Asian Journal of Medical Sciences最新文献_第10页

Caring for the caregivers: A cross-sectional study of the burden experienced by family caregivers of children with cancer in South Gujarat 关爱照顾者：南古吉拉特邦癌症儿童家庭照顾者所承受负担的横断面研究

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62925

Priyanka C Chovatiya, Mamta Rani Varma, Kavita G Bodar

{"title":"Caring for the caregivers: A cross-sectional study of the burden experienced by family caregivers of children with cancer in South Gujarat","authors":"Priyanka C Chovatiya, Mamta Rani Varma, Kavita G Bodar","doi":"10.3126/ajms.v15i5.62925","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62925","url":null,"abstract":"Background: In India, family members undertake the care of a considerable number of patients with chronic illnesses like cancer at home, yet despite the recognition of their pivotal role as caregivers, scant attention is given to the suffering they endure.\u0000Aims and Objectives: The aim of the study is to study the sociodemographic characteristics of caregivers and children/adolescents with cancer undergoing cancer treatment and assess the caregiver’s burden of children/adolescents suffering from cancer.\u0000Materials and Methods: A cross-sectional study involving caregivers of children having cancer who were availing services at Cancer Institute (Lions Cancer Detection Center), New Civil Hospital, Surat, to identify the burden among caregivers of children of 0–19 years of age group. A total of 237 participants were enrolled in the study from June 2019 to November 2019. Using a standardized, validated version of the Zarit Burden Interview was used for data collection. Data entry into Microsoft Excel and analysis was done by Epi Info. Univariate analysis was done to calculate mean and standard deviation while bivariate analysis by Chi-square test.\u0000Results: The study population consisted of 99 (41.8%) males and 138 (58.2%) female caregivers aged 18–58 years. One hundred and twenty-five (52.7%) caregivers reported no or minimal burden while 64 (27.0%) caregivers reported mild-to-moderate burden.\u0000Conclusion: In view of the substantial burden on family caregivers coupled with the lack of an adequate number of cancer hospitals, there is a public health imperative to recognize this important group. All levels of health staff in cancer hospitals in developing countries should be sensitized to the various burdens faced by family caregivers.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025547","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

Screen time and effects on attention deficient hyperactivity disorder in children - A systematic review 屏幕时间及其对儿童注意力缺陷多动障碍的影响 - 系统综述

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62847

Ambarish Ghosh, Maidul Islam SK, Raghav Oza

{"title":"Screen time and effects on attention deficient hyperactivity disorder in children - A systematic review","authors":"Ambarish Ghosh, Maidul Islam SK, Raghav Oza","doi":"10.3126/ajms.v15i5.62847","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62847","url":null,"abstract":"In recent years, screen time exposure and attention-deficit hyperactivity disorder (ADHD) symptom interrelations in children have garnered increasing attention. Understanding the screen time’s impact on ADHD has become crucial due to its potential influence on socialization, neurobehavioral development, and the prevalence of ADHD among pediatric populations. Conforming to the guidelines of the preferred reporting items for systematic reviews and meta-analyses, a systematic examination was undertaken, centering on research investigating the correlation between screen time and ADHD symptoms in children. The search encompassed databases including MEDLINE (through PubMed), ScienceDirect, Wiley online library, PsycINFO, ERIC, JSTOR, and PsycArticles, utilizing descriptors such as “screen time” and “attention-deficit hyperactivity disorder.” The initial search yielded 2480 articles, supplemented by an additional 10 articles from reference searches, resulting in a total of 2480 records. Excluding the duplicates, 1590 articles were screened based on abstracts, of which 130 underwent full-text examination. Ultimately, 15 studies included in this review met the inclusion criteria. These studies, conducted between 2013 and 2023, comprised cross-sectional, longitudinal, and interventional designs, presenting varying associations between screen time and ADHD symptoms across different age groups. The findings from the selected studies depict a complex relationship between screen time exposure and ADHD symptoms in children. While some studies highlight significant correlations between increased screen exposure and ADHD symptoms, others present conflicting results, indicating the need for further research. Understanding these nuances is crucial in formulating targeted interventions and delineating clearer guidelines to manage screen time concerning ADHD in children.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044605","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

Incidence of fentanyl induced cough and fentanyl induced cough as a risk factor for post operative nausea and vomiting 芬太尼诱发咳嗽的发生率和芬太尼诱发咳嗽作为术后恶心和呕吐的风险因素

