scholarly journals FORMATION OF GRANULATION TISSUE BY DRILLING HOLES IN THE CRANIUM AFTER CHEMICAL SCALP BURNS: A CASE STUDY

2019 ◽  
Vol 7 ◽  
Author(s):  
Ali Güneş ◽  
Ahmet Erkılıç ◽  
Murat Ali Çınar ◽  
Sait Bilal

Although chemical burns constitute 3% to 5% of all burns, they are responsible for 30% of burn-related deaths. Chemical burns cause protein denaturation in physiological proteins by different mechanisms such as reduction, oxidation, corrosion, purification, salinization, and protoplasmic poisoning. Time is very important in the treatment of chemical burns. Chemical substances should be removed very quickly from the body. Chemical scalp burns (with bones) are a rare injury in clinical practice. In the case of scalp burns, including bones, it becomes an important problem when flab surgeries fail or cannot be performed. This study was planned to examine the formation of granulation tissue by drilling holes in the cranium after chemical scalp burns, and to determine the process of grafting and clinical practice. A 55-year-old male patient was admitted to the emergency department after a chemical burn (nitric acid). He was admitted to the burn center with 20% of the total chemical burn being in the third degree, especially on the head and chest area. The patient was treated with debridement. Since the cranial periosteum was burned, the defect was wide and there was a chemical burn for the second time, graft and flap surgeries could not be performed. Multiple holes were drilled on the skull. Approximately a month later, granulation was observed in all holes in the cranium. The granulated areas in the skull were cleaned and debrided. The defect in the cranium was closed with a split thickness graft. Approximately 15 days later, he was discharged from the hospital. Therefore, after exposure to nitric acid, more than half of the scalp was burned to the bone. After the necrotic tissues were cleaned, the skull bones appeared. Since graft and flap surgeries could not be performed, granulation was stimulated on the cranium by opening holes in the skull.

2021 ◽  
Vol 14 (1) ◽  
pp. 75-79
Author(s):  
Vanessa Oakes ◽  
Francisco Carvalho

Diagnostic Exercise from The Latin Comparative Pathology Group. Clinical History: A young adult, spayed female dog was presented for necropsy by animal control, with concerns for abuse in the form of chemical burns. Necropsy and Microscopic Findings: There was marked alopecia and coalescing ulceration affecting approximately 60% of the integument, roughly evenly distributed over the body. Affected areas included the mucocutaneous junctions, the palmar and plantar surfaces of the limbs, the paw pads, and the nasal planum. Ulcers measured up to 1 cm in diameter, frequently coalesced, and varied in stage of development; some were prominent, dark red, and shiny with roughened borders and others contained pink granulation tissue. In areas of alopecia without ulceration, the skin was smooth and glistening. The nails were variably sloughed; some digits possessed a bare quick and some had nails up to 3 cm long, but which were separating from the underlying quick. The dog was in adequate body condition.


Author(s):  
Kajal Shah

 Skin being the largest organ of the body which is the reason behind the beauty and the causes for confidence. WHO has classified skin disease a psycho-cutaneous disease.  This emphasizes on the relation between skin and psyche. Hence skin aliments are given high priority by any victim .All the skin diseases in Ayurveda have been discussed under the broad heading of Kustha. Kustha is said to be Tridoshatamak(1) and it have various variety found in day to day clinical practice so said to be treated according to dominance of Doshas. Tridoshas and various Dushyas are involved in Kustha. Here dominance of pitta and Kapha is seen so Diagonsed as “Pittakaphaj Kustha” and management was given accordingly.


