scholarly journals THE CHARACTERISTIC OF PATIENTS WITH FEMORAL FRACTURE IN DEPARTMENT OF ORTHOPAEDIC AND TRAUMATOLOGY RSUD DR. SOETOMO SURABAYA 2013 – 2016

2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Riswanda Noorisa ◽  
Dwi Apriliwati ◽  
Abdul Aziz ◽  
Sulis Bayusentono
Keyword(s):  
Observational Study ◽  
Femoral Fracture ◽  
Medical Records ◽  
Traffic Accident ◽  
Common Type ◽  
Male Gender ◽  
Lower Limbs ◽  
Fracture Type ◽  
Accident Injury ◽  
Tissue Trauma

Fracture is a neuromuscular damage due to tissue trauma or discontinue of bones. Fractures of the lower limbs due to accidents have the highest prevalence among other fractures in Indonesia. The aim of this study is to determine the characteristic of patients with femoral fracture in Department of Orthopedic RSUD Dr. Soetomo Surabaya.This research is retrospective observational. We analyzed medical records of all stay in patient in Department of Traumatic and Orthopedic RSUD Dr. Soetomo Surabaya during 1 January 2013 – 31 December 2016.  Of the 972 enumerated, 112 subjects with femoral fracture were analyzed for study. The observed variable of patients’ profile include: sex, age, cause of fracture, type of wound, location of fracture, place of accident, time of accident.Our observational study during three years has concluded several findings as following. The most common cases of fracture is occurred at the age 15 – 24 with 40 cases (36%). Most of the cases is dominated by male gender (72%). Traffic accident (92%) is the major cause of fracture, which mostly occurred on the street (92%) at 06:01 A.M. until 12:00 A.M (28%). Closed wound (71%) is commonly found in femoral fracture. The most common type of femoral fracture has a closed wound (71%) and located in column of femur (46%). The most common cases of femoral fracture are occurred on male at the productive age due to traffic accident injury.

scholarly journals Intramedullary tumors in children: analysis of 24 operated cases

2010 ◽  
Vol 68 (3) ◽  
pp. 396-399 ◽  
Author(s):  
Ricardo de Amoreira Gepp ◽  
Jose Mauro Cardoso Couto ◽  
Maria Dorvalina da Silva ◽  
Régis Tavares da Silva ◽  
Eidmar Augusto Neri
Keyword(s):  
Medical Records ◽  
Function Method ◽  
Clinical Characteristics ◽  
Neurological Function ◽  
Common Type ◽  
Male Gender ◽  
Total Resection ◽  
Intramedullary Tumors ◽  
Significant Difference

Intramedullary tumors are rare. The authors reviewed 24 cases operated between 1996 and 2006. The study assessed the clinical characteristics and surgical results based upon the neurological function. METHOD: Medical records of patients with intramedullary astrocytoma and ependymoma were reviewed. The minimal follow up time was 6 months and, at the end of this period, a comparative analysis of the neurological function was performed based using the McCormick scale score. RESULTS: Most patients had astrocytoma (75%). Male gender was more prevalent (58.3%). The most common type of tumor was graded as I or II, and in three cases these were malignant. The total resection of the tumor was achieved in 20.8% of the cases. The statistical analysis did not show a statistically significant difference between preoperative and postoperative grades at McCormick scale. CONCLUSION: The authors concluded that microsurgery to intramedullary tumors did not significantly alter the neurological function after six months.

scholarly journals Pola Luka pada Kasus Kecelakaan Lalu Lintas di Bagian Ilmu Kedokteran Forensik dan Medikolegal RSUP Prof. Dr. R. D. Kandou Manado Periode Tahun 2017

2019 ◽  
Vol 11 (1) ◽  
pp. 23
Author(s):  
Felicia R. Kepel ◽  
Felicia R. Kepel ◽  
Johannis F. Mallo
Keyword(s):  
Retrospective Study ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Common Type ◽  
South East Asia ◽  
Injury Type ◽  
Pattern Of Injury ◽  
Accident Injury ◽  
Using Data ◽  
Minor Injuries

