scholarly journals Treatment of Patients with Ruptures of Clavicular Acromial End using Designed Pin and Cortical Screw

2015 ◽  
Vol 22 (2) ◽  
pp. 43-49
Author(s):  
M. A Danilov ◽  
I. V Borozda

Comparative treatment results are presented for 154 patients with closed injuries of the acromioclavicular joint. Main group included 34 patients who were operated on using the proposed fixation technique with designed K-wire and screw. The technique was elaborated with regard for the data of biomechanical studies. In control group (120 patients) fixation was performed with Lee hook ( n =76), K-wires ( n =25) and hook plate ( n =19). Proposed method was considered to be an effective (95.5 points by Constant-Murley score) and low-cost treatment technique characterized by short terms of hospitalization, (13.0±0.71 days) and temporary disability (40.4±0.71) days as well as by low rate of postoperative complications (3 (8.8%) cases).

Author(s):  
M. A. Danilov ◽  
I. V. Borozda

Comparative treatment results are presented for 154 patients with closed injuries of the acromioclavicular joint. Main group included 34 patients who were operated on using the proposed fixation technique with designed K-wire and screw. The technique was elaborated with regard for the data of biomechanical studies. In control group (120 patients) fixation was performed with Lee hook ( n =76), K-wires ( n =25) and hook plate ( n =19). Proposed method was considered to be an effective (95.5 points by Constant-Murley score) and low-cost treatment technique characterized by short terms of hospitalization, (13.0±0.71 days) and temporary disability (40.4±0.71) days as well as by low rate of postoperative complications (3 (8.8%) cases).


Author(s):  
Dana A. Da’ana ◽  
Nabil Zouari ◽  
Mohammad Y. Ashfaq ◽  
Mohammed Abu-Dieyeh ◽  
Majeda Khraisheh ◽  
...  

Abstract Purpose of Review This paper reviews various low-cost treatment techniques such as adsorption, permeable reactive barrier, and biological techniques for the simultaneous removal of chemical and microbial contaminants from groundwater and discusses treatment mechanisms of different treatment techniques. This paper also discusses the challenges of groundwater treatment, how to choose the appropriate treatment technique, and cost analysis of groundwater treatment. Recent Findings Various treatment technologies have been used for the treatment of groundwater: physical, chemical, and biological technologies with different success rates. In the literature, various adsorbents have been successfully synthesized from low-cost and environmentally friendly materials. Adsorption is considered an efficient treatment technique for the removal of both toxic elements and pathogens by utilizing different adsorbents. For example, the nanostructures of MgO with a BET surface area of up to 171 m2/g obtained a very high adsorption capacity of 29,131 mg/g for fluoride ions in water, while the incorporation of iron in activated carbon has improved its adsorption capacity to 51.3 mg/g for arsenic. Moreover, certain adsorbents have shown the capability to remove 99% of the rotavirus and adenovirus from groundwater. Summary Groundwater resources are contaminated with toxic metals and pathogens. Therefore, water treatment technologies should be evaluated for their efficiency to remove such contaminants. Determination of the most cost-effective and efficient treatment technique is not an easy task and requires the understanding of various aspects such as the contaminants present in water, the reuse options considered, and cost analysis of the treatment technique.


2017 ◽  
Vol 30 (2) ◽  
pp. 329-336
Author(s):  
Renata Aparecida de Oliveira Lima ◽  
Ana Paula Coelho Figueira Freire ◽  
Alcides Guimarães ◽  
Caroline Pereira Santos ◽  
Francis Lopes Pacagnelli

