World Journal of Clinical Cases最新文献

Evaluation of clinical application of Korean medicine standard clinical pathway in a public hospital. 韩医标准临床路径在某公立医院的临床应用评价。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.103920

Seung-Jae Shin, Jin-Won Kim, Ji-Cheon Jeong

{"title":"Evaluation of clinical application of Korean medicine standard clinical pathway in a public hospital.","authors":"Seung-Jae Shin, Jin-Won Kim, Ji-Cheon Jeong","doi":"10.12998/wjcc.v13.i17.103920","DOIUrl":"10.12998/wjcc.v13.i17.103920","url":null,"abstract":"Background: Clinical pathways (CPs) are structured guidelines introduced to improve healthcare quality and efficiency. In South Korea, CPs for Korean medicine have been developed since 2016 under the 3rd Comprehensive Plan for Korean Medicine Promotion, with limited studies on their clinical application. Neck and shoulder pain are common conditions frequently treated at Korean medicine clinics, often by patients dissatisfied with conventional treatments. The demand for Korean medicine treatments for neck and shoulder pain is on the rise.Aim: To evaluate the clinical applicability and effectiveness of Korean medicine CPs for neck pain and shoulder pain in public healthcare institutions in South Korea.Methods: We collected and analyzed data from patients aged 19 years and older who visited the outpatient clinic of the Department of Korean Medicine at the National Medical Center in Korea from March 1, 2023 to August 31, 2023. CP completion rates, along with patient satisfaction, clinical outcomes, and economic outcomes between the CP-implemented and non-CP groups were assessed.Results: The CP completion rates were 93.3% for neck pain and 96.8% for shoulder pain. Patient satisfaction scores showed an improvement of 17.7% for neck pain and 18.0% for shoulder pain in the CP-implemented group compared to the non-CP group. For neck pain, significant improvements were observed in the numerical rating scale (NRS) and the neck disability index, while for shoulder pain, only the University of California-Los Angeles shoulder rating scale showed notable progress, with no substantial change in NRS scores.Conclusion: This study partially confirms the clinical applicability and effectiveness of the Korean medicine CPs for neck pain and shoulder pain. Further research is required to enhance and validate these findings.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"103920"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the impact of mobile device use on mealtime distractions and its consequences for metabolic health: A narrative minireview. 探索移动设备使用对用餐时间分心的影响及其对代谢健康的影响：一个叙事的小回顾。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.99924

Muhammad Shahzad Aslam

{"title":"Exploring the impact of mobile device use on mealtime distractions and its consequences for metabolic health: A narrative minireview.","authors":"Muhammad Shahzad Aslam","doi":"10.12998/wjcc.v13.i17.99924","DOIUrl":"10.12998/wjcc.v13.i17.99924","url":null,"abstract":"The habitual use of smartphones during meals has become a common behavior, raising concerns about its potential impact on eating habits and metabolic health. The present narrative review investigates how using a smartphone or tablet during meals can cause distractions and negatively affect metabolic health. A comprehensive narrative review was conducted by synthesizing peer-reviewed studies on the interplay between smartphone use during meals, eating behaviors, and metabolic health. Relevant literature was identified through searches in electronic databases and organized thematically to highlight trends and research gaps. By synthesizing evidence from existing literature, this review highlights that smartphone use during meals is associated with increased caloric intake, altered food composition, and disruptions in postprandial metabolic responses. These effects are mediated by reduced meal awareness and psychological distractions, including multitasking. Variability in findings arises from differences in study designs and populations. This review identifies critical research gaps, including the lack of longitudinal studies and the need to explore mechanisms underlying these relationships. By summarizing trends and patterns, this narrative review offers valuable insights into the complex interplay between digital device use, eating habits, and metabolic health, providing a foundation for future research and interventions.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"99924"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent acute pancreatitis as an initial presentation of primary hyperparathyroidism in juvenile patient. 复发性急性胰腺炎作为原发性甲状旁腺功能亢进的初始表现在青少年患者。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.100439

Milena M Lackovic, Bojan D Joksimovic, Jelena C Babovic, Esma R Isenovic, Zoran M Gluvic

引用次数: 0

Atypical presentation of painless acute pancreatitis: A case report. 非典型无痛性急性胰腺炎1例报告。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.101008

Keon Sargon, Nadeem Al-Sabea, Arnold Elango, Brent Scarbrough, Jamesina Wong, Simran Ebrahim

