Abdominal flank bulge following intercostal neurectomy for symptomatic rib fracture nonunion

2021 ◽  
Vol 14 (6) ◽  
pp. e242041
Author(s):  
Jonne T H Prins ◽  
Mathieu M E Wijffels
Keyword(s):  
Gold Standard ◽  
Severe Pain ◽  
Poor Quality ◽  
Rib Fracture ◽  
Daily Activities ◽  
Thoracic Pain ◽  
Nonunion Site ◽  
Fracture Nonunion ◽  
Intercostal Nerves

The gold standard for rib fracture nonunion management remains a matter of debate. Operative treatment of rib fracture nonunion has become increasingly popular. A 69-year-old man was operatively treated with intercostal neurectomy of the left eighth rib to resolve chronic thoracic pain following a rib fracture nonunion. After the intervention, the patient developed a flank bulge which was most likely due to the intercostal neurectomy, causing partial denervation of the abdominal musculature. Although the pain at the nonunion site decreased after the operative intervention, the patient still experienced severe pain during daily activities and reported poor quality of life due to the flank bulge. Physiotherapy and an abdominal belt did not improve this flank bulge. When considering operative neurectomy of the intercostal nerves of ribs 7–12 to resolve chronic pain due to rib fracture nonunion, the treating surgeon should be aware of this debilitating complication.

scholarly journals Patient-controlled epidural analgesia for labor – a step forward in Ukrainian obstetrics

Pain medicine ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. 67-70
Author(s):  
Yevhenii Grizhimalsky ◽  
Andrii Harha
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Epidural Analgesia ◽  
Local Anesthetics ◽  
Gold Standard ◽  
Severe Pain ◽  
Labour Pain ◽  
Randomized Controlled ◽  
Randomized Controlled Studies

Labour pain is recognized by some women as the most severe pain that they have ever felt in their life. Epidural analgesia is an effective method of pain relief in labour and is considered as the gold standard of analgesia for delivery. Traditionally, epidural analgesia in Ukraine is performed without the ability for the patient to control the process of anesthesia. The authors became interested in the delivery of local anesthetics by patient­controlled epidural analgesia instead of the traditional physician methods. In randomized controlled studies there is an evidence that the PCEA method tends to improve the quality of pain relief and increase the patient satisfaction.

scholarly journals Gambaran Kualitas Hidup - Fungsi Penglihatan Pasien dengan Glaukoma di Poli Mata Rumah Sakit di Kabupaten Jember

2020 ◽  
Vol 7 (3) ◽  
pp. 187
Author(s):  
Siswoyo Siswoyo ◽  
Kushariyadi Kushariyadi ◽  
Deby Febriyani Purwitasari
Keyword(s):  
Quality Of Life ◽  
Data Analysis ◽  
Data Collection ◽  
Sampling Technique ◽  
Poor Quality ◽  
Daily Activities ◽  
Questionnaire Data ◽  
Initial Symptoms ◽  
Vision Function

Glaucoma is a neuro-optic disease characterized by an increase of IOP and progressive and incurable. Most cases of glaucoma do not show initial symptoms until there is a decrease in vision to blindness. This visual impairment can have an impact on the individual's ability to doing daily activities and will affect the quality of life-related to the visual function. This study aims to analyze the quality of life (vision function) in glaucoma patients at dr. Soebandi hospital, Baladhika Husada hospital, and Bina Sehat hospital in Jember Regency. The type of research is descriptive quantitative. 73 respondents were obtained by purposive sampling technique. Data collection using the Glaucoma Quality of Life 15 questionnaire. Data analysis using univariate. The results of the study were 47 respondents (64.4%) had a good quality of life and 26 respondents (35.6%) had a poor quality of life. In conclusion, the quality of life (vision function) of glaucoma patients is in a good category. This means that respondents can still do their daily activities independently with the help of glasses or not. The implication of this research is that nurses act as educators and counselors to provide all information about glaucoma and determine further planning to help improve patients' quality of life.

