scholarly journals Epidemiology and diagnosis of pleural tuberculosis in a low incidence country with high rate of immigrant population: A retrospective study

2019 ◽  
Vol 78 ◽  
pp. 34-38
Author(s):  
Antonio Macías ◽  
Adrián Sánchez-Montalvá ◽  
Fernando Salvador ◽  
Ana Villar ◽  
Teresa Tórtola ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Immigrant Population ◽  
High Rate ◽  
Pleural Tuberculosis ◽  
Low Incidence

scholarly journals Study of caesarean section at tertiary care centre: a retrospective study

2020 ◽  
Vol 9 (5) ◽  
pp. 2138
Author(s):  
Varsha Kose ◽  
Kumari Sadhvi
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Tertiary Care ◽  
Fetal Distress ◽  
High Rate ◽  
Audit And Feedback ◽  
Research Centre ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Failure Of Induction

Background: Caesarean section (C-section) is one of the most widely performed surgical procedure in obstetrics worldwide. The WHO guidelines revised in 1994 states that the proportion of C-section birth should range between 5-15% but both in developed and developing countries C-section rate is on the rise. This study was conducted to analyse the frequency and indications for C-section and associated maternal morbidity and mortality.Methods: This retrospective study was conducted over a period from January 2018 to May 2019 at the department of obstetrics and gynecology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Hingna, Nagpur, Maharashtra, India. Data of patients who delivered by C-section in our hospital during the defined study period were studied and statistically analysed according to various parameters namely, the frequency of caesarean section, its indications, age, parity and gestational age of the patient.Results: The total number of women delivered over the study period were 2811. Out of which C-sections were done in 1461 women (51.97%). Previous C-section was the leading indication in 35.72% women followed by fetal distress 14.09%, failure of induction 12.93%, arrest of labour 7.93%, PIH 7.18%, oligo/IUGR 6.50%, breech 4.44%, refusal of vaginal birth 4.24%, CPD 1.71%, bad obstetrics history (BOH) 1.43%, malpresentation 1.30%, prematurity 1.23%,  and multifetal gestation in 1.09% women. Two women had classical C-section 0.07. 14.09% women had various complications. There was no maternal mortality.Conclusions: A high rate of caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines can help us to limit C-section. Audit and feedback are the best way to judge clinical practice and to reduce the frequency of caesarean section in any tertiary setup.

scholarly journals CRITERIA OF SURGICAL RISK IN PATIENTS WITH DIFFUSE LUNG EMPHYSEMA WITH LARGE AND GIANT BULLAS

2016 ◽  
Vol 175 (3) ◽  
pp. 13-16
Author(s):  
S. D. Gorbunkov ◽  
V. V. Varlamov ◽  
S. M. Chernyi ◽  
L. D. Kiryukhina ◽  
O. V. Lukina ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postoperative Period ◽  
Surgical Complications ◽  
High Rate ◽  
Initial Condition ◽  
Main Criterion ◽  
Surgical Risk ◽  
Lung Emphysema ◽  
Diffuse Emphysema ◽  
Diffuse Lung

The article presents an assessment of postoperative period in patients with diffuse lung emphysema with large and giant bullas on the basis of surgical risk criteria, which were developed for the patients with diffuse emphysema without bullas. Retrospective study determined the group of patients who had high rate of surgical complications after bullectomy. The patients (46) were divided into 2 groups and it depended on the initial condition of the patients. There was stated, that the main criterion of surgical risk was a decrease of the level of OFL lower than 20% of the proper level in patients with large and giant bullas.

scholarly journals Percutaneous Oblique Distal Osteotomy of the Fifth Metatarsal for Bunionette Correction: A Prospective Cohort Study

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0003
Author(s):  
Gabriel F. Ferraz ◽  
Tatiana F. Santos ◽  
Daniel Oksman ◽  
Miguel V. Pereira Filho
Keyword(s):  
Statistical Tests ◽  
High Capacity ◽  
High Rate ◽  
Personal Satisfaction ◽  
Superficial Infection ◽  
Tailor’S Bunion ◽  
Distal Osteotomy ◽  
Low Incidence ◽  
And Function ◽  
Suitable Area

