首页 > 最新文献

Polish Annals of Medicine最新文献

英文 中文
National and international legal issues of the euthanasia 关于安乐死的国内和国际法律问题
Q4 Medicine Pub Date : 2021-10-14 DOI: 10.29089/2021.21.00195
M. Dei, Iryna S. Skliar, Tamara Kortukova
Introduction:The value of human life as a personal intangible good is growing, which has led to international and national legal consolidation of norms providing comprehensive protection of life, while the life of the individual depreciates day by day. All this explains the extraordinary interest in euthanasia, which can be called one of the most controversial and unresolved issues of our time.Aim:The aim of the article is to study the phenomenon of euthanasia, elaborate the decisions of the European Court of Human Rights on euthanasia and related rights, develop recommendations on the possibility of legalizing euthanasia in Ukraine.Material and methods:The leading method of research of this issue is comparative and law, which allows to comprehensively consider the right to euthanasia, its positive and negative components and helps to establish trends in the implementation of the outlined phenomenon.Results and discussion:It is concluded that the right to assisted suicide and the right to passive euthanasia can be recognized only as an element of the right to respect for private life in the context of Article 8 of the Convention. Regarding the legalization of euthanasia in Ukraine, this should be preceded by a serious public dispute on this issue with the widest possible involvement of lawyers, representatives of medicine, bioethics, philosophy, sociology and other sciences.Conclusions:The materials of the article have practical value for all those interested in euthanasia and the realization of the right to die, as well as for practicing lawyers and judicial authorities.
引言:人的生命作为个人无形财产的价值正在增长,这导致国际和国家法律巩固了对生命提供全面保护的规范,而个人的生命却在日益贬值。所有这些都解释了人们对安乐死的非凡兴趣,安乐死可以被称为我们这个时代最具争议和未解决的问题之一。目的:本文旨在研究安乐死现象,详细阐述欧洲人权法院关于安乐死和相关权利的裁决,并就乌克兰安乐死合法化的可能性提出建议。材料和方法:对这一问题的主要研究方法是比较法和法律法,这使我们能够全面考虑安乐死的权利及其积极和消极的组成部分,并有助于确定实施上述现象的趋势。结果和讨论:结论是,协助自杀的权利和被动安乐死的权利只能在《公约》第8条的范围内被承认为尊重私生活权利的一个要素。关于乌克兰安乐死合法化问题,在此之前,应在律师、医学、生物伦理学、哲学、社会学和其他科学的代表尽可能广泛的参与下,就这一问题展开严重的公开争论。结论:本文的材料对所有关心安乐死和实现死亡权利的人,以及执业律师和司法机关都具有实用价值。
{"title":"National and international legal issues of the euthanasia","authors":"M. Dei, Iryna S. Skliar, Tamara Kortukova","doi":"10.29089/2021.21.00195","DOIUrl":"https://doi.org/10.29089/2021.21.00195","url":null,"abstract":"Introduction:\u0000The value of human life as a personal intangible good is growing, which has led to international and national legal consolidation of norms providing comprehensive protection of life, while the life of the individual depreciates day by day. All this explains the extraordinary interest in euthanasia, which can be called one of the most controversial and unresolved issues of our time.\u0000\u0000Aim:\u0000The aim of the article is to study the phenomenon of euthanasia, elaborate the decisions of the European Court of Human Rights on euthanasia and related rights, develop recommendations on the possibility of legalizing euthanasia in Ukraine.\u0000\u0000Material and methods:\u0000The leading method of research of this issue is comparative and law, which allows to comprehensively consider the right to euthanasia, its positive and negative components and helps to establish trends in the implementation of the outlined phenomenon.\u0000\u0000Results and discussion:\u0000It is concluded that the right to assisted suicide and the right to passive euthanasia can be recognized only as an element of the right to respect for private life in the context of Article 8 of the Convention. Regarding the legalization of euthanasia in Ukraine, this should be preceded by a serious public dispute on this issue with the widest possible involvement of lawyers, representatives of medicine, bioethics, philosophy, sociology and other sciences.\u0000\u0000Conclusions:\u0000The materials of the article have practical value for all those interested in euthanasia and the realization of the right to die, as well as for practicing lawyers and judicial authorities.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42815319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of the International Index of Erectile Function to assess sexual dysfunction in the male population with prostate cancer treated by radical prostatectomy – a systematic review 使用国际勃起功能指数评估经根治性前列腺切除术治疗的男性癌症患者的性功能障碍——一项系统综述
