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Differences among Obese versus Nonobese Patients undergoing total Laparoscopic Hysterectomy. A single Center Experience 腹腔镜全子宫切除术中肥胖与非肥胖患者的差异。单一中心体验
Pub Date : 2022-03-28 DOI: 10.31579/2690-1919/236
Flaviu Ionut Faur
Aim of the study: The main aim of this study is to analyze the influence of obesity over the intraoperative and post-operative evolution, in the context of total laparoscopic hysterectomy. Material and Methods: The study developed in the II nd Surgical Clinic of the “Pius Brinzeu” County Emergency Hospital Timișoara between 1st of January 2017 – 1st of January 2019 and it was applied to a general batch of 29 women patients diagnosed with benign pathology of the uterus and adnexa. Results: The general batch we considered necessary some type of categorization of the women patients based on the BMI: Group A: BMI = 19.5-24,9kg/m2; Group B: BMI = 25-29.9 kg/m2; Group C: BMI> 30kg/m2. A positive moderated co-relation between the number of the comorbidities and the BMI (r=0.493, p˂0.05). Somehow self-explanatory, it was emphasized the fact that group B and C which contained mostly patients with the BMI limit over the usual one, it was remarked a proportional increase of the comorbidities at the same time with the increase of the BMI. A strong positive co-relation between the BMI and the intervention time (p=0.047), therefore, those two being tied by proportional increase relation. In this way we obtained a statistically significant co-relation between BMI and the post-operative complications (p˂0.05) but with a low number of major complication on the general batch. Conclusions: By analyzing the comorbidities and the post-operative evolution, minor differences were encountered between the study groups, and it was demonstrated that there is no reason to see a high BMI level as an obstacle in performing TLH.
研究目的:本研究的主要目的是分析肥胖对腹腔镜全子宫切除术中和术后演变的影响。材料和方法:该研究于2017年1月1日至2019年1月31日在蒂米奥阿拉“庇护布林泽”县急诊医院第二外科诊所进行,并应用于一批共29名被诊断为子宫和附件良性病变的女性患者。结果:我们认为有必要根据BMI对女性患者进行某种类型的分类:A组:BMI=19.5-24.9kg/m2;B组:BMI=25-29.9 kg/m2;C组:BMI>30kg/m2。合并症数量与BMI之间存在正相关关系(r=0.493,p 0.05)。不知何故,有人强调了一个事实,即B组和C组的大多数患者的BMI都超过了正常组,同时合并症也随着BMI的增加而成比例增加。BMI和干预时间之间存在很强的正相关关系(p=0.047),因此,这两者之间存在比例增加关系。通过这种方式,我们获得了BMI与术后并发症之间具有统计学意义的相关性(p0.05),但普通批次的主要并发症数量较低。结论:通过分析合并症和术后演变,研究组之间存在微小差异,表明没有理由将高BMI水平视为TLH的障碍。
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引用次数: 0
Differential Profile of High-Performance Adults with Attention Deficit Hyperactivity Disorder 高绩效成人注意缺陷多动障碍的差异特征
Pub Date : 2022-03-28 DOI: 10.31579/2690-1919/238
Pablo L. López, T. Testa
Objective: To compare the neurocognitive profile of a subgroup of patients with ADHD who have a high academic-occupational functioning vs. patients with low functioning. Method: A total of 50 adults with ADHD, 10 with high academic-occupational functioning (ADHD/HF), 20 with low academic-occupational functioning (ADHD-LF), and 20 healthy controls were assessed with a standard neuropsychological battery. Independent sample tests and logistic regression were calculated to compare the performance of the three groups and to identify predictor variables. Results: Statistically significant differences were found in the forward digits subtest between the subtypes of ADHD, but not between ADHD-HF and controls, nor between controls and ADHD-LF. In matrix reasoning subtest, significantly lower performances were registered between both ADHD groups compared to the control group. In the letter number subtest, ADHD-LF obtained a significant lower performance than the control group, but the ADHD-HF group do not differ with the other two groups. Finally, regarding to the binary logistic regression analysis, it could be observed that the only variable that best predicted belonging to these groups has been forward digits, which according to the data of the model would be a protection factor. Conclusion: The profile of patients with high socio-occupational performance was characterized by a better conservation of working memory and the capacity for sustained attention, and a lower tendency to distraction.
