AIM: To compare the anatomic and functional outcomes between vitrectomy with internal limiting membrane(ILM) peeling and internal ILM flap insertion technique for high myopia macular hole(MH).METHODS: Pub Med, Cochran...AIM: To compare the anatomic and functional outcomes between vitrectomy with internal limiting membrane(ILM) peeling and internal ILM flap insertion technique for high myopia macular hole(MH).METHODS: Pub Med, Cochrane Library, EMBASE, and CNKI were systematically searched, and all studies involved MH were included. The closure rate of MH and the postoperative best-corrected visual acuity(BCVA) at 6 mo after the initial surgery were the primary measures. All statistical tests were performed in Review Manager 5.3.RESULTS: Five studies that included 151 eyes of 151 patients were finally included, all of which were retrospectively comparative studies. Between the pars plana vitrectomy(PPV) with ILM peeling surgery and the ILM insertion technique, the latter had significantly better efficacy with respect to the closure rate of MH(OR=21.32, 95%CI=7.25-62.67, P<0.001);However, regarding BCVA at 6 mo after the initial surgery in MH, there was no statistical significance between the groups(OR=-0.04, 95%CI=-0.22-0.14, P=0.66). In addition, regarding the rate of retinal reattachment after the initial surgery, the two different methods were not significantly different(OR=2.22, 95%CI=0.34-14.32, P=0.4).CONCLUSION: Both ILM peeling and ILM insertion technique could significantly improve anatomic outcomes of MH in high myopia with or without retinal detachment(RD), and anatomic outcomes are more effective. However, there is no statistical significance in BCVA at 6 mo after the initial surgery in MH, or in the rate of retinal reattachment after the first surgery, between the two methods.展开更多
Objective This study aimed to assess anxiety,depression,and stress among inpatients with cancer.Methods Two hundred thirty-five hospitalized patients with cancer were surveyed with the Depression Anxiety Stress Scales...Objective This study aimed to assess anxiety,depression,and stress among inpatients with cancer.Methods Two hundred thirty-five hospitalized patients with cancer were surveyed with the Depression Anxiety Stress Scales(simplified Chinese Version).The software program SPSS 25.0 was used for statistical analysis of the survey data.Results The average scores of depression,anxiety,and stress of inpatients with cancer were 12.17,11.84,and 13.98 respectively,which were higher than the normal range.The scores of anxiety and stress of inpatients with different caregivers were statistically different(P=0.024/0.036).The anxiety and stress scores of inpatients with spouses as caregivers were higher than those of inpatients with children as caregivers.There was a statistically significant difference in the incidence of stress between inpatients with cancer with religious beliefs and inpatients with cancer without religious beliefs(P=0.026),and those with religious beliefs had greater incidence of stress.The score of anxiety was significantly higher for inpatients with children than for inpatients without children(P=0.040).Conclusion The anxiety,depression,and stress levels of inpatients with cancer are relatively high.It is necessary to pay special attention to the psychological status of these patients during clinical diagnosis and treatment to improve their quality of life.展开更多
Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.T...Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.This article attempts to review the mental health status,assessment tools,and psychological interventions of the caregivers of cancer patients,and calls on social and medical workers to pay attention to the mental and physical health status of the caregivers of cancer patients.展开更多
Objectives To explore the anxiety,depression,stress and related factors in the primary caregivers of inpatients with cancer.Methods A total of 235 selected caregivers of inpatients with cancer were included as the res...Objectives To explore the anxiety,depression,stress and related factors in the primary caregivers of inpatients with cancer.Methods A total of 235 selected caregivers of inpatients with cancer were included as the research subjects,and the Depression-Anxiety-Stress Self-Rating Scale 21(DASS-21)was used to evaluate their depression,anxiety and stress.The data were statistically analyzed using SPSS 25.0 software.Results The study showed that the caregivers of cancer patients had different levels of depression,anxiety