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Fundamentals of Formation and Excretion of Urine: A Pictorial Review 尿液形成和排泄的基本原理:图解回顾
Pub Date : 2024-07-31 DOI: 10.47363/jccsr/2024(6)286
Omar Islam, Kaamraan Islam
Via a pictorial review, we will discuss the complex anatomy and important function of the kidney as it relates to urine formation and excretion. We will introduce the anatomy and function of the renal lobe and review the histology of the renal cortex and medulla, renal tubule, renal papilla, and renal pelvis. We will discuss renal filtration capacity and review the pathway of renal excretion through the ureters, urinary bladder, and urethra.
通过图解回顾,我们将讨论肾脏与尿液形成和排泄有关的复杂解剖结构和重要功能。我们将介绍肾叶的解剖和功能,回顾肾皮质和髓质、肾小管、肾乳头和肾盂的组织学。我们将讨论肾脏的过滤能力,并回顾肾脏通过输尿管、膀胱和尿道进行排泄的途径。
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引用次数: 0
Telemedicine’s Vital Role Amidst Pandemic and Political Turmoil in Myanmar: Lessons from Real-World Experiences Telemedicine's Vital Role Amidst Pandemic and Political Turmoil in Myanmar:现实世界的经验教训
Pub Date : 2024-07-31 DOI: 10.47363/jccsr/2024(6)287
H. Tun
Myanmar faced unprecedented challenges during the tumultuous second wave of COVID-19 in September 2021, compounded by political upheaval following a coup. The healthcare infrastructure was severely compromised, and healthcare professionals faced persecution. This paper explores the pivotal role of telemedicine during these crisis-ridden times, using real-world experiences of patients navigating the dual crises.
2021 年 9 月,在 COVID-19 的第二波骚乱期间,缅甸面临着前所未有的挑战,政变后的政治动荡更是雪上加霜。医疗基础设施受到严重破坏,医疗专业人员面临迫害。本文通过病人在双重危机中的真实经历,探讨了远程医疗在危机四伏的时代所发挥的关键作用。
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引用次数: 0
High-Grade Metastatic Pleomorphic Rhabdomyosarcoma in a TP53 Germline Mutation Patient: A Rare Presentation in Adults 一名 TP53 基因突变患者的高级别转移性多形性横纹肌肉瘤:成人罕见病例
Pub Date : 2024-03-31 DOI: 10.47363/jccsr/2024(6)274
Shervin Zoghi, Aaron Tsumura, Rashmi Verma, Morgan Angus Darrow
Pleomorphic Rhabdomyosarcomas (PRMS) in adults are an exceptionally rare and aggressive soft-tissue tumor arising from undifferentiated mesenchymal cells. While more common in children, rhabdomyosarcomas in adults are associated with poorer outcomes and require immediate, aggressive intervention. Here we present a case of high-grade pleomorphic rhabdomyosarcoma of the left thigh in a 58-year-old male with metastases to the lungs and pelvis. Due to the limited diagnostic and treatment protocols of this rare disease and subtype, the goal of this case study is to highlight a comprehensive clinical approach to this disease.
成人多形性横纹肌肉瘤(PRMS)是一种异常罕见的侵袭性软组织肿瘤,由未分化的间充质细胞引起。成人横纹肌肉瘤虽然在儿童中更为常见,但预后较差,需要立即进行积极干预。在此,我们介绍了一例左大腿高级别多形性横纹肌肉瘤病例,患者为一名 58 岁男性,肿瘤已转移至肺部和盆腔。由于这种罕见疾病和亚型的诊断和治疗方案有限,本病例研究的目的是强调治疗这种疾病的综合临床方法。
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引用次数: 0
Eight Benefits of Regular Exercise for the Diabetic Patient 糖尿病患者定期锻炼的八大好处
Pub Date : 2024-02-29 DOI: 10.47363/jccsr/2024(6)273
Keith Chittenden
Summary of 8 major physiological complications from diabetes. Each complication is discussed and the benefits from exercise that a patient with diabetes can get as a result in engaging in regular exercise is discussed for each one of the 8 complications. The eight areas of benefits from exercise are controllable heart rate and blood pressure, stabilized blood sugar, better healing of venous statis wounds, improved flexibility, Improved balance/proprioception, improved mental health, improved skin health, and decrease in body mass index.
概述糖尿病引起的 8 种主要生理并发症。对每种并发症都进行了讨论,并针对 8 种并发症逐一讨论了糖尿病患者通过定期锻炼可从运动中获得的益处。运动带来的八个方面的益处包括:可控的心率和血压、稳定的血糖、更好的静脉伤口愈合、改善柔韧性、改善平衡/直觉、改善心理健康、改善皮肤健康和降低体重指数。
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引用次数: 0
Assessing Parents Knowledge of Coeliac Disease: A Prospective Study of 70 Cases 评估父母对乳糜泻的认识:70 例病例的前瞻性研究
Pub Date : 2024-02-29 DOI: 10.47363/jccsr/2024(6)272
D. Bensabbahia
Background: Celiac disease is treated by following a strict gluten-free diet for life. Following this diet is practically difficult and the patient requires appropriate management.
