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"THE CLINICAL CONSEQUENCES OF SARS-CoV-2 INFECTION IN PATIENTS WITH PANCREATICODUODENECTOMY FOR MALIGNANT DISEASE" “恶性疾病患者感染严重急性呼吸系统综合征冠状病毒2型的临床后果”
Q4 Medicine Pub Date : 2022-03-12 DOI: 10.31688/abmu.2022.57.1.12
A. Martiniuc, Ana Stănilă, D. Tabacelia, Radu Poenaru, Stefana Dumitras, Florina A. Nitu, R. Dumitru, M. Florescu, R. Grigorescu, C. Rosianu, L. Popa, Adelina Birceanu, D. Chiriţă, C. Stroescu
Introduction. The coronavirus disease 2019 (COVID-19) pandemic has constrained healthcare units to reorganize hospital departments, substantially reducing their capacity to perform oncology-related surgeries. Despite the efforts to reduce the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during hospitalization, COVID-19 has complicated the recovery of many surgical patients. Our objective was to assess the impact of SARS-CoV-2 infection on the postoperative evolution of patients with pancreatic surgery. Cases presentation. We present four patients with pancreaticoduodenectomy for malignant disease, operated in our hepato-biliary-pancreatic surgery department, who presented COVID-19 in the postoperative period, despite initial negative screening. 10% of patients who had pancreaticoduodenectomies were subsequently detected with minimal, moderate to severe forms of COVID-19 in the postoperative period, which led to an extension of the hospitalization period, in some cases, by up to five weeks. Conclusions. The side effects of COVID-19 pandemic are yet to have reached their limits. Pancreaticoduodenectomy is a complex surgery with high morbidity rates, but during the COVID-19 pandemics it has become more challenging.
介绍。2019冠状病毒病(COVID-19)大流行迫使医疗机构重组医院部门,大大降低了开展肿瘤相关手术的能力。尽管努力降低住院期间感染严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的风险,但COVID-19使许多手术患者的康复变得复杂。我们的目的是评估SARS-CoV-2感染对胰腺手术患者术后发展的影响。例演示。我们报告了4例在我院肝胆胰外科行恶性胰十二指肠切除术的患者,尽管最初筛查呈阴性,但术后仍出现COVID-19。10%的胰十二指肠切除术患者随后在术后发现了轻微、中度至重度的COVID-19,这导致住院时间延长,在某些情况下延长了5周。结论。新冠肺炎疫情的副作用还没有达到极限。胰十二指肠切除术是一项复杂的手术,发病率高,但在COVID-19大流行期间,它变得更具挑战性。
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引用次数: 0
"A MODEL FOR PREDICTING LATE COMPLICATIONS OF MYOCARDIAL INFARCTION IN PATIENTS WITH TYPE 2 DIABETES MELLITUS" “预测2型糖尿病患者心肌梗死晚期并发症的模型”
Q4 Medicine Pub Date : 2022-03-12 DOI: 10.31688/abmu.2022.57.1.05
Mariia Y. Koteliukh
Introduction. Les complications tardives de l’infarctus du myocarde (IDM) constituent l’une des principales causes de ré hospitalisation et de mortalité parmi les patients avec diabète de type 2. L’objectif de l’étude était de prévoir le développement des complications tardives de l’IDM chez les patients avec diabète de type 2 ce qui a permis d’améliorer les méthodes diagnostiques chez cette cohorte de patients. Matériel et méthodes. Le total de 109 patients qui ont développé un diabète de type 2 après avoir subi un IDM, a été divisé en deux groupes : un groupe expérimental (n = 74) et un groupe témoin (n = 35). La détermination de l’adropine et C1q/Protéine 3 induite par le facteur de nécrose tumorale (CTRP3) a été réalisée au moyen de la méthode de dosage immuno-enzymatique. Le modèle de prédiction des complications tardives de l’IDM a été évalué en utilisant la régression logistique binaire. ABSTRACT
导言。心肌梗死(MDI)的晚期并发症是2型糖尿病患者再次住院和死亡的主要原因之一。本研究的目的是预测2型糖尿病患者晚期MDI并发症的发展,从而改进该患者队列的诊断方法。材料和方法。共有109名患者在接受MDI后发展为2型糖尿病,分为两组:实验组(n=74)和对照组(n=35)。使用酶联免疫测定法测定肾上腺素和肿瘤坏死因子诱导的C1q/蛋白3(CTRP3)。使用二元逻辑回归评估了IDM晚期并发症的预测模型。摘要
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引用次数: 0
