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Cost of Medical Treatment for Primary Open-Angle Glaucoma in Relation to Patients’ Income and Its Impact on the Prognosis of the Disease, in Bouaké University Hospital
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作者 Yves Ouattara Liliane Ella Godé +5 位作者 Zana Diabaté Franck Hermann Koffi Mamadou Korka Diallo Philippe Emile France Koffi Bilé Diomandé François Gossé Ibrahim Abib Diomandé 《Open Journal of Ophthalmology》 2024年第1期8-17,共10页
Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this rel... Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this relationship on treatment compliance. Materials and Methods: Prospective cross-sectional study with a descriptive aim covering sociodemographic data, average incomes, and direct and indirect costs of treatment of 57 patients followed for POAG during the period from January 1, 2012, to December 31, 2016 (5 years). Results: The patients were aged 25 to 77 years (mean = 54.4 years) with a male predominance (sex ratio = 1.5). Retirees were the most represented (26.32%), followed by workers in the informal sector (14.04%) and housewives (12.28%). Patients who had an annual income less than or equal to 900,000 CFA francs (€1370.83) per year represented 56.14% and those who did not have health coverage represented 57.89%. The treatment was monotherapy (64.91%), dual therapy (31.58%) or triple therapy (3.05%) and the average ratio of “annual cost of treatment to annual income” was 0.56 with for maximum 2.23 and 0.02 as minimum. Patients who considered the cost of treatment unbearable for their income represented 78.95%. Conclusion: Prevention of blindness due to glaucoma requires early detection but also the establishment of health coverage mechanisms to improve compliance with medical treatment. In addition, consideration should be given to the development of glaucoma surgery in our country, the indication of which could be the first intention in certain patients, considering for those patients, the geographical and financial accessibility of medical treatment. . 展开更多
关键词 Primary Open-Angle Glaucoma treatment Cost medical treatment INCOME BLINDNESS
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Incidence and Management of Occupational Blood Exposure (OBE) among Medical Students at the University of Bangui
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作者 Hermione Dahlia Mossoro-Kpinde Caleb Koyambenguia +1 位作者 Yves Kpangba Mangbé Saint Calvaire Henri Diemer 《Occupational Diseases and Environmental Medicine》 2024年第2期68-77,共10页
Introduction: Like healthcare workers, medical students are also exposed to a risk of accidental contamination during their hospital internships. However, they do not benefit from prevention services in the same way a... Introduction: Like healthcare workers, medical students are also exposed to a risk of accidental contamination during their hospital internships. However, they do not benefit from prevention services in the same way as workers in this sector, although they actively participate in the routine care provided to patients in the various hospital departments. The objective of our study is to determine the incidence of these accidents and their medical and administrative management among these victims (medical students) not classified in the category of workers. Materials and Method: This was a cross-sectional study carried out over three months from January 15 to March 14, 2023. The study population consisted of all medical students at the Faculty of Health Sciences at the University of Bangui. Regularly enrolled students from 2nd to 7th year, on placement in hospitals in the Central African Republic and who gave their informed consent were included. Data were collected through a self-administered questionnaire. Results: A cross-sectional study was carried out among medical students concerning the incidence and management of accidents involving exposure to blood in the Central African Republic. Of the 254 students included, three (9%) had already been correctly vaccinated against the viral hepatitis B virus, 198 (77.9%) reported still having access to personal protective equipment, 133 students (52.4%) reported being victims of OBE in the past 12 months. The main types of OBE were stings (62%), followed by liquid splashes (32%) and cuts (6%). Among the 133 victims, 92.9% carried out immediate hand disinfection or abundant eye washing, 41.9% obtained the serology of the source patient and 37% reported the accident to their supervisor. Conclusion: It is important that students benefit from better prevention and management of these accidents. 展开更多
关键词 Incidence of Blood Exposure Accidents medical Student treatment Bangui
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Exploration and Research on the Integrated Development of“Internet Plus Medical Treatment”
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作者 Guo Jialin Wang Shuling 《Asian Journal of Social Pharmacy》 2023年第3期252-260,共9页
