Clinical Medicine Research

ISSN Online: 2326-9057 ISSN Print: 2326-9049

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Volume 10, Issue 5, September 2021

  • Authors: Lisa Obermeier, Tanja Jänicke-Stöger

    Abstract: Background: The restrictions caused by the pandemic have posed tremendous challenges for those in the healthcare sector, particularly in nurse training. To guarantee continued teaching, course content is being provided via digital learning formats. Objective: Simulation based-learning is an effective learning method used in nursing education. But how can simulation-based learning be carried out virtually? This requires creativity, improvisation and unconventional problem-solving approaches. Methods and results: This experience-based report describes a way in which virtual simulations can be carried out within the context of nurse training at higher education institutions. An example shows how a virtual simulation could be concepted and organized. Initial experiences with the concepted virtual simulations can be reported and positive effects of the learning method as well as problems that have arisen during implementation are presented. Most of the students were able to adapt well to the simulation and achieve a learning effect. Conclusion: Virtual Simulation can be used in a beneficial way in nursing education. Especially simulations with a focus on communication are well-suited to virtual formats so as video-based consulting. Even though video-based consulting in Germany is not yet well-established in all fields, the effects of the pandemic have shown that lots of new approaches can be taken.

    Received: Jul. 28, 2021 Accepted: Aug. 25, 2021 Published: Oct. 29, 2021

    DOI: 10.11648/j.cmr.20211005.11 View: Downloads:

  • Authors: Ding Yancai, Liu Li, Li Feiyu, Yang Tao, Ma Xiaoyun, Xi Haifeng

    Abstract: Background: To understand the incidence of renal colic and pain index scores during field training (summer and autumn) of military personnel, and to formulate intervention measures. Methods: A total of 3,856 people were surveyed in the three foreign training years from 2016 to 2018. An epidemiological survey was conducted on the training time of foreign training troops in summer and autumn, the training environment, temperature changes, dietary structure, age, gender, water consumption, etc.; at the same time; For soldiers with renal colic caused by urolithiasis, the blood uric acid level, blood phosphorus, blood calcium and other biochemical indicators were detected, intervention treatment was carried out, and the stone specimens produced after the treatment were analyzed for the stone composition. Results: 49 cases of renal colic occurred in 3856 people. The average incidence of renal colic was 1.2%, and the visual analog score index of renal colic was average (8.2±1.8). Among them, 47 were males and 2 were females. The average age was (22±2.5) years, the average stone size was (0.6±0.2) cm, the average temperature was (38.5±7.2)°C, and the average water consumption was (2000±300) mL. In 2016, there were 17 cases of 1150 cases, and the incidence of renal colic was 1.4%; in 2017, 12 cases of 1,320 cases, the incidence of renal colic was 0.9%; in 2018, 14 cases of 1386 cases, the incidence of renal colic, 1.1%. The average uric acid level was (282±11) mmol/L, the average blood phosphorus (0.98±0.03) mmol/L, and the average blood calcium (2.63±0.08) mmol/L. 26 cases were cured by conservative treatment, 19 cases were cured by extracorporeal shock wave lithotripsy, and 4 cases were cured by ureteroscopy. Urinary stones are mainly composed of monohydrate and dihydrate calcium oxalate stones. Conclusion: The incidence of renal colic in the field stationed troops in the northwest arid area in summer and autumn and high temperature environment is mainly caused by ureteral stones. The symptoms can be relieved by conservative treatment such as spasmolysis, analgesia, and stone removal; conservative treatment is the main treatment method, ureteroscopy Treatment assistance, no obvious adverse events occurred.

    Received: Sep. 30, 2021 Accepted: Oct. 25, 2021 Published: Oct. 29, 2021

    DOI: 10.11648/j.cmr.20211005.12 View: Downloads:

  • Author: Gorolyuk Anna Yuriyivna

    Abstract: Since the announcement of the COVID-19 pandemic (March 11, 2020), the focus of the study of complications of this new coronavirus disease has been on pneumonia and acute respiratory distress syndrome. Meanwhile, with COVID-19, acute abdominal surgical diseases develop, presumably due to the tropism of the COVID-19 virus to angiotensin-converting enzyme receptors in the digestive tract. In principle, previously known coronaviruses could cause infectious peritonitis, however, such cases of coronavirus peritonitis were observed exclusively in animals. In particular, FIPV - coronavirus is the direct cause of feline infectious peritonitis. This article describes a rare, alarming case of serous fibrinous peritonitis as a casuistic manifestation of a new coronavirus infection COVID-19 directly in humans: a 55-year-old female patient. Surgical diseases that could cause the development of this peritonitis in this patient were excluded. The purpose of the article is to point out the possibility of the development of this surgical disease, as a direct complication of the new coronavirus infection COVID-19. The article also presents the author's attempt to explain in general terms the pathogenesis of the development of peritonitis in COVID-19 in humans. Observing the second year of the pandemic, extremely rare mentions in medical scientific articles of cases of primary peritonitis in COVID-19, we can conclude that this complication is not typical in this new infection. However, given the too short period since the emergence of a new coronavirus infection COVID-19 (less than two years), as well as the ability of a new strain of coronavirus to mutate, we can assume that, in principle, the possibility of developing coronavirus peritonitis in humans is not excluded in the future.

    Received: Oct. 3, 2021 Accepted: Oct. 21, 2021 Published: Oct. 30, 2021

    DOI: 10.11648/j.cmr.20211005.13 View: Downloads:

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