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Rehabilitation for lumbar pain: A comprehensive review on addressing pain and enhancing function in both acute and chronic situations 腰痛康复:全面回顾急性和慢性疼痛的治疗与功能增强
Pub Date : 2024-03-15 DOI: 10.18231/j.sajhp.2024.002
Sheeba Kauser, V.V. Manjula Kumari, Mohammed Bismil Jaffery, Subhasis Karmakar, Diana Mokhtari
Lower back pain (LBP) is a prevalent problem that may progress to chronic LBP, resulting in a deterioration of life quality, heightened pain levels, and diminished functionality. Given the diverse demographic affected by LBP, it is crucial to tailor rehabilitation strategies to address the distinct requirements of different patient groups and individuals. This analysis explores various methods of LBP rehabilitation, including categorized treatments and specific rehabilitation techniques, spanning from exercise and physical therapy to spinal manipulation and bracing.
下背痛(LBP)是一个普遍存在的问题,有可能发展为慢性下背痛,导致生活质量下降、疼痛加剧和功能减退。由于受腰痛影响的人群多种多样,因此,针对不同患者群体和个人的不同需求定制康复策略至关重要。本分析探讨了枸杞多糖症康复的各种方法,包括分类治疗和特定康复技术,从运动和物理疗法到脊柱手法和支具。
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引用次数: 0
A case report on diabetic ketoacidosis in 5 years old female child 5 岁女童糖尿病酮症酸中毒病例报告
Pub Date : 2024-03-15 DOI: 10.18231/j.sajhp.2024.005
Tejaswi Chillara, Gunisetti Tejaswini, Goparaju Kavya, Mattewada Hima Bindhu
Diabetic ketoacidosis is characterised by an insulin deficiency, metabolic acidosis and increased ketone concentration in the body which can be normalised by insulin replacement and electrolyte replacement therapy. One in three children suffers with type 1 diabetes (T1D), across the US and globally, the incidence of the disease is rising among the paediatrics by over 3% annually. The diagnosis of diabetic ketoacidosis (DKA) was based on the presence of hyperglycaemia (blood glucose > 11 mmol/L), acidosis (serum bicarbonate < 15 mmol/L) and ketonuria (urine ketone ≥1+). Gestational diabetes is a common abnormality of glucose metabolism during pregnancy which affects foetal development and an alteration in the balance of glucagon and insulin is affected due to an overproduction of glucose and ketones in the liver, with free release of fatty acids from adipose tissue. A case of 5 years old female child presented with increased urination, increased appetite and sudden weight loss since 1 month and her RBS range was found to be 426mg/dl. Child underwent laboratory investigations, GRBS monitoring every 3 and assessed as Diabetic ketoacidosis with uncontrolled sugars. The child was treated with insulin supplementation for 3 days, recovered and child was hemodynamically stable and got discharged.
糖尿病酮症酸中毒的特征是胰岛素缺乏、代谢性酸中毒和体内酮体浓度升高。在美国和全球范围内,每三名儿童中就有一名患有 1 型糖尿病(T1D),儿科发病率每年以超过 3% 的速度上升。糖尿病酮症酸中毒(DKA)的诊断依据是高血糖(血糖 > 11 mmol/L)、酸中毒(血清碳酸氢盐 < 15 mmol/L)和酮尿(尿酮≥1+)。妊娠糖尿病是一种常见的妊娠期糖代谢异常,会影响胎儿的发育,由于肝脏中葡萄糖和酮体的过度生成,以及脂肪组织中脂肪酸的游离释放,会影响胰高血糖素和胰岛素的平衡。一例 5 岁的女婴自 1 个月起出现排尿增多、食欲增加和体重骤减的症状,RBS 值为 426 毫克/分升。患儿接受了实验室检查,每 3 天接受一次血糖监测,结果被评估为糖尿病酮症酸中毒,糖分失控。患儿接受了为期 3 天的胰岛素补充治疗,病情得到恢复,血流动力学稳定,可以出院。
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引用次数: 0
Hysterolaparoscopy as a comprehensive diagnostic and therapeutic tool in modern ART 宫腔镜是现代 ART 的一种综合诊断和治疗工具
Pub Date : 2024-03-15 DOI: 10.18231/j.sajhp.2024.004
Anita Inani
The aim of the study is to study Hysterolaparoscopy as a comprehensive diagnostic and therapeutic tool in modern art. The scheduled investigations were done to determine fitness for surgery. Patient was admitted one day prior to the procedure, and preanesthetic checkup was done. Hysterolaparoscopy was scheduled in preovulatory period between day 5 and day 10 of cycle and done under general anesthesia. Diagnostic laparoscopy was performed using a 30-degree deflection angle telescope powered with a fiber-optic cable for light source. Panoramic view of the abdomen was obtained a stepwise evaluation was made. Hysterolaproscopy may appear to be invasive, but is more beneficial, as diagnosis and therapeutic interventions can be done at the same sitting. Furthermore, it is possible to identify patients who will need ART at the earliest, thus expediting treatment. This helps in preventing further compromise in ovarian reserve and progression of disease and thus reducing financial burden to the couples.
