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Clinical application of transarterial chemoembolization combined with terminal branches portal vein embolization in planned hepatectomy 经动脉化疗栓塞联合门静脉末支栓塞在计划肝切除术中的临床应用
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-09 DOI: 10.53730/ijhs.v7ns1.14563
Guoqing Zhu, Wenhao Hu, Wei Xiang, Junwei Ni, Liyang Dong
This study aimed to investigate the clinical efficacy of transarterial chemoembolization (TACE) in conjunction with terminal branches portal vein embolization (TBPVE) in the context of planned hepatectomy. A cohort of five patients afflicted by primary hepatocellular carcinoma who were deemed unsuitable candidates for primary surgical resection was gathered from August 2019 to December 2021. Following the application of TACE in combination with TBPVE as a therapeutic intervention, we observed postoperative general reactions, alterations in tumor biomarkers, hyperplasia of future liver remnant (FLR), and subsequent surgical resection. All patients successfully underwent the combined TACE and TBPVE procedure, achieving a technical success rate of 100%. One week after TACE, alpha-fetoprotein (AFP) levels decreased from 38.52±49.21 to 25.27±37.94 μg/L, and Protein Induced by Vitamin K Absence or Antagonist (PIVKA) levels decreased from 1689.30±1663.83 to 219.03±228.10 μg/L. Two weeks post-TBPVE, FLR exhibited an increment from 350.80±41.17 to 476.00±57.91 mL. The ratio of FLR to standard liver volume (SLV) increased from 30.94%±3.63% to 42.03%±5.62%. The combined application of TACE and TBPVE not only effectively manages tumor progression but also augments the FLR, thereby affording patients with a limited future liver remnant an opportunity for surgical resection of hepatocellular carcinoma.
本研究旨在探讨经动脉化疗栓塞(TACE)联合门静脉末端分支栓塞(TBPVE)在计划肝切除术中的临床疗效。本研究于2019年8月至2021年12月收集了5例被认为不适合进行原发性手术切除的原发性肝细胞癌患者。在TACE联合TBPVE作为治疗干预后,我们观察了术后一般反应、肿瘤生物标志物的改变、未来肝残体增生(FLR)以及随后的手术切除。所有患者均成功接受TACE和TBPVE联合手术,技术成功率为100%。TACE治疗1周后,甲胎蛋白(AFP)水平从38.52±49.21降至25.27±37.94 μg/L,维生素K缺失或拮抗剂诱导蛋白(PIVKA)水平从1689.30±1663.83降至219.03±228.10 μg/L。术后2周FLR由350.80±41.17 mL增加至476.00±57.91 mL, FLR与标准肝体积(SLV)之比由30.94%±3.63%增加至42.03%±5.62%。TACE和TBPVE联合应用不仅可以有效控制肿瘤进展,还可以增加FLR,从而为未来肝残量有限的患者提供手术切除肝细胞癌的机会。
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引用次数: 0
Clinical application of transarterial chemoembolization combined with terminal branches portal vein embolization in planned hepatectomy 经动脉化疗栓塞联合门静脉末支栓塞在计划肝切除术中的临床应用
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-09 DOI: 10.53730/ijhs.v7n3.14563
Guoqing Zhu, Wenhao Hu, Wei Xiang, Junwei Ni, Liyang Dong
This study aimed to investigate the clinical efficacy of transarterial chemoembolization (TACE) in conjunction with terminal branches portal vein embolization (TBPVE) in the context of planned hepatectomy. A cohort of five patients afflicted by primary hepatocellular carcinoma who were deemed unsuitable candidates for primary surgical resection was gathered from August 2019 to December 2021. Following the application of TACE in combination with TBPVE as a therapeutic intervention, we observed postoperative general reactions, alterations in tumor biomarkers, hyperplasia of future liver remnant (FLR), and subsequent surgical resection. All patients successfully underwent the combined TACE and TBPVE procedure, achieving a technical success rate of 100%. One week after TACE, alpha-fetoprotein (AFP) levels decreased from 38.52±49.21 to 25.27±37.94 μg/L, and Protein Induced by Vitamin K Absence or Antagonist (PIVKA) levels decreased from 1689.30±1663.83 to 219.03±228.10 μg/L. Two weeks post-TBPVE, FLR exhibited an increment from 350.80±41.17 to 476.00±57.91 mL. The ratio of FLR to standard liver volume (SLV) increased from 30.94%±3.63% to 42.03%±5.62%. The combined application of TACE and TBPVE not only effectively manages tumor progression but also augments the FLR, thereby affording patients with a limited future liver remnant an opportunity for surgical resection of hepatocellular carcinoma.
