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Effect of COVID-19 Pandemic on the Quality of Surgical Training 新冠肺炎疫情对外科培训质量的影响
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2021.31602
Saboor Z, A. S, S. N, Ali H
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引用次数: 0
Two Cases of Intraabdominal and Anterior Abdominal Wall Abscesses from Fish Bone Bowel Perforations 鱼骨肠穿孔致腹壁内、腹壁前脓肿2例
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.51501
Afolabi Os, Alghamdi Sh, Alzharani Sms, G. N.
Fish bone bowel perforation has been shown as a major cause of presentation in the emergency room, even though most dietary foreign bodies are passed unnoticed. This a case report of a couple of patients who presented at the emergency room with acute abdominal pain. Both patients had no memory of recently swallowing any fish bone. Case 1 showed moderate right upper quadrant tenderness and hepatomegaly, while case 2 had paraumbilical tenderness and guarding. On CT imaging both patients demonstrated intraabdominal abscesses: in the liver for case 1, and intraperitoneal and anterior abdominal wall for case 2. Linear hyperdense structure of calcific density (HU 93-151) was seen in each intraabdominal abscess collection, and an abutting adjacent bowel loop. These imaging findings were confirmed during surgical intervention: laparoscopic hepatic abscess drainage and laparotomy/anterior abdominal wall repair respectively for case 1 and case 2.
鱼骨肠穿孔已被证明是急诊室出现的主要原因,尽管大多数饮食异物都被忽视了。这是一个病例报告的夫妇谁提出了在急诊室急性腹痛的病人。两名患者都没有近期吞食鱼刺的记忆。病例1表现为右上腹中度压痛及肝肿大,病例2表现为脐旁压痛及守住。在CT成像上,两名患者均表现为腹内脓肿:病例1为肝脏脓肿,病例2为腹膜和前腹壁脓肿。在每个腹腔脓肿和邻近的肠袢中可见钙化密度线性高密度结构(HU 93-151)。这些影像学表现在手术干预中得到证实:病例1和病例2分别为腹腔镜下肝脓肿引流和剖腹/前腹壁修复。
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引用次数: 0
Recent Advance of Neuronal Cell Antigens and Autoimmune Encephalitis 神经细胞抗原与自身免疫性脑炎的研究进展
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4701
Ekladious A
Patients with autoimmune encephalitis rarely present to neurology clinic before presenting to memory, seizure, movement disorder, and psychiatry clinics, recent discovery of neuronal surface autoantibodies have shifted the balance towards the diagnosis of autoimmune encephalitis, patients with autoimmune encephalitis used to receive the diagnosis of infectious encephalitis, with poor response to antiseizure, antibacterial and antiviral therapy, autoimmune encephalitis has a fundamental phenotype which is very specific even if serology was negative, early diagnosis is of paramount importance due to starting immunotherapy and avoid mortality and significant morbidity.
自身免疫性脑炎患者在出现记忆、癫痫、运动障碍和精神病学之前很少出现在神经内科门诊,近年来神经元表面自身抗体的发现使自身免疫性脑炎的诊断天平向自身免疫性脑炎倾斜,自身免疫性脑炎患者过去常被诊断为感染性脑炎,对抗癫痫、抗菌和抗病毒治疗反应较差。自身免疫性脑炎具有非常特异性的基本表型,即使血清学阴性,由于开始免疫治疗,早期诊断至关重要,可以避免死亡率和显著发病率。
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引用次数: 0
Desmoplastic Ameloblastoma: A Case-Series of Three Cases 成釉细胞瘤:附3例报告
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4303
D. Walker, Jeffrey N. James, Kyle B Frazier, R. Abdelsayed, Andrew C. Jenzer
The desmoplastic ameloblastoma is an uncommon subtype of ameloblastoma. Clinical and radiographic presentation differs from other forms of ameloblastoma, and the lesion is sometimes confused with fibro-osseous lesions, making it important for clinicians to review its distinctive clinical and radiographic features. The authors in this article present three cases of desmoplastic ameloblastomas, which were treated at the Augusta University Oral and Maxillofacial Surgery clinic.