Abstract Introduction: Russian current is an electric current of average frequency that is able to restore the properties of skeletal muscle at a low treatment cost. It is essential to know the effects of Russian current in bone tissue, since electromagnetic energy could be an efficient and low cost method to treat bone disorders. Objective: The aim of the study was to evaluate the effectiveness of Russian current in the consolidation of tibia fracture in adult rats. Methods: 24 adult male Albinus Wistar rats wereused. The animals were divided randomly into two groups: control group (CG), composed of 12 animals, and Intervention Group (IG) consisting of 12 animals, both groups were submitted to osteotomy (proximal medial surface of the tibia). The IG underwent an electrical stimulation protocol with Russian current, while the CG did not undergo any kind of intervention. Euthanasia was performed in three animals of each group on the following days: 5, 10, 20, and 30 days of treatment. Results: The results suggested higher primary ossification, intense osteogenic activity, and increased thickness of the periosteum, characterizing more advanced ossification and a greater presence of trabecular bone marrow in rats in the group subjected to the treatment. In this way, we can assign one more beneficial effect to interventions with Russian current, for the treatment of postfracture rehabilitation. Conclusion: In both groups the bone tissue repair process occurred, but in the electrically stimulated group the osteogenesis process was more advanced.


2009 ◽  
Vol 16 (2) ◽  
pp. 29-33
Author(s):  
A B Kazantsev ◽  
V G Golubev ◽  
Pavel Pavlovich Chekeres ◽  
S M Putyatin ◽  
Yu M Kashurnikov ◽  
...  

Comparative analysis of treatment results of 68 patients with malleolus fractures and injury of deltoid ligament was performed. Depending on the treatment technique all patients were subdivided into four groups. Main group - surgical treatment of fractures and reconstruction of deltoid ligament with Twinflix screw (n=30), comparative groups - surgical treatment of fractures with transcutaneous suturing of deltoid ligament (n=10) and ligament plasty with Р -shaped sutures (n=8); control group - conservative treatment of fractures and deltoid ligament injury (n=20). Follow-up time made up 6 months - 2 years. Evaluation of treatment results was performed by adopted scale of American Orthopaedic Foot and Ankle Society. Patients were examined using clinical and roentgenologic methods as well as ultrasound and rheovasography. In the main group excellent result was achieved in 23.1%, good result - in 65.3%, satisfactory - in 11.6% of patients. In control group they made up 16.8%, 61.2% and 19.5%, respectively, with poor result in 2.5% of patients. It was demonstrated that application of low invasive osteosynthesis in combination with reconstruction of deltoid ligament using Twinfix screw reduced considerably the probability of posttraumatic arthrosis development as well as provided for complete restoration of the ligament with preservation of its elastic properties and joint stability.


2017 ◽  
Vol 24 (2) ◽  
pp. 97-103 ◽  
Author(s):  
Christine Gäbel ◽  
Natalia Garrido ◽  
Julian Koenig ◽  
Thomas Karl Hillecke ◽  
Marco Warth

Background: Music-based interventions are considered an effective and low-cost treatment option for stress-related symptoms. The present study aimed to examine the trajectories of the psychophysiological response in apparently healthy participants during a music-based relaxation intervention compared to a verbal relaxation exercise. Material and Methods: 70 participants were assigned to either receptive live music (experimental group) or a prerecorded verbal relaxation exercise (control group). Self-ratings of relaxation were assessed before and after each intervention on visual analogue scales and the Relaxation Inventory (RI). The heart rate variability (HRV) was continuously recorded throughout the sessions. Statistical analysis focused on HRV parameters indicative of parasympathetic cardiovascular outflow. Results: We found significant quadratic main effects for time on the mean R-R interval (heart rate), the high-frequency power of HRV (indicative of parasympathetic activity), and the self-ratings of relaxation in both groups. A significant group × time interaction was observed for the cognitive tension subscale of the RI. Conclusions: Participants in both groups showed psychophysiological changes indicative of greater relaxation over the course of the interventions. However, differences between groups were only marginal. Music might be effective in relieving stress and promoting relaxation by altering the autonomic nervous system function. Future studies need to explore the long-term outcomes of such interventions.


2020 ◽  
Author(s):  
Regina Filemon Irunde ◽  
◽  
Julian Ijumulana ◽  
Julian Ijumulana ◽  
Julian Ijumulana ◽  
...  

