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Ultrasound-guided posterior transversus abdominis plane block versus epidural analgesia for postoperative pain relief in lower abdominal surgeries 超声引导下后横腹平面阻滞与硬膜外镇痛对下腹部手术术后疼痛的缓解作用
Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-01 DOI: 10.4103/jmedsci.jmedsci_11_22
Arnab Das, Kunal Tiwari, S. Sharma, Shalendra Singh, S. Patnaik, Nimish Gaur
{"title":"Ultrasound-guided posterior transversus abdominis plane block versus epidural analgesia for postoperative pain relief in lower abdominal surgeries","authors":"Arnab Das, Kunal Tiwari, S. Sharma, Shalendra Singh, S. Patnaik, Nimish Gaur","doi":"10.4103/jmedsci.jmedsci_11_22","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_11_22","url":null,"abstract":"Background: Among the regional anesthesia techniques used for postoperative analgesia for lower abdominal surgeries, epidural analgesia (EA) has been the gold standard and time-tested technique, but complications and contraindications for the same warrant the need for other equally good analgesic techniques. Aim: The present study compared posterior transversus abdominis plane (TAP) block to EA for postoperative analgesic efficacy in patients undergoing lower abdominal surgeries. Methods: Prospective, observational study in patients undergoing lower abdominal surgeries under general anesthesia. Patients received ultrasound-guided (USG) 20 ml 0.2% ropivacaine each side in TAP block (Group A, n = 50) or 10 ml of 0.2% ropivacaine was administered in epidural (Group B; n = 50) before extubation. The Visual analog scale (VAS) score, hemodynamic parameters, and ill effects were recorded. Results: The blood pressure was significantly lower in first 6 h of block in Group B. VAS score was significantly lower in Group A in first 6 h of surgery. It was observed that a significantly higher number of patients in the Group B required rescue analgesic and at higher dosages. Postoperative nausea and vomiting were found in 32% of Group B and 22% of Group A patients. Conclusion: TAP block has almost no complications, keeps the patient more hemodynamically stable, and offers a better early postoperative analgesia when compared to EA in patients undergoing lower abdominal surgeries.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"74 - 78"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45019276","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
Leiomyomatosis peritonealisis disseminata resembling intra-abdominal malignancy 腹膜播散性平滑肌病类似腹腔恶性肿瘤
Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-01 DOI: 10.4103/jmedsci.jmedsci_356_21
Mu‐Hsien Yu, Chia-Teng Chang, Yi-Hsin Lin, Kuo-Min Su
{"title":"Leiomyomatosis peritonealisis disseminata resembling intra-abdominal malignancy","authors":"Mu‐Hsien Yu, Chia-Teng Chang, Yi-Hsin Lin, Kuo-Min Su","doi":"10.4103/jmedsci.jmedsci_356_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_356_21","url":null,"abstract":"Leiomyomatosis peritonealisis disseminata (LPD) is a rare benign tumor characterized by the dissemination of smooth muscle-like cell nodules within the peritoneal cavity. Diagnosing LPD is challenging for clinicians due to its nonspecific clinical presentation and its dissemination throughout the peritoneal cavity, which mimics intra-abdominal malignancy. In the present study, we present the case of a 47-year-old woman with severe abdominal pain and fever initially diagnosed with intra-abdominal abscess or peritoneal carcinomatosis. Exploratory laparotomy was performed to resect several leiomyoma-like tumors in the subperitoneal space. LPD was confirmed histopathologically.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"87 - 89"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45529137","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
Vasoplegic syndrome after cardiopulmonary bypass for paravalvular leak of mitral bioprosthesis 二尖瓣生物瓣膜心肺转流术后血管麻痹综合征
Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-01 DOI: 10.4103/jmedsci.jmedsci_304_21
Yu‐Xuan Jiang, P. Hsu, Chien-Sung Tsai, Chih-Yuan Lin