成釉细胞瘤是一种罕见的成釉细胞瘤亚型。临床和影像学表现不同于其他形式的成釉细胞瘤,病变有时与纤维骨性病变混淆,因此临床医生回顾其独特的临床和影像学特征非常重要。本文报告在奥古斯塔大学口腔颌面外科诊所治疗的3例成釉细胞瘤。
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引用次数: 0
Effectiveness of Kinetic Oscillation Stimulation Treatment in Patients with Non-Allergic Rhinitis Refractory to Conventional Medical Therapies 动力振荡刺激治疗对常规药物治疗难治性非变应性鼻炎的疗效观察
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4403
Tortorella F, Businco Ldr, Gambioli A, Businco Adr, Longo P, Pavaci S
1.1. Introduction: Kinetic Oscillation Stimulation (KOS) is a new treatment for symptoms of non-allergic rhinitis (NAR). The aim of the study was to investigate effectiveness of KOS treatment in patients affected by NAR. 1.2. Methods: From December 2018 to July 2020, 39 patients, already refractory to conventional medical therapy, were treated with KOS. As control group, we considered a group of 41 patients treated with topical mometasone furoate, observed in the same period and number of days. During the ENT visit, objective examinations were performed to assess respiratory function. In addition, all the subjects filled out quality of life (QoL) questionnaires. All patients were reevaluated after 45 days. 1.3. Results: All the instrumental assessments and QoL questionnaires showed a significant improvement 45 days after KOS treatment. Sixteen patients (43%) reported an improvement across all tests. Active anterior rhinomanometry improved for Inspiratory Resistance in 26 patients (70%) and for Expiratory Resistance for 27 patients (73%). Moreover, we found that KOS group presented a better improvement statistically significant for the QoL questionnaries, respect the control group. 1.4. Conclusion: KOS treatment is a safe and mini-invasive procedure for the treatment of NAR symptoms, well accepted from patients and with a promising improvement of QoL, better than conventional medical therapies.
1.1. 动力学振荡刺激(KOS)是一种治疗非过敏性鼻炎(NAR)症状的新方法。本研究的目的是探讨受NAR影响的患者的KOS治疗效果。1.2. 方法:2018年12月至2020年7月,对39例常规药物治疗已经难治性的患者进行KOS治疗。作为对照组,我们选取了41例局部应用糠酸莫米松的患者,观察时间和天数相同。在耳鼻喉科访问期间,进行客观检查以评估呼吸功能。此外,所有受试者都填写了生活质量(QoL)问卷。所有患者在45天后重新评估。1.3. 结果:治疗45 d后,所有工具评估和生活质量问卷均有显著改善。16名患者(43%)报告在所有测试中都有所改善。主动前鼻测压术改善了26例(70%)患者的吸气阻力和27例(73%)患者的呼气阻力。此外,我们发现,与对照组相比,KOS组在生活质量问卷上有更好的改善,具有统计学意义。1.4. 结论:KOS治疗是一种安全、微创的治疗NAR症状的方法,患者接受程度高,生活质量有希望改善,优于常规药物治疗。
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引用次数: 0
Risk of Postoperative Complications After Major Elective Surgery in Active or Resolved COVID-19 活动性或消退性COVID-19大择期手术后并发症的风险
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.4601
Yousaf Jan, Hussain M, Neelma Lalley G, T. i
