The Effects of Treatment with Antibiotics, Laser and Acupuncture upon Chronic Maxillary Sinusitis in Children

1982 ◽  
Vol 10 (01n04) ◽  
pp. 55-58 ◽  
Author(s):  
R. Pothman ◽  
H.L. Yeh

In a clinical study we compared three different types of therapy in chronic maxillary sinusitis. 45 patients, 3-40 years old, were treated, 19 with antibiotics, 18 with acupuncture and 8 with Laser-acupuncture. There was no statistical difference of results between Laser-therapy and antibiotics (Chi-Square-Test). Compared to previous treatments with antibiotics, results and duration of improvement was significantly better after acupuncture. Conclusion: Acute sinusitis, especially of frontal sinus and in younger children, will better be treated by antibiotics because of the danger of osteomyelitis and meningitis. Acupuncture should be tried in chronic and recurrent stages after exclusion of large adenoids in children or bone inhibition of sinus clearance, especially before an invasive operation like removal of sinus mucosa is carried out.

2018 ◽  
Vol 12 (03) ◽  
pp. 334-337
Author(s):  
Ricardo Machado ◽  
Monique Muniz da Cunha ◽  
Daniel Comparin ◽  
Leopoldo Cosme-Silva ◽  
Eduardo Donato Eing Engelke Back ◽  
...  

ABSTRACT Objective: The aim of this study was to evaluate the periodontal status of teeth indicated for undergoing endodontic treatment. Materials and Methods: Two hundred and nine teeth were evaluated using probing depth tests at three vestibular and three palatine/lingual sites before the patients underwent treatment. Teeth that presented up to 3-mm probing depth were considered as healthy. Those that presented at least one site with probing depth >3 mm were considered periodontally compromised. The data were statistically analyzed by means of applying the Chi-square test, with a level of significance of 5%. Results: Of the total of 209 teeth evaluated, 40 (19.10%) presented periodontal compromise. There was statistically significant difference related to the compromised teeth of patients of the female gender (22.80%) compared with teeth of patients of the male gender (12.30%) (P < 0.05). Conclusions: Fewer than 20% of the teeth evaluated presented a periodontal compromise. Patients of the female gender presented a higher number of periodontally compromised teeth than patients of the male gender.


2003 ◽  
Vol 117 (4) ◽  
pp. 273-279 ◽  
Author(s):  
Ahmed Bassiouny ◽  
Ahmed M. Atef ◽  
Mahmoud Abdel Raouf ◽  
Safaa Mohamed Nasr ◽  
Magdy Nasr ◽  
...  

This was a study of the effect of functional endoscopic sinus surgery (FESS) on the ciliary regeneration of maxillary sinus mucosa in patients with chronic maxillary sinusitis, using objective quantitative methods. Twenty specimens from the mucosa of both the superolateral wall and the ostium of the maxillary sinus were sampled during FESS and then six to 12 months later. They were light examined first by light microscopy and then by scanning electron microscopy in combination with image analysis software in order to study the cilia under higher magnification and to calculate proportion of the field that was ciliated. Samples were taken and studied at Cairo University hospital. This study showed that the maxillary sinus mucosa in chronic sinusitis is capable of regeneration and could return towards normal with the improvement of ventilation and drainage of the maxillary sinus following FESS. There were no significant changes in the degree of glandular hyperplasia, goblet cells or pathological glands after surgery.


2021 ◽  
Vol 10 (10) ◽  
pp. 691
Author(s):  
Hui Ren ◽  
Peixiao Wang ◽  
Wei Guo ◽  
Xinyan Zhu

The outbreak of COVID-19 has constantly exposed health care workers (HCWs) around the world to a high risk of infection. To more accurately discover the infection differences among high-risk occupations and institutions, Hubei Province was taken as an example to explore the spatiotemporal characteristics of HCWs at different scales by employing the chi-square test and fitting distribution. The results indicate (1) the units around the epicenter of the epidemic present lognormal distribution, and the periphery is Poisson distribution. There is a clear dividing line between lognormal and Poisson distribution in terms of the number of HCWs infections. (2) The infection rates of different types of HCWs at multiple geospatial scales are significantly different, caused by the spatial heterogeneity of the number of HCWs. (3) With the increase of HCWs infection rate, the infection difference among various HCWs also gradually increases and the infection difference becomes more evident on a larger scale. The analysis of the multi-scale infection rate and statistical distribution characteristics of HCWs can help government departments rationally allocate the number of HCWs and personal protective equipment to achieve distribution on demand, thereby reducing the mental and physical pressure and infection rate of HCWs.


