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Hematologic complications in vascular malformations: A case study of 2 patients 血管畸形的血液并发症:两名患者的病例研究
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.61.002
Iwona Matus, Kaja Bator, Weronika Machaj, Aleksandra Krzemienowska-Cebulla, Mateusz Dorochowicz, Hanna Senat, Adrian Korbecki, A. Szuba, Maciej Rabczyński
Vascular malformations are congenital vascular anomalies resulting from a disruption in the vasculogenesis process. (1)  They are congenital changes that enlarge as the child develops and do not undergo spontaneous involution. They can be classified based on the type of vessels involved (capillary, arterial, venous, lymphatic, mixed) and the nature of the vascular flow (low-flow and high-flow). The clinical presentation of vascular malformations is highly diverse, and despite being congenital, they can remain asymptomatic for a long time, complicating the diagnostic process. (1,3)   The presence of malformations carries the risk of health-threatening complications. One such complication is Kasabach-Merritt syndrome, characterized by thrombocytopenia, microangiopathic hemolytic anemia, and consumptive coagulopathy in the presence of a rapidly enlarging vascular tumor. (4,5) Another threat is a coagulopathy limited to the vascular anomaly (LIC). It is characterized by elevated D-dimers and fibrin degradation products, low levels of fibrinogen, FV, FVIII, FXIII, and antithrombin, and sometimes mild to moderate thrombocytopenia. (6,7) Early implementation of anticoagulant therapy allows for the avoidance of health-threatening conditions and the development of disseminated intravascular coagulation syndrome (DIC). (8)
血管畸形是由于血管生成过程中断而导致的先天性血管异常。(1) 血管畸形是一种先天性病变,会随着儿童的发育而扩大,且不会自发消退。它们可根据涉及的血管类型(毛细血管、动脉、静脉、淋巴管、混合血管)和血管流量的性质(低流量和高流量)进行分类。血管畸形的临床表现多种多样,尽管是先天性的,但可能长期无症状,从而使诊断过程复杂化。(1,3)血管畸形有可能引发危及健康的并发症。其中一种并发症是卡萨巴赫-梅里特综合征,其特点是血小板减少、微血管病性溶血性贫血和消耗性凝血病,同时伴有迅速增大的血管肿瘤。(4,5)另一种威胁是局限于血管异常的凝血病(LIC)。其特点是 D-二聚体和纤维蛋白降解产物升高,纤维蛋白原、FV、FVIII、FXIII 和抗凝血酶水平低,有时伴有轻度至中度血小板减少。(6,7)尽早实施抗凝治疗可避免危及健康的情况和播散性血管内凝血综合征(DIC)的发生。(8)
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引用次数: 0
Microbiota and depressive disorders – a review 微生物群与抑郁障碍--综述
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.60.013
Kamila Kosyra, Marta Drabczyk, Zuzanna Marczyńska, Antoni Zyśk, Inga Magda
Introduction: Depression, affecting 1 in 8 individuals with a 27.6% rise during COVID-19, prompts an exploration of the gut-brain-microbiota axis's role in mental health, focusing on depression.State of Knowledge: The gut microbiota regulates the brain-gut axis, impacting neurotransmitter production. Dysbiosis correlates with depressive behaviors. Factors like short-chain fatty acids and neurotrophins play roles in gut-brain communication.Materials and method: A literature review was conducted using the “PubMed” and “Google Scholar” databases with the keywords “Gut microbiota”, “Fecal microbiota”, “Depression and microbiota”, “Depression”, „Probiotics role”, „Mental health and priobiotics”, „Probiotics and prebiotics”, „Prebiotics and brain”.Summary: Altered gut microbiota links to psychiatric disorders, disrupting composition stability by age three through antibiotic use. Imbalances impact neurotransmitters and inflammation, crucial in depression pathophysiology.Treatment and Impact on Gut Microbiota: Antidepressants affect gut microbiota diversity bidirectionally, offering potential tailored therapies. The Mediterranean diet correlates with lower depression risk. Excessive sugar intake triggers neuroinflammation.Fecal Microbiota Transplantation: FMT emerges as a promising depression treatment, reshaping gut microbiota and modulating the gut-brain axis. Lactobacillus and Bifidobacterium spp. show potential in mitigating depression symptoms. FOS and GOS positively influence gut microbiota.Conclusion: This review underscores the intricate gut-brain-microbiota axis in depression, suggesting personalized therapeutic approaches for effective management.