Morning blood pressure surge and associated factors in patients with primary hypertension 原发性高血压患者早晨血压飙升及其相关因素
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.06
Trung Kien Nguyen, D. L. Nguyen, Thi Tuyet Ngan Doan, Hong Ha Nguyen, R. S. Dewey, V. D. Tran
Introduction. Les patients souffrant d’hypertension artérielle ont un taux plus élevé d’augmentation de la pression artérielle matinale (poussée matinale, PM) que les patients non hypertendus. La PM augmente le risque d’accident vasculaire cérébral, d’infarctus du myocarde, de mort subite d’origine cardiaque, de rigidité artérielle, d’hypertrophie ventriculaire gauche, d’athérosclérose carotidienne et d’inf lammation vasculaire. La prévalence et les prédicteurs de PM peuvent varier considérablement entre les régions géographiques. L’objectif de l’étude était de déterminer l’incidence de la PM et des facteurs associés chez les patients souffrant d’hypertension primaire. Matériel et méthodes. Une étude descriptive transversale a été menée chez des patients âgés de 35 ans et plus, diagnostiqués avec une hypertension artérielle primaire, et hospitalisés dans le service de cardiologie de l’hôpital de Thanh Vu, Bac Lieu, Vietnam, entre mars 2019 et mai 2020. ABSTRACT
导言。高血压患者的早晨血压升高率(晨吐,PM)高于非高血压患者。PM增加中风、心肌梗死、心脏猝死、动脉僵硬、左心室肥大、颈动脉动脉粥样硬化和血管缺血的风险。PM的患病率和预测因子在地理区域之间差异很大。本研究的目的是确定原发性高血压患者PM和相关因素的发病率。材料和方法。对2019年3月至2020年5月期间在越南Bac Liu Thanh Vu医院心脏科住院的35岁及以上诊断为原发性高血压的患者进行了横断面描述性研究。摘要
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引用次数: 0
COVID-19 in patients with chronic myeloid leukemia: management challenges and outcomes 慢性髓性白血病患者的COVID-19:管理挑战和结果
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.09
V. Musteata
Introduction. A growing number of studies indicates the increased susceptibility of patients with hematologic malignancies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as compared to the apparently healthy population. The objective of our study was to identify and evaluate the contemporary epidemiological and diagnosis patterns of chronic myeloid leukemia (CML) in the context of coronavirus disease 2019 (COVID-19) pandemic, to optimize the management of this hematologic malignancy. Material and methods. This analytical, descriptive and prospective study included 15 patients with CML and COVID-19, who were treated and followed up in the Institute of Oncology Chisinau, Republic of Moldova, between 2005–2021. SARS-CoV-2 infection was diagnosed in these patients between April 2020–September 2021. Results. These 15 cases represented 10.6% out of 142 patients diagnosed with CML and followed up under the treatment with tyrosine kinase inhibitors. There were 9 (60.0%) males and 6 (40.0%) females, with the male/female ratio 1.5/1. The patients’ age at diagnosis of COVID-19 ranged between 38-74 years (average age 54.2 years). According to the World Health Organization classification of COVID-19 severity, mild forms were registered in 4 (26.7%) cases, moderate in 6 (40.0%) and severe in 5 (33.3%) cases. Eight (53.3%) patients were hospitalized for treatment of COVID-19: 5 patients with severe forms and 3 patients with moderate forms. Viral pneumonia was diagnosed in 6 patients: 5 with severe and one with moderate form of COVID-19. Non-infectious comorbidities were registered in 4 of 5 patients with severe COVID-19 forms. Conclusions. COVID-19 commonly affects CML patients of male gender and older than the average age of patients with CML. Patients without hematologic response presented an unfavorable evolution of both diseases, CML and COVID-19.