{"title":"Atypical presentation of painless acute pancreatitis: A case report.","authors":"Keon Sargon, Nadeem Al-Sabea, Arnold Elango, Brent Scarbrough, Jamesina Wong, Simran Ebrahim","doi":"10.12998/wjcc.v13.i17.101008","DOIUrl":"10.12998/wjcc.v13.i17.101008","url":null,"abstract":"Background: Painless acute pancreatitis (PAP) is a slowly progressive disease that involves inflammation, scarring, and thickening of pancreatic cells, which can happen due to either alcohol, idiopathic, or genetic. Clinicians usually miss PAP due to lack of pain and additional symptoms of hypotension and fever can lead to an infectious work-up instead. In this case report, we discuss the importance of the rapid discovery of this condition to prevent devastating complications like diabetes, necrotizing pancreatitis, or even death.Case summary: A 47-years old male with past medical history of hypotension and alcohol abuse presented for loss of consciousness. Patient was found with pinpoint pupils, hypoglycemia, and hypotensive. He received Narcan, dextrose, and IV fluids and became responsive. In the emergency department, the patient was hypotensive and the physical exam was only significant for diaphoresis. Patient denied abdominal or radiating pain. Labs significant for elevated lipase, metabolic acidosis, and hyponatremia with imaging positive for AP without chronic inflammation. Based on imaging, lipase and absence of pain, PAP was diagnosed. Patient had multiple episodes of hypoglycemia and remained hypotensive requiring pressor support and intubation. After intubation, he had pulseless electrical activity cardiac arrest. Return of spontaneous circulation achieved but the patient had worsening acidosis, acute kidney injury, liver injury, and bandemia. Empiric antibiotics started, dexamethasone, and maxed on five pressors and transferred to the medical intensive care unit for management of severe AP (SAP).Conclusion: This case report featured PAP without chronic inflammation which is an even rarer disease than PAP which progressed to SAP.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"101008"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epithelioid angiosarcoma of the cervical spine: A case report. 颈椎上皮样血管肉瘤1例。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.101593

Yu-Han Nan, Cheng-Di Chiu, Wei-Liang Chen, Liang-Chi Chen, Chun-Chung Chen, Der-Yang Cho, Jeng-Hung Guo

{"title":"Epithelioid angiosarcoma of the cervical spine: A case report.","authors":"Yu-Han Nan, Cheng-Di Chiu, Wei-Liang Chen, Liang-Chi Chen, Chun-Chung Chen, Der-Yang Cho, Jeng-Hung Guo","doi":"10.12998/wjcc.v13.i17.101593","DOIUrl":"10.12998/wjcc.v13.i17.101593","url":null,"abstract":"Background: Epithelioid angiosarcoma (EA) is an aggressive, malignant endothelial-cell tumor of vascular or lymphatic origin. EA often arises from deep soft tissues such as pleura, breast, bone and gastrointestinal tract. It usually affects patients aged 60-70 years and is associated with high recurrence and metastasis rates with surgical resection as the primary treatment of choice. Overall survivals are generally poor, ranging from 6 to 16 months. More than 50% of patients died of disease within 2 to 3 years of diagnosis.Case summary: We present a rare case of EA of the cervical spine causing a C6 pathological fracture complicated by severe kyphosis. The patient received C4-7 posterior laminectomy and C2/3/4/7/T1 transpedicular screw fixation, followed by anterior C5-6 corpectomy with allograft bone fusion and cervical plate fixation. Postoperative radiotherapy was administered without delay. However, the patient died of rapidly progressive acute respiratory distress syndrome 3 weeks after the second surgery.Conclusion: EA with spinal involvement is extremely rare. Early detection and cord decompression may prevent neurological deterioration and preserve better quality of life.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"101593"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent acute pancreatitis and primary hyperparathyroidism in patients presenting to the emergency department: Diagnostic challenges. 复发性急性胰腺炎和原发性甲状旁腺功能亢进症的患者呈现急诊科：诊断的挑战。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.100741

Faruk Danış, Emre Kudu

引用次数: 0

Electroacupuncture combined with rehabilitation techniques for patients with rotator cuff injury. 电针联合康复技术治疗肩袖损伤。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.98692

Zi-Yue Wang, Yi Zhang, Hang Pei, Chao Wang, Bang-Jian He

引用次数: 0

Intractable subdural effusion after decompressive craniectomy for traumatic brain injury: A case report. 颅脑外伤减压术后顽固性硬膜下积液1例。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.103350

