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Pulmonary embolism and abdominal pain in a young patient: A case report of a rare clinical entity 肺栓塞和腹痛的年轻病人:一个罕见的临床实体的病例报告
Q4 Medicine Pub Date : 2023-10-25 DOI: 10.18332/pne/171804
Fotios Sampsonas*, Panagiota Tsiri*, Vasilina Sotiropoulou, George Tsirikos, Matthaios Katsaras, Theodoros Karampitsakos, Ourania Papaioannou, Eva Theochari, Elli Malakounidou, Eirini Zarkadi, Argyrios Tzouvelekis
a cruciate ligament
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引用次数: 0
Relationship between serum TNF-α, IL-6, and IL- 10 levels and disease severity, and changes in the cytokines after treatment in patients with bacterial community-acquired pneumonia 细菌性社区获得性肺炎患者治疗后血清TNF-α、IL-6、IL- 10水平与病情严重程度及细胞因子变化的关系
Q4 Medicine Pub Date : 2023-10-05 DOI: 10.18332/pne/170181
Bang Ngoc Dao*, Hien Dieu Thi Le, Kien Xuan Nguyen*, Tien Tran Viet, Cuong Tan Tran, Thuc Cong Luong, Tuan Dinh Le, Son Tien Nguyen, Hoan Ngoc Vu, Nhung Thi Kim Pham, An Van Nguyen, Hoa Trung Dinh, Thang Tho Tong, Mai Ly Thi Nguyen, Thang Ba Ta*
1. Xu J, Murphy SL, Kochanek KD, Bastian BA. Deaths: Final Data for 2013. Natl Vital Stat Rep. 2016;64(2):1-119. Google Scholar
1. 徐杰,Murphy SL, Kochanek KD, Bastian BA。死亡人数:2013年最终数据。中国生物医学工程学报,2016;36(2):1-11。谷歌学者
{"title":"Relationship between serum TNF-α, IL-6, and IL- 10 levels and disease severity, and changes in the cytokines after treatment in patients with bacterial community-acquired pneumonia","authors":"Bang Ngoc Dao*, Hien Dieu Thi Le, Kien Xuan Nguyen*, Tien Tran Viet, Cuong Tan Tran, Thuc Cong Luong, Tuan Dinh Le, Son Tien Nguyen, Hoan Ngoc Vu, Nhung Thi Kim Pham, An Van Nguyen, Hoa Trung Dinh, Thang Tho Tong, Mai Ly Thi Nguyen, Thang Ba Ta*","doi":"10.18332/pne/170181","DOIUrl":"https://doi.org/10.18332/pne/170181","url":null,"abstract":"1. Xu J, Murphy SL, Kochanek KD, Bastian BA. Deaths: Final Data for 2013. Natl Vital Stat Rep. 2016;64(2):1-119. Google Scholar","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134975875","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
Low T3 Syndrome in severely ill patients with COVID-19 infection COVID-19感染重症患者的低T3综合征
Q4 Medicine Pub Date : 2023-10-03 DOI: 10.18332/pne/168493
Ilektra Voulgareli*, Panagiotis V. Zacharatos*, Effie G. Papageorgiou, Theodoros N. Sergentanis, Sevasti Ampelioti, Iliana Ioannidou, Efstathia Potamianou, Antonia Koutsoukou, Nikoletta Rovina
1. Dimopoulos G, Sakelliou A, Flevari A, Tzannis K, Giamarellos - Bourboulis ‪J. Ferritin levels in critically ill patients with COVID-19: A marker of outcome? Pneumon. 2021;34(2):5. doi:10.18332/pne/135958 CrossRef Google Scholar
1. diopoulos G, Sakelliou A, Flevari A, Tzannis K, Giamarellos - Bourboulis J。COVID-19危重患者的铁蛋白水平:结局的标志?Pneumon。2021;5(2):34。doi:10.18332/pne/135958 CrossRef Google Scholar
{"title":"Low T3 Syndrome in severely ill patients with COVID-19 infection","authors":"Ilektra Voulgareli*, Panagiotis V. Zacharatos*, Effie G. Papageorgiou, Theodoros N. Sergentanis, Sevasti Ampelioti, Iliana Ioannidou, Efstathia Potamianou, Antonia Koutsoukou, Nikoletta Rovina","doi":"10.18332/pne/168493","DOIUrl":"https://doi.org/10.18332/pne/168493","url":null,"abstract":"1. Dimopoulos G, Sakelliou A, Flevari A, Tzannis K, Giamarellos - Bourboulis ‪J. Ferritin levels in critically ill patients with COVID-19: A marker of outcome? Pneumon. 2021;34(2):5. doi:10.18332/pne/135958 CrossRef Google Scholar","PeriodicalId":42353,"journal":{"name":"Pneumon","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135695716","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
Risk factors for postoperative pneumonia in patients undergoing resection for non-small cell lung cancer 非小细胞肺癌切除术患者术后肺炎的危险因素
Q4 Medicine Pub Date : 2023-09-12 DOI: 10.18332/pne/167361
Burcu Ancın, Serkan Uysal, Ulaş Kumbasar, Erkan Dikmen, Rıza Doğan
