Medicine
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Multicenter Study Observational Study
Evaluation of risk factors for postpartum cerebral venous sinus thrombosis, a multicenter retrospective observational study.
The postpartum period is a well-defined risk factor for cerebral venous sinus thrombosis (CVST). However, it is unclear which patients are at risk for CVST in the postpartum period. Thus, determining some CVST risk factors in postpartum patients may be useful for preventing the disorder in this population. ⋯ Women with PE who had recently delivered were found to be at increased risk of developing CVST. The primary limitation of this study is that it was retrospective, and the control group was hospital-based. We recommend that these findings be confirmed by multicenter prospective international studies.
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The purpose of this review was to analyze treatments for hepatolenticular degeneration (HLD) in traditional Chinese medicine (TCM), exploring the potential mechanisms and latest advances, as well as potential future directions. ⋯ Currently, studies in TCM syndromes are relatively limited, and although the field of TCM in HLD is rapidly developing with established networks of teams and collaborations, large-scale collaboration is still in its infancy. Looking toward the future, despite the deficiencies in this field, it is crucial to further explore the advantages of integrative medicine for treating HLD.
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Observational Study
Age-dependent effects of lockdown and post-lockdown periods on HbA1c during the COVID-19 pandemic: A 3-year longitudinal cohort study.
The impact of COVID-19 lockdown on glycemic control in patients with diabetes mellitus (DM) remains unclear. This study aimed to investigate the effects of lockdown measures on the metabolic parameters of patients with DM, with particular emphasis on geriatric populations. In this retrospective, longitudinal cohort study, 1224 patients were analyzed. ⋯ However, there was no change in HbA1c levels for patients over 85 years old during the lockdown. These findings highlight the need for careful monitoring of elderly patients with DM during lockdown periods, facilitated via home care or telehealth services. Structured diet and exercise programs should also be provided for at home adherence.
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Lipoma arborescens (LA) is a rare, benign proliferative disorder of the synovial lining that typically affects middle-aged individuals, predominantly in the knee joint. However, its occurrence in younger patients is unusual and may pose unique diagnostic and therapeutic challenges. This case report aims to highlight the clinical, imaging, and therapeutic aspects of LA in a young adult, thereby expanding the understanding of its presentation in this age group. ⋯ This case report underscores the diagnostic and therapeutic challenges associated with LA in a young patient, highlighting the importance of considering LA in differential diagnoses of acute knee swelling, especially when initial evaluations are inconclusive. Through a combination of imaging, arthroscopic intervention, and histopathological confirmation, this case illustrates an effective approach for accurately diagnosing and managing LA. By documenting this atypical presentation in a young adult, this report contributes to the limited literature on LA in younger populations, aiming to enhance clinical awareness and guide future cases involving similar joint lesions.
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Case Reports
A rare case report of infective endocarditis caused by Enterococcus gallinarum following renal laser lithotripsy.
Enterococcus gallinarum is a part of the normal fecal microbiota in the general population and animals, and is rarely isolated in clinical specimens. Due to the increasing use of immunosuppressants, invasive treatments, and overuse of antibiotics, infections caused by enterococci are gradually increasing. ⋯ This case emphasizes the possibility of E. gallinarum developing severe invasive infections after kidney surgery. Clinical doctors should strengthen their understanding of this type of bacteria, understand their sensitive characteristics and treatment principles.