中华消化外科杂志最新文献

{"title":"Targeting Caregiver Psychopathology in Parent Management Training for Adolescents: A Scoping Review of Commercially Available Treatment Resources.","authors":"Austen McGuire, Christina M Amaro, Mehar N Singh, Shaquanna Brown","doi":"10.1007/s10566-023-09754-9","DOIUrl":"10.1007/s10566-023-09754-9","url":null,"abstract":"<p><strong>Background: </strong>While parent management training (PMT) has been shown to be an effective treatment for adolescents with externalizing concerns, evidence suggests that effectiveness is not equitable across all types of families. Research suggests that caregiver psychopathology may adversely affect PMT success for adolescents. However, it remains unclear whether research on caregiver psychopathology is integrated within adolescent PMT resources (e.g., treatment manuals).</p><p><strong>Objective: </strong>A scoping review of commercially available, clinician focused PMT resources was conducted to assess for information on caregiver psychopathology and clinical guidance for addressing caregiver psychopathology.</p><p><strong>Methods: </strong>A search for commercially available resources was conducted among national treatment databases and book resource websites. Information on caregiver psychopathology was extracted from individual sessions of the PMT resources.</p><p><strong>Results: </strong>Seven treatment resources met inclusion criteria. The majority of the treatment resources made at least one explicit comment that caregiver psychopathology may impact the course of treatment. There was very limited mention of caregiver psychopathology in skill building sections of the resources.</p><p><strong>Conclusions: </strong>While most resources mentioned caregiver psychopathology, these comments lacked breadth and depth in providing clinicians with recommendations on how to tailor treatment to caregivers' needs. Recommendations are provided for how PMT programs might be improved in the future to support clinicians when faced with caregiver psychopathology by recognizing inequities and lack of diversity in resource development, using a transdiagnostic perspective (including a transdiagnostic approach to assessment of care-giver psychopathology), and integrating caregiver skill development.</p>","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"18 1","pages":"269-291"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82487166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concept renovation: a new perspective of minimally invasive surgery","authors":"M. Zheng, Junjun Ma","doi":"10.3760/CMA.J.CN115610-20200413-00256","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115610-20200413-00256","url":null,"abstract":"The development and innovation of laparoscopic vision platform has promoted the innovation of surgical concept and technology from laparotomy to minimally invasive surgery From the initial use of reflector device with candlelight to observe the interior of the human body cavity, to the high-definition and ultra-high-definition laparoscopic vision system, from laparoscopic cholecystectomy, to the popularization and promotion of various laparoscopic surgery for malignant tumor, surgery has undergone great changes due to minimally invasive technology In the new era, the application of three-dimensional and 4K laparoscope brings a new perspective to minimally invasive surgery, so as to promote the development of surgery in the direction of accurate anatomy and functional protection In the future, stimulated by concept renovation in post-epidemic era of COVID-19, virtual reality technology and robotic surgery supported by the fifth generation wireless systems, as well as tele-surgery and distance training and teaching based on it, will become a new perspective for the development of minimally invasive surgery Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"478-481"},"PeriodicalIF":0.0,"publicationDate":"2020-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41375381","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}

{"title":"Influencing factors and clinical significance of liver function damage in patients diagnosed with COVID-19","authors":"Da-wei Sun, Dong Zhang, Runhui Tian, Yang Li, Yu-Shi Wang, Jie Cao, Ying Tang, N. Zhang, Tao Zan, Lan Gao, Yanzhu Huang, Yang Zheng, Guoyue Lyu","doi":"10.3760/CMA.J.CN115610-20200229-00133","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115610-20200229-00133","url":null,"abstract":"Objective: To invetigate the influencing factors and clinical significance of liver function damage (LFD) in patients diagnosed with Corona Virus Disease 2019 (COVID-19) Methods: The retrospective case-control study was conducted The clinicopathological data of 51 patients with COVID-19 who were admitted to the Sino-French New City Branch of Tongji Hospital Affiliated to Huazhong University of Science and Technology by the 5th group assisting team from the First Hospital of Jilin University from February 9th to 27th in 2020 were collected There were 27 males and 24 females, aged from 36 to 86 years, with an average age of 68 years The treatment modality was according to the diagnostic and therapeutic guideline for COVID-19 (Trial 6th edition) issued by National Health Commission Observation indicators: (1) clinical data of patients;(2) analysis of liver function index and treatment of LFD;(3) analysis of influencing factors for LFD Measurement data with normal distribution were represented as Mean±SD, and measurement data with skewed distribution were described as M (range) Count data were described as absolute numbers or percentages, and comparison between groups was analyzed using the chi-square test The Logistic regression method was used for univariate analysis Results: (1) Clinical data of patients: of the 51 patients, 21 were classified as ordinary type of COVID-19, 19 as severe type and 11 as critical type In terms of medical history, 31 patients suffered from more than or equal to one kind of chronic disease, 20 had no history of chronic disease Thirteen patients had the drinking history and 38 had no drinking history Seven patients were hepatitis positive and 44 were hepatitis negative Five patients had septic shock at admission, 5 had systemic inflammatory response syndrome (SIRS), and 41 had neither shock nor SIRS The body mass index (BMI), time from onset to admission, temperature, heart rate, respiratory rate of the 51 patients were (24±3)kg/m2, (13±5)days, 36 5 ℃ (range, 36 0-38 1 ℃), 82 times/minutes (range, 50-133 times/minutes), 20 times/minutes (range, 12-40 times/minutes) The white blood cell count, level of creatinine, and level of b-type natriuretic peptide within 24 hours after admission were 6 3×109/L [range, (2 2-21 7)×109/L], 75 μmol/L (range, 44-342 μmol/L), 214 ng/L (range, 5-32 407 ng/L) (2) Analysis of liver function index and treatment of LFD: the level of alanine aminotransferase (ALT), aspartate aminotransferase (AST), glutamyl transpeptidase (GGT), alkaline phosphatase (ALP), direct bilirubin (DBil), indirect bilirubin (IBil), activated partial thromboplastin time (APTT) and prothrombin time (PT) were 31 U/L (range, 7-421 U/L), 29 U/L (range, 15-783 U/L), 36 U/L (range, 13-936 U/L), 76 U/L (range, 41-321 U/L), 4 9 μmol/L (range, 2 6-14 3 μmol/L), 5 8 μmol/L (range, 2 6-23 9 μmol/L), 37 2 s (range, 30 9-77 1 s), 13 9 s (range, 12 5-26 7 s), respectively The percentages of cases with abnormal ALT, AST, GGT, ALP, DBi","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"360-365"},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49062814","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}