of this study was to evaluate the feasibility of using preoperative neutrophil-to-lymphocyte ratio (NLR), red cell distribution width (RDW), albumin level, and demographic and clinical characteristics to predict the risk of developing postoperative pneumonia in patients operated for non-small cell lung cancer. METHODS This study included 363 patients who underwent elective surgery for non-small cell lung cancer between January 2014 and December 2018. Patient data were retrospectively reviewed. Patients were divided into two groups based on the presence or absence of postoperative pneumonia. RESULTS The mean age was higher (p=0.003) and the rate of chronic obstructive pulmonary disease was statistically significantly higher in the postoperative pneumonia group (p=0.031). Preoperative RDW, NLR, and neutrophil values were statistically significantly higher in the postoperative pneumonia group than in the non-postoperative pneumonia group (p<0.05). Preoperative lymphocyte values were statistically significantly lower in the postoperative pneumonia group (p<0.05). Preoperative albumin level were statistically significantly higher in the non-postoperative pneumonia group (p<0.05). CONCLUSIONS The results of this study suggest that these predictors are independent risk factors for postoperative pneumonia following lung cancer surgery. However, there is a need for large-scale studies to confirm our results and evaluate whether they can be used to identify high-risk patients for postoperative pneumonia prior to surgery.
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引用次数: 0
The effect of interventions to prevent and reducehookah smoking: A systematic review 预防和减少水烟吸烟的干预效果:一项系统综述
IF 0.7 Q4 Medicine Pub Date : 2023-09-08 DOI: 10.18332/pne/147969
S. Bashirian, M. Barati, Hamid Abbasi, E. Ezati
smoking in boys and girls was 25.7%, and 60.6% of boys and 53.1% of girls had experienced hookah smoking during their lifetime 11 . The study results showed that hookah smokers smoke hookah as an enjoyable entertainment among their friends regardless of the health consequences 12 . The results show that hookah smoking is addictive. In fact, there is a significant amount of addictive nicotine in tobacco. It has been proven that nicotine levels in the blood plasma ABSTRACT INTRODUCTION The prevalence of hookah smoking in Iran, especially among adolescents, is increasing. Accordingly, the present study was conducted to determine the effect of interventions to prevent and reduce hookah smoking using a systematic review. METHODS In this study, all articles published up to April 2021 in both Persian and English in the field of interventions to prevent and reduce hookah smoking were reviewed. These studies were conducted based on the databases of the country’s publications (Magiran). According to the Cochrane search strategy, Iranian Medical Articles Database (Iran Medex) and Scientific Database (SID), Database in Scopus, PubMed, ISI Embase, and Science Direct databases, were searched. Two researchers independently selected studies based on inclusion criteria. The quality of the studies was assessed using EPHPP. RESULTS Out of 4170 studies, 21 of those consistent with the research criteria were selected and carefully examined in the present study. The results showed that out of 20 studies that were reviewed, 19 studies showed that after completing the educational interventions, the prevalence of hookah smoking in the intervention group decreased compared to the control group. Also, the present study's findings showed that educational interventions with content about the side effects of hookah smoking comparing the pathogenicity of hookah and smoking and showing its addictive intensity could improve structures such as a positive attitude to hookah smoking. CONCLUSIONS Considering the effect of various interventions and the use of patterns and theories of health education can be very helpful in changing and modifying some factors affecting the tendency to hookah smoking.