Abstract: Traffic accident is one of the main cause of death in Indonesia. In 2013 across South East Asia, Indonesia was the first rank with 26,416 traffic accidents. Accidents that occur can cause injuries from the minor injuries, disability, and even death. Every case of a traffic accident has a different pattern of injury. This study was aimed to obtain the pattern of injuries due to traffic accident based on gender, age, victim’s role before the occurence of a traffic accident, injury type, and wound location. This was a descriptive retrospective study using data of postmortem report (visum et repertum) of the traffic accidents victims. The results showed that majority of the traffic accident victims were 26-35 years (21.05%). Males were more common than females (78.9% vs 21.1%). Most of victim roles was as motorcyclist (78.95%). The most common type of wounds among traffic accident victims was blister mainly located on the extremity, meanwhile in car passangers, the most common type of wound was bruise mainly located on the head. Conclusion: The majority of trafic accident victims were males aged 26-35 years. Most wounds were blister in the extremity followed by bruise on the head.Keywords: pattern of wounds, traffic accident casesAbstrak: Kecelakaan lalu lintas (KLL) merupakan salah satu penyebab kematian terbesar di Indonesia. Pada tahun 2013 dalam tingkatan Asia Tenggara, Indonesia menduduki peringkat pertama dengan 26.416 jumlah kejadian KLL. Kecelakaan yang terjadi dapat menyebabkan luka-luka dari luka ringan hingga terjadinya kecacatan pada korban bahkan yang paling fatal dapat menyebabkan kematian. Setiap kasus kecelakaan lalu lintas menyebabkan adanya ada suatu pola luka yang berbeda-beda. Penelitian ini bertujuan untuk mendapatkan pola luka pada kasus KLL berdasarkan jenis kelamin, usia, peran korban sebelum terjadi KLL, jenis luka, dan lokasi luka. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder yang diambil dari visum et repertum (VeR) korban kecelakaan lalu lintas. Hasil penelitian mendapatkan mayoritas korban KLL berusia 26-35 tahun (21,05%). Korban berjenis kelamin laki-laki lebih banyak daripada perempuan (78,9% vs 21,1%). Peran korban KLL terbanyak ialah pengemudi sepeda motor (78,95%). Pola luka terbanyak pada korban KLL baik penge-mudi sepeda motor, yang dibonceng, dan pejalan kaki ialah luka lecet terutama di ekstremitas, sedangkan pada penumpang mobil ialah luka memar terutama di kepala. Simpulan: Mayoritas KLL ialah laki-laki usia 26-35 tahun dengan pola luka terbanyak ialah luka lecet di ekstremitas diikuti oleh luka memar di kepala.Kata kunci: pola luka, kasus kecelakaan lalu lintas

scholarly journals Long-term postoperative opioid prescription after cholecystectomy or gastric by-pass surgery: a retrospective observational study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Viktoria Larsson ◽  
Cecilia Nordenson ◽  
Pontus Karling
Keyword(s):  
Observational Study ◽  
Postoperative Period ◽  
Medical Records ◽  
Early Postoperative Period ◽  
Retrospective Observational Study ◽  
Opioid Use ◽  
Opioid Prescription ◽  
Post Surgery ◽  
Gastric By Pass

Abstract Objectives Opioids are commonly prescribed post-surgery. We investigated the proportion of patients who were prescribed any opioids 6–12 months after two common surgeries – laparoscopic cholecystectomy and gastric by-pass (GBP) surgery. A secondary aim was to examine risk factors prior to surgery associated with the prescription of any opioids after surgery. Methods We performed a retrospective observational study on data from medical records from patients who underwent cholecystectomy (n=297) or GBP (n=93) in 2018 in the Region of Västerbotten, Sweden. Data on prescriptions for opioids and other drugs were collected from the patients` medical records. Results There were 109 patients (28%) who were prescribed opioids after discharge from surgery but only 20 patients (5%) who still received opioid prescriptions 6–12 months after surgery. All 20 of these patients had also been prescribed opioids within three months before surgery, most commonly for back and joint pain. Only 1 out of 56 patients who were prescribed opioids preoperatively due to gallbladder pain still received prescriptions for opioids 6–12 months after surgery. Although opioid use in the early postoperative period was more common among patients who underwent cholecystectomy, the patients who underwent GBP were more prone to be “long-term” users of opioids. In the patients who were prescribed opioids within three months prior to surgery, 8 out of 13 patients who underwent GBP and 12 of the 96 patients who underwent cholecystectomy were still prescribed opioids 6–12 months after surgery (OR 11.2; 95% CI 3.1–39.9, p=0,0002). Affective disorders were common among “long-term” users of opioids and prior benzodiazepine and amitriptyline use were significantly associated with “long-term” opioid use. Conclusions The proportion of patients that used opioids 6–12 months after cholecystectomy or GBP was low. Patients with preoperative opioid-use experienced a significantly higher risk of “long-term” opioid use when undergoing GBP compared to cholecystectomy. The indication for being prescribed opioids in the “long-term” were mostly unrelated to surgery. No patient who was naïve to opioids prior surgery was prescribed opioids 6–12 months after surgery. Although opioids are commonly prescribed in the preoperative and in the early postoperative period to patients with gallbladder disease, there is a low risk that these prescriptions will lead to long-term opioid use. The reasons for being prescribed opioids in the long-term are often due to causes not related to surgery.