Q4 Medicine Pub Date : 2021-08-24 DOI: 10.29089/2020.20.00173
Tomasz Jurys, B. Burzyński, A. Paradysz, P. Bryniarski
Introduction:Prostate carcinoma is the second most commonly diagnosed cancer among men, accounting for 14.1% of diagnoses and with a 6.8% mortality rate. Among current treatment options, radical prostatectomy is strongly indicated for localized prostate cancer. Although surgical techniques for radical prostatectomy are constantly being improved in terms of effectiveness and safety, postoperative disorders such as stress urinary incontinence and sexual dysfunction, including erectile dysfunction, remain quite common.Aim:The aim of our systematic review is to discuss the prevalence and severity of sexual dysfunction in the population of men suffering from prostate cancer who have been treated by means of radical prostatectomy.Material and methods:For the purposes of this systematic review we undertook a search of the literature in five databases using the English and Polish languages. We have focused on studies which assess sexual dysfunction using the International Index of Erectile Function (IIEF) questionnaire.Results and discussion:A total of 145 potentially relevant studies was retrieved. After selection, it was determined that 5 studies fulfilled the eligibility criteria and these were selected for qualitative synthesis. Our systematic review supports the finding that impairment of sexual function continues during the first 12 months after radical prostatectomy.Conclusions:Sexual dysfunction is a common complication after radical prostatectomy, and recovery takes at least 12 months. The male population with prostate cancer is at risk of sexual dysfunction even before radical prostatectomy due to age, comorbidities and mental factors related to the course of the disease.
简介:前列腺癌是男性中第二常见的癌症,占诊断的14.1%,死亡率为6.8%。在目前的治疗方案中,根治性前列腺切除术强烈适用于局限性前列腺癌症。尽管根治性前列腺切除术的手术技术在有效性和安全性方面不断改进,但术后疾病,如压力性尿失禁和性功能障碍,包括勃起功能障碍,仍然很常见。目的:我们系统综述的目的是讨论癌症男性患者中性功能障碍的患病率和严重程度,这些男性患者接受了彻底前列腺切除术的治疗。材料和方法:为了进行系统综述,我们使用英语和波兰语在五个数据库中搜索了文献。我们专注于使用国际勃起功能指数(IIEF)问卷评估性功能障碍的研究。结果和讨论:共检索到145项潜在相关研究。经过筛选,确定有5项研究符合资格标准,并选择这些研究进行定性综合。我们的系统综述支持性功能损害在根治性前列腺切除术后的前12个月内持续的发现。结论:性功能障碍是根治性前列腺切除术后常见的并发症,恢复至少需要12个月。由于年龄、合并症和与疾病过程相关的心理因素,患有前列腺癌症的男性甚至在前列腺癌根治术之前就有性功能障碍的风险。
{"title":"Use of the International Index of Erectile Function to assess sexual dysfunction in the male population with prostate cancer treated by radical prostatectomy – a systematic review","authors":"Tomasz Jurys, B. Burzyński, A. Paradysz, P. Bryniarski","doi":"10.29089/2020.20.00173","DOIUrl":"https://doi.org/10.29089/2020.20.00173","url":null,"abstract":"Introduction:\u0000Prostate carcinoma is the second most commonly diagnosed cancer among men, accounting for 14.1% of diagnoses and with a 6.8% mortality rate. Among current treatment options, radical prostatectomy is strongly indicated for localized prostate cancer. Although surgical techniques for radical prostatectomy are constantly being improved in terms of effectiveness and safety, postoperative disorders such as stress urinary incontinence and sexual dysfunction, including erectile dysfunction, remain quite common.\u0000\u0000Aim:\u0000The aim of our systematic review is to discuss the prevalence and severity of sexual dysfunction in the population of men suffering from prostate cancer who have been treated by means of radical prostatectomy.