Optimization of Esophageal Ultrasound under Artificial Fish Swarm Algorithm and Its Adoption in Treatment of Ventricular Septal Defect

This work was aimed at exploring the adoption value of the optimized and upgraded esophageal ultrasound in the treatment of patients with ventricular septal defect (VSD) by artificial fish swarm algorithm. A model was built based on artificial fish swarm algorithm. A random ultrasonic optical signal in the database was decomposed several times and sparsity was optimized to complete partial optimization, which was then extended to global optimization. A total of 100 patients with ventricular septal defect were divided into control group who underwent cardiopulmonary bypass under the guidance of three-dimensional thoracic ultrasound and experimental group of ventricular septal defect occlusion under the guidance of esophageal ultrasound based on artificial fish swarm algorithm. The results showed that the number of successful cases in the experimental group was 12 cases of perimembranous type, 10 cases of septal type, 7 cases of simple membranous type, 13 cases of muscular type, 4 cases of subdry type, and 2 cases of ridge type. The average length of operation after surgery was 70.65 minutes, the average length of ventilator ventilation was 125.8 minutes, and the average length of intensive care unit was 377.9 minutes. The average length of hospital stay after surgery was 5.6 days, and the average total length of hospital stay was 8.2 days, which were better than the control group in many aspects, with statistical significance ( P < 0.05 ). In short, the artificial fish swarm algorithm for esophageal ultrasound-guided ventricular septal defect closure had short operation time and good postoperative effect, which was of high application value in the clinical treatment of patients with ventricular septal defect.

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Preliminary Study of Transforaminal Endoscope in the Treatment of Spinal Metastasis

Proceedings of Anticancer Research ◽

10.26689/par.v4i2.1200 ◽

2020 ◽

Vol 4 (2) ◽

Author(s):

Daiqi Guo ◽

Tenghui Zeng

Keyword(s):

Hospital Stay ◽

Spinal Metastases ◽

Length Of Hospital Stay ◽

Control Group ◽

Activity Time ◽

Incision Length ◽

Drainage Volume ◽

Surgical Methods ◽

Postoperative Drainage ◽

Experimental Group

Objective: To investigate the therapeutic effect of transforaminal endoscope in patients with spinal metastases. Methods: Clinical data of 28 patients with spinal metastases admitted to our hospital from May 2015 to May 2019 were retrospectively collected. According to different surgical methods, they were divided into control group (20 cases) and experimental group (8 cases), among which control group was treated with traditional open palliative decompression, while the experimental group was treated with transforaminal endoscopic decompression. The surgery and recovery indicators were compared between the two groups, including surgery time, incision length, postoperative drainage volume, out of bed activity time, length of hospital stay, the Japanese Orthopaedic Association (JOA) scores of 7 days after surgery, pain degree, complications (wound infection, transient reduction of muscle strength, hypoproteinemia with wound drainage and delayed healing), and activity of daily living. Results: The surgery time, incision length, postoperative drainage volume, out of bed activity time, and postoperative length of hospital stay of the experimental group were all less than those of the control group, and the JOA score of 7 days after surgery was higher than that of the control group, showing statistically significant differences (P < 0.05). VAS scores of the experimental group on the day 1 and day 7 after surgery were lower than those of the control group, with statistically significant differences (P < 0.05). The incidence of complications in the experimental group was slightly lower than that in the control group, but the difference was not significant (P > 0.05). Conclusions: Transforaminal endoscope used in suitable patients with spinal metastases can greatly reduce the incision length, soft tissue and bone tissue damages, and postoperative drainage, promote early mobilization and early discharge, and reduce a series of complications due to hemorrhage and hypoproteinemia, which has a better early clinical effect in comparison with the traditional open palliative decompression.

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The clinical application of kangaroo mother care in neonates after surgery for duodenal obstruction

10.21203/rs.3.rs-244801/v1 ◽

2021 ◽

Author(s):

Li-Bo Zhu ◽

Yan-Hua Xu ◽

Jin-Fen Li ◽

Xue Hu ◽

Chun-Yan Lu ◽

...

Keyword(s):

