scholarly journals Pattern of symptom improvement following endoscopic sinus surgery for chronic rhinosinusitis

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Salma S. Al Sharhan ◽  
Mohammed H. Al Bar ◽  
Shahad Y. Assiri ◽  
Assayl R. AlOtiabi ◽  
Deemah M. Bin-Nooh ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Endoscopic Sinus Surgery ◽  
T Test ◽  
Sinus Surgery ◽  
Symptom Improvement ◽  
P Value ◽  
Psychological Dysfunction ◽  
Significant Difference ◽  
The Mean ◽  
Snot 22

Abstract Background Chronic rhinosinusitis (CRS) is a common inflammation of the nose and the paranasal sinuses. Intractable CRS cases are generally treated with endoscopic sinus surgery (ESS). Although the effect of ESS on CRS symptoms has been studied, the pattern of symptom improvement after ESS for CRS is yet to be investigated. The aim of this study was to determine the magnitude and sequence of symptom improvement after ESS for CRS, and to assess the possible preoperative factors that predict surgical outcomes in CRS patients. Methods This was a longitudinal prospective study of 68 patients who had CRS (with or without nasal polyps). The patients underwent ESS at King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The Sino-nasal Outcome Test-22 (SNOT-22) questionnaire was used for assessment at four time points during the study: pre-ESS, 1-week post-ESS, 4 weeks post-ESS, and 6 months post-ESS. Results The difference between the mean scores recorded for the five SNOT-22 domains pre-ESS and 6 months post-ESS were as follows: rhinologic symptoms (t-test = 7.22, p-value =  < 0.001); extra-nasal rhinologic symptoms (t-test = 4.87, p-value =  < 0.001); ear/facial symptoms (t-test = 6.34, p-value =  < 0.001); psychological dysfunction (t-test = 1.99, p-value = 0.049); and sleep dysfunction (t-test = 5.58, p-value =  < 0.001). There was a significant difference between the mean scores recorded for the five domains pre-ESS and 6 months post-ESS. Rhinologic symptoms had the largest effect size (d = 1.12), whereas psychological dysfunction had the least effect size (d = 0.24). The only statistically significant difference in the SNOT-22 mean scores recorded 4 weeks post-ESS was observed between allergic and non-allergic patients (t = − 2.16, df = 66, p = 0.035). Conclusion Understanding the pattern of symptom improvement following ESS for CRS will facilitate patient counselling and aid the optimization of the current treatment protocols to maximize surgical outcomes and quality of life. Level of evidence Prospective observational.

scholarly journals Efektifitas Puerperal Gymnastic dan Kegel Exercises terhadap Involusi Uterus pada Ibu Postpartum Hari 1 - 3

2021 ◽  
Vol 8 (2) ◽  
pp. 92-99
Author(s):  
Kholisotin Kholisotin ◽  
Kholifatun Naziro ◽  
Zainal Munir ◽  
Ahmad Kholid
Keyword(s):  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Test Results ◽  
Paired Sample ◽  
Uterine Involution ◽  
Kegel Exercises ◽  
Significant Difference ◽  
The Mean ◽  
Postpartum Mothers

During labor, women experience many reproductive changes, one of which is uterine involution. If the uterine involution is late to return to normal, it will cause subinvolution, puerperal gymnastic techniques and kegel exercises are the easiest techniques to use and are very effective. The purpose of this study was to determine the effectiveness of puerperal gymnastic and kegel exercises on uterine involution in postpartum mothers day 1-3 at BPM Hj. Nengah Mardani Tenggarang Bondowoso. This type of research uses a pre-experimental research methodology using a two-group interpretation-posttest design, with a sample of 30 respondents. The sampling technique in this study used total sampling. Data analysis used paired sample t test and independent t test. The independent t test results showed that there was no significant difference between puerperal gymnastic and kegel exercises in overcoming uterine involution in postpartum mothers with a p value of 0.039 (p value> α 0.05). Of the two techniques, Kegel exercises were more effective in reducing involution. uterus with a mean difference of 6.7333> than the mean puerperal gymnastic of 5.8000.

scholarly journals ROLE OF SEPTOPLASTY AND FUNCTIONAL ENDOSCOPIC SINUS SURGERY IN THE TREATMENT OF RHINOGENIC HEADACHE

2021 ◽  
Vol VOLUME 9 (ISSUE 1) ◽  
pp. 6-12
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Nasal Endoscopy ◽  
P Value ◽  
Age Group ◽  
Significant Difference ◽  
Key Factor ◽  
A Prospective Study

