scholarly journals Analysis of methods for quantitive evaluation of facial skeleton injuries applicable in forensic dental practice

2017 ◽  
pp. 46-52
Author(s):  
Yevhen Kostenko ◽  
Pavlo Brekhlichuk ◽  
Myroslav Honcharuk-Khomyn
Keyword(s):  
Medical Care ◽  
Therapy Monitoring ◽  
Region Of Interest ◽  
Primary Diagnosis ◽  
Prevention Measures ◽  
Facial Skeleton ◽  
Treatment And Prevention ◽  
Topographical Distribution ◽  
Medical Mistake ◽  
Clinical Conditions

Continuous improvement of the medical care in Ukraine substantiates the need for development appropriate approaches for evaluating the quality of the iatrogenic interventions and rehabilitation measures. The success of treatment mostly depends on the adequacy of the primary diagnosis of the patient or the victim and the corresponding registration of present functional and structural violations at the time of admission. This stage of complex rehabilitation, in addition, plays an important role during forensic examinations that aimed at identifying the fact of a medical mistake, establishing conformity of medical care provision taking into account the initial clinical conditions and quantifying the effectiveness of treatment and prevention measures at the stage of long-term post-therapy monitoring. During provided retrospective analysis of publications, the following systems (algorithms) of the quantification of maxillofacial injuries were identified: Cooter-David Score, ISS, AIS, TRISS, MFISS, FFSS, ZS, AO/ASIF, FLOSID. The conducted analysis of the systems for quantitative assessment of the injuries parameters at the maxillofacial region indicates about the variability of the above described approaches in terms of topographical distribution of region of interest, criteria for assessing the severity of functional and structural violations, as well as in the terms of corresponding filling registration cards or computerized forms in relation to the specifics of methodological algorithm.

scholarly journals MODERN MODEL OF GENETIC MONITORING AS A PROMISING TOOL FOR REDUCING INCIDENCE OF GENETIC PATHOLOGIES IN UKRAINE

2019 ◽  
Vol 72 (2) ◽  
pp. 169-174
Author(s):  
Dmytro O. Mykytenko ◽  
Tetiana S. Gruzieva
Keyword(s):  
Medical Care ◽  
Conceptual Modeling ◽  
Genetic Monitoring ◽  
Congenital Defects ◽  
Prevention Measures ◽  
Treatment And Prevention ◽  
Promising Tool ◽  
State Health Policy ◽  
Analysis Technique ◽  
Quality Medical Care

Introduction: The medical and social substantiation of an optimized system of genetic monitoring in Ukraine for providing of quality medical care with economic substantiation should be developed for quality medical care and justification of budget expenditures and the economic evaluation of the effectiveness of treatment and prevention measures. The aim is to develop a modern model for the genetic monitoring and provide substantiation of the measures for the prevention of hereditary transmission of genetic defects and birth of children with congenital defects. Materials and methods: The following research methods have been employed: systematic approach and analysis technique; bibliographic and semantic method; method of conceptual modeling. Conclusions: The model of genetic monitoring with the modern concepts of healthcare reform in Ukraine has been developed taking into account the priorities of the state health policy, modern internationally recognized and recommended by WHO.

scholarly journals Suicide by prisoners

2004 ◽  
Vol 184 (3) ◽  
pp. 263-267 ◽  
Author(s):  
Jenny Shaw ◽  
Denise Baker ◽  
Isabelle M. Hunt ◽  
Anne Moloney ◽  
Louis Appleby
Keyword(s):  
Mental Disorder ◽  
Clinical Care ◽  
National Sample ◽  
Primary Diagnosis ◽  
Care Staff ◽  
Health Care Staff ◽  
Prevention Measures ◽  
Prison Health ◽  
History Of ◽  
Clinical Survey

