How often and how long should we follow up adult maxillofacial trauma? – A preliminary study

Author(s):  
Laura Andrews ◽  
Michael Perry
2018 ◽  
Vol 11 (3) ◽  
pp. 199-204
Author(s):  
Balasubramanian Krishnan ◽  
Ravi Philip Rajkumar

The aim of this article is to identify the prevalence of posttraumatic psychological symptoms following maxillofacial trauma among an Indian population sample and assess changes in these symptoms over a period of time. Forty-eight adult patients were assessed within 2 weeks of injury with two follow-up visits (4–6 weeks and 12–14 weeks). Patients were administered three self-reporting questionnaires in local language (GHQ-12; HADS; TSQ) on all occasions. Relevant sociodemographic and clinical data were obtained. Forty patients were included in the final analysis. Emotional distress was present in nine participants and five participants satisfied the TSQ criteria for a diagnosis of stress disorder. Anxiety and depression were observed in 10 and 4 patients, respectively. Characteristics associated with abnormal high scores included substance abuse, low education and income levels, facial scars, and complications needing additional intervention. These findings reveal the abnormal psychological response to maxillofacial trauma in immediate and follow-up periods. The use of such screening tools can be considered by the maxillofacial surgeon for early identification of psychological symptoms and referral to the psychiatrist.


Author(s):  
TALAT KILIC ◽  
Sebnem Kilic ◽  
Nurcan Kirici Berber ◽  
Ayten Gunduz ◽  
Yasemin Ersoy

Objectives: Studies have shown that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is primarily transmitted from person to person via airborne droplets. It is unclear whether it can be shed into human milk and transmitted to a child via breastfeeding.We investigated the presence of SARS-CoV-2 RNA in human milk samples of 15 mothers with coronavirus disease 19(COVID-19) and in the throat swab samples of their infants. Methods: This is a prospective observational study in which breast milk samples were collected from 15 mothers with COVID-19. The presence of SARS-CoV-2 RNA in the whole human milk samples of the patients was investigated using RT-qPCR. All of the infants underwent a clinical follow-up during their 14-day isolation and their throat swab samples were tested for SARS-CoV-2 RNA. Results: Of 15 mothers with COVID-19, SARS-CoV-2 RNA was detected in milk samples from 4 mothers. The throat swab samples from these mothers’ infants were found to be positive for SARS-CoV-2 RNA. Three of the four mothers were breastfeeding. In addition, during the 14-day isolation, all but three of the mothers breastfed their infants. Of the 12 breastfed infants, while the test for SARS-CoV-2 RNA in throat swab samples was negative in six of the infants, the other six infants, who had mild COVID-19 symptoms, tested positive for SARS-CoV-2 RNA.Clinical outcomes of all mothers and infants were uneventful. Conclusion: To our knowledge, this is the first case series with the largest number of cases with SARS-CoV-2 RNA positivity in human milk samples of mothers with COVID-19. However, we believe that the benefits of breastfeeding may outweigh the risk of SARS-CoV-2 infection in infants


Author(s):  
Sharad Prabhakar ◽  
Mandeep S Dhillon ◽  
Himmat Dhillon ◽  
Sidak Dhillon ◽  
Dharam S Meena

