World Journal of Clinical Cases最新文献_第9页

Journey to diagnosis: An unfinished exploration of IgG4-related sclerosing cholangitis. 诊断之旅：IgG4相关硬化性胆管炎的未竟探索。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6608

Ming-Xing Liang, Ya Chen, Ya He, Yi-Huai He

引用次数: 0

Flexner's legacy and the future of medical education: Embracing challenge and opportunity. Flexner 的遗产与医学教育的未来：迎接挑战与机遇。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6650

Quzhen Zeren, Yan Zeng, Jun-Wen Zhang, Jian Yang

引用次数: 0

Secondary diabetes due to different etiologies: A problem worthy of attention. 不同病因导致的继发性糖尿病：一个值得关注的问题。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6647

Zhao Wei, Xue-Jian Wang

引用次数: 0

Prothrombotic state and thrombotic events in COVID-19 pandemic period, including portal vein and splenic artery thromboses. COVID-19 大流行期间的血栓前状态和血栓事件，包括门静脉和脾动脉血栓。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6595

Ozgur Karcioglu, Canan Akman, Göksu Afacan Ozturk

{"title":"Prothrombotic state and thrombotic events in COVID-19 pandemic period, including portal vein and splenic artery thromboses.","authors":"Ozgur Karcioglu, Canan Akman, Göksu Afacan Ozturk","doi":"10.12998/wjcc.v12.i33.6595","DOIUrl":"10.12998/wjcc.v12.i33.6595","url":null,"abstract":"This editorial article is intended to perform a discussion on the manuscript entitled \"Simultaneous portal vein thrombosis and splenic vein thrombosis in a COVID-19 patient: A case report and review of literature\" written by Abramowitz et al. The article focuses on the diagnostic processes in a 77-year-old-male patient with a simultaneous portal vein and splenic artery thrombosis accompanying coronavirus disease 2019 (COVID-19). The authors postulated that splanchnic thrombosis should be on the list of differential diagnoses in a patient presenting with abdominal pain in presence of a COVID-19 infection. The tendency for venous and arterial thrombosis in COVID-19 patients is encountered, largely attributed to hypercoagulopathy. In general, venous thromboembolism mostly manifest as deep vein thrombosis (DVT), pulmonary embolism (PE) or catheter-related thromboembolic events. Acute PE, DVT, cerebrovascular events and myocardial infarction are seen as the most common thromboembolic complications in COVID-19 patients. COVID-19-associated hemostatic abnormalities include mild thrombocytopenia and increased D-dimer level. Similar to other coagulopathies, the treatment of the underlying condition is the mainstay. Addition of antiplatelet agents can be considered in critically ill patients at low bleeding risk, not on therapeutic anticoagulation, and receiving gastric acid suppression Early administration of antithrombotic drugs will have a beneficial effect in both the prevention and treatment of thrombotic events, especially in non-ambulatory patients. Low molecular weight heparin (LMWH) should be started if there is no contraindication, including in non-critical patients who are at risk of hospitalization LMWH (enoxaparin) is preferred to standard heparin.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 33","pages":"6595-6603"},"PeriodicalIF":1.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733202","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

Targeting nuclear factor erythroid 2-related factor 2-regulated ferroptosis to treat nervous system diseases. 以核因子红细胞 2 相关因子 2 调节的铁凋亡为靶点，治疗神经系统疾病。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6655

Ye-Qi Huang, Zheng-Wei Huang, Xue-Juan Zhang

引用次数: 0

Advancements and challenges in gastrointestinal imaging. 胃肠道成像的进步与挑战。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6591

Eun Jeong Gong, Chang Seok Bang

引用次数: 0

Current evidence on artificial intelligence in regional anesthesia. 人工智能在区域麻醉中的应用现状。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6613

Bhanu Pratap Swain, Deb Sanjay Nag, Rishi Anand, Himanshu Kumar, Pradip Kumar Ganguly, Niharika Singh

{"title":"Current evidence on artificial intelligence in regional anesthesia.","authors":"Bhanu Pratap Swain, Deb Sanjay Nag, Rishi Anand, Himanshu Kumar, Pradip Kumar Ganguly, Niharika Singh","doi":"10.12998/wjcc.v12.i33.6613","DOIUrl":"10.12998/wjcc.v12.i33.6613","url":null,"abstract":"The recent advancement in regional anesthesia (RA) has been largely attributed to ultrasound technology. However, the safety and efficiency of ultrasound-guided nerve blocks depend upon the skill and experience of the performer. Even with adequate training, experience, and knowledge, human-related limitations such as fatigue, failure to recognize the correct anatomical structure, and unintentional needle or probe movement can hinder the overall effectiveness of RA. The amalgamation of artificial intelligence (AI) to RA practice has promised to override these human limitations. Machine learning, an integral part of AI can improve its performance through continuous learning and experience, like the human brain. It enables computers to recognize images and patterns specifically useful in anatomic structure identification during the performance of RA. AI can provide real-time guidance to clinicians by highlighting important anatomical structures on ultrasound images, and it can also assist in needle tracking and accurate deposition of local anesthetics. The future of RA with AI integration appears promising, yet obstacles such as device malfunction, data privacy, regulatory barriers, and cost concerns can deter its clinical implementation. The current mini review deliberates the current application, future direction, and barrier to the application of AI in RA practice.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 33","pages":"6613-6619"},"PeriodicalIF":1.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733156","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