男孩和女孩的吸烟率分别为25.7%,60.6%的男孩和53.1%的女孩在其一生中吸过水烟11。研究结果表明,吸烟者不顾对健康的影响,将水烟作为朋友之间的一种愉快的娱乐。结果表明,水烟会使人上瘾。事实上,烟草中含有大量令人上瘾的尼古丁。在伊朗,特别是在青少年中,水烟吸烟的流行率正在上升。因此,本研究旨在通过系统回顾来确定干预措施对预防和减少水烟吸烟的影响。方法:本研究回顾了截至2021年4月以波斯语和英语发表的有关预防和减少水烟吸烟干预领域的所有文章。这些研究是根据该国出版物的数据库(Magiran)进行的。根据Cochrane检索策略,检索了伊朗医学文献数据库(Iran Medex)和科学数据库(SID)、Scopus数据库、PubMed数据库、ISI Embase数据库和Science Direct数据库。两名研究人员根据纳入标准独立选择研究。采用EPHPP对研究质量进行评估。结果:在4170项研究中,选择了21项符合研究标准的研究,并在本研究中进行了仔细的检查。结果显示,在回顾的20项研究中,有19项研究表明,在完成教育干预后,干预组的水烟吸烟率与对照组相比有所下降。此外,本研究的结果显示,教育干预的内容,包括水烟吸烟的副作用,比较水烟和吸烟的致病性,并显示其上瘾的强度,可以改善结构,如对水烟吸烟的积极态度。结论综合考虑各种干预措施的效果,运用健康教育的模式和理论,有助于改变和修正影响水烟吸烟倾向的因素。
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引用次数: 0
Factors associated with awareness of palliative careamong patients with chronic obstructive pulmonarydisease 慢性阻塞性肺疾病患者姑息治疗意识的相关因素
IF 0.7 Q4 Medicine Pub Date : 2023-08-31 DOI: 10.18332/pne/167360
Supinya Sono, Orapan Fumaneeshoat, T. Ingviya
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引用次数: 0
Bilateral pulmonary nodules: A case ofmeningotheliomatosis 双侧肺结节:脑膜瘤病1例
IF 0.7 Q4 Medicine Pub Date : 2023-08-28 DOI: 10.18332/pne/163185
F. Jesus, J. Ribeiro, R. Gomes, C. Souto Moura, A. Tavares, Luís Ferreira
1 The differential diagnosis for diffuse bilateral pulmonary nodules is extensive and includes infections, inflammatory disorders and metastatic malignancy (Table 1)1. Minute pulmonary meningothelial-like nodules (MPMN) result from epithelioid cell proliferation within the interstitium, and can present as a solitary pulmonary nodule or, less frequently, as diffuse nodules, termed diffuse pulmonary meningotheliomatosis (DPM)2. In DPM these cells form small nodules of ground-glass appearance on chest CT scan, with/without central lucency (‘cheerio sign’) throughout the lung tissue and typically present as diffuse and bilateral randomly distributed nodules3. Most are too small to be detected by CT, but the autopsy incidence has been reported as 7.2%4. DPM/MPMNs are benign and are more common in females with age in the sixth to seventh decade. Patients are often asymptomatic or they may present with non-specific cardiorespiratory symptoms5. The exact etiology remains unclear, however, these nodules are more commonly associated with pulmonary thromboembolic disease or smoking-related interstitial lung disease6. A higher incidence of these nodules has been reported in patients with primary malignant pulmonary tumors, specifically with lung adenocarcinoma4. Definitive diagnosis requires lung biopsy, typically surgical3. We report a case of diffuse pulmonary meningotheliomatosis in a patient with a past medical history of lung adenocarcinoma. An 81-year-old woman, non-smoker, with a past medical history of stage IA lung adenocarcinoma submitted 3 years before to superior right lobectomy, presented to pulmonary clinic for follow-up and did routine chest CT which showed multiple bilateral micronodules of ground glass appearance, with 2–5 mm, with basal predominance (Figures 1 A, B and C), raising the possibility of metastatic lesions. She denied any symptomatology associated, namely chest pain, dyspnea or systemic symptoms. To study these lesions and evaluate the possibility of a relapse of the malignant disease, she did an 18-FDG PET scan that showed a micronodular pattern in both lungs, functionally uncharacterizable due to the reduced dimensions of the nodules, without any other lesions. Due to dimensions of the lesions and the difficult approach through CTguided transthoracic biopsy, a video-assisted thoracoscopic (VATS) biopsy was performed. The histopathological examination revealed that these nodules consisted of pulmonary meningotheliomatosis, excluding metastatic lung lesions (Figures 1 D, E and F). The patient is currently asymptomatic and maintains in follow-up, without signs of malignancy in the 2 years period since the detection of the nodules. DMP is a relatively rare condition, apparently clinically innocuous and with conservative management3. Despite this, we consider that awareness of this entity is important as it can be confused with other diseases, namely metastatic disease as in the case abovementioned. Differential diagnosis in these