Hospital Stay ◽

Clinical Application ◽

Duodenal Obstruction ◽

Pediatric Patients ◽

Average Length ◽

Length Of Hospital Stay ◽

Kangaroo Mother Care ◽

Conventional Care ◽

Control Group ◽

Observation Group

Abstract Background: The present study aimed to explore the effectiveness of clinical application of kangaroo mother care (KMC) in neonates after surgery for duodenal obstruction in achieving total enteral nutrition (TEN) and shortening the length of hospital stay.Methods: A prospective study of 60 cases of surgery for duodenal obstruction in pediatric patients in the neonatal intensive care unit of Kunming Children's Hospital between January 2018 and December 2019 was conducted. The study subjects included 15 cases with intestinal malrotation, 18 cases with circular pancreas, 10 cases with a duodenal septum, and 17 cases with duodenal atresia or duodenal stenosis. According to the single and double numbers of the operation date, the subjects were randomly divided into the control group and observation group, with 30 cases in each group. The conventional care of enhanced recovery after surgery (ERAS) was carried out in the control group, and KMC based on ERAS conventional care was implemented in the observation group. The difference in the duration to achieve TEN and the length of hospital stay between the two groups of patients after care was compared and analyzed.Results: The average duration to achieve TEN for neonates with duodenal obstruction in the control group was 14.23 ± 3.17 days, while that in the observation group was 12.27 ± 1.15 days. The average length of hospital stay in the control group was 17.22 ± 4.71 days, while that in the observation group was 13.34 ± 2.70 days. There was a significant difference in the duration to achieve TEN and the average length of hospital stay between the two groups (P < 0.05). The duration to achieve TEN and the length of hospital stay in pediatric patients were significantly shorter in the observation group than in the control group.Conclusions: KMC has important clinical significance and application value in shortening the duration to achieve TEN and the length of hospital stay in neonates after surgery for duodenal obstruction.

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Clinical rationale for the treatment tactics of term patients diagnosed with transient neonatal tachypnoea without parenteral nutrition

Уральский медицинский журнал ◽

10.52420/2071-5943-2021-20-5-29-34 ◽

2021 ◽

Vol 20 (5) ◽

pp. 29-34

Author(s):

N. V. Kalyakova ◽

E. V. Shestak ◽

D. S. Dodrov

Keyword(s):

Parenteral Nutrition ◽

Hospital Stay ◽

Average Length ◽

Total Duration ◽

Length Of Hospital Stay ◽

Venous Access ◽

Rapid Expansion ◽

Control Group ◽

Vacuum Extraction ◽

Significant Difference

Introduction. To analyze the efficacy and safety of treatment tactics for term patients diagnosed with TTN in an ICU without venous access and parenteral nutrition.Materials and methods. The study gives a retrospective analysis of the medical records of 241 ICU patients from January 2020 to March 2021. 83 children meet general criteria for inclusion in the study.Results and Discussion. While comparing the study group and the control group, no significant difference was detected in the incidence of risk factors during pregnancy and childbirth, such as gestational diabetes, ARVI during pregnancy, chorioamnionitis, preeclampsia, and the frequency of a prolonged anhydrous period, the frequency of induced labor, delivery by caesarean section, fetal distress and the use of vacuum extraction. Despite the same initial level of severity of respiratory disorders, when the child was admitted to the ICU, the duration of CPAP therapy was significantly higher in the control group: 7.5 (5.5-12) versus 5 (4-6) hours p = 5×10-5. The average length of hospital stay in the ICU and the total length of hospital stay was significantly higher in the control group (p = 4×10-11 and p = 0.006, respectively), as well as the need for treatment in the Neonatal Pathology unit conditions (p = 0.001).Conclusion. Analyzing the tactics of treating term patients diagnosed with TTN, the study proved that children without venous access require less time for respiratory therapy with CPAP in the NICU, the total duration of hospitalization in the NICU is significantly lower, as well as the need for additional treatment in the Neonatal Pathology unit. The study revealed that the early onset of enteral nutrition and the rapid expansion of the feeding portion, provided with child’s stable health condition, enable to avoid the installation of venous access and the prescription of parenteral nutrition at the ICU stage.

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Analysis on the Application Effect of Abdominal Acupoint Massage on Feeding Intolerance in Premature Infants

Journal of Healthcare Engineering ◽

10.1155/2021/2883597 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Li Zhu ◽

Yueqiu Gong

Keyword(s):

Nutritional Status ◽

Hospital Stay ◽

Body Mass ◽

Premature Infants ◽

Response Rate ◽

Length Of Hospital Stay ◽

Control Group ◽

Feeding Intolerance ◽

Development State ◽

Experimental Group

Objective. Breast milk is the best food for newly born infants because it is more digestible and can relieve infants’ gastrointestinal burdens. The purpose of this study was to investigate the application effect of abdominal acupoint massage on feeding intolerance in premature infants. Methods. A total of 50 premature infants with feeding intolerance admitted to our hospital from January 2018 to October 2019 were selected and randomly divided into the control group (n = 25) and the experimental group (n = 25). Among them, the premature infants in the control group received routine therapy, while based on the treatment in the control group, the premature infants in the experimental group were treated with abdominal acupoint massage. After that, the incidence of feeding intolerance, MNA nutritional status score, body mass, development state, length of hospital stay, and response rate were all compared between the two groups to analyze the application effect of abdominal acupoint massage on feeding intolerance in premature infants. Results. The incidence of feeding intolerance of the premature infants in the experimental group was significantly lower than that in the control group, with statistically significant differences ( P < 0.05 ); the MNA nutritional status scores of the premature infants in the experimental group were significantly higher than those in the control group, with statistically significant differences ( P < 0.05 ); the body mass and development state of the premature infants in the experimental group were significantly better than those in the control group, with statistically significant differences ( P < 0.05 ); the length of hospital stay of the premature infants in the experimental group was significantly shorter than that in the control group, with statistically significant differences ( P < 0.05 ); the response rate in the experimental group was significantly higher than that in the control group, with statistically significant differences ( P < 0.05 ). Conclusions. Abdominal acupoint massage therapy can significantly reduce the incidence of feeding intolerance, shorten the length of hospital stay, and improve nutritional status, development state, and response rate in premature infants, with obvious therapeutic effect, which is worthy of application and promotion in clinical practice.

