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Xu LY, Cui X, Huang WH, Chen L, Zhou CM. A novel technique for the single-port laparoscopic percutaneous extraperitoneal closure (SLPEC) of paediatric isolated giant inguinal hernias using double-modified hernia needles. Sci Rep 2024; 14:15389. [PMID: 38965256 PMCID: PMC11224346 DOI: 10.1038/s41598-024-60476-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 04/23/2024] [Indexed: 07/06/2024] Open
Abstract
The objective was to explore the efficacy of single-port laparoscopic percutaneous extraperitoneal closure using double-modified hernia needles with hydrodissection (SLPEC group) and two-port laparoscopic percutaneous extraperitoneal closure (TLPEC group) for the treatment of giant indirect inguinal hernias in children. We performed a retrospective review of all children with giant indirect inguinal hernias (inner ring orifice diameter ≥ 1.5 cm) who underwent laparoscopic high ligation of the hernia sac at FuJian Children's Hospital from January 2019 to December 2021. We collected data from the medical records of all the children and analysed their clinical characteristics and operation-related and follow-up information. Overall, this study included a cohort of 219 patients with isolated giant inguinal hernias who had complete clinical data and who had undergone laparoscopic high ligation of the hernia sac at our centre. All procedures were successfully performed for the 106 patients who underwent SLPEC and for the 113 patients who underwent TLPEC at our centre. There were no statistically significant differences in patient age, sex, body weight, follow-up time or the side of inguinal hernia between the SLPEC group and the TLPEC group (P = 0.123, 0.613, 0.121, 0.076 and 0.081, respectively). However, there were significant differences in the bleeding volume, visual analogue scale (VAS) score, and postoperative activity time between the two groups (P ≤ 0.001). The operation times in the TLPEC group were significantly longer than those in the SLPEC group (P = 0.048), but there were no significant differences in hospital length of stay or hospitalization costs between the two groups (P = 0.244 and 0.073, respectively). Incision scars were found in 2 patients in the SLPEC group and 9 patients in the TLPEC group, and there was a significant difference between the two groups (P = 0.04). However, the incidence of ipsilateral hernia recurrence, surgical site infection, suture-knot reactions and chronic inguinodynia did not significantly differ between the two groups (P = 0.332, 0.301, 0.332 and 0.599, respectively). Postoperative hydrocele occurred in only 1 male child in the SLPEC group and in no male children in the TLPEC group, and there was no difference between the two groups (P = 0.310). In this study, there were no cases of testicular atrophy or iatrogenic ascent of the testis. Compared with the TLPEC group, the SLPEC group had the advantages of a concealed incision, light scarring, minimal invasiveness, a reduced operation time, minimal bleeding, mild pain and rapid recovery. In conclusion, SLPEC using double-modified hernia needles with hydrodissection and high ligation of the hernia sac is a safe, effective and minimally invasive surgery. The cosmetic results are impressive, and the follow-up results are promising.
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Affiliation(s)
- Long-Yao Xu
- Department of Urology, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, No. 966 Hengyu Road, Fuzhou, 350000, China
| | - Xu Cui
- Department of Urology, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, No. 966 Hengyu Road, Fuzhou, 350000, China.
| | - Wen-Hua Huang
- Department of Urology, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, No. 966 Hengyu Road, Fuzhou, 350000, China
| | - Liu Chen
- Department of Urology, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, No. 966 Hengyu Road, Fuzhou, 350000, China
| | - Chao-Ming Zhou
- Department of Urology, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, No. 966 Hengyu Road, Fuzhou, 350000, China.
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Wu Y, Zhao W, Liu B, Zhang J, Zhong Z, Zhou S, Xie J, Gao Y, Li P, Chen J. Assessment of Acute Mountain Sickness: Comparing the Chinese AMS Score to the Lake Louise Score. High Alt Med Biol 2024. [PMID: 38602430 DOI: 10.1089/ham.2023.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024] Open
Abstract
Wu, Yu, Wenqi Zhao, Bao Liu, Jianyang Zhang, Zhifeng Zhong, Simin Zhou, Jiaxin Xie, Yuqi Gao, Peng Li, and Jian Chen. Assessment of Acute Mountain Sickness: Comparing the Chinese Ams Score to the Lake Louise Score. High Alt Med Biol 00:000-000, 2024. Objective: To compare the ability of the Chinese AMS Score (CAS) to detect acute mountain sickness (AMS) using the 2018 version of the Lake Louise Score (LLS) as reference. Methods: After flying from Chengdu (altitude: 500 m) to Lhasa (3,658 m), 2,486 young men completed a questionnaire. The questionnaire contained LLS and CAS items. An LLS ≥3 and/or a CAS ≥cutoff were used as the criteria for AMS. Hierarchical cluster analysis and two-step cluster analysis were used to investigate relationships between the symptoms. Results: AMS incidence rates were 33.8% (n = 840) with the LLS and 59.3% (n = 1,473) with the CAS (χ2 = 872.5, p < 0.001). The LLS and CAS had a linear relationship (orthogonal regression, Pearson r = 0.91, p < 0.001). With the LLS as the standard, the CAS had high diagnostic accuracy (area under the curve = 0.95, 95% confidence interval: 0.94-0.96). However, with the CAS, 25.5% (n = 633) more participants were labeled as having AMS than with the LLS (false positives). Two clusters were identified: one with headache only (419 participants, 66.2%) and one without headache but with other symptoms (214 participants, 33.8%). Reducing the weight of headache in the CAS allowed to align CAS and LLS. Conclusion: In comparison to the LLS, the CAS has a sensitivity close to 100% but lacks specificity given the high rate of false positives. The different weight of headaches may be the main reason for the discrepancy.