BackgroundThe number of suicides in prison has increased over recent years. This is the first study to describe the clinical care of a national sample of prison suicides.AimsTo describe the clinical and social circumstances of self-inflicted deaths among prisoners.MethodA national clinical survey based on a 2-year sample of self-inflicted deaths in prisoners. Detailed clinical and social information was collected from prison governors and prison health care staff.ResultsThere were 172 self-inflicted deaths: 85 (49%; 95% CI 42–57) were of prisoners on remand; 55 (32%; 95% CI 25–39) occurred within 7 days of reception into prison. The commonest method was hanging or self-strangulation (92%; 95% CI 88–96). A total of 110 (72%; 95% CI 65–79) had a history of mental disorder. The commonest primary diagnosis was drug dependence (39, 27%; 95% CI 20–35). Eighty-nine (57%; 95% CI 49–64) had symptoms suggestive of mental disorder at reception into prison.ConclusionsSuicide prevention measures should be concentrated in the period immediately following reception into prison. Because hanging is the commonest method of suicide, removal of potential ligature points from cells should be a priority.

scholarly journals Larva of greater wax moth Galleria mellonella is a suitable alternative host for the fish pathogen Francisella noatunensis subsp. orientalis

2019 ◽  
Author(s):  
Winarti Achmad Sarmin Djainal ◽  
Khalid Shahin ◽  
Alexandra Adams ◽  
Andrew Desbois
Keyword(s):  
Galleria Mellonella ◽  
Dependent Manner ◽  
Alternative Host ◽  
Prevention Measures ◽  
Suitable Alternative ◽  
Treatment And Prevention ◽  
Greater Wax Moth ◽  
Important Food Source ◽  
Dose Dependent ◽  
Lethal Doses

Abstract Background Francisella noatunensis subsp. orientalis (Fno) is the etiological agent of francisellosis in cultured warm water fish, such as tilapia. Antibiotics are administered to treat the disease but a better understanding of Fno infection biology will inform improved treatment and prevention measures. However, studies with native hosts are costly and considerable benefits would derive from access to a practical alternative host. Here, larvae of Galleria mellonella were assessed for suitability to study Fno virulence. Results Larvae were killed by Fno in a dose-dependent manner but the insects could be rescued from lethal doses of bacteria by antibiotic therapy. Infection progression was assessed by histopathology (haematoxylin and eosin staining, Gram Twort and immunohistochemistry) and enumeration of bacteria recovered from the larval haemolymph on selective agar. Fno was phagocytosed and could survive intracellularly, which is consistent with observations in fish. Virulence of five Fno isolates showed strong agreement between G. mellonella and red Nile tilapia hosts. Conclusions This study shows that an alternative host, G. mellonella, can be applied to understand Fno infections, which will assist efforts to identify solutions to piscine francisellosis thus securing the livelihoods of tilapia farmers worldwide and ensuring the production of this important food source.

scholarly journals Emergency Medical Care and Management of Sports Injuries on the Football Court

2021 ◽  
Vol 5 (1) ◽  
pp. 773-777
Author(s):  
Basri Lenjani ◽  
Premtim Rashiti ◽  
Gani Shabani ◽  
Arber Demiri ◽  
Besarta Pelaj ◽  
...  
Keyword(s):  
Medical Care ◽  
Health Care Professionals ◽  
Sports Medicine ◽  
Sports Injuries ◽  
Multiple Injuries ◽  
Emergency Medical Care ◽  
Treatment And Prevention ◽  
Emergency Medical ◽  
Limb Injuries ◽  
Football Field

Introduction; Sports medicine is a clinical subspecialty that deals with the examination, monitoring, diagnosis, treatment, and prevention of injuries that occur during sports events, training and physical activities in pre-hospital settings. Managing dramatic situations with minor and multiple injuries is a challenge that requires a quick approach to a dramatic event in managing minor and multiple injuries on the football field and in other sports in support of SHME at pre-hospital and hospital level. Purpose of the paper. Providing emergency medical care at all basic stages of managing minor and multiple injuries on the football field and in other sports in order to implement BLS, ACLS, BTLS, PTLS, ATLS care measures reducing morbidity, disability, and mortality. Material and methods. The research is of retrospective, descriptive, qualitative type. The material was taken from the archive of the Emergency Clinic of UCCK for the period January-December 2019. Only the sick or injured in sports matches were taken in the research; Age, gender, type of illness and injury and type of medical care, equipment available, and training and education. Result. Sports injuries are very costly, and according to the pathology with diseases were 15 cases or 21.4 %, injuries were 55 cases or 78/6 %. Injured by age. The largest number of injured with injuries in the field of football sports the most affected age was the age of 21-25 years with 28 cases or 40.00%, over 25 years were 27 cases or 38.58% and with a smaller number were aged 15-20 years15 cases or 21.42%. Discussion and conclusions. A very important factor in sports injuries is the provision of optimal medical care for footballers and other sports in head, neck, spine, chest, abdomen, and pelvis and limb injuries and with a joint communication with the cooperation of health care professionals in the selection of priority cases. Education of medical staff, nurses, paramedics with courses, use of medical equipment, BLS, ACLS, BTLS, PTLS, ATLS as well as standard procedures for providing and transporting medical care to the hospital.

