scholarly journals Comparison between dressing of cellulitis with normal saline and Magnesium sulphate

2018 ◽  
Vol 5 (4) ◽  
pp. 1255
Author(s):  
Rita Singh ◽  
P. Sreenivasa
Keyword(s):  
Magnesium Sulfate ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Study Author ◽  
Inflammatory Condition ◽  
History Taking ◽  
Medical College ◽  
Better Than

Background: Cellulitis is an acute inflammatory condition of the skin that is characterized by localized pain, erythema, swelling and heat. Cellulitis may be caused by indigenous flora colonies of the skin appendages.Methods: This study comprises of patients attending MNR Medical College and Hospital between February 2015 to January 2018. After proper history taking, examination and investigations patients were admitted or treated as out-patients.Results: Patients treated with normal saline dressing responded better than Magnesium sulfate dressing. No complication was observed, and healing was faster.Conclusions: In this study, author have observed patients treated with normal saline dressing responded better than Magnesium sulfate dressing. No complication was observed, and healing was faster.

scholarly journals The Effect of Nebulized Magnesium Sulphate on the Incidence of Postoperative Sorethroat

2020 ◽  
Vol 5 (1) ◽  
pp. 185-190
Author(s):  
T. Padma ◽  
Raju B ◽  
Raviraj GS
Keyword(s):  
Clinical Study ◽  
Sore Throat ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Age Group ◽  
Postoperative Sore Throat ◽  
Medical College ◽  
Randomized Clinical Study ◽  
Significant Difference ◽  
Definition Of

Background: Postoperative sore throat (POST) is a well-recognized complication that remains unresolved in patients undergoing endotracheal intubation for general anaesthesia. The wide variation in these figures is presumably due to different skills and techniques among anesthetists and to differences between patients in the definition of sore throat. The main aim is to study the attenuating effect of Magnesium sulphate nebulization on the incidence of post-operative sore throat. Subjects and Methods: This is a prospective randomized clinical study. A total number of 100 patients of ASA grade 1 & 2, in the age group of 18 - 60 years. The study has been carried out at Sri Venkateswara Ram Narayana Ruia Government General Hospital, Sri Venkateswara Medical College, Tirupati, over a period of 12 months. Results: There was no significant difference among the groups in terms of age, gender and weight. Whereas Magnesium sulphate significantly lessens the POST during swallowing at 4th hour as compared to Normal saline (p< 0.05) and this statement can be attributed to any population. Conclusion:  Post-operative sore throat is one of the most common undesirable anesthesia-associated problems in the patients undergoing GA with an endotracheal tube for routine surgical cases for up to 24 h. Magnesium sulphate was significantly reduces the incidence of POST compared to Normal saline , and it is safe, simple and effective in reducing postoperative sore throat.

scholarly journals Magnesium sulfate decreases the dose of rocuronium for satisfactory double lumen tube placement condition in patients with myasthenia gravis

2019 ◽  
Author(s):  
Shoujun Fei ◽  
Hengfu Xia ◽  
Xiaowei Chen ◽  
Dazhi Pang ◽  
Xuebing Xu
Keyword(s):  
Myasthenia Gravis ◽  
Magnesium Sulfate ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Double Lumen Tube ◽  
Control Group ◽  
Sulphate Group ◽  
Double Lumen ◽  
Lumen Tube ◽  
Intubation Condition

Abstract Background: Titrating a low dose of non-depolarizing neuromuscular blockers for induction of general anesthesia for patients with myasthenia gravis (MG) is a popular accepted practice. This practice may confront with unsatisfactory intubation conditions, especially for double lumen tube (DLT). This double-blind randomised study was to investigate whether magnesium sulfate could decrease the rocuronium demand and improve the DLT placement conditions for MG patients who scheduled for video-assisted thoracoscopic (VATS) thymectomy. Methods: The patients were randomly assigned into the magnesium sulfate or normal saline group. After acquiring the adequate sedative depth, magnesium sulfate(60mg.kg-1) or normal saline(control) was given to the patients in two groups respectively. After that, the same Train of Four (TOF) value was obtained with one or more doses of 0.05 mg.kg-1 rocuronium with 3 minutes interval, then DLT was intubated. The primary and secondary observational outcomes were the cumulative rocuronium dose and the intubation condition for DLT placement respectively. Results: 23 patients in the magnesium sulphate group and 22 patients in the control group completed the study. The amount of rocuronium used to meet the setting value of TOF were 0.10 (0.05)mg.kg-1 and 0.28(0.17) mg.kg-1 in the magnesium sulphate and control group respectively (P<0.0001). Under a similar depth of neuromuscular blockade and sedation, 23 patients in magnesium sulphate group and 16 patients in control group showed excellent intubation condition. The patients in both groups showed similar characteristics of recovery from neuromuscular blockade. Conclusions: Our research showed that magnesium sulfate could decrease the rocuronium demand for satisfactory DLT intubation condition in MG patients.

