Journal of the Chinese Medical Association : JCMA
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Metastatic melanoma of the ampulla of Vater is rare. The purpose of this study was to summarize the characteristics and outcomes of metastatic melanoma in the ampulla of Vater and highlight the impact of surgery on the prognosis of patients with metastatic melanoma. ⋯ Given the availability of effective systemic therapies, metastatic melanoma of the ampulla of Vater does not necessarily preclude major surgeries.
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Accurate age estimation is vital in forensic medicine and clinical dentistry. The Demirjian method is commonly used for this purpose, but its applicability to Asian individuals is understudied. The present study evaluated the accuracy of dental age (DA) estimation for Taiwanese children by using the Demirjian, Williems, and modified Demirjian methods, comparing these estimates to those of chronological age (CA) based on panoramic X-ray images. ⋯ The effectiveness of predictive methods varies across ethnicities, and therefore, region-specific formulas are required. For Taiwanese children, the Williems method predicts CA most accurately. This study contributes to the fields of legal medicine and clinical dentistry by demonstrating the accuracy of DA in predicting CA.
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Pruritus is a distressing symptom of systemic opioid analgesia that responds poorly to conventional antipruritus treatments. This study aimed to determine the incidence and risk factors for postoperative pruritus using intravenous patient-controlled analgesia (IV-PCA). ⋯ Increasing the lockout interval and the droperidol regimen may protect patients from morphine-induced pruritus after IV-PCA. Further studies are warranted to clarify the mechanisms underlying the anti-pruritus effects of hydroxyethyl starch.
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To assess the association between periodontal disease (PD) and the prognosis of chronic kidney disease (CKD). ⋯ Herein, PD might exert a harmful effect on the subsequent risks of all-cause mortality and cardiac death in patients with CKD.
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The concurrent rise in the prevalence of autism and youth suicide has drawn public health and professional attention. The renaissance of psychedelics in psychiatry occurred in the early 21st century and may suggest a hope for the therapeutic effect of psychedelics in autism and suicide. ⋯ Furthermore, this review proposed a possible neurobiological connection between autism, suicide, and psychedelics. Finally, this review discussed the potential therapeutic applications of psychedelics in autism and youth suicide.