scholarly journals CLINICAL-ANATOMICAL AND ULTRASOUND PARALLELS IN THE DIAGNOSIS OF MUSCULO-SKELETAL SYSTEM DISEASES (LITERATURE REVIEW)

2016 ◽  
Vol 15 (4) ◽  
pp. 96-102
Author(s):  
O. V. Hlubochenko ◽  
V. H. Hlubochenko ◽  
K. O. Bobkovych ◽  
L. V. Mykulets ◽  
N. B. Reshetilova
Keyword(s):  
Rheumatoid Arthritis ◽  
Comparative Analysis ◽  
Psoriatic Arthritis ◽  
Literature Review ◽  
Musculoskeletal System ◽  
Soft Tissues ◽  
Imaging Method ◽  
Review Of Literature ◽  
Skeletal System ◽  
Advantages And Disadvantages

The article presents a review of literature dealing with clinical application of ultrasound method in rheumatology. Clinical- anatomical and ultrasound parallels in the diagnosis of various diseases of the musculoskeletal system are analyzed. Advantages and disadvantages of ultrasound imaging method in the examination of joints, muscles, ligaments and soft tissues are presented. The modern data of the ultrasound changes in rheumatoid arthritis, psoriatic arthritis, reactive arthritis, rheumatic polymyalgia are provided, diagnostic evaluation of this method in rheumatic diseases and comparative analysis with other methods of examination are presented.

Local antibiotic therapy for endoprosthesis site infection (Literature review)

2021 ◽  
Vol 90 (4) ◽  
pp. 78-85
Author(s):  
T.A. Kilmetov ◽  
◽  
I.F. Akhtyamov ◽  
Keyword(s):  
Comparative Analysis ◽  
Literature Review ◽  
Antibiotic Therapy ◽  
Musculoskeletal System ◽  
Treatment Options ◽  
Revision Arthroplasty ◽  
Infectious Complications ◽  
Site Infection ◽  
Local Antibiotic ◽  
Local Antibiotic Therapy

Endoprosthetics of joints has firmly taken its place in a number of orthopedic interventions in the treatment of diseases of the musculoskeletal system. Unfortu-nately, with an increase in the number of operations, the number of complications that develop at various stages of treatment does not decrease. Deep infections in the area of the endoprosthesis (paraprosthetic infection) are especially difficult in treatment, since only 20% of patients, and mainly in early forms of complications, manage to save the implant. The incidence of infectious complications at the stationary stage in specialized endoprosthetics centers does not exceed 1% during primary operations, but their number, as a rule, multiplies several years after the intervention. The most common treatment option for paraprosthetic infection is staged revision arthroplasty. The authors of the review conduct a comparative analysis of the effectiveness of one- and two-stage treatment options. The latter is based on the use of bone cement spacers impregnated with antibiotics.

scholarly journals A comparative analysis of the application of piezoelectric surgery and mechanical osteoperforation techniques in modeling an orbital decompression

2018 ◽  
Vol 11 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Konstantin A Konovalov ◽  
Dmitriy V Davydov ◽  
Vitaliy Yu Roshchin
Keyword(s):  
Comparative Analysis ◽  
Diode Laser ◽  
Soft Tissues ◽  
Orbital Decompression ◽  
Surgical Equipment ◽  
Ultrasonic Scalpel ◽  
Advantages And Disadvantages ◽  
Bone Window ◽  
Piezoelectric Surgery ◽  
Wide Range

Currently a wide range of instruments for surgical procedures on the bony structures of the orbits is offered. Each of them has its advantages and disadvantages. Cutter causes less injury, in comparison with a chisel or an ultrasonic saw [15]. In using a drill during surgery there was an increase in temperature of bone edge of the opening above acceptable values [17]. The use of low frequency ultrasonic tools allows you to create holes in the bones of any desired size and shape with smooth edges [5, 11, 16, 20]. The disadvantages of this method include the heating of tool’s tip up to 140° during prolonged continuous action [6]. Thus, techniques using tools for formation of the bone window require further study and improvement. Aim: to compare surgical equipment for bone window formation in modeling an orbital decompression. Materials and methods. In an experimental study in vivo, 12 surgical interventions on the scapula on both sides were performed in 6 Chinchilla breed rabbits. On the right side, the formation of a bone window was carried out by the ultrasonic bone scalpel MISONIX, on the left side - by a drill. Results. It was found that during first 7-21 days there was more pronounced inflammation of soft tissues on the left side. At the same time, delayed proliferation and maturation of fibrous connective tissue was observed in comparison to the opposite side. Bone tissue inflammation and subsequent regeneration took place without significant differences on both sides. The experiment showed that the use of ultrasonic scalpel in flat bones creates less inflammation of surrounding tissues and the bone itself as compared to a diode laser. A.V. Kravchenko (2006) reports that, after exposure to a diode laser in an acute experiment there was a scalloped edge with an area of photocarbonization (charring) on the 7th and the 21st day; while the use of an ultrasonic scalpel did not create any signs of infiltrative inflammation, later on a nonspecific inflammation developed. Conclusion. Ultrasonic scalpel has a number of advantages when performing osteoperforation, such as time-saving during surgical procedure, control of the osteotomy process, less trauma to surrounding tissues during action and less pronounced inflammatory response of the wound during early postoperative period. (For citation: Konovalov KA, Davydov DV, Roshchin VY. A comparative analysis of the application of piezoelectric surgery and mechanical osteoperforation techniques in modeling an orbital decompression. Ophthalmology Journal. 2018;11(1):10-18. doi: 10.17816/OV11110-18).