本研究旨在探讨经动脉化疗栓塞(TACE)联合门静脉末端分支栓塞(TBPVE)在计划肝切除术中的临床疗效。本研究于2019年8月至2021年12月收集了5例被认为不适合进行原发性手术切除的原发性肝细胞癌患者。在TACE联合TBPVE作为治疗干预后,我们观察了术后一般反应、肿瘤生物标志物的改变、未来肝残体增生(FLR)以及随后的手术切除。所有患者均成功接受TACE和TBPVE联合手术,技术成功率为100%。TACE治疗1周后,甲胎蛋白(AFP)水平从38.52±49.21降至25.27±37.94 μg/L,维生素K缺失或拮抗剂诱导蛋白(PIVKA)水平从1689.30±1663.83降至219.03±228.10 μg/L。术后2周FLR由350.80±41.17 mL增加至476.00±57.91 mL, FLR与标准肝体积(SLV)之比由30.94%±3.63%增加至42.03%±5.62%。TACE和TBPVE联合应用不仅可以有效控制肿瘤进展,还可以增加FLR,从而为未来肝残量有限的患者提供手术切除肝细胞癌的机会。
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引用次数: 0
Mechanisms of ginseng in pancreatic cancer metastasis 人参在胰腺癌转移中的作用机制
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-08 DOI: 10.53730/ijhs.v7n3.14490
Shengzhang Lin, Zhaohong Wang, Xufan Cai
It has been shown that ginsenosides can inhibit proliferation, migration, and invasion of pancreatic cancer (PC) cells, and promote apoptosis of PC cells. However, the potential mechanisms of ginseng in treating PC metastasis (PCM) have not been fully elucidated. In this study, we employed an integrated bioinformatics approach of network pharmacology analysis. By selecting common targets of diseases and drugs, a drug-component-target-disease network was constructed to analyze the biological functions and signaling pathways involved in the targets. A total of 6 PC samples were includedd, which were divided into primary PC group (PANC-1, n=3) and metastatic PC group. A total of 9263 differentially expressed genes (DEGs) and 14 PC target genes were identified. According to the network pharmacology analysis, we found that ginsenoside Rg3 was associated with the treatment of PCM and identified 6 potential targets. Among them, CD44, EGFR, KRAS, and PRNP were the main DEGs related to the treatment of PC by ginsenoside Rg3. These genes were mainly enriched in the Proteoglycans in Cancer pathway, and KRAS, EGFR, and CD44 were upregulated in the pathway, which may be affected by the ginsenoside Rg3. This provides a new direction for further research on the mechanisms of ginseng in PCM.
研究表明,人参皂苷能够抑制胰腺癌细胞的增殖、迁移和侵袭,并促进胰腺癌细胞的凋亡。然而,人参治疗前列腺癌转移(PCM)的潜在机制尚未完全阐明。在这项研究中,我们采用了网络药理学分析的综合生物信息学方法。通过选择疾病和药物的共同靶点,构建药物组分-靶点-疾病网络,分析靶点的生物学功能和信号通路。共纳入6例PC,分为原发性PC组(PANC-1, n=3)和转移性PC组。共鉴定出9263个差异表达基因(DEGs)和14个PC靶基因。通过网络药理学分析,我们发现人参皂苷Rg3与PCM的治疗有关,并鉴定出6个潜在靶点。其中,CD44、EGFR、KRAS和PRNP是人参皂苷Rg3治疗PC的主要相关基因。这些基因主要富集于Cancer通路的蛋白聚糖中,KRAS、EGFR、CD44在该通路中表达上调,可能受人参皂苷Rg3的影响。这为人参在中药中的作用机制的进一步研究提供了新的方向。
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引用次数: 0
Mechanisms of ginseng in pancreatic cancer metastasis 人参在胰腺癌转移中的作用机制
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-08 DOI: 10.53730/ijhs.v7ns1.14490
Zhaohong Wang, Xufan Cai, Shengzhang Lin
It has been shown that ginsenosides can inhibit proliferation, migration, and invasion of pancreatic cancer (PC) cells, and promote apoptosis of PC cells. However, the potential mechanisms of ginseng in treating PC metastasis (PCM) have not been fully elucidated. In this study, we employed an integrated bioinformatics approach of network pharmacology analysis. By selecting common targets of diseases and drugs, a drug-component-target-disease network was constructed to analyze the biological functions and signaling pathways involved in the targets. A total of 6 PC samples were includedd, which were divided into primary PC group (PANC-1, n=3) and metastatic PC group. A total of 9263 differentially expressed genes (DEGs) and 14 PC target genes were identified. According to the network pharmacology analysis, we found that ginsenoside Rg3 was associated with the treatment of PCM and identified 6 potential targets. Among them, CD44, EGFR, KRAS, and PRNP were the main DEGs related to the treatment of PC by ginsenoside Rg3. These genes were mainly enriched in the Proteoglycans in Cancer pathway, and KRAS, EGFR, and CD44 were upregulated in the pathway, which may be affected by the ginsenoside Rg3. This provides a new direction for further research on the mechanisms of ginseng in PCM.
