Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.^([1])The clinical prognosis of transorbital craniocerebral...Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.^([1])The clinical prognosis of transorbital craniocerebral injury is closely related to the size,shape,speed,nature,and trajectory of the foreign object,as well as the incidence of central nervous system damage and secondary complications.The foreign objects reported to have caused these injuries are categorized into wooden items,metallic items,^([2-8])and other materials,which penetrate the intracranial region via fi ve major pathways,including the orbital roof (OR),superior orbital fissure (SOF),inferior orbital fissure(IOF),optic canal (OC),and sphenoid wing.Herein,we present eight cases of transorbital craniocerebral injury caused by an unusual metallic foreign body.展开更多
This study examines the predictive roles of foreign language classroom anxiety(FLCA),foreign language enjoyment(FLE),and foreign language boredom(FLB)in English achievement among Chinese senior high school students.De...This study examines the predictive roles of foreign language classroom anxiety(FLCA),foreign language enjoyment(FLE),and foreign language boredom(FLB)in English achievement among Chinese senior high school students.Despite extensive research on anxiety in language learning,less attention has been given to boredom,and the combined effects of these three emotions on English achievement remain under-explored,particularly among high school students in China.To address these gaps,a sample of 142 students from Guangzhou was surveyed using questionnaires to assess their emotional experiences and English achievement.The research found that FLE exhibited a positive correlation with academic performance,while FLCA and FLB showed negative associations.Notably,FLE was the most significant predictor of English achievement,followed by FLCA and FLB.Gender differences were observed,with male students reporting significantly higher levels of environmental enjoyment,while female students experienced significantly greater communication anxiety.On this basis,this paper offers suggestions on how to enhance senior high school students’FLE while mitigating FLCA and FLB,thereby promoting more effective and sustained English learning.展开更多
Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and manag...Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.展开更多
Introduction: Conjunctival granulomas are tumor pathologies of various origins. A foreign body, whatever its nature, is often involved in its genesis. To date, there is very little data on foreign body conjunctival gr...Introduction: Conjunctival granulomas are tumor pathologies of various origins. A foreign body, whatever its nature, is often involved in its genesis. To date, there is very little data on foreign body conjunctival granulomas, the prevalence would be approximately 10% and their underestimation is probably linked to the inconsistency of their clinical presentation. Patient and Observations: We report a case of conjunctival granuloma caused by a metallic foreign body that went unnoticed in a young boy, the interest of rigor on primary protection measures for high-risk occupations, and of the strict application of the diagnostic protocol relating to ocular trauma. Discussion: foreign body granulomas, despite their usually harmless nature, can jeopardize the anatomical and functional prognosis of the affected eye. Only a detailed interview and a meticulous clinical examination allow the diagnosis to be made and the distinction to be made with conjunctival granulomas of different causes. Conclusion: the possibility of the involvement of a foreign body in the genesis of conjunctival granulomas must impose the rigorous application of diagnostic and therapeutic protocols.展开更多
BACKGROUND Gastrointestinal foreign bodies represent a significant clinical challenge in em-ergency and surgical settings.While accidental ingestion predominates in healthy adults,intentional ingestion is frequently o...BACKGROUND Gastrointestinal foreign bodies represent a significant clinical challenge in em-ergency and surgical settings.While accidental ingestion predominates in healthy adults,intentional ingestion is frequently observed in pediatric,psychiatric,and incarcerated populations.Metallic sewing needles,characterized by their sharp morphology and high mobility,pose particular risks of visceral injury and com-plications due to their penetrative potential.Although preoperative imaging facilitates initial localization,subsequent migration of multiple needles com-plicates therapeutic interventions,increasing procedural complexity and patient risk.CASE SUMMARY We present a novel application of magnetic-assisted localization in managing a complex case of intentional ingestion of 30 metallic sewing needles in a psy-chiatric patient.The widespread distribution of needles throughout the gas-trointestinal tract necessitated an innovative surgical approach.Intraoperative implementation of cylindrical magnetic localization technology enabled precise identification and successful extraction of all foreign bodies while minimizing tissue trauma.CONCLUSION Magnetic-assisted localization represents an effective and safe technique to manage multiple magnetic gastrointestinal foreign bodies.This approach offers significant advantages in complex cases,particularly for needle-like metallic objects,and warrants consideration as a valuable tool in gastrointestinal surgery.展开更多
BACKGROUND Foreign body(FB)ingestion is one of the most challenging clinical situations faced by endoscopists.Most esophageal FB impaction emergencies occur in children.It is important to study the epidemiological pro...BACKGROUND Foreign body(FB)ingestion is one of the most challenging clinical situations faced by endoscopists.Most esophageal FB impaction emergencies occur in children.It is important to study the epidemiological profile and endoscopic methods for treating FB impacted in the esophagus of children,as it can help in the development of more effective,safe and personalized preventive and therapeutic strategies.AIM To define the profile of children seeking emergency care due to FB impaction in the esophagus,analyze factors associated with complications,and evaluate the effectiveness of rigid(RE)and flexible endoscopes(FE).METHODS A retrospective cohort study of 166 children with impacted FB in the esophagus who underwent an endoscopy(FE=84 vs RE=82)at the Dr.JoséFrota Institute was performed.The primary outcomes were to assess the efficacy of the endoscopic technique and factors associated