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Affiliation(s)
- Yu Wu
- Department of High Altitude Operational Medicine College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Wenqi Zhao
- Institute of Medicine and Equipment for High Altitude Region, College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Bao Liu
- Institute of Medicine and Equipment for High Altitude Region, College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Jianyang Zhang
- Institute of Medicine and Equipment for High Altitude Region, College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Zhifeng Zhong
- Department of High Altitude Operational Medicine College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Simin Zhou
- Department of High Altitude Operational Medicine College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Jiaxin Xie
- Department of High Altitude Operational Medicine College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Yuqi Gao
- Institute of Medicine and Equipment for High Altitude Region, College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Peng Li
- Department of High Altitude Operational Medicine College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
| | - Jian Chen
- Institute of Medicine and Equipment for High Altitude Region, College of High Altitude Military Medicine, Army Medical University, Chongqing, People's Republic of China
- High Altitude Medical Research Center, PLA, Army Medical University, Chongqing, People's Republic of China
- Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Army Medical University, Chongqing, People's Republic of China
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Suona Y, Gesang L, Danzeng Z, Ci B, Zhaxi Q, Huang J, Zhang R. Predictive model for estimating the risk of high-altitude pulmonary edema: a single-centre retrospective outcome-reporting study. BMJ Open 2023; 13:e074161. [PMID: 37923352 PMCID: PMC10626841 DOI: 10.1136/bmjopen-2023-074161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 09/18/2023] [Indexed: 11/07/2023] Open
Abstract
OBJECTIVE To develop the first prediction model based on the common clinical symptoms of high-altitude pulmonary edema (HAPE), enabling early identification and an easy-to-execute self-risk prediction tool. METHODS A total of 614 patients who consulted People's Hospital of Tibet Autonomous Region between January 2014 and April 2022 were enrolled. Out of those, 508 patients (416 males and 92 females) were diagnosed with HAPE and 106 were patients without HAPE (33 females and 72 males). They were randomly distributed into training (n=431) and validation (n=182) groups. Univariate and multivariate analysis were used to screen predictors of HAPE selected from the 36 predictors; nomograms were established based on the results of multivariate analysis. The receiver operating characteristic curve (ROC) was developed to obtain the area under the ROC curve (AUC) of the predictive model, and its predictive power was further evaluated by calibrating the curve, while the Decision Curve Analysis (DCA) was developed to evaluate the clinical applicability of the model, which was visualised by nomogram. RESULTS All six predictors were significantly associated with the incidence of HAPE, and two models were classified according to whether the value of SpO2 (percentage of oxygen in the blood) was available in the target population. Both could accurately predict the risk of HAPE. In the validation cohort, the AUC of model 1 was 0.934 with 95% CI (0.848 to 1.000), and model 2 had an AUC of 0.889, 95% CI (0.779 to 0.999). Calibration plots showed that the predicted and actual HAPE probabilities fitted well with internal validation, and the clinical decision curve shows intervention in the risk range of 0.01-0.98, resulting in a net benefit of nearly 99%. CONCLUSION The recommended prediction model (nomogram) could estimate the risk of HAPE with good precision, high discrimination and possible clinical applications for patients with HAPE. More importantly, it is an easy-to-execute scoring tool for individuals without medical professionals' support.
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Affiliation(s)
- Yangzong Suona
- High Altitude Medical Research Institute, Tibet Autonomous Region People's Hospital, Lhasa, China
| | - Luobu Gesang
- High Altitude Medical Research Institute, Tibet Autonomous Region People's Hospital, Lhasa, China
- Department of Mountain Sickness and Cardiology, Tibet Autonomous Region People's Hospital, Lhasa, China
- Key Laboratory of Translational Medicine for Human Adaptation to the High-Altitude of Tibet Autonomous Region, Tibet Autonomous Region People's Hospital, Lhasa, China
| | - Zhuoga Danzeng
- High Altitude Medical Research Institute, Tibet Autonomous Region People's Hospital, Lhasa, China
- Department of Mountain Sickness and Cardiology, Tibet Autonomous Region People's Hospital, Lhasa, China
| | - Bai Ci
- Key Laboratory of Translational Medicine for Human Adaptation to the High-Altitude of Tibet Autonomous Region, Tibet Autonomous Region People's Hospital, Lhasa, China
| | - Quzong Zhaxi
- Key Laboratory of Translational Medicine for Human Adaptation to the High-Altitude of Tibet Autonomous Region, Tibet Autonomous Region People's Hospital, Lhasa, China
| | - Ju Huang
- Key Laboratory of Translational Medicine for Human Adaptation to the High-Altitude of Tibet Autonomous Region, Tibet Autonomous Region People's Hospital, Lhasa, China
| | - Rui Zhang
- High Altitude Medical Research Institute, Tibet Autonomous Region People's Hospital, Lhasa, China
