scholarly journals Clinical Efficacy of Minimally Invasive Transpedicular Stabilization for Thoracic and Lumbar Vertebrae Fractures

2016 ◽  
Vol 23 (1) ◽  
pp. 15-20
Author(s):  
V. A Byval’tsev ◽  
A. A Kalinin ◽  
A. E Budaev
Keyword(s):  
Blood Loss ◽  
Clinical Efficacy ◽  
Lumbar Vertebrae ◽  
Pain Syndrome ◽  
Female Ratio ◽  
Duration Of Surgery ◽  
Male Female Ratio ◽  
Reduction Of Pain ◽  
Transpedicular Stabilization ◽  
Lumbar Fractures

Clinical efficacy of percutaneous transpedicular stabilization for the treatment of patients with A2 and A3 traumatic compression thoracic and lumbar fractures was performed. The study included 25 patients with mean age 34 (29-42) years. The male-female ratio was 2:1. Severity of pain syndrome by analog visual scale (VAS), quality of life by Oswestry Disability Index (ODI), duration of surgery and blood loss, patient outcome satisfaction by MacNab's criteria and rate of complications were assessed. Mean duration of surgery made up 120 (90-140) min, median blood loss - 50 (30-80) ml. Marked postoperative reduction of pain syndrome (p

scholarly journals Study of analgesic activity and effects of new dipharmacophores – nebracetam and cyclooxygenase-2 inhibitors derivatives on the cognitive abilities of rats

2021 ◽  
Vol 7 (4) ◽  
pp. 71-79
Author(s):  
Vitaliy S. Slyusarenko ◽  
Ivan S. Koklin ◽  
Sergiy M. Kovalenko ◽  
Vladimir P. Chuev ◽  
Alexey A. Shabalin ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Analgesic Activity ◽  
Mefenamic Acid ◽  
Cognitive Abilities ◽  
Pain Syndrome ◽  
Niflumic Acid ◽  
Hot Plate ◽  
Hot Plate Test ◽  
Female Ratio ◽  
Male Female Ratio

Introduction: The aim of the present study was to research the analgesic activity and effect of new dipharmacophore compounds consisting of substances with proven therapeutic activity, namely nebracetam–ibuprofen (NRIP), nebracetam–dexibuprofen (NRDIP), nebracetam–niflumic acid (NRNFA), and nebracetam–mefenamic acid (NRMFA), on the cognitive abilities of rats. Materials and methods: The experimental study was performed in 110 Wistar rats (male/female ratio 50/50%), weighing 180–200 g, and 50 laboratory mice (male/female ratio 50/50%) weighing 18–22 g. The study of the analgesic activity was carried out using the acetic acid writhing test and the hot plate test. The effect on the cognitive abilities of rats was studied using the pattern recognition test in a model of neurotrauma caused by a drop-weight. Results and discussion: It has been shown that the administration of dipharmacophores nebracetam–ibuprofen (NRIP), nebracetam–dexibuprofen (NRDIP), nebracetam–niflumic acid (NRNFA) as well as nebracetam–mefenamic acid (NRMFA) in the tested dosages leads to a statistically significant (p<0.05) analgesic action in acetic acid writhing tests and hot plate tests. At the same time, the analgesic activity of the compounds has been shown to conjoin with a statistically significant influence on cognitive functions in the experimental animal groups after simulating a neurotrauma. Conclusion: The dipharmacophore compounds studied in the present research, having analgesic and nootropic effects, can be used as effective and safe analgesics and can also be used for the treatment and prevention of pain syndrome, enhancing the cognitive abilities of healthy people in complicated professional conditions.

scholarly journals A study of use of bipolar cautery in thyroidectomy

2017 ◽  
Vol 4 (3) ◽  
pp. 1059
Author(s):  
Vasuki R. ◽  
Thanmaran N. B. ◽  
Malathi V. ◽  
Lizrose Kujur
Keyword(s):  
Blood Loss ◽  
Wound Infection ◽  
Morbidity Rate ◽  
Complication Rates ◽  
Knot Tying ◽  
Time Duration ◽  
Female Ratio ◽  
Bipolar Cautery ◽  
Duration Of Surgery ◽  
Knot Tying Technique