with complications.The secondary outcomes were age group,gender,symptoms,length of hospital stay,and location of the FB.RESULTS Boys(66.9%),preschoolers(43.4%),FB>24 hours(62.7%),cervical esophagus(60.8%),coin ingestion(57.2%)and complaints of dysphagia(24.9%)and sialorrhea(23.1%)were the predominant findings.Endoscopy was successful(90.4%)with sedation(89.1%).A total of 97%of patients were discharged from the hospital,while 3%died.The average hospital stay length was 2.6 days.Most patients did not experience complications predominated(64.5%).Esophageal perforations were more frequent after RE(11%vs 4.8%),while FE was more effective(95.2%vs 85.4%).Theχ2 test or Fisher's exact test was used to compare categorical variables.For continuous variables,the Kruskal-Wallis test or analysis of variance was used.Statistical analyses were performed in R®software(version 1.3.1093).CONCLUSION Coins were the most frequent FBs and were mainly lodged in the upper esophagus of preschool boys.Risk factors for complications due to esophageal FB include battery ingestion,delayed removal(>48 hours)and lodging in the thoracic esophagus.FE was generally more effective than RE for removing FBs;both procedures are safe.展开更多
The minireview titled“Modern endoscopist’s toolbox:Innovations in foreign body removal”by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endos...The minireview titled“Modern endoscopist’s toolbox:Innovations in foreign body removal”by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endoscopic management of gastrointestinal foreign bodies.It will serve as a valuable resource for endoscopists involved in the diagnosis and treatment of such cases.Several key and controversial aspects of patient management were highlighted in a meaningful way,including the importance of thorough medical history-taking,appropriate use of radiological imaging,and the selection of suitable endoscopic extraction techniques.An individualized,multidisciplinary approach is essential for diagnosis and treatment.While current guidelines offer significant support,they cannot replace the judgment of an experienced endoscopist working with a well-trained team.展开更多
"I will revisit the Xizang Autonomous Region and recommend it to my family and friends.I believe they will fall in love with the region,too,"said Mori Yua,a Japanese graduate student studying at Minzu Univer..."I will revisit the Xizang Autonomous Region and recommend it to my family and friends.I believe they will fall in love with the region,too,"said Mori Yua,a Japanese graduate student studying at Minzu University of China.On October 15,2024,12 international teachers and students just concluded their trip to Xizang.At Lhasa Gonggar International Airport,they were reluctant to wave goodbye to the plateau.They shared their feelings with one another:"incredible""beautiful and charming","amazing roof of the world".展开更多
BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complicati...BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complications necessitate a thorough and methodical approach to diagnosis and treatment.This case report aims to highlight the diagnostic complexities and management strategies involved in treating a patient with a rectal foreign body,focusing on the use of advanced imaging techniques and the importance of a multidisciplinary approach.CASE SUMMARY A 48-year-old male with a history of hypertension presented with a one-year history of post-defecation anorectal pain and mild post-defecation rectorrhagia.Initial evaluation revealed hemodynamic stability and a tender,non-mucosal lesion in the anterior left rectal region.Imaging studies,including colonoscopy,magnetic resonance imaging,and endosonography,identified an erythematous,exophytic lesion and a perirectal abscess containing a foreign body.Surgical inter-vention revealed necrotic tissue and purulent material,along with two solid foreign body fragments(bone or plant matter).Postoperative follow-up showed the patient in good condition,and pathology confirmed the fragments as mature bone.CONCLUSION This case underscores the diagnostic challenges posed by rectal foreign bodies with nonspecific symptoms and no clear history of ingestion.展开更多
Foreign body ingestion is a common gastrointestinal emergency,particularly in children,who account for 80%of cases.While most ingested objects pass spontan-eously,around 20%require medical intervention.In adults,incid...Foreign body ingestion is a common gastrointestinal emergency,particularly in children,who account for 80%of cases.While most ingested objects pass spontan-eously,around 20%require medical intervention.In adults,incidents often occur accidentally during meals,leading to impactions,especially in individuals with underlying esophageal conditions.Endoscopy remains the gold standard for foreign body retrieval,with a success rate exceeding 95%.The type,shape,and location of the foreign body determine the clinical presentation and management approach.Sharp objects,batteries,and large items pose the highest risk of complications,including perforation,obstruction,and chemical injury.Prompt endoscopic removal is guided by established protocols,with emergent inter-vention required for complete esophageal obstruction and high-risk objects.Various retrieval devices,including forceps,snares,baskets,and overtubes,are used based on the nature of the foreign body.Technological advancements,such as artificial intelligence-assisted imaging and endoscopic ultrasound,are impro-ving diagnostic precision and procedural outcomes.Despite these advances,foreign body ingestion can still lead to severe complications if not managed in a timely manner.Public awareness,preventive measures,and rapid medical res-ponse are essential in reducing morbidity and mortality associated with foreign body ingestion.展开更多
