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Wei W, Wang P, Qing P, Li Z, He Q. Non-surgical nursing care for tumor patients: an overview of sedation, analgesia, and recent innovations. Front Oncol 2024; 14:1322196. [PMID: 39355133 PMCID: PMC11443224 DOI: 10.3389/fonc.2024.1322196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 01/12/2024] [Indexed: 10/03/2024] Open
Abstract
With the increasing prevalence of tumors, effective symptom management has emerged as a cornerstone of patient care. While surgical interventions remain pivotal, non-surgical nursing methods have gained prominence in providing relief from pain, discomfort, and other tumor-related symptoms. This review delves into the various non-surgical approaches employed, emphasizing tumor sedation and analgesia. We discuss the array of non-pharmacological and pharmacological strategies, shedding light on their indications, contraindications, and potential side effects. Furthermore, the importance of addressing individual differences in pain perception and the ethical considerations in symptom management are highlighted. We conclude by providing insights into the recent innovations in the field, emphasizing the need for personalized and comprehensive care to enhance patients' quality of life. Tumor sedation, Tumor analgesia, Non-surgical nursing care, Pain management, Non-pharmacological interventions, Palliative care, Recent innovations, Symptom management.
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Affiliation(s)
- Wei Wei
- Department of Anesthesiology, Affiliated Sport Hospital of CDSU, Chengdu, Sichuan, China
| | - Pan Wang
- Department of Pain, Zibo Central Hospital, Zibo, Shandong, China
| | - Pan Qing
- Department of Geriatric Orthopaedics II, Sichuan Orthopaedic Hospital, Chengdu, Sichuan, China
| | - Zhang Li
- Department of Anesthesiology, Affiliated Sport Hospital of CDSU, Chengdu, Sichuan, China
| | - Qi He
- Department of Anesthesiology, Affiliated Sport Hospital of CDSU, Chengdu, Sichuan, China
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2
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Deulkar P, Singam A, Jain A. A Comprehensive Review of the Role of Biomarkers in the Early Detection of Endocrine Disorders in Critical Illnesses. Cureus 2024; 16:e61409. [PMID: 38947617 PMCID: PMC11214685 DOI: 10.7759/cureus.61409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 05/31/2024] [Indexed: 07/02/2024] Open
Abstract
Endocrine disorders pose significant challenges in the management of critically ill patients, contributing to morbidity and mortality in intensive care settings. Timely detection of these disorders is essential to optimizing patient outcomes. Biomarkers, as measurable indicators of biological processes or disease states, play a crucial role in the early identification and monitoring of endocrine dysfunction. This comprehensive review examines the role of biomarkers in the early detection of endocrine disorders in critical illnesses. We provide an overview of common endocrine disorders encountered in the intensive care unit (ICU) and discuss the impact of endocrine dysregulation on patient outcomes. Additionally, we classify biomarkers and explore their significance in diagnosing and monitoring endocrine disorders, including thyroid dysfunction, adrenal insufficiency, and hypopituitarism. Furthermore, we discuss the clinical applications of biomarkers, including their utility in guiding therapeutic interventions, monitoring disease progression, and predicting outcomes in critical illnesses. Emerging trends and future directions in biomarker research are also highlighted, emphasizing the need for continued investigation into novel biomarkers and technological advancements. Finally, we underscore the potential of biomarkers to revolutionize the early detection and management of endocrine disorders in critical illnesses, ultimately improving patient care and outcomes in the ICU.
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Affiliation(s)
- Pallavi Deulkar
- Critical Care Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Amol Singam
- Critical Care Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Abhishek Jain
- Critical Care Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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3
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Javed H, Olanrewaju OA, Ansah Owusu F, Saleem A, Pavani P, Tariq H, Vasquez Ortiz BS, Ram R, Varrassi G. Challenges and Solutions in Postoperative Complications: A Narrative Review in General Surgery. Cureus 2023; 15:e50942. [PMID: 38264378 PMCID: PMC10803891 DOI: 10.7759/cureus.50942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Accepted: 12/22/2023] [Indexed: 01/25/2024] Open
Abstract
In general surgery, the goal of achieving favorable results following surgical procedures is consistently impeded by the intricate range of postoperative problems. This abstract summarizes a comprehensive narrative study that examines the numerous difficulties associated with postoperative complications and investigates potential remedies. With the progress of surgical practices, the intricacies of complications also increase, requiring a flexible comprehension of the diverse scenarios. This review examines the many factors contributing to postoperative complications, including patient-specific variables and advancing surgical procedures. It also explores the broader consequences of these problems on individual patients and healthcare systems. The economic results, such as extended hospitalizations and increased allocation of resources, highlight the need for specific solutions. This abstract also emphasizes the review's examination of novel methodologies, technology incorporations, and cooperative tactics as potential transformative factors. This abstract provides an overview of the ongoing efforts to change how postoperative complications are understood in general surgery. It highlights the importance of taking preventive measures and adopting a comprehensive approach to patient care.