Ming-Jian Lin

{"title":"Intractable subdural effusion after decompressive craniectomy for traumatic brain injury: A case report.","authors":"Ming-Jian Lin","doi":"10.12998/wjcc.v13.i17.103350","DOIUrl":"10.12998/wjcc.v13.i17.103350","url":null,"abstract":"Background: Traumatic subdural effusion is a common complication of traumatic brain injury, especially after decompressive craniectomy (DC). For neurosurgeons, early diagnosis and timely treatment are particularly important, which can help improve patient prognosis and enhance quality of life.Case summary: A 47 year old male underwent DC for traumatic brain herniation. After surgery, he developed stubborn subdural effusion (SDE) on the contralateral side and underwent multiple subdural drilling and drainage surgeries, but only temporarily improved the patient's symptoms. After the final cranioplasty, the contralateral SDE completely disappeared. The patient did not experience any new contralateral neurological dysfunction, and the Glasgow prognostic score was 11 points (E4V1M6).Conclusion: For neurosurgeons, accurate assessment of the condition is necessary when treating patients with stubborn SDE after DC surgery, and timely cranioplasty can be performed to avoid multiple surgeries. This is a safe and effective surgical method for treating traumatic subdural effusion.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"103350"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyperleukocytosis associated with pertussis: Two case reports. 白细胞增多症与百日咳相关：2例报告。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.102207

Hong-Wu Han, Xi-Xia Wang, Ying Wang, Wei-Hua Zhang

{"title":"Hyperleukocytosis associated with pertussis: Two case reports.","authors":"Hong-Wu Han, Xi-Xia Wang, Ying Wang, Wei-Hua Zhang","doi":"10.12998/wjcc.v13.i17.102207","DOIUrl":"10.12998/wjcc.v13.i17.102207","url":null,"abstract":"Background: Pertussis is an acute respiratory infectious disease caused by Bordetella pertussis. Although the diphtheria-pertussis-tetanus vaccine is widely administered, there are still a number of patients with severe pertussis each year, which can lead to death, especially in infants and young children. Hyperleukocytosis is a factor related to the severity of pertussis and a risk factor for death. Reducing the leukocyte number by plasma exchange is a treatment method in clinical practice.Case summary: Two children with pertussis with cough as the initial symptom, developed pneumonia during the course of the illness. White blood cell counts were significantly increased with the highest values of 87.34 × 109/L and 55.46 × 109/L. Following anti-infection, plasma exchange, and ventilator treatment, both children recovered.Conclusion: Early identification of children with pertussis complicated with hyperleukocytosis and timely plasma exchange can improve the prognosis and reduce mortality.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"102207"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Double-sided gastric perforation after a motorcycle accident in Korea: A case report. 韩国摩托车事故后双侧胃穿孔1例。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2025-06-16 DOI: 10.12998/wjcc.v13.i17.98529

In Soo Cho, Chan Hee Park, Jeong Woo Lee

{"title":"Double-sided gastric perforation after a motorcycle accident in Korea: A case report.","authors":"In Soo Cho, Chan Hee Park, Jeong Woo Lee","doi":"10.12998/wjcc.v13.i17.98529","DOIUrl":"10.12998/wjcc.v13.i17.98529","url":null,"abstract":"Background: Motorcycle accidents often result in abdominal trauma in patients seeking emergency care. Injuries to the hollow viscera, including the duodenum, jejunum, urinary bladder, and colorectum, are relatively common. In contrast, owing to the protective function of the anterior rib cage, gastric rupture is exceptionally rare, with an incidence of < 1.7%. Gastric rupture typically occurs in the anterior wall and rarely presents as multiple ruptures. This report describes an unusual case of multiple gastric ruptures resulting from blunt trauma.Case summary: A 21-year-old man, who was involved in a motorcycle collision at 70 km/hour after consuming a large meal, presented with hypotension. Physical examination revealed abdominal tenderness. Laboratory test results indicated elevated amylase, lipase, and liver enzyme levels. Computed tomography showed pneumoperitoneum, hemoperitoneum, and gastric wall discontinuation, suggesting gastric perforation alongside pancreatic, splenic, and hepatic injuries. Angiographic embolization was performed because of active contrast leakage in the left gastric and right gastroepiploic arteries. Emergency laparotomy revealed substantial blood loss, hematoma, and gastric contents scattered throughout the abdominal cavity. Two 10 cm gastric perforations in the anterior and posterior walls were identified, as well as severe liver damage, splenic injury, and pancreatic contusion. Surgical interventions included primary closure of the gastric wall, splenectomy, and partial hepatectomy. After temporary abdominal closure, the patient underwent a second surgery without further bleeding. The gastric repair site was resected and reinforced for optimal tissue healing.Conclusion: Gastric rupture following blunt trauma is fatal. However, patients without severe complications can recover through surgical interventions and postoperative care.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 17","pages":"98529"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0