BACKGROUND Acute abdominal pain is often easy to be diagnosed because of acute abdomen,and can be treated reasonably and effectively.It is more difficult to establish the cause of chronic abdominal pain,and some patie...BACKGROUND Acute abdominal pain is often easy to be diagnosed because of acute abdomen,and can be treated reasonably and effectively.It is more difficult to establish the cause of chronic abdominal pain,and some patients repeatedly visit several hos-pitals and still cannot be diagnosed.Chronic abdominal pain caused by chronic appendicitis is such a case.If the degree of abdominal pain is mild and there is no sign of peritonitis,chronic appendicitis is not performed unless the patient re-quests it.CASE SUMMARY We report an extremely rare case of chronic appendicitis caused by a foreign body in the appendix in a 35-year-old woman.The patient had a long-term abdominal pain of unclear cause,and she was repeatedly treated in several hospitals.After antibiotic treatment,the abdominal pain was gradually relieved,but abdominal pain often recurs.We conducted abdominal computed tomography examination,and upon the advice of radiologists,we considered the possibility of foreign bodies in the appendix,and excluded other causes of abdominal pain.The patient requested and consented to laparoscopic appendectomy,and a chicken bone was found in the appendiceal cavity by postoperative incision of the appendiceal spe-cimen.Histopathological examination confirmed chronic appendicitis with fo-reign body giant cell reaction.The patient recovered and was discharged from the hospital.After 2 months of follow-up,abdominal pain did not recur,and the patient had a complete recovery.Core Tip:We report an extremely rare case of chronic appendicitis caused by a chicken bone in the appendix.The patient was 35-year-old woman,and had a long-term abdominal pain of unknown cause.Abdominal computed tomography examination suggested foreign bodies in the appendix,and laparoscopic appendectomy was performed.The postoperative specimen revealed chicken bones in the appendix cavity,and histopathological examination confirmed chronic appendicitis with giant cell reaction of foreign bodies.The patient recovered and was followed up for two months without abdominal pain.Citation:Huang T,Li SK,Wang W,Zhang R.Chronic abdominal pain caused by foreign bodies in the appendix:A case report.World INTRODUCTION Appendicitis is one of the common diseases that cause abdominal pain[1].Appendicitis can be diagnosed and treated effectively when patients with acute abdominal pain are admitted to hospital because of factors such as blockage and infection of appendicitis[2,3].However,the diagnosis of chronic appendicitis is difficult.Acute appendicitis caused by foreign bodies in the appendix is easy to diagnose because of the final surgical treatment[4-6],while chronic appendicitis caused by foreign bodies in the appendix is more difficult to diagnose because of the mild degree of abdominal pain.We here report an extremely rare case of chronic appendicitis caused by foreign bodies in the appendix.The patient had a long-term abdominal pain of unclear cause,and she was repeatedly treated in several hospitals.Abdominal color ultrasound examination indicated a coprolith in the appendiceal cavity and the appendix was normal,so the patient could not be treated with surgery.We conducted abdominal computed tomography(CT)examination,and upon the advice of radiologists,we considered the possibility of foreign bodies in the appendix,and excluded other causes of abdominal pain.The patient requested and consented to laparoscopic appendectomy,and a chicken bone was found in the appendiceal cavity by postoperative incision of the appendiceal specimen.The patient recovered and was discharged from hospital.After 2 months of follow-up,abdominal pain did not recur and the patient had a full recovery.展开更多
The optimal allocation of foreign resources requires a minimum level of domestic development,including financial development to benefit from the potential benefits of foreign direct investment.This study discusses the...The optimal allocation of foreign resources requires a minimum level of domestic development,including financial development to benefit from the potential benefits of foreign direct investment.This study discusses the mediating role of financial development in the effect of foreign direct investment on economic growth and establishes the banking sector threshold for the 18 least developed African countries over the period 2000 to 2020.We used the generalized method of moments(GMM)and the threshold regression(TR)as part of the dynamic panel data model.The results show the non-significant contribution of foreign direct investment and the banking sector to economic growth.After interaction,the effect of foreign direct investment becomes positive but not significant.However,the coefficient of the interaction variable is significantly negative.This implies that the financial system is unable to allocate foreign resources efficiently.For this reason,this paper resorted to applying the threshold regression to determine the minimum threshold of the banking sector and established a threshold of 74.58%.It therefore becomes necessary for the 18 least developed African countries to develop the financial system in order to get full benefits of foreign direct investment.展开更多
Retained foreign bodies are commonly seen in both the emergency department (ED) and the outpatient setting.^([1,2])The associated complications include inflammation,delayed healing,infection,damage to surrounding tiss...Retained foreign bodies are commonly seen in both the emergency department (ED) and the outpatient setting.^([1,2])The associated complications include inflammation,delayed healing,infection,damage to surrounding tissues,and disability.^([3,4])While most foreign bodies are locatable during an extensive wound-probing physical exam,they can be missed even when a welltrained clinician performs a thorough history and physical exam.^([5])Therefore,they are often a cause of malpractice litigations in the ED.展开更多
Dear Editor,We are writing this letter to report a special missed diagnosis case of pediatric ocular trauma with intraorbital pencil core foreign body.When an eye trauma occurs,orbital foreign bodies are widespread.Th...Dear Editor,We are writing this letter to report a special missed diagnosis case of pediatric ocular trauma with intraorbital pencil core foreign body.When an eye trauma occurs,orbital foreign bodies are widespread.The most common types of foreign bodies are metal,followed by plant foreign bodies,while oil foreign bodies are rare.展开更多
The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who p...The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who presented with selfinserted genitourethral foreign body to adult tertiary centers within our local health network(Southern Adelaide Local Health Network,Adelaide,Australia)from October 2002 to October 2022.Patient demographics,type of foreign body,psychiatric comorbidities,retrieval techniques,complications,and readmission data were extracted.Twenty-seven cases were identified with a median age of 44 years.Twenty-three(85.2%)were male and 4(14.8%)were female.Ten patients(37.0%)had a concurrent psychiatric illness.The most commonly inserted foreign bodies were plastic tubes/wires(29.6%).Twenty cases(74.1%)were retrieved endoscopically.Three patients(11.1%)required open cystotomy and one underwent a transperineal urethrotomy.Four patients(14.8%)represented after discharge.Two patients had repeat presentations for genitourinary foreign body insertion.A significant monotonic positive trend of foreign body presentations was identified(Mann–Kendall tau=0.95,P=0.043).Presentations of genitourethral foreign body insertions have trended upward over the past two decades.However,most cases were successfully managed endoscopically.展开更多