Objective To analyze the development of“internet plus medical treatment”and to explore advantages.Methods The literature of“internet plus medical treatment”was systematically combed and analyzed.Results and Conclu... Objective To analyze the development of“internet plus medical treatment”and to explore advantages.Methods The literature of“internet plus medical treatment”was systematically combed and analyzed.Results and Conclusion After exploring the status quo of“internet plus hospitals”,smart pharmacy and web-assisted health management in China,we find that there are some problems in the medical service at present,such as the imperfect laws and regulations,the hidden dangers of information security and the obstacles of medical insurance payment.Therefore,we propose that the development of web-assisted medical service should be led by the government and relevant policies must be improved.Then,self-regulation should be strengthened,and industry standards should be enhanced.Three suggestions are made to improve medical insurance payment and benefit both hospitals and patients,which can provide reference for promoting the development of“internet plus medical treatment”in China. 展开更多
关键词 internet plus medical treatment medical service integrated development
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Applications of nanotechnology in medical field: a brief review
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作者 Abid Haleem Mohd Javaid +2 位作者 Ravi Pratap Singh Shanay Rab Rajiv Suman 《Global Health Journal》 2023年第2期70-77,共8页
Nanotechnology has extensive application as nanomedicine in the medical field.Some nanoparticles have possible applications in novel diagnostic instruments,imagery and methodologies,targeted medicinal products,pharmac... Nanotechnology has extensive application as nanomedicine in the medical field.Some nanoparticles have possible applications in novel diagnostic instruments,imagery and methodologies,targeted medicinal products,pharmaceutical products,biomedical implants,and tissue engineering.Today treatments of high toxicity can be administered with improved safety using nanotechnology,such as chemotherapeutic cancer drugs.Further,wearable gadgets can detect crucial changes in vital signs,cancer cell conditions,and infections that are genuinely happening in the body.We anticipate these technologies to provide doctors with considerably much better direct access to critical data on the reasons for changes in the signs of life or illness because of the technological presence at the source of the problem.Biomedicine can be utilised for therapies with predictive analytics and artificial intelligence.For carrying out this study,relevant papers on Nanotechnology in the medical field from Scopus,Google scholar,ResearchGate,and other research platforms are identified and studied.The study discusses different types of Nanoparticles used in the medical field.This paper discusses nanotechnology applications in the medical field.The class,features,and characteristics of Nanotechnology for medicine are also briefed.Scientists,governments,civil society organisations,and the general public will need to collaborate across sectors to assess the significance of nanotechnology and guide its advancement in various fields.The current research includes several possible Nanotechnology uses in the medical field.As a result,the study provides a brief and well-organised report on nanotechnology that should be valuable to researchers,engineers,and scientists for future research projects. 展开更多
关键词 NANOTECHNOLOGY NANOmedicINE NANOPARTICLES medical treatment
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Percutaneous aspiration and drainage with adjuvant medical therapy for treatment of hepatic hydatid cysts 被引量:3
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作者 Mohammed I Yasawy Abdelrahman E Mohammed +2 位作者 Sammak Bassam Mohammed A Karawi Sohail Shariq 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期646-650,共5页
AIM:To determine the efficacy and success of percutaneous aspiration irrigation and reaspiration(PAIR) in the management of hepatic hydatidosis.METHODS:Twenty-six patients with 32 hepatic hydatid cysts had PAIR.Twenty... AIM:To determine the efficacy and success of percutaneous aspiration irrigation and reaspiration(PAIR) in the management of hepatic hydatidosis.METHODS:Twenty-six patients with 32 hepatic hydatid cysts had PAIR.Twenty-two patients received at least 2 wk of drug therapy before the procedure was carried out to reduce the risk of recurrence from spillage during the procedure.The procedure was performed under local anesthesia with a 19-gauge 20 cm long needle,the cyst was punctured,cystic content(approximately 30 mL) was aspirated by a 12-14 F pigtail catheter and aspirated fluids were sent for analysis.Once the cyst was almost empty,two-thirds of the net amount of material aspirated was replaced by hypertonic saline and left in the cavity for about 30 min,with the catheter left in place for reaspiration of most of the fluid.When the amount of fluid drained was less than 10 mL per 24 h,the drainage catheter was removed.RESULTS:All 32 cysts showed evidence of immediate collapse after completion of the procedure,and before discharge from hospital,ultrasound examination showed fluid reaccumulation in all cysts.Serial follow-up showed a progressive decrease in the size and change in the appearance of cysts.To confirm the sterility of these cystic cavities,seven cysts were reaspirated on average 3 mo after the procedure.Investigations revealed no viable scolices.CONCLUSION:PAIR using hypertonic saline is very effective and safe with proper precautions. 展开更多