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62210

Sis Jose, Apoorwa Nawrathan Kothari, Rashmi Rani, Usha Ramakrishna Sastry, Deepa Baskaran, Arpana Kedlaya

{"title":"Incidence of fentanyl induced cough and fentanyl induced cough as a risk factor for post operative nausea and vomiting","authors":"Sis Jose, Apoorwa Nawrathan Kothari, Rashmi Rani, Usha Ramakrishna Sastry, Deepa Baskaran, Arpana Kedlaya","doi":"10.3126/ajms.v15i5.62210","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62210","url":null,"abstract":"Background: Fentanyl-induced cough (FIC) is an undesirable side effect associated with intravenous injection of the opioid fentanyl, which can lead to an increase in intraocular, intrathoracic, and intraabdominal pressures. The incidence of FIC is reported to be 18–65%, more common in young females, who are also at high risk population for post-operative nausea and vomiting (PONV). FIC and PONV are both common anesthesia-related events that seem to have common risk factors.\u0000 Aims and Objectives: The objectives of the study were to find out the incidence of FIC in female patients undergoing elective surgery under general anesthesia and if FIC was a risk factor for developing PONV.\u0000Materials and Methods: A randomized, prospective study was done to compare the incidence of FIC and its correlation with PONV. 263 adult female patients belonging to American Society of Anesthesiologists status I and II, aged 18–59 years, posted for elective surgery under general anesthesia were studied over a period of 2 years. Pre-operatively, fentanyl (2 mg/kg body weight) was injected intravenously over 10 s as premedication, and the occurrence of any episode of cough within 60 s of fentanyl administration was taken as FIC. The incidence and severity of PONV were assessed in the same study population for a 24-h period. The incidence of FIC during general anesthesia in the study population was noted, and its correlation with PONV was analyzed.\u0000Results: The incidence of FIC in the study population was found to be 27%. The incidence of PONV in the FIC group was found to be 38%, as compared to 29.7% in the non-FIC group. FIC group had a higher incidence of PONV than the non-FIC group, but it was statistically insignificant (P=0.254).\u0000Conclusion: The incidence of PONV was slightly higher in the FIC group than in the non-FIC group, but it was not statistically significant.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048176","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

Comparative study of open onlay mesh repair versus laparoscopic intraperitoneal dual mesh repair for ventral hernia 腹股沟疝气开腹镶嵌式网片修补术与腹腔镜腹膜内双网片修补术的比较研究

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62755

Surya Prakash, Asha Gaud, Dinesh Kumar, Junior Resident

{"title":"Comparative study of open onlay mesh repair versus laparoscopic intraperitoneal dual mesh repair for ventral hernia","authors":"Surya Prakash, Asha Gaud, Dinesh Kumar, Junior Resident","doi":"10.3126/ajms.v15i5.62755","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62755","url":null,"abstract":"Background: Ventral abdominal wall hernia surgery is a common procedure in the armamentarium of surgeons. The most common forms of these surgical procedures in adults are the repair of incisional hernias and surgery for paraumbilical hernias.\u0000Aims and Objectives: Open onlay mesh repair versus laparoscopic intraperitoneal dual mesh repair (intraperitoneal onlay mesh[IPOM]) for ventral hernia compared to the duration of surgery, post-operative pain, postoperative complications, post-operative hospital stay, return to normal activity, recurrence, and cosmesis.\u0000Materials and Methods: The prospective non-randomized study was done in the Maharani Laxmi Bai Medical College, Jhansi, between January 2021 and June 2022 including 100 patients was applied for treatment of ventral hernia repair. Fifty patients were subjected to Group A (open onlay mesh repair) and 50 patients were subjected to Group B (laparoscopic intraperitoneal dual mesh repair).\u0000Results: The mean surgery durations were significantly lower in laparoscopic repair when compared to open repair (P<0.001). Themean post-operative stay in the hospital was shorter for the laparoscopic group than for the open hernia group (10.28±2.100 vs. 8.02±1.378 days; P≤0.001). Return to activity or normal daily work is significantly lower in the laparoscopic group as compared to open repair of hernia (5.12±0.659 vs. 2.94±0.550 days; P<0.001). There were fewer post-operative complications with laparoscopy.\u0000Conclusion: Laparoscopic intraperitoneal dual mesh repair (IPOM) for ventral hernia in our experience was safe and resulted in fewer complications, shorter hospital stays, and better cosmesis results. Hence, it should be considered the better choice for ventral hernia repair.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"72 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050762","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

