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A Case of Exercise-Induced Coronary Thrombosis in a Young Adult 青年人运动性冠状动脉血栓形成1例
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040301
Huilin Li, Kaiju Tang, Ji-hong Wang
This case suggests that attention should be paid to the effect of physical exercise on the time of occurrence of cardiovascular events. Exercise is a double-edged sword. On the one hand, acute exercise may be the direct cause of thrombotic events; on the other hand, exercise training can reduce the potential risk of cardiovascular events. This case suggests that appropriate studies are needed to determine the effects of long-term and short-term exercise, exercise time and exercise intensity on platelet aggregation and activity, thereby reducing the occurrence of cardiovascular events. For people with a high cardiovascular risk or those who exercise infrequently, they are advised to start exercise at low to moderate intensity to reduce the risk of thrombosis.
本病例提示应重视体育锻炼对心血管事件发生时间的影响。锻炼是一把双刃剑。一方面,急性运动可能是血栓形成事件的直接原因;另一方面,运动训练可以降低心血管事件的潜在风险。本病例提示需要适当的研究来确定长期和短期运动、运动时间和运动强度对血小板聚集和活动的影响,从而减少心血管事件的发生。对于心血管风险高的人或不经常运动的人,建议他们从低到中等强度的运动开始,以减少血栓形成的风险。
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引用次数: 0
The Application of Student-Centered Online and Offline Blended Teaching Model in Histology and Embryology 以学生为中心的线上线下混合教学模式在组织学与胚胎学中的应用
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040311
Huijie Yuan, Lina Qin, Yonghong Zhu, Ying Ding, Wei Zhao, Chaohong Li, Hong-bo Zhang, Jichang Wang, Xi Sun, Shuying Liu
Under the teaching goal of "Golden Course" proposed by the Ministry of Education, student-centered online and offline blended teaching has become a new hot topic. Combining online and offline teaching and applying it to the teaching practice of histology and embryology, this study takes the offline course as the main line supplemented by online pre-review and review, group discussion, flipped classroom and other forms of learning.. This paper takes class 3 students of 2018 and 2019 eight-year clinical medicine as the research subjects, evaluates the teaching effect through the data analysis of experimental results, final evaluation results and teaching feedback survey, and applies SPSS20.0 software to statistically analyze the students' grades. The results have shown that the students' experimental scores and final evaluation scores in the online and offline hybrid teaching group are better than those in the traditional offline teaching group, although the differences are not significant (P> 0.05), and the student participation is also higher. It shows that the online and offline blended teaching mode is better than the traditional teaching mode, which can improve the teaching quality of histology and embryology, promote the interaction between teachers and students, and improve teaching and learning.
在教育部提出的“黄金课程”教学目标下,以学生为中心的线上线下混合教学成为新的热门话题。本研究将线上与线下教学相结合,应用于组织学与胚胎学的教学实践,以线下课程为主线,辅以线上预习复习、小组讨论、翻转课堂等学习形式。本文以2018年和2019年临床医学八年制三班学生为研究对象,通过实验结果、最终评价结果和教学反馈调查的数据分析对教学效果进行评价,并应用SPSS20.0软件对学生成绩进行统计分析。结果表明,线上线下混合教学组学生的实验成绩和最终评价成绩均优于传统线下教学组,但差异不显著(P> 0.05),学生的参与度也更高。结果表明,线上线下混合教学模式优于传统教学模式,可以提高组织学与胚胎学的教学质量,促进师生互动,提高教与学。
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引用次数: 2
Analysis of the efficacy and safety of traditional Chinese medicine fasting therapy in relieving type 2 diabetes: a case report 中药禁食治疗2型糖尿病的疗效及安全性分析1例
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040304
Fangying Lu, ZhiJia Ruan, Hongda Chen, Jian Qin
Traditional Chinese medicine fasting therapy is a new, safe and effective clinical therapy. Because it can reduce weight and insulin resistance and alleviate diabetes symptoms, it can be used to treat type 2 diabetes with obesity, metabolic syndrome and other diseases. To promote people's understanding of traditional Chinese medicine fasting therapy, this case report reports the treatment process of a patient with type 2 diabetes who underwent traditional Chinese medicine fasting therapy, and discusses the efficacy and some adverse reactions.