关键词 Percutaneous aspiration irrigation and reaspi-ration Hepatic hydatid cyst Adjuvant medical therapy treatment outcome
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Long-term medical treatment of patients with severe burns at exposed sites 被引量:3
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作者 Yong Du Guo-Zhong Lv +2 位作者 Shun Yu Dan Wang Qian Tan 《World Journal of Clinical Cases》 SCIE 2020年第16期3515-3526,共12页
BACKGROUND Body parts such as the face and hands are highly exposed during daily life and burns may accumulate in these areas.In addition,residual wounds,scar hyperplasia and contracture often exist in the late stage ... BACKGROUND Body parts such as the face and hands are highly exposed during daily life and burns may accumulate in these areas.In addition,residual wounds,scar hyperplasia and contracture often exist in the late stage of a deep burn in these areas,which may affect patients’appearance,movements,and mental health.However,inadequate attention has been paid to this issue which can result in problems,such as difficulty in healing,possibility of carcinoma,chronic pain and a heavy mental burden.AIM To investigate the long-term medical treatment of patients with severe burns at exposed sites following a mass burn casualty event.METHODS A retrospective analysis of 13 patients with severe burns at exposed sites was performed to determine their respective long-term medical treatment.A combined wound dressing scheme consisting of traditional Chinese and Western medicine was introduced to repair residual wounds.Active and passive functional exercises with massage,Chinese herbal baths and compression fixation were proposed to ameliorate the condition of the hands.A combination of physical,chemical and photoelectrical measures was adopted for anti-scar treatment.A psychological intervention and recovery guide was provided which corresponded to the patients’psychological status.RESULTS Compared to patients who did not simultaneously receive the same treatment,patients who underwent systematic treatment recovered with a lower woundinfection rate(P<0.05),a shorter healing time(13.6±3.2 d)compared with(19.1±3.5 d)and more bearable pain during wound dressing at three days,one week and two weeks after a Chinese herbal bath(P<0.05).Satisfactory results were achieved with regard to restored function of patients’joints and blood supply to nerve endings,closure of the eyelids and the size of mouth opening tended to be normal,and only 7.1%of patients were diagnosed with severe scar hyperplasia and contracture deformity compared with 30.7%in the control group.In addition,the color,thickness,vascular distribution and softness score of the scars improved(P<0.01),and the effects of the psychological intervention was remarkable as shown by the Self-Rating Anxiety Scale and Self-Rating Depression Scale.CONCLUSION A better prognosis can be achieved in patients in the late stage of a burn with active residual wound repair,limb functional exercise,anti-scar and psychological rehabilitation. 展开更多
关键词 Exposed sites Severely burned patients Mass burn casualty medical treatment
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Review of Medical Treatment of Stable Ischemic Heart Disease 被引量:2
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作者 Abdulelah F. Al Mobeirek Hanan Albackr +1 位作者 Mostafa Al Shamiri Turki B. Albacker 《International Journal of Clinical Medicine》 2014年第5期249-259,共11页
Medical treatment is the initial treatment strategy and is the cornerstone of management in patients with stable ischemic heart disease (IHD). Many patients are not suitable for percutaneous or surgical revascularizat... Medical treatment is the initial treatment strategy and is the cornerstone of management in patients with stable ischemic heart disease (IHD). Many patients are not suitable for percutaneous or surgical revascularization because of unfavourable anatomy, or the presence of co-morbidities. In addition, many patients have recurrence of angina following revascularization due to restenosis or incomplete revascularization. Furthermore, randomized clinical trials comparing optimal medical treatment to revascularization have not clearly shown that myocardial revascularization is superior to optimal medical treatment. Traditional drugs for angina treatment include b-blockers, calcium channel blockers and nitrates. Newer drugs are available with different mechanisms of action and with equal efficacy that do not cause significant hemodynamic deterioration. The availability of these newer drugs expands the therapeutic potential of medical treatment to even a wider population with stable IHD. Revascularization in patients with stable ischemic heart disease has never been shown to reduce hard endpoints (death or myocardial infarction) in randomized clinical trials. 展开更多
