scholarly journals Evaluation of a curved surgical prototype in a human larynx

2021 ◽  
Author(s):  
L. R. Schild ◽  
F. Boehm ◽  
L. Kienle ◽  
A. Seitz ◽  
L. A. Kahrs ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Medical Students ◽  
User Study ◽  
The Body ◽  
Human Cadaver ◽  
Clinical Routine ◽  
Laryngeal Surgery ◽  
Human Larynx ◽  
Surgical Field ◽  
Flexible Instruments

Abstract Purpose It is not always possible to create linear access to the larynx using a rigid operating laryngoscope for microlaryngoscopy. In this study, we evaluate the usability of a novel curved surgical prototype with flexible instruments for the larynx (sMAC) in a simulation dummy and human body donor. Methods In a user study (n = 6), head and neck surgeons as well as medical students tested the system for visualization quality and accessibility of laryngeal landmarks on an intubation dummy and human cadaver. A biopsy of the epiglottis was taken from the body donor. Photographic and time documentation was carried out. Results The sMAC system demonstrated general feasibility for laryngeal surgery. Unlike conventional microlaryngoscopy, all landmarks could be visualized and manipulated in both setups. Biopsy removal was possible. Visibility of the surgical field remained largely unobstructed even with an endotracheal tube in place. Overall handling of the sMAC prototype was satisfactorily feasible at all times. Conclusion The sMAC system could offer an alternative for patients, where microlaryngoscopy is not applicable. A clinical trial has to clarify if the system benefits in clinical routine.

Role of convalescent plasma therapy in new Coronavirus disease (nCOVID-19): A review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 546-549
Author(s):  
Shweta Dadarao Parwe ◽  
Milind Abhimanyu Nisargandha ◽  
Rishikesh Thakre
Keyword(s):  
Clinical Trial ◽  
Immune Responses ◽  
Indian Population ◽  
Preventive Treatment ◽  
The Body ◽  
Therapeutic Antibodies ◽  
Plasma Therapy ◽  
Host Immune Responses ◽  
Transparent Liquid

Hitherto, there is no proper line of treatment for the new (nCOVID19). The development of unique antiviral drugs has taken precedence. Therapeutic antibodies () will be a significantly beneficial agent against nCOVID-19. Here the host immune responses to new discussed in this review provide strategy and further treatment and understanding of clinical interventions against nCOVID-19. Plasma therapy uses the antibodies found in the blood of people recovering (or convalesced) from an infection to treat infected patients. When an infection occurs, the body begins producing proteins specially made to kill the germ, called antibodies. Those antibodies coat specifically plasma in the blood of survivors, the yellow transparent liquid blood portion for months or even years. research assesses plasma use from Convalescent patients of infected with nCOVID-19 as a possible preventive treatment. But it is not yet recommended as a line of treatment, and it is used as a clinical trial in the new in Indian population.

scholarly journals Caring for affective subjects produced in intimate healthcare examinations

2021 ◽  
pp. 136345932110200
Author(s):  
Jenny Gleisner ◽  
Ericka Johnson
Keyword(s):  
Medical Students ◽  
Gender And Sexuality ◽  
The Body ◽  
Digital Rectal Exam ◽  
Discursive Analysis ◽  
Work Spaces ◽  
Pelvic Exam ◽  
Care Practices

This article is about the feelings – affect – induced by the digital rectal exam of the prostate and the gynaecological bimanual pelvic exam, and the care doctors are or are not instructed to give. The exams are both invasive, intimate exams located at a part of the body often charged with norms and emotions related to gender and sexuality. By using the concept affective subject, we analyse how these examinations are taught to medical students, bringing attention to how bodies and affect are cared for as patients are observed and touched. Our findings show both the role care practices play in generating and handling affect in the students’ learning and the importance of the affect that the exam is (or is not) imagined to produce in the patient. Ours is a material-discursive analysis that includes the material affordances of the patient and doctor bodies in the affective work spaces observed.