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Pilonidal Sinus: How to Choose Between Excision and Open Granulation Versus Excision and Primary Closure?

Swiss Surgery ◽

10.1024/1023-9332.8.6.255 ◽

2002 ◽

Vol 8 (6) ◽

pp. 255-258 ◽

Cited By ~ 28

Author(s):

Perruchoud ◽

Vuilleumier ◽

Givel

Keyword(s):

Hospital Stay ◽

Pilonidal Sinus ◽

Primary Closure ◽

Average Length ◽

Length Of Hospital Stay ◽

Healing Time ◽

Incision And Drainage ◽

The Mean ◽

Primary Healing

Aims: The purpose of this study was to evaluate excision and open granulation versus excision and primary closure as treatments for pilonidal sinus. Subjects and methods: We evaluated a group of 141 patients operated on for a pilonidal sinus between 1991 and 1995. Ninety patients were treated by excision and open granulation, 34 patients by excision and primary closure and 17 patients by incision and drainage, as a unique treatment of an infected pilonidal sinus. Results: The first group, receiving treatment of excision and open granulation, experienced the following outcomes: average length of hospital stay, four days; average healing time; 72 days; average number of post-operative ambulatory visits, 40; average off-work delay, 38 days; and average follow-up time, 43 months. There were five recurrences (6%) in this group during the follow-up period. For the second group treated by excision and primary closure, the corresponding outcome measurements were as follows: average length of hospital stay, four days; average healing time, 23 days; primary healing failure rate, 9%; average number of post-operative ambulatory visits, 6; average off-work delay, 21 days. The average follow-up time was 34 months, and two recurrences (6%) were observed during the follow-up period. In the third group, seventeen patients benefited from an incision and drainage as unique treatment. The mean follow-up was 37 months. Five recurrences (29%) were noticed, requiring a new operation in all the cases. Discussion and conclusion: This series of 141 patients is too limited to permit final conclusions to be drawn concerning significant advantages of one form of treatment compared to the other. Nevertheless, primary closure offers the advantages of quicker healing time, fewer post-operative visits and shorter time off work. When a primary closure can be carried out, it should be routinely considered for socio-economical and comfort reasons.

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Effect of Chewing Gum on Bowel Motility in Women Undergoing Post-Operative Cesarean Section

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol03-i06/04 ◽

2018 ◽

Vol 3 (06) ◽

Author(s):

Dr.Randa Mohammed AboBaker

Keyword(s):

Cesarean Section ◽

Hospital Stay ◽

Demographic Data ◽

Length Of Hospital Stay ◽

Chewing Gum ◽

Control Group ◽

Controlled Clinical Trial ◽

Bowel Motility ◽

Gum Chewing ◽

Significant Difference

Postoperative Ileus (POI) is one of the most common problems after obstetrics, gynecologic and abdominal surgeries. Sham feeding, such as gum chewing, accelerates the return of bowel function and the length of hospital stay. The present study aims to evaluate the effect of chewing gum on bowel motility in women undergoing post-operative cesarean section. Intervention study was used at the Postpartum Department of Maternity and Children Hospital, KSA. A randomized controlled clinical trial research design. Through a convenience technique, 80 post Caesarian Section (CS) women were included in the study. Data were collected through three tools: Tool (I): Socio-demographic data and reproductive history interview schedule. Tool (II): Postoperative Assessment Sheet. Tool (III): Outcomes of gum chewing and the length of hospital stay. Method: subjects were assigned randomly into two groups of (40) the experimental and (40) the control. Subjects in the study group were asked to chew two pieces of sugarless gum for 30 min/three times daily in the morning, noon, and evening immediately after recovery from anesthesia and in Postpartum Department; while subjects in the control group followed the hospital routine care. Each woman in both groups was tested abdominally using a stethoscope to auscultate the bowel sounds and asked to report immediately the time of either passing flatus or stool. Results: illustrated that a highly statistically significant difference was observed between the two groups concerning their gum chewing outcomes. Where, P = 0.000. The study concluded that gum chewing is safe, well tolerated and appears to be effective in reducing the incidence and consequences of POI following CS.

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