Characteristics of Fingertip Injuries in Children in Singapore

Hand Surgery ◽  
2015 ◽  
Vol 20 (03) ◽  
pp. 410-414 ◽  
Author(s):  
Mala Satku ◽  
Mark Edward Puhaindran ◽  
Alphonsus Khin Sze Chong
Keyword(s):  
Surgical Treatment ◽  
Epidemiological Data ◽  
Common Cause ◽  
Left Hand ◽  
Number Of Children ◽  
Safety Awareness ◽  
Crush Injuries ◽  
Treatment Safety ◽  
Degrees Of Severity ◽  
Epidemiological Information

Fingertip injuries are common in children, with varying degrees of severity. However, there is limited epidemiological information in the literature. An understanding of the characteristics of these injuries can be used as a basis to prevent such injuries. Epidemiological data was gathered through a retrospective review of all fingertip injuries affecting children, that presented to our department. There were 202 children with 234 injured fingertips in a period of 36 months. Most children were boys and most children injured their left hand. The mode age affected was 2 years. Accidental crush injuries in doors was the most common cause of fingertip injuries in children. An unexpectedly high number of children have fingertip injuries, with many requiring surgical treatment. Safety awareness and prevention of door crush injuries could reduce a large number of fingertip injuries in young children.

scholarly journals Treatment of HCV Infection in Children

2000 ◽  
Vol 14 (suppl b) ◽  
pp. 41B-44B ◽  
Author(s):  
Ruggiero Francavilla ◽  
Giorgina Mieli-Vergani
Keyword(s):  
Liver Disease ◽  
Natural History ◽  
Epidemiological Data ◽  
Hcv Infection ◽  
Western World ◽  
Common Cause ◽  
Number Of Children ◽  
History Of ◽  
Chronic Hcv Infection ◽  
Chronic Hcv

HepatitisCvirus (HCV) infection is the most common cause of chronic liver disease in the western world. Despite extensive epidemiological data in adults, the exact number of children infected is still unknown, and little is known about the natural history of chronic HCV infection in childhood. The authors review studies focusing onHCVinfection in children, and summarize the results, including the efficacy of interferon, and interferon plus ribavirin combination treatment of HCV hepatitis in childhood.

Management of middle-ear effusions in children

1984 ◽  
Vol 98 (7) ◽  
pp. 677-684 ◽  
Author(s):  
K. B. Hughes
Keyword(s):  
Surgical Treatment ◽  
Middle Ear ◽  
Statistical Difference ◽  
Controlled Trial ◽  
Normal Appearance ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Number Of Children

SummaryA double-blind placebo controlled trial of Mucodyne (carbocisteine, Berk Pharmaceuticals), Actifed (triprolidine HCI and pseudoephedrine HCI, Wellcome) and combined Mucodyne and Actifed in the treatment of middle-ear effusions is reported. The trial was undertaken to assess whether either preparation, alone or in Combination, would reduce the number of children requiring surgical treatment for this condition. No statistical difference between the various groups in avoiding surgical treatment with Mucodyne was associated with a significantly greater number of ears restored to a normal appearance and middle ear function as measured by tympanometry. All patients relapsing after surgery belonged to the groups receiving placebo, Actifed or the combination of Mucodyne and Actifed prior to the operation.

scholarly journals Epidemiological Profile of Intracerebral Hemorrhage during a 10-Year Period in a Southern Brazilian Region

2018 ◽  
Vol 37 (01) ◽  
pp. 7-12
Author(s):  
Timóteo Almeida ◽  
Fernanda Almeida ◽  
Luidia Giacomini ◽  
Andressa Niederauer ◽  
Anna Cho ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intracerebral Hemorrhage ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Anticoagulant Drugs ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Epidemiological Profile

Objective Spontaneous intracerebral hemorrhage is responsible for 20% of all cases of cerebrovascular accidents, which might lead to functional disabilities and death. There are few epidemiological data on spontaneous intracerebral hemorrhage in Brazil, and more specifically in the southern region of the country. Methods We reviewed data of 221 patients with intracerebral hemorrhage who attended our department between January of 2004 and December of 2013 and were registered as I61 and I62 according to the 10th edition of the International Classification of Diseases and Related Health Problems (ICD-10). Results From the 221 cases, 53.8% were male, and the median age was 63 years old. Arterial hypertension was reported in 62.4% of the patients. Surgical treatment was performed in 28.9% of all cases and pneumonia affected 19.9%. In 73.4% of the cases, the patients died or were severely disabled at discharge. We found an association of heart disease, coagulopathies, chronic kidney disease, anticoagulant drugs use, surgical treatment, and pneumonia with a poorer outcome. Conclusion The present study describes the epidemiological profile of intracerebral hemorrhage in a southern Brazilian population during a 10-year period.