背景:治疗乳糜泻的方法是终身严格遵守无麸质饮食。遵循这种饮食习惯实际上很困难,患者需要适当的管理。
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引用次数: 0
The First Case of Vancomycin Induced Neurotoxicity and Literature Review 首例万古霉素诱发神经毒性病例及文献综述
Pub Date : 2024-01-31 DOI: 10.47363/jccsr/2024(6)271
Suxin Wan
A 53-year-old female patient was admitted to the hospital due to “occasional lower back pain, burning pain in urination, and bilateral kidney stones for 4 months”. After admission, she was diagnosed with urinary tract infection based on urine routine examination and received anti infection treatment with ceftazidime 2g Q12H.
一名 53 岁的女性患者因 "偶尔腰痛、排尿灼痛、双侧肾结石 4 个月 "入院。入院后,根据尿常规检查,她被诊断为尿路感染,并接受了头孢他啶 2g Q12H 抗感染治疗。
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引用次数: 0
Surgical Management of Familial Aortic Disease 家族性主动脉疾病的外科治疗
Pub Date : 2024-01-31 DOI: 10.47363/jccsr/2024(6)268
H. B. Jmaà
Pregnancy may increase the risk of aortic dissection in young women genetically predisposed in the third trimester and the peri-partum period. This disease must be managed with emergency. Later, aortic familial diseases must be screened in the children by genetic tests, because of the high risk of rapid developing dissection or aneurysm in the childhood, whose management is challenging. We report the cases of a pregnant woman operated for aortic dissection, and her son operated four years later for aneurysm of the ascending aorta, and aortic insufficiency. Children with familial aortic root aneurysm may have intervention of valve sparing and aortic replacement if the aortic regurgitation is minimal. But, long-term clinical and echocardiographic follow-up is mandatory.
怀孕可能会增加有遗传倾向的年轻女性在怀孕三个月和围产期发生主动脉夹层的风险。必须对这种疾病进行紧急处理。之后,必须通过基因检测筛查儿童的主动脉家族性疾病,因为在儿童时期快速发展为夹层或动脉瘤的风险很高,其处理也很有挑战性。我们报告了一位孕妇因主动脉夹层而接受手术的病例,以及她的儿子四年后因升主动脉瘤和主动脉瓣关闭不全而接受手术的病例。患有家族性主动脉根部动脉瘤的儿童,如果主动脉瓣反流较轻,可以进行瓣膜疏通和主动脉置换术。但必须进行长期的临床和超声心动图随访。
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引用次数: 0
Online Psychoeducational Programmes and Multicomponent Exercise for the Patients with Mild Dementia and their Caregivers: A Systematic Review 针对轻度痴呆症患者及其护理人员的在线心理教育课程和多成分运动:系统性综述
Pub Date : 2024-01-31 DOI: 10.47363/jccsr/2024(6)270
Dimitriou Td
Background: Dementia is a chronic disorder which, mainly, affects people over 65 years old. It is estimated that it affects over 50.000.000 people around the world. Non- pharmacological strategies can play a vital role in dementia, considering that most of them are low-cost, safe and have no side effects.Psychoeducational programmes aim to inform the informal caregivers about dementia and its progress, and exercise has been showing positive effects in dementia. Their combination has been examined lately in a few studies in terms of enhancing the cognitive functions and quality of life for both patients and caregivers and decrease the unwanted behaviours.
背景:痴呆症是一种慢性疾病,主要影响 65 岁以上的老年人。据估计,全世界有超过 50 000 000 人受到痴呆症的影响。心理教育计划旨在让非正规护理人员了解痴呆症及其进展情况,而运动则对痴呆症有积极作用。最近有几项研究对两者的结合进行了探讨,研究结果表明,两者的结合可以提高患者和护理人员的认知功能和生活质量,并减少患者的不良行为。
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引用次数: 0
Anemia: Transfuse First or Diagnose First? 贫血:先输血还是先诊断?
Pub Date : 2024-01-31 DOI: 10.47363/jccsr/2024(6)269
Chimaobi Isiguzo
Severe anemia as a pathological entity can be poorly managed with allogeneic blood transfusion if appropriate hematological diagnosis is not made. A ‘transfusion mentality’ that one solution (allogenic blood transfusion) fits all anemia can lead to poor outcomes and increases the risk associated with allogeneic blood transfusion. The case report emphasizes that all anemia must be diagnosed first to determine etiology and hence appropriate treatment. It also shows that not all anemia needs blood transfusion. Respecting patient’s wishes can be in the best interest of the patient and the physician.
重度贫血作为一种病理实体,如果没有做出适当的血液学诊断,异体输血的治疗效果可能会很差。一种解决方案(异体输血)适用于所有贫血的 "输血思维 "会导致不良后果,并增加异体输血的相关风险。本病例报告强调,所有贫血都必须首先进行诊断,以确定病因,从而进行适当的治疗。它还表明,并非所有贫血都需要输血。尊重患者的意愿最符合患者和医生的利益。
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引用次数: 0
Plastic Surgery: Principles and the Golden Formulas 整形外科:原则与黄金公式
Pub Date : 2023-10-31 DOI: 10.47363/jccsr/2023(5)261
Badr M. I. Abdulrauf
The entire field of Plastic Reconstructive and Aesthetic surgery is technically based on 3 elements, “Viability” of tissues; “Transfer” of tissues; and the extent of tissue defect or “Tension”. These were expressed in 3 mathematical formulas and rules. An updated “Definition “of the specialty has been suggested.
整个整形修复和美容外科领域在技术上基于三个要素,即组织的 "活力"、组织的 "转移 "和组织缺损的程度或 "张力"。这些内容用 3 个数学公式和规则表示。建议更新该专业的 "定义"。
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引用次数: 0
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