scholarly journals More on the Modern Approach to Diagnostics and Treatment of Spleen Trauma in Children

2021 ◽  
Vol 10 (1) ◽  
pp. 168-173
Author(s):  
G. N. Rumyantseva ◽  
A. N. Kazakov ◽  
S. I. Volkov ◽  
A. A. Yusufov ◽  
Y. F. Brevdo ◽  
...  

 Today, the problem of spleen injury in children still appears relevant. The choice of diagnostics and treatment tactics at the present stage is far from being unified. The priority direction is the organ-preserving approach, which  is possible and justified in children, which significantly reduces surgical  aggression and prevents the likelihood of negative consequences of splenectomy. The choice of the optimal diagnostic method and  determination of safe treatment tactics was the purpose of our study. Thirty-nine injured children were treated in 2007–2019. The predominant cause of spleen injury was fall from height (64.1%). Echography was the main diagnostic method, which was performed around the clock. Splenectomy  was performed in 7 patients (17.9%), in 32 children (82.1%) the organ was preserved. One case (2.6%) was fatal. The analysis of our own results showed that the widespread use of echography, particularly by surgeons, is necessary in the emergency service and greatly simplifies the work. The developed local protocol for diagnosis and treatment is simple and accessible, since it is based on the interpretation of the main criteria, such as systemic hemodynamics and hemoperitoneum. Continued bleeding reasons diagnostic laparoscopy. With unstable hemodynamics, large hemoperitoneum, laparotomy is indicated.

1944 ◽  
Vol 43 (5) ◽  
pp. 337-340 ◽  
Author(s):  
E. S. Horgan ◽  
Mansour Ali Haseeb

1. Serological methods for the determination of smallpox immunity are briefly discussed, and it is concluded that they are unlikely to provide a diagnostic method of sufficient accuracy.2. Experimental work is recorded which shows certain differences in the response of previously vaccinated individuals, revaccinated simultaneously with a standard vaccine lymph and an elementary body suspension (vaccinia) of high potency. The significance of these differences is discussed.3. The results indicate that although the advantage of the e.b. suspension over vaccine lymph is relatively insignificant, that of two insertions over one is very marked. In revaccination the routine use of one insertion only may result in a certain number of semi-immunes (vaccinoids) being erroneously reported as immunes.4. It is concluded that if the two insertion technique be practised, persons showing immune reactions (negatives) may be considered, in all probability, as possessing full immunity to vaccinia-variola virus.


2018 ◽  
Vol 5 (2) ◽  
pp. 270-278 ◽  
Author(s):  
M. Basyir ◽  
M. Nasir ◽  
Suryati Suryati ◽  
Widdha Mellyssa

Emergency Reporting Application is an android-based application that serves to help the community in reporting the emergency condition. This application allows users to choose and contact the emergency services office, without the need to notice their position and phone number. Selection of emergency services office is also automatically selected by the system by taking into account the distance between the complainant and the emergency services office. The selected emergency services office is the nearest emergency service office from the complainant so that the delay in coming assistance can be minimized. Therefore, this proposed application requires a GPS feature to recording, reporting and SMS positioning for message delivery of reports. The distance between the position of the complainant and the position of the emergency service office, in the form of latitude and longitude data, is requested using the Haversine formula taking into account the degree of curvature of the earth. Emergency service offices include police and hospital offices spread over 25 different districts. Furthermore, the reporter's position calculation results were compared with all selected emergency service offices and obtained 1 nearest emergency service office. Calculating the accuracy and delay value of the system will do system testing. Accuracy test results using the method of 100% Haversine and the average delay of the system is 4.5 seconds.


2021 ◽  
pp. 12-24
Author(s):  
D. A. Lezhnev ◽  
S. D. Arutyunov ◽  
E. Yu. Lazarenko ◽  
M. V. Magomedbekova

At the present stage of the development of maxillofacial surgery, the treatment of patients with defects in the auricles is one of the most difficult. Defects of the auricles, characterized by its absence, are divided according to the etiological factor into two main groups: congenital (microtia) and acquired (as a result of injuries of various origins). Microtia (including anotia the complete absence of the auricle) is a malformation of the auricle and the external auditory canal caused by anomalies of the first and second zygomatic arch and the first sulcus.Congenital malformations of the auricle occur in 1 out of 700–15 000 newborns and more often have a right-sided localization. In 15 % of cases, they are hereditary, and in 85 % they are sporadic, in boys they are detected on average 2–2,5 times more often than in girls.Currently, much attention is paid to the prosthetic reconstruction of the auricle with fixation by means of cranial intraosseous implants. At the same time precise diagnostics of the state of the temporal bones in the area of the proposed implantation and the correct positioning of the intraosseous supports are the basis of an effective fixation system. Among the methods of radiological diagnostics used for planning ectoprosthetics of the auricles, radiography has long been preferred. However, the introduction of computed tomography into clinical practice has provided a high-quality assessment of the temporal bones state, which has increased the efficiency of surgical intervention planning and treatment.