Author(s):  
Dennis P. Watson ◽  
Monte D. Staton ◽  
Michael L. Dennis ◽  
Christine E. Grella ◽  
Christy K. Scott

Abstract Background Brief treatment (BT) can be an effective, short-term, and low-cost treatment option for many people who misuse alcohol and drugs. However, inconsistent implementation is suggested to result in BT that often looks and potentially costs similar to regular outpatient care. Prior research is also rife with inconsistent operationalizations regarding the measurement of BT received by patients. As such, there is a need to more explicitly identify and document variations in BT practice. Methods A qualitative investigation of BT in four Federally Qualified Health Centers (FQHC) was undertaken as a sub study of a larger clinical trial. Researchers interviewed 12 staff (administrators and clinicians) involved in BT oversight, referral, or delivery within the four FQHCs. Data were analyzed following an inductive approach guided by the primary research questions. Results Findings demonstrate considerable differences in how BT was conceptualized and implemented within the FQHCs. This included a variety of ways in which BT was presented and described to patients that likely impacts how they perceive the BT they receive, including potentially not understanding they received substance use disorder treatment at all. Conclusions The findings raise questions regarding the validity of prior research, demonstrating more objective definitions of BT and fidelity checklists are needed to ensure integrity of results. Future work in this area should seek to understand BT as practiced among a larger sample of providers and the direct experiences and perspectives of patients. There is also a need for more consistent implementation, quality assurance guidelines, and standardized stage of change assessments to aid practitioners.


2020 ◽  
pp. 58-66
Author(s):  
Ya. I. Uraeva ◽  
I. I. Ivanova ◽  
N. N. Lazarenko ◽  
E. V. Filatova ◽  
I. A. Pankova ◽  
...  

The results of the treatment of women (n = 94) suffering from genital endometriosis are presented. The first (control, n = 30) group of women received standard drug therapy; the second (main, n = 64) group of women additionally had hirudotherapy procedures using medical leeches. The course of treatment consisted of 10–12 procedures. The state of cerebral circulation was assessed according to the rheoencephalography data before and after the treatment, as well as after 1, 3, 6, and 9 months. As a result, in patients in the 2-nd (main) group receiving complex treatment, the state of cerebral circulation improved signifi cantly. Moreover, according to the statistical regression analysis, it was possible to predict its further decrease by two periods ahead, compared with the treatment results in patients in the 1-st (control) group.


2017 ◽  
Vol 9 (10) ◽  
pp. 253
Author(s):  
Luciano Fernandes Moura ◽  
Pedro Felipe Sousa Teixeira ◽  
Franklin Aragão Gondim ◽  
Francisco Holanda Nunes Junior ◽  
Rifandreo Monteiro Barbosa ◽  
...  

Biodigesters have been used to convert biomass into biogas and biofertilizers. This energy use has been important for the reduction of solid waste pollution in the environment. This work aims to analyse the viability of the use of pig biofertilizer produced by an Indian biodigester prototype, monitored by a data acquisition system. The biodigester used was an Indian prototype built on a low cost material that is easy to acquire (polyvinyl chloride-PVC). After the biofertilizer production, we tested its efficiency and viability under conditions of vegetation house in the cultivation of sunflower plants. The experimental design was completely randomized in a factorial arrangement with 4 concentrations of biofertilizer (0, 40, 80 and 120 kg N ha-1) × 4 harvest periods (14, 21, 25 and 29 days after sowing). We evaluated biometric and vigor parameters by measurements of stem diameter, height of the aerial part, number of leaves and production of fresh and dry matter of roots, aerial and total parts, as well as the relative chlorophyll content. We performed the experiment with five repetitions using two plants each and we submitted the data to analysis of variance (ANOVA) and polynomial regression using the statistical software Sisvar 5.4. The functional Indian biodigester prototype produced a biofertilizer of excellent quality and viability as a biofertilizer for the initial growth of sunflower plants. The biofertilizer served as a nutritional source in the sunflower crop, since it provided increases in all the growth parameters analyzed in relation to the control group (plants in the absence of biofertilizer), especially in the concentration of 120 kg N ha-1.


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