Journal of Yeungnam medical science最新文献_第7页

Analyzing ethical dimensions of mental disorders: trends and key research areas through bibliometric methods. 通过文献计量学方法分析精神障碍的伦理维度：趋势和重点研究领域。

IF 1.4

Journal of Yeungnam medical science Pub Date : 2025-01-01 Epub Date: 2025-09-05 DOI: 10.12701/jyms.2025.42.54

Bo Wang, Oyyappan Duraipandi

{"title":"Analyzing ethical dimensions of mental disorders: trends and key research areas through bibliometric methods.","authors":"Bo Wang, Oyyappan Duraipandi","doi":"10.12701/jyms.2025.42.54","DOIUrl":"10.12701/jyms.2025.42.54","url":null,"abstract":"This study aimed to explore key ethical issues related to mental disorders through a bibliometric and cluster-based content analysis of existing academic literature. A comprehensive literature search was conducted in the Scopus database (Elsevier) up to December 31, 2024, using ethics-and mental disorder-related keywords. The search was limited to English-language journal articles in medicine, psychology, neuroscience, and other related fields. After title and abstract screening, 1,271 articles were included (κ=0.907). Bibliometric analyses including keyword co-occurrence, citation coupling, and country/author mapping were performed using VOSviewer (Centre for Science and Technology Studies, Leiden University) and Gephi (Gephi Consortium). A cluster-based content analysis was used to interpret the thematic structure of the field. The annual publication volume showed an upward fluctuating trend, with increasing scholarly attention post-1994. Coauthor networks revealed weak centralization, and the core author group remained underdeveloped. Research has been geographically concentrated in North America and Western Europe, particularly in the United States, the United Kingdom, and Canada. Keyword analysis identified six major thematic clusters: (1) conceptual foundations and policy frameworks in mental health ethics, (2) ethical challenges in psychiatric care, (3) research ethics, (4) patient autonomy and rights, (5) end-of-life decision-making and palliative ethics, and (6) neuroethics and emerging biomedical technologies. Recent popular topics include artificial intelligence, epistemic injustice, and medical aid for the dying. This study maps the intellectual structure and evolving focus of the ethical discourse on mental health. These findings highlight the need for ethically responsive frameworks that address patient autonomy, technological advancement, and global equity.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":"42 ","pages":"54"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002101","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

Radial artery superficial palmar branch free flap versus toe pulp free flap for finger pulp reconstruction: a narrative review. 桡动脉掌浅支游离皮瓣与趾髓游离皮瓣在指髓重建中的对比研究。

IF 1.4

Journal of Yeungnam medical science Pub Date : 2025-01-01 Epub Date: 2025-09-13 DOI: 10.12701/jyms.2025.42.56

Daihun Kang

{"title":"Radial artery superficial palmar branch free flap versus toe pulp free flap for finger pulp reconstruction: a narrative review.","authors":"Daihun Kang","doi":"10.12701/jyms.2025.42.56","DOIUrl":"10.12701/jyms.2025.42.56","url":null,"abstract":"Finger pulp reconstruction remains a challenging aspect of hand surgery and requires a careful balance between functional restoration and donor-site morbidity. Among the various microsurgical options, radial artery superficial palmar branch (RASP) and toe pulp free flaps have emerged as the two most widely used techniques, each offering distinct advantages. This narrative review comprehensively compares these two microsurgical approaches for finger pulp reconstruction. The RASP free flap harvested from the thenar region provides glabrous palmar tissue with an excellent color match, minimal donor-site morbidity, and the advantage of single-field surgery. However, it lacks the specialized architecture of native finger pulp. In contrast, the toe pulp free flap offers anatomically identical tissue with superior sensory recovery (two-point discrimination, 4-7 mm vs. 6-12 mm for the RASP free flap) and exceptional durability, representing true \"like-with-like\" reconstruction. Nevertheless, it requires longer operative times and carries significant donor-site morbidity, affecting gait. The selection of these techniques should be individualized based on the defect characteristics, functional demands, and patient factors. The RASP free flap is an excellent first-line option for most defects where standard functional recovery is sufficient, whereas toe pulp transfer remains the gold standard for patients requiring maximal sensory discrimination. Future research should prioritize high-quality comparative studies to evaluate the outcomes of various finger pulp reconstruction techniques.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":"42 ","pages":"56"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066458","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

Invasive strategies for rhythm control of atrial fibrillation: a narrative review. 心房颤动节律控制的侵入性策略：综述。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-20 DOI: 10.12701/jyms.2024.00703