INTRODUCTION: Rhinogenic headaches are basically described as headache or facial pain caused by rhinological source. The presence of nasal symptoms & it’s temporal relationship with headache is the key factor that can guide the diagnosis and patient management. AIMS: This study aims to evaluate the efficacy of Septoplasty with Functional endoscopic sinus surgery (F.E.S.S) in the management of Rhinogenic headache. MATERIALS & METHODS: It was a Prospective study conducted in M.G.M Medical College & associated M.Y group of hospitals from March 2019 to March 2020. 64 patients of age group 18 years to 60 years having chronic rhinosinusitis with headache included in the study. After detailed history and thorough examination, nasal endoscopy and CT Paranasal sinus was done. Patients not responding to conservative management were selected for undergoing functional endoscopic sinus surgery. RESULTS: A total of 64 patients were included in the study,34 male & 30 female with the mean age group of 31.4 & 30.1 years respectively. Out of 64 patients,67% were completely free from headache,15% were significantly improved,7% had mild relief & 11% did not show any benefit in headache from surgery. Postoperatively, there was statistically significant difference was found patient’s symptomatology (i.e. p value =0.0165). CONCLUSION: To make the diagnosis both anatomical & infective factors needed to be considered. Correction of obvious anatomic abnormalities in carefully selected patients can significantly improve several important clinical outcomes from abolishing headache completely to decreasing its intensity and frequency of episodes. KEY-WORDS: Rhinogenic headaches, Septoplasty, Chronic rhinosinusitis, F.E.S.S, Nasal endoscopy

scholarly journals Quality of life after endoscopic sinus surgery or balloon sinuplasty: a randomized clinical study

2014 ◽  
Vol 52 (4) ◽  
pp. 300-305
Author(s):  
A.J. Bizaki ◽  
R. Taulu ◽  
J. Numminen ◽  
M. Rautiainen
Keyword(s):  
Quality Of Life ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Balloon Sinuplasty ◽  
Randomized Clinical Study ◽  
Material Cost ◽  
Computer Tomography Scan ◽  
Significant Difference ◽  
Snot 22

Objectives: To conduct the first prospective randomized controlled trial that evaluates and compares the clinical outcome and impact of ballonsinuplasty and endoscopic sinus surgery (ESS) on the quality of life of patients suffering from chronic or recurrent rhinosinusitis (CRS) of the maxillary sinus. Methods: Adult patients with symptomatic chronic or recurrent rhinosinusitis without severe findings in the sinuses, as documented in the sinus’ Computer Tomography scan and clinical exam, were randomized in 2 groups: ESS and Balloon Sinuplasty.The main variable in our study is the Sinonasal Outcome Test-22 (SNOT 22) and its parameters. These parameters were analysed preoperatively and at 3 months, postoperatively. Results: There was a subjective improvement in symptoms after surgery. We also noticed an objective improvement in the quality of life of our patients seen as a decrease in the total SNOT 22 score. Both balloon sinuplasty and ESS significantly improved almost all the parameters of SNOT22, with no significant difference being found between these two groups. Conclusion: Both balloon sinuplasty and endoscopic sinus surgery improved the quality of life of patients with mild chronic or recurrent rhinosinusitis. However, the remarkably higher material cost of balloon sinuplasty compared to ESS sets limits on its broad use. There is an obvious need for further study to find out if, as an office procedure, balloon sinuplasty could deliver cost-savings high enough to cover the higher material cost of balloon sinuplasty. Our study was, however, too small to enable firm conclusions to be drawn.

scholarly journals COMBINATION OF HYPNOSIS THERAPY AND RANGE OF MOTION EXERCISE ON UPPER-EXTREMITY MUSCLE STRENGTH IN PATIENTS WITH NON-HEMORRAGHIC STROKE

2018 ◽  
Vol 4 (1) ◽  
pp. 104-111
Author(s):  
Chandra Irawan ◽  
Mardiyono Mardiyono ◽  
Suharto Suharto ◽  
Aris Santjaka
Keyword(s):  
Muscle Strength ◽  
Upper Extremity ◽  
Mean Value ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
The Mean ◽  
And Control ◽  
Paired T Test

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.Methods: This study employed a quasy experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using Muscle Strength Scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.Results: The mean value of muscle strength in the experiment group was 3.50 and  the mean value in the control group  was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatmentConclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-haemorrhagic.