and stress,but all rates were above the normal range,with 51.7%,56.0%and 34.9%of subjects respectively reporting these conditions.In addition,the above indicators were correlated with the caregivers’gender,age,relationship with the cancer patients,the family’s economic status,religious belief and duration of caregiving:being female(T-Statistic=-2.061,P=0.040)and having a low income(F=2.627,P=0.035)were positively correlated with the caregivers’stress level.Having a low income(F=2.804,P=0.027)was also positively correlated with the depression scores.When the caregivers were the patient's parents,they had higher levels of anxiety(F=2.429,P=0.036)than caregivers in other relationships.The results of a linear correlation analysis showed that the depression of caregivers was negatively correlated with the family’s economic status(r value=-0.244,P<0.01)and positively correlated with the duration of caregiving(r=0.138,P<0.05).The anxiety score was positively correlated with the caregivers’age(r=0.141,P<0.05)and duration of caregiving(R=0.132,P<0.05),but negatively correlated with the family’s economic status(r=-0.187,P<0.01).The stress level was positively correlated with the caregivers’gender(r=0.137,P<0.05),age(r=0.210,P<0.01),duration of caregiving(r=0.171,P<0.01)and current job status(r=0.165,P<0.05),but negatively correlated with the family’s economic status(r=-0.202,P<0.01).The results of a multiple stepwise regression showed that age and religious belief were significant predictors of stress,while the family’s economic status was a significant predictor of depression,and age was a significant predictor of anxiety.Conclusion The caregivers of hospitalized cancer patients showed varying degrees of anxiety,depression and stress,according the psychological assessments;the provision or interventions might be helpful for these individuals.展开更多
Mental distress is prevalent among cancer patients.Many measurements have been developed to screen and evaluate such distress.About one-third of the persons with cancer will experience significant levels of distress,r...Mental distress is prevalent among cancer patients.Many measurements have been developed to screen and evaluate such distress.About one-third of the persons with cancer will experience significant levels of distress,requiring targeted psychosocial intervention.Mental distress has been endorsed as the sixth vital sign by the International Psycho-Oncology Society(IPOS) in 2009.The need for effective screening and psychological interventions is well recognized as a necessary,integral part of oncology care.This systematic review examines the psychometric properties of the existing tools used to screen patients for emotional distress and the applicable intervention methods.展开更多
BACKGROUND We report a case of eye-penetrating injury in which a massive silicone oil migration into the patient’s subconjunctival space and orbit occurred after vitrectomy.CASE SUMMARY A 30-year-old male patient sou...BACKGROUND We report a case of eye-penetrating injury in which a massive silicone oil migration into the patient’s subconjunctival space and orbit occurred after vitrectomy.CASE SUMMARY A 30-year-old male patient sought medical attention at Ganzhou People’s Hospital after experiencing pain and vision loss in his left eye due to a nail wound on December 9,2023.Diagnosis of penetrating injury caused by magnetic foreign body retention in the left eye and hospitalization for treatment.On December 9,2023,pars plana vitrectomy was performed on the left eye for intraocular foreign body removal,abnormal crystal extraction,retinal photocoagulation.Owing to the discovery of retinal detachment at the posterior pole during surgery,silicone oil was injected to fill the vitreous body,following which upper conjunctival bubble-like swelling was observed.Postoperative orbital computed tomography(CT)review indicated migration of silicone oil to the subconjunctival space and orbit through a self-permeable outlet.On December 18,2023,the patient sought treatment at the First Affiliated Hospital of Nanchang University,China.The patient presented with a pronounced foreign body sensation following left eye surgery.On December 20,2023,the foreign body was removed from the left eye frame and an intraocular examination was conducted.The posterior scleral tear had closed,leading to termination of the surgical procedure following supplementary laser treatment around the tear.The patient reported a significant reduction in ocular surface symptoms just one day after surgery.Furthermore,a notable decrease in the migration of silicone oil was observed in orbital CT scans.CONCLUSION The timing of silicone oil injection for an eye-penetrating injury should be carefully evaluated to avoid the possibility of silicone oil migration.展开更多