BACKGROUND Foreign body ingestion is a common emergency in clinical practice.While the majority of cases are resolved following successful removal,rare and unexpected complications can arise,such as the spontaneous di...BACKGROUND Foreign body ingestion is a common emergency in clinical practice.While the majority of cases are resolved following successful removal,rare and unexpected complications can arise,such as the spontaneous displacement of a foreign body during the procedure.This report describes a unique case where a foreign body initially lodged in the esophagus was dropped during the procedure,leading to aspiration and migration to the airway.CASE SUMMARY A 69-year-old Chinese woman presented with a 6-hour history of throat pain and tightness after consuming rabbit meat.She had no fever or bloody stools but had a history of hypertension.Initial imaging,including a neck computed tomography scan,indicated a foreign body in the upper esophagus.Esophageal endoscopy was performed,during which the patient’s vital signs remained stable.The procedure showed a 14-cm mucosal erosion with food debris and a visible foreign body located in the gastric fundus.The foreign body was removed with forceps but unexpectedly dropped into the hypopharynx.Subsequent upper gastrointestinal endoscopy did not identify the foreign body.On awakening from anesthesia,the patient exhibited hypoxia and coarse breath sounds,but without coughing.A chest X-ray indicated that the foreign body had migrated into the airway.An emergency fiberoptic bronchoscopy was performed,successfully retrieving the foreign body.The patient recovered without complications.CONCLUSION Endoscopic removal of an esophageal foreign body can cause silent aspiration in elderly patients with absent cough reflexes,necessitating bedside imaging and prompt intervention.展开更多
Based on conversation analysis theory,this study explored how teachers and students used discourse markers in foreign language classrooms and how these markers affect classroom interaction.The results showed that teac...Based on conversation analysis theory,this study explored how teachers and students used discourse markers in foreign language classrooms and how these markers affect classroom interaction.The results showed that teachers use different discourse markers in different teaching stages such as lead-in,presentation,practice and summary to make their teaching more organized and clearer.However,students used these markers less often,and their expressions are often less coherent.Based on these findings,the study suggests teaching strategies for teachers and learning strategies for students to improve how they use discourse markers.This can help make foreign language teaching more effective and interactive.展开更多
BACKGROUND Occult intraocular foreign bodies(IOFBs)can present with atypical symptoms and clinical signs,making diagnosis challenging.We describe a case of an undetected IOFB that was missed on both computed tomograph...BACKGROUND Occult intraocular foreign bodies(IOFBs)can present with atypical symptoms and clinical signs,making diagnosis challenging.We describe a case of an undetected IOFB that was missed on both computed tomography and B-ultrasound,ulti-mately leading to ocular siderosis and secondary glaucoma.CASE SUMMARY A 55-year-old male patient presented to our clinic reporting a one-month history of right ocular discomfort and progressive visual deterioration.The patient had previously received a glaucoma diagnosis at a local healthcare facility.His ocular history included blunt trauma to the affected eye five years prior to presentation.Slit-lamp examination revealed corneal and iris lesions in the right eye.Pupillary dilation facilitated the identification of traumatic lens opacities.Diagnostic imaging modalities,including B-scan ultrasonography and computed tomo-graphy,showed no evidence of retained intraocular foreign material.The patient subsequently underwent uncomplicated pars plana vitrectomy,during which the occult foreign body was successfully extracted.The procedure was completed without intraoperative or immediate postoperative complications.CONCLUSION Awareness of IOFBs in individuals who work in high-risk occupations and prompt referral to a retinal surgeon are very important.展开更多
The construction of ideological-political education within foreign language courses requires an integrated approach that encompasses value shaping,knowledge transfer,and competence cultivation.A critical challenge in ...The construction of ideological-political education within foreign language courses requires an integrated approach that encompasses value shaping,knowledge transfer,and competence cultivation.A critical challenge in this domain is the effective design and implementation of tasks that instill values,while also synergizing with acquiring knowledge and enhancing competencies.This paper delves into the philosophical underpinnings and operational principles of value-shaping task design and its practical application within the context of foreign language teaching.Utilizing Contemporary College English(Integrated Coursebook 3)as a case study,the paper explores value shaping-based task design in ideological-political education of foreign language courses,with the aim of providing references for the construction of ideological-political education in foreign language teaching.展开更多
文摘Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.^([1])The clinical prognosis of transorbital craniocerebral injury is closely related to the size,shape,speed,nature,and trajectory of the foreign object,as well as the incidence of central nervous system damage and secondary complications.The foreign objects reported to have caused these injuries are categorized into wooden items,metallic items,^([2-8])and other materials,which penetrate the intracranial region via fi ve major pathways,including the orbital roof (OR),superior orbital fissure (SOF),inferior orbital fissure(IOF),optic canal (OC),and sphenoid wing.Herein,we present eight cases of transorbital craniocerebral injury caused by an unusual metallic foreign body.
