Medicine
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Review Case Reports
Rupture of fetal membrane in ectopic tubal pregnancy: A case report and literature review.
Ruptured tubal pregnancies occurring in the second trimester are rare; yet, they pose a critical risk of life-threatening hemorrhage. This study aims to highlight the importance of timely surgical intervention in such cases to prevent fatal outcomes. The case underscores the diagnostic and therapeutic challenges that arise when distinguishing between tubal and abdominal pregnancies, particularly in the presence of hemoperitoneum, which can obscure imaging results. ⋯ This case underscores the importance of considering the differential diagnosis of abdominal versus tubal pregnancy in the presence of hemoperitoneum, due to their differing clinical management needs. It offers insights that may guide clinicians in the timely diagnosis and treatment of advanced tubal pregnancies, where prompt surgical intervention is critical.
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Diarrhea is the second major source of ill health and pediatric death globally. It accounts for over 90% of loss of life in infants especially those below 5 years old in developing nations. Lack of quality water and good sanitation is the principal root of diarrhea. ⋯ Unfortunately, South Asia and sub-Saharan African regions are centers of limited improved water and good sanitation facilities, thus explaining the increased morbidity and loss of life orchestrated by diarrhea in young children in these areas. Therefore, enhancing water quality, good sanitation, and proper hygiene is a pivotal interposition strategy to improve children's health and well-being and achieve SDG 3, especially in the fight against diarrhea. Due to the interrelated relationship between the SDGs, improving water quality, sanitation, and hygiene (SDG 6) appears to be the foundation for achieving other goals such as reducing malnutrition (SDG 2), eradicating poverty in children (SDG 1), building good working conditions (SDG 8), protecting the environment and climatic variations (SDG 13).
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Poria cocos, also known as Jade Ling and Songbai taro, is a dry fungus core for Wolfiporia cocos, which is parasitic on the roots of pine trees. The ancients called it "medicine of four seasons" because of its extensive effect and ability to be combined with many medicines. Pachymic acid (PA) is one of the main biological compounds of Poria cocos. ⋯ Using PA with anticancer drugs, radiotherapy, and biomaterials could also improve the sensitivity of cancer cells and delay the progression of cancer. The purpose of this review was to summarize the anticancer mechanism of PA by referencing the published documents. A review of the collected data indicated that PA had the potential to be developed into an effective anticancer agent.
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Patients with heart failure have a high rate of health literacy deficiency, and their hospital readmission is a great burden. Whether health literacy affects hospital readmission remains controversial. ⋯ About 2 out of 5 heart failure patients had inadequate health literacy, and there was no statistical association between health literacy and hospital readmission among these patients. This finding should be carefully considered and confirmed in further studies.
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The trigeminal neuralgia (TN) is characterized by a unilateral, episodic, electric shock-like pain in the distribution of the trigeminal nerve. Both drug therapy and radiofrequency thermocoagulation (RT) are used to treat TN. ⋯ RT is a safety and effective treatment for patients with classic TN, providing more benefits of quicker pain relief and higher patient's satisfaction, compared with traditional drug therapy.