scholarly journals ANALGESIC EFFICACY OF EPIDURAL MORPHINE AND CLONIDINEIN PATIENTS UNDERGOING DECOMPRESSION OF THE LUMBAR CANAL: A PROSPECTIVE RANDOMIZED TRIAL

2017 ◽  
Vol 16 (3) ◽  
pp. 188-192
Author(s):  
BRUNO RONCAGLIO ◽  
RAPHAEL FERNANDES CALHAU ◽  
CHARBEL JACOB JÚNIOR ◽  
IGOR MACHADO CARDOSO ◽  
JOSÉ LUCAS BATISTA JÚNIOR ◽  
...  

ABSTRACT Objective: To evaluate the postoperative analgesic efficacy in patients undergoing lumbar canal decompression using epidural morphine and clonidine at the Hospital Santa Casa de Vitória - ES, Brazil. Methods: Prospective, randomized study of 60 patients with stenosis of the lumbar canal up to two levels with surgical indication, in which decompression of the canal was performed in association with lumbar arthrodesis. In group 1 we performed conventional postoperative analgesia and in group 2, in addition to conventional analgesia, we associated epidural morphine and clonidine. We used VAS as a means of analyzing pain intensity at 1, 12, and 36 hours after surgery. The statistical analysis was performed using Microsoft Office/Excel and the software GraphPad Prism (San Diego, CA, USA). Results: The mean age of patients was 47 years, and 52% were female. The mean VAS in the first hour, 12th, and 36th hours after surgery in the control group was 5.44, 2.13, and 0.55 respectively. In the morphine-clonidine group it was 6.96; 2.21 and 0.60. Comparing one group with another in its absolute values through the Mann-Whitney test, as well as comparing the pain variations between the 1st and 12th hour (1h X 12h) and between the 12th hour and 36th hour (12h x 36h ) through Student’s t test it became clear that there was no statistical difference between groups (p > 0.05). Conclusions: The addition of epidural morphine and clonidine to conventional analgesia is not beneficial to reduce postoperative pain in patients undergoing lumbar canal decompression.

2004 ◽  
Vol 5 (3) ◽  
pp. 59-65 ◽  
Author(s):  
Ali Alp Sağlam ◽  
Gülperi Şanli

Abstract Objectives The relationship between condylar asymmetry and handedness of the patients with temporomandibular disorders (TMD) and patients with no signs or symptoms of TMD was investigated. The experimental group consisted of 25 patients aged 15 to 52 years who were referred for treatment of TMD. The mean age of this group was 26.24 years. The control group consisted of 25 patients aged 14 to 52 years (mean age: 26.16 years). Methods The formula by Habets et al.14 was used to express the symmetry between the condyles and the rami on the orthopantomogram (OPG) image. Differences between bothgroups and subgroups (condyle, ramus, condyle plus ramus) regarding symmetry were calculated with the Student's t-test. Results The mean of condylar asymmetry was found to be 11.11 ± 11.03% in the TMD group. However, in the control group, the mean of condylar asymmetry was found to be 8.36 ± 6.27%. No statistically significant differences were found between condylar asymmetry in both groups (p>0.05). Conclusions No statistically significant differences were found between condylar asymmetry index in patients with TMD according to myogenous problems and in patients with no signs or symptoms of TMD. Citation Sağlam AA, Şanli G. Condylar Asymmetry Measurements in Patients with Temporomandibular Disorders. J Contemp Dent Pract 2004 August;(5)3:059-065.


Author(s):  
Mina Khayamzadeh ◽  
Iraj Mirzaii-Dizgah ◽  
Pegah Aghababainejad ◽  
Sareh Habibzadeh ◽  
Mohammad Javad Kharazifard

Objectives: Parafunctional habits, as one of the etiological factors of temporomandibular disorders (TMD), are an individual’s response to increased stress. During stress and depression, biomarkers such as cortisol and salivary alpha-amylase (SAA) are secreted in the saliva. The present study aimed to investigate whether there is a correlation between salivary stress biomarkers and parafunctional habits. Materials and Methods: Thirty-two cases, from May to September 2015, were selected based on two standard stress questionnaires, namely the depression anxiety stress Scale-21 (DASS-21) and the Beck Anxiety Inventory (BAI). Saliva samples were collected to examine the level of unstimulated salivary cortisol and SAA. The significance of the results was assessed via student’s t-test and Mann-Whitney test (α=0.05). Results: The mean concentrations of cortisol and SAA in unstimulated saliva were significantly higher in the case group than in the control group (P=0.01 and 0.44, respectively). The mean scores of anxiety, stress, and depression were significantly higher in the case group than in the control group (P<0.05). Conclusion: It seems that the levels of salivary cortisol and SAA, as well as stress, anxiety, and depression scores, are higher in patients with parafunctional habits.


