scholarly journals Epidemiological statistics of congenital thumb duplication in the Chinese population

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yingling Yao ◽  
Haolin Zhou ◽  
Lianyong Li ◽  
Guoxin Nan
Keyword(s):  
Northeast China ◽  
Chinese Population ◽  
Southwest China ◽  
Limited Sample ◽  
Limited Sample Size ◽  
Male Ratio ◽  
Thumb Duplication ◽  
Group A ◽  
Left And Right ◽  
Group B

Abstract Background Thumb duplication is a very common congenital malformation. This study describes and compares the phenotypic manifestations of polydactyly between southwest and northeast China. However, previous studies had a limited sample size. Therefore, this study used a large sample. Methods A total of 3549 well-characterized thumb duplication cases were divided into group A (southwest China) and group B (northeast China). Results In group A and group B, the left-to-right ratio was 1:1.5 and 1:1.75, respectively, and the female-to-male ratio was 1:1.5 and 1:1.58, respectively. Conclusions There were no significant differences in gender distribution or the distribution of left and right polydactyly between the two groups, but the distribution of bilateral polydactyly was significantly different.

scholarly journals A Comparative Study to Determine the Outcome of Supracondylar Fracture of Humerus in Children Treated with Percutaneous Cross Pinning Versus Two Lateral Pinning

2021 ◽  
Vol 15 (10) ◽  
pp. 3410-3412
Author(s):  
Syed Usman Shah ◽  
Naseer Ullah Khattak ◽  
Abdul Rasheed Napar ◽  
Muhammad Tariq Khan ◽  
Amina Gul Shehzar Khan ◽  
...  
Keyword(s):  
Tract Infection ◽  
Lateral Displacement ◽  
Base Line ◽  
X Rays ◽  
Condylar Fracture ◽  
Cross Sectional ◽  
Male Ratio ◽  
Group A ◽  
Pin Tract Infection ◽  
Group B

Objective: Analysis and assessment of anatomical refurbishment with the use of percutaneous cross pinning versus two lateral pinning and to determine the functional consequences of these procedures, to evaluate the hurdles faced in these treatment methodologies, and the comparison between the patient acceptances in both methods. Methods: This research was a comparative cross-sectional analysis which was conducted at Orthopedics department of Ayub Teaching Hospital Abbottabad for duration of six months i.e from March 2021 to August 2021. The sample size for the research was 50 patients who were admitted both at the (outpatient department) OPD and in the emergency ward. All the patients were clinically examined carefully and thoroughly, and all of their details were recorded. Base line investigations and X-rays were performed of every patient. Results: Percutaneous cross pinning or two lateral pinning methods were used to treat 50 patients suffering from supra-condylar fracture of humerus. Two groups were formed, each had 25 patients. Group A consisted of patients were treated from PCP, while group B patients were treated from TLP. Among the patients of Group, A, 20(80%) were male, 5(20%) were female, with a female: male ratio of 1:5, while in group B patients, 22(88%) were male, 3(8%) were female, with a female: male ratio of 1:8. The average age of both the groups was 7.30+3.30 years. The most prominent reason of fracture in the designed study was fall during playing (54%), 24% patients reported falling from bicycle, while only 22% patients had fallen from trees, the height of which was around 5-7 feet. Postero-medial displacement was observed in 66% patients, while Postero-lateral displacement was observed in 34% patients. Among the list of complications, in TLP, 8% patients suffered from superficial pin tract infection, 12% patients suffered from non-union, and 4% patients had K-wire migration and 4% had Cubitus varus. On the other hand, in PCP group patients, one patient developed superficial pin tract infection, 8% patients had nonunion, and 4% patients had K-wire migration. When the results were analyzed using the Flynn criteria, they were excellent (48% group A patients versus 36% patients of group B), 32% patients in group A had good results and 28% in group B, 20% patients of group B versus 12% patients of group A were regarded as fair, and 8% patients of group A versus 16% patients of group B were considered as poor. The patients who carried angle loss were 12% of group A versus 24% of group B, and who complained about loss of motion were 15% patients of group A versus 25% patients of group B were classified according to Flynn criteria Conclusion: Percutaneous cross pinning is concluded as the better, and more predictable treatment method in terms of management, as compared to two lateral pinning method to treat the Supra-condylar fractures. Key Words: Percutaneous cross pinning, two lateral pinning, supra-condylar fracture, humerus

scholarly journals Efficacy and safety of short-term chemotherapy for patients with spinal tuberculosis undergoing surgery in Chinese population: a meta-analysis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lu Lin ◽  
Zhenyong Ke ◽  
Si Cheng
Keyword(s):  
Side Effects ◽  
Chinese Population ◽  
Therapy Group ◽  
Meta Analysis ◽  
Spinal Tuberculosis ◽  
Efficacy And Safety ◽  
Short Course ◽  
Short Course Chemotherapy ◽  
Group A ◽  
Group B