ABSTRACT Introduction Tennis is one of the major global sports, with over 75 million players participating in the game in more than 200 countries affiliated with the International Tennis Federation. The upper extremity is particularly susceptible to injury in tennis because of the use of the racquet, which acts as a lever, and due to the effect of repetitive stroke play on the dominant limb. Materials and methods Between July 2009 and October 2010, in a prospective study involving players at a local tennis academy, 219 tennis players were evaluated for wrist injury. A specialized injury proforma was filled up for these players and parameters, such as injury type, mechanism of injury, forehand racquet grip (eastern, western and semiwestern), missed time from game, and treatment (medical or surgical) were recorded. The players were grouped into low-intensity players (those with average daily practice hours < 2.5) and high-intensity players (with ≥ 2.5 daily average practice hours). Statistical analysis was performed to assess the association of different wrist injuries with type of forehand handgrip. Results Out of 219 players, 14 players were lost to follow-up. Out of the remaining 205 players, a total of 157 (76%) players were aware of the type of handgrip they were using, while 18 (9%) players did not have any knowledge of their handgrip. The remaining 30 (15%) players were found to be confused as far as handgrip was concerned. Out of 157 players who had knowledge regarding handgrip, 102 players were using the semiwestern grip, 44 were using the western grip, and the remaining 11 were using the eastern type of handgrip. There were seven injuries sustained in the wrist and hand. Due to the relatively small number of wrist injury cases, no statistical correlation could be derived between handgrip use and specific injuries in the upper limb. Conclusion In tennis players with wrist injuries, different grips of the racquet are not related to the anatomical site of the lesion. Previous studies have correlated the type of handgrip with the pattern of wrist injuries. Though we have 219 players in our study, the players who sustained wrist injuries were less (7). Thus, we were unable to find any correlation between type of handgrip and pattern of wrist injuries. Further studies are required so as to understand the biomechanics of tennis injuries. How to cite this article Prabhakar S, Dhillon MS, Meena DS, Dhillon H, Dhillon S. Does Forehand Racquet Handgrip influence Incidence and Type of Wrist Injury in Tennis? A Preliminary Study in Indian Tennis. J Postgrad Med Edu Res 2018;52(1):1-4.


2021 ◽  
Vol 21 (86) ◽  
pp. e237-e243
Author(s):  
Kaan Orhan ◽  
◽  
Poyzan Bozkurt ◽  
Zeynep Serap Berktaş ◽  
Mehmet Hakan Kurt ◽  
...  

Aim of the study: The present preliminary study aims to evaluate the possible positive outcomes of ultrasonography-guided sialolithotomies and duct stricture dilations utilizing stone retrieval baskets and guide wires. Case description: A total of 6 cases in an ongoing study (4 cases of sialolithiasis and 2 cases of duct strictures with intraluminal adhesion) were analyzed. All sialoliths were <5 mm in diameter. Stone removals and duct dilations were performed under ultrasonography guidance with two different types of linear probes. Edema measurements were carried out, and the area of edema was evaluated via the echogenicity changes. Patient satisfaction was also evaluated by the patients themselves using a Visual Analog Scale questionnaire on postoperative day 0, and on days 1, 2, and 3. Conclusions: There were no postoperative complications, and mouth openings returned to normal at 7-day follow-up. The pain scores decreased after 6 hours, and pain subsided completely after 12 hours in all the patients. Edema also resolved gradually after the operation. The patient satisfaction levels were high.


2020 ◽  
Vol 2 (2) ◽  
pp. 1-14
Author(s):  
Honcy Ernesta Nomeni ◽  
Rina Waty Sirait ◽  
Yoseph Kenjam

Problems commonly found in submitting insurance claims are incomplete documents, follow-up claims, the mismatch of the rates submitted by the hospital with the INA-CBGs rates or those paid by BPJS Kesehatan, irregularities in the coding of disease diagnoses, and the delay in claiming payments by BPJS Kesehatan. Based on the preliminary study at Soe Public Hospital in October 2019, there were still several administrative problems in submitting claims for JKN program. It was proven by the fact that there were still patients with JKN who did not bring a copy of their BPJS Kesehatan cards and the referral letter determined by BPJS Kesehatan when registering for a treatment. The aim of this study is to determine the factors causing the delay in submitting claims for inpatients with BPJS at Soe Public Hospital in 2020.This was a qualitative descriptive study. The population in this study was staff who are directly involved in the insurance claiming process. The sample was selected using purposive sampling technique that consisted of one assembling staff, one coding staff, two internal verifiers and one BPJS Kesehatan verifier. The results of the study indicated that the process of submitting claims for patients with BPJS Kesehatan by Soe Public Hospital did not carry out in a comprehensive and integrated manner because of incomplete medical record status, lack of coordination and teamwork between staff who record medical status that involves assembling staff, coding staff, and hospital verifier. This made a delay in submitting claims for inpatients with BPJS Kesehatan. There were also other obstacles found in the process of submitting claims for inpatients with BPJS Kesehatan at Soe Public Hospital. It is suggested that hospital managers need to evaluate staff who are responsible for submitting claims for inpatients with BPJS Kesehatan regularly and to assess the strengths and weaknesses of each staff.


Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 967
Author(s):  
Paloma Massó ◽  
Juan Melchor ◽  
Guillermo Rus ◽  
Francisca Sonia Molina

Transient or acoustic radiation force elastography (ARFE) is becoming the most extended technology to assess cervical effacement, additionally to the Bishop test and conventional ultrasound. However, a debate on the fetal safety has been opened due to the high intensity focused beam emitted to produce shear waves. This work is aimed at providing preliminary data to assess clinical effects of fetal exposure. A follow-up study in newborns of 42 women exposed to ARFE during pregnancy was carried out to explore neonatal hypoacusia, Apgar test, and anthropometry. No hypoacusia cases attributable to ARFE were observed. The Apgar test at five minutes scored normally in all the newborns. Comparisons between anthropometric measurements showed no significant statistically differences. The results preclude to state the harmfulness nor the safety of ARFE. However, given the concern on the high level of energy and the potential risk of harmful bioeffects, larger studies are recommended.


2018 ◽  
Vol 25 (3) ◽  
pp. 414-431 ◽  
Author(s):  
Han Jiang ◽  
Stuart J. Johnstone ◽  
Li Sun ◽  
Da-Wei Zhang

Objective: This preliminary study investigated effectiveness of neurocognitive training on academic engagement (AET) for children with ADHD. The training approach targeted working memory, inhibitory control, and attention/relaxation (via brain electrical activity). Method: A reversal design with a 2-week follow-up was used to assess the effectiveness of the treatment on two children with diagnosed ADHD in two learning settings. Direct observation was used to collect academic-related behavior. Results: Improvements in on-task expected behavior (ONT-EX) and general AET, as well as reductions in off-task motor activity (OFF-MA) and off-task passive behavior (OFF-PB) were observed for both students over baselines and across the settings. Moreover, differences in behavioral change were found between participants and settings. Conclusion: These findings support using the treatment for improving academic performance of children with ADHD. Future studies may investigate influences of contextual differences, nontreatment variables, or adult’s feedback during the training session on treatment effectiveness.


1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 151-152
Author(s):  
T. Torelli ◽  
A.M. Bacchioni ◽  
P. Corrada ◽  
G.L. Leidi ◽  
G. Ordesi ◽  
...  

The authors report preliminary results of a study performed on six patients with by advanced, hormone-refractory prostate cancer. These patients were treated by estramustine phosphate (10 mg/kg) and methotrexate (60 mg/mq). Low toxicity allows the use of this therapy in outpatient regimens. Moreover, the high rate of partial responses (five patients) shows the remarkable efficacy of this therapy, even if follow-up and number of patients are not sufficient to reach definitive conclusions.


2013 ◽  
Vol 405-408 ◽  
pp. 474-477
Author(s):  
Ru Zhang ◽  
Ping Yan

Prestressed concrete hollow retaining pile in lateral force resistance can effectively increase the bending height because of their hollow, so it can play a good effect in the pit maintenance .We will research and explore some problems about the innovative structure ,such as the suitable value of tension control stress , reasonable calculation method for flexural bearing capacity, shear lag effect causing by the hollow and using finite element analysis to verify. Do some preliminary research on some basic properties of the structure and lay the foundation for follow-up studies.


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