目的:比较具有高学术-职业功能的ADHD患者亚组与具有低功能的患者的神经认知特征。方法:采用标准神经心理测验对50名患有多动症的成年人、10名具有高学术职业功能(ADHD/HF)的成年人、20名具有低学术职业功能的成年人和20名健康对照进行评估。计算独立样本检验和逻辑回归,以比较三组的表现并确定预测变量。结果:ADHD各亚型的前指子测验存在统计学上的显著差异,但ADHD-HF与对照组之间以及对照组与ADHD-LF之间没有统计学上的差异。在矩阵推理子测验中,与对照组相比,两组ADHD的表现都明显较低。在字母数字子测试中,ADHD-LF的表现明显低于对照组,但ADHD-HF组与其他两组没有差异。最后,关于二元逻辑回归分析,可以观察到,唯一最能预测属于这些组的变量是前向数字,根据模型的数据,这将是一个保护因素。结论:高社会职业表现患者的特点是工作记忆和持续注意能力得到更好的保护,注意力分散的倾向较低。
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引用次数: 0
Concurrent validity of Grau’s Experiential Self-Report Transdiagnostic Test Modified for a more Comprehensive Assessment of the Affective Dimension Grau的经验自报转诊测试的并发有效性,用于更全面地评估情感维度
Pub Date : 2022-03-28 DOI: 10.31579/2690-1919/237
Humberto García Penedo
Based on the qualitative Self-Report Experiential test of Grau, modifications were made to increase its psychometric potential. The modifications were based on the transdiagnosis and from the integral affective dimension that included negative and positive emotions. A construct validation had already been carried out on the modifications. The trait anger construct was validated with the State-Trait Anger Expression Inventory STAXI-2,Depression with the Goldberg Trait-State Depression Inventory (IDERE),Anxiety with the Goldberg Trait-State Anxiety Inventory (IDARE);each one with its Cuban version. A significant positive (moderate) Spearman’s correlation (rho) of rs=0.438 was obtained between the Self-Report Anxiety construct and the IDARE, as well as a sensitivity of 83.3% versus 100% of the IDARE. A significant positive (moderate) Spearman’s Rho correlation of rs=0.459 between the self-report depression construct and the IDERE. The sensitivity of this construct was 73.3% in the Self- report compared to a sensitivity of 90% in the IDERE. The specificity of the Self- report for depression was 26.7% while in the IDERE it was 90%. The correlation of anger in the Self-Report with the STAXI-2 was rs=0.558 (significant, positive and moderate). While the sensitivity for anger was 46.7% and the specificity 53.3%. A remarkable degree of concurrence was concluded between Anxiety, Depression and Anger of Experiential Self-Report with the corresponding tests compared in a sample of 30 apparently healthy subjects. Self-report becomes a psychometric integration instrument that provides the diagnosis of anxiety, depression, anger, Alexithymia, emotional self-control, estimation of psychological trauma, a measure of positivity, emotional health and a coding of emotions. According to their clinical significance, which makes it easier to correlate them with other study variables.
