scholarly journals Percutaneous removal of a retained appendicolith causing recurrent perihepatic abscesses between the liver and diaphragm

2019 ◽  
Vol 12 (7) ◽  
pp. e230176
Author(s):  
Hafez Mohammad Ammar Abdullah ◽  
Muslim Atiq ◽  
Terry Yeager
Keyword(s):  
Open Surgery ◽  
The Body ◽  
Abscess Formation ◽  
Easy Method ◽  
Healthy Man ◽  
Successful Recovery ◽  
Percutaneous Removal

Many cases of appendicitis can be associated with appendicoliths. These may sometimes be lost during appendectomies and may be lodged in the body. Most of these cases lead to recurrent abscess formation, and these appendicoliths invariably need removal. Typically, this used to be done as an open surgery or laparoscopically. Here we describe the case of a transcutaneous removal of an appendicolith that was lodged between the liver and diaphragm that led to recurrent perihepatic abscess formation in a 24-year-old otherwise healthy man. The patient made a successful recovery without any recurrence. A transcutaneous approach to remove a retained appendicolith may be a feasible, a safe and an easy method to extract appendicoliths that are accessible for transcutaneous removal.

scholarly journals The Regulation of Body Temperature in Extremes of Dry Heat

1912 ◽  
Vol 12 (4) ◽  
pp. 479-488 ◽  
Author(s):  
E. H. Hunt
Keyword(s):  
Body Temperature ◽  
Air Temperature ◽  
The Body ◽  
Strong Argument ◽  
Dry Heat ◽  
Healthy Man ◽  
Large Reserve

(1) Comfort and health can readily be maintained in dry heat where for long periods the air temperature is above that of the body.(2) The amount of water absolutely required, and actually consumed, is very large; and this is accounted for by the necessity for neutralising, in some circumstances, the whole heat of metabolism (requiring up to 6,000 c.c.) and in addition a variable but sometimes very large amount of heat added to the body by radiation and conduction.(3) A healthy man carries in his body a large reserve of water, this reserve being mainly stored in muscle and being so readily available that the percentage of water in the blood is not appreciably diminished even when several litres of water have been lost by sweating. If, however, it be extensively drawn on, replacement seems to occupy many hours, and this delay is an important factor, forming a strong argument against any undue or needless use of the stored water owing to restriction of drinking.

Phytotherapy of ulcerative dermatitis induced by Aeromonas hydrophila infection in goldfish ( Carassius auratus )

2010 ◽  
Vol 58 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Ramasamy Harikrishnan ◽  
Chellam Balasundaram ◽  
Young-Gun Moon ◽  
Man-Chul Kim ◽  
Ju-Sang Kim ◽  
...  
Keyword(s):  
Body Length ◽  
Aeromonas Hydrophila ◽  
Carassius Auratus ◽  
Curcuma Longa ◽  
Treated Group ◽  
The Body ◽  
Sublethal Dose ◽  
Ocimum Sanctum ◽  
Goldfish Carassius Auratus ◽  
Successful Recovery

Goldfish ( Carassius auratus ) weighing 13 ± 2 g were administered intramuscularly a sublethal dose (1.8 × 10 3 cfu/ml) of Aeromonas hydrophila to induce ulcerative dermatitis. On day 3 and day 6 after infection the fish were dip-treated (for 5 min/day) with a tri-herbal concoction of Curcuma longa, Ocimum sanctum and Azadirachta indica (1%). The LD 50 value was recorded at a concentration of 2.3 × 10 4 between 30 and 36 days after infection. In the infected untreated group the cumulative mortality was higher, while in the early-treated group (day 3) there was no mortality. In the late-treated group (6th day) the mortality increased to 23.3% on day 36. In the infected group the size of ulcers progressively increased from 43.3% of the body length on day 18 to 86.7% on day 36. In the early-treated fish the size of ulcers was 23.3% of the body length on day 18; by day 36 after treatment the ulcer had completely healed. In contrast, there was only a moderate recovery in the late-treated group. From the results it can be concluded that early tri-herbal treatment ensures successful recovery from ulcerative dermatitis induced by A. hydrophila .

