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Jun 04, 2025Open    Access

Targeting the Endocannabinoid System in Burning Mouth Syndrome: A Case Report on CBD-Dominant Cannabis Oil

Luca Gentili,Paolo Scimia,Fabio Nania,Chiara Angeletti
Burning Mouth Syndrome (BMS) is a chronic orofacial pain disorder characterized by burning sensations of the oral mucosa without evident causative lesions. Current treatment options often provide limited relief, highlighting the need for alternative therapeutic approaches. Recent evidence suggests that dysregulation of the endocannabinoid system plays a role in BMS patho- physiology, with altered expression of cannabinoid receptors in oral mucosa. We present a case of a 62-year-old postmenopausa...
Open Access Library J.   Vol.12, 2025
Doi:10.4236/oalib.1113432


Feb 27, 2025Open    Access

Consistent Classification of Both Autonomous Nervous Functions and Acupoint Characters: Replacing the Theory of Meridian Classification

Zi-Jian Cai

Introduction: It is revealed by biomedical studies that the autonomous nervous system mediates most clinical effects of acupuncture/moxibustion. Whereas, it is advantageous for the classical meridian system to instruct acupuncture/moxibustion by classifying the various acupoints into related meridians. Purpose: It was aimed to replace the classical meridian system with the consistent classification of both autonomous nervous functions and acupoint character

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Open Access Library J.   Vol.12, 2025
Doi:10.4236/oalib.1112967


Nov 27, 2024Open    Access

Choice of Neuraxial over General Anesthesia for Incisional Hernia Repair: A Case Report

Vera Irisse M. Galpo,Karmi Marcial
Background: Incisional hernias usually developed from the former postoperative scar. Surgery is often necessary to push the protruding tissue back in place, remove any scar, and adhere to a surgical mesh to prevent recurrence. Open ventral repair is often performed under general anaesthesia but can also be done under neuraxial anesthesia. Case Report: We report a case of a 59-year-old female, ASA 2 for Obesity (BMI 31 kg/m2), Hypertension, Type 2 Diab...
Open Access Library J.   Vol.11, 2024
Doi:10.4236/oalib.1112117


Nov 15, 2024Open    Access

Evaluation of the Efficacy of Different Topical Anesthetic Agents in Reducing Pain during Administration of Local Anesthesia in Children

Dima Wafic Deb
Objective: to discuss the effectiveness of some products (Lidocaine gel 9.6%, Lidocaine spray 8% and Benzocaine 20%) in pain relief during local anesthesia before procedures in children. Patients and Methods: this study concluded 90 children between 5 - 12 years who were admitted to pediatric dentistry clinic at Tishreen University Hospital (TUH) during the period of 2021-2024. The study sample was divided into equally separated groups. Group I: Children receive...
Open Access Library J.   Vol.11, 2024
Doi:10.4236/oalib.1112123


May 11, 2024Open    Access

Ultrasound-Guided Stellate Ganglion Block on Sleep Disorders in Patients Recovered from COVID-19

Pu Chen,Yuping Hu,Nana Zhang
Objective: This study aimed to observe the therapeutic effect of ultra-sound-guided stellate ganglion block (U-SCG) on sleep disorders in pa-tients who have recovered from COVID-19. Methods: A retrospective analysis was conducted on 39 patients with post-COVID-19 sleep disorders treated at the Department of Anesthesiology, Fourth Affiliated Hospital of Nanjing Medical University. The treatment involved a 7-day course of U-SCG, and the improvement in sleep was as...
Open Access Library J.   Vol.11, 2024
Doi:10.4236/oalib.1111525


Jun 17, 2022Open    Access

Somite and Brain Nociceptive Coupling in Evolution of Nociceptive-Sympathetic Coupling for Pain Sensations by NBA

Zi-Jian Cai
In May 2016, it was proposed by the US athletes of the National Basketball Association (NBA) on television that the nociceptive-sympathetic coupling be required for pain sensations. Later, it was demonstrated that, via the activation of sympathetic outputs directly by the nociceptive neurons in laminae I and V of the dorsal spinal horn as well as those in periaqueductal grey (PAG) of brain, it was completed the nociceptive-sympathetic coupling in vertebrates. In this article, for the evolutionar...
Open Access Library J.   Vol.9, 2022
Doi:10.4236/oalib.1108867


Oct 18, 2021Open    Access

Determination of Safe Apnoea Period in Relation to Haemoglobin Concentration at Komfo Anokye Teaching Hospital

Tweneboah George, Jane Acquaye, Tsiri Agbenyega, Lorraine Sallah
The induced cessation of ventilation or suspension of external breathing is a common occurrence in anaesthetic practice. During the period of induced apnoea, there is no movement of the muscles of inhalation and lung volumes initially remain unchanged. Maintaining haemoglobin saturation during airway management is critical to guarantee the safety of patients. However, there has been little quantitative study of apnoea especially on the rate of change in oxygen saturation in relation to haemoglob...
Open Access Library J.   Vol.8, 2021
Doi:10.4236/oalib.1107930


Jun 04, 2021Open    Access

Aneurysmal Carotid Cavernous Fistula (ACCF), Management and Outcome: Case Report and Review of the Literature

Adil Belhachmi, Yao Christian Hugues Dokponou, Miloud Gazzaz
Carotid cavernous fistula is an abnormal communication between the cavernous portion of the carotid artery and the venous bed of cavernous sinus with secondary increased pressure in the cavernous sinus leading to clinical presentations depending on the vascular and/or nervous structures involved in this injury process. The patient may present in the emergency room with proptosis, cranial nerve palsy, increased intraocular pressure, diplopia, decreased vision, and sometimes blindness in case of a...
Open Access Library J.   Vol.8, 2021
Doi:10.4236/oalib.1107335


Aug 18, 2020Open    Access

Metabolic Alkalosis Associated Fluid and Electrolyte Disorders Revealing an Upper Digestive Tract Condition

Ameth Dieng, M. A. Ba, A. T. Lemrabott, M. Diop, A. Sy, M. Ndongo, B. Ndiaye, M. S. Diawara, M. Faye, Mo Faye, B. Ba, N. Keita, S. Diagne, M. M. Cissé
We report a case of a 66-year-old female patient with ischemic cardiomyopathy, who was referred in Nephrology Department for the management of a renal impairment associated-severe hyponatremia, hypokalemia and hypochloremia that occurred after vomiting episodes evolving since 1 month. On admission, the patient was calm with a psychomotor retardation occurring in a context of moderate dehydration. Arterial blood gas analysis outlined a severe metabolic alkalosis. An extra-renal cause of these met...
Open Access Library J.   Vol.7, 2020
Doi:10.4236/oalib.1106338


Oct 08, 2019Open    Access

The Neural Pathways for the Hypothetic Nociceptive-Sympathetic Coupling of NBA for Pain Sensation

Zi-Jian Cai
In May 2016, it was suggested by the US athletes playing games of National Basketball Association (NBA) in television that the pain sensation might result from the post-sensory nociceptive-sympathetic coupling. In this re-view, it is attempted to newly delineate the underlying neural pathways for this post-sensory nociceptive-sympathetic coupling. Based on the con-temporary feedback neural circuits of pain transmission in spinal c
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Open Access Library J.   Vol.6, 2019
Doi:10.4236/oalib.1105780


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