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Clinical Management Issues最新文献

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Acknowledgement to Reviewers (2021-2023) 鸣谢审稿人(2021-2023 年)
IF 0.3 Pub Date : 2023-12-21 DOI: 10.7175/cmi.v17i1.1555
Laura Fascio Pecetto
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引用次数: 0
Editorial Staff Disclosure (2021-2023) 编辑人员披露(2021-2023 年)
IF 0.3 Pub Date : 2023-12-21 DOI: 10.7175/cmi.v17i1.1556
Laura Fascio Pecetto
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引用次数: 0
[Fever of Unknown Origin in a Patient Administered With Bacillus Calmette-Guérin (BCG) to Treat Urothelial Vesical Carcinoma in Situ] [用卡介菌(BCG)治疗原位尿路上皮膀胱癌患者的不明原因发热]
IF 0.3 Pub Date : 2023-07-19 DOI: 10.7175/cmi.v17i1.1543
P. Ghiringhelli, F. Macchi, Mariella Ciola, Girolamo Sala, B. Valvo, A. Agostinelli, Lorenzo Bellintani, G. Rizzo, M. Provisione, Michela Zaza, A. Diana, M. Ferrarese
Koch’s Bacillus bovis (Mycobacterium bovis) was made avirulent by special culture conditions, i.e., 230 passages on medium containing potatoes treated with bile salts. It has been used mainly to prevent tuberculosis. The vaccine was named after the bacteriologist Albert Calmette and the veterinarian Camille Guérin, i.e., Bacillus Calmette-Guérin (BCG). These researchers worked at the Pasteur Institute in Lille and launched the vaccine in 1921.Recently, BCG was used also for its non-specific immunostimulant action. Intravesical administration of BCG is an adjunctive therapy for the treatment of bladder cancer, which does not invade the muscle wall.We will discuss the clinical case of a patient who had fever of unknown origin for about 2 months and was resistant to treatment with multiple lines of antibiotics.
通过特殊的培养条件,即在含有用胆汁盐处理的土豆的培养基上传代230次,使科赫氏牛杆菌(牛分枝杆菌)无毒。它主要用于预防肺结核。该疫苗以细菌学家Albert Calmette和兽医Camille Guérin的名字命名,即卡介苗(BCG)。这些研究人员在里尔的巴斯德研究所工作,并于1921年推出了该疫苗。最近,BCG也因其非特异性免疫刺激作用而被使用。膀胱内注射BCG是治疗膀胱癌症的一种辅助疗法,不侵犯肌肉壁。我们将讨论一名患者的临床病例,该患者因不明原因发烧约2个月,对多种抗生素治疗有耐药性。
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引用次数: 0
[Clinical and psychodynamic aspects of the therapeutic work with the anorexic personality] [厌食症患者治疗工作的临床和心理动力学方面]
IF 0.3 Pub Date : 2023-06-21 DOI: 10.7175/cmi.v17i1.1541
R. Infrasca
A psychodynamic profile at the origin of anorexia was described. In order to provide reliability to the considerations presented, the work made use of a sample of anorexic and depressed patients compared with controls, to whom a series of statistically processed personality tests were administered. This methodology brought to light that anorexic profile originated in childhood (adverse attitudes enacted by the personality of parental figures), interpreted by the child as a refusal of her own (fat) corporeity and the tendency to process information, express emotions and affections, react and act accordingly. These traits characterize the nascent personality and become apparent in adolescence (disesteem, insecurity, immaturity, social isolation, and sexual issues). Therefore, clinical work on the personality and anorexic behavior should aim at understanding the meanings attributed to the food and the body to initiate a correction and change. Such an intervention would tend to facilitate a gradual change in the original feeling and thinking of these dimensions in anorexia.
描述了厌食症起源的心理动力学特征。为了使所提出的考虑具有可靠性,这项工作使用了一个厌食症和抑郁症患者的样本,并与对照组进行了一系列经过统计处理的人格测试。这种方法揭示了厌食症的特征起源于儿童时期(父母形象的个性产生的不良态度),儿童将其解释为拒绝自己(肥胖)的身体和处理信息、表达情绪和情感、做出相应反应和采取相应行动的倾向。这些特征是新生人格的特征,在青春期变得明显(缺乏安全感、不安全、不成熟、社会孤立和性问题)。因此,关于人格和厌食行为的临床工作应该旨在理解食物和身体的含义,以启动纠正和改变。这样的干预往往会促进厌食症患者对这些维度的原始感觉和想法的逐渐改变。
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引用次数: 0
Candida guilliermondii Peritonitis During Peritoneal Dialysis. Case Report and Literature Review 腹膜透析期间的吉利蒙地假丝酵母菌腹膜炎。病例报告及文献复习
IF 0.3 Pub Date : 2023-05-25 DOI: 10.7175/cmi.v17i1.1537
A. Mastroianni, V. Vangeli, M. Mauro, Francesca Greco, Filippo Urso, R. Manfredi, S. Greco
Peritonitis is the most frequent complication of peritoneal dialysis (PD) and 3–6% of episodes have fungal origin. Candida guilliermondii is an uncommon species of Candida with invasive behavior in patients affected by severe underlying disorders or using indwelling vascular devices.Here we report the case of an 84-year-old woman undergoing outpatient PD for 4 years who had fever, chills, and diffuse increasing abdominal pain. After empiric antimicrobial therapy, based on teicoplanin in the dialytic circuit plus oral ciprofloxacin plus fluconazole, the patient was hospitalized. Afterwards, the culture from the peritoneal fluid showed the presence of C. guilliermondii.PD-related fungal peritonitis is an infrequent event, but the morbidity and mortality rates are significant. In this scenario, appropriate prevention strategies including antifungal prophylaxis during antibiotic treated bacterial peritonitis should be evaluated. 
