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Comparison of surgical outcomes between primary and secondary brain abscess 原发性和继发性脑脓肿手术效果比较
Pub Date : 2024-05-09 DOI: 10.3892/mi.2024.160
George Fotakopoulos, C. Gatos, K. Paterakis, V. Georgakopoulou, Theodosis Spiliotopoulos, Grigorios Christodoulidis, P. Sklapani, N. Trakas, Adamantios Kalogeras, Kostas N. Fountas
Brain abscess (BA) constitutes 1-8% of intra-cerebral tumors, and thus the present study aimed to compare the surgical outcomes of patients with primary and secondary BA. The present retrospective study examined 32 of cases BA who underwent surgery in a local institution between February, 2013 and December, 2023. All patients received intravenous antibiotic therapy according to the antibiogram for antimicrobial susceptibility. In total, 32 patients were separated into two groups as follows: Group A (16 patients, 50%) with primary abscess and group B (16 patients, 50%) with secondary abscess. Of the 32 patients included in the study, 23 (71.8%) were males, and the median age was 55.3 years. On the whole, the present study demonstrates that a multidisciplinary approach involving a combination of often multiple surgical procedures and prolonged antibiotic medication may improve the functional outcome if the underlying pathology allows for a functional outcome.
脑脓肿(BA)占脑内肿瘤的1%-8%,因此本研究旨在比较原发性和继发性BA患者的手术效果。本回顾性研究对 2013 年 2 月至 2023 年 12 月期间在当地机构接受手术的 32 例 BA 患者进行了研究。所有患者均根据抗菌药物敏感性抗生素图接受了静脉抗生素治疗。共有 32 名患者被分为以下两组:A 组(16 名患者,50%)为原发性脓肿,B 组(16 名患者,50%)为继发性脓肿。在 32 名患者中,23 名(71.8%)为男性,年龄中位数为 55.3 岁。总体而言,本研究表明,如果潜在的病理情况允许功能性结果,往往需要结合多种外科手术和长期抗生素药物治疗的多学科方法可能会改善功能性结果。
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引用次数: 0
The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation 阿塔拉螺钉后轴下颈椎器械的安全性与坚固性的完美结合
Pub Date : 2024-04-24 DOI: 10.3892/mi.2024.159
Mohammed Hasanain, Colya N. Englisch, Thomas Tschernig, Samah Saeed, Magomed Lepschokov, Ralf Ketter, J. Oertel
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引用次数: 0
Skin and soft tissue infection suspiciously caused by Klebsiella pneumoniae in an aquaculture worker: A case report 一名水产养殖工人疑因肺炎克雷伯菌引起皮肤和软组织感染:病例报告
Pub Date : 2024-04-23 DOI: 10.3892/mi.2024.158
Caipeng Xie, Na Li, Yan Chen, Yongtao Liang, Libing Huang, Xiaoyang Xie, Dongming Wang, Haitao Wang, Guanjun Huang
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引用次数: 0
Association between grip strength and electrical properties measured by bioimpedance spectroscopy in women with dementia aged 77 to 97 years living in group homes 生活在集体之家的 77 至 97 岁女性痴呆症患者的握力与生物阻抗光谱仪测量的电特性之间的关系
Pub Date : 2024-04-19 DOI: 10.3892/mi.2024.157
Kenichiro Yasutake, Hideaki Kumahara, Keisuke Shiose, Marina Kawano, Ryoma Michishita
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引用次数: 0
Bone graft absorption complication following cranioplasty: A retrospective institutional study 颅骨成形术后的植骨吸收并发症:一项回顾性机构研究
Pub Date : 2024-04-16 DOI: 10.3892/mi.2024.156
C. Gatos, George Fotakopoulos, V. Georgakopoulou, Theodosis Spiliotopoulos, P. Sklapani, N. Trakas, Adamantios Kalogeras, Kostas N. Fountas
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引用次数: 0
Precision medicine for respiratory diseases: A current viewpoint 呼吸系统疾病的精准医疗:当前观点
Pub Date : 2024-04-12 DOI: 10.3892/mi.2024.155
V. Georgakopoulou, Ioannis Lempesis, P. Sklapani, N. Trakas, Demetrios Spandidos
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引用次数: 0
Prevalence and association of oral manifestations with disease severity in patients diagnosed with COVID‑19: A cross‑sectional study 确诊为 COVID-19 的患者口腔表现的发生率及其与疾病严重程度的关系:一项横断面研究
