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Anesthetic Consideration in Case of Large Lymphangioma in Right Atrioventricular Groove: A Case Report 右房室沟大淋巴管瘤的麻醉考虑:1例报告
Pub Date : 2021-09-10 DOI: 10.24203/ajpnms.v9i4.6701
Min-Woo Yoon, Hyun-Jae Im, Jihyoung Park
Background  Cardiac tumor is a rare disease but it causes various hemodynamic changes depending on location and size. Compression of the right sided heart can lead to impaired venous return and consequent systemic and coronary vascular collapse. Case  A 62-year-old male who had cardiac lymphangioma on right atrio-ventricular groove. Upon entering the operating room, he was admitted to the tamponade physiology with tachycardia and hypotension. Opioid based anesthesia was performed to minimize myocardial depression, and myocardial function was continuously monitored through Transesophageal echocardiography and pulmonary artery catheter to safely wean the cardio pulmonary bypass (CPB) machine. Conclusion   Anesthesiologists should be able to predict and respond appropriately to physiological hemodynamic changes according to the location and size of cardiac tumor.
背景:心脏肿瘤是一种罕见的疾病,但它会引起不同部位和大小的血流动力学变化。压迫右侧心脏可导致静脉回流受损,进而导致全身和冠状动脉血管塌陷。病例1例62岁男性右房室沟心脏淋巴管瘤。进入手术室后,他被收纳为心包填塞,伴有心动过速和低血压。采用阿片类药物麻醉以减少心肌抑制,并通过经食管超声心动图和肺动脉导管持续监测心肌功能,以安全脱下心肺旁路(CPB)机。结论麻醉医师应根据心脏肿瘤的位置和大小,对血流动力学的变化作出预测和相应的反应。
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引用次数: 0
Differences and Similarities between Coronaviruses: A Comparative Review 冠状病毒的异同:比较综述
Pub Date : 2021-09-10 DOI: 10.24203/ajpnms.v9i4.6696
Maad M. Mijwil, Ayser Shamil Alsaadi, Karan Aggarwal
Today, humans fight powerful and active viruses that never take hold and do not know defeat, named coronaviruses. These viruses have start in 2002 and continued to grow and have changed their chains dramatically until now. They are known for having many similar features in common, and there are also structural differences between them. The most important reason that has turned coronaviruses into a pandemic is that this disease is easily transmitted by droplets near infected people, which leads to the spread of this virus faster worldwide. The more details known about coronaviruses that have profoundly affected humanity in the past and present and the diseases they cause, the more benefit in help designing an immune response or preventive vaccine to these viruses in the near future. In this article, coronaviruses, how they have been started and spread, and what differences and similarities are between them will be briefly covered here. The information of this investigation is taken from articles and the world health organization and are reviewed here. The goal is to document this information for future reference.
今天,人类与强大而活跃的病毒作斗争,这些病毒永远不会扎根,也不知道被打败,它们被称为冠状病毒。这些病毒始于2002年,并持续增长,直到现在,它们的链已经发生了巨大的变化。众所周知,它们有许多相似的共同特征,但它们之间也存在结构上的差异。冠状病毒成为大流行的最重要原因是,这种疾病很容易通过感染者附近的飞沫传播,这导致该病毒在全球范围内的传播速度更快。对过去和现在深刻影响人类的冠状病毒及其引起的疾病了解得越多,就越有利于在不久的将来帮助设计针对这些病毒的免疫反应或预防性疫苗。在本文中,将简要介绍冠状病毒,它们是如何开始和传播的,以及它们之间的异同之处。本调查的资料摘自文章和世界卫生组织,并在此进行审查。我们的目标是记录这些信息以供将来参考。
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引用次数: 11
Spinal Anesthesia of a Patient with Central Core Disease for Caesarean Section: A Case Report 剖宫产中心性疾病患者的脊髓麻醉1例报告
Pub Date : 2021-07-02 DOI: 10.24203/ajpnms.v9i3.6610
Se Jin Kim, Y. Roh, So-yeon Cho, J. Bae, S. Kang
Central core disease is an autosomal dominant congenital myopathy. It typically manifests as muscle weakness and developmental delay. Central core disease is also associated with malignant hyperthermia which can be developed by volatile agent or succinylcholine. Here, we are reporting a case of a 34-year-old primigravida with central core disease who underwent an emergency cesarean section under spinal anesthesia without complications. 
