Number of patients from Gaza getting travel permits for medical treatment falls by 90%, says charity

Abstrak¬¬-- a hospital is one of the community service centers that can accommodate people who will undergo medical treatment or care.the increasing number of people in Indonesia has resulted in a large number of patients to be dealt with, and it is evident that we can see that there are currently many private hospitals in circulation, thus reducing the prestige of public hospitals.To improve the quality of the hospital, it is necessary to improve the quality of the hospital, which is a challenge for leaders who are sick, especially in developing service quality, such as services from doctors, nurses, staff and other employees to increase community satisfaction with services. which is given

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Medical treatment and prevention of Helicobacter pylori infection

Sestrinska vizija ◽

10.5937/sestrviz2109010m ◽

2021 ◽

Vol 5 (9) ◽

pp. 10-13

Author(s):

Andrea Mirković ◽

Nikola Savić

Keyword(s):

Gastric Cancer ◽

Health Care ◽

Helicobacter Pylori ◽

Medical Treatment ◽

Health Problem ◽

Helicobacter Pylori Infection ◽

Ulcer Disease ◽

Treatment And Prevention ◽

Repeated Infection ◽

Number Of Patients

Helicobacter pylori infection is one of the most commonly treated infections in gastroenterology. In the last three decades, due to recurrent or repeated infection, the incidence of this complex health problem has been constantly increasing. Studies have shown that successful treatment of this infection can prevent the occurrence of numerous complications, such as ulcer disease, dyspepsia or gastric cancer. Interventions in the prevention of Helicobacter pylori infection are numerous, they are carried out at all levels of health care and are of great importance for reducing the number of patients, but also for the occurrence of complications related to the infection. The aim of this paper is to evaluate innovations in medical treatment and prevention of Helicobacter pylori infection.

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Presentation and Outcomes After Medical and Surgical Treatment Versus Medical Treatment Alone of Spontaneous Infectious Spondylodiscitis: A Systematic Literature Review and Meta-Analysis

Global Spine Journal ◽

10.1177/2192568218799058 ◽

2018 ◽

Vol 8 (4_suppl) ◽

pp. 49S-58S ◽

Cited By ~ 9

Author(s):

Davis G. Taylor ◽

Avery L. Buchholz ◽

Durga R. Sure ◽

Thomas J. Buell ◽

James H. Nguyen ◽

...

Keyword(s):

Back Pain ◽

Surgical Treatment ◽

Literature Review ◽

Medical Treatment ◽

Systematic Literature Review ◽

Meta Analysis ◽

Work Status ◽

Pyogenic Spondylodiscitis ◽

Neurologic Deficits ◽

Number Of Patients

Study Design: Systematic literature review. Objectives: The aims of this study were to (1) describe the clinical features, disabilities, and incidence of neurologic deficits of pyogenic spondylodiscitis prior to treatment and (2) compare the functional outcomes between patients who underwent medical treatment alone or in combination with surgery for pyogenic spondylodiscitis. Methods: A systematic literature review was performed using PubMed according to PRISMA guidelines. No year restriction was put in place. Statistical analysis of pooled data, when documented in the original report (ie, number of patients with desired variable and number of patients evaluated), was conducted to determine the most common presenting symptoms, incidence of pre- and postoperative neurologic deficits, associated comorbidities, infectious pathogens, approach for surgery when performed, and duration of hospitalization. Outcomes data, including return to work status, resolution of back pain, and functional recovery were also pooled among all studies and surgery-specific studies alone. Meta-analysis of studies with subgroup analysis of pain-free outcome in surgical and medical patients was performed. Results: Fifty of 1286 studies were included, comprising 4173 patients undergoing either medical treatment alone or in combination with surgery. Back pain was the most common presenting symptom, reported in 91% of patients. Neurologic deficit was noted in 31% of patients. Staphylococcus aureus was the most commonly reported pathogen, seen in 35% of reported cases. Decompression and fusion was the most commonly reported surgical procedure, performed in 80% of the surgically treated patients. Combined anterior-posterior procedures and staged surgeries were performed in 33% and 26% of surgeries, respectively. The meta-analysis comparing visual analog scale score at follow-up was superior among patients receiving surgery over medical treatment alone (mean difference −0.61, CI −0.90 to −0.25), while meta-analysis comparing freedom from pain in patients receiving medical treatment alone versus combined medical and surgical treatment demonstrated superior pain-free outcomes among surgical series (odds ratio 5.35, CI 2.27-12.60, P < .001), but was subject to heterogeneity among studies ( I2 = 56%, P = .13). Among all patients, freedom from pain was achieved in 79% of patients, and an excellent outcome was achieved in 73% of patients. Conclusion: Medical management remains first-line treatment of infectious pyogenic spondylodiscitis. Surgery may be indicated for progressive pain, persistent infection on imaging, deformity or neurologic deficits. If surgery is required, reported literature shows potential for significant pain reduction, improved neurologic function and a high number of patients returning to a normal functional/work status.