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Leveque C, Mrakic Sposta S, Theunissen S, Germonpré P, Lambrechts K, Vezzoli A, Gussoni M, Levenez M, Lafère P, Guerrero F, Balestra C. Oxidative Stress Response Kinetics after 60 Minutes at Different Levels (10% or 15%) of Normobaric Hypoxia Exposure. Int J Mol Sci 2023; 24:10188. [PMID: 37373334 DOI: 10.3390/ijms241210188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 06/13/2023] [Accepted: 06/13/2023] [Indexed: 06/29/2023] Open
Abstract
In this study, the metabolic responses of hypoxic breathing for 1 h to inspired fractions of 10% and 15% oxygen were investigated. To this end, 14 healthy nonsmoking subjects (6 females and 8 males, age: 32.2 ± 13.3 years old (mean ± SD), height: 169.1 ± 9.9 cm, and weight: 61.6 ± 16.2 kg) volunteered for the study. Blood samples were taken before, and at 30 min, 2 h, 8 h, 24 h, and 48 h after a 1 h hypoxic exposure. The level of oxidative stress was evaluated by considering reactive oxygen species (ROS), nitric oxide metabolites (NOx), lipid peroxidation, and immune-inflammation by interleukin-6 (IL-6) and neopterin, while antioxidant systems were observed in terms of the total antioxidant capacity (TAC) and urates. Hypoxia abruptly and rapidly increased ROS, while TAC showed a U-shape pattern, with a nadir between 30 min and 2 h. The regulation of ROS and NOx could be explained by the antioxidant action of uric acid and creatinine. The kinetics of ROS allowed for the stimulation of the immune system translated by an increase in neopterin, IL-6, and NOx. This study provides insights into the mechanisms through which acute hypoxia affects various bodily functions and how the body sets up the protective mechanisms to maintain redox homeostasis in response to oxidative stress.
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Affiliation(s)
- Clément Leveque
- Environmental, Occupational, Aging (Integrative) Physiology Laboratory, Haute Ecole Bruxelles-Brabant (HE2B), 1160 Brussels, Belgium
- Laboratoire ORPHY, Université de Bretagne Occidentale, UFR Sciences et Techniques, 93837 Brest, France
| | - Simona Mrakic Sposta
- Institute of Clinical Physiology, National Research Council (CNR), 20162 Milan, Italy
| | - Sigrid Theunissen
- Environmental, Occupational, Aging (Integrative) Physiology Laboratory, Haute Ecole Bruxelles-Brabant (HE2B), 1160 Brussels, Belgium
| | - Peter Germonpré
- DAN Europe Research Division (Roseto-Brussels), 1160 Brussels, Belgium
- Hyperbaric Centre, Queen Astrid Military Hospital, 1120 Brussels, Belgium
| | - Kate Lambrechts
- Environmental, Occupational, Aging (Integrative) Physiology Laboratory, Haute Ecole Bruxelles-Brabant (HE2B), 1160 Brussels, Belgium
| | - Alessandra Vezzoli
- Institute of Clinical Physiology, National Research Council (CNR), 20162 Milan, Italy
| | - Maristella Gussoni
- Institute of Chemical Sciences and Technologies "G. Natta", National Research Council (SCITEC-CNR), 20133 Milan, Italy
| | - Morgan Levenez
- Environmental, Occupational, Aging (Integrative) Physiology Laboratory, Haute Ecole Bruxelles-Brabant (HE2B), 1160 Brussels, Belgium
| | - Pierre Lafère
- Environmental, Occupational, Aging (Integrative) Physiology Laboratory, Haute Ecole Bruxelles-Brabant (HE2B), 1160 Brussels, Belgium
- DAN Europe Research Division (Roseto-Brussels), 1160 Brussels, Belgium
| | - François Guerrero
- Laboratoire ORPHY, Université de Bretagne Occidentale, UFR Sciences et Techniques, 93837 Brest, France
| | - Costantino Balestra
- Environmental, Occupational, Aging (Integrative) Physiology Laboratory, Haute Ecole Bruxelles-Brabant (HE2B), 1160 Brussels, Belgium
- DAN Europe Research Division (Roseto-Brussels), 1160 Brussels, Belgium
- Anatomical Research and Clinical Studies, Vrije Universiteit Brussels (VUB), 1090 Brussels, Belgium
- Motor Sciences Department, Physical Activity Teaching Unit, Université Libre de Bruxelles (ULB), 1050 Brussels, Belgium
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The "ON-OFF" Switching Response of Reactive Oxygen Species in Acute Normobaric Hypoxia: Preliminary Outcome. Int J Mol Sci 2023; 24:ijms24044012. [PMID: 36835421 PMCID: PMC9965553 DOI: 10.3390/ijms24044012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 02/10/2023] [Accepted: 02/13/2023] [Indexed: 02/19/2023] Open
Abstract
Exposure to acute normobaric hypoxia (NH) elicits reactive oxygen species (ROS) accumulation, whose production kinetics and oxidative damage were here investigated. Nine subjects were monitored while breathing an NH mixture (0.125 FIO2 in air, about 4100 m) and during recovery with room air. ROS production was assessed by Electron Paramagnetic Resonance in capillary blood. Total antioxidant capacity, lipid peroxidation (TBARS and 8-iso-PFG2α), protein oxidation (PC) and DNA oxidation (8-OH-dG) were measured in plasma and/or urine. The ROS production rate (μmol·min-1) was monitored (5, 15, 30, 60, 120, 240 and 300 min). A production peak (+50%) was reached at 4 h. The on-transient kinetics, exponentially fitted (t1/2 = 30 min r2 = 0.995), were ascribable to the low O2 tension transition and the mirror-like related SpO2 decrease: 15 min: -12%; 60 min: -18%. The exposure did not seem to affect the prooxidant/antioxidant balance. Significant increases in PC (+88%) and 8-OH-dG (+67%) at 4 h in TBARS (+33%) one hour after hypoxia offset were also observed. General malaise was described by most of the subjects. Under acute NH, ROS production and oxidative damage resulted in time and SpO2-dependent reversible phenomena. The experimental model could be suitable for evaluating the acclimatation level, a key element in the context of mountain rescues in relation to technical/medical workers who have not had enough time for acclimatization-as, for example, during helicopter flights.