Postoperative Hemorrhage after Endoscopic Sinus Surgery

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P80-P80
Author(s):  
Troy D. Woodard ◽  
James A Stankiewicz
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Tertiary Care ◽  
Care Facility ◽  
Postoperative Hemorrhage ◽  
Sinus Surgery ◽  
Complication Rates ◽  
Tertiary Care Facility ◽  
Significant Difference ◽  
Extent Of Surgery ◽  
The Mean

Objective 1) Identify complication rates of patients that underwent endoscopic sinus surgery and developed postoperative hemorrhage. 2) Determine if there is a correlation of preoperative variables with the development of this complication. Methods Retrospectively review patients who had functional endoscopic sinus surgery and developed postoperative hemorrhage from 1987 to 2007 in an university tertiary care facility. Analyze baseline characteristics and preoperative clinical variables for significant correlations. Results 29 of 5000 endoscopic cases resulted in postoperative hemorrhage (.58% complication rate). The mean age of the patients was 50 years old and there were equal proportions of male and female patients. While the extent of surgery demonstrated no significant difference among the patients, hemorrhage was most likely to occur in patients with previous surgery. An overwhelming majority of patients required a surgical procedure to control the bleeding. Hemorrhage was primarily isolated on the patient's right side and involved the sphenopalatine or posterior septal arteries. Conclusions Endoscopic sinus surgery has vastly increased in popularity. However, there still is a paucity of information in the literature on complications associated with endoscopic sinus surgery, particularly postoperative hemorrhage. The results from this study provide identifying characteristics that predispose patients to develop this complication and what methods can be successfully utilized to treat this complication.

Follow-Up Adherence Is Associated with Outcomes After Endoscopic Sinus Surgery

2020 ◽  
Vol 129 (7) ◽  
pp. 707-714
Author(s):  
Sarek A. Shen ◽  
Aria Jafari ◽  
Jesse R. Qualliotine ◽  
Adam S. DeConde
Keyword(s):  
Postoperative Period ◽  
Endoscopic Sinus Surgery ◽  
Nasal Symptom ◽  
Sinus Surgery ◽  
Psychological Dysfunction ◽  
Clinical Adherence ◽  
Sinonasal Outcome Test ◽  
The Impact ◽  
Snot 22

Background: Clinical follow-up after endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) allows for assessment of the sinonasal cavity, debridement, and tailoring of medical therapies. Frequency and timing of postoperative clinical visits is debated, but the impact of adherence on disease-specific outcomes is not well understood. In this longitudinal study, we assessed the association between follow-up adherence and quality of life (QOL) outcomes in the 12 months after ESS. Methods: A retrospective review of patients undergoing ambulatory ESS for CRS between 11/2016 and 1/2018 was performed. We assessed sociodemographic characteristics, radiographic severity, and QOL utilizing the 22-item sinonasal outcome test (SNOT-22). Patients were categorized as “non-adherent,” “moderately-adherent,” and “fully-adherent” to a 1-, 3- and 5-week postoperative visit schedule. Results: A total of 166 patients met the inclusion criteria. Of these, 55 (33.1%) were fully-adherent, 105 (63.2%) were moderately-adherent, and 6 (3.6%) were non-adherent within the 6 weeks following ESS. In the immediate postoperative period, fully-adherent patients demonstrated worse QOL (SNOT-22: 31.2 ± 23.1 vs 27.5 ± 17.6, P = .047). This cohort also had greater psychological dysfunction at baseline and 12-months ( P < .05) after ESS. Extra-nasal symptom scores increased at a lower rate in the fully-adherent cohort (0.12 vs 1.29 points per 6 months, P = .038), as did ear/facial symptoms (1.17 vs 3.05 points per 6 months, P = .044). Conclusion: Despite worse symptom severity in the immediate postoperative period, patients who are more adherent to the follow-up schedule demonstrated slower return of symptoms in the extra-rhinological and ear-facial domains. These findings suggest that clinical adherence and management may impact the long-term evolution of ESS outcomes.

scholarly journals Comparison of microdebrider-assisted endoscopic sinus surgery and conventional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps

2019 ◽  
Vol 9 (34) ◽  
pp. 91-95
Author(s):  
Ramiya Ramachandran Kaipuzha ◽  
Nirmal Coumare Venkataramanujam ◽  
Padmanabhan Karthikeyan ◽  
Davis Thomas Pulimoottil
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Mucosal Injury ◽  
Sinus Surgery ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time ◽  
Sinonasal Polyposis

AbstractOBJECTIVE. To study and compare the benefits of microdebrider-assisted endoscopic sinus surgery and conventional endoscopic sinus surgery in terms of subjective and objective improvement in symptoms of nasal polyposis.MATERIAL AND METHODS. This study involved 60 patients with bilateral sinonasal polyposis scheduled to undergo Endoscopic Sinus Surgery. The patients were randomized into two groups: Group A -Conventional endoscopic sinus surgery and Group B -Microdebrider-assisted endoscopic sinus surgery.RESULTS. There was a significant difference in the mean VAS at 3 months postoperatively in Group B, but no significant difference at 6 months postoperatively following either of the two methods. The mean time for surgery (p<0.01) and the mean intraoperative blood loss (p<0.01) were significantly lower in Group B.CONCLUSION. A well-trained surgeon with proper anatomical knowledge, good instruments, hypotensive anaesthesia, minimal mucosal injury and regular proper follow-up will have similar postoperative results with both methods.

