Literature

文献
  • 文章类型: Journal Article
    尽管出版物有所减少,病例报告在医学文献中仍然是必不可少的,因为它们提供了个体患者病例的详细描述和对未来管理的宝贵见解.这些报告遵循标准化结构,包括摘要、介绍,病例报告,讨论,和结论。获得知情同意和遵守准则至关重要。病例报告通过检测新疗法和不良事件有助于循证医学。它们还有助于明确报告,指导方针坚持,和指导计划。这些报告对于记录罕见事件至关重要,协助临床医生及时管理,并向忙碌的医疗专业人员传达新颖的信息。遵循病例报告指南确保全面和标准化的报告,提高病例报告的接受度和质量,推进医学知识。
    Despite a decrease in publication, case reports remain essential in medical literature as they offer detailed descriptions of individual patient cases and valuable insights for future management. These reports adhere to a standardized structure comprising sections such as abstract, introduction, case report, discussion, and conclusion. Obtaining informed consent and adhering to guidelines is essential. Case reports contribute to evidence-based medicine by detecting new therapies and adverse events. They also facilitate clear reporting, guideline adherence, and mentorship programs. These reports are vital for documenting rare occurrences, assisting clinicians in timely management, and communicating novel information to busy medical professionals. Following case report guidelines ensures comprehensive and standardized reporting, enhancing the acceptance and quality of case reports, and advancing medical knowledge.
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  • 文章类型: Journal Article
    背景:耐药结核病(DR-TB)的传播正在进行中。寻找DR-TB患者并尽早开始治疗对于改善患者临床结果和打破传播链以控制大流行非常重要。据我们所知,评估有效性的系统评价,成本效益,可接受性,以及为DR-TB提供不同病例发现策略的可行性,政策,并且没有进行实践,目前还不清楚是否有足够的研究来进行这样的审查。目前尚不清楚DR-TB和药物敏感性TB的病例发现策略是否相似,以及我们是否可以利用药物敏感性审查的结果来指导DR-TB病例发现策略的决策。
    目的:本方案旨在描述关于DR-TB病例发现的现有文献,并描述病例发现策略。
    方法:我们将筛选系统综述,试验,定性研究,诊断测试准确性研究,以及其他专门寻求改善DR-TB病例检测的主要研究。我们将排除邀请个人寻求结核病症状治疗的研究,那些包括已经被诊断患有结核病的人,或基于实验室的研究。我们将搜索包括MEDLINE在内的学术数据库,Embase,科克伦图书馆,非洲信息,CINAHL,认识论,和PROSPERO,没有语言或日期限制。我们将筛选标题,摘要,和全文一式两份。将使用Excel(MicrosoftCorp)进行数据提取和分析。
    结果:我们将提供带有支持数字或表格的叙述性报告,以总结数据。基于系统的逻辑模型,从药物敏感结核病的病例发现策略的综合发展,将用作描述不同策略的框架,由此产生的途径,和路径的增强。搜索将于2021年底进行。标题和摘要筛选,全文筛选,数据提取将于2022年1月至6月进行。此后,将进行分析,和结果汇编。
    结论:这项范围审查将绘制有关DR-TB病例发现的现有文献-这将有助于确定有效性的初步研究成本效益,可接受性,以及存在不同的DR-TB病例发现策略的可行性,这将有助于为系统审查制定潜在的问题。我们还将描述DR-TB的病例发现策略,以及它们如何适合药物易感TB的病例发现途径模型。本综述有一定的局限性。一个限制是多样性,文献中干预术语的使用不一致,这可能会导致相关研究的缺失。对干预策略的不良报告也可能导致对干预措施的误解和错误分类。最后,针对DR-TB的病例发现策略可能不适合根据药物敏感TB策略开发的模型。然而,这种情况将为今后的研究提供一个完善模型的机会。审查将指导进一步的研究,为DR-TB的病例发现政策和实践提供信息。
    UNASSIGNED:DERR1-10.2196/40009。
    BACKGROUND: Transmission of drug-resistant tuberculosis (DR-TB) is ongoing. Finding individuals with DR-TB and initiating treatment as early as possible is important to improve patient clinical outcomes and to break the chain of transmission to control the pandemic. To our knowledge systematic reviews assessing effectiveness, cost-effectiveness, acceptability, and feasibility of different case-finding strategies for DR-TB to inform research, policy, and practice have not been conducted, and it is unknown whether enough research exists to conduct such reviews. It is unknown whether case-finding strategies are similar for DR-TB and drug-susceptible TB and whether we can draw on findings from drug-susceptible reviews to inform decisions on case-finding strategies for DR-TB.