scholarly journals Injury prevention in football: Knowledge and behaviour of players and availability of medical care in a Nigerian youth football league

2013 ◽  
Vol 25 (3) ◽  
pp. 77 ◽  
Author(s):  
OBA Owoeye ◽  
SRA Akinbo ◽  
OA Olawale ◽  
BA Tella ◽  
NM Ibeabuchi
Keyword(s):  
Medical Care ◽  
Injury Prevention ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Football Players ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Male Youth ◽  
Youth Football ◽  
The Impact

Background. Exposure to competitive football is increasing among male youth football players in Nigeria. However, medical support to abate the impact of injuries appears inadequate and there is limited literature to show whether youth football players are knowledgeable about, and practise effective measures for injury prevention in football (IPF).Objective. To assess the knowledge and behaviour of male youth football players regarding IPF and the availability of medical care for players.Methods. We conducted a cross-sectional study among all registered first-division players of a male youth football league in Lagos, Nigeria. Using a self-administered questionnaire, we assessed players’ knowledge regarding IPF, awareness of the Fédération Internationale de Football Association (FIFA) 11+ injury-prevention programme, injury-prevention behaviour and availability of medical attendants during training and competitive matches.Results. The mean age of the players was 18.5 years (standard deviation (SD) ±1.7; range 12 - 19). Their overall mean knowledge score regarding IPF was 4.40 (SD ±1.92) from a total score of 9, with the majority falling into the poor (39.1%) and fair (43.9%) knowledge categories. Most (79.3%) players were not aware of the FIFA 11+ programme. Less than half (40.5%) wore shin guards during training sessions, while 52.5% reported wearing shin guards during matches. Less than two-thirds always warmed up or cooled down at training or matches. About three-quarters (73.1%) and over half (52.1%) reported not having medical attendants working with their teams during matches and training, respectively.Conclusion. There is a clear deficiency in the knowledge and behaviour of injury-prevention measures among Nigerian male youth football players, and adequate medical care is lacking. There is a need for injury-prevention advocacy and implementation of effective interventions to bridge the identified deficiencies in youth football in Nigeria.

scholarly journals Fitness Cost of blaNDM-5-Carrying p3R-IncX3 Plasmids in Wild-Type NDM-Free Enterobacteriaceae

2020 ◽  
Vol 8 (3) ◽  
pp. 377 ◽  
Author(s):  
Tengfei Ma ◽  
Jiani Fu ◽  
Ning Xie ◽  
Shizhen Ma ◽  
Lei Lei ◽  
...  
Keyword(s):  
Biofilm Formation ◽  
Fitness Cost ◽  
New Delhi ◽  
Prevention Measures ◽  
Wild Type ◽  
Treatment And Prevention ◽  
Different Sources ◽  
Type Strains ◽  
Highly Virulent ◽  
Wide Dissemination