Abstract Objective The aim of this meta-analysis was to systematically evaluate the clinical efficacy and safety of short-course chemotherapy (≤ 6 months) compared with the standard therapy (9–18 months) for patients with spinal tuberculosis (TB) undergoing surgery in Chinese population. Methods In this meta-analysis, we searched electronic databases in the Cochrane Library, PubMed, Embase, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), and Wanfang data to determine the equivalence of short-course therapy (group A) and standard therapy (group B) for the drug therapy of TB in Chinese population up to December 24, 2019. Weighted mean difference (WMD), odds risk (OR), and their 95% confidence interval (CI) were calculated. All analyses of relevant outcome indicators were managed by using the Review Manager (RevMan) 5.2 software. Results This meta-analysis included six trials published involving 851 patients (group A, 397; group B, 454) with spinal TB. Results showed there were no significant differences between group A and group B in clinical cure rate (OR = 0.61; 95% CI 0.19–2.00, p > 0.05), change of erythrocyte sedimentation rate (ESR) (WMD = − 0.75; 95% CI − 3.33 to 1.83; p > 0.05) and bone graft fusion rate (OR = 2.32; 95% CI 0.36–14.81, p > 0.05). Meanwhile, there were fewer side effects (OR = 0.37; 95% CI 0.24–0.58, p < 0.05) in group A compared with group B. Conclusions The results of this meta-analysis showed that for patients with spinal TB undergoing surgery in Chinese population, short-course chemotherapy could be equivalent to the standard chemotherapy in terms of efficacy and have less side effects than the latter.

scholarly journals Acupuncture Point Laterality: Investigation of Acute Effects of Quchi (LI11) in Patients with Hypertension Using Heart Rate Variability

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Gerhard Litscher ◽  
Wei-Ping Cheng ◽  
Guang-Yu Cheng ◽  
Lu Wang ◽  
Jian Zhao ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Antihypertensive Drugs ◽  
Acupuncture Point ◽  
Acute Effects ◽  
Group A ◽  
Left And Right ◽  
Group B ◽  
The Right ◽  
Nonpharmacological Treatments

Hypertension is one of the major risk factors for cardiovascular disease worldwide. Over 70% of the patients use antihypertensive drugs, so nonpharmacological treatments in addition to the medication are important. Our goal was to investigate acupuncture treatment on the Quchi acupoint using heart rate (HR) and heart rate variability (HRV) and to find out whether there is a laterality in acute effects. Sixty hypertensive patients (36 female, 24 male; mean age ± SD 55.8 ± 9.7 years) were randomly assigned to two manual needle acupuncture groups (group A: left Quchi (LI11) acupoint, group B: right Quchi acupoint). There was a significant (P<0.05) decrease in HR immediately after inserting and stimulating the needle at the left and the right Quchi acupuncture point. In contrast, total HRV increased immediately after inserting the needle, but this increase was significant only towards the end of the stimulation phase and after removing the needle. There were some differences between stimulation of the left and right Quchi acupoint, but they remained insignificant. This study provides evidence that there is a beneficial effect on heart rate variability in patients with hypertension and that there are some effects of laterality of the acupoint Quchi.

scholarly journals Effects of drying-off procedure of ewes’ udder, with intramammary antibiotic administration, in subsequent mammary infection and development of mastitis

2017 ◽  
Vol 63 (4) ◽  
pp. 273 ◽  
Author(s):  
I. G. PETRIDIS (Ι.Γ. ΠΕΤΡΙΔΗΣ) ◽  
V. S. MAVROGIANNI (Β.Σ. ΜΑΥΡΟΓΙΑΝΝΗ) ◽  
D. A. GOUGOULIS (Δ.Α. ΓΟΥΓΟΥΛΗΣ) ◽  
G. S. AMIRIDIS (Γ.Σ. ΑΜΟΙΡΙΔΗΣ) ◽  
C. BROZOS (Χ. ΜΠΡΟΖΟΣ) ◽  
...  
Keyword(s):  
Mammary Gland ◽  
Median Time ◽  
Post Partum ◽  
Subclinical Mastitis ◽  
Antibiotic Administration ◽  
Lactation Period ◽  
Significant Difference ◽  
Group A ◽  
Left And Right ◽  
Group B