导言:抑郁症的发病率为八分之一,在 COVID-19 期间上升了 27.6%,这促使人们探索肠道-大脑-微生物群轴在心理健康中的作用,重点是抑郁症:肠道微生物群调节大脑-肠道轴,影响神经递质的产生。菌群失调与抑郁行为有关。短链脂肪酸和神经营养素等因素在肠道与大脑的交流中发挥作用:使用 "PubMed "和 "Google Scholar "数据库进行了文献综述,关键词为 "肠道微生物群"、"粪便微生物群"、"抑郁症与微生物群"、"抑郁症"、"益生菌的作用"、"心理健康与益生元"、"益生菌与益生元"、"益生菌与大脑"。摘要:肠道微生物群的改变与精神疾病有关,抗生素的使用破坏了三岁儿童体内微生物群组成的稳定性。失衡会影响神经递质和炎症,对抑郁症的病理生理学至关重要:抗抑郁药物会双向影响肠道微生物群的多样性,从而提供潜在的定制疗法。地中海饮食与较低的抑郁风险相关。过量摄入糖分会引发神经炎症:粪便微生物群移植是一种很有前景的抑郁症治疗方法,它能重塑肠道微生物群并调节肠道-大脑轴。乳酸杆菌和双歧杆菌在减轻抑郁症状方面显示出潜力。FOS 和 GOS 对肠道微生物群有积极影响:本综述强调了抑郁症中错综复杂的肠道-大脑-微生物群轴,并提出了有效管理抑郁症的个性化治疗方法。
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引用次数: 0
Navigating Lung Cancer: Exploring Progress and Obstacles - A Comprehensive Review 肺癌导航:探索进展与障碍--全面回顾
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.61.006
Mateusz Dorochowicz, Aleksandra Krzemienowska-Cebulla, Iwona Matus, Hanna Senat, Aleksandra Madej
Lung cancer persists as a significant global health dilemma, characterized by elevated incidence and mortality rates worldwide. Despite recent strides in diagnostic methodologies, screening approaches, and therapeutic modalities, lung cancer retains its status as the foremost cause of cancer-related fatalities internationally. The disease is predominantly categorized into two primary forms: small-cell carcinomas and the notably more prevalent non-small-cell carcinomas, constituting approximately 85% of cases. While smoking stands as the primary risk factor for lung cancer, accounting for 80-90% of related deaths, other factors such as dietary habits, air pollution, genetic predisposition, and prior lung conditions play substantial roles. Diagnostic procedures encompass a range of techniques, including radiography, sputum cytology, bronchoscopy, biomarker analysis, among others. The imperative for progress and refinement in diagnostic tools, especially for early detection and monitoring in high-risk demographics, underscores the urgency. Continual research and enhancement of surgical, systemic, and localized treatments are indispensable in the battle against lung cancer. Despite advancements, challenges persist in achieving timely diagnoses, particularly in high-risk groups, and augmenting overall survival rates. This comprehensive review delves into current research advancements in lung cancer, with specific focus on classification, patient well-being, risk factors, diagnostic methodologies, and treatment options.