腹膜炎是腹膜透析(PD)最常见的并发症,3-6%的发作源于真菌。吉列蒙氏假丝酵母是一种罕见的假丝酵母,在患有严重潜在疾病或使用留置血管装置的患者中具有侵袭性行为。在这里,我们报告了一例84岁的女性接受门诊帕金森病治疗4年的病例,她有发烧、发冷和弥漫性腹痛。经经验性抗菌治疗,以透析回路中的替考拉宁加口服环丙沙星加氟康唑为基础,患者住院治疗。之后,腹膜液培养物显示存在C.guilliermondii。PD相关的真菌性腹膜炎是一种罕见的事件,但发病率和死亡率很高。在这种情况下,应评估适当的预防策略,包括抗生素治疗细菌性腹膜炎期间的抗真菌预防。
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引用次数: 0
Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia 常变型低丙种球蛋白血症患者的肺部并发症
IF 0.3 Pub Date : 2023-01-31 DOI: 10.7175/cmi.v17i1.1521
P. Ghiringhelli, F. Foieni, Girolamo Sala, A. Diana, B. Valvo, Mariella Ciola, Michele Zaza, R. Bertolini, C. Simoni, Lorenzo Bellintani, A. Agostinelli, F. Macchi, S. Limbiati, M. Provisione
Common variable immunodeficiency (CVID) is a rare disorder characterized by primary antibody deficiency leading to hypogammaglobulinemia and increased risk of infections. Pulmonary hypertension (PH) is an unusual complication of CVID and may be associated with chronic hypoxemic respiratory failure.We described the case of a 47-year-old female patient hospitalized with worsening dyspnea, which had emerged about 10 days before and was associated with productive cough. 26 years before, she was diagnosed with common variable hypogammaglobulinemia, that was treated with intravenous immunoglobulin infusions for at least 20 years. She had suffered from recurrent secondary infections of the respiratory tract with inveterate bronchiectasis, pulmonary hypertension, and chronic respiratory failure.This case suggests that Internal Medicine wards, due to their global vision of the patient, are well suited to manage subjects with serious, complex, and genetically determined pathologies.
常见可变免疫缺陷(CVID)是一种罕见的疾病,其特征是一级抗体缺乏导致低丙种球蛋白血症和感染风险增加。肺动脉高压(PH)是CVID的一种不常见并发症,可能与慢性低氧性呼吸衰竭有关。我们描述了一名47岁的女性患者因呼吸困难恶化住院的病例,该患者在大约10天前出现,并与生产性咳嗽有关。26年前,她被诊断为常见的可变低丙种球蛋白血症,接受了至少20年的静脉注射免疫球蛋白治疗。她患有反复发作的呼吸道继发感染,伴有根深蒂固的支气管扩张、肺动脉高压和慢性呼吸衰竭。这一案例表明,内科病房由于其对患者的全球视野,非常适合管理具有严重、复杂和遗传决定病理的受试者。
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引用次数: 0
Sociology of tourism: development and role in tourism sector management 旅游社会学:发展及其在旅游部门管理中的作用
IF 0.3 Pub Date : 2023-01-01 DOI: 10.22394/2304-3369-2023-4-68-79
I.F. Ignateva, B. Isaev, A. Vorontsov
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引用次数: 0
Proecological behavior and climate management 亲生态行为与气候管理
IF 0.3 Pub Date : 2023-01-01 DOI: 10.22394/2304-3369-2023-4-81-94
Y. Ermolaeva
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引用次数: 0
The quality of regional policy in the field of environmental protection: environmental management in the Russian regions 环境保护领域的区域政策质量:俄罗斯地区的环境管理
IF 0.3 Pub Date : 2023-01-01 DOI: 10.22394/2304-3369-2023-3-72-89
K.P. Turtseva
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引用次数: 0
International economic sanctions: structure and implementation scenarios 国际经济制裁:结构和实施方案
IF 0.3 Pub Date : 2023-01-01 DOI: 10.22394/2304-3369-2023-4-20-32
A. A. Pobedin, D. Fedulov
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引用次数: 0
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Clinical Management Issues
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