{"title":"Vasoplegic syndrome after cardiopulmonary bypass for paravalvular leak of mitral bioprosthesis","authors":"Yu‐Xuan Jiang, P. Hsu, Chien-Sung Tsai, Chih-Yuan Lin","doi":"10.4103/jmedsci.jmedsci_304_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_304_21","url":null,"abstract":"Vasoplegic syndrome (VS) is characterized by low systemic vascular resistance paired with relatively preserved cardiac output that may result in increased morbidity and mortality rate after open-heart surgery utilizing cardiopulmonary bypass. We report a case of a 61-year-old male who underwent redo open-heart surgery due to a paravalvular leak of the previous implanted mitral bioprosthesis and severe tricuspid regurgitation. The patient experienced the VS in the intensive care unit after the operation. He was resuscitated by vasopressors and recovered uneventfully.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"84 - 86"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44117157","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
Lurasidone treatment for delusional infestation in a patient with dementia 鲁拉西酮治疗痴呆患者妄想症
Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-01 DOI: 10.4103/jmedsci.jmedsci_410_20
Yu-Ning Her, Hsin-An Chang, Fang Wan, Nian-Sheng Tzeng
{"title":"Lurasidone treatment for delusional infestation in a patient with dementia","authors":"Yu-Ning Her, Hsin-An Chang, Fang Wan, Nian-Sheng Tzeng","doi":"10.4103/jmedsci.jmedsci_410_20","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_410_20","url":null,"abstract":"Delusional infestation has been described since 1894. The variety of treatments of delusional infestation has been administered in different atypical antipsychotic agents. Here, we present a case of first treatment with lurasidone on the delusional infestation in a 68-year-old female with vascular dementia, and the literature reviews of the related delusion infestation management.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"79 - 83"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49112698","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: 1
C-reactive protein as a potential effective predictor of perforated appendicitis in pediatric patients C反应蛋白作为小儿穿孔性阑尾炎的潜在有效预测因子
Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-01 DOI: 10.4103/jmedsci.jmedsci_349_21
Chia-Wei Chang, Shyi-Jou Chen, Der-shiun Wang, Chih-Hsiung Hsu, Wan-Fu Hsu
{"title":"C-reactive protein as a potential effective predictor of perforated appendicitis in pediatric patients","authors":"Chia-Wei Chang, Shyi-Jou Chen, Der-shiun Wang, Chih-Hsiung Hsu, Wan-Fu Hsu","doi":"10.4103/jmedsci.jmedsci_349_21","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_349_21","url":null,"abstract":"Background: Surgical intervention is important for acute appendicitis. Perforated appendicitis leads to more complications and is more difficult to manage. Studies differentiating ruptured from nonruptured appendicitis are controversial. Aim: Early identification of perforated appendicitis is important for first-line medical practitioners. Our study aimed to provide more indicators to evaluate the risk of perforation before surgery. Methods: This retrospective study included 116 patients who underwent an appendectomy at the Tri-Service General Hospital between 2014 and 2018 with pathological diagnosis. Based on the surgical records, the patients were classified into two groups: simple (nonperforation) and complicated (perforation). Results: The patients (68 boys, 48 girls) were all under 18 years of age. Simple appendicitis was diagnosed in 87 patients and perforated appendicitis in 29 patients. Analysis revealed significant differences in blood C-reactive protein (CRP) levels between the two groups. The highest Youden's index was at a CRP level of 1.755 mg/dL. Positive findings were obtained for suppurative change as well as chylous ascites. Conclusion: Elevated CRP level was found to be a useful biomarker in predicting perforated appendicitis, excluding other general factors in pediatric patients. Suppurative change and chylous ascites could serve as indicators for the possibility of perforation during surgery.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"51 - 55"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49301415","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 migrated intrauterine contraceptive device presented as a vesical stone 移位的宫内节育器表现为膀胱结石
Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-01 DOI: 10.4103/jmedsci.jmedsci_38_22
