1.The value of fine needle aspiration cytopuncture in diagnosis of hepatocellular carcinoma.
Journal of Medical and Pharmaceutical Information 2005;0(12):33-36
In this study, fine needle aspiration cytopuncture (FNAC) was done for 220 patients with liver tumors. The findings showed that FNAC was of high value in diagnosis of Hepatocellular Carcinoma (HCC). Successful first time of FNAC was 93.2%. The accurate rate 97.7%, sensitivity 97.3% and specificity 100%. 19.6% patients were in well differentiated; 47.7% average differentiated and 32.7% poor differentiated. 86.7% tumor under 3cm in diameter with well-differentiation and 86.7% tumor over 9cm in diameter with poor-differentiated. The FNAC is simple, easy performing and safe method
Carcinoma, Hepatocellular, Diagnosis
2.Thymosin-a 1 for treatment of chronic hepatitis B
Journal of Medical and Pharmaceutical Information 2004;0(7):21-24
A study on 56 patients with chronic hepatitis B who were divided into 2 groups: study group and control group. The study group including 31 patients was treated with Thymosin-α1 1.6mg/day, twice a week for 6 months. The control group with 25 patients of same clinical data was treated with common liver-protective drugs. Both groups were monitored and assessed after 24 months. The results showed that the study group with treatment of Thymosin-α1 is better than control one in all aspects of ALT normalization, sero-conversion and decrease of HBV-DNA<5 copies/ml
Hepatitis B, Chronic
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Therapeutics
3.Clinical and paraclinical features and the factors related to irritable bowel syndrome
Journal of Medical and Pharmaceutical Information 2004;0(9):32-35
A prospective study on 50 patients with irritable bowel syndrome (IBS) at Gastroenterology Department of Central Military Hospital 108 between June 2003 and June 2005. Results showed that the common clinical features of IBS were: abdominal pain (100%), untaste in abdominal cavity (96%), bowel disturbance (100%), flatulence (72%). The relative factors causing IBS consisted of intellectual work (72%), eating much lipid (36%), stinking food (30%) and smoking (16%). The Rome II criteria were applied effectively in the diagnosis of IBS. Three main criteria with very high rates were: 92% pain relieve of bowel movement, 68% pain related to the change of bowel movement frequency and 96% pain related to the change of faeces shape
Irritable Bowel Syndrome
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Clinical Medicine
4.Clinical, paraclinical pictures and causes of acute pancreatitis
Journal of Medical and Pharmaceutical Information 2005;0(10):33-36
In the study, 166 patients (125 men, 41 women) with acute pancreatitis were treated at Central Military Hospital 108 from August 2003 to August 2005. The common clinical symptoms of acute pancreatitis were epigastrium severe pain 100%, continuous or interrupted pain; localize or spread; fever 51.2%; vomiting 35.5%; abdominal gas 92.8%; peritoneal hypersensitive 92.8%. Among the patients, 90.4% were mild and average; 9.6% were severe. Paraclinical features included a high concentrate of serum and urine amylase (96.4 and 94%, respectively) at different levels that was not relative with the severity; 50% of the patients had big pancreas in ultrasonography. The common causes of acute pancreatitis were big meal with drinking 24.1%, bile stones 13.2%, ascarid in bile tract 9.6% and some other causes; unknown causes 38.7%
Pancreatitis
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Clinical Medicine
5.Combination of Transcatheter Oily Chemoembolization and ? 1-Thymosin in treating HCC
Journal of Medical and Pharmaceutical Information 2003;0(6):31-35
The aim of this study is to evaluate the therapeutic potential of the immunostimulating adjuvant in patients with HCCs¬¬¬.46 patients with HCCs were divided into 2 groups: group I (30pts) treated by Transcatheter Oily Chemoembolization (TOCE alone), group II resulted in a better clinical improvement, decreased AFP and tumor size, and a longer mean survival time versus group I. Combined treatment demonstrated a significant increase in lymphocytes expressing CD 16-CD 56 with NK activity and followed by a rise in lymphocyte with morphological feature of cytotoxic lymphocyte ( CD8 positive) was observed
Liver Neoplasms
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Thymosin
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Therapeutics
6.Nexium, Ospamox and Klacid (NOK) triple therapy for treatment of gastric ulcer with positive Helicobacter pylori
Journal of Medical and Pharmaceutical Information 2003;0(6):33-36
56 patients with gastric ulcers were treated by triple therapy with Nexium, Ospamox and Klacid (NOK).45 days after treatment, 89.3% patients had no gastric pain; 92.8% patients had ulcer healing, HP eradication rate 94.6% at 6 months and 12 months after treatment, 95% and 93.8% patients had ulcer healing; HP eradication rate was 90% and 90.6%; gastric pain and ulcer recurrence was 7.5% and 6.3%, respectively; HP-positive return rate was 10% and 9.4%
Stomach Ulcer, Helicobacter pylori, Therapeutics