肺癌一直是全球健康的一大难题,其特点是全世界的发病率和死亡率都很高。尽管最近在诊断方法、筛查方法和治疗模式方面取得了长足进步,但肺癌仍然是国际上癌症相关死亡的首要原因。这种疾病主要分为两种主要形式:小细胞癌和明显更常见的非小细胞癌,约占病例的 85%。虽然吸烟是肺癌的主要风险因素,占相关死亡人数的 80-90%,但其他因素,如饮食习惯、空气污染、遗传易感性和先前的肺部疾病也起着重要作用。诊断程序涵盖一系列技术,包括放射摄影、痰细胞学、支气管镜检查、生物标记分析等。诊断工具的进步和完善势在必行,尤其是对高危人群的早期检测和监测,更凸显了其紧迫性。在与肺癌的斗争中,持续研究和加强外科、系统和局部治疗是不可或缺的。尽管取得了进步,但在实现及时诊断(尤其是高危人群)和提高总体生存率方面仍存在挑战。这篇综合评论深入探讨了当前肺癌的研究进展,特别关注肺癌的分类、患者福利、风险因素、诊断方法和治疗方案。
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引用次数: 0
Latest Treatment Perspectives for IBD-related Arthritis - a review IBD 相关关节炎的最新治疗前景--综述
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.61.004
Michał Sęk, Olgerd Duchnevič, Iwona Galasińska, Katarzyna Hajduk-Maślak, Aleksandra Szypuła, Beniamin Michalik, Adrianna Skóra
Introduction: IBD-related arthritis (spondyloarthropathy) is the most common extraintestinal manifestation (EIM) of inflammatory bowel disease (IBD) and is often considered a formidable clinical challenge. Emergence of TNFα-antagonists has revolutionised the clinical approach to management of IBD-related arthritis and remains the mainstay of the therapy. However, its use presents several limitations, underscoring the need for new treatment modalities. Recently, new agents have been approved for the management of IBD, although their influence on IBD-related arthritis has been scarcely investigated.Aim of the Study: The aim of the study was to collect and analyse current literature regarding the efficacy of new agents used for treating IBD-related arthritis. Methods and Materials: Extensive research was conducted using the PubMed, ScienceDirect database and Google Scholar, with the primary focus on literature from the past 5 years. Firstly, potential novel treatment options for IBD-related arthritis were obtained. The names of the drugs were juxtaposed with terms related to “IBD-related arthritis” to gather data regarding their efficacy in said condition. Additionally, references from selected articles were included in the analysis.Results: Emerging treatment options show promising results in achieving remission of IBD-related arthritis. However, our study revealed research gap as the current literature lacks large-scale, prospective studies that assess the efficacy of the aforementioned agents in achieving a resolution of IBD-related arthritis. Therefore, the results of our study encourage further research, with special emphasis on large-scale randomised controlled trials.
导言:IBD相关关节炎(脊柱关节病)是炎症性肠病(IBD)最常见的肠外表现(EIM),通常被认为是一项艰巨的临床挑战。TNFα 拮抗剂的出现彻底改变了治疗 IBD 相关关节炎的临床方法,目前仍是治疗的主要手段。然而,TNFα-拮抗剂的使用也存在一些局限性,这凸显了对新治疗模式的需求。最近,用于治疗 IBD 的新药已获批准,但它们对 IBD 相关关节炎的影响却鲜有研究:研究目的:本研究旨在收集和分析有关用于治疗 IBD 相关关节炎的新药疗效的现有文献。方法和材料:利用 PubMed、ScienceDirect 数据库和 Google Scholar 进行了广泛研究,主要关注过去 5 年的文献。首先,获得了治疗 IBD 相关关节炎的潜在新型治疗方案。将药物名称与 "IBD 相关性关节炎 "相关术语并列,以收集有关其对上述病症疗效的数据。此外,分析还包括了所选文章的参考文献:结果:新出现的治疗方案在缓解 IBD 相关关节炎方面取得了可喜的成果。然而,我们的研究发现了研究空白,因为目前的文献缺乏大规模、前瞻性的研究来评估上述药物在缓解 IBD 相关关节炎方面的疗效。因此,我们的研究结果鼓励进一步的研究,特别强调大规模随机对照试验。
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引用次数: 0
Beyond conventional therapies: exploring the role of Pilates in neurological physical therapy – a review of the latest research 超越传统疗法:探索普拉提在神经理疗中的作用--最新研究综述
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.60.010
Monika Maleszewska, Aleksandra Żmijewska, Gabriela Nowak, Mateusz Sztybór, Julia Piątkiewicz, Maria Krzyżanowska, Mikołaj Wojtas, K. Momot, Karen Głogowska, Marcin Kapica