    OBJECTIVE: This protocol aims to describe the available literature on case-finding for DR-TB and to describe case-finding strategies.
    METHODS: We will screen systematic reviews, trials, qualitative studies, diagnostic test accuracy studies, and other primary research that specifically sought to improve DR-TB case detection. We will exclude studies that invited individuals seeking care for TB symptoms, those including individuals already diagnosed with TB, or laboratory-based studies. We will search the academic databases including MEDLINE, Embase, The Cochrane Library, Africa-Wide Information, CINAHL, Epistemonikos, and PROSPERO with no language or date restrictions. We will screen titles, abstracts, and full-text articles in duplicate. Data extraction and analyses will be performed using Excel (Microsoft Corp).
    RESULTS: We will provide a narrative report with supporting figures or tables to summarize the data. A systems-based logic model, developed from a synthesis of case-finding strategies for drug-susceptible TB, will be used as a framework to describe different strategies, resulting pathways, and enhancements of pathways. The search will be conducted at the end of 2021. Title and abstract screening, full text screening, and data extraction will be undertaken from January to June 2022. Thereafter, analysis will be conducted, and results compiled.
    CONCLUSIONS: This scoping review will chart existing literature on case-finding for DR-TB-this will help determine whether primary studies on effectiveness, cost-effectiveness, acceptability, and feasibility of different case-finding strategies for DR-TB exist and will help formulate potential questions for a systematic review. We will also describe case-finding strategies for DR-TB and how they fit into a model of case-finding pathways for drug-susceptible TB. This review has some limitations. One limitation is the diverse, inconsistent use of intervention terminology within the literature, which may result in missing relevant studies. Poor reporting of intervention strategies may also cause misunderstanding and misclassification of interventions. Lastly, case-finding strategies for DR-TB may not fit into a model developed from strategies for drug-susceptible TB. Nevertheless, such a situation will provide an opportunity to refine the model for future research. The review will guide further research to inform decisions on case-finding policies and practices for DR-TB.
    UNASSIGNED: DERR1-10.2196/40009.
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  • 文章类型: Case Reports
    尿路结石是亚洲常见的泌尿系统问题。近年来,尿路结石的发病率有所增加,但往往被缺乏知识和社会经济地位低的人忽视。重量超过100克的膀胱结石的发生是不寻常的。我们报告了一名46岁的印度尼西亚男性患者,他主诉下腹痛,尿痛,频率,紧迫性,还有血尿.患者还因慢性血尿而患有严重贫血。患者随后接受了开放性膀胱切开取石术,因为肾脏的超声和X线检查结果,输尿管,膀胱显示出巨大的膀胱结石。这种膀胱结石的尺寸为62×59毫米,重301克。性别,年龄,生活在一个热带国家,和知识的缺乏导致病人的忽视症状。
    A urinary tract stone is a common urologic problem in Asia. In recent years, the incidence of urinary tract stones has increased but tends to be neglected by people with a lack of knowledge and low socioeconomic status. The occurrence of a bladder stone weighing more than 100 grams is unusual. We report the case of a 46-year-old Indonesian male patient who presented with complaints of lower abdominal pain, urinary pain, frequency, urgency, and hematuria. The patient also had severe anemia due to chronic hematuria. The patient then received open cystolithotomy because the ultrasonographic and X-ray findings of the kidney, ureter, and bladder revealed a giant bladder stone. This bladder stone measured 62 × 59 mm and weighed 301 grams. Gender, age, living in a tropical country, and lack of knowledge contributed to the patient\'s neglect of symptoms.
