Epistaxis in people with hereditary haemorrhagic telangiectasia: surgical management and psychological impact

2021 ◽  
pp. 1-10
Author(s):  
HA Crouch-Smith ◽  
KJ Fenn ◽  
SP Williams
Keyword(s):  
Emergency Management ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Psychological Impact ◽  
Psychological Effect ◽  
Hereditary Haemorrhagic Telangiectasia

From the emergency management of acute epistaxis to the surgical procedures for chronic epistaxis, this article covers the options available to control the archetypal symptom of hereditary haemorrhagic telangiectasia while exploring the psychological effect such a disease has on the patient.

UGI surgery (DRAFT)

2018 ◽  
Author(s):  
Corinne Owers ◽  
Roger Ackroyd
Keyword(s):  
Bariatric Surgery ◽  
Gastrointestinal Tract ◽  
Emergency Management ◽  
Surgical Management ◽  
General Surgery ◽  
Upper Gastrointestinal Tract ◽  
General Surgeon ◽  
Ulcer Disease ◽  
Upper Gastrointestinal ◽  
Oesophagogastric Cancer

The upper gastrointestinal (UGI) tract comprises of the oesophagus, stomach, and duodenum. Although some emergency management of UGI pathology may fall to the remit of the gastroenterologists, this chapter focuses specifically on surgical management of both benign and malignant pathology of these organs. UGI pathology contributes a significant amount to the on-call emergency workload for the general surgeon, as well as the UGI specialist. Subjects covered include the diagnosis and management of common pathologies in the upper gastrointestinal tract that are clinically relevant to those working in general surgery, including: gastro-oesophageal reflux (GORD) and ulcer disease, UGI bleeding, oesophagogastric cancer and bariatric surgery.

Pandemic will alter consumption patterns in China

2020 ◽  
Keyword(s):  
Psychological Impact ◽  
Psychological Effect ◽  
Consumption Patterns ◽  
Gdp Growth ◽  
Direct Effects ◽  
Household Demand ◽  
Content Type ◽  
The Government ◽  
Rate Of Decline

Significance The rate of decline has slowed in recent months, but household demand remains weak. Consumer optimism is more positive than in many other countries hit by the pandemic, but remains negative for many discretionary categories. Impacts The government’s abandonment of a growth target for this year indicates that the priority will be employment rather than GDP growth. The direct effects of fresh COVID-19 outbreaks will be local, but their psychological impact will affect consumption nationwide. The government is unlikely to worry about the effect on economic ‘rebalancing’ unless signs emerge that this is not just temporary. The young are disproportionate drivers of consumption in China; the psychological effect of the pandemic on these cohorts may be decisive.

scholarly journals Prosthetic Rehabilitation of a partially Amputated Finger using a Silicone Prosthesis

2016 ◽  
Vol 6 (1) ◽  
pp. 10-13
Author(s):  
Teny Fernandez ◽  
R Ravichandran
Keyword(s):  
Treatment Option ◽  
Surgical Procedures ◽  
Psychological Impact ◽  
Prosthetic Rehabilitation ◽  
Silicone Prosthesis ◽  
Finger Prosthesis ◽  
The Ideal

ABSTRACT Amputation of a finger will have considerable functional and psychological impact on an individual. Although prosthetic rehabilitation incorporating implants is considered an ideal treatment option, the patient may not give consent due to apprehension toward surgical procedures. The ideal prosthesis should replace the missing part of the finger so precisely that it would not draw the attention of the observer. Fabrication of such a prosthesis will require great technical and artistic expertise. This paper presents a case of prosthetic rehabilitation of an amputated finger using a silicone finger prosthesis. How to cite this article Fernandez T, Harshakumar K, Ravichandran R. Prosthetic Rehabilitation of a partially Amputated Finger using a Silicone Prosthesis. Int J Prosthodont Restor Dent 2016;6(1):10-13.

scholarly journals Clinical profile and surgical management of primary vaginal hydrocele: our experience in a rural India

2017 ◽  
Vol 4 (5) ◽  
pp. 1653
Author(s):  
Mohd Hamid Shafique Ahmed ◽  
Bankar S. S. ◽  
Gosavi V. S. ◽  
Dalavi S. B. ◽  
Gurav P. D.
Keyword(s):  
Wound Infection ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Clinical Profile ◽  
Medical College ◽  
History Of ◽  
Male Patients ◽  
A Prospective Study ◽  
Age Range