文摘This study examines the predictive roles of foreign language classroom anxiety(FLCA),foreign language enjoyment(FLE),and foreign language boredom(FLB)in English achievement among Chinese senior high school students.Despite extensive research on anxiety in language learning,less attention has been given to boredom,and the combined effects of these three emotions on English achievement remain under-explored,particularly among high school students in China.To address these gaps,a sample of 142 students from Guangzhou was surveyed using questionnaires to assess their emotional experiences and English achievement.The research found that FLE exhibited a positive correlation with academic performance,while FLCA and FLB showed negative associations.Notably,FLE was the most significant predictor of English achievement,followed by FLCA and FLB.Gender differences were observed,with male students reporting significantly higher levels of environmental enjoyment,while female students experienced significantly greater communication anxiety.On this basis,this paper offers suggestions on how to enhance senior high school students’FLE while mitigating FLCA and FLB,thereby promoting more effective and sustained English learning.
文摘Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.
文摘Introduction: Conjunctival granulomas are tumor pathologies of various origins. A foreign body, whatever its nature, is often involved in its genesis. To date, there is very little data on foreign body conjunctival granulomas, the prevalence would be approximately 10% and their underestimation is probably linked to the inconsistency of their clinical presentation. Patient and Observations: We report a case of conjunctival granuloma caused by a metallic foreign body that went unnoticed in a young boy, the interest of rigor on primary protection measures for high-risk occupations, and of the strict application of the diagnostic protocol relating to ocular trauma. Discussion: foreign body granulomas, despite their usually harmless nature, can jeopardize the anatomical and functional prognosis of the affected eye. Only a detailed interview and a meticulous clinical examination allow the diagnosis to be made and the distinction to be made with conjunctival granulomas of different causes. Conclusion: the possibility of the involvement of a foreign body in the genesis of conjunctival granulomas must impose the rigorous application of diagnostic and therapeutic protocols.
基金Supported by National Natural Science Foundation of China,No.82170676the Natural Science Foundation of Shaanxi Provincial Key Industries Innovation Chain(Cluster)-Social Development Project,No.2020ZDLSF02-03+1 种基金the Key Project of Shaanxi Province's 14th Five-Year Education Science Planning:Research on the Training Model for Top-notch Innovative Talents in Higher Education Institutions of Shaanxi Province,No.SGH24Z16the Xi'an Talents Plan Project,No.XAYC210064.
文摘BACKGROUND Gastrointestinal foreign bodies represent a significant clinical challenge in em-ergency and surgical settings.While accidental ingestion predominates in healthy adults,intentional ingestion is frequently observed in pediatric,psychiatric,and incarcerated populations.Metallic sewing needles,characterized by their sharp morphology and high mobility,pose particular risks of visceral injury and com-plications due to their penetrative potential.Although preoperative imaging facilitates initial localization,subsequent migration of multiple needles com-plicates therapeutic interventions,increasing procedural complexity and patient risk.CASE SUMMARY We present a novel application of magnetic-assisted localization in managing a complex case of intentional ingestion of 30 metallic sewing needles in a psy-chiatric patient.The widespread distribution of needles throughout the gas-trointestinal tract necessitated an innovative surgical approach.Intraoperative implementation of cylindrical magnetic localization technology enabled precise identification and successful extraction of all foreign bodies while minimizing tissue trauma.CONCLUSION Magnetic-assisted localization represents an effective and safe technique to manage multiple magnetic gastrointestinal foreign bodies.This approach offers significant advantages in complex cases,particularly for needle-like metallic objects,and warrants consideration as a valuable tool in gastrointestinal surgery.
基金the Institutional Research Ethics Board(number 6.886.384)Brazil platform system(Approval with CAAE number 79007324.1.0000.5047).
