Advanced Emergency Medicine (E-Journal)
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Etiology Analysis and Treatment Discussion of Senile Vertigo Patients in Neurology Department
Get PDFObjective: To analyze the etiology and therapeutic effect of elderly patients with vertigo in the Department of Neurology and clarify the importance of scientific treatment in senile vertigo patients. Methods: 32 senile vertigo patients were selected as research objects and divided into a control group and an experimental group according to the different treatment methods, with 16 cases in each group. The control group was treated with conventional Western medicine, while the experimental group was treated with additional traditional Chinese medicine massage therapy on the basis of Western medicine. The etiologies and therapeutic effects were analyzed and compared between the two groups of patients. Results: The etiologies of senile vertigo patients mainly include chronic subjective dizziness, benign paroxysmal positional dizziness, posterior circulation ischemia, mood disorders, vestibular neuritis and migraine, etc. Among them, the first two are the most common etiologies, the rate of chronic subjective dizziness reached up to 36%, and the benign paroxysmal positional dizziness was 27%. In addition, the total effective rate of the experimental group was 98%, which was higher than that of the control group (76%), and the difference was statistically significant (P<0.05). Conclusion: Integrating traditional Chinese massage therapy with Western medicine can help senile patients effectively control their disease condition and continuously improve their overall therapeutic effects
Health Seeking Behaviors and Healthcare Utilization in Women Diagnosed with Endometriosis: A Systematic Review
Get PDFIntroduction: Endometriosis is a chronic inflammatory condition affecting women of childbearing age worldwide. There are limited roles of medical or surgical treatments. Endometriosis not only affects quality of life but also results in significantly increased healthcare service utilization. The review aims to examine the existing literature to gain a comprehensive understanding of healthcare resource utilization in endometriosis patients across different countries. Methods: The systematic review was conducted to include studies on healthcare utilization among endometriosis patients from January 2000 to 2023. The search was conducted in Medline and Embase databases. Search terms related to endometriosis and healthcare resource utilization were used. Studies published in English with data on healthcare utilization across inpatient, outpatient, emergency care, and other services (such as specialist and primary care physician) were included. The studies only examined the cost- or cost-effective analysis were excluded. Results: Women with endometriosis experience a higher prevalence of gynecological and abdominal pain-related conditions, along with a greater burden of comorbidities and infertility issues. They also exhibit significantly higher healthcare utilization across various healthcare settings, including emergency care, inpatient visits, outpatient visits, and specialist care. These utilization differences remain significant up to one year before the diagnosis and persist for at least five years following the diagnosis, with the highest disparity observed in the first year after diagnosis. Conclusion: The systematic review examines the health-seeking behavior and healthcare utilization patterns among women diagnosed with endometriosis across different countries. The findings indicate that women with endometriosis experience a higher burden of medical comorbidities and exhibit increased rates of emergency care visits, inpatient visits, and outpatient visits
The application value of echocardiography in the diagnosis of congenital heart disease in neonates
Get PDFObjective: To investigate the clinical value of echocardiography in the diagnosis of congenital heart disease (CHD) in newborns. Methods: A total of 1000 suspected cases of CHD in newborns were selected as the research subjects, and all underwent echocardiography examination and surgical/cardiac catheterization examination. The diagnostic efficacy of echocardiography in the diagnosis of CHD in newborns was analyzed using the surgical/cardiac catheterization examination results as the gold standard. Results: Among the 1000 suspected cases of CHD in newborns, 881 cases (88.10%) were not detected with CHD, 119 cases (11.90%) were detected with CHD, 2 normal newborns were misdiagnosed as having ventricular septal defect, and 6 cases were missed. The remaining results were consistent with the results of surgical/cardiac catheterization examination. Among the 1000 suspected cases of CHD in newborns, 125 cases were detected with CHD through surgical/cardiac catheterization examination. The specificity of echocardiography in the diagnosis of CHD in newborns was 99.77%, the sensitivity was 93.60%, the accuracy was 99.00%, the positive predictive value was 98.32%, and the negative predictive value was 99.09%. Conclusion: Echocardiography has a high diagnostic efficacy in the diagnosis of CHD in newborns and can reflect the condition of CHD newborns, providing better guidance for clinical diagnosis and treatment
Treatment of Complications of Orthopedic Surgery and Consideration of Basic Medical Research Based on Intelligent Science-Guangzhou Medical University and Chifeng College as Examples
Get PDFWith the rapid development of modern medical technology, the maturity of orthopaedic technologies, and the improvement of people's quality of life, more and more people choose surgical treatment. The improvement of the overall medical concept requires us to pay equal attention to the psychological education and care of patients while improving the level of diagnosis and treatment. Compared with other surgical operations, orthopedic surgery is characterized by large trauma, more bleeding, long operation time and slow postoperative functional recovery. The psychological burden of patients before and after surgery is heavy, which directly affects the success rate of surgery . Whether the operation can achieve the desired effect depends not only on the success of the operation itself, but also on whether the preparation and nursing before and after the operation are correct and perfect. The research team made specific analysis and report in combination with Guangzhou Medical University and Chifeng University and make a visual medical information management system for research
Research on the Oxidative Stress Status of Patients with Phlegm-damp Polycystic Ovary Syndrome and the Intervention of Traditional Chinese Medicine