Sedative and hemodynamic response of dexmedetomidine in critically ill South Indian population 右美托咪定在南印度重症患者中的镇静和血流动力学反应

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.63114

Arunkumar Muthalu, Arthi Asokan, Vimala Ananthy

{"title":"Sedative and hemodynamic response of dexmedetomidine in critically ill South Indian population","authors":"Arunkumar Muthalu, Arthi Asokan, Vimala Ananthy","doi":"10.3126/ajms.v15i5.63114","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.63114","url":null,"abstract":"Background: Dexmedetomidine is a selective alpha-2-adrenoceptor agonist. It exerts both sedative and analgesic effects through mechanisms different from those of other sedatives. The safety and efficacy of dexmedetomidine are altered by various factors.\u0000Aims and Objectives: This study aims at identifying the various factors that will affect the sedative and hemodynamic responses of dexmedetomidine in seriously ill patients.\u0000Materials and Methods: A continuous infusion of dexmedetomidine (0.2–0.7 μg/kg/h) was administered to intensive care unit patients who needed sedation. We investigated the safety and effectiveness of administering dexmedetomidine between responders and non-responders over a short (≤24 h) and lengthy (>24 h) period.\u0000Results: A total of 84 patients were analyzed who received dexmedetomidine. The longest possible duration of dexmedetomidine administration was 24.7 days and 7.8 days, respectively. Compared to the first 24 h, the number of patients who needed more sedatives or analgesics was not increasing beyond that time. In the first 24 h and after the first 24 h, 35 out of 84 patients (41.2%) and 22 out of 84 patients (26.3%), respectively, needed more sedatives; in the first 24 h and after the first 24 h, 22 out of 84 patients (26.0%) and 18 out of 84 patients (21.4%) needed more analgesics.\u0000Conclusion: The safety and effectiveness of dexmedetomidine were similar across the demographic factors in this study. The interindividual variability due to pharmacokinetic parameters can be further studied along with pharmacogenomic factors that may cause the difference in the responses to dexmedetomidine use.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"63 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051749","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

Assessing the impact of body mass index on insulin resistance and metabolic risk factors in pre-diabetic individuals: A comprehensive cross-sectional study 评估体重指数对糖尿病前期患者胰岛素抵抗和代谢风险因素的影响：综合横断面研究

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62793

Satyanarayana Raju, Pyda Vijaya, Ch. BS Srinivas, Ritu Vaish, Usha Rani

{"title":"Assessing the impact of body mass index on insulin resistance and metabolic risk factors in pre-diabetic individuals: A comprehensive cross-sectional study","authors":"Satyanarayana Raju, Pyda Vijaya, Ch. BS Srinivas, Ritu Vaish, Usha Rani","doi":"10.3126/ajms.v15i5.62793","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62793","url":null,"abstract":"Background: Insulin resistance plays a crucial role in the onset of type 2 diabetes, with body mass index (BMI) being a significant determinant.\u0000Aims and Objectives: This study examines the link between BMI and insulin resistance in pre-diabetic individuals to inform strategies for early diabetes intervention.\u0000Materials and Methods: This cross-sectional study involved 100 pre-diabetic participants. Data on demographic characteristics, BMI, insulin resistance (measured by the Homeostatic Model Assessment for Insulin Resistance, HOMA-IR), lipid profiles, and blood pressure (BP) were collected. Participants were categorized into normal weight, overweight, and obese groups to explore the relationship between BMI and insulin resistance and its impact on metabolic and cardiovascular health.\u0000Results: The average participant age was 45.8 years (SD=12.3), with a slight majority being female (52%) and an average BMI of 28.4 kg/m² (SD=4.5). A significant positive correlation (r=0.64, P<0.001) between BMI and the HOMA-IR index highlighted the association between increased BMI and insulin resistance. Obese individuals had a notably higher HOMA-IR index (3.5±1.3) compared to those overweight (2.5±1.0) and of normal weight (1.9±0.8). In addition, the study found worsening lipid profiles and increased BP with higher BMI categories. Gender did not significantly affect insulin resistance, whereas a slight increase in HOMA-IR with age was noted (r=0.23, P=0.02).\u0000Conclusion: The findings highlight the strong correlation between higher BMI and increased insulin resistance in pre-diabetics. They emphasize the importance of managing body weight to mitigate the risk of diabetes and cardiovascular diseases.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"28 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049419","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

Ventilator-associated pneumonia – An unwanted terror and a loathsome burden on the health-care cost in the recent era 呼吸机相关性肺炎--近代医疗费用中的隐患和沉重负担