Author(s):  
Pramukti Dian Setianingrum ◽  
Farah Irmania Tsani

Backgroud: The World Health Organization (WHO) explained that the number of Hyperemesis Gravidarum cases reached 12.5% of the total number of pregnancies in the world and the results of the Demographic Survey conducted in 2007, stated that 26% of women with live births experienced complications. The results of the observations conducted at the Midwife Supriyati Clinic found that pregnant women with hyperemesis gravidarum, with a comparison of 10 pregnant women who examined their contents there were about 4 pregnant women who complained of excessive nausea and vomiting. Objective: to determine the hyperemesis Gravidarum of pregnant mother in clinic. Methods: This study used Qualitative research methods by using a case study approach (Case Study.) Result: The description of excessive nausea of vomiting in women with Hipermemsis Gravidarum is continuous nausea and vomiting more than 10 times in one day, no appetite or vomiting when fed, the body feels weak, blood pressure decreases until the body weight decreases and interferes with daily activities days The factors that influence the occurrence of Hyperemesis Gravidarum are Hormonal, Diet, Unwanted Pregnancy, and psychology, primigravida does not affect the occurrence of Hyperemesis Gravidarum. Conclusion: Mothers who experience Hyperemesis Gravidarum feel nausea vomiting continuously more than 10 times in one day, no appetite or vomiting when fed, the body feels weak, blood pressure decreases until the weight decreases and interferes with daily activities, it is because there are several factors, namely, hormonal actors, diet, unwanted pregnancy, and psychology.


2012 ◽  
Vol 74 (1) ◽  
pp. 15-17
Author(s):  
Masako INOUE ◽  
Kiko TOKUNO ◽  
Rika KATO ◽  
Masami IKEDA
Keyword(s):  

Author(s):  
Titilayo Dorothy Odetola ◽  
Olusola Oluwasola ◽  
Christoph Pimmer ◽  
Oluwafemi Dipeolu ◽  
Samson Oluwayemi Akande ◽  
...  

The “disconnect” between the body of knowledge acquired in classroom settings and the application of this knowledge in clinical practice is one of the main reasons for professional fear, anxiety and feelings of incompetence among freshly graduated nurses. While the phenomenon of the theory-to-practice gap has been researched quite extensively in high-income country settings much less is known about nursing students’ experiences in a developing country context. To rectify this shortcoming, the qualitative study investigated the experiences of nursing students in their attempt to apply what they learn in classrooms in clinical learning contexts in seven sites in Nigeria. Thematic content analysis was used to analyse data gained from eight focus group discussions (n = 80) with the students. The findings reveal a multifaceted theory-practice gap which plays out along four tensions: (1) procedural, i.e. the difference between practices from education institutions and the ones enacted in clinical wards – and contradictions that emerge even within one clinical setting; (2) political, i.e. conflicts that arise between students and clinical staff, especially personnel with a lower qualification profile than the degree that students pursue; (3) material, i.e. the disconnect between contemporary instruments and equipment available in schools and the lack thereof in clinical settings; and (4) temporal, i.e. restricted opportunities for supervised practice owing to time constraints in clinical settings in which education tends to be undervalued. Many of these aspects are linked to and aggravated by infrastructural limitations, which are typical for the setting of a developing country. Nursing students need to be prepared regarding how to deal with the identified procedural, political, material and temporal tensions before and while being immersed in clinical practice, and, in so doing, they need to be supported by educationally better qualified clinical staff.


