Medicina Clinica Practica最新文献

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Multiple submandibular gland sialolithiasis: An unusual presentation of a common condition 多发性颌下腺涎石症：一种罕见的常见症状

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-04-11 DOI: 10.1016/j.mcpsp.2025.100502

Alexandra Cortés Arciniegas , Santiago Almanzo , Saúl Astray Gómez , Germán Martín Viguer , Diego Collado Martín , José María Perolada Valmaña , Miguel Armengot Carceller

引用次数: 0

Association between post COVID-19-related symptoms and quality of life two to three weeks after hospitalization: A cross-sectional study covid -19后相关症状与住院后两至三周生活质量之间的关系：一项横断面研究

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-04-07 DOI: 10.1016/j.mcpsp.2025.100501

Dafinë Ibrahimi Kaçuri , Samire Beqaj , Arbnore Ibrahimaj Gashi , Arben Boshnjaku , Ardiana Murtezani , Merita Qorolli

Background and objectives

The most frequently reported symptoms of the post-COVID-19 hospitalized patients are fatigue, dyspnea, anosmia, sleeping difficulties, chest pain, headache, cough, and mental health symptoms. Our aim was to identify common post-COVID-19 symptoms two to three weeks after the hospital discharge and their relationship with the quality of life.

Materials and methods

This cross-sectional study included 39 Post-Covid-19 patients who were discharged from the Clinic for Infectious Diseases at the University Clinical Center of Kosova UCCK. A list of symptoms of post-COVID-19 as defined by the Delphi consensus published by the WHO was recorded. Quality of life is measured using the EuroQol-5D-5L (EQ-5D-5L) instrument.

Results

Excessive tiredness (84.6%) and difficulty in breathing (64.1%) were the most common symptoms expressed by most participants. The EQ-5D-5L subscale -usual activity was correlated with excessive tiredness (r = − 0.36; 95% CI: − 0.61 to − 0.05), dizziness (r = − 0.34; 95% CI: − 0.59 to − 0.02), and depression and anxiety (r = − 0.36; 95% CI: − 0.61 to − 0.05). The pain/discomfort subscale was correlated with chest pain (r = − 0.45; 95% CI: − 0.67 to − 0.15), memory difficulties (r = − 0.35; 95% CI: − 0.60 to − 0.04), palpitations (r = − 0.38; 95% CI: − 0.62 to − 0.08), dizziness (r = − 0.34; 95% CI: − 0.59 to − 0.03) and joint pain (r = − 0.56; 95% CI: − 0.07 to − 0.30). Dizziness and joint pain were predictors of EQ-5D-5L index value, F (2, 36) = 10.73, p < 0.001.

Conclusions

Excessive tiredness and difficulty in breathing were present in more than 50% of post-COVID-19′ patients 2–3 weeks after hospital discharge, while dizziness and joint pain could be predictors of diminished quality of life.

背景与目的新型冠状病毒肺炎后住院患者最常报告的症状为疲劳、呼吸困难、嗅觉障碍、睡眠困难、胸痛、头痛、咳嗽和心理健康症状。我们的目的是确定出院后两到三周常见的covid -19后症状及其与生活质量的关系。材料和方法本横断面研究纳入39例从科索沃UCCK大学临床中心传染病诊所出院的covid -19后患者。记录了世卫组织发布的德尔菲共识定义的新冠肺炎后症状清单。使用EuroQol-5D-5L （EQ-5D-5L）仪器测量生活质量。结果过度疲劳（84.6%）和呼吸困难（64.1%）是大多数参与者最常见的症状。EQ-5D-5L常动量表与过度疲劳相关(r = −0.36；95%置信区间:0.61−−0.05),头晕(r = −0.34;95% CI:−0.59 ~−0.02)，抑郁和焦虑(r = −0.36；95% CI:−0.61 ~−0.05)。疼痛/不适亚量表与胸痛相关(r = −0.45；95%置信区间:0.67−−0.15),记忆困难(r = −0.35;95%置信区间:0.60−−0.04),心悸(r = −0.38;95%置信区间:0.62−−0.08),头晕(r = −0.34;95%置信区间:0.59−−0.03)和关节疼痛(r = −0.56;95% CI:−0.07 ~−0.30)。头晕、关节疼痛是EQ-5D-5L指数值的预测因子，F（2,36） = 10.73,p <； 0.001。结论超过50%的新冠肺炎患者在出院后2-3 周出现过度疲劳和呼吸困难，而头晕和关节疼痛可能是生活质量下降的预测因素。

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引用次数: 0

Dilated cardiomyopathy following mesalazine treatment 美沙拉嗪治疗后扩张性心肌病

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-03-22 DOI: 10.1016/j.mcpsp.2025.100500

Bruno Bragança, Rafaela G. Lopes, Inês G. Campos, Hugo Antunes, Isabel Cruz, João Azevedo, Aurora Andrade

引用次数: 0

Fe de errores sobre artículos publicados en Medicina Clínica Práctica 在临床实践医学上发表的文章不存在错误

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-03-05 DOI: 10.1016/j.mcpsp.2025.100499

引用次数: 0

Long-term health and psychological complications in recovered COVID-19 patients: A study in Dhaka city COVID-19康复患者的长期健康和心理并发症：达卡市的一项研究

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-02-26 DOI: 10.1016/j.mcpsp.2025.100493

Md. Monir Hossain Shimul , Salamat Khandker , Salim Khan

Background

Recovery from COVID-19 can be accompanied by persistent symptoms and complications, collectively termed post-COVID syndrome or ‘long COVID’. This study explores the prevalence and nature of long-term physical and psychological complications among recovered COVID-19 patients in Dhaka, six months post-discharge.