C. Lin, Meng-Hung Shih, C. Tsao
{"title":"The migrated intrauterine contraceptive device presented as a vesical stone","authors":"C. Lin, Meng-Hung Shih, C. Tsao","doi":"10.4103/jmedsci.jmedsci_38_22","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_38_22","url":null,"abstract":"Intrauterine devices (IUDs) are one of the most popular reversible contraception methods. However, if an event related to them is unanticipated, or if they are not located when missing, it can be dangerous. We present a case of chronic lower abdomen pain and recurrent urinary tract infection ongoing for 1.5 years. Despite the patient undergoing laparoscopic uterine myomectomy, her symptoms had not improved. The patient visited a genitourinary clinic for lower urinary tract symptoms and accepted cystoscopy and electrohydraulic lithotomy. Incidentally, a part of an IUD was found in the calculus. This case highlights the need for careful diagnosis and for locating missing IUDs to avoid serious complications.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"93 - 96"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45990878","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 Effect of Integrated Cognitive Behavioral Therapy on Clinical Decision Making for Patients with Depression and Anxiety 综合认知行为疗法对抑郁、焦虑患者临床决策的影响
Journal of Medical Sciences (Taiwan) Pub Date : 2023-02-15 DOI: 10.3923/jms.2023.38.44
Vid Velikić, Mosad Zineldin, Ivana Dabovic, F. Mokhtar
{"title":"The Effect of Integrated Cognitive Behavioral Therapy on Clinical Decision Making for Patients with Depression and Anxiety","authors":"Vid Velikić, Mosad Zineldin, Ivana Dabovic, F. Mokhtar","doi":"10.3923/jms.2023.38.44","DOIUrl":"https://doi.org/10.3923/jms.2023.38.44","url":null,"abstract":"","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46038086","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
Glipizide has Low Influences on Lipid Index and Major Organs Weight Variation and Considerable Anxiolytic Properties: An in vivo Investigation 格列吡嗪对血脂指数和主要器官重量变化的影响较小，并具有相当的抗焦虑性:一项体内研究
Journal of Medical Sciences (Taiwan) Pub Date : 2023-01-15 DOI: 10.3923/jms.2023.7.17
Misbah Salam, M. Rana, P. Baral, M. Rahman, Shehreen Ahmed, Rubiya Rahman, Nusaiba Jahan, Tanoy Mazumder, M. Islam, M. Hussain
{"title":"Glipizide has Low Influences on Lipid Index and Major Organs Weight Variation and Considerable Anxiolytic Properties: An in vivo Investigation","authors":"Misbah Salam, M. Rana, P. Baral, M. Rahman, Shehreen Ahmed, Rubiya Rahman, Nusaiba Jahan, Tanoy Mazumder, M. Islam, M. Hussain","doi":"10.3923/jms.2023.7.17","DOIUrl":"https://doi.org/10.3923/jms.2023.7.17","url":null,"abstract":"","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45793662","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
Therapeutic Uses of Medical Cannabis: An Overview of its Functions in Disease Management 医用大麻的治疗用途:概述其在疾病管理中的功能
Journal of Medical Sciences (Taiwan) Pub Date : 2023-01-15 DOI: 10.3923/jms.2023.32.39
A. Kayode, S. Adrish, A. Muhammad, R. Amin, D. Muhammad, Z. Rida, G. O. Alabi, G. F. Okumede, O. Kayode
{"title":"Therapeutic Uses of Medical Cannabis: An Overview of its Functions in Disease Management","authors":"A. Kayode, S. Adrish, A. Muhammad, R. Amin, D. Muhammad, Z. Rida, G. O. Alabi, G. F. Okumede, O. Kayode","doi":"10.3923/jms.2023.32.39","DOIUrl":"https://doi.org/10.3923/jms.2023.32.39","url":null,"abstract":"","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48020109","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
Nosocomial Diarrhea in Intensive Care Units: A Mortality-Based Bacteriological Study 重症监护病房院内腹泻:一项基于死亡率的细菌学研究
Journal of Medical Sciences (Taiwan) Pub Date : 2023-01-15 DOI: 10.3923/jms.2023.32.37
A. Omar, Adel Taha, Praveen C Sivadasan, Mohamed Abdelmonem Khalil, Tamer Elmetwally Farhat
{"title":"Nosocomial Diarrhea in Intensive Care Units: A Mortality-Based Bacteriological Study","authors":"A. Omar, Adel Taha, Praveen C Sivadasan, Mohamed Abdelmonem Khalil, Tamer Elmetwally Farhat","doi":"10.3923/jms.2023.32.37","DOIUrl":"https://doi.org/10.3923/jms.2023.32.37","url":null,"abstract":"","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48454365","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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