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  • 文章类型: Journal Article
    一种健康已经成为一种流行的方法,该领域的科学进步应该容易发现,并为广泛的相关受众所接近,从研究人员到决策者,和跨部门。我们对丹麦环境中有关OneHealth的可用科学出版物进行了系统的叙述性审查,这些出版物可以使用“OneHealth”作为关键搜索词进行检索。在两个数据库中进行了三次搜索,产生了30种检索到的出版物,其中13项被列入审查。所包括的出版物已在2015年至2021年之间出版。其中12种出版物是由来自不同部门的机构合作共同撰写的。其中三份出版物侧重于抗菌素耐药性,关于疾病监测和/或控制,五个是评估或评价。通过使用“OneHealth”作为关键搜索词的搜索确定的出版物总数很少,搜索发现了一些与OneHealth无关的出版物。因此,我们的工作强调了与OneHealth相关的路标文章错过的科学和交流机会。使用表达“OneHealth”作为关键字可以帮助使OneHealth研究更容易找到,从而获得该领域研究的概述。
    One Health has become a popular approach, and scientific advancements in the field should be easily findable and accessible to a wide range of relevant audiences, from researchers to policymakers, and across sectors. We conducted a systematic narrative review of available scientific publications concerning One Health in the setting of Denmark that were retrievable using \"One Health\" as the key search term. Three searches in two databases yielded 30 retrieved publications, 13 of which were included in the review. The included publications had been published between 2015 and 2021. Twelve of the included publications were co-authored in collaboration across institutes from different sectors. Three of the included publications had focus on antimicrobial resistance, three on disease surveillance and/or control, and five were assessments or evaluations. The overall number of publications identified by a search using \"One Health\" as the key search term was small, and the search identified some publications that were not relevant to One Health. Our work thus highlights a missed scientific and communication opportunity of signposting articles as relevant to One Health. Using the expression \"One Health\" as keyword could help making One Health research more easily findable and thereby obtaining an overview of research in the field.
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  • 文章类型: Journal Article
    未经批准:在文学小说中,医疗疾病的典故很常见。然而,在斯蒂芬·金的参考书目中,神经系统疾病似乎不成比例地存在。
    未经评估:本研究的目的是描述StephenKing著作中描述的神经系统疾病的流行病学。
    未经调查:本研究提供了斯蒂芬·金(StephenKing)60部出版小说的数据。频率,患病率,杀伤力,报告了小说中出现的人物中发现的每种神经系统诊断的死亡率。
    未经授权:48部小说描绘了至少一个具有神经系统诊断的角色,总的来说,150个字符表现出神经系统疾病。总体患病率为每1000个字符111.2。他们的平均年龄为20岁(范围76),男性占61.7%。头痛是最常见的症状(35.3%),其次是中风症状占28.7%。头痛和癫痫的患病率为24.5,17.8,分别。死亡率为28.7%。总死亡率为31.9。
    未经评估:斯蒂芬·金小说中描述的流行病学与现实世界相似。在他的小说中发现的对神经系统疾病的描述展示了神经系统疾病对全球疾病负担的贡献。对他的小说读者和所有神经学家的兴趣的重要信息。
    UNASSIGNED: Across literary fiction, allusions to medical ailments are common. However, in the bibliography of Stephen King, neurological disorders appear to be present disproportionately.
    UNASSIGNED: The objective of this study is to describe the epidemiology of neurologic disorders depicted in the writings of Stephen King.
    UNASSIGNED: This study presents data from Stephen King\'s 60 published novels. The frequency, prevalence, lethality, and mortality of each neurological diagnosis found in the characters that appear in the novels are reported.
    UNASSIGNED: Forty-eight novels portrayed at least one character with a neurological diagnosis, and in total, 150 characters exhibited a neurological condition. The overall prevalence was 111.2 per 1,000 characters. Their median age was 20 years (range 76), and 61.7% were males. Headache was the most common symptom (35.3%), followed by stroke symptoms in 28.7%. Prevalence was 24.5, 17.8 for headache and epilepsy, respectively. Lethality was 28.7%. The overall mortality rate was 31.9.