关键词 medical treatment Stable ISCHEMIC Heart DISEASE Novel Anti-Ischemic Therapy Anti-Anginal Agents CORONARY ARTERY DISEASE
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Advances in medical treatment for pancreatic neuroendocrine neoplasms 被引量:2
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作者 Yuan-Liang Li Zi-Xuan Cheng +2 位作者 Fu-Huan Yu Chao Tian Huang-Ying Tan 《World Journal of Gastroenterology》 SCIE CAS 2022年第20期2163-2175,共13页
Pancreatic neuroendocrine neoplasms(PanNENs)are rare neoplasms with strong heterogeneity that have experienced an increasing incidence rate in recent years.For patients with locally advanced or distant metastatic PanN... Pancreatic neuroendocrine neoplasms(PanNENs)are rare neoplasms with strong heterogeneity that have experienced an increasing incidence rate in recent years.For patients with locally advanced or distant metastatic PanNENs,systemic treatment options vary due to the different differentiations,grades and stages.The available options for systemic therapy include somatostatin analogs,molecularly targeted agents,cytotoxic chemotherapeutic agents,immune checkpoint inhibitors,and peptide receptor radionuclide therapy.In addition,the development of novel molecularly targeted agents is currently in progress.The sequence of selection between different chemotherapy regimens has been of great interest,and resistance to chemotherapeutic agents is the major limitation in their clinical application.Novel agents and high-level clinical evidence continue to emerge in the field of antiangiogenic agents.Peptide receptor radionuclide therapy is increasingly employed for the treatment of advanced neuroendocrine tumors,and greater therapeutic efficacy may be achieved by emerging radiolabeled peptides.Since immune checkpoint inhibitor monotherapies for PanNENs appear to have limited antitumor activity,dual immune checkpoint inhibitor therapies or combinations of antiangiogenic therapies and immune checkpoint inhibitors have been applied in the clinic to improve clinical efficacy.Combining the use of a variety of agents with different mechanisms of action provides new possibilities for clinical treatments.In the future,the study of systemic therapies will continue to focus on the screening of the optimal benefit population and the selection of the best treatment sequence strategy with the aim of truly achieving individualized precise treatment of PanNENs. 展开更多
关键词 Pancreatic neuroendocrine neoplasms Advanced neuroendocrine tumors medical treatment Peptide receptor radionuclide therapy ADVANCES
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Antireflux surgery vs medical treatment for gastroesophageal reflux disease: A meta-analysis 被引量:1
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作者 Ya Jiang Wen-Xia Cui +3 位作者 Ying Wang Ding Heng Jia-Cheng Tan Lin Lin 《World Journal of Meta-Analysis》 2015年第6期284-294,共11页
AIM: To compare the effect of antireflux surgery with medicine in treating gastroesophageal reflux disease(GERD) patients using meta- analysis.METHODS: MEDLINE, Embase and the Cochrane Library were searched. We only i... AIM: To compare the effect of antireflux surgery with medicine in treating gastroesophageal reflux disease(GERD) patients using meta- analysis.METHODS: MEDLINE, Embase and the Cochrane Library were searched. We only included randomized controlled trials(RCTs) comparing the effect of surgical intervention with medical therapy for GERD. Statistical analyses were performed using Rev Man 5.2 and STATA 12.0 software. Rev Man 5.2 was used to assess the risk of bias and calculate the pooled effect size, while Stata 12.0 was used to evaluate publication bias and for sensitivity analysis. We evaluated the primary outcomes with GERD-/health-related quality of life in short(one to three years) and long(three to twelve years) periods of follow-up. Secondary outcomes evaluated were De Meester scores and the percentage of time that p H < 4 to evaluate the degree of acid exposure.RESULTS: This meta-analysis included 7 studies with 1972 patients. It showed a positive effect of antireflux surgery compared with medical treatment in terms of health-related quality of life [standardized mean difference(SMD) = 0.18; 95%CI: 0.01 to 0.34] and GERD-related quality of life(SMD = 0.35; 95%CI: 0.11 to 0.59). We also conducted the subgroup analyses based on follow-up periods and found that surgery remained more effective than medicine over the short to medium follow-up time, but the advantage of antireflux surgery probably not maintained for long time. GERD-related quality of life in the surgical group was significantly higher than medical group for the < 3 years follow-up(SMD = 0.45; 95%CI: 0.23 to 0.66); the difference was not statistically significant when the follow-up time was ≥ 3 years(SMD = 0.30; 95%CI:-0.10 to 0.69). Meta-analysis showed a statistically significant difference between thesurgical group and medical group in the percentage of time that p H < 4(SMD = 0.38; 95%CI: 0.14 to 0.61). Meta-analysis indicated a positive effect of antireflux surgery compared with medical treatment concerning De Meester scores(SMD = 0.32; 95%CI: 0.00 to 0.65).CONCLUSION: Although both were effective, in some respects surgical intervention was more effective than medical therapy to treat GERD when follow-up time was up to three years. 展开更多
