International Journal of Physical Medicine and Rehabilitation最新文献_第6页

Amifampridines (3,4 Diaminopyridine and 3,4 Diaminopyridine Phosphate): Drugs of Choice for Lambert-Eaton Myasthenic Syndrome 氨苯丙啶(3,4二氨基吡啶和3,4磷酸二氨基吡啶):兰伯特-伊顿肌无力综合征的首选药物

International Journal of Physical Medicine and Rehabilitation Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S4.005

Shin J Oh

引用次数: 0

Application of Shear Wave Elastography in Diagnosing Tendinopathies 横波弹性成像在肌腱病变诊断中的应用

International Journal of Physical Medicine and Rehabilitation Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S4.002

Sarah E. Playford, L. Hackett, George Ac Murell

引用次数: 0

Study on the Effect of Web-Based Real-Time Interactive Intervention Teaching Model on Self-Efficacy of Gestational Diabetes Mellitus Patients 基于web的实时互动干预教学模式对妊娠期糖尿病患者自我效能感的影响研究

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-11-30 DOI: 10.4236/ijcm.2020.1112058

Yu Yang, Qiuying Lin, Pingping Quan, Yanmei Wen, Xuyao Li, Jufang Lin

{"title":"Study on the Effect of Web-Based Real-Time Interactive Intervention Teaching Model on Self-Efficacy of Gestational Diabetes Mellitus Patients","authors":"Yu Yang, Qiuying Lin, Pingping Quan, Yanmei Wen, Xuyao Li, Jufang Lin","doi":"10.4236/ijcm.2020.1112058","DOIUrl":"https://doi.org/10.4236/ijcm.2020.1112058","url":null,"abstract":"Object: To explore the effect of web-based real-time interactive intervention teaching model on self-efficacy of Gestational Diabetes Mellitus (GDM) patients. Method: Based on the hospital’s antenatal check-up archives from June 2018 to January 2019, patients diagnosed with GDM in the second trimester were randomly divided into the control group (100 cases) and the experimental group (121 cases). Patients in the control group received routine care following the diabetes mellitus one-day outpatient guidance, while patients in the experimental group received social media real-time interactive teaching intervention based on routine care, and accepted a nursing intervention scheme based on knowledge-attitude-practice mode. The knowledge of GDM, self-efficacy and self-management behavior indicators were compared between the two groups. Results: After the intervention, the self-efficacy scores, the blood glucose monitoring times and the blood glucose compliance rates of the experimental group were significantly higher than those of the control group (P P = 0.072). Conclusion: Web-based real-time interactive intervention teaching model can effectively improve the self-efficacy of GDM patients and promote the formation of healthy behaviors.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"3 1","pages":"778-785"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89881616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Role of Pre-Operative of Neutrophil/Lymphocyte and Platelet/Lymphocyte Ratio in Prognosis of Hepatocellular Carcinoma 术前中性粒细胞/淋巴细胞及血小板/淋巴细胞比值对肝癌预后的影响

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-08-28 DOI: 10.4236/ijcm.2020.119042

