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Vascular surgery and an occurrence of stroke 血管手术和中风的发生
Pub Date : 2020-01-01 DOI: 10.15584/ejcem.2020.3.12
Natalia Leksa, A. Uryniak, D. Aebisher, David Leksa, D. Bartusik-Aebisher
Introduction. The brain responds to metabolic disorders with a limited array of symptoms and signs. The brain has enormous needs in terms of substrate and blood flow. Aim. This paper presents a case report reporting episode of stroke. Description of the case. The incidence of cerebral vascular episodes in the form of strokes, transient episodes of cerebral ischemia is reported. Conclusion. The chemical constituency of the brain are generally quite different from those of other tissues. Stroke is a clinical syndrome characterized by sudden focal or generalized brain dysfunction.
介绍。大脑对代谢紊乱的反应是一系列有限的症状和体征。大脑在基质和血液流动方面有巨大的需求。的目标。本文报道一例脑卒中发作的病例报告。案件描述。脑血管事件的发生率以中风的形式,短暂性脑缺血发作的报道。结论。大脑的化学成分通常与其他组织的化学成分大不相同。中风是一种以突然的局灶性或全身性脑功能障碍为特征的临床综合征。
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引用次数: 0
An experimental analysis of different point specific musculoskeletal pain among selected adolescent-club cricketers in Dhaka City 在达卡市选定的青少年俱乐部板球运动员的不同点特异性肌肉骨骼疼痛的实验分析
Pub Date : 2020-01-01 DOI: 10.15584/ejcem.2019.4.4
Mohammad Rashaduzzaman, M. Kamrujjaman, M. Islam, Sharmin Ahmed, S. Azad
Introduction. Musculoskeletal disorders (MSDs) are considered to be among the most stressful events of human body considering their onset, symptoms and the ultimate consequences. Aim. This study was conducted to provide a concise overview of cricket-related musculoskeletal pain of the upper limb and lower limb region in male adolescent cricketers. Material and methods. Data was collected from three clubs in Dhaka city, and the participant’s age group was 10-19 years. Data was collected through oral conversations with participants and physical testing. This process was continued over six months, which repeated monthly between same subjects. Results. 97 cricketers experienced musculoskeletal pain, where maximum reported upper limb musculoskeletal pain was 33.3% shoulder, 21.6% elbow, 27.5% wrist, and 17.6% hand pain. In contrast, 46 candidates were found in the lower limb musculoskeletal pain category containing 19.6%, 30.4%, 30.4% and 19.6% hip joint, knee joint, ankle joint and foot joint musculoskeletal pain, respectively. BMI had no significant effect on the typical upper and lower limb musculoskeletal pain. Batsmen playing for 4 sessions or more per week are the main victims of upper limb musculoskeletal pain. In contrast, bowlers and all-rounders were the main victims of lower limb musculoskeletal pain under similar workloads. Conclusion. This study reflects an up-to-date overview of regional upper limb and lower limb musculoskeletal pain where the risk of lower limb injury is most common among all types of players.
介绍。肌肉骨骼疾病(MSDs)的发病、症状和最终后果都被认为是人体压力最大的事件之一。的目标。这项研究是为了提供一个简洁的概述板球相关的肌肉骨骼疼痛的上肢和下肢区域在男性青少年板球运动员。材料和方法。数据来自达喀市的三个俱乐部,参与者的年龄组为10-19岁。通过与参与者的口头对话和身体测试收集数据。这个过程持续了六个多月,在相同的受试者之间每月重复一次。结果:97名板球运动员经历了肌肉骨骼疼痛,其中最大的上肢肌肉骨骼疼痛为33.3%的肩部,21.6%的肘部,27.5%的手腕和17.6%的手部疼痛。相比之下,在下肢肌肉骨骼疼痛类别中发现46个候选者,分别占髋关节、膝关节、踝关节和足关节肌肉骨骼疼痛的19.6%、30.4%、30.4%和19.6%。BMI对典型的上肢和下肢肌肉骨骼疼痛无显著影响。每周四次或更多的击球手是上肢肌肉骨骼疼痛的主要受害者。相比之下,在类似的工作负荷下,保龄球运动员和全能运动员是下肢肌肉骨骼疼痛的主要受害者。结论。这项研究反映了区域性上肢和下肢肌肉骨骼疼痛的最新概况,其中下肢损伤的风险在所有类型的球员中最常见。
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引用次数: 16
Osmotic demyelination syndrome in a patient with slowly equalized severe hyponatremia – a case report 渗透性脱髓鞘综合征患者缓慢均衡严重低钠血症- 1例报告
Pub Date : 2020-01-01 DOI: 10.15584/ejcem.2019.4.15
Julia Rudnicka-Czerwiec, H. Bartosik-Psujek
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引用次数: 0
Forms of physical activity of the elderly 老年人身体活动的形式
Pub Date : 2020-01-01 DOI: 10.15584/ejcem.2020.3.10
P. Czarnecki, J. Podgórska-Bednarz, L. Perenc
Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure.