Methods

A cross-sectional study was conducted with 384 patients from COVID-dedicated hospitals in Dhaka. Data on psychological and physical outcomes, including fatigue, insomnia, and dementia, were collected using validated tools. Confidence intervals (CIs) were used to examine associations and determine statistical significance.

Results

Among the participants, the most common symptoms at hospital admission were cough (93.9%), fever (87.2%), and dyspnea (66.9%). Post-discharge, 74% of respondents reported health issues, with general weakness (58.5%) being the most common. Older participants (≥ 50) had a higher likelihood of longer hospital stays, with only 35.9% hospitalized for ≤ 7 days (CI: 45%–55% in < 50). They also exhibited higher comorbidity rates, including hypertension (57.1%; CI: 38%–45%) and diabetes (53.7%; CI: 22%–28%). Older participants were more likely to experience complications, with 93.1% reporting at least one (CI: 65%–75%). Insomnia was prevalent in both age groups (82.0%; CI: 78%–85%), with dementia more common in older participants (34.6%; CI: 25%–35%).

Conclusions

While older adults exhibited higher rates of dementia and longer hospital stays, the high prevalence of psychological complications across all groups emphasizes the need for comprehensive post-COVID care strategies, particularly for older patients.

COVID-19的恢复可能伴随着持续的症状和并发症，统称为“后COVID综合征”或“长COVID”。本研究探讨了达卡康复的COVID-19患者出院后6个月的长期生理和心理并发症的发生率和性质。方法对达卡市新冠肺炎专科医院384例患者进行横断面研究。使用经过验证的工具收集心理和身体结果的数据，包括疲劳、失眠和痴呆。置信区间（ci）用于检验相关性并确定统计显著性。结果患者入院时最常见的症状为咳嗽（93.9%）、发热（87.2%）和呼吸困难（66.9%）。出院后，74%的受访者报告了健康问题，其中最常见的是全身乏力（58.5%）。年龄较大的参与者（≥50岁）更有可能延长住院时间，只有35.9%的人住院≤7 天（CI: 45%-55%）。50)。他们也表现出更高的合并症发生率，包括高血压(57.1%；CI: 38%-45%)和糖尿病(53.7%；置信区间:22% - -28%)。年龄较大的参与者更容易出现并发症，93.1%的人报告至少有一种（CI: 65%-75%）。失眠在两个年龄组中都很普遍(82.0%；CI: 78%-85%)，老年痴呆更常见(34.6%；置信区间:25% - -35%)。结论：虽然老年人痴呆率更高，住院时间更长，但所有人群中心理并发症的高患病率强调了全面的covid后护理策略的必要性，特别是对老年患者。

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引用次数: 0

A foreign body identified in the X-ray x光检查发现异物

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-02-26 DOI: 10.1016/j.mcpsp.2025.100497

Makram Tbini , Ines Riahi , Chaima Ben Ammar , Mamia Ben Salah

引用次数: 0

Chondrodysplasia Punctata and Airway: An Anesthetic Challenge in Pediatrics 点状软骨发育不良与气道：儿科麻醉的挑战

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-02-21 DOI: 10.1016/j.mcpsp.2025.100498

Santiago Almanzo , Javier Mas-Sabater , Agustín Alamar-Velázquez , Miguel Armengot-Carceller

引用次数: 0

Give me more gasoline 再给我加点汽油

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-02-18 DOI: 10.1016/j.mcpsp.2025.100494

Alejandro del Caño Garrido , María Gómez Caballero

引用次数: 0

Sixth nerve palsy revealing a nasopharyngeal carcinoma 第六神经麻痹显示鼻咽癌

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-02-13 DOI: 10.1016/j.mcpsp.2025.100492

Makram Tbini , Salma Bessioud , Nawress Thabet , Mamia Ben Salah

引用次数: 0

Bilobar pneumonia diagnosed by lung ultrasound in a patient with progressive dysphagia 进行性吞咽困难患者肺超声诊断双叶性肺炎1例

Q4 Medicine

Medicina Clinica Practica

Pub Date : 2025-02-13 DOI: 10.1016/j.mcpsp.2025.100495

José Luis Almenara-Abellán , Eduardo Paños-Maturana , Antonio Jesús Martin-Jiménez

引用次数: 0

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