Author(s):  
Jocelyn Wu ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Helen Heacock

  Introduction: Customers sometimes question the freshness of milk inside thermal containers in coffee shops. Milk that is kept between 4°C to 60°C can support the growth of pathogens, hence it should be kept below 4°C. Thermal containers are often advertised as being able to retain the temperature of their contents for a prolonged period of time. Yet, the extent of their temperature retention capacity is not clearly defined by the manufacturers. This study investigated the effectiveness of the 1.5 Liter Thermos® Double Wall Vacuum Stainless Steel Serving Carafe thermal container in keeping milk at ≤4°C when it was filled to different volumes and with different types of milk over a nine hour period. Methods: Four tests were carried out in this study: The 1.5L Skim Milk, The 1.5L Creamo, The 0.75L Skim Milk and The 0.75L Creamo Test. For each test, the milk was placed into the 1.5L Thermos® Double Wall Vacuum Stainless Steel Serving Carafe with the initial temperature between 3.1°C to 3.4°C. Change in temperature was recorded for nine hours using the Thermocouple data logger. Results: The descriptive data demonstrates that the mean temperatures over the nine-hour period for The 1.5L Skim Milk Test, The 1.5L Creamo Test, The 0.75L Skim Milk Test and The 0.75L Creamo Test were 4.41±0.88°C, 4.51±0.95°C, 5.59±1.52°C and 6.05±1.77°C, respectively. MANOVA results suggested that “volume”, “time”, “type of milk”, “volume and time”, “volume and type of milk”, “time and type of milk”, and “volume, time and type of milk” did have effects on the temperature retention capacity of the thermal container with p-values <0.05. The temperatures of all samples were <4°C at hour zero. All of the samples’ temperatures began to increase once they were inside the thermal container and all of the samples entered the danger zone (>4°C) after four hours. A Chi Square test was conducted to determine whether Creamo or skim milk was safer (≤4°C) from hour one to four. Results showed that 123/240 (51%) skim milk and 110/240 (46%) Creamo samples were safe, but the result was not statistically significant. Conclusion: This study’s results indicate that the tested thermal container had a better cold temperature retention capacity when it was filled up (1.5L) compared to when it was only half filled (0.75L). In addition, when the thermal container was filled with skim milk, it also had a better cold temperature retention capacity compared to Creamo. Finally, this specific thermal container was not successful in maintaining the temperature of milk out of the danger zone (≤4°C) after four hours. These results should be disseminated to Environmental Health Officers whose job it is to keep the public safe from foodborne illnesses. As well, policies should be established pertaining to time permitted to keep milk in thermal containers.  


2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Mustapha Chelghoum ◽  
Nadjet Lariche ◽  
Ismahene Belbah

Adherence to hand hygiene recommendations by health care workers (HCWs) participate to minimize healthcare-associated infections. There are few studies, to our present state of knowledge, which interested in the rate of adherence in Algerian hospitals and no one on the associated factors with the non-adherence by HCWs. The objective was to determine the rate of adherence with WHO's hand hygiene recommendations and to identify factors associated with non-adherence, in a regional university hospital. The method used was the direct observation, based on the recording of hygienic actions in opportunities for HCWs in front of the WHO's five indications. To determine the factors associated with non-adherence, a questionnaire was administrated to HCWs. The relationship between the different factors and the achievement of a hygiene action was evaluated by Pearson's Chi-square test. 503 opportunities for hand hygiene were observed among 206 HCWs, during 19 observation sessions. Simple handwashing was noted in 19% of hand hygiene actions. The overall adherence was 21 %. There was a wide variation in the adherence rates between the different departments and the different types of HCWs. There was a statistically significant association (p


Author(s):  
Afshan Fathima ◽  
Ramappa Arabhanvi ◽  
Karthik Shamanna ◽  
Lyra Joy

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis (CRS) is a common and persistent illness that otorhinolaryngologists encounter commonly. It is an important cause of morbidity and accounts for major loss of income. Anatomical variations of the lateral wall of the nose have been reported which can predispose to CRS. The aim of the present study was to determine the percentage of concha bullosa in patients with CRS and to ascertain its relationship with chronic rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> 100 patients attending the ENT outpatient department, Bangalore Medical College and Research Institute between December 2018 and 2019 were included in the study. Patients clinically diagnosed as CRS underwent diagnostic nasal endoscopy (DNE) and computed tomography (CT) scan of nose and paranasal sinuses, following which the relationship between concha bullosa and CRS was determined. The results were tabulated in excel sheet. Chi square test was applied for qualitative data.  </p><p class="abstract"><strong>Results:</strong> Of the 100 patients of CRS, 40 were males and 60 females. Of the 40 male patients, 16 showed presence of concha bullosa and of the 60 female patients, 28 showed concha bullosa. Headache (92%) was the most common presenting symptom in our study. A statistically significant correlation was noted between the presence of concha bullosa and chronic maxillary sinusitis (p value &lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> Concha bullosa is one of the most common anatomical variations of the lateral wall of the nose. The presence of concha bullosa plays a significant role in the development of chronic rhinosinusitis particularly in chronic maxillary sinusitis.</p>