在Grau质性自我报告经验测验的基础上,对其进行了修正,以增加其心理测量电位。修改是基于转诊和从整体情感维度,包括消极和积极的情绪。已经对修改进行了构造验证。采用状态-特质愤怒表达量表(STAXI-2)、抑郁量表(IDERE)和焦虑量表(IDARE)对特质愤怒的建构进行验证,每个量表都有其古巴版本。自我报告焦虑结构与IDARE之间存在显著的正(中度)Spearman相关(rho) rs=0.438,敏感性为83.3%,而IDARE为100%。自我报告抑郁结构与IDERE之间存在显著的正(中度)Spearman 's Rho相关,rs=0.459。该结构在自我报告中的敏感性为73.3%,而在IDERE中的敏感性为90%。自我报告对抑郁症的特异性为26.7%,而IDERE的特异性为90%。自我报告中的愤怒与STAXI-2的相关系数为rs=0.558(显著、正、中等)。愤怒的敏感性为46.7%,特异性为53.3%。在30个明显健康的被试中,经验自我报告的焦虑、抑郁和愤怒与相应的测试结果有显著的一致性。自我报告成为一种心理测量整合工具,它提供了焦虑、抑郁、愤怒、述情障碍、情绪自我控制、心理创伤评估、积极程度、情绪健康和情绪编码的衡量标准。根据它们的临床意义,这样更容易将它们与其他研究变量联系起来。
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引用次数: 0
Impact of COVID-19 on the clinical picture and therapy of Bipolar I Disorder Maniacal Episode COVID-19对双相I型障碍狂躁发作临床表现和治疗的影响
Pub Date : 2022-03-28 DOI: 10.31579/2690-1919/235
Nadir A. Aliyev, Zafar N. Aliyev
Objective: The purpose of this study was a retrospective study of the contingent of Impact of COVID-19 on the clinical picture and therapy of Bipolar I Disorder maniacal episode who were most infected with COVID-19. Materials and Methods: We study 150 patients Bipolar I Disorder who infected with COVID-19 impact on the clinical picture and therapy of the illness. The investigation ware carried out in psychiatric hospital Ministry of Health of the Republic of Azerbaijan. The hospital has a capacity of 2000 beds. Results: patients with Bipolar I Disorder who infected with COVID-19 in these clinically observed following changes: the intensity of psychopathological symptoms increased, psychosomatic balancing occurs, that is, during the COVID-19 illness, Bipolar I Disorder symptoms fade into the background, practically prevalence maniacal faze become intensively. Conclusion: patients Bipolar I Disorder who infected with COVID-19 in these clinically observed shows psychotic maniacal faze become intensively.
目的:本研究旨在回顾性研究COVID-19对感染最多的双相I型躁狂发作患者临床表现和治疗的影响。材料与方法:研究150例感染COVID-19的I型双相情感障碍患者对该疾病临床表现和治疗的影响。调查是在阿塞拜疆共和国卫生部的精神病院进行的。这家医院有2000张床位。结果:感染COVID-19的双相I型障碍患者在这些临床观察到以下变化:精神病理症状的强度增加,心身平衡发生,即在COVID-19疾病期间,双相I型障碍症状退居背景,实际上流行的狂躁症变得密集。结论:这些临床观察到的感染COVID-19的双相I型障碍患者表现为精神病性狂躁症加剧。
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引用次数: 0
Surgıcal Management of Crohn Dısease ın Chıldren: A Revıew Artıcle 智利克罗恩病的外科治疗:Revıew Artıcle
Pub Date : 2022-02-28 DOI: 10.31579/2690-1919/232
Volkan Sarper Erikci
Crohn’s disease (CD) is an inflammatory bowel disease with chronic transmural inflammation of the intestinal wall. It can be observed from oral cavity to anus and it typically involves the ileum, ileocecumor portions of the entire colon. With an increasing rate of CD in children, surgery still has a role in the management of this entity in children when medical treatment is unsuccessful. In this review article it is aimed to review the surgical treatment of CD under the light of relevant literature. During the management of children with CD, risks and benefits of surgical options should be carefully assessed and an appropriate surgical intervention should be performed promptly in order to avoid future complications and to gain future growth of the child with an acceptable quality of life.
克罗恩病(CD)是一种慢性跨壁性肠壁炎症性肠病。它可以从口腔到肛门观察到,它通常涉及回肠,整个结肠的回肠癌部分。随着儿童乳糜泻发病率的增加,在药物治疗不成功的情况下,手术仍然在儿童乳糜泻的治疗中发挥着作用。本文结合相关文献,对CD的手术治疗进行综述。在对乳糜凝患儿的治疗过程中,应仔细评估手术选择的风险和益处,并应及时进行适当的手术干预,以避免未来的并发症,并使患儿在未来的成长中获得可接受的生活质量。
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引用次数: 0
Notes to the Report, An Element of Great Importance to understand the Pathological Diagnosis 报告注释,理解病理诊断的重要因素
Pub Date : 2022-02-28 DOI: 10.31579/2690-1919/231
F. J. T. Gómez
I would like to propose a game to you. Let´s go to a hospital, no matter which one you have chosen. Visit the different services or units. Observe and write down how many and what kind of books populate the libraries of the different specialists. Make a summary and classify the findings in relation to the number of copies and theme. With few exceptions, you will find a very curious fact.