1.1. Objective: To determine the affiliation among the timing of surgical procedure relative to the improvement of Covid-19 and the dangers of postoperative complications. 1.2. Background: It is unknown whether or not patients who recovered from Covid-19 after which underwent a prime elective operation have an increased danger of developing postoperative complications. 1.3. Material and Methods: The risk of postoperative complications for patients with Covid-19 research process, 18 primary forms of optionally available operations with inside the Covid-19 Research Database was evaluated the use of multivariable logistic regression. Patients were grouped through time of surgical procedure relative to Covid-19 infection i.e. 1. Pre-Covid-19: Surgical procedure performed earlier than January 2020 2. Peri-Covid-19: 0 to 4 weeks after Covid-19 infection 3. Early post-Covid-19: 4 to 8 weeks after infection 4. Late post-Covid-19: 8 weeks after infection. 1.4. Results: A total of 6479 patients who met study criteria were included in the study. Out of 6479 patients 3021 (46.6%) PeriCovid-19 had an elevated risk of developing postoperative pneumonia in 44(1.4%) patients, respiratory failure in 69(2%), pulmonary embolism in 23(0.5%), sepsis in 35(1.1%), arthythmia in 59(1.9%), renal failure in 75 (2.4%), UTI in 75(2.4%), DVT in 40(1.3%) patient’s respectively when compared to pre-Covid-19 patients. Early post-Covid-19 patients had an increased risk of developing postoperative pneumonia in 16 (2.9%), respiratory failure in 15(2.7%), pulmonary embolism in 7(1.2%), sepsis in 13(2.3%), arthythmia in 15(2.7%), renal failure in 13(2.3%), UTI in 17(3.1%), DVT in 10(1.8%) patients respectively when compared to pre-Covid-19 patients. Late post-Covid-19 patients did not have an increased risk of postoperative complications when compared to pre-Covid-19 patients. 1.5. Conclusions: Major, elective surgery 0 to 04 weeks after Covid-19 infection is related to an improved risk of postoperative complications. Surgery achieved four to eight weeks after Covid-19 infection remains related to an improved risk of postoperative pneumonia, while surgical treatment eight weeks after Covid-19 analysis is not related to improved complications.
1.1. 目的:探讨手术时机与Covid-19病情改善及术后并发症危险的关系。1.2. 背景:尚不清楚在接受首选手术后从Covid-19恢复的患者是否会增加发生术后并发症的危险。1.3. 材料和方法:在研究过程中,使用多变量logistic回归对Covid-19研究数据库中18种主要可选手术形式的患者术后并发症风险进行评估。患者根据手术时间与Covid-19感染的关系进行分组,即1。2019冠状病毒病前:在2020年1月之前进行的外科手术围新冠期:新冠病毒感染后0 ~ 4周covid -19后早期:感染后4至8周covid -19后晚期:感染后8周1.4. 结果:符合研究标准的6479例患者被纳入研究。在6479例患者中,3021例(46.6%)患者发生术后肺炎的风险分别为44例(1.4%)、69例(2%)呼吸衰竭、23例(0.5%)肺栓塞、35例(1.1%)脓毒症、59例(1.9%)心律失常、75例(2.4%)肾功能衰竭、75例(2.4%)尿路感染和40例(1.3%)DVT。与covid -19前患者相比,早期患者发生术后肺炎的风险增加16例(2.9%),呼吸衰竭15例(2.7%),肺栓塞7例(1.2%),败血症13例(2.3%),心律失常15例(2.7%),肾功能衰竭13例(2.3%),UTI 17例(3.1%),DVT 10例(1.8%)。与covid -19前患者相比,晚期患者术后并发症的风险并未增加。1.5. 结论:Covid-19感染后0 ~ 04周进行大手术、择期手术与术后并发症风险的提高有关。在Covid-19感染后4至8周进行手术仍与术后肺炎风险的改善有关,而在Covid-19分析后8周进行手术治疗与并发症的改善无关。
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引用次数: 0
Correlation Between the Incidence of Breast Cancer and the Human Development Index 乳腺癌发病率与人类发展指数的相关性
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.6201
Ammar Ye, Lopes Ccc, Lopes Eb, Lopes Lc, dos Santos D, Dias Tg, Damirov Mm, Silva Ps, Bealuka Lv, dos Santos Borges LS, Junior Jf, Amaral Rf, H. J, Ribeiro M, Fontana Ic, Fuzinatto Sb, de Quadros e Silva H, Pitanga Fh, L. M