Background: Thyroidectomy is one of the most commonly performed surgeries throughout the world which has an extremely low morbidity rate. Nowadays with the advent of newer techniques the duration of surgery and complications have decreased. Conventionally Thyroidectomy was done by suture knot tying technique which needs large number of surgical ties and also time consuming. It decreases healing as well as increases wound infection, injury to neighboring structures and foreign body reaction.Methods: In this study, I selected 50 patients with thyroid swelling attending the surgery outpatient department from February 2015 to August 2015. Thyroid surgery was done using bipolar cautery. The results were analyzed.Results: This study shows most of the patients belong to 30-40 years followed by 40-50 years. The male: female ratio is 1:25. Time duration varies from 50 minutes to 135 minutes. The longer duration of surgery compared to other studies is attributed to learning curve. We started using bipolar diathermy since 2013. The blood loss ranges from 25-50 ml. Complication rates are also less with bipolar thyroidectomy, 2% had postoperative hemorrhage, 2% developed temporary RLN palsy, 2% developed minor degree of wound infection, and 6% developed signs and symptoms of hypocalcemia. The mean duration of hospital stay was 4 days.Conclusions: Thyroidectomy using bipolar cautery is safe and effective method and also less time consuming. The cost of the bipolar cautery is less compared to harmonic scalpel and LigaSure. Bipolar cautery is available in our government hospital. Blood loss using Bipolar Cautery is less compared to conventional Knot–tying technique. The post-operative complications are less with bipolar cautery.

scholarly journals EXPERIENCES OF SURGICAL MANAGEMENT OF FRACTURE SHAFT OF HUMERUS IN ADULTS USING ENDER NAIL

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Amit Ranjan Vidyarthi ◽  
Alok Sobhan Datta
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Operating Time ◽  
Shaft Fracture ◽  
Fracture Pattern ◽  
Female Ratio ◽  
Duration Of Surgery ◽  
Male Female Ratio ◽  
Humerus Shaft

Background: This study was conducted at the Department of Orthopaedics, I.P.G.M.E& R & SSKM Hospital, Kolkata, West Bengal, with the objective to achieve quick union and minimal soft tissue disruption, least neurovascular complications and good functional outcome. In this study, 30 patients were selected on random basis from those attending the Outpatient Department and Emergency Room, between January 2015 to August 2016, with humerus shaft fractures. Among these, 76% of the patients were in age group (<40 years) with age range 22-60 years with mean age 35 years .The male : female ratio was 6.7:1 . In our study majority (73%) of the patients have type AO 12A3 fracture .Mean duration of injury was 9.633 days. Mean duration of surgery in our study was 74.33 minutes, with range of 45-95 minutes, indicating a short operating time and minimum radiation exposure. During intraoperative period no complications and difficulties were experienced. The complications of our operative period were only 13%. Mean duration of follow up was 13.7 months with range from 9-18 months without any no loss at follow up. All fractures united. Mean duration of union was 17 weeks. In this study, 80%  patients had excellent grading, 17% have good grading and 3% had fair grading on the basis of MEPS and UCLA  score  combining shoulder and elbow functional outcome .In the present study, we dealt with the association of different parameters with respect to grading fracture pattern and type .This study showed that Ender’s nailing for closed humerus shaft fracture provided satisfactory clinical ,radiological, and functional outcome ,was minimally invasive ,had less infection rate and least neurovascular complications, thus promising a viable option for treatment of closed shaft humerus fracture. Keywords: Closed fracture shaft Of humerus ; Adults, Minimally invasive , Ender’s Nail ; Fracture union.    