2018 ◽  
Vol 10 (2) ◽  
pp. 47-53
Author(s):  
Wellington Renato Rossi ◽  
José Lucas Polizel Fagundes ◽  
Lucas da Silva Santos ◽  
Guilherme Akio Tamura Ozaki ◽  
Everton Alex Carvalho Zanuto ◽  
...  

Modern football has become faster and more dynamic due to changes in rules. In this way, with all the tactical modifications, the goalkeeper startedto have even greater importance within his team. This study aimed to analyze the importance of the goalkeeper in professional football matches. Thirteen football matches were analyzed, divided into two groups. Group 1 was comprised of the analysis of ninematches played during the 2014 FIFA World Cup. Group 2 was formed by four matches of other competitions, selected from the participation of goalkeepers with greater skill in the feet, according to the ranking of goal of the International Federation of Football History & Statistics(IFFHS). The games were downloaded on the public domain site of Youtube and then analyzed through the software SKOUT, regarding the tactical positioning and quantification of the numbers of each goalkeeper (technical part) during the matches. The Shapiro-Wilk normality test was used for normality analysis and then the Student's t-test for independent samples (p<0.05). It was verified that the goalkeepers of Group 2 presented greater participation in the fundamentals of pass, reception, finishing, hand replacement, driving and scored goals (p<0.05). However, in the mean of errors in the pass, reception and driving fundamentals the differences were not significant. It is concluded that the goalkeepers of Group 2 presented greater participation in the fundamentals that required skill with the possession of ball.


2019 ◽  
Vol 11 (3) ◽  
pp. 92-98
Author(s):  
Valeria Bruna de Santana Moura ◽  
Doralice Daieli Mendonça Farias Tavares ◽  
Beatriz Jeronymo Schwartz ◽  
Sara Llorente Cordeiro ◽  
Aline Duarte Ferreira ◽  
...  

The objective of this study was to verify the balance of women with breast cancer. This cross-sectional study, tested balance of 15women, eight women with cancer and seven without cancer. The evaluation was performed through the Mini Balance Evaluation Systems (MiniBESTest), TUG with simple and dual-task. The mean of age was 59.2 ± 5 years for cancer group and 60.2 ± 5 years for thecontrol group. Student's t-test for independent samples showed that there was no statistical differencebetween the groups for: MiniBESTest score, TUG with simple and dual-task. Women with cancer did not present balance impairments compared to control group according to MiniBESTest, and TUG with simple and dual-task.


2018 ◽  
Vol 15 (2) ◽  
pp. 115-123
Author(s):  
A. V. Doga ◽  
I. A. Mushkova ◽  
A. D. Semenov ◽  
A. N. Karimova ◽  
E. V. Kechin ◽  
...  

