Utilization of Acupuncture and Herbal Ointment Instead of Skin Graft Surgery for the Treatment of Burn Injuries: A Case Series and Literature review

Abstract Skin graft surgery is a standard treatment that increases the survival rate of patients with burn injuries; however, it leaves many sequelae. Conventional external preparations for the treatment of burns also have various side effects. In this retrospective case study, we assessed the cases of four patients with topical third-degree burns who did not wish to undergo the skin graft surgeries recommended by medical doctors and were thus treated using traditional medicine alone. A Korean medicine doctor administered integrative traditional medicine treatment to the patients using acupuncture and herbal ointments. Analysis of the patients’ treatment photographs, quantitative evaluation indices, and vivid narratives suggested that their skin recovered well without adverse effects. Traditional Korean medicine treatment, including acupuncture and herbal ointment treatment, can be a new alternative therapeutic strategy for the treatment of patients with topical burns who do not want to undergo skin graft surgery or who have higher risks for poor surgical outcomes.

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High-volume image-guided injection in the chronic recalcitrant non-insertional patellar tendinopathy: a retrospective case series

Journal of Experimental Orthopaedics ◽

10.1186/s40634-020-00299-7 ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Torsten Grønbech Nielsen ◽

Lene Lindberg Miller ◽

Bjarne Mygind-Klavsen ◽

Martin Lind

Keyword(s):

Case Series ◽

High Volume ◽

Patellar Tendinopathy ◽

Retrospective Case ◽

Duration Of Symptoms ◽

Image Guided ◽

Tendon Thickness ◽

Retrospective Case Study

Abstract Purpose To evaluate if High-volume Image-guided Injection (HVIGI)-treatment for chronic Patellar tendinopathy (PT) improve function and reduce pain at 16-months follow-up. Methods Patients with resistant PT who failed to improve after a three-month eccentric loading program were included in the study. Maximal tendon thickness was assessed with ultrasound. All patients were injected with 10 mL of 0.5% Marcaine, 0.5 mL Triamcinolonacetonid (40 mg/mL) and 40 mL of 0.9% NaCl saline solution under real-time ultrasound-guidance and high pressure. All outcome measures were recorded at baseline and at 16 months. A standardised Heavy Slow Resistance rehabilitation protocol was prescribed after HVIGI-treatment. Clinical outcome was assessed with the Victorian Institute of Sports Assessment-Patella tendon questionnaire (VISA-P) and statistically analyses were performed. Results The study included 28 single treatment HVIGI procedures in PT in 23 patients (19 men, 4 women) with a mean age of 30.3 (range 19–52). The mean duration of symptoms before HVIGI was 33 months. The baseline VISA-P score of 43 ± 17 (range 15–76) improved to 76 ± 16 (range 42–95) after 16 months (p < 0.01). Of the 28 HVIGI procedures 12 patients (15 PT) were not satisfied after the initial HVIGI procedure. Of these, 5 patients (5 PT) had additional HVIGI, 2 patients (2 PT) had corticoid injection and 6 patients (8 PT) needed surgery. Of the remaining 11 patients (13 PT), 9 patients had more than a 13-point improvement in the VISA-P score after 16 months. Conclusions In this retrospective case-study, only 9 patients (32%) did benefit of a single HVIGI treatment at 16-months and a 33-point significant improvement was seen on the VISA-P score.

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Retrospective case study of carbon dioxide laser stapedotomy with lens-based and mirror-based micromanipulators

The Journal of Laryngology & Otology ◽

10.1258/00222150360600832 ◽

2003 ◽

Vol 117 (4) ◽

pp. 256-260 ◽

Cited By ~ 22

Author(s):

Emmanuel Lescanne ◽

Sylvain Moriniere ◽

Catherine Gohler ◽

Aurélia Manceau ◽

Patrice Beutter ◽

...