关键词 GASTROESOPHAGEAL refux DISEASE Antirefux SURGERY medical treatment META-ANALYSIS
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Impact of the adherence to medical treatment on the main urinary metabolic disorders in patients with kidney stones 被引量:1
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作者 Braulio Omar Manzo Jose David Cabrera +3 位作者 Esteban Emiliani Hector Manuel Sanchez Brian Howard Eisner Jose Ernesto Torres 《Asian Journal of Urology》 CSCD 2021年第3期275-279,共5页
Objective:To assess the effect of the adherence to medical treatment on urinary parameters in the 24-h metabolic study of patients with kidney stones.Methods:A retrospective,longitudinal,descriptive,and observational ... Objective:To assess the effect of the adherence to medical treatment on urinary parameters in the 24-h metabolic study of patients with kidney stones.Methods:A retrospective,longitudinal,descriptive,and observational study was carried out by reviewing the hospital electronic medical record from 2014 to 2018.The adherence to drug treatment was measured 6 months after its initiation,and the numerical values of the metabolic studies were compared.Wilcoxon tests were performed to compare the difference before and after treatment.Results:Ninety patients were evaluated,with 73.3% of adherence.The 180-day overall adherence rate was 61.2% in patients treated with a single drug and 85.4% in patients treated with multiple drugs.There is a statistically significant increase in citrate levels in patients with good adherence in comparison with non-adherent patients(p=0.031 vs.p=0.528).Conclusions:Medical treatment and dietary measures in patients with kidney stones have an initial impact at 6 months on the values of the main urinary metabolic alterations that predispose to calculi formation;the most significant is seen in those patients with adherence to medical treatment for hypocitraturia. 展开更多
关键词 Kidney stones Renal stones Metabolic disorders medical treatment CITRATE OXALATE LITHIASIS
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Quality of Life Assessment: an Outcome Estimation of Chinese Medical Treatment 被引量:1
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作者 赵利 陈金泉 《Chinese Journal of Integrated Traditional and Western Medicine》 2003年第4期299-301,共3页
关键词 QOL of Quality of Life Assessment an Outcome Estimation of Chinese medical treatment
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Exploring the limited use of transdermal medications in psychiatry:Challenges and potential solutions
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作者 Mandeep Kaur Meera Patel Elizabeth Monis 《World Journal of Methodology》 2024年第4期18-22,共5页
Transdermal medications are an useful yet underutilized tool in the field of psychiatry.Despite numerous advantages of using this route of medication delivery,transdermal medications remain less popular compared to ot... Transdermal medications are an useful yet underutilized tool in the field of psychiatry.Despite numerous advantages of using this route of medication delivery,transdermal medications remain less popular compared to other routes of medication administration such as oral and intramuscular routes in the management of various psychiatric conditions.In this editorial,we examine the advantages of transdermal medications with a brief overview of transdermal being used in psychiatry and other medical specialties.We discuss the factors that play a role in their limited usage in psychiatry.We highlight certain patient categories who can specifically benefit from them and discuss potential solutions that can broaden the perspective of treating clinicians making this an intriguing avenue in the field of psychiatry. 展开更多
关键词 Transdermal medications Psychiatric medications PSYCHOPHARMACOLOGY treatment options Potential solutions
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Access to Child Health Care, Medical Treatment of Sick Children and Childhood Mortality Relationships in Kenya
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作者 Boniface Omuga K’Oyugi 《Health》 2014年第11期1152-1164,共13页