Category: Lesser Toes; Midfoot/Forefoot Introduction/Purpose: Bunionette is a very common foot disorder, and several kinds of corrective surgery have been described. With the popularization of minimally invasive surgeries, the forefoot region became a suitable area for this kind of technique. The aim of this study was to evaluate the results of oblique distal osteotomy of the fifth metatarsal adapted for the percutaneous approach. Methods: We prospectively evaluated 31 consecutive tailor’s bunion patients who underwent surgical correction after failure of conservative treatment between 2016 and 2019, totaling 42 feet. Clinical outcomes such as pain (VAS), function (AOFAS), criteria of personal satisfaction, and complications were evaluated. Radiographic aspects were also included. The Shapiro and Mann- Whitney statistical tests were run in the Stats package within the R environment. Results: The average age of the patients was 69.54 years, and the average follow-up was 13.14 months. There was a decrease of 6.67 points in the VAS for pain (p<0.001) and an increase of 34.94 in AOFAS (p<0.001) after the surgical procedure. Radiographic correction was achieved at both the fifth metatarsophalangeal angle (p<0.001) and intermetatarsal angle (p<0.001), which showed decreased values. There was one case of superficial infection and two cases of nonconsolidation (asymptomatic). A large majority of patients considered the procedure outcome satisfactory. Conclusion: The percutaneous oblique distal osteotomy of the fifth metatarsal for bunionette deformity showed improvement in pain and function and a high rate of personal satisfaction with a low incidence of complications and high capacity to correct the deformity.

Some social and phenomenological characteristics of psychotic immigrants

1981 ◽  
Vol 11 (2) ◽  
pp. 289-302 ◽  
Author(s):  
Roland Littlewood ◽  
Maurice Lipsedge
Keyword(s):  
Retrospective Study ◽  
West Africa ◽  
Ethnic Group ◽  
West Indian ◽  
Married Women ◽  
West African ◽  
High Rate ◽  
Psychiatric Unit ◽  
The West ◽  
The Caribbean

SynopsisVarious studies have shown: (i) increased rates of psychoses in immigrants to Britain, and a particularly high rate of schizophrenia in the West Indian- and West African-born; and (ii) a greater proportion of atypical psychoses in immigrants. A retrospective study of psychotic inpatients from a London psychiatric unit demonstrated increased rates of schizophrenia in patients from the Caribbean and West Africa. These patients included a high proportion of those with paranoid and religious phenomenology, those with frequent changes of diagnosis, formal admissions, and married women. The West Indian-born had been in Britain for nearly 10 years before first seeing a psychiatrist and, if they had an illness with religious symptomatology, were likely to have been in hospital for only 3 weeks. Rates of schizophrenia without paranoid phenomenology were similar in each ethnic group. It is suggested that the increase in the diagnosis of schizophrenia in the West Indian- born, and possibly in the West African-born, may be due in part to the occurrence of acute psychotic reactions which are diagnosed as schizophrenia.

The efficacy and safety of etoricoxib versus meloxicam in the treatment of patients with gonarthrosis

2016 ◽  
Vol 88 (12) ◽  
pp. 78-81 ◽  
Author(s):  
B V Zavodovsky ◽  
L E Sivordova ◽  
Yu V Polyakova ◽  
Yu R Akhverdyan ◽  
M I Kuznetsova ◽  
...  
Keyword(s):  
Side Effects ◽  
Analgesic Effect ◽  
Randomized Study ◽  
Joint Stiffness ◽  
High Rate ◽  
Functional Index ◽  
Good Tolerability ◽  
Vas Scores ◽  
Low Incidence ◽  
Severity Of The Disease