ASSOCIATION BETWEEN SHORT SLEEP DURATION AND OBESITY IN MEDICAL STUDENTS

2016 ◽  
Vol 10 (1) ◽  
pp. 242 ◽  
Author(s):  
Tapaswini Mishra ◽  
Dipti Mohapatra ◽  
Manasi Behera ◽  
Srimannarayan Mishra
Keyword(s):  
Body Mass Index ◽  
Medical Students ◽  
Waist Circumference ◽  
Sleep Duration ◽  
Body Mass ◽  
Overweight And Obesity ◽  
The Body ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Obese Class

ABSTRACTObjective: Adequate sleep has been considered important for the adolescent’s health and well-being. On the other hand, self-imposed sleepcurtailment is now recognized as a potentially important and novel risk factor for obesity. The objective of the study is to find the association betweenshort sleep duration and obesity (by calculating the body mass index [BMI]) among medical students.Methods: The study was conducted on 100 medical students. A brief history of sleep duration was taken. The height and weight were taken and thebody mass index (BMI) was calculated by formula weight in kg / height in m. Based on the BMI criteria the students were classified into six groups:Underweight, normal, overweight, obese class I, obese class II and obese III. The waist circumference (WC) was also taken. The data obtained werestatistically analysed by ANOVA test and the p < 0.5 was considered significant.2Results: The present cross-sectional study showed that there is an association between short sleep duration and obesity which was highly significant(p<0.001). This study also shows that there is an association between short sleep duration and waist circumference which was also highly significant(p<0.001).Conclusion: The present study observed a high association of short sleep duration among medical students of IMS and SUM Hospital and that shortsleep duration was significantly associated with increased risk of overweight and obesity. We should further investigate whether adults adopting ahealthy lifestyle with short sleep duration would improve their sleeping habits or not.Keywords: Sleep duration, Body mass index, Waist circumference, Obesity.

scholarly journals Facilitating Airway Surgery in a Morbidly Obese Patient Using Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE)

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Si-Jia Lee ◽  
Kelvin Howyow Quek
Keyword(s):  
Obese Patient ◽  
Normal Weight ◽  
Morbidly Obese ◽  
Airway Surgery ◽  
Laryngeal Surgery ◽  
Morbidly Obese Patient ◽  
Obese Population ◽  
Obese Subjects ◽  
Difficult Airways ◽  
Surgical Field

Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is a relatively new noninvasive oxygenation technique with a broad range of applications. It is used in the treatment of type one respiratory failure, as a preoxygenation tool, as a rescue and temporising measure in difficult airways, and as step-down oxygen therapy in patients after extubation. Its use has also been described in laryngeal surgeries, but they mainly involved normal-weight subjects or were used as a bridging oxygenation therapy before definitive airway is secured. The major benefits of using THRIVE in obese subjects undergoing laryngeal surgery include a tubeless and uninterrupted surgical field. This advantage is especially crucial in obese patients as they tend to have limited oropharyngeal space, rendering a shared airway technically challenging for surgeons. However, concerns of potential difficult airway and shorter safe apnoeic time in the obese population limit its use. In this case, we report its use as the sole oxygenation strategy in a morbidly obese patient undergoing airway surgery. Our experience suggests that THRIVE can provide a conducive operating field and adequate oxygenation in short apnoeic laryngeal procedures in the obese population, without causing excessive hypercarbia.

scholarly journals The Peculiarities of Civil-Legal Regulation of Transplantation in Ukraine and Europe

2018 ◽  
Vol 8 (1) ◽  
pp. 33-48
Author(s):  
Alla Herts
Keyword(s):  
Treatment Process ◽  
Developed Countries ◽  
Legal Regulation ◽  
Modern Medicine ◽  
The Body ◽  
Accessibility Of Health Services ◽  
Surgical Field ◽  
Processed Form ◽  
The Cost ◽  
Cadaveric Transplantation

