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Impact of watch and wait procedure after endoscopic detorsion for sigmoid volvulus in high risk dementia patients 高危痴呆患者乙状结肠扭转内窥镜扭转后观察等待程序的影响
Pub Date : 1900-01-01 DOI: 10.5114/AMSCD.2021.105392
Onur Ag, Yusuf Bozcan, M. Dinçer
Introduction: Volvulus is defined as an acute bowel dilatation, which must be treated after the diagnosis in a short time, which otherwise can cause necrosis and perforation of the bowel. Chronic constipation and neurological diseases are the most common causes in some countries. In this study, patients with sigmoid volvulus who were treated and followed up were ex-amined, the association of it with neurological diseases was investigated, and the demographic characteristics of the patients, treatment approaches, and results were presented. Material and methods: Patients who underwent colonic volvulus with dementia between January 2010 and August 2020 were retrospectively re-viewed. The demographic characteristics and histopathological diagnosis of the patients were recorded. Differences in treatment modalities and results of patients with volvulus were statistically analyzed. Results: Seventy-eight patients who had sigmoid volvulus and dementia were included the study. The median age was 82.0 years and males repre-sented 71.8% of the patients. All the patients had abdominal pain, while the other common symptoms were vomiting, abdominal distension and constipation. The complication rate was statistically significantly higher in surgical treatment than endoscopic procedures and spontaneously detorsioned ( p = 0.011). The median length of stay was statistically significantly different in the surgery group, endoscopic procedure group and spontaneously detorsioned group ( p < 0.001). Conclusions: The prevalence of volvulus is high in individuals with neurological disease. Successful results were obtained with non-surgical follow-up after endoscopic detorsion in the selected patient group in the results of this study, and mortality and morbidity were at lower rates than surgery.
简介:肠扭转是一种急性肠扩张,诊断后必须在短时间内进行治疗,否则会引起肠坏死和穿孔。在一些国家,慢性便秘和神经系统疾病是最常见的原因。本研究对接受治疗和随访的乙状结肠扭转患者进行分析,探讨其与神经系统疾病的关系,并介绍患者的人口学特征、治疗方法和结果。材料和方法:对2010年1月至2020年8月期间结肠扭转合并痴呆患者进行回顾性分析。记录患者的人口学特征和组织病理学诊断。对扭转患者的治疗方式及结果进行统计学分析。结果:78例乙状结肠扭转合并痴呆患者纳入本研究。中位年龄为82.0岁,男性占71.8%。所有患者均有腹痛,其他常见症状为呕吐、腹胀和便秘。手术治疗的并发症发生率明显高于内窥镜治疗和自发性扭转(p = 0.011)。手术组、内镜手术组和自发扭转组的中位住院时间差异有统计学意义(p < 0.001)。结论:神经系统疾病患者肠扭转发生率较高。本研究结果所选患者组内镜下扭转术后非手术随访均取得成功,死亡率和发病率均低于手术。
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引用次数: 0
Serum albumin level as a predictor of contrast-induced acute kidney injury following coronary angiography 血清白蛋白水平作为冠脉造影后造影剂诱导的急性肾损伤的预测因子
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2020.95224
Jayakumar Sreenivasan, M. Khan, Qiyu Wang, S. Ranka, T. Akhtar, Jishanth Mattumpuram, R. Agrawal, M. Zhuo, W. Aronow, Neha Yadav
Introduction: The association between serum albumin level and the risk of contrast-induced acute kidney injury (CI-AKI) after coronary angiography has not been well established. Material and methods: A retrospective chart review was performed for all patients who underwent coronary angiography with or without percutaneous coronary intervention (PCI) at a tertiary care medical center over a peri-od of 5 years. CI-AKI was defined as an absolute increase in creatinine of 0.3 mg/dl from baseline within 48 h of contrast exposure. Mean pre-procedural albumin level was compared between patients who developed CI-AKI and those who did not. The optimal cut-off point was obtained from the receiver operating characteristic (ROC) curve and univariate multiple logistic regression analysis was used to assess the associated risk of CI-AKI. Results: Among 1319 patients (females = 32.3%, mean age: 58.2 ± 13.6 years) included in the study, 201 (15.2%) developed CI-AKI. Baseline serum albumin (3.5 vs. 3.8 gm/dl, p < 0.001) was significantly lower in patients who developed CI-AKI. ROC curve analysis revealed an optimal cutoff value for serum albumin of 3.85 gm/dl to predict CI-AKI with 67.2% sensitivity and 52.2% specificity (area under the curve (AUC) = 0.62, p < 0.001). Serum albumin < 3.85 gm/dl is significantly associated with higher risk of developing CI-AKI (adjusted odds ratio (AOR) = 1.5, 95% CI: 1.1–2.1, p = 0.02). Conclusions: Serum albumin < 3.85 gm/dl is an independent predictor of CI-AKI in patients undergoing coronary angiography.