C. Ker, Hong-Yi Tong, Ming-Yuen Yang, I. Tseng, Der-Ming Chang, hong-Yaw Chen, Bowei Wang, C. Ko, C. Chao, Yu-Fu Chen

{"title":"Role of Pre-Operative of Neutrophil/Lymphocyte and Platelet/Lymphocyte Ratio in Prognosis of Hepatocellular Carcinoma","authors":"C. Ker, Hong-Yi Tong, Ming-Yuen Yang, I. Tseng, Der-Ming Chang, hong-Yaw Chen, Bowei Wang, C. Ko, C. Chao, Yu-Fu Chen","doi":"10.4236/ijcm.2020.119042","DOIUrl":"https://doi.org/10.4236/ijcm.2020.119042","url":null,"abstract":"Introduction: Hepatocellular carcinoma (HCC) has a poor prognosis and is ranked in the top 2 leading causes of death in Taiwan. The clinical features which affect survival rate should be noticed for alarming. We tried to study the neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) for the predictor of prognosis of HCC. Patients and Methods: A total of 525 patients with HCC were undergone surgical or non-surgical treatment registered in Cancer Registry Center of our hospital. The clinical features included patient’s basic profiles, and neutrophil, lymphocyte and platelet count in the peripheral blood at the time of diagnosis. The ratio of neutrophil/lymphocyte and platelate/lymphocyte was measured and their survival rates were analyzed based on their ratio scales. Results: Three scales of NLR and PLR were ≤1.62, 1.63 - 2.57, ≥2.58 and ≤224, 225 - 253, ≥254 respectively. Either higher NLR ≥ 2.58 or higher PLR ≥ 254 was found mostly in the male and TMN stage III and IV with a significant difference (P < 0.01). The 5-year survival rates of NLR ≤ 1.62, 1.63 - 2.57, ≥2.58 were 33.9%, 33.7%, and 16.7% respectively (P < 0.001). The mean survival times were 34.1 ± 1.4, 29.3 ± 8.1, and 14.2 ± 2.1 months for the scales of PLR ≤ 224, 225 - 253, and ≥ 254 respectively. The 5-year survival rates were 25.5%, 36.4%, and 7.7% for the groups of the PLR ≤ 224, 225 - 253, and ≥254 respectively (p < 0.001). Conclusion: Neutrophil, lymphocyte and platelet are players in cancer growth and have a potential role as predictors of survival in our HCC patients. Therefore, we should pay more attention to the higher NLR or PLR which will result in a poorer prognosis in our patients.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"23 1","pages":"491-503"},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87577071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Oxaliplatin-Induced Neuropathy on Subsequent Paclitaxel for Advanced Gastric Cancer 奥沙利铂诱导的神经病变对晚期胃癌紫杉醇治疗的影响

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-08-28 DOI: 10.4236/ijcm.2020.119045

J. Sato, S. Iwasa, Y. Honma, A. Takashima, N. Okita, Ken Kato, T. Hamaguchi, Y. Yamada, N. Boku

{"title":"Impact of Oxaliplatin-Induced Neuropathy on Subsequent Paclitaxel for Advanced Gastric Cancer","authors":"J. Sato, S. Iwasa, Y. Honma, A. Takashima, N. Okita, Ken Kato, T. Hamaguchi, Y. Yamada, N. Boku","doi":"10.4236/ijcm.2020.119045","DOIUrl":"https://doi.org/10.4236/ijcm.2020.119045","url":null,"abstract":"Purpose: Several studies have shown that fluoropyrimidine plus oxaliplatin (SOX) is non-inferior to fluoropyrimidine plus cisplatin as first-line chemotherapy for advanced gastric cancer. We investigated retrospectively the choice of second-line regimen, along with the proportion and feasibility of paclitaxel-containing regimen, in the subsequent treatment of patients with advanced gastric cancer treated with SOX as first-line chemotherapy. Materials and Methods: We retrospectively analyzed the impact of oxaliplatin-induced neuropathy on both the choice of subsequent regimens and feasibility of subsequent chemotherapy with paclitaxel, focusing on patients with advanced gastric cancer who received S-1 plus oxaliplatin as first-line chemotherapy. Results: Twenty-seven from a total of 31 patients enrolled into the phase 2 and phase 3 study assessing S-1 plus oxaliplatin were analyzed (4 patients were deemed ineligible). Among 24 patients that had received second-line treatment, paclitaxel was not selected in 2 patients due to oxaliplatin-induced neuropathy. Paclitaxel was selected as second-line chemotherapy in 16 patients, as third-line chemotherapy in 6 patients and fourth-line chemotherapy in one patient. Severity of sensory neuropathy was grade 0/1/2/3 in 11/10/2/0 patients, respectively, immediately before treatment with paclitaxel, while the worst toxicity profile during paclitaxel treatment was grade 0/1/2/3 in 7/13/1/2 patients, respectively. Although there were no patients requiring dose reductions of paclitaxel due to neuropathy, 2 patients discontinued paclitaxel use due to grade 3 sensory neuropathy after 4 or 8 administrations of paclitaxel. Conclusion: Oxaliplatin-induced neuropathy during first-line chemotherapy may affect the choice and feasibility of subsequent chemotherapy with paclitaxel in advanced gastric cancer patients.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"16 1","pages":"526-537"},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73962981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Perioperative Nursing for Adult Congenital Heart Disease with Severe Pulmonary Arterial Hypertension 成人先天性心脏病合并重度肺动脉高压的围手术期护理

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-08-28 DOI: 10.4236/ijcm.2020.119046

Shunling Li, S. Liang, Weihua Xue

引用次数: 0

Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock 脉搏指数连续心输出量(PiCCO)监测在感染性休克患者早期液体复苏中的应用及护理

