scholarly journals Discussion on the Effect of Emergency Tracheal Intubation on Cardiopulmonary Resuscitation by Emergency Medical Staff

2020 ◽  
Vol 9 (2) ◽  
pp. 49
Author(s):  
Xuedong Sun ◽  
Chunxiao Dong ◽  
Hui He
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Tracheal Intubation ◽  
Medical Staff ◽  
Cardiopulmonary Arrest ◽  
Success Probability ◽  
Operation Time ◽  
Control Group ◽  
Emergency Medical ◽  
Significant Difference ◽  
Experimental Group

<p>Objective: To study the positive effect of emergency tracheal intubation on cardiopulmonary resuscitation. Methods: 90 patients with cardiopulmonary arrest were randomly selected from the emergency department of our hospital from November 2017 to November 2019, and were randomly divided into the control group and the experimental group (n=45). The control group was given routine anesthesia combined with cardiopulmonary resuscitation, while the experimental group was given emergency tracheal intubation combined with cardiopulmonary resuscitation. The effect of cardiopulmonary resuscitation and operation time of the two groups were observed and discussed, and the results were recorded. Results: Under different intervention measures, the time from visiting a doctor to tracheal intubation in the experimental group was obviously shorter than that in the control group (P &lt; 0.05). There is no significant difference in the time of intubation between the two groups (P &gt; 0.05). In addition, the success probability of cardiopulmonary resuscitation and the discharge survival rate in the experimental group were higher than those in the control group (P &lt; 0.05). The above-mentioned results with p &lt; 0.05 indicated the statistically significant differences. Conclusion: In clinical practice, emergency tracheal intubation for patients with cardiopulmonary arrest by emergency medical staff can bring a higher success probability of cardiopulmonary resuscitation, buy valuable time for rescue operation, and obviously improve the prognosis of patients. Therefore, it is worthy of wider promotion and application.</p>

scholarly journals Kyphoplasty With a New Device: A Comparison Study

2021 ◽  
Author(s):  
Jian Huang ◽  
Ming Chen ◽  
Zongbo Zhou ◽  
Zhifu Lu ◽  
Chuangong Fu ◽  
...  
Keyword(s):  
Vertebral Body ◽  
Wedge Angle ◽  
Operation Time ◽  
Control Group ◽  
New Device ◽  
The Third ◽  
Significant Difference ◽  
Experimental Group ◽  
Operation Cost

Abstract Study design: Retrospective cohort study.Objective: To explore the effect of a new device for kyphoplasty.Methods: 80 patients with kyphoplasty from January 2019 to December 2020 were selected and divided into experimental group (n = 40) and control group (n = 40) according to different surgical methods. The experimental group was treated with new puncture needle puncture technology, while the control group was treated with traditional puncture needle puncture technology. The operation time and intraoperative blood loss were recorded. The pain improvement was evaluated by VAS score. The operation effect was evaluated by anterior height of injured vertebral body, middle height of injured vertebral body and wedge angle of injured vertebral body. The number of fluoroscopy and the cost of operation were also evaluated.Results: Compared with the control group, the operation time and intraoperative blood loss of the experimental group were significantly less than those of the control group, and the differences were statistically significant. There was no significant difference in the ratio of anterior height of injured vertebral body between the two groups on the third day and the last follow-up. There was no significant difference in the ratio of middle height of in injured vertebral body between the two groups on the third day and the last follow-up. There was no significant difference in wedge angle of injured vertebral body between the two groups at the third day and the last follow-up. There was significant difference in the number of fluoroscopy between the two groups. There was no significant difference in the operation cost between the two groups.Conclusion: The new surgical method can shorten the operation time and reduce the radiation exposure rate of surgeons, but it has no effect on the operation effect and operation cost.

scholarly journals Comparison of the Efficacy of Standard Decompressive Craniectomy Combined with Cerebrospinal Fluid Circulation Reconstruction in the Treatment of Severe Craniocerebral Injury