EFFECT OF NEBULIZED KETAMINE AND MAGNESIUM SULPHATE ON INCIDENCE OF POSTOPERATIVE SORETHROAT – A COMPARATIVE STUDY

2021 ◽  
pp. 9-11
Author(s):  
Naga Seshu Kumari Vasantha ◽  
Ravi Madhusudhana ◽  
Lakshmi K Swamy ◽  
Sravanthi GNS ◽  
Pooja Giriyapur
Keyword(s):  
Comparative Study ◽  
General Anesthesia ◽  
Magnesium Sulfate ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Saline Group ◽  
Normal Saline Group ◽  
Sulfate Reduce ◽  
Patient Consent ◽  
Ethical Clearance

BACKGROUND: Post-operative sorethroat(POST) following endotracheal intubation is a well-known complication, several methods have been tried to reduce this incidence. We are comparing the effects of nebulized ketamine & Magnesium Sulphate to reduce this. AIMS AND OBJECTIVES: To compare the efcacy of nebulized ketamine and magnesium sulfate in reducing the incidence of POST. MATERIALS AND METHODS: After obtaining Ethical clearance and patient consent, 40 Patients undergoing surgery under general anesthesia were randomized in to two groups. Five minutes prior to the induction of anesthesia, patients were nebulized with Group K = 1 ml of ketamine [50 mg] +4 ml normal saline, Group M = 0.5 ml of Magnesium Sulphate [250 mg] +4.5 normal saline, and Group S – 5 ml normal saline. RESULTS: There is moderate signicant difference between both the groups at 0 hr. No signicant difference between two groups at 2,6,12 and 24 hrs. CONCLUSION: Ketamineand Magnesium sulfate reduce the incidence of POST, are almost similar in their effects.

scholarly journals Magnesium sulfate decreases the dose of rocuronium for satisfactory double lumen tube placement condition in patients with myasthenia gravis

2019 ◽  
Author(s):  
Shoujun Fei ◽  
Hengfu Xia ◽  
Xiaowei Chen ◽  
Dazhi Pang ◽  
Xuebing Xu
Keyword(s):  
Myasthenia Gravis ◽  
Magnesium Sulfate ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Double Lumen Tube ◽  
Control Group ◽  
Sulphate Group ◽  
Double Lumen ◽  
Lumen Tube ◽  
Intubation Condition

Abstract Background: Titrating a low dose of non-depolarizing neuromuscular blockers for induction of general anesthesia for patients with myasthenia gravis (MG) is a popular accepted practice. This practice may confront with unsatisfactory intubation conditions, especially for double lumen tube (DLT). This double-blind randomised study was to investigate whether magnesium sulfate could decrease the rocuronium demand and improve the DLT placement conditions for MG patients who scheduled for video-assisted thoracoscopic (VATS) thymectomy. Methods: The patients were randomly assigned into the magnesium sulfate or normal saline group. After acquiring the adequate sedative depth, magnesium sulfate(60mg.kg-1) or normal saline(control) was given to the patients in two groups respectively. After that, the same Train of Four (TOF) value was obtained with one or more doses of 0.05 mg.kg-1 rocuronium with 3 minutes interval, then DLT was intubated. The primary and secondary observational outcomes were the cumulative rocuronium dose and the intubation condition for DLT placement respectively. Results: 23 patients in the magnesium sulphate group and 22 patients in the control group completed the study. The amount of rocuronium used to meet the setting value of TOF were 0.10 (0.05)mg.kg-1 and 0.28(0.17) mg.kg-1 in the magnesium sulphate and control group respectively (P<0.0001). Under a similar depth of neuromuscular blockade and sedation, 23 patients in magnesium sulphate group and 16 patients in control group showed excellent intubation condition. The patients in both groups showed similar characteristics of recovery from neuromuscular blockade. Conclusions: Our research showed that magnesium sulfate could decrease the rocuronium demand for satisfactory DLT intubation condition in MG patients.