文摘BACKGROUND Foreign body(FB)ingestion is one of the most challenging clinical situations faced by endoscopists.Most esophageal FB impaction emergencies occur in children.It is important to study the epidemiological profile and endoscopic methods for treating FB impacted in the esophagus of children,as it can help in the development of more effective,safe and personalized preventive and therapeutic strategies.AIM To define the profile of children seeking emergency care due to FB impaction in the esophagus,analyze factors associated with complications,and evaluate the effectiveness of rigid(RE)and flexible endoscopes(FE).METHODS A retrospective cohort study of 166 children with impacted FB in the esophagus who underwent an endoscopy(FE=84 vs RE=82)at the Dr.JoséFrota Institute was performed.The primary outcomes were to assess the efficacy of the endoscopic technique and factors associated with complications.The secondary outcomes were age group,gender,symptoms,length of hospital stay,and location of the FB.RESULTS Boys(66.9%),preschoolers(43.4%),FB>24 hours(62.7%),cervical esophagus(60.8%),coin ingestion(57.2%)and complaints of dysphagia(24.9%)and sialorrhea(23.1%)were the predominant findings.Endoscopy was successful(90.4%)with sedation(89.1%).A total of 97%of patients were discharged from the hospital,while 3%died.The average hospital stay length was 2.6 days.Most patients did not experience complications predominated(64.5%).Esophageal perforations were more frequent after RE(11%vs 4.8%),while FE was more effective(95.2%vs 85.4%).Theχ2 test or Fisher's exact test was used to compare categorical variables.For continuous variables,the Kruskal-Wallis test or analysis of variance was used.Statistical analyses were performed in R®software(version 1.3.1093).CONCLUSION Coins were the most frequent FBs and were mainly lodged in the upper esophagus of preschool boys.Risk factors for complications due to esophageal FB include battery ingestion,delayed removal(>48 hours)and lodging in the thoracic esophagus.FE was generally more effective than RE for removing FBs;both procedures are safe.
基金Supported by Ministry of Science,Technological Development and Innovations,Republic of Serbia,No.451-03-66/2024-03/200110.
文摘The minireview titled“Modern endoscopist’s toolbox:Innovations in foreign body removal”by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endoscopic management of gastrointestinal foreign bodies.It will serve as a valuable resource for endoscopists involved in the diagnosis and treatment of such cases.Several key and controversial aspects of patient management were highlighted in a meaningful way,including the importance of thorough medical history-taking,appropriate use of radiological imaging,and the selection of suitable endoscopic extraction techniques.An individualized,multidisciplinary approach is essential for diagnosis and treatment.While current guidelines offer significant support,they cannot replace the judgment of an experienced endoscopist working with a well-trained team.
文摘"I will revisit the Xizang Autonomous Region and recommend it to my family and friends.I believe they will fall in love with the region,too,"said Mori Yua,a Japanese graduate student studying at Minzu University of China.On October 15,2024,12 international teachers and students just concluded their trip to Xizang.At Lhasa Gonggar International Airport,they were reluctant to wave goodbye to the plateau.They shared their feelings with one another:"incredible""beautiful and charming","amazing roof of the world".
文摘BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complications necessitate a thorough and methodical approach to diagnosis and treatment.This case report aims to highlight the diagnostic complexities and management strategies involved in treating a patient with a rectal foreign body,focusing on the use of advanced imaging techniques and the importance of a multidisciplinary approach.CASE SUMMARY A 48-year-old male with a history of hypertension presented with a one-year history of post-defecation anorectal pain and mild post-defecation rectorrhagia.Initial evaluation revealed hemodynamic stability and a tender,non-mucosal lesion in the anterior left rectal region.Imaging studies,including colonoscopy,magnetic resonance imaging,and endosonography,identified an erythematous,exophytic lesion and a perirectal abscess containing a foreign body.Surgical inter-vention revealed necrotic tissue and purulent material,along with two solid foreign body fragments(bone or plant matter).Postoperative follow-up showed the patient in good condition,and pathology confirmed the fragments as mature bone.CONCLUSION This case underscores the diagnostic challenges posed by rectal foreign bodies with nonspecific symptoms and no clear history of ingestion.
文摘Foreign body ingestion is a common gastrointestinal emergency,particularly in children,who account for 80%of cases.While most ingested objects pass spontan-eously,around 20%require medical intervention.In adults,incidents often occur accidentally during meals,leading to impactions,especially in individuals with underlying esophageal conditions.Endoscopy remains the gold standard for foreign body retrieval,with a success rate exceeding 95%.The type,shape,and location of the foreign body determine the clinical presentation and management approach.Sharp objects,batteries,and large items pose the highest risk of complications,including perforation,obstruction,and chemical injury.Prompt endoscopic removal is guided by established protocols,with emergent inter-vention required for complete esophageal obstruction and high-risk objects.Various retrieval devices,including forceps,snares,baskets,and overtubes,are used based on the nature of the foreign body.Technological advancements,such as artificial intelligence-assisted imaging and endoscopic ultrasound,are impro-ving diagnostic precision and procedural outcomes.Despite these advances,foreign body ingestion can still lead to severe complications if not managed in a timely manner.Public awareness,preventive measures,and rapid medical res-ponse are essential in reducing morbidity and mortality associated with foreign body ingestion.
