Pak J Med Sci
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To analyze the effect of the combined low-molecular-weight heparin (LMWH) and amikacin treatment on the bacterial clearance and changes in coagulation function in patients with severe pneumonia (SP). ⋯ Combining LMWH with amikacin in the treatment of elderly SP patients can improve the coagulation function and bacterial clearance, can promote the recovery of patients and has a good clinical application value.
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To analyze the effects of continuous renal replacement therapy (CRRT) on acute physiology and chronic health scoring system II (APACHE-II) score, creatinine, and urea nitrogen levels in patients with acute kidney injury (AKI). ⋯ CRRT can achieve significant results in the treatment of patients with AKI, help to improve the curative effect, survival rate, alleviate the severity of the disease, recovery of renal functions, the recovery of serum electrolytels and fluid balance.
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Case Reports
Eosinophilic Granulomatosis with Polyangiitis (EGPA): A case report with atypical presentation.
A 72-year-old asthmatic gentleman with a history of recurrent sinusitis and chronic bronchitis presented with shortness of breath and progressively worsening hypoxemic respiratory failure. His CT chest demonstrated airspace disease bilaterally with ground-glass opacifications. He had peripheral eosinophilia with raised inflammatory markers but negative work up of infection. ⋯ The patient was diagnosed with Eosinophilic Granulomatosis with Polyangiitis (EGPA) and started on intravenous steroids and cyclophosphamide. A rare multi-organ vasculitis, EGPA is hallmarked by asthma, sinusitis and eosinophilia. In initial stages vasculitic involvement is not usually seen thereby making EGPA a diagnostic challenge.
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COVID-19 has been negatively affecting the world for a long time. This situation can trigger mental problems such as uncertainty, anxiety, stress and depression throughout the society. The aim of our study was to search the effect of the psychological distresses caused by the COVID-19 pandemic on healthcare workers (HCWs) on happiness. ⋯ In the HCWs, it was found that CORPD was related with the variables of gender and get vaccinated, CAS was related with the variables of economic status, profession and get COVID-19, and OHQ-SF was related with economic and marital status. It was found that anxiety and psychological distress did not affect the level of happiness. It is recommended to follow up the negative effects of the pandemic, such as anxiety, fear on the future lives, professional functions, and family life of the HCW.
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To compare the functional and radiological outcome of different approaches of percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCF), and to analyze the factors affecting postoperative re-fracture in patients with OVCF. ⋯ Unilateral PVP treatment of OVCF has the advantages of less intraoperative bleeding, less X-ray irradiation and shorter operation time. At the same time, bilateral PVP is associated with improved bone cement dispersion, and the effect of improving patients' pain is better than that in the Unilateral PVP. Postoperative risk of re-fracture in OVCF patients correlated with age, bone mineral density, amount of bone cement injection and pedicle diameter.