Background: Hydrocele is one of the commonest diseases occurring worldwide. Since olden days surgical procedures have been described for the treatment of hydrocele. Aim of the study was to analyse the clinical profile, diagnosis and surgical management of primary vaginal hydrocele in adults (>12 years)Methods: A prospective study of 60 male patients of age range of more than 12 years with a history of scrotal swellings were studied for their clinical profiles, diagnosis and management. The study was carried out in Government Medical College, Miraj, Maharashtra, India from November 2010 to November 2012. In the present study Jaboulay's Procedure was performed on 48 patients and Lord's Procedure was performed on 12 patients.Results: The data was collected and results were analysed. Post-operatively about 1.6% of patients developed hematoma, 5% developed wound infection, 21.66% of the patients developed skin oedema and only 1 patient i.e 1.6 % had recurrence over a period of 2 years of follow up. Out of the total 60 patients,12 patients who underwent Lord's plication 8.33%,0%,0% developed skin oedema, hematoma and wound infection respectively as compared to 25%,2.08%,6.25% in the remaining 48 patients who underwent Jaboulay's procedure, respectively.Conclusions: These two surgical procedures were very safe, easy to perform and economical and associated with minimal recurrence. Lord's procedure has lesser incidence of post-operative complications as compared to Jaboulay's procedure.

Changes in Alkaline Phosphatase and 5'-Nucleotidase Multiple Forms After Surgical Management of Biliary Obstruction

1992 ◽  
Vol 38 (7) ◽  
pp. 1340-1342
Author(s):  
F J Novo ◽  
J C Tutor
Keyword(s):  
Alkaline Phosphatase ◽  
Bile Acids ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Biliary Obstruction ◽  
Inverse Relationship ◽  
Inverse Correlation ◽  
Multiple Forms ◽  
Serum Bile Acids ◽  
Serial Measurements

Abstract Serial measurements of alkaline phosphatase and 5'-nucleotidase multiple forms in two patients undergoing surgical procedures to release biliary obstruction suggested an inverse relationship between high-M(r) isoforms and serum bile acids concentrations. Furthermore, the study of several groups of patients with cholestatic disorders confirmed this inverse correlation. Mechanisms responsible for these observations are discussed.

scholarly journals Strategy of Surgical Management of Peripheral Neuropathy Form of Diabetic Foot Syndrome in Ghana

2014 ◽  
Vol 2014 ◽  
pp. 1-7
Author(s):  
W. M. Rdeini ◽  
P. Agbenorku ◽  
V. A. Mitish
Keyword(s):  
Diabetes Mellitus ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Skin Grafting ◽  
Wound Management ◽  
Vacuum Therapy ◽  
Reconstructive Plastic

Introduction. Foot disorders such as ulceration, infection, and gangrene which are often due to diabetes mellitus are some major causes of morbidity and high amputation. Aim. This study aims to use a group of methods for the management of diabetic foot ulcers (DFU) in order to salvage the lower limb so as to reduce the rate of high amputations of the lower extremity. Materials and Methods. A group of different advanced methods for the management of DFU such as sharp debridement of ulcers, application of vacuum therapy, and other forms of reconstructive plastic surgical procedures were used. Data collection was done at 3 different hospitals where the treatments were given. Results. Fifty-four patients with type 2 diabetes mellitus were enrolled in the current study: females n=37 (68.51%) and males n=17 (31.49%) with different stages of PEDIS classification. They underwent different methods of surgical management: debridement, vacuum therapy (some constructed from locally used materials), and skin grafting giving good and fast results. Only 4 had below knee amputations. Conclusion. Using advanced surgical wound management including reconstructive plastic surgical procedures, it was possible to reduce the rate of high amputations of the lower limb.

