Medical Science Monitor最新文献

Comparison of Preoperative and Postoperative Anxiety Levels in Patients Undergoing Tooth Extraction. 拔牙患者术前和术后焦虑水平的比较。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-30 DOI: 10.12659/MSM.949360

Nesrin Saruhan Köse, Görkem Tekin, Gizem Çalışkan, Yasin Çağlar Koşar, Ömür Dereci

{"title":"Comparison of Preoperative and Postoperative Anxiety Levels in Patients Undergoing Tooth Extraction.","authors":"Nesrin Saruhan Köse, Görkem Tekin, Gizem Çalışkan, Yasin Çağlar Koşar, Ömür Dereci","doi":"10.12659/MSM.949360","DOIUrl":"https://doi.org/10.12659/MSM.949360","url":null,"abstract":"BACKGROUND Anxiety experienced during oral surgery can disrupt the patient's physiological balance, make the procedure more difficult to perform, and increase stress for the surgeon. This study aimed to evaluate the changes in dental anxiety levels before and after tooth extraction according to age and sex. MATERIAL AND METHODS This prospective observational study included 400 patients undergoing tooth extraction. Anxiety levels were measured using the State-Trait Anxiety Inventory-State (STAI-S) and -Trait (STAI-T) and the Corah Dental Anxiety Scale (DAS) before and after the procedure. Patients were grouped by age (13-19, 20-34, 35-49, and 50+ years) and sex. Statistical analyses were performed using the Kruskal-Wallis and Mann-Whitney U tests, with significance set at P<0.05. RESULTS Preoperative and postoperative DAS, STAI-S, and STAI-T scores were significantly elevated in female patients compared with male patients (P<0.05). Anxiety levels decreased with age, with adolescents showing the highest anxiety scores and older adults the lowest. A statistically significant difference was observed in DAS and STAI-S scores among different age groups (P<0.05), but not in STAI-T scores (P>0.05). CONCLUSIONS Anxiety levels in patients undergoing tooth extraction vary significantly based on age and sex. These findings suggest that implementing targeted strategies to reduce anxiety, especially in adolescents and women, may enhance patient comfort and improve treatment outcomes.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e949360"},"PeriodicalIF":3.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and Safety of Tip-Flexible Suctioning Ureteral Access in Renal Stone Treatment. 输尿管末端柔性吸引通路治疗肾结石的疗效和安全性。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-30 DOI: 10.12659/MSM.947055

Jianguo Gao, Jianer Tang, Yuefan Shen

{"title":"Efficacy and Safety of Tip-Flexible Suctioning Ureteral Access in Renal Stone Treatment.","authors":"Jianguo Gao, Jianer Tang, Yuefan Shen","doi":"10.12659/MSM.947055","DOIUrl":"https://doi.org/10.12659/MSM.947055","url":null,"abstract":"BACKGROUND We compared the efficacy and safety of a novel flexible-tip suctioning ureteral access sheath (NFTS-UAS) with flexible ureteroscopy (FURS) versus percutaneous nephrolithotomy (PCNL) for treating unilateral renal calculi (2-3.5 cm). MATERIAL AND METHODS This retrospective study included 337 patients (167 NFTS-UAS, 170 PCNL) treated at Huzhou Normal College's First Affiliated Hospital (March 2021-January 2024). Group 1 underwent FURS with NFTS-UAS, utilizing a flexible-tip sheath connected to a suction device for improved fragment clearance. Group 2 underwent standard PCNL. Outcomes included duration of surgery, stone-free rate (SFR), hospital stay, antibiotic use, and complications. RESULTS The NFTS-UAS group had shorter surgery times (80.02±29.44 vs 98.95±28.82 minutes; P<0.05) and hospital stays (45.62±30.59 vs 173.0±75.46 hours; P<0.05). Preoperative antibiotic use and postoperative infectious complications (eg, elevated neutrophils) were lower in the NFTS-UAS group. While NFTS-UAS had a lower day 1 SFR (68.26% vs 83.53%; P<0.05), SFRs had equalized by day 30 (85.0% vs 89.0%; P=0.21). No intraoperative complications occurred in either group. CONCLUSIONS NFTS-UAS with FURS is a viable alternative to PCNL for 2-3.5 cm renal stones, offering comparable 30-day SFRs, faster recovery, and reduced hospitalization. Further prospective studies are warranted to validate long-term outcomes.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947055"},"PeriodicalIF":3.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Smoking Prevalence, Susceptibility to Cigarette Smoking, and Its Causes in 568 Adolescent Male High School Students in Southern Saudi Arabia: A Cross-Sectional Study. 沙特阿拉伯南部568名青少年男高中生的吸烟率、吸烟易感性及其原因：一项横断面研究