中央核心病是一种常染色体显性先天性肌病。它的典型表现是肌肉无力和发育迟缓。中枢性疾病也与恶性高热有关,可由挥发性药物或琥珀酰胆碱引起。在这里,我们报告一例34岁的初产妇,患有中央核心疾病,在脊髓麻醉下接受了紧急剖宫产手术,无并发症。
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引用次数: 0
Hypothyroidism and Pregnancy outcome 甲状腺功能减退与妊娠结局
Pub Date : 2021-01-01 DOI: 10.24203/ajpnms.v9i3.6671
Emad Alsharu, Bassam Nussair, Jameel Marabha, A. Hindawi
OBJECTIVE: To evaluate maternal and perinatal outcomes among ladies treated for hypothyroidism in pregnancy at antenatal clinics of King Hussein Medical Centre.   METHODS: This study was conducted at antenatal clinics of King Hussein medical center during the period from April 2018 to April 2020. We studied 200 pregnant women with hypothyroidism as a study group (group I) who were compared to 200 euthyroid pregnant women as a control group (group II).    RESULTS:   The incidence of obstetric complications in group I vs group II found to be as the followings: Pre-eclampsia 12%(24) vs 9%(18), miscarriage 10%(20) vs 4%(8), while preterm labor was 20%(40) vs 22%(44), the antepartum hemorrhage 5%(10) vs 4%(8), Post-partum hemorrhage 7%(14) vs 5%(10) respectively.   There were no significant statistical differences in these outcomes in both groups and preterm labor pain was the most frequent pregnancy complication encountered (20% vs, 22 %)   CONCLUSION:  Proper treatment of hypothyroid patients before pregnancy and throughout pregnancy would probably eliminate the potential risk of developing maternal and fetal complications, treated hypothyroid patients hold no significant differences in pregnancy-related complications once compared to euthyroid women.       Keywords: Hypothyroidism, Pregnancy, Outcome
目的:评价在侯赛因国王医疗中心产前诊所接受甲状腺功能减退治疗的孕妇的孕产妇和围产期结局。方法:本研究于2018年4月至2020年4月在侯赛因国王医疗中心产前诊所进行。我们研究了200名甲状腺功能减退的孕妇作为研究组(I组),并将其与200名甲状腺功能正常的孕妇作为对照组(II组)进行了比较。结果:I组与II组的产科并发症发生率分别为:先兆子痫12%(24)vs 9%(18),流产10%(20)vs 4%(8),早产20%(40)vs 22%(44),产前出血5%(10)vs 4%(8),产后出血7%(14)vs 5%(10)。两组患者的这些结局无显著统计学差异,早产疼痛是最常见的妊娠并发症(20% vs, 22%)。结论:甲状腺功能减退患者在孕前和孕期进行适当的治疗可能会消除发生母胎并发症的潜在风险。与甲状腺功能正常的妇女相比,接受治疗的甲状腺功能减退患者在妊娠相关并发症方面没有显著差异。关键词:甲状腺功能减退,妊娠,结局
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引用次数: 0
Reflections on Communication Difficulties Related to Covid-19 关于新冠肺炎疫情沟通困难的思考
Pub Date : 2021-01-01 DOI: 10.24203/ajpnms.v9i3.6668
S. Ekelund
This paper describes some of the concept which are often miscommunicated between scientists, politicians and laypeople. Scientists are advised to take a more active role in explaining relevant concepts so that they can be understood by laypeople and thus facilitate better discussions.
本文描述了科学家、政治家和外行之间经常误解的一些概念。建议科学家在解释相关概念方面发挥更积极的作用,以便外行人能够理解这些概念,从而促进更好的讨论。
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引用次数: 0
Criteria Used to Assess Need for Use of Morphine for Adult Cancer Pain Relief in Kakamega County Referral Hospital, Kenya, Africa 非洲肯尼亚卡卡梅加县转诊医院用于评估吗啡用于缓解成人癌症疼痛需求的标准
Pub Date : 2020-12-28 DOI: 10.24203/ajpnms.v8i6.6421
Judygrace Monyangi Ombati
The experience of pain in cancer patients is widely accepted as a major threat to quality of life, and its relief has emerged as a priority in oncology care. Although morphine and other opioids is the mainstay of cancer pain management, patients still suffer from moderate to severe pain. This paper investigated the criteria used to assess need for use of morphine for pain relief in cancer patients in Kakamega county referral hospital. The study used a cross-sectional research design. Target population was 295 which included physicians (medical doctors), nurses and clinical officers working at the Kakamega County General Hospital. The study employed focused group discussion and questionnaires to collect data. The study findings revealed that prescribers of morphine face challenges and FGD indicated that health care providers often create barriers to effective pain management. Time constraints and insufficient knowledge regarding pain management of medical professionals were the most commonly encountered barriers to effective pain management for physicians, clinical officers and nurses. There was a significant relationship between criteria used and morphine use in cancer pain relief (p=0.013) The study concluded that for one to use morphine to control cancer pain amongst adult, they should consider; the dose and length of time allowed by a single prescription, challenges faced when prescribing morphine, that morphine can only be sold to institutions that have at least a medical officer and the actual cost of morphine.