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.63404

Sharmila Gupta, Debarati Banerjee, Rituparna Haldar

{"title":"Ventilator-associated pneumonia – An unwanted terror and a loathsome burden on the health-care cost in the recent era","authors":"Sharmila Gupta, Debarati Banerjee, Rituparna Haldar","doi":"10.3126/ajms.v15i5.63404","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.63404","url":null,"abstract":"Background: Ventilator-associated pneumonia (VAP) is defined as infection of lung parenchyma in patients exposed to invasive mechanical ventilation for at least 48 h. VAP is the second most common hospital-acquired infection with a mortality rate up to 40%.\u0000Aims and Objectives: To determine the microbiological profile of VAP-related samples, the demographic profile of patients, and associated risk factors.\u0000Materials and Methods: VAP-related samples including endotracheal tube tip, tracheal secretions, and bronchoalveolar lavage (BAL) fluid were collected from 73 patients during the study period from January 2023 to November 2023. Their blood samples were also collected for automated blood culture. Samples were processed as per standard protocol.\u0000Results: Out of the total patients, 60.31% were male and 39.68% were female. 61–80 years was the most commonly affected age group. The most commonly isolated micro-organism was Acinetobacter baumannii with the highest sensitivity to polymixin B and tigecycline. Associated blood culture positivity was maximum in patients whose samples of ET tube tip, tracheal secretions, and BAL fluid had isolated A. baumannii and Klebsiella pneumoniae. Two Candida albicans were isolated with sensitivities to voriconazole and amphotericin B. Many patients had associated septicemia. Endotracheal intubation and tracheal suction were the most common risk factors associated.\u0000Conclusion: As associated septicemia may increase the mortality rate manifold blood samples should also be collected in suspected VAP patients along with VAP-related samples for early detection of sepsis leading to better patient management.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058510","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

A randomized comparative study of epidural ropivacaine 0.2% with adjuvant fentanyl or nalbuphine for post-operative analgesia in lower limb surgeries 硬膜外罗哌卡因 0.2%与芬太尼或纳布啡辅助治疗下肢手术术后镇痛的随机比较研究

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62539

Anup Kumar Harichandan, Manaswini Khuntia, B. P. Sahu, Sourav Dash, Debadas Biswal, Harikrishna Dalai, S. Jena

{"title":"A randomized comparative study of epidural ropivacaine 0.2% with adjuvant fentanyl or nalbuphine for post-operative analgesia in lower limb surgeries","authors":"Anup Kumar Harichandan, Manaswini Khuntia, B. P. Sahu, Sourav Dash, Debadas Biswal, Harikrishna Dalai, S. Jena","doi":"10.3126/ajms.v15i5.62539","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62539","url":null,"abstract":"Background: Opioid analgesics with local anesthetics in an epidural route are extremely safe, effective, and reliable methods of post-operative pain relief.\u0000 Aims and Objectives: The primary objective is to compare the duration of analgesia and pain scoring by visual analog scale. The secondary objective is to monitor sedation, hemodynamic changes, and side effects such as nausea, vomiting, shivering, and pruritus.\u0000Materials and Methods: A prospective randomized comparative study of 0.2% ropivacaine with nalbuphine and 0.2% ropivacaine with fentanyl in epidural route for post-operative analgesia in elective lower limb surgeries under spinal anesthesia was carried out in a population of 80 patients. After 1½ h of surgery under spinal anesthesia, patients in group RF received 10 mL of 0.2% ropivacaine with 25 mcg of fentanyl and those in group RN received 10 mL of 0.2% ropivacaine with 2.5 mg of nalbuphine and were observed for the study parameters over time.\u0000Results: The mean duration of analgesia was longer in group RN than in group RF (398.45 vs. 222.88 min). The hemodynamic parameters such as heart rate, mean arterial pressure, and respiratory ratewere statistically significant from 240 to 480 min which is 4–6 h in group RF and 6–8 h in group RN. 27.5% of patients in group RN attained sedation whereas 7.5% of subjects in group RF had a sedation score of 2 and above at 30 min. The subjects in group RN had a lower visual analog score than group RF. 12% and 4% of patients had vomiting in group RN and group RF, respectively.\u0000Conclusion: Epidural nalbuphine in a dose of 2.5 mg with 0.2% ropivacaine provided a longer duration of analgesia with better pain score and more sedation which was advantageous for post-operative patient compliance and satisfaction as compared to 25 mcg of fentanyl with 0.2% ropivacaine.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"29 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046722","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