Author(s):  
V.S. Babunova ◽  

The article published the results of experiments on determining the sensitivity of the GOST 23454-2016 method to antibiotics from the group of aminoglycosides and lincosamides. Since the method itself indicates that only the following antibiotics are determined: penicillin in a mass concentration of 0,004 mg/dm3, streptomycin – 10 mg/dm3, tetracycline – 1 mg/dm3, levomycetin– 5 mg/dm3, and at the present stage, a wider range of medications are used to treat animals, it is important to expand information on sensitivity and to other groups of antibiotics. The following sensitivity was determined experimentally as an example for the determination of inhibitory substances using the Streptococcus thermophilus B19 test culture and rezazurin indicatorin the analysis of 14 drugs: aminoglycosides 1 mg/dm3, lincosamides 0,1 mg/dm3.


Proceedings ◽  
2019 ◽  
Vol 31 (1) ◽  
pp. 48
Author(s):  
María Martínez Pérez ◽  
Carlos Dafonte ◽  
Ana Belén Pérez Boado ◽  
Ángel Gómez

The aim of this work was to integrate and computerize into a single program the most important tasks in the process of prescription, dispensation, and administration of medication to patients during their stay in a hospital center. This will increase quality, efficiency, and safety in the care process. An interface was also developed that allows for real-time determination of the whereabouts of a patient within the emergency services unit and the implementation of solutions provided by identification technologies, such as RFID (Radio Frequency Identification), to calculate the location of a patient with more precision and at a reduced cost.


1869 ◽  
Vol 159 ◽  
pp. 1-110 ◽  

1. We have been hitherto engaged in preliminary researches devoted chiefly to the physical nature of the sun, but we now propose to give a first instalment of the mea­surements made with a view of making the solar photographs taken at Kew the basis of a new determination of the sun’s astronomical elements. Accordingly the present paper contains the results of measurements of the Kew sun-pictures for 1862 and 1863, i. e . the heliographical longitudes and latitudes of all spots observed in these two years, together with a full description of the methods pursued in the reductions. The results of the succeeding years, and their final discussion with reference to the sun’s elements, will be published hereafter. In addition to those measurements which have reference to the heliographical position of each spot, we have also measured the area of each group on each occasion when it was observed; and we conceive that in thus giving the position and area of each group we give all the information regarding sun-spots that is capable of accurate numerical expression, at least in the present stage of our knowledge.


2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Germana Jayme Borges ◽  
Luis Fernando Naldi Ruiz ◽  
Ana Helena Gonçalves de Alencar ◽  
Olavo César Lyra Porto ◽  
Carlos Estrela

The objective of the present study was to assess cone-beam computed tomography (CBCT) as a diagnostic method for determination of gingival thickness (GT) and distance between gingival margin and vestibular (GMBC-V) and interproximal bone crests (GMBC-I). GT and GMBC-V were measured in 348 teeth and GMBC-I was measured in 377 tooth regions of 29 patients with gummy smile. GT was assessed using transgingival probing (TP), ultrasound (US), and CBCT, whereas GMBC-V and GMBC-I were assessed by transsurgical clinical evaluation (TCE) and CBCT. Statistical analyses used independentt-test, Pearson’s correlation coefficient, and simple linear regression. Difference was observed for GT: between TP, CBCT, and US considering all teeth; between TP and CBCT and between TP and US in incisors and canines; between TP and US in premolars and first molars. TP presented the highest means for GT. Positive correlation and linear regression were observed between TP and CBCT, TP and US, and CBCT and US. Difference was observed for GMBC-V and GMBC-I using TCE and CBCT, considering all teeth. Correlation and linear regression results were significant for GMBC-V and GMBC-I in incisors, canines, and premolars. CBCT is an effective diagnostic method to visualize and measure GT, GMBC-V, and GMBC-I.


1981 ◽  
Vol 101 (1) ◽  
pp. 75-85 ◽  
Author(s):  
Charles E. Rackley ◽  
Richard O. Russell ◽  
John A. Mantle ◽  
William J. Rogers ◽  
Silvio E. Papapietro

Sign in / Sign up

Export Citation Format

Share Document