Medicine
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Randomized Controlled Trial
The clinical effects of continuous nursing intervention combined with chronic disease management center in patients with severe hypertension.
The construction and application of chronic disease management centers are increasing. However, the effect of continuing nursing combined with intervention measures provided by chronic disease management centers in patients with severe hypertension is still unclear. To analyze the application effect of continuous nursing intervention combined with chronic disease management center in patients with severe hypertension. 240 patients with severe hypertension were randomly divided into control group (N = 120) and study group (N = 120). ⋯ After nursing, the short form 36-item health survey, total satisfaction rate and medication compliance rate of the study group were higher than those of the control group (P < .001). Blood pressure, self-rating anxiety scale, and self-rating depression scale scores were lower than those of the control group (P < .05). Continuing nursing combined with the intervention of chronic disease management center can effectively reduce the blood pressure of patients with severe hypertension, and the overall nursing effect is remarkable.
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Peritoneal mucinous cystadenoma is rare in the clinic, lacks specific clinical manifestations, tumor markers, and imaging features, and is easily misdiagnosed and missed. Clinical practitioners should maintain a high level of vigilance. Here, we report a case of laparoscopic peritoneal mucinous cystadenoma stripping to improve our understanding of the disease. ⋯ Clinical diagnosis of mucinous cystadenoma of the abdominal wall is difficult. The possibility of the disease should be considered when a cystic space is found in the abdominal cavity. Diagnosis depends on postoperative pathological examination, and surgery is the preferred treatment option. During the operation, attention should be paid to avoid rupture of the cyst wall and overflow of cyst fluid, and to avoid blind fenestration and drainage or puncture and aspiration sclerotherapy when the diagnosis is unclear.
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Patients with atrial fibrillation and a large goiter have high perioperative risks and often cannot tolerate general anesthesia, making it necessary for us to explore new safe and effective anesthesia methods. ⋯ This case demonstrates that a well-executed multi-regional block can provide satisfactory anesthesia, offering a viable alternative for managing anesthesia in high-risk patients.
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Case Reports
Abdominal pain as a novel manifestation in children with PCDH19-related epilepsy: A case report.
PCDH19-related epilepsy manifested various clinical features, including febrile epilepsy, with or without intellectual disability, and psych-behavioral disorders. However, there are few studies demonstrating abdominal pain as the first symptom. ⋯ Abdominal pain is a rare autonomic symptom in the setting of seizures. This report describes abdominal pain as a novel manifestation of PCDH19-related epilepsy and might expand its phenotypes spectrum. It also alerts us to perceive the abdominal pain characterized by seizures and early conduct EEG examination to clarify the nature of abdominal pain.
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Case Reports
Malignant hypertension induces thrombotic microangiopathy and renal failure: A case report.
Thrombotic microangiopathies (TMA) caused by malignant hypertension is an acute and critical disease among rare diseases. Although renal biopsy pathology is a golden indicator for diagnosing kidney disease, it cannot distinguish between primary and secondary TMA and requires a comprehensive diagnosis in conjunction with other laboratory tests and medical history. ⋯ TMA caused by malignant hypertension is rare and similar to the clinical manifestations of TMA caused by Thrombotic Thrombocytopenic Purpura and Hemolytic Uremic Syndrome, but it is often sudden and critical. Early identification and diagnosis and aggressive antihypertensive therapy, must be given to avoid end-stage renal disease, long-term maintenance of dialysis, and the financial burden of unnecessary plasmapheresis and potential side effects of glucocorticoids.