文摘BACKGROUND Acute abdominal pain is often easy to be diagnosed because of acute abdomen,and can be treated reasonably and effectively.It is more difficult to establish the cause of chronic abdominal pain,and some patients repeatedly visit several hos-pitals and still cannot be diagnosed.Chronic abdominal pain caused by chronic appendicitis is such a case.If the degree of abdominal pain is mild and there is no sign of peritonitis,chronic appendicitis is not performed unless the patient re-quests it.CASE SUMMARY We report an extremely rare case of chronic appendicitis caused by a foreign body in the appendix in a 35-year-old woman.The patient had a long-term abdominal pain of unclear cause,and she was repeatedly treated in several hospitals.After antibiotic treatment,the abdominal pain was gradually relieved,but abdominal pain often recurs.We conducted abdominal computed tomography examination,and upon the advice of radiologists,we considered the possibility of foreign bodies in the appendix,and excluded other causes of abdominal pain.The patient requested and consented to laparoscopic appendectomy,and a chicken bone was found in the appendiceal cavity by postoperative incision of the appendiceal spe-cimen.Histopathological examination confirmed chronic appendicitis with fo-reign body giant cell reaction.The patient recovered and was discharged from the hospital.After 2 months of follow-up,abdominal pain did not recur,and the patient had a complete recovery.Core Tip:We report an extremely rare case of chronic appendicitis caused by a chicken bone in the appendix.The patient was 35-year-old woman,and had a long-term abdominal pain of unknown cause.Abdominal computed tomography examination suggested foreign bodies in the appendix,and laparoscopic appendectomy was performed.The postoperative specimen revealed chicken bones in the appendix cavity,and histopathological examination confirmed chronic appendicitis with giant cell reaction of foreign bodies.The patient recovered and was followed up for two months without abdominal pain.Citation:Huang T,Li SK,Wang W,Zhang R.Chronic abdominal pain caused by foreign bodies in the appendix:A case report.World INTRODUCTION Appendicitis is one of the common diseases that cause abdominal pain[1].Appendicitis can be diagnosed and treated effectively when patients with acute abdominal pain are admitted to hospital because of factors such as blockage and infection of appendicitis[2,3].However,the diagnosis of chronic appendicitis is difficult.Acute appendicitis caused by foreign bodies in the appendix is easy to diagnose because of the final surgical treatment[4-6],while chronic appendicitis caused by foreign bodies in the appendix is more difficult to diagnose because of the mild degree of abdominal pain.We here report an extremely rare case of chronic appendicitis caused by foreign bodies in the appendix.The patient had a long-term abdominal pain of unclear cause,and she was repeatedly treated in several hospitals.Abdominal color ultrasound examination indicated a coprolith in the appendiceal cavity and the appendix was normal,so the patient could not be treated with surgery.We conducted abdominal computed tomography(CT)examination,and upon the advice of radiologists,we considered the possibility of foreign bodies in the appendix,and excluded other causes of abdominal pain.The patient requested and consented to laparoscopic appendectomy,and a chicken bone was found in the appendiceal cavity by postoperative incision of the appendiceal specimen.The patient recovered and was discharged from hospital.After 2 months of follow-up,abdominal pain did not recur and the patient had a full recovery.
文摘The optimal allocation of foreign resources requires a minimum level of domestic development,including financial development to benefit from the potential benefits of foreign direct investment.This study discusses the mediating role of financial development in the effect of foreign direct investment on economic growth and establishes the banking sector threshold for the 18 least developed African countries over the period 2000 to 2020.We used the generalized method of moments(GMM)and the threshold regression(TR)as part of the dynamic panel data model.The results show the non-significant contribution of foreign direct investment and the banking sector to economic growth.After interaction,the effect of foreign direct investment becomes positive but not significant.However,the coefficient of the interaction variable is significantly negative.This implies that the financial system is unable to allocate foreign resources efficiently.For this reason,this paper resorted to applying the threshold regression to determine the minimum threshold of the banking sector and established a threshold of 74.58%.It therefore becomes necessary for the 18 least developed African countries to develop the financial system in order to get full benefits of foreign direct investment.
文摘Retained foreign bodies are commonly seen in both the emergency department (ED) and the outpatient setting.^([1,2])The associated complications include inflammation,delayed healing,infection,damage to surrounding tissues,and disability.^([3,4])While most foreign bodies are locatable during an extensive wound-probing physical exam,they can be missed even when a welltrained clinician performs a thorough history and physical exam.^([5])Therefore,they are often a cause of malpractice litigations in the ED.
文摘Dear Editor,We are writing this letter to report a special missed diagnosis case of pediatric ocular trauma with intraorbital pencil core foreign body.When an eye trauma occurs,orbital foreign bodies are widespread.The most common types of foreign bodies are metal,followed by plant foreign bodies,while oil foreign bodies are rare.
