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

Effects of traditional Chinese medicine on symptoms of patients with spleen and stomach deficiency-related tinnitus. 中药对脾胃虚弱型耳鸣患者症状的影响

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6165

Na Cui, Chen Zhao, Jun-Lai Xue, Xue-Wei Zhu

{"title":"Effects of traditional Chinese medicine on symptoms of patients with spleen and stomach deficiency-related tinnitus.","authors":"Na Cui, Chen Zhao, Jun-Lai Xue, Xue-Wei Zhu","doi":"10.12998/wjcc.v12.i28.6165","DOIUrl":"10.12998/wjcc.v12.i28.6165","url":null,"abstract":"Background: Tinnitus affects 10%-30% of the population. Recent evidence suggests that tinnitus is associated with spleen deficiency. However, compared with kidney deficiency-related tinnitus, less research has been conducted on the impact of spleen deficiency-related tinnitus.Aim: To investigate the clinical efficacy of using Guipi Wan and dietary and lifestyle modification based on traditional Chinese medicine for treatment of patients with spleen and stomach deficiency-related tinnitus.Methods: We enrolled 110 patients with spleen and stomach deficiency-related tinnitus who were distributed into treatment (58 cases) and control (52 cases) groups. Tinnitus severity, sleep quality and emotional state were assessed by questionnaires [Tinnitus Evaluation Questionnaire (TEQ); Pittsburgh Sleep Quality Index (PSQI); Depression-Anxiety-Stress Scale-21 (DASS-21)] that were used for analysis in the two groups during the initial and intervention and after. In the treatment group, patients were treated with oral administration of Guipi Wan and consulted for healthy dietary and lifestyle modification. In the control group, patients were only assessed and not treated.Results: At the end of the 6-months, TEQ scores decreased significantly in the treatment group (P = 0.021) but not in the Control group. Significant effects in the treatment group were noted for PSQI total score (P = 0.043) and several PSQI component scores in the treatment group (P < 0.05). After treatment, the DASS-21 scores were significantly reduced in the treatment group (P < 0.05).Conclusion: Guipi Wan combined with dietary and lifestyle modification based on regulating the spleen and stomach can be considered core to the treatment of tinnitus related to spleen and stomach deficiency.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 28","pages":"6165-6172"},"PeriodicalIF":1.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381669","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

Uveitis glaucoma hyphema syndrome as a result of glaucoma implant: A case report. 青光眼植入物导致的葡萄膜炎青光眼低红斑综合征：病例报告。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6217

Rahaf Jalal Altwijri, Ehab Alsirhy

引用次数: 0

Old, the new, more or less and the conundrum for biomarkers in cardiovascular diseases? 心血管疾病生物标志物的新旧、多寡与难题？

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6244

Pupalan Iyngkaran

引用次数: 0

Risk of appendiceal neoplasm in patients with appendix disorders. 阑尾疾病患者罹患阑尾肿瘤的风险。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6148

Francesco Ferrara, Roberto Peltrini

引用次数: 0

Toripalimab in combination with chemotherapy effectively suppresses local recurrence and metastatic sarcomatoid renal cell carcinoma: A case report. 托利帕利单抗联合化疗可有效抑制局部复发和转移性肉瘤型肾细胞癌：病例报告。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6230

Ming-Zhu Gao, Nian-Fei Wang, Jin-You Wang, Li Ma, Yu-Cai Yang

{"title":"Toripalimab in combination with chemotherapy effectively suppresses local recurrence and metastatic sarcomatoid renal cell carcinoma: A case report.","authors":"Ming-Zhu Gao, Nian-Fei Wang, Jin-You Wang, Li Ma, Yu-Cai Yang","doi":"10.12998/wjcc.v12.i28.6230","DOIUrl":"10.12998/wjcc.v12.i28.6230","url":null,"abstract":"Background: Sarcomatoid renal cell carcinoma (SRCC) is a rare variant of renal cell carcinoma associated with an unfavorable prognosis. The efficacy of conventional chemotherapy and targeted therapies are limited, whereas the emergence of immune checkpoint inhibitor has introduced new avenues for managing advanced SRCC.Case summary: A 77-year-old female patient was referred to our hospital following the incidental detection of a right kidney tumor without specific symptoms. The tumor was successfully resected, and subsequent pathological examination confirmed SRCC. She experienced both local recurrence and distant metastasis eight months after the initial laparoscopic resection. Following six cycles of toripalimab combined with pirarubicin chemotherapy, the patient achieved a partial response. Subsequently, the patient attained an almost-complete continuous response to toripalimab monotherapy maintenance for an additional six cycles. She has not experienced disease progression for 15 months, and her overall survival has reached 24 months thus far.Conclusion: Combination therapy with programmed death 1 antibodies and cytotoxic agents may be a recommended first-line treatment approach for SRCC.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 28","pages":"6230-6236"},"PeriodicalIF":1.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381681","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