Pub Date : 2024-04-10 DOI: 10.3892/mi.2024.154
A. Câmpeanu, Mihaela Rus, Sorina Ispas, Alexandra Herlo, Aurora Craciun, Constantin Ionescu, G. Banariu, C. Cambrea, Maria Nicolae, Andreea Nelson-Twakor, Irina-Magdalena Dumitru
Systemic disorders may exhibit early signs when conducting an oral examination. Since the onset of the COVID-19 pandemic, several studies have been published detailing the direct impact of the virus on the oral cavity. The present study aimed to determine whether indeed there are any significant disparities in oropharyngeal manifestations between individuals infected with severe acute respiratory syndrome coronavirus 2 and a control group, and whether the virus has the ability to invade and reproduce inside oral keratinocytes and fibroblasts, resulting in the development of oral ulcerations and superficial lesions. The present study provides an overview of the symptoms that occur at an early stage of the illness, and the most commonly affected regions of the oral cavity, including the tongue, lips, palate and oropharynx are examined. In the present retrospective study, 52 patients infected with COVID-19 were recruited between April, 2021 and October, 2022. In addition, 52 individuals who tested negative for the virus were recruited as the control group. The study was conducted through a thorough examination and questionnaire provided to all participants. The results revealed that among the cohort of patients from the COVID-19 group examined (n=52), a proportion (mean, 16.15) displayed oral manifestations. Specifically, 75% of the patients in the COVID-19 group described oral cavity pain, and 69% of these patients had changes in teeth color or dental caries. In summary, in relation to the control group, the prevalence of oropharyngeal symptoms was generally lower compared to the COVID-19 group, apart from oral cavity pain (30.8%), tonsillitis (17.3%), bleeding (34.6%), teeth color changes (36.5%), recurrence (15.4%) and abscesses (7.7%). Thus, on the whole, the patients without COVID-19 had fewer oral manifestations.
在进行口腔检查时,全身性疾病可能会出现早期症状。自 COVID-19 大流行以来,已有多项研究详细介绍了病毒对口腔的直接影响。本研究旨在确定严重急性呼吸系统综合征冠状病毒 2 感染者与对照组之间的口咽部表现是否存在明显差异,以及病毒是否有能力侵入口腔角质细胞和成纤维细胞并在其中繁殖,从而导致口腔溃疡和浅表病变的发生。本研究概述了发病初期出现的症状,并研究了口腔最常受影响的部位,包括舌、唇、腭和口咽。本回顾性研究在 2021 年 4 月至 2022 年 10 月期间招募了 52 名感染 COVID-19 的患者。此外,还招募了 52 名病毒检测呈阴性的患者作为对照组。研究通过对所有参与者进行全面检查和问卷调查进行。结果显示,在接受检查的 COVID-19 组患者(52 人)中,有一部分(平均 16.15 人)出现了口腔表现。具体来说,COVID-19 组中 75% 的患者描述了口腔疼痛,其中 69% 的患者牙齿颜色发生变化或有龋齿。总之,与对照组相比,除了口腔疼痛(30.8%)、扁桃体炎(17.3%)、出血(34.6%)、牙齿颜色改变(36.5%)、复发(15.4%)和脓肿(7.7%)外,口咽症状的发生率普遍低于 COVID-19 组。因此,总的来说,没有 COVID-19 的患者的口腔表现较少。
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引用次数: 0
Rehabilitation management of patients with spinal tuberculosis (Review) 脊柱结核患者的康复管理(回顾)
Pub Date : 2024-04-04 DOI: 10.3892/mi.2024.152
Jaouher Dhouibi, A. Kalai, A. Chaabeni, Ahlem Aissa, Z. Ben Salah Frih, A. Jellad
Spinal tuberculosis (ST) is a serious condition and a global health concern, accounting for a significant portion of musculoskeletal tuberculosis cases. It can lead to sever spinal and neurological complications. The management of ST involves a multidisciplinary approach, including medical treatment, surgery and rehabilitation. Rehabilitation is crucial through the course of the disease's and is tailored for each stage according to the patients' complaints, and clinical and functional complications. In the case of neurological issues due to spinal compression, rehabilitation aims at overcoming