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Yang K, Xiang F, Ye J, Yang Y. A retrospective analysis of minimally invasive internal fixation versus nonoperative conservative management of pelvic ring fragility fractures and the elderly. J Orthop Surg Res 2023; 18:108. [PMID: 36793047 PMCID: PMC9930313 DOI: 10.1186/s13018-023-03591-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Accepted: 02/08/2023] [Indexed: 02/17/2023] Open
Abstract
OBJECTIVE We aimed to investigate the adoption of treatment patterns for hip fractures combined with minimally invasive surgical treatment of fragility fractures of the pelvis in older individuals and reviewed and analysed the treatment efficacy and feasibility. METHODS AND DATA From September 2017 to February 2021, 135 older individuals with fragility fractures of the pelvis were admitted to our hospital. We retrospectively analysed patients who received surgical or conservative treatments. The general preoperative data, including sex, age, disease duration, cause of injury, AO/OTA type, BMI, bone mineral density, time from injury to admission, time from injury to surgery, ASA classification, number of underlying diseases, mean bed rest, clinical fracture healing, VAS score and Majeed functional score, were recorded. RESULTS The mean follow-up time for all 135 patients was 10.5 ± 3.6 months. Among 135 patients, 95 survived, and 11 and 29 patients passed after the surgical (mortality rate = 17.74%) and conservative (mortality rate = 39.73%) treatments, respectively. The average follow-up time for the 95 surviving patients was 14.5 ± 1.8 months. The Majeed and VAS scores for the operation group were significantly better than those of the conservative group. The bed rest and fracture healing times were also shorter in the surgical treatment group than in the conservative group. CONCLUSION The use of a minimally invasive surgical treatment combined with the geriatric hip fracture treatment model to treat fragility fractures of the pelvis improved the quality of life in older patients.
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Affiliation(s)
- Kaiwen Yang
- grid.488387.8Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, No 25 Tai Ping Street, Jiang Yang District, Luzhou, 646000 Sichuan Province People’s Republic of China ,Sichuan Provincial Laboratory of Orthopaedic Engineering, Luzhou, Sichuan People’s Republic of China ,grid.513949.3Department of Orthopaedics, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, 641000 People’s Republic of China
| | - Feifan Xiang
- grid.488387.8Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, No 25 Tai Ping Street, Jiang Yang District, Luzhou, 646000 Sichuan Province People’s Republic of China ,Sichuan Provincial Laboratory of Orthopaedic Engineering, Luzhou, Sichuan People’s Republic of China
| | - Junwu Ye
- grid.488387.8Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, No 25 Tai Ping Street, Jiang Yang District, Luzhou, 646000 Sichuan Province People’s Republic of China ,Sichuan Provincial Laboratory of Orthopaedic Engineering, Luzhou, Sichuan People’s Republic of China
| | - Yunkang Yang
- Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, No 25 Tai Ping Street, Jiang Yang District, Luzhou, 646000, Sichuan Province, People's Republic of China. .,Sichuan Provincial Laboratory of Orthopaedic Engineering, Luzhou, Sichuan, People's Republic of China.
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Lu Y, Liu Z, Huang J, Liu C. Therapeutic effect of one-time root canal treatment for irreversible pulpitis. J Int Med Res 2019; 48:300060519879287. [PMID: 31617430 PMCID: PMC7607264 DOI: 10.1177/0300060519879287] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objective To compare the therapeutic effects of one-time root canal treatment versus
two-time treatment in patients with irreversible pulpitis. Methods We classified 130 patients into a one-time treatment group (group A; n = 68)
and a two-time treatment group (group B; n = 62) according to the number of
patient visits. Clinical efficacy at 6 months and 1 year follow-ups as well
as serum levels of interleukin-6, tumor necrosis factor alpha, and
high-sensitivity C-reactive protein before and 1 week after endodontic
treatment were observed. Additionally, the level of treatment satisfaction
between the two groups was compared, and the degree of pain was evaluated
using the visual analogue scale. Result One week after treatment, serum interleukin-6, tumor necrosis factor alpha,
and high-sensitivity C-reactive protein levels were significantly decreased
in the two groups; however, levels in group B were significantly lower than
those in group A. Additionally, visual analogue scale scores of patients in
group A were significantly higher than those of patients in group B. Conclusion One-time root canal therapy can effectively improve postoperative pain and
the expression of inflammatory factors in the serum of patients undergoing
treatment.