基金Supported by National Natural Science Foundation of China(No.81760179,No.81360151)Natural Science Foundation of Jiangxi Province(No.20171BAB205046)+6 种基金Key Foundation of Education Department of Jiangxi Province(No.GJJ160033)Health Development Planning Commission Science Foundation o f Jiangxi Province(N o.20185118)Foundation of Science and Technology Supported by Jiangxi Province(No.20141BBG70027)Chinese Medicine Research Project of Jiangxi Health and Family Planning Commission(No.2017A001)Jiangxi Province Grass-Roots Health Appropriate Technology Spark Promotion Project(No.20188007)Jiangxi Provincial Health and FP General Plan(No.20141031)General Project of Jiangxi Provincial Education Department(No.GJJ13147)
文摘AIM: To compare the anatomic and functional outcomes between vitrectomy with internal limiting membrane(ILM) peeling and internal ILM flap insertion technique for high myopia macular hole(MH).METHODS: Pub Med, Cochrane Library, EMBASE, and CNKI were systematically searched, and all studies involved MH were included. The closure rate of MH and the postoperative best-corrected visual acuity(BCVA) at 6 mo after the initial surgery were the primary measures. All statistical tests were performed in Review Manager 5.3.RESULTS: Five studies that included 151 eyes of 151 patients were finally included, all of which were retrospectively comparative studies. Between the pars plana vitrectomy(PPV) with ILM peeling surgery and the ILM insertion technique, the latter had significantly better efficacy with respect to the closure rate of MH(OR=21.32, 95%CI=7.25-62.67, P<0.001);However, regarding BCVA at 6 mo after the initial surgery in MH, there was no statistical significance between the groups(OR=-0.04, 95%CI=-0.22-0.14, P=0.66). In addition, regarding the rate of retinal reattachment after the initial surgery, the two different methods were not significantly different(OR=2.22, 95%CI=0.34-14.32, P=0.4).CONCLUSION: Both ILM peeling and ILM insertion technique could significantly improve anatomic outcomes of MH in high myopia with or without retinal detachment(RD), and anatomic outcomes are more effective. However, there is no statistical significance in BCVA at 6 mo after the initial surgery in MH, or in the rate of retinal reattachment after the first surgery, between the two methods.
基金a grant from the National Key Research and Development Program:the Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200).
文摘Objective This study aimed to assess anxiety,depression,and stress among inpatients with cancer.Methods Two hundred thirty-five hospitalized patients with cancer were surveyed with the Depression Anxiety Stress Scales(simplified Chinese Version).The software program SPSS 25.0 was used for statistical analysis of the survey data.Results The average scores of depression,anxiety,and stress of inpatients with cancer were 12.17,11.84,and 13.98 respectively,which were higher than the normal range.The scores of anxiety and stress of inpatients with different caregivers were statistically different(P=0.024/0.036).The anxiety and stress scores of inpatients with spouses as caregivers were higher than those of inpatients with children as caregivers.There was a statistically significant difference in the incidence of stress between inpatients with cancer with religious beliefs and inpatients with cancer without religious beliefs(P=0.026),and those with religious beliefs had greater incidence of stress.The score of anxiety was significantly higher for inpatients with children than for inpatients without children(P=0.040).Conclusion The anxiety,depression,and stress levels of inpatients with cancer are relatively high.It is necessary to pay special attention to the psychological status of these patients during clinical diagnosis and treatment to improve their quality of life.
基金Supported by a grant from The National Key Research and Development Program:The Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200).
文摘Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.This article attempts to review the mental health status,assessment tools,and psychological interventions of the caregivers of cancer patients,and calls on social and medical workers to pay attention to the mental and physical health status of the caregivers of cancer patients.
