scholarly journals Can an open displaced tibial fracture be treated without surgery? a treatment discussion: a case report

2021 ◽  
Vol 7 (3) ◽  
pp. 667
Author(s):  
Sara Elisa Diniz ◽  
João Vale ◽  
Pedro Neves
Keyword(s):  
Open Fracture ◽  
Tibial Fracture ◽  
Soft Tissues ◽  
Previous History ◽  
Poor Quality ◽  
Tissue Necrosis ◽  
History Of ◽  
The One ◽  
Analyze Case

<p class="abstract">The authors present a case of a 70-year-old female with left tibial open fracture (Gustillo-Anderson type II) with previous history of trauma of the same limb, from which resulted a Morel-Lavallée injury complicated with extensive tissue necrosis. Considering the sequel condition of soft tissues (scarring and extensive fibrosis), conservative treatment was taken and successful result was achieved. In this case the biggest concern was not the traumatic tissue damage caused by the fall, but the poor quality of tissues already existent before this event. Although surgical treatment is the gold standard in these cases, we must analyze case by case the risk benefit of each procedure and choose the one we believe is the best for the patient.</p>

THE FLUORESCENT ANTITOXIN TEST FOR THE IMMEDIATE DIAGNOSIS OF DIPHTHERIA

PEDIATRICS ◽  
1961 ◽  
Vol 27 (2) ◽  
pp. 214-218
Author(s):  
Jo Anne Whitaker ◽  
John D. Nelson ◽  
Chester W. Fink
Keyword(s):  
Differential Diagnosis ◽  
Laboratory Test ◽  
Clinical Judgment ◽  
Poor Quality ◽  
Fluorescent Staining ◽  
The Poor ◽  
Diphtheria Antitoxin ◽  
Early Case ◽  
The One

The recent increase in the incidence of diphtheria in our area stimulated the search for a reliable laboratory test for the immediate differential diagnosis of diphtheritic and non-diphtheritic membranous tonsillitis. Fluorescein-conjugated diphtheria antitoxin proved to be highly specific for staining toxigenic C. diphtheriae. Eight of nine patients with proved diphtheria had fluorescent organisms on a smear of exudate. The failure in the one case is attributed to the poor quality of the specimen obtained. An early case of diphtheria was detected by examination of family contacts of one of the patients in this series. The conjugated antitoxin does not result in fluorescent staining of nontoxigenic diphtheria bacilli on of other bacteria commonly found in the nasopharyngeal tract. Fluorescent staining of cultures suggests that only a small proportion of the potentially toxigenic diphtheria organisms are actually producing toxin at a given moment. The fluorescent antitoxin test can be performed within 1 hour. A positive result of the test is an absolute indication for antitoxin therapy. With a negative result the physician must still rely on his clinical judgment and cultural and virulence tests.

Quality of Life and Functional Outcomes after Multiligament Knee Reconstruction

2018 ◽  
Vol 31 (10) ◽  
pp. 970-978 ◽  
Author(s):  
George Hatch ◽  
Diego Villacis ◽  
Dhanur Damodar ◽  
Michael Dacey ◽  
Anthony Yi
Keyword(s):  
Quality Of Life ◽  
Linear Regression Analysis ◽  
Previous History ◽  
Life Questionnaire ◽  
Knee Ligament ◽  
Management Protocol ◽  
Knee Ligament Surgery ◽  
History Of

AbstractWe aimed to determine factors that affect the quality of life of patients undergoing a standardized surgical and postoperative management protocol for knee dislocations. A total of 31 patients (33 knees) were included in this study. We contacted patients at a minimum of 12 months postoperatively (mean: 38 months; range, 12–111 months) and administered the previously validated Multiligament Quality of Life questionnaire (ML-QOL), 2000 International Knee Documentation Committee Subjective Knee Form (IKDC), and Lysholm Knee Scoring Scale. We performed independent two-sample t-tests and age-adjusted multivariable linear regression analysis to examine the difference in these scores. Patients who underwent previous knee ligament surgery had significantly worse mean ML-QOL scores relative to patients who did not undergo previous knee ligament surgery (114.3 versus 80.4; p = 0.004) (higher score indicates worse quality of life). All other differences in the ML-QOL scores were not statistically significant. IKDC and Lysholm scores did not differ significantly with regards to the studied variables. Among patients with no previous knee ligament surgery, patients undergoing surgery within 3 weeks of injury had significantly worse mean ML-QOL scores relative to patients undergoing surgery greater than 3 weeks after their injury (98.7 versus 74.7; p = 0.042) and patients with Schenck classification of III or IV had significantly worse mean ML-QOL scores relative to patient with a Schenck classification of I or II (88.7 versus 62.9; p = 0.015). We found that patients with a previous history of knee ligament surgery had a significantly worse quality of life relative to those with no history of knee ligament surgery. This is a level III, retrospective cohort study.