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Kampo Therapies and the Use of Herbal Medicines in the Dentistry in Japan

Medicines ◽

10.3390/medicines6010034 ◽

2019 ◽

Vol 6 (1) ◽

pp. 34 ◽

Cited By ~ 6

Author(s):

Shuji Watanabe ◽

Toshizo Toyama ◽

Takenori Sato ◽

Mitsuo Suzuki ◽

Akira Morozumi ◽

...

Keyword(s):

Natural Products ◽

Dental Caries ◽

Periodontal Disease ◽

Medical Treatment ◽

Traditional Medicine ◽

Systemic Disease ◽

Herbal Medicines ◽

Kampo Medicine ◽

Number Of Patients ◽

Severe Periodontitis

Dental caries and periodontal disease are two major diseases in the dentistry. As the society is aging, their pathological meaning has been changing. An increasing number of patients are displaying symptoms of systemic disease and so we need to pay more attention to immunologic aggression in our medical treatment. For this reason, we focused on natural products. Kampo consists of natural herbs—roots and barks—and has more than 3000 years of history. It was originated in China as traditional medicine and introduced to Japan. Over the years, Kampo medicine in Japan has been formulated in a way to suit Japan’s natural features and ethnic characteristics. Based on this traditional Japanese Kampo medicine, we have manufactured a Kampo gargle and Mastic Gel dentifrice. In order to practically utilize the effectiveness of mastic, we have developed a dentifrice (product name: IMPLA CARE) and treated implant periodontitis and severe periodontitis.

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Analysis of Treatment Outcomes of Patients With Cystic Prolactinomas: Report of Four Cases

Journal of the Endocrine Society ◽

10.1210/jendso/bvab048.1168 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. A573-A573

Author(s):

Zuleyha Can Erdi ◽

Cigdem Ozkan

Keyword(s):