中药断食疗法是一种安全有效的新型临床疗法。因为它可以减轻体重和胰岛素抵抗,缓解糖尿病症状,所以可以用来治疗伴有肥胖、代谢综合征等疾病的2型糖尿病。为了促进人们对中医断食疗法的了解,本病例报告报道了1例2型糖尿病患者接受中医断食疗法的治疗过程,并对其疗效及一些不良反应进行了探讨。
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引用次数: 0
Fasting Therapy of Chinese Medicine for Rheumatoid Arthritis and Multiple Comorbidities: A Case Report 中药禁食疗法治疗类风湿关节炎及多种合并症1例
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040305
Jiying Zhu, Nan Cao, Hongda Chen, J. Qin
Fasting therapy of Chinese Medicine was put forward by Professor Qin Jian based on the theory of fat and grease from The Yellow Emperors Internal Classi and modified on the basis of Buchinger fasting therapy. Here we try to report a female patient with the chief complaint of arthralgia who was diagnosed as rheumatoid arthritis, non-alcoholic fatty liver disease and suspected type 2 diabetes mellitus, also diagnosed by Chinese medicine with Bi disease of spleen deficiency and phlegm dampness syndrome. After admission, the patient was treated with fasting therapy of Chinese Medicine for a week. Considering that she was in the menstrual period, she was given a very-low-calorie diet during that time. Moreover, she was given L-carnitine injection, health education and traditional Chinese medicine treatment, including foot massage, acupuncture and acupoint application everyday. After discharge, she was asked to take low-calorie diet and modified Linggui Zhugan Decoction for another week. After that, she followed the doctor's instructions for long-term caloric control. A year later, the reexamination showed that her condition was improving.
中医断食疗法是由秦健教授根据《黄帝内经》中的脂脂学说,在布辛格断食疗法的基础上加以修改而提出的。本文报告一例以关节痛为主诉的女性患者,经诊断为类风湿关节炎、非酒精性脂肪肝、疑似2型糖尿病,同时经中医诊断为脾虚痰湿痹证。入院后给予中药禁食治疗1周。考虑到她正处于月经期,在此期间她的饮食热量非常低。每日给予左旋肉碱注射液、健康教育及中医治疗,包括足部按摩、针灸、穴位敷穴。出院后给予低热量饮食及加味灵归专肝汤治疗1周。在那之后,她按照医生的指示长期控制卡路里。一年后,复查显示她的病情正在好转。
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引用次数: 0
Surgical treatment of UPJO with pyelonephrosis in children 儿童UPJO合并肾盂肾炎的手术治疗
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040310
Shao-Qiang Duan, Xing Liu, Tao Liu, Xu Wang, Guang-xue Li, Taizhong Chen, Boxing Liu
In 2022, we treat 2 children with hydronephrosis and pyonephrosis, 1 with primary ureteropelvic junction obstruction and 1 with recurrent obstruction after laparoscopic pyeloplasty.All children have purulent pyelonephritis and urinary abdomen. After comprehensive anti-infection+abdominal drainage +renal pelvis drainage, the infection was significantly improved, and they were cured and discharged after pyeloplasty under general anesthesia. Conclusion: UPJO complicated with pyonephrosis in children is rare, and the most important treatment principle for hydronephrosis complicated with pyonephrosis is adequate drainage. Comprehensive anti-infection + open drainage infection treatment and control followed by conventional pyeloplasty can cure as soon as possible and return to normal life.It has the advantages of good safety effect and easy promotion.
在2022年,我们治疗了2例儿童肾积水和肾盂积水,1例原发性肾盂输尿管连接处梗阻,1例腹腔镜肾盂成形术后复发性梗阻。所有患儿均有化脓性肾盂肾炎和尿腹。经全面抗感染+腹腔引流+肾盂引流后,感染明显改善,全麻下行肾盂成形术治愈出院。结论:儿童UPJO合并肾盂肾盂少见,肾积水合并肾盂肾盂最重要的治疗原则是充分引流。综合抗感染+开放引流感染治疗与控制,再辅以常规肾盂成形术,可早日治愈,恢复正常生活。具有安全效果好、推广方便等优点。
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引用次数: 0
Nursing Care of Traditional Chinese Medicine Fasting Therapy In Hemophilia Arthritis Patients 血友病关节炎的中医禁食治疗护理
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040307
Qing Wang
Review the nursing plan of 6 patients with hemophilia arthritis treated by Chinese medicine fasting therapy in Traditional Chinese Medicine Department from 2019 to 2021, the author summarize the nursing experiences of nursing plan, health education, coagulation factor infusion nursing, rehabilitation functional exercise nursing during the treatment , in order to improve the nursing and treatment effect of hemophilia arthritis patients by the treatment of Chinese medicine fasting therapy, and we can promote the recovery of patients and enhance the quality of life.