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Zhanqing Han ◽  
Jianbin Sun ◽  
Jingyang Zhong
Keyword(s):  
Cerebrospinal Fluid ◽  
Surgical Treatment ◽  
Decompressive Craniectomy ◽  
Operation Time ◽  
Control Group ◽  
Craniocerebral Injury ◽  
Fluid Circulation ◽  
Cerebrospinal Fluid Circulation ◽  
Significant Difference ◽  
Experimental Group

Abstract： Objective: To observe and discuss the clinical effect of standard decompressive craniectomy combined with cerebrospinal fluid circulation reconstruction in the treatment of severe craniocerebral injury. Methods: Seventy patients who underwent surgery in our hospital were selected as subjects for this study. The time was from August 2016 to August 2018, and patients were divided into experimental group (35 cases) and control group (35 cases) according to the random number table method. The control group was treated with a single standard decompressive craniectomy according to clinical symptoms. The experimental group was treated with standard decompressive craniectomy combined with cerebrospinal fluid circulation reconstruction. The surgical treatment effect, GCS (Glasgow Coma Scale) score and operation time were compared between the two groups. Results: After comparison, the surgical treatment effect of the experimental group was higher than that of the control group and there was a significant difference between the two groups (P<0.05). The GCS score and operation time of the experimental group were also better than of the control group and there was a significant difference the two groups (P<0.05). Conclusion: The use of standard decompressive craniectomy combined with cerebrospinal fluid circulation reconstruction in the treatment of severe craniocerebral injury is more effective and worthy of widespread promotion and application.

scholarly journals Safety and Effectiveness Outcomes of a Novel Sterile Titanium Clip Device-based Heart Valve Surgery in a Preclinical Disease Model

2021 ◽  
Author(s):  
Bin Li ◽  
Guangxin Yue ◽  
Jinyan Zhu ◽  
Min Zhang ◽  
Baiqing Yang ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Operation Time ◽  
Valve Surgery ◽  
Pathological Examination ◽  
Control Group ◽  
Renal Infarction ◽  
The Novel ◽  
Knot Tying ◽  
Significant Difference ◽  
Experimental Group

Abstract Background: Valvular heart disease (VHD) is a major subtype of life-threatening myocardial disease with high mortality, and in particular, among inpatients with degenerative valve diseases. There is an urgent need for the evaluation of the operability, effectiveness and safety of the novel sterile titanium clip device-based valve surgery with minimal level of invasion for VHD administration via preclinical studies. Methods: 18 small fat-tail sheep were prepared with extracorporeal circulation and performed upon thoracotomy and mitral valve shaping ring implantation. A total of 12 needles were conducted for mitral annulus suture, including 6 needles by utilizing the novel sterile titanium clip device (denoted as the experimental group) and another 6 needles by manual knotting (denoted as the control group), and the self-comparison was made at the indicated timepoints after surgery (30-day, 60-day, 90-day, 180-day). Along with recording the knotting time, echocardiography and blood tests were performed, with samples collected at the aforementioned timepoints. Pathological examination of the heart and vital organs was conducted to evaluate the safety and effectiveness of the implanted device. Results: Of the 18 sheep, 16 survived the operation for past-operation experimental data collection, including 3 at day 30, 3 at day 60, 4 at day 90, and 6 at day 180, respectively. Compared to the control group, the operation time was significantly reduced with clip implantation (P<0.01). The mitral valve forming ring was fixed firmly without disengagement or displacement, endothelializations were successful, with no peri-valvular leakage or marked thrombosis observed. The rate of thrombosis caused by thread ends in the experimental group was significantly higher than that in the control group at day 90, whereas no significant difference at day 180. Notably, with exception of two cases with visceral complications such as diffuse renal infarction caused by thromboembolism and small focal renal infarction, no significant differences in inflammatory response and other tissue responses or embolisms were observed in other organs. Conclusions: The novel aseptic clip device is much simpler and more convenient for significantly shortening the knot tying time during the flap annular implantation process, which demonstrated overall effectiveness and safety compare to manual knot tying.