Hong-Ju Kim, Chan-Hee Lee

{"title":"Invasive strategies for rhythm control of atrial fibrillation: a narrative review.","authors":"Hong-Ju Kim, Chan-Hee Lee","doi":"10.12701/jyms.2024.00703","DOIUrl":"10.12701/jyms.2024.00703","url":null,"abstract":"Atrial fibrillation (AF) is the most common sustained tachyarrhythmia and its increasing prevalence has resulted in a growing healthcare burden. A recent landmark randomized trial, the EAST-AFNET 4 (Early Treatment of Atrial Fibrillation for Stroke Prevention Trial), highlighted the importance of early rhythm control in AF, which was previously underemphasized. Rhythm control therapy includes antiarrhythmic drugs, direct-current cardioversion, and catheter ablation. Currently, catheter ablation is indicated for patients with AF who are either refractory or intolerant to antiarrhythmic drugs or who exhibit decreased left ventricular systolic function. Catheter ablation can be categorized according to the energy source used, including radiofrequency ablation (RFA), cryoablation, laser ablation, and the recently emerging pulsed field ablation (PFA). Catheter ablation techniques can also be divided into the point-by-point ablation method, which ablates the pulmonary vein (PV) antrum one point at a time, and the single-shot technique, which uses a spherical catheter to ablate the PV antrum in a single application. PFA is known to be applicable to both point-by-point and single-shot techniques and is expected to be promising owing to its tissue specificity, resulting in less collateral damage than catheter ablation involving thermal energy, such as RFA and cryoablation. In this review, we aimed to outline catheter ablation for rhythm control in AF by reviewing previous studies.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":" ","pages":"279-287"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302754","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

A 32-year-old man with plexiform schwannoma of the thyroid gland: a case report. 一名患有甲状腺丛状分裂瘤的32岁男子：病例报告。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.12701/jyms.2024.00556

Il Rae Park, Min Chong Kim, Seung Min Chung, Si Youn Song

引用次数: 0

Myxoid lipoma in the perioral mandibular region: two case reports. 下颌骨口周肌样脂肪瘤：两份病例报告。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.12701/jyms.2024.00577

Jin-Ju Kwon, Sang-Hun Shin

引用次数: 0

Ruptured triple hormone-secreting adrenal cortical carcinoma with hyperaldosteronism, hypercortisolism, and elevated normetanephrine: a case report. 破裂的三激素分泌型肾上腺皮质癌伴有高醛固酮血症、高皮质醇血症和正常肾上腺素升高：病例报告。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-06 DOI: 10.12701/jyms.2024.00626

Sin Yung Woo, Seongji Park, Kun Young Kwon, Dong-Mee Lim, Keun-Young Park, Jong-Dai Kim

{"title":"Ruptured triple hormone-secreting adrenal cortical carcinoma with hyperaldosteronism, hypercortisolism, and elevated normetanephrine: a case report.","authors":"Sin Yung Woo, Seongji Park, Kun Young Kwon, Dong-Mee Lim, Keun-Young Park, Jong-Dai Kim","doi":"10.12701/jyms.2024.00626","DOIUrl":"10.12701/jyms.2024.00626","url":null,"abstract":"We report a case of a ruptured triple hormone-secreting adrenal mass with hyperaldosteronism, hypercortisolism, and elevated normetanephrine levels, diagnosed as adrenal cortical carcinoma (ACC) by histology. A 53-year-old male patient who initially presented with abdominal pain was referred to our hospital for angiocoagulation of an adrenal mass rupture. Abdominal computed tomography revealed a heterogeneous 19×11×15 cm right adrenal mass with invasion into the right lobe of the liver, inferior vena cava, retrocaval lymph nodes, and aortocaval lymph nodes. Angiocoagulation was performed. Laboratory evaluation revealed excess cortisol via a positive 1-mg overnight dexamethasone suppression test, primary hyperaldosteronism via a positive saline infusion test, and plasma normetanephrine levels three times higher than normal. An adrenal mass biopsy was performed for pathological confirmation to commence palliative chemotherapy because surgical management was not deemed appropriate considering the extent of the tumor. Pathological examination revealed stage T4N1M1 ACC. The patient started the first cycle of adjuvant mitotane therapy along with adjuvant treatment with doxorubicin, cisplatin, and etoposide, and was discharged. Clinical cases of dual cortisol- and aldosterone-secreting ACCs or ACCs presenting as pheochromocytomas have occasionally been reported; however, both are rare. Moreover, to the best of our knowledge, a triple hormone-secreting ACC has not yet been reported. Here, we report a rare case and its management. This case report underscores the necessity of performing comprehensive clinical and biochemical hormone evaluations in patients with adrenal masses because ACC can present with multiple hormone elevations.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":" ","pages":"306-311"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141944","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