Approach to cardiac masses: Thinking inside and outside the box. 心脏包块的处理方法：内外兼修

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6132

Elia De Maria

{"title":"Approach to cardiac masses: Thinking inside and outside the box.","authors":"Elia De Maria","doi":"10.12998/wjcc.v12.i28.6132","DOIUrl":"10.12998/wjcc.v12.i28.6132","url":null,"abstract":"In this editorial we comment on the article by Huffaker et al, published in the current issue of the World Journal of Clinical Cases. Cardiac masses encompass a broad range of lesions, potentially involving any cardiac structure, and they can be either neoplastic or non-neoplastic. Primitive cardiac tumors are rare, while metastases and pseudotumors are relatively common. Cardiac masses frequently pose significant diagnostic and therapeutic challenges. Multimodality imaging is fundamental for differential diagnosis, treatment, and surgical planning. In particular cardiac magnetic resonance (CMR) is currently the gold standard for noninvasive tissue characterization. CMR allows evaluation of the relationship between the tumor and adjacent structures, detection of the degree of infiltration or expansion of the mass, and prediction of the possible malignancy of a mass with a high accuracy. Different flow charts of diagnostic work-up have been proposed, based on clinical, laboratory and imaging findings, with the aim of helping physicians approach the problem in a pragmatic way (\"thinking inside the box\"). However, the clinical complexity of cancer patients, in particular those with rare syndromes, requires a multidisciplinary approach and an open mind to go beyond flow charts and diagnostic algorithms, in other words the ability to \"think outside the box\".","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 28","pages":"6132-6136"},"PeriodicalIF":1.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381765","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

Efficacy of graphene nanocomposites for air disinfection in dental clinics: A randomized controlled study. 石墨烯纳米复合材料对牙科诊所空气消毒的功效：随机对照研究。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6173

Ya-Qiong Ju, Xiang-Hua Yu, Jing Wu, Ying-Hui Hu, Xiang-Yong Han, Dan Fang

{"title":"Efficacy of graphene nanocomposites for air disinfection in dental clinics: A randomized controlled study.","authors":"Ya-Qiong Ju, Xiang-Hua Yu, Jing Wu, Ying-Hui Hu, Xiang-Yong Han, Dan Fang","doi":"10.12998/wjcc.v12.i28.6173","DOIUrl":"10.12998/wjcc.v12.i28.6173","url":null,"abstract":"Background: Aerosols containing disease-causing microorganisms are produced during oral diagnosis and treatment can cause secondary contamination.Aim: To investigate the use of graphene material for air disinfection in dental clinics by leveraging its adsorption and antibacterial properties.Methods: Patients who received ultrasonic cleaning at our hospital from April 2023 to April 2024. They were randomly assigned to three groups (n = 20 each): Graphene nanocomposite material suction group (Group A), ordinary filter suction group (Group B), and no air suction device group (Group C). The air quality and air colony count in the clinic rooms were assessed before, during, and after the procedure. Additionally, bacterial colony counts were obtained from the air outlets of the suction devices and the filter screens in Groups A and B.Results: Before ultrasonic cleaning, no significant differences in air quality PM2.5 and colony counts were observed among the three groups. However, significant differences in air quality PM2.5 and colony counts were noted among the three groups during ultrasonic cleaning and after ultrasonic treatment. Additionally, the number of colonies on the exhaust port of the suction device and the surface of the filter were significantly lower in Group A than in Group B (P = 0.000 and P = 0.000, respectively).Conclusion: Graphene nanocomposites can effectively sterilize the air in dental clinics by exerting their antimicrobial effects and may be used to reduce secondary pollution.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 28","pages":"6173-6179"},"PeriodicalIF":1.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381670","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

