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Changing words with AI helps us mentally 用人工智能换词对我们的精神有帮助
Pub Date : 2023-03-31 DOI: 10.31579/2690-4861/299
Prasenjit Jana
The words of a person can be positive or negative for another person. If we create the negative words to positive with respect to others then we can live a happy life. The doctor must take the help of a relative of a patient to treat the patient with words, where the close relative will act as a mediator between doctor and patient to convert negative words to positive to the patients and also negative words to positive to the doctor as required. If we use artificial intelligence (AI) then our problem will be solved.
一个人的话对另一个人来说可以是积极的,也可以是消极的。如果我们把消极的词变成积极的,那么我们就能过上幸福的生活。医生必须在患者亲属的帮助下对患者进行言语治疗,亲属将作为医患之间的中介,根据需要将对患者的消极话语转化为积极话语,也将对医生的消极话语转化为积极话语。如果我们使用人工智能(AI),那么我们的问题将得到解决。
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引用次数: 0
A Case Report of a Thrombectomy of Internal Jugular Vein Tumoral Thrombus of Follicular Thyroid Cancer Origin 源自滤泡性甲状腺癌的颈内静脉肿瘤血栓切除术1例报告
Pub Date : 2023-03-31 DOI: 10.31579/2690-4861/285
Sarah Assaf
Intravascular tumor extension of a thyroid cancer is a rare but life-threatening condition. We report herein the case of a 66-year-old female patient with follicular thyroid carcinoma and an internal jugular vein (IJV) tumor thrombus. The patient had undergone a thyroidectomy at our institution and presented with left-sided swelling of face and neck. An MRI showed a thrombus within the left IJV, a finding confirmed by US. During surgery, a left IJV tumor thrombus was identified and excised followed by venous reconstruction. The pathological examination confirmed a follicular thyroid carcinoma. The patient received postoperative treatment with 150 mCi of 131I, followed by thyroid-stimulating hormone suppression therapy with thyroxine. Although the fibrous capsule prevents the tumor’s invasion into the surrounding structures, the presence of a tumor thrombus carries a poor prognosis.
甲状腺癌血管内肿瘤扩展是一种罕见但危及生命的疾病。我们在此报告一个66岁的女性患者滤泡性甲状腺癌和颈内静脉肿瘤血栓。患者在本院行甲状腺切除术后出现左侧面部及颈部肿大。MRI显示左IJV内有血栓,经US证实。手术中发现左侧IJV肿瘤血栓,切除后进行静脉重建。病理检查证实为滤泡性甲状腺癌。患者术后给予150mci / 131I治疗,配合甲状腺素进行促甲状腺激素抑制治疗。尽管纤维囊可防止肿瘤侵入周围结构,但肿瘤血栓的存在预后较差。
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引用次数: 0
New Onset of Myasthenia Gravis following COVID-19 Vaccination: A Case Report COVID-19疫苗接种后新发重症肌无力1例报告
Pub Date : 2023-03-31 DOI: 10.31579/2690-4861/303
Fatemeh Afrashteh
Myasthenia gravis (MG) is a rare autoimmune disease and the most common neuromuscular junction disorder. The most common symptoms are diplopia, ptosis, and fluctuating weakness of ocular and limb muscles. Here we report a case of MG after COVID-19 vaccination. A 37-year-old Iranian lady presented with generalized weakness, diplopia, and ptosis after three days from taking the second dose of COVID-19 vaccine. Symptoms began three days after taking the second dose of Sinopharm BIBP COVID-19 vaccine (BBIBP-CorV) and worsened within a week. Her past medical history included migraine-type headaches and gastric reflux. She was consuming Rizatriptan and Nortriptyline for her migraine headache and Pantoprazole, Domperidone, and Sertraline for stomach reflux. She had a family history of Essential tremor in her father, uncle, and grandfather. Antibody against the acetylcholine receptor (AChR-Ab) was more than eight times compared to the normal range. The pattern of repetitive nerve stimulation was suggestive for MG. Treatment with corticosteroid, azathioprine, and pyridostigmin led to amelioration of symptoms. Follow-up testing revealed AChR-Ab returned to the normal range. There are some case reports in that a chronic autoimmune disorder flared up after the COVID1-9 infection or its vaccination. There are several reports of MG exacerbations, acute respiratory distress syndrome, higher ICU admission, and mortality rate and worsening neurological symptoms after COVID-19 infection. There is still debate about the association between neuromuscular disorders and COVID-19 infection and vaccination. This matter is more doubtful for myasthenia gravis.