Screening and treatment of endocrine hypertension focusing on adrenal gland disorders: a narrative review. 以肾上腺疾病为重点的内分泌性高血压筛查和治疗：叙述性综述。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-19 DOI: 10.12701/jyms.2024.00752

Seung Min Chung

引用次数: 0

Recent updates on classification and unsolved issues of diverticular disease: a narrative review. 憩室疾病分类和未决问题的最新进展：叙述性综述。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.12701/jyms.2024.00542

Kyeong Ok Kim

引用次数: 0

Cytomegalovirus retinitis with panretinal occlusive vasculopathy concealed by hypertensive uveitis: a case report. 巨细胞病毒视网膜炎伴有高眼压葡萄膜炎掩盖的全视网膜闭塞性血管病变：病例报告。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.12701/jyms.2024.00584

Seongyong Jeong

{"title":"Cytomegalovirus retinitis with panretinal occlusive vasculopathy concealed by hypertensive uveitis: a case report.","authors":"Seongyong Jeong","doi":"10.12701/jyms.2024.00584","DOIUrl":"10.12701/jyms.2024.00584","url":null,"abstract":"Cytomegalovirus (CMV) retinitis is a rare disease, and overlapping manifestations involving the anterior segment are extremely uncommon. We report a patient who initially presented with persistent corneal edema and was later diagnosed with CMV retinitis. A 72-year-old man with uncontrolled intraocular pressure (IOP) in his right eye visited a tertiary hospital. At initial presentation, the IOP was 36 mmHg and the fundus was not clear due to corneal edema. Spectral domain optical coherence tomography revealed paracentral acute middle maculopathy (PAMM). Panretinal obstructive vasculopathy was observed on ultra-widefield fluorescein angiography. Three weeks later, trabeculectomy was performed to resolve the persistently high IOP. Once corneal edema improved, a white patch-like peripheral lesion and silver wire-like retinal vasculature were observed. Polymerase chain reaction of the aqueous humor was positive for CMV. Oral valganciclovir and intravitreal ganciclovir were administered as antiviral therapies. Despite treatment for 4 months, the final visual acuity was no light perception, with persistent corneal edema and neovascularization of the iris. We describe a rare case of the simultaneous occurrence of hypertensive uveitis and CMV retinitis. The presence of PAMM could be an initial identifiable sign of CMV retinitis, even in the presence of media opacity.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":" ","pages":"300-305"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115727","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

Postoperative conditions of rehabilitative interest in lung transplantation: a systematic review. 肺移植术后的康复条件：系统综述。

IF 1

Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-22 DOI: 10.12701/jyms.2024.00521

Massimiliano Polastri, Esra Pehlivan, Robert M Reed, Allaina Eden

{"title":"Postoperative conditions of rehabilitative interest in lung transplantation: a systematic review.","authors":"Massimiliano Polastri, Esra Pehlivan, Robert M Reed, Allaina Eden","doi":"10.12701/jyms.2024.00521","DOIUrl":"10.12701/jyms.2024.00521","url":null,"abstract":"Lung transplantation is an elective treatment option for end-stage respiratory diseases in which all medical therapy options have been exhausted. The current study aimed to identify updated information on the postoperative conditions that may impair rehabilitation after lung transplantation and to provide specific considerations of their clinical relevance during the recovery process. The present study is a systematic review conducted by searching three primary databases: the United States National Library of Medicine PubMed system, Scopus, and the Cochrane Library. The databases were searched for articles published from database inception until May 2024; at the end of the selection process, 27 documents were included in the final analysis. The retrieved material identified 19 conditions of rehabilitative interest that potentially affect the postoperative course: graft dysfunction, dysphagia, postsurgical pain, cognitive impairment, chronic lung allograft dysfunction-bronchiolitis obliterans syndrome, phrenic nerve injury, delayed extracorporeal membrane oxygenation weaning, airway clearance, refractory hypoxemia, mediastinitis, reduced oxidative capacity, sternal dehiscence, coronavirus disease 2019 (COVID-19), gastroparesis, ossification of the elbow, Takotsubo cardiomyopathy, airway dehiscence, recurrent pleural effusion, and scapular prolapse. Although some patients are not amenable to rehabilitation techniques, others can significantly improve with rehabilitation.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":" ","pages":"235-251"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019784","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