Pilates exercise method, characterized by its holistic approach, underscores core stability, strength, and flexibility, coupled with meticulous muscle control, optimal posture, and focused attention on breathing. Widely embraced in both general and clinical fitness realms, this study aims to evaluate the integration of Pilates into physical therapy practices for patients with neurological disorders. Existing studies indicate the potential efficacy of Pilates in diverse rehabilitation contexts. However, neurological disorders, specifically multiple sclerosis (MS) and Parkinson's disease (PD), have been the primary focus. While systematic reviews and meta-analyses suggest Pilates as a plausible option in physiotherapy for PD and MS patients, a paucity of research on this subject necessitates a comprehensive review of recent original studies. Analysis of gathered data suggests that Pilates, when incorporated, may yield benefits for patients with various neurological disorders. Consideration of Pilates as a supplementary element to physical activity for those with PD and MS emerges as a reasonable proposition. The study also encourages contemplation of Pilates in rehabilitation research across a broader spectrum of neurological disorders. Subsequent investigations, incorporating relevant considerations, will contribute to a nuanced understanding of Pilates' potential benefits and its comparative advantages over traditional interventions for neurological disorders.
普拉提锻炼法的特点是整体性,强调核心稳定性、力量和柔韧性,以及细致的肌肉控制、最佳姿势和对呼吸的专注。普拉提在普通和临床健身领域广受欢迎,本研究旨在评估普拉提与神经系统疾病患者理疗实践的结合情况。现有研究表明,普拉提在不同的康复环境中具有潜在的疗效。然而,神经系统疾病,特别是多发性硬化症(MS)和帕金森病(PD),一直是研究的重点。虽然系统回顾和荟萃分析表明,普拉提是针对帕金森病和多发性硬化症患者的物理疗法中的一种合理选择,但这方面的研究很少,因此有必要对近期的原创研究进行全面回顾。对收集到的数据进行的分析表明,普拉提可以为各种神经系统疾病患者带来益处。考虑将普拉提作为患有帕金森病和多发性硬化症的患者体育锻炼的补充元素是一个合理的提议。这项研究还鼓励在更广泛的神经系统疾病康复研究中考虑普拉提。纳入相关考虑因素的后续调查将有助于深入了解普拉提的潜在益处及其与传统神经系统疾病干预措施的比较优势。
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引用次数: 0
Thyroid Response to Mercury: Varied Effects on Function and Structure - A Review of the Latest Research 甲状腺对汞的反应:对功能和结构的不同影响--最新研究综述
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.60.011
Martyna Kubicka-Figiel, Anna Martyka, Nina Taborska
Introduction In the current era of burgeoning industry, our exposure to various detrimental environmental factors, including mercury, has become increasingly prevalent. Recognized by the World Health Organization (WHO) as one of the most significant threats to public health, mercury induces a multitude of harmful effects on the entire body. Our focus in this article will be directed towards examining the specific impact of mercury on the thyroid. Purpose of the study The purpose of the study was to review the latest literature on the effects of mercury on the thyroid gland. Materials and Methodology Literature selections of medical databases PubMed and Google Scholar from the last six years (2017-2023) were performed. Articles were searched in English using the following key words: mercury, thyroid. Results Research consistently confirms mercury accumulation in thyroid cells, increasing with age. Mercury exposure influences thyroid function, raising the risk of hormonal issues and potential thyroid cancer. It also interacts with other elements, compounding adverse effects on the thyroid. Conclusion Presently, there is a limited number of studies specifically addressing the effects of mercury on the human thyroid gland. Consequently, it is probable that the full spectrum of its impacts on the thyroid has not yet been thoroughly investigated. Further research is imperative to delve into this subject comprehensively. Additionally, there is an urgent call for initiatives aimed at enhancing public awareness regarding the sources of mercury in the environment and food, along with strategies to mitigate exposure to this harmful substance.