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Affiliation(s)
- Yu Lu
- Department of Endodontics, Stomatological Hospital of Southern Medical University, Guangzhou, Guangdong, China
| | - Zhongjun Liu
- Department of Endodontics, Stomatological Hospital of Southern Medical University, Guangzhou, Guangdong, China
| | - Jinyu Huang
- Department of Endodontics, Stomatological Hospital of Southern Medical University, Guangzhou, Guangdong, China
| | - Chengxia Liu
- Department of Endodontics, Stomatological Hospital of Southern Medical University, Guangzhou, Guangdong, China
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Jiang M, Sun Q, Liu G, Qu H, Ma J. Efficacy of dexmedetomidine in reducing post-operative pain and improving the quality of recovery in patients with burn wounds undergoing tangential excision skin grafting. Exp Ther Med 2019; 17:1776-1782. [PMID: 30783449 PMCID: PMC6364143 DOI: 10.3892/etm.2019.7155] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 11/22/2018] [Indexed: 11/30/2022] Open
Abstract
Burn-induced acute post-operative pain and the associated stress response may result in prolonged convalescence. The present study investigated the effects of dexmedetomidine (DEX) administration on post-operative pain and the quality of recovery following surgical treatment of moderate-to-severe burn injuries. A total of 60 adult patients undergoing tangential excision skin grafting were randomized into two groups. The DEX group (Group D) received an intravenous (i.v.) single-dose bolus injection of DEX 0.5 µg/kg >10 min prior to induction of anesthesia. Patient-controlled intravenous analgesia (PCIA) was provided to the patients from the end of the surgery, which consisted of 100 µg sufentanil plus 200 µg DEX. The control group (Group C) received an equal volume of normal saline as a pre-operative bolus and post-operative PCIA of 100 µg sufentanil infusion. The Visual Analogue Scale (VAS) score at rest and during movement, the cumulative dose of sufentanil and the 40-item quality of recovery questionnaire (QoR-40) score were assessed at various time-points after the surgery. During the first 24 h post-surgery, patients in Group D exhibited a lower VAS score at rest and during movement, a lower number of PCIA pump presses (29.17±1.91 vs. 34.13±2.73) and lower sufentanil consumption (62.58±0.96 vs. 65.27±1.26) compared with those in Group C (P<0.05). Furthermore, the QoR-40 recovery score of patients in Group D at 24 h post-surgery was higher compared with that in Group C (P<0.01). In conclusion, the present study indicated that a pre-operative bolus of DEX (0.5 µg/kg) followed by DEX plus sufentanil by PCIA subsequent to surgery improved the quality of analgesia and promoted the quality of recovery at 24 h following tangential excision skin grafting treatment of patients with moderate-to-severe burn injuries compared to PCIA of 100 µg sufentanil only. The present study was retrospectively registered with the trial registration no. ChiCTR1800016646 (date of registration, 14/06/2018).
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Affiliation(s)
- Meiru Jiang
- Department of Anesthesiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Qiaoxia Sun
- Department of Anesthesiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Ganggang Liu
- Department of Anesthesiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Hua Qu
- Operating Room, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Jiahai Ma
- Department of Anesthesiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, P.R. China
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Kucukceran H, Ozdemir O, Kiral S, Berker DS, Kahveci R, Ozkara A, Atalay CR, Ates İ. The impact of circulating 25-hydroxyvitamin and oral cholecalciferol treatment on menstrual pain in dysmenorrheic patients. Gynecol Endocrinol 2019; 35:53-57. [PMID: 30044160 DOI: 10.1080/09513590.2018.1490407] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
This study aims to determine Vitamin-D level in patients with primary dysmenorrhea and investigate the effect of Vitamin-D replacement on symptoms. About 100 patients in the 18-30 age group followed-up with primary dysmenorrhea diagnosis were included in this observational study. The pain severity was assessed using the visual analog scale (VAS). 25-hydroxy vitamin D(25(OH)D) levels of the patients were measured and the replacement therapy was applied according to measurement results. The patients were followed for three months in total. At the end of the three-month period, the 25(OH)D level was measured and the VAS score was assessed once more after the therapy. 25(OH)D level was insufficient in 23.0%, deficient in 45.0%, and severely deficient in 32.0% of the patients. It was found that the VAS score increased as the 25(OH)D level decreased (r = -0.320; p = .002). A significant reduction was observed in VAS scores after Vitamin-D treatment in all three groups; the amount of reduction in VAS score was determined to be higher in the patients with severely deficient levels of 25(OH)D, compared to the patients with deficient or insufficient levels (p < .001). A significant and negative correlation was found between Vitamin-D and symptoms associated with dysmenorrhea in our study. The Vitamin-D replacement therapy led to a significant decrease in symptoms.
