http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Pedro Tiago,Pereira Pedro,Costa Ana Sofia,Almeida Fábio,Loureiro Maria Luísa,Alfaiate Teresa,Gonçalves Abílio 대한신경집중치료학회 2022 대한신경집중치료학회지 Vol.15 No.1
Background: Blood pressure variability (BPV) is a predictor of short- and long-term disability in patients with acute ischemic stroke (AIS). Its effect on more immediate functional outcomes has been seldom studied, and the results are inconsistent. We aimed to determine the role of BPV during the first 5 days of hospitalization in functional status at the time of discharge of patients with AIS.Methods: We enrolled 134 patients diagnosed with AIS and BPV using standard deviation and coefficient of variation (CV %). These were associated with the dichotomized modified Rankin Scale at discharge using logistic regression. Results: Patients with unfavorable outcomes were significantly older (P=0.014), had a lower body mass index (P=0.001), were less likely to present with dyslipidemia (P=0.001), had lower serum triglyceride levels (P=0.012), had a longer hospitalization period (P<0.001), and had a higher mean National Institutes of Health Stroke Scale score at admission (P<0.001). After adjusting for multiple confounders, the CV % of systolic blood pressure (SBP) in the first 120 hours after admission had a significant effect on functional disability at discharge. Conclusion: Variability in SBP in the first 5 days of hospitalization had a deleterious effect on the functional outcomes at discharge of patients with AIS. The role of diabolic blood pressure variability seems to be significant only in the first 24 hours of admission; however, further research is required.
Outcomes of arthroscopic dorsal wrist ganglion excision: a 44-month retrospective comparative study
Amaro Pedro,Cardoso Afonso,Caldeira José,Falcão Pedro,Baptista Carolina 대한정형외과 스포츠의학회 2020 Arthroscopy and Orthopedic Sports Medicine Vol.7 No.2
Background: This study retrospectively compares the clinical outcomes of excision of dorsal cysts of the wrist by open and arthroscopic approaches, considering three variables: recurrence rates, residual pain, and the time required for patients to return to their work activities. Methods: All patients who submitted to open or arthroscopic surgical excision of wrist ganglions between January 2012 and December 2017 were evaluated with a mean follow-up period of 44 months. Preoperative and postoperative pains were evaluated using a visual analogue scale, and functional outcomes were evaluated using the Disabilities of the Arm, Shoulder and Hand (Quick-DASH) questionnaire. Recurrences were confirmed by clinical examination, ultrasound, or magnetic resonance imaging. Results: Our study showed that there are no statistically significant differences between the two surgical techniques regarding the recurrence rate or residual pain. Conclusion: Patients who underwent arthroscopic surgery had a statistically significant early return to work.
Dias Pedro de Souza,Kato Augusto Shoji,Bueno Carlos Eduardo da Silveira,Vivan Rodrigo Ricci,Duarte Marco Antonio Hungaro,Calefi Pedro Henrique Souza,Pelegrine Rina Andréa 대한치과보존학회 2023 Restorative Dentistry & Endodontics Vol.48 No.1
Objectives This study aimed to compare the torsional and cyclic fatigue resistance of ProGlider (PG), WaveOne Gold Glider (WGG), and TruNatomy Glider (TNG). Materials and Methods A total of 15 instruments of each glide path system (n = 15) were used for each test. A custom-made device simulating an angle of 90° and a radius of 5 millimeters was used to assess cyclic fatigue resistance, with calculation of number of cycles to failure. Torsional fatigue resistance was assessed by maximum torque and angle of rotation. Fractured instruments were examined by scanning electron microscopy (SEM). Data were analyzed with Shapiro-Wilk and Kruskal-Wallis tests, and the significance level was set at 5%. Results The WGG group showed greater cyclic fatigue resistance than the PG and TNG groups (p < 0.05). In the torsional fatigue test, the TNG group showed a higher angle of rotation, followed by the PG and WGG groups (p < 0.05). The TNG group was superior to the PG group in torsional resistance (p < 0.05). SEM analysis revealed ductile morphology, typical of the 2 fracture modes: cyclic fatigue and torsional fatigue. Conclusions Reciprocating WGG instruments showed greater cyclic fatigue resistance, while TNG instruments were better in torsional fatigue resistance. The significance of these findings lies in the identification of the instruments’ clinical applicability to guide the choice of the most appropriate instrument and enable the clinician to provide a more predictable glide path preparation.