Clinical observation of different anti-reflux methods in the treatment of gastroesophageal reflux disease with hiatus hernia

2021 ◽  
Author(s):  
Zhi-tong Li ◽  
Rui Zhang ◽  
Xin-wei Han ◽  
Chun-xia Li ◽  
Li Wang ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Postoperative Period ◽  
Hiatus Hernia ◽  
Reflux Disease ◽  
Operation Time ◽  
Control Group ◽  
Demeester Score ◽  
Significant Difference ◽  
Experimental Group

Abstract Hiatus hernia (HH) is a common benign disease of the digestive tract, which weaks the function of the anti-reflux barrier and causes gastroesophageal reflux disease (GERD). Laparoscopic HH repair and fundoplication is a classic surgical treatment for GERD patients with HH; however, some patients may complain of dysphagia and gas-bloating after the operation. For reducing complications of fundoplication, we adopted a new type of anti-reflux surgery for GERD treatment. We analysed our database of 40 patients with GERD plus HH who had LDF or a new anti-reflux surgery. At 12 months　after surgery, the total score(Sc), DeMeester score, numbers of reflux detected by impedance monitoring all decreased in two groups postoperatively, and there was no significant difference between the two groups after surgery. The minimum respiratory value increased after the operation in the control group, but there was no significant difference between the two groups. The mean respiratory value both increased in two groups postoperatively, and there was no significant difference between the two groups. The dysphagia in the experimental group was less common than that in the control group from early to 12 months after surgery. There was no significant difference in gas-bloating between the two groups in the early postoperative period but it was significantly lower in the experimental group than that in the control group in the late postoperative period. The short-term efficacy of the new anti-reflux surgery is the same as that of the LDP in the treatment of GERD with HH; however, the operation time, intraoperative blood loss, and the surgical complication rate are lower than that of the LDF, therefore, it is more commonly recommended.

Is perioperative antibiotic necessary in straightforward implant placement procedures?

2020 ◽  
Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu
Keyword(s):  
Clavulanic Acid ◽  
Dental Implant ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Implant Failure ◽  
Control Group ◽  
Implant Placement ◽  
Significant Difference ◽  
Amoxicillin Clavulanic Acid ◽  
Experimental Group

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p &gt;0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p &lt;0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.

The Effect of Using Students Peer Teaching on Iraqi EFL Students' Achievement in the Course of Library and Research Work

2019 ◽  
Vol 1 (33) ◽  
pp. 693-714
Author(s):  
. Muntaha Sabbar Jebur
Keyword(s):  
Basic Education ◽  
Teaching Method ◽  
Research Work ◽  
Peer Teaching ◽  
Control Group ◽  
College Of Basic Education ◽  
Significant Difference ◽  
Post Test ◽  
Efl Students ◽  
Experimental Group

          Peer teaching is a strategy that allows the students to teach the new content to each other, and they must be accurately guided by instructors.     The researcher proposes that the use of students peer teaching  may promote students' achievement  and ensure the engagement of all the students in the learning process. Therefore, the researcher employs it as a teaching method aiming at investigating its  effect on Iraqi EFL students' achievement in the course of Library and Research Work .      The study hypothesizes that there is no significant difference between the students' achievement who are taught library and research work by students peer teaching  and that of the students taught by the traditional way. The experimental design of the study is Parallel Groups, Random Assignment, posttest. Each group consists of 35 students, chosen randomly from the Third Year Students at the Department of English in the College of Basic Education. Both groups were matched in terms of their age and parents' education. The experiment was fulfilled in the first course for 15 weeks during the academic year 2016-2017.       The same materials were presented to both groups. This included   units from Writing Research Paper by Lester D. . Post-test was constructed and exposed  The t-test for  independent samples was used to analyze the results and it is found out that there is a statistical difference between the two groups in their achievement because the calculated t- value 2.635 is bigger than the tabulated t- value which is 2.000, and also shown the superiority of the experimental group. The results indicate that the experimental group, who was taught Library and Research Work by peer teaching   was better than the control group, who was taught according to the traditional way. So, the null hypothesis is rejected. Finally, some recommendations and suggestions are presented in the light of the study findings. to a jury of experts to verify its validity and it was administered to both groups.