\u0000\u0000Material and methods:\u0000For the purposes of this systematic review we undertook a search of the literature in five databases using the English and Polish languages. We have focused on studies which assess sexual dysfunction using the International Index of Erectile Function (IIEF) questionnaire.\u0000\u0000Results and discussion:\u0000A total of 145 potentially relevant studies was retrieved. After selection, it was determined that 5 studies fulfilled the eligibility criteria and these were selected for qualitative synthesis. Our systematic review supports the finding that impairment of sexual function continues during the first 12 months after radical prostatectomy.\u0000\u0000Conclusions:\u0000Sexual dysfunction is a common complication after radical prostatectomy, and recovery takes at least 12 months. The male population with prostate cancer is at risk of sexual dysfunction even before radical prostatectomy due to age, comorbidities and mental factors related to the course of the disease.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47488646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A call for the inclusion of a course on basic oral healthcare practice into the Nigerian nursing and midwifery education curriculum 呼吁将基本口腔保健实践课程纳入尼日利亚护理和助产教育课程
Q4 Medicine Pub Date : 2021-06-09 DOI: 10.29089/2020.20.00162
K. Kanmodi, P. Kanmodi
According to the American Dental Association, oral health can be defined as ‘a functional, structural, aesthetic, physiologic and psychosocial state of well-being and is essential to an individual’s general health and quality of life.’1 Oral health is a vital component of general health and wellbeing;2 due to the vitality of oral health to life, the World Health Organization declared oral healthcare as one of the basic components of primary healthcare package.3 Hence, being a basic component of healthcare package, all clinicians, including nurses and midwives, should be able to provide some basic non-invasive oral healthcare services. 2. AIm
根据美国牙科协会的说法,口腔健康可以定义为“一种功能、结构、美学、生理和心理健康状态,对个人的总体健康和生活质量至关重要。”1口腔健康是整体健康和幸福的重要组成部分;2由于口腔健康对生命的活力,世界卫生组织宣布口腔保健是初级保健包的基本组成部分之一。3因此,作为保健包的一个基本组成部分,所有临床医生,包括护士和助产士,都应该能够提供一些基本的无创口腔保健服务。2.AIm
{"title":"A call for the inclusion of a course on basic oral healthcare practice into the Nigerian nursing and midwifery education curriculum","authors":"K. Kanmodi, P. Kanmodi","doi":"10.29089/2020.20.00162","DOIUrl":"https://doi.org/10.29089/2020.20.00162","url":null,"abstract":"According to the American Dental Association, oral health can be defined as ‘a functional, structural, aesthetic, physiologic and psychosocial state of well-being and is essential to an individual’s general health and quality of life.’1 Oral health is a vital component of general health and wellbeing;2 due to the vitality of oral health to life, the World Health Organization declared oral healthcare as one of the basic components of primary healthcare package.3 Hence, being a basic component of healthcare package, all clinicians, including nurses and midwives, should be able to provide some basic non-invasive oral healthcare services. 2. AIm","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47423525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Endoscopic sinus surgery training courses: Benefit and problems – a multicenter evaluation 内窥镜鼻窦手术培训课程:益处和问题-多中心评估
Q4 Medicine Pub Date : 2021-06-07 DOI: 10.29089/2020.20.00159
Boon Han Kevin Ng, I. Tang, P. Narayanan, A. Leunig
Resul t s and d i scuss ion: The majority of the participants have experiences in performing ESS prior to joining the course. Infundibulotomy was considered the easiest dissection step in ESS while frontal sinus surgery was considered the most challenging by the majority of the participants. The motivation for most of the participants in joining the course is to improve their skills with almost all stating that their expectations of the course have been fulfilled with improvement of their surgical techniques, anatomical skills and on patient’s safety. Almost all the participants were satisfied with the course and would recommend attending it.