scholarly journals Identifikasi Pseudomonas aeruginosa dan tes sensitivitas siprofloksasin pada abses periodontal Identification of Pseudomonas aeruginosa and sensitivity test of ciprofloxacin on periodontal abcess

2011 ◽  
Vol 10 (3) ◽  
pp. 151 ◽  
Author(s):  
Irene E. Rieuwpassa ◽  
Muliaty Yunus ◽  
I Wayan Suka Arsana
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Observational Study ◽  
Broad Spectrum ◽  
Host Resistance ◽  
Dna Gyrase ◽  
Common Type ◽  
Sensitivity Test ◽  
Bacterial Dna ◽  
Resistance Factors ◽  
Synthetic Drug

Periodontitis is a common type of periodontal disease caused by expansion of the early stages of gingivalinflammation. Expansion of inflammation to the tissue structures supporting the teeth can be modified by thepathogenic ability of plaque or host resistance factors. A total of 200 different bacteria have been identified on theplaque. Resistance to antimicrobials can be natural because the microbes develop mechanisms to defendthemselves. Ciprofloxacin is a synthetic drug of the second generation quinolones derivatives. Mechanism of itsaction is to inhibit the activity of bacterial DNA gyrase, which is bactericidal with a broad spectrum against Grampositiveor negative. This observational study identified P. aeruginosa and sensitivity test was performed tociprofloxacin in periodontal abscesses. Study conducted in 23 patients with periodontal abscess. Of those,Pseudomonas was acquired for 8 samples and 4 of them was resistant to ciprofloxacin.

scholarly journals Epidemiological study of fatal road traffic accident cases

2021 ◽  
Vol 8 (4) ◽  
pp. 255-257
Author(s):  
O Gambhir Singh
Keyword(s):  
Epidemiological Study ◽  
Traffic Accident ◽  
Road Traffic ◽  
Head Injuries ◽  
Case Fatality ◽  
Lower Limbs ◽  
Care Centre ◽  
Health Care Centre ◽  
Female Ratio ◽  
Male Female Ratio

The present study is an epidemiological study of fatal Road Traffic (RTA) cases brought and admitted in our tertiary health care centre from Nov 2017 to December 2019. There were 148 fatal RTA cases involving 112 males and 36 female. In the present study males cases outnumbered the female with an approximate male female ratio of 3.1:1. Many cases of fatal head injuries were due to four & two wheelers. Most commonly seen external injuries were abrasions. Lower limbs showed fractured in 31 cases, 20.95%, and upper limbs showed fractured in 22 cases, 14.89%. So, far case fatality is concerned involvement of head plays the most important role.

scholarly journals High-frequency spinal cord stimulation for treating pain in the lower limbs accompanied by bilateral para-anesthesia: A case report

2020 ◽  
Vol 8 (3) ◽  
pp. 132-137
Author(s):  
Zhuqiang Cheng
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
High Frequency ◽  
Severe Pain ◽  
Traffic Accident ◽  
Lower Limbs ◽  
Sensory Impairment ◽  
Remarkable Effect ◽  
Muscle Twitching

A 46-year-old female patient experienced severe pain in both lower limbs following a traffic accident in 2008. The pain mainly presented in her feet; she also experienced sensory impairment, convulsions, and exercise function disorders. She was diagnosed with neuropathic pain, and no medicine had any remarkable effect. Therefore, spinal cord stimulation (SCS) was performed in October 2019. Her pain did not reduce after the initial adoption of conventional SCS until the application of high frequency SCS (HF-SCS). At the 6-month follow-up, the pain in her lower limbs was considerably reduced, lower limb motor function was slightly improved, and muscle twitching in both feet disappeared.

