scholarly journals EARLY REHABILITATION OF CRITICAL TESTICULAR ISCHEMIA WITH ACUTE TORSION IN CHILDREN

2021 ◽  
Vol 11 (4(42)) ◽  
pp. 40-44
Author(s):  
M. Veselyi ◽  
S. Veselyi
Keyword(s):  
Blood Test ◽  
Testicular Torsion ◽  
Complete Recovery ◽  
Early Rehabilitation ◽  
Urine Test ◽  
Critical Ischemia ◽  
Testicular Ischemia ◽  
Rehabilitation Measures ◽  
The Moment

Introduction. Acute testicular torsion is an urgent condition characterized by chorda spermatica turn and torsion with its vessels along vertical or horizontal axis. This condition results in testicular ischemia and loss of organ in case of lack of timely medical care. If a child is operated on within 6-12 hours their chance for complete recovery is decreased to 70 %. The timeline of 12-24 hours leaves only a 20% chance to keep a testicle. After 24 hours since the beginning of the condition there is virtually no chance to keep organ’s viability. The goal of the research is an optimization of early rehabilitation of critical testicular  ischemia in children with acute testicular torsion.  Material and methods. Over the period of the years 2010 – 2021 54 children with testicular torsion were observed and treated. Eight children got to a hospital as in-patients within first six hours from condition establishment, eight patients turned to a hospital within the period of 6.1-12 hours, 11 patients addressed hospital after 12.1-16 hours, 16 patients did so after 16.1-24 hours, and 11 patients addressed hospital after more than 24 hours since condition had been established. All patients with testicular torsion were admitted to a hospital in an urgent manner, their general condition was assessed as "moderate". Time before surgery was limited (up to 1 hour from the moment of hospitalization). Therefore, the examination of patients was minimized by a general blood test, a general urine test (83.3 %), determination of blood group and Rh-factor, measuring arterial pressure. A testicle was verified as viable in 12 children (22.2 %). Genital gland necrosis was diagnosed in 22 patients (40.8 %), they underwent orchophuniculectomia. Critical testicle ischemia was diagnosed in 20 boys (37 %). All patients were operated on. In all cases operation started not later than an hour after hospitalization. For 45 children operation was performed via inguinal access (83.3 %), transscrotal access was used in 9 patients (16.7 %). In all cases when a testicle was viable invasive detorsion with further orchiopexy was used. All children who underwent testiculectomy were hospitalized later than 16 hours after the onset of the disease. All boys with critical testicle ischemia underwent rehabilitation measures during operation. Results. Among children with genital gland critical ischemia 10 patients (52.6 %) recovered completely. Children who had been hospitalized during 6-12 hours after the onset of the disease were discharged from a hospital ward on the 5-7 day after operation. Two children (25 %) in this group had further testicle autolysis. Among children who addressed for healthcare support within 12–16 hours after the condition establishment, two patients (18.2 %) recovered completely. Five patients (50 %) had testicle autolysis in the postoperative period. Conclusions. 1. Critical testicular ischemia is observed in 35.2 % children with acute testicular torsion. 2. Early rehabilitation measures include a complex of conservative and operational approaches implemented in pre-operational, intra-operational and early post-operational periods. 3. Timely and full-fledged rehabilitation measures implementation allows to improve results of operational treatment and save affected genital gland with critical ischemia in 50 % of patients.

PREDICTION OF THE EFFICIENCY OF RECONSTRUCTIVE INTERVENTIONS ON THE MAJOR NERVES OF THE FOREARM, DEPENDING ON THE DEFECT DURATION AND THE FOLLOWING REHABILITATION

2020 ◽  
pp. 77-88
Author(s):  
Дмитрий Валериевич Судаков ◽  
Олег Валериевич Судаков ◽  
Людмила Валентиновна Кретинина ◽  
Наталья Владимировна Якушева ◽  
Артём Николаевич Шевцов
Keyword(s):  
Nervous Tissue ◽  
Clinical Situation ◽  
Economic Importance ◽  
Important Data ◽  
Subsequent Period ◽  
Complete Restoration ◽  
Reconstructive Microsurgery ◽  
The Moment