我想向你推荐一个游戏。让我们去医院吧,不管你选择了哪家医院。参观不同的服务或单位。观察并写下不同专家的图书馆里有多少书和什么样的书。根据抄本数量和主题对发现进行总结和分类。除了少数例外,你会发现一个非常奇怪的事实。
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引用次数: 0
Incisional Hernia following Abdominal Surgery in Children: A Single Centre Experience 儿童腹部手术后切口疝:单中心经验
Pub Date : 2022-02-28 DOI: 10.31579/2690-1919/233
Chukwubuike Kevin Emeka, Anijunsi Livinus Patrick, Onah Livinus Nnanyereugo
Background: Although uncommon, incisional hernia is a well-known complication of abdominal surgery in children and data on incisional hernia in the pediatric age group are sparse. The aim of this study was to evaluate a single center’s experience with regards to the incidence and outcome of incisional hernia in children. Materials and Methods: This was a retrospective study of children aged 15 years and younger who developed incisional hernia following abdominal surgery, between January 2013 and December 2017, at the pediatric surgery unit of a tertiary hospital in Enugu, Nigeria. Results: During the study period, a total of 1004 pediatric abdominal surgeries were performed. Out of this number, 31 patients developed incisional hernia: This accounted for an incidence rate of 3.1%. There was male predominance and the mean age at diagnosis of incisional hernia was 24 months. All the patients presented with a protrusion at or around the site of a previous surgical scar. Non-operative treatment (serial bandaging) was effective in most of the patients. There was no mortality. Conclusion: Incisional hernia is a well-known complication of abdominal surgery. This study recorded the incisional hernia incidence rate of 3.1%. Non-operative treatment was successful in majority of the patients. Future studies should emphasis on the specific risk factors (surgeon/patient) that may predispose to incisional hernia.
背景:虽然不常见,但切口疝是一种众所周知的儿童腹部手术并发症,关于儿童年龄组切口疝的资料很少。本研究的目的是评估单个中心在儿童切口疝的发生率和预后方面的经验。材料和方法:这是一项回顾性研究,研究对象是2013年1月至2017年12月在尼日利亚埃努古一家三级医院儿科外科进行的腹部手术后出现切口疝的15岁及以下儿童。结果:研究期间共完成小儿腹部手术1004例。其中31例患者发生切口疝,发生率为3.1%。切口疝以男性为主,平均年龄24个月。所有患者均表现出在先前手术疤痕处或周围的突出。非手术治疗(连续包扎)对大多数患者有效。没有死亡。结论:切口疝是腹部外科手术常见的并发症。本研究记录切口疝发生率为3.1%。大多数患者非手术治疗成功。未来的研究应强调可能导致切口疝的具体危险因素(外科医生/患者)。
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引用次数: 0
Development and Validation of “Divorcing the Self-Incompatible Scale” (DSIS) “自我不相容离婚量表”(DSIS)的编制与验证
Pub Date : 2022-02-28 DOI: 10.31579/2690-1919/230
Ebrahim Khodadady, Sholeh Bagheri
Background: Divorce has become an individualistic as well as collective problem in all societies requiring a sound theory and statistics to address it explanatorily and empirically. Objective: Almost all studies in various fields of knowledge have addressed divorce categorically. The present study was, however, designed to explore it as a cognitive domain by resorting to psychiatry, psychology, and religion and schema theory. Methodology: Several male and female individuals who were divorcing or divorced were interviewed to develop the 30-item divorcing the self-incompatible scale (DSIS). The scale was then administered to 548 divorcing and/or divorced selves (DDS) and their responses were subjected to Principal Axis Factoring and Promax with Kaiser Normalization to specify what factors underlie the scale. Results: The 30 items comprising the DSIS loaded acceptably on eight factors representing the cognitive families of Having Various Conflicts, Prioritizing Personal Interests, Having No Principles, Having No Decency, Having Different Tastes, Social Media Addiction, No Marital Education, and Misunderstanding Married Life. The families correlated significantly not only with each other but also with the DSIS representing the domain of divorce. Conclusion: Divorce is a cognitive domain through which the DDS reveal their self-theistic, polytheistic or practicing monotheistic selves.