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Affiliation(s)
- Hatice Kucukceran
- a Ankara Provincial Health Directorate, Akyurt Family Health Center Number 3 , Ankara , Turkey
| | - Ozhan Ozdemir
- b Department of Obstetrics and Gynecology , Ankara Numune Education and Research Hospital , Ankara , Turkey
| | - Serkan Kiral
- c Department of Biochemistry , Kırşehir Kaman Hospital , Kırşehir , Turkey
| | - Dilek Sensoz Berker
- d Department of Endocrinology , Ankara Numune Education and Research Hospital , Ankara , Turkey
| | - Rabia Kahveci
- e Department of Family Medicine , Ankara Numune Education and Research Hospital , Ankara , Turkey
| | - Adem Ozkara
- e Department of Family Medicine , Ankara Numune Education and Research Hospital , Ankara , Turkey
| | - Cemal Reşat Atalay
- b Department of Obstetrics and Gynecology , Ankara Numune Education and Research Hospital , Ankara , Turkey
| | - İhsan Ates
- f Department of Internal Medicine , Ankara Numune Education and Research Hospital , Ankara , Turkey
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10
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Kjaersgaard Andersen R, Theut Riis P, Jemec G. Factors predicting the self-evaluated health of hidradenitis suppurativa patients recruited from an outpatient clinic. J Eur Acad Dermatol Venereol 2017; 32:313-317. [DOI: 10.1111/jdv.14511] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 07/25/2017] [Indexed: 11/30/2022]
Affiliation(s)
- R. Kjaersgaard Andersen
- Department of Dermatology; University Hospital Zealand; Roskilde Denmark
- Health Sciences Faculty; University of Copenhagen; Copenhagen Denmark
| | - P. Theut Riis
- Department of Dermatology; University Hospital Zealand; Roskilde Denmark
- Health Sciences Faculty; University of Copenhagen; Copenhagen Denmark
| | - G.B.E. Jemec
- Department of Dermatology; University Hospital Zealand; Roskilde Denmark
- Health Sciences Faculty; University of Copenhagen; Copenhagen Denmark
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11
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Abstract
BACKGROUND This study aims to investigate the role of thymic stromal lymphopoietin (TSLP) in the pathogenesis of lumbar disc degeneration (LDD). METHODS Nucleus pulposus tissues were collected from 77 LDD patients (the case group), in addition, normal tissues were extracted from 21 patients suffering from lumbar fractures (the control group). Immunohistochemistry was applied in order to detect TSLP positive expression. In accordance with varying transfection, the cells were divided into TSLP-siRNA, TSLP-siRNA + TSLPR-siRNA, control, blank, anti-TSLPR, and IgG groups. Western blotting was used in order to detect TSLP expression in tissues, and TSLP and type II collagen (COL2AL) in cell culture media were detected using enzyme linked immunosorbent assay (ELISA). Cell viability was measured using a MTT assay. Aggrecan levels were detected using antonopulos, and cell apoptosis was determined using flow cytometry. RESULTS TSLP-positive expression was found to be significantly higher in the case group compared with the control group. LDD patients' Pfirrmann grades and preoperative visual analogue scale (VAS) scores were associated with TSLP-positive rate. Cells transfected with TSLP-siRNA and TSLPR-siRNA plasmids exhibited lower TSLP and thymic stromal lymphopoietin receptor (TSLPR) protein expression compared with the control and blank groups. Compared with the control and blank groups, there was significantly higher cell viability, lower cell apoptosis, and higher COL2AL and Aggrecan levels in the TSLP-siRNA, anti-TSLPR, and TSLP-siRNA+TSLPR-siRNA groups; there were significant differences between the TSLP-siRNA, anti-TSLPR, and TSLP-siRNA+TSLPR-siRNA groups and IgG group (all P < .05) CONCLUSION:: Our study provides evidence for the hypothesis that TSLP could reflect the histological severity of LDD, and TSLP-siRNA and, TSLPR-siRNA could inhibit apoptosis of nucleus pulposus cells. The evident information obtained from the investigation could lead the way for new therapeutic approaches regarding LDD treatment.
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Lin YH, Hung SK, Lee MS, Chiou WY, Lai CL, Shih YT, Yeh PH, Lin YA, Tsai WT, Hsieh HL, Chen LC, Huang LW, Lin PH, Liu DW, Hsu FC, Tsai SJ, Liu JC, Chung ES, Lin HY. Enhancing clinical effectiveness of pre-radiotherapy workflow by using multidisciplinary-cooperating e-control and e-alerts: A SQUIRE-compliant quality-improving study. Medicine (Baltimore) 2017; 96:e7185. [PMID: 28614257 PMCID: PMC5478342 DOI: 10.1097/md.0000000000007185] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Radiotherapy (RT) is useful in managing cancer diseases. In clinical practice, early initiation of RT is crucial for enhancing tumor control. But, delivering precise RT requires a series of pre-RT working processes in a tight staff-cooperation manner. In this regard, using information system to conduct e-control and e-alerts has been suggested to improve practice effectiveness; however, this effect is not well defined in a real-world RT setting.We designed an information system to perform e-control and e-alerts for the whole process of pre-RT workflow to shorten processing time, to improve overall staff satisfaction, and to enhance working confidence.A quality-improving study conducted in a large RT center.Externally validated data were retrospectively analyzed for comparison before (from Sep. 2012 to Dec. 2012, n = 223) and after (from Sep. 2013 to Dec. 2013, n = 240) implementation of pre-RT e-control and e-alerts.Applying the e-control with delay-working e-alerts in pre-RT workflow was the main intervention.Nine workstations were identified in pre-RT workflow. The primary outcome measure was the processing time in each pre-RT workstations before and after implementing the e-control and e-alerts. Secondary measures were staff-working confidence and near-missing cases during the process of pre-RT workflow.After implementing e-control, overall processing time of pre-RT workflow was shortened from 12.2 days to 8.9 days (P < .001). Follow-up data (till Jul. 2016) showed a durable effect of 9.2 days, being still below the predefined threshold of <10 days.Using a multidisciplinary-cooperating information system is useful to conduct e-control and e-alerts in the whole process of pre-RT workflow. Clinical effectiveness, staff satisfaction, and working confidence are able to be enhanced obviously.