scholarly journals Microbiological Assessment of the Quality of Some Commercial Products Marketed as Lactobacillus crispatus-Containing Probiotic Dietary Supplements

2019 ◽  
Vol 7 (11) ◽  
pp. 524 ◽  
Author(s):  
Francesco Di Pierro ◽  
Valeria Polzonetti ◽  
Vania Patrone ◽  
Lorenzo Morelli
Keyword(s):  
Nutritional Supplements ◽  
Poor Quality ◽  
Type I ◽  
Lactobacillus Crispatus ◽  
Daily Dose ◽  
The One ◽  
Duration Of Pregnancy ◽  
Medical Relevance ◽  
Gestational Duration

In the last decade, many authors have reported low viability for probiotic products. Investigators commonly find they are not meeting claimed active counts and/or incorrect species and/or strains have been identified. We have therefore decided to verify viability, the real dose and species correspondence in nine probiotic products (seven nutritional supplements and two medical devices) collected from the Italian and French markets claiming to contain at least one strain of L. crispatus among the different species/strain included in the formulation. In fact, the medical relevance of L. crispatus strains has recently grown., as evaluating the possible dominance clusters typical of the vaginal microbiota, the Community State Type I, the one dominated by L. crispatus, appears to be “protective” in terms of infections, fertility and gestational duration of pregnancy. The results obtained demonstrate the generally poor quality of probiotics. Out of nine products, only two definitely contained viable Lactobacillus crispatus cells with a daily dose of at least 1 × 109 CFU/g and with an acceptable correspondence with what is declared on the label. Among these two, only one was found to be formulated with a strain (M247) that has been scientifically documented.

scholarly journals Atypical case of mucous membrane pemphigoid in a 26-year-old man

2018 ◽  
pp. bcr-2018-225872
Author(s):  
Deepak Sambhara ◽  
Ji Hyae Lee ◽  
Seth M Pantanelli
Keyword(s):  
Mucous Membrane ◽  
Previous History ◽  
Immunohistochemical Analysis ◽  
Mucous Membrane Pemphigoid ◽  
Epithelial Basement Membrane ◽  
The Face ◽  
History Of ◽  
The One ◽  
The Right ◽  
High Index Of Suspicion

A 26-year-old Caucasian man with no previous history of chemical injury presenting with an inability to open his right eye was investigated for mucous membrane pemphigoid and treated. Examination was notable for symblepharon of the right eye and impetigo-like lesions on the face and neck. A biopsy with immunohistochemical analysis was significant for linear deposits of C3 and immunoglobulin G at the level of the epithelial basement membrane, confirming the diagnosis of mucous membrane pemphigoid. Although mucous membrane pemphigoid classically presents bilaterally in women in the sixth and seventh decades of life, our patient was a young man with unilateral cicatrising conjunctivitis who may have been easily misdiagnosed without a high index of suspicion. A biopsy is required in cases of cicatrising conjunctivitis so that even atypical cases such as the one presented herein can be appropriately managed.

scholarly journals Improving the quality of information on Scottish anglerfish fisheries: making use of fishers' data

2008 ◽  
Vol 65 (7) ◽  
pp. 1334-1345 ◽  
Author(s):  
H. Dobby ◽  
L. Allan ◽  
M. Harding ◽  
C. H. Laurenson ◽  
H. A. McLay
Keyword(s):  
Temporal Trends ◽  
Poor Quality ◽  
Quality Of Information ◽  
Commercial Catch ◽  
Size Category ◽  
History Of ◽  
Scientific Technical ◽  
Catch Rates ◽  
Management Advice