    UNASSIGNED: The epidemiology described in Stephen King\'s novels parallels that of the real world. The depiction of neurological disorders found in his novels showcases the elevated contribution of neurological disorders to the global burden of the disease, an important message for the readers of his fiction and interest to all neurologists.
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  • 文章类型: Journal Article
    背景:在非洲,由于文化因素和缺乏经济支持而导致的就医延误可以解释某些特定的临床表现。嵌顿腹股沟疝后的肠腹瘘是新生儿的罕见疾病。
    方法:一名21天大的婴儿被带到我们的会诊,因为他从右侧阴囊持续排便三天。父母报告说,腹股沟阴囊肿胀在入院前已经发展了十天,两天后变得疼痛。他被诊断出患有肠腹瘘。纠正电解质紊乱后,通过右下横切口进行剖腹手术.手术发现为绞窄性腹股沟疝伴回肠穿孔。进行切除和端对端回肠吻合术。他在术后第6天出院。随访1年内无复发。
    结论:迄今为止,文献中已报道13例。他们大多数来自发展中国家,包括我们的.
    结论:早期寻求嵌顿性腹股沟疝的医疗护理是必要的,以降低其发病率和死亡率。儿科医生应该强调提供足够的信息,新生儿常规检查期间的教育和沟通。我们提倡普及全民健康保险,以促进医疗保健。
    BACKGROUND: In Africa, frequent delays in seeking medical attention due to cultural considerations and lack of financial support could explain some particular clinical presentations. An enteroscrotal fistula following an incarcerated inguinal hernia is a rare condition in neonates.
    METHODS: A 21-day-old infant was brought to our consultation for persistent stool discharge from the right scrotum for three days. The parents reported an inguinoscrotal swelling that had been evolving for ten days before admission and became painful two days later. He was diagnosed with a case of enteroscrotal fistula. After correction of electrolytes disorders, a laparotomy was performed through a right lower transverse incision. Operative findings were strangulated inguinal hernia with ileal perforation. Resection and end-to-end ileo-ileal anastomosis was performed. He was discharged from the hospital on the 6th post-operative day. No recurrence within the first year of follow-up.
    CONCLUSIONS: Thirteen cases have been reported in the literature until now. Most of them were from developing countries, including ours.
    CONCLUSIONS: Early seeking medical attention of incarcerated inguinal hernias is necessary to reduce their morbidity and mortality. Paediatricians should emphasize providing adequate information, education and communication during routine examinations of neonates. We advocate the popularization of universal health insurance to facilitate health care.
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  • 文章类型: Journal Article
    COVID-19全球健康危机导致已发表的科学文献呈指数级激增。为了应对大流行,正在创建非常大的与COVID-19相关的语料库,有时信息不准确,不再是人类分析的规模。
    在大量与COVID-19相关的文献中寻找科学证据的背景下,我们提出了一种信息检索方法,用于有效识别相关来源,以回答使用自然语言提出的生物医学查询。
    我们的多阶段检索方法结合了概率加权模型和基于深度神经架构的重排序算法,以提高相关文档的排名。将COVID-19查询的相似性与文档进行比较,并将一系列后处理方法应用于初始排序列表,以提高查询与生物医学信息源的匹配性,提升相关文档的位置。
    该方法是在TREC-COVID挑战的背景下进行评估的,与参加比赛的顶级团队取得比赛成绩。特别是,词袋和深度神经语言模型的组合显着优于基于OkapiBestMatch25的基线,平均检索,83%的相关文件在前20名。
    这些结果表明,深度学习支持的多级检索可以增强使用自然语言提出的与COVID-19相关问题的文献识别。
    The COVID-19 global health crisis has led to an exponential surge in published scientific literature. In an attempt to tackle the pandemic, extremely large COVID-19-related corpora are being created, sometimes with inaccurate information, which is no longer at scale of human analyses.
    In the context of searching for scientific evidence in the deluge of COVID-19-related literature, we present an information retrieval methodology for effective identification of relevant sources to answer biomedical queries posed using natural language.