Introduction: Breast cancer is the second most frequent type in the world and is the most common among women. The increase in its incidence has been a cause of constant and growing concern, as the incidence rates vary greatly according to the degree of socio-economic development. Currently, the genesis of breast cancer and its risk factors have been receiving an important consideration, since these factors are crucial when thinking about its prevention. As developing countries are constantly growing, there is a change in their lifestyle habits, such as fat and alcohol intake, smoking, exposure to oral contraceptives, changes in procreation and breastfeeding patterns, birth profile. With this change, they also accumulate more diseases associated with this culture, among them breast cancer. Objective: to analyze a possible relationship between HDI and the incidence of breast cancer worldwide. Methods: The incidence of breast cancer in 164 countries was obtained from GLOBOCAN, derived from population-based cancer records. A list of human development index of the same 164 countries was obtained from the United Nations Human Development Report. Nonlinear regression models were obtained using the Levenberg-Marquardt estimation method. Results and Conclusions: Of the 164 countries evaluated, 146 were in the range between 10 and -10 of predicted variation, which were between the fifth and 95th percentile values. The 18 countries whose incidences of CM were found to deviate outside this range (nine above and below, respectively) were considered as discrepant observations. Once the data from countries with discrepant observations were removed, nonlinear regression analysis of the group of 146 remaining countries was obtained using the Levenberg-Marquardt estimation method, identifying a value of “R2” at 0.8343, confirming the high reliability of the proposed mathematical model. This result suggests the hypothesis that the factors included in the calculation of the Human Development Index are strongly related to those involved in the population incidence of breast cancer. The application of this model also suggested the existence of a group of countries that apparently present protective factors or that favor the onset of breast cancer
简介:乳腺癌是世界上第二常见的癌症类型,在女性中最常见。由于发病率因社会经济发展程度的不同而有很大差异,其发病率的增加一直引起人们越来越多的关注。目前,乳腺癌的起源及其危险因素已经得到了重要的考虑,因为这些因素在考虑其预防时至关重要。随着发展中国家的不断增长,他们的生活习惯发生了变化,例如脂肪和酒精的摄入、吸烟、接触口服避孕药、生育和母乳喂养模式的变化、出生情况。随着这种变化,他们也积累了更多与这种文化相关的疾病,其中包括乳腺癌。目的:分析世界范围内HDI与乳腺癌发病率之间可能存在的关系。方法:从GLOBOCAN中获得164个国家的乳腺癌发病率,该数据来源于基于人群的癌症记录。这164个国家的人类发展指数列表来自联合国人类发展报告。采用Levenberg-Marquardt估计法建立非线性回归模型。结果和结论:在评估的164个国家中,146个国家的预测变异范围在10到-10之间,即在第5到第95个百分位数之间。发现CM发病率偏离该范围的18个国家(分别高于和低于9个)被认为是差异观察结果。将观测值存在差异的国家的数据剔除后,利用Levenberg-Marquardt估计方法对剩余146个国家进行非线性回归分析,得到R2值为0.8343,证实了所提出数学模型的高可靠性。这一结果表明,人类发展指数计算中包含的因素与乳腺癌人口发病率密切相关的假设。该模型的应用还表明,存在一组国家显然具有保护因素或有利于乳腺癌发病
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引用次数: 0
Do Not Recommend Chromium Supplements for Diabetic Dialysis Patients 糖尿病透析患者不建议补充铬