Abstract Dobby, H., Allan, L., Harding, M., Laurenson, C. H., and McLay, H. A. 2008. Improving the quality of information on Scottish anglerfish fisheries: making use of fishers’ data. – ICES Journal of Marine Science, 65: 1334–1345. In recent years, the International Council for the Exploration of the Sea (ICES) Working Group on the Assessment of Northern Shelf Demersal Stocks has been unable to provide an analytical assessment for anglerfish. One of the reasons for this has been the poor quality of the commercial catch-and-effort data, with ICES and the European Commission’s Scientific, Technical, and Economic Committee for Fisheries (STECF) stressing the need for reliable information on which to base estimates of stock status. In response, and following consultation with the fishing industry, an anglerfish tallybook project was implemented in Scotland as part of a long-term approach to providing better data. Tallybooks are completed on a haul-by-haul basis. Skippers record catches of anglerfish (by size category) and other species where possible, together with information on haul location, duration, and depth. Individual vessel catch rates are calculated and used to provide insights into temporal trends in the stock and the spatial distribution of the fishery. The history of the fishery and management advice are summarized, and an overview of the tallybook project is provided. Catch rates are analysed using a generalized additive modelling approach which incorporates seasonal, annual, spatial, and vessel-dependent effects. The results show increased catch rates between 2006 and 2007.

The Effectiveness of Autologous Conditioned Serum in the Treatment of Knee Osteoarthritis

2014 ◽  
Vol 23 (4) ◽  
pp. 365-369 ◽  
Author(s):  
Matthew Astolfi ◽  
Kelly McGuire ◽  
Thomas W. Kaminski
Keyword(s):  
Treatment Options ◽  
Previous History ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Knee Oa ◽  
Autologous Conditioned Serum ◽  
Increased Risk ◽  
History Of ◽  
Quality Of Living

Clinical Scenario:Osteoarthritis (OA) is a debilitating degenerative disease affecting an estimated 27 million Americans. A systematic review found that patients with a previous history of traumatic knee injury are at increased risk of developing knee OA, regardless of specific injury. It is vital for the maintenance of quality of life for individuals affected with OA that the treatment options available be able to reduce symptoms and restore quality of living. The pain-relief benefits of traditional injection treatments are small to moderate and have a limited duration. It was found that at 2 wk postinjection that corticosteroids were more effective than hyaluronic acid (HA) injections. Autologous conditioned serum (ACS) injection is a novel treatment that has shown favorable results. However, many clinicians continue to use HA injections for reduction of symptoms in patients with osteoarthritis when the use of ACS may be more beneficial.Focused Clinical Question:For patients with knee OA, is an ACS injection more efficient at producing a reduction in symptoms than HA or a saline injection?

scholarly journals Homeopathic treatment of vaginal leiomyoma in a dog: case report

2021 ◽  
Vol 7 (24) ◽  
pp. 152-158
Author(s):  
Maria Ignez Carvalho Ferreira ◽  
Luiz Figueira Pinto
Keyword(s):  
Case Report ◽  
Rio De Janeiro ◽  
Surgical Excision ◽  
Poor Quality ◽  
Clinical State ◽  
Homeopathic Treatment ◽  
Calidad De Vida ◽  
The One ◽  
Vaginal Leiomyoma