文摘Objectives To explore the anxiety,depression,stress and related factors in the primary caregivers of inpatients with cancer.Methods A total of 235 selected caregivers of inpatients with cancer were included as the research subjects,and the Depression-Anxiety-Stress Self-Rating Scale 21(DASS-21)was used to evaluate their depression,anxiety and stress.The data were statistically analyzed using SPSS 25.0 software.Results The study showed that the caregivers of cancer patients had different levels of depression,anxiety and stress,but all rates were above the normal range,with 51.7%,56.0%and 34.9%of subjects respectively reporting these conditions.In addition,the above indicators were correlated with the caregivers’gender,age,relationship with the cancer patients,the family’s economic status,religious belief and duration of caregiving:being female(T-Statistic=-2.061,P=0.040)and having a low income(F=2.627,P=0.035)were positively correlated with the caregivers’stress level.Having a low income(F=2.804,P=0.027)was also positively correlated with the depression scores.When the caregivers were the patient's parents,they had higher levels of anxiety(F=2.429,P=0.036)than caregivers in other relationships.The results of a linear correlation analysis showed that the depression of caregivers was negatively correlated with the family’s economic status(r value=-0.244,P<0.01)and positively correlated with the duration of caregiving(r=0.138,P<0.05).The anxiety score was positively correlated with the caregivers’age(r=0.141,P<0.05)and duration of caregiving(R=0.132,P<0.05),but negatively correlated with the family’s economic status(r=-0.187,P<0.01).The stress level was positively correlated with the caregivers’gender(r=0.137,P<0.05),age(r=0.210,P<0.01),duration of caregiving(r=0.171,P<0.01)and current job status(r=0.165,P<0.05),but negatively correlated with the family’s economic status(r=-0.202,P<0.01).The results of a multiple stepwise regression showed that age and religious belief were significant predictors of stress,while the family’s economic status was a significant predictor of depression,and age was a significant predictor of anxiety.Conclusion The caregivers of hospitalized cancer patients showed varying degrees of anxiety,depression and stress,according the psychological assessments;the provision or interventions might be helpful for these individuals.
基金Supported by a grant from The National Key Research and Development Program:The Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200)
文摘Mental distress is prevalent among cancer patients.Many measurements have been developed to screen and evaluate such distress.About one-third of the persons with cancer will experience significant levels of distress,requiring targeted psychosocial intervention.Mental distress has been endorsed as the sixth vital sign by the International Psycho-Oncology Society(IPOS) in 2009.The need for effective screening and psychological interventions is well recognized as a necessary,integral part of oncology care.This systematic review examines the psychometric properties of the existing tools used to screen patients for emotional distress and the applicable intervention methods.
基金National Natural Science Foundation of China,No.82160207Technology Plan of Jiangxi Provincial Health and Health Commission,No.202130156+1 种基金Young Scholar Project of the First Affiliated Hospital of Nanchang University,No.YFYPY202219Science and Key Projects of Jiangxi Youth Science Fund,No.20202ACBL216008.
文摘BACKGROUND We report a case of eye-penetrating injury in which a massive silicone oil migration into the patient’s subconjunctival space and orbit occurred after vitrectomy.CASE SUMMARY A 30-year-old male patient sought medical attention at Ganzhou People’s Hospital after experiencing pain and vision loss in his left eye due to a nail wound on December 9,2023.Diagnosis of penetrating injury caused by magnetic foreign body retention in the left eye and hospitalization for treatment.On December 9,2023,pars plana vitrectomy was performed on the left eye for intraocular foreign body removal,abnormal crystal extraction,retinal photocoagulation.Owing to the discovery of retinal detachment at the posterior pole during surgery,silicone oil was injected to fill the vitreous body,following which upper conjunctival bubble-like swelling was observed.Postoperative orbital computed tomography(CT)review indicated migration of silicone oil to the subconjunctival space and orbit through a self-permeable outlet.On December 18,2023,the patient sought treatment at the First Affiliated Hospital of Nanchang University,China.The patient presented with a pronounced foreign body sensation following left eye surgery.On December 20,2023,the foreign body was removed from the left eye frame and an intraocular examination was conducted.The posterior scleral tear had closed,leading to termination of the surgical procedure following supplementary laser treatment around the tear.The patient reported a significant reduction in ocular surface symptoms just one day after surgery.Furthermore,a notable decrease in the migration of silicone oil was observed in orbital CT scans.CONCLUSION The timing of silicone oil injection for an eye-penetrating injury should be carefully evaluated to avoid the possibility of silicone oil migration.