导言 在当前工业蓬勃发展的时代,我们接触包括汞在内的各种有害环境因素的机会越来越多。汞被世界卫生组织(WHO)认定为对公众健康最重大的威胁之一,它对整个人体产生多种有害影响。本文将重点研究汞对甲状腺的具体影响。研究目的 研究目的是回顾有关汞对甲状腺影响的最新文献。材料与方法 对医学数据库 PubMed 和 Google Scholar 中过去六年(2017-2023 年)的文献进行了选择。使用以下关键词搜索英文文章:汞、甲状腺。结果 研究一致证实,汞在甲状腺细胞中的积累随着年龄的增长而增加。汞暴露会影响甲状腺功能,增加激素问题和潜在甲状腺癌的风险。汞还会与其他元素相互作用,加重对甲状腺的不利影响。结论 目前,专门针对汞对人体甲状腺影响的研究数量有限。因此,汞对甲状腺的全面影响可能还没有得到彻底的研究。要全面深入地研究这个问题,进一步的研究势在必行。此外,迫切需要采取举措,提高公众对环境和食物中汞的来源的认识,并制定减少接触这种有害物质的战略。
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引用次数: 0
Health effects of energy drinks, facts and myths - literature review 能量饮料对健康的影响、事实与神话--文献综述
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.61.001
Michał Żuber, Paulina Dąbrowska, Karol Bochyński, Michał Dacka, Katarzyna Molenda, Konrad Białogłowski, Katarzyna Ciuba, Filip Borodziuk, Barbara Borodziuk, Kamila Giżewska
Energy drinks are carbonated or non-carbonated beverages containing stimulants designed to improve energy and concentration. These drinks are gaining popularity, specifically among teenagers and young adults. However, despite their easy availability on store shelves, there is growing concern about the safety and health effects of consuming energy drinks in particular. Energy drinks appear to have the greatest impact on the cardiovascular system, leading to increased blood pressure and increased heart rate, and on the mental state of consumers, in the long term causing increased levels of anxiety. The paper also addresses the effects of energy drinks on the nervous and gastrointestinal systems. Despite many studies, the health effects of energy drinks have still not been fully investigated, so there is a need for further research on the subject and for age-appropriate regulation of consumers and their education.
能量饮料是含有兴奋剂的碳酸或非碳酸饮料,旨在提高能量和注意力。这些饮料越来越受欢迎,尤其是在青少年和年轻成年人中。然而,尽管这些饮料在商店货架上很容易买到,人们对饮用能量饮料的安全性和对健康的影响却越来越关注。能量饮料似乎对心血管系统影响最大,会导致血压升高和心率加快;对消费者的精神状态影响也最大,长期饮用会导致焦虑水平升高。论文还讨论了能量饮料对神经系统和肠胃系统的影响。尽管进行了许多研究,但能量饮料对健康的影响仍未得到充分调查,因此有必要对这一主题进行进一步研究,并对消费者及其教育进行适龄监管。
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引用次数: 0
New technological developments in medical education 医学教育的新技术发展
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.60.014
Beniamin Michalik, Michał Sęk, Aleksandra Szypuła, Katarzyna Hajduk-Maślak, Adrianna Skóra, Iwona Galasińska
Introduction: Medical education is a rapidly evolving field, necessitating adaptation to shifts in student demographics and societal needs. Balancing the demand for more healthcare providers must be accompanied by a focus on maintaining the quality of education. As certain conventional teaching methods lose favour, there is a continuous influx of new technologies that can be harnessed for the education of future doctors. Purpose of the study: The objective of this study was to gather and analyse literature on the utilization of new technologies in medical education and their influence on students, educators, and the overall quality of medical instruction. Material and methods: A review of the literature available on PubMed and a grey literature search was performed. We used such keywords like: “medical education”, “physician training”, “medical students”, “technology”, “elearning”, “new learning methods”. We also applied Bolean logical operators such as “AND”, “OR”.   Results: Examining the gathered publications leads to the conclusion that a variety of new technologies are being employed in medical education, such as e-learning, telehealth, and virtual or augmented reality. While some function as alternatives to existing methods, others introduce entirely novel approaches. In general, these new technologies positively impact education by enhancing outcomes, increasing accessibility to education, and reducing the costs associated with the teaching process. Conclusions: The integration of emerging technologies has become essential in the preparation of future medical professionals. Despite the overall positive impact, there are apprehensions regarding potential long-term consequences for healthcare delivery. Subsequent studies are crucial to assess lasting effects, delving into how the integration of technology may shape the skills of healthcare professionals over time.