Optimization of postoperative management of patients undergoing functional endoscopic sinus surgery

2018 ◽  
pp. 26-31
Author(s):  
Sergey Bezshapochny ◽  
Andrey Loburets ◽  
Valery Loburets
Keyword(s):  
Nasal Cavity ◽  
Postoperative Period ◽  
Sodium Hyaluronate ◽  
Sinus Surgery ◽  
Control Group ◽  
Nasal Breathing ◽  
Traditional Therapy ◽  
Significant Difference ◽  
Water Salt ◽  
Experimental Group

Topicality: The result of surgical treatment depends largely on the chosen method of management of the postoperative period, the main purpose of which is to reduce the effects of surgical trauma. Despite the wide variety of drugs for local and systemic use, the question of pharmacotherapy of the operated sinus remains open to this day. The main properties that a modern drug should possess are safety and high clinical efficacy. Aim: to study the clinical efficacy of topical application of a complex preparation based on a saline solution containing sodium hyaluronate and dexpanthenol in patients with chronic sinusitis after functional endoscopic sinus surgery (FESS). Materials and Methods: Clinical and laboratory studies were conducted on 47 patients with chronic rhinosinusitis who underwent surgery using the FESS technique. Patients were divided into 2 groups according to the principle of the postoperative period. Patients of research group (n=21), except for traditional therapy, was used locally NASOMER (a preparation based on a water-salt solution containing sodium hyaluronate and dexpanthenol); to the control group (n=26) patients entered, in the postoperative period received traditional therapy. Traditional therapy included a toilet of the nasal cavity, the use of short-course topical decongestants, irrigation of the nasal cavity with water-salt solutions. Criteria of clinical effectiveness: data of endoscopy of the nasal cavity, rhinomanometry, activity of the mucociliary transport system. The effectiveness of functional research methods in the postoperative period was determined on the 7th and 14th day of treatment. Results: On the 3rd day of the study, an increase in the swelling of the nasal cavity was observed in patients of both clinical groups, correlated with difficulty in nasal breathing. On the 7th day, a decrease in edema was observed in patients of both groups, but in the experimental group, the index of nasal breathing, according to rhinomanometry, was significantly (p<0.05) different from the control group, and was respectively 1.54±0.14 and 2.04±0.19 kPa/l*s. On the 14th day of the study, no significant difference was observed between these indicators. When studying the activity of the ciliated epithelium of the mucous membrane of the nasal cavity, it was proved that patients of the experimental group on day 7 after surgery showed a statistically significant difference in this indicator compared to the control group (17.8±1.0 and 22.7±2.1 min. respectively). Conclusions: The use of NASOMER after surgical intervention in patients with chronic rhinosinusitis contributes to more effective treatment compared with traditional therapy, as evidenced by the rapid recovery of the main functional parameters according to active posterior rhinomanometry and mucociliary clearance. Based on the results of the studies performed, the use of NASOMER for pharmacotherapy in the postoperative period is recommended for patients who have undergone rhinosurgical interventions with the aim of reducing the period of postoperative rehabilitation as an effective anti-inflammatory and wound-healing agent.