    Our multistage retrieval methodology combines probabilistic weighting models and reranking algorithms based on deep neural architectures to boost the ranking of relevant documents. Similarity of COVID-19 queries is compared to documents, and a series of postprocessing methods is applied to the initial ranking list to improve the match between the query and the biomedical information source and boost the position of relevant documents.
    The methodology was evaluated in the context of the TREC-COVID challenge, achieving competitive results with the top-ranking teams participating in the competition. Particularly, the combination of bag-of-words and deep neural language models significantly outperformed an Okapi Best Match 25-based baseline, retrieving on average, 83% of relevant documents in the top 20.
    These results indicate that multistage retrieval supported by deep learning could enhance identification of literature for COVID-19-related questions posed using natural language.
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  • 文章类型: Journal Article
    本文分析了两部关于年轻人神经性厌食症(AN)的经历的年轻成人(YA)小说,在医学人文研究对疾病文学描述的双重背景下,以及关于AN的更广泛的YA文学领域。在强调多样化文学叙事的重要性的同时,为了提高人们对男性和男孩中AN的普遍性的认识,并有助于减少耻辱,它还考虑了当前对文学对弱势读者的潜在有害触发影响的研究。它确定了AnnePercin的Pointdecóté(边缝)(2006年)和SimonBoulerice的JeanneMoreaualesourireàl'envers(JeanneMoreauHasAUpside-DownSmile)(2013年)作为文学中良好实践的示例,由于他们的主题关注男性经验,因为他们采用的叙事策略破坏了读者对厌食症特征的认同,避免直接关注可能引发厌食症的想法和行为的描述。它们还有助于通过对女同性恋的非判断性刻画来使AN的刻画多样化,同性恋,双性恋,和变性者(LGBT)主题,目前可用英语的同等YA小说中缺少的主题。文章进一步指出,包括小说在内的文学有助于围绕特定疾病的整体社会和文化话语,并可能影响患者的现实世界体验。但它本身就是一种特定的话语,需要用适当的工具阅读。它对叙事声音和主题内容的详细分析表明,文学研究领域的具体方法如何补充文学及其在心理健康话语中的地位的实证研究。
    This article analyses two young adult (YA) novels about young men\'s experience of anorexia nervosa (AN), within the dual contexts of medical humanities research into literary depictions of illness, and the broader field of YA literature about AN. While emphasising the importance of diverse literary narratives in order to raise awareness of the prevalence of AN in men and boys, and to contribute to the reduction of stigma, it also considers current research into the potentially harmful triggering effects of AN literature on vulnerable readers. It identifies Anne Percin\'s Point de côté (Side Stitch) (2006) and Simon Boulerice\'s Jeanne Moreau a le sourire à l\'envers (Jeanne Moreau Has An Upside-Down Smile) (2013) as examples of good practice in AN literature, due to their thematic focus on male experience, and because they employ narrative strategies that disrupt reader identification with the anorexic character, and avoid focusing directly on potentially triggering descriptions of anorexic ideas and behaviour. They also contribute to diversifying the portrayal of AN via non-judgmental portrayal of lesbian, gay, bisexual, and transgender (LGBT) themes, a topic absent from equivalent YA novels currently available in English. The article further argues that literature-including fiction-contributes to the overall social and cultural discourse surrounding specific illnesses and is likely to affect patients\' real-world experiences, but that it is a specific kind of discourse in its own right, which demands to be read with the appropriate tools. Its detailed analysis of narrative voice alongside thematic content demonstrates how specific approaches from the field of literary studies may complement empirical research into literature and its place within mental health discourse.