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Affiliation(s)
- Herra Javed
- General Surgery, Shifa College of Medicine, Islamabad, PAK
| | - Olusegun A Olanrewaju
- Pure and Applied Biology, Ladoke Akintola University of Technology, Ogbomoso, NGA
- General Medicine, Stavropol State Medical University, Stavropol, RUS
| | | | - Ayesha Saleem
- General Surgery, Hayatabad Medical Complex (HMC), Peshawar, PAK
| | - Peddi Pavani
- General Surgery, Kurnool Medical College, Kurnool, IND
| | - Humza Tariq
- Surgery, Lahore General Hospital, Lahore, PAK
| | | | - Raja Ram
- Medicine, MedStar Washington Hospital Center, Washington, USA
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4
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Olanrewaju OA, Saleem A, Ansah Owusu F, Pavani P, Ram R, Varrassi G. Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery. Cureus 2023; 15:e51421. [PMID: 38299132 PMCID: PMC10828544 DOI: 10.7759/cureus.51421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 12/31/2023] [Indexed: 02/02/2024] Open
Abstract
This narrative review offers a thorough and inclusive examination of modern techniques for hernia repair in general surgery. This exploration spans the development of new methods, substances, and technology, providing insight into the significant changes in hernia treatment in recent years. An extensive examination of peer-reviewed literature, encompassing historical advancements, conventional approaches, and the rise of contemporary surgical tactics, was undertaken. Key focus areas include integrating mesh technology, minimally invasive procedures, biological meshes, and 3D printing improvements. The overview explains the historical development from traditional open surgeries to the introduction of laparoscopic procedures, providing detailed information on several modern approaches. The presentation includes information on the utilization of mesh, concerns particular to individual patients, and the increasing importance of robots. An extensive analysis examines complications, obstacles, and current trends, thoroughly assessing safety profiles and patient outcomes. This review aims to consolidate existing information, highlight areas lacking research, and provide future paths to enhance outcomes for patients undergoing general surgery. At the same time, the field of hernia repair experiences significant changes. The integration of classic and contemporary approaches illustrates the changing character of hernia repair, enabling a nuanced understanding among physicians and academics alike.
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Affiliation(s)
- Olusegun A Olanrewaju
- Pure and Applied Biology, Ladoke Akintola University of Technology, Ogbomoso, NGA
- General Medicine, Stavropol State Medical University, Stavropol, RUS
| | - Ayesha Saleem
- Surgery, Hayatabad Medical Complex Peshawar, Peshawar, PAK
| | | | - Peddi Pavani
- General Surgery, Kurnool Medical College, Kurnool, IND
| | - Raja Ram
- Medicine, MedStar Washington Hospital Center, Washington, USA
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5
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Ansah Owusu F, Javed H, Saleem A, Singh J, Varrassi G, Raza SS, Ram R. Beyond the Scalpel: A Tapestry of Surgical Safety, Precision, and Patient Prosperity. Cureus 2023; 15:e50316. [PMID: 38205460 PMCID: PMC10776504 DOI: 10.7759/cureus.50316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 12/11/2023] [Indexed: 01/12/2024] Open
Abstract
In modern surgical practice, the focus extends beyond simply making and closing incisions. We aim to investigate the various complex aspects that redefine the criteria for achieving effective surgical outcomes. This narrative combines current knowledge, integrating practical experiences and academic viewpoints to comprehend the changing field of surgical care thoroughly. The tapestry explores the detailed aspects of surgical safety, examining the most recent progress in protocols, technology, and team dynamics that strive to reduce procedural risks. Examining precision in surgery, this narrative goes beyond conventional limits to explore the incorporation of advanced technologies, such as robotics and navigational systems. The complex interplay between the surgeon's proficiency and these technology aids is crucial in attaining unparalleled accuracy and favorable patient results. The focal point of this investigation is the patient's well-being, encompassing postoperative care, rehabilitation, and long-term health. Actual accounts from surgical procedures highlight the significant influence of comprehensive patient-centered methods, emphasizing the crucial need for empathy, communication, and individualized care plans in promoting healing and adaptability. As we explore this complex situation, the combination of real-life stories and academic discussions creates a clear and detailed image of a surgical environment that goes far beyond the boundaries of the operating room. "Beyond the Scalpel" seeks to engage practitioners, scholars, and stakeholders in a conversation that redefines the criteria for surgical success. It aims to establish a new benchmark that combines safety, precision, and patient well-being, ultimately shaping the future of surgical practice.