The wide dissemination of New Delhi metallo-β-lactamase genes (blaNDM) has resulted in the treatment failure of most available β-lactam antibiotics, with IncX3-type blaNDM-5-carrying plasmids recognised as having spread worldwide. In China, bacteria carrying these plasmids are increasingly being detected from diverse samples, including hospitals, communities, livestock and poultry, and the environment, suggesting that IncX3 plasmids are becoming a vital vehicle for blaNDM dissemination. To elucidate the fitness cost of these plasmids on the bacterial host, we collected blaNDM-negative strains from different sources and tested their ability to acquire the blaNDM-5-harboring p3R-IncX3 plasmid. We then measured changes in antimicrobial susceptibility, growth kinetics, and biofilm formation following plasmid acquisition. Overall, 70.7% (29/41) of our Enterobacteriaceae recipients successfully acquired the blaNDM-5-harboring p3R-IncX3 plasmid. Contrary to previous plasmid burden theory, 75.9% (22/29) of the transconjugates showed little fitness cost as a result of plasmid acquisition, with 6.9% (2/29) of strains exhibiting enhanced growth compared with their respective wild-type strains. Following plasmid acquisition, all transconjugates demonstrated resistance to most β-lactams, while several strains showed enhanced biofilm formation, further complicating treatment and prevention measures. Moreover, the highly virulent Escherichia coli sequence type 131 strain that already harbored mcr-1 also demonstrated the ability to acquire the blaNDM-5-carrying p3R-IncX3 plasmid, resulting in further limited therapeutic options. This low fitness cost may partly explain the rapid global dissemination of blaNDM-5-harboring IncX3 plasmids. Our study highlights the growing threat of IncX3 plasmids in spreading blaNDM-5.

PROSPECTS FOR THE USE OF CHAT-BOT IN THE TREATMENT OF ANOMALIES OF THE MAXILLOFACIAL REGION

2020 ◽  
Author(s):  
Alexandra Zobenko ◽  
Yuri Anatolyevich Vasiliev
Keyword(s):  
Medical Care ◽  
Congenital Malformations ◽  
Information Technologies ◽  
Facial Skeleton ◽  
Maxillofacial Region ◽  
Modern Information ◽  
Chat Bot

The article discusses the possibilities of using modern information technologies, in particular chatbot, in dentistry in the treatment of patients with congenital malformations of the facial skeleton. In order to im-prove the awareness of both doctors and parents at all stages of receiving medical care and rehabilitation.

Primary pediatric stroke center in the multidisciplinary pediatric hospital. New reality in pediatrics

2020 ◽  
Vol 1 (1) ◽  
pp. 15-30
Author(s):  
E.E. Petryaykina ◽  
◽  
I.O. Shchederkina ◽  
I.P. Vitkovskaya ◽  
P.V. Svirin ◽  
...  
Keyword(s):  
Medical Care ◽  
Cerebrovascular Diseases ◽  
Pediatric Stroke ◽  
Pediatric Hospital ◽  
Child Population ◽  
Treatment And Prevention ◽  
The Creation ◽  
Stroke Center ◽  
Interdisciplinary Interaction ◽  
The City

Background. The increase in the number of diagnosed strokes in children, significant distinctive features and complexity of diagnosis, treatment and prevention of cerebrovascular diseases in children compared with adults, the impossibility of direct extrapolation of therapeutic recommendations from adult practice to pediatrics required the creation of specialized primary centers of pediatric stroke in Russia. Purpose. The purpose of this article is to describe the experience of organizing a Center for the treatment of children and adolescents with cerebrovascular diseases (hereinafter referred to as the Center) on the basis of the multidisciplinary pediatric hospital of the Morozovskaya Children's City Clinical Hospital of Moscow Healthcare Department, the introduction of modern methods of diagnosis and treatment of strokes in pediatrics, the organization of preventive measures, maintaining the city register of children's stroke, coordinating the provision of medical care to children with cerebrovascular diseases at various levels in the city of Moscow. Materials and methods. The presented experience of organizing and operating the Center covers the period from 2014 to 2019. Researchers used descriptive, statistical, and comparative analysis to demonstrate the Center's performance and justify proposed improvements in diagnostics, management of pediatric patients with cerebrovascular disease, and relapse prevention. Results. In the course of the organization and operation of the Center, there was assessed the frequency of children's strokes in the city: in 2015 - 6.59 cases per 100 thousand of the child population of Moscow; in 2016 - 6.51 per 100 thousand; in 2017 - 6.43 per 100 thousand and in 2018 - 5.86 per 100 thousand. There were improved: the diagnostics of cerebrovascular pathology and its algorithm, modern reperfusion methods of treatment (thrombolysis, thromboextraction) were introduced into practice, outpatient observation. The equipment and trained specialists concentration on the basis of the Center allowed the creation of the Center "full cycle". Maintaining the city register of pediatric stroke made it possible to compare Russian data with those available in the literature and to establish international cooperation with the International Pediatric Stroke Organization. Conclusion. The establishment of the Center is an important example of interdisciplinary interaction in pediatrics. The City Register of Pediatric Stroke will make it possible to assess the problem of childhood stroke in Moscow. The accumulated organizational, medical and diagnostic, scientific, international and educational experience of the Center can be introduced in other regions of the Russian Federation to improve the provision of medical care to children and to solve the most important problem - preserving the health of the country's child population.