结果与讨论:大多数参与者在参加课程之前都有进行ESS的经验。大多数参与者认为,脑底切开术是ESS中最简单的解剖步骤,而额窦手术被认为是最具挑战性的。大多数参与者参加课程的动机是为了提高他们的技能,几乎所有人都表示他们对课程的期望已经实现,他们的手术技术,解剖技能和患者安全的提高。几乎所有参与者都对课程感到满意,并会推荐参加。
{"title":"Endoscopic sinus surgery training courses: Benefit and problems – a multicenter evaluation","authors":"Boon Han Kevin Ng, I. Tang, P. Narayanan, A. Leunig","doi":"10.29089/2020.20.00159","DOIUrl":"https://doi.org/10.29089/2020.20.00159","url":null,"abstract":"Resul t s and d i scuss ion: The majority of the participants have experiences in performing ESS prior to joining the course. Infundibulotomy was considered the easiest dissection step in ESS while frontal sinus surgery was considered the most challenging by the majority of the participants. The motivation for most of the participants in joining the course is to improve their skills with almost all stating that their expectations of the course have been fulfilled with improvement of their surgical techniques, anatomical skills and on patient’s safety. Almost all the participants were satisfied with the course and would recommend attending it.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69685764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kikuchi-Fujimoto disease: State of the art 菊池-藤本病:最先进的技术
Q4 Medicine Pub Date : 2021-06-07 DOI: 10.29089/2020.20.00161
K. Lammek, Dmitry Tretiakow, A. Skorek
Introduction:Kikuchi-Fujimoto disease (KFD), also called histiocytic necrotizing lymphadenitis, is a rare disease that occurs with swollen lymph nodes and associated fever. This disease occurs in both children and adults.Aim:The aim of our work was to review the literature and to remind family doctors, otolaryngologists, hematologists and rheumatologists about this rare disease that should be included in the differential diagnosis of long-term cervical lymphadenopathy.Material and methods:Current information on Kikuchi-Fujimoto disease was sought and presented based on literature that was published in reputable magazines in the period 2007–2020 in English. We searched for articles in the Medline, PubMed, and Scopus databases.Results and discussion:KFD occurs in both children and adults. This disease is found all over the world, most often in the Asian population. The etiology of Kikuchi-Fujimoto disease is not entirely known, however, two causal theories are suspected, which are discussed in detail in our article. The course of the disease is mild and usually disappears on its own. A biopsy of an involved lymph node presented as the standard for diagnosis. KFD treatment was causal – nonsteroidal anti-inflammatory drugs and/or glucocorticosteroids were used.Conclusions:There are few reports in the literature about Kikuchi-Fujimoto disease. KFD is associated with cervical lymphadenopathy and associated fever. If the diagnosis of the above-mentioned symptoms is not obvious, then in the differential diagnosis rarer diseases, such as KFD, should be included.
简介:Kikuchi-Fujimoto病(KFD),也称为组织细胞坏死性淋巴结炎,是一种罕见的疾病,发生时伴有淋巴结肿大和发热。这种疾病在儿童和成人中都有发生。目的:我们工作的目的是回顾文献,并提醒家庭医生、耳鼻喉科医生、血液科医生和风湿科医生,这种罕见的疾病应该包括在长期宫颈淋巴结病的鉴别诊断中。材料和方法:根据2007-2020年期间在知名杂志上发表的英文文献,寻找并呈现了有关菊池-藤本病的最新信息。我们在Medline、PubMed和Scopus数据库中搜索文章。结果和讨论:KFD在儿童和成人中都有发生。这种疾病在世界各地都有发现,最常见于亚洲人群。菊池-藤本病的病因尚不完全清楚,然而,怀疑有两种因果理论,这在我们的文章中有详细的讨论。这种病的病程很轻,通常会自行消失。受累淋巴结的活组织检查作为诊断的标准。KFD治疗是因果关系-使用非甾体抗炎药和/或糖皮质激素。结论:文献中关于菊池-藤本病的报道较少。KFD与颈部淋巴结病和相关发热有关。如果上述症状的诊断不明显,那么在鉴别诊断中应包括罕见病,如KFD。
{"title":"Kikuchi-Fujimoto disease: State of the art","authors":"K. Lammek, Dmitry Tretiakow, A. Skorek","doi":"10.29089/2020.20.00161","DOIUrl":"https://doi.org/10.29089/2020.20.00161","url":null,"abstract":"Introduction:\u0000Kikuchi-Fujimoto disease (KFD), also called histiocytic necrotizing lymphadenitis, is a rare disease that occurs with swollen lymph nodes and associated fever. This disease occurs in both children and adults.\u0000\u0000Aim:\u0000The aim of our work was to review the literature and to remind family doctors, otolaryngologists, hematologists and rheumatologists about this rare disease that should be included in the differential diagnosis of long-term cervical lymphadenopathy.\u0000\u0000Material and methods:\u0000Current information on Kikuchi-Fujimoto disease was sought and presented based on literature that was published in reputable magazines in the period 2007–2020 in English. We searched for articles in the Medline, PubMed, and Scopus databases.\u0000\u0000Results and discussion:\u0000KFD occurs in both children and adults. This disease is found all over the world, most often in the Asian population. The etiology of Kikuchi-Fujimoto disease is not entirely known, however, two causal theories are suspected, which are discussed in detail in our article. The course of the disease is mild and usually disappears on its own. A biopsy of an involved lymph node presented as the standard for diagnosis. KFD treatment was causal – nonsteroidal anti-inflammatory drugs and/or glucocorticosteroids were used.\u0000\u0000Conclusions:\u0000There are few reports in the literature about Kikuchi-Fujimoto disease. KFD is associated with cervical lymphadenopathy and associated fever. If the diagnosis of the above-mentioned symptoms is not obvious, then in the differential diagnosis rarer diseases, such as KFD, should be included.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47628921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thermovision analysis of the surface of the lower limbs in patients with symptomatic lumbosacral discopathy before and after surgery 症状性腰骶椎间盘病变患者手术前后下肢表面的热视觉分析
Q4 Medicine Pub Date : 2021-06-07 DOI: 10.29089/2020.20.00160
Monika Wideł, Wilhelm Masarczyk, S. Grzegorczyn
Mater ia l and methods : Thermograms of the lower limbs were performed before and on the second day after microdiscectomy or microdiscectomy with posterior lumbar interbody fusion. The study group consisted of 37 patients of the Neurosurgery Department, while the control group consisted of 18 healthy people. Comparative analyzes of temperatures on the lower limb with pain with the temperatures on the lower healthy limb in the same patient indicate significant statistical differences in temperature distribution. Based on the thermograms, two region of interest’s (ROI) of the same area were determined on the thigh and the lower leg. The maximum, minimum and average temperatures were determined for those areas.