Medical Treatment ◽

Dopamine Agonists ◽

Treatment Effectiveness ◽

Cyst Formation ◽

Symptomatic Improvement ◽

First Line ◽

Laboratory Findings ◽

Male Predominance ◽

Number Of Patients ◽

Female Predominance

Abstract Background: Prolactinomas are the most common functional pituitary adenomas. Treatment with dopamine agonists is considered as first-line therapy. Cystic prolactinoma is a variant prolactinoma. . It was assumed that since cystic area does not contain dopamine receptors, cystic prolactinomas would not respond to medical treatment. However, in recent years, it has been shown that cystic prolactinomas can also be treated with dopamine agonists, and medical treatment has become more preferred than surgical treatment. In this report, we aimed to evaluate the treatment effectiveness of patients with cystic prolactinomas who treated medically in our clinic. Materials and methods: Twenty-nine prolactinoma patients who were followed up in our hospital between 2019-2020 were evaluated retrospectively. Four patients (13%) were being followed up for cystic prolactinoma. Radiological images, laboratory findings, patients records were reviewed. Results: Four patients were being followed up for cystic prolactinoma and all were women. The average age of the patients followed up for cystic prolactinoma was 36 years. 3 patients (75%) had menstrual irregularity, 2 (50%) patients had galactorrhea, and 1 patient (25%) had headache at the time of admission. Tumor size regressed with medical treatment in two patients and the tumor disappeared completely in one patient. Although the symptomatic improvement and normalization of prolactin was achieved in one of our patients, the lesion did not shrink. We continued with medical treatment in this patient since there was no indication for surgery. Discussion: There was conflicting results in the literature regarding the management of cystic prolactinomas. Recently, dopamin agonist therapy is suggested as first- line treatment option in cystic prolactinomas. A study reported male predominance for cyst formation but we observed female predominance in our report. Faje et al. also reported female predominance in their study. Presentation of our patients were not different from solid prolactinomas. And although we evaluated very limited number of patients in our report, all of our patients respond to medical treatment which was consistent with recent literature.

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ECTOPIC PREGNANCY AND ITS LONG-TERM RESULTS

Wiadomości Lekarskie ◽

10.36740/wlek202001127 ◽

2020 ◽

Vol 73 (1) ◽

pp. 139-144

Author(s):

Alla V. Boychuk ◽

Oksana I. Khlibovska ◽

Yuliia B. Yakymchuk

Keyword(s):

Medical Treatment ◽

Ectopic Pregnancy ◽

Reproductive Function ◽

Long Term Results ◽

Fallopian Tubes ◽

Long Term Outcomes ◽

Second Stage ◽

Number Of Patients ◽

Source Of Information

The aim: The purpose of this study was to assess the long-term outcomes of restoration of reproductive function after surgical and medical treatment of ectopic pregnancy, taking into consideration the patency of the fallopian tubes and the incidence of uterine pregnancy. Materials and methods: A two-stage experimental approach was used to address research objectives. In the first stage, a retrospective analysis of 615 histories of patients with ectopic pregnancy has been performed. In a second stage – we examined 140 patients, which were divided into three groups, depending on the type of treatment. The first group consisted of patients with a disturbed ectopic pregnancy, who were treated with laparotomy and tubectomy. The second group included patients with exacerbated ectopic pregnancy, who were operated by laparoscopic access. Lastly, the third group comprised of women with ectopic pregnancy who were treated with methotrexate. The main source of information used for clinical and anamnestic analysis was “medical card-patient” (f. 003 / o). Results: The number of patients diagnosed with ectopic pregnancy increased from 2005 to 2015. In 2005 and 2006, the laparotomy operations were 86.88% and 83.33%, but conservative management only 13,16% and 16,67%, respectively. In 2015, the number of patients treated with methotrexate was more than half (51.35%) compared with 2010 and 2005 increased to 16.97% and 38.19% respectively, and laparotomy operations decreased from 86.88% in year 2005 to 18.92% in year 2015. Conclusions: The data showed that in women who underwent medical treatment with cytostatic, the patency of the fallopian tubes was significantly better than after surgical treatment. In cases of interrupted ectopic pregnancy for which laparotomy with the removal of the motor tube was applied, infertility of tubal peritoneal genesis developed in 60% of cases, which is consistent with the existing literature. Statistical analysis of the structure of ectopic pregnancy showed that in 2005 dominated interrupted ectopic pregnancy, due to late diagnostic and hospitalisation, that led to urgent laparotomy operations rather than conservative treatment.