bed confinement complications, involving mobilization techniques, strengthening exercises and related vesico-sphincter disorders (urodynamics, catheterizing). The role of rehabilitation for the management of pain in patients with ST is based on bracing (restricting movements and relieving the pressure on harmed structures), and analgesic physical means (electrical stimulation and massage techniques). Several rehabilitation options may be used to address musculoskeletal complications. Range of motion exercises, muscle strengthening, and posture and balance correction using sensory perception and proprioception techniques, are commonly involved. Cardiorespiratory reconditioning is required to improve respiratory function, walking ability and cardiovascular endurance. Ultimately, rehabilitation allows for the minimization of disability and the prevention of the loss of autonomy, particularly in elderly patients. The advantage of the rehabilitation approach is its multi-optional characteristics including physical therapy, occupational therapy, ergonomic advices and assistive equipment. Despite its crucial role, rehabilitation remains understudied in the management of ST. Thus, the present mini-review aimed to address the rehabilitation options for the clinical features and complications of ST, according to the course of the disease.
脊柱结核(ST)是一种严重的疾病,也是全球关注的健康问题,在肌肉骨骼结核病例中占很大比例。它可导致严重的脊柱和神经系统并发症。ST 的治疗涉及多学科方法,包括内科治疗、外科手术和康复治疗。康复治疗在整个病程中至关重要,并根据患者的主诉、临床和功能并发症为每个阶段量身定制。在脊柱受压导致神经系统问题的情况下,康复治疗的目的是克服卧床并发症,包括活动技巧、加强锻炼和相关的膀胱括约肌疾病(尿动力学、导尿)。康复治疗在治疗 ST 患者疼痛方面的作用主要体现在支撑(限制活动并减轻对受损结构的压力)和物理镇痛手段(电刺激和按摩技术)上。针对肌肉骨骼并发症,可采用多种康复方案。通常包括运动范围练习、肌肉强化、使用感知和本体感觉技术纠正姿势和平衡。还需要进行心肺功能调节,以改善呼吸功能、行走能力和心血管耐力。最终,康复治疗可以最大限度地减少残疾和防止丧失自理能力,尤其是对老年患者而言。康复方法的优势在于其多选择性,包括物理治疗、职业治疗、人体工程学建议和辅助设备。尽管康复治疗起着至关重要的作用,但在 ST 的治疗中仍未得到充分研究。因此,本微型综述旨在根据 ST 的临床特征和并发症,按照疾病的发展过程探讨康复治疗方案。
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引用次数: 0
Thyroid abscess, an uncommon diagnosis: A case report and mini‑review of the literature 甲状腺脓肿,一种不常见的诊断:病例报告和文献综述
Pub Date : 2024-04-04 DOI: 10.3892/mi.2024.153
Patricia Urbón-Sánchez, F. Mendoza-Moreno, Sofía Sánchez De Toca‑Gómez, Félix Mañes-Jiménez, Rubén Jiménez-Martín, Marta Bru-Aparicio, P. Laguna-Hernández, Yousef Allaoua-Moussaoui, Sonia Soto-Schutte, Ana Quiroga-Valcárcel, M. Díez-Alonso, I. Lasa Unzué, A. Gutiérrez-Calvo
Thyroid abscess is a rare entity, commonly experienced by immunocompromised patients, or those who have anatomical abnormalities or a pre-existing thyroid disease. An early diagnosis continued by treatment with antibiotics and drainage of the abscess is the recommended therapeutic strategy for such cases. The present study describes a clinical case of this rare event, and also provides a brief literature review. The present study describes the case of a 48-year-old healthy male with no medical antecedents, apart from acute prostatitis treated with antibiotics for 6 days prior, who visited the Emergency Department of the authors' hospital with neck pain and progressive swelling of the mass. Diagnostic imaging confirmed the authors' suspicion of an abscess and revealed the lesion displacing the airway to the contralateral side. This restricted the mobility of the neck of the patient. As an emergency measure, the patient was then taken to the operating room for a neck examination. A hemithyroidectomy was finally performed. Following a prolonged hospital duration, he was discharged from the hospital and his recovery was uneventful without any voice alterations, hypocalcemia or recurrence.