材料和方法:分别于显微椎间盘切除术或显微椎间盘切除术合并后路腰椎椎间融合术术前和术后第2天进行下肢热成像。研究组由神经外科37例患者组成,对照组由18例健康人组成。对比分析同一患者疼痛下肢与健康下肢的温度,发现温度分布有显著的统计学差异。根据热像图,在大腿和小腿上确定两个相同区域的感兴趣区域(ROI)。确定了这些地区的最高、最低和平均气温。
{"title":"Thermovision analysis of the surface of the lower limbs in patients with symptomatic lumbosacral discopathy before and after surgery","authors":"Monika Wideł, Wilhelm Masarczyk, S. Grzegorczyn","doi":"10.29089/2020.20.00160","DOIUrl":"https://doi.org/10.29089/2020.20.00160","url":null,"abstract":"Mater ia l and methods : Thermograms of the lower limbs were performed before and on the second day after microdiscectomy or microdiscectomy with posterior lumbar interbody fusion. The study group consisted of 37 patients of the Neurosurgery Department, while the control group consisted of 18 healthy people. Comparative analyzes of temperatures on the lower limb with pain with the temperatures on the lower healthy limb in the same patient indicate significant statistical differences in temperature distribution. Based on the thermograms, two region of interest’s (ROI) of the same area were determined on the thigh and the lower leg. The maximum, minimum and average temperatures were determined for those areas.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46619866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protrusion of ventriculoperitoneal shunt catheter tip through anus with silence abdomen 经肛门脑室-腹腔分流术导管尖端突出伴腹部静默
Q4 Medicine Pub Date : 2021-06-07 DOI: 10.29089/2020.20.00158
See Liang Lim, M. Shah, Norsuhana Omar
Introduction:Ventriculoperitoneal shunt (VPS) is most commonly performed surgical treatment for hydrocephalus by draining excessive cerebrospinal fluid (CSF) in ventricles to peritoneal cavity. Despite significant improvement in shunt procedure and being a relatively simple procedure, shunt complications remain common.Aim:The aim of this paper is to report a case of perforated bowel presented with silence abdomen following VPS insertion.Case study:We report a case of protrusion of distal VPS catheter through anus with silent abdomen, managed successfully with minimal intervention. Patient, 11-months-old male infant, diagnosed with congenital communicating hydrocephalus and VPS placement was done at 6 months of life, presented with tip of VPS protruding from anus after 4 months of VPS insertion. Patient was scheduled for removal of VPS, where shunt was disconnected through superficial abdominal incision, distal portion removed through anus without resistance. Postoperative patient recovers well without abdominal complication.Results and discussion:Perforation of bowel by distal peritoneal catheter is rare and only accounts for 0.1%–0.7% of complication. The exact pathogenesis for spontaneous bowel perforation is unclear. Management of bowel perforation secondary to VPS is highly individualized, mainly depending on its clinical symptoms and signs.Conclusions:Although bowel perforation following VPS insertion is rare, it carries high mortality up to 15% especially if unrecognized and delayed in treatment. Early detection and appropriate management are key in reducing VPS related morbidity and mortality.