介绍。众所周知,体育活动是影响人类一生健康的一个重要因素。由于发达国家和发展中国家的人口老龄化,这一问题已成为公共卫生的关键问题。的目标。是对老年人身体活动的形式以及身体活动与人口老龄化的相关问题进行文献综述。材料和方法。这份研究报告是在审查波兰和外国文献的基础上编写的。使用的数据库和数据来源如下:EBSCO、ScienceDirect和谷歌Scholar。另一个数据来源是中央统计处的网站。在文献收集过程中使用了严格定义的关键短语。这项工作分为以下主题部分:社会老龄化、体育活动对健康的影响以及主要主题,即老年人选择的体育活动形式。文献分析。在过去的三十年里,波兰社会的老年人数量增加了近370万。因此,一个重要的主题是旨在增加健康天数的预防,主要包括广泛理解的老年人的激活。现有数据表明,只有12%的老年人每周进行一次身体活动。最常见的休闲活动是散步(在一项研究中,多达73%的人声称这种形式的体育活动)。结论。所分析的年龄组进行有组织形式的体育活动的频率要低得多,主要原因是财政限制和体育基础设施有限。
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引用次数: 2
Current recommendations for treatment and diagnosing of xerostomia in Sjögren’s syndrome 目前建议治疗和诊断Sjögren 's综合征口干症
Pub Date : 2020-01-01 DOI: 10.15584/ejcem.2019.4.12
Oleh Zablotskyy, Martyna Tomczyk, K. Błochowiak
Introduction. Xerostomia is one of the most common and disturbing adverse effects of systemic diseases and their therapies. This complication markedly increases the risk for dental caries, difficulties with chewing, swallowing and sleep disorders with a significant impact on the patient’s quality of life. Sjögren’s syndrome (SS) is a systemic autoimmune disease that primarily affects the exocrine glands, resulting in dryness of the mouth due to lymphocytic infiltration of the salivary glands. Aim. The aim of this paper is to present the current recommendations in diagnosing and treating SS-related xerostomia. Material and methods. Analysis of literature Results. For the assessment of SS-related xerostomia, only an unstimulated salivary flow with rates of 0.1 mL/min is included in the current SS classification criteria. Saxon test, sialography, ultrasonography of salivary glands play supporting function. Treatment of SS -related xerostomia includes an application of secretagogues and the implementation of specific dental prophylaxis measures. Adjuvant therapies include herbal remedies, photobiomodulation, and acupuncture. Conclusion. Treatment of SS requires multidisciplinary care. There is no fully effective treatment of xerostomia that provides immediate and long-lasting results.
介绍。口干症是全身性疾病及其治疗中最常见和最令人不安的副作用之一。这种并发症明显增加了患龋齿、咀嚼、吞咽困难和睡眠障碍的风险,对患者的生活质量产生重大影响。Sjögren综合征(SS)是一种主要影响外分泌腺的系统性自身免疫性疾病,由于淋巴细胞浸润唾液腺而导致口干。的目标。本文的目的是介绍目前诊断和治疗ss相关口干症的建议。材料和方法。文献结果分析。对于SS相关口干的评估,目前的SS分类标准中只包括速率为0.1 mL/min的非刺激唾液流。撒克逊试验、唾液涂片、唾液腺超声检查起辅助作用。SS相关口干症的治疗包括使用分泌剂和实施特定的牙齿预防措施。辅助治疗包括草药、光生物调节和针灸。结论。治疗SS需要多学科护理。没有完全有效的治疗口干症,提供即时和持久的效果。
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引用次数: 2
Rare Benign cystic teratoma in the parotid gland 罕见的腮腺良性囊性畸胎瘤
Pub Date : 2020-01-01 DOI: 10.15584/ejcem.2020.1.9
Mahmoud M. Gharaibeh, Ahmed Al Wadiya, A. Gharaibeh, H. Hammad
Introduction. A teratoma is a tumor developed of several different types of tissue, like hair, muscle, teeth or bone. Aim. Mature benign cystic teratomas are very rare in the salivary glands and just few cases were reported. Description of the case. A 13 years old female was presented to our dental clinic of Princes Basma Hospital in Irbid in north of Jordan, with a painless, insidious progressive swelling in left parotid region without any significant family and personal history. Parents were cancer phobic and nervous from the condition of their daughter, they were very confused. There was no pain or any history of trauma. It was present just inferior to left ear cartilage. The mass was of size 3x3cm, non-tender, fixed, soft to firm in consistency, having smooth surface. Conclusion. Teratoma in parotid region is an extremely rare entity. Lack of any pathognomonic feature, it is hard to diagnose preoperatively. Lumpectomy is advisable to remove the mass because the risk of damaging facial nerve in young patients and recurrence is rare. A definitive diagnosis is achieved after the histopathological study. Teratoma should be kept in account while evaluating a case of a soft tissue mass of parotid gland as a differential diagnosis.
