護理寫作
作業2 :文獻搜尋(請繳交一份中文文獻及一份英文文獻之摘要)（每人）
關鍵字：模糊、疲勞、疼痛
作業要說明您如何搜尋出這二篇文獻：
1. 中文資料庫
華藝線上圖書館
2. 英文資料庫
PUBMED
3. 搜尋步驟：
中文資料庫:
GOOGLE ¬->華藝線上圖書館¬->搜尋(模糊 疲勞 疼痛) ¬->得到期刊文章36，會議論文3，碩博士論文3
中文文獻摘要:
如果眼睛長期處於疲勞狀態下,不僅僅是導致近視、視力下降、眼睛疼痛那麼簡單了,或可能產生某種嚴重的眼科疾病.那麼,為什麼有些人眼睛容易出現疲勞呢?
導致眼睛疲勞的8大原因
1.調節性眼睛疲勞:常發生在凋節衰弱、調節麻痺、老視、屈光不正(遠視、散光)以及戴不合適的眼鏡時.
由於遠視眼在近距離工作常比正視眼過度使用調節,加上輻輳和調節失去平衡關係,因此常在近距離工作或學習時有疲勞感,可出現眼痛、前額脹痛、嗜睡、注意力不集中等症狀.閱讀開始時近點距離尚可正常,以後則距離逐漸變遠並伴有眼疲勞,稍行休息症狀又可減輕.也常合併有全身症狀,如肩酸痛、失眠、記憶力減退等.
英文資料庫:
GOOGLE ¬-> PUBMED¬->搜尋Blur, fatigue, pain¬->得到Items: 39
英文文獻摘要:
Sarcoidosis is a well-recognized systemic granulomatous process which involves the central nervous system in 5-15% of patients. One of the more frequent sites of central nervous system involvement is the pituitary and hypothalamic region. Involvement of the sellar region by sarcoidosis is overall an infrequent occurrence, comprising less than 1% of all intrasellar lesions. Patients typically present with an infiltrative lesion on imaging studies and clinically with symptoms related to diabetes insipidus or hyperprolactinemia. This report describes a 38-year-old woman who initially presented with a variety of symptoms including headaches, light sensitivity, nausea and vomiting, acute visual changes, cold intolerance, amenorrhea, decreased libido, fatigue and galactorrhea. She had an elevated serum prolactin level and evidence of oligoclonal bands in the cerebrospinal fluid. Imaging studies discovered a 1.8cm mass involving the pituitary gland and compressing the optic chiasm. The lesion was excised and microscopically was marked by a chronic inflammatory cell infiltrate and scattered nonnecrotizing granulomas. Stains and microbiologic cultures failed to demonstrate microorganisms. There was no evidence of other organ involvement on postoperative imaging. She was treated with prednisone with improvement of symptoms and subsequently required methotrexate to treat left eye pain and blurred vision, 29months after her surgery. Achieving treatment control in patients with pituitary and hypothalamic improvement in sarcoidosis still remains a challenge.
關鍵字：模糊、疲勞、疼痛
作業要說明您如何搜尋出這二篇文獻：
1. 中文資料庫
華藝線上圖書館
2. 英文資料庫
PUBMED
3. 搜尋步驟：
中文資料庫:
GOOGLE ¬->華藝線上圖書館¬->搜尋(模糊 疲勞 疼痛) ¬->得到期刊文章36，會議論文3，碩博士論文3
中文文獻摘要:
如果眼睛長期處於疲勞狀態下,不僅僅是導致近視、視力下降、眼睛疼痛那麼簡單了,或可能產生某種嚴重的眼科疾病.那麼,為什麼有些人眼睛容易出現疲勞呢?
導致眼睛疲勞的8大原因
1.調節性眼睛疲勞:常發生在凋節衰弱、調節麻痺、老視、屈光不正(遠視、散光)以及戴不合適的眼鏡時.
由於遠視眼在近距離工作常比正視眼過度使用調節,加上輻輳和調節失去平衡關係,因此常在近距離工作或學習時有疲勞感,可出現眼痛、前額脹痛、嗜睡、注意力不集中等症狀.閱讀開始時近點距離尚可正常,以後則距離逐漸變遠並伴有眼疲勞,稍行休息症狀又可減輕.也常合併有全身症狀,如肩酸痛、失眠、記憶力減退等.
英文資料庫:
GOOGLE ¬-> PUBMED¬->搜尋Blur, fatigue, pain¬->得到Items: 39
英文文獻摘要:
Sarcoidosis is a well-recognized systemic granulomatous process which involves the central nervous system in 5-15% of patients. One of the more frequent sites of central nervous system involvement is the pituitary and hypothalamic region. Involvement of the sellar region by sarcoidosis is overall an infrequent occurrence, comprising less than 1% of all intrasellar lesions. Patients typically present with an infiltrative lesion on imaging studies and clinically with symptoms related to diabetes insipidus or hyperprolactinemia. This report describes a 38-year-old woman who initially presented with a variety of symptoms including headaches, light sensitivity, nausea and vomiting, acute visual changes, cold intolerance, amenorrhea, decreased libido, fatigue and galactorrhea. She had an elevated serum prolactin level and evidence of oligoclonal bands in the cerebrospinal fluid. Imaging studies discovered a 1.8cm mass involving the pituitary gland and compressing the optic chiasm. The lesion was excised and microscopically was marked by a chronic inflammatory cell infiltrate and scattered nonnecrotizing granulomas. Stains and microbiologic cultures failed to demonstrate microorganisms. There was no evidence of other organ involvement on postoperative imaging. She was treated with prednisone with improvement of symptoms and subsequently required methotrexate to treat left eye pain and blurred vision, 29months after her surgery. Achieving treatment control in patients with pituitary and hypothalamic improvement in sarcoidosis still remains a challenge.
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