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-29 DOI: 10.12659/MSM.948542

Ahmed A AlBariqi, Ali Fahed AlQahtani, Shreyas Tikare, Shankar T Gokhale, Raghavendra Reddy Nagate, Faisal Saeed Mohammed AlHaid, Ali Hussain Ali AlQahtani, Bayapa Reddy Narapureddy, Lingala Kalyan Viswanath Reddy, Kandasamy Muthugounder

{"title":"Smoking Prevalence, Susceptibility to Cigarette Smoking, and Its Causes in 568 Adolescent Male High School Students in Southern Saudi Arabia: A Cross-Sectional Study.","authors":"Ahmed A AlBariqi, Ali Fahed AlQahtani, Shreyas Tikare, Shankar T Gokhale, Raghavendra Reddy Nagate, Faisal Saeed Mohammed AlHaid, Ali Hussain Ali AlQahtani, Bayapa Reddy Narapureddy, Lingala Kalyan Viswanath Reddy, Kandasamy Muthugounder","doi":"10.12659/MSM.948542","DOIUrl":"https://doi.org/10.12659/MSM.948542","url":null,"abstract":"BACKGROUND Smoking is the single largest and most critical public health issue in the world, if smoking is initiated early in life, it can have long-term consequences. This study aimed to evaluate the prevalence of cigarette smoking in 568 adolescent male high school students in southern Saudi Arabia and their susceptibility to smoking using the Expanded Susceptibility to Smoking Index (ESSI), the short version of the UPPS-P Impulsive Behavior Scale (UPPS-P), and the Positive and Negative Affect Schedule (PANAS). MATERIAL AND METHODS A cross-sectional study was conducted among 568 male students aged 15-18 years in randomly selected high schools. Data were collected using a structured questionnaire that included the ESSI, the UPPS-P, and the PANAS. Descriptive statistics and inferential analysis using chi-square tests and logistic regression were performed using SPSS. RESULTS The prevalence of current cigarette smoking was 19.4%. Among non-smokers, 41.9% were not susceptible, 34.9% were susceptible, and 23.2% were highly susceptible, but the differences were not statistically significant. A higher susceptibility to smoking was significantly associated with higher impulsivity (P<0.001) and greater negative affect (P<0.05). Multivariate analysis identified key predictors, including peer influence, sensation seeking, and emotional affect. CONCLUSIONS The findings reveal a notable prevalence of cigarette smoking and high susceptibility among non-smoking adolescent males. Psychological traits such as impulsivity and emotional affect were significantly linked to smoking risk. These results highlight the need for targeted school-based prevention programs addressing both behavioral and emotional factors.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e948542"},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pentraxin 3 as a Prognostic Biomarker in Aneurysmal Subarachnoid Hemorrhage. 戊曲霉素3作为动脉瘤性蛛网膜下腔出血的预后生物标志物。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-29 DOI: 10.12659/MSM.947133

Dong-Liang Wang, Feng Jiao, Yi-Lin Jiang, Hai-Dong Song, Bin Li, Qun Gao, Bin Wang, Bo Hei, Jing-Ru Zhou