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-08-06 DOI: 10.4236/ijcm.2020.118041

Shunling Li, S. Liang, Weihua Xue

{"title":"Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock","authors":"Shunling Li, S. Liang, Weihua Xue","doi":"10.4236/ijcm.2020.118041","DOIUrl":"https://doi.org/10.4236/ijcm.2020.118041","url":null,"abstract":"Background: Septic shock is a rapidly changing and fatal syndrome \u0000that can cause comprehensive deterioration of \u0000cardiopulmonary and renal function and multiple organ failure. At the same time, \u0000septic shock has the complex clinical manifestations and hemodynamics. PiCCO can \u0000accurately monitor blood flow, physical and volume indicators, and active \u0000and effective fluid resuscitation are important measures to reduce the fatality \u0000rate of septic shock and improve the prognosis of patients. Objectives: To \u0000explore the application and nursing of PiCCO \u0000in early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the \u0000control group each had 30 cases. The observation group used PiCCO to guide fluid \u0000resuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, \u0000and urine volume per hour were observed in the two groups. The changes of various \u0000indicators before and after fluid resuscitation, the length of stay in ICU and the \u0000mortality rate were compared between the two groups. All the outcomes were collected \u0000from the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between \u0000the observation group and the control group, and the differences were \u0000statistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control \u0000group, the length of stay in ICU in the observation group was significantly shorter, \u0000and the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation \u0000of patients with septic shock.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"75 5 1","pages":"482-489"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77389173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Uncertainty of Clinical Thinking and Patient Safety 临床思维的不确定性与患者安全

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-08-06 DOI: 10.4236/ijcm.2020.118040

Qian Zhao, Zhang-shun Shen, Hui Guo, Jian-Guo Li

引用次数: 1

Rhomboid Flap vs. Keystone Perforator Island Flap (KPIF) in the Treatment of Pilonidal Sinus Disease: Comparison of Short-Term Results 菱形皮瓣与楔石穿支岛状皮瓣治疗毛毛窦疾病的近期疗效比较

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-07-14 DOI: 10.4236/ijcm.2020.117038

Marius D. Roatis, A. Georgescu

{"title":"Rhomboid Flap vs. Keystone Perforator Island Flap (KPIF) in the Treatment of Pilonidal Sinus Disease: Comparison of Short-Term Results","authors":"Marius D. Roatis, A. Georgescu","doi":"10.4236/ijcm.2020.117038","DOIUrl":"https://doi.org/10.4236/ijcm.2020.117038","url":null,"abstract":"Background: Pilonidal disease is a chronic inflammatory disease of the sacrococcygeal \u0000region that mainly affects young people. Its incidence is 26 cases per 100,000 persons. \u0000Although many techniques have been described, there is no consensus on the treatment \u0000of pilonidal sinus disease (PSD). Materials and Methods: This study included 30 patients with PSD who were treated between May 2014 \u0000and September 2017. All cases underwent excision and flap reconstruction. The operative \u0000time, postoperative complications, the length of hospital stay, painless sitting \u0000and walking time, patient satisfaction and recurrence were evaluated prospectively. Results: The results of this prospective, randomized and comparative study are based \u0000on experience of a single surgical centre. All patients were followed up 18 months \u0000after discharge from the hospital. There is a difference in surgery durations (minutes) \u0000between the two groups (33.86 ± 2.89 min. in “keystone” flap vs. 41.26 ± 4.19 in \u0000the “rhombic” flap group) (p = 0.001). There were no significant differences in \u0000the length of hospital stay, painless sitting and walking time or patient satisfaction. \u0000The total complication rate was 66.6% after rhomboid flap compared with 6.6% after \u0000keystone flap. There was no flap necrosis. Conclusions: Both of these methods have shown to be successful in treatment of PSD. The \u0000KPIF is associated with the advantages of very simple design, abundant blood supply \u0000from the perforator vessels and lower rate of complication.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"32 1","pages":"454-464"},"PeriodicalIF":0.0,"publicationDate":"2020-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85127522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Parametrization of Survival Measures (Part II): Single Arm Studies 生存措施的参数化(第二部分):单组研究

International Journal of Physical Medicine and Rehabilitation Pub Date : 2020-05-27 DOI: 10.4236/ijcm.2020.115032

A. Szász, G. Szigeti, M. Szász

引用次数: 2