scholarly journals Anconeus Epitrochlearis Muscle as a Cause of Ulnar Nerve Compression at the Elbow

2017 ◽  
Vol 36 (03) ◽  
pp. 190-193
Author(s):  
Luiz Cannoni ◽  
Luciano Haddad
Keyword(s):  
Surgical Treatment ◽  
Ulnar Nerve ◽  
Complete Recovery ◽  
Nerve Entrapment ◽  
Ulnar Nerve Compression ◽  
Left Hand ◽  
Ulnar Nerve Entrapment ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome ◽  
Magnetic Resonance Imaging Mri

AbstractUlnar nerve entrapment is the second most common compressive neuropathy in the upper limb, after carpal tunnel syndrome (Dellon, 1986). One of the causes that must be considered is the accessory anconeus epitrochlearis muscle, which is present in 4% to 34% of the general population (Husarik et al, 2010; Vanderpool et al, 1968; Nellans et al, 2014).We describe a patient with symptoms of compression of the left ulnar nerve at the elbow and the result of the surgical treatment.The patient presented with hypoesthesia in the fourth and fifth fingers of the left hand, and reduction of strength in the fifth finger abduction. No alterations were found in the thumb adduction.Initially, the treatment was conservative (splint, physiotherapy, analgesics); surgical treatment was indicated due to the continuity of the symptoms.The ulnar nerve was surgically released and transposed, with complete recovery after 6 months of follow-up.Ulnar nerve entrapment at the elbow by the anconeus epitrochlearis muscle is not common, but it must not be ignored (Chalmers, 1978). Ultrasonography (Jung et al, 2013; Bargalló et al, 2010), elbow magnetic resonance imaging (MRI) (Jeon, 2005), and electromyography (Byun, 2011) can help establish the proper diagnosis.

Chronic Idiopathic Thrombocytopenic Purpura in children: predictive factors and outcome

Open Medicine ◽  
2012 ◽  
Vol 7 (4) ◽  
pp. 525-528 ◽  
Author(s):  
Paola Coccia ◽  
Antonio Ruggiero ◽  
Giorgio Attinà ◽  
Giuseppe Cerchiara ◽  
Andrea Battista ◽  
...  
Keyword(s):  
Platelet Count ◽  
Surgical Treatment ◽  
Idiopathic Thrombocytopenic Purpura ◽  
Predictive Factors ◽  
Spontaneous Recovery ◽  
Favorable Outcome ◽  
Chronic Idiopathic Thrombocytopenic Purpura ◽  
Thrombocytopenic Purpura ◽  
Common Cause ◽  
Potential Factors

AbstractIdiopathic thrombocytopenic purpura (ITP) is the most common cause of acquired thrombocytopenia in children. In 20% of cases, this condition is classified as chronic when the thrombocytopenia is persistent 6 months after diagnosis. The aim of the present study is to identify the potential factors correlating with a favorable outcome in patients with chronic ITP. Some 71 patients affected by ITP were retrospectively analyzed. Results show a higher rate of spontaneous recovery that is statistically significant for patients with platelet count at diagnosis <20,000/µL. These observations suggest the possibility to delay or avoid aggressive surgical treatment for these patients.