Purpose:to make a comparison of the corneal flap parameters after the FemtoLASIK procedure using femtolaser systems Femto Visum (Russia) and Femto LDV Z6 (Switzerland).Patients and methods.The study was carried out in 192 eyes from 192 patients with mild and moderate myopia who had undergone  FemtoLASIK prodecure. Group 1 (Femto Visum) included 98 eyes (n  = 98) on which flap were formed using femtolaser Femto Visum  (“Optosystems”, Russia), group 2 (Femto LDV Z6) included 94 eyes (n = 94) and Femto LDV Z6 was used (“Ziemer Ophthalmic  Systems AG”, Switzerland). The Femto Visum and Femto LDV Z6  groups were comparable in terms of pre-operative data (age, sex,  corneal curvature, central corneal thickness, sphere, cylinder,  spherical equivalent) (p > 0.05). The intended flap thickness was  100 μm and diameter was 9.0 mm in both groups. One month after  surgery the achieved flap thickness in the horizontal and vertical  meridians (14 measurement points) and the flap diameter in the  horizontal meridian were measured using Visante OCT (Carl Zeiss,  Germany), also we determined the shape of the flap and the mean  deviation of the values from morphometric parameters of the corneal flap relative to the intended values.Results.In group 1 (Femto Visum), the total average thickness of  the flap was 98.89 ± 3.96 μm with the mean deviation 2.91 ± 2.91  μm, the mean flap diameter was 8.96 ± 0.13 mm with the mean  deviation 0.11 ± 0.07 mm, in group 2 (Femto LDV Z6) the same  parameters were 99.11 ± 3.89 μm, 2.99 ± 2.64 μm and 8.91 ± 0.14 mm, 0.13 ± 0.10 mm, respectively. The configuration of the corneal  flap was uniform in both groups. For all studied parameters it was no any statistically significant differences between studied groups (p >  0.05, Student’s t-test).Conclusions.The Femto Visum and Femto LDV Z6 femtolaser systems allow to shape the uniform and highly predictable corneal  flap morphometric parameters, similar measurements were obtained from both systems.


2021 ◽  
Vol 13 (6) ◽  
pp. 3271 ◽  
Author(s):  
Adela Reig-Botella ◽  
Sarah Detaille ◽  
Miguel Clemente ◽  
Jaime López-Golpe ◽  
Annet de Lange

The purpose of this research was to analyze the relationship between the time perspective of Spanish shipyard workers in relation to burnout compared to other blue-collar workers in other sectors, including a total of 644 participants in a shipyard in northern Spain and 223 workers in other sectors. The ages were between 20 and 69 (M = 46.14, SD = 10.98). We used the Spanish version of the Zimbardo Time Perspective Instrument (ZTPI) and the Maslach Burnout Inventory–General Survey (MBI-GS). The mean of the three reliability coefficients of the emotional exhaustion factor was 0.887. In respect to the five factors of the ZTPI questionnaire, the mean of those five coefficients was 0.86. A Student’s t-test for independent samples comparing shipyard naval workers vs. the control group in personality variables and burnout was used. The psychological difference between workers in the naval sector and those in other sectors is better predicted based on two variables: emotional exhaustion and professional efficacy. Workers in the naval sector have a higher risk of becoming burnt-out than workers in other sectors due to a negative past, present and future time perspective. This can be a consequence of constant understimulation and monotonous and repetitive work, as well as a lack of autonomy and social support at work.


Author(s):  
Thaslima Nandhini Js ◽  
Savitha Basker G ◽  
Vishnupriya V

Objective: Metabolic syndrome is a cluster of disease condition characterized by truncal obesity, hypertriglyceridemia, elevated blood pressure, and insulin resistance. An excessive circulating uric acid (UA) level even within normal range is always comorbid with metabolic syndrome and its components. The aim of the current study was to investigate the association between metabolic syndrome and serum UA level.Methods: A total of 60 subjects were divided into two groups of healthy (30 individuals) and metabolic syndrome patients (30 individuals) from dental outpatient department of Saveetha Dental College and Hospitals. 5 ml of fasting venous blood was collected in the plain collection tubes and centrifuged, and then serum was separated. Then, the serum was used to analyze the fasting blood glucose, serum triglycerides (TGLs), and serum UA by GOD-POD, enzymatic colorimetric, and uricase method, respectively. A statistical analysis was performed using Student’s t-test. p<0.05 was considered to be statistically significant.Result: Mean body mass index (BMI), fasting blood sugar (FBS), TGL, and UA level of control group were 23.36±1.81, 84.45±13.1, 110.9±22.6, and 3.48±1.21 respectively. Mean BMI, FBS, TGL, and UA level of study group were 35.24±3.04, 122.85±23.3, 212.1±39.6 and 9.08±2.63 respectively. There is a significant difference between these two groups with p<0.0001.Conclusion: This study showed that those individuals with metabolic syndrome have higher UA level that indicates hyperuricemia which is a significant predictor of metabolic syndrome.