Systematic review on techniques for the creation of pneumoperitoneum in laparoscopic surgeries 腹腔镜手术中建立腹腔积气技术的系统性综述

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62482

Asna Zehra Naqvi, Vignesh Balasubaramaniam, Wasif Raza, Lajpat Rai, Graham S Whiteley

{"title":"Systematic review on techniques for the creation of pneumoperitoneum in laparoscopic surgeries","authors":"Asna Zehra Naqvi, Vignesh Balasubaramaniam, Wasif Raza, Lajpat Rai, Graham S Whiteley","doi":"10.3126/ajms.v15i5.62482","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62482","url":null,"abstract":"Recently, laparoscopic surgeries (LPSs) are becoming increasingly prevalent. Incorporating these methods into clinical practice necessitates an in-depth understanding of the surgical techniques and multifaceted instrumentation that are specific to a slightly invasive operation. Within this systematic review, attention is directed to the technique for pneumoperitoneum creation, like the open and closed technique, to select optimal procedures along with appropriate utilization, with prominence on complication avoidance. This systematic literature review (SLR) examined significant findings from 2018 to 2023. This SLR complies with the quality standards suggested by the PRISMA document. Web of Science, SCOPUS, ProQuest, ScienceDirect, and SpringerLink are the resources. The exclusion criteria included case reports, abstracts, and letters, as well as inclusion criteria included randomized, quasi-randomized, non-randomized, and cohort investigations on human patients, provided that they liked access safety methods and presented values. According to the findings, it can be concluded that the LP inspection of the abdominal cavity (AC), which necessitates cannula implantation, is safe and effective. Closed (Veress needle technique) and open (Hasson technique) pneumoperitoneum induction techniques are frequently utilized. Most laparoscopy (LP) surgeons prefer closed LP utilizing a Veress needle and the first trocar’s masked insertion. Critics of the Veress needle, however, assert that this technique increases the risk of vascular injury. According to proponents of the open Hasson technique, vascular injury could be entirely avoided. The use of an open approach utilizing a blunt-tipped trocar for the formation of pneumoperitoneum may provide a potentially safer alternative during LPSs, depending on safety considerations.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055160","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

Clinical profile of children with metabolic liver diseases presenting in a tertiary care hospital of Eastern India 印度东部一家三级医院收治的代谢性肝病患儿的临床概况

Asian Journal of Medical Sciences Pub Date : 2024-05-01 DOI: 10.3126/ajms.v15i5.62511

Abhishek Roy, S. Biswas, K. Patra, Kishore P Madhwani

{"title":"Clinical profile of children with metabolic liver diseases presenting in a tertiary care hospital of Eastern India","authors":"Abhishek Roy, S. Biswas, K. Patra, Kishore P Madhwani","doi":"10.3126/ajms.v15i5.62511","DOIUrl":"https://doi.org/10.3126/ajms.v15i5.62511","url":null,"abstract":"Background: Metabolic liver diseases (MLDs) in children can present with a wide range of clinical features.\u0000Aims and Objectives: This study aims to increase the high index of suspicion among physicians and awareness among caregivers regarding early diagnosis of MLD.\u0000Materials and Methods: This hospital-based prospective observational study has been conducted in the Paediatric Outpatient Department and Inpatient Department of RG Kar Medical College, Kolkata, over 2 years from 2021 to 2023. A total of 47 children aged up to 12 years were diagnosed as various MLDs who fulfilled inclusion and exclusion criteria were included in the study. Template was generated and analysis was done on SPSS software.\u0000Results: The study sample was 47 children with MLDs. Mean age was 4.21±3.81 years. Males: female ratio was approximately 2.35:1. History of consanguinity among parents was present in 23.40% cases which affirmed the autosomal recessive mode of inheritance in most of the MLD. History of sibling deaths was there in 10 cases. The most common symptom was yellowish discoloration 21 (44.68%) followed by abdominal distension 12 (25.53%). There were diverse modes of presentations. The most common presentations were hepatomegaly 47 (100%) and splenomegaly 30 (63.83%). Of 47 MLDs, Wilson disease cases were maximum (27.66%) followed by glycogen storage disease (23.40%).\u0000Conclusion: High index of suspicion should be prevalent among physicians for early diagnosis of cases to reduce disease mortality and morbidity.","PeriodicalId":8522,"journal":{"name":"Asian Journal of Medical Sciences","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141045690","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