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Imperative for long-term management and surveillance in Kawasaki disease

World Journal of Clinical Cases 2025年第4期13卷 61-63页

作者： Yan Pan Fu-Yong Jiao Department of Pediatrics The First Affiliated Hospital of Yangtze UniversityJingzhou 434000Hubei ProvinceChina Shaanxi Kawasaki Disease Diagnosis and Treatment Center Children’s HospitalShaanxi Provincial People’s Hospital of Xi’an Jiaotong UniversityXi’an 710000Shaanxi ProvinceChina

Kawasaki disease(KD)is a significant pediatric vasculitis known for its potential to cause severe coronary artery *** the effectiveness of initial treatments,such as intravenous immunoglobulin,KD patients can experience long-term cardiovascular issues,as evidenced by a recent case report of an adult who suffered a ST-segment elevation myocardial infarction due to previous KD in the World Journal of Clinical *** editorial emphasizes the critical need for long-term management and regular surveillance to prevent such *** drawing on recent research and case studies,we advocate for a structured approach to follow-up care that includes routine cardiac evaluations and preventive measures.

关键词： Kawasaki disease Long-term management Coronary artery aneurysm Surveillance preventive care

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Evaluation of the effectiveness of preventive nursing measures for pressure injuries in patients in the neurology intensive care unit

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World Journal of Clinical Cases 2024年第19期12卷 3807-3814页

作者： Rong Zhang Peng-Xin Ma Juan-Juan Zhang Intensive Medicine Department The First People’s Hospital of Jiangxia DistrictWuhan 430000Hubei ProvinceChina Department of Neurology The First People’s Hospital of Jiangxia DistrictWuhan 430000Hubei ProvinceChina

BACKGROUND Patients in neurology intensive care units(ICU)are prone to pressure injuries(PU)due to factors such as severe illness,long-term bed rest,and physiological *** not only causes pain and complications to patients,but also increases medical burden,prolongs hospitalization time,and affects the recovery *** To evaluate and optimize the effectiveness of pressure injury prevention nursing measures in neurology ICU *** A retrospective study was conducted,and 60 patients who were admitted to the ICU of the Department of Neurology were selected and divided into an observation group and a control group according to the order of admission,with 30 people in each *** observation group implemented pressure injury prevention and nursing measures,while the control group adopted routine *** Comparison between observation and control groups following pressure injury prevention nursing intervention revealed significantly lower incidence rates in the observation group compared to the control group at 48 h(8.3%vs 26.7%),7 d(16.7%vs 43.3%),and 14 d(20.0%vs 50.0%).This suggests a substantial reduction in pressure injury incidence in the observation group,with the gap widening over ***,patients in the observation group exhibited quicker recovery,with a shorter average time to get out of bed(48 h vs 72 h)and a shorter average length of stay(12 d vs 15 d)compared to the control ***,post-intervention,patients in the observation group reported significantly improved quality of life scores,including higher scores in body satisfaction,feeling and function,and comfort(both psychological and physiological),indicating enhanced overall well-being and comfort following the implementation of pressure injury prevention nursing *** Implementing pressure injury preventive care measures for neurology ICU patients will have better results.

关键词： Neurology intensive care units Pressure injury preventive care Effect evaluation Optimization research Prognostic effect

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Does community-based health insurance affect lifestyle and timing of treatment seeking behavior?Evidence from Ethiopia

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Global Health Journal 2024年第2期8卷 83-90页

作者： Zecharias Fetene Anteneh Anagaw D.Mebratie Zemzem Shigute Getnet Alemu Arjun S.Bedi Center for Health Economics University of YorkYorkUnited Kingdom School of Public Health College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia International Institute of Social Studies Erasmus University Rotterdamthe Haguethe Netherlands Institute of Development and Policy Research Addis Ababa UniversityAddis AbabaEthiopia

Objectives This paper aims to investigate the effects of enrollment in the Ethiopian community-based health insurance(CBHI)scheme on household preventive care activities and the timing of treatment-seeking behavior for illness *** is growing concern about the financial sustainability of CBHI schemes in developing ***,few empirical studies have identified potential contributors,including ex-ante and ex-post moral *** We implement a household fixed-effect panel data regression model,drawing on three rounds of household survey data collected face to face in districts where CBHI scheme is operational and in districts where it is not operational in *** The findings show that enrolment in CBHI does not significantly influence household behaviour regarding preventive care activities such as water treatment before drinking and handwashing before ***,CBHI significantly increases delay in treatment-seeking behaviour for diseases ***,on average,we estimate about 4-6 h delay for malaria symptoms,a little above 4 h for tetanus,and 10-11 h for tuberculosis among the insured *** While there is evidence that CBHI improve the utilization of outpatient or primary care services,our study suggests that insured members may wait longer before visiting health *** delay could be partly due to moral hazard problems,as insured households,particularly those from rural areas,may consider the opportunity costs associated with visiting health facilities for minor ***,it is essential to identify the primary causes of delays in seeking medical services and implement appropriate interventions to encourage insured individuals to seek early medical attention.

关键词： Community-based health insurance Financial sustainability preventive care Treatment-seeking behavior Household fixed effect Ethiopia

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Semaglutide’s Trail of Success in Weight Loss Management and HbA1c Reduction: A Systematic Review

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Health 2023年第10期15卷 1070-1083页

作者： Shayne Q. Paff Mariam Sahibzada Jacqueline Olivo Olivo Medical and Wellness Centers Chicago Illinois USA Universidad Autonoma de Guadalajara Jalisco Mexico School of Public Health Baylor University Waco Texas USA Ayub Medical College Abbottabad Pakistan Royal College of Surgeons in Ireland Dublin Ireland Universidad San Luis Gonzaga Ica Peru University of Illinois Chicago Illinois USA Masonic Advocate Illinois Hospital Chicago Illinois USA Saint Francis Hospital Evanston Illinois USA

Introduction: Obesity is a preventable health condition, yet it remains a complex relapsing global health conundrum, triggering an array of comorbidities, including diabetes, dyslipidemia, hypertension, and mental health decline. This review intends to highlight the success of semaglutide for its therapeutic intervention for weight loss management in diabetics and non-diabetics and HbA1c reduction in type 2 diabetics. Methods: We searched and systematically reviewed the literature from within the past ten years on semaglutide utilization for weight loss and HbA1c reduction. Databases investigated included PMC, JAMA, Nature Medicine, and The Lancet, resulting in four original research articles that were systematically reviewed. Web consultations with WHO, CDC, and Healthy People 2030 were conducted to ascertain epidemiological obesity and diabetes data. AAFP and USPSTF references were included for obesity management and preventive care guidelines. Results: Based on results from systematically reviewing four original research studies, semaglutide can effectively reduce elevated weight and HbA1c, using the once-weekly subcutaneous injection formulation. A composite average percent weight loss of 8.27% (16 - 20 pounds) and an average HbA1c percent reduction rate of 1.07% (3 - 4 points) were attained. There were no major adverse events reported from any of the four original research studies related to the drug. Discussion: With evidence from several studies after its FDA approval, semaglutide delivers a promise for weight loss management and HbA1c reduction for appropriate patient populations. Clinician and patient education on its proper use should be continuously revisited.

关键词： preventive care Obesity Management Diabetes Management Chronic Disease Adjunct Therapy Weight Loss Management

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