Application of ISM in the Manufacturing Sector

2020 ◽  
pp. 28-45
Author(s):  
Abhinav Pal ◽  
Jisha Rajendran ◽  
Aastha Behl
Keyword(s):  
Literature Review ◽  
Manufacturing Sector ◽  
Structural Modelling ◽  
Review Of Literature ◽  
Interpretive Structural Modelling ◽  
Advantages And Disadvantages ◽  
Comprehensive Literature Review ◽  
Current Scenario

This chapter discusses the application of Interpretive Structural Modelling (ISM) in the manufacturing sector. Authors provide a brief about ISM and its usage in the current scenario, and a comprehensive literature review that sheds light on the methodology used over the years in the application of ISM. The chapter assesses the method's advantages and disadvantages. It introduces the technique of ISM in the manufacturing sector, and discusses the applications of ISM in the manufacturing sector along the review of literature.

scholarly journals UTILIZAÇÃO DO SISTEMA PIEZOELÉTRICO EM CIRURGIAS BUCAIS: INDICAÇÕES, VANTAGENS E DESVANTAGENS

2017 ◽  
Vol 8 (1) ◽  
pp. 13
Author(s):  
Marcos Antônio Lima De Carvalho ◽  
Gabriel Marques ◽  
Guilherme Dos Santos Trento ◽  
Luis Eduardo Marques Padovan ◽  
Leandro Eduardo Klüppel
Keyword(s):  
Surgical Technique ◽  
Literature Review ◽  
Surgical Procedures ◽  
Critical Review ◽  
Tissue Repair ◽  
Bone Repair ◽  
Soft Tissues ◽  
Review Of The Literature ◽  
Exclusion Criteria ◽  
Advantages And Disadvantages

Ostectomy is a surgical maneuver that can affect tissue repair, increasing the overall morbidity of the procedure. The type of equipment or surgical armamentarium can directly influence bone repair. The aim of this study was to perform a literature review concerning the use of piezoelectric technology in oral and maxillofacial surgical procedures evaluating its indications, advantages and disadvantages. For the preparation of this critical review of the literature, a search of scientific articles was carried out in PUBMED until the year 2012. According to the inclusion and exclusion criteria porposed by the authors, a total of 28 articles were found compatible to the objective of the study. As a conclusion, it can be stated that the piezoeletric system has been shown to be a very promising surgical technique indicated to oral surgeries, and providing accurate, clean, and minimally traumatic osteotomies for the soft tissues. However, there is na accentuated wear of the ultrasonic tips increasing the costs of the system and the time spent in the procedures.

scholarly journals AB1303-HPR TIME UNTIL DIAGNOSIS IN RHEUMATOLOGICAL PRACTICE: RESULTS FROM A CROSS-SECTIONAL MIDDLE-EUROPEAN COHORT COMPARED TO DATA FROM A SYSTEMATIC LITERATURE REVIEW

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1942.1-1942
Author(s):  
R. Mc-Cutchan ◽  
S. Maier ◽  
V. Winkler ◽  
B. Gruber ◽  
M. Schirmer
Keyword(s):  
Rheumatoid Arthritis ◽  
Psoriatic Arthritis ◽  
Literature Review ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Systematic Literature Review ◽  
Polymyalgia Rheumatica ◽  
Diagnostic Delay ◽  
Inflammatory Rheumatic Diseases ◽  
Diagnostic Delays