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Affiliation(s)
| | - Herra Javed
- Surgery, Shifa College of Medicine, Islamabad, PAK
| | - Ayesha Saleem
- General Surgery, Hayatabad Medical Complex (HMC), Peshawar, PAK
| | - Jagjeet Singh
- Internal Medicine, Lahore General Hospital, Lahore, PAK
| | | | - Syed S Raza
- Physiology, Gajju Khan Medical College, Swabi, PAK
- Physiology, Khyber Medical College/Teaching Hospital, Peshawar, PAK
- Robert and Suzanne Tomsich Department of Cardiothoracic Surgery, Cleveland Clinic Florida, Peshawar, PAK
- Physiology, Gandhara University, Peshawar, PAK
| | - Raja Ram
- Medicine, MedStar Washington Hospital Center, Washington, USA
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6
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Wazir H, Abid M, Essani B, Saeed H, Ahmad Khan M, Nasrullah F, Qadeer U, Khalid A, Varrassi G, Muzammil MA, Maryam A, Syed ARS, Shah AA, Kinger S, Ullah F. Diagnosis and Treatment of Liver Disease: Current Trends and Future Directions. Cureus 2023; 15:e49920. [PMID: 38174191 PMCID: PMC10763979 DOI: 10.7759/cureus.49920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 12/04/2023] [Indexed: 01/05/2024] Open
Abstract
This narrative review delves into the intricate landscape of liver diseases, providing a comprehensive background of the diverse conditions that afflict this vital organ. Liver diseases, ranging from viral hepatitis and non-alcoholic fatty liver disease (NAFLD) to cirrhosis and hepatocellular carcinoma (HCC), pose significant global health challenges. Understanding these diseases' multifaceted origins and progression is pivotal for developing effective diagnostic and therapeutic strategies. The epidemiology and etiology of liver diseases emphasize the global impact of viral hepatitis, with hepatitis B and C as significant contributors. Concurrently, the rising prevalence of NAFLD, linked to lifestyle factors and metabolic syndrome, underscores the intricate relationship between modern living and liver health. Chronic liver diseases often evolve insidiously, progressing from inflammation to fibrosis and, ultimately, to cirrhosis - a stage characterized by irreversible scarring and compromised function. The heightened risk of HCC in advanced liver disease stages further underscores the urgency of effective diagnostic and therapeutic interventions. The evolving landscape of non-invasive diagnostic tools is explored for their role in enabling early detection and accurate staging of liver diseases. In the realm of treatment, there is a continuous transition toward personalized medicine, customized to suit the unique profiles of individual patients. This shift encompasses a broad spectrum, ranging from personalized pharmacological interventions to lifestyle modifications and surgical options. Delving into innovative therapies, such as gene editing and immunomodulation, offers a glimpse into the promising future directions that have the potential to redefine the landscape of liver disease diagnosis and treatment.
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Affiliation(s)
- Hina Wazir
- Internal Medicine, Khyber Medical College, Peshawar, PAK
| | - Marium Abid
- Medicine, Jinnah Medical and Dental College, Karachi, PAK
| | - Binish Essani
- Medicine, Jinnah Medical and Dental College, Karachi, PAK
| | - Hira Saeed
- Medicine, Federal Medical College, Islamabad, PAK
| | | | - Fnu Nasrullah
- Internal Medicine, Shadab Medical Center, Karachi, PAK
| | - Usama Qadeer
- Medicine, Allama Iqbal Medical College, Lahore, PAK
| | - Ayesha Khalid
- Medicine, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, PAK
| | | | | | - Areeba Maryam
- Emergency Medicine, Holy Family Hospital, Rawalpindi, PAK
| | | | - Abdul Ahad Shah
- Dermatology, Medical College, Dow University of Health Sciences, Karachi, PAK
| | | | - Farhan Ullah
- Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK
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7
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Yazdaan HE, Jaya F, Sanjna F, Junaid M, Rasool S, Baig A, Natt MZ, Maurya N, Iqbal S, Yeldo BA, Khan AS, Varrassi G, Kumar S, Khatri M, Awan SK. Advances in Thyroid Function Tests: Precision Diagnostics and Clinical Implications. Cureus 2023; 15:e48961. [PMID: 38111456 PMCID: PMC10726078 DOI: 10.7759/cureus.48961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Accepted: 11/17/2023] [Indexed: 12/20/2023] Open
Abstract
This narrative review explores the evolving field of thyroid function testing, explicitly highlighting the significance of precision diagnostics and their substantial impact on clinical practice. Commencing with a comprehensive examination of the historical progression of thyroid diagnostics, the discourse proceeds to explore recent developments, highlighting the paramount importance of accuracy in testing methods. The primary issue under consideration is the crucial requirement for accuracy in the field of therapeutic practice. The review critically examines the problems related to the interpretation, standardization, and ethical considerations in examining advanced laboratory techniques, novel biomarkers, and state-of-the-art technologies like immunoassays, molecular testing, and automation. The focus on the paradigm shift towards precision diagnostics brings attention to the complex connection between test results and their direct influence on patient care. This investigation expands upon the incorporation of imaging and molecular diagnostics, highlighting the rising significance of precision in customizing treatment strategies. In summary, the study provides a prospective viewpoint, recognizing the persistent obstacles and highlighting the want for dependable, uniform methodologies in thyroid diagnostics. This narrative's primary objective is to guide physicians, researchers, and stakeholders in effectively navigating the intricate nature of contemporary thyroid function tests, with a particular emphasis on resolving the fundamental issue of precision.