癌症患者的疼痛经历被广泛认为是对生活质量的主要威胁,缓解疼痛已成为肿瘤治疗的优先事项。尽管吗啡和其他阿片类药物是癌症疼痛管理的主要手段,但患者仍然遭受中度至重度疼痛的折磨。本研究探讨了Kakamega县转诊医院癌症患者使用吗啡缓解疼痛需求的评估标准。该研究采用了横断面研究设计。目标人口为295人,其中包括在卡卡梅加县总医院工作的医生、护士和临床工作人员。该研究采用焦点小组讨论和问卷调查来收集数据。研究结果显示,吗啡处方者面临挑战,FGD表明,卫生保健提供者经常制造有效疼痛管理的障碍。时间限制和医疗专业人员关于疼痛管理的知识不足是医生、临床官员和护士最常遇到的有效疼痛管理障碍。使用的标准与吗啡在缓解癌症疼痛中的使用之间存在显著关系(p=0.013)。研究得出结论,对于使用吗啡控制癌症疼痛的成年人,他们应该考虑;单一处方允许的剂量和时间长度,开吗啡处方时面临的挑战,吗啡只能卖给至少有一名医务人员的机构以及吗啡的实际成本。
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引用次数: 0
Assessing Nursing Enteral Nutrition Practices and Perspectives in An Intensive Care Unit of A Level Six Hospital in Kenya 评估护理肠内营养的做法和观点在肯尼亚的一家六级医院重症监护室
Pub Date : 2020-12-28 DOI: 10.24203/ajpnms.v8i6.6432
Daniel Komen
Background: Adequate nutritional support is important for the comprehensive management of patients in intensive care units (ICUs). Aim: The study was aimed to survey prevalent enteral nutrition practices in the general intensive care unit, nurses' perception, and their knowledge of enteral feeding. Study Design: The study was conducted in the ICU of a level 6 hospital in Kenya. The study design used was crosses sectional descript study. Materials and Methods: thirty four questionnaires were distributed and the results analyzed. A database was prepared and analyzed.Results: all (100%) questionnaires were filled and returned. A majority (32) of staff nurses expressed awareness of nutrition guidelines. A large number (27) of staff nurses knew about existence of nutrition protocols in the ICU. Almost all nurses (82.4%) chose enteral nutrition as their preferred route of nutrition unless contraindicated. All staff nurses were of the opinion that enteral nutrition is to be started at the earliest (within 24-48 h of the ICU stay). Half (50%) were of the thought that the absence of bowel sounds is an absolute contraindication to initiate enteral feeding. Passage of a nasogastric tube (Ryle’s tube) was considered mandatory before starting enteral nutrition by 86% of the respondents. Everyone knew that the method of Ryle's tube feeding in their ICU is intermittent boluses. Only 4 staff nurses were unaware of any method to confirm Ryle's tube position. The backrest elevation rate was 70%. Gastric residual volumes were always checked, but the amount of the gastric residual volume for the next feed to be withheld varied. The majority said that the unused Ryle's tube feed is to be discarded after 24 h. The most preferred (48%) to upgrade their knowledge of enteral nutrition as a personal initiative and CME.Conclusion: Information generated from this study can be helpful in identifying nutrition practices gaps and may be used to review and revise enteral feeding practices where necessary. Keywords: Enteral nutrition, intensive care, nursing, tube feeding
背景:充分的营养支持对于重症监护病房(icu)患者的综合管理非常重要。目的:本研究旨在调查普通重症监护病房普遍的肠内营养做法、护士对肠内喂养的认知和知识。研究设计:本研究在肯尼亚一家6级医院的ICU进行。本研究采用横断面描述性研究。材料与方法:发放问卷34份,并对调查结果进行分析。建立了数据库并进行了分析。结果:问卷全部(100%)填写并返回。大多数(32名)护理人员表示了解营养指南。大量(27名)护理人员知道ICU存在营养方案。除禁忌症外,几乎所有护士(82.4%)都选择肠内营养作为首选营养途径。所有医护人员均认为肠内营养应尽早开始(在ICU住院后24-48小时内)。一半(50%)的人认为没有肠音是开始肠内喂养的绝对禁忌症。86%的应答者认为在开始肠内营养前必须通过鼻胃管(赖尔管)。每个人都知道赖尔的管饲方法在他们的ICU是间歇性的大剂量。只有4名护士不知道如何确认赖尔的管位。靠背抬高率为70%。经常检查胃残量,但下一饲料的胃残量各不相同。大多数人表示,未使用的Ryle's管饲24小时后应丢弃。最倾向于(48%)作为个人倡议和CME来提升他们的肠内营养知识。结论:本研究产生的信息有助于确定营养实践差距,并可在必要时用于审查和修订肠内喂养实践。关键词:肠内营养,重症监护,护理,管饲
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引用次数: 0
Music-therapy Study of Music’s Preferences and Regulation Properties in Healthy and Depressive People 健康与抑郁人群音乐偏好与调节特性的音乐治疗研究
Pub Date : 2019-10-21 DOI: 10.24203/AJPNMS.V7I3.5912
Mariola Kokowska, M. Dymnikowa
The article describes experimental applied music-therapy study about differential characteristics of personality and musical preferences traits for music’s regulation properties established empirically in a sample of 92 people, selected by illness, gender and education factors, with psychological musical measurement of TIPI, STOMP and MMR tools, with data of musical factor analysis and psychological analysis of distribution’s difference, as pragmatic music-therapy function for human’s health.