1弥漫性双侧肺结节的鉴别诊断很广泛,包括感染、炎症性疾病和转移性恶性肿瘤(表1)。微小肺脑膜样结节(MPMN)是由间质内上皮样细胞增生引起的,可以表现为孤立的肺结节,也可以表现为弥漫性结节,称为弥漫性肺脑膜上皮瘤病(DPM)2。在DPM中,这些细胞在胸部CT扫描上形成小结节,呈磨玻璃样外观,在整个肺组织中有/没有中心透光(“cheerio征象”),典型表现为弥漫性和双侧随机分布的结节3。大多数因体积太小而无法通过CT检测到,但据报道尸检发生率为7.2%4。DPM/MPMNs为良性,多见于年龄在六七十岁的女性。患者通常无症状或可能出现非特异性心肺症状5。确切的病因尚不清楚,然而,这些结节更常与肺血栓栓塞性疾病或吸烟相关的肺间质性疾病有关。据报道,这些结节在原发性恶性肺肿瘤,特别是肺腺癌患者中发病率较高。明确的诊断需要肺活检,通常是手术。我们报告一个有肺腺癌病史的患者发生弥漫性肺脑膜瘤病的病例。81岁女性,非吸烟者,既往有IA期肺腺癌病史,3年前行右上肺叶切除术,到肺门诊随访,常规胸部CT示双侧多发磨玻璃样微结节,直径2-5 mm,以基底为主(图1 a、B、C),提示转移灶可能性增大。她否认有任何相关症状,即胸痛、呼吸困难或全身症状。为了研究这些病变并评估恶性疾病复发的可能性,她做了18-FDG PET扫描,显示双肺小结节型,由于结节尺寸缩小,功能上无法表征,没有任何其他病变。由于病变的尺寸和ct引导下的经胸活检的困难,我们进行了视频辅助胸腔镜(VATS)活检。组织病理学检查显示,这些结节由肺脑膜上皮瘤病组成,不包括肺转移性病变(图1 D、E、F)。患者目前无症状,随访中保持,发现结节2年无恶性肿瘤征象。DMP是一种相对罕见的疾病,临床上明显无害,采取保守治疗。尽管如此,我们认为认识到这一实体是重要的,因为它可能与其他疾病混淆,即转移性疾病,如上述情况。这些病例的鉴别诊断可能很困难,特别是伴有恶性肿瘤病史的患者,并且需要与临床和放射学表现以及肺活检相关联才能进行明确诊断。
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引用次数: 0
A drinking straw as an alternative device for creatingpositive expiratory pressure in people who haveundergone thoracic surgery 在接受过胸外科手术的患者中,一根吸管作为创造呼气正压的替代装置
IF 0.7 Q4 Medicine Pub Date : 2023-08-25 DOI: 10.18332/pne/165843
A. Grigoriadou, Konstantinos Grigoriadis, S. Mourikis, Fotis Scamagkoulis, G. Pepera
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引用次数: 0
Melioidosis: Case report of rare pulmonary infection 类鼻疽:罕见肺部感染1例
Q4 Medicine Pub Date : 2023-08-07 DOI: 10.18332/pne/163487
Swapnil M. Thorve, Harshita Mishra, Siddharth R. Waghmare, Sonal P. Karpe, Jairaj P. Nair
1. Gee JE, Allender CJ, Tuanyok A, Elrod MG, Hoffmaster AR. Burkholderia pseudomallei type G in Western Hemisphere. Emerg Infect Dis. 2014;20(4):682-684. doi:10.3201/eid2004.130960 CrossRef Google Scholar
1. 李春华,李春华,李春华,等。西半球假假麦氏伯克氏菌的研究进展。新兴传染病,2014,20(4):682-684。doi:10.3201/eid2004.130960 CrossRef Google Scholar
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引用次数: 0
Miliary sarcoidosis: A diagnosis which should not be missed 军事结节病:一个不应该错过的诊断
IF 0.7 Q4 Medicine Pub Date : 2023-08-07 DOI: 10.18332/pne/163261
A. Voulgaris, Anna Eleftheriou, Aikaterini Rokou, K. Bonelis, Konstantina Chadia, P. Steiropoulos
Pulmonary and mediastinal involvement in sarcoidosis is common with variable radiographic features depending on the stage of the disease. It is randomly detected on chest radiography of asymptomatic or minimally symptomatic patients, revealing bilateral hilar lymph node enlargement. High resolution computed tomography (HRCT) of the chest is most sensitive and has typical findings like micronodules with a perilymphatic distribution, fibrotic changes, and bilateral perihilar opacities. Miliary pattern is a rare, non-typical thoracic manifestation of pulmonary sarcoidosis. We describe two cases of female patients with miliary sarcoidosis who were referred to our department and treated successfully in the previous year.
结节病累及肺和纵隔是常见的,随疾病的分期而有不同的影像学特征。在无症状或轻微症状患者的胸片上随机发现,显示双侧肺门淋巴结肿大。胸部的高分辨率计算机断层扫描(HRCT)是最敏感的,具有典型的表现,如微结节伴淋巴周围分布、纤维化改变和双侧门静脉周围混浊。军事型肺结节病是一种罕见的、非典型的胸部表现。我们描述了两例女性军人结节病患者谁被转介到我的部门和治疗成功的前一年。
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引用次数: 0
期刊
Pneumon
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