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Colonic Perforation in a Child with Crohn's Disease: Successful Medical Treatment Rescues from Colectomy

Case Reports in Gastrointestinal Medicine ◽

10.1155/2012/152414 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Marco Gasparetto ◽

Benedetta Giorgi ◽

Wolfgang Kleon ◽

Faise Al Bunni ◽

Graziella Guariso

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Parenteral Nutrition ◽

Medical Treatment ◽

Complete Healing ◽

Colonic Perforation ◽

Surgical Approaches ◽

Number Of Patients ◽

Paediatric Case ◽

Complex Fistula

Background. The challenging treatment of penetrating paediatric Crohn’s disease (CD) involves pharmacological and surgical approaches. Despite a proved efficacy of anti-TNF agents for treatment of complex fistula, a large number of patients cannot achieve a complete healing and relapse during the followup.Aim. We report a paediatric case with CD and colonic perforation who was successfully treated with medical therapy only, including anti-TNFα.Case Presentation. During a colonoscopy performed on a 9-year-old girl with CD, a perforation occurred in correspondence of a fistula at the colonic splenic flexure. The formation of a collection was then detected (US, enteric-CT), as well as a fistula connecting the colon to the collection. The girl was kept fasting and treated with total parenteral nutrition and antibiotic therapy. Treatment with Infliximab was also started, and after the third dose a US control showed disappearance of the collection and healing of the enteric fistula. Parenteral nutrition was progressively substituted with enteral feeding, and no surgical treatments were needed.Discussion. In pubertal children with penetrating CD, the option of an efficacious medical treatment to avoid a major surgical approach on the bowel is to be aimed for growth improvement. This approach requires a strictly monitored long-term followup.

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Chronic pancreatitis: The case for surgery

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.95033 ◽

2012 ◽

Vol 03 (S 05) ◽

pp. 053-055

Author(s):

H. Ramesh

Keyword(s):

Chronic Pancreatitis ◽

Medical Treatment ◽

Surgical Therapy ◽

Stent Placement ◽

Subtotal Resection ◽

Pancreatic Resections ◽

Number Of Patients ◽

Simple Drainage ◽

Head Of The Pancreas ◽

Nasopancreatic Drainage

AbstractTreatment of pain in chronic pancreatitis includes medical, endoscopic and surgical therapy. Medical treatment may involve the use of analgesics, pancreatic enzymes, antioxidants and removal of risk factors. However, a substantial number of patients do not experience pain relief with medical treatment, and those with local complications cannot be treated medically indefinitely. These require endoscopic or surgical therapy. Endoscopic therapy has involved the use of a) pancreatic sphincterotomy, b) stent placement, c) nasopancreatic drainage, d) pseudocyst drainage, e) extra corporeal shock wave lithotripsy (ESWL), and f) dilatation of strictures. The current options for surgical therapy include: a) partial pancreatic resections, b) extended pancreatic drainage procedures (which involve additional subtotal resection of the head or a deep coring out of the head, or c) pure pancreatic drainage procedures. In effect surgical procedures provide a more thorough drainage of the ductal system than pancreatic stent placement. This is especially true in the complex ductal arrangement of the head of the pancreas, where simple drainage of the duct or stent placement by endoscopy is unlikely to provide thorough drainage and relief of symptoms.

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Hereditary Haemoglobin Disorders of Anaemic Patients Attending in a Rural Tertiary Level Hospital

KYAMC Journal ◽

10.3329/kyamcj.v6i1.32778 ◽

2017 ◽

Vol 6 (1) ◽

pp. 545-549

Author(s):

Md Shahadat Hossain ◽

Md Mahbur Rashid Sarker ◽

Faisal Kabir

Keyword(s):

