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Application of Clinical Nursing Pathway in the Peri-Treatment Period of Immunoadsorption Therapy for rheumatic immune diseases

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Yangtze Medicine 2023年第2期7卷 87-94页

作者： Li Wang Fan Fan Yanrui Ren The First Affiliated Hospital of Yangtze University The First People’s Hospital of Jingzhou Jingzhou China

Objective: The paper aims to investigate the clinical nursing pathway (CNP) in the application of immunosorption therapy in patients with rheumatic immune disease. Methods: Convenience sampling method was used to select inpatients who received immunoadsorption therapy from January 2020 to December 2022 in the rheumatology and Immunology department of a 3A hospital in Jingzhou City. 30 patients from January 2020 to June 2021 were selected as control group, and 30 patients from July 2021 to December 2022 were selected as observation group. The control group was given routine nursing. On the basis of the control group, the observation group used a clinical nursing pathway for intervention during the perioperative period of immunosorbent therapy. The incidence of adverse reactions, patient satisfaction, and nurse satisfaction during immunosorbent therapy between the control group and the observation group were compared. Results: After intervention, the incidence of adverse reactions in the observation group was significantly lower than that in the control group, while patient satisfaction and nurse satisfaction in the observation group were significantly higher than those in the control group. The results are all statistically significant (P Conclusion: Clinical nursing pathway is beneficial to reduce the incidence of adverse reactions in patients with immunoadsorption during peri-treatment and improve the satisfaction of patients and nurses.

关键词： Immunoadsorption Clinical Nursing Pathway rheumatic immune disease Peri-Treatment Period

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Solitary necrotic nodules of the liver with"ring"-like calcification:A case report

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World Journal of Clinical Cases 2022年第21期10卷 7409-7414页

作者： Jin-Peng Bao Hu Tian Hao-Chen Wang Cong-Cong Wang Bo Li Department of General Surgery The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan HospitalJinan 250014Shandong ProvinceChina Department of Gastroenterology Shandong First Medical UniversityJinan 250024Shandong ProvinceChina Department of General Surgery Shandong Provincial Qianfoshan HospitalShandong UniversityJinan 250100Shandong ProvinceChina

BACKGROUND Solitary necrotic nodule of the liver(SNNL)is a rare benign lesion with a complete necrotic core and a clear fibrous capsule containing elastic *** present the case of a patient with a radiographic computed tomography(CT)finding of"ring"-like annular calcification within the lesion and postoperative pathologic diagnosis of necrotic nodules wrapped by dense fibers in liver tissue,as well as the patient's subsequent management and *** SUMMARY A 38-year-old Chinese woman with a history of systemic lupus erythematosus treated with prednisone and hydroxychloroquine,without any symptoms,was found to have hepatic space-occupying lesions by imaging examination at a health examination.A subsequent CT scan suggested a space-occupying lesion of the liver with annular calcification,which was not defined to be benign or *** that,a laparoscopic hepatic space-occupying resection was *** postoperative pathological diagnosis was necrotic nodules wrapped by dense fibers in the liver tissue,and the final diagnosis was *** patient had an uneventful postoperative *** There is a"ring"-like calcification in *** patient had a history of systemic lupus erythematosus,without a history of parasite infection,trauma,or ***,whether the etiology and pathological changes of SNNL are related to rheumatic immune diseases remains to be investigated.

关键词： Solitary necrotic nodules of the liver Annular calcification rheumatic immune disease Laparoscopic hepatic space-occupying resection Case report

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Expert Recommendation on Severe Acute Respiratory Syndrome Coronavirus 2 Vaccination in Patients with Chronic Liver diseases,Tuberculosis or Rheumatoid diseases

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Infectious diseases & Immunity 2021年第3期1卷 137-143页

作者： Chinese Society of Infectious diseases,Chinese Medical Association Chinese Society of Rheumatology,Chinese Medical Association Taisheng Li Yan Zhao 不详 Department of Infectious diseases Peking Union Medical College HospitalChinese Academy of Medical Sciences Department of Rheumatology and Immunology Peking Union Medical College HospitalChinese Academy of Medical Sciences

The coronavirus disease 2019(COVID-19)caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)has triggered a global *** present,vaccination is being promoted worldwide and has become an important measure to control the *** with chronic liver diseases,tuberculosis,and rheumatic diseases are at a high risk of infection with SARS-CoV-2 and have a tendency to develop severe ***,vaccination among this population should be considered a *** taking into account domestic and international evidence,established guidelines,and local expert opinions,the operating rules for COVID-19 vaccination in patients with chronic liver diseases,tuberculosis,and rheumatic diseases have been prepared to provide specific suggestions.

关键词： COVID-19 Vaccine Chronic liver disease Tuberculosis rheumatic immune disease

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