Статья посвящена построению прогноза эффективности реконструктивных вмешательств на магистральных нервах предплечья в зависимости от протяженности дефекта нервной ткани и особенностей последующего периода реабилитации пациентов. Данная тематика является весьма актуальной, так как с каждым годом во всем мире наблюдается определенный рост случаев травм различного генеза магистральных нервных стволов, которые затем нередко приводят к временной нетрудоспособности и даже инвалидности пациентов. Реконструктивная микрохирургия многие десятилетия пытается решить целый ряд проблем аутотрансплантации нервных стволов и повысить ее общую эффективность. Но из-за определенных проблем связанных с финансированием, некоторые вопросы трансплантологии и реабилитации остаются нерешенными и в настоящий момент. Все это придает представленной работе важное значение не только медицинского, но и социально - экономического плана. Целью работы стала попытка построения прогноза восстановительных операций на нервной ткани, с учетом объема пораженных структур и периода реабилитации. Объектами исследования стало 180 больных, которым по той или иной причине, осуществлялась реконструктивная операция на одном из магистральных нервов предплечья. Все пациенты были разделены на 3 группы по 60 человек, в зависимости от протяженности дефекта магистрального нерва: до 4 см, от 4 до 8 см и от 8 до 12 см. Последующее разделение внутри каждой группы на подгруппы производилось в зависимости от определенного поврежденного нерва (лучевой, локтевой, срединный). В работе изучалось течение раннего послеоперационного воспалительного процесса, с определением бактериальной микрофлоры в ране. Изучались и отдаленные последствия оперативного вмешательства. Своеобразной новизной для данной тематики в целом, стало выявление последующего установления инвалидности пациентов. Кроме того, важные данные были получены и по срокам реабилитации и частичного или полного восстановления утраченных функций по срокам в зависимости от размеров восстанавливаемого дефекта и от наличия или отсутствия необходимой реабилитации. Полученные в работе данные могут представлять интерес не только для врачей хирургов и травматологов, но и для организаторов здравоохранения, позволяя производить прогнозы по выздоровлению пациентов в каждой определенной клинической ситуации The article is devoted to the construction of a forecast of the effectiveness of reconstructive interventions on the main nerves of the forearm, depending on the length of the defect in the nervous tissue and the characteristics of the subsequent period of rehabilitation of patients. This topic is very relevant, since every year all over the world there is a certain increase in cases of injuries of various origins of the main nerve trunks, which then often lead to temporary disability and even disability of patients. For many decades, reconstructive microsurgery has been trying to solve a number of problems of autotransplantation of nerve trunks and improve its overall efficiency. But due to certain problems associated with funding, some issues of transplantation and rehabilitation remain unresolved at the moment. All this gives the presented work important not only medical, but also socio - economic importance. The aim of this work was to attempt to predict restorative operations on the nervous tissue, taking into account the volume of the affected structures and the period of rehabilitation. The objects of the study were 180 patients who, for one reason or another, underwent a reconstructive operation on one of the main nerves of the forearm. All patients were divided into 3 groups of 60 people, depending on the length of the main nerve defect: up to 4 cm, from 4 to 8 cm, and from 8 to 12 cm. Subsequent division within each group into subgroups was performed depending on the specific damaged nerve ( radial, ulnar, median). The work studied the course of the early postoperative inflammatory process, with the determination of bacterial microflora in the wound. The long-term consequences of surgery were also studied. A peculiar novelty for this topic as a whole was the identification of the subsequent establishment of disability in patients. In addition, important data were obtained on the timing of rehabilitation and partial or complete restoration of lost functions in terms of timing, depending on the size of the restored defect and on the presence or absence of the necessary rehabilitation. The data obtained in this work may be of interest not only for surgeons and traumatologists, but also for healthcare organizers, allowing them to make predictions about the recovery of patients in each specific clinical situation

scholarly journals Functional testicular torsion secondary to an incarcerated inguinal hernia in a 4-month old: complete recovery at 18-hours

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Gregory M Taylor ◽  
Christian C Strachan
Keyword(s):  
Inguinal Hernia ◽  
Testicular Torsion ◽  
Pediatric Patients ◽  
Complete Recovery ◽  
Cord Compression ◽  
Acute Scrotum ◽  
Indirect Inguinal Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Swelling ◽  
Urological Emergencies

Abstract One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.

scholarly journals Determination of Neuromuscular Control of the Upper Limbs in Children - Case Study

2020 ◽  
Vol 11 (4Sup1) ◽  
pp. 46-61
Author(s):  
Carmen-Magdalena Camenidis ◽  
◽  
Irina Băițel ◽  
Amalia Oatu ◽  
Octavian Amzulescu ◽  
...  
Keyword(s):  
Kinematic Chain ◽  
Neuromuscular Control ◽  
Female Gender ◽  
Upper Limbs ◽  
Motor Action ◽  
Muscle Groups ◽  
The Moment ◽  
The Right