{"title":"Clinical value of outpatient screening in department of general surgery during the COVID-19 outbreak","authors":"Gang Li, Peng Zhang, Z. Xia, Zheng Wang, Jin-bo Gao, Yue-ping Long, K. Cai, Guobin Wang, K. Tao","doi":"10.3760/CMA.J.CN115610-20200226-00120","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115610-20200226-00120","url":null,"abstract":"Objective: To investigate the clinical value of outpatient screening in department of general surgery during the Corona Virus Disease 2019 (COVID-19) outbreak Methods: The retrospective and descriptive study was conducted The clinical data of 57 patients who visited surgery clinic and emergency department of Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology between February 1st and 26th in 2020 were collected There were 30 males and 27 females, aged (53±16)years, with a range from 17 to 87 years All the 57 patients were measured score of outpatient screening in department of general surgery The score ≥3 indicated high risk and the score 0 05) The 26 confirmed or suspected cases of COVID-19 had an age of (57±16)years, and 31 non-infection cases had an age of (50±16) years, with no significant difference between the two groups (t=-1 646, P>0 05) (2) Score of outpatient screening for COVID-19 of patients: the score of outpatient screening for COVID-19 of the 26 confirmed or suspected cases was 3 0(4 0), versus 1 0(1 0) of the 31 non-infection cases, showing a significant difference between the two groups (Z=-3 695, P<0 05) There were 17 and 9 of the 26 confirmed or suspected cases with high risks and low risks, respectively, versus 3 and 28 of the 31 non-infection cases, with a significant difference between the two groups (χ2=19 266, P<0 05) Conclusion: During the COVID-19 outbreak, outpatient screening in department of general surgery can effectively screen out high-risk patients Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"356-359"},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46188249","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}

{"title":"Clinical strategies for COVID-19 in surgeons","authors":"Zhiwei Zhang, Xiao-ping Chen","doi":"10.3760/CMA.J.CN115610-20200312-00164","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115610-20200312-00164","url":null,"abstract":"Surgeons need high sensitivity to the epidemic of Corona Virus Disease 2019 (COVID-19) and take preventive measures in hospital as early as possible They need to totally play their roles in anti-epidemic to treat patients with acute and critical diseases as well as overall arrangement under the condition of adapting to epidemic situation Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"349-351"},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44202671","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}