回顾2019年至2021年中医科6例血友病关节炎中医禁食治疗患者的护理计划,总结治疗期间的护理计划、健康教育、凝血因子输注护理、康复功能运动护理等方面的护理经验,以期提高血友病关节炎患者中医禁食治疗的护理和治疗效果。促进患者的康复,提高患者的生活质量。
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引用次数: 1
Lactate/Albumin Ratio Could be a Prognostic Indicator for Patients with Post-operative Intestinal Obstruction 乳酸/白蛋白比值可作为术后肠梗阻患者的预后指标
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040309
Chunfei Wang, Yide Li, Menjing Yao, Wei-xiong Mo
Objective: This study aimed to investigate the value of lactate/albumin ratio in prediction of mortality in intensive care unit (ICU) patients with post-operative intestinal obstruction. Method: A retrospective analysis was conducted with patient data from the eICU Collaborative Research Database (eICU-CRD). According to the outcome, the patients with post-operative intestinal obstruction who were admitted to ICU within 24 hours after surgery were separated into two groups: survivors (233 cases) and non-survivors (35 cases). Their clinical characteristics and scoring data were collected. Logistic regression analysis was used to evaluate the risk factors for death, and these risk factors were further included for the construction of the receiver operating characteristic curve (ROC) to evaluate the predictive value of death for these patients. Results: In-hospital mortality for patients admitted to ICU with post-operative intestinal obstruction was 13.1% (35/268). The level of lactate/albumin ratio was significantly higher in non-survivors than in survivors (1.36±1.54 versus 0.70±0.64; P<0.001). Logistic regression analysis showed that the lactate/albumin ratio (OR=0.667, 95%CI: 1.328-2.485, P=0.001) could predict in-hospital mortality independently for the patients in ICU with post-operative intestinal obstruction. Further analysis showed that the area under the ROC curve (AUC) value of lactate/albumin ratio level was 0.681. Conclusions: These data suggested that the lactate/albumin ratio has potential predictive value for mortality in ICU patients with post-operative intestinal obstruction.
目的:探讨乳酸/白蛋白比值对重症监护病房(ICU)术后肠梗阻患者死亡率的预测价值。方法:回顾性分析来自eICU合作研究数据库(eICU- crd)的患者资料。根据预后,将术后24小时内入住ICU的术后肠梗阻患者分为存活组(233例)和非存活组(35例)。收集患者的临床特征及评分资料。采用Logistic回归分析评价死亡危险因素,并将这些危险因素纳入受试者工作特征曲线(receiver operating characteristic curve, ROC),评价对患者死亡的预测价值。结果:ICU患者术后肠梗阻住院死亡率为13.1%(35/268)。非存活患者的乳酸/白蛋白比值显著高于存活患者(1.36±1.54 vs 0.70±0.64;P < 0.001)。Logistic回归分析显示,乳酸/白蛋白比值(OR=0.667, 95%CI: 1.328 ~ 2.485, P=0.001)可独立预测ICU术后肠梗阻患者的住院死亡率。进一步分析显示,乳酸/白蛋白比值水平的ROC曲线下面积(AUC)值为0.681。结论:这些数据提示乳酸/白蛋白比值对ICU术后肠梗阻患者的死亡率具有潜在的预测价值。
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引用次数: 0
Taking care of 55 cases of snakebite committed by Trimeresurus stejnegeri 蛇咬伤55例的护理
Pub Date : 2022-09-30 DOI: 10.6913/mrhk.040303
Tingting Qiu, Hua Chai, Xuanjie Huang
To summarize the nursing experience of 55 cases of Trimeresurus stejnegeri snakebites. A review of 55 cases of snake bites received by our hospital as a designated snake bite hospital, Give emergency treatment and wound care. Nursing critical points included: Partial wound closure treatment, Observation and management of wounds and injured limbs, the anti-venom medicine should be used as early as possible, mental health care, and health promotion; after a series of nursing care, the patients were all cured and released from the hospital.