( Pedro Valeron Almazan ),( Anselmo Javier Gomez Duaso ),( Pino Rivero ),( Jaime Vilar ),( Luis Dehesa ),( Nestor Santana ),( Gregorio Carretero ) 대한피부과학회 2011 Annals of Dermatology Vol.23 No.3s
A 77-year-old woman presented with a trauma to the scalp caused from the blade of a windmill. The condition was persistent from the past 50 years. At the initial examination, a deep, foul-smelling and well-circumscribed ulcer was apparent on the head region, involving the majority of the cranium. Skin biopsy specimens of the lesion were non- specific. The bone biopsy showed extensive necrotic areas of bone and soft tissues, with lymphocytic exudate foci. A computed tomography scan of the head revealed bone destruction principally involving both the parietal bones, and parts of the frontal and occipital bones. Streptococcus parasanguis was isolated from the skin culture, and Proteus mirabilis and Peptostreptococcus sp. were identified in the cultures from the bone. A long-term treatment with amoxicillin- clavulanic acid (1 g/12 h) and levofloxacin (500 mg/ day) was prescribed, but even after 6 months, the lesion remained unchanged. The frequency of occurrence of scalp ulcers in dermatological patients is less, principally because of the rich blood supply to this area. We have not found any similar case report of a scalp ulcer secondary to chronic osteomyelitis discovered more than 50 years after the causal trauma. We want to highlight the importance of complete cutaneous evaluation including skin and bone biopsies, when scalp osteomyelitis is suspected. (Ann Dermatol 23(S3) S364~S367, 2011)
Pedro Ramon,Jean Sparks,Felix Omoruyi 한국식품영양과학회 2021 Journal of medicinal food Vol.24 No.7
Diabetes Mellitus is associated with systemic inflammation and oxidative stress, which may play a central role in the development of diabetic complications. In this study, combined preparations of Kalanchoe pinnata and metformin were investigated to determine the effects on inflammatory activity in human skeletal muscle myoblasts (HSMMs) and human diabetic skeletal muscle myoblasts (DHSMMs). Results showed that combinatorial preparations sustained cell viability for 3 days in both HSMM and DHSMM cells. However, a significant decrease in cellular viability occurred for both cell lines on day 5. Results also indicate that combinatorial preparations of K. pinnata may modulate immune responses by significantly upregulating proinflammatory markers, interleukin (IL) 2, and tumor necrosis factor-alpha, and upregulating the anti-inflammatory marker, IL-10, in HSMM and DHSMM cells. The combined preparations significantly downregulated the anti-inflammatory glycoprotein IL-6 in both diabetic and nondiabetic human skeletal muscle cells. The findings suggest that combined preparations of K. pinnata and metformin might be a potential immune-modulating agent that may promote inflammation and adversely affect the outcome of diabetic patients.
Descended Mouth Corner: An Ignored but Needed Feature of Facial Rejuvenation
Pedro Vidal,Juan Enrique Berner,Pablo Castillo,Günther Rochefort,Rodrigo Loubies 대한성형외과학회 2013 Archives of Plastic Surgery Vol.40 No.6
For years, the gold standard in facial rejuvenation has been the face lift. However, exploring new, less complex procedures for achieving the same goal is currently drawing interest. Rejuvenation of the perioral area is a difficult task for plastic surgeons because of the minimal effect that face lift procedures have over this region and the lack of published material on the subject. In this article, the descended mouth corner anguloplasty technique is presented. It is a 20-minutes lift technique that can correct this typical feature of the ageing mouth. The authors have treated 71 patients using the technique with consistently good results, with just one requiring revision. They conclude that this procedure by itself and in combination with other small operations or even a full face lift can rejuvenate the ageing face.