介绍越来越多的研究表明,与明显健康的人群相比,血液系统恶性肿瘤患者对严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒)感染的易感性增加。我们研究的目的是在2019冠状病毒病(新冠肺炎)大流行的背景下,确定和评估慢性粒细胞白血病(CML)的当代流行病学和诊断模式,以优化这种血液系统恶性肿瘤的管理。材料和方法。这项分析性、描述性和前瞻性研究包括15名CML和新冠肺炎患者,他们在2005-2021年间在摩尔多瓦共和国基希讷乌肿瘤研究所接受了治疗和随访。这些患者在2020年4月至2021年9月期间被诊断为严重急性呼吸系统综合征冠状病毒2型感染。后果在142名诊断为慢性粒细胞白血病的患者中,这15例占10.6%,并在酪氨酸激酶抑制剂的治疗下进行了随访。其中男性9人(60.0%),女性6人(40.0%),男女比例为1.5/1。诊断为新冠肺炎的患者年龄在38-74岁之间(平均年龄54.2岁)。根据世界卫生组织新冠肺炎严重程度分类,轻度病例4例(26.7%),中度病例6例(40.0%),重度病例5例(33.3%)。8名(53.3%)患者因新冠肺炎住院治疗:5名患者为重度,3名患者为中度。6名患者被诊断为病毒性肺炎:5名为重症,1名为中度新冠肺炎。5例严重新冠肺炎患者中有4例登记了非感染性合并症。结论。新冠肺炎通常影响男性和CML患者平均年龄以上的CML患者。没有血液学反应的患者表现出CML和新冠肺炎这两种疾病的不利演变。
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引用次数: 0
Ruptured ileal artery pseudoaneurysm: a rare cause of lower gastrointestinal hemorrhage 回肠动脉假性动脉瘤破裂:下消化道出血的罕见原因
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.14
Cuong Tran Chi, Phung NGUYEN KIM, Tuan Ngo Minh, D. T. Pham
supérieure et de ses branches devrait être soupçonné chez les patients avec de l’hémorragie gastro-intestinale inexpliquée. L’intervention endovasculaire est une approche faisable, surtout chez les patients aux multiples comorbidités et à risque élevé de saignement. Mots-clés: pseudo-anévrisme, artère mésentérique supérieure, artère iléale, thérapie endovasculaire, coil, saignement gastro-intestinal. upper and lower gastrointestinal endoscopy were in-conclusive. The diagnosis was confirmed by angiography and the patient was successfully treated by coil embolization. Conclusions. Ruptured pseudoaneurysm of superior mesenteric artery and its branches should be suspected in patients with unexplained gastrointestinal hemorrhage. Endovascular intervention is a feasible approach, especially in patients with multiple comorbidities and high bleeding risk.
不明原因的胃肠道出血患者应怀疑上部及其分支。血管内干预是一种可行的方法,特别是对于有多种合并症和出血风险高的患者。关键词:假动脉瘤,肠系膜上动脉,髂动脉,血管内治疗,线圈,胃肠道出血。上、下胃肠道内窥镜检查不确定。= =地理= =根据美国人口普查,这个县的面积为。结论。在不明原因的胃肠道出血患者中,应怀疑上肠系膜动脉及其分支假动脉瘤。血管内干预是一种可行的方法,特别是对于多病合并症和出血风险高的患者。
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引用次数: 0
Analysis on decentralized clinical trials in some European countries 欧洲一些国家分散临床试验的分析
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.01
Veska T. Gergova, Asena Serbezova, D. Sidjimova
de cas de manière spécifique. Mots-clés: centré sur le patient, visite à domicile, es-sai clinique, pays européens. in Europe is often based on a case-by-case evaluation only. Notwithstanding the application of various national requirements and acts, they are either fragmen-tary, or not specifically applicable for such cases. and
De cas De maniires spiccifique。mots - cless: centr sur le patient, visite comdomicile, es-sai clinique, pays europsamens。在欧洲,通常只基于个案评估。尽管适用了各种国家规定和法令,但它们要么是零碎的,要么不是具体适用于这种情况。和
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引用次数: 1
The predictive acccuracy for mortality of peripheral hematological markers ratios in mechanically ventilated COVID-19 patients 机械通气COVID-19患者外周血血液学指标比值预测死亡率的准确性
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.10
Raja Alkhasawneh, Kais Yazid Asad Ghanma, S. Aldaoud, Laith Siam Azzar Toeimeh, Ghaith Mshari ABU ALSAMEN, M. Obeidat, M. Shabaneh
Background. Hematologic markers ratios have been proposed as indicators to assist in the diagnosis and risk stratification of infectious diseases. The objective of the study was to explore the predictive value of neutrophils and monocytes to lymphocytes ratios (NLR and MLR, respectively) and to determine their cut-off values for the early severity stratification in mechanically ventilated critically ill SARS-CoV-2 infected patients. Material and methods. This study was retrospectively conducted on 193 patients admitted with COVID-19 in a specialized center in Jordan. Data were retrieved from the electronic medical record system over 9 months, between April – December 2020. Patients aged below 18 years, with a hospital length of stay less than 7 days, and whose studied variables were totally or partially missed were excluded from our study. An Independent and One-Sample T-Tests were used for parametric comparative data while non-parametric comparative variables were analysed using Chi Square Test. A receiver operating characteristic (ROC) was plotted to investigate the area under each curve (AUROC) of the tested prognosticator. Results. The mean age of the entire study group was 58.37±9.96 years, and the survivor group was insignificantly older than the non-survivor group (58.55±9.95 years versus 58.09±10.05 years, respectively). The 28-day intensive care unit mortality was detected in 94 patients (48.70%) during a mean of 12.40±4.79 days. NLR and MLR were significantly lower in the survivor group compared to the non-survivor cohort (2.22±0.99 and 0.25±0.10 versus 5.16±2.08 and 0.89±0.19, respectively, p <0.05). Conclusions. In this study, the higher values of MLR and NLR in patients with COVID-19, particularly in those with mechanical ventilation, could be used as predictors for risk stratification of patients with COVID-19.