研究表明,人参皂苷能够抑制胰腺癌细胞的增殖、迁移和侵袭,并促进胰腺癌细胞的凋亡。然而,人参治疗前列腺癌转移(PCM)的潜在机制尚未完全阐明。在这项研究中,我们采用了网络药理学分析的综合生物信息学方法。通过选择疾病和药物的共同靶点,构建药物组分-靶点-疾病网络,分析靶点的生物学功能和信号通路。共纳入6例PC,分为原发性PC组(PANC-1, n=3)和转移性PC组。共鉴定出9263个差异表达基因(DEGs)和14个PC靶基因。通过网络药理学分析,我们发现人参皂苷Rg3与PCM的治疗有关,并鉴定出6个潜在靶点。其中,CD44、EGFR、KRAS和PRNP是人参皂苷Rg3治疗PC的主要相关基因。这些基因主要富集于Cancer通路的蛋白聚糖中,KRAS、EGFR、CD44在该通路中表达上调,可能受人参皂苷Rg3的影响。这为人参在中药中的作用机制的进一步研究提供了新的方向。
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引用次数: 0
Foley catheter for induction of labor after cesarean section 剖宫产后引产的Foley导尿管
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-04 DOI: 10.53730/ijhs.v7ns1.14588
Loai. N. Said, Elham A. Al Atrash
Induction of labor may be necessary in around twenty-five to thirty percent of a woman's subsequent pregnancies when she has already given birth through cesarean section. During our research, the objective had been to ascertain the rate of spontaneous vaginal birth, rate of cesarean section, and rate of complications that followed the induction of labor with transcervical foley catheter in females who had previously had 1 cesarean section. This retrospective cohort trial was performed in the largest city in Palestine at a tertiary teaching hospital. In subsequent pregnancy, pregnant cases with a history of a prior CS delivery (n = 306) underwent labor induction at term with a Foley catheter. Women who underwent labor induction with transcervical foley catheter at Al-Ahli Hospital in Hebron, Palestine. From April 2017 until March 2020. Our research revealed that 46.7 percent of women had spontaneous vaginal births, 14.4 percent had assisted vaginal births, and one woman experienced uterine rupture. The frequency of postpartum hemorrhage is 30 percent, the most prevalent complication. 10 percent and 5 percent of mothers experienced intrapartum and postpartum infections, correspondingly. 5% of newborns had a confirmed infection, and there was one perinatal fatality related to uterine rupture.