The objective of this case study is to observe the existence of an anticipation mechanism at the muscle groups level of the upper limbs. We tried to highlighted this anticipation process by measuring the potential of surface electric for some muscle groups representing the kinematic chain on the right side, involved in the motor action of catching a basketball and a 3kg medicine ball with two hands to the chest. We conducted a case study of a 13-year-old child, female gender. As a measurement method, we used surface electromyography signals of the EMG Trigno Delsys wireless system with 16 electrodes. We determined the moment when the muscles come into action by increasing the potential of surface electric and the moment when the action of catching the ball takes place, using the information provided by the accelerometers incorporated in the sensors of the Delsys equipment used. Therefore, we obtained information about how different muscle groups come into action which helped us to get an idea of how the child's movement is structured. Based on results of accelerations and EMG signals acquired we have formulated conclusions regarding the neuromuscular control of the tested subject. We also planned for the future to test a larger group of participants in the study research of anticipation mechanism in children who do not practice any performance sports.

scholarly journals Comparative relations between progesterone blood concentration and appearance of oestrus in cows

2007 ◽  
Vol 61 (1-2) ◽  
pp. 37-42 ◽  
Author(s):  
Gabriel Otava ◽  
Calin Mircu ◽  
Horia Cernescu ◽  
Violeta Igna
Keyword(s):  
Blood Concentration ◽  
Negative Influence ◽  
Elisa Test ◽  
Economic Problem ◽  
Optimal Time ◽  
Progesterone Concentration ◽  
Inappropriate Treatment ◽  
The Moment ◽  
Cattle Farms

The timely detection of oestrus presents an important professional procedure with which cattle farmers, in addition to veterinarians, are very often faced, because failure to detect oestrus poses a big economic problem. The objective of this work is to evaluate the efficacy of discovering oestrus in cows by determining the progesterone concentration (P4) in blood plasma. This experiment covered 22 animals, including 15 cows and 7 heifers, in which spontaneous oestrus was discovered. P4 concentration was determined using the ELISA test in samples of blood taken from the animals at the moment of insemination. Of the 15 cows, four cows (26.6%) were not inseminated at the optimal time, and the P4 level in these animals was higher than 1 ng/ml. All the heifers showed a progesterone concentration of over 1 ng/ml, and a percentage of conception which was 85%. The high P4 level in heifers at the moment of insemination could also be a consequence of stress caused by the regrouping and separating of the animals. Even though the heifers were under stress, which is indicated by the high progesteronemia values at the moment of insemination, the percentage of conception among them was beyond expectations. Therefore, the determination of P4 values at the moment of insemination is a suitable method for improving reproduction management on cattle farms. Inappropriate treatment of cows which are expected to show oestrus can cause stress and an increase in the values of the blood concentration of P4. On the grounds of the results obtained in this work, no negative influence of stress on the insemination results in heifers was observed.

A Project in the Determination of the Moment of Inertia

2005 ◽  
Vol 33 (4) ◽  
pp. 319-338
Author(s):  
Ron P. Podhorodeski ◽  
Paul Sobejko
Keyword(s):  
Dynamic Properties ◽  
Equations Of Motion ◽  
Mechanical Systems ◽  
Moment Of Inertia ◽  
Educational Goal ◽  
Centre Of Mass ◽  
Comparison Of Results ◽  
Physical Testing ◽  
The Moment

Analysis of the forces involved in mechanical systems requires an understanding of the dynamic properties of the system's components. In this work, a project on the determination of both the location of the centre of mass and inertial properties is described. The project involves physical testing, the proposal of approximate models, and the comparison of results. The educational goal of the project is to give students and appreciation of second mass moments and the validity of assumptions that are often applied in component modelling. This work reviews relevant equations of motion and discusses techniques to determine or estimate the centre of mass and second moment of inertia. An example project problem and solutions are presented. The value of such project problems within a first course on the theory of mechanisms is discussed.

A selective medium for determining the population of viable conidia of Cochliobolus sativus in soil

1982 ◽  
Vol 33 (2) ◽  
pp. 287 ◽  
Author(s):  
RL Dodman ◽  
JR Reinke
Keyword(s):  
Rose Bengal ◽  
Complete Recovery ◽  
Selective Medium ◽  
Cochliobolus Sativus ◽  
Ecological Studies ◽  
Dilution Plate ◽  
Different Soils

A selective medium containing three antibiotics, three fungicides, and rose Bengal has been developed for the determination of populations of viable conidia of Cochliobolus sativus in soils by the dilution plate procedure. With this medium, complete recovery of added conidia was achieved; the level of recovery was not significantly different (P > 0.05) when conidia were present in two different soils. The medium should be useful for ecological studies of C. sativus.

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