Child health care factors such as medical treatment of sick children have direct and indirect effect on childhood mortality. Through international cooperation, a number of countries including Kenya have gathered infor... Child health care factors such as medical treatment of sick children have direct and indirect effect on childhood mortality. Through international cooperation, a number of countries including Kenya have gathered information on provision of child health services at facility level from periodic Service Provision Assessment (SPA) surveys. Kenya has also gathered information on medical treatment of sick children at household level from periodic Demographic and Health Surveys (DHS). However, establishing how health care information in the SPA surveys relates to childhood mortality and also how these factors relate to medical treatment of sick children in the DHS has been constrained by differences in sample designs of the surveys. This study deployed a fstrategy of constructing community level variables derived from the SPA survey data and incorporated them into DHS data which served as the main data source. The SPA and DHS sampling designs for Kenya allow computation of stable estimates of regional demographic and health service indicators at provincial level. This study analyzed information gathered from 690 health facilities in 2010 SPA and 6079 births born less than 60 months from 2008/09 DHS. The study found that access to child health services, waiting time before service in facility and time to the nearest referral facility were significant facilitating factors for medical treatment of sick children. The study also established that waiting time before service in facility was the only access to health care factor which had a significant effect on childhood mortality when HIV prevalence was excluded in the analysis. However, the significance of waiting time before service diminished with inclusion of HIV prevalence. Further research is required to refine definition and measurement for child health care variable on female autonomy. 展开更多
关键词 ACCESS to CHILD Health CARE medical treatment CHILDHOOD MORTALITY Kenya
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Medical treatment for a fish bone-induced ileal micro-perforation:A case report
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作者 Chein-Chung Kuo Tsu-Kang Jen +4 位作者 Cheng-Hsin Wen Chih-Ping Liu Hai-Sung Hsiao Yao-Chi Liu Kuan-Ho Chen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第41期5994-5998,共5页
Ingested fish bone induced intestinal perforations are seldom diagnosed preoperatively due to incomplete patient history taking and difficulties in image evidence identification.Most literature suggests early surgical... Ingested fish bone induced intestinal perforations are seldom diagnosed preoperatively due to incomplete patient history taking and difficulties in image evidence identification.Most literature suggests early surgical intervention to prevent sepsis and complications resulting from fish bone migrations.We report the case of a 44-year-old man suffered from acute abdomen induced by a fish bone micro-perforation.The diagnosis was supported by computed tomography(CT) imaging of fish bone lodged in distal ileum and a history of fish ingestion recalled by the patient.Medical treatment was elected to manage the patient's condition instead of surgical intervention.The treatment resulted in a complete resolution of abdominal pain on hospital day number 4 without complication.Factors affecting clinical treatment decisions include the nature of microperforation,the patient's good overall health condition,and the early diagnosis before sepsis signs develop.Micro-perforation means the puncture of intestine wall without CT evidence of free air,purulent peritoneum or abscess.We subsequently reviewed the literature to support our decision to pursue medical instead of surgical intervention. 展开更多
关键词 Fish bone ingestion Micro-perforation DECISION-MAKING medical treatment Small intestine
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Medical Treatment Process Modeling Based on Process Mining and Treatment Patterns
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作者 Liqin Yang Guosheng Kang Liang Zhang 《China Communications》 SCIE CSCD 2021年第12期332-349,共18页
activities.Ex-periments on a synthetic log of the non-secondary hy-pertension MTP and empirical findings demonstrate the effectiveness of our approach.The results show that the process mining in our approach framework... activities.Ex-periments on a synthetic log of the non-secondary hy-pertension MTP and empirical findings demonstrate the effectiveness of our approach.The results show that the process mining in our approach framework can automatically generate more accurate MTP mod-els,and the subprocess models based on treatment pat-terns make the models easy to understand. 展开更多
关键词 business process modeling medical treat-ment processes treatment patterns clinical practice guidelines
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Clinical diagnosis,treatment,and medical identification of specific pulmonary infection in naval pilots:Four case reports
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作者 Jia Zeng Guo-Li Zhao +6 位作者 Jia-Cheng Yi Dan-Dan Liu Yan-Qing Jiang Xiang Lu Yan-Bing Liu Fei Xue Jie Dong 《World Journal of Clinical Cases》 SCIE 2022年第16期5487-5494,共8页