简介:血清白蛋白水平与冠状动脉造影后造影剂诱导的急性肾损伤(CI-AKI)风险之间的关系尚未得到很好的证实。材料和方法:对所有在三级医疗中心接受冠状动脉造影(有或没有经皮冠状动脉介入治疗(PCI))的患者进行回顾性图表回顾,时间跨度为5年。CI-AKI被定义为在造影剂暴露48小时内肌酐比基线绝对增加0.3 mg/dl。比较发生CI-AKI患者和未发生CI-AKI患者的平均术前白蛋白水平。从受试者工作特征(ROC)曲线中获得最佳截断点,采用单因素多元logistic回归分析评估CI-AKI相关风险。结果:纳入研究的1319例患者(女性= 32.3%,平均年龄:58.2±13.6岁)中,201例(15.2%)发生CI-AKI。CI-AKI患者的基线血清白蛋白(3.5 vs 3.8 gm/dl, p < 0.001)显著降低。ROC曲线分析显示,血清白蛋白3.85 gm/dl预测CI-AKI的最佳临界值为67.2%的敏感性和52.2%的特异性(曲线下面积(AUC) = 0.62, p < 0.001)。血清白蛋白< 3.85 gm/dl与发生CI- aki的高风险显著相关(校正优势比(AOR) = 1.5, 95% CI: 1.1-2.1, p = 0.02)。结论:血清白蛋白< 3.85 gm/dl是冠状动脉造影患者CI-AKI的独立预测因子。
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引用次数: 0
Borelis Pro phytomedicine for the complex treatment of Lyme borreliosis in children Borelis原植物药对儿童莱姆病的综合治疗
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2022.119966
S. Nykytyuk, S. Marchyshyn, S. Klymnyuk, M. Shkilna, S. Levenets
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引用次数: 1
COVID-19 implications at the Clinical University Center in Kosovo – Department of Pediatrics 科索沃临床大学中心-儿科对COVID-19的影响
Pub Date : 1900-01-01 DOI: 10.5114/AMSCD.2021.107844
L. Spahiu, Egzona Berisha, R. Hadziselimovic, H. Nefic, G. Temaj
of the age group of 6–12 years, and 10 patients of the age group of 12–18 years. Conclusions: Data suggest that pediatric cases of COVID-19 in adolescents have more severe symptoms than in the other age groups; however, in general children tend to cope much more easily with the virus than adults.
6-12岁年龄组,12-18岁年龄组10例。结论:数据显示,青少年儿童COVID-19病例症状较其他年龄组更为严重;然而,一般来说,儿童比成年人更容易对付这种病毒。
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引用次数: 0
Newer congeners of doxycycline – do they hold promise for periodontal therapy? 强力霉素的新同系物——它们有希望用于牙周治疗吗?