本研究的目的是将宫腹腔镜检查作为现代艺术中的一种综合诊断和治疗工具进行研究。为确定是否适合手术,进行了预定的检查。患者在手术前一天入院,并进行了麻醉前检查。宫腹腔镜检查安排在排卵期前的第 5 天到第 10 天之间,在全身麻醉下进行。诊断性腹腔镜检查使用 30 度偏转角望远镜,光源为光纤电缆。对腹部进行全景观察,并逐步进行评估。宫腹腔镜检查看似具有创伤性,但却更有益,因为诊断和治疗干预可以在同一时间进行。此外,还可以尽早发现需要抗逆转录病毒疗法的患者,从而加快治疗。这有助于防止卵巢储备功能进一步受损和疾病恶化,从而减轻夫妇的经济负担。
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引用次数: 0
A case report on A 12 year male child with guttate psoriasis 关于一名患有肠槽型银屑病的 12 岁男童的病例报告
Pub Date : 2024-03-15 DOI: 10.18231/j.sajhp.2024.006
Tejaswi Chillara, Goparaju Kavya, Gunisetti Tejaswini
Psoriasis is an inflammatory skin condition that causes discoloration and irritation whereas Guttate psoriasis often develops suddenly and may start after an infection such as strep throat. In guttate psoriasis small, droplet shaped patches appears on arms, legs, scalp, torso. Most commonly seen in children and adolescents than adults. It was classically triggered by streptococcal infection (pharyngitis or perianal) and is not contagious (it cannot be transferred to others through skin-to-skin contact). Usually guttate psoriasis subsides within few weeks, after that there are several possible outcomes such as you may never develop it again, it may recur intermittently or may develop into chronic plaque psoriasis. It can be mild, moderate or severe. We came across a case of 12 year old male child presenting with complaints of annular plaques with itching since 5 days all over the body. Based on subjective, objective and laboratory investigations the child was diagnosed with Guttate psoriasis. And child was treated with topical steroids, immunosuppressants, antibiotic and anti ketogenic agents respectively and within 4 weeks the child was recovered.
银屑病是一种炎症性皮肤病,会导致褪色和刺激,而鳞屑性银屑病通常是突然发生的,可能在链球菌感染(如链球菌性咽喉炎)后开始发病。沟状银屑病患者的手臂、腿、头皮和躯干上会出现小水珠状的斑块。儿童和青少年比成年人更常见。它通常是由链球菌感染(咽炎或肛周感染)引发的,不会传染(不会通过皮肤接触传染给他人)。通常情况下,脓疱型银屑病会在几周内消退,之后可能会有几种结果,如可能再也不会发病,也可能间歇性复发或发展成慢性斑块型银屑病。银屑病有轻度、中度和重度之分。我们接诊了一例 12 岁男童,主诉环状斑块,全身瘙痒 5 天。根据主观、客观和实验室检查结果,该患儿被诊断为 "沟状银屑病"。患儿分别接受了局部类固醇激素、免疫抑制剂、抗生素和抗生酮药治疗,4 周后痊愈。
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引用次数: 0
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Southeast Asian Journal of Health Professional
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