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Affiliation(s)
- Yung-Hsiang Lin
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Shih-Kai Hung
- Departments of Radiation Oncology, Section of Chest Medicine
- School of Medicine, Tzu Chi University, Hualien
| | - Moon-Sing Lee
- Departments of Radiation Oncology, Section of Chest Medicine
- School of Medicine, Tzu Chi University, Hualien
| | - Wen-Yen Chiou
- Departments of Radiation Oncology, Section of Chest Medicine
- School of Medicine, Tzu Chi University, Hualien
| | - Chun-Liang Lai
- Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
- School of Medicine, Tzu Chi University, Hualien
| | - Yi-Ting Shih
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Pei-Han Yeh
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Yi-An Lin
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Wei-Ta Tsai
- Departments of Radiation Oncology, Section of Chest Medicine
- Department of Biomedical Imaging and Radiological Sciences, National Yang Ming University, Taipei
| | - Hui-Ling Hsieh
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Liang-Cheng Chen
- Departments of Radiation Oncology, Section of Chest Medicine
- School of Medicine, Tzu Chi University, Hualien
| | - Li-Wen Huang
- Departments of Radiation Oncology, Section of Chest Medicine
- School of Medicine, Tzu Chi University, Hualien
| | - Po-Hao Lin
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Dai-Wei Liu
- Department of Radiation Oncology, Buddhist Tzu Chi General Hospital
- School of Medicine, Tzu Chi University, Hualien
| | - Feng-Chun Hsu
- Departments of Radiation Oncology, Section of Chest Medicine
| | | | - Jia-Chi Liu
- Departments of Radiation Oncology, Section of Chest Medicine
| | - En-Seu Chung
- Departments of Radiation Oncology, Section of Chest Medicine
| | - Hon-Yi Lin
- Departments of Radiation Oncology, Section of Chest Medicine
- School of Medicine, Tzu Chi University, Hualien
- Institute of Molecular Biology, National Chung Cheng University, Min-Hsiung, Chia-Yi, Taiwan, ROC
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Yeh PH, Hung SK, Lee MS, Chiou WY, Lai CL, Tsai WT, Hsieh HL, Shih YT, Chen LC, Huang LW, Lin YA, Lin PH, Lin YH, Liu DW, Hsu FC, Tsai SJ, Liu JC, Chung ES, Lin HY. Implementing web-based ping-pong-type e-communication to enhance staff satisfaction, multidisciplinary cooperation, and clinical effectiveness: A SQUIRE-compliant quality-improving study. Medicine (Baltimore) 2016; 95:e5236. [PMID: 27858876 PMCID: PMC5591124 DOI: 10.1097/md.0000000000005236] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 09/28/2016] [Accepted: 10/07/2016] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Frequent multidisciplinary communication is essential in conducting daily radiotherapy (RT) practice. However, traditional oral or paper-based communication has limitations. E-communication has been suggested, but its effects are still not well demarcated in the field of radiation oncology. OBJECTS In our web-based integrated information platform, we constructed a ping-pong-type e-communication function to transfer specific notations among multidisciplinary RT staffs. The purpose was to test whether applying this e-communication can increase effectiveness of multidisciplinary cooperation when compared with oral or paper-based practice. Staff satisfaction and clinical benefits were also demonstrated. DESIGN AND SETTING A real-world quality-improving study was conducted in a large center of radiation oncology. PARTICIPANTS AND DATASET USED Before and after applying multidisciplinary e-communication (from 2014 to 2015), clinical RT staffs were surveyed for their user experience and satisfaction (n = 23). For measuring clinical effectiveness, a secondary database of irradiated head and neck cancer patients was re-analyzed for comparing RT toxicities (n = 402). INTERVENTIONS Applying ping-pong-type multidisciplinary reflective e-communication was the main intervention. OUTCOME MEASURES For measuring staff satisfaction, eight domains were surveyed, such as timeliness, convenience, and completeness. For measuring clinical effectiveness of multidisciplinary cooperation, event rates of severe (i.e., grade 3-4) RT mucositis and dermatitis were recorded. RESULTS Overall, when compared with oral communication only, e-communication demonstrated multiple benefits, particularly on notation-review convenience (2.00 ± 1.76 vs 9.19 ± 0.81; P < 0.0001).When compared with paper-based practice, e-communication showed statistically significant benefits on all eight domains, especially on notation-review convenience (5.05 ± 2.11 vs 9.19 ± 0.81; P < 0.0001) and convenience of feedback notation (4.81 ± 1.72 vs 8.76 ± 1.09; P < 0.0001).Moreover, staff satisfaction was gradually increased from oral (3.57 ± 1.94), paper-based (5.57 ± 2.06), to e-communication (8.76 ± 0.70; P < 0.0001). Secondary measurement confirmed these observations.Before and after facilitating multidisciplinary cooperation by using e-communication, severe (i.e., grade 3-4) mucositis and dermatitis were decreased from 21.7% to 10% then to 5.1%. CONCLUSIONS Replacing oral or paper-based practice with e-communication is useful in facilitating RT multidisciplinary teamwork. Staff satisfaction and clinical effectiveness can be increased.