scholarly journals Transcanal endoscopic myringoplasty: a retrospective study

2020 ◽  
Vol 6 (7) ◽  
pp. 1303
Author(s):  
Anchal Gupta ◽  
Padam Singh Jamwal
Keyword(s):  
Retrospective Study ◽  
Pure Tone Audiometry ◽  
Cost Effective ◽  
Neck Surgery ◽  
Female Ratio ◽  
Uptake Rates ◽  
Duration Of Surgery ◽  
Male Female Ratio ◽  
Endoscopic Myringoplasty ◽  
Small Perforation

<p class="abstract"><strong>Background:</strong> Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted in the Department of ENT and Head and Neck Surgery, SMGS Hospital, Jammu from January 2018 to January 2020. Patients attending ENT OPD with central dry perforation of tympanic membrane were selected for endoscopic transcanal myringoplasty. Written and Informed consent were taken. During surgery, various parameters were noted including duration of surgery and hospitalization. These patients were followed through a period of 6 months and assessed using pure tone audiometry and graft uptake was seen.  </p><p class="abstract"><strong>Results:</strong> Out of 40 patients, male: female ratio was 1.2:1. Time taken for surgery was less than 60 minutes in 16 (40%) patients whereas in 24 (60%) patients it was between 60-120 minutes. In our study the patients with small perforation had excellent graft uptake rates (18/19 patients, 94.73%), whereas patients with medium sized perforation showed graft uptake rate of 76.47% (13/17 patients). Objective analysis of cosmetic result was done at the end of six month and revealed that none of the patient had visible scar. Mean pre-operative air bone gap was 24.38 dB whereas mean postoperative air bone gap was 8.34 dB. Mean improvement comes out to be 16.04 dB.</p><p class="abstract"><strong>Conclusions:</strong> Endoscopic myringoplasty was found to be equally effective, less morbid and very cost effective in small central perforations.</p>

Prevalence of myofascial pain syndrome in patients with incurable cancer.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 97-97
Author(s):  
Hiroto Ishiki ◽  
Junya Kinkawa ◽  
Aya Watanabe ◽  
Chie Watanabe ◽  
Tsukuru Chiba ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Myofascial Pain ◽  
Body Movement ◽  
Performance Status ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Incurable Cancer ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Study Population

97 Background: Myofascial pain syndrome (MPS) is a condition that involves skeletal muscles. It is caused by overload or disuse of muscles and is characterized by extreme tenderness in the muscles with taut bands. Treatment for MSP is different from that for cancer-related pain. Cancer patients have many factors that cause restriction of body movement and posture. Although cancer patients appear to demonstrate risk factors for MPS, its prevalence has not been reported in patients with incurable cancer. This study was conducted to investigate the prevalence of MPS in patients with incurable cancer. Methods: The data for patients with incurable cancer who received palliative care by our department between September 2015 and March 2016 were retrospectively investigated. We examined the prevalence of MPS. MPS was diagnosed on the basis of the Rivers criteria (RC) and Simons criteria (SC). We also examined the following factors associated with MPS: performance status (PS), use of medical devices (MD), and primary cancer sites. The primary outcome was the prevalence of MPS using the RC. Secondary outcomes included the prevalence of MPS using the SC, and the relationship between MPS and either PS or MD. Results: Thirty-four patients with incurable cancer were identified. The clinical characteristics are as follows: age (median, range): 65 (39-89) years; male/female ratio: 16/18; primary sites: pancreas (n = 8), breast (n = 8), lung (n = 4), colorectal (n = 4), head and neck (n = 2), and other primary sites (n = 8). Seventeen of 34 patients (50%) had a PS 3 or 4. Twenty-two patients (64.7%) complained of pain. MPS using the RC was detected in 10 patients (29%). MPS using the SC was detected in 20 patients (59%). Of 22 patients who complained of pain, MPS using the RC was detected in 10 (45%) patients and MPS using the SC was detected in 20 (90%) of patients. Patients with central venous port (CVP) devices had a significantly higher number of MPS lesions than patients without CVP devices (p = 0.029). Conclusions: A very high prevalence of MPS was detected in our study population. MPS should be considered when patients with incurable cancer complain of pain. A multi-center prospective study will be conducted to confirm our findings.