本文以92人为研究对象,根据疾病、性别、教育等因素,采用TIPI、STOMP、MMR等心理音乐测量工具,运用音乐因素分析数据和心理分布分析数据,对个性差异特征和音乐偏好特征对音乐调节特性的实证建立进行了实验应用音乐治疗研究。为人类健康提供实用的音乐治疗功能。
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引用次数: 0
Anesthetic Management of 70 Year Old Woman with Cor triatriatum Sinister 70岁妇女心房三房性心绞痛的麻醉处理
Pub Date : 2019-04-20 DOI: 10.24203/AJPNMS.V7I2.5769
Y. Yang, N. Kim, Sejin Kim, Minsoo Kim, Seongsik Kang
A 70 year old woman with no specific underlying disease was referred to the department of surgery of our hospital to have low anterior resection surgery for rectal cancer. Preoperative transthoracic echocardiography (TTE) revealed perforated fibromuscular septum which divides the left atrium into two chambers. Patients with Cor Triatriatum (CT) can show a clinical feature of mitral stenosis (MS) or tricuspid stenosis (TS) according to the degree of intra atrial membrane fenestration. Therefore careful anesthetic management is needed when we deal with this patients who undergo general anesthesia. Our patient was tolerable throughout the general anesthesia with propofol, volatile agent and opioid. The surgery was done without any hemodynamic event. And there was no postoperative complications.
一位70岁女性,无特殊基础疾病,于我院外科行直肠癌低位前切除术。术前经胸超声心动图(TTE)显示纤维肌隔穿孔,将左心房分为两个腔室。三房心(CT)患者根据心房膜内开窗程度可表现为二尖瓣狭窄(MS)或三尖瓣狭窄(TS)的临床特征。因此,当我们处理全麻患者时,需要仔细的麻醉管理。本例患者在全身麻醉过程中使用异丙酚、挥发剂和阿片类药物均可耐受。手术没有发生任何血流动力学事件。没有术后并发症。
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引用次数: 0
Oral Health Disparities in 6-9 years old Pakistani School Going Children 6-9岁巴基斯坦学龄儿童的口腔健康差异
Pub Date : 2019-02-18 DOI: 10.24203/AJPNMS.V7I1.5644
S. Hamid
Introduction. Pakistan, a developing Asian country, faces many challenges in delivering oral health needs. The main problem of Pakistani population especially in rural area, where majority of population resides, is lack of education, of which children constitute significant percentage. Objectives. The purpose of this study was to assess the oral health status and oral hygiene habits of 6- 9 years old school going children who belonged to posh and less posh areas and those who were residing in Rawalpindi but belonged to rural areas. Methods.The study population consisted of 30 school going children of both sexes which were selected by convenience sampling technique. The survey was based on WHO, oral assessment form for children 2015. Results. Evaluation of the oral health status revealed that poor oral hygiene habits were more prevalent in those schoolchildren whose parents had no or little educational background.Conclusions. It may be concluded that at an early age, greatest need of dental health education including proper instruction of oral hygiene practices and school based preventive programs, would help children in improving preventive dental behaviour and attitude which is beneficial for their life time.
介绍。Â巴基斯坦是亚洲发展中国家,在满足口腔健康需求方面面临许多挑战。巴基斯坦人口的主要问题,特别是在大多数人口居住的农村地区,是缺乏教育,其中儿童占很大比例。一个目标。本研究的目的是评估6- 9岁学龄儿童的口腔健康状况和口腔卫生习惯,这些儿童分别来自高档和非高档地区以及居住在拉瓦尔品第但属于农村地区的儿童。一个方法。研究人群为30名男女在校儿童,采用方便抽样方法。该调查基于世界卫生组织2015年儿童口头评估表。一个结果。Â口腔健康状况评估显示,不良的口腔卫生习惯在父母无文化或文化程度低的学童中更为普遍。因此,在幼儿时期,最需要的是牙齿健康教育,包括适当的口腔卫生指导和学校预防课程,这将有助于儿童改善预防牙齿的行为和态度,这对他们的一生都是有益的。
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引用次数: 0
期刊
Asian Journal of Pharmacy, Nursing and Medical Sciences
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