Objective treatment outcome assessment of a completely customized lingual appliance: A retrospective study

Objectives: To analyze the outcome of either surgical or conservative treatment of patients with aneurysms on cerebral arteries. Design Retrospective study on 114 patients (89 operated and 25 not operated). Methods: Clinical state was graded from 0 to V, according to Hunt & Hess (HHG), and the treatment outcome was defined as favorable or poor, according to the modified Glasgow Outcome Score. The outcome was correlated with the type of treatment (operative or conservative), clinical state and aneurysmal localization. Results: Aneurysm was localized mostly on the anterior communicating (33.6%) and middle cerebral arteries (32.8%) and the patients were mostly in HHG II or III (34.4% and 25.2%). HHG after the aneurysmal rupture did not depend on the aneurysmal location (p>0.05). Favorable treatment outcome was noted: in 74.1% of all operated and in 60% of all conservatively treated patients (p>0.05)( in 81.6% of operated and in 33.3% of not operated patients with HHG=II-III (p<0.01)( in 78.8% of aneurysms of the middle cerebral artery and in 66.7% of those of the anterior communicating artery (p>0.05)( in 73.1% of patients with HHG=III and in 25% of patients with HHG=IV (p<0.01).Conclusions: Clinical state after the aneurysmal rupture did not depend on its localization. Results were better after the surgical, than after the conservative treatment. Outcome after the surgery depended on the clinical state of the patient, but not on the aneurysmal localization.

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Factors Associated with Unsuccessful Treatment of Tuberculosis in Arsi-Robe Hospital, Arsi Zone, Ethiopia: A Retrospective Study

10.21203/rs.3.rs-151177/v1 ◽

2021 ◽

Author(s):

Addisu Assefa ◽

Ararsa Girma ◽

Helmut Kloos

Keyword(s):

Treatment Outcome ◽

Retrospective Study ◽

Rural Areas ◽

Urban Areas ◽

Treatment Success ◽

Hiv Positive ◽

Multivariable Logistic Regression Analysis ◽

Eastern Ethiopia ◽

Factors Associated ◽

Unsuccessful Treatment

Abstract Background: Tuberculosis remains a major global health problem and ranks along with the human immunodeficiency virus (HIV) as a leading cause of mortality worldwide. The aim of this study was to investigate the treatment outcome of tuberculosis, and factors associated with treatment outcome of tuberculosis in TB patients enrolled in Arsi-Robe Hospital, Oromia regional state, South eastern Ethiopia between January 2013 to December 2017. Methods: An Institutional-based retrospective study was conducted in Arsi-Robe Hospital from 2013 to 2017 in study patients who had all forms of TB in DOTS clinic. The predictors of treatment outcomes were analyzed through bivariate and multivariable logistic regression analysis and a P-value < 0.05 were considered statistically significant. Results: Out of the 257 registered TB patients, most of them were males (57.9%), from rural areas (62.6%) and in age of 15-24 category (39.3%). PTB-, PTB+ and EPTB were recorded in 48.2%, 32% and 19.8% of the patients, respectively. Among all cases, 8.6% had TB-HIV co-infection. Among all TB cases, 84.0% had successful treatment outcome. TB patients from urban areas (AOR: 3.34, 95% CI: 1.338.38, P = 0.01), with failure treatment (AOR: 6.66, 95% CI = 1.12- 39.57; P = 0.037) and HIV positive (AOR: 4.92, 95% CI = 1.38-17.51; P = 0.014) had higher odd of unsuccessful treatment outcome of tuberculosis. However, TB patients with PTB+ (AOR: 0.1470, 95% CI = 0.031-0.687; P = 0.015) and EPTB (AOR: 0.194, 95% CI = 0.054-0.688; P = 0.011) had significantly lesser odd of unsuccessful treatment outcome. Conclusions: Being urban resident, treatment failure and HIV positive considerably challenge the treatment outcome of tuberculosis, but being PTB+ and EPTB were associated with higher treatment success rate of TB. Continuous follow-up of patients with unsuccessful treatment outcome of tuberculosis with strengthened implementation of the DOTs strategies are suggested. Trial Registered: retrospectively registered

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Tuberculosis Treatment Outcome among HIV Co-infected Patients at Mizan- Aman General Hospital, Southwest Ethiopia: A Retrospective Study

Journal of Bioengineering and Biomedical Sciences ◽

10.4172/2155-9538.1000139 ◽

2015 ◽

Vol 05 (01) ◽

Cited By ~ 1

Author(s):

Fiseha T Gebru T

Keyword(s):

Treatment Outcome ◽

Retrospective Study ◽

General Hospital ◽

Tuberculosis Treatment ◽

Southwest Ethiopia ◽

Tuberculosis Treatment Outcome

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Prognosis of patients with benign paroxysmal positional vertigo treated with repositioning manoeuvres

The Journal of Laryngology & Otology ◽

10.1017/s0022215106000958 ◽

2006 ◽

Vol 120 (7) ◽

pp. 528-533 ◽

Cited By ~ 25

Author(s):

S Korres ◽

D G Balatsouras ◽

E Ferekidis

Keyword(s):

Treatment Outcome ◽

Prognostic Factors ◽

Retrospective Study ◽

Benign Paroxysmal Positional Vertigo ◽

Duration Of Symptoms ◽

Repeat Treatment ◽

Positional Vertigo ◽

Small Subgroup ◽

Duration Of Disease ◽

Paroxysmal Positional Vertigo

Objective: To evaluate the prognostic factors in benign paroxysmal positional vertigo (BPPV) treated with canalith repositioning procedures (CRPs).Material and methods: Retrospective study of consecutive BPPV cases diagnosed over three years. All patients underwent a complete otolaryngologic, audiologic and neurotologic evaluation. The appropriate CRP was performed, depending on the type of BPPV. Prognostic factors studied included age, sex, aetiology, duration of disease, abnormal electronystagmographic findings, canal involvement, improper performance of manoeuvres, response on first or repeat treatment, and presence of recurrences.Results: One hundred and fifty-five patients were studied, 66 men and 89 women, with mean ages of 58.7 and 60.4 years, respectively. Age and the involvement of two canals or bilateral disease had an effect on initial treatment outcome and were correlated to increased recurrences but not to repeat treatment outcome. Secondary BPPV, abnormal electronystagmographic findings and improper performance of manoeuvres had a significant effect both on initial and repeat treatment, but not on recurrences. Sex and duration of symptoms had no effect.Conclusion: Canalith repositioning procedures provide fast and long-lasting treatment of BPPV in most patients. However, in a small subgroup of patients, failures may be noticed that may be attributed to various prognostic factors.

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