总结55例斯氏小鳞蛇咬伤的护理经验。回顾我院作为蛇咬伤定点医院收治的55例蛇咬伤患者,给予急诊救治和伤口护理。护理要点包括:部分伤口闭合处理、伤口及伤残肢体的观察与管理、尽早使用抗蛇毒药物、心理保健、健康促进;经过一系列的护理,病人全部治愈出院。
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引用次数: 0
Correlation between Modified Functional Reach Test and Transfer Activities of Daily Living in Individuals with Spinal Cord Injury- A Pilot Study 脊髓损伤患者改良功能到达测试与日常生活转移活动的相关性研究
Pub Date : 2022-08-25 DOI: 10.31254/jmr.2022.8404
Kanchan Joshi, S. Ganvir
Background: The Modified Functional Reach Test (mFRT) is the tool to measure dynamic sitting balance, forward and lateral directions, developed for patients with spinal cord injury (SCI). In spite of being dynamic in nature, mFRT has not been studied for its ability to predict transfer domain of International Classification of Functioning, Disability and Health (ICF). Hence, the purpose of this study is to investigate the association between mFRT and sitting transfer domain of ICF. Methodology: Volitional effort of 10 patients with SCI was measured in centimeters with the help of mFRT by reaching in forward and lateral direction in sitting. Patients’ ability to transfer oneself (d472) domain of ICF was evaluated using standard scoring format in terms of Capacity and Performance. Results: Data was analysed using Kendalls coefficient of concordance. A strong negative correlation (τb= -0.81, p<0.05) was found between forward reach and transfer domain of ICF and moderate correlation (τb= -0.71, p<0.05) was observed between Lateral reach test with Transfer oneself Domain. Conclusion: Strength of correlation indicates that patients are able to carryover the clinical effect of training into functional activities. However, considering the frequent use of lateral transfer during ADLs calls for stronger correlation and hence more focused training during rehabilitation.
背景:改良功能到达测试(mFRT)是为脊髓损伤(SCI)患者开发的测量动态坐位平衡、前向和侧向的工具。尽管mFRT具有动态特性,但其预测国际功能、残疾和健康分类(ICF)转移域的能力尚未得到研究。因此,本研究的目的是探讨mFRT与ICF坐姿转移域之间的关系。方法:在mFRT的帮助下,以厘米为单位测量10例脊髓损伤患者的意志力。采用容量和性能方面的标准评分格式评估患者ICF转移自身(d472)域的能力。结果:采用肯德尔一致性系数对数据进行分析。ICF前伸与传递域呈显著负相关(τb= -0.81, p<0.05),侧伸与传递域呈中度相关(τb= -0.71, p<0.05)。结论:相关强度表明患者能够将训练的临床效果延续到功能活动中。然而,考虑到在adl期间频繁使用侧位转移,需要更强的相关性,因此在康复期间需要更集中的训练。
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引用次数: 0
Case Report: Fortuitous discovery of a white matter signal abnormality in the context of Leopard syndrome 病例报告:豹综合征白质信号异常的偶然发现
Pub Date : 2022-08-25 DOI: 10.31254/jmr.2022.8402
J. N. Mapaga, Mikel J. Martínez, P. K. Ndouongo
Multiple Lentigines syndrome is an autosomal dominant inherited disorder of variable expressivity also known by the acronym LEOPARD syndrome. A rare disease with multiple congenital anomalies, mainly characterized by skin, facial and cardiac anomalies. Other malformations can be encountered, in particular cerebral and dysmorphic. We report the case of a 40-year-old female patient known for a Leopard syndrome, who in the context of bilateral hypoacusis, the cerebral MRI carried out finds a lesion in flair hypersignal at the asymptomatic left occipital level, we do not note any evolution of this lesion after 10 years this could correspond to "unidentified shiny object: OFU". In conclusion, LEOPARD syndrome is a disease with a multi-systemic involvement, the discovery of a lesion corresponding to an OFU" is possible.
多发性Lentigines综合征是一种常染色体显性遗传的可变表达性疾病,也称为LEOPARD综合征。一种罕见的多种先天性异常疾病,主要以皮肤、面部和心脏异常为特征。也可能出现其他畸形,尤其是大脑畸形和畸形。我们报告了一名患有豹综合征的40岁女性患者的病例,该患者在双侧低听觉的情况下,进行的大脑MRI发现无症状的左枕叶水平的flair高信号病变,我们没有注意到10年后该病变的任何演变,这可能对应于“未识别的闪亮物体:OFU”。总之,LEOPARD综合征是一种涉及多系统的疾病,发现与OFU相对应的病变是可能的。
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引用次数: 0
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Journal of Medical Research
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