Multi-systemic melioidosis. 多系统瓜虫病。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6151

Basavraj S Nagoba, Shree V Dhotre, Abhijit S Rayate, Sachin S Mumbre, Pradnya S Dhotre

引用次数: 0

Virtual reality for preoperative patient education: Impact on satisfaction, usability, and burnout from the perspective of new nurses. 虚拟现实技术用于术前患者教育：从新护士的角度看虚拟现实对满意度、可用性和职业倦怠的影响。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-10-06 DOI: 10.12998/wjcc.v12.i28.6204

Jiyoung Kim, Donghyun Kim, Sang-Ha Oh, Hyeokjae Kwon

{"title":"Virtual reality for preoperative patient education: Impact on satisfaction, usability, and burnout from the perspective of new nurses.","authors":"Jiyoung Kim, Donghyun Kim, Sang-Ha Oh, Hyeokjae Kwon","doi":"10.12998/wjcc.v12.i28.6204","DOIUrl":"10.12998/wjcc.v12.i28.6204","url":null,"abstract":"Background: Traditional paper-based preoperative patient education is a struggle for new nurses and requires extensive training. In this situation, virtual reality technology can help the new nurses. Despite its potential benefits, there are studies on patient satisfaction but there is limited information on the usability of virtual reality (VR) technology for new nurses in giving preoperative education to patients.Aim: To investigate the impact on satisfaction, usability, and burnout of a system using VR technology in preoperative patient education.Methods: The study involved 20 nurses from the plastic surgery ward and 80 patients admitted between April and May 2019. Each nurse taught four patients: Two using traditional verbal education and two using virtual reality. The System Usability Scale, After-Scenario Questionnaire, and Maslach Burnout Inventory (MBI) were employed to evaluate the impact of these education methods.Results: The VR education groups showed a statistically higher satisfaction than the traditional verbal education groups. Among the three subscales of the MBI, emotional exhaustion and personal accomplishment improved statistically significantly. VR was also better in terms of usability.Conclusion: This study suggests VR enhances usability and reduces burnout in nurses, but further research is needed to assess its impact on depersonalization and objective measures like stress and heart rate.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 28","pages":"6204-6216"},"PeriodicalIF":1.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381691","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

Clinical approach for pulmonary lymphatic disorders. 肺淋巴疾病的临床治疗方法。

IF 1 4区医学

World Journal of Clinical Cases Pub Date : 2024-09-26 DOI: 10.12998/wjcc.v12.i27.6020

Chalisa Thamkittikun, Prakarn Tovichien

{"title":"Clinical approach for pulmonary lymphatic disorders.","authors":"Chalisa Thamkittikun, Prakarn Tovichien","doi":"10.12998/wjcc.v12.i27.6020","DOIUrl":"https://doi.org/10.12998/wjcc.v12.i27.6020","url":null,"abstract":"In this editorial, we discuss the clinical implications of the article \"Lymphatic plastic bronchitis and primary chylothorax: A study based on computed tomography lymphangiography\" published by Li et al. Pulmonary lymphatic disorders involve abnormalities in the lymphatic tissues within the thoracic cavity. Specifically, pulmonary lymphatic perfusion syndrome describes a condition where the flow of lymphatic fluid in the lungs is redirected towards abnormally widened lymphatic vessels. Clinically, individuals with this syndrome may experience symptoms such as chyloptysis, plastic bronchitis (PB), chylothorax, chylopericardium, and interstitial lung disease. These disorders can be caused by various factors, including PB, chylothorax, and complex lymphatic malformations. Advancements in lymphatic imaging techniques, such as intranodal lymphangiography, computed tomography lymphangiography, and dynamic contrast-enhanced magnetic resonance lymphangiography, have enabled the detection of abnormal lymphatic flow. This has enhanced our understanding of the pathophysiology of these conditions. Additionally, innovative minimally invasive treatments, such as thoracic duct embolization, selective embolization of lymphatic channels, and surgical procedures aim to improve clinical condition of patients and address their dietary needs.","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"12 27","pages":"6020-6026"},"PeriodicalIF":1.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11326095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355339","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