scholarly journals Magnesium sulfate reduces rocuronium dose needed for satisfactory double lumen tube placement condition in patients with myasthenia gravis

2019 ◽  
Author(s):  
Shoujun Fei ◽  
Hengfu Xia ◽  
Xiaowei Chen ◽  
Dazhi Pang ◽  
Xuebing Xu
Keyword(s):  
Magnesium Sulfate ◽  
Neuromuscular Blockade ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Double Lumen Tube ◽  
Tube Placement ◽  
Secondary Outcome ◽  
Double Lumen ◽  
Lumen Tube ◽  
Intubation Condition

Abstract Background: Using minimum dose of neuromuscular blockade (NMB) to achieve intubation condition is the goal in management of patients with myathenia gravis (MG). However, tracheal intubation with double lumen tube (DLT) can be challenging if intubation condition is not optimal. This double-blind randomised controlled study was designed to investigate whether magnesium sulfate would reduce rocuronium dose needed and improve the DLT placement conditions for patients with MG who were scheduled for video-assisted thoracoscopic (VATS) thymectomy. Methods: Recruited patients were randomly assigned to receive magnesium sulfate 60mg.kg-1 or normal saline (control) prior to the administration of NMB. Titrating dose of rocuronium was administered to achieve train of four ratio (TOF%) to 10% or below before DLT intubation. The primary outcome was the rocuronium dose required to achieve TOF% below 10%. Secondary outcome was intubation condition for DLT placement. Results: Twenty-three patients had magnesium sulphate and 22 patients had normal saline before rocuronium administration. The required rocuronium dose used were 0.10 (0.05) mg.kg-1 and 0.28(0.17) mg.kg-1 in patients who had magnesium sulphate and normal saline respectively (P<0.0001). With a similar depth of neuromuscular blockade and depth of anaesthesia, 23 patients in the magnesium sulphate group and 16 patients in the control group had excellent intubation condition (P = 0.027). The patients in both groups had similar emergence characteristics. Conclusions: Magnesium sulfate is associated with a decrease in the rocuronium requirement and better DLT intubation condition in patients with MG.

Comparative Study Between Clean Intermittent Self-Catheterization (Cisc) and Continuous Indwelling Catheterization (Cidc) in Relieving Acute Refractory Retention of Urine Due to Benign Enlargement of Prostate (Bep)

2020 ◽  
Vol 21 (2) ◽  
pp. 105-110
Author(s):  
Md Shawkat Alam ◽  
Sudip Das Gupta ◽  
Hadi Zia Uddin Ahmed ◽  
Md Saruar Alam ◽  
Sharif Muhammod Wasimuddin
Keyword(s):  
Comparative Study ◽  
Acute Urinary Retention ◽  
Bladder Capacity ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
High Incidence ◽  
Group A ◽  
Group B ◽  
Better Than

Objective: To compare the clean intermittent self-catheterization (CISC) with continuous indwelling catheterization (CIDC) in relieving acute urinary retention (AUR) due to benign enlargement of prostate (BEP). Materials and Methods :A total 60 patients attending in urology department of Dhaka Medical college hospital were included according to inclusion criteria ,Patients were randomized by lottery into two groups namely group –A and group –B for CISC and IDC drainage respectively . Thus total 60 patients 30 in each group completed study. Results : Most men can safely be managed as out-patients after AUR due to BPH. The degree of mucosal congestion and inflammation within the bladder was found to be lower in those using CISC and the bladder capacity in these patients was also found higher.Patients with an IDC had a high incidence of UTIs then that of patients with CISC. During the period of catheterization the incidence of UTI was 43.3% in group B in comparison to 40% in group A; before TURP 36% in group B in comparison to 10% incidence in group A.According to patient’s opinion CISC is better than IDC in the management of AUR. Experiencing bladder spasm, reporting blood in urine, management difficulties, incidence and severity of pain were less in CISC group, and the method of CISC was well accepted by patients as well as their family members. Conclusion: From the current study it may be suggested that CISC is better technique for management of AUR patient due to BPH than IDC. It can also be very helpful when surgery must be delayed or avoided due to any reasons in this group of patients. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.105-110

scholarly journals Surgical Outcome of Chronic Subdural Haematoma: An Analysis of 300 Cases

