Journal of Medicine and Life最新文献

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Public perceptions and practices on air quality and respiratory health: insights from a cross-sectional study in Saudi Arabia. 公众对空气质量和呼吸系统健康的看法和做法:来自沙特阿拉伯横断面研究的见解。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2024-0385
Turki Alanzi, Norah Aljarbooa, Faris AlSalem, Rahaf Sawan, Bushra Albalawi, Gumashah Ababtain, Reema Taha, Mirnan Toonsi, Mohammed Aloufi, Husain Alsharifa, Joud Alshangiti, Nouf Alanzi
{"title":"Public perceptions and practices on air quality and respiratory health: insights from a cross-sectional study in Saudi Arabia.","authors":"Turki Alanzi, Norah Aljarbooa, Faris AlSalem, Rahaf Sawan, Bushra Albalawi, Gumashah Ababtain, Reema Taha, Mirnan Toonsi, Mohammed Aloufi, Husain Alsharifa, Joud Alshangiti, Nouf Alanzi","doi":"10.25122/jml-2024-0385","DOIUrl":"10.25122/jml-2024-0385","url":null,"abstract":"<p><p>This study aimed to assess public perceptions and practices regarding air quality and its impact on respiratory health in Saudi Arabia. A cross-sectional survey was conducted among 539 participants, selected through stratified random sampling across urban, semi-urban, and rural areas. Data were collected via an online questionnaire and analyzed using descriptive statistics, <i>t</i>-tests, and ANOVA. Findings indicated that 63.2% (<i>n</i> = 341) of participants occasionally checked air quality reports, with moderate confidence in interpreting them (52.5%, <i>n</i> = 283). Awareness of the health impacts of air pollution was higher in urban areas, while rural participants showed less concern and lower awareness (<i>P</i> < .0001). Younger participants (18-30 years) had the highest concern about air pollution (mean: 3.39), whereas older participants demonstrated lower awareness of associated health risks (<i>P</i> < .0001). The study found no significant gender differences in perceptions (<i>P</i> > .05). Despite moderate concern about air pollution, participants perceived a low impact on their quality of life (mean: 2.85). The study underscores the importance of localized public health strategies to address air quality concerns and mitigate respiratory health risks in Saudi Arabia.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"315-323"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical management of burns in functional areas: a 5-year retrospective study. 功能区烧伤的外科治疗:一项5年回顾性研究。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0077
Matei Iordache, Eliza-Maria Bordeanu-Diaconescu, Andreea Grosu-Bularda, Mihaela-Cristina Andrei, Adrian Frunza, Sabina Grama, Raducu Costache, Tiberiu-Paul Neagu, Ioan Lascar, Cristian-Sorin Hariga
{"title":"Surgical management of burns in functional areas: a 5-year retrospective study.","authors":"Matei Iordache, Eliza-Maria Bordeanu-Diaconescu, Andreea Grosu-Bularda, Mihaela-Cristina Andrei, Adrian Frunza, Sabina Grama, Raducu Costache, Tiberiu-Paul Neagu, Ioan Lascar, Cristian-Sorin Hariga","doi":"10.25122/jml-2025-0077","DOIUrl":"10.25122/jml-2025-0077","url":null,"abstract":"<p><p>Burns represent one of the most complex types of trauma that can occur in the human body and, as such, remain a subject of constant debate in the medical world. Globally, burns account for approximately 180,000 deaths annually, with the vast majority (95%) occurring in low- and middle-income countries. Severe burns, which involve more than 20% of the total body surface area (TBSA), lead to high mortality and morbidity rates, more so when they affect some of the critical areas such as the face or the hands, feet, and perineum. Each region has its characteristics and challenges that arise from injury to these parts, and thus, each anatomical section should be individually studied to help determine how to prioritize one over the others. In this way, a guideline could be developed to treat the burned patient effectively. A key issue is where to begin-should functional areas be prioritized over others, or should the reverse approach be taken? Current literature has failed to establish a clear algorithm for the optimal management of these patients. This article takes into account the latest recommendations and compares them with our experience and results.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"292-298"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of inadequate prenatal care on maternal anemia and pregnancy outcomes in Romania. 产前护理不足对罗马尼亚孕妇贫血和妊娠结局的影响。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0074