引言:脑室-腹腔分流术(VPS)是最常见的脑积水外科治疗方法,通过将脑室中过量的脑脊液(CSF)引流到腹膜腔。尽管分流手术有了显著的改进,而且是一种相对简单的手术,但分流并发症仍然很常见。目的:本文的目的是报告一例VPS插入后出现腹部静默的肠穿孔病例。案例研究:我们报告了一例远端VPS导管经肛门突出,腹部静默的病例,在最小干预下成功治疗。患者,11个月大的男婴,被诊断为先天性交通性脑积水,在6个月大时进行VPS植入,在植入VPS 4个月后出现VPS尖端从肛门突出。患者计划切除VPS,通过腹部浅切口断开分流,通过肛门切除远端,无阻力。术后患者恢复良好,无腹部并发症。结果与讨论:远端腹膜导管肠穿孔是罕见的,仅占并发症的0.1%-0.7%。自发性肠穿孔的确切发病机制尚不清楚。VPS继发性肠穿孔的治疗是高度个体化的,主要取决于其临床症状和体征。结论:尽管VPS插入后肠穿孔很罕见,但其死亡率高达15%,尤其是在未被识别和延迟治疗的情况下。早期发现和适当的管理是降低VPS相关发病率和死亡率的关键。
{"title":"Protrusion of ventriculoperitoneal shunt catheter tip through anus with silence abdomen","authors":"See Liang Lim, M. Shah, Norsuhana Omar","doi":"10.29089/2020.20.00158","DOIUrl":"https://doi.org/10.29089/2020.20.00158","url":null,"abstract":"Introduction:\u0000Ventriculoperitoneal shunt (VPS) is most commonly performed surgical treatment for hydrocephalus by draining excessive cerebrospinal fluid (CSF) in ventricles to peritoneal cavity. Despite significant improvement in shunt procedure and being a relatively simple procedure, shunt complications remain common.\u0000\u0000Aim:\u0000The aim of this paper is to report a case of perforated bowel presented with silence abdomen following VPS insertion.\u0000\u0000Case study:\u0000We report a case of protrusion of distal VPS catheter through anus with silent abdomen, managed successfully with minimal intervention. Patient, 11-months-old male infant, diagnosed with congenital communicating hydrocephalus and VPS placement was done at 6 months of life, presented with tip of VPS protruding from anus after 4 months of VPS insertion. Patient was scheduled for removal of VPS, where shunt was disconnected through superficial abdominal incision, distal portion removed through anus without resistance. Postoperative patient recovers well without abdominal complication.\u0000\u0000Results and discussion:\u0000Perforation of bowel by distal peritoneal catheter is rare and only accounts for 0.1%–0.7% of complication. The exact pathogenesis for spontaneous bowel perforation is unclear. Management of bowel perforation secondary to VPS is highly individualized, mainly depending on its clinical symptoms and signs.\u0000\u0000Conclusions:\u0000Although bowel perforation following VPS insertion is rare, it carries high mortality up to 15% especially if unrecognized and delayed in treatment. Early detection and appropriate management are key in reducing VPS related morbidity and mortality.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45732070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Extreme hyperbilirubinaemia associated with choledocholithiasis without ascending cholangitis 极端高胆红素血症与无升型胆管炎的胆总管结石相关
Q4 Medicine Pub Date : 2021-06-06 DOI: 10.29089/2020.20.00157
I. S. Mohamad, S. Aziz, Ong Yan Zie, Leow Voon Meng, Zaidi Zakaria
Introduction:Charcot’s triad was traditionally used to diagnose ascending cholangitis. However it is already proven that only minority of patients with ascending cholangitis who fulfill the triad of fever, jaundice and right hypochondriac pain.Aim:We would like to highlight the rarity of severe hyperbilirubinaemia secondary to benign cause as most of the incidence raised more suspicion for primary liver disease or malignancy.Case study:We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis.Results and discussion:We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis.Conclusions:Benign conditions such as common bile duct stones still can lead to severe hyperbilirubinaemia even though it is very rare. The usage of appropriate imaging is needed to exclude malignant causes.