Percutaneous drainage and continuous irrigation in patients with severe pyogenic spondylitis, abscess formation, and marked bone destruction

2006 ◽  
Vol 4 (5) ◽  
pp. 374-379 ◽  
Author(s):  
Naoyoshi Hanaoka ◽  
Yoshiteru Kawasaki ◽  
Toshinori Sakai ◽  
Taro Nakamura ◽  
Kazuhisa Nanamori ◽  
...  
Keyword(s):  
Back Pain ◽  
Conservative Treatment ◽  
Percutaneous Drainage ◽  
General Health ◽  
Open Surgery ◽  
Bone Destruction ◽  
Abscess Formation ◽  
Continuous Irrigation ◽  
Pyogenic Spondylitis ◽  
The Mean

Object The use of percutaneous suction aspiration has recently become viewed as an effective management strategy for pyogenic spondylitis unresponsive to conservative treatment. What remains unclear is whether it can be effective for severe pyogenic spondylitis in which abscess formation or marked bone destruction is present. The authors undertook a study to clarify answers to this question. Methods The authors evaluated clinical and radiographic/neuroimaging data obtained in five patients with severe pyogenic spondylitis, extensive abscesses, and marked bone destruction. These patients had undergone percutaneous drainage and continuous irrigation because open surgery was considered contraindicated in light of their poor general health. The mean period during which continuous irrigation was applied was 9 days (range 7–11 days), and the mean period during which the drainage tube was in place was 19 days (range 13–38 days). All patients suffered from back pain, which was relieved by the percutaneous technique in four patients after a mean of 8 days. The abscesses and inflammation resolved in all patients. Progressive osseous destruction was not observed, and open surgery was performed in only one patient in whom back pain persisted as a result of spinal instability. Conclusions After an unsuccessful course of conservative treatment, severe pyogenic spondylitis with abscess formation or marked bone destruction was successfully treated using percutaneous drainage and continuous irrigation. Based on their results, the authors believe that this procedure can be used in patients with severe pyogenic spondylitis that was unresponsive to conservative treatment, particularly in those whose general health is poor.

Plato, Phaedo, 80 c.

1926 ◽  
Vol 20 (3-4) ◽  
pp. 177-178 ◽  
Author(s):  
G. F. Forsey
Keyword(s):  
The Body ◽  
Sufficient Reason ◽  
Considerable Time ◽  
Egyptian Mummy ◽  
Healthy Man ◽  
Good State

On the passage spaced Archer-Hind writes: ‘It seems to me that needless difficulty has been raised over this sentence; Хαρɩέντως έҳων simply means “having his body in a good state,” and to this τοɩαύτη refers. If the body were in a healthy condition at death and at a healthy age, it would hold out longer, says Plato, against decomposition. Mr. Cope, I think, is quite correct in translating “If a man dies with his body in a vigorous state and at a vigorous period of his life, a very considerable time indeed.” The following sentence συμπεσòν … χρόνον is bracketed by Schanz after Ast. I see no sufficient reason for doing so; the yap is certainly not very obvious but may be explained thus; (nor is this the strongest case) for if a body is embalmed it remains nearly whole for an indefinite time. Hirschig brackets ώσμερ … ταριχενθέντες very superfluously. Plato says (i.) the body of a healthy man who dies in the prime of life lasts a good while; (ii.) an Egyptian mummy lasts an indefinite time; (iii.) even without this some parts of the human frame are almost indestructible.’

scholarly journals VAJIKARANA (APHRODISIAC) – A REVIEW

2020 ◽  
Vol 8 (10) ◽  
pp. 4881-4884
Author(s):  
Manjula 1
Keyword(s):  
Human Body ◽  
Good Health ◽  
Physical Activities ◽  
Great Emphasis ◽  
The Body ◽  
Food Preparation ◽  
Close Attention ◽  
Healthy Man

Ayurveda is the Shastra (science) which places great emphasis on prevention and encourages the mainte-nance of health through close attention to balance one’s life. Dinacharya, Ritucharya, Sadvruta, Ra-sayana, and Vajikarana play an important role to maintain the good health. There are Seven Dhatus pre-sent in the body such as Rasa, Rakta, Mamsa, Meda, Asthi, Majja and Shukra. The seven Dhatus are re-sponsible for the sustaining and development of human body. Shukra is the last Dhatu produced in the body among all the Dhatus. A person who has healthy Shukra has a brightness of confidence, with eyes and skin that seen to radiate light Shukra Dhatus also confirms strength, wisdom and power of the body. Specific Aahara and Vihara has been described in text of Ayurveda. Among Vajikarana treatment many of the formulations are told in the form of medicines and in the form of food preparation which helps for preservation of sexual potency of a healthy man as well as treatment of defective semen, disturbed sexual potency. Vajikarana promotes the sexual capacity and physical activities.