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2022.119600
P. Natarajan, V. Rekha, Anita Murali, Bhuminathan Swamikannu
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引用次数: 0
Is there any superiority of the different abdominal closure techniques for primary closure in high-risk patients? 不同的腹部缝合技术对高危患者的初次缝合是否有优势?
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2019.84522
M. Dinçer, E. Aygen
Introduction: Incisional hernia continues to be one of the major problems of surgery due to its high incidence rate and high morbidity. The aims of this study are to compare different repair techniques with primary repair techniques for the risk of incisional hernia. Material and methods: High-risk patients who had a midline incision of the abdomen were included in this study. Patients were divided into four groups. Each group contained 20 patients. Patients of group 1 were operated on using primary repair. In group 2 Cardiff repair technique was used. The patients in group 3 were repaired with Keel technique. The patients of group 4 were repaired with onlay technique. Patients were followed up with physical examination at 3-month periods in the first year after surgery and 6-month periods in the following two years. Incisional hernia, occurrence time and other complications were noted. Results: Eighty patients who had high risk of incisional hernia were included in this study. 47.5% of them were female and 52.5% of them were male. The average age of patients was 59.2 ±12.95. Average hospitalization time was 8.5 days (4–28 days). Average follow-up was 18 months (6–34 months). In total 4 (5%) patients had recurrence. Fifteen percent of patients in group 1 had recurrence and 5% of patients in group 2 had recurrence. There was no recurrence in other groups. There was no significant difference for incisional hernia and the other complications between groups (p = 0.368). Conclusions: There was no significant difference between the techniques in terms of the development of incisional hernias or complications.
切口疝因其高发病率和高致残率一直是外科手术的主要问题之一。本研究的目的是比较不同的修复技术与初级修复技术对切口疝的风险。材料和方法:本研究纳入腹部中线切口的高危患者。患者分为四组。每组20例。第一组患者行一期修复手术。第二组采用Cardiff修复技术。第三组采用龙骨法修复。第4组采用嵌片法修复。术后第一年每3个月随访一次,术后两年每6个月随访一次。记录切口疝、发生时间及其他并发症。结果:本研究纳入了80例切口疝高危患者。其中女性占47.5%,男性占52.5%。患者平均年龄59.2±12.95岁。平均住院时间8.5天(4 ~ 28天)。平均随访18个月(6 ~ 34个月)。4例(5%)患者出现复发。第1组有15%的患者复发,第2组有5%的患者复发。其他组无复发。两组间切口疝及其他并发症发生率差异无统计学意义(p = 0.368)。结论:两种术式在切口疝的发生及并发症方面无显著差异。
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引用次数: 0
A comparison of partial repair with arthroscopic margin convergence suture and open superior capsular reconstruction in patients with massive rotator cuff tear 关节镜下边缘会聚缝合与开放上囊重建术部分修复肩袖撕裂的比较
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2023.125845
A. Gulcu, R. Dinçer
Introduction: Massive rotator cuff tears (MRCTs) remain a controversial problem for clinicians. There are several recommendations in the literature, from various surgical techniques to the effectiveness of conservative treat-ment. In this study, we aimed to compare clinical outcomes and functional results of open superior capsular reconstruction for massive rotator cuff tear and arthroscopic partial rotator cuff repair with margin convergence. Material and methods: This study included 40 patients with massive rotator cuff tears that could not be treated with arthroscopic partial repair with margin convergence or open superior capsular reconstruction. The patients were divided into 2 groups according to the treatment method. Patient assignments for each group were not randomized. Group 1 consisted of 20 patients who underwent open superior capsular reconstruction
