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South Dakota medicine : the journal of the South Dakota State Medical Association最新文献

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Suspected Pseudocholinesterase Deficiency During Left Thyroid Lobectomy and Isthmusectomy: A Case Report. 左侧甲状腺叶切除术和峡部切除术期间疑似假胆碱酯酶缺乏症：病例报告。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-06-01
Jennifer Boleyn, Madison McLaury, Stephanie Wieman
{"title":"Suspected Pseudocholinesterase Deficiency During Left Thyroid Lobectomy and Isthmusectomy: A Case Report.","authors":"Jennifer Boleyn, Madison McLaury, Stephanie Wieman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Pseudocholinesterase (butyrylcholinesterase) deficiency is an acquired or inherited condition in which decreased plasma levels of the pseudocholinesterase enzyme lead to an inability to metabolize the neuromuscular blocking agents succinylcholine and mivacurium, prolonging their paralytic effects. This often results in delayed extubation and additional intensive care requirements in the postoperative period.</p><p><strong>Case description: </strong>We describe a case of suspected pseudocholinesterase deficiency in a previously healthy 59-year-old female who underwent a left thyroid lobectomy and isthmusectomy. The patient received 120 mg of succinylcholine chloride before intubation. The patient did not meet extubation criteria following the completion of the procedure approximately two hours after receiving succinylcholine chloride. The patient was transferred to the ICU for respiratory support and for the medication to clear from the patient's system. The patient regained muscle control approximately four hours after receiving succinylcholine chloride and was extubated without complication. The patient shared post-extubation that she had a blood relative with the diagnosis of pseudocholinesterase deficiency.</p><p><strong>Conclusion: </strong>Pseudocholinesterase deficiency is rare but can result in potentially serious complications following the administration of succinylcholine chloride, mivacurium, or ester local anesthetics due to reduced metabolism and subsequently increased pharmacodynamic effects. Given the widespread use of succinylcholine chloride as a neuromuscular blocking agent, such as in this case, providers must be aware of the presentation, pathophysiology, diagnosis, and management. Additionally, this case demonstrates the importance of thoroughly inquiring about any personal or family history of anesthetic complications during a preoperative assessment.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 6","pages":"266-269"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627996","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
Gluten Ataxia and mGluR1 Autoimmune Encephalitis Presenting as Acute Cerebellar Ataxia: A Case Report. 表现为急性小脑共济失调的麸质共济失调和 mGluR1 自身免疫性脑炎：病例报告。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Cole D Tessendorf, Jared F Hueser, Brendan Wechsler, Nessim N Amin
{"title":"Gluten Ataxia and mGluR1 Autoimmune Encephalitis Presenting as Acute Cerebellar Ataxia: A Case Report.","authors":"Cole D Tessendorf, Jared F Hueser, Brendan Wechsler, Nessim N Amin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A Caucasian male in his 60s presented with acute onset of dizziness, dysarthria, and gait ataxia. Upon extensive workup, positive findings were cerebrospinal fluid (CSF) showing lymphocytic pleocytosis with oligoclonal bands, positive celiac disease autoantibodies in blood, a duodenal biopsy indicating lymphocytic infiltration, and positive anti-mGluR1 antibody titers in CSF. The patient was started on a strict gluten-free diet and intravenous immunoglobulin therapy for 5 days and showed mild consecutive improvements each day of treatment. He was discharged after 22 days, and was encouraged to continue gluten adherence, physical and speech therapy, and follow up with neuroimmunology. This report demonstrates that autoimmune encephalitis due to anti-mGluR1antibodies and gluten ataxia are both immune-mediated disorders that should be considered in acute cerebellar ataxia cases. By broadening the differential diagnosis and a comprehensive CSF analysis, identification of gluten ataxia and autoimmune encephalitis were beneficial in the management of this particular patient.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"207-210"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627972","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
Emotional Pre-Occupation And Variations in Stress Scores During Chronic Hemodialysis Management. 慢性血液透析管理期间的情绪预设和压力评分变化。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Saira Akhlaq, Candace Ayars, Lynda Konecny, Monica J Mitchell, Mohammad Z Qamar
{"title":"Emotional Pre-Occupation And Variations in Stress Scores During Chronic Hemodialysis Management.","authors":"Saira Akhlaq, Candace Ayars, Lynda Konecny, Monica J Mitchell, Mohammad Z Qamar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Hemodialysis (HD) patients experience significant psychological stress related to HD. Different types of coping strategies are utilized by these patients to cope with this stress.</p><p><strong>Methods: </strong>Variations in different types of coping strategies with the variations in HD-related stress scores and disparities by sex were assessed. HD patients aged 18 years and above who were seeking regular treatment in a specific HD-unit of a hospital in the upper Midwest, were surveyed between March 2020 and July 2020.</p><p><strong>Results: </strong>Descriptive statistics, correlational analyses, and regression analyses were performed. Females could be expected to have emotional coping scores 8 units greater than males, as B = 8.017 for sex in the model, p =.000. Females could be expected to have coping scores 6.4 points higher than males when adjusted for stress levels, as: B= 6.351, p =0.001 for sex in the model. For each 1 point increase in Stress Score, the Coping Score could be expected to: increase 6.8 points when adjusted for sex, where B = 6.751 and p =0.000.</p><p><strong>Conclusion: </strong>Increased prevalence of emotional pre-occupation was only observed among female patients which increased with the increase in stress. Psychological interventions in female HD patients should be strongly considered in addressing emotional pre-occupation coping.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"200-204"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627971","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
