scholarly journals Mixer grinder finger tip injuries and treatment outcome in a rural based tertiary center: a retrospective study

2019 ◽  
Vol 6 (7) ◽  
pp. 2458 ◽  
Author(s):  
Deepak Hongaiah ◽  
Abhilash . ◽  
Dharmendra Kumar ◽  
Vijay Kumar S.

Background: Early morning mixer grinder fingertip injuries is encountered predominantly in females. Most of these injuries happened due to improper use of the grinder like keeping hands into the mixer when still the blades on run immediately after switching off the machine and sometimes during washing the jar. It can lead to injury of either single or multiple finger and either at single or multiple levels. Early wound debridement and reconstruction is essential for good functional outcome, prevention of the deformity and to achieve good cosmesis. The objective of the study was to classify the mixer grinder fingertip injuries and to asses treatment outcome of different type of mixer grinder fingertip injuries.Methods: This is a retrospective study involving 12 patients over a period of 2 years. Data was collected from the previous records and was analysed using SPSS 22 version software. Categorical data was represented in the form of Frequencies and proportions.Results: In the present study most common age group involved is between 26 and 30 years (66.7%) with female predominance and most common hand involved was right hand. D3 involved most frequently and at multiple levels. Most of them were treated under wrist block followed by digital block with very good short term and long term outcome.Conclusions: The treatment of the fingertip injuries should be aimed at preserving the length of the digit by giving adequate wound debridement and primary suturing/flap reconstruction when possible to provide soft-tissue coverage with protective sensation at a minimum.

2002 ◽  
Vol 59 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Zoran Roganovic ◽  
Goran Pavlicevic ◽  
Radenko Tadic

Objectives: To analyze the outcome of either surgical or conservative treatment of patients with aneurysms on cerebral arteries. Design Retrospective study on 114 patients (89 operated and 25 not operated). Methods: Clinical state was graded from 0 to V, according to Hunt & Hess (HHG), and the treatment outcome was defined as favorable or poor, according to the modified Glasgow Outcome Score. The outcome was correlated with the type of treatment (operative or conservative), clinical state and aneurysmal localization. Results: Aneurysm was localized mostly on the anterior communicating (33.6%) and middle cerebral arteries (32.8%) and the patients were mostly in HHG II or III (34.4% and 25.2%). HHG after the aneurysmal rupture did not depend on the aneurysmal location (p>0.05). Favorable treatment outcome was noted: in 74.1% of all operated and in 60% of all conservatively treated patients (p>0.05)( in 81.6% of operated and in 33.3% of not operated patients with HHG=II-III (p<0.01)( in 78.8% of aneurysms of the middle cerebral artery and in 66.7% of those of the anterior communicating artery (p>0.05)( in 73.1% of patients with HHG=III and in 25% of patients with HHG=IV (p<0.01).Conclusions: Clinical state after the aneurysmal rupture did not depend on its localization. Results were better after the surgical, than after the conservative treatment. Outcome after the surgery depended on the clinical state of the patient, but not on the aneurysmal localization.


2021 ◽  
Author(s):  
Addisu Assefa ◽  
Ararsa Girma ◽  
Helmut Kloos

Abstract Background: Tuberculosis remains a major global health problem and ranks along with the human immunodeficiency virus (HIV) as a leading cause of mortality worldwide. The aim of this study was to investigate the treatment outcome of tuberculosis, and factors associated with treatment outcome of tuberculosis in TB patients enrolled in Arsi-Robe Hospital, Oromia regional state, South eastern Ethiopia between January 2013 to December 2017. Methods: An Institutional-based retrospective study was conducted in Arsi-Robe Hospital from 2013 to 2017 in study patients who had all forms of TB in DOTS clinic. The predictors of treatment outcomes were analyzed through bivariate and multivariable logistic regression analysis and a P-value < 0.05 were considered statistically significant. Results: Out of the 257 registered TB patients, most of them were males (57.9%), from rural areas (62.6%) and in age of 15-24 category (39.3%). PTB-, PTB+ and EPTB were recorded in 48.2%, 32% and 19.8% of the patients, respectively. Among all cases, 8.6% had TB-HIV co-infection. Among all TB cases, 84.0% had successful treatment outcome. TB patients from urban areas (AOR: 3.34, 95% CI: 1.33­8.38, P = 0.01), with failure treatment (AOR: 6.66, 95% CI = 1.12- 39.57; P = 0.037) and HIV positive (AOR: 4.92, 95% CI = 1.38-17.51; P = 0.014) had higher odd of unsuccessful treatment outcome of tuberculosis. However, TB patients with PTB+ (AOR: 0.1470, 95% CI = 0.031-0.687; P = 0.015) and EPTB (AOR: 0.194, 95% CI = 0.054-0.688; P = 0.011) had significantly lesser odd of unsuccessful treatment outcome. Conclusions: Being urban resident, treatment failure and HIV positive considerably challenge the treatment outcome of tuberculosis, but being PTB+ and EPTB were associated with higher treatment success rate of TB. Continuous follow-up of patients with unsuccessful treatment outcome of tuberculosis with strengthened implementation of the DOTs strategies are suggested. Trial Registered: retrospectively registered


2006 ◽  
Vol 120 (7) ◽  
pp. 528-533 ◽  
Author(s):  
S Korres ◽  
D G Balatsouras ◽  
E Ferekidis

Objective: To evaluate the prognostic factors in benign paroxysmal positional vertigo (BPPV) treated with canalith repositioning procedures (CRPs).Material and methods: Retrospective study of consecutive BPPV cases diagnosed over three years. All patients underwent a complete otolaryngologic, audiologic and neurotologic evaluation. The appropriate CRP was performed, depending on the type of BPPV. Prognostic factors studied included age, sex, aetiology, duration of disease, abnormal electronystagmographic findings, canal involvement, improper performance of manoeuvres, response on first or repeat treatment, and presence of recurrences.Results: One hundred and fifty-five patients were studied, 66 men and 89 women, with mean ages of 58.7 and 60.4 years, respectively. Age and the involvement of two canals or bilateral disease had an effect on initial treatment outcome and were correlated to increased recurrences but not to repeat treatment outcome. Secondary BPPV, abnormal electronystagmographic findings and improper performance of manoeuvres had a significant effect both on initial and repeat treatment, but not on recurrences. Sex and duration of symptoms had no effect.Conclusion: Canalith repositioning procedures provide fast and long-lasting treatment of BPPV in most patients. However, in a small subgroup of patients, failures may be noticed that may be attributed to various prognostic factors.


PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0153239 ◽  
Author(s):  
Gebreslassie Gebremariam ◽  
Getachew Asmamaw ◽  
Muktar Hussen ◽  
Mengistu Z. Hailemariam ◽  
Demissie Asegu ◽  
...  

2018 ◽  
Vol 24 (3) ◽  
pp. S86-S87
Author(s):  
Federica Barzaghi ◽  
Laura Amaya Hernandez ◽  
Sung-Yun Pai ◽  
Benedicte Neven ◽  
Franco Locatelli ◽  
...  

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