Possible Captopril-Induced Toxic Epidermal Necrolysis

2003 ◽  
Vol 37 (3) ◽  
pp. 380-383 ◽  
Author(s):  
Delal A Alkurtass ◽  
Abdulrazaq S Al-Jazairi
Keyword(s):  
Toxic Epidermal Necrolysis ◽  
Rare Complication ◽  
Healthcare Providers ◽  
Skin Lesions ◽  
Complete Healing ◽  
Drug Event ◽  
Prevention Measures ◽  
Oral Medications ◽  
Treatment And Prevention ◽  
Erythematous Skin

OBJECTIVE: To report a case of toxic epidermal necrolysis (TEN) possibly induced by captopril. CASE SUMMARY: An 11-week-old boy was referred to our hospital for tetrology of fallot surgical repair, performed on admission day 2. On day 3, the patient developed third-degree heart block, necessitating pacemaker connection and oral theophylline 3 mg/kg 3 times daily. Captopril 1 mg orally twice daily, intravenous furosemide 7 mg every 12 hours, and oral aldactone 7 mg twice daily were started. On day 5, the patient developed scaling erythematous skin lesions. On day 7, his temperature spiked to 37.8 °C, and pus discharge from the pacing wire site was noticed. Intravenous vancomycin 80 mg 3 times daily and intravenous ceftazidime 200 mg 3 times daily were initiated. On the same day, captopril was discontinued because we suspected that it had induced the skin reaction. On day 15, the infant's skin problem progressed. The dermatologist diagnosed partial TEN. On that day, theophylline and furosemide were also discontinued. On day 16, the patient still had some blisters, but the skin started to show signs of healing, until complete healing occurred on day 22. The infant was discharged on oral medications: furosemide 7 mg twice daily, aldactone 7 mg twice daily, and enalapril 0.1 mg twice daily. Three weeks later, he was followed up. No recurrences were observed. CONCLUSIONS: This case suggests captopril induces TEN when combined with other sulfonamide medications. An objective causality assessment revealed that the adverse drug event was possible. Although it is a rare complication, healthcare providers should be familiar with its potential to occur and take appropriate treatment and prevention measures.

scholarly journals Canine Babesiosis: Where Do We Stand?

2018 ◽  
Vol 68 (2) ◽  
pp. 127-160 ◽  
Author(s):  
Bilić Petra ◽  
Kuleš Josipa ◽  
Barić Rafaj Renata ◽  
Mrljak Vladimir
Keyword(s):  
Species Recognition ◽  
Therapy Monitoring ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Canine Babesiosis ◽  
Treatment And Prevention ◽  
Clinicopathological Findings ◽  
Tick Borne Disease ◽  
Appropriate Therapy ◽  
Selection Of

Abstract Canine babesiosis is a tick-borne disease caused by protozoal haemoparasites of different Babesia species. Babesiosis is one of the most important globally extended and quickly spreading tick-borne infections of dogs. This comprehensive review gives an in-depth overview of Babesia species currently identified in dogs together with relevant vector tick species and their geographical distribution, life cycle and transmission of parasite. The main mechanisms in the pathogenesis of babesiosis are described and elucidated by recent literature overview. As Babesia infection causes a disease with very variable clinical manifestations, special attention is given to clinical signs, laboratory features and clinicopathological findings. The diagnosis of canine babesiosis by microscopy, serological and molecular methods is reviewed, together with recent advances in mass spectrometry based assays. Accurate detection and species recognition are important for the selection of the appropriate therapy, monitoring and prediction of the outcome of the disease. Finally, guidelines for the treatment and prevention of canine babesiosis are given.

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