2020 ◽  
Vol 12 (2) ◽  
pp. 966-970
Author(s):  
Tantri Dwi Kaniya Retno Hapsari ◽  
Mardheni Wulandari ◽  
Haryadi Haryadi ◽  
Salma Restiany Sabilla

Background: Sinusitis and rhinitis are closely related diseases, especially chronic rhinitis. Allergic rhinitis is an allergic reaction to the nose that exposed to allergens. Sinusitis is an inflammatory disease that occurs in the sinus mucosa caused by inflammation of the nose with symptoms in the form of nasal congestion and pressure in the infected sinus area. Purpose: This study aims to determine whether there is a relationship between Allergic Rhinitis and Sinusitis on Paranasal Sinus Photo Examination at RSUD DR. H. Abdul Moeloek Bandar Lampung in 2019. Research Method: The research method used in this study is a descriptive analytic study with a cross sectional approach because it intends to analyze the influence or relationship in the study. The research design is cross sectional, which is a type of research conducted by collecting data only once at a time. The result: By using the Chi Square test, it shows a p-value = 0.000 which is less than the significance value of 5% (0.05), this shows that there is a significant relationship between allergic rhinitis and sinusitis. From the above analysis, it was found that the OR value = 17.28, which states that patients who experience allergic rhinitis have 17.28 times to experience sinusitis. By using the Chi Square test, it shows a p-value = 0.000 which is less than the significance value of 5% (0.05), this shows that there is a significant relationship between allergic rhinitis and sinusitis. Conclusion: There is a significant relationship between allergic rhinitis and sinusitis on the paranasal sinus photo examination at RSUD DR. H. Abdul Moeloek Bandar Lampung in 2019.


2019 ◽  
Vol 1 (1) ◽  
pp. 124-131
Author(s):  
Dan-Maniu Duşe ◽  
Ildikó Simó

AbstractTo change the educational scene in the epoch of the digital generation there is the possibility of using Open Education (OE) and Open Educational Resources (OER). The term “open educational resources” refers to resources with free access to use, adaptation and redistribution. The objectives of the research are to determine the degree of knowledge and use of OER in three Engineering Universities in three countries (Poland, Hungary and Romania) and to find out whether there is a relationship between the institutions in terms of knowledge and use of OER. The measurement is made by applying the survey method on a sample of n = 192. As a tool we use the questionnaire with 15 questions structured in three chapters: knowledge of OER; using OER; opinions about OER. In this analysis we summarize: the presentation of the degree of familiarity with some OER-related concepts, the use of special search engines, the use of free software sources, the frequency of use of OER and opinions on different types of OER that could be exploited in the future. For the description of relationship between nominal variable we use contingency tables and diagrams and compare the frequency data with the Pearson Chi-square test.


2016 ◽  
Vol 36 (suppl_1) ◽  
Author(s):  
Braghadheeswar Thyagarajan ◽  
Shil Patel ◽  
Natalie Swergold ◽  
Sayee Sundar Alagusundaramoorthy ◽  
Isha Verma ◽  
...  

Objective: With healthcare focusing towards quality based healthcare it has created significant interest among physicians in measuring and defining appropriateness in the treatment of medical conditions. We compared the indications for which the Intravenacaval (IVC) filter was placed in our hospital with the current guidelines by three of the major medical societies the American Heart Association (AHA), American College of Chest Physicians (ACCP) and Society for Interventional Radiology (SIR) to compare the measure of appropriateness in the placement of IVC filters among the guidelines Methods: We conducted a retrospective review of all charts with the ICD 9 code for placement of IVC filter from January, 2010 to January, 2015. Each patient chart was reviewed for patient demographics, complications and indications which were compared with the guidelines as defined by AHA, ACCP and SIR Results: During the 5 years, 592 patients underwent the procedure which included 233 men and 359 women who had a mean age of 67.2 +/- 17.4. 75.8% filters were inserted by vascular surgery and 24.2% filters were inserted by interventional radiology. 1.8% of the patients had some form of complication either during insertion or retrieval. On comparing the indications, we found that 35.5%(AHA), 30.9%(ACCP), 35.5%(SIR) were appropriate. While 4.4%(AHA), 4.4%(ACCP), 47.4%(SIR) were relatively appropriate and 60.1%(AHA), 64.7%(ACCP), 17.1%(SIR) were not appropriate. Commonly used indications not defined clearly included prophylaxis for bariatric surgery (14.4%) and high risk for fall (11%). Statistical analysis with the Chi-square test showed there was no statistical difference between AHA and ACCP (p =0.243), while statistical difference was present between AHA and SIR (p <0.001) and ACCP and SIR (p < 0.001) Conclusion: This study demonstrates that there are significant differences between the guidelines from major medical societies for the placement of IVC filter which leads to compelling discrepancies amongst physicians in their decision for the placement of IVC filters


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