Aim. To evaluate the clinical efficacy and tolerability of etoricoxib and meloxicam in patients with gonarthrosis. Subjects and methods. A postregistration, open-labeled, prospective, comparative randomized study was conducted. 40 patients aged 37 to 75 years with primary knee osteoarthritis were examined. Therapeutic effectiveness was evaluated determining the functional index WOMAC with the use of a visual analogue scale (VAS). The tolerability of the drugs was assessed according to the opinions of a patient and a physician. Results. Both drugs caused a reduction in WOMAC and VAS scores for pain and the severity of the disease. Etoricoxib demonstrated a significantly high rate of occurrence and completeness of its analgesic effect. Meloxicam showed a less pronounced decrease in joint stiffness and an insufficient analgesic effect. The incidence of side effects was similar in both groups. Conclusion. Both drugs demonstrated a good tolerability and a low incidence of side effects. The efficacy of etoricoxib was significantly higher than that of meloxicam.

Natural history of intracranial cavernous malformations

1995 ◽  
Vol 83 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Toyotaka Aiba ◽  
Ryuichi Tanaka ◽  
Tetsuo Koike ◽  
Shigeki Kameyama ◽  
Norio Takeda ◽  
...  
Keyword(s):  
Age At Onset ◽  
High Rate ◽  
Cavernous Malformations ◽  
Content Type ◽  
History Of ◽  
Group A ◽  
Bleeding Episodes ◽  
Low Incidence ◽  
Clinical Records

✓ The authors have reviewed the clinical records of 110 patients with intracranial cavernous malformations diagnosed by histological examination and/or magnetic resonance imaging over a mean follow-up period of 4.71 years. These cases were divided, based on their presentation, into a hemorrhage group, a seizure group, and an incidentally diagnosed group. The rate of subsequent symptomatic bleeding was investigated in relation to age at onset, sex, and location of the initial lesion. A high rate of subsequent symptomatic bleeding episodes was found in the hemorrhage group, especially among younger females. The nonhemorrhagic-onset cases had a very low incidence of bleeding. The outcome was generally good, except in patients with lesions in the basal ganglia and brainstem. These findings will be helpful in planning a rational therapeutic strategy for intracranial cavernous malformations.

scholarly journals Functional outcome of intertrochanteric fractures in elderly patients with proximal femoral nail: retrospective study

2019 ◽  
Vol 5 (4) ◽  
pp. 619
Author(s):  
Angatha Kumar Murugesan ◽  
Rajesh Govindasamy ◽  
Patel Yahya Ismail
Keyword(s):  
Retrospective Study ◽  
Elderly Patients ◽  
Fracture Pattern ◽  
High Rate ◽  
Proximal Femoral Nail ◽  
Intertrochanteric Fractures ◽  
Non Union ◽  
Femoral Nail ◽  
Varus Displacement ◽  
One Year

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are disabling injuries in elderly population and they are the most frequently operated fracture type which has the highest postoperative fatality rate of all surgically treated fractures. The objective of the study was to evaluate the functional outcomes of intertrochanteric fractures treated with proximal femoral nail (PFN) in elderly patients.</p><p class="abstract"><strong>Methods:</strong> A retrospective study of 24 patients, all above 60 years treated with PFN between March 2016 to April 2018. Data collected include age, sex, mechanism of injury, type of fracture pattern according to Boyd and Griffin’s classification. Patients were followed up at intervals of 6, 12, 18 and 24 weeks and final results were evaluated using Kyle’s criteria at the end of 24<sup>th</sup> week. All patients had a minimum follow up of one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 24 patients, 10 males, 14 females with mean age of 75.77 years (range: 60-82 years). The fracture union rate was 96% and average union time was 14.2 weeks. Our results were excellent (80%), good (8%), fair (8%) and poor (4%). Our complications include thigh pain (20%) shortening (20%), varus displacement (8%), knee and hip stiffness (8%), z effect (4%) and non-union (4%).</p><p class="abstract"><strong>Conclusions:</strong> PFN is a reliable fixation in intertrochanteric fractures only after good intraoperative reduction leading to high rate of bone union and with reduced rate of implant failure or complications.</p>

scholarly journals Factors Associated With the Presence of Tuberculous Empyema in Children With Pleural Tuberculosis

