Gastric intramural hematoma is a rare injury of the stomach,and is most often seen in patients with underlying disease.Such injury following endoscopic therapy is even rarer,and there are no universally accepted guide...Gastric intramural hematoma is a rare injury of the stomach,and is most often seen in patients with underlying disease.Such injury following endoscopic therapy is even rarer,and there are no universally accepted guidelines for its treatment.In this case report,we describe a gastric intramural hematoma which occurred within 6 h of endoscopic mucosal resection(EMR).Past medical history of this patient was negative,and laboratory examinations revealed normal coagulation profiles and platelet count.Following EMR,the patient experienced severe epigastric pain and vomited 150 mL of gastric contents which were bright red in color.Subsequent emergency endoscopy showed a 4 cm × 5 cm diverticulum-like defect in the anterior gastric antrum wall and a 4 cm × 8 cm intramural hematoma adjacent to the endoscopic submucosal dissection lesion.Following unsatisfactory temporary conservative management,the patient was treated surgically and made a complete recovery.Retrospectively,one possible reason for the patient's condition is that the arterioles in the submucosa or muscularis may have been damaged during deep and massive submucosal injection.Thus,endoscopists should be aware of this potential complication and improve the level of surgery,especially the skills required for submucosal injection.展开更多
Objective:The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors.Materials and Methods:The conve...Objective:The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors.Materials and Methods:The convenience sampling method was used to select 131 nursing staff in the rehabilitation department of 3A-level hospitals in Yunnan Province,China,from March to June 2020 to conduct a questionnaire survey.Results:The nurses’comfort with touch score of 131 clinical nurses in the rehabilitation department was 58.82±4.85.Multivariate regression analysis showed that compassion fatigue(t=‒2.968,P<0.01)and occupational social support(t=2.767,P<0.01)were the influencing factors of the physical comfort of nursing staff;average monthly income(t=‒2.160,P<0.05),occupational cognitive evaluation(t=4.924,P<0.01),and secondary traumatic stress(t=2.833,P<0.01)were the influencing factors of task-oriented contact among nursing staff;marital status(t=2.656,P<0.01)and occupational social support(t=2.078,P<0.05)were the influencing factors for private nursing comfort of nurses.Conclusion:The comfort with touch among nurses in the rehabilitation department is at a medium level.Nursing managers should pay attention to their comfort with touch.In order to promote the development of medical service,hospitals should constantly improve the security and social support of nursing practitioners from the aspects of system,management,and salary performance.展开更多
To the Editor：Early primary gastrointestinal non-Hodgkin＆#39;s lymphoma represents a diagnostic challenge and may be easily misdiagnosed as Crohn＆#39;s disease or intestinal tuberculosis.[1] Here,we describe a 58-y...To the Editor：Early primary gastrointestinal non-Hodgkin＆#39;s lymphoma represents a diagnostic challenge and may be easily misdiagnosed as Crohn＆#39;s disease or intestinal tuberculosis.[1] Here,we describe a 58-year-old man who was admitted due to recurrent colic in the middle and upper abdomen with intermittent vomiting for l 0 months.The colic was paroxysmal lasting from a few minutes to several hours without obvious triggers.His medical history was otherwise unremarkable.In November 2013,gastrointestinal endoscopy revealed gastroenteritis,and abdominal computed tomography （CT） showed jejunal wall edema and thickening.His symptoms did not improve after 1-month treatment for suspected gastroenteritis.展开更多
文摘Gastric intramural hematoma is a rare injury of the stomach,and is most often seen in patients with underlying disease.Such injury following endoscopic therapy is even rarer,and there are no universally accepted guidelines for its treatment.In this case report,we describe a gastric intramural hematoma which occurred within 6 h of endoscopic mucosal resection(EMR).Past medical history of this patient was negative,and laboratory examinations revealed normal coagulation profiles and platelet count.Following EMR,the patient experienced severe epigastric pain and vomited 150 mL of gastric contents which were bright red in color.Subsequent emergency endoscopy showed a 4 cm × 5 cm diverticulum-like defect in the anterior gastric antrum wall and a 4 cm × 8 cm intramural hematoma adjacent to the endoscopic submucosal dissection lesion.Following unsatisfactory temporary conservative management,the patient was treated surgically and made a complete recovery.Retrospectively,one possible reason for the patient's condition is that the arterioles in the submucosa or muscularis may have been damaged during deep and massive submucosal injection.Thus,endoscopists should be aware of this potential complication and improve the level of surgery,especially the skills required for submucosal injection.
文摘Objective:The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors.Materials and Methods:The convenience sampling method was used to select 131 nursing staff in the rehabilitation department of 3A-level hospitals in Yunnan Province,China,from March to June 2020 to conduct a questionnaire survey.Results:The nurses’comfort with touch score of 131 clinical nurses in the rehabilitation department was 58.82±4.85.Multivariate regression analysis showed that compassion fatigue(t=‒2.968,P<0.01)and occupational social support(t=2.767,P<0.01)were the influencing factors of the physical comfort of nursing staff;average monthly income(t=‒2.160,P<0.05),occupational cognitive evaluation(t=4.924,P<0.01),and secondary traumatic stress(t=2.833,P<0.01)were the influencing factors of task-oriented contact among nursing staff;marital status(t=2.656,P<0.01)and occupational social support(t=2.078,P<0.05)were the influencing factors for private nursing comfort of nurses.Conclusion:The comfort with touch among nurses in the rehabilitation department is at a medium level.Nursing managers should pay attention to their comfort with touch.In order to promote the development of medical service,hospitals should constantly improve the security and social support of nursing practitioners from the aspects of system,management,and salary performance.
文摘To the Editor：Early primary gastrointestinal non-Hodgkin＆#39;s lymphoma represents a diagnostic challenge and may be easily misdiagnosed as Crohn＆#39;s disease or intestinal tuberculosis.[1] Here,we describe a 58-year-old man who was admitted due to recurrent colic in the middle and upper abdomen with intermittent vomiting for l 0 months.The colic was paroxysmal lasting from a few minutes to several hours without obvious triggers.His medical history was otherwise unremarkable.In November 2013,gastrointestinal endoscopy revealed gastroenteritis,and abdominal computed tomography （CT） showed jejunal wall edema and thickening.His symptoms did not improve after 1-month treatment for suspected gastroenteritis.