甲状腺脓肿是一种罕见的疾病,常见于免疫力低下的患者、解剖结构异常或原有甲状腺疾病的患者。对于此类病例,建议采用早期诊断、抗生素治疗和脓肿引流的治疗策略。本研究描述了这一罕见病例的临床表现,并对文献进行了简要回顾。本研究描述的病例是一名 48 岁的健康男性,除了急性前列腺炎之前 6 天接受过抗生素治疗外,没有其他病史。影像诊断证实了作者对脓肿的怀疑,并发现病变将气管移至对侧。这限制了患者颈部的活动。作为一项紧急措施,患者被送往手术室进行颈部检查。最后进行了半肝切除术。经过长时间的住院治疗后,患者康复出院,恢复顺利,没有出现任何语音改变、低钙血症或复发。
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引用次数: 0
Labor management and neonatal outcomes in cardiotocography categories II and III (Review) 第二和第三类心动图的分娩管理和新生儿预后(综述)
Pub Date : 2024-04-01 DOI: 10.3892/mi.2024.151
Panagiotis Tsikouras, Efthimios Oikonomou, A. Bothou, Dimimitrios Kyriakou, Theopi Nalbanti, Sotirios Andreou, Angelos Daniilidis, Panagiotis Peitsidis, K. Nikolettos, Georgios Iatrakis, N. Nikolettos
The safe care of both mothers and fetuses during labor is a primary goal of all health professionals. The assessment of fetal oxygenation and well-being is a key aspect of perinatal care provided. Fetal heart rate (FHR) auscultation became part of daily obstetric practice in a number of countries during the 20th century and remains a key method of fetal monitoring, particularly in low-risk pregnancies. Cardiotocography (CTG) is the continuous monitoring and recording of the FHR and uterine myometrial activity, making it possible to assess the fetal condition. It therefore plays a critical role in the detection of fetal hypoxia during labor, a condition directly related to short- and long-term complications in the newborn. Herein, particular reference is made to the management of CTG category II and III standards, as well as to the handling of childbirth. In addition, specific FHR patterns are associated with immediate neonatal outcomes based on updated studies conducted worldwide. Finally, the prognostic significance of CTG and its potential as a prospective avenue for further investigation are also highlighted herein. Given that the misinterpretation of CTG findings is the most common cause of medical-legal responsibility, this knowledge field requires more emphasis and attention. The aim of the present review was to further deepen the knowledge on issues that mainly concern the safety and monitoring of pregnant women and fetuses during childbirth.
在分娩过程中安全护理产妇和胎儿是所有医护人员的首要目标。对胎儿氧合和健康状况的评估是围产期保健的一个重要方面。胎儿心率(FHR)听诊在 20 世纪成为许多国家日常产科实践的一部分,至今仍是胎儿监护的重要方法,尤其是在低危妊娠中。心动图(CTG)是对 FHR 和子宫肌活动的连续监测和记录,从而可以评估胎儿状况。因此,它在检测分娩过程中胎儿缺氧方面起着至关重要的作用,而胎儿缺氧直接关系到新生儿的短期和长期并发症。这里特别提到了 CTG 二类和三类标准的管理以及分娩处理。此外,根据世界范围内的最新研究,特定的 FHR 模式与新生儿的即时预后相关。最后,本文还强调了 CTG 的预后意义及其作为进一步研究的前瞻性途径的潜力。鉴于对 CTG 结果的误读是导致医疗法律责任的最常见原因,这一知识领域需要更多的重视和关注。本综述旨在进一步加深对主要涉及孕妇和胎儿在分娩过程中的安全和监护问题的认识。
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引用次数: 0
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Medicine international
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