导言:医学教育是一个快速发展的领域,必须适应学生人口结构和社会需求的变化。在平衡对更多医护人员需求的同时,还必须注重保持教育质量。随着某些传统教学方法的失宠,可用于未来医生教育的新技术不断涌现。研究目的本研究的目的是收集和分析有关在医学教育中使用新技术及其对学生、教育者和整体医学教学质量的影响的文献。材料与方法我们查阅了 PubMed 上的文献,并进行了灰色文献检索。我们使用了以下关键词"医学教育"、"医生培训"、"医学生"、"技术"、"电子学习"、"新的学习方法"。我们还使用了布尔逻辑运算符,如 "AND"、"OR"。 结果对收集到的出版物进行研究后得出的结论是,医学教育中正在使用各种新技术,如电子学习、远程医疗、虚拟现实或增强现实。其中一些技术可替代现有方法,而另一些技术则引入了全新的方法。总的来说,这些新技术对教育产生了积极影响,因为它们提高了教育成果,增加了教育的可及性,并降低了与教学过程相关的成本。结论:在培养未来医学专业人员的过程中,整合新兴技术已变得至关重要。尽管总体上产生了积极影响,但人们对医疗服务的潜在长期后果仍心存疑虑。后续研究对评估长期影响至关重要,可以深入探讨随着时间的推移,技术的整合会如何影响医疗专业人员的技能。
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引用次数: 0
Childhood obesity - risk factors and prevention strategies 儿童肥胖症--风险因素和预防策略
Pub Date : 2024-02-16 DOI: 10.12775/jehs.2024.60.012
Barbara Magiera, Jakub Rybak, Karol Magiera, Piotr Bator, Michał Razik, Patrycja Rozwadowska, Jan Ramian, Wiktor Razik
Introduction and purpose: Obesity is one of the most serious health challenges in modern society. Over the last 40 years, the number of obese school-age children has increased tenfold. This not only has significant consequences for physical health, but also affects psychosocial aspects and the quality of life of the young generation. The aim of this study is to conduct a comprehensive review of the literature on obesity among children and adolescents, focused on identifying the main risk factors and analyzing effective forms of prevention.Materials and methods: A review of the literature available in the "PubMed" database and books was conducted. The search was performed by using the following keywords: "childhood obesity", "childhood obesity risk factors", “childhood obesity prevention”State of knowledge: The risk factors for obesity in children and adolescents include genetic factors, endocrine diseases, improper diet, low physical activity, low socioeconomic status, stress, psychological factors, short sleep time, medications, hypothalamic obesity and H. pylori. As part of the prevention of obesity in children and adolescents, it is recommended to develop appropriate habits in children and adolescents. The influence of parents on health behaviors in children is important. Top-down activities such as health campaigns and legal regulations also have a significant impact.Summary: Due to research conducted over the years, awareness of obesity risk factors has increased. To effectively prevent this disease, an integrated approach is necessary, taking into account both education and changes in the social environment. Implementing these strategies requires cooperation at local, regional, national and international levels.