背景:离婚已经成为所有社会的个人主义和集体问题,需要一个健全的理论和统计数据来解释和经验地解决它。目的:几乎所有的研究在各个领域的知识已经明确地处理离婚。然而,本研究旨在通过诉诸精神病学、心理学、宗教和图式理论,将其作为一个认知领域来探索。方法:对正在离婚或已离婚的男性和女性进行访谈,编制30项离婚自我不相容量表(DSIS)。然后对548名离婚和/或离婚的自我(DDS)进行量表管理,并对他们的回答进行主轴分解和Promax与Kaiser归一化,以指定构成量表的因素。结果:构成DSIS的30个题项,在冲突多、个人利益优先、没有原则、没有礼仪、品味不同、社交媒体成瘾、没有婚姻教育、误解婚姻生活等认知家庭的8个因素上均加载可接受。这些家庭不仅彼此之间具有显著的相关性,而且与代表离婚领域的DSIS也具有显著的相关性。结论:离婚是一个认知领域,通过它,DDS揭示了他们的自我有神论、多神论或实践一神论的自我。
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引用次数: 1
Plasma Therapy Gains Attention in Treatment of Viral Infections, Dermatological Illness, and Orthopedic Illnesses 血浆疗法在病毒感染、皮肤病和骨科疾病的治疗中受到重视
Pub Date : 2022-02-28 DOI: 10.31579/2690-1919/234
Ashish M. Gujrathi
Plasma therapy is one of the major chapters in medicines. Convalescent plasma therapy, another term for plasma therapy involves the use of blood from a person who has recovered from a particular illness to help others who are suffering from the same disease. The plasma of this blood is likely to contain antibodies that can help other patients fight the same illness, especially if viruses or pathogens are compromising the immunity system. Plasma therapy speeds up the recovery and helps manage symptoms. Moreover, it is used in wound healing, face rejuvenation, and androgenetic alopecia. It can help patients suffering from Covid-19, which increased its demand since the Covid-19 outbreak.
血浆疗法是医学的主要章节之一。康复血浆疗法,血浆疗法的另一个术语,涉及使用从特定疾病中康复的人的血液来帮助其他患有相同疾病的人。这种血液的血浆中可能含有抗体,可以帮助其他患者对抗同样的疾病,尤其是在病毒或病原体损害免疫系统的情况下。血浆治疗可以加快康复速度,并有助于控制症状。此外,它还用于伤口愈合、面部恢复和雄激素性脱发。它可以帮助患有新冠肺炎的患者,自新冠肺炎爆发以来,这增加了其需求。
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引用次数: 0
Over Mortality and Labor Productivity Lose Attributable to Smoking 吸烟导致的高死亡率和劳动生产率下降
Pub Date : 2022-02-08 DOI: 10.31579/2690-1919/227
F. Hernández, E. González
Introduction: The labor productivity lose because of smoking can be separated by final result in absolute or relative. The absolute is the one that is associated to mortality and then is irreversible because implicate the death of consumer of cigarettes or tobacco in conditions able to work according to local law. This is the labor productivity lose that focus the attention of this research. Objective: To design a procedure to determine the social cost by absolute labor productivity lose attributable to smoking. Materials and Methods: The procedure was made taking account empirical methods as the descriptive statistic, solution of equation system and differential calculus. Results: The procedure designed is appliable for transversal research only. For logitudinal research, the procedure need be applied for each time period. Nevertheless, the CIT develop might contribute with an apk to standarizate the calculus. The application of the procedure at Cuban context in 2011 showed the feasibility from their aplicability. Conclusions: Was made a procedure to estimate the social cost by absolute labor productivity lose attributable to smoking. The procedure is useful in transversal research.
引言:吸烟造成的劳动生产率损失可以用最终结果来区分,可以是绝对的,也可以是相对的。绝对死亡是指与死亡相关的死亡,然后是不可逆转的,因为根据当地法律,香烟或烟草消费者的死亡是在能够工作的条件下发生的。这就是劳动生产率损失这一研究的重点。目的:设计一种通过吸烟造成的绝对劳动生产率损失来确定社会成本的程序。材料和方法:该程序考虑了描述性统计、方程组求解和微分学等经验方法。结果:所设计的程序仅适用于横向研究。对于逻辑研究,需要在每个时间段应用该程序。然而,CIT的发展可能有助于apk标准化演算。2011年,该程序在古巴的适用情况表明了其可行性。结论:制定了一个通过吸烟造成的绝对劳动生产率损失来估计社会成本的程序。该程序在横向研究中很有用。
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引用次数: 0
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Journal of clinical research and reports
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