2016 ◽  
Vol 24 (2) ◽  
pp. 126-131
Author(s):  
Sukriti Das ◽  
Asit Chandra Sarkar ◽  
Md Rafiqul Islam ◽  
Md Manirul Islam
Keyword(s):  
Normal Saline ◽  
Surgical Outcome ◽  
Subdural Haematoma ◽  
Subdural Space ◽  
Acute Subdural Haematoma ◽  
Related Factors ◽  
College Hospital ◽  
Complete Replacement ◽  
Poor General Health ◽  
Medical College

Chronic Subdural Heamatoma (CSDH) is defined as collection of blood in the brain’s surface, subdural space between dura and arachnoid. It is one of the most common clinical entities in daily neurosurgical practice among the elders, several weeks after the head injury. CSDH doesn’t always produce symptoms but when it does, it generally requires surgical treatment. The diagnosis and treatment are well established, but the cause of recurrence, complications and related factors are not completely understood. This study evaluated the clinical features, radiological findings and surgical results in a large series of patients treated at the Neurosurgery department of Dhaka Medical College Hospital. 300 consecutive patients (250 men and 50 women) age ranging from 30-85 years, GCS 5-15, volume of blood >25cc, symptomatic with CSDH were treated by one or two burr hole craniostomies. Haematoma cavity was irrigated with normal saline and closed system subdural drainage was continued for 1-2 days from January 2012 to December 2015. The clinical outcome was measure on 1st, 3rd, 5th and 7th POD using GCS scoring and GOS after 4 and 8 weeks of operations. Most patients 94%(282) had good recovery (GOS 5,4,3), 4%(12) showed no changes (GOS 2) and 2%(6) worsened (GOS 1). Recurrence of haematoma was recognized in 5%(15) patients 1-8 weeks after the first operation. 4%(12) patients suffered post operative complications of which 1.33%(4)patients were acute subdural haematoma caused by incomplete haemostasis of the scalp wound, 1.33%(4)patients were tension pneumocephalus and remaining due to hypertension, use of anticoagulants, poor general health and medical problems. Careful haemostasis and complete replacement of subdural haematoma with normal saline to prevent influx of air into the subdural space will further improve the surgical outcome for patients with CSDH.J Dhaka Medical College, Vol. 24, No.2, October, 2015, Page 126-131

An improved YOLOv3 model for detecting location information of ovarian cancer from CT images

2021 ◽  
Vol 25 (6) ◽  
pp. 1565-1578
Author(s):  
Xun Wang ◽  
Hanlin Li ◽  
Lisheng Wang ◽  
Yongzhi Yu ◽  
Hao Zhou ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Cancer Cells ◽  
Ovarian Cancer Cells ◽  
Location Information ◽  
Learning Technology ◽  
Medical College ◽  
Geometric Deformation ◽  
Women's Lives ◽  
Aided Diagnosis ◽  
Better Than

Ovarian cancer is a malignant tumor that poses a serious threat to women’s lives. Computer-aided diagnosis (CAD) systems can classify the type of ovarian tumors, but few of them can provide exactly the location information of ovarian cancer cells. Recently, deep learning technology becomes hot for automatic detection of cancer cells, particularly for detecting their locations. In this work, we propose a novel end-to-end network YOLO-OC (Ovarian cancer) model, which can extract the characteristics of ovarian cancer more efficiently. In our method, deformable convolution is used to enhance the model’s ability to learn geometric deformation in space. Squeeze-and-Excitation (SE) module is proposed to automatically learn the importance of different channel features. Data experiments are conducted on datasets collected from The Affiliated Hospital of Qingdao University Medical College, China. Experimental results show that our YOLO-OC model achieves 91.83%, 85.66% and 73.82% on mean average precision [email protected], [email protected] and mAP@[.5,.95], respectively, which performs better than Faster R-CNN, SSD and RetinaNet on both accuracy and efficiency.

scholarly journals Is Audio Visual Method Better than Traditional for Medical Students? - A Better Survey Report

2013 ◽  
Vol 21 (2) ◽  
pp. 60-64 ◽  
Author(s):  
Rukhsana Parvin ◽  
Md Nazmul Haque ◽  
Naser Ahmed ◽  
Reza Ahmad ◽  
Md Imran Ali ◽  
...  
Keyword(s):  
Teaching Methods ◽  
Formal Training ◽  
Delivery Methods ◽  
Medical College ◽  
Teaching Aids ◽  
Survey Report ◽  
Power Point Presentation ◽  
Power Point ◽  
Better Than ◽  
Medical Colleges