Iatrogenic Injuries of the Palmar Branch of the Median Nerve Following Volar Plate Fixation of the Distal Radius

2017 ◽  
Vol 22 (03) ◽  
pp. 343-349 ◽  
Author(s):  
Deepak Samson ◽  
Dominic M. Power
Keyword(s):  
Median Nerve ◽  
Distal Radius ◽  
Plate Fixation ◽  
Pain Syndrome ◽  
Volar Plate ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Volar Plate Fixation ◽  
Operative Fixation ◽  
The Mean

Background: Our aims were to identify iatrogenous injuries to the palmar branch of the median nerve sustained during volar plate fixation of the distal radius, make the clinician aware of this relatively uncommon complication of distal radius fixation, to emphasise common threads in symptomatology and to propose an algorithm for evaluation and management. Methods: Retrospectively interrogating our database over a 5 year period, the case records, neurophysiology records, operative records, therapy records were reviewed. The data was analysed with regard to the grade of surgeon performing the procedure, the site of injury, complexity of the fracture, delay to surgery, implant choice and outcome of the treatment. Variations in nerve anatomy were documented during revision surgery and common themes in symptomatology and clinical presentation were identified. Results: Seven patients with an iatrogenic injury involving the palmar branch of the median nerve associated with volar plate fixation of the distal radius were assessed. The male: female ratio was 1:6 and the mean age of patients was 47.8 years (33-74 years). The initial operative fixation was undertaken by a consultant orthopaedic surgeon at a mean of 7.8 (1-17) days from injury. The mean time from fracture fixation surgery to referral to the peripheral nerve injury service was 8.9 (2-36) months. Six patients presented with pain on attempted wrist extension. Five patients had parasthesia, hyperaesthesia or dysaesthesia in the distribution of the PCBMN. Anaesthesia or hypoaesthesia was present in three patients. Two patients presented with symptoms of complex regional pain syndrome (CRPS) Type 2. Conclusions: Revising relevant anatomy and possible variations as well as careful placements of retractors in the region of the median nerve could bring down these injuries. We propose an algorithm for their management.

Suicide in Nógrád County, Hungary, 1970-1994

Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Tamás Zonda
Keyword(s):  
High Risk ◽  
Psychiatric Disorders ◽  
Suicide Rate ◽  
Risk Groups ◽  
The Elderly ◽  
Female Ratio ◽  
Suicide Notes ◽  
Suicidal Intention ◽  
Male Female Ratio

The author examined completed suicides occurring over a period of 25 years in a county of Hungary with a traditionally low (relatively speaking) suicide rate of 25.8. The rates are clearly higher in villages than in the towns. The male/female ratio was close to 4:1, among elderly though only 1.5:1. The high risk groups are the elderly, divorced, and widowed. Violent methods are chosen in 66.4% of the cases. The rates are particularly high in the period April-July. Prior communication of suicidal intention was revealed in 16.3% of all cases. Previous attempts had been undertaken by 17%, which in turn means that 83% of suicides were first attempts. In our material 10% the victims left suicide notes. Psychiatric disorders were present in 60.1% of the cases, and severe, multiple somatic illnesses (including malignomas) were present in 8.8%. The majority of the data resemble those found in the literature.

CLINICAL, ENDOSCOPIC AND PATHOGICAL CHARACTERISTICS OF COLORECTAL CANCER AT DA NANG HOSPITAL FROM 2016 TO 2017

2018 ◽  
pp. 9-14
Author(s):  
Thanh Trung Nguyen ◽  
Duc Nhan Le ◽  
Van Xung Nguyen ◽  
Hieu Trung Doan
Keyword(s):  
Colorectal Cancer ◽  
Descriptive Study ◽  
Bloody Stool ◽  
Key Words Colorectal Cancer ◽  
Right Colon ◽  
Female Ratio ◽  
Histopathological Classification ◽  
Male Female Ratio ◽  
Female Male Female ◽  
Colorectal Cancer Patients