Follow-up of a cohort of patients with non-cystic fibrosis bronchiectasis for 1 year

2019 ◽  
Author(s):  
Simone Paulo Mateus ◽  
Raquel Esteves Brandão Salles ◽  
Walter Costa ◽  
Claudia Henrique da Costa ◽  
Agnaldo José Lopes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cystic Fibrosis ◽  
Emergency Care ◽  
Poor Quality ◽  
Daily Activities ◽  
Progressive Damage ◽  
Telephone Contact ◽  
Face To Face

Abstract Background: Non-cystic fibrosis bronchiectasis (NCFB) leads to progressive damage that may limit a patient’s daily activities and modify his/her quality of life. Our objective was to evaluate the quality of life of patients with bronchiectasis during a 1 year follow-up using the EQ-5D-3L questionnaire. Methods: A total of 100 patients with NCFB were recruited and followed-up with face-to-face visits or by telephone contact every three months for 1 year. At the time of recruiting and at the end of 1 year, the EQ-5D-3L questionnaire was applied to evaluate the patients’ quality of life. Variables, such as exacerbation, emergency care, comorbidities, hemoptysis, colonization, and hospitalization were assessed. Results: Of the 100 patients, 99 patients completed the study and 72% were women. There were no marked limitations in the mobility and self-care domains during the follow-up. Thirty-two patients were extremely anxious or depressed at the end of the follow-up. The quality of life assessed using EQ-5D-3L had an initial mean score of 0.545 and of 0.589 after 1 year, which was statistically significant (p= 0.011). Conclusion: Patients with NCFB have a poor quality of life and the EQ-5D-3L questionnaire may be a tool for monitoring patients with bronchiectasis.

scholarly journals Chronic pancreatitis: diagnosis and management options in Indian subcontinent

2021 ◽  
Vol 8 (4) ◽  
pp. 1124
Author(s):  
Dipesh Goel ◽  
Verinderjit Singh Virdi ◽  
Money Gupta ◽  
Sandesh Deolekar
Keyword(s):  
Quality Of Life ◽  
Chronic Pancreatitis ◽  
Severe Pain ◽  
Indian Subcontinent ◽  
Poor Quality ◽  
Endocrine Function ◽  
Exocrine Function ◽  
Common Symptom ◽  
Management Options

Background: Chronic pancreatitis is a heterogeneous disease. More research efforts are needed to clarify further whether individuals with chronic pain due to pancreatitis report a poor quality of life that necessitates intervention services. In this study, we sought to ascertain the clinical profile of subjects with chronic pancreatitis in India, especially with regard to risk factors, clinical features and therapeutic modalities.Methods: 50 patients of chronic pancreatitis were studied, both prospectively and retrospective. Investigations and interventions details were noted. Questionnaire for pain scoring was prepared. Persistent pain or recurrent episodes of acute pain interfering with normal lifestyle were the criteria for intervention.Results: The most common symptom of chronic pancreatitis is long-standing pain in the middle of the abdomen. 25 patients underwent intervention in view of severe pain. In our study improvement in endocrine function after intervention was observed in 27% of patients and improvement in exocrine function was seen in 60% patients after intervention at 2 yearly follow up.Conclusions: Surgical method and ERCP guided intervention gives superior results as compared to conservative method in management of chronic pancreatitis.

scholarly journals Continent Ileostomy as an Alternative to End Ileostomy

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Xian-rui Wu ◽  
Hao-xian Ke ◽  
Ravi P. Kiran ◽  
Bo Shen ◽  
Ping Lan
Keyword(s):  
Gold Standard ◽  
Ileal Pouch ◽  
Physiological Function ◽  
Standard Procedure ◽  
Poor Quality ◽  
Continent Ileostomy ◽  
High Rate ◽  
Total Proctocolectomy ◽  
Anal Anastomosis

Continent ileostomy (CI) was once a prevalent surgical technique for patients who required total proctocolectomy but then gave way to ileal pouch-anal anastomosis (IPAA) after 1980. Although IPAA has been the gold standard procedure preferred by most patients when total proctocolectomy is required, due to its imitation of physiological function of rectum and preserved function of anus, various complications have been observed with a relatively high rate of morbidity that could affect pouch longevity. Once serious complications such as pelvic abscesses and/or fistula occur, the pouch often needs to be removed. In addition, for some patients with a shortened small intestine or foreshortened mesentery, it is impossible for the ileal pouch to reach the pelvic floor, thus making the creation of an IPAA difficult. Previously, most of these patients would be referred for an end ileostomy, with an associated poor quality of life. In this circumstance, we propose that CI may deserve a reappraisal and serve as an alternative. In this article, we review the indications, contraindications, technique evolution, and outcomes of CI.