介绍。畸胎瘤是由几种不同类型的组织形成的肿瘤,如头发、肌肉、牙齿或骨骼。的目标。成熟的良性囊性畸胎瘤在唾液腺中是非常罕见的,只有少数病例被报道。案件描述。我们在约旦北部伊尔比德巴斯马王子医院的牙科诊所收治了一名13岁女性,她在左侧腮腺区出现无痛性、隐匿性进行性肿胀,没有任何明显的家族和个人病史。父母对女儿的病情感到恐惧和紧张,他们非常困惑。没有疼痛,也没有外伤史。它出现在左耳软骨下方。肿块大小为3x3cm,无触痛,固定,稠度软至硬,表面光滑。结论。摘要腮腺畸胎瘤是一种极为罕见的肿瘤。缺乏任何病理特征,术前诊断困难。乳房肿瘤切除术是可取的,因为年轻患者面神经损伤和复发的风险是罕见的。明确的诊断是在组织病理学研究后获得的。在评估腮腺软组织肿块作为鉴别诊断时,应考虑畸胎瘤。
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引用次数: 1
Clinical observation on improving the compliance of functional exercise of patients after joint replacement by medical care combined with ward-visit 内科护理结合病房巡诊提高关节置换术后患者功能锻炼依从性的临床观察
Pub Date : 2019-08-01 DOI: 10.29422/JOCEM.201907_3(1).0001
Liu Feng, L. Xin
Objective:To investigate the effect of combined medical and nursing visits on improving the compliance of functional exercise after arthroplasty.Methods:40 cases of joint replacement in January-December 2016 were treated as control group and 40 cases of joint replacement in January-December 2017 as experimental group. In the control group, separate ward-round mode was adopted, and in the experimental group,combined ward-roundmode was adopted. The compliance and patient sasfstction of 2 groups of functional exercise were compared.Results: The compliance of the two groups was significantly higher than that of the control group, and the satisfaction of the patients was significantly higher than that of the control group. The difference was statistically significant (P <0.05)Conclusion: It is worth popularizing in clinical practice that the joint  replacement patients can improve the compliance of the patient's functional exercise and improve the patient's satisfaction.
目的:探讨医护结合访视对提高关节置换术后功能运动依从性的影响。方法:以2016年1 - 12月关节置换术患者40例为对照组,2017年1 - 12月关节置换术患者40例为实验组。对照组采用单独查房模式,实验组采用联合查房模式。比较两组功能锻炼的依从性和患者满意度。结果:两组患者的依从性均显著高于对照组,患者满意度显著高于对照组。结论:关节置换术可提高患者功能运动的依从性,提高患者的满意度,值得在临床实践中推广。
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引用次数: 0
Feasibility Study on the Development of Long-term Nursing Insurance in China 中国发展长期护理保险的可行性研究
Pub Date : 2019-08-01 DOI: 10.29422/JOCEM.201907_3(1).0002
Jinmei Yu
With the rapid development of industrialization and urbanization, long- term nursing has become a typical term, which is closely related toold-age care and medical service.Long-term care system is related to the country, people's well-being and social development, it is closelyrelated to China's old-age care, medical services, but there are differences. Summarize the experience and find out the problems.Then throughdrawing lessons from France, Japan, Israel and Germany on the long-term nursing insurance law development experience, constantlyconsummates our country long-term nursing insurance system.