Giorgia Zampieri, Cringu Antoniu Ionescu
{"title":"The impact of inadequate prenatal care on maternal anemia and pregnancy outcomes in Romania.","authors":"Giorgia Zampieri, Cringu Antoniu Ionescu","doi":"10.25122/jml-2025-0074","DOIUrl":"10.25122/jml-2025-0074","url":null,"abstract":"<p><p>Prenatal care aims to ensure the well-being of both mother and baby by closely watching for potential problems and addressing them promptly. A lack of such care often stems from a combination of issues, including financial hardship, limited education, challenges in accessing healthcare, inadequate medical services, and insufficient social support. The study aimed to assess how iron supplements given during prenatal care affect the prevalence of anemia and whether lack of prenatal care leads to increased maternal and fetal morbidity. This analysis is based on the retrospective evaluation of medical data from 125 patients admitted to the Obstetrics and Gynecology Department of Sf. Pantelimon Hospital in Bucharest, Romania, from August 2024 to February 2025. The parameters considered in this study include prenatal care access, mode of delivery, antepartum anemia and its severity, iron supplementation, postpartum anemia and the necessity of blood transfusions, and length of hospitalization. The link between prenatal care and reduced antepartum anemia underscores the importance of monitoring during pregnancy to mitigate risks. Postpartum hemoglobin levels were significantly higher in patients who received prenatal care, leading to a decrease in severe and moderate anemia cases. Additionally, prenatal care was associated with shorter hospital stays for newborns. Comprehensive prenatal care demonstrably enhanced both maternal and neonatal prognoses across the continuum of pregnancy and the puerperium, thereby contributing to a significant reduction in rates of maternal and fetal morbidity and mortality.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"306-314"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The dissection-based identification of the preaortic sympathetic plexus formation, anatomical relations, and clinical applications. 主动脉前交感神经丛的解剖鉴定、解剖关系及临床应用。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0069
Mihaly Enyedi, Georgian-Theodor Badea, Radu-Tudor Ion, Daniela Elena Gheoca Mutu, Stefan Oprea, Zoran Florin Filipoiu
{"title":"The dissection-based identification of the preaortic sympathetic plexus formation, anatomical relations, and clinical applications.","authors":"Mihaly Enyedi, Georgian-Theodor Badea, Radu-Tudor Ion, Daniela Elena Gheoca Mutu, Stefan Oprea, Zoran Florin Filipoiu","doi":"10.25122/jml-2025-0069","DOIUrl":"10.25122/jml-2025-0069","url":null,"abstract":"<p><p>The abdominal sympathetic nervous system provides sympathetic innervation to the abdominal organs and gonads. This system is part of an extensive neural network that extends from the base of the skull to the pelvis. The preaortic (or prevertebral) plexus is a key component of the abdominal sympathetic system and is represented by a variable nervous network located anterior to the abdominal aorta. The aim of our study was to identify all these sympathetic structures and describe the formation and relationships of the preaortic plexus. We examined five cadavers (aged 66-71) with no medical or surgical history, preserved in 9% formalin at the Anatomy Department from Carol Davila University. Regional dissections were performed in successive planes, highlighting the major abdominal plexuses, the lumbar splanchnic nerves, and the associated network of neural connections that contribute to the preaortic plexus. The plexus is formed by efferent fibers from the celiac and aortico-renal ganglia, as well as from the three lumbar splanchnic nerves. The lumbar splanchnic nerves originate in the paravertebral sympathetic chains. We identified all these sympathetic structures and described the formation and anatomical relationships of the plexus. The nerve fibers of various origins form a longitudinally oriented network located anterolateral to the abdominal aorta. The lower part of this network continues into the superior hypogastric plexus. This neural network is delicate, complex, and variable, making it challenging to identify anatomically and surgically. Situated deeply in the retroperitoneal space, it is prone to accidental injuries during surgery in this compartment.