重症肌无力是一种罕见的自身免疫性疾病,也是最常见的神经肌肉连接障碍。最常见的症状是复视、上睑下垂、眼部和四肢肌肉的波动性无力。我们在此报告一例COVID-19疫苗接种后的MG病例。一名37岁的伊朗妇女在接种第二剂COVID-19疫苗三天后出现全身无力、复视和上睑下垂。在接种第二剂国药BIBP- corv后3天开始出现症状,并在一周内恶化。既往病史包括偏头痛型头痛和胃反流。她服用利扎曲坦和去甲替林治疗偏头痛,泮托拉唑、多潘立酮和舍曲林治疗胃反流。她的父亲、叔叔和祖父都有特发性震颤的家族史。抗乙酰胆碱受体(AChR-Ab)抗体是正常范围的8倍以上。重复神经刺激模式提示MG。用皮质类固醇、硫唑嘌呤和吡虫胺治疗可改善症状。后续检测显示AChR-Ab恢复到正常范围。有报道称,在感染新冠病毒或接种新冠病毒疫苗后,出现了慢性自身免疫性疾病。有几篇报道称,COVID-19感染后MG加重、急性呼吸窘迫综合征、ICU住院率升高、死亡率升高、神经系统症状恶化。神经肌肉疾病与COVID-19感染和疫苗接种之间的关系仍存在争议。重症肌无力患者更值得怀疑。
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引用次数: 0
The Master-Masquerader: Massive Pulmonary Embolism 假面舞大师:严重肺栓塞
Pub Date : 2023-02-27 DOI: 10.31579/2690-4861/297
Rakhee R. Makhija
A 69-year-old woman was brought to the emergency department (ED) by ambulance with symptoms of severe crushing chest pressure and dyspnea. Her history was limited at the time of evaluation due to the acuity of her symptoms and absence of family.
一名69岁妇女被救护车带到急诊科(ED),症状是严重的胸部压迫和呼吸困难。在评估时,由于她的症状严重且没有家人,她的病史有限。
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引用次数: 0
Medicinal Plants for The Treatment of Obesity 治疗肥胖的药用植物
Pub Date : 2023-02-27 DOI: 10.31579/2690-4861/294
Ibrahim M. Hamouda
A persistent increase in morbidity indicators has been connected to the global epidemic of obesity; it is regarded as a societal issue & poses significant health dangers. Synthetic medications and surgery are examples of therapeutic approaches; both have high prices and potentially dangerous side effects. Plant-based drugs provide an alternative strategy. Traditional uses of medicinal plants are one of the options for treating obesity, and they help with the development and research of obesity phytotherapy. In this review, we provided information regarding plant species along with their mode of action used for the effective treatment of obesity. It was revealed that the species in the catalogue had anti-obesity properties, including actions to slow down the absorption of fat, reduce enzymatic activity, mediate lipid levels, and boost the effects of lipolysis, which were primarily linked to phenolic compounds. For species with phenolic compounds in their chemical components, more thorough botanical, chemical, pre-clinical, and clinical research are especially required. The safe therapy for obesity may involve taking standardized medicinal plant extracts. The effectiveness of some plant combinations for medical purposes, however, may be reduced, and they may also have unanticipated negative effects.