随着工业化和城市化的快速发展,长期护理已成为一个典型的术语,它与工具年龄护理和医疗服务密切相关。长期照护制度关系到国家、人民的福祉和社会的发展,它与中国的养老、医疗服务密切相关,但又存在差异。总结经验,找出问题。然后通过借鉴法国、日本、以色列和德国关于长期护理保险法的发展经验,不断完善我国长期护理保险制度。
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引用次数: 0
The Connotation and Value of Universal Medicine 全民医学的内涵与价值
Pub Date : 2018-10-17 DOI: 10.29422/JOCEM.2018.03.005
Yake Xie
Objective: With the continuous breakthroughs in precision medicine, nanomaterials, smart medical equipment and medical robots, humanbeings are entering a new era of universal medicine. While these technologies are causing medical revolutionary changes, the new technologyecology and the era environment are also impacting and reconstructing the existing medical ethics system. The purpose of this paper is toexplore the ethical risks and response paths in the pervasive medical environment.Method: The research methods are mainly based on ethical research methods, and used cross-disciplinary research methods such as medicine.Conclusion: From the perspective of ethics, comprehensively and systematically analyze the ethical issues in the era of universal medical treatment,and open up a new perspective, try to establish a new era of medical ethics framework, and expand the research horizon of medical ethics.
目的:随着精准医疗、纳米材料、智能医疗设备、医疗机器人等领域的不断突破,人类正在进入全民医疗的新时代。这些技术在引发医学革命性变革的同时,新的技术生态和时代环境也在冲击和重构着现有的医学伦理体系。本文旨在探讨普适医疗环境下的伦理风险及应对路径。方法:研究方法以伦理学研究方法为主,并采用医学等跨学科研究方法。结论:从伦理学的角度,全面系统地分析全民医疗时代的伦理问题,开辟新的视角,尝试建立新时代的医学伦理学框架,拓展医学伦理学的研究视野。
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引用次数: 0
Application Research of Knowledge Mapping in TCM Health 知识图谱在中医健康中的应用研究
Pub Date : 2018-10-17 DOI: 10.29422/JOCEM.2018.03.002
Weixue Hao
Objective: In the field of Web search and general field, a large number of large-scale knowledge map libraries have been formed, but theconstruction of knowledge maps in the fields of medicine and traditional Chinese medicine is still in its infancy, although there are large-scalemedical ontology libraries. However, there are still few studies on the construction of specialized medicine, especially the TCM knowledgemap library, which greatly hinders the information application and sharing of TCM concept knowledge.Methods: For the map construction of the main conceptual entities such as symptoms, syndromes, diseases and traditional Chinese medicinein the field of traditional Chinese medicine, the corresponding schema pattern (Schema) was designed to determine the basic categories,category attributes and semantic relations of the map. The Protege Ontology Editor adds constraints to the entities in the TCM knowledgemap and their relationships, and uses Protege to graphically display some of the knowledge in the knowledge map. Finally, based on theformed knowledge map, the open-source toolkit Jena and the inference rules based on the logic of TCM diagnosis and treatment are used tocarry out the model analysis and application of knowledge reasoning based on knowledge map.Conclusion: Knowledge graph is carried out in the era of big data. The important data resources of knowledge management and applicationhave become the key technical basis for search engine semantic retrieval and knowledge-based reasoning and decision-making in variousfields. By integrating various data sources, this paper studies the construction of TCM health knowledge maps with symptoms, syndromes,diseases and medicines as the main entities. The analysis results show that it has certain feasibility and application value.
目的:在Web搜索领域和通用领域,已经形成了大量的大型知识地图库,但医学和中医领域的知识地图建设仍处于起步阶段,虽然有大规模的医学本体库。然而,关于专科医学特别是中医知识图谱库建设的研究仍然很少,这极大地阻碍了中医概念知识的信息应用和共享。方法:针对中医领域中症状、证候、疾病、中医等主要概念实体的图谱构建,设计相应的图式模式(schema),确定图谱的基本类别、类别属性和语义关系。Protege本体编辑器为TCM知识图谱中的实体及其关系添加约束,并使用Protege以图形方式显示知识图谱中的一些知识。最后,在形成知识图谱的基础上,利用开源工具箱Jena和基于中医诊疗逻辑的推理规则,进行基于知识图谱的知识推理的模型分析和应用。结论:知识图谱是在大数据时代开展的。知识管理和应用的重要数据资源已成为搜索引擎语义检索和各个领域基于知识的推理决策的关键技术基础。本文通过整合各种数据源,研究了以症状、证候、疾病、药物为主体的中医健康知识图谱的构建。分析结果表明,该方法具有一定的可行性和应用价值。
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引用次数: 0
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临床和实验医学杂志
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