文摘The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who presented with selfinserted genitourethral foreign body to adult tertiary centers within our local health network(Southern Adelaide Local Health Network,Adelaide,Australia)from October 2002 to October 2022.Patient demographics,type of foreign body,psychiatric comorbidities,retrieval techniques,complications,and readmission data were extracted.Twenty-seven cases were identified with a median age of 44 years.Twenty-three(85.2%)were male and 4(14.8%)were female.Ten patients(37.0%)had a concurrent psychiatric illness.The most commonly inserted foreign bodies were plastic tubes/wires(29.6%).Twenty cases(74.1%)were retrieved endoscopically.Three patients(11.1%)required open cystotomy and one underwent a transperineal urethrotomy.Four patients(14.8%)represented after discharge.Two patients had repeat presentations for genitourinary foreign body insertion.A significant monotonic positive trend of foreign body presentations was identified(Mann–Kendall tau=0.95,P=0.043).Presentations of genitourethral foreign body insertions have trended upward over the past two decades.However,most cases were successfully managed endoscopically.
文摘BACKGROUND Foreign body ingestion is a common emergency in clinical practice.While the majority of cases are resolved following successful removal,rare and unexpected complications can arise,such as the spontaneous displacement of a foreign body during the procedure.This report describes a unique case where a foreign body initially lodged in the esophagus was dropped during the procedure,leading to aspiration and migration to the airway.CASE SUMMARY A 69-year-old Chinese woman presented with a 6-hour history of throat pain and tightness after consuming rabbit meat.She had no fever or bloody stools but had a history of hypertension.Initial imaging,including a neck computed tomography scan,indicated a foreign body in the upper esophagus.Esophageal endoscopy was performed,during which the patient’s vital signs remained stable.The procedure showed a 14-cm mucosal erosion with food debris and a visible foreign body located in the gastric fundus.The foreign body was removed with forceps but unexpectedly dropped into the hypopharynx.Subsequent upper gastrointestinal endoscopy did not identify the foreign body.On awakening from anesthesia,the patient exhibited hypoxia and coarse breath sounds,but without coughing.A chest X-ray indicated that the foreign body had migrated into the airway.An emergency fiberoptic bronchoscopy was performed,successfully retrieving the foreign body.The patient recovered without complications.CONCLUSION Endoscopic removal of an esophageal foreign body can cause silent aspiration in elderly patients with absent cough reflexes,necessitating bedside imaging and prompt intervention.
基金Survey on the Use of Discourse Markers by Teachers and Students in Foreign Language Classrooms:Taking Teaching Stages and Contexts as Examples(Project No.:20240847)Ideological and Political Teaching Practice of Linguistics Course Under New Liberal Arts(Project No.:JG2023074)。
文摘Based on conversation analysis theory,this study explored how teachers and students used discourse markers in foreign language classrooms and how these markers affect classroom interaction.The results showed that teachers use different discourse markers in different teaching stages such as lead-in,presentation,practice and summary to make their teaching more organized and clearer.However,students used these markers less often,and their expressions are often less coherent.Based on these findings,the study suggests teaching strategies for teachers and learning strategies for students to improve how they use discourse markers.This can help make foreign language teaching more effective and interactive.
基金Supported by The Tianjin Health Research Project,No.ZC20069the Foundation of the Committee of Integrated Traditional Chinese and Western Medicine,No.2021011the Science and Technology Foundation of Tianjin Eye Hospital,No.YKYB1901.
文摘BACKGROUND Occult intraocular foreign bodies(IOFBs)can present with atypical symptoms and clinical signs,making diagnosis challenging.We describe a case of an undetected IOFB that was missed on both computed tomography and B-ultrasound,ulti-mately leading to ocular siderosis and secondary glaucoma.CASE SUMMARY A 55-year-old male patient presented to our clinic reporting a one-month history of right ocular discomfort and progressive visual deterioration.The patient had previously received a glaucoma diagnosis at a local healthcare facility.His ocular history included blunt trauma to the affected eye five years prior to presentation.Slit-lamp examination revealed corneal and iris lesions in the right eye.Pupillary dilation facilitated the identification of traumatic lens opacities.Diagnostic imaging modalities,including B-scan ultrasonography and computed tomo-graphy,showed no evidence of retained intraocular foreign material.The patient subsequently underwent uncomplicated pars plana vitrectomy,during which the occult foreign body was successfully extracted.The procedure was completed without intraoperative or immediate postoperative complications.CONCLUSION Awareness of IOFBs in individuals who work in high-risk occupations and prompt referral to a retinal surgeon are very important.
文摘The construction of ideological-political education within foreign language courses requires an integrated approach that encompasses value shaping,knowledge transfer,and competence cultivation.A critical challenge in this domain is the effective design and implementation of tasks that instill values,while also synergizing with acquiring knowledge and enhancing competencies.This paper delves into the philosophical underpinnings and operational principles of value-shaping task design and its practical application within the context of foreign language teaching.Utilizing Contemporary College English(Integrated Coursebook 3)as a case study,the paper explores value shaping-based task design in ideological-political education of foreign language courses,with the aim of providing references for the construction of ideological-political education in foreign language teaching.