引言:Charcot三联征传统上用于诊断上行性胆管炎。然而,已经证明,只有少数上行性胆管炎患者符合发烧、黄疸和右侧疑病症疼痛的三联症状。目的:我们想强调的是,继发于良性原因的严重高胆红素血症是罕见的,因为大多数发生率都引起了人们对原发性肝病或恶性肿瘤的更多怀疑。病例研究:我们报告了一名58岁男性患者的病例报告,该患者无合并症,表现为右侧疑病症疼痛和梗阻性黄疸,伴有严重高胆红素血症(总胆红素1025µmol/L),无发热或白细胞增多。结果和讨论:我们报告了一名58岁男性患者的病例报告,该患者无合并症,表现为右侧疑病症疼痛和梗阻性黄疸,伴有严重高胆红素血症(总胆红素1025µmol/L),没有发烧或白细胞增多。结论:良性疾病,如胆总管结石,仍然可以导致严重的高胆红素血症,尽管这种情况非常罕见。需要使用适当的成像来排除恶性原因。
{"title":"Extreme hyperbilirubinaemia associated with choledocholithiasis without ascending cholangitis","authors":"I. S. Mohamad, S. Aziz, Ong Yan Zie, Leow Voon Meng, Zaidi Zakaria","doi":"10.29089/2020.20.00157","DOIUrl":"https://doi.org/10.29089/2020.20.00157","url":null,"abstract":"Introduction:\u0000Charcot’s triad was traditionally used to diagnose ascending cholangitis. However it is already proven that only minority of patients with ascending cholangitis who fulfill the triad of fever, jaundice and right hypochondriac pain.\u0000\u0000Aim:\u0000We would like to highlight the rarity of severe hyperbilirubinaemia secondary to benign cause as most of the incidence raised more suspicion for primary liver disease or malignancy.\u0000\u0000Case study:\u0000We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis.\u0000\u0000Results and discussion:\u0000We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis.\u0000\u0000Conclusions:\u0000Benign conditions such as common bile duct stones still can lead to severe hyperbilirubinaemia even though it is very rare. The usage of appropriate imaging is needed to exclude malignant causes.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43779767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating the predictors of routine HIV screening behaviors in nurses based on theory of reasoned action 基于理性行为理论的护士HIV常规筛查行为预测因素研究
Q4 Medicine Pub Date : 2021-04-08 DOI: 10.29089/2020.20.00151
A. K. Jeihooni, Pooyan Afzali Harsin, Seyyed Mansour Kashfi, Mehdi Amirkhani, A. Zargar
Introduction:Adequate awareness and a positive attitude of nurses about HIV/AIDS can lead to better care and the provision of accurate information to the general public. Misconceptions about HIV/AIDS infection can affect the attitudes of healthcare staff and inappropriately affect the quality of care.Aim:The present study aimed to investigate the factors predicting the routine HIV screening behaviors in nurses based on the theory of reasoned action.Material and methods:This descriptive-cross-sectional study was conducted on 131 nurses working in Vali-e-Asr hospital in Fasa, Iran. The samples were selected by simple random method. Three 75-item standard questionnaires were also used to collect data, including 15 questions on attitudes, 30 questions on the nurses’ knowledge, and 30 questions on the nurses’ performance.Results and discussion:In total, 30 male (22.9%) and 101 (77.1%) female nurses entered in the study. Also, 65.6% of participants were 18–29 years and 48.9% (64) were working in emergency department. The mean attitude and knowledge were calculated to be 20.69 ± 3.17 points and 20.98 ± 4.78 points, respectively. Also, the mean of performance, behavioral control, intention, and subjective norms were calculated to be 84.63 ± 8.06 points, 24.56 ± 2.29 points, 63.93 ± 6.68 points, and 30.53 ± 3.27 points, respectively. The results of the present study indicated a significant relationship between the work experience with their attitude (P = 0.03) and knowledge (P = 0.001) as well as between the age and performance (P = 0.002).Conclusions:In the present study, the mean score of attitude, knowledge and performance was found to be moderate; thus the educational intervention seems necessary.