The most common vaginal neoplasias in old dogs are leiomyoma and fibroma. Although surgical excision is the indicated treatment, it does not eliminate potential complications that may lead to death or poor quality of life. This paper reports the case of a 9 year-old female Doberman dog with vaginal leiomyoma attended by copious and recidivating colporrhagia homeopathically treated between March and December 2005. Homeopathic approach was the one designed at Homeopathic Unit of the Veterinary Hospital, Rural Federal University of Rio de Janeiro, Brazil. The progress of disease was assessed through clinical evaluation, laboratory exams and ultrasonography. Hemorrhage decreased while the general clinical state of the animal improved. After 7 months of homeopathic treatment, the tumor was spontaneously eliminated through violent abdominal contractions, which was followed by recovery of the animal’s state of health. Keywords:  Homeopathy; Veterinary medicine; Tumors; Leiomyoma; Vaginal; Dogs.   Tratamento homeopático de leiomioma vaginal em cães: relato de caso Resumo As neoplasias vaginais mais comuns em cadelas velhas são o leiomioma e o fibroma. Embora a excisão cirúrgica é o tratamento indicado, não elimina complicações potenciais que podem levar ao óbito ou baixa qualidade de vida. O presente artigo relata o caso de uma cadela Doberman de 9 anos de idade, com leiomioma vaginal, apresentando colporragia copiosa e recidivante, tratada entre março e dezembro de 2005. A abordagem homeopática utilizada foi a desenvolvida na Unidade Homeopática do Hospital Veterinário da Universidade Federal Rural do Rio de Janeiro, Brasil. A evolução da doença foi acompanhada através de avaliação clínica, testes de laboratório e ultrassonografia. A hemorragia diminuiu e o estado geral melhorou. Depois de 7 meses de tratamento homeopático, o tumor foi espontaneamente eliminado através de violentas contrações abdominais, seguido de recuperação do estado de saúde do animal. Palavras-chave:  Homeopatia, Medicina Veterinária; Tumores; Leiomioma; Vaginal; Cães.   Tratamento homeopático de leiomioma vaginal en canino: relato de caso Resumen Las neoplasias vaginales más comunes en caninos ancianos son el leiomioma y el fibroma. Aunque la excisión quirúrgica es el tratamiento de elección, no elimina complicaciones potenciales que pueden llevar al deceso o pobre calidad de vida. Este artículo relata el caso de un canino Doberman femenino de 9 años de edad, con leiomioma vaginal acompañado de colporragia abundante y recidivante, tratado entre marzo y diciembre de 2005. El abordaje homeopático utilizado fue el desarrollado en la Unidad Homeopática del Hospital Veterinario de la Universidad Federal Rural de Río de Janeiro, Brasil. La evolución de la enfermedad fue estimada mediante evaluación clínica, exámenes de laboratorio y ecografía. Las hemorragias disminuyeron, con mejoría del estado general. Después de 7 meses de tratamiento homeopático, el tumor fue espontáneamente eliminado mediante violentas contracciones abdominales, seguido de recuperación del estado de salud del animal. Palabras-clave:  Homeopatía, Medicina veterinaria; Tumores; Leiomioma; vaginal; Perros.   Correspondence author:  Luiz Figueira Pinto. [email protected] How to cite this article:  Ferreira MIC, Pinto LF. Homeopathic treatment of vaginal leiomyoma in a dog: case report. Int J High Dilution Res [online]. 2008 [cited YYYY Mmm DD]; 7(24):152-158. Available from: http://journal.giri-society.org/index.php/ijhdr/article/view/304/358.  

scholarly journals Tucked and treated- a case series on outcome of meshplasty with abdominoplasty for incisional hernia

2021 ◽  
Vol 8 (11) ◽  
pp. 3421
Author(s):  
Nagamallesh C. S. ◽  
Nandini S. Tanwar ◽  
F. Sadiq Nawaz ◽  
Padmanath Bhat
Keyword(s):  
Quality Of Life ◽  
Incisional Hernia ◽  
Previous History ◽  
Case Series ◽  
Weight Lifting ◽  
Aesthetic Outcome ◽  
Strict Glycemic Control ◽  
History Of

Incisional hernia is the second most common type of hernia. Incisional hernia occurs in 10-20% of patients who were subjected to abdominal surgery in India. Here we are presenting a case series of 20 patients with incisional hernia and obesity. Body mass index (BMI) ranges from 28 to 35 in all cases. Females outnumbered the male in the ratio of 4:1 and 40% of cases had a previous history of caesarean section. All cases were operated by combining open polypropylene meshplasty and abdominoplasty techniques and follow up consultations were done for 1 year. 10% of cases had post-op wound infections, who were known to be diabetic. They were managed with appropriate antibiotics and maintained strict glycemic control. 90% of patients were satisfied from the procedure performed which improved their quality of life, significant cosmetic outcome and no recurrence. 10% of cases had recurrence after heavy weight lifting following surgery (BMI was 36). By incorporating the above mentioned techniques in hernia repair, recurrence rate and complications were reduced, quality of life and aesthetic outcome are enhanced.

scholarly journals Prevalence of Hyperthyroidism and its Impact on Quality of Life Among Students of the Islamia University of Bahawalpur Pakistan