2017 ◽  
Vol 22 (6) ◽  
pp. 56-60 ◽  
Author(s):  
Carla Y. Kong-Zárate ◽  
Marcos J. Carruitero ◽  
Will A. Andrews

ABSTRACT Objective: The purposes of this investigation were to determine the horizontal distances between the mandibular posterior teeth and the WALA ridge in a sample of Peruvians with normal occlusion and to compare them by tooth type, sex, arch side, and age groups. Methods: 65 dental casts of subjects with normal occlusion were collected. Posterior teeth, except for third molars, were evaluated. The horizontal distances between the occluso-gingival midpoints of the buccal surfaces (FA points) of each tooth and the WALA ridge were measured using a modified digital caliper. The values between each different tooth type within the sample were compared using the ANOVA and Scheffe tests, while comparisons by sex, arch side and age groups, using the Student’s t-test. Results: The mean distances in the sample was 0.96 mm for first premolars, 1.45 mm for second premolars, 2.12 mm for first molars and 2.55 mm for second molars. Statistically significant differences between each of the four tooth types were found. There were no significant differences found between sex, arch side and age groups. Conclusion: The horizontal distances between the mandibular posterior teeth and the WALA ridge increased progressively from the first premolars to the second molars in Peruvians with normal occlusion. The WALA ridge was a good landmark to evaluate the positions of posterior teeth in Peruvians with normal occlusion.


Cephalalgia ◽  
1992 ◽  
Vol 12 (4) ◽  
pp. 244-249 ◽  
Author(s):  
Franco M Puca ◽  
Marina de Tommaso ◽  
Maria A Savarese ◽  
Sergio Genco ◽  
Addolorata Prudenzano

Topographic analysis of SVEPs in the medium frequencies range was performed in 30 migraineurs without aura, 20 migraineurs with aura and in 20 control subjects. The mean absolute power values of the fundamental component F1, the subharmonic F1/2 and the first harmonic F2, corrected by logarithmic transformation, were computed in each group and then compared using Student's t-test. The interhemispheric coherence of the F1 component was also evaluated. The 18, 21 and 27 Hz F1 components were increased in both migraineurs with and without aura, particularly in the temporo-parietal regions. The 24 Hz F1 component was augmented only in migraineurs without aura in the parieto-occipital regions in comparison with migraineurs with aura and controls. Migraine with aura patients had a reduced interhemispheric coherence mostly of 12 Hz and 15 Hz F1 components in frontal and temporo-parietal regions. Results of the study confirm abnormalities of SVEPs in migraineurs with and without aura. These consist of widespread increases of F1 components in the medium frequency range over the temporo-parietal regions.


2010 ◽  
Vol 14 (1) ◽  
pp. 15 ◽  
Author(s):  
G. QUADRI ◽  
N. NATALE ◽  
C. SPREAFICO ◽  
C. BELLONI ◽  
D. BARISANI ◽  
...  

Intravesical prostaglandin E2 is effective in the recovery of spontaneous voiding after transvaginal reconstruction of the pubocervical fascia and short arm sling according to Lahodny. The aim of the study was to compare the effects of intravesical prostaglandin E2 in the prevention of urinary retention after transvaginal reconstruction of the pubocervical fascia and short arm sling according to Lahodny. STUDY DESIGN: From November 1996 to June 1999 fifty women underwent the Lahodny procedure for moderate/severe cystocele and stress urinary incontinence. Women were randomly assigned to 1 of the 2 study groups: intravesical prostaglandin E2 versus controls. Data obtained were analyzed with the Student t test and the Fisher exact test. RESULTS: Two patients of the treatment group had to be excluded from the study, one because of the wrong measurement of the post-voidal residual volume and another due to a fastidious burning sensation which appeared immediately after prostaglandin instillation and required the suspension of the treatment. No other side effects such as nausea, vomiting, diarrhea or hyperthermia were observed. Patients who underwent the prostaglandin E2 treatment showed a recovery of spontaneous voiding after 7.9&plusmn;6.7 days, whereas this interval was significantly longer in the control group, being 12.9&plusmn;9.7 days (p=0.04, Two tailed Unpaired Student's T test). CONCLUSION: The effectiveness and the low associated morbidity mark the treatment with intravesical prostaglandin E2 useful in the recovery of normal voiding after transvaginal pubocervical fascia reconstruction and short arm sling with the procedure according to Lahodny.


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