Abstract In modern realities the issue of the quality and accessibility of health services, the cost of medicines, examinations and treatment in general is being increasingly frequently discussed. The attention is focused on such a narrow surgical field as transplantation, because in Ukraine thousands of patients are waiting in line for organ transplantation and very few operations are performed. The main, most secure and common type of transplantation is the transplantation of organs and tissues from a deceased person, the dead body. Cadaveric transplantation, which is used in most developed countries, is hardly carried out in Ukraine. This is due to the fact that the current regulatory base of Ukraine in the field of transplantation does not fully meet the needs of modern medicine and has many gaps. The aim of donation is a future transplantation (including and in cases of blood transfusion and reproductive cells use). The parts (tissues, organs, their parts, individual cells) extracted (separated) from the body in the process of donation can be used generally in the treatment process in a processed form (blood plasma) or in the original state (fertilized reproductive cells). The detailed analysis of the provisions of the national legal system makes it possible to conclude that, despite the absence of direct regulation of relations concerning organ donation and transplantation as material relations, the legal regulations provide the fundamental provisions, which determine their material nature, and therefore offer opportunities for agreementbased regulation. In our opinion, one of the essential legal means of ensuring the rights of participants in the relations of donation and transplantation can be their agreement-based regulation. The peculiarities of civil-legal regulation of transplantation in Ukraine and Europe are simultaneously analysed; and the grounds of its legitimacy are defined.

scholarly journals The Perception, Emotional Experiences and Cultural attachments of Ethiopian Medical Students during Human Cadaver Dissection

2021 ◽  
Vol 35 (S1) ◽  
Author(s):  
Jickssa Gemechu ◽  
Abay Zenebe ◽  
Jason Wasserman ◽  
Malli Barremkala ◽  
Inaya Hajj Hussein
Keyword(s):  
Medical Students ◽  
Human Cadaver ◽  
Emotional Experiences ◽  
Cadaver Dissection

scholarly journals Assessment of the health of medical students

2020 ◽  
Vol 64 (3) ◽  
pp. 132-138
Author(s):  
Anastasiya A. Khablova ◽  
Galina N. Bondar’ ◽  
Pavel F. Kiku ◽  
Natal’ya S. Tumanova ◽  
Valentina N. Rasskazova ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Status ◽  
Medical Students ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Component Composition ◽  
The Body ◽  
Spiritual Well Being ◽  
Academic Workload ◽  
The Individual

Human health, in addition to social and spiritual well-being, is determined by its physical condition, which reflects the functional capabilities of the body, features of physical development and ensures working capacity in any activity, including academic workload, which is extremely important for students in higher educational institutions. The purpose of the study is to assess the health status of students at the School of Biomedicine of the Far Eastern Federal University. Material and methods. The health status of 184 medical students (147 young women and 37 young men) was assessed using a sociological survey (questionnaire) and a study of the component composition of the body using bioimpedancemetry. Results. The low physical activity, detected in 68% of students and bad habits (smoking tobacco) have been established to negatively affect students’ health. Among smokers, 75% of students live in dormitories on the university campus. According to the results of bioimpedancemetry, significant deviations from the age norm were noted in terms of body mass index (BMI) (50% of cases) and fat mass (FM) (71% of cases). Significant gender differences in the individual components of the body were not identified. Discussion. The most aggressive factors that significantly affect the health of students are unbalanced nutrition, lack of compliance with the regime of study and rest, lack of sleep and stay in the fresh air, lack of physical activity, lack of motivation for a healthy lifestyle. Significant deviations in BMI and FM, identified by bioimpedancemetry, indicate the risks of developing arterial hypertension, metabolic syndrome, and nutritional status disorders. Medical students need to give recommendations for increasing motor activity and changing diet. Conclusion. The results of the study can be used in the future to determine the functional state of students and develop preventive measures to preserve the health of medical students.

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