Register of Dupuytren’s Disease (Contracture) in Tatarstan Republic: Efficacy of Surgical Treatment

2013 ◽  
Vol 20 (1) ◽  
pp. 10-17
Author(s):  
R. O Magomedov ◽  
G. I Mikusev ◽  
R. F Baykeev ◽  
I. E Mikusev ◽  
A. E Nikitina
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Treatment Efficacy ◽  
Hand Function ◽  
Left Hand ◽  
Complete Restoration ◽  
Palmar Aponeurosis ◽  
The Right ◽  
Common Intervention ◽  
Right And Left Hand

Analysis of Dupuytren’s contracture (DC) surgical treatment efficacy according to the Tatarstan Republic DC Register (258 patients, 343 hands) was performed. Partial wedge-shaped excision of palmar aponeurosis was the most common intervention on both the right and left hand. Late (1 year and over) postoperative complications (POC) — relapse, dissemination, progression were detected in 41.8% of patients at terms up to 15 years. Presence of POC on the operated hand caused disturbance of its function in 11.9% of cases on the right and 16.3% of cases on the left. Curability from DC made up 34.9 — 73.8% depending on the operated hand. Complete restoration of hand function was achieved in 22.2—100% of observations. Surgical treatment of DC enabled to ensure favorable patient’s condition at term 1 year and over in 67.5 and 59.9% of cases on the right and left hand respectively.

Epidemiological and Clinical Studies in Cats with Thoracolumbar Vertebral Fracture and Luxation and Its Management

2020 ◽  
Author(s):  
I. Nath ◽  
S. Dhanalakshmi ◽  
M. R. Das ◽  
S. K. Panda ◽  
A. K. Kundu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Vertebral Fracture ◽  
Conservative Treatment ◽  
Clinical Outcome ◽  
Epidemiological Data ◽  
Neurological Dysfunction ◽  
Grade 3 ◽  
Time Of Presentation ◽  
Thoracolumbar Vertebral Fracture

Background: Thoraco-lumbar spinal trauma frequently results in neurological dysfunction of varying degrees in domestic cats. The consequences may be permanent disability or death depending on severity and segment of spinal cord affected. Assessment of primary damage to spinal cord is important to prevent secondary damage and complications arising from neurological deficit. Since assessment of neurological dysfunction and its treatment in spinal trauma in cats is an evolving field, the present study was undertaken with an objective to record and associate epidemiological data and clinical examination findings at the time of presentation with clinical outcome on 60th post-treatment day in cats with thoracolumbar vertebral fracture and luxation, for a better clinical approach in this condition. Methods: 24 affected cats were assessed epidemiologically and clinically at the time of presentation. All the cats were treated either conservatively or surgically based on extent of neurological dysfunction and severity of injury on radiographic evaluation. Post-treatment observations was then correlated with epidemiological data and clinical findings to assess the clinical outcome. Result: In the present study, sub-adult semi-domicile cats were most affected and major cause was automobile accident. Presence of concomitant injuries (30%) affected recovery. Thoracolumbar spinal cord segment (T3-L3) was most affected (71%). Among 16 cats with unstable vertebral fractures, 5/6 cats recovered after surgical treatment and 2/10 cats recovered after conservative treatment. Survival and recovery was poor when degree vertebral canal displacement was more than 70% (10 cats). All 7 cats with grade 1 or grade 2 and one cat with grade 3 neurological dysfunction recovered after conservative treatment. 5 cats with grade 3 and 2 cats with grade 4 neurological dysfunction recovered after surgical treatment. Selection of surgical treatment provided better recovery in cats with unstable vertebral fractures and greater degree of neurological dysfunction.

Congenital Portosystemic Shunts in Five Mature Dogs With Neurological Signs

2007 ◽  
Vol 43 (6) ◽  
pp. 322-331 ◽  
Author(s):  
Rebecca Christine Windsor ◽  
Natasha J. Olby
Keyword(s):  
Hepatic Encephalopathy ◽  
Surgical Treatment ◽  
Old Age ◽  
Case Series ◽  
Common Cause ◽  
Neurological Signs ◽  
Neurological Abnormalities ◽  
Portosystemic Shunts ◽  
Gait Abnormalities

Congenital portosystemic shunts are a common cause of hepatic encephalopathy and are typically first identified when dogs are &lt;2 years of age. This case series describes five dogs with congenital portosystemic shunts; the dogs were presented for severe encephalopathic signs during middle or old age. Three dogs had portoazygos shunts, and four dogs had multifocal and lateralizing neurological abnormalities, including severe gait abnormalities and vestibular signs. All five dogs responded to medical or surgical treatment, demonstrating that older animals can respond to treatment even after exhibiting severe neurological signs.

