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1.
Heliyon ; 9(5): e15509, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37305480

RESUMO

[This corrects the article DOI: 10.1016/j.heliyon.2023.e13772.].

2.
Heliyon ; 9(3): e13772, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36895358

RESUMO

Pathological gambling leaves seriously negative impacts on individuals, families, and society. With the universal use of internet, online gambling disorder is also increasing worldwide. However, there is currently a lack of effective treatments, especially medical treatments, for online gambling disorder. This study shared 3 cases of online gambling disorder that was treated with combined fluoxetine and risperidone to provide an option for the treatment of online gambling.

3.
BMC Pediatr ; 21(1): 522, 2021 11 24.
Artigo em Inglês | MEDLINE | ID: mdl-34819045

RESUMO

BACKGROUND: The focus of clinical care after treating congenital heart disease (CHD) has shifted from saving patients' lives to improving their quality of life. This study aimed to examine the influence of minimally invasive and traditional surgeries on the quality of life of children with CHD. METHODS: This was a retrospective cross-sectional study. A total of 459 children aged 2-18 years with CHD treated at Second Xiangya Hospital of Central South University from July 2016 to June 2017 were enrolled, among whom 219 underwent minimally invasive surgery and 240 traditional surgery. The quality of life of children with CHD after surgery was reported by the patients' parents. We applied propensity score matching to correct for confounding factors and conducted multiple linear regression analysis to examine the related effects of minimally invasive and traditional surgeries on the quality of life of children with CHD. RESULTS: The scores of problems related to perceived physical appearance in children undergoing minimally invasive surgery was higher than those in those undergoing traditional surgery (p = 0.004). Different treatment modes were independent influencing factors for problems related to perceived physical appearance in children with CHD. There was no significant difference in average treatment effect scores of children undergoing different surgical procedures in other quality of life dimensions (problems related to cardiac symptoms and their treatment, drug treatment, anxiety regarding treatment, cognitive psychology, and communication), suggesting that different operation modes were not independent influencing factors for these related problems. CONCLUSION: Compared with traditional surgery, minimally invasive surgery can significantly improve the physical appearance perception scores of children with CHD after surgery. Therefore, minimally invasive surgery can improve the quality of life of children with CHD.


Assuntos
Cardiopatias Congênitas , Qualidade de Vida , Criança , Psicologia Cognitiva , Estudos Transversais , Cardiopatias Congênitas/cirurgia , Humanos , Pontuação de Propensão , Estudos Retrospectivos
4.
Medicine (Baltimore) ; 100(20): e25918, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011060

RESUMO

ABSTRACT: We aimed to explore the application of three-dimensional (3D) printing technology with problem-based learning (PBL) teaching model in clinical nursing education of congenital heart surgery, and to further improve the teaching quality of clinical nursing in congenital heart surgery. In this study, a total of 132 trainees of clinical nursing in congenital heart surgery from a grade-A tertiary hospital in 2019 were selected and randomly divided into 3D printing group or traditional group. The 3D printing group was taught with 3D printed heart models combined with PBL teaching technique, while the traditional group used conventional teaching aids combined with PBL technique for teaching. After the teaching process, the 2 groups of nursing students were assessed and surveyed separately to evaluate the results. Compared to the traditional group, the theoretical scores, clinical nursing thinking ability, self-evaluation for comprehensive ability, and teaching satisfaction from the questionnaires filled by the 3D printing group were all higher than the traditional group. The difference was found to be statistically significant (P < .05). Our study has shown the 3D printing technology combined with the PBL teaching technique in the clinical nursing teaching of congenital heart surgery achieved good results.