Objective of the study was to evaluate effects of the procedure followed for drying-off of ewes’ udder in subsequent mammary infection and development of mastitis, in an experiment, where intramammary antibiotic administration (procaine penicillin and neomycin) was performed into the right mammary gland of animals at end of lactation period. In ewes of group A, drying-off took place progressively during a period of 22 days; in ewes of group B, drying-off took place abruptly. Samples of teat duct material and milk for bacteriological and cytological examination were collected before start of the drying-off procedure and on two occasions after the subsequent lambing. Median time to first teat duct infection postpartum was 2 and 4.5 days (left and right, respectively) for group A and 6.5 and 3.5 days for group B (P > 0.38); median time to first mammary infection post-partum was 4.5 and 7 days (left and right, respectively) for group A and 6.5 and 3.5 days for groupB (P > 0.22). Principal bacterial isolates were coagulase-negative staphylococci. No significant differences were observed between the two groups in post-partum frequency of: teat duct infection (P > 0.17), mammary infection (P > 0.36), subclinical mastitis (P > 0.36), abnormal findings in a mammary gland (P > 0.17). No significant differences were seen between the two groups in post-partum incidence risk of the following outcomes: teat duct infection (P > 0.75), mammary infection (P > 0.42), subclinical mastitis (P > 0.39), abnormal findings in a mammary gland (P > 0.85). No significant differences were evident between the two groups in cure rate of abnormal findings in a mammary gland (P >0.89); a significant difference was evident between left and right mammary glands (P < 0.045). The results support a hypothesis that the procedure for udder drying-off (i.e., progressive or abrupt cessation of lactation) does not appear to affect the risk  of subsequent mammary infection and development of mastitis, in cases of intramammary administration of antibiotics at the end of a lactation period. Intramammary administration of antibiotics improved cure rates of mammary abnormalities, independently of the procedure followed for udder drying-off.

Total Knee Arthroplasty Using a Medial Pivot or Posterior Cruciate-Stabilizing Prosthesis in Chinese Patients

2019 ◽  
Vol 33 (09) ◽  
pp. 892-898 ◽  
Author(s):  
Ding Yuan ◽  
Quan-San Zhang ◽  
Kun Zhang ◽  
Yan-Wei Cao ◽  
Guan-Hong Chen ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Chinese Population ◽  
Womac Score ◽  
Chinese Patients ◽  
Knee Score ◽  
Medial Pivot ◽  
Group A ◽  
Total Knee ◽  
Group B

AbstractThere is an unmet need for a prosthesis designed according to the anatomical parameters of the Chinese population. This study aims to compare the use of a medial pivot (MP) implant or posterior cruciate ligament (PCL) substitution (posterior-stabilized [PS]) prosthesis for unilateral total knee arthroplasty (TKA) in a Chinese population. The medical records of patients undergoing unilateral TKA with an MP implant (Group A) or a PS prosthesis (Group B) at our institution between January 2010 and December 2011 were retrospectively reviewed. Patients were followed up for 5 years. Preoperatively and at the December 2016 postoperative follow-up, the Hospital for Special Surgery scoring system (HSS knee score) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score were measured to evaluate TKA outcomes. This study included 49 patients in Group A and 51 in Group B. As of December 2016, there were no significant differences in the preoperative/postoperative changes in any category of the HSS knee score or WOMAC score between the groups. There were no postoperative complications in either group during the 5-year follow-up. There were no periprosthetic infections or need for revision surgery. One patient in Group A experienced aching and a small amount of effusion in the articular cavity that was attributed to overexertion. In conclusion, there were no significant differences in midterm outcomes in Chinese patients receiving an MP implant or a PS prosthesis for unilateral TKA. These data suggest that the MP and PCL substitution design are safe and effective for unilateral TKA in China.