大量肩袖撕裂(mrct)仍然是临床医生有争议的问题。文献中有一些建议,从各种手术技术到保守治疗的有效性。在这项研究中,我们的目的是比较开放式上囊重建术治疗大量肩袖撕裂和关节镜下边缘会聚部分肩袖修复的临床结果和功能结果。材料和方法:本研究纳入了40例大量肩袖撕裂的患者,这些患者无法通过关节镜下缘会聚部分修复或开放上囊重建治疗。根据治疗方法将患者分为两组。每组患者的分配不是随机的。第一组20例患者行开放性上囊重建术
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引用次数: 0
One-stage basilic vein tunneled transposition for hemodialysis access 一期基底静脉隧道转位用于血液透析通路
Pub Date : 1900-01-01 DOI: 10.5114/AMSCD.2020.100838
L. Sułkowski, C. Osuch, Maciej Matyja, A. Matyja
The autogenous arteriovenous fistula (AVF) is an access of choice for chronically hemodialyzed patients [1–4], preferred over central venous catheter placement [5]. The AVF’s access vein on the upper extremity can be either the cephalic or basilic vein (BV). The forearm AVF is the first choice. In the case of inadequate, narrow or thrombosed forearm veins, the arm veins can be used to create an AVF. When the favorably located cephalic vein is narrow or thrombosed, the BV remains an alternative [6]. The deep location of BV in the arm makes this vein unsuitable for puncture without superficialization [1, 2, 7]. There are several techniques enabling the use of the deeply located BV, including lipectomy, BV elevation and BV tunnel transposition (BVTT) [1, 2, 7, 8]. Therefore, BV AVF remains an access option for difficult cases, along with central venous catheter placement or prosthetic graft AVF [2]. BVTT is technically more complex than catheter placement or prosthetic graft AVF [5, 9], but has all the advantages of autogenous AVF and forms a long and superficial vein segment suitable for cannulation [7].
自体动静脉瘘(AVF)是慢性血液透析患者的首选途径[1-4],优于中心静脉置管[5]。上肢AVF的通路静脉可以是头静脉,也可以是基底静脉。前臂AVF是首选。在前臂静脉不充分、狭窄或血栓形成的情况下,可以使用手臂静脉来制造AVF。当有利位置的头静脉狭窄或血栓形成时,BV仍然是一种选择[6]。由于BV在手臂的位置较深,因此该静脉不适合穿刺而不进行浅表化[1,2,7]。有几种技术可以使用深度定位的BV,包括脂肪切除术,BV提升和BV隧道转位(BVTT)[1,2,7,8]。因此,对于困难病例,与中心静脉置管或假体移植AVF一起,BV AVF仍然是一种选择[2]。BVTT在技术上比导管置入或假体移植物AVF更为复杂[5,9],但具有自体AVF的所有优点,并形成适合插管的长而浅的静脉段[7]。
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引用次数: 0
CRP single nucleotide polymorphism (rs1800947) and nutritional status in hemodialysis patients CRP单核苷酸多态性(rs1800947)与血液透析患者营养状况的关系
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2020.95227
A. Popow, Anna Wasińska-Krawczyk, B. Interewicz, W. Olszewski, J. Manitius, A. Rydzewska-Rosołowska, A. Rydzewski
Introduction: C-reactive protein (CRP) is an acute phase protein and was shown to be a predictor for all-cause and cardiovascular death in end stage renal disease patients. C-reactive protein is a member of the pentraxin fam-ily and plays a key role in the innate immune response. Several single nucleotide polymorphisms (SNP) associated with plasma CRP levels have been identified. This study aimed to evaluate the frequency of the rs1800947 polymorphism in the human CRP gene in maintenance hemodialysis (HD) patients, and to determine whether it is related to nutritional status. Material and methods: We investigated 99 patients maintained on chronic hemodialysis (HD). 109 apparently healthy volunteers served as a control group. HD subjects were followed for 12 months. Anthropometric measurements were performed, the malnutrition-inflammation scale (MIS) score was determined, and blood samples were obtained within 1 month of enroll-ment and at 3 and 12 months of follow-up. rs1800947 SNP in the CRP gene was genotyped using restriction fragment length polymorphism-polymerase chain reaction. Results: There were no significant differences in the investigated genotype frequencies between HD patients and controls. Moreover, there was no influence of genotype on anthropometric and laboratory indices of nutritional status and MIS score. Conclusions: The results of this study indicate that the rs1800947 single nucleotide polymorphism in the CRP gene does not seem to correlate with nutritional status in hemodialysis patients.