Keyword(s):

Carbon Dioxide ◽

Carbon Dioxide Laser ◽

Bone Conduction ◽

Case Series ◽

Spot Size ◽

High Tone ◽

Retrospective Case ◽

The Mean ◽

Retrospective Case Study

Most clinical studies on carbon dioxide (CO2) (λ = 10.6.mm) laser stapedotomy have been carried out with the laser guided by a conventional lens-based micromanipulator, with the attendant risks of correct aiming (HeNe) and surgical (CO2) beam misalignment. Hence, engineering advances have attempted to improve laser targeting as well as the spot size focus. The development of the mirror-based micromanipulator was a response to this need but no data concerning its use in stapes surgery is available. We performed a retrospective case-series review of patients treated for otosclerosis between 1992 and 2000. Primary laser stapedotomy was performed in 218 consecutive patients. In the first 78 procedures, the aiming beam (HeNe, λ = 632 nm) and surgical beam (CO2) were guided with a conventional lens-based micromanipulator whereas in the subsequent 140 procedures, they were guided by using a mirror-based micromanipulator. Hearing was tested at six and 12 months. The mean (SD) air-bone gap was 5 dB (4.5) and 4.5 dB (3.9). The mean closure was 15 dB (9.9) and 14.4 dB (9.4). The mean change in the high-tone bone-conduction level was 5.5 dB (7.3) and 7.8 dB (7.5). Overheating of the facial canal produced transient facial paralysis in one case and was due to misalignment of the beams with the lens-based micromanipulator. Use of the mirror-based micromanipulator obviated the need to verify alignment. The light-weight and superior optical yield of this system made it possible to reduce the number of impacts on the footplate by the integral restitution of the energy source. This study demonstrated that the CO2 laser is an effective method for performing stapedotomy. In addition, microtrauma to the labyrinth is reduced by its ability to perform calibrated footplate fenestration without mechanical or vibrational injury to the inner ear. The optical reflection micromanipulator simplified beam alignment and enhanced surgical comfort.

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Treatment of small and medium retinoblastoma tumors with Iris diode laser

European Journal of Ophthalmology ◽

10.1177/1120672121991390 ◽

2021 ◽

pp. 112067212199139

Author(s):

Margaret M Reynolds ◽

Julia Sein ◽

Robert Hayashi ◽

Gregg Lueder

Keyword(s):

Laser Therapy ◽

Diode Laser ◽

Systemic Chemotherapy ◽

Case Series ◽

Retrospective Case ◽

Saint Louis ◽

School Of Medicine ◽

Laser Hyperthermia ◽

Retrospective Case Study

Purpose: Differing techniques have been reported for focal laser therapy for patients with small and medium retinoblastoma. We report the technique used at our center; and report the functional and anatomical outcomes for small and medium retinoblastomas treated with focal laser therapy with or without systemic chemotherapy. Methods: A retrospective case study was conducted including pediatric patients with macular retinoblastoma treated with systemic chemotherapy and laser ablation from July 1990 to July 2015 at Washington University School of Medicine/Saint Louis Children’s Hospital. Results: Fourteen eyes (11 patients) with small and medium retinoblastoma tumors were treated with repetitive indirect laser hyperthermia and seven of those patients were treated with systemic chemotherapy as well. Using the International Retinoblastoma classification, one eye was stage A, 10 eyes were stage B, and three eyes were stage C. The mean follow-up time was 7.7 years. There were no recurrences of tumor in the patients. Final visual acuity outcomes were 20/20 to 20/50 in four eyes, 20/60 to 20/200 in four eyes, and 20/400 or less in six eyes. None of the patients developed metastatic disease. Conclusions: The evidence for systemic chemotherapy and diode laser therapy is limited to case series and retrospective reviews, but evidence suggests that it is an effective treatment for small and medium sized retinoblastoma tumors involving the macula with the potential for good visual outcomes.

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Technology and Hospital Information System: A Case of Implementation of Electronic Clinical Records in Hospital Maternity Irene Neto in Lubango, Angola

Journal of Business and Economics ◽

10.15341/jbe(2155-7950)/11.10.2019/012 ◽

2019 ◽

Vol 10 (11) ◽

pp. 1131-1135

Author(s):

Tomas Hambili Paulo Sanjuluca ◽

◽

Ricardo Correia ◽

Anabela Antunes de Almeida ◽

Ana Gloria Diaz Martinez ◽

...