2020 ◽  
Vol 8 (2) ◽  
pp. 85-90
Author(s):  
Shifa Shaffique ◽  
Haseeb Anwar ◽  
Hafiz Muhammad Asif ◽  
Imran ul Haq ◽  
Muhammad Akram
Keyword(s):  
Quality Of Life ◽  
Family History ◽  
Previous History ◽  
Previous Treatment ◽  
Population Based ◽  
Causative Factors ◽  
Associated Symptoms ◽  
History Of ◽  
Middle Class Families

Aim: Population based studies on prevalence of hyperthyroidism and its impact on quality of life, with variability of weight, height and distribution, their associated symptoms are limited. Knowledge and awareness about the prevalence of hyperthyroidism and their associated symptoms and its treatment option is necessary for the patient education and evaluation of underlying causative factors of this disease. Methodology: Apopulation-based study was conducted from October 2018 to May 2019 to determine the prevalence of hyperthyroidism and its impact on quality of life among the students of The Islamia University Bahawalpur. Questioner were developed and distributed among the consenting participants. Thirty-six males and one hundred and six females were included in this study. Results: Our study concluded that prevalence of hyperthyroidism is n=10(6.6%) and its prevalence ishigher in middle class families. Hyperthyroidism has a positive link with family history and previous history as shown in the results i.e. n=8 (5.3%) with family history and n=5 (3.3%) linked with previoushistory. It is the leading cause of morbidity and its prevalence is raised day by day. We studied that hyperthyroidism produces following effects on quality of life; n=10 (6.6%) participants were presented with loss of concentration in work / studies=10 (6.6%) with body ache, n=8 (5.3%) with social isolation, n=10 (6.6%) with mental health changes, n=6 (4%) with a history of previous treatment, n=8 (5.3%) with need of repeated checkups. Conclusion: It is concluded from present study that the hypehyperthyroidism significantly affects the quality of life and it is positively linked with the family history and history.

scholarly journals P645 Mental health, work presenteeism and exercise in IBD patients

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S577-S577
Author(s):  
M Sciberras ◽  
C Nascimento ◽  
T Tabone ◽  
K Karmiris ◽  
P Nikolaou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Demographic Data ◽  
International Study ◽  
Poor Quality ◽  
Psychiatric Medication ◽  
Active Involvement ◽  
Significant Difference ◽  
Previous Medication ◽  
History Of

Abstract Background IBD has been shown to increase the rates of anxiety and depression amongst diagnosed individuals, with a prevalence rate of approximately 15- 20%. Chronic diseases such as IBD can have a significant impact on productivity at work (presenteeism). This can lead to emotional distress, poor quality of life and cost effects on employers. The primary aim of the study was to assess the prevalence of psychological problems, exercise levels and presenteeism at work among IBD patients. Methods This was a multicentre international study whereby IBD patients (&gt;18 years) in clinical remission over the last year, were asked to answer an anonymous questionnaire. Demographic data, type of IBD, current and previous medication, admissions to hospital, history of psychiatric referrals, Stanford Presenteeism Scale (SPS-6), Godin Score (exercise related score) were collected. Exclusion criteria included patients with IBD flares requiring corticosteroids in the previous 12 months. Results 573 patients (CD: n=318) from 8 European Centres and Israel participated in the study. The mean patient age was 39.9 years (SD+/- 13.0). 21.6% were smokers and 48.5% were non-smokers. The rest were ex-smokers. 10.9% of patients had a diagnosis of depression/anxiety prior to the diagnosis of IBD, whereas this increased to 20.6% post-IBD diagnosis, this being significantly commoner in the CD cohort (23.0%, p&lt;0.05) and in females (55.8%, p&lt;0.05). 37.7% of patients had been to a psychiatrist or a psychologist (41% of CD, p&lt;0.05) with 11.7% of patients being on psychiatric medication (14.5% of CD, p&lt;0.05). Low presenteeism at work was evident in 34.7%, with no statistically significant difference between UC and CD patients (p=0.5). 39.9% had a Godin Exercise Score being in the active range, 38.8% had a sedentary/insufficient exercise score. The rest were moderately active. Patients diagnosed with depression/anxiety had a more sedentary lifestyle. Conclusion In our study 37.7% of patients were referred for psychological help. This can have several effects including poor presenteeism at work (34.7%) and reduced efficiency. These issues are commoner in patients with CD than in UC. Active involvement of a psychologist/ psychiatrist as part of the IBD team should be routine as to improve the patient’s quality of life.

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