7.The value of clinical examination, ultrasound, AFP, CT scanning, fine needle aspiration cytopuncture and combination of these methods in the diagnosis of hepato cellular carcinomas
Journal of Medical and Pharmaceutical Information 2003;0(4):30-34
In this prospective study, 685 patients with hepato cellular carcinomas were diagnosed and treated in the Central Military Hospital 108 for 4 years from Mar 2001 to Feb 2005. The resulst as: hepato cellular carcinomas often occured in males, 7 times higher than in females. The most common symptoms are pain on lower right side (80.9%), fatigue (45.5%), swollen liver (79.6%). 70.9% of patients were detected by ultrasound, 70.6% of patients were detected by computer tomography among which 51.8% with one single tumor; 38.7% with 3 or more tumors; 51% with tumors on right liver. Nearly 70% of patients had high AFP, 26.3% of patients had AFP>1000ng/ml. The accuracy of diagnosis increased to 97.5% by combination of all methods of clinical examination, ultrasound, AFP, CT scanning and fine needle aspiration cytopuncture
Liver Neoplasms
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Diagnosis
8.Emercency ligation of varices for treatment of esophageal varices bleeding
Journal of Practical Medicine 2005;530(11):48-50
52 patients (46 males, 6 females) with esophageal varices bleeding, age from 19-84 years, who were treated at the Central Military hospital 108 from September 2002 to September 2003. The level of breakdown via endoscopy and the number of esophageal varices breakdown on 52 patients included: 5 cases with mild level, 13 cases with average and 34 cases with severe level; 7 patients at grade II, 45 grade III; 59.6% of patients in the first time of bleeding, 21.6% secondly and 19.2% ≥3 times. Treatment results: 71.2% patients had a complete hemostasis; recurrent rate was 57.7%, in which the rate was 9.6% during first month. For 2 years of followed up, mortality rates one month and 2 years after were 13.3% of 57.7%, respectively. The results indicated that the endoscopic varices ligation have good effectiveness in urgent hemostatic cases but ineffectiveness in long-term outcome.
Gastrointestinal Hemorrhage
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Esophageal and Gastric Varices
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Therapeutics
9.Management of Male Infertility with Coexisting Sexual Dysfunction: A Consensus Statement and Clinical Recommendations from the Asia-Pacific Society of Sexual Medicine (APSSM) and the Asian Society of Men’s Health and Aging (ASMHA)
Eric CHUNG ; Jiang HUI ; Zhong Cheng XIN ; Sae Woong KIM ; Du Geon MOON ; Yiming YUAN ; Koichi NAGAO ; Lukman HAKIM ; Hong-Chiang CHANG ; Siu King MAK ; Gede Wirya Kusuma DUARSA ; Yutian DAI ; Bing YAO ; Hwancheol SON ; William HUANG ; Haocheng LIN ; Quang NGUYEN ; Dung Ba Tien MAI ; Kwangsung PARK ; Joe LEE ; Kavirach TANTIWONGSE ; Yoshikazu SATO ; Bang-Ping JIANN ; Christopher HO ; Hyun Jun PARK
The World Journal of Men's Health 2024;42(3):471-486
Male infertility (MI) and male sexual dysfunction (MSD) can often coexist together due to various interplay factors such as psychosexual, sociocultural and relationship dynamics. The presence of each form of MSD can adversely impact male reproduction and treatment strategies will need to be individualized based on patients’ factors, local expertise, and geographical socioeconomic status. The Asia Pacific Society of Sexual Medicine (APSSM) and the Asian Society of Men’s Health and Aging (ASMHA) aim to provide a consensus statement and practical set of clinical recommendations based on current evidence to guide clinicians in the management of MI and MSD within the Asia-Pacific (AP) region. A comprehensive, narrative review of the literature was performed to identify the various forms of MSD and their association with MI. MEDLINE and EMBASE databases were searched for the following English language articles under the following terms: “low libido”, “erectile dysfunction”, “ejaculatory dysfunction”, “premature ejaculation”, “retrograde ejaculation”, “delayed ejaculation”, “anejaculation”, and “orgasmic dysfunction” between January 2001 to June 2022 with emphasis on published guidelines endorsed by various organizations. This APSSM consensus committee panel evaluated and provided evidence-based recommendations on MI and clinically relevant MSD areas using a modified Delphi method by the panel and specific emphasis on locoregional socioeconomic-cultural issues relevant to the AP region. While variations exist in treatment strategies for managing MI and MSD due to geographical expertise, locoregional resources, and sociocultural factors, the panel agreed that comprehensive fertility evaluation with a multidisciplinary management approach to each MSD domain is recommended. It is important to address individual MI issues with an emphasis on improving spermatogenesis and facilitating reproductive avenues while at the same time, managing various MSD conditions with evidence-based treatments. All therapeutic options should be discussed and implemented based on the patient’s individual needs, beliefs and preferences while incorporating locoregional expertise and available resources.