scholarly journals Safety of Chinese roast pork as determined by the water activity of the skin and cavity

2014 ◽  
Author(s):  
Winifred Lao ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Bobby Sidhu ◽  
Fred Shaw
Keyword(s):  
Public Health ◽  
Food Safety ◽  
Ambient Temperature ◽  
Water Activity ◽  
T Test ◽  
P Value ◽  
Health Authorities ◽  
Guidelines Development ◽  
Significant Difference ◽  
The Mean

  Objectives: The increase in unfamiliar ethnic foods and the lack of guidelines available to evaluate their safety makes it increasingly challenging for Public Health Inspectors (PHIs) to ensure food safety. Chinese barbecued meats, for example, frequently undergo improper temperature control, causing health concerns for public health authorities. However, due to the limited studies conducted, the health implications associated with temperature abuse of this ethnic food is currently unclear. Hence, the following study assessed the safety of Chinese barbecued meats, specifically roast pork, at ambient temperature (21°C). Methods: The temperature and water activity (aw) of 30 samples of roast pork skin and cavity were measured. A one sample t-test was conducted to assess whether or not the aw of roast pork surfaces are below 0.85, a standard for safe display of food at room temperature. In addition, the paired-sample t-test was conducted to determine whether a difference exists between the aw of roast pork skin and cavity. Results: The mean temperature that roast pork was displayed at in retailers was 30.7°C and the mean skin and cavity aw were 0.70±0.013 and 0.81±0.009, respectively. The aw of the roast pork skin and cavity were found to be statistically lower than the standard, 0.85 (p-value < 0.00001 and at 0.001338, respectively). In addition, statistically significant difference was found between the mean aw of the roast pork skin and cavity (p-value < 0.00001). Conclusion: These results indicate that the whole roast pork can be safely displayed at ambient temperature provided that it adheres to specific food safety and sanitation criteria. These results can aid health authorities with guidelines development to assist PHIs with inspections and educate operators to ensure food safety.  

scholarly journals Efektivitas Makanan Berbasis Lokal Tawas Ut (Ampelocissus Rubuginosa L) Terhadap Status Kesehatan Ibu Post-Partum Di Kota Palangka Raya

2020 ◽  
Vol 6 (1) ◽  
pp. 143-156
Author(s):  
Christine Aden ◽  
Marselinus Heriteluna
Keyword(s):  
Health Status ◽  
Post Partum ◽  
Food Product ◽  
Reproductive Organs ◽  
T Test ◽  
P Value ◽  
Significant Difference ◽  
The Mean ◽  
Postpartum Mothers ◽  
Paired T Test

Postpartum recovery of the reproductive organs, especially the uterus, should occur immediately. The uterus should return to its pre-pregnancy size. Treatment to restore maternal health during the postpartum period was carried out by the Dayak community by using the herbal concoction of Tawas Ut (Ampelocissus Rubuginosa L). This study aims to determine the health status of post-partum mothers by administering the Tawas Ut herb as a food product. paired t-test). It was found that there was a significant difference in the mean fundal height between the intervention and control groups (p-value 0.012) with a difference of 2.91, or there was a difference of 61.1%. The results of the Paired t-test showed that there was a significant difference in the mean uterine fundal height between before and after the intervention period (p-value 0.0005) with a difference in uterine fundal height of 10.45 cm or a change of 84%. This shows that the local-based food of Tawas Ut has effects on the health status of postpartum mothers, which can reduce leukocytes by 32% and reduce uterine fundal height by 84% to normal sizes as before pregnancy. The use of this product is recommended to be used as a companion to standard service programs for postpartum mothers to support government programs to reduce maternal morbidity and mortality due to postpartum problems.

scholarly journals COURSE REVIEW HORAY METHOD IN TEACHING SPEAKING

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Masruddin Masruddin
Keyword(s):  
Experimental Method ◽  
T Test ◽  
P Value ◽  
Purposive Sampling ◽  
Speaking Test ◽  
Significant Difference ◽  
Speaking Skill ◽  
The Mean

This research aims at finding out whether the use of course review horay method is effective or not to improve the students’ speaking skill at the eight grade students of SMP Negeri 14 Palopo. This research was conducted at SMP Negeri 14 Palopo. It applied a pre experimental method. The total number of population was 38 students from two classes in the eight grade students. This research used purposive sampling which the researcher took class VIIIA. In this research the researcher used one instrument consisted of speaking test. Speaking test was given in pretest and posttest. The result of research shows that the use of course review horay is effective in teaching speaking. It is supported by the mean score of posttest (8,55) which is higher than pretest namely (13,66). Then, the P value of t-test  was 0.00. It means that there is significant difference between the pretest and posttest

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