是多元宇宙中涌现的第五种力量,它通过实践活动和冲突体现出来,构成了人类心灵的“我”,即超越的自我。
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引用次数: 0
Breast Metastasis in a Patient with Primary Hepatocellular Carcinoma 原发性肝细胞癌患者的乳腺转移
Pub Date : 2019-09-06 DOI: 10.33552/accs.2019.01.000521
Bouchagier Konstantinos
Hepatocellular carcinoma is the most common primary carcinoma of the liver, that metastasises most commonly to lungs, lymph nodes, bones and adrenal glands. We report a case of a 70 years old female, with a left breast metastasis from hepatocellular carcinoma, along with hepatocellular carcinoma recurrence in the liver, that underwent a left mastectomy. The pathological report confirmed the metastasis. To the best of our knowledge, this is the second study reporting a breast metastasis from primary hepatocellular carcinoma.
肝细胞癌是最常见的原发性肝癌,最常转移到肺、淋巴结、骨和肾上腺。我们报告一例70岁女性,因肝细胞癌左乳转移,并伴有肝细胞癌复发,行左乳切除术。病理报告证实有转移。据我们所知,这是第二项报道原发性肝细胞癌乳腺癌转移的研究。
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引用次数: 0
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Archives of Clinical Case Studies
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