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2021.31601
Chen Chien-Wen, Liu Ping, Chen Li-Hsiang, Chang Kuang-Shih, Ma Chien-Yi
1. Abstract 1.
1. 抽象的1。
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引用次数: 0
Prevalence of Depressive Disorder in the Postoperative Period of Bariatric Surgery 减肥手术术后抑郁症的患病率
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.6101
Lopes Ccc, Lopes Eb, Lopes Lc, D. D, Dias Tg, Damirov Mm, Silva Ps, dos Santos Borges LS, D. An, Junior Jf, Amaral Rf, H. J, Ribeiro M, Fontana Ic, Fuzinato Sb, Pitanga Fh, Mores R, L. M, Ammar Ye
Depression is defined as a mood disorder, which presents as main characteristics changes in sleep, appetite, loss of interest in pleasurable activities, depressed mood, among others. Obesity is characterized as a chronic disease, of not yet fully clarified etiology, characterized by the accumulation of fat in adipose tissue, being able to negatively affect the metabolic system as a whole, compromising the health of the individual. The aim of this study was to conduct a systematic review on the prevalence of depressive disorder in the postoperative period of bariatric surgery. For this review, searches were performed in the following databases: Pub Med, SCIELO, LILACS, Elsevier and Embase. The following descriptors were used in Portuguese and English: depressive disorder, postoperative, bariatric surgery. We found 630 articles with the descriptors mentioned, of which after the selection process there were 46 articles for full reading, of which 10 met all inclusion criteria. Data collection was restricted to clinical research conducted with humans of both genders from 2010. The study concluded that there is a high demand of patients who underwent bariatric surgery with depression in the postoperative period.
抑郁症被定义为一种情绪障碍,主要表现为睡眠、食欲、对愉快活动失去兴趣、情绪低落等方面的变化。肥胖的特点是一种慢性疾病,病因尚未完全明确,其特点是脂肪组织中脂肪的积累,能够对整个代谢系统产生负面影响,损害个人健康。本研究的目的是对减肥手术术后抑郁症的患病率进行系统回顾。在本综述中,检索了以下数据库:Pub Med、SCIELO、LILACS、Elsevier和Embase。以下描述词在葡萄牙语和英语中使用:抑郁症,术后,减肥手术。我们共找到630篇含有上述描述词的文章,经过筛选,有46篇文章可供全文阅读,其中10篇文章符合全部纳入标准。数据收集仅限于2010年以来对男女人类进行的临床研究。该研究得出结论,对接受减肥手术并伴有术后抑郁的患者有很高的需求。
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引用次数: 0
High Grade Dysplastic Nodule in a Non-Cirrhotic Liver in the Young 青年人非肝硬化肝的高度发育不良结节
Pub Date : 2022-01-01 DOI: 10.47829/ajsccr.2022.31301
Choudry M, Navarro J
Patients with high grade dysplastic nodule (HGDN) have an increased risk for development of hepatocellular carcinoma. Hepatocellular carcinoma (HCC) in a young patient with no cirrhosis or fibrosis is a relatively rare condition. HCC develops in patients in the setting of liver cirrhosis with established risk factors related to various etiologies including hepatitis virus infection, high alcohol intake or metabolic diseases. This was a case of a 29-year-old male with a 7-month history of intermittent right upper quadrant pain with CT scan findings of caudate lobe mass with malignant features. The patient underwent extended left hepatectomy with caudate lobectomy. Patient was discharged on fifth postoperative day, and was advised for follow-up surveillance on an outpatient basis. Liver cirrhosis is the main risk factor for developing HGDN, although rare cases of HGDN in a non-cirrhotic young patient should not be disregarded. Even though, it difficult to differentiate HGDN from early HCC based on radiologic imaging and histopathological criteria. Early diagnosis accompanied with proper surgical intervention such as anatomic resection and regular surveillance should be considered in the course and management of these patients, despite its rarity
高级别发育不良结节(HGDN)患者发展为肝细胞癌的风险增加。无肝硬化或纤维化的年轻患者发生肝细胞癌(HCC)是一种相对罕见的疾病。HCC发生在肝硬化患者中,其危险因素与各种病因有关,包括肝炎病毒感染、高酒精摄入量或代谢性疾病。这是一个29岁的男性病例,有7个月的间歇性右上腹疼痛史,CT扫描发现尾状叶肿块伴恶性特征。患者行扩展左肝切除及尾状叶切除术。患者术后第5天出院,并建议在门诊基础上进行随访监测。肝硬化是发生HGDN的主要危险因素,尽管在非肝硬化的年轻患者中罕见的HGDN病例不应被忽视。尽管如此,基于影像学和组织病理学标准很难将HGDN与早期HCC区分开来。早期诊断和适当的手术干预,如解剖切除和定期监测,应考虑在这些患者的过程和管理,尽管其罕见
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引用次数: 0
期刊
American Journal of Surgery and Clinical Case Reports
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