{"title":"Emergency surgical strategies for patients with acute abdomen during the COVID-19 outbreak","authors":"Jin-huang Chen, Ping Hu, P. Xu, Chaojie Hu, Ding Chen, Yang Wang, Qing-yong Chen, Hai Zheng, P. Cheng, Gang Zhao","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.03.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.03.010","url":null,"abstract":"Objective: To investigate the emergency surgical strategies for patients with acute abdomen during the Corona Virus Disease 2019 (COVID-19) outbreak Methods: The retrospective and descriptive study was conducted The clinical data of 20 patients with acute abdomen who were admitted to the Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology between January 18, 2020 and February 10, 2020 were collected There were 13 males and 7 females, aged from 25 to 82 years, with an average age of 57 years All the patients with emergency surgeries received pulmonary computed tomography (CT) examination before surgery, and completed nucleic acid detection in throat swab if necessary Patients excluded from COVID-19 underwent regular anesthesia, suspected and confirmed cases were selected a proper anesthesia based on their medical condition and surgical procedure Patients excluded from COVID-19 underwent emergency surgeries following the regular procedure, suspected and confirmed cases underwent emergency surgeries following the three-grade protection Observation indicators: (1) surgical situations;(2) postoperative situations Measurement data with normal distribution were represented as average (range) Count data were described as absolute numbers Results: (1) Surgical situations: of the 20 patients with acute abdomen, 16 patients were excluded from COVID-19, and 4 were not excluded All the 20 patients underwent emergency abdominal surgeries successfully, of whom 2 received surgeries under epidural anesthesia (including 1 with open appendectomy, 1 with open repair of duodenal bulbar perforation), 18 received surgeries under general anesthesia (including 9 with laparoscopic repair of duodenal bulbar perforation, 3 with open partial enterectomy, 3 with laparoscopic appendectomy, 1 with laparoscopic left hemicolectomy, 1 with laparoscopic right hemicolectomy, 1 with cholecystostomy) The operation time of patients was 32-194 minutes, with an average time of 85 minutes The volume of intraoperative blood loss was 50-400 mL, with an average volume of 68 mL (2) Postoperative situations: 16 patients excluded from COVID-19 preopratively were treated in the private general ward postoperatively One of the 16 patients had fever at the postoperative 5th day and was highly suspected of COVID-19 after an emergency follow-up of pulmonary CT showing multiple ground-glass changes in the lungs The patient was promptly transferred to the isolation ward for treatment, and results of nucleic acid detection in throat swab showed double positive Medical history described by the patient showed that the patient and family members were residents of Wuhan who were not isolated at home during the epidemic There was no way to confirm whether they had a history of exposure to patients with COVID-19 Medical staffs involved in this case did not show COVID-19 related symptoms during 14 days of medical observation The other 15 patients recovered well ","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"262-266"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49381078","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}

{"title":"Overall management strategies for liver cancer patients during the COVID-19 outbreak","authors":"Xinrong Yang, Hui-Chuan Sun, Yang Xu, Yi-feng He, Ao Huang, Jia Fan, Jian Zhou","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.03.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.03.005","url":null,"abstract":"The Corona Virus Disease 2019 (COVID-19) that occurred December of 2019 has a wide range of impacts, and its epidemic situation is grim China has a large population of liver cancer, accounting for 50% of new cases of liver cancer worldwide How to ensure the diagnosis, treatment and rehabilitation of liver cancer patients while preventing and controlling the epidemic situation is an issue that urgently need specialists pay attention to The authors propose an overall management model for patients with liver cancer, combined with their own experience, in order to guide specialists to safely and effectively carry out clinical diagnosis and treatment of liver cancer during the prevention and control of epidemics, and to help liver cancer patients receive treatment Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"244-247"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48856829","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}

{"title":"Overall management strategies for colorectal cancer patients during the COVID-19 outbreak","authors":"W. Chang, Q. Feng, Dexiang Zhu, Jianming Xu","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.03.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.03.007","url":null,"abstract":"The Corona Virus Disease 2019 (COVID-19) since December, 2019 has a wide range of infection due to the strong infectious characteristics Both medical staff and patients are at increased risk of infection It is an urgent clinical problem for specialist doctors to work with diagnosis and treatment of cancer patients during the epidemic situation Based on the colorectal cancer diagnosis and treatment guidelines (2019 CSCO guideline), combined with their own experience, the authors propose the overall management strategies for colorectal cancer patients This strategies cover the key diagnosis and treatment of colorectal cancer, and provide targeted clinical practice These work will be helpful for colorectal cancer specialists to carry out the diagnosis and treatment of colorectal cancer effectively under the epidemic of COVID-19 Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"251-255"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45744582","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}

{"title":"Fortification is required in the rear to win the battle of epidemic prevention and control","authors":"Jiahong Dong, Xiaobin Feng, Shizhong Yang","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.03.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.03.001","url":null,"abstract":"The current epidemic of Corona Virus Disease 2019 (COVID-19) poses a serious threat to people's health and lives Following the national policies and deployment, medical community in China invests large amounts of medical resources to help Hubei However, some hospitals nationwide have suspended outpatient and inpatient services The authors analyze the underlying causes of suspension of medical services and its harm to patients, and summarize the optimization of disease diagnosis and treatment during the COVID-19 outbreak In further, they propose reasonable suggestions on safe medical management in general hospitals outside the epidemic area, in order to attract the attention of medical institutions and medical colleagues Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"225-228"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46278021","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}

{"title":"Mechanisms and control measures of COVID-19 related liver injuries","authors":"Ao Huang, Xinrong Yang, Hui-Chuan Sun, Jia Fan, Jian Zhou","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.03.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.03.006","url":null,"abstract":"Although the epidemic situation of Corona Virus Disease 2019 (COVID-19) has been controlled, the epidemic situation remains grim The COVID-19 is highly infectious, with various clinical manifestations including liver injury The authors make a preliminary investigation on the mechanisms of liver injury related to COVID-19, and put forward corresponding control measures for reference Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"248-250"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46389274","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}