Get PDFObjective: To study the oxidative stress status of patients with phlegmatic polycystic ovary syndrome and the effect of important interventions. Methods: Sixty patients with phlegm-damp polycystic ovary syndrome admitted to our hospital between January 2021 and January 2022 were selected. According to the random number table method, the patients were divided into control group (n=30) and observation group (n=30), the control group was treated with metformin hydrochloride tablets, and the observation group was treated with the formula of Jia Wei Qi Gong Wan, and the levels of basal sex hormones (LH, E2), FPG and FINS were compared before and after treatment between the two groups.Serum SOD, MDA, GSH-Px levels before and after treatment, Chinese medicine evidence score before and after treatment. Results: Before treatment, the levels of basal sex hormones, FPG and FINS were compared between the two groups (P > 0.05), and after treatment, the levels of basal sex hormones, FPG and FINS were better in the observation group than in the control group (P < 0.05). Before treatment, the serum SOD, MDA and GSH-Px levels of patients in both groups were compared (P＞0.05), and after treatment, the serum SOD, MDA and GSH-Px levels of patients in the observation group were better than those in the control group (P＜0.05). Before treatment, the TCM evidence points of patients in the two groups were compared (P > 0.05), and after treatment, the TCM evidence points of patients in the observation group were lower than those in the control group (P < 0.05). Conclusion: Patients with phlegm-damp polycystic ovary syndrome have shown remarkable results with herbal interventions, which is worth promoting
Reflections on the Use of Blood Activation and Stasis Removal in the Treatment of Lung Cancer
Get PDFAccording to Chinese medicine, lung cancer is a malignant tumour with cough, haemoptysis, chest pain, fever and shortness of breath as its main manifestations. Its causes are: deficiency of positive qi, external invasion of evil toxins, internal accumulation of phlegm, stagnation of qi and blood, obstruction in the lung and loss of suction and descent of the lung. Blood stasis is the main cause of lung cancer, therefore, activating blood circulation and removing blood stasis is an important principle in the treatment of lung cancer. In recent years, the anti-cancer mechanism of traditional Chinese medicine and its extracts has gradually received academic attention, and the herbs that invigorate blood circulation and remove blood stasis have been widely used in clinical practice. This article introduces the mechanism of the action of Chinese medicine to invigorate blood circulation and remove blood stasis in the treatment of lung cancer in recent years, which provides a reference for clinical treatment and new drug development
Tumorâ€Associated Macrophages in the Progression of Hepatocellular Carcinoma
Get PDFHepatocellular carcinoma (HCC) contains many immune cell matrices, which constitute the tumor microenvironment (TME). Tumor-associated macrophages (TAM) are the main compartments of immune cell matrix in HCC, which play an important role in the pathogenesis of HCC, including immunosuppression, angiogenesis, tumor invasion and metastasis, and malignant transformation of HCC stem cells. At present, targeted TAM therapy for HCC has achieved promising results by eliminating existing TAMs, blocking the recruitment of TAMs, reprogramming TAMs polarization, regulating TAMs products and restoring TAMs phagocytosis. This review summarizes our understanding of TAMs and HCC, and discusses the role of TAMs in the development of HCC
Advances in the ADAMTS Family in Cardiovascular Disease
Get PDFCardiovascular disease is a serious threat to human life and health. The number of people who die from cardiovascular disease is up to 15 million every year, ranking the first cause of all causes of death. ADAMTS family (A Disintegrin and Metalloproteinase With Thrombospondin Motifs, ADAMTSs) are matrix-associated zinc metallopeptidases with secretory function. It has diverse roles in tissue morphogenesis, pathophysiological remodeling, inflammation, and vascular biology. Controlling the structure and function of the Extracellular Matrix (ECM) is the central theme of the biology of ADAMTSs. ADAMTSs mainly play a biological role by regulating the structure and function of extracellular mechanisms, and the abnormal expression or dysfunction of some family members is associated with cardiovascular diseases. ADAMTS family plays an important role in the occurrence and development of various cardiovascular diseases. This paper aims to study the role of ADAMTS family in cardiovascular diseases
Application of Nursing Risk Management in Patients with Cardiovascular Emergencies
Get PDFObjectives: To study the nursing effect of nursing risk management in patients with acute cardiovascular disease. Methods: A total of 62 acute and critical cardiovascular patients admitted to the Second People's Hospital of Shandong Province from November 2021 to January 2023 were selected as the study objects, and the patients were randomly divided into control group and observation group. The control group adopted conventional nursing methods, while nursing risk management measures were carried out in the observation group. The nursing effects of the two groups were compared, and the incidence rate and patient satisfaction were analyzed according to the time. Results: The effective rate of the observation group was 93.55%, significantly higher than 61.29% of the control group, and the difference was statistically significant(P<0.05). The occurrence of risk events in observation group was significantly less than that in control group, and patient satisfaction was significantly higher than that in control group (P<0.05). Conclusion: Nursing risk management could significantly improve the nursing effect of patients, reduce the occurrence of risk events, improve patient satisfaction, has a certain application value
Application of Modern Trace Examination Techniques In Forensic Science and Their Legal Aspects
Get PDFIn the process of case investigation, trace examination and forensic examination and identifcation can provide reliable evidence information, laying a good foundation for case detection. So in the process of case investigation through the application of modern trace in-spection technology, at the same time the application of modern trace inspection technology to forensic science can efectively improve the efciency and quality of case investigation. But the modern trace inspection technology applied to forensic science there are certain legal issues, the need for relevant personnel to take appropriate measures to deal with. In this paper, the application of modern trace inspection technology in forensic science and related legal issues are explained