scholarly journals What constitutes a ‘successful’ recovery? Patient perceptions of the recovery process after a traumatic injury

2020 ◽  
Vol 5 (1) ◽  
pp. e000427 ◽  
Author(s):  
Graeme Rosenberg ◽  
Sean R Zion ◽  
Emily Shearer ◽  
Sylvia Bereknyei Merrell ◽  
Natasha Abadilla ◽  
...  
Keyword(s):  
Injury Severity ◽  
Sense Of Self ◽  
Traumatic Injury ◽  
Recovery Process ◽  
The Body ◽  
Hospital Length Of Stay ◽  
Level Of Evidence ◽  
Average Hospital ◽  
Number Of Patients ◽  
Successful Recovery

BackgroundAs the number of patients surviving traumatic injuries has grown, understanding the factors that shape the recovery process has become increasingly important. However, the psychosocial factors affecting recovery from trauma have received limited attention. We conducted an exploratory qualitative study to better understand how patients view recovery after traumatic injury.MethodsThis qualitative, descriptive study was conducted at a Level One university trauma center. Participants 1–3 years postinjury were purposefully sampled to include common blunt-force mechanisms of injuries and a range of ages, socioeconomic backgrounds and injury severities. Semi-structured interviews explored participants’ perceptions of self and the recovery process after traumatic injury. Interviews were transcribed verbatim; the data were inductively coded and thematically analyzed.ResultsWe conducted 15 interviews, 13 of which were with male participants (87%); average hospital length of stay was 8.9 days and mean injury severity score was 18.3. An essential aspect of the patient experience centered around the recovery of both the body and the ‘self’, a composite of one’s roles, values, identities and beliefs. The process of regaining a sound sense of self was essential to achieving favorable subjective outcomes. Participants expressed varying levels of engagement in their recovery process, with those on the high end of the engagement spectrum tending to speak more positively about their outcomes. Participants described their own subjective interpretations of their recovery as most important, which was primarily influenced by their engagement in the recovery process and ability to recover their sense of self.DiscussionPatients who are able to maintain or regain a cohesive sense of self after injury and who are highly engaged in the recovery process have more positive assessments of their outcomes. Our findings offer a novel framework for healthcare providers and researchers to use as they approach the issue of recovery after injury with patients.Level of evidenceIII—descriptive, exploratory study.

Innovative Piezoelectric Extracorporeal Lithotripter

2008 ◽  
pp. 745-753
Author(s):  
Achim M. Loske ◽  
Francisco Fernández ◽  
Gilberto Fernández
Keyword(s):  
Shock Wave ◽  
Shock Waves ◽  
Kidney Stones ◽  
Open Surgery ◽  
Shock Wave Lithotripsy ◽  
Renal Tissue ◽  
The Body ◽  
Extracorporeal Shock Wave ◽  
Tissue Trauma ◽  
Salivary Gland Stones

Before 1980, the majority of patients with urolithiasis and nephrolithiasis needed surgery (Kerbl, Rehman, Landman, Lee, Sundaram, & Clayman, 2002; Soucie et al., 1994). Fortunately, percutaneous nephrolithotomy, ureteroscopic intrarenal surgery, laparoscopic surgery, and extracorporeal shock wave lithotripsy (SWL) now allow almost any calculus to be removed without open surgery. SWL refers to the use of high intensity pressure pulses, generated outside the body, to break up kidney stones (Chaussy, Brendel, & Schmiedt, 1980; Loske, 2007). It has become the standard treatment for the majority of patients and an alternative in the management of gallbladder stones, pancreatic concrements, and salivary gland stones. Even though initial studies concluded that shock waves had no damaging effect on renal tissue, later several authors reported that shock waves may cause tissue trauma (Evan, Willis, Connors, McAteer, & Lingeman, 1991; Evan, Willis, & Lingeman, 2003 Willis et al., 1999). Fortunately, techniques and devices are still evolving and improvements to increase stone fragmentation efficiency and reduce tissue trauma are being constantly sought.