scholarly journals Acne:Clinico-Epidemiological Study In DermatologyVenereology Outpatient Clinic Of Dr. M. Djamil Hospital Padang During January 2016 – December 2018

2020 ◽  
Vol 13 (4) ◽  
pp. 325-328
Author(s):  
Satya Wydya Yenny
Keyword(s):  
Retrospective Study ◽  
Family History ◽  
Epidemiological Study ◽  
Clinical Features ◽  
Outpatient Clinic ◽  
Medical Records ◽  
Skin Disorder ◽  
Epidemiological Data ◽  
Common Type ◽  
History Of

Although acne is usually recognized as an adolescent skin disorder, the prevalence of adults with acne is increasing. The clinical and epidemiological data of acne were evaluated with a view to establishing possible contributing etiological factors and observing whether clinical features differ from adolescent acne. Division of Dermatology and Venereology Outpatient Clinic Dr. M. Djamil hospital padang during January 2016 until December 2018.Retrospective study performed in Medical Cosmetic Division of Dermatology and Venereology Outpatient Clinic Dr. M. Djamil hospital padang during January 2016 until December 2018. Data was taken from medical records. Out of 224 patients included in the study 54.01% were women and 45.98 % were men. Majority of the patients had comedonal acne (45.53 %), whereas nodulocystic was the least common (13.39%). Most common predominant site of involvement was cheek (44.20 %), followed by chin (25.45 %), and mandibular area (14.58 %). Family history of acne was present in 57.70 %. Scarring was observed in a 39.2 %. Acne is predominant in women, with the most commonly involved of the cheeks, with the most common type was comedones type.

scholarly journals Extrahepatic Growth Type Cavernous Hemangioma of the Liver Accidentally Found in Traffic Accident Injury. Report of a Case.

2002 ◽  
Vol 52 (2) ◽  
pp. 129-132
Author(s):  
Yoshiki Takai ◽  
Naofumi Sato ◽  
Akira Watanuki ◽  
Tomoyuki Kusawake ◽  
Takao Yokoe ◽  
...  
Keyword(s):  
Cavernous Hemangioma ◽  
Traffic Accident ◽  
Growth Type ◽  
Accident Injury

Features of diagnostics and treatment of pvcrd in children

Reflection ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 42-47
Author(s):  
E.V. Mikhaylova ◽  
◽  
E.V. Tur ◽  
T.S. Abaeva ◽  
◽  
...  
Keyword(s):  
Key Words ◽  
Retrospective Analysis ◽  
Medical Records ◽  
Pediatric Patients ◽  
Clinical Course ◽  
Common Type ◽  
Laser Coagulation ◽  
Preoperative Preparation ◽  
Clinical Hospital ◽  
Low Degree

Purpose. To identify the clinical course of the «risk-forms» of peripheral vitreochorioretinal dystrophy (PVCRD) depending on sex, age, type and degree of refraction in children, as well as to establish the characteristics of the diagnosis and treatment of PVCRD in childhood. Methods. A retrospective analysis of medical records of pediatric patients who underwent peripheral prophylactic laser retinal coagulation (PPLRC) regarding the «risk-forms» of PVHRD at the ophthalmology department of MAUZ Children’s Clinical Hospital No. 1 from 2017 to 2019 was performed. 241 childr (293 eyes) aged 7 to 17 years (mean age 14.1 ± 2.4 years) were operated. Results. PVCRD in children is asymptomatic and it is detected at the age of 7 to 17 years, regardless of gender, the peak of occurrence is 10–14 years. The most common type of PVCRD is «lattice» dystrophy. PVCRD is predominant in low degree myopia. Quite a lot of cases of PVCRD detected in emmetropic refraction, as well as in hyperopic refraction and combined astigmatism. Conclusions. A thorough examination of the periphery of the fundus is necessary in all children, regardless of age and refraction. The parameters of laser coagulation in children differ from those in adults. Given the characteristics of childhood, the success of the operation depends on the correct preoperative preparation, including psychological preparation, contact of the surgeon with the child during the operation. Key words: peripheral dystrophy; ophthalmoscopy; mydriasis; laser coagulation; children. vitreochorioretinal

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