scholarly journals Hong Kong Poison Information Centre: Annual report 2019

2021 ◽  
pp. 102490792110388
Author(s):  
Tin Yat Anthony Chow ◽  
Chi Keung Chan ◽  
Sze Hong Ng ◽  
Man Li Tse
Keyword(s):  
Hong Kong ◽  
Health Care Professionals ◽  
Annual Report ◽  
Epidemiological Data ◽  
Consultation Service ◽  
Information Centre ◽  
Household Products ◽  
Self Harm ◽  
The Common ◽  
Epidemiological Information

Background: The Hong Kong Poison Information Centre (HKPIC) provides consultation service to health care professionals and collect epidemiological data on poisoning in Hong Kong since 2005. Objective: To report and analyse the data of Hong Kong Poison Information Centre on poisoning in 2019. Methods: This was a retrospective review of all poisoning cases recorded in the Poison Information and Clinical Management System of Hong Kong Poison Information Centre in 2019. Results: A total of 4016 poisoned cases were analysed, which involved 1698 men (42.3%), 2312 women (57.6%) and 6 sex-unspecified patients (0.1%). Majority of cases (77.3%) were between 13 and 69 years of age, and 10.5% were teenagers 13–19 years of age. Self-harm/suicidal attempt (42.1%), unintentional exposure (18.1%) and abusive substance use (11.1%) were common reasons of poisoning. Excluding ethanol, which was the common co-ingestant, the five most common types of poison were benzodiazepines, paracetamol, household products, zopiclone and Chinese herbal medicine. While most patients were managed with supportive treatment, 16.5% and 16.8% of the consultation cases were treated with decontamination and antidotes, respectively. Majority of cases recovered uneventfully, but 1.0% died and 4.7% had a major outcome. A total of six interesting cases and two outbreaks were discussed in this report. Conclusion: This 14th annual report provided updated epidemiological information on the pattern of poisoning in Hong Kong and highlighted a number of important changes compared with our previous reports.

scholarly journals THE PREVALENCE OF RETINOPATHY OF PREMATURITY UNDER THE CONDITIONS OF THE PERINATAL CENTER BASED AT THE CHILDREN’S MULTI-DISCIPLINARY HOSPITAL

2017 ◽  
Vol 12 (2) ◽  
pp. 97-101
Author(s):  
Nataliya Nikolaevna Sadovnikova ◽  
N. V Prisich ◽  
V. V Brzheskiy ◽  
O. S Olina ◽  
A. G Li ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Preterm Infants ◽  
Retinopathy Of Prematurity ◽  
Laser Photocoagulation ◽  
Maternity Hospital ◽  
Extremely Low Birth Weight ◽  
Comprehensive Treatment ◽  
Average Weight ◽  
Number Of Children ◽  
Perinatal Center

Introduction. Retinopathy of prematurity remains one of the most challenging problems in neonatal ophthalmology and the leading cause of blindness and disability in the young children. Purpose. The objective of the present study was to evaluate the prevalence of retinopathy of prematurity and the effectiveness of its treatment under the present conditions of nursing the preterm infants. Materials and methods. We carried out the ophthalmological observations and treatment of 393 premature children admitted to the Perinatal Centre of the Saint Petersburg State Pediatric Medical University during the period from 2014 to 2016 for the provision of the specialized care needed to manage various obstetric and perinatal pathological conditions. The patients included the children born with a body weight from 450 to 2500 g (average weight of 1056 ± 301,9 g) at the 23d to 33d weeks of gestation (mean age at birth 28,77 ± 2,37 weeks). Results. The frequency of retinopathy of prematurity and dynamics of its clinical course as well as the need for its laser and surgical treatment in such patients differed during these three years. The number of children with retinopathy of prematurity in the group with the extremely low birth weight increased from 75.0% in 2014 to 96.3% in 2016 largely due to the rise in the occurrence of the early stages of the disease among the preterm infants in combination with severe concomitant cardiosurgical and neurosurgical pathologies. 77.8% of the children in this group needed to be treated with the use of preventive retinal laser photocoagulation. However, only every third infant born at the 28-33d week of gestation actually received the required surgical treatment. The effectiveness of retinal laser photocoagulation increased from 85% in 2014 to 95% in 2016. Conclusion. The management of the preterm children presenting with retinopathy of prematurity based at the perinatal centre with the integrated maternity hospital and the multidisciplinary children’s hospital creates the optimal conditions for the comprehensive treatment of such patients

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