Objective: To study the clinical, endoscopy and pathogical characteristics of colorectal cancer at Da Nang Hospital. Methods: A retrospectively descriptive study, performed from 01/01/2016 to 31/12/2017 at Da Nang Hospital. Results: During two years, there were 205 cases of colorectal cancer patients hospitalized to Da Nang Hospital. Male: 59.51%, female: 40.49%, mean age: 65.8 ± 16.07. Male is higher than female, male/ female ratio is 1.4/1. The period from the first symptoms to admission < 3months predominated (83.8%). The predominant symptoms: Abdominal pain (85.85%), bloody stool (63.41%), defecation (62.44%), anemia (34.63%), weight loss (25.85%), fatigue (17.56%), abdominal distention (12.19%), nausea and vomiting (5.36%). Location of Lesions: Rectum (43.42%), sigmoid colon (20%), right colon (10.73%),cecum (10.73%), transverse colon (7.80%), left-colon (7.32%). Type of lesion on endoscopy: Exophytic (63.41%), ulceration-Exophytic (21.95%), ulceration (7.32%), polyp chemotherapy (7.32). Tumor size: ≥ 3/4 perimeter (39%), occupying the whole circumference (37.0%), occupying ≥ 1/2 perimeter (15.6%), accounting for 1/4 Perimeter (8.4%). The colon completely narrowed rate: 70.73%., incompletely was 29.27%. Histopathological classification: adenocarcinoma (85.85%), Mucinous adenocarcinoma: (9.27%) and non-differentiated epithelial carcinoma was 4.88%. Conclusion: Colorectal cancer was quite popular and was usually detected at advanced stages.Therefore, screening for subjects with risk factors for early detection and treatment is recommended. Key words: Colorectal cancer, endoscopy, pathogical characteristics...

CLINICAL FEATURES, INDICATIONS AND RESULT OF TRACHEOTOMY

2017 ◽  
pp. 50-55
Author(s):  
Duc Luu Ngo ◽  
Tu The Nguyen ◽  
Manh Hung Ho ◽  
Thanh Thai Le
Keyword(s):  
Clinical Features ◽  
University Hospital ◽  
Female Ratio ◽  
Tube Obstruction ◽  
Level Ii ◽  
Study Results ◽  
Male Female Ratio ◽  
Hospital Patients ◽  
Level I

Background: This study aims to survey some clinical features, indications and results of tracheotomy at Hue Central Hospital and Hue University Hospital. Patients and method: Studying on 77 patients who underwent tracheotomy at all of departments and designed as an prospective, descriptive and interventional study. Results: Male-female ratio was 4/1. Mean age was 49 years. Career: farmer 44.2%, worker 27.2%, officials 14.3%, student 7.8%, other jobs 6.5%. Respiratory condition before tracheotomy: underwent intubation 62.3%, didn’t undergo intubation 37.7%. Period of stay of endotracheal tube: 1-5 days 29.2%, 6-14 days 52.1%, >14 days 18.7%. Levels of dyspnea before tracheotomy: level I 41.4%, level II 48.3%, level III 0%, 10.3% of cases didn’t have dyspnea. Twenty cases (26%) were performed as an emergency while fifty seven (74%) as elective produces. Classic indications (37.7%) and modern indications (62.3%). On the bases of the site, we divided tracheostomy into three groups: high (0%), mid (25.3%) and low (74.7%). During follow-up, 44 complications occurred in 29 patients (37.7%). Tracheobronchitis 14.3%, tube obstruction 13%, subcutaneous empysema 10.4%, hemorrhage 5%, diffcult decannulation 5.2%, tube displacement 3.9%, canule watery past 2.6%, wound infection 1.3%. The final result after tracheotomy 3 months: there are 33 patients (42.9%) were successfully decannulated. In the 33 patients who were successfully decannulated: the duration of tracheotomy ranged from 1 day to 90 days, beautiful scar (51.5%), medium scar (36.4%), bad scar (12.1%). Conclusions: In tracheotomy male were more than female, adult were more than children. The main indication was morden indication. Tracheobronchitis and tube obstruction were more common than other complications. Key words: Tracheotomy

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