当妇女已经通过剖宫产分娩时,在大约25%到30%的妇女随后的怀孕中可能需要引产。在我们的研究中,目的是确定阴道自然分娩率、剖宫产率和经宫颈叶导管引产后的并发症发生率。这项回顾性队列试验在巴勒斯坦最大城市的一家三级教学医院进行。在随后的妊娠中,既往有CS分娩史的孕妇(n = 306)在足月采用Foley导尿管引产。在巴勒斯坦希布伦的Al-Ahli医院接受经宫颈叶导尿管引产的妇女。从2017年4月到2020年3月。我们的研究显示,46.7%的女性是自然阴道分娩,14.4%的女性是辅助阴道分娩,还有一名女性子宫破裂。产后出血的发生率为30%,是最常见的并发症。相应地,10%和5%的母亲经历过产时和产后感染。5%的新生儿确诊感染,1例围产期死亡与子宫破裂有关。
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引用次数: 0
Maternal Factors Associated with Low Birth Weight Among Neonates Born at Thika Level 5 Hospital in Kiambu County, Kenya 在肯尼亚Kiambu县Thika 5级医院出生的新生儿中,与低出生体重相关的产妇因素
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-03 DOI: 10.47941/ijhs.1464
Joyce Osebe Kenyanya, Gideon Kikuvi, Peter Wanzala, Josephat Nyagero
Purpose: To determine maternal factors associated with low birth weight among neonates born at Thika Level Five Hospital in Kiambu County, Kenya. Methodology: Cross sectional convergent design was employed. The target group composed of mothers who delivered in the hospital during the study period (July-August, 2019). Census method was used to recruit participants for a quantitative study. Purposive sampling was used to select participants for FGDs and KIIs. Sample size was determined using the Cochran formula. Desired sample size was 210 mothers which was adjusted to 215 participants. Independent variables included: socio-demographic, socio-economic, socio-cultural, behavioral, and health of the mothers. Dependent variable was LBW which was classified further into LBW, very LBW, extremely LBW. (UNICEF, 2010). Quantitative and qualitative data were analyzed using Stata statistical version 14, logistic regression and NVivo version 14 respectively, Findings: ≥35 years of mothers OR=13.67, p=0.018, CL [1.55-120.12] and the second born children OR=2.98; p=0.025; CL [1.15-7.73] were associated with the overall LBW. Secondary level education OR=0.35; p=0.03; CL [0.14-0.91] was a protection against LBW. Meru OR=17.429, p=0.016, CI [1.7162-176.991] and other tribes OR=10.479, p=0.048, CI [1.025-107.124] were associated with low birth weight. Hypertension OR=3.59; p=0.038; CL [0.14-0.91] and malaria (OR=51.250, p=0.005, CL [3.185-822.132]) were associated with very LBW. ANC-attendance (OR=0.068, p=0.37, CL [0.0055-0.845]) was a protection against extremely LBW OR= 0.07; p=0,037; CL [0.01-0.85]. Unique Contribution to Theory, Policy and Practice: ≥35 years of mothers are risk factors for low birth weight. Second child is at risk of being low birth weight. Neonates of Meru origin and other minority ethnic groups in Thika are at risk of being LBW. Secondary level education is a protection against low birth weight. Hypertension and malaria are risk factors for very low birth weight. ANC-attendance is a protection against extremely low birth weight. The County Government of Kiambu should develop suitable strategies of strengthening maternal and child services at level one.
目的:确定与肯尼亚Kiambu县Thika五级医院出生的新生儿低出生体重相关的孕产妇因素。 方法:采用截面趋同设计。目标群体为研究期间(2019年7月- 8月)在医院分娩的母亲。采用人口普查法招募参与者进行定量研究。目的抽样用于选择fgd和kii的参与者。使用科克伦公式确定样本量。期望样本量为210名母亲,调整为215名参与者。独立变量包括:社会人口、社会经济、社会文化、行为和母亲的健康。因变量为LBW,进一步分为LBW、very LBW、extremely LBW。(联合国儿童基金会,2010年)。定量和定性数据分别采用Stata statistical version 14、logistic regression和NVivo version 14进行分析, 结果:≥35岁母亲OR=13.67, p=0.018, CL[1.55 ~ 120.12],二胎OR=2.98;p = 0.025;CL[1.15-7.73]与总体LBW相关。中等教育水平OR=0.35;p = 0.03;CL[0.14-0.91]对LBW有保护作用。Meru组OR=17.429, p=0.016, CI[1.7162 ~ 176.991],其他组OR=10.479, p=0.048, CI[1.025 ~ 107.124]与低出生体重相关。高血压或= 3.59;p = 0.038;CL[0.14-0.91]和疟疾(OR=51.250, p=0.005, CL[3.185-822.132])与非常低体重相关。anc -考勤(OR=0.068, p=0.37, CL[0.0055-0.845])对极度LBW有保护作用OR= 0.07;p = 0037;CL [0.01 - -0.85] # x0D公司;对理论、政策和实践的独特贡献:≥35岁的母亲是低出生体重的危险因素。第二个孩子有低出生体重的风险。在锡卡,梅鲁族和其他少数民族的新生儿有低体重的危险。中等教育是防止出生体重过低的一种保护。高血压和疟疾是极低出生体重的危险因素。参加anc是对出生体重极低的一种保护。基安布县政府应制定适当的战略,加强一级妇幼服务。
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 Methodology: Cross sectional convergent design was employed. The target group composed of mothers who delivered in the hospital during the study period (July-August, 2019). Census method was used to recruit participants for a quantitative study. Purposive sampling was used to select participants for FGDs and KIIs. Sample size was determined using the Cochran formula. Desired sample size was 210 mothers which was adjusted to 215 participants. Independent variables included: socio-demographic, socio-economic, socio-cultural, behavioral, and health of the mothers. Dependent variable was LBW which was classified further into LBW, very LBW, extremely LBW. (UNICEF, 2010). Quantitative and qualitative data were analyzed using Stata statistical version 14, logistic regression and NVivo version 14 respectively,