Early screening to identify and diagnose primary nasal tuberculosis in patients with tumor necrosis factor inhibitors. 对肿瘤坏死因子抑制剂患者进行早期筛查，以识别和诊断原发性鼻结核。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6604

Dan-Xiang Shen, Yu-Wei Wang, Zhi-Min Lin, Di Jin, Zhen-Hua Ying, Chen Li

{"title":"Early screening to identify and diagnose primary nasal tuberculosis in patients with tumor necrosis factor inhibitors.","authors":"Dan-Xiang Shen, Yu-Wei Wang, Zhi-Min Lin, Di Jin, Zhen-Hua Ying, Chen Li","doi":"10.12998/wjcc.v12.i33.6604","DOIUrl":"10.12998/wjcc.v12.i33.6604","url":null,"abstract":"In this editorial, we comment on the article by Liu et al. Based on our analysis of a case report, we consider that early screening and recognition of primary nasal tuberculosis are crucial for patients undergoing treatment with tumor necrosis factor inhibitor (TNFi). While TNFi therapy increases the risk of reactivating latent tuberculosis, primary nasal tuberculosis remains rare due to the protective mechanisms of the nasal mucosa. Risk factors for primary nasal tuberculosis include minimally invasive nasal surgery, diabetes, and human immunodeficiency virus. Patients with early symptoms such as nasal congestion, rhinorrhea, altered olfaction, epistaxis, or ulceration, and unresponsive to conventional antibiotics and antihistamines should undergo early rhinoscopy, possibly followed by repeated tissue biopsies and acid-fast bacilli culture when necessary. When diagnosis is challenging, it is essential to consider local tuberculosis epidemiology and the efficacy of diagnostic anti-tuberculosis treatment. The preferred method for tuberculosis screening is the Interferon Gamma Release Assay, with a general recommendation for screening at 3 and 6 months after initial treatment and then every six months. However, the optimal frequency is not yet consensus-driven and may be increased in economically viable settings.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 33","pages":"6604-6607"},"PeriodicalIF":1.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733160","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

Platelet-rich plasma treatment for chronic wounds: A case report and literature review. 富血小板血浆治疗慢性伤口：病例报告和文献综述。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6635

Ana Dimova, Martin Boroš, Stefan Dimov, Janja Konjevod, Maja Svetec

{"title":"Platelet-rich plasma treatment for chronic wounds: A case report and literature review.","authors":"Ana Dimova, Martin Boroš, Stefan Dimov, Janja Konjevod, Maja Svetec","doi":"10.12998/wjcc.v12.i33.6635","DOIUrl":"10.12998/wjcc.v12.i33.6635","url":null,"abstract":"Background: Wound healing is a complicated process that can be heavily influenced by patient comorbidities, in some cases leading to a chronic non-healing wound. Evidence presented in the medical literature supporting the clinical use of autologous platelet-rich plasma (PRP) in treatment of such wounds is becoming increasingly compelling. Mechanisms involved include complex interactions between the patient's thrombocytes, cytokines, and growth factors.Case summary: We present a case of a 72-year-old male patient with a long-standing chronic wound and multiple comorbidities. Over the course of more than 7 months, the patient was unsuccessfully treated with all routinely used measures, including different dressing approaches. Multiple antibiotic regimens were administered for wound infection, with repeated evaluation of microbiological swab results. Finally, after three PRP applications, the wound showed clinical improvement with complete restitution of the epithelial layer of the skin.Conclusion: PRP treatment may be beneficial to reduce healing time in chronic wounds.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 33","pages":"6635-6643"},"PeriodicalIF":1.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733200","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

Tricuspid mass-curious case of Li-Fraumeni syndrome: A letter to the editor. 三尖瓣肿块--Li-Fraumeni 综合征疑难病例：致编辑的一封信

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-11-26 DOI: 10.12998/wjcc.v12.i33.6644

Mohammad S Al-Haggar, Zahraa A Abdelmoneim

引用次数: 0