c反应蛋白(CRP)是一种急性期蛋白,被证明是终末期肾病患者全因死亡和心血管死亡的预测因子。c反应蛋白是戊烷素家族的一员,在先天免疫应答中起关键作用。几种与血浆CRP水平相关的单核苷酸多态性(SNP)已被确定。本研究旨在评估维持性血液透析(HD)患者CRP基因rs1800947多态性的频率,并确定其是否与营养状况有关。材料与方法:对99例慢性血液透析患者进行调查。109名表面健康的志愿者作为对照组。HD患者随访12个月。进行人体测量,确定营养不良-炎症量表(MIS)评分,并在入组1个月及随访3个月和12个月时采集血液样本。采用限制性内切片段长度多态性-聚合酶链反应对CRP基因rs1800947 SNP进行基因分型。结果:研究的基因型频率在HD患者和对照组之间无显著差异。此外,基因型对营养状况和MIS评分的人体测量和实验室指标没有影响。结论:本研究结果表明,CRP基因rs1800947单核苷酸多态性似乎与血液透析患者的营养状况无关。
{"title":"CRP single nucleotide polymorphism (rs1800947) and nutritional status in hemodialysis patients","authors":"A. Popow, Anna Wasińska-Krawczyk, B. Interewicz, W. Olszewski, J. Manitius, A. Rydzewska-Rosołowska, A. Rydzewski","doi":"10.5114/amscd.2020.95227","DOIUrl":"https://doi.org/10.5114/amscd.2020.95227","url":null,"abstract":"Introduction: C-reactive protein (CRP) is an acute phase protein and was shown to be a predictor for all-cause and cardiovascular death in end stage renal disease patients. C-reactive protein is a member of the pentraxin fam-ily and plays a key role in the innate immune response. Several single nucleotide polymorphisms (SNP) associated with plasma CRP levels have been identified. This study aimed to evaluate the frequency of the rs1800947 polymorphism in the human CRP gene in maintenance hemodialysis (HD) patients, and to determine whether it is related to nutritional status. Material and methods: We investigated 99 patients maintained on chronic hemodialysis (HD). 109 apparently healthy volunteers served as a control group. HD subjects were followed for 12 months. Anthropometric measurements were performed, the malnutrition-inflammation scale (MIS) score was determined, and blood samples were obtained within 1 month of enroll-ment and at 3 and 12 months of follow-up. rs1800947 SNP in the CRP gene was genotyped using restriction fragment length polymorphism-polymerase chain reaction. Results: There were no significant differences in the investigated genotype frequencies between HD patients and controls. Moreover, there was no influence of genotype on anthropometric and laboratory indices of nutritional status and MIS score. Conclusions: The results of this study indicate that the rs1800947 single nucleotide polymorphism in the CRP gene does not seem to correlate with nutritional status in hemodialysis patients.","PeriodicalId":169652,"journal":{"name":"Archives of Medical Science - Civilization Diseases","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116360901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The believer is not stung from the same place twice: the monkeypox outbreak 信徒不会被同一个地方蛰两次:猴痘的爆发
Pub Date : 1900-01-01 DOI: 10.5114/amscd.2023.124522
K. Saad, A. Elgenidy
{"title":"The believer is not stung from the same place twice: the monkeypox outbreak","authors":"K. Saad, A. Elgenidy","doi":"10.5114/amscd.2023.124522","DOIUrl":"https://doi.org/10.5114/amscd.2023.124522","url":null,"abstract":"","PeriodicalId":169652,"journal":{"name":"Archives of Medical Science - Civilization Diseases","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132758332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Archives of Medical Science - Civilization Diseases
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