scholarly journals LIFE QUALITY OF PATIENTS WITH RHEUMATOID ARTHRITIS ACCORDING TO THE LEVEL OF PAIN

2021 ◽  
Vol 2 ◽  
pp. 152-157
Author(s):  
Zamira Shabani ◽  
Donika Shkoza ◽  
Edona Haxhija
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Age Groups ◽  
Life Quality ◽  
Descriptive Study ◽  
Poor Quality ◽  
Daily Activities ◽  
Cross Sectional ◽  
Gender And Age

This is a transversal (cross-sectional) descriptive study. The aim of the study is to evaluate the quality of life of patients with rheumatoid arthritis Objectives: To identify the level of pain related to daily activities in patients with RA according to gender and age groups. Conclusions: 77% of these patients have poor quality of life because of pain associated with RA. The FSI for pain resulted in 0.25, 0.39 for addiction and 0.26 for difficulty. 

The Gluteus Maximus V-Y Advancement Flap for Reconstruction of Latero-sacral Pressure Injury

2021 ◽  
Author(s):  
Hatim Abid
Keyword(s):  
Quality Of Life ◽  
Severe Pain ◽  
Gluteus Maximus ◽  
Poor Quality ◽  
Advancement Flap ◽  
Optimal Management ◽  
Bony Prominence ◽  
Pressure Injury ◽  
Made In

Pressure Injuries (PIs) are described as “localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure or pressure in combination with shear [1]. The pathology remains frequent in hospital settings despite the progress made in prevention which represents the optimal management of this pathology [2]. Clinically, they can cause severe pain, serious physical and psychological discomfort often leading to prolonged hospitalization and poor quality of life in the daily clinical practice [3-6].

An experience of performing spirometry by trained general practitioners

2020 ◽  
pp. 34-36
Author(s):  
M. A. Pokhaznikova ◽  
E. A. Andreeva ◽  
O. Yu. Kuznetsova
Keyword(s):  
General Practitioners ◽  
Quality Criteria ◽  
Poor Quality ◽  
Male Gender ◽  
Study Research ◽  
The Poor ◽  
Quality Of Research ◽  
Forced Expiratory Maneuver ◽  
Maximal Effort

The article discusses the experience of teaching and conducting spirometry of general practitioners as part of the RESPECT study (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). A total of 33 trained in spirometry general practitioners performed a study of 3119 patients. Quality criteria met 84.1% of spirometric studies. The analysis of the most common mistakes made by doctors during the forced expiratory maneuver is included. The most frequent errors were expiration exhalation of less than 6s (54%), non-maximal effort throughout the test and lack of reproducibility (11.3%). Independent predictors of poor spirogram quality were male gender, obstruction (FEV1 /FVC<0.7), and the center where the study was performed. The number of good-quality spirograms ranged from 96.1% (95% CI 83.2–110.4) to 59.8% (95% CI 49.6–71.4) depending on the center. Subsequently, an analysis of the reasons behind the poor quality of research in individual centers was conducted and the identified shortcomings were eliminated. The poor quality of the spirograms was associated either with the errors of the doctors who undertook the study or with the technical malfunctions of the spirometer.

KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Hemorrhagic Stroke ◽  
Poor Quality ◽  
Social Dimension ◽  
Stroke Patients ◽  
Sampling System ◽  
Post Stroke ◽  
Psychological Dimension

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

Lumbar periarticular cysts of arcorray joint

2020 ◽  
pp. 47-57
Author(s):  
Anton Yarikov ◽  
Maxim Shpagin ◽  
Iliya Nazmeev ◽  
Sergey Gorelov ◽  
Olga Perlmutter
Keyword(s):  
Minimally Invasive ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Lumbar Region ◽  
Results Of Treatment ◽  
Invasive Method ◽  
Facet Syndrome

The immediate and long-term results of treatment of 30 patients with severe pain syndrome of the lumbar region, who underwent operations on denervation of DOS, were studied. The aim of the study was to evaluate the effectiveness of minimally invasive technologies for the treatment of pain in the lumbar region (denervation of DOS), to study the near and distant results of these treatment methods. Denervation DOS is an effective minimally invasive method for the treatment of facet syndrome caused by spondylarthrosis. It allows in the early and distant postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients.

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