背景。血液学指标比率已被建议作为辅助传染病诊断和风险分层的指标。本研究旨在探讨中性粒细胞和单核细胞/淋巴细胞比值(NLR和MLR)对机械通气危重症SARS-CoV-2感染患者早期严重程度分层的预测价值,并确定其临界值。材料和方法。本研究回顾性分析了约旦一家专业中心收治的193例COVID-19患者。从2020年4月至12月的9个月内从电子病历系统中检索数据。年龄小于18岁,住院时间小于7天,且研究变量全部或部分遗漏的患者被排除在我们的研究之外。参数比较数据采用独立和单样本t检验,非参数比较变量采用卡方检验。绘制受试者工作特征(ROC)来研究被测预后者每条曲线下的面积(AUROC)。结果。整个研究组的平均年龄为58.37±9.96岁,生存组比非生存组年龄无统计学意义(分别为58.55±9.95岁和58.09±10.05岁)。重症监护室28天死亡率94例(48.70%),平均为12.40±4.79天。生存组NLR和MLR显著低于非生存组(分别为2.22±0.99和0.25±0.10比5.16±2.08和0.89±0.19,p <0.05)。结论。在本研究中,COVID-19患者,特别是机械通气患者的MLR和NLR值较高,可作为COVID-19患者风险分层的预测指标。
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引用次数: 1
Particularities of the intestinal microbiome composition in Romanian patients with metabolic syndrome and type 2 diabetes 罗马尼亚代谢综合征和2型糖尿病患者肠道微生物组组成的特殊性
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.04
R. A. Corb Aron, D. M. Ţiț, R. Moleriu, C. Vesa, Sergiu Bungau, A. G. Tarce, T. Behl, S. Bungău
Introduction. La composition du microbiote intestinal peut être affectée par le diabète de type 2 (T2DM) et le syndrome métabolique (SM), son amélioration est fréquemment ignorée dans les troubles métaboliques. L’objectif de l’étude était une évaluation comparative du microbiote fécal de témoins sains et de patients DT2 et SM (n = 150). Matériaux et méthodes. Une étude transversale rétrospective a été réalisée entre juillet 2019 et décembre 2020 dans le laboratoire Bio-standard Oradea, Roumanie. Un nombre de 75 patients atteints de DT2 non insulinodépendant et de SM (groupe d’étude = GE) et 75 sujets sains (groupe témoin = GT) ont été inclus dans l’étude. La composition du microbiome et l’influence du traitement antidiabétique oral sur le microbiome chez les patients SG ont été comparées. ABSTRACT
导言。肠道微生物群的组成可能受到2型糖尿病(T2DM)和代谢综合征(MS)的影响,其改善在代谢紊乱中经常被忽视。本研究的目的是对健康对照组和T2D和MS患者(n=150)的粪便微生物群进行比较评估。材料和方法。2019年7月至2020年12月,在罗马尼亚Oradea生物标准实验室进行了回顾性横断面研究。共有75名非胰岛素依赖性T2DM和MS患者(研究组=GE)和75名健康受试者(对照组=GT)入选研究。比较了SG患者的微生物组组成和口服抗糖尿病治疗对微生物组的影响。摘要
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引用次数: 0
Neuroendocrine tumours in patients operated for acute appendicitis: a retrospective clinical study 急性阑尾炎患者神经内分泌肿瘤的回顾性临床研究
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.03
Kalbim Arslan, Feyzi Kurt
subi une appendicectomie. La durée moyenne du suivi était de 36,4 mois. Conclusions. Les pathologies des patients ayant subi une appendicectomie pour appendicite aiguë doivent être étroitement surveillées, les cas de tumeurs neuroendocrines doivent être réévalués et le traitement et le suivi de ces cas doivent être effectués en fonction des caractéristiques de la tumeur. Mots-clés: appendicite aiguë, tumeur neuroendocrine, tumeur carcinoïde, chirurgie, histopathologie. should be reevaluated, and treatment and follow-up of these cases should be done based on the tumour characteristics.
接受阑尾切除术。平均随访时间为36.4个月。结论。应密切监测急性阑尾炎阑尾切除术患者的病理,应重新评估神经内分泌肿瘤病例,并根据肿瘤特征对这些病例进行治疗和随访。关键词:急性阑尾炎,神经内分泌肿瘤,类癌肿瘤,外科,组织病理学。应根据肿瘤特征重新评估、治疗和随访这些病例。
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引用次数: 0
Nephrotoxicity by overdose of acetaminophen 对乙酰氨基酚过量引起肾毒性
Q4 Medicine Pub Date : 2021-12-16 DOI: 10.31688/abmu.2021.56.4.15
Ilir Gjermeni, E. Nelaj, Irida Kecaj, Eliona Gjermeni, M. Tase
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引用次数: 0
期刊
Archives of the Balkan Medical Union
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