{"title":"Pentraxin 3 as a Prognostic Biomarker in Aneurysmal Subarachnoid Hemorrhage.","authors":"Dong-Liang Wang, Feng Jiao, Yi-Lin Jiang, Hai-Dong Song, Bin Li, Qun Gao, Bin Wang, Bo Hei, Jing-Ru Zhou","doi":"10.12659/MSM.947133","DOIUrl":"https://doi.org/10.12659/MSM.947133","url":null,"abstract":"BACKGROUND Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening neurological disorder with high morbidity and mortality, necessitating the identification of prognostic risk factors to optimize clinical management and improve patient outcomes. This study aimed to investigate the relationship between clinical and biochemical markers, including pentraxin 3 (PTX3) levels, and the prognosis in patients with aSAH. MATERIAL AND METHODS In this retrospective study, data on 65 aSAH patients treated from March 2020 to March 2023 were analyzed. All patients underwent endovascular coiling within 24 hours of symptom onset. Risk factors assessed included demographic characteristics, clinical severity based on Hunt-Hess, World Federation of Neurosurgical Societies (WFNS), and modified Fisher (mFisher) grading scales, and CSF PTX3 levels. Patients were followed for 3 months after treatment, with outcomes evaluated using the modified Rankin Scale (mRS). RESULTS Multiple clinical and biochemical risk factors were associated with poor prognosis in aSAH patients. High initial scores on Hunt-Hess, WFNS, and mFisher grading scales were strongly correlated with adverse 3-month outcomes (P<0.001). Elevated PTX3 levels in the CSF were also observed in patients with severe clinical presentation and poor recovery (P<0.001). Multivariate regression analysis identified high initial severity scores and elevated CSF PTX3 levels as independent predictors of poor 3-month outcomes. CONCLUSIONS This study elevated CSF PTX3 levels correlate closely with clinical severity scores and independently predict poor prognosis in aSAH, supporting PTX3 as a reliable inflammatory biomarker for prognostic evaluation.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947133"},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Initial Glucose Tolerance Test Response on Pregnancy Outcomes in Type A1 Gestational Diabetes. 初始糖耐量试验反应对A1型妊娠糖尿病妊娠结局的影响

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-28 DOI: 10.12659/MSM.947377

Peishan Li, Yunyun Liu, Sijie Pu, Zhenghua Xiao, Xue Liu

{"title":"Effect of Initial Glucose Tolerance Test Response on Pregnancy Outcomes in Type A1 Gestational Diabetes.","authors":"Peishan Li, Yunyun Liu, Sijie Pu, Zhenghua Xiao, Xue Liu","doi":"10.12659/MSM.947377","DOIUrl":"https://doi.org/10.12659/MSM.947377","url":null,"abstract":"BACKGROUND This retrospective study of obstetric data from 281 cases of type A1 gestational diabetes mellitus (GDM) aimed to evaluate the association between the response to a first oral 75 g glucose tolerance test and adverse pregnancy outcomes. MATERIAL AND METHODS A total of 281 pregnant women with type A1 GDM and 151 pregnant women without GDM were analyzed for clinical test indicators and pregnancy outcomes. We compared categorical variables using chi-square test, and analyzed computational variables using the independent sample t test and one-way ANOVA. RESULTS Compared with the normal group, the GDM group showed an increase in serum ferritin (P<0.001), uric acid (P=0.02), creatinine (P=0.02), C-reactive protein (P<0.001), and neutrophils (P=0.03). Risk of premature rupture of membranes and preterm birth also increased. In GDM group, isolated fasting hyperglycemia group (IFH) had the highest proportion of patients with prehypertension (P<0.001), creatinine (P=0.01) increased the most among the 3 groups, and incidence of fetal macrosomia was highest (P=0.01). The isolated post-load hyperglycemia group (IPH) had the highest proportion of patients whose umbilical artery resistance index (RI; P<0.001) exceeded normal range during delivery. CONCLUSIONS IFH group had the highest blood pressure, premature rupture of membranes, and incidence of fetal macrosomia. We recommended actively monitoring blood pressure, controlling diet and weight, and avoiding the above complications. Pregnant women with IPH have the highest proportion of umbilical artery RI exceeding the normal range during delivery, and the highest number of cases of fetal growth restriction. Therefore, close monitoring of fetal growth and development should be conducted.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947377"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Bed Exercise Following Primary Total Hip Replacement in Young Active Patients. 初级全髋关节置换术后卧床锻炼对年轻活跃患者的疗效。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-27 DOI: 10.12659/MSM.946819