BACKGROUND Specific pulmonary infection could seriously threaten the health of pilots and their companions.The consequences are serious.We investigated the clinical diagnosis,treatment,and medical identification of sp... BACKGROUND Specific pulmonary infection could seriously threaten the health of pilots and their companions.The consequences are serious.We investigated the clinical diagnosis,treatment,and medical identification of specific pulmonary infections in naval pilots.CASE SUMMARY We analyzed the medical waiver and clinical data of four pilots with specific pulmonary infections,who had accepted treatment at the Naval Medical Center of Chinese People’s Liberation Army between January 2020 and November 2021,including three cases of tuberculosis and one of cryptococcal pneumonia.All cases underwent a series of comprehensive treatment courses.Three cases successfully obtained medical waiver for flight after being cured,while one was grounded after reaching the maximum flight life after being cured.CONCLUSION Chest computed tomography scanning should be used instead of chest radiography in pilots’physical examination.Most pilots with specific pulmonary infection can be cured and return to flight. 展开更多
关键词 Cryptococcal pneumonia TUBERCULOSIS Diagnosis treatment medical identification Pilot Pulmonary infection Case report
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Anorexia nervosa:Outpatient treatment and medical management
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作者 Stein Frostad Mette Bentz 《World Journal of Psychiatry》 SCIE 2022年第4期558-579,共22页
Anorexia nervosa(AN)is a disabling,costly and potentially deadly illness.Treatment failure and relapse are common after completing treatment,and a substantial proportion of patients develop severe and enduring AN.The ... Anorexia nervosa(AN)is a disabling,costly and potentially deadly illness.Treatment failure and relapse are common after completing treatment,and a substantial proportion of patients develop severe and enduring AN.The time from AN debut to the treatment initiation is normally unreasonably long.Over the past 20 years there has been empirical support for the efficacy of several treatments for AN.Moreover,outpatient treatment with family-based therapy or individual psychotherapy is associated with good outcomes for a substantial proportion of patients.Early intervention improves outcomes and should be a priority for all patients.Outpatient treatment is usually the best format for early intervention,and it has been demonstrated that even patients with severe or extreme AN can be treated as outpatients if they are medically stable.Inpatient care is more disruptive,more costly,and usually has a longer waiting list than does outpatient care.The decision as to whether to proceed with outpatient treatment or to transfer the patient for inpatient therapy may be difficult.The core aim of this opinion review is to provide the knowledge base needed for performing safe outpatient treatment of AN.The scientific essentials for outpatient treatment are described,including how to assess and manage the medical risks of AN and how to decide when transition to inpatient care is indicated.The following aspects are discussed:early intervention,outpatient treatment of AN,including outpatient psychotherapy for severe and extreme AN,how to determine when outpatient treatment is safe,and when transfer to inpatient healthcare is indicated.Emerging treatments,ethical issues and outstanding research questions are also addressed. 展开更多
关键词 Anorexia nervosa Outpatient treatment medical management Outpatient psychotherapy Inpatient healthcare
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Medical Waste Treatment Station Selection Based on Linguistic q-Rung Orthopair Fuzzy Numbers
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作者 Jie Ling Xinmei Li Mingwei Lin 《Computer Modeling in Engineering & Sciences》 SCIE EI 2021年第10期117-148,共32页
During the COVID-19 outbreak,the use of single-use medical supplies increased significantly.It is essential to select suitable sites for establishing medical waste treatment stations.It is a big challenge to solve the... During the COVID-19 outbreak,the use of single-use medical supplies increased significantly.It is essential to select suitable sites for establishing medical waste treatment stations.It is a big challenge to solve the medical waste treatment station selection problem due to some conflicting factors.This paper proposes a multi-attribute decision-making(MADM)method based on the partitioned Maclaurin symmetric mean(PMSM)operator.For the medical waste treatment station selection problem,the factors or attributes(these two terms can be interchanged.)in the same clusters are closely related,and the attributes in different clusters have no relationships.The partitioned Maclaurin symmetric mean function(PMSMF)can handle these complex attribute relationships.Hence,we extend the PMSM operator to process the linguistic q-rung orthopair fuzzy numbers(Lq-ROFNs)and propose the linguistic q-rung orthopair fuzzy partitioned Maclaurin symmetric mean(Lq-ROFPMSM)operator and its weighted form(Lq-ROFWPMSM).To reduce the negative impact of unreasonable data on the final output results,we propose the linguistic q-rung orthopair fuzzy partitioned dual Maclaurin symmetric mean(Lq-ROFPDMSM)operator and its weighted form(Lq-ROFWPDMSM).We also discuss the characteristics and typical examples of the above operators.A novel MADM method uses the Lq-ROFWPMSM operator and the Lq-ROFWPDMSM operator to solve the medical waste treatment station selection problem.Finally,the usability and superiority of the proposed method are verified by comparing it with previous methods. 展开更多