Assuntos
Procedimentos Cirúrgicos Cardíacos/educação , Educação em Enfermagem/métodos , Cardiopatias Congênitas/cirurgia , Impressão Tridimensional , Aprendizagem Baseada em Problemas/métodos , Estudos de Casos e Controles , Competência Clínica/estatística & dados numéricos , Feminino , Coração/anatomia & histologia , Humanos , Masculino , Modelos Anatômicos , Avaliação de Programas e Projetos de Saúde , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Centros de Atenção Terciária , Adulto Jovem
5.
BMC Surg ; 21(1): 142, 2021 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-33740945

RESUMO

BACKGROUND: We present here our experience with surgical management of traumatic diaphragmatic hernia, trying to find out the era impact of different periods on the outcome and risk factors of mortality. METHODS: A series of 63 patients with traumatic diaphragmatic hernia were referred to us and operated on during March, 1990-August, 2017. The patient records were reviewed and statistically analyzed to demonstrate injury characteristics and to find out optimal treatment strategy, risk factors of death as well as the difference between two periods (1990-2005, 2005-2017) divided by introduction of computed tomography at our institution. RESULTS: The overall mean age was 31.2 ± 16.3 years old with a female to male ratio of 11/52. The mechanism was penetrating trauma in 19 cases (30.2%), and blunt trauma in 44 cases (69.9%). Two thirds of the patients in the second group (2005-2017) yet none in the first group (1990-2005) underwent computed tomography. Ten patients (15.9%), of which 8 in the first and the other 2 in the second group (p = .042), had late diagnoses. The most commonly used incision was a thoracotomy (n = 43, 89.6%). There was no statistical difference in etiology or mortality between the two periods. Univariate analysis showed survivors were younger, and had lesser injury severity scores (ISS) and lower American Association for the Surgery of Trauma (AAST) grade than non-survivors. By multivariate logistic regression analysis, increased age (odds ratio, 1.275; p = .013) and greater ISS (OR, 1.174; p = .028) were risk factors of death in all patients. CONCLUSIONS: High-definition computed tomography has significantly improved the preoperative diagnosis rate. The transthoracic approach could be used in selected cases with traumatic diaphragmatic hernia with good outcomes. Patients with greater ISS and advanced ages are at a higher risk of death.


Assuntos
Hérnia Diafragmática Traumática , Ferimentos não Penetrantes , Ferimentos Penetrantes , Adolescente , Adulto , Feminino , Hérnia Diafragmática Traumática/mortalidade , Hérnia Diafragmática Traumática/cirurgia , Humanos , Escala de Gravidade do Ferimento , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Resultado do Tratamento , Ferimentos não Penetrantes/mortalidade , Ferimentos não Penetrantes/cirurgia , Ferimentos Penetrantes/mortalidade , Ferimentos Penetrantes/cirurgia , Adulto Jovem
6.
Interact Cardiovasc Thorac Surg ; 7(6): 1031-4, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18757453

RESUMO

Though chest trauma in children is not so common as it is in adults, it may be life-threatening and suggest a high mortality. Herein we retrospected 59 cases of severe chest trauma of children out of 1506 chest trauma cases during 1986-2006 in our department. Features including demographic characteristics, causes, injury types, associated wound had been collected. There were 42 males (71.18%), 17 females (28.82%), 30 cases (50.84%) in the former 10 years and 29 cases (49.16%) in the latter 10 years. The incidence of children's severe chest trauma was 4.9% and 3.2%, respectively, averagely 3.9%. In these 59 cases, 46 cases were treated conservatively, 13 cases were treated by surgery. Four patients died, two in operations, the others attributed to ARDS and cardiac arrest, respectively. The cure rate was 93.22%. Statistic method was used to compare between two groups and with published results in the literature. Children's severe chest trauma is characteristic and different from adults. In our experience, accurate diagnoses and intensive care are very important to save their lives.


Assuntos
Traumatismos Torácicos , Adolescente , Criança , Pré-Escolar , Terapia Combinada , Cuidados Críticos , Diagnóstico Precoce , Feminino , Humanos , Incidência , Masculino , Estudos Retrospectivos , Índice de Gravidade de Doença , Traumatismos Torácicos/diagnóstico , Traumatismos Torácicos/etiologia , Traumatismos Torácicos/mortalidade , Traumatismos Torácicos/terapia , Fatores de Tempo , Resultado do Tratamento
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