导言:护士对艾滋病毒/艾滋病的充分认识和积极态度可以导致更好的护理和向公众提供准确的信息。对艾滋病毒/艾滋病感染的误解会影响保健工作人员的态度,并不适当地影响护理质量。目的:基于理性行为理论,探讨影响护士HIV常规筛查行为的因素。材料和方法:本描述性横断面研究对伊朗法萨Vali-e-Asr医院的131名护士进行了研究。采用简单随机法选取样本。采用3份75题标准问卷收集数据,其中态度问卷15题,护士知识问卷30题,护士绩效问卷30题。结果与讨论:共有30名男护士(22.9%)和101名女护士(77.1%)进入研究。此外,65.6%的参与者年龄在18-29岁之间,48.9%(64人)在急诊科工作。平均态度和知识分别为20.69±3.17分和20.98±4.78分。表现、行为控制、意向和主观规范的平均值分别为84.63±8.06分、24.56±2.29分、63.93±6.68分和30.53±3.27分。本研究结果显示,工作经验与态度(P = 0.03)、知识(P = 0.001)、年龄与绩效(P = 0.002)之间存在显著的相关关系。结论:在本研究中,态度、知识和绩效的平均得分为中等;因此,教育干预似乎是必要的。
{"title":"Investigating the predictors of routine HIV screening behaviors in nurses based on theory of reasoned action","authors":"A. K. Jeihooni, Pooyan Afzali Harsin, Seyyed Mansour Kashfi, Mehdi Amirkhani, A. Zargar","doi":"10.29089/2020.20.00151","DOIUrl":"https://doi.org/10.29089/2020.20.00151","url":null,"abstract":"Introduction:\u0000Adequate awareness and a positive attitude of nurses about HIV/AIDS can lead to better care and the provision of accurate information to the general public. Misconceptions about HIV/AIDS infection can affect the attitudes of healthcare staff and inappropriately affect the quality of care.\u0000\u0000Aim:\u0000The present study aimed to investigate the factors predicting the routine HIV screening behaviors in nurses based on the theory of reasoned action.\u0000\u0000Material and methods:\u0000This descriptive-cross-sectional study was conducted on 131 nurses working in Vali-e-Asr hospital in Fasa, Iran. The samples were selected by simple random method. Three 75-item standard questionnaires were also used to collect data, including 15 questions on attitudes, 30 questions on the nurses’ knowledge, and 30 questions on the nurses’ performance.\u0000\u0000Results and discussion:\u0000In total, 30 male (22.9%) and 101 (77.1%) female nurses entered in the study. Also, 65.6% of participants were 18–29 years and 48.9% (64) were working in emergency department. The mean attitude and knowledge were calculated to be 20.69 ± 3.17 points and 20.98 ± 4.78 points, respectively. Also, the mean of performance, behavioral control, intention, and subjective norms were calculated to be 84.63 ± 8.06 points, 24.56 ± 2.29 points, 63.93 ± 6.68 points, and 30.53 ± 3.27 points, respectively. The results of the present study indicated a significant relationship between the work experience with their attitude (P = 0.03) and knowledge (P = 0.001) as well as between the age and performance (P = 0.002).\u0000\u0000Conclusions:\u0000In the present study, the mean score of attitude, knowledge and performance was found to be moderate; thus the educational intervention seems necessary.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69685570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delayed diagnosis of pediatric bladder and prostate rhabdomyosarcoma – causes and consequences 小儿膀胱和前列腺横纹肌肉瘤的延迟诊断-原因和后果
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.29089/2020.20.00152
Małgorzata Styczewska, M. Krawczyk, Piotr Nowak, Aleksandra Kaczorowska, E. Bień
Introduct ion: Pediatric rhabdomyosarcoma (RMS) is a rare disease, affecting 4.5-6.0 per 1 000 000 children a year. Bladder and/or prostate (B&P) is the primary tumor site in approximately 10% of patients. Initial symptoms of B&P RMS in children may mimic more common, benign conditions such as urinary tract infections (UTIs), functional disorders, and congenital anomalies of the urinary tract.
简介:小儿横纹肌肉瘤(RMS)是一种罕见的疾病,每年每100万儿童中有4.5-6.0例。膀胱和/或前列腺(B&P)是大约10%患者的原发肿瘤部位。儿童B&P RMS的初始症状可能类似于更常见的良性状况,如尿路感染(uti)、功能障碍和先天性尿路异常。
{"title":"Delayed diagnosis of pediatric bladder and prostate rhabdomyosarcoma – causes and consequences","authors":"Małgorzata Styczewska, M. Krawczyk, Piotr Nowak, Aleksandra Kaczorowska, E. Bień","doi":"10.29089/2020.20.00152","DOIUrl":"https://doi.org/10.29089/2020.20.00152","url":null,"abstract":"Introduct ion: Pediatric rhabdomyosarcoma (RMS) is a rare disease, affecting 4.5-6.0 per 1 000 000 children a year. Bladder and/or prostate (B&P) is the primary tumor site in approximately 10% of patients. Initial symptoms of B&P RMS in children may mimic more common, benign conditions such as urinary tract infections (UTIs), functional disorders, and congenital anomalies of the urinary tract.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69685623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Polish Annals of Medicine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1