Repeatability of an Exposure Assessment Method for Job Rotation

2005 ◽  
Vol 49 (14) ◽  
pp. 1380-1384
Author(s):  
Susan Kotowski ◽  
Kermit Davis ◽  
Michael Jorgensen
Keyword(s):  
Intervention Strategy ◽  
Assessment Method ◽  
The Body ◽  
Body Region ◽  
Analysis Method ◽  
Easy Method ◽  
Job Rotation ◽  
Body Regions ◽  
Rotation Scheme ◽  
Assessment Techniques

As job rotation has become a widely used intervention strategy for the prevention of a wide variety of musculoskeletal disorders, there is a need for the development of assessment techniques that take into account the complexities of multiple body region stressors. The current study investigates the repeatability of a video-based analysis method that combines the exposure measure of four body regions: neck, shoulder, low back, and hand/wrist. Twelve analysts completed the assessment twice for 15 different job rotation schemes. The repeatability was found to be strong (ICC > 0.53) in many of the body regions when individual jobs were evaluated with minimal decrease in repeatability when the entire rotation scheme was considered. Overall, the video-based method provides a potential quick and easy method that will allow for the versatile evaluation needed for practitioners when quantifying exposure for job rotation schemes.

scholarly journals P702 An unusual echocardiographic finding of protrusive vegetation caused by perivalvular abscess perforation into the left atrium

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Suzuki ◽  
Y Takeuchi ◽  
N Hiramatsu ◽  
H Tsuneyoshi ◽  
T Shimada
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Left Atrium ◽  
Valve Replacement ◽  
High Speed ◽  
Unusual Case ◽  
Early Stage ◽  
The Body ◽  
Abscess Formation ◽  
Native Valve

Abstract Background It is well-known that Infective endocarditis (IE) caused by S. aureus progresses rapidly and is highly destructive. The most often abscess formation after aortic valve replacement (AVR) is the mitral-aortic intervalvular fibrosa (MAIVF). It is difficult to cure MAIVF radically once infection occurs, and then the abscess tends to spread. After abscess formation is once established, IE tends to be widespread, the prognosis is definitely poor unless surgical repairment is executed, and then an emergency surgery is essential and unavoidable for complete cure. We report an unusual case of aortic valve abscess with perforation of vegetation into the left atrium after aortic valve replacement. Case report A 77-year-old man underwent the bioprosthetic AVR for aortic valve stenosis one month ago. On the 9th day after discharge, he visited the hospital for the follow-up. At the time, the body temperature was 36.6 ° C, the blood pressure 133/50 mmHg, white blood cell count 10500/μL, and C-reactive protein 3.31 mg/dL. Transthoracic echocardiography (TTE) demonstrated the perivalvular abscesses on the prosthetic aortic valve and mass structures attached to the MAIVF in the left atrium (Figure A, C). He was hospitalized again and had an emergency re-operation. Intraoperative transesophageal echocardiography (TEE) showed a perivalvular abscess on the prosthetic valve, and a high-intensity structure (vegetation like) protruding from the Valsalva Sinus into the left atrium of the MAIVF (Figure B, D). Surgical findings did not reveal any wart on the native valve itself. One-third of the annulus was disrupted. The subvalvular tissue all around was abscessed. Notably, the abscess cavity between NCC and LCC reached MAIVF of the anterior mitral leaflet, and the structure projecting to the left atrium was vegetation. In this case, TTE pointed out a perivalvular abscess of the aortic valve, IE was suspected at the time of outpatient visit at an early stage after discharge, and the spread of inflammation was observed with a high speed beyond the expectation at the time of operation. Conclusion Early after the operation, TTE revealed a mass was protruded into the left atrium. Generally, vegetation is soft and flexible in itself. However, in this case, the vegetation was less mobile, and for that reason, abscesses or tumors were suspected. TEE enabled us to obtain anatomically more detailed information and to foresee the left atrial wall repairment at the time of reoperation. We reported an unusual case of IE with solid vegetation attached to the wall and difficult to diagnose. Abstract P702 Figure.

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