Surgical Management of Cervical Myelopathy: An Analysis of Patient Characteristics, Surgical Procedures, Complication Rates and Risk Factors

2015 ◽  
Vol 15 (10) ◽  
pp. S90
Author(s):  
Peter G. Passias ◽  
Kris E. Radcliff ◽  
Robert E. Isaacs ◽  
Kristina Bianco ◽  
Cyrus Jalai ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Cervical Myelopathy ◽  
Patient Characteristics ◽  
Complication Rates

scholarly journals Psychological impact of COVID-19 and contributing factors of students’ preventive behavior based on HBM in Gondar, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258642
Author(s):  
Ayenew Kassie Tesema ◽  
Kegnie Shitu ◽  
Asmamaw Adugna ◽  
Simegnew Handebo
Keyword(s):  
Secondary School ◽  
Self Efficacy ◽  
Secondary School Students ◽  
Psychological Impact ◽  
Psychological Effect ◽  
Preventive Behavior ◽  
Contributing Factors ◽  
School Students ◽  
Independent Variables ◽  
Preventive Behaviour

Background The Ethiopian Federal government has locked down schools as one measure to contain Covid-19 pandemic. Psychological effect of COVID-19 on students is increased due to the reopening of schools. The psychological effect of the pandemic is increasing along with physical aspect of health. Therefore, this study aimed to assess the psychological impact of Covid-19 and its contributing factors of students’ behavior in Ethiopia. Methods A cross sectional design was conducted from November to December 2020. Data were collected using pre tested self- administered questionnaire from secondary school students in Gondar city North West Ethiopia. Stratified simple random sampling technique was used to select 403 secondary school students. Data were entered and cleaned with Epidata version 4.62 and exported for analysis STATA version 14. Multivariable logistic regression and multiple linear regression were used to show the association of dependent and independent variables. Independent variables in relation to dependent variable measured using odd ratios and B coefficient with 95% confidence interval for Covid-19 anxiety and preventive behavior of Covid-19 respectively were used. Results A total of 370 students were participated giving response rate of 92%. The prevalence of Covid-19 anxiety and obsession among secondary school students were 38.1% and 40.27% respectively. Being 11thgrade 54% (AOR = 0.46; 95%CI:0.22, 0.95) and increased knowledge16% (AOR = 0.84;95%CI: 0.77, 0.89) score associated with decreased COVID-19 anxiety while Covid-19 obsession, 14.51 times (AOR = 14.51;95%CI: 8.05, 26.17), and being female 1.6 times (AOR = 1.6; 95%CI: 1.01, 2.51) increased Covid-19 Anxiety. Furthermore, increased self-efficacy 0.5 times (B = 0.5; 95%CI: 0.28, 0.62), and increased cues to action 0.4 times (B = 0.4; 95% CI: 0.19, 0.69) increased preventive behavior of Covid-19 while perceived barrier 0.1 times (B = -0.1; 95%CI:-0.22, 0.01) decrease preventive behavior of Covid-19. Conclusion Almost two individuals of five participants developed COVID-19 anxiety and COVID-19 obsession. Being grade 11th and knowledge were negatively associated with anxiety while being female and being obsessed with COVID-19 were positively associated with anxiety. No variable was associated with obsession of Covid-19. Intervention is needed to reduce anxiety among females. Furthermore, perceived barrier, self-efficacy and cues to action were significant factors of preventive behaviour of Covid-19. Therefore, to increase preventive behaviour of Covid-19, information, education and communication and behavioural change communication should be targeted on reducing barriers and increasing motivations and confidences.

Pain pathophysiology and surgical management

2019 ◽  
pp. 895-908
Author(s):  
Richard Mannion ◽  
Rokas Tamasouskas
Keyword(s):  
Chronic Pain ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Pain Mechanisms ◽  
Anatomy And Physiology ◽  
Peripheral Organs ◽  
Pain Pathways ◽  
Wide Range ◽  
Surgical Manipulation ◽  
The Brain

There can be no understanding of pain without an appreciation of its anatomical substrate from peripheral organs to the brain, but the notion of fixed pain pathways is long outdated. Plasticity, adaptive and maladaptive, has been described within each component and relay along the neuroaxis in a wide range of physiological and pathophysiological states. Clearly, this has implications for our understanding of the surgical manipulation of pain pathways and its utility (or otherwise) in patients. Here we provide an overview of the anatomy and physiology of nociception, discuss some of the pathophysiology of chronic pain states and relate this to surgical procedures that primarily aim to target pain mechanisms.

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