Zeming Liu, Jiangqi Chang, Yansong Liu, Yongbo Ma, Xuzhuang Ding, Jia Huo

{"title":"Efficacy of Bed Exercise Following Primary Total Hip Replacement in Young Active Patients.","authors":"Zeming Liu, Jiangqi Chang, Yansong Liu, Yongbo Ma, Xuzhuang Ding, Jia Huo","doi":"10.12659/MSM.946819","DOIUrl":"https://doi.org/10.12659/MSM.946819","url":null,"abstract":"BACKGROUND Postoperative rehabilitation exercise is a crucial stage for promoting joint function recovery and ensuring satisfactory outcomes. However, limited evidence exists to guide rehabilitation for younger total hip replacement (THR) patients. This study evaluates whether bed exercise after total hip replacement (THR) in patients under 65 improves hip function, quality of life, and reduces postoperative complications. MATERIAL AND METHODS A retrospective analysis of 389 THR patients was conducted, dividing them into Group A (bed exercise + gait re-education) and Group B (gait re-education only). Harris Hip Score and SF-36 were assessed at baseline and at 5, 17, and 35 weeks postoperatively. RESULTS Group A showed superior outcomes in hip function, quality of life, and fewer complications compared to Group B. At 5 weeks, Group A had a significantly higher Harris Hip Score (78.1±9.4 vs 71.5±12.9, P=0.036) and SF-36 scores (PCS: 82.6±14.1 vs 73.1±16.0, P=0.019; MCS: 80.5±16.9 vs 67.9±18.8, P<0.001). Postoperative complications, including deep vein thrombosis (2.7% vs 14.1%, P<0.001) and joint stiffness (1.1% vs 5.3%, P=0.020), were less frequent in Group A. CONCLUSIONS Bed exercise significantly enhances hip function, improves quality of life, and lowers complication rates, making it an effective postoperative rehabilitation approach for THR patients under age 65 years.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e946819"},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Glucagon-Like Peptide-1 Receptor Agonists Lead to Gastrointestinal Benefits in Patients with Type 2 Diabetes: A Real-World Study. 胰高血糖素样肽-1受体激动剂对2型糖尿病患者胃肠道的益处：一项真实世界的研究

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-27 DOI: 10.12659/MSM.946935

Jung-Hui Hsu, Hsueh-Fen Bai, Mon-Ting Chen, Yu-Wei Fang, Jing-Tong Wang, Chieh-Yu Liu, Ming-Hsein Tsai

{"title":"Glucagon-Like Peptide-1 Receptor Agonists Lead to Gastrointestinal Benefits in Patients with Type 2 Diabetes: A Real-World Study.","authors":"Jung-Hui Hsu, Hsueh-Fen Bai, Mon-Ting Chen, Yu-Wei Fang, Jing-Tong Wang, Chieh-Yu Liu, Ming-Hsein Tsai","doi":"10.12659/MSM.946935","DOIUrl":"https://doi.org/10.12659/MSM.946935","url":null,"abstract":"BACKGROUND Glucagon-like peptide-1 receptor agonist (GLP1-RA) is a promising therapy for heart and kidney health in type 2 diabetes mellitus (T2DM). However, information on its GI benefits is limited. This study aimed to investigate the gastrointestinal (GI) outcomes of GLP1-RA use in patients with T2DM. MATERIAL AND METHODS This retrospective cohort study utilized the TriNetX Dataset with a new-user and active-comparator design. The study included 2 304 761 adult patients diagnosed with T2DM and an estimated glomerular filtration rate of ≥60 mL/min/1.73 m² from January 2019 to December 2022. To establish cohorts, we designated users of dipeptidyl peptidase-4 inhibitors (DPP4i) as the control group. Two cohorts were formed for analysis after propensity score matching by baseline characteristics, each comprising 127 216 patients - one using GLP1-RA and the other DPP4i. Cox proportional hazards regression models were used to evaluate GI outcomes over 4 years between groups. RESULTS After matching, the average age of the population was about 60 years, with approximately 55% male and 63% identifying as White people. GLP1-RA users demonstrated a lower risk of acute pancreatitis (hazard ratio [HR]: 0.90, 95% confidence interval [CI]: 0.83-0.97), liver failure (HR: 0.81, 95% CI: 0.75-0.88), peritonitis (HR: 0.85, 95% CI: 0.76-0.94), peptic ulcer (HR: 0.89, 95% CI: 0.84-0.94), and GI bleeding (HR: 0.95, 95% CI: 0.92-0.98) compared to DPP4i users, indicating significant GI-protective effects. Furthermore, the GI advantages of GLP14A over DPP4i were consistently observed across various propensity score matching models. CONCLUSIONS GLP1-RA treatment in T2DM has some GI advantages compared to DPP4, which should be considered when personalizing T2DM treatment.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e946935"},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infectious and Immunological Links Between Periodontitis and COVID-19: A Review. 牙周炎与COVID-19之间的感染和免疫联系：综述

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-26 DOI: 10.12659/MSM.948069

Hassan Alkharaan

引用次数: 0

Use of the Zebris Ultrasonic Three-Dimensional Motion Analysis System to Evaluate Range of Motion of the Cervical Spine in 61 Healthy Adults. 应用Zebris超声三维运动分析系统评价61例健康成人颈椎运动范围。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-26 DOI: 10.12659/MSM.948203