发病率指标的持续上升与肥胖症的全球流行有关;它被认为是一个社会问题。对健康构成重大威胁。合成药物和手术是治疗方法的例子;这两种药物的价格都很高,而且有潜在的副作用。植物性药物提供了另一种策略。药用植物的传统用途是治疗肥胖的选择之一,它们有助于肥胖植物疗法的发展和研究。在这篇综述中,我们提供了关于植物物种及其作用模式的信息,用于有效治疗肥胖。结果显示,目录中的物种具有抗肥胖特性,包括减缓脂肪吸收、降低酶活性、调节脂质水平和促进脂肪分解的作用,这些作用主要与酚类化合物有关。对于化学成分中含有酚类化合物的物种,尤其需要更深入的植物学、化学、临床前和临床研究。肥胖的安全治疗可能包括服用标准化的药用植物提取物。然而,一些用于医疗目的的植物组合的效力可能会降低,而且它们也可能产生意想不到的负面影响。
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引用次数: 0
Giant Tongue Hemangioma - A Rare Case Report 舌巨血管瘤1例报告
Pub Date : 2023-02-27 DOI: 10.31579/2690-4861/280
Mohd Yunus Shah
In various industries, the importance and evolution of process safety leadership and culture have been stressed by several studies. Nevertheless, the palm oil milling industry remains an understudied domain. This paper undertakes a critical review of the most recent developments in the palm oil milling process and unit operations that trigger concerns about process safety to leaders in the palm oil milling industry with guidelines about the requisite process safety leadership and culture to be understood with a view to enhancing safety outcomes. In addition, the paper explores the principle of 3C for explicating constant accidents along with the four-level safety culture in the palm oil milling industry. To do so, the author presents case studies of two Malaysian key palm oil companies.
在不同的行业,过程安全领导和文化的重要性和演变已经被一些研究强调。然而,棕榈油加工行业仍然是一个研究不足的领域。本文对棕榈油制粉过程和单元操作的最新发展进行了批判性审查,这些发展引发了棕榈油制粉行业领导者对过程安全的担忧,并提供了有关必要的过程安全领导和文化的指导方针,以提高安全结果。此外,本文还结合棕榈油制粉行业的四级安全文化,探讨了3C原理来解释不断发生的事故。为了做到这一点,作者提出了两个马来西亚主要棕榈油公司的案例研究。
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引用次数: 0
Case Report of New Technique for the Repair of Iatrogenic Femoral Pseudoaneurysm 医源性股假性动脉瘤修复新技术1例报告
Pub Date : 2023-02-27 DOI: 10.31579/2690-4861/292
Mohammed Habib
Femoral artery Pseudoaneurysm was caused at the puncture site of the right groin after diagnostic coronary angiography. Manual compression for 48 hours was administrated but failed then balloon tamponade was attempted for hemostasis at the aneurysmal site but hemostasis was not achieved. Next, using contralateral anterograde approach was use to cross the wire from the neck of the pseudoaneurysm and ipsilateral retrograde approach by direct puncture of the pseudoaneurysm was tried. A 0.014-inch guidewire was crossed from the neck of the pseudoaneurysm to the external iliac artery. The wire was replaced with a 0.035-inch guidewire. A star close device was inserted and was deployed at the neck of the pseudoaneurysm. Final angiography revealed completion of hemostasis.
诊断性冠状动脉造影后在右腹股沟穿刺处引起股动脉假性动脉瘤。手动压迫48小时,但失败,然后试图在动脉瘤部位进行球囊填塞止血,但未能止血。接下来,采用对侧顺行入路穿过假性动脉瘤颈部的金属丝,并尝试采用同侧逆行入路直接穿刺假性动脉瘤。从假性动脉瘤的颈部穿过一根0.014英寸的导丝至髂外动脉。导线被替换为0.035英寸的导丝。在假性动脉瘤的颈部插入并部署星形闭合装置。最后的血管造影显示完全止血。
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引用次数: 0
COVID-19 Pandemic like a Sudden Swift wind in a short time in Entering new year in China Further Expressing the COVID-19 as a Scandal 新冠肺炎疫情在中国进入新年的短时间内就像突如其来的狂风,进一步表达了新冠肺炎的丑闻
Pub Date : 2023-02-27 DOI: 10.31579/2690-4861/293
Xu Han You
The senior doctor duty and the basic responsibility of human being promote the author to summarize the latest COVID-19 pandemic characters and new facts. And found that the COVID-19 has been being a mystery. The present vaccines and treatment or prevention have not significant results. Which indicates the pure science cannot explain the mystery and confused COVID-19. But it is a scandal or a disease caused by man-made radio physics damages can explain all the syndromes of the COVID-19. And more comments on COVID-19 pandemic have been reported.