Thyroid Dysfunction in Pregnant Women with Gestational Diabetes Mellitus

2020 ◽  
Vol 16 (8) ◽  
pp. 895-899 ◽  
Author(s):  
Shahin Safian ◽  
Farzaneh Esna-Ashari ◽  
Shiva Borzouei
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Thyroid Dysfunction ◽  
Control Group ◽  
Thyroid Peroxidase ◽  
Free T4 ◽  
Significant Difference ◽  
Experimental Group

Aims: Investigation thyroid dysfunction and autoimmunity in pregnant women with gestational diabetes mellitus. Background: This article was written to evaluate the thyroid function and anti-thyroid peroxidase (anti- TPO) antibodies in pregnant women with gestational diabetes mellitus (GDM). Method: A total of 252 women with GDM and 252 healthy pregnant women were enrolled. Thyroid tests, including TSH, FreeT3, Free T4, and anti-TPO were performed for all women at 24–28 weeks of gestation. Data analysis was then carried out using SPSS ver. 22. Result: There was a significant difference between the experimental group (38.4%) and the control group (14.06%) in terms of the prevalence of subclinical hypothyroidism (p= 0.016). The frequency of anti-TPO was higher in the experimental group than the control group and positive anti-TPO was observed in 18.6% of women with GDM and 10.3% of healthy pregnant women (P= 0.008). Conclusion: Thyroid disorders are observed in pregnant women with GDM more frequently than healthy individuals and it may be thus reasonable to perform thyroid tests routinely.

EFFECT OF WEB BASED INSTRUCTIONS ON ACHIEVEMENT IN SOCIAL STUDIES

2017 ◽  
Vol 4 (24) ◽  
Author(s):  
Rajwinder Kaur
Keyword(s):  
Social Studies ◽  
Conventional Method ◽  
Traditional Method ◽  
Statistical Techniques ◽  
Control Group ◽  
Web Based ◽  
Significant Difference ◽  
Post Test ◽  
Based Instruction ◽  
Experimental Group

The purpose of the study was to study the Effect of Web based instructions on achievement in Social Studies. The sample consisted of 100 students from Grade 8th of schools affiliated to C.B.S.E of Ferozepur and were randomly split into two groups-control (taught by traditional method) and experimental (taught by Web based instruction) groups. Firstly pre-test was administered on both the groups; then the students in the control group were taught by conventional method while experimental group was taught by Web based instructions. Then post-test was administrated on both the groups. The Statistical techniques were then employed to data collected and analysis and interpretation of the data was done. The result of the study implied that there exists significant difference in achievement in Social Studies based on Web based instructions and conventional method. The study also revealed that there exist significant gender differences in achievement in Social Studies with Web based instructions.

Role of Nutrition Counseling and Lifestyle Modification in Managing Prediabetes

2021 ◽  
pp. 037957212110254
Author(s):  
Harleen Kaur ◽  
Neerja Singla ◽  
Rohini Jain
Keyword(s):  
Hemoglobin A1c ◽  
Lifestyle Modification ◽  
Fasting Blood Glucose ◽  
Nutrition Intervention ◽  
Control Group ◽  
Population Prevalence ◽  
Significant Difference ◽  
And Control ◽  
Experimental Group

Objective: India is the second country after China having the highest population prevalence of diabetes. Several research studies investigating diabetes have been done, but not much work has been done on prediabetes. The purpose of this study was to investigate the effect of nutrition and lifestyle modification on prediabetic females. Methods: A total of 120 prediabetic females from Ludhiana city were divided into 2 matched groups: control group (n = 60) and experimental group (n = 60). Impact of nutrition intervention for dietary and lifestyle modification (for 3 months) was assessed on the anthropometric, dietary, biochemical parameters, and diabetes risk score of the experimental group and control group (no intervention). Results: All the selected 120 subjects completed the study (experimental group = 60; control group = 60). There was significant difference in the changes between the 2 groups throughout the study. The fasting blood glucose and glycated hemoglobin A1c levels of the experimental group subjects reduced significantly ( P ≤ .01). However, no change was observed among the control group subjects. The lipid profile of the experimental group showed a significant improvement ( P ≤ .01). Conclusion: Nutrition counselling of the prediabetics regarding dietary and lifestyle modification is recommended so as to improve their metabolic control, thus preventing them from being diabetics.

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