Andżelina Wolan-Nieroda, Agnieszka Grzybowska, Andrzej Maciejczak, Paweł Kiper, Sara Federico, Agnieszka Guzik

{"title":"Use of the Zebris Ultrasonic Three-Dimensional Motion Analysis System to Evaluate Range of Motion of the Cervical Spine in 61 Healthy Adults.","authors":"Andżelina Wolan-Nieroda, Agnieszka Grzybowska, Andrzej Maciejczak, Paweł Kiper, Sara Federico, Agnieszka Guzik","doi":"10.12659/MSM.948203","DOIUrl":"https://doi.org/10.12659/MSM.948203","url":null,"abstract":"BACKGROUND The Zebris ultrasonic three-dimensional motion analysis system is an established and validated method used to measure flexion, extension, range of lateral bending, and range of axial rotation in the cervical spine. This study aimed to assess the Zebris ultrasonic three-dimensional motion analysis system to evaluate the range of motion of the cervical spine in 61 healthy adults. MATERIAL AND METHODS Sixty-one healthy individuals took part in the study. Each participant was examined twice, 2 weeks apart, by 2 independent raters. The cervical spine range of motion was measured in the sitting position, in 3 planes of motion. Measurements were performed using the Zebris ultrasound-based three-dimensional motion analysis system. Intra-rater agreement (reproducibility) was assessed by comparing the results of the 2 measurements performed by the same rater, while inter-rater agreement was evaluated by comparing the measurements of the 2 independent raters. RESULTS Intra-rater agreement showed Intraclass Correlation Coefficient (ICC) values ranging from 0.92 to 0.96 across all planes of motion, indicating high consistency of measurements over time. Inter-rater agreement showed ICC values ranging from 0.91 to 0.95, confirming high agreement between the 2 independent raters. CONCLUSIONS The study demonstrates that the Zebris ultrasonic three-dimensional motion analysis system presents excellent inter-rater and intra-rater agreement in measurements of cervical range of motion, in healthy Polish young adults. These findings support its use in clinical practice for diagnosing cervical spine mobility disorders, planning therapeutic interventions, and monitoring treatment outcomes.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e948203"},"PeriodicalIF":3.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancements in Non-Invasive Intracranial Pressure Monitoring via Optic Nerve Sheath Diameter Measurement. 视神经鞘直径测量无创颅内压监测的研究进展。

IF 3.1 4区医学

Medical Science Monitor Pub Date : 2025-05-25 DOI: 10.12659/MSM.947237

Xuebo Jiang, Hao Guo, Wei Xiao, Lei Wang, Di Wu, Juan Liu, Qian Zhao, Yanxia Shao

{"title":"Advancements in Non-Invasive Intracranial Pressure Monitoring via Optic Nerve Sheath Diameter Measurement.","authors":"Xuebo Jiang, Hao Guo, Wei Xiao, Lei Wang, Di Wu, Juan Liu, Qian Zhao, Yanxia Shao","doi":"10.12659/MSM.947237","DOIUrl":"10.12659/MSM.947237","url":null,"abstract":"Intracranial pressure (ICP) monitoring is the mainstay of treatment for patients with brain tumors, hydrocephalus, cerebral edema, and traumatic brain injury (TBI). At present, there are 2 main monitoring methods: non-invasive and invasive. Although invasive monitoring of ICP is the criterion standard, non-invasive approaches based on measurement of optic nerve sheath diameter (ONSD) are becoming increasingly popular because of their simplicity, low cost, and accuracy. Ultrasound (US) measurement of ONSD is especially useful because it allows dynamic evaluation of ICP over the hospital and treatment period in a real-time manner and can be performed bedside for better patient acceptance. This paper reviews the research progress, and highlights the advantages, performance, and results of various ONSD measurement approaches, including US-based ONSD measurement, with regard to its principles, operation method, and clinical applications, as well as ONSD measurement by other techniques such as computed tomography (CT) and magnetic resonance imaging (MRI). New developments, including use of the ONSD/ocular transverse diameter (ETD) index and possible future studies on ONSD-based/assisted therapy and treatment for patients with TBI, stroke, and other conditions that can increase ICP will also be discussed.","PeriodicalId":48888,"journal":{"name":"Medical Science Monitor","volume":"31 ","pages":"e947237"},"PeriodicalIF":3.1,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0