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Affiliation(s)
| | - Shih-Kai Hung
- Department of Radiation Oncology
- School of Medicine, Tzu Chi University, Hualien
| | - Moon-Sing Lee
- Department of Radiation Oncology
- School of Medicine, Tzu Chi University, Hualien
| | - Wen-Yen Chiou
- Department of Radiation Oncology
- School of Medicine, Tzu Chi University, Hualien
| | - Chun-Liang Lai
- Section of Chest Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
- School of Medicine, Tzu Chi University, Hualien
| | - Wei-Ta Tsai
- Department of Radiation Oncology
- Department of Biomedical Imaging and Radiological Sciences, National Yang Ming University, Taipei
| | | | | | - Liang-Cheng Chen
- Department of Radiation Oncology
- School of Medicine, Tzu Chi University, Hualien
| | - Li-Wen Huang
- Department of Radiation Oncology
- School of Medicine, Tzu Chi University, Hualien
| | | | | | | | - Dai-Wei Liu
- Department of Radiation Oncology, Buddhist Tzu Chi General Hospital
- School of Medicine, Tzu Chi University, Hualien
| | | | | | | | | | - Hon-Yi Lin
- Department of Radiation Oncology
- School of Medicine, Tzu Chi University, Hualien
- Institute of Molecular Biology, National Chung Cheng University, Min-Hsiung, Chia-Yi, Taiwan, ROC
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Abstract
Background Hypoxia causes secondary headaches such as high-altitude headache (HAH) and headache due to acute mountain sickness. These secondary headaches mimic primary headaches such as migraine, which suggests a common link. We review and discuss the possible role of hypoxia in migraine and cluster headache. Methods This narrative review investigates the current level of knowledge on the relation of hypoxia in migraine and cluster headache based on epidemiological and experimental studies. Findings Epidemiological studies suggest that living in high-altitude areas increases the risk of migraine and especially migraine with aura. Human provocation models show that hypoxia provokes migraine with and without aura, whereas cluster headache has not been reliably induced by hypoxia. Possible pathophysiological mechanisms include hypoxia-induced release of nitric oxide and calcitonin gene-related peptide, cortical spreading depression and leakage of the blood-brain barrier. Conclusion There is a possible link between hypoxia and migraine and maybe cluster headache, but the exact mechanism is currently unknown. Provocation models of hypoxia have yielded interesting results suggesting a novel approach to study in depth the mechanism underlying hypoxia and primary headaches.
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Affiliation(s)
- Josefine Britze
- Danish Headache Center and Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | - Nanna Arngrim
- Danish Headache Center and Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | - Henrik Winther Schytz
- Danish Headache Center and Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | - Messoud Ashina
- Danish Headache Center and Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
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Wu J, Gu H, Luo Y. Differences Between the "Chinese AMS Score" and the Lake Louise Score in the Diagnosis of Acute Mountain Sickness. Medicine (Baltimore) 2016; 95:e3512. [PMID: 27227918 PMCID: PMC4902342 DOI: 10.1097/md.0000000000003512] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The Chinese AMS score (CAS) is used in clinical medicine and research to diagnosis acute mountain sickness (AMS). However, the Lake Louise Score (LLS) is the well-accepted standard for diagnosing AMS. The difference between the CAS and LLS questionnaires is that the CAS considers more nonspecific symptoms. The aim of the present study was to evaluate differences in AMS prevalence according to the LLS and CAS criteria. We surveyed 58 males who traveled from Chongqing (300 m) to Lhasa (3658 m) via the Qinghai-Tibet train. Cases of AMS were diagnosed using LLS and CAS questionnaires in a few railway stations at different evaluation areas along the road. We subsequently evaluated discrepancies in values related to the prevalence of AMS determined using the 2 types of questionnaires (CAS and LLS). The prevalence of CAS-diagnosed AMS indicated that the percentage of AMS cases among the 58 young men was 29.3% in Golmud, 60.3% in Tanggula, 63.8% in Lhasa, 22.4% on the first day after arrival in Lhasa, 27.6% on the second day, 24.1% on the third day, and 12.1% on the fourth day. The prevalence of LLS-diagnosed AMS in Golmud was 10.3%, 38% in Lhasa, and 6.9% on day 1, the prevalence in each station was lower than that as assessed by the CAS. Our experimental data indicate that AMS diagnoses ascertained using the CAS indicate a higher AMS prevalence than those ascertained using the LLS. Through statistical analysis, the CAS seems capable of effectively diagnosing AMS as validated by LLS (sensitivity 61.8%, specificity 92.7%).
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Affiliation(s)
- Jialin Wu
- From the Department of Military Medical Geography (JW, YL), College of High Altitude Military Medicine; Battalion 8 of Cadet Brigade (JW); Key Laboratory of High Altitude Medicine (Ministry of Education) (YL), Third Military Medical University, Chongqing; and Department of Orthopedics (HG), the 12 Hospital of PLA, Kashi Xinjiang, P.R. China
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