 Findings: ≥35 years of mothers OR=13.67, p=0.018, CL [1.55-120.12] and the second born children OR=2.98; p=0.025; CL [1.15-7.73] were associated with the overall LBW. Secondary level education OR=0.35; p=0.03; CL [0.14-0.91] was a protection against LBW. Meru OR=17.429, p=0.016, CI [1.7162-176.991] and other tribes OR=10.479, p=0.048, CI [1.025-107.124] were associated with low birth weight. Hypertension OR=3.59; p=0.038; CL [0.14-0.91] and malaria (OR=51.250, p=0.005, CL [3.185-822.132]) were associated with very LBW. ANC-attendance (OR=0.068, p=0.37, CL [0.0055-0.845]) was a protection against extremely LBW OR= 0.07; p=0,037; CL [0.01-0.85].
 Unique Contribution to Theory, Policy and Practice: ≥35 years of mothers are risk factors for low birth weight. Second child is at risk of being low birth weight. Neonates of Meru origin and other minority ethnic groups in Thika are at risk of being LBW. Secondary level education is a protection against low birth weight. Hypertension and malaria are risk factors for very low birth weight. ANC-attendance is a protection against extremely low birth weight. The County Government of Kiambu should develop suitable strategies of strengthening maternal and child services at level one.","PeriodicalId":47093,"journal":{"name":"International Journal of Health Sciences-IJHS","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135695902","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
importance of sports medicine in modern sports among Algerian teams 运动医学在阿尔及利亚现代体育运动中的重要性
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.53730/ijhs.v7ns1.14583
Ghidi Abdelkader
Sports medicine is the science that studies the most important injuries that athletes may be exposed to During discussions or training. It also shows how these injuries can be prevented. In this study, the researcher has revealed the importance of this science in the mathematical sciences field, and revealed the importance of studying this science, then to benefit from the previous experiences of doctors in this significant specialty. Also, integrating it into the modern training methodology. The researcher followed the descriptive approach. The results were clear about the importance and role of sports medicine in the field of sports.
运动医学是一门研究运动员在讨论或训练中可能受到的最重要伤害的科学。它还显示了如何预防这些伤害。在这项研究中,研究者揭示了这门科学在数学科学领域的重要性,揭示了研究这门科学的重要性,然后从这个重要专业的医生以前的经验中受益。同时,将其整合到现代培训方法中。研究者采用了描述性的方法。研究结果明确了运动医学在运动领域的重要性和作用。
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引用次数: 0
efficacy of low energy fractional carbon dioxide laser therapy in management of post-surgical hypertrophic scars 低能量分数二氧化碳激光治疗术后增生性瘢痕的疗效观察
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.53730/ijhs.v7ns1.14579
Yamen Almeghawesh
Background: aberrant & accelerated wound-healing process that results in hypertrophic scarring causes extracellular matrix & collagen to deposit abnormally in the dermis. After tissue damage occurs, a defensive reaction called tissue repair occurs. Aim; in this review; we aimed to present the effectiveness of low-energy fractional carbon dioxide laser therapy in treating hypertrophic scars following surgery. Summary: A safe & effective approach for treating hypertrophic burn scars is fractional ablative CO2 laser therapy. Even though more treatment sessions have been necessary for satisfying outcomes, a big improvement can be seen after just one round of therapy. Combination therapy with other modalities can decrease the need for repetition of therapy as efficacy increases. Though, in some studies, combination therapy may shorten the duration of studied case downtime & in others, combination therapy may increase side effects. essential for laser energy setting needs to be adjusted for each hypertrophic scar condition. larger research population & longer follow-up period are recommended.