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"351-356"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of external environment on pulmonary development - a morphological evaluation of pulmonary tissue in preterm infants. 外部环境对肺部发育的影响——早产儿肺组织形态学评价。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0045
Raluca Chirculescu, Paul Cristian Balanescu, Gheorghe Peltecu
{"title":"The impact of external environment on pulmonary development - a morphological evaluation of pulmonary tissue in preterm infants.","authors":"Raluca Chirculescu, Paul Cristian Balanescu, Gheorghe Peltecu","doi":"10.25122/jml-2025-0045","DOIUrl":"10.25122/jml-2025-0045","url":null,"abstract":"<p><p>Preterm birth disrupts the natural progression of pulmonary development, which can trigger functional and morphological consequences that may lead to death or the development of a chronic lung disease. The objective of this research was to evaluate the pulmonary morphological characteristics in 67 preterm neonates who had survived for a minimum of 24 hours. All evaluations were carried out on paraffin-embedded lung tissue, sliced at 5 micrometers, and stained with a standard hematoxylin-eosin stain. From each case, photomicrographs of one square millimeter were assessed, and the quantity of alveoli, the diameter of the alveoli, the thickness of the alveolar septum, and the total thickness of the arteriolar and venular walls were measured. The research findings revealed that prolonged oxygen therapy has an impact on the density of alveoli per square millimeter in premature infants, regardless of their gestational age at birth. Additionally, neonates with lobar lung abnormalities exhibit a reduced number of alveoli per square millimeter. Moreover, preterm neonates delivered at extreme gestational ages demonstrated a notably reduced alveolar diameter compared to those born at more advanced gestational ages, and infants who developed bronchopulmonary dysplasia may exhibit increased alveolar septal thickness compared to other newborns.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"338-343"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regional anesthesia in colorectal laparoscopy: a retrospective comparison of quadratus lumborum and TAP blocks. 结直肠腹腔镜区域麻醉:腰方肌阻滞与TAP阻滞的回顾性比较。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0067
Mihaela Roxana Oliță, Mihai Adrian Eftimie, Andrei Andreșanu, Mihai Adrian Dobra, Elena Liliana Mirea, Dana Rodica Tomescu
{"title":"Regional anesthesia in colorectal laparoscopy: a retrospective comparison of quadratus lumborum and TAP blocks.","authors":"Mihaela Roxana Oliță, Mihai Adrian Eftimie, Andrei Andreșanu, Mihai Adrian Dobra, Elena Liliana Mirea, Dana Rodica Tomescu","doi":"10.25122/jml-2025-0067","DOIUrl":"10.25122/jml-2025-0067","url":null,"abstract":"<p><p>Effective postoperative pain control is pivotal in enhancing recovery following laparoscopic colorectal surgery. Regional anesthesia techniques such as the transversus abdominis plane (TAP) block and the quadratus lumborum (QL) block have gained prominence as components of multimodal analgesia. However, their comparative efficacy remains underexplored. This retrospective observational cohort study analyzed data from 289 patients undergoing laparoscopic colon surgery. Patients were stratified into three groups: TAP block (Group A, <i>n</i> = 54), QL block (Group B, <i>n</i> = 62), and no regional block (Group C, <i>n</i> = 173). Primary endpoints included time to first analgesic administration and total analgesic consumption (opioids and non-opioids). Statistical analyses were conducted using R (v4.4.2) and Jamovi (v2.3), with significance set at <i>P</i> < 0.05. Group B (QL block) demonstrated significantly reduced opioid consumption (mean 13.16 ± 2.69 mg) compared to both Group A (16.80 ± 5.51 mg) and Group C (18.03 ± 4.29 mg), <i>P</i> < 0.001. Time to first analgesic request was longer in Group B (16.06 ± 2.53 h), indicating more durable analgesia. Non-opioid usage (paracetamol, tramadol, nefopam) was similarly lower in Group B across all comparisons (<i>P</i> < 0.001). Group B also exhibited a significantly shorter hospital stay (4.87 ± 1.14 days) relative to Groups A and C. The QL block was associated with superior postoperative analgesia, reduced opioid and adjunct analgesic requirements, prolonged pain-free intervals, and accelerated postoperative recovery in laparoscopic colorectal surgery. These findings underscore QL block as a potent element of opioid-sparing, multimodal analgesic strategies and support its broader adoption in enhanced recovery protocols.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"285-291"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors and predisposing conditions for amniotic fluid embolism: a comprehensive review. 羊水栓塞的危险因素和易感条件:全面回顾。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2024-0406
Jumana Hussain Timraz, Ruqayyah Ali Ahmed, Nada Yasser Metwali, Zenab Javed, Shahd Abdelazim, Raabeah Farhan, Faten Ahmad Yaseen, Hossam Abdelfatah Mansour
{"title":"Risk factors and predisposing conditions for amniotic fluid embolism: a comprehensive review.","authors":"Jumana Hussain Timraz, Ruqayyah Ali Ahmed, Nada Yasser Metwali, Zenab Javed, Shahd Abdelazim, Raabeah Farhan, Faten Ahmad Yaseen, Hossam Abdelfatah Mansour","doi":"10.25122/jml-2024-0406","DOIUrl":"10.25122/jml-2024-0406","url":null,"abstract":"<p><p>Amniotic fluid embolism (AFE) is a rare, yet life-threatening obstetric emergency characterised by sudden collapse of the mother due to circulatory and respiratory failure, often accompanied by coagulopathy. It accounts for a significant proportion of peripartum cardiac arrests and maternal deaths, with an incidence of 2-8 per 100,000 deliveries. The specific pathophysiology behind AFE remains unclear. However, one hypothesis states that amniotic fluid or fetal debris enters the maternal circulation, triggering a severe inflammatory and immunologic response. Diagnosis of AFE is primarily clinical as it relies on exclusion due to the unavailability of any definitive diagnostic test. Risk factors include caesarean delivery, multiple pregnancies, advanced maternal age, and pre-existing health conditions or comorbidities. Effective management centres on early recognition, aggressive, urgent supportive measures, and resuscitation. Advanced therapeutic options, such as veno-arterial extracorporeal membrane oxygenation (VA-ECMO), have shown potential in severe cases. Despite medical advancements in supportive care, which have led to reduced mortality rates, AFE remains highly unpredictable, carrying a significant risk of maternal and fetal mortality and morbidity. Survivors are often faced with long-term complications such as neurological deficits and cardiac problems. This comprehensive review aims to improve clinicians' awareness of AFE, summarize its risk factors, and provide an overview of the current strategies for early recognition and management, emphasizing recent advancements and the need for continued research in this critical area.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"277-284"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Horizons in Neuroscience: The Summer School of Brain Mapping and Stimulation Techniques. 神经科学的新视野:大脑测绘和刺激技术暑期学校。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-1001
Livia Livinț-Popa, Hanna Dragoș, Irina Vlad, Victor Dăbală, Vlad Chelaru, Emanuel Ștefănescu, Bianca Crecan-Suciu, Dafin Mureșanu
{"title":"New Horizons in Neuroscience: The Summer School of Brain Mapping and Stimulation Techniques.","authors":"Livia Livinț-Popa, Hanna Dragoș, Irina Vlad, Victor Dăbală, Vlad Chelaru, Emanuel Ștefănescu, Bianca Crecan-Suciu, Dafin Mureșanu","doi":"10.25122/jml-2025-1001","DOIUrl":"10.25122/jml-2025-1001","url":null,"abstract":"","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"265-269"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing outcomes of partial nephrectomy in patients with tumors in solitary kidneys: a non-systematic review. 孤立肾肿瘤患者部分肾切除术的最佳预后:一项非系统综述。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0066
Stelian Ianiotescu, Constantin Gingu, Alexandru Iordache, Adrian Preda, Osama Salloum, Irina Balescu, Nicolae Bacalbasa, Ioanel Sinescu