资深医生的义务和人类的基本责任促使作者总结了最新的COVID-19大流行特征和新的事实。并发现COVID-19一直是个谜。目前的疫苗和治疗或预防都没有显著的效果。这表明,纯科学无法解释新冠病毒的神秘和困惑。但无论是丑闻还是人为无线电物理损伤引起的疾病,都可以解释新冠肺炎的所有症状。关于COVID-19大流行的评论也越来越多。
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引用次数: 0
Mathematics is required for treatment 数学是治疗所必需的
Pub Date : 2023-01-31 DOI: 10.31579/2690-4861/288
Prasenjit Jana
A doctor must treat a patient who is a student, by giving the student a mathematical problem to solve. At first when a student comes to a doctor for illness, the doctor must have to give a mathematical problem to the student to know the condition of the student's brain if the student is not seriously injured in other parts of his or her body
医生治疗学生病人时,必须给学生出一道数学题让他解决。首先,当一个学生去看医生的疾病,医生必须给学生一个数学问题,以了解学生的大脑的状况,如果学生没有严重伤害在他或她的身体的其他部分
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引用次数: 0
A Case Study on Mental and Behavioural Disorders Due to Multiple Drug Use and Use of Other Psychoactive Substances (Icd F19) 多重药物使用及其他精神活性物质所致精神及行为障碍个案研究(Icd F19)
Pub Date : 2023-01-31 DOI: 10.31579/2690-4861/289
Sannet Thomas
Psychosis is associated with schizophrenia, which is primarily associated with severe impairments. And it has an impact on how other aspects of our lives, including work, family, friends, and education, operate (WHO, 2022). A person's behavior and brain are both affected by substance use disorder. It results in an inability to manage the use of a drug or medication, whether it is legal or illicit. The patient, who was diagnosed with a substance use disorder similar to schizophrenia, was the subject of this qualitative investigation. This study adopted a single-case study design. The data were collected by using a mental status examination questionnaire, and the data were analyzed by content analysis. The study participant was a 22-year-old male who has been educated in logistics management and is self-employed. The participant was an inpatient at a private mental health center. This study found that mental and behavioural disorders due to multiple drug use or other psychoactive substances can be managed through cognitive-behavioural therapy, aversion therapy, family therapy, outpatient rehabilitation, inpatient rehabilitation, and pharmacotherapy. This study also provides an insight into how schizophrenia compares to substance use disorder in terms of symptoms, causal factors, and management plans.
精神病与精神分裂症有关,精神分裂症主要与严重的损伤有关。它还会影响我们生活的其他方面,包括工作、家庭、朋友和教育的运作(世卫组织,2022年)。一个人的行为和大脑都会受到物质使用障碍的影响。它导致无法管理药物或药物的使用,无论是合法的还是非法的。该患者被诊断患有类似精神分裂症的物质使用障碍,是这项定性调查的主题。本研究采用单病例研究设计。采用心理状态检查问卷收集数据,并采用内容分析法对数据进行分析。研究参与者是一名22岁的男性,接受过物流管理方面的教育,是一名个体经营者。参与者是一家私人精神健康中心的住院病人。本研究发现,多种药物或其他精神活性物质导致的精神和行为障碍可以通过认知行为治疗、厌恶治疗、家庭治疗、门诊康复、住院康复和药物治疗来治疗。这项研究还提供了一个关于精神分裂症与物质使用障碍在症状、因果因素和管理计划方面的比较的见解。
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引用次数: 0
期刊
International journal of clinical case reports and reviews : open access
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