Medical Treatment ◽

Blood Film ◽

Severe Illness ◽

Tertiary Level ◽

Microcytic Anaemia ◽

Long Period ◽

Number Of Patients ◽

Peripheral Blood Film ◽

Haemoglobin Disorders ◽

Level Hospital

Background: Regularly patients attending in the hospital with severe illness for medical treatment. A large number of patients came with features of anaemia. Many of them show hereditary haemoglobin disorders.Objective: This study was done to find out the pattern of hereditary haemoglobin disorders of anaemic patients attending in the hospital for medical treatment in a tertiary level rural hospital.Method: This descriptive type of retrospective study was performed with 151 cases of anaemic patients whose whole blood show abnormality in haemolobin on capillary haemoglobin electrophoresis. Haemoglobin as well as haematocrit and red blood cells indices were performed by using fully automated haematology lab automation (Sysmex XN-1000). Then haemoglobin electrophoresis was performed to see haemoglobin disorder by using Capillary-2 Haemoglobin Electrophoresis, Sebia, France.Results: All of the 151 cases of hereditary haemoglobin disorders were categorized into four groups. Of those Haemoglobin-E ß thalassaemia was 64.90%, ß thalassaemia minor was 17.22%, Haemoglobin-E haemoglobinopathies was 11.92% and ß thalassaemia major was 5.96% of cases. Among 151 patients; 106 (70.20%) patients were severely anaemic, 30 (19.87%) patients were moderately anaemic and 15 (9.93%) patients were mildly anaemic. Among 98 patients of haemoglobin-E ß thalassaemia, 87 (88.76%) patients were severely anaemic.Conclusion: All anaemic patients especially who suffers from anaemia for a long period of time should be checked for haemoglobin disorders by routine haematological investigation and peripheral blood film examination. The patients with persistent anaemia and whose blood shows hypochromic microcytic anaemia should be advised for haemoglobin electrophoresis.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 545-549

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A retrospective analysis of adrenal crisis in steroid-dependent patients: causes, frequency and outcomes

BMC Endocrine Disorders ◽

10.1186/s12902-019-0459-z ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 4

Author(s):

Katherine G. White

Keyword(s):

Medical Treatment ◽

Medical Staff ◽

Specific Treatment ◽

Adrenal Crisis ◽

Online Questionnaire ◽

Long Distance ◽

Emergency Medical ◽

Steroid Dependent ◽

Common Location ◽

Number Of Patients

Abstract Background Adrenal patients have a lifelong dependency on steroid replacement therapy and are vulnerable to sudden death from undertreated adrenal crisis. Urgent treatment with parenteral steroids is needed, often with IV saline for volume repletion. Episodes of adrenal crisis are, for most patients, relatively infrequent and they may not be well prepared to respond. This study explores how patients recall previous episodes of adrenal crisis and their satisfaction with UK emergency medical treatment. Methods We invited members of the main UK support groups representing steroid-dependent adrenal patients to complete an online questionnaire identifying the number, causes and location of previous adrenal crises (episodes needing injected steroids and/or IV fluids). Respondents were asked to rate the adequacy of their medical treatment in 2 successive questionnaires, conducted 2013 and 2017–18. Results Vomiting was the major factor identified as a cause of adrenal crisis, indicated by 80% of respondents. The most common location, at 70%, was the home. Of the 30% away from home, 1 in 3 were overseas or travelling long-distance. Self-treatment played an increasing role in emergency response: in the 5 year interval between questionnaires an increasing number of patients self-injected. By the time of the 2017–18 survey self-injection was the most common method of initial treatment, with less than two-thirds travelling to hospital for follow-up medical treatment. This finding help to explain the higher rate of adrenal crisis identified in patient surveys than in hospital records. Satisfaction with medical care received stayed constant between the 2 surveys despite growing resourcing pressures across the NHS. Two-thirds were happy with the quality of the medical treatment they received for their most recent adrenal emergency; timeliness was the main factor influencing satisfaction. Conclusions Around one-third of adrenal patients report sub-optimal treatment at emergency medical departments. Medical staff have a low probability of encountering adrenal crisis and may be unfamiliar with either the urgency of adrenal crisis or the specific treatment response it requires. Comprehensive protocols for emergency medical staff with detailed patient education and training are needed in how to respond to this infrequently encountered – but acutely life-threatening – scenario.

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