导言和目的:肥胖症是现代社会最严重的健康挑战之一。在过去的 40 年中,肥胖学龄儿童的人数增加了十倍。这不仅对身体健康造成严重后果,而且还影响社会心理和年轻一代的生活质量。本研究的目的是对有关儿童和青少年肥胖问题的文献进行全面回顾,重点是确定主要风险因素和分析有效的预防方式:对 "PubMed "数据库和书籍中的文献进行了综述。搜索时使用了以下关键词:"儿童肥胖症"、"儿童肥胖症的危险因素"、"儿童肥胖症的预防":儿童和青少年肥胖的危险因素包括遗传因素、内分泌疾病、饮食不当、体力活动少、社会经济地位低、压力、心理因素、睡眠时间短、药物、下丘脑肥胖和幽门螺杆菌。作为预防儿童和青少年肥胖的一部分,建议培养儿童和青少年适当的生活习惯。父母对儿童健康行为的影响非常重要。小结:经过多年的研究,人们对肥胖风险因素的认识有所提高。要有效预防这种疾病,必须采取综合方法,同时考虑到教育和社会环境的改变。实施这些战略需要地方、地区、国家和国际层面的合作。
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引用次数: 0
Revolutionizing Pneumonia Assessment: Modern Diagnostics and Traditional Scales 肺炎评估的变革:现代诊断与传统量表
Pub Date : 2024-01-28 DOI: 10.12775/jehs.2024.55.008
Marcelina Sikora, Marta Zarzycka, Ines Plewniok, Monika Maj-Dziedzic, Jeremiasz Dubiel, Anna Brzozowska, Adrian Maj, Greta Śmietana, Martyna Warno, Wiktor Kozik
Introduction and Purpose:  Pneumonia's severity demands a thorough assessment, guided by CRB-65 and CURB-65 scales. This article underscores the crucial role of accurate interpretation and effective use of these scales, emphasizing the need for a comprehensive understanding of pneumonia for proficient severity assessment. Material and Method: The article identifies populations disproportionately affected by pneumonia, stressing the necessity of standardized severity assessment due to diverse clinical manifestations. It highlights the importance of accurate diagnosis through the integration of clinical evaluation, imaging, and laboratory tests. While CRB-65 and CURB-65 offer a systematic approach, potential pitfalls are discussed, emphasizing the risk of misinterpretation. Results: Principles for correct interpretation are outlined, emphasizing holistic evaluation, timely application, and clinical acumen. Common mistakes, including overreliance on scores and incomplete data collection, are identified. The discussion introduces advanced diagnostic techniques like biomarkers and imaging, enhancing severity assessment. Cardiac biomarkers and computed tomography contribute to refined evaluation, aligning with recommendations from renowned organizations. Conclusion:  The integration of traditional tools with advanced diagnostics signifies a paradigm shift in pneumonia assessment. Emphasizing correct interpretation and avoiding common mistakes ensures a comprehensive approach. Recent research supports advanced diagnostic techniques, aligning with recommendations. The article advocates for continuous education and collaboration among healthcare professionals, contributing to improved patient outcomes and overall healthcare efficacy. 
简介和目的:肺炎的严重程度需要在 CRB-65 和 CURB-65 量表的指导下进行全面评估。本文强调了准确解释和有效使用这些量表的关键作用,并强调需要全面了解肺炎才能熟练评估严重程度。材料与方法:文章指出了受肺炎影响过大的人群,强调由于临床表现多种多样,有必要进行标准化的严重程度评估。文章强调了通过整合临床评估、影像学检查和实验室检查进行准确诊断的重要性。虽然 CRB-65 和 CURB-65 提供了一种系统的方法,但也讨论了潜在的隐患,强调了误读的风险。结果:概述了正确解读的原则,强调整体评估、及时应用和临床敏锐性。指出了常见错误,包括过度依赖评分和数据收集不完整。讨论介绍了生物标志物和成像等先进诊断技术,以加强严重程度评估。心脏生物标记物和计算机断层扫描有助于进行精细评估,与知名机构的建议保持一致。结论: 传统工具与先进诊断技术的结合标志着肺炎评估模式的转变。强调正确解释和避免常见错误可确保采用全面的方法。最新研究支持先进的诊断技术,并与建议保持一致。文章提倡医护人员之间开展持续教育和合作,从而改善患者的治疗效果和整体医疗保健效率。
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引用次数: 0
期刊
Journal of Education, Health and Sport
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