关键词 medical waste treatment station linguistic q-rung orthopair fuzzy sets aggregation operators partitioned dual maclaurin symmetric mean operators
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Emergy Evaluation of Treatment Methods for Solid Medical Waste in Bujumbura-Burundi
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作者 Edouard Niyongabo Rénovat Nkunzimana Aloys Ndiziye 《Open Journal of Nursing》 2022年第2期125-154,共30页
Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This stu... Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This study targeted three treatment methods identified as the main used by the majority of health care facilities (HCFs) and treating a large amount of SMW. It aimed: 1) to evaluate the current practices by calculating the emergy investment and emergy costs that are required to treat one ton of SMW through the three treatment methods and 2) to evaluate and compare better technologies and provide policy suggestions for the final treatment of SMW in Burundi. Materials and Methods: This study used the emergy methodology to evaluate the relative efficiencies of three treatment methods used for to treat SMW in twelve HCFs in Bujumbura. Results and Conclusion: The total emergy input was 1.36E+20 seJ/yr, 3.54E+17 seJ/yr, and 1.681E+18 seJ/yr for low temperature incinerator, landfill and organic pit, respectively. Conclusion: Rapid improvement of organic pit by ensuring its maintenance, the gradual replacement of low temperature incinerator by high temperature incinerator with air control pollution and landfill by sanitary landfill are highly recommended by respecting its maintenance (fence, roof and monitoring evaluation) for reducing the risk. 展开更多
关键词 Emergy Evaluation treatment Methods Solid medical Waste
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Exploration on medication patterns of “External Treatment” in the ancient Chinese medical book Liu Juanzi Guiyi Fang
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作者 Qiang Lin Jun-Lin Mo +2 位作者 Ji-Wei Qiu Jue-Ying Chen Yong-Xiang Xie 《Drug Combination Therapy》 2020年第4期198-207,共10页
Background:To obtain the medication patterns of“External Treatment”by analyzing the prescriptions for the“External Treatment”in a Chinese ancient book called Liu Juanzi Guiyi Fang(Liu Juanzi’Ghost-Bequeathed Pres... Background:To obtain the medication patterns of“External Treatment”by analyzing the prescriptions for the“External Treatment”in a Chinese ancient book called Liu Juanzi Guiyi Fang(Liu Juanzi’Ghost-Bequeathed Prescriptions,written by Liu Juanzi in 499 C.E.).Methods:The prescriptions for“External Treatment”and primary traditional Chinese medicines in Liu Juanzi’Ghost-Bequeathed Prescriptions were analyzed using data mining methods,such as frequency analysis and cluster analysis,after screening for prescriptions related to“External Treatment”in Liu Juanzi’Ghost-Bequeathed Prescriptions.The Database of Prescriptions for External Treatment in Liu Juanzi Guiyi Fang was then established.Results:The earliest Chinese characters for“Yin”and“Yang”were found on“oracle bones”.These bones were the skeletal remains of different animals,and were used in ancient Chinese divination practices going all the way back to the 14th century B.C.Simply put,“Yin”is the cold and“Yang”is the warm.In traditional Chinese medicine,this concept of dualism and its fundamental principle underlie physiology,pathology,and the treatment of illnesses.The“External Treatment”discussed in Liu Juanzi’Ghost-Bequeathed Prescriptions primarily adopts the methods of“Warming Yang”,“Cooling Heat(Yang)”,and“Qu Xie(dispelling pathogenic factors of epidemic diseases)”,as well as“Huo Xue(promoting blood circulation)and promoting tissue regeneration.In Chinese medicine,“Si Qi(cold as winter,cool as autumn,warm as spring,hot as summer)”,“Wu Wei(five flavors:sweet,pungent,salty,sour,and bitter)”used to describe the properties of herbs.In Liu Juanzi’Ghost-Bequeathed Prescriptions,most of the medicines used were more“Sweet”,“Pungent”,“Warm”,and the“Channel Tropism”were primarily distribute to the“Liver”,“Heart”,“Stomach”,and“Large intestine meridian”.Conclusion:The data mining method systematically summarized the medication characteristics of the prescriptions for“External Treatment”in Liu Juanzi’Ghost-Bequeathed Prescriptions.The characteristics of the“External Treatment”in this book include“supporting healthy Qi”and“promoting Qi and Blood circulation”which as the top priority,applying both“Attacking and Supplementing methods”as the focus,and combining“Supplementing methods”with“Elimination methods”.It has provided theoretical guidance in“External Treatment”for surgery of traditional Chinese medicine. 展开更多
关键词 Cluster analysis External treatment Frequency analysis Liu Juanzi Guiyi Fang medication patterns
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