2019 ◽  
Vol 31 (3) ◽  
pp. 251-256

Cirrhosis of liver is one of the common medical problem in daily clinical practice and one of the leading causes of morbidity and mortality. Zinc is an essential trace elements for human and plays in many biological roles in the body. Among them, zinc deficiency is thought to be involved in metabolism of ammonia and causes hyperammonia that worsen hepatic encephalopathy. This study aimed to find out the severity of cirrhosis of liver was by Child Turcotte Pugh score and to investigate the associations between serum zinc level and severity of cirrhosis. A hospital-based cross-sectional descriptive study was performed on 78 patients with different underlying causes of cirrhosis of liver at the Medical Units of Yangon General Hospital and Yangon Specialty Hospital. Among the study population, Child grade A was found to be 28.21%, Child grade B was 30.77% and Child grade C was 41.03%. Regarding result of serum zinc level, 62.8% were low level, 28.2% were within normal level and 8.9% were high level. Mean value of serum zinc level in grade A was 0.68 mg/l, grade B was 0.54 mg/l and grade C was 0.48 mg/l (p=0.00). It was found out that there was a high prevalence of zinc deficiency in severe cirrhotic patients. The zinc level was significantly lowest among patients with Child-Pugh C as compare to those with Child-Pugh B and C. Severity of zinc deficiency should be requested for supplementation therapy in cirrhotic patients as to prevent complications such as hepatic encephalopathy, hepatocellular carcinoma and liver failure. Screening for zinc deficiency may need in these patients with more advanced cirrhosis because it seems to be a marker of advanced liver disease and it can be deducted that awareness of serum zinc level among cirrhotic patients is very important in clinical practice.


2020 ◽  
Vol 26 ◽  
Author(s):  
Cristian Muresanu ◽  
Siva G. Somasundaram ◽  
Sergey V. Vissarionov ◽  
Liliya V. Gavryushova ◽  
Vladimir N. Nikolenko ◽  
...  

Background: From the evidence of failed injection-based growth factor therapies, it has been proposed that a naturally triggered uninterrupted blood circulation of the growth factors would be superior. Objective: We seek to stimulate discussions and more research about the possibility of using the already available growth factors found in the prostate gland and endometrium by starting a novel educable physiology, known as biological transformations controlled by the mind. Methods: We summarized the stretch-gated ion channel mechanism of the cell membrane, and offer several practical methods that can be applied by anyone, in order to stimulate and enhance the blood circulation of the growth factors from the seminal fluid to sites throughout the body. This details the practical application of our earlier published studies about biological transformations. Results: A previously reported single-patient case study has been extended, adding more from his personal experiences continually improving this novel physiological training and extending the ideas from our earlier findings in detail. Conclusion: The biological transformation findings demonstrate the need additional research to establish the benefits of these natural therapies to repair and rejuvenate tissues affected by various chronic diseases or aging processes.


Author(s):  
Dr. Suresh N. Hakkandi ◽  
Dr. Manjunath Akki ◽  
Dr. Bhavana KS

Vata Vyadhi is one of the most prevailing health problems in our day today clinical practice, Gridhrasi is one among them. Gridhrasi is Shoola Pradhana Nanatmaja Vatavyadhi, affecting the locomotor system and disable from daily routine activity. Gridhrasi the name itself indicates the way of gait shown by the patient due to extreme pain i.e. like Gridhra or Vulture. Gridhrasi is a condition characterized by Ruk, Toda, Stambha, Spandana in Sphik Pradesha and radiates downwards to Kati, Prusta, Uru, Janu, Jangha and Pada. Gridhrasi can be compared with Sciatica. Pain is the chief cause of person to visit a doctor. Although low back pain is a common condition that affects as many as 80 to 90 percent of people during their lifetime. Gridhrasi can be cured by the help of Vaitarana Basti. Hence in the case study of male patient of age 30 yrs presenting with cardinal clinical sign and symptoms of Gridhrasi are Ruka, Toda and Muhu Spandana in the Sphika, Kati, Uru, Janu, Jangha and Pada in order and Sakthikshepanigraha that is restricted lifting of the leg.


2021 ◽  
pp. 002087282096742
Author(s):  
Emmison Muleya

Successful social reintegration is critical if we are to reduce recidivism and crime in general. This voice of people article presents a background case for why effective offender reintegration services are key in South Africa, and the Eastern Cape in particular, through an example of the Offender Reintegration programme rendered by the National Institute of Crime Prevention and Reintegration of Offenders (NICRO). Apart from the paucity of literature on offender reintegration, very few voices from people working directly with these former offenders are ever heard. Therefore, this article seeks to address this gap by contributing to the body of knowledge on offender social reintegration.


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