Antithrombotic Therapy for Heart Failure in Sinus Rhythm - A Concise Review. 窦性心律心力衰竭的抗血栓治疗--简明综述。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Rakshya Sharma, Ananta Subedi
{"title":"Antithrombotic Therapy for Heart Failure in Sinus Rhythm - A Concise Review.","authors":"Rakshya Sharma, Ananta Subedi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heart failure (HF) is a common disorder associated with significant morbidity and mortality. It can increase the risk of thromboembolic events, which subsequently lead to increased risk of stroke, ischemic heart disease, thromboembolism, and death. Antithrombotic therapy has been investigated as a potential management strategy for HF patients in sinus rhythm, but its efficacy remains uncertain. Current guidelines do not recommend the routine use of antithrombotics in patients with HF in sinus rhythm without any other indication for their use. Several randomized controlled trials have investigated the efficacy of antithrombotics in HF patients in sinus rhythm. This article provides a concise review of the existing literature to assess the evidence supporting the use of antithrombotics in HF patients in sinus rhythm. The use of warfarin or other anticoagulants has demonstrated a lower risk of stroke but an increased risk of bleeding. The studies demonstrate that anticoagulant therapy in HF patients in sinus rhythm does not provide significant benefits in terms of overall ischemic events or death.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627969","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
Measurement-Based Care for Pediatric and Adolescent Mental Health Disorders as a Decision-Making Support Paradigm for Clinical Practice: A Review. 以测量为基础的儿童和青少年心理健康疾病护理作为临床实践的决策支持范例：综述。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Cole Edwards, Vivek Anand
{"title":"Measurement-Based Care for Pediatric and Adolescent Mental Health Disorders as a Decision-Making Support Paradigm for Clinical Practice: A Review.","authors":"Cole Edwards, Vivek Anand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article makes a case to encourage pediatric/adolescent care providers and healthcare systems to implement measurement-based standardized assessments of patient's baseline and longitudinal health outcomes for mental disorders to help institute evidence-based treatments. The article discusses the current underutilization, challenges, barriers, and concerns from stakeholders with measurement-based care in clinical settings while also highlighting the advantages and importance of the aforementioned care model.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"220-229"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627975","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
Do the Hard Things - Lessons from Dr. Susan Anderson. 做困难的事--苏珊-安德森博士的教诲。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Jason Kemnitz
{"title":"Do the Hard Things - Lessons from Dr. Susan Anderson.","authors":"Jason Kemnitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"195"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627970","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
Images in Medicine: Diphyllobothriasis in a Teenage Male. 医学影像：一名青少年男性的双嗜血杆菌病
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
David Jensen, Peter Paul Lim
{"title":"Images in Medicine: Diphyllobothriasis in a Teenage Male.","authors":"David Jensen, Peter Paul Lim","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"232"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627973","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
Images in Medicine: Inability to Advance Pulmonary Artery Catheter Unmasking Anomalous Infra-Cardiac Right Pulmonary Venous Return in a Middle-Aged Adult. 医学影像：无法推进肺动脉导管，揭示一名中年成人心内右肺静脉回流异常。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Muhammad Saad Shaukat, Jaswanth Jasti, Melissa Pham, Adam Stys, Tomasz Stys
{"title":"Images in Medicine: Inability to Advance Pulmonary Artery Catheter Unmasking Anomalous Infra-Cardiac Right Pulmonary Venous Return in a Middle-Aged Adult.","authors":"Muhammad Saad Shaukat, Jaswanth Jasti, Melissa Pham, Adam Stys, Tomasz Stys","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"231"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627974","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
Medical Students Deserve Our Admiration. 医学生值得我们钦佩。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-05-01
Henry Travers
{"title":"Medical Students Deserve Our Admiration.","authors":"Henry Travers","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 5","pages":"196"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627976","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 Humanities: A Guide to Understanding the Human Condition. 人文科学：了解人类状况的指南》。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-04-01
Benjamin Limburg, Nicholas Kendall, Parker Owen
{"title":"The Humanities: A Guide to Understanding the Human Condition.","authors":"Benjamin Limburg, Nicholas Kendall, Parker Owen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 4","pages":"147-148"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591628","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
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