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  • 文章类型: Case Reports
    确定急性双硫仑中毒在儿科人群中的意义。
    儿童双硫仑中毒并不常见,可能发生在由于粗心和不安全的储存而摄入大量药物的儿童中。文献中只有少数病例报道。虽然大多数患者耐受性良好,还报告了严重的毒副作用,包括肝炎,脑病,精神病,光学的,和周围神经病变。
    这是一例双硫仑中毒的病例报告,一例4.5岁女孩意外摄入4-5片双硫仑(约1-1.25g),出现低血糖和脑病。在急诊室初步稳定后,儿童被转移到重症监护病房(ICU),在那里对儿童进行保守管理.入院8小时后血糖恢复正常。磁共振成像(MRI)在T2加权(T2W)和弥散加权(DW)图像中显示双侧苍白球高强度,在T1加权(T1W)图像中显示出包括弥散限制在内的低张力。
    急性双硫仑中毒可发生在因储存不安全而摄入大量药物的儿童中。它可以导致肝炎,脑病,精神病,光学的,和周围神经病变。治疗的主要手段是支持治疗,气道保护,氧气,应给予含葡萄糖的静脉输液。
    急性双硫仑中毒应该是诊断任何患有特发性脑病并伴有锥体外系症状的儿童的重要鉴别诊断。
    BhallaK,米塔尔K,古普塔A,儿童急性双硫仑中毒1例报告及文献复习.印度JCritCareMed2020;24(3):203-205。
    UNASSIGNED: To determine the significance of acute disulfiram poisoning in pediatric population.
    UNASSIGNED: Disulfiram poisoning in children is uncommon, can occur in children who have ingested large amount of drug because of careless and unsafe storage. Only few cases have been reported in literature. Although well tolerated by most patients, severe toxic side effects have been also reported including hepatitis, encephalopathy, psychosis, optic, and peripheral neuropathy.
    UNASSIGNED: This is a case report of disulfiram toxicity in a 4.5-year girl who ingested 4-5 tablets of disulfiram (approximately 1-1.25 g) accidentally and presented with hypoglycemia and encephalopathy. After initial stabilization in emergency room, the child was shifted to intensive care unit (ICU) where the child was managed conservatively. Blood sugars normalized after 8 hours of admission. Magnetic resonance imaging (MRI) brain showed bilateral globus pallidus hyperintensity in T2-weighted (T2W) and diffusion-weighted (DW) images and hypointensity in T1-weighted (T1W) images including diffusion restriction.
    UNASSIGNED: Acute disulfiram poisoning can occur in children who have ingested large amount of drug because of unsafe storage. It can lead to hepatitis, encephalopathy, psychosis, optic, and peripheral neuropathy. Mainstay of treatment is supportive care, airway protection, oxygen, and dextrose-containing intravenous fluid should be given.
    UNASSIGNED: Acute disulfiram poisoning should be an important differential in diagnosis of any child presenting with idiopathic encephalopathy along with extrapyramidal symptoms with basal ganglia signal changes in MRI of brain in a previously healthy child.
    UNASSIGNED: Bhalla K, Mittal K, Gupta A, Nehra D. Acute Disulfiram Poisoning in a Child: A Case Report and Review of Literature. Indian J Crit Care Med 2020;24(3):203-205.
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  • 文章类型: Case Reports
    BACKGROUND: Parahiatal hernias (PHHs) are rare occurring disease, with a reported incidence of 0.2%-0.35% in patients undergoing surgery for hiatal hernia. We found only a handful of cases of primary PHHs in the literature. The aim of this paper is to present a case of a primary PHH and perform a systematic review of the literature.
    METHODS: We report the case of a 60-year-old Caucasian woman with no history of thoraco-abdominal surgery or trauma, which accused epigastric pain, starting 2 years prior, pseudo-angina and bloating. Based on imagistic findings the patient was diagnosed with a PHH and an associated type I hiatal hernia. Patient underwent laparoscopic surgery and we found an opening in the diaphragm of 7 cm diameter, lateral to the left crus, through which 40%-50% of the stomach had herniated in the thorax, and a small sliding hiatal hernia with an anatomically intact hiatal orifice but slightly enlarged. We performed closure of the defect, suture hiatoplasty and a \"floppy\" Nissen fundoplication. Postoperative outcome was uneventful, with the patient discharged on the fifth postoperative day. We performed a review of the literature and identified eight articles regarding primary PHH. All data was compiled into one tabled and analyzed.
    CONCLUSIONS: Primary PHHs are rare entities, with similar clinical and imagistic findings with paraesophageal hernias. Treatment usually includes laparoscopic approach with closure of the defect and the esophageal hiatus should be dissected and analyzed. Postoperative outcome is favorable in all cases reviewed and no recurrence is cited in the literature.
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