背景:异常&加速的伤口愈合过程导致增生性瘢痕形成细胞外基质;胶原蛋白在真皮层异常沉积。组织损伤发生后,会发生一种叫做组织修复的防御反应。目的;在这篇综述中;我们的目的是展示低能量分数二氧化碳激光治疗手术后增生性疤痕的有效性。总结:一个安全& &;分步烧蚀CO2激光治疗是治疗增生性烧伤疤痕的有效方法。尽管需要更多的疗程才能达到满意的效果,但在一轮治疗后就可以看到很大的改善。随着疗效的提高,与其他方式的联合治疗可以减少重复治疗的需要。然而,在一些研究中,联合治疗可能会缩短研究病例的停机时间。在其他情况下,联合治疗可能会增加副作用。必要的激光能量设置需要调整每个增生性疤痕条件。更大的研究人群&建议延长随访时间。
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引用次数: 0
Combined superior and inferior dermoglandular flaps for projection enhancement in giantic breast amputation and free nipple areola graft 上下皮腺瓣联合应用于巨乳切除及游离乳头乳晕移植的投影增强
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-29 DOI: 10.53730/ijhs.v7ns1.14577
Yamen Almeghawesh
Giantomastia has been a pathological condition in which excised breast tissue weighs more than1.5 kg per breast or when breast weight surpasses three percent of body weight. epidermis & Cooper's ligaments, which support breast tissue, expand as a result of breasts becoming heavier & larger, which causes breast ptosis. Numerous methods for correcting gigantomastia have been discovered. amputation for decreased studied cases who complain of gigantomastia & severe ptosis (space among nipple & inframammary fold exceeds twenty-five cm) are only eligible for mammaplasty with free nipple-areola grafting. purpose of that surgery is to achieve breast shape size that is acceptable while also relieving pain & suffering brought on by excessive breast tissue hypertrophy. flat, boxy breasts with poor projection is the main drawback of that treatment. Several flaps, including superior, inferior, medial, superomedial,& lateral-based flaps combined with wise-pattern skin excision, are employed to address this drawback.
巨乳症是一种病理状况,切除的乳房组织重量超过每个乳房1.5公斤或乳房重量超过体重的3%。表皮,支撑乳房组织的库伯氏韧带会随着乳房变重而扩张。较大,导致乳房下垂。已经发现了许多矫正巨乳症的方法。巨乳症患者的截肢治疗重度上睑下垂(乳头间隙);乳下褶皱超过25厘米的女性只能接受免费乳头乳晕移植的乳房成形术。该手术的目的是使乳房形状达到可接受的大小,同时减轻疼痛。乳房组织过度肥大带来的痛苦。这种治疗的主要缺点是乳房扁平、四方形,突出性差。几个皮瓣,包括上,下,内侧,上内侧,&侧基皮瓣结合明智模式的皮肤切除,被用来解决这个缺点。
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引用次数: 0
relationship between occlusion and posture 咬合与姿势的关系
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-28 DOI: 10.53730/ijhs.v7ns1.14575
Mahmoud Mohamed Kamaleldin Mohamed Omar, Curtis Westersund, Fabio Savastano, Julio Suay Anton
The stomatognathic system includes the relationship between teeth, masticatory muscles and temporomandibular joints with its relation with body and head posture. Aim of the study: This Systematic review is to research the relationship between occlusion and body posture. Materials and methods-Study design: This is a literature systematic review which is done after collecting more than 10 previous papers. Inclusion criteria: Papers explaining dental occlusion in details and its correlation with body and head posture. Exclusion criteria: Papers about occlusion focusing on occlusal splints and lab work. Conclusion: There is a strong relation between dental occlusion class, head, and body posture through PDL and the trigeminal nerve in the brain. Accordingly, the occlusion affects the posture and, more importantly, the position of the condyle in the temporal fossa. It was always believed that condyle position comes first then the occlusion, but it is the other way around.
口颌系统包括牙齿、咀嚼肌和颞下颌关节之间的关系,以及与身体和头部姿势的关系。研究目的:本系统综述旨在研究咬合与身体姿势的关系。材料与方法——研究设计:本研究是在收集前人10余篇论文后进行的文献系统综述。纳入标准:详细解释牙合及其与身体和头部姿势的关系的论文。排除标准:以咬合夹板和实验室工作为重点的咬合论文。结论:牙合类型、头部、体位与PDL及脑内三叉神经有密切关系。因此,闭塞影响姿势,更重要的是,影响髁在颞窝的位置。人们一直认为髁突位置优先于咬合,但事实恰恰相反。
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引用次数: 0
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International Journal of Health Sciences-IJHS
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