Objectives: Different teaching aids are advocated in the medical colleges for delivery of lectures such as power point presentation, blackboard, transparency sheet, overhead projectors, extempore and lecture sheets .The aim of our study was to compare the more acceptable teaching methods between the students of Dhaka Medical College and Enam Medical College. Materials and Methods: Total one hundred students were selected from fourth year in each medical college. They were asked to fill in a fourteen item questionnaire about their perception of five lecture delivery methods. Questionnaire was properly explained. The results were analyzed separately to find out any differences between preferences of teaching methods in both medical colleges. Results: In DMC 50% students preferred traditional blackboard method ,25% PowerPoint presentations, 5% both blackboard and PowerPoint, 16% extempore and 4% lecture sheet .On the other hand, in EMC, 53% mentioned PowerPoint presentation as most acceptable, 38% blackboard, 5% combined blackboard and PowerPoint and 4% extempore. Some important comments were recorded which could be valuable for the medical teachers. Conclusion: The study showed that students of DMC clearly prefer traditional blackboard method rather than other teaching aids, whereas students of EMC prefer PowerPoint presentation. The study does not bring out any evidence based superiority of any lecture delivery method. It appears that any teaching aid can be appropriate and effective if the teachers are properly trained. This highlights the need for formal training in teaching technologies for good presentation and thus motivate the students. DOI: http://dx.doi.org/10.3329/bjmed.v21i2.13612 Bangladesh J Medicine 2010; 21: 60-64

scholarly journals Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as ‘Unresectable’

2013 ◽  
Vol 12 (3) ◽  
pp. 23-26 ◽  
Author(s):  
Md Abdullah Al Farooq ◽  
MA Mushfiqur Rahman ◽  
Tania Tajreen ◽  
Eqramur Rahman ◽  
Md Minhajuddin Sajid ◽  
...  
Keyword(s):  
Ct Scan ◽  
Pancreatic Carcinoma ◽  
Imaging Modality ◽  
Preoperative Imaging ◽  
Mri Imaging ◽  
Medical College ◽  
Magnetic Resonance Imaging Mri ◽  
Carcinoma Pancreas ◽  
Operative Findings ◽  
Better Than

Background: Carcinoma pancreas is being diagnosed increasingly with the help of conventional imaging like ultrasonography (USG), computerized tomography (CT) scan and magnetic resonance imaging (MRI).Imaging also gives the opportunity to assess resectability. In our country MRI and CT scan are not widely available and most of the pancreatic carcinoma is too advanced for curative surgical resection when diagnosed. These are unresectable carcinoma pancreas (UCP). Objectives: To evaluate the efficacy of imaging in diagnosing carcinoma pancreas and to assess resectability after comparing them with peroperative findings. Methods: This retrospective study was carried out in the department of Hepato-Biliary-Pancreatic Surgery in Bangladesh Institute for Research and Rehabilitation in Diabetic Endocrine and Metabolic disorders (BIRDEM) hospital, Dhaka, Bangladesh from July 2004 to June 2006 (2 years). After laparotomy findings and histopathological confirmation 50 patients were labeled as UCP. Among 50 patients male were 28 & female patients were 22. Imaging modalities used before surgery was assessed and compared with per operative findings. USG were done in all patients and CTscan in 45 patients. MRI was done in 08 patients suspected clinically as pancreatic carcinoma where USG /CT scan had failed to reach a conclusion. Findings of the various imaging studies regarding diagnosis and unresectability were compared with per operative findings. Results: USG was able to diagnose 42 (84%) pancreatic carcinoma patients with unresectibility in 29 (69%). Forty five patients (90%) were diagnosed by CT scan and could label 38 (84.44%) as unresectable. MRI was 100% accurate to diagnose and label the entire 08 patient as unresectable carcinoma pancreas. Cumulative multimodal preoperative imaging was 91.33% accurate in diagnosing carcinoma pancreas and could tell the features of unresectibility in 73.59% patients. Conclusion: CT scan should be the primary imaging modality for diagnosing pancreatic carcinoma and its resectability. MRI is very promising for diagnosing and assessing UCP. Multimodal imaging is better than single imaging. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 23-26

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