European Medical Journal最新文献

Climate Change and Air Pollution: How Healthcare Providers Can Help Mitigate the Risks to Respiratory Health 气候变化与空气污染：医疗服务提供者如何帮助降低呼吸系统健康风险

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/juyj2358

Fan Chung, Gary Wong, Sundeep Salvi, Christopher Carlsten

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Fever, Sore Throat, and Abdominal Pain – Connecting the Dots to a ‘Forgotten’ Disease: A Case Report of Atypical Lemierre’s Syndrome 发热、喉咙痛和腹痛--与一种 "被遗忘 "疾病的关联：非典型勒米尔氏综合征病例报告

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/whtd3554.

Taniya Yasmin, Sara Glazer, Breanna A. Chen, Farah Abdulsatar

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Review of the 12th Edition of the European Conference on Rare Diseases and Orphan Products (ECRD) 2024 第 12 届欧洲罕见病与孤儿产品大会（ECRD）回顾 2024 年

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/wsst7298

Emj

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Penile Skin Bridge: Uncommon Cause of Painful Spontaneous Erection in Young Males 阴茎皮肤桥：年轻男性自发勃起疼痛的罕见原因

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/hybw6733

A.O. Takure

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Frequency Determination of Central Line Associated Bloodstream Infection at a Renal Care Centre 肾脏护理中心中心管相关血流感染的频率测定

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/jpqb3019

Safia Moin, Bina Salman, Aasim Ahmad

{"title":"Frequency Determination of Central Line Associated Bloodstream Infection at a Renal Care Centre","authors":"Safia Moin, Bina Salman, Aasim Ahmad","doi":"10.33590/emj/jpqb3019","DOIUrl":"https://doi.org/10.33590/emj/jpqb3019","url":null,"abstract":"Background: Central line-associated bloodstream infection (CLABSI) is a serious infection typically increasing morbidity and mortality in patients with chronic kidney disease (CKD). It can be prevented through proper insertion techniques and management of the central line (CL). However, the first step in reducing the CLABSI rate is to define the extent of the problem through proper surveillance. This study aimed to determine the frequency of CLABSI in patients with CKD at a specialised renal care centre.\u0000\u0000Methods: The authors conducted a retrospective observational study to determine the frequency of CLABSI in patients with CKD between November 2021–September 2022 at their institute. They included all patients with CLs registered at their institute. Primary CLABSI was defined as CLABSI attributable to their hospital, while secondary CLABSI was defined as those not attributed to their hospital.\u0000\u0000Results: Fifty-nine incidences of CLABSI were identified in a total of 310 patients with CL and 1,413 CL days, giving a total of 42 CLABSI incidences per 1,000 CL days. Primary CLABSI was more common (n=36 [61%]) than secondary CLABSI (n=23 [39%]). Most of the patients recovered (53 [89.8%]); however, four (6.9%) patients expired. Most of the patients who recovered had permanent vascular access (n=32 [60.4%]), internal jugular placement (n=44 [83%]), and primary CLABSI (n=33 [62.3%]), although the p-values were non-significant.\u0000\u0000Conclusion: Strict implementation of CLABSI prevention bundles for line insertion and its maintenance and regular surveillance using laboratory confirmed cases is needed to reduce the rates of CLABSI.","PeriodicalId":505023,"journal":{"name":"European Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141345159","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

Role of Nebulisers in the Treatment of Patients with Severe and Very Severe Chronic Obstructive Pulmonary Disease 雾化器在治疗重度和极重度慢性阻塞性肺病患者中的作用

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/uxua8923

Omar Usmani

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Lost in the System: The Labyrinth of Rare Disease Diagnosis 迷失在系统中罕见病诊断的迷宫

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/dlph7436

Peter Fish

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How Can We Bridge the Rare Disease Treatment Gap? 如何缩小罕见病治疗差距？

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/hwfd3106

Darcy Richards

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Treatment of Dermatitis Artefacta: A Systematic Review 皮炎的治疗：系统综述

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/anag6061

Mariah C. Estill, Mohammad Jafferany

{"title":"Treatment of Dermatitis Artefacta: A Systematic Review","authors":"Mariah C. Estill, Mohammad Jafferany","doi":"10.33590/emj/anag6061","DOIUrl":"https://doi.org/10.33590/emj/anag6061","url":null,"abstract":"Dermatitis artefacta (DA) is a rare psychocutaneous disorder characterised by self-inflicted skin lesions that the patient denies producing. DA poses a complex clinical challenge to clinicians as patients often are resistant to the diagnosis, and can be hesitant to follow up with psychiatric or psychological services. There is a need to understand the optimal approach for management of patients with DA. This systematic review was undertaken to address this gap in knowledge.\u0000\u0000A search was conducted on PubMed and Embase using the following search strategy: Dermatitis artefacta OR factitious dermatitis OR factitial dermatitis OR artefactual skin AND treatment OR management OR therapy OR psychotherapy OR pharmacotherapy. Included studies were published from inception to 5ᵗʰ April 2023 in peer-reviewed journals, and discussed the treatment and management of DA. Studies were excluded if they were published in a language other than English.\u0000\u0000A total of 11 retrospective or prospective studies were included in this systematic review. They all found DA to be challenging to treat, with every study reporting patients experiencing a comorbid psychiatric condition or associated psychosocial stressor. Overall, there were better reported outcomes among follow-up patients treated in psychodermatology clinics with multidisciplinary teams of dermatologists, psychiatrists, and psychologists.\u0000\u0000Medical treatments can help with symptom control and promote wound healing, while psychological and psychiatric treatments can help address underlying psychosocial stressors for the condition. Further research is needed to evaluate optimal management and long-term treatment outcomes in patients with DA.","PeriodicalId":505023,"journal":{"name":"European Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141346841","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

Nipah Virus in Kerala, India – Unravelling the Local Outbreak and Assessing Global Threats: A Narrative Review 印度喀拉拉邦的尼帕病毒--揭示当地疫情和评估全球威胁：叙事回顾

European Medical Journal Pub Date : 2024-06-13 DOI: 10.33590/emj/ilfc3139

M. G. Gopika, Raj Mohan, Sayan Roy

{"title":"Nipah Virus in Kerala, India – Unravelling the Local Outbreak and Assessing Global Threats: A Narrative Review","authors":"M. G. Gopika, Raj Mohan, Sayan Roy","doi":"10.33590/emj/ilfc3139","DOIUrl":"https://doi.org/10.33590/emj/ilfc3139","url":null,"abstract":"The recent emergence of the Nipah virus in the same district of Kozhikode, India, following its outbreak in 2018 and 2021, has elicited heightened apprehension among the public amidst the era of COVID-19. The potential fatality associated with this virus has been effectively mitigated through mass awareness, community and healthcare involvement, and stringent implementation of preventive measures. Nevertheless, the rate of transmission has consistently escalated over a span of several years, suggesting an emerging potential for global public health implications. Although the transmission rate remains low, the elevated mortality linked to the Nipah virus constitutes a potential threat, accentuated by the absence of vaccines and dependable treatments, thereby underscoring the risk to public health and emphasising the necessity for proactive measures to protect the wellbeing of the community. This narrative review provides an overview of the Nipah outbreaks in Kerala, India, and its global impact by conducting a thorough search of databases such as PubMed, Google Scholar, and ResearchGate using the following keywords: “Nipah virus,” “Henipavirus,” and “Kerala.”","PeriodicalId":505023,"journal":{"name":"European Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141349156","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