Background:The time from first symptom to diagnosis (= diagnostic delay) is considered as key factor for better outcome in many chronic inflammatory rheumatic diseases, especially for rheumatoid arthritis (RA) and vasculitides like giant cell arteritis (GCA). A longer diagnostic delay may cause pain, reduced functionality, reduced life-quality and increased morbidity, as well as structural damages of the organs linked with higher mortality. This retrospective study assessed the diagnostic delay in consecutive Middle-European outpatients and compared results with those of a systematic literature review (SLR).Objectives:To compare disease-specific diagnostic delays of consecutive rheumatic patients with international data from a systematic literature review.Methods:Charts of a single-centre cohort with consecutively recruited patients were retrospectively reviewed for patients’ and diseases’ characteristics at a Middle-European university outpatient clinic for rheumatology. A SLR was performed according to PRISMA guidelines.Results:The average mean ± SD time from first symptom to established diagnosis was 7.9 ± 11.7 (0.02-56.7) years. Spondyloarthritis patients showed the longest diagnostic delay with 13.1 ± 14.2 (0.1-56.7) years, whereas polymyalgia rheumatica-patients had the shortest diagnostic delay with 1.5 ± 0.4 (0.3-18.0) months. In the SLR, most data for diagnostic delays are comparable to the Innsbruck cohort, but the diagnostic delay for psoriatic arthritis in Innsbruck is longer than in the Danish DANBIO registry (p<0.001). Independent risk factors for prolonged diagnostic delays could not be identified.Conclusion:For this Middle-European area, initiatives are justified especially to shorten diagnostic delays of SpA and PsA.References:[1]O’Dell JR. Treating rheumatoid arthritis early: A window of opportunity? Arthritis Rheum. 2002;46:283–5.[2]Seo MR, Baek HL, Yoon HH, Ryu HJ, Choi HJ, Baek HJ, et al. Delayed diagnosis is linked to worse outcomes and unfavourable treatment responses in patients with axial spondyloarthritis. Clin Rheumatol. 2015;34:1397–405.[3]Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis. Ann Rheum Dis. 2015;74:1045–50.[4]Dejaco C, Brouwer E, Mason JC, Buttgereit F, Matteson EL, Dasgupta B. Giant cell arteritis and polymyalgia rheumatica: current challenges and opportunities. Nat Rev Rheumatol. Nature Publishing Group; 2017;13:578–92.Acknowledgments:We acknowledge and thank all patients who could be recruited to the SolutionX project. Ethical vote was obtained by the local ethics committee of the Medical University of Innsbruck (AN2017-0041 370/4.18).Disclosure of Interests:Rick Mc-Cutchan: None declared, Sarah Maier: None declared, Valentin Winkler: None declared, Bernhard Gruber: None declared, Michael Schirmer Grant/research support from: total <3000.- €, Speakers bureau: total <3000.- €

scholarly journals Platelet-rich plasma products in traumatology and orthopaedics: classification issues (literature review)

2020 ◽  
Vol 20 (5-6) ◽  
pp. 106-113
Author(s):  
Gennady P. Kotelnikov ◽  
Dmitry A. Dolgushkin ◽  
Vladimir A. Lazarev ◽  
Alexander N. Bratiichuk ◽  
Kirill M. Bogdanov
Keyword(s):  
Growth Factors ◽  
Literature Review ◽  
Musculoskeletal System ◽  
Whole Blood ◽  
Platelet Rich Plasma ◽  
Autologous Blood ◽  
Biological Therapies ◽  
Biological Growth ◽  
Time Of Application ◽  
Advantages And Disadvantages

In recent years, biological growth factors contained in platelet-rich plasma (PRP) obtained from the whole blood have been actively used to regenerate tissues of the musculoskeletal system. There are a lot of methods for preparing PRP, devices and modes for obtaining it, including ready-made services for use in traumatology and orthopedics. A number of well-known protocols miss important points and features of handling biological material, and fail to give clear characteristics of the resulting product. At the same time, there are a number of products that are completely opposite in composition, method, place of application and time of application, which the authors denote as PRP. In the domestic and foreign literature, several attempts have been made to characterize and classify the types of products containing plasma with platelets as a basis. In this article, we describe the existing systems used to classify PRP drugs, highlight their advantages and disadvantages. Of course, due to the active use of PRP in various fields of medicine, there remains a need for the standardized universal nomenclature for describing biological therapies, as well as for a comprehensive and reproducible classification system for products obtained from autologous blood.

scholarly journals Medication adherence and persistence in patients with rheumatoid arthritis, psoriasis, and psoriatic arthritis: a systematic literature review

2018 ◽  
Vol Volume 12 ◽  
pp. 1483-1503 ◽  
Author(s):  
Mwangi Murage ◽  
Vanita Tongbram ◽  
Steven Feldman ◽  
William Malatestinic ◽  
Cynthia Larmore ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Psoriatic Arthritis ◽  
Medication Adherence ◽  
Literature Review ◽  
Systematic Literature Review
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