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Affiliation(s)
- Hamd E Yazdaan
- Internal Medicine, Khyber Medical College, Peshawar, PAK
| | - Fnu Jaya
- Medicine, Ziauddin University, Karachi, PAK
| | - Fnu Sanjna
- Medicine, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, PAK
| | - Maha Junaid
- Medicine, Shifa College of Medicine, Islamabad, PAK
| | - Sohaib Rasool
- Medicine, Bakhtawar Amin Medical and Dental College, Multan, PAK
| | - Ahmadullah Baig
- Internal Medicine, Allama Iqbal Medical College/ Jinnah Hospital, Lahore, PAK
| | | | - Nikhil Maurya
- Medicine, Ruxmaniben Deepchand Gardi Medical College (RDGMC), Ujjain, IND
| | - Subhan Iqbal
- Diagnostic Radiology, Dr. Ziauddin Hospital North Nazimabad, Karachi, PAK
| | | | - Alina S Khan
- Medicine and Surgery, Liaquat National Hospital and Medical College, Karachi, PAK
| | | | - Satesh Kumar
- Medicine and Surgery, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, PAK
| | - Mahima Khatri
- Medicine and Surgery, Dow University of Health Sciences, Karachi, PAK
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8
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Hussain AK, Kakakhel MM, Ashraf MF, Shahab M, Ahmad F, Luqman F, Ahmad M, Mohammed Nour A, Varrassi G, Kinger S. Innovative Approaches to Safe Surgery: A Narrative Synthesis of Best Practices. Cureus 2023; 15:e49723. [PMID: 38161861 PMCID: PMC10757557 DOI: 10.7759/cureus.49723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 11/30/2023] [Indexed: 01/03/2024] Open
Abstract
By encompassing a wide range of best practices within the ever-changing realm of modern surgical care, this exhaustive narrative compendium attempts to unravel the complex tapestry of novel approaches to safe surgery. Within the context of a dynamic surgical environment, this research endeavors to illuminate and integrate state-of-the-art methods that collectively methodically improve patient safety. The narrative elucidates a diverse array of practices that seek to revolutionize the paradigm of safe surgery, emphasizing technological progress, patient-centric approaches, and global viewpoints. The combined effectiveness of these methods in fostering an all-encompassing culture of safety, improving surgical precision, and decreasing complications is revealed by the results obtained from their implementation. The recognition of the dynamic interplay among multiple components, including the active participation of patients, the integration of cutting-edge technologies, and the establishment of comprehensive quality improvement programs, is fundamental to this narrative. By their collective composition, these components support the notion that secure surgical practices are intricate and interrelated. The present synthesis functions as a fundamental resource for healthcare professionals, policymakers, and researchers, providing an enlightening examination of the current condition of secure surgical practices. By emphasizing the promotion of innovation, continuous development, and the utmost quality of patient care, it offers a strategic guide for navigating the complex terrain of safe surgery. In the ever-evolving landscape of surgical care, this narrative synthesis serves as a guiding principle for stakeholders striving to understand better and implement safe surgical procedures in various healthcare environments.
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Affiliation(s)
- Amer Kamal Hussain
- Urology, Sandwell and West Birmingham Hospitals National Health Service (NHS) Trust, Birmingham, GBR
| | - Muhammad Maaz Kakakhel
- Trauma and Orthopaedics, Liverpool University Hospitals National Health Service (NHS) Foundation Trust, Liverpool, GBR
| | | | | | - Fahad Ahmad
- Upper Gastrointestinal Surgery, University Hospitals Birmingham National Health Service (NHS) Foundation Trust, Birmingham, GBR
| | - Faizan Luqman
- Ophthalmology, Khyber Medical College, Peshawar, PAK
- Ophthalmology, Medical Teaching Institution (MTI) Khyber Teaching Hospital, Peshawar, PAK
| | - Mahmood Ahmad
- Trauma and Orthopaedics, Royal College of Surgeons, Dublin, IRL
| | - Ayman Mohammed Nour
- Urology, Sandwell and West Birmingham Hospitals National Health Service (NHS) Trust, Birmingham, GBR
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