Postoperative radiotherapy (RT) with or without chemotherapy (CT) in anaplastic astrocitoma (AA) patients.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e13046-e13046
Author(s):  
Sonia Brugnara ◽  
Lucianna Russo ◽  
MariaChiara DiPasquale ◽  
Michele Nagliati ◽  
Gianpaolo Basso ◽  
...  
Keyword(s):  
Radical Surgery ◽  
Postoperative Radiotherapy ◽  
Consecutive Series ◽  
Median Dose ◽  
Limited Sample ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time

e13046 Background: Although the evidence for the benefit of adding temozolamide (TMZ) to RT is limited to glioblastoma patients (pts), there is currently an increased tendency toward a combined RT + TMZ approach also in AA patients. Methods: We report in this study the survival outcome of 2 groups of pts, treated at in 2 different periods at our institution with RT after surgery ± CT. GROUP A (years 1984-2001): pts treated with surgery followed by RT; GROUP B (YEARS 2004-2009): pts treated with surgery followed by radical RT and CT according to the STUPP’s protocol; Results: Data were retrospectively collected on a consecutive series: GROUP A: 17 pts: 10 Males (M), 7 Females (F); median age 50 years (range: 31-65). Ten out of 17 pts received radical surgery and 7 subtotal surgery. All were treated with postoperative RT, median dose 5082 cGy (range: 2160-6300). The mean time between surgery and beginning of RT was 44.7 days (range 20-87). GROUP B: 17 pts: 10 M, 7 F; median age 44 years (25-72). Eleven out 17 pts received radical surgery and 6 subtotal surgery. All were treated with postoperative RT, median dose 5800 cGy (range: 4000-600). The mean time between surgery and beginning of RT was 56.3 days (range 26-111). All patients received TMZ 75 mg/mq for a median of 6 weeks (range 3-7), followed by adjuvant treatment with TMZ (200 mg/mq) for a median of 5 cycles (range 0-13). At a median follow-up of 45 mos , the median OS was 29.1 mos for the group A and 49,1 mos for the group B. Among pts treated with RT + CT after surgery, median OS was significantly longer (p= 0.03), compared to those treated with only RT after surgery. Conclusions: The limited sample sizes of 2 groups and differences such as the median RT dose and the median time between surgery and RT, does not allow any conclusion. However, our data suggest that the combined RT-CT treatment is feasible in AA pts after surgery and may possibly contribute to a prolonged control of disease. These suggestions should be explored in a prospective randomized trial.

scholarly journals Is it More Reasonable to Categorize Frontal Cells on the Basis of their Location Rather than on their Type?

2010 ◽  
Vol 89 (9) ◽  
pp. E19-E21
Author(s):  
Altan Yildirim
Keyword(s):  
Frontal Sinus ◽  
Chronic Sinusitis ◽  
Cell Types ◽  
Ct Scans ◽  
Frontal Sinusitis ◽  
Concha Bullosa ◽  
Frontal Recess ◽  
Group A ◽  
Left And Right ◽  
Group B

Frontal cells appear in two locations—in the frontal recess and in the frontal sinus. The aim of this study was to analyze the anatomic and clinical differences between the frontal cells at each location. The author reviewed 487 left and right sides of coronal computed tomography (CT) scans of the sinuses obtained from 300 consecutively presenting patients (600 sides) who were being evaluated for chronic sinusitis. For the purposes of this study, the frontal cells were classified according to location; group A cells were located in the area of the frontal recess (Bent and Kuhn cell types I and II), and group B cells were those that had invaded the frontal sinus itself (Bent and Kuhn cell types III and IV). The presence or absence of frontal sinusitis and concha bullosa was determined, as was the degree of frontal sinus pneumatization. Analysis revealed statistically significant differences between group A and group B in all three parameters; the prevalence of frontal sinusitis and hyperpneumatization of the frontal sinus was higher in group B, and the prevalence of concha bullosa was higher in group A (all p < 0.05). These findings imply that it might be more reasonable both clinically and anatomically to categorize frontal cells based on their location rather than on their Bent and Kuhn type.

scholarly journals Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Yi-Ting Lei ◽  
Jin-Wei Xie ◽  
Qiang Huang ◽  
Wei Huang ◽  
Fu-Xing Pei
Keyword(s):  
Total Knee Arthroplasty ◽  
Cohort Study ◽  
Knee Arthroplasty ◽  
Chinese Population ◽  
Pulmonary Infection ◽  
Early Ambulation ◽  
Hospitalization Costs ◽  
Group A ◽  
Total Knee ◽  
Group B