{"title":"Optimizing outcomes of partial nephrectomy in patients with tumors in solitary kidneys: a non-systematic review.","authors":"Stelian Ianiotescu, Constantin Gingu, Alexandru Iordache, Adrian Preda, Osama Salloum, Irina Balescu, Nicolae Bacalbasa, Ioanel Sinescu","doi":"10.25122/jml-2025-0066","DOIUrl":"10.25122/jml-2025-0066","url":null,"abstract":"<p><p>This review consolidates recent evidence on managing renal cell carcinoma (RCC) in patients with solitary kidneys. It provides a comprehensive discussion of evolving strategies in partial nephrectomy-including open, laparoscopic, and particularly robot-assisted partial nephrectomy (RAPN)-along with thermal and advanced ablative therapies, non-surgical options (such as stereotactic ablative body radiotherapy [SABR] and active surveillance [AS]), and emerging neoadjuvant systemic treatments with tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs). In addition, the integration of artificial intelligence (AI) for preoperative planning, intraoperative guidance, and postoperative outcome prediction is discussed. Given the limited renal reserve in these patients, preserving functional renal parenchyma is paramount. This multidisciplinary review synthesizes evidence from 2018 to the present and is supported by 70 contemporary references.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"270-276"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional outcomes following nerve transfers for shoulder and elbow reanimation in brachial plexus injuries: a 10-year retrospective study. 神经转移治疗臂丛损伤肩肘复位后的功能结局:一项10年回顾性研究。
Journal of Medicine and Life Pub Date : 2025-04-01 DOI: 10.25122/jml-2025-0079
Cristian-Vladimir Vancea, Florin-Vlad Hodea, Eliza-Maria Bordeanu-Diaconescu, Stefan Cacior, Catalina-Stefania Dumitru, Vladut-Alin Ratoiu, Alexandru Stoian, Ioan Lascar, Dragos Zamfirescu
{"title":"Functional outcomes following nerve transfers for shoulder and elbow reanimation in brachial plexus injuries: a 10-year retrospective study.","authors":"Cristian-Vladimir Vancea, Florin-Vlad Hodea, Eliza-Maria Bordeanu-Diaconescu, Stefan Cacior, Catalina-Stefania Dumitru, Vladut-Alin Ratoiu, Alexandru Stoian, Ioan Lascar, Dragos Zamfirescu","doi":"10.25122/jml-2025-0079","DOIUrl":"10.25122/jml-2025-0079","url":null,"abstract":"<p><p>Brachial plexus injuries are rare but highly disabling, with major implications for upper limb function and quality of life. Nerve transfers have emerged as a key reconstructive technique, particularly valuable in cases where primary repair or grafting is unfeasible or delayed. This retrospective study analysed functional outcomes following nerve transfers in 37 patients with brachial plexus injury. Motor recovery was assessed using the Medical Research Council scale. Patients were stratified by age, timing of surgery, injury severity, and type of nerve transfer performed. The majority of our cohort consisted of male adults, predominantly injured in motorcycle accidents, while pediatric cases were mostly due to obstetrical trauma. For shoulder reanimation, all patients received spinal accessory to suprascapular nerve transfer, with a subset also undergoing medial triceps branch of the radial nerve to axillary nerve transfer. These techniques resulted in 85.3% of patients achieving shoulder function recovery with M3 or M4 muscle strength, with combined procedures leading exclusively to M3 or M4 muscle strength. For elbow flexion restoration, surgical approaches included intercostal to musculocutaneous nerve transfer, ulnar and median fascicles to musculocutaneous nerve transfer, contralateral C7 to musculocutaneous nerve transfer with ulnar graft, and spinal accessory to musculocutaneous nerve transfer with sural nerve graft. Root grafting procedures using sural nerve grafts or nerve conduits were employed in three pediatric patients. Overall, 84.38% of patients achieved elbow flexion recovery with M3 or M4 muscle strength. These findings reinforce the utility of nerve transfers as a cornerstone in the surgical management of brachial plexus injury.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 4","pages":"375-386"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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