2021 ◽  
Vol 9 ◽  
Author(s):  
Yan-Hua Wu ◽  
Jun-Li Wang ◽  
Mao-Shui Wang
Keyword(s):  
Multivariate Analysis ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
Low Temperature ◽  
Medical Records ◽  
Clinical Laboratory ◽  
Factors Associated ◽  
Pleural Tuberculosis ◽  
Logistic Regressions ◽  
Age And Sex

Background: Until now, the factor of tuberculous empyema (TE) in children with pleural tuberculosis (TB) remains unclear. Therefore, a retrospective study was conducted to assess the factors associated with the presence of TE in children.Methods: Between January 2006 and December 2019, consecutive children patients (≤ 15 years old) with suspected pleural TB were selected for further analysis. Empyema was defined as grossly purulent pleural fluid. The demographic, clinical, laboratory, and radiographic features were collected from the electrical medical records retrospectively. Univariate and multivariate logistic regressions were used to explore the factors associated with the presence of TE in children with pleural TB.Results: A total of 154 children with pleural TB (definite, 123 cases; possible, 31 cases) were included in our study and then were classified as TE (n = 27) and Non-TE (n = 127) groups. Multivariate analysis revealed that surgical treatment (age- and sex-adjusted OR = 92.0, 95% CI: 11.7, 721.3), cavity (age- and sex-adjusted OR = 39.2, 95% CI: 3.2, 476.3), pleural LDH (&gt;941 U/L, age- and sex-adjusted OR = 14.8, 95% CI: 2.4, 90.4), and temperature (&gt;37.2°C, age- and sex-adjusted OR = 0.08, 95% CI: 0.01, 0.53) were associated with the presence of TE in children with pleural TB.Conclusion: Early detection of the presence of TE in children remains a challenge and several characteristics, such as surgical treatment, lung cavitation, high pleural LDH level, and low temperature, were identified as factors of the presence of TE in children with pleural TB. These findings may improve the management of childhood TE.

scholarly journals A Retrospective and Epidemiological Survey of Patients with Esophagus Cancer in Ilam City During a 10 Years Period

2017 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Hamed Zarei ◽  
Hamed Tavan
Keyword(s):  
Retrospective Study ◽  
Lipid Profile ◽  
Urban Areas ◽  
Epidemiological Survey ◽  
High Rate ◽  
Anatomical Site ◽  
Tumor Type ◽  
Age Group ◽  
Esophagus Cancer ◽  
The Common

Background: esophagus cancer is the sixth deadly cancer among other types with high rate of death which has made it one of the common cancers. Based on what mentioned, this retrospective study was designed to assess the tumor incidence rate in a 10 years period in Ilam city.Materials and methods: this is a retrospective study during 1385 till 1394 in Ilam city. Our source of patients was the afflicted patients. The sample size and the statistical society of research were determined based on census. The research materials included of two types first included the demographic information of patients (age, gender, tumor type, level of education, residency, smoking and lipid profile) and the second part was some information about the esophagus cancer (anatomical site, pathologic findings and lipid profile).using SPSS version 19, the data was analyzed. Results: the statistical society included 150 individuals afflicted with esophagus cancer in which the most prevalent age group was men older than 70 years (31.3%). In terms of anatomical site, the middle third of esophagus had 75 cases (50%), the last third had 45 cases (30%) and the first third had 30 (20%) individuals. Furthermore, as time went on, the number of new cases increased. Conclusion: the risk factors for occurring the cancer were the age group greater than 70 years, being male, lower educational situation, unemployment, living in an urban areas, smoking, hereditary, hyperlipidemia (LDL, TG, CHOL) and finding tumor in middle third of esophagus (because of existing helicobacter pylori virus and impropriate diet). Being able to identify endangered people, one could begin treating patients and thereby, saving time, cost and increasing the rate of survivors.

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