Abstract Background Postoperative care has been evolving since the concept of enhanced recovery after surgery (ERAS) was introduced in China. This study aimed to evaluate the effects of early ambulation within 24 h after unilateral total knee arthroplasty (TKA) on postoperative rehabilitation and costs in a Chinese population. Methods This cohort study of patients with knee osteoarthritis who had undergone TKA at 24 large teaching hospitals between January 2014 and November 2016 involved 2687 patients who began ambulating within 24 h (Group A) and 3761 who began ambulating later than 24 h (Group B). The outcome measurements, such as length of stay (LOS), total hospitalization costs, dynamic pain level, knee flexion range of motion (ROM), results of the 12-Item Short Form Survey (SF-12), incidence of thromboembolic events and other complications, were recorded and compared. Results The early ambulation group (Group A) had a shorter LOS and lower hospitalization costs and pain levels than the late ambulation group (Group B). There was a favorable effect in enhancing ROM for patients in Group A compared with patients in Group B. In Group A, patients had significantly higher postoperative SF-12 scores than those in Group B. The incidence of deep venous thrombosis (DVT) and pulmonary infection was significantly lower in Group A than in Group B. The incidence of pulmonary embolism (PE) and other complications did not differ between the two groups. Conclusion Early ambulation within 24 h after TKA was associated with reduced LOS, improved knee function, lower hospitalization costs and lower incidence of DVT and pulmonary infection in the Chinese population.

An ultrastructural study of sertoli cells in two geographically isolated populations of Aphanius dispar

1992 ◽  
Vol 50 (1) ◽  
pp. 548-549
Author(s):  
Taber A. Ba-Omar ◽  
Philip F. Prentis
Keyword(s):  
Ultrastructural Level ◽  
Uranyl Acetate ◽  
Freshwater Teleost ◽  
Isolated Populations ◽  
En Bloc ◽  
The North ◽  
Group A ◽  
Ultrathin Sections ◽  
Group B ◽  
Geographically Isolated

We have recently carried out a study of spermiogenic differentiation in two geographically isolated populations of Aphanius dispar (freshwater teleost), with a view to ascertaining variation at the ultrastructural level. The sampling areas were the Jebel Al Akhdar in the north (Group A) and the Dhofar region (Group B) in the south. Specimens from each group were collected, the testes removed, fixed in Karnovsky solution, post fixed in OsO, en bloc stained with uranyl acetate and then routinely processed to Agar 100 resin, semi and ultrathin sections were prepared for study.

Comparison of one-year prognosis of patients classified as chronic critical lower limb ischaemia according to TASC II or European consensus definition in the COPART cohort

VASA ◽  
2015 ◽  
Vol 44 (3) ◽  
pp. 0220-0228 ◽  
Author(s):  
Marion Vircoulon ◽  
Carine Boulon ◽  
Ileana Desormais ◽  
Philippe Lacroix ◽  
Victor Aboyans ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
Medical Group ◽  
Consensus Definition ◽  
Transcutaneous Oxygen ◽  
European Consensus ◽  
Group A ◽  
One Year ◽  
Group B

Background: We compared one-year amputation and survival rates in patients fulfilling 1991 European consensus critical limb ischaemia (CLI) definition to those clas, sified as CLI by TASC II but not European consensus (EC) definition. Patients and methods: Patients were selected from the COPART cohort of hospitalized patients with peripheral occlusive arterial disease suffering from lower extremity rest pain or ulcer and who completed one-year follow-up. Ankle and toe systolic pressures and transcutaneous oxygen pressure were measured. The patients were classified into two groups: those who could benefit from revascularization and those who could not (medical group). Within these groups, patients were separated into those who had CLI according to the European consensus definition (EC + TASC II: group A if revascularization, group C if medical treatment) and those who had no CLI by the European definition but who had CLI according to the TASC II definition (TASC: group B if revascularization and D if medical treatment). Results: 471 patients were included in the study (236 in the surgical group, 235 in the medical group). There was no difference according to the CLI definition for survival or cardiovascular event-free survival. However, major amputations were more frequent in group A than in group B (25 vs 12 %, p = 0.046) and in group C than in group D (38 vs 20 %, p = 0.004). Conclusions: Major amputation is twice as frequent in patients with CLI according to the historical European consensus definition than in those classified to the TASC II definition but not the EC. Caution is required when comparing results of recent series to historical controls. The TASC II definition of CLI is too wide to compare patients from clinical trials so we suggest separating these patients into two different stages: permanent (TASC II but not EC definition) and critical ischaemia (TASC II and EC definition).

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