Keyword(s):

Maternity Hospital ◽

Management Support ◽

Retrospective Case ◽

System A ◽

Clinical Records ◽

Retrospective Case Study ◽

The Impact ◽

And Child Health

Introduction: In order to have a good assessment of the quality of maternal and child health care, it is essential that there is up-to-date and reliable information. Objective: To evaluate the impact of the implementation of a computerized database of clinical processes in the admission, archive and medical statistics section, of Maternity hospital Irene Neto/Lubango-Angola. Methodology: A descriptive study with a quantitative and qualitative approach to carry out a retrospective case study deliveries and newborns, records from 2014 to 2017. Final considerations: The implementation of this project may contribute to the improvement of clinical management support management of the hospital as well as facilitating access to information for research and scientific production.

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Paranasal Sinus Mucocele Clinical, imagistic and biochemical aspects

Revista de Chimie ◽

10.37358/rc.18.8.6513 ◽

2018 ◽

Vol 69 (8) ◽

Author(s):

Doina Vesa ◽

Cristian Martu ◽

Razvan Leata ◽

Ludmila Lozneanu ◽

luminita Radulescu ◽

...

Keyword(s):

Facial Asymmetry ◽

Retrospective Case ◽

Mri Scans ◽

The One ◽

Ethmoid Sinuses ◽

Retrospective Case Study ◽

Cellular Components ◽

Ct And Mri

Paranasal mucoceles are a type of cysts that evolve slowly and are asymptomatic; this poses a difficulty in diagnosing the patient because the symptoms can go unnoticed. The mucocele evolves unpredictably. On the one hand, it can become infected turning into pyoceles and on the other hand, it can invade important regions such as the orbital, cranial or genian regions, creating facial asymmetry. This is a retrospective case study of 37 patients diagnosed with sinus mucoceles, followed up by clinical examination and paraclinical tests such as CT and MRI scans. The biochemical components of the liquid from within the mucocele were analyzed and the following criteria were recorded: NaCl-, Cl-, Na+ and cholesterine as well as cellular components such as mastocytes, macrophages, hematocytes and leucocytes. In all cases, the treatment option was surgery with favorable post-operative and follow-up evaluation. The mucoceles that appeared post-operatively (maxillary and ethmoid sinuses) evolved more rapidly than the mucoceles that were induced byan external injury. Longer follow-up of operated patients permitted a more timely diagnosis of recurrences.

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Development of a 'toolkit' to identify medical students at risk of failure to thrive on the course: an exploratory retrospective case study

BMC Medical Education ◽

10.1186/1472-6920-11-95 ◽

2011 ◽

Vol 11 (1) ◽

Cited By ~ 29

Author(s):

Janet Yates

Keyword(s):

At Risk ◽

Medical Students ◽

Failure To Thrive ◽

Retrospective Case ◽

Students At Risk ◽

Risk Of Failure ◽

Retrospective Case Study

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Overview and Management of Chronic Kidney Disease Inpatients at Royal Prima General Hospital Medan in 2020

Archives of The Medicine and Case Reports ◽

10.37275/amcr.v3i1.156 ◽

2021 ◽

Vol 3 (1) ◽

pp. 214-223

Author(s):

Yuke Armika ◽

Nerseri Barus

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

General Hospital ◽

Complete Blood Count ◽

Low Back ◽

Research Subjects ◽

Retrospective Case ◽

Record Data ◽

Retrospective Case Study

Chronic kidney disease (CKD) is a condition in which there is a gradual decline in kidney function. This disease is progressive and usually irreversible. Indications for hospitalized CKD patients with severe complications and do not allow inpatient therapy. This study was aimed to describe the overview and management of chronic kidney disease inpatient in Royal Prima General Hospital Medan. The type of research used is research with a descriptive and retrospective case study design. This study is based on medical record data related to inpatient CKD patients' diagnostic and management features at the Royal Prima General Hospital Medan in 2020. The research subjects were all inpatients diagnosed with CKD, whereas 100 research subjects with complete medical records were included in this study. It was found that the highest age group was 57-65 years, as much as 37.0%, and men as much as 27%. The chief complaint was shortness of breath at 43% and additional complaints, the most of which were fever + low back pain + edema at 38%. On physical examination, most of the inspections were weak, 55%. Most palpation was sociable 57%. There was auscultation of four abdominal regions and normal positive bowel sounds (93%). Complete blood count + blood sugar level + electrolytes + urea + creatinine 70%, the most combination medication is NaCl 0.9% + Furosemide injection 31%. Based on the length of stay, the longest was 13-14 days (20%).

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